ICE

3rd yr

In the small intestine, they are the finger-like projections formed by the mucosa.

A. Villi

B. Circular folds

C. Peyer’s patches

D. Microvilli

Villi

Two major regions of a tooth.

A. Crown and enamel

B. Pulp cavity and root

C. Root and dentin

D. Crown and root

Crown and root

Spot the Not

A. WBC

B. RBC

C. Sodium and potassium

D. Blood proteins

Sodium and potassium

The female organ of copulation

A. Uterus

B. Fallopian tube

C. Vagina

D. Ovary

Vagina

A diamond-shaped region between the anterior end of the labial folds, anus posteriorly, and ischial tuberosities laterally.

A. Perineum

B. Vestibule

C. Clitoris

D. Mons pubis

Perineum

It is a phase of therapeutic relationship where in the goal is to develop trust and security within the Nurse and the Patient.

* Working phase
* Termination phase
* Pre-interaction phase
* Orientation phase

Orientation Phase

A type of assessment performed to determine status of a specific problem identified in an earlier assessment.

* Time-lapsed reassessment
* Emergency assessment
* Problem-focused assessment
* Initial Assessment

Problem-focused assessment

Nurse Anne knows that all of these are considered secondary sources of data EXCEPT?

* Health care providers
* Client records
* Client
* Support people

Client

Nurse Lorrie is analyzing the data gathered, identifies health problems of the patient and formulate diagnostic statements. What phase of the nursing process is this?

* Implementation phase
* Evaluation phase
* Assessment phase
* Diagnosis phase

Diagnosis phase

All of these are being done during Implementing phase of the nursing process except:

* Reassessing the client
* Determining the nurse’s need for assistance
* Implementing the nursing interventions
* Collecting data

Collecting data

The basis of the Nursing Core Competencies also known as the Philippine Nursing Law.

* RA 9713
* RA 9371
* RA 7193
* RA 9173

RA 9173

For Nurse Joshua having a meaningful, worthwhile clinical exposure is skill enhancement thus he must experience similar situations several times to enable him to become adept to such procedure. What level of skill has Nurse Joshua attained based on Benner’s Theory?

* Advance Beginner
* Proficient
* Expert
* Competent

Advance Beginner

This collective term is used to denote the four concepts for nursing.

* Nursing Theory
* Theoretical Framework
* Metaparadigm
* Philosophy

Metaparadigm

In Watson’s Theory, the term “carative” originated from the term

* Wisdom
* Caritas
* Compassion
* Love

Caritas

With the knowledge of the 10 rights of giving the medication, the nurse checks the doctor’s order, the medication sheet, and the medication card.

* Right Patient
* Right Dose
* Right Route
* Right Drug

Right Dose

Before giving the medication, the nurse checks ID band and the chart of the patient. Which of the following is applied on this situation?

* Right Route
* Right Drug
* Right Assessment
* Right Patient

Right Patient

The nurse refers to the doctor the cardiac rate of the patient which is only 40beats/min. The action of the nurse tells us that she applies one of the 10 rights in giving the medication.

* Right Drug
* Right Assessment
* Right Route
* Right Patient

Right Assessment

A patient with anemia asked the nurse on duty, “Which of the following diet below can I benefit?

* Nuts and seeds, fruits, and soy products.
* Grains, berries, and organic vegetables.
* Legumes, organ meat, and dark green leafy vegetables
* Vegetables, fish, and pasta.

Legumes, organ meat, and dark green leafy vegetables 

A patient is to be started on enteral feedings. Since you are the nurse on duty, what important step should you take before the patient is started on enteral feedings?

* Assess patient allergies to lactose.
* Evaluate the families’ perception of the enteral feedings.
* Assess the patient’s understanding about enteral feedings.
* Make sure the patient stays nothing by mouth while enteral feedings are being administered

Assess patient allergies to lactose.

What is the other name for “mask of pregnancy”?

* butterfly rash
* myoma
* melanoma
* chloasma

chloasma

Expected developmental variation on the spine of a pregnant woman

* kyphosis
* progressive lordosis
* cordosus
* scoliosis

progressive lordosis

Integumentary change seen in the midline of the abdomen which shows a darker pigmentation.

* diastasis recti abdominis
* straie growidarum
* linea negricans
* linea nigra

linea nigra

Elevated sebaceous glands of the areola which produces lipofluid secretion that lubricates and protects the nipple.

* Meibomian gland
* Sweat gland
* Montgomery glands
* Coopers gland

Montgomery glands

A woman is admitted with a diagnosis of ectopic pregnancy. For which procedure should the nurse prepare?

* intravenous administration of a Tocolytic
* bed rest for the next 4 weeks
* immediate surgery
* internal uterine monitoring

Immediate Surgery

A woman at 32 weeks' gestation is admitted in preterm labor. On the nurse's admission assessment, which of following findings would cause the nurse to question the administration of a tocolytic agent?

* Cervical dilation of 5 cm
* Strong, regular contractions
* Fetus in a breech presentation
* A spontaneous abortion in an earlier pregnancy

Cervical dilation of 5 cm

A patient who is 16 weeks pregnant is passing pieces of body tissue along with blood clots and dark red blood from the vagina. What should the nurse direct the patient to do at this time?

* Count the number of perineal pads that are saturated with blood.
* Continue with normal daily activity and monitor pulse rate every hour.
* Begin immediate bed rest.
* Seek immediate medical attention and bring the expressed vaginal material

Seek immediate medical attention and bring the expressed vaginal material

The nurse is evaluating care provided to a patient in the third trimester of pregnancy who has been diagnosed with gestational hypertension. Which finding indicates that treatment has been successful for this patient?

* Diastolic blood pressure 20 mmHg over normal level
* Urine protein 0
* Increased perspiration
* Weight gain of 1 lb/week

Urine protein 0

The nurse is identifying nursing diagnoses for a patient with gestational hypertension. Which diagnosis would be the most appropriate for this patient?

* Risk for injury related to fetal distress
* Imbalanced nutrition related to decreased sodium levels
* Ineffective tissue perfusion related to vasoconstriction of blood vessels
* Ineffective tissue perfusion related to poor heart contraction

Ineffective tissue perfusion related to vasoconstriction of blood vessels

Nurse Beatrice is a sophomore BSN student, she is well equipped to provide health education to the teenage and adult members of their community. Bon truly understands that to prevent the spread of the COVID infection, the cycle of the infectious process must be broken. This is accomplished primarily through?

* hand washing before and in between contacts to others
* use of medical and surgical asepsis
* leaning the environment
* wearing of Personal Protective Equipment

hand washing before and in between contacts to others

Nurse Joefferson a senior BSN nurse understands that the best way for a nurse to practice ethically and be protected legally would be?

* carry at least 100,000 worth of liability insurance
* follow hospital policy and procedure whenever possible
* establish a therapeutic relationship with all patients and family members
* provide the best possible care to the client/ patient under any circumstance

provide the best possible care to the client/ patient under any circumstance

A researcher wants to know how grandparents feel about their grandchildren which made him select men and women who are 65 years old and above who have grandchildren to serve as participants. What type of sampling technique was used by the researcher?

* Accidental
* Quota
* Snowball
* Purposive

Purposive

An investigator who wants to interview the first 10 patients who first recovered in the COVID19 infection may use what type of sampling technique?

* Purposive
* Quota
* Accidental
* Snowball

Snowball

The process of selecting the representative portion to represent the entire population:

* Population
* Subjects
* Sampling
* Sample

Sampling

Which of the following is considered a probability sampling technique?

* Purposive
* Snowball
* Systematic
* Quota

Systematic

Anna would like to make sure that her research instrument can measure exactly what it intends to measure. She had chosen to write experts using the Good and Scates form to look into the items included in the instrument. What is determined by Anna at the moment?

* Validity
* Reliability
* Consistency
* Sensitivity

Validity

Informed consent most importantly requires the researcher to explain to the subjects:

* The right to withdraw from the study anytime
* The purpose of the study
* The rigors of the study
* The number of participants in the study

The right to withdraw from the study anytime

Qualitative studies used to examine the lived experiences of individuals about a phenomenon or event:

* Ethnographic
* Phenomenological
* Case Study
* Feminists

Phenomenological

Using Slovin's formula, what is the sample size for a population of 12,489 with a 5% margin of error?

* 388
* 387
* 378
* 400

388

Reviewing the literature is vital in the research process. Which phase of the research process does the literature review belong to?

* Design Phase
* Implementation Phase
* Analysis and Interpretation Phase
* Conceptual Phase

Conceptual Phase

A process of summarizing trends and patterns observed in the data, determining major differentials or relationships among variables used in the study is:

* Data Processing
* Data Organizing
* Data Analysis
* Data Encoding

Data Analysis

Mr. Bon Gong , who is diagnosed with bipolar disorder has been drinking copious amounts of water and voiding frequently. The patient is experiencing muscle cramps, twitching, and is reporting dizziness. the nurse checks lab work for:

* EEG results
* Complete blood count results, particularly the platelets.
* Electrolytes, particularly the serum sodium.
* Urine analysis, particularly for the presence of white blood cells.

Electrolytes, particularly the serum sodium

Patient Leila has a nursing diagnosis of fluid volume deficit. Which one of the following medications could potentially exacerbate the problem?

* Insulin
* Lasix
* Synthroid
* Digoxin

Lasix

Sodium levels are affected by the secretion of which of the following hormones?

* Progesterone and aldosterone
* ECF and aldosterone
* ADH and ACTH
* Antidiuretic hormone and FSH

ADH and ACTH

When teaching a patient about foods high in magnesium, the nurse would include:

* Green vegetables
* Tomatoes
* Butter
* Cheese

Green vegetables

Your 75-year-old patient with a feeding tube, has been experiencing severe watery stool. The patient is lethargic and has poor skin turgor, a pulse of 120, and hyperactive reflexes. Nursing interventions would include:

* Applying wrist restraints to avoid displacement of the feeding tube
* Administering sedatives.
* Administering salt tablets and monitoring hypertonic parenteral solutions.
* Measuring and recording intake and output and daily weights.

Measuring and recording intake and output and daily weights.

Disease of which of the following structures is most likely to affect electrolyte reabsorption?

* Renal tubules
* Bladder
* Glomerulus
* Renal pelvis

Renal tubules

Len is diagnosed with hypermagnesemia. Symptoms of her condition may include:

* Tachycardia
* Hypertension
* Cardiac arrhythmias
* Hyperactive deep-tendon reflex

Cardiac arrhythmias

Drug of choice with kidney stones made of uric?

* Paracetamol
* NSAID drug
* Allopurinol
* Diazepam

Allopurinol

Your patient who had undergone surgery is in the recovery room and difficult to arouse two hours following surgery.The patient does not respond to any stimuli. The nurse assesses the ABCs (remember Airway, Breathing, Circulation!) and obtains ABGs STAT! Measurement of arterial blood gas shows pH 7.20, PaCO2 50 mm Hg, and HCO3 20 mEq/L. What does this mean?

* Metabolic Alkalosis
* Combined acidosis
* Respiratory Acidosis
* Combined alkalosis

Combined acidosis

Baby Dagul was rushed to the Emergency Room following her mother’s complaint that the infant has been irritable, difficult to breastfeed, and has had diarrhea for the past 3 days. The infant’s respiratory rate is elevated and having seizure. The Emergency Room physician orders ABGs after assessing the ABCs. The results from the ABG results show pH 7.52 , PaCO2 27 mmHg, and HCO3 24 mEq/L. What does this mean?

* Metabolic acidosis
* Metabolic Alkalosis
* Respiratory Acidosis
* Respiratory alkalosis

Respiratory alkalosis

A Ceneco lineman was brought to the emergency department of a hospital after he fell into the ground and hurt his left leg. He is noted to be tachycardic and tachypneic. Painkillers were carried out to lessen his pain. Suddenly, he started complaining of dizziness and you notice that he is disoriented. Measurement of arterial blood gas reveals pH 7.33, PaCO2 48 mm Hg, HCO3 25 mmol/L, and PaO2 75 mmHg. What does this mean?

* Respiratory alkalosis with severe hypoxemia
* Metabolic acidosis with moderate hypoxemia
* Respiratory acidosis with mild hypoxemia
* Metabolic Alkalosis with hypoxemia

Respiratory acidosis with mild hypoxemia

An element in the chain of infection which provides nourishment and further dispersal of the microorganism

* Portal of Exit
* Portal of Entry
* Reservoir
* Mode of Transmission

Reservoir

An infectious disease caused by recurrent Varicella with vesicles restricted to areas supplied by a single nerve group

* Herpes Zoster
* Human Papilloma virus
* Measles
* Mumps

Herpes Zoster

A tier of isolation precaution that assumes all patients are colonized or infected with microorganisms, symptomatic or not.

* Transmission-based Isolation
* Transmission-based precaution
* Standard Precaution
* Standard Isolation

Standard Precaution

A type of transmission-based precaution wherein the use of N95 mask is required and negative air pressure room when caring for patients with an infectious disease such as Measles

* Contact precaution
* Standard precaution
* Droplet precaution
* Airborne precaution

Airborne precaution

A type of immunity acquired after birth, through the production of antibodies through active infection or through antibody infusion

* Innate Immunity
* Adaptive Immunity
* None of the above
* Genetic Immunity

Adaptive Immunity

A type of immunity mediated response which involves B-cell maturation, plasma cell production and antibodies

* General immune response
* All of the above
* Humoral response
* Cell-mediated response

Humoral response

The T lymphocyte responsible for recognizing antigens from previous exposure and mounting an immune response

* Memory T Cells
* B Cells
* Helper T Cells
* Suppressor T Cells

Memory T Cells

A type of hypersensitivity mediated by IgG antibody which formed when antigens bind to antibodies creating antigen-antibody immune complexes leading to vascular permeability and tissue injury

* Type II
* Type I
* Type IV
* Type III

Type III

A component of blood where clotting factors are found, along with immunoglobulins and enzymes

* Plasma
* WBC
* RBC
* Platelet

Plasma

When does preoperative preparation of the patient start?

* When a patient has enough money
* When a patient is ready for surgery
* When a patient decides on an operation
* When patient feels signs and symptoms that require surgery

When a patient decides on an operation

A surgery done to estimate the extent of the pathology and eventually confirm diagnosis.

* Exploratory
* Reconstructive
* Diagnostic
* Ablative

Exploratory

Which of the following operative procedures is classified as an emergency?

* Cataract surgery after exposure to corrosive material
* Amputation following degloving injury of the whole right arm
* Radical Mastectomy for Stage IV Cancer
* Cholecystectomy due to gallstones causing intermittent right subcostal pain

Amputation following degloving injury of the whole right arm

What is an inherited autosomal dominant disorder that is intraoperatively triggered in response to an anesthetic agent causing increase metabolism, increase heat production and elevated body temperature?

* Malignant hyperthermia
* Marfan’s syndrome
* Hypersensitivity reaction
* Cystic fibrosis

Malignant hyperthermia

Majority of adults do not know that they have Obstructive Sleep Apnea (OSA), which puts them at risk for postoperative pulmonary complications. The following are possible signs of OSA, except:

* Hypertension
* Observed apnea
* Tiredness during night time
* Snoring

Tiredness during night time

Which among the following medication classification will possibly cause intraoperative bleeding to a surgical patient?

* Corticosteroids
* Antihypertensives
* Sedatives
* Anticoagulants

Anticoagulants

When does homecare for a surgical patient begin?

* Before admission
* Before discharge
* After surgery
* During admission

After surgery

What is a universal safety protocol before surgery wherein the surgical team conducts a final verification of the correct client, procedure, and site?

* Surgical Time out
* Cut off time
* Surgical consent
* Client verification

Surgical Time out

What is the scoring system used to assess readiness of patients to be discharged form the Post Anesthesia Care Unit?

* Level of Consciousness
* Glasgow Coma Scale
* Aldrete Score
* Revised Trauma Score

Aldrete Score

Nurse Joan is assigned in the oncology section of the hospital. Which of the following orders should the nurse question if a client is on radiation therapy?

* Aspirin every 4
* Bland diet
* Saline rinses every 2 hours
* Analgesics before meals

Aspirin every 4 hours

A client had undergone radiation therapy (external). The expected side effects include the following apart from:

* Ulceration of oral mucous membranes
* Headache
* Constipation
* Hair loss

Hair loss

The student nurse is conducting a health teaching to female clients in the ward about Breast self-examination. During evaluation the clients are asked to state what they learned. Which of the following statement made by a client needs further teaching about BSE?

* “BSE palpation is done by starting at the center going to the periphery in a circular motion.”
* “BSE is done after menstruation."
* “BSE should start from age 20.”
* “BSE can be done in either supine or standing position.”

BSE palpation is done by starting at the center going to the periphery in a circular motion

In staging and grading neoplasm TNM system is used. TNM stands for:

* Tumor. node. metastasis
* Tumor. neoplasm. mode of growth
* Time. neoplasm. mode of growth
* Time. node. Metastasis

Tumor. node. metastasis

A relative with cancer. is asking about the warning signs that may relate to cancer. As a nurse you correctly identify the warning signs of cancer by responding:

* “If a sore healing took a month or more to heal. cancer should be suspected.”
* “Sudden weight loss of unexplained etiology can be a warning sign of cancer.”
* “Presence of dry cough is one of the warning signs of cancer.”
* “A lump located only in the breast area may suggest the presence of cancer.”

“Sudden weight loss of unexplained etiology can be a warning sign of cancer.”

When the nurse is not performing any nursing procedures, what distance should be maintained from the client who have internal radiation?

* 2.5 feet
* 1 feet
* 3 feet
* 2 feet

3 feet

A pathway in the secondary hemostasis that involves exposure of collagen, activation of clotting factors leading to formation of stable hemostatic plug

* Intrinsic pathway
* Common pathway
* Extrinsic pathway
* All of the above

Intrinsic pathway

The most common type of anemia which results to decrease in RBC caused by low iron intake, supply to the bone marrow or by bleeding.

* Iron deficiency anemia
* Vit B12 anemia
* Pernicious anemia
* Alpha thalassemia anemia

Iron deficiency anemia

A symptom caused by an infection, medication, or congenital problem leading to a decrease in platelet, WBC, and RBC count.

* Pancytopenia
* Neutropenia
* Thrombocytopenia
* Polycythemia

Pancytopenia

The sickle cell crisis that pools blood in the liver and spleen causing the circulating blood volume to decrease leading to hypovolemic shock, organ damage, and death to the patient

* Aplastic crisis
* Vaso-occlusive crisis
* Virchow’s crisis
* Sequestration crisis

Sequestration crisis

The ability of the cardiac cell to initiate electrical impulses.

* Conductivity
* Automaticity
* Excitability
* Electricity

Automaticity

What is the Cardiac Output of the patient when stroke volume is 70ml/min and heart rate is 60bpm?

* Both answers are correct
* 4200 ml/min
* None of the answers are correct
* 4.2 L/min

None of the answers are correct

The action of digoxin which blocks the electrical conduction from atria to ventricles leading to decrease heart rate

* Positive Chronotropic effect
* Positive Inotropic effect
* Negative Chronotropic effect
* Negative Domotropic effect

Negative Chronotropic effect

The signs and symptoms of impending heart attack are the following except:

* Syncope
* Vomiting
* Indigestion
* Nausea

Syncope

Which among the following communicable respiratory diseases is considered one of the leading causes of mortality in the Philippines?

* Pneumonia
* Asthma
* Atelectasis
* Chronic Obstructive Pulmonary Disease

Pneumonia

The following are modifiable factors relative to non-communicable respiratory pathology, except:

* Sedentary lifestyle
* Stress
* Cigarette smoking
* Age

Age

Retraction of the intercostal spaces is significant in assessment of patients with respiratory pathology. Which of the following conditions would represent such a mentioned finding upon inspection?

* COPD
* Laryngitis
* Croup
* Asthma

COPD

Placement of the index finger at the suprasternal notch enables the nurse to locate the base of the trachea and detect possible respiratory pathology. What assessment technique is the nurse using?

* Palpation
* Percussion
* Auscultation
* Inspection

Palpation

What is an adventitious high-pitched, continuous whistling sound usually heard during expiration of an asthmatic patient?

* Wheeze
* Crackles
* Bronchial
* Vesicular

Wheeze

Lagundi is a common herbal plant usually recommended by DOH for cough. Other than this herbal medication available in the community. What is another recommended herbal medication that can alleviate respiratory symptoms present in asthmatic clients?

* Yerba Buena
* Garlic
* Turmeric
* Ulasimang bato

Yerba buena

Asthma is a chronic reactive airway disorder characterized by increased resistance to airflow due to episodic airway obstruction. Which of the following non-respiratory conditions is most likely associated with an asthma attack

* Chronic Sinusitis with Polyposis
* Gastro Esophageal Reflux Disorder
* Congenital Aganglionic Megacolon
* Incarcerated Inguinal Hernia

Gastro Esophageal Reflux Disorder

Scenario: Ana, a newly hired community health nurse was assigned to Brgy. Masagana with approximately 38,900 population. Nurse Ana is aware that she is guided by the principles of Primary Health Care and the Health care delivery system of the Philippines. Within the Philippine health care delivery system, which unit is intended to provide health services at the community level?

* Botica sa Baranagay
* Municipal Hospitals
* Barangay Health Station
* Rural Health Units

Barangay Health Station

Scenario: Ana, a newly hired community health nurse was assigned to Brgy. Masagana with approximately 38,900 population. Nurse Ana is aware that she is guided by the principles of Primary Health Care and the Health care delivery system of the Philippines. Based on the recommended ratio of the health center to population, how many health centers or Rural Health Units (RHUs) must Brgy. Masagana have?

* 2
* 3
* 1
* 4

2

Community health nursing is a community-based practice. Which best explains this statement?

* Priority setting is based on the prevalence of the health problems identified.
* The service is provided in the natural environment of people.
* The services are based on the available resources within the community.
* The nurse has to conduct community diagnosis to determine nursing needs and problems.

The nurse has to conduct community diagnosis to determine nursing needs and problems.

Nurse Ana was performing an initial assessment of a new community assigned to her. She checked on the availability of safe public transport, garbage disposal, fire, police, and ambulance facilities all of which belong to what subsystem?

* Health and Social services
* Safety and Transport
* Economics
* Communication

Safety and Transport

Which of the following characteristic does not support a healthy community?

* A community that uses its natural resources and takes action in its conservation for future use.
* A community that encourages participation in decision-making in community concerns.
* A community which allows resources to be available to members who participates in the activities of the community.
* A community that promotes a high level of wellness among its members.

A community which allows resources to be available to members who participates in the activities of the community.

Nurse Ana directs her interventions into developing health-seeking behaviors among community members. She plans her interventions based on Pender’s Health Promotion Model since the goal or outcome of such interventions would lead to:

* Health-promoting behavior
* Positive activity-related affect
* Commitment to a plan of action
* Perceived self-efficacy

Health-promoting behavior

In a mothers’ class, Nurse Ana gave instructions on the immunization program. Some mothers remark that the immunization schedule at the health center conflicts with their working hours. Based on the Health Belief Model, Nurse Ana recognized that the mothers’ statement indicated:

* Perceived severity
* Perceived susceptibility
* Perceived barriers
* Cues to action

Perceived barriers

Brgy. Masagana is located in the outskirts of the city but still considered as an urban community. Which statement best describes an urban community?

* People are closely related to each other.
* People living in the vicinity have a high degree of group feeling.
* Occupies a limited geographical area.
* People are employed in commercial businesses and technology based professions.

People are employed in commercial businesses and technology based professions.

The health services of the Philippine government are directed towards the provision of equitable health services to all Filipinos through health sector reform. The current efforts are under the banner of the:

* Universal Health Care
* Fourmula One for Health
* Millennium Development Goals
* Health Sector Reform Agenda

Universal Health Care

Which of the following statement of the nurse about health promotion needs further understanding on the part of the nurse?

* Activities directed towards improving well-being and actualizing the health potential of individuals, families, groups, and communities.
* Any activity undertaken for the purpose of achieving a higher level of health and well-being.
* Activities undertaken by individuals, families and communities with specific intent to prevent disease or maximize health within the constraint of disease.
* A process of enabling people to increase control over, and to improve their health and to reach a state of complete physical, mental, and social well being.

Activities undertaken by individuals, families and communities with specific intent to prevent disease or maximize health within the constraint of disease.