Copyright: Jonas Marvin Anaque, RM, RN

NURSING BOARD EXAM ANSWER SHEET Drug to Lower LDL atorvastatin

Malaria primary sign Fever
WHO nurse patient ratio IN 1:5 Where to place no Smoking door
MEDICAL SURGICAL WARD sign in patient room
DOH nurse patient ratio 1:12 Needle gauge for BT 18
Leprosy causative agent BACTERIA Unit of service in CHN family
Diagnostic confirmatory of SKIN BIOPSY/SKIN SMEAR BSE what kind of secondary
leprosy prevention
Mode of transmission Respiratory Droplets SDG for water sanitation Sdg 6
2 antibiotic drug for leprosy Rifampicin and Dapsone RA 11223 Universal health care by
Liberalized home treatment RA 4073 Duterte
of leprosy Payment of hospital bills by Philhealth
BEST TREATMENT OF IV fluids UHC is funded by DOH
DENGUE Eligibility for UHC or All filipinos are eligible
Tb drugs not included in levothyroxine universal health care
treatment Framework of UHC Fourmula one plus
Chickenpox rash starts at chest herbal meds for wound Guava decoction
Mixing of oresol (ORS) in Water, salt and glucose washing
diarrhea For wound washing Bayabas
Complication of psoriasis CKD – chronic kidney Anti kidney stones herbal SAMBONG
disease med
RESPONSIBLE FOR CROWD Security guard Infectious agent of rabies Virus
CONTROL Causative agent of UTI Escherichia coli (E. Coli)
swan neck deformity fingers Sign of UTI in elderly Confusion or changes in
common site of breast Upper outer quadrant mental status
cancer Causative agent of Streptococcus bacteria
Triage : need red Rheumatic heart fever
Penidure is given by what IM
immediate treatment
route
most cause of maternal bleeding
What is the name of the Group A Streptococcus
death (choices sepsis, bacteria that causes (GABHS)
bleeding, preeclamsia) Rheumatic heart fever?

Medicine for allergic antihistamine Diagnostic test of RHF Echocardiogram (echo).

rhinitis. Treatment of RHF Azithromycin
Joseph with AR wants fish Causative agent of Typhoid Bacteria
a pet, what pet is fever
Infectious agent of dengue Virus
appropriate
Infectious agent of TB Bacteria
(dog, cat, bird, fish)
Not included in Treatment regimen
epidemiologic triangle
A father concern about ans. C (know the nature +3 pitting edema Deep pitting (6mm) , 10 to
leptospirosis of work) 20 seconds
Leptospiros agent bacteria Age of under nutrition 2 to 4 years old
(virus, bacteria, fungal, DM type 2 Resistance to insulin
protozoa) Insulin route for Speed Abdomen
Leptospirosis prevention Avoid wading on flood absorption
Precaution for measles droplet CPD units 15
9 months Epidemiologic triad Host, agent, environment
Immunization measles
Law that governs nurses RA 9173
Measles rash first in chest competency and
(chest, arm, leg, back) responsibilities
location of kopliks (mouth) Take iron with Fruit juice
spots 15 months old Walks well alone
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2 years old toy Push and pull Signs and symptoms that Answer D. 1,2,3.4.5
6 months prepared food Rice Cereals you would expect for her to
8 months Can say dada and mama manifest
6 months Lower central incisors 1. Fatigue
Before starting toilet Degree of sphincter muscle 2. Dizziness
training first to consider control 3. Palpitation
Initial position of patient Left side lying 4. Anxiety
for enema 5. Shortness of breath
Enema before colonoscopy Cleansing enema
The BEST approach for C. Auscultation
is a type of
Probable sign of pregnancy quickening assessing early sign of
except Mitral valve
Cause of nephrosis in UNKNOWN Patient suffering MVP, D. light exercise
children is CAUSE/IDIOPATHIC emphasize her to avoid,
Tetanus toxoid with 10 TT4 EXCEPT
years protection
Age to give FIRST dose of 9 months
measles Situation : nurse assigned to patients with Cardiovascular
Measles route Subcutaneous 45 degree and peripheral disorders
angle Key question Answer key
Levodopa pharmacologic Take with empty stomach Several factors contributory A. Cigarette smoking and
consideration to devt of condition, among hyperlipidemia
Syringe for insulin injection Insulin pen which priority causative
Covid vaccine to pregnancy Generally safe factor, should be
Quarantine of patient at 5 days emphasized in health
home after facility teaching
discharge Ms. Jacob, with CHF, Nurse A. Jugular vein distention
Parenteral TB DRUG Streptomycin lydiq suspect RIGHT sided
First line drugs in intensive RIPE drugs heart failure is
phase of TB
Patient has receiving C. Increased urine
Skin test for Tb turns Exposed to TB microbes
digoxin, 0.25mg per day, elimination
positive suggest
Lice infestation treatment Permethrin outcome that suggest
Health teaching to whom Parents achieving the desired effect
about lice infestation C. PLACE affected extremity
Patient suffering BUERGERS
Deworming interval Every 6months in a dependent
disease, complaining
Priority before deworming Parental informed consent
intermittent claudication of
No mebendazole available Albendazole
Lower extremities, BEST
what else to be use
nursing action
Chicken pox rash Fluid filled vesicles
position
Varicella mode of Airborne
transmission Information NOT true to D. A strong relationship
Vitamin A dose for 6 to 11 100,000 BUERGERS disease exist between diabetes and
months buergers disease

Situation : patient, suspected with MITRAL VALVE prolapse

annual exam in university X Situation :
Key question Answer key Key question Answer key
Early sign of mitral valve Demographic b. Morbidity
C. Systolic click of the valve
prolapse variables, NOT
leaflet as a result of
included Fertility, mortality and migration are
balooning of the LEFT
a. Fertility principal determinants
ATRIUM
b. Morbidity of population growth
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c. Mortality Braden scale grade 4th
d. Migration of pressure ulcer
PHILIPPINE 102 million up to muscles
POPULATION as of Pressure ulcer up 3rd
2016 to subcutaneous
Prevention of bed Reposition every 2 hours
BOTIKA sa PASO Residents are PARTNERS in health sores
care to maintain herbal plants in Not in emergency Ibuprufen
pots for family use crash cart
Gender, education, A. Nominal NGT acid base Metabolic alkalosis
marital status is imbalance
a. Nominal
b. ordinal
c. interval Situation :
d. ratio Key question Answer key
Diapers, used Dispose in Yellow Bag HEALTHY SCHOOL Maintains adequate, basic
tissue, used gloves health services to both
Office papers Black bag pupils, teachers, and other
dispose in personnel
Fish entrails, Green Healthy market a. Proper garbage
rotten fruits ad [Link] disposal disposal
vegetables, [Link] segregation
leftover foods c. Recycle
diose in d. Nutritious foods only.
Radioactive waste Orange
Sharps and Red Eligible in blood donation a. high cholesterol
pressurized wastes a. high cholesterol
Referral to District hospital b. self drug injection
Secondary facility without
25 beds capacity Primary level facility prescription
Angle of insertion 45 degree c. pregnant
for SQ d. under medication
(subcutaneous
injection) What is the ideal body B. 170
5%IV 1L Run in 6 56 gtts/min weight if 110 lbs at 5’10
hours a. 135
Left gauze in Surgeon, nurse, anesthesiologist b. 140
patient body who c. 170
is liable d. 150
Calcium Orange juice
alternative food Emergency type of pink eye disease
Subcutaneous 3rd degree conjunctivitis
burn
Multiple myeloma Plasma cell Complication of corneal perforation
is a cancer cell of conjunctivitis
Drug causes Phenazopyridine (pyridium)
discoloration of
urine
HPV Vaccine for 9 to 12 years old
CERVICAL CA
Burn degree with 2nd degree Question Answer key
blister During a routine visit, the D. negligence
nurse noted that Perlita, 20-
year old wife and mother,
has several bruises at
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Copyright: Jonas Marvin Anaque, RM, RN
various stages of healing. 1. Working toward
She tells the nurse that she continuous improvement
fell down. Failure to report 2. Implementing any change
your findings is an example 3. Developing a new design
of ___________. of a process or service
4. Completing a designed
The key global agency that World Health Organization project
initiated the Alma Ata (WHO) 5. Planning data collection
conference on Primary and analysis to prioritize
Health Care is the problems
___________.
Using PCDA cycle as a model
Which Asian country is Philippines for defining most of the D. Delegation of work to
considered among the FIRST work processes the lower levels
to adopt the principles of following are some areas of
PHC? its application, EXCEPT
_____________.
Nurse Magbanua is aware appropriate technology
that are she has to use Nurse Casuela knows that D. monitor processes
“tools and methods that all the purpose of Continuous involved in the provision of
suitable and acceptable to Quality Improvement (CQI) safe, effective client care
the families and is to ____________.
communities” that she
serves. This PHC principle is
referred to as Nurse Casuela is Are used to guide
________________. implementing quality improvement in the public
performance standards in a health system
public health department.
Nurse Magbanua recognizes acceptability Which of the following BEST
that health services offered describes the importance of
area to be in accordance to this action? Quality
the prevailing beliefs and performance standards
practices of the intended _____________.
clients of care. This PHC
principle is known as Method that can provide the Community census
____________. biggest bulk of data
The occupational nurse has Tertiary
advocated the use of ramps
Collaboration and inter-sectoral collaboration and assistive equipment for
cooperation is crucial to the physically challenged
achievement of PHC goals. workers. This is a good
The referral system among example of which of the
the RHU, non-government following levels of
organization, and local social prevention?
welfare and development
office is classified as what Public health surveillance C. Disease control
type of relationship? includes the following
activities, EXCEPT
The acronym PCDA stands A. Plan-Do-Check-act _____________.
for Public health surveillance B. A method to monitor
_____________________. can be BEST described occurrences of public
PRIMARY as which of the health problem
following?
Nurse Casuela will use the D. 1,2,3,5
PCDA when :
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Which of the following is Number of previous following measures will
NOT a criterion for studies PREVENT access of animal
prioritizing health problem from ingesting Taenia egg?
for surveillance? Prevention of Infection from D. Boiling of water from
entamoeba histolytica is questionable source
Current public health B. Population migration BEST done through which of
surveillance targets the the following practices?
following. Which one is NOT
included?
Public Health Nurse Gabriela A. Saliva
Common uses and A. 1, 2, 3, and 4 is educating a group of
applications of public health residents in Community X
surveillance include which of about RABIES. A participant
the following examples? asks, “How can you get the
1. Detecting individual virus?” The Nurse explains
persons with malaria so that that the virus can be
they can receive prompts transmitted by which source
and appropriate treatment. She emphasized that the B. Dogs
2. Helping public health bites, which are responsible
officials decide how to for nearly 99 percent of
allocate their disease control human rabies infections, are
resources. those of the infected
3. Identifying changes over ______________.
time in the proportion of
children with elevated blood Nurse Gabriela explains that B. All of these
lead levels in a community. there are situations which
4. Documenting changes in increase the risk of rabies.
varicella (chickenpox) These are ____________.
incidence, after a law A. Stray dog bites
mandating varicella B. All of these
vaccination in the Expanded C. Unprovoked bites
Program of Immunization D. Animal display abnormal
took effect. behavior

In another health education C.1, 2, 5

The factors that contribute D. overconsumption of session, Nurse Gabriela
to the occurrence of food- locally available food explains about LEPROSY.
transmitted diseases are the Which of the following
following, EXCEPT should include?
__________. 1. Leprosy is curable
2. Not all leprosy patient are
Paragonnimus westermani D. pulmonary tuberculosis infectious
of the Oriental lung fluke 3. Leprosy is hereditary
causes infection in the 4. Casual contact with a
human population by eating patient causes leprosy
inadequately cooked crabs. 5. Regular and adequate
Patient with paragonimiasis treatment is essential
are usually diagnosed to
have _________________.
Situation: Marites is a beginning nurse in a government
The eggs of Taenia solium of C. Proper disposal of hospital. She still needs enhancement in competencies in
taenia saginata may be human feces charting.
ingested by the pig or cattle Key Question Answer Key
who serve as intermediate
hosts. Which of the
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Marites should know that in Answer: C – B. Narrative
narrative charting, Narrative charting is the C. POMR
documentation of patient care most familiar method of D. Focus
should be_________. documenting nursing Answer: B
In SOAPIE notes, P stands for
A. Extensive care. ааIt is a diary or
A. Assessment
B. Formatted story format in
B. Planning
C. Chronologic chronological order. It is C. Intervention
D. Descriptive used to document the D. Evaluation
patient's status, care,
events, treatments,
interventions, and
patient's response to the
interventions.
Narrative Situation: Vaccines
documentation-- Story- the temperature in the B. Twice a day
like format, usually in refrigerator and freezer
chronological order; should be checked
useful in emergency A. Once a week
situations when time B. Twice a day
and order of events is C. Twice a month
important D. Once a day
Among which of the C. Varicella
Which statement is NOT true Answer: B. following vaccines should
about medical record that The patient record is a be stored in the freezer of
Marites must understand. valuable source of data refrigerator?
Charts_________________. for all members of the A. Diptheria
A. Content must be kept health care team. Its B. Hepatitis B
confidential purposes include C. Varicella
B. Can be borrowed by nursing communication, legal D. BCG
student documentation, financial
C. Can be accessed by a billing, education, What type of ref to be used A. Standard type with
researcher research, and in keeping vaccines separate freezer
D. Can be given out only with auditing/monitoring. The A. Standard type with
patient's consent auditing/monitoring separate freezer
purpose involves nurses B. dormitory with separate
auditing records freezer
throughout the year to
determine the degree to C. dorm style with freezer
which standards of care
are met and to identify The midwife is aware that D. Door
areas needing vaccines should NEVER be
improvement and staff stored in which part of
development. The legal refrigerator.
documentation purpose A. Floor
involves the concept B. Lower right hand corner
that even though nursing C. Lower right hand
care may have been compartment
excellent, in a court of D. Door
law, "care not
documented is care not Vaccines stored in the D. -15 to -25 degrees
provided." freezer should be set in celcius
what temperature.
The following are methods of Answer: A A. +2 to + 8 degrees celcius
charting, EXCEPT? B. +15 to +25 degrees
A. Sequential celcius
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C. -2 to - 8 degrees celcius Which of the ff. cannot be empty drug vials
D. -15 to -25 degrees celcius recycled
Prohibited waste disposal 1,2,3,4,
process which include flood
area
Which is not a gas produce Oxygen
Situation: DENGUE by green houses
Which of these is a Aedes aegypti What are the signs and Melting ice glaciers
competent vector for the symptoms of global Warming planet
transmission of dengue warming(Select all that Increase vectorborne
infection? applies) diseases
What are the classic signs Fever, arthralgia, maculo– How to mitigate global Plant more trees
and symptoms of early papular rash, retro-orbital warming
dengue fever? pain
Which one of the following Dengue NS1 protein
dengue proteins is an early Situation:MALARIA
diagnostic marker for Key question Answer key
dengue virus infection? Causes of Malaria is vectorborne
Female mosquito casing Anopheles mosquito
Rumple leads test is positive More than 30 petechiae malaria
if rash Causative agent Plasmodium falciparum
a. 1-5cm petechiae Specific signs and High fever and chills
rash symptoms
b. 10 inches treatment chloroquine
petechiae rash prevention Breed animals like pig in
c. No petechiae rash front of the house
d. More than 30 In teaching client regarding c. Take chloroquine
petechiae rash preventive measures of once a day
Breeding site of dengue Stagnant clean water malaria, among which of Kasi once aweek lang pag
Prevention , except No to fogging the following is NOT prophylaxis pa lang
Independent action Apply cold packs in relevant.
forehead a. Apply mosquito
Management of Sit, lean forward with repellant on the
nosebleeding flexed neck wall
b. Plant neem tree on
the backyard
Situation :SDG- sustainable development goals c. Take chloroquine
Key question Answer key once a day
Target year of SDG 2030 d. Cut over lapping
SDG which is Health 3 branches on the
centered river
Disease focus malaria
Sanitation centered SDG 6
Cities and communities 11
Key Question Answer Key
Situation: ENVIRONMENTAL PROTECT Dark age of Europe Bubonic plague
"BLACK DEATH" is
Key Question Answer Key
Father of antibiotic Alexander Flemming
Which of the [Link] not true refers to responsible and
environmental health concern of government John snow is Father of Epidemiology
Hazardous waste energy non toxic what disease outbreak in Cholera
1800's in Soho District
Color of bag for Radio active orange
London
waste disposal
Who isolated TB infection Robert Koch's

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PURPOSE 1. social assistance,
2. social development
Situation: PHC and public health surveillance
Key Question Answer Key CASH GRANTS • health grant: P500
First Alma ata RUSSIA per household
international conference of every month
PHC was held on • grant: P300 per
First Asian country that Philippines child every month
adopts and implements for ten months
PHC is • P1,400 every
The pillars of PHC Active community month
participation (No free housing benefits)
Multisectoral linkages
Use of appropriate
technology Situation: therapeutic nurse-client interaction
Support mechanism made Key Question Answer Key
available Acceptance, trust and Pre interaction or
Public health surveillance is the continuous, systematic boundaries are established Orientation phase
collection, analysis and during which phase of the
interpretation of health- therapeutic nurse-client
related data needed for the relationship?
planning, implementation, The nurse is caring for a Working phase
and evaluation of public patient with tuberculosis and
health practice. finds that the patient has
Percentage in statistics a part of a whole expressed suicidal thoughts and
means in hundredths. feelings of helplessness.
Paragonimus westermani is Pulmunary tuberculosis According to Peplau, which
mistakenly diagnosed as (PTB) phase of the nurse-patient
Nurse is going to duty Occurs suddenly and for relationship does this
when Flashflood occurred, short duration indicate?
flash flood is The phase of the nurse- Termination phase
Disaster is? Devastation that can not patient relationship that may
relieved without assistance cause anxieties to reappear
PDCA is Plan Do check act and past losses to be
#1 cause of chronic disease Ischemic Heart diseases reviewed is the
in the philippines
Filipino elderly awareness 1st week of October How to say goodbye to bye Anton, don’t forget all
week Anton my teachings to you
Senior citizen pension from DSWD Anton, get well
what agency Which phase of the nurse A. Working
client relationship includes
exploration of the clients
Situation: 4 P’s feelings and participation in
identifying his or her own
4 p’s Pantawid pamilyang problems?
Pilipino program

Situation: FILARIASIS
Key Question Answer Key
Female mosquito causing Aedes poecilius
filariasis

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Causative agent causing WUCHERERIA BANCROFTI
filariasis Key Question Answer Key
S/Sx of acute Filariasis Fever, lymphangitis, The nurse counsels the use TERTIARY level
orchitis, epididymitis, of ramp assistive devices is
lymphadenitis under what level of
Diagnostic test procedure Immunochromatographic prevention?
blood test Rabies 99% mode of Saliva of infected animals
Treatment of choice Hetrazan transmission
RABIES caused by DOG BITEs
Confirmatory diagnostic test SSS – Slit skin smear
Situation: Traditional health care (Herbal meds) for leprosy
Key Question Answer Key Girdiasis is caused by Food borne- unsanitary
Use for treatment of COLDS, lagundi food sources
fever and cough Taeniasis (tapeworm) Caused by ingestion of
Serve as ANTIUROLITHIASIS SAMBONG raw beef or pork products
(KIDNEY STONE)
ANTIHELMITHIC herbal med Niyog-niogan
For Fungal worm parasites AKAPULKO Avian flu
Bawang ideally must be AFTER MEALS Other name in Italy Fowl plague
taken What is the strain of Avian H5N1
Flu that can mutate to
spread from birds to
humans?
Key Question Answer Key caring newly admitted client Provide oxygen using a
Factors affecting health Environmental conditions with increasing dyspnea non-rebreather mask.
status best addressed by and dehydration , possible
changes in public policies avian influenza (bird flu).
Characteristics affecting All actions first?
death statistics Vaccine for avian flu None
Focus of DOH plans and Health promotion and
policies disease prevention
Community Health involves True SITUATION; FIELD HEALTH SERVICES AND INFORMATION
members, government, SYSTEM (FHIS)- RECORDING AND REPORTING SYSTEM
private NGOs this Key Question Answer Key
statement is Objectives ,except complete the picture of
Example of primary level of Teaching pregnant women acute and chronic
prevention on nutritional practices diseases
during pregnancy Fundamental block family treated record
Intervention wheel, not based on the idea that Monthly FHS activity tally report
relevant public health services are report,component
provided outside the Tally sheet, recommended daily
hospital system frequency
“Government should give It may be free but we pay Monitor long term target/clients list
health services free of for them through our tax regimen,reporting system
charge” implication of this
Entreprenurse project of All
DOLE, what services are SITUATION: PHN, NURSE DEPLOYMENT PROGRAM
offered Key Question Answer Key
Proper storage of vaccines, Management of resources Organizational structure type of work/ levels of
area of responsibility and environment illustrated in the chart management/line and staff
Equitable health service to Universal Health Care relationship
Filipino’s under the banner Accountability can be all except asking assistance
of done by from doctor

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Nurse can earn CPD units engagement in research Conditions can be changed Physical environment
project/ peer reviewer thru individual and
Primary purpose for improve nursing community efforts
continuing education competency after
registration
True statement about voluntary and encourage by
membership to PNA the PRC code of ethics Key Question Answer Key
Nurse deployment P 18,000 (as per Theoretical foundation all except nightingale
program, salary is implementing rules) of CHN, theorist
included CHN
perspective, WHO
SITUATION; QUALITY MANAGEMENT, BIRTHING CENTER Definitions state that all,(purpose,system,organizes,pr
Key Question Answer Key the theory ovides way)
Basic clinical service ambulance Based on general exchange
equipment,except system theory,fanily as
First step to do refer to DOH guidelines an open sytem means
One requirements to stablish PRC license matter,energy,informa preparing solid for 6 [Link]
nurse-led birthing home tion with invironment infant
What classification is the primary care facilities Most suitable situation
birthing home for bandura social
Birthing home service detection & referral of learning theory
capability, except high risk pregnancies Instruction on proper motivation
case of umbilical cord,
aspects of bandura’s
SLT
Key Question Answer Key
McKinley, upstream thinking Strict enforcement of age
requirement purchase of
cigarette and alcohol Key Question Answer Key
Home visit with stroke, Community-based Increased taxes on milio theory
practice practice tobacco,and alcohol to
Community-based practice Service is provided in the decreased smoking and
means natural environment of drinking,application of what
people theory
Population focus means Community health plan Study on correlation on level health belief model
designed to prevent knowledge on immunizations
frequent encountered and compliance to
problem schedule,theory to serve as
Family is the basic unit of Health of people is frame work
care, because strongly influenced by Mothers remarks that perceived barriers
family situation immunization schedule is
Primary concern of CHN Develop capacity of conflicting,with working
clients in dealing with hours, base on health belief
health needs model, indicates
Equality is illustrated by this Support and implement Breastfeeding best up to 2 cues to action
concept health policies that years,example of
uphold social justice Milio’s frame work,focus on changes in capacity to
Present day idea of health Search and destroy prevention provide environment
campaign for breeding supportive of healthy
places of mosquitoes choices of individuals
Example of Faith community
phenomenological
community
Key Question Answer Key

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Assumption of milio’s person choose most Assessment-situations not selective inattention
framework convenient course of causing strain
health action in a given Ecomap connection and rapport
situation within and outside family
Goal of health promotion health promoting Paraplegic,home tertiary prevention
model-pender behavior modification,level of
Variables that influence all intervention
behavior modifications Best description of resilience
Marrie,28 y/o called by MD perceived self-efficasy strengths,observed in the
and calls her obese and family
needs to lse [Link]
to follow diet,exercise is an
example of SITUATION; PHN ASSIGNED TO WORK WITH ELDERLY
Marrie,jogging outside activity-related affect WOMEN
enjoyed 30 mons. Will make Key Question Answer Key
jogging regular, which Elderly as priority because they growing fast
variable are
In providing health religious affiliation
needs,considered,except
Try to circumvent hearing loss face client while
Key Question Answer Key while giving health teaching to a speaking
Grandmother +2,aunts,describe extended group of elderly by
Format role of father taxi driver Spousal abuse assist women to feel
Most commonly used by PHN 3 and 4 empowered
[Link] process On BSE, a finding that requires irregular shaped,non-
[Link],coordinate follow-up would be tender lump
[Link] teaching,guidance
[Link] collection for research
[Link] conflict SITUATION; LOCAL MORBIDITY DATA
Key Question Answer Key
Nutrition,rest,activity,level of primary prevention Most sensitive index infant mortality rate
prevention Crucial before planning ask other health members
meeting
Primary goal of CHN enhance capacity of
SITUATION: CHN individual
Key Question Answer Key Important in providing care culturity congruent
Most appropriate notify the physician To develop alliance in building condition
description of family type community organization
Father’s role, formal role taxi driver
Most commonly used by providing health/
PHN caring for families teaching/resolving conflict SITUATION: EPIDEMIOLOGIC STUDIES
among family members Key Question Answer Key
General needs of a primary level of prevention Epidemiology triad example spaghetti, food
family, level of poisoning,outdoor picnic
prevention 10 new diagnosis of incidence
Most appropriate related meet the emotional needs diabetes,event represents
good for the affective Prevalence is a community 2,500 known cases of
family function of 100,000 population with asthma
Model used to guide health health belief model
promotion(measles
SITUATION: CRISIS SITUATION, FAMILIES vaccination)
Outbreaks of various endemic
Key Question Answer Key
gastrointestinal diseases
Best describes maturational marriage
crisis
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SITUATION: MOTHER DELIVERED BABY IN THE 8 months pregnant, G5P3
COMMUNITY disqualification for home
delivery
Key Question Answer Key Mother receives TT4, baby 1 year
Ensure warmth,except expose the baby protection for how long
under heat lamp Children bottle feed, true initiated within 90
Vaccination at birth BCG and hepa B statement about breastfeeding [Link] baby’s age
Advocating offer pacifier when Danger sign of labor: 1,2,4,
breastfeeding,emphasize,except baby cries 1. DOB
Baby hospitalization if –(1-4-5) jaundice 2. Bright red vaginal
sole/convulsing/ bleeding
altered respiration 3. Clear amniotic fluid
Returned to the hospital jaundice to the 4. Uterine contraction 90
immediately if she exhibits sole/convulsion/fast [Link]
or slow or difficulty of
breathing A month after delivery, which retinol 200k IU, 1 cap
will be given

Key Question Answer Key SITUATION; MANG PISIO, 38, 3-DAY HOLIDAY
For discharge,except feces is red
9 mos,old vaccine MMR Key Question Answer Key
37.6 immunization go on with immunization Most important to bring for water
Rr 42/min,4 month old normal long drive
Rice watery stool cholera To eliminate risk factor for seatbelt
accidents,remind to use the
car’s
Which will most of all checking condition of car
Key Question Answer Key demonstrate safety
Refer immediately if the baby cannot drink PHRN advise on safety,what counseling
Lesbian,bisexual,transgender,psychological constantly role
consideration guards List of agency to go in case of health provider
everything emergency
to say
No erection erectile
dysfunction SITUATION; SANTOS FAMILY,HEALTHY AND
Antihypertensive side effect on male impotence RELIGIOUS,VERTUES TO LIVE LIFE
and
dizziness Key Question Answer Key
Peri/post-menopausal,best describes limit alcohol Typology,nature of family to readiness for enhanced
relationship to osteoporosis intake recognize spiritual well-being
PHN role for santos family supporting role
Determine health home visit
needs,conduct what
Key Question Answer Key Inculcated the sense of assigning tasks for each
Osteoporosis, r/f [Link] responsibility by member
[Link] estrogen Raising good loving and understanding
[Link] lifestyle children,understand the most strength and weaknesses
[Link]
[Link]
[Link] bones SITUATION; OUT OF SCHOOL YOUTH, DEVASTATED BY
[Link] calcium intake FLOODS

Key Question Answer Key

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Most usefulAge (1,2,3) Attributes of collaborative Professional turning
1. Address teamwork, except
2. Guardian Stage of collaboration Collegiality
3. Socio-economic status defining relationship and
responsibilities
Appropriate NDx potential for substances Work together to improve Forge independent
abuse leading to patient care, do not support relationship
juvenile delinquency this statement
Beginning RN, what topic for a dancing talent Community project, most Be frank will remain flexible
6 year old orphan appropriate things to do in and open-minded
To gain confidence of the friend disagreeing
group, what role Partially satisfies parties Compromising
Acrobatics,prevention of injury wear safety gadgets concerned

SITUATION; FIGHTING LOOTING TEENAGERS IN CITY OF SITUATION: HEALTH EDUCATION

MALUSAW
Key Question Answer Key
Key Question Answer Key Correct sequence of Assess.
Understanding the meaning predicted from particular designing a health Prioritize.
of risk hazard caused by fighting education program Write Outcomes.
and looting Select teaching strategies.
Important principle to teach if avoid wars, nobody wins a Best example, clients do Exercise, nurse begins to
gang war occurs war not feel threatened share her difficulties
Peace and unity, PH RN peace starts from oneself Taught variety of skills, Psychomotor domain
response; domain of learning
Possibility of children to join community assembly Dental hygiene starts When the first too erupts
gang,Nxl- Health promotion classes Lessons should proceed at
Not easy to handle,recognize health care provider for older adult clients, slower pact
role as include in the parmphlet

SITUATION; COMMUNITY HEALTH PRACTICE Nursing Practice II – Care of Healthy/At Risk Mother and
Child
Key Question Answer Key Question Answer key
Care for community through [Link] Vasectomy being cut Vas deferens
HP and maintenance Stocks sperm cells Epididymis
1. Coordination and White lines in cheeks, nose Milia
collaboration of newborn
2. Continuity of care Peeling in soles and feet of Desquamation
newborn
Reducing risks, improving individual diagnosis White creamy substance Vernix caseosa
health, except Bluish discoloration in butts Mongolian spots
Leader, able to influence others Situation – Patient Carlita, B. Presumptive signs
Supportive function,except epidemiology 19 years old, is in her first
Understand by beginning RN 1,2,3,4 trimester of pregnancy.
Because it is her first
pregnancy, she went for her
prenatal check-up with her
mother. She asked a lot of
SITUATION: INTERDISCIPLINARY COLLABORATION questions which she
expects the nurse to answer
Key Question Answer Key her.
The patient asked what is

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the term for signs such as external team to do before
breast changes, urinary its final designation as
frequency, fatigue, morning MBFHI Hospital?
sickness and amenorrhea? Situation– Jane is 23 years B. May have a massage
old. She and her boyfriend, from a lay midwife
The patient asked what A. anti-emetics Kevin, are planning to get
causes new born babies married in a couple months.
with total absence of Thereafter, they plan to
extremities? The nurse have a three babies. For this
answered that the cause for reason they sought
Amelia is intake of following reproductive develop ment
medications during of their future children.
pregnancy _________. Nurse Nilda was there to
help them
The patient complained B. estrogen
that every morning, she Jane asks what she must do
becomes nauseated and in the order to be healthy in
oftentimes, she will vomit case she becomes
excessively. “What could be pregnant. Which among the
the cause of this,” she answer of Nurse Nilda
asked? The nurse’s answer chould NOT be followed by
is: “It is due to increase Jane?
level of _________.”

The nurse advised patient B. Vaginal bleeding Kevin asks what possible D. May smoke once in a
Carlita to report to her contributions he could give while
physician which of the for the normal
following MOST important development of the baby .
sign, if ever she will suffer Nurse Jane agreed that his
from it? BEST contribution would be
the following EXCEPT____.
What is the FIRST step A. Have a written
among the ten steps for breastfeeding policy that is For the normal D. Fractures of all types
successful breastfeeding? routinely communicated to development of the fetus,
all staff. Nursse Nilda taught the
couple that Jane should
When practicibg rooming- B. 24 prevent folic Acid
in, how long should the Deficiency Anemia by good
baby stay with the mother? diet, correct way of cooking
__ hours. vegetable and taking Folic
Acid supplements. Which of
What is the CORRECT time A. ½ the following is NOT
for wich the mother should included among the
initiate breastfeeding? It outcomes of folic acid
should be _______hours deficiency to the baby?
after birth.
Jane asks the nurse what B. 1, 2, 3, 4
Erlyn learned that newborn B. Breastmilk possible diseases should
infants should ONLY be she avoid that would
given, which of the guarantee health for the
following? baby? These are:
Which is the LAST part of C. Disseminate the benefits 1. Rubella
the initiative, as of breastfeeding to 2. Rheumatic fever
recommended by WHO and communities. 3. Anemia
UNICEF, for the MBFHI 4. Chronic
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hypertension Which SIGNIFICANT B. “I am asthmatic and I
What CHIEF ingredient of D. Folic acid C. statement of the mother usually take asteroids.”
prenatal vitamin for predisposes her son to cleft
pregnancy nutrition that lip or palate?
the patient should look for?
A woman in labor is at risk D. Sharp fundal pain and For an infant born with a A. Rubber-tipped syringe or
for abruption placenta. discomfort between unilateral cleft lip and medicine dropper.
Which of the following contractions. palate, which of the
assessments would MOST following type of feeding
convince you and the will be BEST to use?
pregnant woman to believe
that this has happened? Which of the following is A. Preventing the infant
the number ONE from crying.
A woman 2 ½ months A. “Come to the consideration in the care of
pregnant calls you by the health facility with an infant after the surgical
telephone because she any vaginal repair of a cleft lip?
passed out some “berry- material passed
like” blood clots and now out.” Situational 10 – Miel, on her C. Weight gain of 20 lbs in
continued dark brown 35 weeks of gestation, is the 1st and 2nd Trimester.
vaginal bleeding. Which of admitted because of
the following is the BEST hypertension, BP of
instruction you should give 185/110, severe headache
her? and blurred vision. She was
placed in imposed bedrest
A woman, 33 weeks D. White Blood Cell Count without toilet privileges.
pregnant, with preterm The physician orders
rupture of membranes had MgSo4.
blood work ordered daily.
Which laboratory report Which of the following
would be MOST important would Nurse Erika
to read daily? anticipate in the patient’s
Situation – Head nurse C. “Surgery should be maternal history?
Carmen supervises Nurse performed before the child
Donna who is assigned to starts to use faulty speech Situation – Mrs. Geminy, B. 20
take care of a newborn patterns.” 20 years old, visited the
baby boy named Henrich prenatal clinic with her
with cleft palate. husband George. Nurse
Connie noted that the
The mother asks the head fundus is at the level of the
nurse why the paediatrician umbilicus. Being her first
recommended that closure pregnancy, the patient asks
of the palate should be the clinic nurse about
done before he is 6 months pregnancy and childbearing.
old. She asked Nurse Donna . Based from the
to answer her. Which of the assessment of the nurse,
following is Nurse Donna’s what would be the
APPRORIATE response? estimated age of gestation,
in WEEKS, if the fundus is at
The head nurse continued D. Mouth breathing that level of the umbilicus?
to ask Nurse Donna, “A cleft dries the oropharyngeal
lip predisposes an infant to mucous membranes. Mrs. Geminy related that D. Eat frequently but small
infections PRIMARILY she oftentimes feel amount of foods
because of which of the nauseated in the afternoon.
following reasons?” Which of the following
should Nurse Connie advise
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her to do?. from a pregnant HIV (+)
mother to child?
Which of the following B. First Miss Kat continued with her C. Breathing the same air as
periods of pregnancy does health teaching. This time someone living with HIV
organogenesis occur? she described four main does
What sign of pregnancy is B. Presumptive subjective routes of HIV transmission.
morning sickness Which is NOT included?
characterized by nausea? Miss Kat gave a few C. dermis of the skin
questions to the audience
Situation 13 – A mother in D. Sucking ability about HIV transmission to
her first trimester of find out if they were able to
pregnancy is asthmatic and learn about it."Which of the
taken steroids. This resulted following is the LEAST
to her baby with cleft lip among HIV transmission
and cleft palate. that can directly enter the
While assessing a newborn body via the blood stream
with cleft lip, the nurse or mucous membranes?”
should be alerted o which This can be through the
of the following that will _______________.
MOST likely be
compromised? What is the condition D. Oligomenorrhea
wherein menstrual interval
is 45 – 50 days?
What is the MOST C. prior to the development
APPROPRIATE response of of speech Best indicator of complete D-time
the nurse to the mother’s and accurate measurement
question as to when the of lochia. The number of
child will be ready for a cleft perineal pads and
palate repair? A. Smell
Cleft palate repair is usually B. Color
done __________. C. Consistency
D. Time
Included in the post-op plan A. speech therapist Drug that can affect and DIURETICS
of care is collaboration and causes FALSE NEGATIVE
referral of the patient with pregnancy test result
cleft palate to which of the the transient discoloration D. bronze baby syndrome
following APPROPRIATE in newborn under
health care provider?
phototherapy is also known
Which of the following D. Autonomy as
principle of bioethics is
referred to when Nurse Pills contains estrogen Follicle Stimulating
Nenet provides information inhibits Hormone
and supports her client and
Form of contraceptives that -oral contraceptives
family in making a decision?
Miss Kat’s first topic was on C. Sexual intercourse have estrogen-
HIV transmission. After like/progesterone-like
explaining the different compound
transmission modes, she luteinizing hormone
asked the group: “Which Pills contains progesterone
among the following is the inhibits
MAJOR mode of Threatened abortion
A woman with mild
transmission of disease?”
abdominal pain and
One of the pregnant C. Drink antiviral medicines spotting bleeding is
women asked the BEST way as prescribed by physician
to prevent HIV transmission
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Situation: SPINA BIFIDA

Fundus at the Level of 20 weeks Key Question Answer Key
umbilicus
A current recommendation Correct answer: C
Phocomelia is caused by Antiemetic drug use in
to prevent neural tube
pregnancy like thalidomide
defects is the
Chief ingredient of Folic acid supplementation of:
prenatal vitamins
Nausea and vomiting in Presumptive- subjective a. Vitamin A throughout
pregnancy is pregnancy.
Nausea and vomiting is ESTROGEN b. Multivitamin preparations
caused by increased level as soon as pregnancy is
of suspected.
35-45 days interval of OLIGOMENORRHEA c. Folic acid for all women of
menstruation childbearing age.
IM to infant and children Z-tract technique d. Folic acid during the first
to prevent peripheral (Vastus lateralis) and second trimesters of
discomfort pregnancy.
inform consent (SATA) consent is voluntary
Consent performed by a What is the most appropriate Answer: D
mother if a child is under nursing response to the
minor father of a newborn infant
connection between to foramen ovale with myelomeningocele who
atria- asks about the cause of this
condition?

March 30 ovulation occurs march 16 a. "One of the parents carries

at a defective gene that causes
myelomeningocele."
Leukorrhea due to Increased estrogen
b. "A deficiency in folic acid in
the father is the most likely
Position to close foramen - right side lying
cause."
ovale
c. "Offspring of parents who
Colleague commit mistake - moral dilemma
have a spinal abnormality are
other nurse report it to
at greater risk for
supervisor but the
myelomeningocele."
supervisor didn't take heed
d. "There may be no
because they are
definitive cause identified."
understaff
Hallmark of nephrotic generalized edema
syndrome /anasarca The nurse is preparing to Answer: D
admit a newborn with
incubation period of 10-21 days myelomeningocele to the
chicken pox neonatal intensive care
Right time for toothbrush? First eruption of tooth nursery. Which describes this
newborn's defect?
Start to drink from a cup 5 MONTHS old
a. Fissure in the spinal
6 months milestone 1st tooth bud eruption
column that leaves the
observed
meninges and the spinal cord
Play of infancy solitary
exposed
8 months old toy Large blocks b. Herniation of the brain and
2 years old toy Wagon cart meninges through a defect in
the skull
c. Hernial protrusion of a
saclike cyst of meninges with
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spinal fluid but no neural
elements
d. Visible defect with an The following are signs and Answer: A
external saclike protrusion symptoms of ovulation,
containing meninges, spinal EXCEPT?
fluid, and nerves A. Weight gain
B. Increase in quantity and
The nurse is caring for an Answer: B pH of cervical secretions
infant with C. Breast tenderness
myelomeningocele scheduled D. Basal Body temperature
for surgical closure in the
morning. Which
interventions should the
nurse plan for the care of the
myelomeningocele sac? first prior giving identify med to the bracelet
a. Open to air medications : to pedia of pt. stated name and date
b. Covered with a sterile, of birth
moist, nonadherent dressing post op interventions after sitting position (feeding)
c. Reinforcement of the cleft lip
original dressing if drainage Not taking folic acid in Neural tube defect
noted pregnancy causes
d. A diaper secured over the Initiate of breastfeeding within 30 mins (½ hour)
dressing
room in baby to mother up to 24 hours
The nurse in the neonatal Answer: C
Placenta is fully developed 12 weeks
intensive care unit is caring
at
for an infant with
myelomeningocele scheduled
for surgical repair in the
SITUATION; POSTPARTUM
morning. Which early signs of
infection should the nurse
Key Question Answer Key
monitor on this infant (Select
Successful teaching, wipe from front to back
all that apply)?
episiotomy care using biotting motion
1. Temperature instability Small constant trickle of perineal lacerations
2. Irritability blood, suspects
3. Lethargy Severe abdominal cramps, release of oxytocin during
4. Bradycardia explain the cause breastfeeding session
5. Hypertension Unrelieved pain by Presence of perineal
A. 1,2 and 4 ibuprofen, assess for what hematoma
B. 1 and 2 Above umbilicus deviated ambulate & assist to void
C. 1, 2, 3 to the right best nursing
D. 1, 2, 3, 4, 5 action

z track technique IM site vastus lateralis

Pre-operatively, how should C. Semi Prone is sidelying for 1y.o baby
a child with patient is scheduled for CS OB
myelomeningocele be Best position is prone then request for lab to
positioned? position if meron sa whom will you relay the
A. Supine choices result
B. lithothomy start solid food 4 months
C. Semi Prone
D. Trendelenberg
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Gives antibiotic to toddler assault (choices ay Ibuprofen 400mg given two
without parents’ consent malpractice, negligence, hours ago
assault, libel)
Scurvy to take Fruits Twelve hours after vaginal C. Encourage patient to
delivery, nurse ambulate and to void
Abdominal Cervix, uterus, fallopian tube palpates the fundus of a
panhysterctomy is removal and ovaries primiparous patient and
of finds it to be firm, above the
umbilicus and deviated to
the right. What is the best
Mang Raul a 42 years old balut vendor roaming around thing for nurse
the barangay to sell balut. He is about to enter one of the to do
houses in the community when he entered the gate he
was suddenly attacked and bitten by a dog.
Key Question Answer Key
The part of the body Head
most commonly SITUATION; Reproductive Health
affected by rhabdovirus
in dog bite is? Key Question Answer Key
undergo treatment against Balut Vendor Nurse will discuss is RA 10354 B. The Responsible
rabies? which is entitled__________. Parenthood and
Reproductive Health Act
Equine antirabies vaccine is Horse of 2012
derived from
Death of livestock in Encourage them to form a Law provides reproductive
community, believing there’s task force that will hunt health care program to all A. 1,2,3, & 4
a Vampire (aswang) killing the vampire and report to citizens prioritizing, which of
their animals. What is the veterinarians the following?
nurse approach? 1. Women
2. The poor
3. Marginalized
SITUATION: POSTPARTUM MOTHER 4. Those invulnerable or crisis
situations
Key Question Answer Key
multiparous patient, 28 B. Release of oxytocin Reproductive Health services B. Finding the correct
hours after caesarian during the breastfeeding include the following, EXCEPT: partner
delivery (CS), who is session
breastfeeding, complains of Factors that affect C. 1, 2, 3 & 4 (ALL)
severe abdominal cramps. reproductive health are, which
Nurse explains that these of the following? Select all
are caused by which of the that apply.
following?
Violence against women and RA 9262
Three hours postpartum, a B. Perineal lacerations children Act
primiparous patient’s fundus
is firm and midline. On
perineal inspection by nurse SITUATION: 6-year-old boy
observes a small constant has arrived at school to take her child home because the
trickle of blood. What will school nurse
the nurse suspect has verified that he has an inflamed throat
Nurse
a primiparous patient B. Perineal hematoma urges his mother to seek treatment because if the
complains of perineal pain causative agent is beta-hemolytic streptococcus, he may
that was unrelieved by develop a disorder characterized by inflamed joints, fever,
and the possibility of endocarditis.
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HIV infection in the body Western blot
the confirmatory test is
Key Question Answer Key ?
If left untreated, condition left sided heart failure What race is at the Black MSM and Gay Hispanics
can progress to (80%) highest HIV risk
In addition to carditis, which C. arthralgia, low fever case?
of the following should the treat HIV wasting Megestrol Acetate
nurse assess the child? It syndrome?
should be for the presence of
________. Low rate of patient Due to stigma
Which of the following would B. rheumatic fever undergoing ART
be the possible disorder?

After throat swab for culture recurrence SITUATION: CLEF PALATE

and sensitivity, the nurse
would expect the physician to Key Question Answer Key
prescribe an appropriate Unilateral clef lip/palate rubber tip syringe
antibiotic. Which of the Closure of the palate, speech pattern
following is the purpose of should be close before 6
this medication? It is to MOs, response
prevent_________. Predispose to infection mouth breathing, dries
because oropharyngeal membranes
mother questions whether B. It is caused by an Repair of cleft palate Between 6-8 months
her other children can catch autoimmune reaction usually at
the same disease. Which of and is not contagious Nursing care after surgical prevent from crying
the following should be the repair cleft lip
nurse’s response? Significant statement, asthmatic, use of steroids
predisposed to client
lip/palate
HIV/AIDS
Key Question Answer Key
Which statement by the 1. Sharing needles SITUATION: CLEFT LIP AND PALATE
nurse is correct when 2. dry kissing
discussing AIDS 3. casual contact Key Question Answer Key
prevention and 4. breastfeeding Priority nursing diagnosis anticipatory grieving
transmission? anwer:1 and 4 for parents
Feeding method for clef lip rubber tipped
HIV test should be every 3 to 6 months Priority after surgical high risk for infection
repeated repair
most number of HIV NCR First repair before development of
cases? speech
Feeding utensil for cleft cup
Least HIV transmission DERMIS of the SKIN
palate
HIV major mode of SEXUAL INTERCOURSE
after surgery of cleft lip Speech Thearpies
transmission
palate refer to.
responsible person if patient
result of hiv test of 18
years old is breached ,
SITUATION: DR
who will file a case
Most risky behaviours MSM anal sex
Key Question Answer Key
Cases per day by 2019 42 per day
Earliest feeding cue drooling
Best antiretroviral Using 3 drug combinations
First step to prevent drying thoroughly and
treatment for HIV
hypothermia cover

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Prevent hypothermia, ensure 25-26 centigrade Help her with obesity exercise 3x/week
correct temp problem
Not included hypothermia is tetralogy of fallot Not correct statement; underweight increased with
dangerous to NB malnutrition income
Not to do for umbilical care use binder Contributory to malnutrition check nutritional content
Advice to cut,intake CHO, fats,salts

SITUATION: COMPLAINTS, CONTINUOUS QUALITY

IMPROVEMENT SITUATION: PRETERM NEWBORN

Key Question Answer Key Key Question Answer Key

Legal risk, incoming next identify herself Effects, of cold stress; NOT increased ICP
duty RN should first included
Address patient preferred name Alert when caqring for hypoglycemia
Establishing rapport all preterm newborn
Emphasis on listen to complaints and Exception to the place crib bedside to wall
communication queries appropriate nursing
Rapport professionalism intervention to prevent
heat loss
Stabilize temp; does not 97.7 ‘F
SITUATION: MANAGEMENT drop below
Preterm Exhibits elbow past the middle of
Key Question Answer Key chest
Time management good and feasible NCP
Not permit watcher to help administering medications
you when- SITUATION; TWINS, 3 YEARS OLD (38 WEEKS), NO
1st of all, keeping patients safe HISTORY OF ABORTION; LMP: FEBRUARY 7,2017
and all
Conserving water reporting leak and closing Key Question Answer Key
faucets (1 and 3 only) Function of subtance are exchange without mixing
Best strategy to manage inventory of supplies placenta blood/ nutrients
supplies Growth of ovum,zygote,morula,embryo,fetus,infant
fetus
G2,T1,P0,A0,L1 GTPAL
SITUATION: RECORDS MANGEMENT,PEDIA WARD EDD; naegele’s November 14,2017
Rule
Key Question Answer Key Hematologic increase in blood volume
Best describes, case of 5 patients regularly changes; 1st
documenting for 5 patients trimester
Proper recording and not written/ not done
reporting, legal
Affixing signature was the one who provided SITUATION: G3 P3003 POSTPARTUM UNCOMPLICATED
care for 5
18 y/o, orphan,died in from being a competent Key Question Answer Key
accident, living will person to incapacitation Lactation, 4 to 6 months
amennorhea,breastfeeding

Signs of postpartum infection foul smeeling lochia

Breast engorgement breastfeeding on
SITUATION: 15 YEARS OLD: MALNUTRITION demand
Taking constantly normal reaction
Key Question Answer Key Urinated 4x; initial action assess uterine
Normal weight for 5 feet tall 115 pounds consistency

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SITUATION: 10 YEARSOLD; SECOND DEGREE BURN Medical term for “milk phlagmasia Alba Dolens
leg”
Key Question Answer Key Avoid which meds that can salicylates
Most accurate neurological assessment aggravate bleeding
guide to Adverse signs and hematuria,
determine symptoms to be ecchymosis,epistaxis
adequacy of monitored by heparin
fluid Lab values; closely APTT
resuscitation monitor(heparin)
Appearance at bright red with blister
burn site
Indication of urine output 30 ml/hr SITUATION: CHILD ABUSE
adequate fluid
replacement Key Question Answer Key
Character of extreme pain Fails to report a case breach of duty
pain Prevention for incidence to in-service training
Pain meds IV, bypasses,impaired,peripheral,circulation not happen again
rather than Appropriate remarks during its alright to cry
IM; rationale blood extraction
Utmost important document findings
Proven guilty suspension
SITUATION: OSTEOPOROSIS

Key Question Answer Key SITUATION:DYAD OF MOTHER AND BABY

Increased risk for prolonged immobility
osteoporosis Key Question Answer Key
Vitamin needed for better vit.D Correct health teaching( no pregnancy for 3 months
absorption of calcium rubella vaccine
Desired effects of meds increased mobility Rubella can be transported pinocytosis
Fracture pt. most prone to pathologic Correct route of rubella SQ
Menu for osteoporosis ice cream vaccine
Correct nursing intervention rubella vaccine
Cardiovascular effect of first month
SITUATION; 14 YEARS OLD, HEMATOMA,BRUISES rubella vaccine when

Key Question Answer Key

Decision in joining adolescent family SITUATION: LABOR,100% EFFACED,3CM DILATED, +1
clubs,refer to? counselor STATION
Medico-legal cases;first security blotter
recorded Key Question Answer Key
Aside from external signs of all ROA; where to place Doppler below the umbilicus, right
hating, he should include? side
Who should the nurse parents Arrange order of priority: change position to left side
inform deceleration of fetus
Fraternities rituals secret school authorities lying oxytoxin OFF, oxygen beginning to end of the
refusal to give information; ON,IV infusion,lower head of same contraction
talk to a bed
+1 station,head of fetus
Frequency of contraction 15mins
SITUATION: DVT

Key Question Answer Key SITUATION: IV OUT OF VEIN

Antidote: heparin protamine sulphate
Key Question Answer Key

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Slapped hand;charge for direct assault Diagnosis mild protenuria, marked
Did not show up,during default hematuria,support of
hearing glomerulonephritis
We cannot present the rested Priority intervention limit activity, safety
witnesses and other Worsening increase in weight
documents; one’s a case is Sequel ( saan siya galing) impetigo contagiosa
rested
Bad mouth,sue for unjust vexation
Did not attend to the needs dereliction of duty SITUATION: DELIVERED BABY, 3400 g, NSD
of client; charge for
Key Question Answer Key
Immediately after in between symphisi
SITUATION: INTRAUTERINE DEVICE (IUD) delivery,palpate the fundus pubis and umbilicus
Intervention for dysuria all of these
Key Question Answer Key Fundus deviated to the right assist to empty bladder
Primary indication parity Considering the urine collection
Further teaching replace every 3 years condition,nurse will initiate
Use of IUD prevents sperm from Dysuria during postpartum damage to trigone of the
reaching the vagina bladder
Most frequent side effects excessive menstrual flow
Common problem expulsion of devise
SITUATION: CONTRACEPTIVE PILLS

SITUATION: POISONING Key Question Answer Key

Danger sign, warrant elevation of BP
Key Question Answer Key stoppage of pills
Common among (age group toddlers Pills contains estrogen inhibits FSH
Earliest sign easy fatigability, pallor Form of contraceptives that oral contraceptives
Safety measures, not medicines placed in purse have estrogen-
included of bags like/progesterone-like
Irreversible damage to brain compound
Read labels safety markings Norplant/IUD inhibits LH
Pills contains progesterone
Teaching about oral report irregular vaginal
SITUATION: LYING-IN FIRST PRE-NATAL VISIT contraceptive bleeding

Key Question Answer Key

Work using computers, walk for a few hours SITUATION: 15 YEARS OLD TONSILITIS
recommends to the client
Restrict salt intake, best salt is essential, no need Key Question Answer Key
response to restrict Indicates bleeding frequent swallowing
Contraindication for sexual all except DM Prevent highest risk of presence of loose teeth
activity during pregnancy aspiration during surgery
Diet for fluid retention drink fluids & elevate Post tonsillectomy, begins turn to side
Internal examination(IE) have you ever had an IE to vomit bright red
appropriate response before blood,initial nursing action
Physician’s order that nurse suction every 2 years
should question
SITUATION: ACUTE GLOMERULONEPHRITIS Laboratory value most prothrombin time
Key Question Answer Key significant to review
AGN description auto-immune,
inflammation,signs and
symptoms SITUATION: 3 MONTHS, NEUROLOGICC ASSESSMENT

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Key Question Answer Key Manner of delivery CS before onset of labor
Reflex to observe to landau Condition affect her immediately take
determine muscle tone baby,appropriate response antiretroviral drugs
Characteristic expected litting of head and chest
when prone
Reflex not yet observed parachute reactions SITUATION:BACTERIAL MENINGITIS
Describes babinski reflex toes will hyperextend and
fan Key Question Answer Key
Reflexes is a tes for moro reflex Diagnosis confirmed elevated CHON level
neurological integrity brcause spinal fluid has
Route ener infants CN’s cranial apertures or sinuses
Maintaining isolation for 48 hours after antibiotic
SITUATIONAL: BIOETHICS therapy
Post serious complication peripheral circulatory collapse
Key Question Answer Key Alert for increased BP vomiting, seizures,complaints
RN reports son has cardiac go and assess yourself of head pain
arrest
Dealing with discrepancies, advocate
role of the nurse SITUATION: PYLORIC STENOSIS, 2 WEEK OLD
Watching religious let the patient continue
program Key Question Answer Key
Student nurse refused to explore student’s feelings Palpate abdomen,expects olive-shaped mass
be assigned to HIV patient Returned to the pediatric unit assess IV site for
Aide shouting to patient call the attention for lack of with IV,priority nursing action infiltration
professionalism Observe the infant,tentative sign of dehydration
diagnosis
To prevent,vomiting, position infant seat
SITUATION: ABRUPTIO PLACENTA, Appropriate post-op feeding regular feeding

Key Question Answer Key

Violation of confidentiality malpractice of inequities SITUATION: PKU
Determine the veracity medical records
complain and actual Key Question Answer Key
violation of standards by Pattern inheritance autosomal recessive
checking the Refer to who dietitian
Nurse participate in the pt decided not to undergo else(collaboration)
rehab program, except procedure Criteria for the disease to be both parents must be
Patient inquired about refer to the attending transmitted carriers
functions and abilities, the physician Teaching plan MLT mental retardation
nurse should Father and mother is a carrier, 1:4 in each pregnancy
Absence of consciousness, spouse pattern of inheritance
secure the consent

SITUATION: RESEARCH RE: PATIENT’S SATISFACTION

SITUATION: HIV MOTHERS
Key Question Answer Key
Key Question Answer Key No researchers who singly statement of the problem
Feeding technique can put mixed feeding focused on the said study
baby at increased risk for in the past
transmission of HIV Immediately available non-probability sampling
Causative agent retrovirus End result, focus on which improve patient satisfaction
How it is determined that a CD4count<200 primary purpose
person has AiDS other than a
(+) HIV test

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Appropriate data collection questionnaire
device to determine
patient satisfaction
To avoid ethical liabilities informed consent
among samples Key Question Answer Key
Among which of the following Chest X-ray
is not a sophisticated
SITUATION: PRETERM LABOR technology?
Mech vent is unavailable in ICU Anesthesiologist
Key Question Answer Key where to get the equipment department
True about preterm length of gestation <37
First intervention monitor for contraction and Water interruption call the Head nurse
fetal-being For a client with a menstrual 19
Possible complication hemorrhage cycle of
Highly considered, except preparation for CS 33 days, ovulation usually
Demographic risk factors, excessive physical activities occurs on day
except A client diagnosed with BP of Hypertension Stage 2
150/100 is classified as

SITUATION: HIGH RISK MATERNITY WARD

Key Question Answer Key Key Question Answer Key

s/sx of RHD,except petechiae What exercise is ideal and Swimming
herpes management preparation for CS most appropriate for
anticipate to occur, after abruption placenta scoliosis?
eclamptic seizure A 13-year-old has been 23 hours per day
monitor to suspect MgSO4 decreased deep tendon diagnosed with structural
toxicity reflex scoliosis and is fitted with a
SITUATION: FAMILY PLANNING Milwaukee brace. How long
should she wear the brace?
Key Question Answer Key The nurse identifies the
Menarche not correct precedes thelarche and mechanism of action of adipocytes
adrenarche orlistat is as to the?
IUD provides contraception, alters motility of sperm inch needle should be used 1"
how for a morbidly obese
28 cycle point of ovulation 14 to 15th day patient.?
Clear and observable sign of Clear and elastic What is the disadvantage of CONCERN FOR PRIVACY
fertility slippery and stretchy computerized
Expect to ovulate,33 days 19 days documentation of nursing
cycle process ?

SITUATION: PHN 5 YEARS, ETHICS SITUATION : A 15-years-old accompanied by her mother

presents with complaints of nausea and vomiting for two
Key Question Answer Key weeks. After her mother leaves the room, Pregnancy test
IVT and foremost, patient respect decision comes back positive. The school physician confirmed that
did not want to go she is pregnant. has requested that you not convey to her
mother that a pregnancy test has been sent.
Profuse vaginal bleeding, epikia
exception to the rule Key Question Answer Key
Dressing up properly,not inviolability of life request that her mother Veracity
exposing unnecessary parts not be told what is the
ethical principle observed
Reach hospital alive,truthful veracity
answer What advice should be She is a minor, she need to
appropriate to the patient? tell the truth to her parent
Do good to them beneficence
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Based on the advice from Values clarification SITUATION; 19 Y/O POSTPARTUM
the nurse she then realized
the importance of life and Key Question Answer Key
family. She is doing major rationale of postpartum jealousy of the
depression (PPD husbands attention to
SITUATION; DISLOCATEDSHOULDER (5Y/O) BRUISES ON infant
CHEST,ABUSE
medications anxiolytic
Key Question Answer Key prescribed,appropriate
Not effected it is okay to cry if you’re not symptoms of PPD all except delusion
Priority, court of law- proper documentation Pathognomonic sign of PPDF, infant
48 hours failure to report breech of beauty rejection of the
Guilty, administrative suspension, revocation Focus of psychotherapy fears and concerns
Will not happen again beneficence

SITUATION; 4 Y/O MULTIPLE BRUISES SUSPECTED OF

SITUATION: LEUKEMIA (6Y/O) ABUSE

Key Question Answer Key Key Question Answer Key

Action bring to nearby hospital Most appropriate response tell me specifically
Referral signed by MHO integrate health based Most accurate report to the person in
ILHZ(inter-local health zone), exclusion of private responsibility in reporting charge
except hospitals Suspect child abuse, most explanation & actual injuries
Charcoal crosses printed on takes risks on behalf of important criterion are incomparable
body, except patients and colleagues Best statement describe consent signed by
Personal,professional growth, behavior and attitude responsibility for written parent,attached to chart
best consent
Primary goal of play promote communication

SITUATION; HIV/AIDS IN CD WARD

SITUATION; 23 Y/O, REPRODUCTIVE HEALTH
Key Question Answer Key COUNSELLING
Limitation, except writing style
5 respondents qualitative case study Key Question Answer Key
In stating the significance of only identify the Possible disease she should all
the study,except beneficiary avoid
Data collection semi-structured interview Best way to check condition of regular prenatal check-
Frame work is base on research problem mom and baby up
Valid ,except (living will) notarized document for a Not to be followed during massage from a pain
lawyer pregnancy
SITUATION. 1 ½ yrs old Not included in the outcomes fracture of all types
of folic acid deficiency to baby
Key Question Answer Key Best contribution,except may smoke once in a
Ritualism, definition maintaining sameness normal development of baby while
Touching almost exploring his environment
anything,putting in the
mouth,best response
More prominent change in elimination
GI Key Question Answer Key
Common significant others mother 2nd trimester IDDM, priority achievement of optimal
Spiritual development pray before meals and message glycemic control
bedtimes HIV, priority evidence-based medication for HIV,
nursing information infection is safe

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Mild variable fetal rate change the maternal SITUATION; HIRSCHSPRUNGS,7 MONTHS OLD
decelerations position
Complaints,immediate leaking vaginal fluid at Key Question Answer Key
attention 34 weeks gestation Most pertinent data often constipated
Severe nausea and vomiting limits fluids with meals Physical assessment scaphoid abdomen
advise Barium adequately clay colored to brown stool
evacuated after procedure
Parents understand nerves to the end of the
SITUATION; PEDIATRIC UNIT diagnosis large colon are missing
8 hours ,necessitate calling increase of 3cm in
Key Question Answer Key the physician abdominal circumference
Primary purpose of achieve quality
evaluating nursing care improvement
SITUATION; 2 YEARS OLD, TETRALOGY OF FALLOT
Plan, DO, Check and plan phase
act,design an assessment Key Question Answer Key
stool,phase of the process Cardiac defect most P/V/O/R
Team evaluate care as a concurrent audit associated
being administered to pedia Polycythemia is tissue o2
clients, this represents compensatory
Sentinel events signal the needs for Nurse expect clubbing of fingers
immediate investigation Post-op, essential to prevent hard stools
and response Clinical findings elevated hematocrit
Not a goal of risk reduce incident reporting
management system
SITUATION; LEFT TO RIGHT
Key Question Answer Key
SITUATION: 4 WEEK OLD,PROJECTILE VOMITING Major characteristic increased blood flow to the
lungs
Key Question Answer Key Congenital heart defects VSD,COA,PDA
Nursing diagnosis fluid volume deficit (sata) acyanotic
Upon admission weight the infant COA,,VS elevated BP in the upper
Serum electrolyte all are decreased arm
imbalances,persistent vomiting Difficulty feeding ineffective sucking and
Acid base metabolic alkalosis swallowing
Parenteral f/e potassium chloride PDA, correctly explains connection between
pulmonary artery and aorta
SITUATION;
SITUATION; 4 MONTH OLD ,INTUSSUSCEPTION
(INVAGINATION) Key Question Answer Key
Whatever decision, primary respect autonomy
Key Question Answer Key ethical decision
Nursing diagnosis pain Decide to keep the baby and beneficence
Most helpful did his his stool look like not abort,ethical principle
current jelly Life will change regardless of non maleficence
Pain related to cramping, no manifestations of her decision
expected outcome discomport Client’s autonomy, most only the safety of the
NGT, no longer freely aspirate the tube with appropriate ethical behavior clients should be
removing gastric syringe considered
secretions Patient advocate,nurse must only client social status
Risk for an ileus postop, measure urine specific do the following,except and religious affiliation
not included gravity

SITUATION; OB WARD, BED CAPACITY OF 40

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Primary goal of CHN enhance capacity of IFC to
Key Question Answer Key cope with health needs
First level management deal with immediate Caring for community culturally congruent
problems of operations
Head nurse patient ratio 8 staff nurses (1 nurse :10
patients)
Essence of directing as a getting work done through Key Question Answer Key
management process others Develop alliance to improve build coalition
Increased nurse-patient functional nursing health
ratio, type of nursing care 9 mos,old, vaccine MMR
delivery system 37.6 immunization go on with immunization
Best way for setting priority assessing nursing needs RR 42/min, 4 mos. Old normal
and problems Rice watery stool Cholera
Refer immediately if the cannot drink
baby
SITUATION; SINGLE PRIMIGRAVIDA, 3RD TRI, MATERNITY
CLINIC
SITUATION; RESEARCH MATERNITY WARD
Key Question Answer Key
Who can sign the birth any health professionals Key Question Answer Key
certificate involved Phenomenological study approach in research
PD 651 requires registration of within 30 days maternal experience as
births they are live
Wrong entry, what recourse petition to the court Appropriate title lived experiences of
could be made matertnal patients with
Family code of the handwritten instrument complication
Philippines,legitimate signed by the father
affiliation concerned Main objectives in conducting improve nursing care
Claim legitimacy during his/her lifetime research in nursing
Characteristics best describes truth is lived experiences
phenomological research
Saturation in qualitative data repetition
research refer to
SITUATION; NUTRITIONAL ASSESSMENT

Key Question Answer Key SITUATION; 4 WEEKS AOG, 2ND PREGNANCY (1ST
Protein-energy malnutrition 1-4 years old children SPONTANEOUS ABORTION) LMP: MARCH 31,2018
Method of data collection weighing
Tool for gathering data observation checklist Key Question Answer Key
Factors affecting PEM, which pie Priority counseling refusing to breastfeed
graph newborn
Soundness and validity of method section Correct term used to call 2-0-0-1-0
method, which section of the obstetrical score-
the report Not included in birth plan home delivery

SITUATION: GENETICS
Key Question Answer Key
Most sensitive health infant mortality rate Key Question Answer Key
indicator index Genetic disorder most maple syrup disease
A new RN, coming up with ask other staff their common in the Philippines
suggestions, what will be perception of health needs Definition of karyotyping pictorial analysis
crucial for preparation Not genenetically inherited cardiac heart failure (CHD)
by the baby from the mother
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True about rare disease all except occur in all 2 y/o, rice watery stool cholera
countries of the wound IMCI, immediately brought inability to drink
True regarding of PKU if no chance her baby will be to the hospital danger sign
mother is carrier and father affected
is not
SITUATION; PROBLEMS WITH SEXUALITY,
REPRODUCTIVITY

Key Question Answer Key Key Question Answer Key

SITUATION; INFERTILITY tubal scarring and LGBT, psychological I constanly guard
Correct definition of occlusion consideration everything I say and do
infertility fear of my mother
Cause of PID Chlamydia Male complaining of not erectile dysfunction
Correct response primary never had any pregnancy being able to achieve and
infertility maintain erection
Antihypertensive meds, side empotence and dizziness
effects
SITUATION; LEVEL OF RISK Health needs during woman should be
perimenopausal and encourage to limit alcohol,
Key Question Answer Key postmenopausal, appropriate increased calcium
Tracks postpartum prospective chart response excretion
mother,what study Woman at risk for estrogen deficiency/
Interest as investigator maternal role competence osteoporosis smoking/low bone
Design, intrigued set of triangulation density/low dietary
investigation
Retrospective, null not related
hypothesis SITUATION:
Quantitative study focused group discussion
Key Question Answer Key
Disqualify for home delivery ob score G5P3
SITUATION; 8 MONTHS PREGNANT, EVACUATION CENTER

Key Question Answer Key 4th dose of tetanus, how 1 year

Effectiveness of lorazepam medicine can relax me long is the protection to the
Most therapeutic you seem upset? baby
communication True statements about breastfeeding can be
Most effective therapeutic stand or sit at the center breastfeeding initiated within 90 minutes
communication for anxious of visual field of the baby’s age
patient Danger signs of labor Material reports of DOB.
Appropriate response, what if you can tell what help you Bright red vaginal bleeding.
I deliver here need Uterine contractions above
Time out regain control of 90.
emotions Within a month after retinol 200,000 IU 1 cap
delivery, what medication

SITUATION;
SITUATION: 4 – YEARS OLD, JUN-JUN
Key Question Answer Key
IMMUNIZATION FOR 9 measles Key Question Answer Key
[Link] Helpful to deal with Start conversation with
Assessed for immunization, go on with infants frightened child Jun-Jun or to others
temp 37.6 C, best action immunization Shows an aggressive Ignore this behavior unless
RR 42/min, using the IMCI, normal behavior, nurse should do harmful to him or others
her breathing is

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Useful approaches when Stand over and talk down Fails to follow nutrition Imbalanced nutrition:
speaking, except to him advise, nursing diagnosis more
Egocentric or self-center Piagel’s cognitive Antidiabetic drug instruction Time in taking
point view development Increased in blood sugar 6 mmcl
Indicate understanding of My child always her own
child’s stage of growth and way.
development

SITUATION: IMMEDIATE NEWBORN CARE

SITUATION: TRAINING PROGRAM, NURSE EDUCATOR
Key Question Answer Key
Key Question Answer Key Stop breathing for 5 normal for baby
Not included in global Reform seconds
Correct time to administer After the 1st hour after skin- 2nd period of 65-70 rmp
Vit. K to-skin contact and reactivity,notify pedia
breastfeeding Anthropometric measure head circumference 13-14
Included in UNICEF and All except birthing centers for full term
WHO Meconium characteristic odorless,blackish green
Minimum contact, 8 contact or visit 36 hours after 50 rmp,irregular
antenatal care discharge,normal output
Included in the promotion All
of care
SITUATION: RULE OUT RHEUMATOID HEART DISEASE 14
YEARS OLD
SITUATION: VIOLENCE, 14 Y/O
Key Question Answer Key
Key Question Answer Key Sign and symptoms to arthralgia,SQ
Most important attitude of Sensitivity observe nodules,elevated ASO titer
nurse Jones criteria 2 major + hx of step throat
Theories of child abuse, not Holiday Psychosocial identity vs. role confusion
included Salicylates purpose anti-inflammatory
Sexually molested by uncle Incest [Link] dance sydenhamm’s chorea
Signs of abuse, except Boy’s bob hair

SITUATION: FAILURE TO CONCIEVE FOR 2 YEARS

SITUATION: HEALTH EDUCATION, PROPER NUTRITION
Key Question Answer Key
Key Question Answer Key Ndx self-esteem disturbance r/t
Correct advice regarding 21. infertility
fluid intake PID etiologic factor Chlamydia (usually asymp)
Not true Pre-eclampsia to avoid salt Infertility- no pregnancy in 1 year
Should be avoided Alcohol Primary infertility never been pregnant
Foods rich in Vit. A Squash PID- infertility because scarring .
Foods that will help Bulalo Soup occlusion.
development of fetus

SITUATION; PREGNANT FOR 4 WEEKS,1ST ABORTED, LMP

ST
SITUATION: 1 TRI PREGNANCY MARCH 31

Key Question Answer Key Key Question Answer Key

Most appropriate action Support Brenda G2P0 multigravid,nullipara
GTPAL G2T0P0A1L0
Recommended weight gain 15 to 25lbs Doppler Utz, how many 6-8 weeks
more weeks
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EDD january 7 Notes that the dorsalis notify the physician
Crisis maturational pedis is (-) on the right
foot, next action
Sign of congenital hip Galeazzi test, also known as
SITUATION: RESPIRATORY AND SKIN ALLMENTS FROM dysplasia the Allis sign
NEARBY FACTORY
Expect to note what sign characteristic limp
Key Question Answer Key (able to walk)
Do to help solve problem, I suppose you gave a lot of Pavlik harness instructions removed only to check skin
response thought and for bathing
Reffered to brgy,council can you tell me about Goal mgt Frejka splint
,solution,response what you expect from
them
I went,he promised, residents let us all settle down SITUATION; MARTA G4P3, (+)PREGNANCY TEST,LMP:
agitated JUNE 25,2018, HUSBAND NAGLILIHI
Give us now the medicines or its up to you , if you
we will leave wish,problem will not be Key Question Answer Key
solved Focus of nursing teaching fetal growth and
Who can help us who do you think, any (2nd tri) development
suggestion? Naegele’s Rule, EDD April 1,2019
Multiparous, feel quickening 16-18 weeks
Husband is experiencing COUVADE SYNDROME
SITUATION: PRE-PREGNANT WEIGHT 47 KG. DOUBLES 2nd tri, Rubin’s Theory, fantasy, separate identity
DURING THE 1ST TRIMESTER OF PREGNANCY characteristics

Key Question Answer Key

Recommended weight gain 15-25 lbs

NDx imbalance nutrition. SITUATION: PRIMIGRAVIDA 40 WEEKS, RUPTURED

body requirements. MEMBRANE
Best nursing action support client,avoid fatty
foods Key Question Answer Key
Refer if FBS result is 6 mmo 1/L and above Significance of the position not flexed nor extended
Referred to internist,most time to be taken Attitude of the fetal longitudinal military attitude
important instruction presenting part
IDDM, advise on her 2nd optimal glycemic control What Antero-Posterior occipitofrontal
trimester, 35 years old diameter of the fetal head
HIV,G6P5,30 years medication is safe and can presenting
old,example of evidence- reduce transmission Dx test to determine water Fern test
based practice has ruptured
39 weeks AOG, variable change position Vaginal exam, able to brow
deceleration intervention palpate large diamond
Immediate attention leaking vaginal fluid @ 34 shaped fontanel
weeks AOG
Severe nausea and limit fluids to increase
vomiting, intervention retention of food SITUATION; GESTATIONAL DIABETES

Key Question Answer Key

Best test to perform 24-28 weeks
glucose tolerance test
SITUATION: 1MONTH OLD; DEVELOPMENTAL Hormone secrete HPL (somatomammotropin)
CONGENITAL HIP DYSPLASIA placenta that may have
Key Question Answer Key diabetogenic effect

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Indicate diabetes is 7% Causative agent Neisseria Meningitides
controlled, HA1c Precaution Droplet precaution
Is insulin needed, best that depends if controlled by CSF analysis Cloudy, increased WBC, inc.
response diet protein, dec. glucose
When to check glucose before breakfast & 2hrs after
level meals
SITUATION; PRETERM LABOR
Insulin requirement Decreased
after delivery Key Question Answer Key
(Postpartum) True,about preterm length of gestation <37
Insulin injection in Abdomen First intervention monitor for contractions
pregnant and fetal well being
Possible complication hemorrhage
High considered,except preparation for CS
SITUATION: 18 MOS,TEMPER TANTRUMS Demographic risk factors, excessive physical
except activities
Key Question Answer Key
When start taking to the when temporary teeth is
dentist complete( next year) SITUATION; PYLORIC STENOSIS, 2 WEEKS OLD
Best address to the concern assert independence
(toddler) Key Question Answer Key
Palpate abdomen, expects olive shaped mass
Age appropriate behavior possessive, simple Returned to the pediatric assess IV site for infiltration
directions unit with IV, priority nursing
Developmental milestone, accept external limits action
teach importance Observe the infant, signs of dehydration
Strategy to suggest offer 2 choices tentative diagnosis
To prevent vomiting, infant seat
position
SITUATION; ACUTE ASTHMA (2 YEARS OLD) Appropriate post-op regular feeding
feeding
Key Question Answer Key
Discharge teaching to eliminate allergens,/
emphasize continue meds even if Situation : High Risk Maternity ward
asymptomatic Key Question Answer Key
S/sx of RHD, except petechiae
Healthy snack for 2y/o with apple slices Herpes management Preparation for CS delivery
asthma Anticipate to occur, after Abruptio placenta
Assessments include expiratory wheezing eclamptic seizure
tachycardia Monitor to suspect MgSO4 Decreased Deep tendon
Arterial blood gas increased PC02 levels toxicity reflex
Discharge teaching minimize exertion & Mother BP 160/100, how to If seizure does not occur or
exposure to cold determine if MgSO4 is seizure are prevented
effective

SITUATION; BACTERIAL MENINGITIS (2 Y/O)

SITUATION: PKU
Key Question Answer Key
Maintaining respiratory for 48 hrs,after antibiotic Key Question Answer Key
isolation therapy Preterm inheritance autosomal recessive
Most serious complication peripheral circulatory Refer to who else dietician
collapse (collaboration)
s/s alert for increased ICP vomiting, seizures, Criteria for the diseases to both parents must be
complaints of head pain be transmitted carriers
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Teaching plan MLT mental retardation Key Question Answer Key
Father & mother is a carrier, 1:4 in each pregnancy Immediately after delivery, in between symphysis
pattern of inheritance palpate the fundus pubis and umbilicus
Milk formula LOFENALAC Intervention for dysuria all of these
Avoid foods like Eggs and fish Fundus deviated to the right assist to empty bladder
Considering the condition, urine collection
nurse will initiate
SITUATION: CLEFT PALATE Dysuria during postpartum damage to trigone of the
Key Question Answer Key bladder
Unilateral cleft lip/palate Rubber tipped syringe
/medicine dropper
Closure of cleft palate, Speech pattern
should be 6 months, SITUATION; BIOETHICS
response Key Question Answer Key
Predispose to infection Mouth breathing dries RN reports son has cardiac go and assess yourself
because oropharyngeal membranes arrest
Nursing care after surgical Prevent from crying Dealing with discrepancies, advocate
repair cleft lip role of the nurse
Significant statement, asthmatic ,steroids Watching religious let the patient continue
predisposed to cleft lip/ programs
palate Student nurse refused to explore students feelings on
be assigned to HIV patient caring HIV
Aide shouting to patient call the attention for lack of
SITUATION: RESEARCH ; PATIENT’S SATISFACTION professionalism

Key Question Answer Key

No researchers who singly statement of the problem
focused on the said study SITUATION: CONTRACEPTIVE PILLS
in the past Key Question Answer Key
Immediately available non-probability sampling Danger sign, warrant elevation of BP
End result, focus on which improve patient satisfaction stoppage of pills
primary purpose Pills contains estrogens inhibits FSH
Appropriate data collection questionnaire Forms of contraceptives that oral contraceptives,
device to determine have estrogen- norplant, IUD
patient satisfaction like/progesterone-like
To avoid ethical liabilities Secure informed consent compound
among samples Pills contains progesterone inhibit LH
Teaching about oral report irregular vaginal
contraceptive bleeding
SITUATION: FAMILY PLANNING

Key Question Answer Key SITUATION; ABRUPTIO PLACENTA, COLLISSION

Menarche, not correct precedes thelarche,
adrenarche Key Question Answer Key
IUD provides contraception, alters motility of sperm Violation of confidentiality malpractice of inquiring of
how pt. financial ability
28 cycle point of ovulation 14 to 15th day Determine the veracity of medical records
Clear and observable sign of clear, sliperry and stretchy complain and actual
fertility or elastic violation of standards by
Expect to ovulate 33 days 19 days checking the-
cycle Nurse participation, in the Patient decided not to
rehab program, except undergo procedure

SITUATION: DELIVERED BABY,3400g NSD

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Patient inquired about refer to attending Key Question Answer Key
functions and abilities the physician Nurse palpated soft board buttocks
nurse should like mass that moves out
Absence of consciousness, spouse Correct function of fetal right upper quadrant (right
secure the consent heart beat form can be upper fundal )
heard
Soft blowing sounds uterine soufflé
SITUATION: 15 Y/O TONSILITIS synchronous to mother’s
pulse rate
Key Question Answer Key Third maneuver is done by Grasping lower portion of
Indicate bleeding frequent swallowing abdomen /palpating
Prevent highest risk of presence of loose teeth symphisis pubis with single
aspiration during surgery hand
Post tonsillectomy, begins turn to side First Phase to assess size, Fundal Grip (first
to vomit bright red blood, mobility, availability and maneuver)
initial nursing action consistency of a mass
Physician orders that nurse suction every 2 years
should question
Laboratory value most prothrombin time
significant to review Key Question Answer Key
What is the correct supine vena cava
assessment of patient
SITUATION: HIV MOTHERS condition with difficulty of
breathing, tachycardia cold
Key Question Answer Key
Feeding technique can put mixed feeding Fetus is an a sacrum anterior toward maternal
baby at increased risk for ,posterior position symphysis pubis
transmission of HIV Corie put the transducer of Right upper Quadrant
Causative agent retro virus Doppler ultrasound to
How it is determined that a CD4 count <200 detect the FHT right sacral
person has AIDS other than anterior breech
a (+) HIV test Contraction is 150/beat notify to the physician
Manner of delivery CS before onset of labor mins. Which of the ff.
Condition affect her baby, immediately take nursing action is
appropriate response antiretroviral drugs appropriate?
The nurse expects to find More intense and more
contraction becoming which frequent
SITUATION: 3 MONTHS, NEUROLOGIC ASSESSMENT of the following
The nurse understand that Wedge shape and narrow
Key Question Answer Key the pelvic shape is and non-favorable
Reflex to observe to Landau The client BP 116/72, Temp- Presence of INFECTION
determine muscle tone 98.6, pulse-68 at Day 2 and
Characteristics expected Lifting of head and chest BP 114/80, Temp is 100.6,
when prone Pulse is 73, at day 3 , the
Reflex not yet to be parachute reactions nurse will suspect
observed Suspect uterine infection of Odor of the lochia
Describes Babinski reflex toes with hyperextend and postpartum
fans
Reflex which is a test for Moro reflex
neurological integrity
Key Question Answer Key
Most common postpartal Metritis
LEOPOLDS MANEUVER infection

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Greatest risk for postpartum CS delivery after 24 hrs appropriate agency should
endometritis labor notify
Postpartal cloth worn could Knee high stockings Zeny is a victim of incest and Near the nurse’s station
possibly promote a problem the agency opted her to be
to woman admitted in the hospital,
Fundus of uterine is 1.0 cm where should she have
expected to go down placed
normally about how many Abusive parent usually Below low income group
cm per day manifest which of the
following , except
BT, what is the most blood typing
immediate laboratory exam
NPH that should be corrected
Key Question Answer Key Who is the right, to physician
Type 1 diabetes first understand feelings administer the BT
concern for child & parents
Receiving NPH insulin the nourishment counteract
nurse understands insulin activity MENSTRUAL CYCLE
Peaks effect occurs which of 4 to 12 hours
the ff. Key Question Answer Key
Type 1 about dietary food form concentrated The length of the menstrual proliferative
management. The nurse cycle the nurse understand
should that response is due to
DM at 6am Fasting Blood Prescribed dose of regular variation of which of the ff
glucose level of 180mg/dl, insulin to be administered Which of the hormones follicular stimulating
priority responsible for maturation hormones
of graafian follicles?
Signs of ovulation 1,2,3
PRENATAL CHECK UP Menses last march 30, march 16
When did ovulation occur
Key Question Answer Key Implantation of mens cycle secretory
The client complains of lets discuss some way to is the ideal time
feeling of tired and sick to deal
her stomach, especially in
the morning what is the STUATION; A 3 YEARS OLD
nurse best response
Hyperemesis gravidarum is high levels of Estrogen/ Key Question Answer Key
primary cause of HCG What does behavior of a normal pattern
Pt ask nurse if there’s any Small frequent feeding angelo indication
prevention of nausea, nurse Has difficult time to go in inform the child a few
say bed, which of the [Link] minutes before it
Antiemetic thalidomide is Amelia or phocomelia appropriate for the nurse to
not allowed during suggest the mother
pregnancy because it Safety toys for 3 years old a wagon cart
causes Needs for further teaching usually is achieved by
Recalls the morning Presumptive-(subjective by regarding toilet training vowel control
sickness as what pregnancy mother) bladder control
sign Which indicates that the moves with family to new
time is not yet right for toilet home
trining
Positive test in PT
Key Question Answer Key
As the nurse, legal Board member of child RHD
responsibility, which protective services

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Key Question Answer Key The nurse should evaluate normal
Help child to alleviate Using bed cradle to avoid that the client
joint pain associated to weight of bed linen Episiotomy ,which of the wash her hand
polyarthritis [Link] was effective
Drug of choice aspirin/salicylates What is the implication of retention urine
Develop carditis the tachycardia/murmur small [Link] urine output
nurse must be notify Fundus is above umbilicus over distress bladder
Diagnosed RHD and providing rest and defference the right
developing carditis Foramen ovale,should nurse right side lying
7 years old with RHD Resting heart rate between 60- place the child
during acute phase has 100 Congenital heart defect artialseptal defect
been achieved failure of foramen to close

GPTPAL NEPROTIC SYNDROME

Key Question Answer Key
In taking Gravida, Para and G5P2 T1P1A2L2 Key Question Answer Key
TPAL Medical diagnosis of neprotic anasarca
Her alcohol consequences learning disability Administration of prednisone all of the option
put fetus risk for what observe by the nurse
condition Side effect ,most prominent mooning of face
Risk for toxoplasmosis Cats at home on cario which should be
Castor oil for constipation Premature uterine prepared before
how should the nurse contractions administration
response Nursing diagnosis for child risk impaired skin integrity
Use of cocaine at least one Impaired nutrition, less with severe edema caused
per day, most appropriate than body requirements nephrotic
nursing diagnosis Appropriate diet sodium moderate protein

Station -laboring women FIRST PRENATAL CLINIC VISIT

Key Question Answer Key
Small triangular shape Vertex Key Question Answer Key
fontanel the fetal is ‘’ I guess I’ll be have you ever IE done before
Triangular shape is Completely flexed having in
palpated what is the internal exam,
position of fetus in the ’appropriate
uterus response
What anteroposterior suboccipitobregmatic Job order nurses appointing officers
(AP) diameter of the fetal who will be
head is presenting? accountable for
Identify the position of LOA- left occiput anterior role, function
the fetus in the diagram and response
below (picture at last Best moral right of
page) standard when counter/responsibility/accountability
Passer of fetus to adopts Descent-flexion-Internal they refuse to
to the passageway rotation, extention, external hand and errors
(pelvis) in which rotation, expulsion a time due to
sequence lack of
manpower

Key Question Answer Key IV IS OUT OF VEIN

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Key Question Answer Key
Felt annoted,agramed unjust vexations
uncomfortable in front of SITUATION: 2 LABOR,3cm DILATED
other
Slightly stepped and tone direct assault Key Question Answer Key
down, in case she decide to +1 station now will interpret 1 cm below the ischial
sue her spine
The hospital may charge him Dereliction of duty What is the frequency of 15 mins.
for contraction
He did not present witness default Assess the duration of beginning to the end
during hearing he side to be patient contraction by
on timing
He did not also present rested ROA position, when should below the umbilicus
witness with and not allowed the tube place doppler
Which is not procession of law renew for her license 4 Priority for late deceleration 2,1,3,4
years of fetus
True about the nursing law RA 2,3
9173,which two are not
Which of the ff. actions shield 1,2,3 SITUATION: 3 POSPARTUM 3,400 grams baby
her from possible lawsuit
Injected cotrimoxazole, battery Key Question Answer Key
without consent nurse be Not normal during this Retention of urine with
possibly accused period over flow
Fundus, umbilicus place to over distended bladder
right side what is the
RESEARCH indication
Key Question Answer Key Effective teaching in wash hands, whenever she
Most appropriate data semi-structed prevention infection first do perineal care
collection tool for this study degree laceration
Conceptual framework research problem
based primarily to
Fire need to evacuate post labor d&c and post Hemophilia
priority normal deliveries (1,4,3,2) Key Question Answer Key
During medication closed always Slipped on ice, what to Factor VIII(8)
preparation strictly followed administer
To prevent babies switching- roomed in Repeated bleeding hemarthrosis
Least priority to refusing to multipara Sources of iron Ground beefy patty, lima
monitored nurse beans,raisin,milk
Ob pt. With infection during doing soap sud enema Pattern of transmission chance 25% daughter will be
delivery should be avoid carrier
Laboratory diagnostic test Partial thromboplastin time
(PTT)
SITUATION: FUNDUS JUST ABOVE SYMPHISIS PUBIS

Key Question Answer Key PERSONAL RECORDS, LEGAL DOCUMENTS

Based on estimated age of 12 weeks gestation Key Question Answer Key
gestation Should be forwarded to the Within 24 hours
Source of estrogen/ corpus luteum hospital record section,
progesterone within how many hours
Nausea in the afternoon small frequent meals Period
During 1st trimester focus vital organs Pediatric ward, Who see the Staff nurse of ward
Morning sickness pregnant presumptive records for safe keeping
characterized by nausea and Safe and quality performance Duces tecum
vomiting of a nurse, what is the term

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Should be kept located in Incident report Conclusion of the study Reject of Null hypothesis
cabinet (Document required Control group Do not have breast cancer
to be taken out for Prospective study; two sets Heat food and do not heat
investigation purpose) of samples food
Not be discussed to member ELISA test Incidence of Breast cancer Prospective cohort
of family p research design
(Should not be disclosed) Cross sectional study Relatively risk of heating
except food and risk of cancer

Laboring mother- 39 weeks

Key Question Answer Key Family planning
What stage of labor, tremble, transition Key Question Answer Key
tense, painful contraction Primary indication of IUD parity
Hyperesthesia/hypersensitivity- Sacral pressure Side effect of IUD menstrual flow
nurse coach Common problem of IUD expulsion of device
Establishing trusting relationship Introduce the staff Statement need further 1 year replacement
When should the nurse take BP In between uterine ---------------------------------------------------------
contractions
Husband tense, nervous, “ Is it best “ I can see that you Growth and development
for me to leave?, best response of are tense and Key Question Answer Key
nurse nervous” Cognitive development of understand environment
piaget
Theory moral punishment/reward
development
Autonomy virtue self control and will power
UPDATING PROFESSIONAL PRACTICE Obsessive compulsive anal
Key Question Answer Key 39 weeks testes in scrotum
True about the nursing Civil service
law, (2 are not) Doctorate holder
Competent nurse allowed Licensure and registration
to practice nursing Key Question Answer Key
Injected without the battery 12 hour after birth direct coomb,negative
consent of parent, possible concern
lawsuit 3,400 grams 3.4 kg or 12 ounces
Not a provision Renew every 4 years
Possible law suit All except following
doctors order AGN
Key Question Answer Key
Correct for AGN auto immune disease
ECTOPIC PREGNANCY Sign and symptoms of periorbital,hematuria, mild
Key Question Answer Key AGN proteinuria
Intraperitoneal bleeding (+) Cullens sign Sign of worsening increase in wt.
Risk factor of Ectopic Pelvic inflammatory condition
pregnancy disease (scarring) Disease causing impetigo
Chief complaint Sharp lower right or left infection to AGN
abdominal pain Priority intervention limit activity/ provide safety
Immediate attention Risk for FVD measure
Indicate symptom of pain in 6th week pregnancy
lower abdomen(rupture)
Teenage
Key Question Answer Key
BREAST CANCER, Research investigation heating food in Most often afraid/fear- acne
microwave oven
Least physical change enlarge prostate
Key Question Answer Key
Most significant person friend
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Not correct teenager permiting ordered to sleep
in other house Key Question Answer Key
Good for teenager of use of parenteral supervision is Play of infancy is important, physical development
computer necessary which of the following
Signs of he/she experience prone to illness
maternal depression
FDAR documentation Accident prevention cribs rail up
Key Question Answer Key teaching plan 4 [Link]
Primary consideration, chief objective, symptoms infant
complain presented Infant developmental roll over
Primary focus ‘FDAR” stool 4x in 30 mins milestone
Nurse subjective data patient verbal complaint 6 [Link] teeth that bud 2 lower
Response based of FDAR intervention made pretend to
Cannot be source of data immunization record

SITUATION: IMMEDIATE CARE NEWBORN

SITUATION: ADDICT,COCAINE USER
Key Question Answer Key
Key Question Answer Key Newborn circulation is pulmonary ventilation
Complication of client premature separation of initiated by
vaginal bleeding normally implanted placenta shunt between two atria foramen ovale
Abruptio placenta concealed hemorrhage during the feto placental
caused by Foramen ovale to close shifting of pressure R/L side
The bleeding ff. abruptio Hypofibrinogenemia after the baby had
placenta is usually delivered
caused by Findings, appropriate more,toodler on room
Possible order prepare CS action
for
Late sign of hypovolemic hypotension
shock
What phase of hematuria taking in Epiglotittis
response Key Question Answer Key
3 days after delivery 3 fingerbreadths the umbilicus
Virazole route of oxygen tent
expect fundus to be
administration
located
Health Teaching has been from may disease is
effective serious
Indication of epiglottitis or leaning forward
SITUATION: OSTEOPOROSIS
obstruction of airways
EPI to epiglottitis HIB vaccine
Key Question Answer Key
Which possible refer to increase mobility
physician, should nurse
DM
monitor
Key Question Answer Key
High risk developing prolonged immobility
Diabetes mellitus, nurse assess child development
osteoporosis
should first level
What type of fracture is pathologic
Prevent hypoglycemia orange juice/grahams
client prone to
during practice
Osteoporosis client selection ice cream
Insertion administration 2-3 weeks before charging
now
effective teaching pt.
Vitamin needed for edema vit.d
When positive for ketones colon free liquids
absorption
Diabetic ketones,what to normal saline
prepare
INFANCY

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Malnutirion
Key Question Answer Key Key Question Answer Key
Not correct with underweight/ under What is the GTPAL for her G2 T1 P0 A0 L1
malnutrition income Expected change on 1st increase blood volume
Good advice for check nutritional content trimester the nurse should
malnutrition prevention recognize
5 feet tall normal weight 115 pounds Function of placenta,teaching 4.5
Weight reduction, carbo,fat,salt plan
recommended to cut Naegels Rule, which is the nov.14
To help for obesity problem exercise 30mins. Three correct
times a week The chronological order of ovum,zygote, morula
Xenical (orlistat) target Adypocytes tissue growth fetus blastocyst embryo fetus

Key Question Answer Key Key Question Answer Key

Most needed resources in time Definitive signs that labor is initiation of contraction
training program about to begin true labor contraction
Most emphasis Knowledge skill gained Most accurately described lower back, radiates to
Most important to thank them by abdomen
responsibilities 75%,7cm,0 what is the fetal engaged presenting
correct interpretation
Above data mean the cervix 1/4 of its length
RESEARCH is
Key Question Answer Key Membranes of pt are active phase,peak of
Cross- sectional study that relative heating food plastic ruptured when contraction
will identify the ff. except
Research design should prospective chart
nurse bella use
Who will comprise the do not have breast cancer Key Question Answer Key
control group Sign of postpartal blues, best normal reaction
After 10 years ,two sets those who eat food warmer response
sample and who do not eat Urinated 4x, initial action palpate to assess uterine
The conclusion of the..will rejection of null hypothesis consistency
reflect which of the ff Sign of post prenatal foul smelly lochia
Most important element instructional design infection
that nurse Antonia should BF mother resume 4-6 months
demonstration
Breast engorgement, let her continue bf on
management to continue demand
Key Question Answer Key breast feed
Most important hand hygiene
demonstration that
should be conducted in PIH- pre eclampsia
workshop Key Question Answer Key
Injection in the operating sterile gloves without powder Sign of mild pre hypertension edema
room and delivery room eclampsia proteinuria
Training on suturing obstetrician Worsening sign of pre- Headache/blurred vision
order eclampsia
Most recommended absorbable,strengthen site, Most important care for seizure precaution
suture to be used length severe pre-eclampsia
Pre-eclampsia to clear and maintain open
eclampsia first action airways

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Magnesium sulfate seizure does not occur What should the nurse offer new food,offer some
therapy is effective action milk
Earliest age of solid foods 4 months
First food they can eat Rice cereals
Food that can give to infants half cook egg, honey
Key Question Answer Key care the ff. except
Best time to achieve 14 days before Introducing supplement offer new food at the same
pregnancy feeding except time ,each day 1 week
Ovulation occurs, which LH
condition
Ovum viable for how many 24 to 36
hours Key Question Answer Key
BBT,shown in the ff drops slightly and Ethical principle of autonomy
increases again Patient failed to sign a Emergency
Chief function of Prepares uterus to receive content
progesterone fertilized ovum Real abunition of the veracity
baby,what ethical principle
does she violate
Used of antibacterial -autonomy
Key Question Answer Key She has to do good to all beneficence
Rate of growth during the decline in growth rate patient
period
Growth and development rate and pattern can be
event modified SITUATION:15 3 MONTHS PREGNANT
Types of play in 6 years old make believe
Normal age indicate for 6 yrs ability to try new things Key Question Answer Key
Moral naïve for 6 years old naïve instrument on Who among the ff. will none,all
irritation accountable to patient
What applicable legal proximate negligence
doctrine will this applicable
Lack of necessary care and are being asked
Key Question Answer Key diligence the nurse
Goal of temperature 97.7 conducted herself by
Preterm for ff. signs hypoglycemia testifying
Sign of preterm newborn elbows brought post to Medical record should be on valid doc. Of the data
midline How many hours will a 6-8 hours
Exception of hypothermia, placing crib inside woman who had normal
to prevent heat loss spontaneous vaginal
When of the [Link] ICP delivery is expected to void
indicated effect of cold
stress
Pre eclampsia
Key Question Answer Key
Further evidence,to support mild edema hand and face
Key Question Answer Key pt. diagnosis
Sexually abused, which doc. finding Indicate mild pre-eclampsia inability to working
action should be notify Priority nursing diagnosis fluid volume defect, related
Typical assessment findings uti to fluid shift from
are observed to a victim of intravascular
sexual abused Most appropriate patient bed rest, layer body tuned
centered goal
Additional infection,about hydrocephalic inf.
her condition when she says
Key Question Answer Key that breech can lead the ff

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the importance of life and
family. She is doing
STD
Key Question Answer Key
Listen contraceptive which before I can help you, I
What are the side HYPERKALEMIA
method best for her to used need to know more about
activity effects of aldactone?
Best apply of condom Option (C,E ) Set of guidelines for 10 commandments
Able to understand the ideal ovum 24 hrs. after all ages for all times
time for conception when ovulation prenatal visit 8 visits
the client states according to WHO?
They enhance their fertility 1,2,4 tax exempted govt. c. Professional tax
select, should be done practicing nurse?
It is a method of applicable 26-32days Who is the prc B. Teofilo pilando
only to whom with regular president
mens cycle between which of
the ff. days 6 hours discarded BCG
vaccine
H fever management No to fogging
Mang Raul a 42 years old balut vendor roaming around the except
barangay to sell balut. He is about to enter one of the How to detect GDM a. Glucose challenge test
houses in the community when he entered the gate he What is the cause of A. Macrosomia
was suddenly attacked and bitten by a dog. GDM to the baby
Key Question Answer Key What can be safely A. POP
The part of the body Head used by
most commonly breastfeeding
affected by rhabdovirus mother
in dog bite is? True about COC It is a over the counter
undergo treatment against Balut Vendor medication
rabies? To ease back pain of D. Dorsal Recumbent
from? a pregnant women ,
Equine antirabies vaccine is Horse what is the best
derived position _______
Death of livestock in Encourage them to form a To relieve edema of Lateral recumbent
community, believing there’s task force that will hunt pregnancy position
a Vampire (aswang) killing the vampire and submit to
their animals. What is the animals to veterinanrian Quickening of C. 20
nurse approach? primigravida woman
is felt during
Examiner stroke the A. Fanning of the toes and
SITUATION : A 15-years-old accompanied by her mother sole of the feet to extending of the big toe
presents with complaints of nausea and vomiting for two check the reflex of
weeks. After her mother leaves the room, Pregnancy test the newborn. What
comes back positive. The school physician confirmed that will be the normal
she is pregnant. has requested that you not convey to her observation of the
mother that a pregnancy test has been sent. examiner.
Key Question Answer Key Marasmus. SATA 2. Muscle wasting 3.
request that her mother Veracity Prominent rib cage
not be told what is the Protein deficiency B. Kwashiorkor
ethical principle observed BSE, start. Upper outer quadrant
What advice should be She is a minor, she need to
appropriate to the patient? tell the truth to her parent Contract as to liable a. Accountability
Based on the advice from Values clarification and standard as to
the nurse she then realized

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What is the first step Greet the client and the nostril
in home visit? introduce self B. Blow the nose after
spraying to prevent
The annual c. 2400.00 medication from entering
contribution for the troath
Philhealth is C. Finish instillation of spray
How can a Philhealth Discount from the total bill into one nostril before
member avail his plus the doctors Pf. spraying into the other
philhealth upon D. Inhale quickly to prevent
discharge. irritation of the mucous
membrane.

A client asks the nurse Answer: C

Nursing Practice III and IV – Care of Clients with Physiologic about using decongestant
and Psychosocial Alterations (Part A) and (Part B) nasal sprays. Which
statement by the nurse is
CORRECT regarding
Situation : Rhinitis administration?
Key Question Answer Key A. "They have to be used for
several days before any
What should the nurse Answer: C
effect on congestion is
include about prevention of
noted. "
exacerbation of allergic
B. "They should be used
rhinitis when giving
along with corticosteroid
discharge instructions to a
nasals sprays for maximum
newly diagnosed client?
benefit. "
A. Drink plenty of fluids
C. "They should not be used
B. Monitor for elevated
for more than three days
temperature
because of they can worsen
C. Avoid triggers
congestion."
D. Get adequate amount of
D. "They should be used
sleep.
sparingly because they can
exacerbate a cough."
. Which of these are Answer: D
common clinical
manifestations of rhinitis? The nurse plans to teach a Answer: D.
A. Nasal congestion, patient how to manage The most important
headache, and sore throat allergic rhinitis. Which intervention is to assist the
B. Nasal congestion, pyrexia, information should the patient in identifying and
and rhinorrhea nurse include in the avoiding potential
C. Headache, sore throat teaching plan? allergens. Intranasal
and rhinorrhea [Link] washing is the corticosteroids (not oral
D. Nasal congestion, primary way to prevent antihistamines) should be
rhinorrhea and sneezing spreading the condition to started several weeks
others. before the allergy season.
[Link] of oral antihistamines Corticosteroid nasal sprays
for 2 weeks before the have minimal systemic
Which statement is accurate answer: A
allergy season may prevent absorption. Acute viral
when instructing a client
reactions. rhinitis (the common cold)
about the proper use of
can be prevented by
intranasal sprays? [Link] nasal sprays washing hands.
A. Tilt the head slightly will reduce inflammation,
forward and angle the
bottle toward the side of
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but systemic effects limit Ebola sources can be the
their use. following ;select all that all of these
[Link] and applies [Link]
avoidance of environmental [Link]
triggers are the best way to [Link] bats
avoid symptoms. [Link]
[Link]
[Link]
Which animal is Fruit bat
considered a natural Ebola
virus host?
Situation Triage nursing
What is the biggest risk Nursing a patient at home
Key Question Answer Key
factor for infection with
highest priority for sucking chest wound.
Ebola?
treatment is the one with
A 56-year-old patient Emergent
recent and largest West Africa
presents in triage with left-
outbreak of EBOLA as yet
sided chest pain,
have been reported is
diaphoresis, and dizziness.
from
Triage first priority Client with FACIAL
laceration
Unconscious patient First Assess vital sign
action
What is the current best Rebuild scientific, medical
after surgery sponge left in A. Surgeon option for preventing and nursing infrastructure
the patient body future outbreaks of Ebola? and train staff
Who is the liable,
Non pathogenic to human Reston virus
Legitimate power by the License after board exam Viral strain of ebola
nurse Most pathogenic and fatal Zairre virus
strain of ebola

SITUATION: Middle East respiratory syndrome (MERS)

SITUATION: HIV
Key Question Answer Key Key Question Answer Key
Where MERS corona virus camel Which statement by the Sharing needles
did came from? nurse is correct when dry kissing
discussing AIDS prevention casual contact
first case were reported on April 2012 and transmission? breastfeeding
anwer:1 and 4
patient suffering from Respiratory isolation in
MERS cov must be placed negative room pressure HIV test should be repeated every 3 to 6 months
into a? most number of HIV cases? NCR
Least HIV transmission DERMIS of the SKIN
high risk MERS cov Patient with Cancer HIV major mode of SEXUAL INTERCOURSE
infection? transmission
Most risky behaviours MSM anal sex
Cases per day by 2019 42 per day
Best antiretroviral Using 3 drug combinations
SITUATION: Ebola
treatment for HIV
Key Question Answer Key

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HIV infection in the body Western blot Pain reliever in pacreatitis Morphine
the confirmatory test is ? with alleged effect to cause
What race is at the highest Black MSM and Gay spasm of the sphincter of
HIV risk Hispanics oddi
case?
treat HIV wasting Megestrol Acetate
syndrome? RESEARCH- “Knowledge and practice of prevention of
needle prick injuries of Staff Nurses in a certain private
Low rate of patient Due to stigma hospital in Metro Manila” Based on the research title
undergoing ART which of the following will be the general objective?

Question Answer key

Ethics in Nursing Research Anonymity
Key Question Answer Key has always been an issue
Ph 7.36,PCO2 29, HCO3 20, well oxygenated with when it comes to the
SpO2 100 compensated rr acid identity of the
Emergency 4-3-2-1 respondents. When the
department,priority topics of research are very
[Link] pain sensitive, which of the
[Link] following rights of
[Link] injury individual participants
[Link] must be ensured when
the researcher cannot link
sided chest emergent the information given by
pain,diaphoretic, dizzy the respondent from the
ED,priority action stablish source of the
unresponsiveness,call information?
code,chin –lift
Fractured pelvis,loss of hypovolemic shock This study aims to determine the level of
blood volume,what type of knowledge and practice of
shock prevention of needle prick
injuries of Staff Nurses in a
certain private hospital.
All of these are specific This study is for nursing
objectives except: researchers in the future
SITUATION: ACUTE pancreatitis
Key Question Answer Key As a nurse, you know the Questionnaire
The client is admitted to C. Serum amylase and appropriate data
the medical department lipase. gathering tool, this is?
with a diagnosis of R/O
acute pancre- atitis. Which As a nurse, these are the Limited to the hospital
laboratory value should the following topics in the personnel of a private
nurse monitor to confirm scope and limitations hospital
this diagnosis? except:
Which client problem has b. Alteration in comfort.
priority for the client
diagnosed with acute Which of the following is There is a significant
pancreatitis? not a null hypothesis? relationship between the
Diagnostic procedure for Endoscopic Retrograde knowledge and
pancreatitis Cholangiopancreatography sociodemographic profile of
(ERCP) staff nurses
Analgesic of choice for Meperidine /Demerol
pancreatitis

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Key Question Answer Key Key Question Answer Key
Adm isotonic IVF to a decreasd serum Assess electrolyte imbalance paralytic ileus
hyprtonic client osmolality,decreased BUN, contributory for potassium
(dehydrated: increased decreased Hct(reversal) Calcium glocunate reverses K effects on heart
BUN,hct antagonizes conduction
Monitor fluid balance weight self daily Further teaching, I will tell my doctor if I start
Type B, received (+) Rh B (-), type O (-) hypokalemia having s/s of list you gave
before me
Transfusion related more sophisticated screening 46 y/o,hypo K and postural the level of K is making her
infection are less bc tests hypotension dizzy
PRBC,hemolytic reaction stop transfusion

Key Question Answer Key

Key Question Answer Key Highest risk for FVD elderly, 76 y/o with NGT to
Fast drip IV, trouble slow down infusion rate low suction
breathing, moist cough, nxl Not included for elderly use thirst as guide
Kidney dysfunction,severe fluids,fluid restriction to Hypovolemia BP- indicator of fluids
fluid restriction due tokidneys protect heart and lungs balance
can excrete IV infant(10 mos,old), 200 ml infusion pump
Hypotonic adm, what to mentation and orientation bolus
assess GI bleeding irrigation till normal saline ( isotonic)
3% saline solution neuro status, lung clear,what to use
complication sounds,serum sodium
levels( d/t cerebral
dehydration)
3 days diarrhea 3.0 mEq/L Key Question Answer Key
A client finished an hour of increased osmolality
strenuous exercise
Severe dehydration increased Na and CI
Key Question Answer Key
HyperK,further instruction ican still use my salt Sodium imbalance p/f corticosteroid therapy
substitute (has K too) Same osmotic pressure isotonic solution
Hypokalemia, ax findings: 3.3 mEq, irregular Not warranted for restrict fluids to 1,200
PR,shallow RR hyponatremia ml/day (will further dilute
Hydrochlorthiazide,report to MD leg cramps, muscle sodium in the blood)
weakness
Spironolactone- hyperK, avoid cantaloupe
Not warranted for patients with low sodium fluids SITUATION: HYPERNATREMIA
hyponatremia Key Question Answer Key
Hypernatremia lab findings 150 mEq/L
Hypernatremia risk cerebral edema
Sp. Gr. 1.030, sodium lab 155 mEq/L
Key Question Answer Key findings
70 y/o with nausea and weight same time/day Atlantic ocean drowning p/f hypernatremia
hyponatremia for
Normal osmolality 270-290 mOsm/kg Restricted for hyponatremia water further dilute salt in
High sodium diet American chesse and ham the blood
Hyponatremia and restrict additional fluids
hypervolemia nxl
Kayexalate adm rectally
Key Question Answer Key

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Elderly 78 y/o,IV infusion, FVD is worsening(
client cough and asks head hypotremia)
of bed elevated SITUATION: OSTEOPOROSIS
Low sodium diet grilled chicken
Severe bleeding with NSS Key Question Answer Key
fractured femur,what to Which possible refer to increase mobility
administer physician, should nurse
Patient with liver FVD d/t 3rd space shifting monitor
cirrhosis,weak pulse,delayed High risk developing prolonged immobility
capillary refill osteoporosis
D5W infusing @ 75 change infusion to the What type of fracture is pathologic
ml/hr,ordered NSS, best ordered solution client prone to
action Osteoporosis client selection ice cream
now
Vitamin needed for edema vit.d
absorption
Key Question Answer Key
Post-op 3.6meq K, max rate 10 mEq/L
of KCI SITUATION:
s/e lasix and r/s to K III call MD if develop Key Question Answer Key
dizziness Priority nursing diagnosis for risk for aspiration
HT, spironolactone for cut intake of additional K rabies
discharge Lowest priority of child with assess SEIZURE for ICP
HypoK client with metabolic seizure disease
alkalosis Seizure control most maintain good oral
Severe acidosis, IVT hyperK NaHCO3,to make client important are for nurse to hygiene
alkalotic=K influx teach the fam.
Teaching parents about child cognitive delays
psychological need wound
Insulin NPH indicate need for additional
Key Question Answer Key teaching
Receiving NPH insulin the nourishment counteract Which of the ff. will not be risk for infection
nurse understands insulin activity focus of teaching for seizure
Peaks effect occurs which of 4 to 12 hours disorder
the ff.
Type 1 about dietary food form concentrated
management. The nurse SITUATION: NEPROTIC SYNDROME
should
DM at 6am Fasting Blood Prescribed dose of regular Key Question Answer Key
glucose level of 180mg/dl, insulin to be administered Medical diagnosis of neprotic anasarca
priority Administration of prednisone all of the option
After injection not true Massage after injection observe by the nurse
Side effect ,most prominent mooning of face
on cario which should be
prepared before
Key Question Answer Key administration
Hypernatremia lab findings 150 mEq/L Nursing diagnosis for child risk impaired skin integrity
Hypernatremia risk cerebral edema with severe edema caused
Sp. Gr. 1.030, sodium lab 155 mEq/L nephrotic
findings Appropriate diet sodium moderate protein
Atlantic ocean drowning p/f hypernatremia
for
Restricted for hyponatremia water further dilute salt in PKU
the blood Key Question Answer Key

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Among which of the following lofenalac PHEOCHROMOCYTOMA?
is the ideal milk formula for Key Question Answer Key
phenylketonuria (PKU) What is pheochromocytoma? tumor in the adrenal
medulla affecting the
Among which of the following fish steak chromaffin cells, results in
foods should be avoided by an excess production of
patient with phenylketonuria catecholamines
(PKU) symptom of 1,3,4,5,7 (Hypertension
pheochromocytoma? Headache due
Collaborative care is at the Dietitian Hypermetabolism
crux of caring for a child with Hyperglycemia
metabolic disorders. When a Hyperhidrosis)
child has phenylketonuria, to urine test used to diagnose Vanillyl-mandelic acid
who is he most appropriate to pheochromocytoma (VMA)
be referred? treatment of choice for phentolamine
pheochromocytoma
A mother brings her 3-week- Negative pheochromocytoma. diet is High calorie diet
old infant to a clinic for a best for this patient
phenylketonuria rescreening adrenal medulla produce Epinephrine
blood test. The test indicates
a serum phenylalanine level of
1 mg/dL. The nurse interprets SITUATION: CVA
this result as: Key Question Answer Key
Which of the following Sliding the client to move
techniques does the nurse up in bed.
avoid when changing a client's
position in bed if the client
What condition is Hypoventilation has hemiparalysis?
associated with respiratory
acidosis?
arterial blood gases: HCO3 Hypoventilation Hypoglycemia
38, pH 7.50, PaCO2 50. Key Question Answer Key
patient exhibit as a priority action in case of give candy
compensatory mechanism? hypoglycaemia
metabolic acidosis due to Kussmaul’s respirations Risk factors for type 2 Smoking
diabetic ketoacidosis. diabetes include all of the
expect to see in this following except:
patient? diabetes mellitus for signs Elevated pulse; shakiness;
FRUITY ODORED BREATH KETONES of hypoglycemia. Which cool, clammy skin
due to manifestations are
arterial blood gases: PaCO2 metabolic acidosis associated with this
33, HCO3 15, pH 7. complication?
23. Which condition below What is the most common obesity
is presenting? predisposition of Diabetes
results are: pH 7.34, PaCO2 Metabolic acidosis Mellitus Type 2?
of 37, PaO2 of 79, HCO3 of
19. The nurse interprets least complication of Thrombophlebitis
that the client is Diabetes Mellitus?
experiencing:
Furosemide use metabolic alkalosis due to CANCER
hypochloremia and Key Question Answer Key
hypokalemia. breast cancer diagnose tumor more than 2.0 cm but
with T2N3M1 ? not more than 5.0 cm in
greatest dimension,

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extensive to ipsilateral patient for:
internal mammary lymph
node with distant metastasis A patient first trimester of Propylthiouracil (PTU)
to ipsilateral supraclavicular pregnancy with
lymph nodes. hyperthyroidism. Which
medication
In which stage of breast Stage IV
cancer, the disease spreads A patient is 6 hours post-opt Semi-Fowler’s
to the other parts of the from a thyroidectomy.
body with distant position best
metastasis?
After thyroidectomy, which hoarseness of voice
What is Modified radical Removal of all breast tissue, of the following is the
mastectomy? nipple-areola complex, skin priority assessment to
and level I and II axillary observe laryngeal nerve
lymphnodes. damage?

Activity after surgery Combing hair Assessment of bleeding Palpate back of the neck
Most common site of Left upper outer quadrant haemorrhage
breast tumor
Position in breast self- Lying Supine
examination Hypothyroidism
Start palpation Upper outer quadrant Key Question Answer Key
hypothyroidism for discharge. 3, 4, 5, 6
The most common and breast Select all that apply. 3. Feeling cold
leading cancer in year 2010 4. Loss of body hair
is 5. Persistent lethargy
What is the rank of 3rd 6. Puffiness of the face
colorectal cancer among
men in year 2010? interventions in the plan of 1,2,4,5
care for a client with 1. Provide a warm
What is the rank of 4th hypothyroidism? Select all that environment for the
prostate cancer among apply. client.
men in year 2010? 2. Instruct the client to
consume a low-fat diet.
4. Encourage the client
to consume a well-
SITUATION: Hyperthyroidism balanced diet.
Key Question Answer Key 5. Instruct the client
client with hyperthyroidism. a) instill isotonic eye drops that thyroid
Which interventions are as necessary replacement therapy
appropriate? Select all that b) provide several, small, will be needed.
apply well-balanced meals
c) provide rest periods drug of choice for the levothyroxine
f) weigh the client daily treatment of hypothyroidism?
a, b, c, and f
Which of the following increased body NOT Sign of hypothyroidism diarrhea
assessment findings temperature, increased Sign of hypothyroidism Weight gain
characterize thyroid storm? pulse, and increased blood patient was recently discharged Myxedema Coma
pressure home for treatment of
patient with fever and sore throat. hypothyroidism ,patient is re-
hyperthyroidism is taking admitted with signs and
propylthiouracil (PTU). The symptoms of the following:
nurse will monitor the heart rate 42, blood pressure

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70/56, blood glucose 55, and disorder? Select all that thirst
body temperature of 96.8 ‘F. apply. 5. Specific gravity lower
family reports the patient has than 1.005
not been taking Synthroid
The client with a major burn ensure adequate caloric
injury receives total and protein intake.
parenteral nutrition (TPN).
The expected outcome is to:

A client taking Dilantin for The client will need a

Key Question Answer Key grand mal seizures is regularly scheduled CBC.
GERD is also known as Chalasia preparing for discharge.
included in the client’s
nurse explains to the pt often involves relaxation of discharge care plan?
with GERD that this the LES, allowing stomach
disorder: contents to back up into the What is the generic name of phenytoin
esophagus. dilantin
During the seizure the nurse Protect the client’s head
A patient with Cushing hyperpigmented skin priority should be: from injury by placing
syndrome might present pillows
with any of the following
EXCEPT:

A patient is admitted to HTN, peripheral edema, and

the hospital with a petechiae Key Question Answer Key
diagnosis of Cushing A client has suffered an Advance directive
syndrome. nurse would extensive brain injury and
expect to find can’t make his own
treatment choices. h written
most appropriate for a Risk for infection document is recognized by
client with Addison’s state law and provides
disease? direction for provision of
care

Which statements are true II, III & IV

regarding advance
Key Question Answer Key directives? Select all that
When caring for a male client vasopressin apply,
with diabetes insipidus, II. advance directives are
nurse Juliet expects to legally binding documents
administer: III. advance directives
should be placed in the
client with diabetes insipidus client's medical record
plan of care? Select all that Encourage fluids. IV. advance directives
apply. Monitor intake and specify a client's wishes for
output. health care treatment
Take a daily weight. should the client become
1-5-6 incapacitated

client who was admitted to A newborn has the score on Severe respiratory distress
the hospital with a diagnosis 1-2-4-5 the Silverman-Anderson
of diabetes insipidus. 1. Excessive micturation index of ten (10). What is
manifestations are 2. Excessive thirst this score indicating about
associated with this 4. Complaints of excessive the respiratory status of the
newborn?
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In a 3rd degree burn the fatty tissues
emergency, when someone Paternalism affected area is
is unconscious, the
physician signs the consent Among which of the Stretching
in behalf of the patient following is not to be
ability to give consent and performed by third
administer emergency degree burn
treatment. part of fluid resuscitation Lactated Ringer's
following a burn injury?
A person who can mark an “X” on the consent
understand and signature to signify anterior surface of the
comprehend spoken English consent. body including the upper 45%
, but is physically unable to extremities and head
talk or write. If the subject
verbally agrees to consent least to be expected in hypocalcemia
the patient should: burn patient
smoke upon passing the Remove patients that are in
exemption to the general Epikia ward and finds a smoke the most immediate danger
rule it means action?

Certificate of Registration of Philippine Regulatory

a professional nurse is Board of Nursing RACEE includes R: rescue everyone in
issued and can be danger; get all clients and
suspended or revoked by visitors out of danger by
the: following the fire plan set up
and established by the facility
you work in.
BURNS A: pull the fire alarm
Key Question Answer Key C: contain the fire in the
A client is admitted to the 45% smallest possible area by
hospital after sustaining closing all windows and
burns to the chest, doors. This prevents the fire
abdomen, right arm,and from spreading to other areas
right leg. The shaded of the health care facility.
areas in the illustration E: extinguishing the fire when
indicate the burned areas it is small enough to do so
on the client’s body. safely.
Using the ‘’rule of nines ‘’ Evacuate
the nurse would
determine that about
what percentage of the
clients body surface has ANAPHYLAXIS
been burned? Key Question Answer Key
A priority nursing Risk for infection child was stung by an insect Anaphylaxis
diagnosis for a client with
burns during the after a bee sting. most Maintain a patent airway.
emergent period would urgent nursing action?
be; anaphylaxis will usually 2 to 4 minutes to 2 hours
During the Emergent Hyperkalemia occur within what time
phase of burns fluid period following exposure
shifting will result to?
In a burn victim suffering oral drug to treat anaphylaxis? epinephrine
3rd degree burn the route
for drug administration is Site of injection of drug Thigh

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In nephrotic syndrome the
patient may have
OPERATING ROOM Which of the following have Apple
Key Question Answer Key least amount of Potassium?
for the patient safety in Anaesthesiologist routine use of nasogastric
Operating room tubes after appendectomy is Decreases hospital stay for
labels the specimen Circulating nurse to two days
surgical team uses nursing Circulating nurse
process
endorsement to PACU Anesthesiologist and surgeon
(2nd option: Anesthesiologist
and Circulating nurse) Key Question Answer Key
Highest source of lima beans
Left os /gauze inside body Surgeon potassium?
purpose of purse lip prevent bronchial collapse
breathing is to:
condom catheter to a client Roll the condom into the
with urinary incontinence. glans penis and tape it
spiral into the penile shaft

Key Question Answer Key How often should condom Everyday

liver function test have a Billirubin catheter be changed?
normal values of 0-1 g/dl If someone is bitten by a Call for help immediately or
breast self-examination. changes from previous self- snake, what first aid can you get the person to an
purpose of performing the examinations. give? emergency room as quickly
examination is to discover: as possible
Glasgow Coma Scale score deep coma
of 3?
The usual stimulant for Carbon Dioxide
respiratory center? Key Question Answer Key
How should the nurse Draw up the regular insulin, When positioning the prone with hips in
prepare an injection for a then the NPH insulin, in the neonate with an unrepaired abduction
patient who takes both same syringe myelomeningocele, which of
regular and NPH insulin? the following positions would
be most appropriate?
right orchiectomy. immediate Manage postoperative
postoperative period the pain
nursing priority?
chest indrawing? lower chest goes in when
Key Question Answer Key the child breaths in
Time travel is _____ ability to travel backward nurse check first? Tension pneumothorax
in time to re-experience with slight tracheal
past events and forward in deviation to the right
time to pre-experience The type of psoriasis that Guttate psoriasis
future events often starts in childhood or
young adulthood and is
What can AB + blood type Anyone characterized by small, red,
patient can receive? individual spots on the trunk
and limbs is called?
Nephrotic syndrome is a Generalized edema People concerned about the Inverse psoriasis
disorder of the kidneys that spread of the disease. A type
results from increased of psoriasis can be more
permeability of the troublesome in overweight
glomerular filtration barrier. people is called?

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It is a normal breath sound Vesicular Key Question Answer Key
that can be heard all over the The client with IBS asks “The cause of this condition
base of the lung field? Nurse June what causes the is unknown”
disease. responses by Nurse
June would be most
appropriate?
Key Question Answer Key
doctor prescribed a drug for Nurse What is the most commonly Rectum and sigmoid
the patient, pharmacist affected site in ulcerative
prepared the drug and the colitis?
nurse administers it to the
patient. incident of IV drug The drug of choice for the Sulfasalazine
overdose occurred. Who is treatment of recurrent
liable for the situation.? Irritable Bowed Disease?
Disposal of Medical Records 10 years
is A patient is admitted with Left lower quadrant
Chest drainage of patient has An air leak diverticulitis. The pain in
continuous bubbling in the diverticulitis is commonly
water seal drainage. felt at?
While changing the tapes on Grasp the retention What are the clinical
a tracheostomy tube, the sutures to spread the features of ulcerative 1 and 2
client coughs and the tube is opening. colitis?
dislodged. Which is the initial Diarrhea with passage of
nursing action? blood and mucus
While helping a patient with Place a sterile dressing Tenesmus and crampy
a chest tube reposition in the over the site and tape it on abdominal pain
bed, the chest tube becomes three sides and notify the IBS can cause Colon cancer
dislodged. What is your physician. What is the most common- Colonoscopy
immediate nursing primary screening test for
intervention? colon cancer?

Key Question Answer Key Key Question Answer Key

Nurse delegates the The nurse who delegates To prevent leakage of fluid in Turn on the affected
morning care to the nursing the care the thoracic cavity, how will side
aide. Who is the most you position the client after
accountable in that care? thoracentesis?
Which of the following emergency What is the action of used as a biological
occurences requires an Interleukin-2 (IL-2) in cancer response modifier to
immediate response for treatment? boost the immune
help? system in cancer
Nurses who use restraint Assault and battery therapy.
improperly can be charged A client with pancreatitis has Demerol (meperidine)
with: requested pain medication.
highest priority for sucking chest wound. Which pain medication is
treatment is the one with indicated for the client with
A 56-year-old patient Emergent pancreatitis
presents in triage with left- Among which analgesic of Morphine
sided chest pain, choice is allegedly
diaphoresis, and dizziness. can cause spasm of pancreatic
ducts and the Sphincter of oddi
in patient with pancreatitis?
IBS- irritable bowel syndrome and disease Which of the following is the Naloxone
antidote of opiates toxicity?
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Seixzure epilepsy of child , Rock climbing with severe rheumatoid
activity to avoid arthritis. A sign of acute
aspirin toxicity is:
A client has an order for 2 capsules
Dilantin (phenytoin) .2g
orally twice a day. The
medication is available in
Key Question Answer Key 100mg capsules. For the
A client receives CPR in the Cover eyes with wet morning medication, the
emergency room but it is saline gauze pads and nurse should administer:
unsuccessful. The wife of the small ice packs
client indicates that the client is
an organ donor and that they
want to donate the client's
eyes. Which should the nurse Key Question Answer Key
implement first to promote For tunneled epidural catheter prone
organ transplantation? insertion, the nurse must
The nurse checks for placement The contents aspirated position the patient to?
of a nasogastric (NG) tube prior from the NG tube have When the catheter was normal saline
to initiating a tube feeding for a a pH of 3. accidentally dislodged, the
client. Which of the following nurse can wash the catheter
results indicates to the nurse using?
that the tube feeding can Among which of the following Green-closed fracture,
begin? is correctly color-coded by the sprain and abrasions
Pancytopenia occurs when a red blood cells, white Emergency nurse during
person has a decrease in blood cells and platelets triage?
What is the ethical principle Veracity and Fidelity correct understanding of the Disaster is community
demonstrated by the nurse difference and similarities wide and Emergency is
upon telling to the HR about between a disaster and personal
her impending application an emergency?
going to Australia? A 40 year old, had Bilroth II dumping syndrome
Not early sign of acoustic Hearing loss (gastrojejunostomy) for
neuroma intractable peptic ulcer
disease. The nurse is
instructing him concerning the
potential complication of__?
Key Question Answer Key Blood type risk for PID Type O
Which of the following skin Bull's eye rash
lesions is associated with
Lyme's disease?
When assessing the urinary Cherry-red urine that Key Question Answer Key
output of a client who has gradually becomes clearer What is Actual nursing Impaired urinary
had extracorporeal diagnosis for cardiogenic implement
lithotripsy, the nurse can shock
expect to find: The type of leadership with Autocratic
The diagnostic work-up of a Prostigmine (neostigmine) strict supervision and
client hospitalized with appropriate in cases of
complaints of progressive emergency situation is
weakness and fatigue Julius stresses the ‘’Let’s work together in
confirms a diagnosis of importance of promoting harmony; we need to be
myasthenia gravis. The ‘ESPIRIT D CORPS’ among the supportive of one
medication used to treat members of the unit. Which another’’
myasthenia gravis is: of the following remarks of
The physician has ordered Anorexia the staff indicates that they
aspirin therapy for a client
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understand what he pointed Kathleen knows that one of Let the staff ventilate her
out? her staff is experiencing feelings and ask how she
Stephanie considers shifting Uses visioning as the burnout. Which of the can be of help.
to transformational essence of leadership. following is the best thing
leadership. Which of the for her to do?
following statements best She knows that Focusing activity on the
describes this type of performance appraisal correction of identified
leadership? consists of all the following behavior.
A patient is diagnosed with What are you thinking activities EXCEPT:
stage 4 cervical cancer. The about the result?
doctor tells the nurse not to Which of the following Patients are the best
inform the patient about the statements is NOT true source of information
diagnosis and promise the about performance regarding personnel
doctor she will not tell it to appraisal appraisal.
anyone. patient asks the A nurse on the quality Can be used to discover
nurse if what the findings of improvement committee areas for improvement and
the laboratory test [Link] understands that the step of to analyze areas of
will be the best response of quality improvement which excellence.
the nurse? analyzes current protocols
of care and their associated
nurse did not tell the truth to Justice and VERACITY outcomes includes all
patient about the patient’s except:
condition what ethical
principle did the nurse
violated?
Panhysterectomy is the Cervix,uterus Key Question Answer Key
removal of the__________ Among which of the following Chest X-ray
is not a sophisticated
technology?
Mech vent is unavailable in ICU Anesthesiologist
Situation: Conflict where to get the equipment department
Key Question Answer Key
Katherine feels Identify the source of the Water interruption call the Head nurse
uncomfortable believing conflict and understand the For a client with a menstrual 19
that she is the scapegoat of points of friction cycle of
everything that goes wrong 33 days, ovulation usually
in her department. Which of occurs on day
the following is the best A client diagnosed with BP of Hypertension Stage 2
action that she must take? 150/100 is classified as
As a young manager. she Is not beneficial; hence it
knows that conflict occurs in should be prevented at all
any organization. Which of times
the following statements Key Question Answer Key
regarding conflict is not What exercise is ideal and Swimming
true? most appropriate for
Kathlene tells one of the Avoidance scoliosis?
staff. “I don’t have time to A 13-year-old has been 23 hours per day
discuss the matter with you diagnosed with structural
now. See me in my office scoliosis and is fitted with a
later” when the latter asks if Milwaukee brace. How long
they can talk about an issue. should she wear the brace?
Which of the following The nurse identifies the
conflict resolution strategies mechanism of action of adipocytes
did she use? orlistat is as to the?

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inch needle should be used 1" seeing halos around light
for a morbidly obese likely experiencing;
patient.?
What is the disadvantage of concern for privacy
computerized Situation: A 28 years old male client was admitted in the
documentation of nursing ER department after experiencing intermittent episodes
process ? of diplopia, systemic muscle weakness and shortness of
breath. The doctor made an impression of Myasthenia
Gravis versus Guillain Barre Syndrome versus
Amyotrophic Lateral Sclerosis versus Multiple Sclerosis.
Key Question Answer Key
The nurse is planning the 1,2,4 Key Question Answer Key
care of a hemiplegic client 1=Placing the pillow in the The nurse suspect A client with history of
to prevent joint axilla so the arm is away occurrence of the diseases frequent flu infection.
deformities of the arm and from the body. mentioned with which of
hand, which of the 2=Inserting the pilloe under the client following history?
following positions are the slightly flexed arm,so the Which of the following is Paresthesia
appropriate? hand is higher than the not manifestation of
elbow Amyotropic Lateral
4=Positioning a hand cone in Sclerosis?
the hand so the fingers are The client was diagnosed Spontaneous intermittent
barely flexed. with myasthenia gravis after mandatory ventilation
Why antibiotics are not When mastoiditis develops, Tensillon’s test was
considered the mainstay it becomes difficult for performed. Two days after
treatment for mastoiditis? antibiotics to penetrate the admission, the client
air cells. seteriorated and was placed
What is the mainstay Mastoidectomy with in mechanical ventilation.
treatment for mastoiditis? tympanoplasty What ventilation delivers
What is the most Encephalitis extra tidal volume when the
detrimental complication client respiratory rate falls
of mastoiditis? below normal?
Which is true regarding the The patient should be placed
management of clients on reverse isolation When the patient in Monitor the blood pressure
with meningitis ventilation is placed on
Positive Expiratory Pressure,
the priority intervention is
Situation: Eye examination should be done, frequently to:
beginning the age of 40, if the client has history of
glaucoma. The following question pertains to nursing
ophthalmology and visual acuity.
Trajectomy of disease
Key Question Answer Key Key Question Answer Key
The ophthalmologists would The cornea is avascular What stage in the model Trajectory
treat keratitis with steroid system. depicts a patient with
and antibiotic eye drops rheumatoid arthritis who is
rather than using currently asymptomatic and
How does corneal scarring It is related to the presents only prodromal/ non
develop post keratitis? deposition of collagen specific signs and symptoms of
tissues during the healing the disease?
process. The patient woke up with Acute phase
A client with mature Macular degeneration bilateral redness,swelling,
cataracts suddenly tendered and stiffness of the
experience of loss of interphalangeal joints. The
peripheral vision while patient is in what phase of the
model?
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panic levels, leading to flight
The patient suddenly Trajectory or withdrawal behaviors
developed pericardial client experiences Crisis phase 4
tamponade and was rushed to overwhelming anxiety that
the hospital for can lead to anguish and
pericardiocentesis. The patient apprehension, feeling of
is in what phase of the model? powerlessness and being
The patient went in to coma Downward phase overwhelmed, dissociative
because of the cardiac symptoms (depersonalization,
tamponade complication of detachment from reality),
rheumatoid arthritis. At this depression, confusion, and/or
moment, the patient in what violence against others or self
stage of the trajectory model?

Key Question Answer Key

Keep right signs in the - to smooth the traffic and
hospital prevent accidents
Key Question Answer Key
Lung cancer true riak factor Smoking what is the proper patient supine, facing up (30 degree
position in caloric testing angle)
Anti inflammatory aroma Ginger What is caloric testing? assessment evaluating the
therapy function of the lateral
Aroma therapy for cough Eucalyptus semicircular canal.
and colds
Overdosage of Acetylcystein Primary form of hearing Conductive hearing loss
acetaminophen loss in otosclerosis is
Warfarin toxicity Vit K Conductive hearing loss Middle ear
affects

Key Question Answer Key

Crisis is an acute, time-limited lasting 4-6 weeks Key Question Answer Key
event that a client Myringotomy is -Surgical incision into the
experiences an emotional eardrum (to relieve
response that can't be pressure or release pus
managed with normal coping from the middle ear
mechanisms Patient is preoperative
. displacement characteristics taking out our position for detached retina Supine
of crisis communication frustrations, feelings, and The nurse's first action for a Place the patient in a
technique impulses on people or patient who presents to the supine position.
objects that are less Emergency Department
threatening with manifestations of
The nurse provides rapid Crisis intervention corneal perforation is to
assistance for individuals or nursing diagnoses is the Risk for Trauma
groups. the initial task for the priority diagnosis for a
nurse it to provide a sense of patient with Ménière's
safety by assessing clients disease?
potential suicide or homicide A preschool-age child is Equalize pressures
What level of prevention is Secondary level undergoing bilateral between the middle ear
crisis intervention myringotomy with tubes for and the environment.
trial-and-error methods of Crisis phase 3 the treatment of recurrent
resolution fail, and the clients otitis media. The mother
anxiety escalates to severe or asks the nurse what the

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tubes will do. The nurse's PRIORITY concern after
best response is that the surgery?
tubes will
SITUATION: the Write letter of resignation to
following situations are your employer 30 days before
related to ethical leaving.
Key Question Answer Key practices in the work
When the patient who has Avoid sleeping on the place.
undergone cataract operative side Len, registered nurse,
extraction is preparing to go has signed a contract
home, the nurse reinforces for two years in a
which of the following medical center. A
instructions? recruitment agency has
The nurse is caring for a 2 and 4 offered her a ‘’fat’’
patient who has a hearing Use a low voice pitch with salary for foreign
deficit. Which of the following normal loudness. employment. If you are
techniques should be Use short sentences. in the position of Len,
implemented by the nurse to what should you do?
improve communication?
(Select all that apply.) Riza is a BSN graduate Misrepresentation
23 year old man is admitted Treatment of nausea but did not take the
to the ambulatory surgery National Licensure
unit to undergo removal of a axams. She is in dire
cholesteatoma from the need of money so she
middle ear. Which of the applied and was
following post surgery nursing accepted in a health
interventions takes priority? facility. As a nurse she
The client is admitted to the submitted a fake PRC
acute care unit for surgery. A standing on the client's license in order to be
labyrinthectomy will be unaffected side to speak given the job. Riza is
performed on the client's left to the client. liable to be charged
ear. Which of the following of____.
post-procedure nursing Ms. Paras an R.N was A. RA
interventions must take invited as a resource 9173.
priority: person in a nursing
From the following list of 2 and 4 nausea and conference. The
signs and symptoms, identify vomiting seeing halos curriculum vitae she
those which are associated around lights submitted to the PRC
with angle closure (also called continuing Professional
narrow-angle or closed-angle) Development Council
glaucoma. (Select all that reflects the word
apply.) Masters of Arts in
Nursing (MAN) after
her name. She only
Question KEYS ANSWER KEYS completed academic
As circulating D- Maintain surgical aseptic requirements but not
nurse,which of the ff. is technique during the procedure. her thesis writing.
your priority, action to Which of the following
promote safety of your did Ms. Paras violate?
patient?
It is a hospital policy Dishonesty
Being the nurse in the Monitor vital signs for nurses in a health
Post- Anesthesia care facility that required
unit, which of the time is 15 minutes
following is your before the official
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designated time. Nurse
reported 30 minutes An adult is scheduled C. "I will have an indwelling
late and requested her for a radioactive catheter while the implant is in
co-staff to sign in, this implant for treatment place"
is an example of of cervical cancer. The
_____________. nurse has instructed
The nurse is instructing B. That the best time for TSE is the client about care
the client to perform a after a warm shower following the
TSE. The nurse tells the procedure. The nurse
client determines that the
client has understood
Which of the following C. I will do complete BSE on both the instructions when
statements by a 25 breasts 7 to 10 days after she says,
year old woman menses
indicates that she A client is in isolation B. Pick up the implant with long
understands BSE? after receiving an handed forceps and place it in a
internal radioactive lead-lined container
A nurse is instructing a B. Do not use deodorant in the implant to treat
patient about a underarm area before the test cancer. 2 hours later,
mammogram. Which the nurse discovers the
of the following implant in the bed
instructions should the linens. What should
nurse include during the nurse do first?
patient teaching?
The nurse is giving D. Report symptoms of dyspnea
A client undergoes a B. Carcinoma in situ, no discharge planning to a
biopsy of a suspected abnormal regional lymph nodes, cancer patient on
lesion. The biopsy and no evidence of distant doxorubicin
classifies the lesion metastasis (Adriamycin). What is
according to the TNM -Carcinoma in situ [Tis], no important to tell to the
staging system as abnormal regional lymph nodes client?
follows: Tis, N0, M0. [N0], and no evidence of distant
What does this metastasis [M0]
classification mean? client with ovarian B. Numbness
cancer is being treated
Which statement by B. "My 7 year old twins should with Vincristine
the client indicates to not come to visit me while I'm (Oncovin). A nurse
the nurse that the receiving treatment" monitors the client,
patient understands knowing that which of
precautions necessary the following is a side
during sealed radiation effect specific to this
therapy for cancer of medication?
the cervix?
Right pneumonectomy B. Left side-lying position
The nurse is preparing A. Prepare private room at the for lung cancer. Which
a plan of care for a end of the hallway of the following
client who will be positions shouldn't be
hospitalized for used when
insertion of an internal repositioning her
cervical radiation immediately following
implant. Which nursing the procedure?
intervention the nurse
implements in The physician A. He may receive continuous
preparation for the schedules Mr. Pama for bladder irrigation after the
arrival of the client? a transurethral procedure
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resection of the which dietary
prostate (TURP) under instruction?
spinal anesthesia. 1. "Limit intake of liver
Before surgery, the and beans."
nurse should tell the 2. "Eat more dairy
patient that: products to increase
your calcium intake."
3. "Decrease your
intake of popcorn,
Which finding is an A. Painless hematuria nuts, and seeds."
early indicator of 4. "Avoid eating fresh
bladder cancer? fruits and vegetables."

All of the following are D. Osteophytes

manifestations of
A nurse is conducting a B. A sedentary 65 year old fractures EXCEPT:
health screening for female smoker
osteoporosis. The Nursing care specific A. Checking site of pins for
nurse would interpret for an adult in Buck's bleeding or infection
that which of the Traction would not
following clients is at include:
greatest risk of
developing this
disorder?
An infant with a A. Skin integrity over the
Primary prevention of C. Maintain the optimal calcium dislocated hip is placed scapulae
osteoporosis, includes intake in Bryant's Traction.
which of the following The nurse plans to
measures? assess which if the
following while the
The nurse knows that a D. Genetic predisposition infant is in traction?
60-year old female
client's susceptibility to Which nursing A. Checking site of pins for
osteoporosis is most intervention is bleeding or infection
likely not related to: appropriate for a client
with skeletal traction?
Alvin, a client with B. Except 1, 2 and 3
lactose intolerance A 45-year old female C. "Take a warm tub bath or
requires dietary client with rheumatoid shower before exercising. This
teaching. Which of the arthritis tells the nurse, may help you with your
following foods should "I know how important discomfort."
the nurse advise him to it is to exercise my
eat to ensure adequate joints so that I won't
calcium intake? lose mobility. But they
1. Bananas and are so stiff and painful
avocados that exercising is
2. Beef liver and difficult." Which of the
broccoli following is the MOST
3. Cheese and yogurt appropriate response
4. Malunggay and of the nurse?
kangkong
The following B. It should be treated initially
For a client with C. 1,3 and 4 statements are TRUE by corticosteroid
osteoporosis, the nurse concerning rheumatoid
shouldn't provide arthritis EXCEPT:
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nurse most likely to
Which type of B. NSAIDs assess?
medication is most
commonly used to When a nurse A. Advise the client to stop, drop
treat RA? encounters a running on the ground and roll
burning client, which of
Ralph is studying for C. "The disease pattern of RA is the following
his nursing boards usually unilateral and in single immediate nursing
when he comes upon joint, whereas OA is usually actions is appropriate
different types of bilateral, symmetric, and in to intervene in the
arthritis. At the course multiple joints." burn scene?
it was recommended
to study the
differences between
osteoarthritis and Which of the following A. It is characterized by
rheumatoid arthritis. is true about irreversible blindness
Which statement, if glaucoma?
made by Ralph,
demonstrates that
further teaching is
needed? A client with open- B. "I need to turn my head each
angle glaucoma will time I locate my things on the
Rheumatoid arthritis is C. Occurrence of an manifest the following side."
currently attributed to: autoimmune response symptoms:

A 69-year old client C. "OA affects joints on both The following drugs C. Atropine SO4
asks the nurse what sides of the body. RA is usually may be administered
the difference between unilateral." to the client with
OA and RA. Which glaucoma EXCEPT:
response is correct?
Jessie is diagnosed with D. Preparing him for surgery
A client with possible C. Osteophyte formation retinal detachment.
osteoarthritis is having Which intervention is
X-rays performed on the most important for
both knees. X-rays of this client?
an ostoeoarthritic joint
reveal: Which of the following C. Eye pain
symptoms wouldn't
Which of the following A. Overuse of joints, aging, and occur in a client with a
conditions or actions obesity detached retina?
can cause primary
osteoarthritis? Signs and symptoms of A. Painless decrease in vision,
retinal detachment veil over the visual field, and
The nurse is preparing C. Monitor body temperature include: flashing lights
a client with SLE for
discharge. Which Which if the following A. "I sleep using two pillows."
instruction should the statements, if made by
nurse include in the a patient who is
teaching plan? suspected of having
congestive heart
In assessing a young A. Butterfly rashes failure, would support
woman just diagnosed the diagnosis?
with SLE, what
characteristic
observation is the
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The nurse is assisting in A Protecting the client from irritability;difficulty
planning care for a infection concentrating;
client with a diagnosis Serosanguinous color Pink tinged
of immune deficiency. is
The nurse would Nurse performs Independent intervention
incorporate which of nursing care
the following as a Interdependent actions Collaborative intervention
priority in the plan of Urine specimen Dependent intervention
care? collection
The nurse is assigned Corticosteroid Normal urine 12 hours, 200cc
to care for a client except
admitted to the 50% chance of success Make a living wil
hospital with a of operation
diagnosis of systemic Major problem to SINGING
lupus erythematosus patient with
(SLE). The nurse tracheostomy
reviews the health care A dialysis patient was B. Ineffective breathing pattern
provider's rushed to the Dialysis
prescriptions. Which of unit to do Emergency
the following Dialysis. Patient
medications would the noticed to have
nurse expect to be Ascites, Bipedal
prescribed? edema, BP of
The nurse further D-Butterfly rash on cheeks and 180/100mmhg and
checks for which of the bridge of nose DOB. What is the best
following that is also nursing diagnosis for
indicative of the this patient?
presence of SLE? What is Process of removal of antibodies
client with systemic "I should take hot baths because plasmapheresis? in the blood
lupus erythematosus they are relaxing." Situation: nurse sinabi -assault
and tells the client sa bata na pt. kung
about methods to ayaw nia magpalit ng
manage fatigue. Which damit siya mismo ang
statement by the client gagawa.
indicates a need for
further instructions?
A nurse is providing Steak true definition of death irreversible loss or Cessation of
dietary instructions to all functions of the brain
a client with systemic pt. first initial visit – to KARDEX
lupus erythematosus. assess use for quick
Which of the following assessment
dietary items would
the nurse instruct the brain Tumor exam MRI
client to avoid? Abdominal aortic BRUIT sound in the abdomen
process of grieving DABDA - Denial-Anger- aneurism assessment
Bargaining-Depression- finding
Acceptance
Aorta is located in the EPIGASTRIC region
"current diagnosis" of Admission sheet
Position of patient Supine position (flat on bed)
patient can be found in after AAA surgery
"coffee syndrome" More than 3 cups a day
bee sting after removal Give antihistamine drug
Why people tends to For well being check allergic reaction.
drink coffee
Emergency drug (select Epinephrine
CAFFEINE severe headache; fatigue or all that apply)
WITHDRAWAL drowsiness; dysphoric mood
symptoms including depression and
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Best site of MgSO4 Buttocks Hospital to buy new Capital budget
administration for Equipment
injection is Lax supervision laizze fairre
important to buy for Bond paper Strict supervision authocratic
requisition by the In case of fire horizontal
supervisor in training evacuation
seminar Priority in burn victim airway
cervical spine injury check vital signs Priority in anaphylaxis airway
priority Priority in buergers rest period when pain occurs
Burgers is common Males
Cervical spine injury C4 among
that causes respiratory Prevention of buergers Quit smoing
distress Sign of buergers intermittent claufication
Sign of cervical trauma respiratory distress Priority in reynauds avoid exposure to cold
environment
T2 N1 Mx cell carinoma 1 tumor more than 2 cm, spread Reynauds female
to the lymph nodes. metastasis Cause of pid chlamydia
can't be assessed. Cause of hepa C bloodborne
readmission of pt Medical patient index Tool for survey questionnaires
where to retrieve prev Gloves in OR for long Sterile gloves withOUT powder
rec. period surgical
Priority for pt in seizure Place pillow for heads operation
Severe abd pain morphine
Basic equipment in Ambu bag dying patient wants to call a multidisciplinary meeting
cardio unit commit suicide,nurse
Cardio drug which Dopamine put the patient to
must be always in suicidal prec. But the
emergency cardio unit other nurse opposed
Spirinolactone causes Hyperkalemia since its a dying patient
Prominent U waves in Hypokalemia Right person to Physician
ECG administer blood prod
Tented peak T waves in Hyperkalemia
ECG
Medication for breast works by slowing or stopping Blood trans. What to Blood type,crossmatching,rh
cancer - cytoxan cell growth. By damging DNA of check. Sata incompalibility,[Link],tapos
cancer cell lot no. -------all of these
Adverse effect of Hyperkalemia
aldactone affected sa acoustic inner ear /COCHLEA (if wala
Diet of liver Cirrhosis high in calorieswith high neuropathy inner ear)
carbohydrate content and NOT early symptom hearing loss(kasi gradual sya)
moderate to low levels of fat. acoustic neuroma
Welfare, safety of Phil nursing Act
patient Affected in 3rd degree Fatty tissues
burn?
doing good Beneficence - Compartment distal part fracture
syndrome CHECK
no harm Non-maleficence PULSE
Right Ventriculo shunt - Left side lying radiation therapy lie on supine position
position to
First food to infant rice receals cervical cancer highest sex partner more than one
Vaccine given at birth hepatitis B factor
Not to be delegated medicine administration patient d5w infusing Slow down the rate
Safe to be delegated taking height and weight 100ml/hr develops

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pulmonary emboli.
What is the priority The earliest case of Guangdong China in 2002
Adrenal Medulla epinephrine. SARS were detected
pruduces from:
Posses most of the patient herself
right to access patient Signs and symptoms Chills, malaise, myalgia and
chart of Respiratory Phase headache
DIC sign and symptoms HEMATURIA of SARS are following
that will indicate DIC EXCEPT:
Treatment of early DIC HEPARIN IV
How to diagnose No menses for 3 months First vaccine of Louis pasteur
secondary anthrax in 1881
amenorrhea? All of the following Peripheral form
Furosemide adverse hypokalemia are three clinical
effect forms of anthrax
Writen defamation like LIBEL except
noting in chart that Correct doses of 3 dpt, 3Opv, 3hepa
colleague is vaccines 1 bcg 1measles
incompetent is Fahrenheit to Celcius 38.2
Early sign of resp. restless and irritable convert 100.8
distress Celcius to Fahrenheit 101.3
Bee sting remove sting by scraping convert 38.5
Bee sting anaphylaxis Reflexology Hands, feet, ears
RA 10192 CPD LAW New CPD units top 2 cancer for men Liver
2010
rank of prostate 4th
cancer
Sample of Anthrax rank of colorectal 3rd
biochemical cancer in men
terrorism true in lung cancer smoking
The following are All of the above #1 mortality in the Chronic heart Diseases
signs and symptoms Philippines in 2014
of avian flue (SATA) Caring patient in distance 6 feet, 30 mins per
1. Fever radiotherapy SATA shift, lead apron with
2. Body dosimeter badge
weakness
3. Cough Common disease of Heart diseases
4. Soar throat Elite person
5. Sore eyes Which is a modifiable a. Being overweight
risk for developing
What organization as b. DOH OA?
set by the
osteoarthritis. Which b. Joint stiffness
government should
sign/symptom would
coordinate to the
the nurse expect the
suppliers with
client to exhibit?
vaccine suppliers on
reasonable cost of part affected finger joints
influenza vaccine for osteoarthritis
human, especially for Which of the Metacarpophalangeal joints
those working in live following is the most
poultry. common area
affected by
The incubation 5 to 7 days extended to 2 rheumatoid arthritis?
period of SARS is: weeks Which intervention use of warm compress heat
has the highest and water bath in the
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Copyright: Jonas Marvin Anaque, RM, RN
priority when caring morning to provide pain satisfied with her
for a client diagnosed relief performance. They
with RA? invited the nurse to
be come a ninang to
provides long term active immunization their newborn. How
immunity should the nurse
The acid–base A. Metabolic alkalosis and respond?
disturbances respiratory alkalosis The oldest sibling of You just express to me that
generally observed in the family told the you’re lesbian.
Heart failure is? nurse that she is a
lesbian. How should
the nurse respond?
where to get supply anesthesiologist department There are several A holistic approach in
if u will perform approaches and tools problem identification
intubation the used in ( QI).
patient was in the icu Fishbone diagram is
According to the Codeine one of which, which
WHO ladder in of the following
training cancer pain, statements BEST
which medication is describes fishbone
recommended for diagram?
cancer clients Gantt chart is also Provides a graphical
suffering from used in quality illustration of resources
moderate pain? improvement. It is
The nurse committed Professional Regulatory useful for analyzing,
a serious medication Board in Nursing planning, and
error and patient scheduling complex
died. Who is project, which of the
responsible to following is not true
revoking the nurse’s about GANTT chart?
license and It
certificate of POMR means Problem oriented medical
registration? record
While administering Ombudsman FDAR means Focus data action response
a medication to a PDCA is Plan Do check Act
psychiatric patient, First sign of cervical Metrorrhagia
the nurse did cancer.
enticing and Reducible hernia Protruding mass
seductive actions in spontaneously retracts into
order to encourage the abdomen.
the client to take his
medications. Atropine Increases heart rate.
Someone can file an Viagra Sildenafil
administrative case After a corneal Avoid lying on the affected
against the nurse to transplant site , soapsuds and sex
the Board of Nursing
and the: Risk of cancer is Acetaminophen.
Where will the nurse Outside the 2 inches radius nearly doubled in
administer from the umbilicus frequent users of
enoxaparin (klexane)
or insulin Dopamine Surge in euphoria and
subcutaneously? increased energy/activity
The family assigned The nurse should politely LYME'S DISEASE Deer ticks
to a community decline the offer to maintain Lyme disease Bull's eye lesion
health nurse is very a professional relationship.
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REVERSE TRIAGE Military priority is high Z-Track Injection 22 to 25 gauge thick
survival rate patient adult
People who 50% The best position for standing position
experience a inguinal hernia the
systemic allergic client must be in a
reaction will have a muscle weakness, U Hypokalemia
recurrent reaction waves on ECG
when re-stung. Diverticulitis LLQ pain
If you see a small - Get sterile syringe Diverticulitis Diet avoid fruits and vegetables
bubble of air get to aspirate air high in fiber and no seeds
them out of the line through a port. In otitis media, the bright red
- Flicking the tubing tympanic membrane
with your finger. is
Otic drug pUll pinna down and back
Meningitis DROPLET PRECAUTIONS administration in
3 feet distance or Droplet infant
less drug of choice for Dopamine
Best time for 60 seconds shock.
handwahing Hypoventilation Respiratory acidosis
Standard V/S Every 4 hours Hyperventilation Respiratory alkalosis
monitoring Pulmonary Embolism Left side lying
Telephone call orders Sign within 24 hours Position to
INITIAL PROGNATHISM How many nurse to 3 nurses
MANIFESTATION of log roll patient
ACROMEGALY How to transfer to chair to the side of the bed
Triad of ADHD: Inattention, Hyperactivity, and from a bed to a near the feet, on the strong
Impulsivity chair or wheelchair side if the person has a
weakened side; the chair
Control the Latanoprost eye solution should be parallel to the bed
progression of Position for ICP? 30-40 degree
glaucoma or IOP A nurse is caring for a B. Lorazepam
Oral Inhalation Breathes through the client who is
Therapy mouth. experiencing status
50% of cases of Mastoidectomy epilepticus. Which of
MASTOIDITIS are the following
required to medications should
Behavioral test used Pure-tone audiometry the nurse anticipate
to measure hearing administering
sensitivity immediately?
Most common cause Prolonged or improper use The nurse is aware d. Weight gain
of corneal ulceration of contact lenses. that the signs and
is symptoms of
Person with Superego and needs hypothyroidism
Antisocial Personality immediate gratification. include:
Disorder lacks Thrombolytic answer dissolve clot
After a patient Closely monitor the What is the FLAT ON BED.
undergoes a femoral- peripheral pulses distal to positioned of the
popliteal bypass graft the operative site and patient for the first 8
circulation. hours post PTCA?
Parkinsonism Dopamine Digoxin effective Positive Inotropic - increases
Treatment force of contraction.
Theophylline/ Wheezes Negative Chronotropic -
aminophylline decreases heart rate
relieves

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(reduces conduction years old.
through the AV node) f. rape is usually an impulsive,
spur-of-the-moment
decision by the rapist.
g. unless the assailant is
Nursing Practice V – Care of Clients with Physiologic and armed, most women should
Psychosocial Alterations (Part C) be able to get away and avoid
the rape
Situation: THERAPEUTIC TOUCH
Key question Answer key Narcolepsy is Cessation of breathing for 10
Nurse Glen assesses the Answer: Functional characterized by, except seconds
skin turgor of different professional touch
patients for admission. This Cataplexy is Sudden involuntary loss of
is an example of which type muscle control
of therapeutic touch? (SSRI's) is Selective Serotonin Re-uptake
Inhibitors
Patient DS is seen walking Answer: Social polite touch Champion rating scale 1. Glasgow Coma
from the bathroom back to (SATA) Scale
her bed. Nurse Ana gently 2. Systolic Blood
guides her. This is an Pressure
example of? 3. Respiratory
Rate
A 76 years old patient with Answer: friendship warmth
Alzheimers disease is under touch Patient tasted poison in Gustatory hallucination
Nurse Mila’s care. She PUT her food
HER ARMS around the change a patient’s Cognitive behavioral therapy
patient shoulders, to show thought processes and
which type of touch? behaviors
Disorientation occurs first TIME
After a long period of time, Answer: Love intimacy in
you meet your cousins touch
again during your Christmas cognitive therapy. a type of psychotherapy that
gathering. HUGS and kisses focuses treatment on the
were given to each other. modification of distorted
These are example of which thinking and maladaptive
type of touch? behaviors
appropriate therapy for behavioral therapy
The following are types of Answer: Sexual – arousal the management of a
therapeutic touch utilized touch child with ADHD
by a nurse in a psychiatric Turner’s syndrome Answer: (C) Amenorrhea,
ward, EXCEPT web neck, low hair line,
short stature is a
symptom of Turner’s
syndrome, which appears
at puberty.

Question Key Answer key macular degeneration Loss of central vision.

myths surrounding rape? A-C-D-F-G Retention of peripheral macular degeneration
(select all that apply): a. women are usually raped vision
by a stranger. diagnosis of detached a. A sense of a curtain
c. most rapes occur away retina falling across the
from home areas such as field of vision
alleys and behind buildings.
d. documented rape cases
include women from 8 to 70
Page 67 of 79
Copyright: Jonas Marvin Anaque, RM, RN
a retinal detachment at Left side lying administer to reduce the Diazepam or ATIVAN
the inner aspect of the symptoms of alcohol
right eye withdrawal
appropriate surgical Scleral buckling effective for hallucinating Practice saying “Go away” or
treatment for retinal clients is to: “Stop” when they hear
detachment voices.
that bleeding has Complaints of a burst of
occurred as a result of the black spots or floaters Patay na nanay nya , pero Auditory hallucination
retinal detachment sinabi daw sa kanyang
acute narrow-angle Acetazolamide (Diamox) patayin ang dalawang
glaucoma anak nya
preparation for cataract MYDRIATIC Sabi ng nurse maam ang palilalia
surgery, what drug is to ganada mo ngayon ah,
be administered Patient : Ang ganda ko!
cataract removal “I will wear my eye shield at Ang ganda ko
indicates an night and my glasses during % percentage of 1% only
understanding of the the day.” schizophrenia cases
instructions special sense is the last to hearing
go in a comatose patient
right cataract removal (walang left sa choices) vital sign usually palpated Carotid artery
surgery supine below the jaw
depression, feelings Dysthymic disorder. appropriate room lighting Well lit room
of hopelessness, poor for a dying patient
appetite, How many nurses is 3
insomnia, fatigue, low needed to assist and log
self-esteem, poor roll patient in bed?
concentration, and Slovin’s formula find out 345
difficulty making what sample of a
decisions. The client population of 2500
states that these people you need to take
symptoms began at least for a survey if you have a
2 years ago margin of error of 5%
evidence from a rape Preserve the clothing in (0.05).
victim paper bag Contract as to liable and Accountability
meniere’s disease Vertigo, tinnitus, and hearing standard as to
loss After passing exam Take the oath of
professionals
most frequently affected inner ear Dementia cognitive dysfunction and
by acoustic neuroma? loss of memory.
surgical approaches for retrosigmoid diagnosis of dementia is patient history and cognitive
removing an acoustic translabyrinthine based on assessment
neuroma; select all that approach Dementia unlike delirium Insidious onset
apply middle cranial fossa is characterized by
approach (Facial nerve Confabulation patient fabricates events or
repair) experiences to fill in the gaps
in memory
otoscopic examination red, dull, thick and immobile manipulating the Florence Nightingale
[Link] environment of the
membrane expect to patient to assist him in his
observe recovery is theorized by

attacked by vertigo Let the patient to keep eyes Situation: Zosima was rushed to the Emergency Room
open and stare straight when she was discovered to have taken over dosage of
ahead when lying down sleeping pills.

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Copyright: Jonas Marvin Anaque, RM, RN
handicapped child, how Justice
Myths surround suicide All suicide behavior should should a nurse deal with
but which of the following be taken seriously. It is a cry the tantrums
of these should the nurse for help blood transfusion against Autonomy
take as reality? the wishes of his family,
who are all Jehovah’s
Zosima is on Antidepressant medication Witnesses
antidepressant treatment begins to raise mood fits a situation when the Laissez faire
and was placed on the " followers are self-
Suicide Watch" list. The directed, experts and are
nurse must be alert that
matured individuals with
among depressed
lax supervision?
patients, suicide is likely
to be committed when;
cannabis sativa Marijuana
primary nursing diagnosis Risk for Suicide cancer client who reports Codeine
moderate pain
nurse has made an error Drawing one line through the
Isolate the suicidal patient in a narrative error, initialing and dating,
suicide precautions documentation and then documenting the
except correct information
Elavil must avoid Aged cheese or any tyramine
rich foods Time travel is Remembering the past and
promote safety which of Bottle of orange juice envisioning the future
the following items will In PIE methods charting ,
the nurse remove from P is , Except;
the bag?
[Link]
measures the electrical EEG [Link]
activity of the brain [Link]
[Link]
responsible for sense of endorphin. Depression sign. cannot perform ADL’s
humor mania pt. appropriate -folding towel and linen
activity
first sign and symptoms of Palpitation
alcohol withdrawal Food for mania pt.. - Peanut butter sandwich and
severely dehydrated . "Corazon, I’m Vilma Aunor milk
client told you that there your Staff Nurse, this is an pt with mania (nang aapi - drawing
is a snake on the floor electrical cord" ng mga kasama) nsg
pointing the electric fan action
cord then she shouted, "
snake asking pt. to commit Remove all sharp in the room
Support groups of Alcohol AL ANON suicide.
abuse
Alcohol Withdrawal ATIVAN nursing [Link] pt. -eat cracker with small water
treatment nausea
manipulates the group Histrionic personality vomitting,lethargy,fatigue
with attention-seeking disorder.
behaviors, such as sexual burnout is? a syndrome conceptualized as
comments and angry resulting from chronic
outbursts. The nurse workplace stress that has not
realizes that these been successfully managed,
behaviors are typical of:

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Copyright: Jonas Marvin Anaque, RM, RN
Not a description of decrease iop sexual pleasures to the
Glaucoma tricycle drivers in their place
Test for Brain electrical EEG in exchange for money.
activity During the mental
dead mom telling the auditory command assessment, the client
patient ti kill her 2 hallucination appears apathetic about the
children is situation and refused to
answer questions. The client
Therapy after patient occupational therapy is exhibiting what type of
discharge personality disorder?
Delirium is abrupt onset while
Difference between dementia is insidious D When clients with Let the client sign his
delirium and dementia personality disorders are informed consent
Patient said She was visual hallucination required to sign an informed
visited by her dead mom consent, what should the
last night nurse do?
Binge-eating disorder can C) eating to avoid feeling and
be characterized as: dealing with emotional pain.

Key Question Answer Key

Slovins 5% confidence level Answer: 361
ADHD 3750 given population
Key Question Answer Key
What is the most effective Pharmacologic treatment Splitting is a symptom of Borderline personality
treatment for patients with disorder
ADHD? Restating clients message paraphrasing
When is methylphenidate ( After meals Rape patient, flashbacks PTSD
Ritalin) best given? with nightmare
When can parents of During school vacation
children with ADHD request
for methylphenidate or drug
holiday?
Situation: Personality disorders are very hard to treat posttraumatic stress disorder (PTSD)?
since one’s personality is difficult to modify. Personality is Question keys Answer keys
totality of an individual which reflect his/her bahaviours, The nurse is providing care ***2. Flashbacks
emotions values etc. to the victim of a rape that
occurred over 1 year ago. ***3. Depression
Which of the following is a Goes to the mall every Which symptom supports
characteristic of a client with time he/she experiences the diagnosis of ***4. Nightmares
borderline personaliyy stress to buy the newest posttraumatic stress
disorder? /phone model disorder (PTSD)? Select all ***5. Anxiety
that applies
What is the priority nursing Risk for injury The nurse is caring for a B. ***"Emergency
diagnosis that must be client who is the victim of contraception is most
considered in taking care of rape. The client refuses the effective if administered
clients with boarderline emergency contraception within 3 days."
personality disorder? offered to her. Which
statement by the nurse is
A client was admitted to the Anti- social personality the most appropriate
mental health facility after disorder regarding the window of
several incidents of stealing time during which
goods from the vendors in emergency contraception is
their community market. most effective?
The client would also offer
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Copyright: Jonas Marvin Anaque, RM, RN
The nurse is providing ***1. Previously abused as [Link]
counseling to the a child [Link]
incarcerated perpetrator of ***3. Antisocial behaviors [Link]
rape. Which finding in the ***5. Alcohol or drugs [Link]
client's history are known In PIE methods charting , P [Link]
risk factors for those who is , Except;
commit the act of rape?
Select all that applies [Link]
The nurse is writing a plan B. ***Physical pain [Link]
of care for a client who is [Link]
the victim of rape. Which [Link]
nursing diagnosis does not Doctors order via phone call Clarified with 2 nurse,
support the client's record and sign
psychosocial needs? Order must be signed Within 24 hours
The nurse is assisting in the ***D. Drawing blood for a error in documentation Draw a single horizontal
physical examination of a CBC from the antecubital line with mistaken entry
client who is the victim of area. with initials after
rape. Which action by the
nurse does not involve
collecting evidence that can Situation 1-
be used in a criminal case The nurse is caring for an adult admitted with diagnosis
to convict the attacker? of brain tumor. He was scheduled for craniotomy.
The community health ***2. African American
nurse is conducting a women welcome all forms Question keys Answer keys
presentation regarding of sexual contact because of A client has a supratentorial craniotomy [Link] of the
rape. Which common myth their race. for a tumor in the right frontal lobe of the bed elevated
associated with rape should *4. Victims deserved the cerebral cortex. Post operatively,the 45 degrees
the nurse discuss in the rape because they were position that would be most appropriate with a large
presentation? (SATA) dressed provocatively. for this client would be pillow under
the head and
***5. Victims deserved the shoulders
rape because of where they A client is regaining consciousness after a [Link] her
were located. craniotomy becomes restless hands in soft
and attempts to pull out “mitten”
A client who is the victim of her intravenousline. Which nursing restraints
rape arrives in the intervention protects the client without
emergency department. ***3. Burns on the wrists increasing her ICP?
Once the client's safety is
ensured, the nurse begins ***4. Bruising around the Following 3 months of rehabilitation after
the physical examination. neck craniotomy, a female client is still having [Link] to
The nurse may find which some motor speech [Link] promote her crude
of the following injuries ***5. Bruising on the ankles the client’s use of speech the nurse efforts
from being restrained? should: of speaking

client undergoes a craniotomy for [Link]

removal of her brain tumor. The nurse the dressing
notes that her dressing is saturatedwith and notifying
blood. Which of the following the doctor
Documentation and charting interventions is most appropriate immediately
Question keys Answer keys
What is FDAR charting Focus data Response After [Link]
What is POMR Problem oriented Medical craniotomy, what is your primary goal? increased ICP
record
The ff are method of [Link]
charting except:
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Copyright: Jonas Marvin Anaque, RM, RN
ADDENDUM BOARD QUESTIONS Persistent
Situation: CVD- cardio vascular diseases What to assess after placement of hiccups
Key Question Answer Key pacemaker
What is the most sensitive Troponin I
and specific marker for a Examination of a patient in a supine increased
myocardial infarction (MI)? position reveals distended jugular central venous
veins from the base of the neck to the pressure
What is the most common Left sided heart failure angle of the jaw. This finding indicates:
cause of right sided heart
failure?

What type of Hypertrophic

cardiomyopathy is seen in cardiomyopathy Situation: CVD- cardio vascular diseases
the sudden death of young Key Question Answer Key
athletes? When caring for a patient -walk as tolerated
who has intermittent
What heart condition is Coarctation of the aorta claudication, a
Turner’s syndrome cardiac/vascular nurse
associated with? advises the patient to:
A cardiac/vascular nurse projection.
Signs and symptoms of - Lightheadedness or reviews recommended
complete heart block dizziness. Palpitations activities with a patient
,Fatigue. Chest pain. who sustained a
Shortness of breath. myocardial infarction. The
Fainting spells or syncope. patient states, "It doesn't
really matter what I do or
The patient has been C- Dyspnea don't do. I will either get
diagnosed with left-sided better or die." This
heart failure. Which statement reflects:
common finding of this
condition should the nurse A 55-year-old patient who ventricular fibrillation.
consider when planning is diagnosed with an
care? evolving myocardial
infarction (MI) insists on
going home. The
cardiac/vascular nurse
Situation: PACEMAKER encourages the patient to
Key Question Answer Key be admitted, because the
Where will the procedure (pacemaker Cath Lab greatest risk within the
placement) take place? first 24 hours of sustaining
an MI is:
What is the time we teach the patient Batteries last 5-
about the length of time the battery 10 years and A patient comes to the irreversible anoxic injury to
lasts for a pacemaker? require changing emergency department muscles and nerves can
with reports of a swollen occur in as few as four hours.
What is strictly prohibited from the and painful leg but denies
incision until completely healed? Lotion and sustaining any injury.
powder Physical examination
reveals a tense calf muscle,
What is something the patient cannot No Magnets, No decreased sensation to the
be around, what is an example? big power tools foot and leg, and absent
(MRI) pedal pulses. The
cardiac/vascular nurse asks
the patient when the
symptoms began, because:
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While a cardiac/vascular Involving the graduate nurse the American Nurses
nurse preceptor is in the resuscitation by Association's
orienting a graduate nurse assigning a basic task. cardiovascular nursing
on the telemetry unit, a scope and standards of
patient experiences A patient with cardiogenic baseline cardiac function.
cardiac arrest. Which shock receives a nursing
action by the preceptor, diagnosis of decreased
during the emergency cardiac output. With the
cardiac care procedure, appropriate interventions,
facilitates the graduate the anticipated outcome is
nurse's competence and for the patient to achieve:
professional development? A patient has been report that the patient is
A patient is admitted to assess the patient's level of receiving heparin IV for the exhibiting signs of an
the hospital for a carotid understanding of risks, last three days. The adverse reaction
angiogram with stent benefits, and alternatives. patient's most current
placement. The patient's platelet count is 65,000 X
spouse states: "I don't 103/uL; the platelet count
want my spouse to find on admission was 350,000
out there is a risk of a X 103/uL. The
stroke connected with this cardiac/vascular nurse
procedure, because he or contacts the physician to:
she won't sign the consent
form." The The cardiac/vascular nurse 1500 mg per day.
cardiac/vascular nurse's encourages a patient with
most appropriate action is hypertension to adopt a
to: low-sodium diet. The
A patient who is decreases sympathetic American Heart
recovering from a nervous system activity. Association recommends
myocardial infarction may limiting this patient's
benefit from meditation, sodium to:
because this technique:
A cardiac/vascular nurse assess the patient's One of the Healthy People W ith hypertension who are
reviews risk factor perception of the event with 2020 objectives is to taking the recommended
reduction with a patient open-ended questions. increase the proportion of medications to decrease
who is newly diagnosed adults: their blood pressure.
with a myocardial
infarction. The patient A patient recently had a reduces the pressure on the
states, "I don't know why cardiac catheterization via puncture site.
you're making such a big right-radial approach. The
deal about this stuff. I feel patient has a compression
fine, and the doctor said device in place. The
that my heart attack was patient complains of
small." The nurse's most numbness and pain in the
effective action is to: right hand. The
A patient who underwent clarifying when cardiac cardiac/vascular nurse
coronary artery bypass rehabilitation will begin. notes a diminished pulse,
surgery demonstrates with a cool and cyanotic
effective understanding of hand. The nurse:
discharge teaching by: In an assessment for "Is the leg pain relieved by
A patient with negative intermittent claudication, rest?"
troponins and stress test obtain a 12-lead the cardiac/vascular nurse
results reports recurring electrocardiogram. assesses for leg pain and
chest pain that is similar to cramping with exertion,
the patient's pain on then asks the patient
admission. According to
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Copyright: Jonas Marvin Anaque, RM, RN
what is the possible
reason?
Pt complain of Assess for underlying
Situation: PALMER constipation condition
Key Question Answer Key Nsg diagnosis for Constipation related to
Which is most closely aligned Morals Constipation slowed gastrointestinal
with ethics? motility
Jaundice,clay colored Gallbladder
One of the roles of the registered Serve as the witness stool and abdominal
nurse in terms of informed to the client’s pain,what organ is
consent is to: signature on an affected?
informed consent.
Mode of transmission of Airborne
Which of the following is most Self determination tuberculosis
closely aligned with the principles Sputum sample first 24 Take 2 sample specimen
and concepts of informed hours
consent? How many ml of sputum 3-5 ml
Positive mantoux test a. Sputum culture
Set of guidelines for all ages for 10 commandments what is the next
all times procedure to confirm
Exception to general rules epikia tuberculosis
Goal of triage Do the greatest good
to the greatest TB isolated by Robert kochs
number Pt is obese who is a. Dehiscence
theoretical framework would you Madeleine Leininger’s abdominal post-op which
recommend that this committee theory frequently coughing and
should consider when addressing vomiting what
mutiethnicity and the culturally complication is mostly to
diverse nature of this facility for develop?
this philosophy? Central obesity is defined Endomorph
a

How to modifiy the odor a. Diet intake

of stoma:
Pt take the regular insulin B- 8-10 am
Integrated board concepts at 6;00 am, what time
Key Question Answer Key will you expect for
ICP of 12mmHg a. Normal hypoglycemia?
Using therapeutic [Link] the client and talk, Airborne: B-Measles and
communication, how to and give the pt enough time varicella
communicate with stroke to respond Skeletal traction: Weights must hang freely
patient? What to watch in digoxin Potassium level
Duodenal ulcer b-Gnawing pain after eating and diuretics
and at night Burn pt with dry and a. Hydrogel
Pt is having ventricular a-Defib stable eschar,what to do?
tachycardia, and Color and odor of wound D-Infection
unconscious what to do? indicates
Pt taking ferrous sulfate a-Tea and antacid What to monitor in pt blood cell counts, kidney and
what to avoid? taking vincristine and liver function
How to do oral care for a-Side lying methothrexate?
coma pt? Removing chest tube, gentle valsalva maneuver
Elderly report no bowel a-Sedentary what to instruct?
movement for 6 days

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Copyright: Jonas Marvin Anaque, RM, RN
2 days post hemi a. Gastric output -
colectomy what to Blanching of stomach - inadequate blood
monitor? means? supply to the tissues
Hx of 20years of smoking b- Coronary artery
is risk for? disease Purpose of draw sheet in - to avoid skin shearing
Pt can continue for the b- Thyroid scan repositioning of client -
procedure with shellfish
Action of propranolol allergy Patient for organ donor, - Cessation of brain
- To decrease cardiac True definition of death function
workload Brain death occurs - 6-8 mins
A patient has had a High fever , Top of Form
Action of salbutamol - Dilate bronchioles kidney transplant and chills, body aches or flu, and
Post-op pt complaining of a. Ambulation develops acute organ nausea
abdominal pain “gas rejection approximately 1
cramps” nx intervention month after the surgery.
How to prevent a. Hand washing Based on the nurse's
spreading of infection knowledge of transplant
Swelling, cool skin and no a. Stop IV infusion and rejection, the nurse
blood return in IV site remove knows that the patient
what should the nurse will most likely exhibit
do? symptoms of

Bleeding under cast a. Mark the blood stain After your assessment of Use a mechanical lift.
document and notify your client and the need
the physician to transfer your client
from the bed to the chair,
Nursing process ADOPIE what is the best and
safest way to transfer this
Stage of depression Denial, Anger, Bargaining, paralyzed client when
Depression, and Acceptance, you suspect that you will
or DABDA. need the help of another
Post –op with 38 degrees a. Remove the dressing, for the client’s first
Celsius what the nurse check for infection transfer out of bed?
should do and change the
dressing caring for a client who Establish trust with the client.
has been assessed as
Post-femoral artery Strict bed rest having a past history of
angiogram intervention violent and dangerous
Neutropenic Monitor temp evry 4 hours behaviors towards
others. What is the first
3000 g baby 4x a day 3 ounce thing that you should do
feeding how many ounce to prevent violence
of milk towards others?

To check PICC - x-ray hospice client who is at The client will remain free of
(peripherally inserted the end of life. Based on pain and distress
central catheter) potency this client’s signs and
thyroid crisis Fever and tachycardia symptoms, the client is
comatose, dehydrated,
What to consider with - Indicate the time of free of pain, constipated,
urinalysis collection without distress and
- expected to die in a day
Prevention for otitis - Feed infant in upright or two. Which of the
media position following is an
appropriate client
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outcome or an the shorter acting insulin
appropriate intervention using the same insulin
for this client? syringe. #4 - Prep the top
of the longer acting
Caring for a group of B-Behavioral psychotherapy insulin vial with an
clients who are adversely alcohol swab. #5 - Inject
affected with phobias. air that is equal to the
Which form of group ordered dosage of the
therapy will you most longer acting insulin using
likely employ to treat the insulin syringe. #6
these clients? - Withdraw the ordered
dosage of the longer
caring for an acute care D-Visual disturbances related acting insulin using the
adult client in the medical to delirium same insulin syringe.
unit who has no history
of a psychiatric mental Which of the following B-The client with cancer who
health disorder. This 76 clients is at greatest risk is receiving bendamustine
year old client has for extravasation?
suddenly and abruptly
started to exhibit Your client is receiving Exclude pregnant visitors from
episodic and intermittent brachytherapy. What the client’s room.
periods of time vacillating nursing intervention
between periods of should you implement for
impaired cognition and this client?
periods of mental clarity.
The client reports to you Which of the following is Nausea and vomiting,
that they are seeing an adverse effect to Anorexia, Diarrhea
snakes in their room. This therapeutic radiation
client is dehydrated and therapy?
has just begun taking an Where to refer alcohol Substance abuse counsellor
anticholinergic substance abuse?
medication. Which of the Spinal cord injury that - C4
following is the most affects breathing
appropriate nursing Ruptured appendicitis Fowlers (High)
diagnosis for this client? position
Maneuver for blumberg test
A therapeutic milieu is: D-The provision of a appendicitis
therapeutic environment of Care of Transge nder Pts D. "My name is Ann. How
consistency to promote How should the nurse would you like me to address
health. address the patient? you?"

Place the following steps 1,5,4,2,3,6 What to delegate in maternal and child care
for mixing NPH and midwife
regular insulin in the Safe to delegate Physical history taking of
proper sequential order height and weight
from # 1 to # 6 below. #1 Not to delegate Giving of medications
- Prep the top of the Hepatitis C is blood borne
shorter acting insulin Malaria is caused by vector borne
with an alcohol swab #2 -
Clostridium botulinum is food borne
Inject air that is equal to
Indication of caloric Test for vestibul-ocular reflex
the ordered dosage of
testing TO RULE OUT CENTRAL
the shorter acting insulin
ETIOLOGY OF VERTIGO. (Gold
using the same insulin
standard for detecting
syringe. #3 - Withdraw
the ordered dosage of
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Copyright: Jonas Marvin Anaque, RM, RN
unilateral peripheral RESEARCH QUESTIONS
vestibular loss)
Position during caloric supine with the patient’s head Question Answer key
test to a 30-degree angle A public health nursing b.-a cost-effectiveness
Affected organ - Inner EAR department seeks data to analysis.
confirm that its service is
What is the description of a tentative statement and most efficiently using
hypothesis in research testable prediction about the limited resources. This type
relationship between two or of analysis is known as:
more variables. What is Crude deaths A rate produced by dividing
Formula for gavage Glucolyte the number of deaths
feeding during one year by the
Blaming other person projection estimated (mid-year)
population?
A statistical source for census data.
RESEARCH QUESTIONS population age
distributions, dependency
RESEARCH- “Knowledge and practice of prevention of ratios, and socioeconomic
needle prick injuries of Staff Nurses in a certain private characteristics is:
hospital in Metro Manila” Based on the research title The variable which is B. Dependent
which of the following will be the general objective? influenced by the
intervention of the
Question Answer key researcher is called:
which of the following Anonymity What is the symbol of “”y””
rights of individual dependent varriable
participants must be The most effective way to conduct personal
ensured when the assess the health care interviews with local health
researcher cannot link the needs of older adults in a care and social services
information given by the community is to: professional
respondent from the
source of the A tornado strikes a mobile Community leaders activate
information? home community in a small the community disaster
This study aims to determine the level of rural town. Approximately plan.
knowledge and practice of 10 families are left without
prevention of needle prick food and shelter. Which
injuries of Staff Nurses in a reaction demonstrates the
certain private hospital. community's viability?
All of these are specific This study is for nursing
objectives except: researchers in the future When assessing a Key informant
community's health care
As a nurse, you know the Questionnaire needs, an advanced public
appropriate data health nurse interviews a
gathering tool, this is? first-grade teacher and the
As a nurse, these are the Limited to the hospital editor of the weekly news
following topics in the personnel of a private bulletin. The nurse is using
scope and limitations hospital which data collection
except: method?
The primary role of an advocate for the
Which of the following is There is a significant advisory board for a community
not a null hypothesis? relationship between the community-based health
knowledge and organization is to:
sociodemographic profile of A reviewer assesses a [Link].
staff nurses potential researcher’s
credentials and experience,
the availability of
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Copyright: Jonas Marvin Anaque, RM, RN
funding and resources, and measures the attribute it is
ethical considerations of a supposed to be measuring
potential study. This is called:
represents The reliability of a C. Efficiency
evaluation of a study’s: measuring tool has
what is the symbol of ”X” following aspects, except:
independent varriable The extent to which the C. Stability
Deductive Reasoning is B. Quantitative research same results are obtained
applied in: on repeated
Which of the following is a C. Phenomenology administrations of the
qualitative research design instrument is termed as:
where lived experiences of
individuals are examined in A systematic method for D. Surveillance
their "life-world"? continuous monitoring of
diseases in a population, in
order to be able to detect
Which of the following is a D. Inductive process changes in disease patterns
characteristic of qualitative and then to control them
research? is:
Which of the following Ethnography Which statistical test is A. ANOVA
qualitative methods more appropriate when
focuses on description and there are more than two
interpretation of cultural levels of independent
behavior? variables to determine
The term used to indicate D. Hawthorne effect which group means are
the placebo effect in which significant?
the knowledge of being "Cardiac patients who A. Directional hypothesis
included in a study cause receive support from
people to change their former patients have less
behaviours, thereby anxiety and higher self-
obscuring the variable of efficacy than other
interest: patients". This statement is
The degree to which an A. Validity an example of:
instrument measures what
it is supposed to be What is TRUE about B. Statement about the
measuring is its: research hypothesis? expected relationship of
A fundamental ethical B. Beneficence the variables
principle that seeks to
prevent harm and Hypothesis testing is D. Confirmatory data
exploitation of, to sometimes called analysis
maximize benefits for, "Above all, do no harm". C. Beneficence
study participants is: This principle encompassed
A. Justice in the ethical dimension of:
B. Beneficence A. Human dignity
C. Nonmalificence B. Justice
D. Coercion C. Beneficence
A method of data collection C. Delphi technique D. Anonymity
in which several rounds of
questionnaires are mailed Random sampling or D. Purposive Sampling
to a panel of experts, probability sampling
focusing on their opinions includes all the following
or judgment concerning a techniques, except:
specific topic of interest is:
The degree of consistency B. Reliability
with which an instrument
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Copyright: Jonas Marvin Anaque, RM, RN
Gender, age-class, religion, A. Nominal scale
type of disease, and blood
group are measured on:

Interviewing all members c) a census.

of a given population is
called:

Which of the following b) Stratified random

is not a type of non- sampling
probability sampling?
Which of the following c) The random selection of
is not a characteristic of units makes it possible to
quota sampling? calculate the standard error
Samples are those who ate Convenience sampling.
available in the conference
room
Which of the following is a Stratified Sampling
type of probability
sampling?
Non Probability form of Quota Sampling
sampling is

Study of life experiences PHENOMENOLOGICAL

Research

Data repetition Saturation

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