Copyright: Jonas Marvin Anaque, RM, RN

NURSING BOARD EXAM ANSWER SHEET Before starting toilet training Degree of sphincter muscle
first to consider control
Leprosy causative agent BACTERIA Initial position of patient for Left side lying
Diagnostic confirmatory of SKIN BIOPSY/SKIN SMEAR enema
leprosy Enema before colonoscopy is Cleansing enema
Mode of transmission Respiratory Droplets a type of
2 antibiotic drug for leprosy Rifampicin and Dapsone Cause of nephrosis in UNKNOWN
Liberalized home treatment RA 4073 children is CAUSE/IDIOPATHIC
of leprosy Tetanus toxoid with 10 years TT4
RA 11223 Universal health care by protection
Duterte Age to give FIRST dose of 9 months
Payment of hospital bills by Philhealth measles
Eligibility for UHC or All filipinos are eligible Measles route Subcutaneous 45 degree
universal health care angle
Framework of UHC Fourmula one plus Levodopa pharmacologic Take with empty stomach
Antiseptic herbal meds Guava decoction consideration
For wound washing Bayabas Syringe for insulin injection Insulin pen
Infectious agent of rabies Virus Covid vaccine to pregnancy Generally safe
Causative agent of UTI Escherichia coli (E. Coli) Quarantine of patient at 5 days
Sign of UTI in elderly Confusion or changes in home after facility discharge
mental status
Causative agent of Streptococcus bacteria
Rheumatic heart fever Situation : patient, suspected with MITRAL VALVE prolapse
Penudor is given by what IM annual exam in university X
route Key question Answer key
What is the name of the Group A Streptococcus Early sign of mitral valve C. Systolic click of the valve
bacteria that causes (GABHS) prolapse leaflet as a result of
Rheumatic heart fever? balooning of the LEFT
ATRIUM
Diagnostic test of RHF Echocardiogram (echo).
Treatment of RHF Azithromycin Signs and symptoms that you Answer D. 1,2,3.4.5
Causative agent of Typhoid Bacteria would expect for her to
fever manifest
Infectious agent of dengue Virus 1. Fatigue
Infectious agent of TB Bacteria 2. Dizziness
Not included in Treatment regimen 3. Palpitation
epidemiologic triangle 4. Anxiety
+3 pitting edema Deep pitting (6mm) , 10 to 20 5. Shortness of breath
seconds C. Auscultation
The BEST approach for
Age of under nutrition 2 to 4 years old
assessing early sign of
DM type 2 Resistance to insulin
Mitral valve
Insulin route for Speed Abdomen
absorption Patient suffering MVP, D. light exercise
CPD units 15 emphasize her to avoid,
Epidemiologic triad Host, agent, environment EXCEPT
Law that governs nurses RA 9173
competency and
Situation : nurse assigned to patients with Cardiovascular and
responsibilities
peripheral disorders
Take iron with Fruit juice
Key question Answer key
15 months old Walks well alone
Several factors contributory A. Cigarette smoking and
2 years old toy Push and pull
to devt of condition, among hyperlipidemia
6 months prepared food Rice Cereals
which priority causative
8 months Can say dada and mama factor, should be emphasized
6 months Lower central incisors
Page 1 of 79
Copyright: Jonas Marvin Anaque, RM, RN
in health teaching Referral to Secondary District hospital
facility
Ms. Jacob, with CHF, Nurse A. Jugular vein distention
lydiq suspect RIGHT sided 25 beds capacity Primary level facility
heart failure is Angle of insertion for 45 degree
SQ (subcutaneous
Patient has receiving digoxin, C. Increased urine injection)
0.25mg per day, outcome elimination 5%IV 1L Run in 6 56 gtts/min
that suggest achieving the hours
desired effect Left gauze in patient Surgeon, nurse, anesthesiologist
body who is liable
Patient suffering BUERGERS C. PLACE affected extremity
in a dependent Calcium alternative Orange juice
disease, complaining food
intermittent claudication of Subcutaneous burn 3rd degree
Lower extremities, BEST Multiple myeloma is a Plasma cell
nursing action cancer cell of
position Drug causes Phenazopyridine (pyridium)
discoloration of urine
Information NOT true to D. A strong relationship exist
BUERGERS disease between diabetes and HPV Vaccine for 9 to 12 years old
buergers disease CERVICAL CA

Situation :
Situation : Key question Answer key
Key question Answer key HEALTHY SCHOOL Maintains adequate, basic
Demographic b. Morbidity health services to both
variables, NOT pupils, teachers, and other
included Fertility, mortality and migration ar personnel
a. Fertility e principal determinants Healthy market a. Proper garbage
b. Morbidity of population growth [Link] disposal disposal
c. Mortality [Link] segregation
d. Migration c. Recycle
PHILIPPINE 102 million d. Nutritious foods only.
POPULATION as of
2016 Eligible in blood donation a. high cholesterol
a. high cholesterol
BOTIKA sa PASO Residents are PARTNERS in health b. self drug injection
care to maintain herbal plants in without prescription
pots for family use c. pregnant
Gender, education, A. Nominal d. under medication
marital status is
a. Nominal What is the ideal body B. 170
b. ordinal weight if 110 lbs at 5’10
c. interval a. 135
d. ratio b. 140
Diapers, used tissue, Dispose in Yellow Bag c. 170
used gloves d. 150
Office papers dispose Black bag
in Emergency type of pink eye disease
Fish entrails, rotten Green conjunctivitis
fruits ad vegetables,
leftover foods diose in Complication of conjunctivitis corneal perforation
Radioactive waste Orange
Sharps and Red
pressurized wastes

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The acronym PCDA stands A. Plan-Do-Check-act

Question Answer key for
During a routine visit, the D. negligence _____________________.
nurse noted that Perlita, 20-
year old wife and mother,
has several bruises at Nurse Casuela will use the D. 1,2,3,5
various stages of healing. PCDA when :
She tells the nurse that she 1. Working toward
fell down. Failure to report continuous improvement
your findings is an example 2. Implementing any change
of ___________. 3. Developing a new design
of a process or service
The key global agency that World Health Organization 4. Completing a designed
initiated the Alma Ata (WHO) project
conference on Primary 5. Planning data collection
Health Care is the and analysis to prioritize
___________. problems

Which Asian country is Philippines Using PCDA cycle as a model

considered among the FIRST for defining most of the D. Delegation of work to
to adopt the principles of work processes the lower levels
PHC? following are some areas of
its application, EXCEPT
Nurse Magbanua is aware appropriate technology _____________.
that are she has to use
“tools and methods that all Nurse Casuela knows that D. monitor processes
suitable and acceptable to the purpose of Continuous involved in the provision of
the families and Quality Improvement (CQI) safe, effective client care
communities” that she is to ____________.
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
Nurse Magbanua recognizes acceptability public health department.
that health services offered Which of the following BEST
area to be in accordance to describes the importance of
the prevailing beliefs and this action? Quality
practices of the intended performance standards
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
Collaboration and inter-sectoral collaboration advocated the use of ramps
cooperation is crucial to the and assistive equipment for
achievement of PHC goals. physically challenged
The referral system among workers. This is a good
the RHU, non-government example of which of the
organization, and local social following levels of
welfare and development prevention?
office is classified as what
type of relationship? Public health surveillance C. Disease control

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Copyright: Jonas Marvin Anaque, RM, RN
includes the following Patient with paragonimiasis
activities, EXCEPT are usually diagnosed to
_____________. have _________________.
Public health surveillance B. A method to monitor
can be BEST described occurrences of public The eggs of Taenia solium of C. Proper disposal of
PRIMARY as which of the health problem taenia saginata may be human feces
following? ingested by the pig or cattle
who serve as intermediate
Which of the following is Number of previous hosts. Which of the
NOT a criterion for studies following measures will
prioritizing health problem PREVENT access of animal
for surveillance? from ingesting Taenia egg?
Prevention of Infection from D. Boiling of water from
Current public health B. Population migration entamoeba histolytica is questionable source
surveillance targets the BEST done through which of
following. Which one is NOT the following practices?
included?

Common uses and A. 1, 2, 3, and 4 Public Health Nurse Gabriela A. Saliva

applications of public health is educating a group of
surveillance include which of residents in Community X
the following examples? about RABIES. A participant
1. Detecting individual asks, “How can you get the
persons with malaria so that virus?” The Nurse explains
they can receive prompts that the virus can be
and appropriate treatment. transmitted by which source
2. Helping public health She emphasized that the B. Dogs
officials decide how to bites, which are responsible
allocate their disease control for nearly 99 percent of
resources. human rabies infections, are
3. Identifying changes over those of the infected
time in the proportion of ______________.
children with elevated blood
lead levels in a community. Nurse Gabriela explains that B. All of these
4. Documenting changes in there are situations which
varicella (chickenpox) increase the risk of rabies.
incidence, after a law These are ____________.
mandating varicella A. Stray dog bites
vaccination in the Expanded B. All of these
Program of Immunization C. Unprovoked bites
took effect. D. Animal display abnormal
behavior

The factors that contribute D. overconsumption of In another health education C.1, 2, 5

to the occurrence of food- locally available food session, Nurse Gabriela
transmitted diseases are the explains about LEPROSY.
following, EXCEPT Which of the following
__________. should include?
1. Leprosy is curable
Paragonnimus westermani D. pulmonary tuberculosis 2. Not all leprosy patient are
of the Oriental lung fluke infectious
causes infection in the 3. Leprosy is hereditary
human population by eating 4. Casual contact with a
inadequately cooked crabs. patient causes leprosy

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Copyright: Jonas Marvin Anaque, RM, RN
5. Regular and adequate provided."
treatment is essential
The following are methods of Answer: A
charting, EXCEPT?
Situation: Marites is a beginning nurse in a government A. Sequential
hospital. She still needs enhancement in competencies in B. Narrative
charting. C. POMR
Key Question Answer Key D. Focus
Marites should know that in Answer: C–
In SOAPIE notes, P stands for Answer: B
narrative charting, Narrative charting is the
A. Assessment
documentation of patient care most familiar method of
B. Planning
should be_________. documenting nursing care.
C. Intervention
A. Extensive ааIt is a diary or story
D. Evaluation
B. Formatted format in chronological
C. Chronologic order. It is used to
D. Descriptive document the patient's
status, care, events,
treatments, interventions,
and patient's response to Situation: Vaccines
the interventions. the temperature in the B. Twice a day
Narrative refrigerator and freezer
documentation-- Story- should be checked
like format, usually in A. Once a week
chronological order; B. Twice a day
useful in emergency C. Twice a month
situations when time and D. Once a day
order of events is Among which of the C. Varicella
important following vaccines should be
stored in the freezer of
Which statement is NOT true Answer: B. refrigerator?
about medical record that The patient record is a A. Diptheria
Marites must understand. valuable source of data for B. Hepatitis B
Charts_________________. all members of the health C. Varicella
A. Content must be kept care team. Its purposes D. BCG
confidential include communication,
B. Can be borrowed by nursing legal documentation, What type of ref to be used A. Standard type with
student financial billing, education, in keeping vaccines separate freezer
C. Can be accessed by a research, and A. Standard type with
researcher auditing/monitoring. The separate freezer
D. Can be given out only with auditing/monitoring B. dormitory with separate
patient's consent purpose involves nurses freezer
auditing records
throughout the year to C. dorm style with freezer
determine the degree to
which standards of care D. Door
The midwife is aware that
are met and to identify
vaccines should NEVER be
areas needing
stored in which part of
improvement and staff
refrigerator.
development. The legal
A. Floor
documentation purpose
B. Lower right hand corner
involves the concept that
C. Lower right hand
even though nursing care
compartment
may have been excellent,
D. Door
in a court of law, "care not
documented is care not
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Copyright: Jonas Marvin Anaque, RM, RN
Vaccines stored in the D. -15 to -25 degrees celcius Hazardous waste energy non toxic
freezer should be set in what Color of bag for Radio active orange
temperature. waste disposal
A. +2 to + 8 degrees celcius Which of the ff. cannot be empty drug vials
B. +15 to +25 degrees celcius recycled
C. -2 to - 8 degrees celcius Prohibited waste disposal 1,2,3,4,
D. -15 to -25 degrees celcius process which include flood
area
Which is not a gas produce by Oxygen
green houses
What are the signs and Melting ice glaciers
symptoms of global Warming planet
Situation: DENGUE
warming(Select all that Increase vectorborne
Which of these is a Aedes aegypti applies) diseases
competent vector for the
How to mitigate global Plant more trees
transmission of dengue
warming
infection?
What are the classic signs Fever, arthralgia, maculo–
and symptoms of early papular rash, retro-orbital
Situation:MALARIA
dengue fever? pain
Key question Answer key
Which one of the following Dengue NS1 protein
Causes of Malaria is vectorborne
dengue proteins is an early
Female mosquito casing Anopheles mosquito
diagnostic marker for dengue
malaria
virus infection?
Causative agent Plasmodium falciparum
Specific signs and symptoms High fever and chills
Rumple leads test is positive More than 30 petechiae rash
if treatment chloroquine
a. 1-5cm petechiae prevention Breed animals like pig in
rash front of the house
b. 10 inches petechiae In teaching client regarding c. Take chloroquine
rash preventive measures of once a day
c. No petechiae rash malaria, among which of the Kasi once aweek lang pag
d. More than 30 following is NOT relevant. prophylaxis pa lang
petechiae rash a. Apply mosquito
Breeding site of dengue Stagnant clean water repellant on the wall
Prevention , except No to fogging b. Plant neem tree on
the backyard
Independent action Apply cold packs in forehead
c. Take chloroquine
Management of Sit, lean forward with flexed
once a day
nosebleeding neck
d. Cut over lapping
branches on the
river
Situation :SDG- sustainable development goals
Key question Answer key
Target year of SDG 2030
SDG which is Health 3
centered
Key Question Answer Key
Disease focus malaria
Dark age of Europe "BLACK Bubonic plague
Sanitation centered SDG 6
DEATH" is
Cities and communities 11
Father of antibiotic Alexander Flemming
John snow is Father of Epidemiology
what disease outbreak in Cholera
Situation: ENVIRONMENTAL PROTECT
1800's in Soho District
Key Question Answer Key London
Which of the [Link] not true refers to responsible and Who isolated TB infection Robert Koch's
environmental health concern of government
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Copyright: Jonas Marvin Anaque, RM, RN
1. social assistance,
PURPOSE 2. social development
Situation: PHC and public health surveillance
Key Question Answer Key  health grant: P500
First Alma ata international RUSSIA CASH GRANTS per household
conference of PHC was held every month
on  grant: P300 per
First Asian country that Philippines child every month
adopts and implements PHC for ten months
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 feelings
means in hundredths. of helplessness. According to
Paragonimus westermani is Pulmunary tuberculosis Peplau, which phase of the
mistakenly diagnosed as (PTB) nurse-patient relationship
Nurse is going to duty when Occurs suddenly and for does this indicate?
Flashflood occurred, flash short duration The phase of the nurse- Termination phase
flood is patient relationship that may
Disaster is? Devastation that can not cause anxieties to reappear
relieved without assistance and past losses to be reviewed
PDCA is Plan Do check act is the
#1 cause of chronic disease Ischemic Heart diseases
in the philippines How to say goodbye to Anton bye Anton, don’t forget all
Filipino elderly awareness 1st week of October my teachings to you Anton,
week get well
Senior citizen pension from DSWD Which phase of the nurse A. Working
what agency client relationship includes
exploration of the clients
feelings and participation in
Situation: 4 P’s identifying his or her own
problems?
4 p’s Pantawid pamilyang Pilipino
program

Situation: FILARIASIS
Key Question Answer Key
Female mosquito causing Aedes poecilius
filariasis
Causative agent causing WUCHERERIA BANCROFTI
filariasis

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S/Sx of acute Filariasis Fever, lymphangitis, under what level of
orchitis, epididymitis, prevention?
lymphadenitis Rabies 99% mode of Saliva of infected animals
Diagnostic test procedure Immunochromatographic transmission
blood test RABIES caused by DOG BITEs
Treatment of choice Hetrazan Confirmatory diagnostic test SSS – Slit skin smear
for leprosy
Girdiasis is caused by Food borne- unsanitary
Situation: Traditional health care (Herbal meds) food sources
Key Question Answer Key Taeniasis (tapeworm) Caused by ingestion of raw
Use for treatment of COLDS, lagundi beef or pork products
fever and cough
Serve as ANTIUROLITHIASIS SAMBONG
(KIDNEY STONE) Avian flu
ANTIHELMITHIC herbal med Niyog-niogan Other name in Italy Fowl plague
For Fungal worm parasites AKAPULKO What is the strain of Avian H5N1
Bawang ideally must be taken AFTER MEALS Flu that can mutate to spread
from birds to humans?
caring newly admitted client Provide oxygen using a non-
with increasing dyspnea rebreather mask.
Key Question Answer Key and dehydration , possible
Factors affecting health Environmental conditions avian influenza (bird flu).
status best addressed by actions first?
changes in public policies Vaccine for avian flu None
Characteristics affecting All
death statistics
Focus of DOH plans and Health promotion and SITUATION; FIELD HEALTH SERVICES AND INFORMATION
policies disease prevention SYSTEM (FHIS)- RECORDING AND REPORTING SYSTEM
Community Health involves True Key Question Answer Key
members, government, Objectives ,except complete the picture of
private NGOs this statement acute and chronic diseases
is Fundamental block family treated record
Example of primary level of Teaching pregnant women Monthly FHS activity tally report
prevention on nutritional practices report,component
during pregnancy Tally sheet, recommended daily
Intervention wheel, not based on the idea that public frequency
relevant health services are provided Monitor long term target/clients list
outside the hospital system regimen,reporting system
“Government should give It may be free but we pay for
health services free of them through our tax
charge” implication of this SITUATION: PHN, NURSE DEPLOYMENT PROGRAM
Entreprenurse project of All Key Question Answer Key
DOLE, what services are Organizational structure type of work/ levels of
offered illustrated in the chart management/line and staff
Proper storage of vaccines, Management of resources relationship
area of responsibility and environment Accountability can be done all except asking assistance
Equitable health service to Universal Health Care by from doctor
Filipino’s under the banner of Nurse can earn CPD units engagement in research
project/ peer reviewer
Primary purpose for improve nursing competency
continuing education after registration
Key Question Answer Key True statement about voluntary and encourage by
The nurse counsels the use of TERTIARY level membership to PNA the PRC code of ethics
ramp assistive devices is Nurse deployment P 18,000 (as per

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program, salary is implementing rules) perspective, WHO
Definitions state that all,
the theory (purpose,system,organizes,provide
SITUATION; QUALITY MANAGEMENT, BIRTHING CENTER s way)
Key Question Answer Key Based on general exchange
Basic clinical service ambulance system theory,fanily as
equipment,except an open sytem means
First step to do refer to DOH guidelines matter,energy,informati preparing solid for 6 [Link]
One requirements to stablish PRC license on with invironment infant
nurse-led birthing home Most suitable situation
What classification is the primary care facilities for bandura social
birthing home learning theory
Birthing home service detection & referral of high Instruction on proper motivation
capability, except risk pregnancies case of umbilical cord,
aspects of bandura’s
SLT

Key Question Answer Key

McKinley, upstream thinking Strict enforcement of age
requirement purchase of Key Question Answer Key
cigarette and alcohol Increased taxes on tobacco,and milio theory
Home visit with stroke, Community-based practice alcohol to decreased smoking
practice and drinking,application of
Community-based practice Service is provided in the what theory
means natural environment of Study on correlation on level health belief model
people knowledge on immunizations
Population focus means Community health plan and compliance to
designed to prevent schedule,theory to serve as
frequent encountered frame work
problem Mothers remarks that perceived barriers
Family is the basic unit of care, Health of people is strongly immunization schedule is
because influenced by family conflicting,with working hours,
situation base on health belief model,
Primary concern of CHN Develop capacity of clients indicates
in dealing with health Breastfeeding best up to 2 cues to action
needs years,example of
Equality is illustrated by this Support and implement Milio’s frame work,focus on changes in capacity to
concept health policies that uphold prevention provide environment
social justice supportive of healthy
Present day idea of health Search and destroy choices of individuals
campaign for breeding
places of mosquitoes
Example of phenomenological Faith community
community Key Question Answer Key
Conditions can be changed Physical environment Assumption of milio’s person choose most
thru individual and community framework convenient course of health
efforts action in a given situation
Goal of health promotion health promoting behavior
model-pender
Variables that influence all
Key Question Answer Key behavior modifications
Theoretical foundation all except nightingale Marrie,28 y/o called by MD perceived self-efficasy
of CHN, theorist and calls her obese and needs
included CHN to lse [Link] to

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follow diet,exercise is an SITUATION; PHN ASSIGNED TO WORK WITH ELDERLY
example of WOMEN
Marrie,jogging outside activity-related affect Key Question Answer Key
enjoyed 30 mons. Will make Elderly as priority because they growing fast
jogging regular, which 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 family, primary level of prevention Epidemiology triad example spaghetti, food
level of prevention poisoning,outdoor picnic
Most appropriate related meet the emotional needs 10 new diagnosis of incidence
good for the affective diabetes,event represents
family function Prevalence is a community of 2,500 known cases of
100,000 population with asthma
Model used to guide health health belief model
SITUATION: CRISIS SITUATION, FAMILIES promotion(measles
vaccination)
Key Question Answer Key
Outbreaks of various endemic
Best describes maturational marriage
gastrointestinal diseases
crisis
Assessment-situations not selective inattention
causing strain
SITUATION: MOTHER DELIVERED BABY IN THE COMMUNITY
Ecomap connection and rapport
within and outside family
Key Question Answer Key
Paraplegic,home tertiary prevention
Ensure warmth,except expose the baby under
modification,level of
heat lamp
intervention
Vaccination at birth BCG and hepa B
Best description of resilience
Advocating offer pacifier when
strengths,observed in the
breastfeeding,emphasize,except baby cries
family
Baby hospitalization if –(1-4-5) jaundice
sole/convulsing/ altered
respiration

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Returned to the hospital jaundice to the A month after delivery, which retinol 200k IU, 1 cap
immediately if she exhibits sole/convulsion/fast or will be given
slow or difficulty of
breathing
SITUATION; MANG PISIO, 38, 3-DAY HOLIDAY

Key Question Answer Key

Key Question Answer Key Most important to bring for water
For discharge,except feces is red long drive
9 mos,old vaccine MMR To eliminate risk factor for seatbelt
37.6 immunization go on with immunization accidents,remind to use the
Rr 42/min,4 month old normal car’s
Rice watery stool cholera Which will most of all checking condition of car
demonstrate safety
PHRN advise on safety,what counseling
role
Key Question Answer Key List of agency to go in case of health provider
Refer immediately if the baby cannot drink emergency
Lesbian,bisexual,transgender,psychological constantly
consideration guards
everything to SITUATION; SANTOS FAMILY,HEALTHY AND
say RELIGIOUS,VERTUES TO LIVE LIFE
No erection erectile
dysfunction Key Question Answer Key
Antihypertensive side effect on male impotence and Typology,nature of family to readiness for enhanced
dizziness recognize spiritual well-being
Peri/post-menopausal,best describes limit alcohol PHN role for santos family supporting role
relationship to osteoporosis intake Determine health home visit
needs,conduct what
Inculcated the sense of assigning tasks for each
responsibility by member
Key Question Answer Key Raising good loving and understanding
Osteoporosis, r/f [Link] children,understand the most strength and weaknesses
[Link] estrogen
[Link] lifestyle
[Link] SITUATION; OUT OF SCHOOL YOUTH, DEVASTATED BY
[Link] FLOODS
[Link] bones
[Link] calcium intake Key Question Answer Key
Most usefulAge (1,2,3)
8 months pregnant, G5P3 1. Address
disqualification for home delivery 2. Guardian
Mother receives TT4, baby 1 year 3. Socio-economic status
protection for how long
Children bottle feed, true initiated within 90 Appropriate NDx potential for substances
statement about breastfeeding [Link] baby’s age abuse leading to juvenile
Danger sign of labor: 1,2,4, delinquency
1. DOB Beginning RN, what topic for a 6 dancing talent
2. Bright red vaginal year old orphan
bleeding To gain confidence of the group, friend
3. Clear amniotic fluid what role
4. Uterine contraction 90 Acrobatics,prevention of injury wear safety gadgets
[Link]

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

Nursing Practice II – Care of Healthy/At Risk Mother and

SITUATION; COMMUNITY HEALTH PRACTICE Child
Question Answer key
Key Question Answer Key Vasectomy being cut Vas deferens
Care for community through HP [Link] Stocks sperm cells Epididymis
and maintenance White lines in cheeks, nose Milia
1. Coordination and of newborn
collaboration Peeling in soles and feet of Desquamation
2. Continuity of care newborn
White creamy substance Vernix caseosa
Reducing risks, improving health, individual diagnosis Bluish discoloration in butts Mongolian spots
except Situation – Patient Carlita, B. Presumptive signs
Leader, able to influence others 19 years old, is in her first
Supportive function,except epidemiology trimester of pregnancy.
Understand by beginning RN 1,2,3,4 Because it is her first
pregnancy, she went for her
prenatal check-up with her
mother. She asked a lot of
questions which she
SITUATION: INTERDISCIPLINARY COLLABORATION expects the nurse to answer
her.
Key Question Answer Key The patient asked what is
Attributes of collaborative Professional turning the term for signs such as
teamwork, except breast changes, urinary
Stage of collaboration Collegiality frequency, fatigue, morning
defining relationship and sickness and amenorrhea?
responsibilities
Work together to improve Forge independent The patient asked what A. anti-emetics
patient care, do not support relationship causes new born babies
this statement with total absence of
Community project, most Be frank will remain flexible extremities? The nurse
appropriate things to do in and open-minded answered that the cause for
disagreeing Amelia is intake of following
Partially satisfies parties Compromising medications during
concerned pregnancy _________.

The patient complained B. estrogen

SITUATION: HEALTH EDUCATION that every morning, she

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becomes nauseated and Jane asks what she must do
oftentimes, she will vomit in the order to be healthy in
excessively. “What could be case she becomes
the cause of this,” she pregnant. Which among the
asked? The nurse’s answer answer of Nurse Nilda
is: “It is due to increase chould NOT be followed by
level of _________.” Jane?

The nurse advised patient B. Vaginal bleeding

Carlita to report to her Kevin asks what possible D. May smoke once in a
physician which of the contributions he could give while
following MOST important for the normal
sign, if ever she will suffer development of the baby .
from it? Nurse Jane agreed that his
BEST contribution would be
What is the FIRST step A. Have a written the following EXCEPT____.
among the ten steps for breastfeeding policy that is
successful breastfeeding? routinely communicated to For the normal D. Fractures of all types
all staff. development of the fetus,
Nursse Nilda taught the
When practicibg rooming- B. 24 couple that Jane should
in, how long should the prevent folic Acid
baby stay with the mother? Deficiency Anemia by good
__ hours. diet, correct way of cooking
vegetable and taking Folic
What is the CORRECT time A. ½ Acid supplements. Which of
for wich the mother should the following is NOT
initiate breastfeeding? It included among the
should be _______hours outcomes of folic acid
after birth. deficiency to the baby?

Erlyn learned that newborn B. Breastmilk Jane asks the nurse what B. 1, 2, 3, 4
infants should ONLY be possible diseases should
given, which of the she avoid that would
following? guarantee health for the
Which is the LAST part of C. Disseminate the benefits baby? These are:
the initiative, as of breastfeeding to 1. Rubella
recommended by WHO and communities. 2. Rheumatic fever
UNICEF, for the MBFHI 3. Anemia
external team to do before 4. Chronic
its final designation as hypertension
MBFHI Hospital? What CHIEF ingredient of D. Folic acid C.
Situation– Jane is 23 years B. May have a massage prenatal vitamin for
old. She and her boyfriend, from a lay midwife pregnancy nutrition that
Kevin, are planning to get the patient should look for?
married in a couple months. A woman in labor is at risk D. Sharp fundal pain and
Thereafter, they plan to for abruption placenta. discomfort between
have a three babies. For this Which of the following contractions.
reason they sought assessments would MOST
reproductive develop ment convince you and the
of their future children. pregnant woman to believe
Nurse Nilda was there to that this has happened?
help them
A woman 2 ½ months A. “Come to the

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pregnant calls you by the health facility with consideration in the care of
telephone because she any vaginal an infant after the surgical
passed out some “berry- material passed repair of a cleft lip?
like” blood clots and now out.”
continued dark brown Situational 10 – Miel, on her C. Weight gain of 20 lbs in
vaginal bleeding. Which of 35 weeks of gestation, is the 1st and 2nd Trimester.
the following is the BEST admitted because of
instruction you should give hypertension, BP of
her? 185/110, severe headache
and blurred vision. She was
A woman, 33 weeks D. White Blood Cell Count placed in imposed bedrest
pregnant, with preterm without toilet privileges.
rupture of membranes had The physician orders
blood work ordered daily. MgSo4.
Which laboratory report
would be MOST important Which of the following
to read daily? would Nurse Erika
Situation – Head nurse C. “Surgery should be anticipate in the patient’s
Carmen supervises Nurse performed before the child maternal history?
Donna who is assigned to starts to use faulty speech
take care of a newborn patterns.” Situation – Mrs. Geminy, B. 20
baby boy named Henrich 20 years old, visited the
with cleft palate. prenatal clinic with her
husband George. Nurse
The mother asks the head Connie noted that the
nurse why the paediatrician fundus is at the level of the
recommended that closure umbilicus. Being her first
of the palate should be pregnancy, the patient asks
done before he is 6 months the clinic nurse about
old. She asked Nurse Donna pregnancy and childbearing.
to answer her. Which of the
following is Nurse Donna’s . Based from the
APPRORIATE response? assessment of the nurse,
what would be the
The head nurse continued D. Mouth breathing that estimated age of gestation,
to ask Nurse Donna, “A cleft dries the oropharyngeal in WEEKS, if the fundus is at
lip predisposes an infant to mucous membranes. level of the umbilicus?
infections PRIMARILY
because of which of the Mrs. Geminy related that D. Eat frequently but small
following reasons?” she oftentimes feel amount of foods
nauseated in the afternoon.
Which SIGNIFICANT B. “I am asthmatic and I Which of the following
statement of the mother usually take asteroids.” should Nurse Connie advise
predisposes her son to cleft her to do?.
lip or palate?
Which of the following B. First
For an infant born with a A. Rubber-tipped syringe or periods of pregnancy does
unilateral cleft lip and medicine dropper. organogenesis occur?
palate, which of the What sign of pregnancy is B. Presumptive subjective
following type of feeding morning sickness
will be BEST to use? characterized by nausea?

Which of the following is A. Preventing the infant Situation 13 – A mother in D. Sucking ability
the number ONE from crying. her first trimester of

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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
HIV transmission. After estrogen-like/progesterone-
explaining the different like compound
transmission modes, she luteinizing hormone
asked the group: “Which Pills contains progesterone
among the following is the inhibits
MAJOR mode of A woman with mild Threatened abortion
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
from a pregnant HIV (+)
mother to child?
Miss Kat continued with her C. Breathing the same air as Fundus at the Level of 20 weeks
health teaching. This time someone living with HIV umbilicus
she described four main does Phocomelia is caused by Antiemetic drug use in
routes of HIV transmission. pregnancy like thalidomide
Which is NOT included? Chief ingredient of prenatal Folic acid
Miss Kat gave a few C. dermis of the skin vitamins
questions to the audience Nausea and vomiting in Presumptive- subjective
about HIV transmission to pregnancy is
find out if they were able to Nausea and vomiting is ESTROGEN
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caused by increased level of pregnancy.
35-45 days interval of OLIGOMENORRHEA
menstruation
IM to infant and children to Z-tract technique What is the most appropriate Answer: D
prevent peripheral (Vastus lateralis) nursing response to the father
discomfort of a newborn infant with
inform consent (SATA) consent is voluntary Consent myelomeningocele who asks
performed by a mother if a about the cause of this
child is under minor condition?
connection between to atria- foramen ovale a. "One of the parents carries
a defective gene that causes
myelomeningocele."
March 30 ovulation occurs at march 16 b. "A deficiency in folic acid in
the father is the most likely
Leukorrhea due to Increased estrogen cause."
c. "Offspring of parents who
Position to close foramen - right side lying have a spinal abnormality are
ovale at greater risk for
Colleague commit mistake - moral dilemma myelomeningocele."
other nurse report it to d. "There may be no definitive
supervisor but the supervisor cause identified."
didn't take heed because
they are understaff
Hallmark of nephrotic generalized edema /anasarca The nurse is preparing to Answer: D
syndrome admit a newborn with
incubation period of chicken 10-21 days myelomeningocele to the
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 2 years old a. Fissure in the spinal column
6 months milestone 1st tooth bud eruption that leaves the meninges and
observed the spinal cord exposed
Play of infancy solitary b. Herniation of the brain and
8 months old toy Large blocks meninges through a defect in
2 years old toy Wagon cart the skull
c. Hernial protrusion of a
saclike cyst of meninges with
spinal fluid but no neural
elements
d. Visible defect with an
Situation: SPINA BIFIDA
external saclike protrusion
Key Question Answer Key
containing meninges, spinal
A current recommendation to Correct answer: C fluid, and nerves
prevent neural tube defects is
the supplementation of: The nurse is caring for an Answer: B
infant with myelomeningocele
a. Vitamin A throughout
scheduled for surgical closure
pregnancy.
in the morning. Which
b. Multivitamin preparations
interventions should the nurse
as soon as pregnancy is
plan for the care of the
suspected.
myelomeningocele sac?
c. Folic acid for all women of
childbearing age. a. Open to air
d. Folic acid during the first b. Covered with a sterile,
and second trimesters of moist, nonadherent dressing

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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 at 12 weeks

intensive care unit is caring for
an infant with
myelomeningocele scheduled SITUATION; POSTPARTUM
for surgical repair in the
morning. Which early signs of Key Question Answer Key
infection should the nurse Successful teaching, wipe from front to back using
monitor on this infant (Select episiotomy care biotting motion
all that apply)? Small constant trickle of perineal lacerations
1. Temperature instability blood, suspects
2. Irritability Severe abdominal cramps, release of oxytocin during
3. Lethargy explain the cause breastfeeding session
4. Bradycardia Unrelieved pain by Presence of perineal
5. Hypertension ibuprofen, assess for what hematoma
Above umbilicus deviated to ambulate & assist to void
A. 1,2 and 4
the right best nursing action
B. 1 and 2
C. 1, 2, 3
D. 1, 2, 3, 4, 5
z track technique IM site for vastus lateralis
1y.o baby
patient is scheduled for CS OB
Pre-operatively, how should a C. Semi Prone is sidelying then request for lab to
child with myelomeningocele whom will you relay the
be positioned? Best position is prone result
position if meron sa choices start solid food 4 months
A. Supine
Gives antibiotic to toddler assault (choices ay
B. lithothomy
without parents’ consent malpractice, negligence,
C. Semi Prone assault, libel)
D. Trendelenberg Scurvy to take Fruits

Abdominal panhysterctomy Cervix, uterus, fallopian tube

The following are signs and Answer: A is removal of and ovaries
symptoms of ovulation,
EXCEPT?
A. Weight gain
B. Increase in quantity and pH
Mang Raul a 42 years old balut vendor roaming around the
of cervical secretions
barangay to sell balut. He is about to enter one of the
C. Breast tenderness
houses in the community when he entered the gate he was
D. Basal Body temperature
suddenly attacked and bitten by a dog.
Key Question Answer Key
The part of the body Head
most commonly affected
by rhabdovirus in dog
first prior giving identify med to the bracelet bite is?
medications : to pedia of pt. stated name and date undergo treatment against Balut Vendor
of birth rabies?
post op interventions after sitting position (feeding)

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Equine antirabies vaccine is Horse Law provides reproductive
derived from health care program to all A. 1,2,3, & 4
Death of livestock in Encourage them to form a citizens prioritizing, which of
community, believing there’s task force that will hunt the the following?
a Vampire (aswang) killing vampire and report to 1. Women
their animals. What is the veterinarians 2. The poor
nurse approach? 3. Marginalized
4. Those invulnerable or crisis
situations
SITUATION: POSTPARTUM MOTHER
Reproductive Health services B. Finding the correct
Key Question Answer Key include the following, EXCEPT: partner
multiparous patient, 28 hours B. Release of oxytocin during
after caesarian delivery (CS), the breastfeeding session Factors that affect reproductive C. 1, 2, 3 & 4 (ALL)
who is breastfeeding, health are, which of the
complains of severe following? Select all that apply.
abdominal cramps. Nurse
explains that these are caused Violence against women and RA 9262
by which of the following? children Act

Three hours postpartum, a B. Perineal lacerations

primiparous patient’s fundus SITUATION: 6-year-old boy
is firm and midline. On has arrived at school to take her child home because the
perineal inspection by nurse school nurse
observes a small constant has verified that he has an inflamed throat
trickle of blood. What will the Nurse
nurse suspect urges his mother to seek treatment because if the causative
agent is beta-hemolytic streptococcus, he may develop a
a primiparous patient B. Perineal hematoma disorder characterized by inflamed joints, fever, and the
complains of perineal pain possibility of endocarditis.
that was unrelieved by
Ibuprofen 400mg given two
hours ago Key Question Answer Key
If left untreated, condition can left sided heart failure
Twelve hours after vaginal C. Encourage patient to progress to (80%)
delivery, nurse ambulate and to void In addition to carditis, which of C. arthralgia, low fever
palpates the fundus of a the following should the nurse
primiparous patient and finds assess the child? It should be
it to be firm, above the for the presence of ________.
umbilicus and deviated to the Which of the following would B. rheumatic fever
right. What is the best thing be the possible disorder?
for nurse
to do After throat swab for culture recurrence
and sensitivity, the nurse would
expect the physician to
prescribe an appropriate
antibiotic. Which of the
SITUATION; Reproductive Health following is the purpose of this
medication? It is to
Key Question Answer Key prevent_________.
Nurse will discuss is RA 10354 B. The Responsible
which is entitled__________. Parenthood and mother questions whether her B. It is caused by an
Reproductive Health Act of other children can catch the autoimmune reaction and
2012 same disease. Which of the is not contagious
following should be the nurse’s
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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 repair high risk for infection
repeated First repair before development of speech
most number of HIV NCR Feeding utensil for cleft cup
cases? palate
after surgery of cleft lip Speech Thearpies
Least HIV transmission DERMIS of the SKIN palate refer to.
HIV major mode of SEXUAL INTERCOURSE
transmission
responsible person if patient SITUATION: DR
result of hiv test of 18
years old is breached , Key Question Answer Key
who will file a case Earliest feeding cue drooling
Most risky behaviours MSM anal sex First step to prevent drying thoroughly and
Cases per day by 2019 42 per day hypothermia cover
Best antiretroviral Using 3 drug combinations Prevent hypothermia, ensure 25-26 centigrade
treatment for HIV correct temp
Not included hypothermia is tetralogy of fallot
HIV infection in the body Western blot dangerous to NB
the confirmatory test Not to do for umbilical care use binder
is ?
What race is at the Black MSM and Gay Hispanics
highest HIV risk SITUATION: COMPLAINTS, CONTINUOUS QUALITY
case? IMPROVEMENT
treat HIV wasting Megestrol Acetate
syndrome? Key Question Answer Key
Legal risk, incoming next duty identify herself
Low rate of patient Due to stigma RN should first
undergoing ART Address patient preferred name
Establishing rapport all
Emphasis on communication listen to complaints and
SITUATION: CLEF PALATE queries
Rapport professionalism
Key Question Answer Key
Unilateral clef lip/palate rubber tip syringe
Closure of the palate, should speech pattern SITUATION: MANAGEMENT
be close before 6 MOs,
response Key Question Answer Key
Predispose to infection mouth breathing, dries Time management good and feasible NCP
because oropharyngeal membranes
Not permit watcher to help administering medications
Repair of cleft palate usually Between 6-8 months you when-
at
1st of all, keeping patients safe
Nursing care after surgical prevent from crying and all
repair cleft lip
Conserving water reporting leak and closing
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faucets (1 and 3 only) Growth of fetus ovum,zygote,morula,embryo,fetus,infant
Best strategy to manage inventory of supplies G2,T1,P0,A0,L1 GTPAL
supplies EDD; naegele’s November 14,2017
Rule
Hematologic increase in blood volume
SITUATION: RECORDS MANGEMENT,PEDIA WARD changes; 1st
trimester
Key Question Answer Key
Best describes, documenting case of 5 patients regularly
for 5 patients SITUATION: G3 P3003 POSTPARTUM UNCOMPLICATED
Proper recording and not written/ not done
reporting, legal Key Question Answer Key
Affixing signature was the one who provided Lactation, 4 to 6 months
care for 5 amennorhea,breastfeeding
18 y/o, orphan,died in from being a competent
accident, living will person to incapacitation Signs of postpartum infection foul smeeling lochia
Breast engorgement breastfeeding on
demand
Taking constantly normal reaction
Urinated 4x; initial action assess uterine
SITUATION: 15 YEARS OLD: MALNUTRITION consistency

Key Question Answer Key

Normal weight for 5 feet tall 115 pounds SITUATION: 10 YEARSOLD; SECOND DEGREE BURN
Help her with obesity exercise 3x/week
problem Key Question Answer Key
Not correct statement; underweight increased with Most accurate neurological assessment
malnutrition income guide to
Contributory to malnutrition check nutritional content determine
Advice to cut,intake CHO, fats,salts adequacy of fluid
resuscitation
Appearance at bright red with blister
SITUATION: PRETERM NEWBORN burn site
Indication of urine output 30 ml/hr
Key Question Answer Key adequate fluid
Effects, of cold stress; NOT increased ICP replacement
included Character of extreme pain
Alert when caqring for hypoglycemia pain
preterm newborn Pain meds IV, bypasses,impaired,peripheral,circulation
Exception to the appropriate place crib bedside to wall rather than IM;
nursing intervention to rationale
prevent heat loss
Stabilize temp; does not 97.7 ‘F
drop below SITUATION: OSTEOPOROSIS
Preterm Exhibits elbow past the middle of
chest Key Question Answer Key
Increased risk for prolonged immobility
osteoporosis
SITUATION; TWINS, 3 YEARS OLD (38 WEEKS), NO HISTORY Vitamin needed for better vit.D
OF ABORTION; LMP: FEBRUARY 7,2017 absorption of calcium
Desired effects of meds increased mobility
Key Question Answer Key Fracture pt. most prone to pathologic
Function of subtance are exchange without mixing Menu for osteoporosis ice cream
placenta blood/ nutrients

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SITUATION; 14 YEARS OLD, HEMATOMA,BRUISES SITUATION: LABOR,100% EFFACED,3CM DILATED, +1
STATION
Key Question Answer Key
Decision in joining clubs,refer adolescent family counselor Key Question Answer Key
to? ROA; where to place Doppler below the umbilicus, right
Medico-legal cases;first security blotter side
recorded Arrange order of priority: change position to left side
Aside from external signs of all deceleration of fetus
hating, he should include? lying oxytoxin OFF, oxygen beginning to end of the
Who should the nurse inform parents ON,IV infusion,lower head of same contraction
Fraternities rituals secret school authorities bed
refusal to give information; +1 station,head of fetus
talk to a Frequency of contraction 15mins

SITUATION: DVT SITUATION: IV OUT OF VEIN

Key Question Answer Key Key Question Answer Key

Antidote: heparin protamine sulphate Slapped hand;charge for direct assault
Medical term for “milk leg” phlagmasia Alba Dolens Did not show up,during default
Avoid which meds that can salicylates hearing
aggravate bleeding We cannot present the rested
Adverse signs and hematuria, witnesses and other
symptoms to be monitored ecchymosis,epistaxis documents; one’s a case is
by heparin rested
Lab values; closely APTT Bad mouth,sue for unjust vexation
monitor(heparin) Did not attend to the needs dereliction of duty
of client; charge for

SITUATION: CHILD ABUSE

SITUATION: INTRAUTERINE DEVICE (IUD)
Key Question Answer Key
Fails to report a case breach of duty Key Question Answer Key
Prevention for incidence to in-service training Primary indication parity
not happen again Further teaching replace every 3 years
Appropriate remarks during its alright to cry Use of IUD prevents sperm from
blood extraction reaching the vagina
Utmost important document findings Most frequent side effects excessive menstrual flow
Proven guilty suspension Common problem expulsion of devise

SITUATION:DYAD OF MOTHER AND BABY SITUATION: POISONING

Key Question Answer Key Key Question Answer Key

Correct health no pregnancy for 3 months Common among (age group toddlers
teaching( rubella vaccine Earliest sign easy fatigability, pallor
Rubella can be transported pinocytosis Safety measures, not medicines placed in purse of
Correct route of rubella SQ included bags
vaccine Irreversible damage to brain
Correct nursing intervention rubella vaccine Read labels safety markings
Cardiovascular effect of first month
rubella vaccine when
SITUATION: LYING-IN FIRST PRE-NATAL VISIT

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Key Question Answer Key SITUATION: 15 YEARS OLD TONSILITIS
Work using computers, walk for a few hours
recommends to the client Key Question Answer Key
Restrict salt intake, best salt is essential, no need to Indicates bleeding frequent swallowing
response restrict Prevent highest risk of presence of loose teeth
Contraindication for sexual all except DM aspiration during surgery
activity during pregnancy Post tonsillectomy, begins to turn to side
Diet for fluid retention drink fluids & elevate vomit bright red blood,initial
Internal examination(IE) have you ever had an IE nursing action
appropriate response before Physician’s order that nurse suction every 2 years
should question
Laboratory value most prothrombin time
SITUATION: ACUTE GLOMERULONEPHRITIS significant to review
Key Question Answer Key
AGN description auto-immune,
inflammation,signs and SITUATION: 3 MONTHS, NEUROLOGICC ASSESSMENT
symptoms
Diagnosis mild protenuria, marked Key Question Answer Key
hematuria,support of Reflex to observe to landau
glomerulonephritis determine muscle tone
Priority intervention limit activity, safety Characteristic expected litting of head and chest
Worsening increase in weight when prone
Sequel ( saan siya galing) impetigo contagiosa Reflex not yet observed parachute reactions
Describes babinski reflex toes will hyperextend and
fan
SITUATION: DELIVERED BABY, 3400 g, NSD Reflexes is a tes for moro reflex
neurological integrity
Key Question Answer Key
Immediately after in between symphisi pubis
delivery,palpate the fundus and umbilicus SITUATIONAL: BIOETHICS
Intervention for dysuria all of these
Fundus deviated to the right assist to empty bladder Key Question Answer Key
Considering the urine collection RN reports son has cardiac go and assess yourself
condition,nurse will initiate arrest
Dysuria during postpartum damage to trigone of the Dealing with discrepancies, advocate
bladder role of the nurse
Watching religious program let the patient continue
Student nurse refused to be explore student’s feelings
SITUATION: CONTRACEPTIVE PILLS assigned to HIV patient
Aide shouting to patient call the attention for lack of
Key Question Answer Key professionalism
Danger sign, warrant stoppage elevation of BP
of pills
Pills contains estrogen inhibits FSH SITUATION: ABRUPTIO PLACENTA,
Form of contraceptives that oral contraceptives
have Key Question Answer Key
estrogen-like/progesterone- Violation of confidentiality malpractice of inequities
like compound Determine the veracity medical records
Norplant/IUD inhibits LH complain and actual violation
Pills contains progesterone of standards by checking the
Teaching about oral report irregular vaginal Nurse participate in the rehab pt decided not to undergo
contraceptive bleeding program, except procedure
Patient inquired about refer to the attending
functions and abilities, the physician

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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 in
baby at increased risk for 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 Appropriate data collection questionnaire
(+) HIV test device to determine patient
Manner of delivery CS before onset of labor satisfaction
Condition affect her immediately take To avoid ethical liabilities informed consent
baby,appropriate response antiretroviral drugs among samples

SITUATION:BACTERIAL MENINGITIS SITUATION: PRETERM LABOR

Key Question Answer Key Key Question Answer Key

Diagnosis confirmed elevated CHON level True about preterm length of gestation <37
brcause spinal fluid has First intervention monitor for contraction and
Route ener infants CN’s cranial apertures or sinuses fetal-being
Maintaining isolation for 48 hours after antibiotic Possible complication hemorrhage
therapy Highly considered, except preparation for CS
Post serious complication peripheral circulatory collapse Demographic risk factors, excessive physical activities
Alert for increased BP vomiting, seizures,complaints except
of head pain

SITUATION: HIGH RISK MATERNITY WARD

SITUATION: PYLORIC STENOSIS, 2 WEEK OLD
Key Question Answer Key
Key Question Answer Key s/sx of RHD,except petechiae
Palpate abdomen,expects olive-shaped mass herpes management preparation for CS
Returned to the pediatric unit assess IV site for infiltration anticipate to occur, after abruption placenta
with IV,priority nursing action eclamptic seizure
Observe the infant,tentative sign of dehydration monitor to suspect MgSO4 decreased deep tendon
diagnosis toxicity reflex
To prevent,vomiting, position infant seat SITUATION: FAMILY PLANNING
Appropriate post-op feeding regular feeding
Key Question Answer Key
Menarche not correct precedes thelarche and
SITUATION: PKU adrenarche
IUD provides contraception, alters motility of sperm
Key Question Answer Key how
Pattern inheritance autosomal recessive 28 cycle point of ovulation 14 to 15th day
Refer to who dietitian Clear and observable sign of Clear and elastic
else(collaboration) fertility slippery and stretchy
Criteria for the disease to be both parents must be Expect to ovulate,33 days 19 days
transmitted carriers cycle
Teaching plan MLT mental retardation
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SITUATION: PHN 5 YEARS, ETHICS she is pregnant. has requested that you not convey to her
mother that a pregnancy test has been sent.
Key Question Answer Key Key Question Answer Key
IVT and foremost, patient did respect decision request that her mother not Veracity
not want to go be told what is the ethical
Profuse vaginal bleeding, epikia principle observed
exception to the rule What advice should be She is a minor, she need to
Dressing up properly,not inviolability of life appropriate to the patient? tell the truth to her parent
exposing unnecessary parts Based on the advice from the Values clarification
Reach hospital alive,truthful veracity nurse she then realized the
answer importance of life and family.
Do good to them beneficence She is doing

SITUATION; DISLOCATEDSHOULDER (5Y/O) BRUISES ON

CHEST,ABUSE

Key Question Answer Key Key Question Answer Key

Among which of the following is Chest X-ray Not effected it is okay to cry if you’re not
not a sophisticated technology? Priority, court of law- proper documentation
Mech vent is unavailable in ICU Anesthesiologist 48 hours failure to report breech of beauty
where to get the equipment department Guilty, administrative suspension, revocation
Will not happen again beneficence
Water interruption call the Head nurse
For a client with a menstrual 19
cycle of SITUATION: LEUKEMIA (6Y/O)
33 days, ovulation usually occurs
on day Key Question Answer Key
A client diagnosed with BP of Hypertension Stage 2 Action bring to nearby hospital
150/100 is classified as Referral signed by MHO integrate health based
ILHZ(inter-local health zone), exclusion of private
except hospitals
Charcoal crosses printed on takes risks on behalf of
Key Question Answer Key body, except patients and colleagues
What exercise is ideal and Swimming Personal,professional growth, behavior and attitude
most appropriate for scoliosis? best
A 13-year-old has been 23 hours per day
diagnosed with structural
scoliosis and is fitted with a SITUATION; HIV/AIDS IN CD WARD
Milwaukee brace. How long
should she wear the brace? Key Question Answer Key
The nurse identifies the Limitation, except writing style
mechanism of action of orlistat adipocytes 5 respondents qualitative case study
is as to the? In stating the significance of only identify the beneficiary
inch needle should be used for 1" the study,except
a morbidly obese patient.? Data collection semi-structured interview
What is the disadvantage of CONCERN FOR PRIVACY Frame work is base on research problem
computerized documentation Valid ,except (living will) notarized document for a
of nursing process ? lawyer
SITUATION. 1 ½ yrs old

SITUATION : A 15-years-old accompanied by her mother Key Question Answer Key

presents with complaints of nausea and vomiting for two Ritualism, definition maintaining sameness
weeks. After her mother leaves the room, Pregnancy test
Touching almost exploring his environment
comes back positive. The school physician confirmed that
anything,putting in the
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mouth,best response 2nd trimester IDDM, priority achievement of optimal
More prominent change in GI elimination message glycemic control
Common significant others mother HIV, priority evidence-based medication for HIV,
Spiritual development pray before meals and nursing information infection is safe
bedtimes Mild variable fetal rate change the maternal
decelerations position
Complaints,immediate attention leaking vaginal fluid at 34
SITUATION; 19 Y/O POSTPARTUM weeks gestation
Severe nausea and vomiting limits fluids with meals
Key Question Answer Key advise
major rationale of postpartum jealousy of the husbands
depression (PPD attention to infant
SITUATION; PEDIATRIC UNIT

medications anxiolytic Key Question Answer Key

prescribed,appropriate Primary purpose of achieve quality improvement
symptoms of PPD all except delusion evaluating nursing care
Pathognomonic sign of PPDF, infant
rejection of the Plan, DO, Check and plan phase
Focus of psychotherapy fears and concerns act,design an assessment
stool,phase of the process
Team evaluate care as a concurrent audit
SITUATION; 4 Y/O MULTIPLE BRUISES SUSPECTED OF ABUSE being administered to pedia
clients, this represents
Key Question Answer Key Sentinel events signal the needs for
Most appropriate response tell me specifically immediate investigation and
Most accurate responsibility report to the person in charge response
in reporting Not a goal of risk reduce incident reporting
Suspect child abuse, most explanation & actual injuries management system
important criterion are incomparable
Best statement describe consent signed by
responsibility for written parent,attached to chart SITUATION: 4 WEEK OLD,PROJECTILE VOMITING
consent
Primary goal of play promote communication Key Question Answer Key
Nursing diagnosis fluid volume deficit
Upon admission weight the infant
SITUATION; 23 Y/O, REPRODUCTIVE HEALTH COUNSELLING Serum electrolyte all are decreased
imbalances,persistent vomiting
Key Question Answer Key Acid base metabolic alkalosis
Possible disease she should all Parenteral f/e potassium chloride
avoid
Best way to check condition of regular prenatal check-up
mom and baby SITUATION; 4 MONTH OLD ,INTUSSUSCEPTION
Not to be followed during massage from a pain (INVAGINATION)
pregnancy
Not included in the outcomes of fracture of all types Key Question Answer Key
folic acid deficiency to baby Nursing diagnosis pain
Best contribution,except normal may smoke once in a Most helpful did his his stool look like
development of baby while current jelly
Pain related to cramping, no manifestations of
expected outcome discomport
NGT, no longer freely aspirate the tube with syringe
removing gastric secretions
Key Question Answer Key Risk for an ileus postop, not measure urine specific gravity

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included
Key Question Answer Key
First level management deal with immediate
SITUATION; HIRSCHSPRUNGS,7 MONTHS OLD problems of operations
Head nurse patient ratio 8 staff nurses (1 nurse :10
Key Question Answer Key patients)
Most pertinent data often constipated Essence of directing as a getting work done through
Physical assessment scaphoid abdomen management process others
Barium adequately clay colored to brown stool Increased nurse-patient ratio, functional nursing
evacuated after procedure type of nursing care delivery
Parents understand nerves to the end of the large system
diagnosis colon are missing Best way for setting priority assessing nursing needs and
8 hours ,necessitate calling increase of 3cm in abdominal problems
the physician circumference

SITUATION; SINGLE PRIMIGRAVIDA, 3RD TRI, MATERNITY

SITUATION; 2 YEARS OLD, TETRALOGY OF FALLOT CLINIC

Key Question Answer Key Key Question Answer Key

Cardiac defect most P/V/O/R Who can sign the birth any health professionals
associated certificate involved
Polycythemia is compensatory tissue o2 PD 651 requires registration of within 30 days
Nurse expect clubbing of fingers births
Post-op, essential to prevent hard stools Wrong entry, what recourse petition to the court
Clinical findings elevated hematocrit could be made
Family code of the handwritten instrument
Philippines,legitimate affiliation signed by the father
SITUATION; LEFT TO RIGHT concerned
Key Question Answer Key Claim legitimacy during his/her lifetime
Major characteristic increased blood flow to the
lungs
Congenital heart defects VSD,COA,PDA
(sata) acyanotic
COA,,VS elevated BP in the upper arm SITUATION; NUTRITIONAL ASSESSMENT
Difficulty feeding ineffective sucking and
swallowing Key Question Answer Key
PDA, correctly explains connection between Protein-energy malnutrition 1-4 years old children
pulmonary artery and aorta Method of data collection weighing
SITUATION; Tool for gathering data observation checklist
Factors affecting PEM, which pie
Key Question Answer Key graph
Whatever decision, primary respect autonomy Soundness and validity of method section
ethical decision method, which section of the
Decide to keep the baby and beneficence report
not abort,ethical principle
Life will change regardless of non maleficence
her decision
Client’s autonomy, most only the safety of the clients Key Question Answer Key
appropriate ethical behavior should be considered Most sensitive health infant mortality rate
Patient advocate,nurse must only client social status and indicator index
do the following,except religious affiliation A new RN, coming up with ask other staff their
suggestions, what will be perception of health needs
crucial for preparation
SITUATION; OB WARD, BED CAPACITY OF 40 Primary goal of CHN enhance capacity of IFC to

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cope with health needs True regarding of PKU if no chance her baby will be
Caring for community culturally congruent mother is carrier and father is affected
not

Key Question Answer Key

Develop alliance to improve build coalition Key Question Answer Key
health SITUATION; INFERTILITY tubal scarring and occlusion
9 mos,old, vaccine MMR Correct definition of infertility
37.6 immunization go on with immunization Cause of PID Chlamydia
RR 42/min, 4 mos. Old normal Correct response primary never had any pregnancy
Rice watery stool Cholera infertility
Refer immediately if the baby cannot drink

SITUATION; LEVEL OF RISK

SITUATION; RESEARCH MATERNITY WARD
Key Question Answer Key
Key Question Answer Key Tracks postpartum prospective chart
Phenomenological study approach in research mother,what study
maternal experience as Interest as investigator maternal role competence
they are live Design, intrigued set of triangulation
Appropriate title lived experiences of investigation
matertnal patients with Retrospective, null not related
complication hypothesis
Quantitative study focused group discussion
Main objectives in conducting improve nursing care
research in nursing
Characteristics best describes truth is lived experiences SITUATION; 8 MONTHS PREGNANT, EVACUATION CENTER
phenomological research
Saturation in qualitative data repetition Key Question Answer Key
research refer to Effectiveness of lorazepam medicine can relax me
Most therapeutic you seem upset?
communication
SITUATION; 4 WEEKS AOG, 2ND PREGNANCY (1ST Most effective therapeutic stand or sit at the center of
SPONTANEOUS ABORTION) LMP: MARCH 31,2018 communication for anxious visual field
patient
Key Question Answer Key Appropriate response, what if I you can tell what help you
Priority counseling refusing to breastfeed deliver here need
newborn Time out regain control of emotions
Correct term used to call the 2-0-0-1-0
obstetrical score-
Not included in birth plan home delivery SITUATION;

Key Question Answer Key

SITUATION: GENETICS IMMUNIZATION FOR 9 measles
[Link]
Key Question Answer Key Assessed for immunization, go on with infants
Genetic disorder most maple syrup disease temp 37.6 C, best action immunization
common in the Philippines RR 42/min, using the IMCI, normal
Definition of karyotyping pictorial analysis her breathing is
Not genenetically inherited by cardiac heart failure (CHD) 2 y/o, rice watery stool cholera
the baby from the mother IMCI, immediately brought to inability to drink
True about rare disease all except occur in all the hospital danger sign
countries of the wound
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SITUATION; PROBLEMS WITH SEXUALITY, REPRODUCTIVITY SITUATION: TRAINING PROGRAM, NURSE EDUCATOR

Key Question Answer Key Key Question Answer Key

LGBT, psychological I constanly guard everything Not included in global Reform
consideration I say and do fear of my Correct time to administer After the 1st hour after skin-to-
mother Vit. K skin contact and
Male complaining of not being erectile dysfunction breastfeeding
able to achieve and maintain Included in UNICEF and All except birthing centers
erection WHO
Antihypertensive meds, side empotence and dizziness Minimum contact, antenatal 8 contact or visit
effects care
Health needs during woman should be Included in the promotion All
perimenopausal and encourage to limit alcohol, of care
postmenopausal, appropriate increased calcium excretion
response
Woman at risk for estrogen deficiency/ SITUATION: VIOLENCE, 14 Y/O
osteoporosis smoking/low bone
density/low dietary Key Question Answer Key
Most important attitude of Sensitivity
nurse
SITUATION: Theories of child abuse, not Holiday
included
Key Question Answer Key Sexually molested by uncle Incest
Disqualify for home delivery ob score G5P3 Signs of abuse, except Boy’s bob hair

4th dose of tetanus, how long 1 year SITUATION: HEALTH EDUCATION, PROPER NUTRITION
is the protection to the baby
True statements about breastfeeding can be Key Question Answer Key
breastfeeding initiated within 90 minutes of Correct advice regarding fluid 21.
the baby’s age intake
Danger signs of labor Material reports of DOB. Not true Pre-eclampsia to avoid salt
Bright red vaginal bleeding. Should be avoided Alcohol
Uterine contractions above Foods rich in Vit. A Squash
90. Foods that will help Bulalo Soup
Within a month after retinol 200,000 IU 1 cap development of fetus
delivery, what medication

SITUATION: 1ST TRI PREGNANCY

SITUATION: 4 – YEARS OLD, JUN-JUN
Key Question Answer Key
Key Question Answer Key Most appropriate action Support Brenda
Helpful to deal with Start conversation with Jun-
frightened child Jun or to others Recommended weight gain 15 to 25lbs
Shows an aggressive Ignore this behavior unless Fails to follow nutrition advise, Imbalanced nutrition: more
behavior, nurse should do harmful to him or others nursing diagnosis
Useful approaches when Stand over and talk down to Antidiabetic drug instruction Time in taking
speaking, except him Increased in blood sugar 6 mmcl
Egocentric or self-center Piagel’s cognitive
point view development
Indicate understanding of My child always her own
child’s stage of growth and way.
development SITUATION: IMMEDIATE NEWBORN CARE

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Key Question Answer Key brgy,council ,solution,response you expect from them
Stop breathing for 5 seconds normal for baby I went,he promised, residents let us all settle down
2nd period of reactivity,notify 65-70 rmp agitated
pedia Give us now the medicines or its up to you , if you
Anthropometric measure for head circumference 13-14 we will leave wish,problem will not be
full term solved
Meconium characteristic odorless,blackish green Who can help us who do you think, any
36 hours after 50 rmp,irregular suggestion?
discharge,normal output

SITUATION: PRE-PREGNANT WEIGHT 47 KG. DOUBLES

SITUATION: RULE OUT RHEUMATOID HEART DISEASE 14 DURING THE 1ST TRIMESTER OF PREGNANCY
YEARS OLD
Key Question Answer Key
Key Question Answer Key Recommended weight gain 15-25 lbs
Sign and symptoms to arthralgia,SQ nodules,elevated
observe ASO titer NDx imbalance nutrition.
Jones criteria 2 major + hx of step throat body requirements.
Psychosocial identity vs. role confusion Best nursing action support client,avoid fatty
Salicylates purpose anti-inflammatory foods
[Link] dance sydenhamm’s chorea Refer if FBS result is 6 mmo 1/L and above
Referred to internist,most time to be taken
important instruction
SITUATION: FAILURE TO CONCIEVE FOR 2 YEARS IDDM, advise on her 2nd optimal glycemic control
trimester, 35 years old
Key Question Answer Key HIV,G6P5,30 years medication is safe and can
Ndx self-esteem disturbance r/t old,example of evidence- reduce transmission
infertility based practice
PID etiologic factor Chlamydia (usually asymp) 39 weeks AOG, variable change position
Infertility- no pregnancy in 1 year deceleration intervention
Primary infertility never been pregnant Immediate attention leaking vaginal fluid @ 34
PID- infertility because scarring . weeks AOG
occlusion. Severe nausea and vomiting, limit fluids to increase
intervention retention of food

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

MARCH 31

Key Question Answer Key SITUATION: 1MONTH OLD; DEVELOPMENTAL CONGENITAL

G2P0 multigravid,nullipara HIP DYSPLASIA
GTPAL G2T0P0A1L0 Key Question Answer Key
Doppler Utz, how many 6-8 weeks Notes that the dorsalis pedis notify the physician
more weeks is (-) on the right foot, next
EDD january 7 action
Crisis maturational Sign of congenital hip Galeazzi test, also known as
dysplasia the Allis sign

SITUATION: RESPIRATORY AND SKIN ALLMENTS FROM Expect to note what sign characteristic limp
NEARBY FACTORY (able to walk)
Pavlik harness instructions removed only to check skin
Key Question Answer Key and for bathing
Do to help solve problem, I suppose you gave a lot of Goal mgt Frejka splint
response thought
Reffered to can you tell me about what
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SITUATION; MARTA G4P3, (+)PREGNANCY TEST,LMP: JUNE
25,2018, HUSBAND NAGLILIHI Key Question Answer Key
When start taking to the when temporary teeth is
Key Question Answer Key dentist complete( next year)
Focus of nursing teaching (2nd fetal growth and Best address to the concern assert independence
tri) development (toddler)
Naegele’s Rule, EDD April 1,2019
Multiparous, feel quickening 16-18 weeks Age appropriate behavior possessive, simple directions
Husband is experiencing COUVADE SYNDROME Developmental milestone, accept external limits
2nd tri, Rubin’s Theory, fantasy, separate identity teach importance
characteristics Strategy to suggest offer 2 choices

SITUATION; ACUTE ASTHMA (2 YEARS OLD)

SITUATION: PRIMIGRAVIDA 40 WEEKS, RUPTURED Key Question Answer Key

MEMBRANE Discharge teaching to eliminate allergens,/ continue
emphasize meds even if asymptomatic
Key Question Answer Key
Significance of the position not flexed nor extended Healthy snack for 2y/o with apple slices
Attitude of the fetal longitudinal military attitude asthma
presenting part Assessments include expiratory wheezing
What Antero-Posterior occipitofrontal tachycardia
diameter of the fetal head Arterial blood gas increased PC02 levels
presenting Discharge teaching minimize exertion & exposure
Dx test to determine water Fern test to cold
has ruptured
Vaginal exam, able to brow
palpate large diamond SITUATION; BACTERIAL MENINGITIS (2 Y/O)
shaped fontanel
Key Question Answer Key
Maintaining respiratory for 48 hrs,after antibiotic
SITUATION; GESTATIONAL DIABETES isolation therapy
Most serious complication peripheral circulatory
Key Question Answer Key collapse
Best test to perform 24-28 weeks s/s alert for increased ICP vomiting, seizures,
glucose tolerance test complaints of head pain
Hormone secrete HPL (somatomammotropin) Causative agent Neisseria Meningitides
placenta that may have Precaution Droplet precaution
diabetogenic effect CSF analysis Cloudy, increased WBC, inc.
Indicate diabetes is 7% protein, dec. glucose
controlled, HA1c
Is insulin needed, best that depends if controlled by
response diet SITUATION; PRETERM LABOR
When to check glucose before breakfast & 2hrs after
level meals Key Question Answer Key
True,about preterm length of gestation <37
Insulin requirement after Decreased First intervention monitor for contractions
delivery (Postpartum) and fetal well being
Insulin injection in Abdomen Possible complication hemorrhage
pregnant High considered,except preparation for CS
Demographic risk factors, excessive physical activities
except
SITUATION: 18 MOS,TEMPER TANTRUMS

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SITUATION; PYLORIC STENOSIS, 2 WEEKS OLD predisposed to cleft lip/
palate
Key Question Answer Key
Palpate abdomen, expects olive shaped mass
Returned to the pediatric assess IV site for infiltration SITUATION: RESEARCH ; PATIENT’S SATISFACTION
unit with IV, priority nursing
action Key Question Answer Key
Observe the infant, tentative signs of dehydration No researchers who singly statement of the problem
diagnosis focused on the said study in
To prevent vomiting, position infant seat the past
Immediately available non-probability sampling
Appropriate post-op feeding regular feeding End result, focus on which improve patient satisfaction
primary purpose
Appropriate data collection questionnaire
Situation : High Risk Maternity ward device to determine patient
Key Question Answer Key satisfaction
S/sx of RHD, except petechiae To avoid ethical liabilities Secure informed consent
Herpes management Preparation for CS delivery among samples
Anticipate to occur, after Abruptio placenta
eclamptic seizure
Monitor to suspect MgSO4 Decreased Deep tendon SITUATION: FAMILY PLANNING
toxicity reflex
Mother BP 160/100, how to If seizure does not occur or Key Question Answer Key
determine if MgSO4 is seizure are prevented Menarche, not correct precedes thelarche,
effective adrenarche
IUD provides contraception, alters motility of sperm
how
SITUATION: PKU 28 cycle point of ovulation 14 to 15th day
Clear and observable sign of clear, sliperry and stretchy
Key Question Answer Key fertility or elastic
Preterm inheritance autosomal recessive Expect to ovulate 33 days 19 days
Refer to who else dietician cycle
(collaboration)
Criteria for the diseases to be both parents must be
transmitted carriers SITUATION: DELIVERED BABY,3400g NSD
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 pubis
pattern of inheritance palpate the fundus 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 programs let the patient continue
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SITUATION: HIV MOTHERS
Student nurse refused to be explore students feelings on
assigned to HIV patient caring HIV Key Question Answer Key
Aide shouting to patient call the attention for lack of Feeding technique can put mixed feeding
professionalism baby at increased risk for
transmission of HIV
Causative agent retro virus
How it is determined that a CD4 count <200
SITUATION: CONTRACEPTIVE PILLS person has AIDS other than a
Key Question Answer Key (+) HIV test
Danger sign, warrant stoppage elevation of BP Manner of delivery CS before onset of labor
of pills Condition affect her baby, immediately take
Pills contains estrogens inhibits FSH appropriate response antiretroviral drugs
Forms of contraceptives that oral contraceptives,
have norplant, IUD
estrogen-like/progesterone- SITUATION: 3 MONTHS, NEUROLOGIC ASSESSMENT
like compound
Pills contains progesterone inhibit LH Key Question Answer Key
Teaching about oral report irregular vaginal Reflex to observe to Landau
contraceptive bleeding determine muscle tone
Characteristics expected Lifting of head and chest
when prone
SITUATION; ABRUPTIO PLACENTA, COLLISSION Reflex not yet to be observed parachute reactions
Describes Babinski reflex toes with hyperextend and
Key Question Answer Key fans
Violation of confidentiality malpractice of inquiring of Reflex which is a test for Moro reflex
pt. financial ability neurological integrity
Determine the veracity of medical records
complain and actual violation
of standards by checking the- LEOPOLDS MANEUVER
Nurse participation, in the Patient decided not to
rehab program, except undergo procedure Key Question Answer Key
Patient inquired about refer to attending physician Nurse palpated soft board like buttocks
functions and abilities the mass that moves out
nurse should Correct function of fetal heart right upper quadrant (right
Absence of consciousness, spouse beat form can be heard upper fundal )
secure the consent Soft blowing sounds uterine soufflé
synchronous to mother’s
pulse rate
SITUATION: 15 Y/O TONSILITIS Third maneuver is done by Grasping lower portion of
abdomen /palpating
Key Question Answer Key symphisis pubis with single
Indicate bleeding frequent swallowing hand
Prevent highest risk of presence of loose teeth First Phase to assess size, Fundal Grip (first maneuver)
aspiration during surgery mobility, availability and
Post tonsillectomy, begins to turn to side consistency of a mass
vomit bright red blood, initial
nursing action
Physician orders that nurse suction every 2 years
should question Key Question Answer Key
Laboratory value most prothrombin time What is the correct supine vena cava
significant to review assessment of patient
condition with difficulty of
breathing, tachycardia cold

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PRENATAL CHECK UP
Fetus is an a sacrum toward maternal symphysis
anterior ,posterior position pubis Key Question Answer Key
Corie put the transducer of Right upper Quadrant The client complains of lets discuss some way to deal
Doppler ultrasound to detect feeling of tired and sick to
the FHT right sacral anterior her stomach, especially in
breech the morning what is the
Contraction is 150/beat mins. notify to the physician nurse best response
Which of the ff. nursing action Hyperemesis gravidarum is high levels of Estrogen/ HCG
is appropriate? primary cause of
The nurse expects to find More intense and more Pt ask nurse if there’s any Small frequent feeding
contraction becoming which frequent prevention of nausea, nurse
of the following say
The nurse understand that Wedge shape and narrow Antiemetic thalidomide is Amelia or phocomelia
the pelvic shape is and non-favorable not allowed during
The client BP 116/72, Temp- Presence of INFECTION pregnancy because it causes
98.6, pulse-68 at Day 2 and Recalls the morning sickness Presumptive-(subjective by
BP 114/80, Temp is 100.6, as what pregnancy sign mother)
Pulse is 73, at day 3 , the
nurse will suspect
Suspect uterine infection of Odor of the lochia Positive test in PT
postpartum Key Question Answer Key
As the nurse, legal Board member of child
responsibility, which protective services
appropriate agency should
Key Question Answer Key notify
Most common postpartal Metritis Zeny is a victim of incest and Near the nurse’s station
infection the agency opted her to be
Greatest risk for postpartum CS delivery after 24 hrs admitted in the hospital,
endometritis labor where should she have placed
Postpartal cloth worn could Knee high stockings Abusive parent usually Below low income group
possibly promote a problem manifest which of the
to woman following , except
Fundus of uterine is expected 1.0 cm BT, what is the most blood typing
to go down normally about immediate laboratory exam
how many cm per day that should be corrected
Who is the right, to administer physician
the BT

NPH
Key Question Answer Key MENSTRUAL CYCLE
Type 1 diabetes first concern understand feelings
for child & parents Key Question Answer Key
Receiving NPH insulin the nourishment counteract The length of the menstrual proliferative
nurse understands insulin activity cycle the nurse understand
Peaks effect occurs which of 4 to 12 hours that response is due to
the ff. variation of which of the ff
Type 1 about dietary food form concentrated Which of the hormones follicular stimulating
management. The nurse responsible for maturation of hormones
should graafian follicles?
DM at 6am Fasting Blood Prescribed dose of regular Signs of ovulation 1,2,3
glucose level of 180mg/dl, insulin to be administered Menses last march 30, When march 16
priority did ovulation occur
Implantation of mens cycle is secretory

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the ideal time Key Question Answer Key
Small triangular shape Vertex
fontanel the fetal is
STUATION; A 3 YEARS OLD Triangular shape is Completely flexed
palpated what is the
Key Question Answer Key position of fetus in the
What does behavior of angelo a normal pattern uterus
indication What anteroposterior (AP) suboccipitobregmatic
Has difficult time to go in bed, inform the child a few diameter of the fetal head
which of the [Link] appropriate minutes before it is presenting?
for the nurse to suggest the Identify the position of the LOA- left occiput anterior
mother fetus in the diagram below
Safety toys for 3 years old a wagon cart (picture at last page)
Needs for further teaching usually is achieved by vowel Passer of fetus to adopts to Descent-flexion-Internal
regarding toilet training control the passageway (pelvis) in rotation, extention, external
bladder control which sequence rotation, expulsion
Which indicates that the time moves with family to new
is not yet right for toilet home
trining
Key Question Answer Key
The nurse should evaluate normal
RHD that the client
Episiotomy ,which of the wash her hand
Key Question Answer Key [Link] was effective
Help child to alleviate joint Using bed cradle to avoid What is the implication of retention urine
pain associated to weight of bed linen small [Link] urine output
polyarthritis Fundus is above umbilicus over distress bladder
Drug of choice aspirin/salicylates and defference the right
Develop carditis the nurse tachycardia/murmur Foramen ovale,should nurse right side lying
must be notify place the child
Diagnosed RHD and providing rest Congenital heart defect artialseptal defect
developing carditis failure of foramen to close
7 years old with RHD Resting heart rate between 60-
during acute phase has 100
been achieved NEPROTIC SYNDROME

Key Question Answer Key

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

Key Question Answer Key

Station -laboring women ‘’ I guess I’ll be have you ever IE done before

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having in internal Ob pt. With infection during doing soap sud enema
exam, ’appropriate delivery should be avoid
response
Job order nurses appointing officers
who will be SITUATION: FUNDUS JUST ABOVE SYMPHISIS PUBIS
accountable for
role, function and Key Question Answer Key
response Based on estimated age of 12 weeks gestation
Best moral right of gestation
standard when counter/responsibility/accountability Source of estrogen/ corpus luteum
they refuse to progesterone
hand and errors a Nausea in the afternoon small frequent meals
time due to lack of During 1st trimester focus vital organs
manpower Morning sickness pregnant presumptive
characterized by nausea and
vomiting
IV IS OUT OF VEIN

Key Question Answer Key SITUATION: 2 LABOR,3cm DILATED

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

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Laboratory diagnostic test Partial thromboplastin time Intraperitoneal bleeding (+) Cullens sign
(PTT) Risk factor of Ectopic Pelvic inflammatory
pregnancy disease (scarring)
Chief complaint Sharp lower right or left
PERSONAL RECORDS, LEGAL DOCUMENTS abdominal pain
Key Question Answer Key Immediate attention Risk for FVD
Should be forwarded to the Within 24 hours Indicate symptom of pain in 6th week pregnancy
hospital record section, within lower abdomen(rupture)
how many hours Period
Pediatric ward, Who see the Staff nurse of ward
records for safe keeping BREAST CANCER, Research investigation heating food in
Safe and quality performance Duces tecum microwave oven
of a nurse, what is the term Key Question Answer Key
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 except Relatively risk of heating
food and risk of cancer

Laboring mother- 39 weeks

Key Question Answer Key Family planning
What stage of labor, tremble, tense, transition Key Question Answer Key
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 development punishment/reward
Autonomy virtue self control and will power
Obsessive compulsive anal
UPDATING PROFESSIONAL PRACTICE 39 weeks testes in scrotum
Key Question Answer Key
True about the nursing law, Civil service
(2 are not) Doctorate holder
Competent nurse allowed to Licensure and registration Key Question Answer Key
practice nursing 12 hour after birth concern direct coomb,negative
Injected without the battery 3,400 grams 3.4 kg or 12 ounces
consent of parent, possible
lawsuit
Not a provision Renew every 4 years
AGN
Possible law suit All except following doctors
Key Question Answer Key
order
Correct for AGN auto immune disease
Sign and symptoms of periorbital,hematuria, mild
AGN proteinuria
ECTOPIC PREGNANCY
Sign of worsening increase in wt.
Key Question Answer Key
condition
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Disease causing infection impetigo osteoporosis
to AGN What type of fracture is client pathologic
Priority intervention limit activity/ provide safety prone to
measure Osteoporosis client selection ice cream
now
Vitamin needed for edema vit.d
Teenage absorption
Key Question Answer Key
Most often afraid/fear- acne
Least physical change enlarge prostate INFANCY
Most significant person friend
Not correct teenager permiting ordered to sleep in Key Question Answer Key
other house Play of infancy is important, physical development
Good for teenager of use of parenteral supervision is which of the following
computer necessary Signs of he/she experience prone to illness
maternal depression
Accident prevention teaching cribs rail up
FDAR documentation plan 4 [Link] infant
Key Question Answer Key Infant developmental roll over
Primary consideration, chief objective, symptoms milestone
complain presented 6 [Link] teeth that bud 2 lower
Primary focus ‘FDAR” stool 4x in 30 mins pretend to
Nurse subjective data patient verbal complaint
Response based of FDAR intervention made
Cannot be source of data immunization record SITUATION: IMMEDIATE CARE NEWBORN

Key Question Answer Key

SITUATION: ADDICT,COCAINE USER Newborn circulation is pulmonary ventilation
initiated by
Key Question Answer Key shunt between two atria foramen ovale
Complication of client premature separation of during the feto placental
vaginal bleeding normally implanted placenta Foramen ovale to close after shifting of pressure R/L side
Abruptio placenta caused concealed hemorrhage the baby had delivered
by Findings, appropriate action more,toodler on room
The bleeding ff. abruptio Hypofibrinogenemia
placenta is usually caused
by
Possible order prepare for CS Epiglotittis
Late sign of hypovolemic hypotension Key Question Answer Key
shock Virazole route of oxygen tent
What phase of hematuria taking in administration
response Health Teaching has been from may disease is serious
3 days after delivery 3 fingerbreadths the umbilicus effective
expect fundus to be Indication of epiglottitis or leaning forward
located obstruction of airways
EPI to epiglottitis HIB vaccine

SITUATION: OSTEOPOROSIS
DM
Key Question Answer Key Key Question Answer Key
Which possible refer to increase mobility Diabetes mellitus, nurse assess child development
physician, should nurse should first level
monitor
Prevent hypoglycemia during orange juice/grahams
High risk developing prolonged immobility
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practice Most recommended absorbable,strengthen site,
Insertion administration 2-3 weeks before charging suture to be used length
effective teaching pt.
When positive for ketones colon free liquids
Diabetic ketones,what to normal saline
prepare
Key Question Answer Key
What is the GTPAL for her G2 T1 P0 A0 L1
Malnutirion Expected change on 1st increase blood volume
Key Question Answer Key trimester the nurse should
Not correct with malnutrition underweight/ under income recognize
Good advice for malnutrition check nutritional content Function of placenta,teaching 4.5
prevention plan
5 feet tall normal weight 115 pounds Naegels Rule, which is the nov.14
Weight reduction, carbo,fat,salt correct
recommended to cut The chronological order of ovum,zygote, morula
To help for obesity problem exercise 30mins. Three times growth fetus blastocyst embryo fetus
a week
Xenical (orlistat) target Adypocytes tissue

Key Question Answer Key

Definitive signs that labor is initiation of contraction true
Key Question Answer Key about to begin labor contraction
Most needed resources in time Most accurately described by lower back, radiates to
training program abdomen
Most emphasis Knowledge skill gained 75%,7cm,0 what is the correct fetal engaged presenting
Most important to thank them interpretation
responsibilities Above data mean the cervix is 1/4 of its length
Membranes of pt are active phase,peak of
ruptured when contraction
RESEARCH
Key Question Answer Key
Cross- sectional study that relative heating food plastic
will identify the ff. except Key Question Answer Key
Research design should prospective chart Sign of postpartal blues, best normal reaction
nurse bella use response
Who will comprise the do not have breast cancer Urinated 4x, initial action palpate to assess uterine
control group consistency
After 10 years ,two sets those who eat food warmer Sign of post prenatal infection foul smelly lochia
sample and who do not eat BF mother resume 4-6 months
The conclusion of the..will rejection of null hypothesis demonstration
reflect which of the ff Breast engorgement, let her continue bf on
Most important element instructional design management to continue demand
that nurse Antonia should breast feed

PIH- pre eclampsia

Key Question Answer Key Key Question Answer Key
Most important hand hygiene Sign of mild pre eclampsia hypertension edema
demonstration that should proteinuria
be conducted in workshop Worsening sign of pre- Headache/blurred vision
Injection in the operating sterile gloves without powder eclampsia
room and delivery room Most important care for seizure precaution
Training on suturing order obstetrician severe pre-eclampsia
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Pre-eclampsia to eclampsia clear and maintain open Key Question Answer Key
first action airways What should the nurse action offer new food,offer some
Magnesium sulfate therapy seizure does not occur milk
is effective Earliest age of solid foods 4 months
First food they can eat Rice cereals
Food that can give to infants half cook egg, honey
care the ff. except
Key Question Answer Key Introducing supplement offer new food at the same
Best time to achieve 14 days before feeding except time ,each day 1 week
pregnancy
Ovulation occurs, which LH
condition
Ovum viable for how many 24 to 36 Key Question Answer Key
hours Ethical principle of autonomy
BBT,shown in the ff drops slightly and increases Patient failed to sign a Emergency
again content
Chief function of progesterone Prepares uterus to receive Real abunition of the veracity
fertilized ovum baby,what ethical principle
does she violate
Used of antibacterial -autonomy
She has to do good to all beneficence
Key Question Answer Key patient
Rate of growth during the decline in growth rate
period
Growth and development rate and pattern can be SITUATION:15 3 MONTHS PREGNANT
event modified
Types of play in 6 years old make believe Key Question Answer Key
Normal age indicate for 6 yrs ability to try new things Who among the ff. will none,all
Moral naïve for 6 years old naïve instrument on accountable to patient
irritation What applicable legal proximate negligence
doctrine will this applicable
Lack of necessary care and are being asked
diligence the nurse conducted
Key Question Answer Key herself by testifying
Goal of temperature 97.7 Medical record should be on valid doc. Of the data
Preterm for ff. signs hypoglycemia How many hours will a 6-8 hours
Sign of preterm newborn elbows brought post to woman who had normal
midline spontaneous vaginal delivery
Exception of hypothermia, to placing crib inside is expected to void
prevent heat loss
When of the [Link] indicated ICP
effect of cold stress Pre eclampsia
Key Question Answer Key
Further evidence,to support mild edema hand and face
pt. diagnosis
Key Question Answer Key Indicate mild pre-eclampsia inability to working
Sexually abused, which action doc. finding Priority nursing diagnosis fluid volume defect, related
should be notify to fluid shift from
Typical assessment findings uti intravascular
are observed to a victim of Most appropriate patient bed rest, layer body tuned
sexual abused centered goal
Additional infection,about hydrocephalic inf.
her condition when she says
that breech can lead the ff

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

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medication from entering the
The annual c. 2400.00 troath
contribution for C. Finish instillation of spray
Philhealth is into one nostril before
How can a Philhealth Discount from the total bill spraying into the other
member avail his plus the doctors Pf. D. Inhale quickly to prevent
philhealth upon irritation of the mucous
discharge. membrane.

A client asks the nurse about Answer: C

using decongestant nasal
Nursing Practice III and IV – Care of Clients with Physiologic sprays. Which statement by
and Psychosocial Alterations (Part A) and (Part B) the nurse is CORRECT
regarding administration?
A. "They have to be used for
Situation : Rhinitis several days before any effect
Key Question Answer Key on congestion is noted. "
What should the nurse Answer: C B. "They should be used along
include about prevention of with corticosteroid nasals
exacerbation of allergic sprays for maximum benefit.
rhinitis when giving discharge "
instructions to a newly C. "They should not be used
diagnosed client? for more than three days
A. Drink plenty of fluids because of they can worsen
B. Monitor for elevated congestion."
temperature D. "They should be used
C. Avoid triggers sparingly because they can
D. Get adequate amount of exacerbate a cough."
sleep.

Answer: D The nurse plans to teach a Answer: D.

. Which of these are common patient how to manage
clinical manifestations of The most important
allergic rhinitis. Which intervention is to assist the
rhinitis? information should the nurse
A. Nasal congestion, patient in identifying and
include in the teaching plan? avoiding potential allergens.
headache, and sore throat
B. Nasal congestion, pyrexia, [Link] washing is the Intranasal corticosteroids
and rhinorrhea primary way to prevent (not oral antihistamines)
C. Headache, sore throat and spreading the condition to should be started several
rhinorrhea others. weeks before the allergy
D. Nasal congestion, [Link] of oral antihistamines season. Corticosteroid nasal
rhinorrhea and sneezing for 2 weeks before the allergy sprays have minimal
season may prevent systemic absorption. Acute
reactions. viral rhinitis (the common
cold) can be prevented by
[Link] nasal sprays washing hands.
Which statement is accurate answer: A
will reduce inflammation, but
when instructing a client
systemic effects limit their
about the proper use of
use.
intranasal sprays?
A. Tilt the head slightly [Link] and
forward and angle the bottle avoidance of environmental
toward the side of the nostril triggers are the best way to
B. Blow the nose after avoid symptoms.
spraying to prevent
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factor for infection with
Ebola?

recent and largest outbreak West Africa

Situation Triage nursing of EBOLA as yet have been
Key Question Answer Key reported is from
highest priority for treatment sucking chest wound.
is the one with
A 56-year-old patient Emergent
presents in triage with left- What is the current best Rebuild scientific, medical and
sided chest pain, diaphoresis, option for preventing future nursing infrastructure and
and dizziness. outbreaks of Ebola? train staff
Triage first priority Client with FACIAL laceration
Unconscious patient First Assess vital sign Non pathogenic to human Reston virus
action Viral strain of ebola
after surgery sponge left in A. Surgeon Most pathogenic and fatal Zairre virus
the patient body strain of ebola
Who is the liable,

Legitimate power by the License after board exam

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

HIV infection in the body the Western blot

SITUATION: Ebola confirmatory test is ?
Key Question Answer Key What race is at the highest Black MSM and Gay
Ebola sources can be the HIV risk Hispanics
following ;select all that all of these case?
applies [Link] treat HIV wasting syndrome? Megestrol Acetate
[Link]
[Link] bats Low rate of patient Due to stigma
[Link] undergoing ART
[Link]
[Link]
Which animal is considered Fruit bat
a natural Ebola virus host? Key Question Answer Key
Ph 7.36,PCO2 29, HCO3 20, well oxygenated with
What is the biggest risk Nursing a patient at home SpO2 100 compensated rr acid

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Emergency 4-3-2-1 rights of individual
department,priority participants must be
[Link] pain ensured when the
[Link] researcher cannot link the
[Link] injury information given by the
[Link] respondent from the
source of the information?
sided chest pain,diaphoretic, emergent
dizzy This study aims to determine the level of
ED,priority action stablish unresponsiveness,call knowledge and practice of
code,chin –lift prevention of needle prick
Fractured pelvis,loss of hypovolemic shock injuries of Staff Nurses in a
blood volume,what type of certain private hospital.
shock All of these are specific This study is for nursing
objectives except: researchers in the future

As a nurse, you know the Questionnaire

appropriate data gathering
SITUATION: ACUTE pancreatitis tool, this is?
Key Question Answer Key
The client is admitted to the C. Serum amylase and lipase. As a nurse, these are the Limited to the hospital
medical department with a following topics in the personnel of a private hospital
diagnosis of R/O acute scope and limitations
pancre- atitis. Which except:
laboratory value should the
nurse monitor to confirm this
diagnosis? Which of the following is There is a significant
Which client problem has b. Alteration in comfort. not a null hypothesis? relationship between the
priority for the client knowledge and
diagnosed with acute sociodemographic profile of
pancreatitis? staff nurses
Diagnostic procedure for Endoscopic Retrograde
pancreatitis Cholangiopancreatography
(ERCP)
Analgesic of choice for Meperidine /Demerol
pancreatitis Key Question Answer Key
Pain reliever in pacreatitis Morphine Adm isotonic IVF to a decreasd serum
with alleged effect to cause hyprtonic client osmolality,decreased BUN,
spasm of the sphincter of (dehydrated: increased decreased Hct(reversal)
oddi BUN,hct
Monitor fluid balance weight self daily
Type B, received (+) Rh B (-), type O (-)
RESEARCH- “Knowledge and practice of prevention of needle before
prick injuries of Staff Nurses in a certain private hospital in Transfusion related more sophisticated screening
Metro Manila” Based on the research title which of the infection are less bc tests
following will be the general objective? PRBC,hemolytic reaction stop transfusion

Question Answer key

Ethics in Nursing Research Anonymity
has always been an issue Key Question Answer Key
when it comes to the Fast drip IV, trouble breathing, slow down infusion rate
identity of the respondents. moist cough, nxl
When the topics of Kidney dysfunction,severe fluid fluids,fluid restriction to
research are very sensitive, restriction due tokidneys can protect heart and lungs
which of the following
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excrete bolus
Hypotonic adm, what to assess mentation and orientation 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 ml/day
PR,shallow RR hyponatremia (will further dilute sodium in
Hydrochlorthiazide,report to MD leg cramps, muscle 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
Elderly 78 y/o,IV infusion, FVD is
client cough and asks head of worsening( hypotremia)
Key Question Answer Key bed elevated
Assess electrolyte imbalance paralytic ileus Low sodium diet grilled chicken
contributory for potassium Severe bleeding with NSS
Calcium glocunate reverses K effects on heart fractured femur,what to
antagonizes conduction administer
Further teaching, I will tell my doctor if I start Patient with liver FVD d/t 3rd space shifting
hypokalemia having s/s of list you gave cirrhosis,weak pulse,delayed
me capillary refill
46 y/o,hypo K and postural the level of K is making her D5W infusing @ 75 change infusion to the
hypotension dizzy ml/hr,ordered NSS, best ordered solution
action

Key Question Answer Key

Highest risk for FVD elderly, 76 y/o with NGT to Key Question Answer Key
low suction Post-op 3.6meq K, max rate of 10 mEq/L
Not included for elderly use thirst as guide KCI
Hypovolemia BP- indicator of fluids s/e lasix and r/s to K III call MD if develop
balance dizziness
IV infant(10 mos,old), 200 ml infusion pump HT, spironolactone for cut intake of additional K
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discharge Lowest priority of child with assess for ICP
HypoK client with metabolic seizure disease
alkalosis Seizure control most maintain good oral hygiene
Severe acidosis, IVT hyperK NaHCO3,to make client important are for nurse to
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 on mooning of face
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
Among which of the following lofenalac
is the ideal milk formula for
SITUATION: OSTEOPOROSIS phenylketonuria (PKU)

Key Question Answer Key Among which of the following fish steak
Which possible refer to increase mobility foods should be avoided by
physician, should nurse patient with phenylketonuria
monitor (PKU)
High risk developing prolonged immobility
osteoporosis Collaborative care is at the crux Dietitian
What type of fracture is client pathologic of caring for a child with
prone to metabolic disorders. When a
Osteoporosis client selection ice cream child has phenylketonuria, to
now who is he most appropriate to
Vitamin needed for edema vit.d be referred?
absorption
A mother brings her 3-week-old Negative
infant to a clinic for a
SITUATION: SEIZURE phenylketonuria rescreening
Key Question Answer Key blood test. The test indicates a
serum phenylalanine level of 1
Priority nursing diagnosis for risk for aspiration
mg/dL. The nurse interprets
rabies
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this result as: 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 has
hemiparalysis?
What condition is associated Hypoventilation
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. expect diabetes include all of the
to see in this patient? following except:
FRUITY ODORED BREATH KETONES diabetes mellitus for signs of Elevated pulse; shakiness;
due to hypoglycemia. Which cool, clammy skin
arterial blood gases: PaCO2 metabolic acidosis manifestations are
33, HCO3 15, pH 7. associated with this
23. Which condition below is complication?
presenting? What is the most common obesity
results are: pH 7.34, PaCO2 Metabolic acidosis predisposition of Diabetes
of 37, PaO2 of 79, HCO3 of Mellitus Type 2?
19. The nurse interprets that
the client is experiencing: least complication of Thrombophlebitis
Furosemide use metabolic alkalosis due to Diabetes Mellitus?
hypochloremia and
hypokalemia. CANCER
Key Question Answer Key
breast cancer diagnose with tumor more than 2.0 cm but
T2N3M1 ? not more than 5.0 cm in
greatest dimension, extensive
PHEOCHROMOCYTOMA? to ipsilateral internal
Key Question Answer Key mammary lymph node with
What is pheochromocytoma? tumor in the adrenal distant metastasis to
medulla affecting the ipsilateral supraclavicular
chromaffin cells, results in lymph nodes.
an excess production of
catecholamines In which stage of breast Stage IV
symptom of 1,3,4,5,7 (Hypertension cancer, the disease spreads
pheochromocytoma? Headache due to the other parts of the
Hypermetabolism body with distant
Hyperglycemia metastasis?
Hyperhidrosis)
urine test used to diagnose Vanillyl-mandelic acid What is Modified radical Removal of all breast tissue,
pheochromocytoma (VMA) mastectomy? nipple-areola complex, skin
treatment of choice for phentolamine and level I and II axillary
pheochromocytoma lymphnodes.
pheochromocytoma. diet is High calorie diet
best for this patient Activity after surgery Combing hair
adrenal medulla produce Epinephrine Most common site of breast Left upper outer quadrant
tumor
Position in breast self- Lying Supine
SITUATION: CVA examination
Key Question Answer Key Start palpation Upper outer quadrant

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4. Loss of body hair
The most common and breast 5. Persistent lethargy
leading cancer in year 2010 6. Puffiness of the face
is
What is the rank of 3rd interventions in the plan of care 1,2,4,5
colorectal cancer among for a client with 1. Provide a warm
men in year 2010? hypothyroidism? Select all that environment for the
apply. client.
What is the rank of prostate 4th 2. Instruct the client to
cancer among men in year consume a low-fat diet.
2010? 4. Encourage the client to
consume a well-balanced
diet.
5. Instruct the client that
SITUATION: Hyperthyroidism thyroid replacement
Key Question Answer Key therapy will be needed.
client with hyperthyroidism. a) instill isotonic eye drops
Which interventions are as necessary drug of choice for the treatment levothyroxine
appropriate? Select all that b) provide several, small, of hypothyroidism?
apply well-balanced meals
c) provide rest periods NOT Sign of hypothyroidism diarrhea
f) weigh the client daily Sign of hypothyroidism Weight gain
a, b, c, and f patient was recently discharged Myxedema Coma
Which of the following increased body temperature, home for treatment of
assessment findings increased pulse, and hypothyroidism ,patient is re-
characterize thyroid storm? increased blood pressure admitted with signs and
symptoms of the following:
patient with hyperthyroidism fever and sore throat. heart rate 42, blood pressure
is taking propylthiouracil 70/56, blood glucose 55, and
(PTU). The nurse will monitor body temperature of 96.8 ‘F.
the patient for: family reports the patient has
not been taking Synthroid
A patient first trimester of Propylthiouracil (PTU)
pregnancy with
hyperthyroidism. Which
medication

A patient is 6 hours post-opt Semi-Fowler’s

from a thyroidectomy. Key Question Answer Key
position best GERD is also known as Chalasia

After thyroidectomy, which of hoarseness of voice nurse explains to the pt often involves relaxation of the
the following is the priority with GERD that this LES, allowing stomach
assessment to observe disorder: contents to back up into the
laryngeal nerve damage? esophagus.

Assessment of bleeding Palpate back of the neck A patient with Cushing hyperpigmented skin
haemorrhage syndrome might present
with any of the following
EXCEPT:
Hypothyroidism
Key Question Answer Key A patient is admitted to the HTN, peripheral edema, and
hospital with a diagnosis of petechiae
hypothyroidism for discharge. 3, 4, 5, 6
Cushing syndrome. nurse
Select all that apply. 3. Feeling cold
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would expect to find is recognized by state law and
provides direction for
most appropriate for a Risk for infection provision of care
client with Addison’s
disease? Which statements are true II, III & IV
regarding advance directives?
Select all that apply,
II. advance directives are
legally binding documents
Key Question Answer Key III. advance directives should
When caring for a male client vasopressin be placed in the client's
with diabetes insipidus, nurse medical record
Juliet expects to administer: IV. advance directives specify
a client's wishes for health
client with diabetes insipidus care treatment should the
plan of care? Select all that Encourage fluids. client become incapacitated
apply. Monitor intake and output.
Take a daily weight. A newborn has the score on Severe respiratory distress
1-5-6 the Silverman-Anderson
index of ten (10). What is this
client who was admitted to score indicating about the
the hospital with a diagnosis 1-2-4-5 respiratory status of the
of diabetes insipidus. 1. Excessive micturation newborn?
manifestations are associated 2. Excessive thirst
with this disorder? Select all 4. Complaints of excessive emergency, when someone is Paternalism
that apply. thirst unconscious, the physician
5. Specific gravity lower signs the consent in behalf of
than 1.005 the patient ability to give
consent and administer
The client with a major burn ensure adequate caloric and emergency treatment.
injury receives total parenteral protein intake.
nutrition (TPN). The expected A person who can understand mark an “X” on the consent
outcome is to: and comprehend spoken signature to signify consent.
English , but is physically
A client taking Dilantin for The client will need a unable to talk or write. If the
grand mal seizures is regularly scheduled CBC. subject verbally agrees to
preparing for discharge. consent the patient should:
included in the client’s
discharge care plan? exemption to the general Epikia
rule it means
What is the generic name of phenytoin
dilantin Certificate of Registration of a Philippine Regulatory Board
During the seizure the nurse Protect the client’s head professional nurse is issued of Nursing
priority should be: from injury by placing and can be suspended or
pillows revoked by the:

BURNS
Key Question Answer Key
Key Question Answer Key A client is admitted to the 45%
A client has suffered an Advance directive hospital after sustaining
extensive brain injury and burns to the chest,
can’t make his own treatment abdomen, right arm,and
choices. h written document right leg. The shaded areas
in the illustration indicate
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Copyright: Jonas Marvin Anaque, RM, RN
the burned areas on the
client’s body. Using the
‘’rule of nines ‘’ the nurse
would determine that ANAPHYLAXIS
about what percentage of Key Question Answer Key
the clients body surface has child was stung by an insect Anaphylaxis
been burned?
A priority nursing diagnosis Risk for infection after a bee sting. most urgent Maintain a patent airway.
for a client with burns nursing action?
during the emergent period anaphylaxis will usually occur 2 to 4 minutes to 2 hours
would be; within what time period
During the Emergent phase Hyperkalemia following exposure
of burns fluid shifting will
result to? drug to treat anaphylaxis? epinephrine
In a burn victim suffering oral
3rd degree burn the route Site of injection of drug Thigh
for drug administration is
In a 3rd degree burn the fatty tissues
affected area is

Among which of the Stretching OPERATING ROOM

following is not to be Key Question Answer Key
performed by third degree for the patient safety in Anaesthesiologist
burn Operating room
part of fluid resuscitation Lactated Ringer's labels the specimen Circulating nurse
following a burn injury? surgical team uses nursing Circulating nurse
process
anterior surface of the endorsement to PACU Anesthesiologist and surgeon
body including the upper 45% (2nd option: Anesthesiologist
extremities and head and Circulating nurse)

least to be expected in hypocalcemia Left os /gauze inside body Surgeon

burn patient
smoke upon passing the Remove patients that are in
ward and finds a smoke the most immediate danger
action?

RACEE includes R: rescue everyone in danger; Key Question Answer Key

get all clients and visitors out liver function test have a Billirubin
of danger by following the fire normal values of 0-1 g/dl
plan set up and established by breast self-examination. changes from previous self-
the facility you work in. purpose of performing the examinations.
A: pull the fire alarm examination is to discover:
C: contain the fire in the Glasgow Coma Scale score of deep coma
smallest possible area by 3?
closing all windows and doors. The usual stimulant for Carbon Dioxide
This prevents the fire from respiratory center?
spreading to other areas of the How should the nurse Draw up the regular insulin,
health care facility. prepare an injection for a then the NPH insulin, in the
E: extinguishing the fire when patient who takes both same syringe
it is small enough to do so regular and NPH insulin?
safely.
Evacuate

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nursing priority?
chest indrawing? lower chest goes in when
the child breaths in
Key Question Answer Key nurse check first? Tension pneumothorax
Time travel is _____ ability to travel backward in with slight tracheal
time to re-experience past deviation to the right
events and forward in time The type of psoriasis that often Guttate psoriasis
to pre-experience future starts in childhood or young
events adulthood and is characterized
by small, red, individual spots
What can AB + blood type Anyone on the trunk and limbs is
patient can receive? called?
People concerned about the Inverse psoriasis
Nephrotic syndrome is a Generalized edema spread of the disease. A type
disorder of the kidneys that of psoriasis can be more
results from increased troublesome in overweight
permeability of the people is called?
glomerular filtration barrier. It is a normal breath sound Vesicular
In nephrotic syndrome the that can be heard all over the
patient may have base of the lung field?
Which of the following have Apple
least amount of Potassium?
routine use of nasogastric
tubes after appendectomy is Decreases hospital stay for Key Question Answer Key
to two days doctor prescribed a drug for Nurse
the patient, pharmacist
prepared the drug and the
nurse administers it to the
patient. incident of IV drug
Key Question Answer Key overdose occurred. Who is
Highest source of potassium? lima beans liable for the situation.?
purpose of purse lip prevent bronchial collapse Disposal of Medical Records is 10 years
breathing is to: Chest drainage of patient has An air leak
condom catheter to a client Roll the condom into the continuous bubbling in the
with urinary incontinence. glans penis and tape it spiral water seal drainage.
into the penile shaft While changing the tapes on a Grasp the retention sutures
tracheostomy tube, the client to spread the opening.
How often should condom Everyday coughs and the tube is
catheter be changed? dislodged. Which is the initial
If someone is bitten by a Call for help immediately or nursing action?
snake, what first aid can you get the person to an While helping a patient with a Place a sterile dressing over
give? emergency room as quickly chest tube reposition in the the site and tape it on three
as possible bed, the chest tube becomes sides and notify the
dislodged. What is your physician.
immediate nursing
intervention?
Key Question Answer Key
When positioning the neonate prone with hips in
with an unrepaired abduction
myelomeningocele, which of Key Question Answer Key
the following positions would Nurse delegates the morning The nurse who delegates the
be most appropriate? care to the nursing aide. Who care
right orchiectomy. immediate Manage postoperative pain is the most accountable in
postoperative period the that care?

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Which of the following emergency 2 (IL-2) in cancer treatment? response modifier to
occurences requires an boost the immune system
immediate response for in cancer therapy.
help? A client with pancreatitis has Demerol (meperidine)
Nurses who use restraint Assault and battery requested pain medication.
improperly can be charged Which pain medication is
with: indicated for the client with
highest priority for treatment sucking chest wound. pancreatitis
is the one with Among which analgesic of choice Morphine
A 56-year-old patient Emergent is allegedly
presents in triage with left- can cause spasm of pancreatic
sided chest pain, diaphoresis, ducts and the Sphincter of oddi
and dizziness. in patient with pancreatitis?
Which of the following is the Naloxone
antidote of opiates toxicity?
IBS- irritable bowel syndrome and disease Seixzure epilepsy of child , Rock climbing
Key Question Answer Key activity to avoid
The client with IBS asks Nurse “The cause of this condition
June what causes the is unknown”
disease. responses by Nurse
June would be most
appropriate?
Key Question Answer Key
What is the most commonly Rectum and sigmoid A client receives CPR in the Cover eyes with wet
affected site in ulcerative emergency room but it is saline gauze pads and
colitis? unsuccessful. The wife of the small ice packs
client indicates that the client is
The drug of choice for the Sulfasalazine an organ donor and that they
treatment of recurrent want to donate the client's eyes.
Irritable Bowed Disease? Which should the nurse
implement first to promote
A patient is admitted with Left lower quadrant organ transplantation?
diverticulitis. The pain in The nurse checks for placement The contents aspirated
diverticulitis is commonly felt of a nasogastric (NG) tube prior from the NG tube have a
at? to initiating a tube feeding for a pH of 3.
What are the clinical features client. Which of the following
of ulcerative colitis? 1 and 2 results indicates to the nurse
Diarrhea with passage of that the tube feeding can begin?
blood and mucus Pancytopenia occurs when a red blood cells, white
Tenesmus and crampy person has a decrease in blood cells and platelets
abdominal pain What is the ethical principle Veracity and Fidelity
IBS can cause Colon cancer demonstrated by the nurse upon
What is the most common- Colonoscopy telling to the HR about her
primary screening test for impending application going to
colon cancer? Australia?
Not early sign of acoustic Hearing loss
neuroma

Key Question Answer Key

To prevent leakage of fluid in the Turn on the affected side
thoracic cavity, how will you Key Question Answer Key
position the client after Which of the following skin Bull's eye rash
thoracentesis? lesions is associated with
What is the action of Interleukin- used as a biological Lyme's disease?

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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 importance ‘’Let’s work together in
confirms a diagnosis of of promoting ‘ESPIRIT D harmony; we need to be
myasthenia gravis. The CORPS’ among the members supportive of one another’’
medication used to treat of the unit. Which of the
myasthenia gravis is: following remarks of the staff
The physician has ordered Anorexia indicates that they understand
aspirin therapy for a client what he pointed out?
with severe rheumatoid Stephanie considers shifting to Uses visioning as the
arthritis. A sign of acute transformational leadership. essence of leadership.
aspirin toxicity is: Which of the following
A client has an order for 2 capsules statements best describes this
Dilantin (phenytoin) .2g orally type of leadership?
twice a day. The medication A patient is diagnosed with What are you thinking
is available in 100mg stage 4 cervical cancer. The about the result?
capsules. For the morning doctor tells the nurse not to
medication, the nurse should inform the patient about the
administer: diagnosis and promise the
doctor she will not tell it to
anyone. patient asks the nurse
if what the findings of the
laboratory test [Link] will
Key Question Answer Key be the best response of the
For tunneled epidural catheter prone nurse?
insertion, the nurse must
position the patient to? nurse did not tell the truth to Justice and VERACITY
When the catheter was normal saline patient about the patient’s
accidentally dislodged, the condition what ethical
nurse can wash the catheter principle did the nurse
using? violated?
Among which of the following is Green-closed fracture, Panhysterectomy is the Cervix,uterus
correctly color-coded by the sprain and abrasions removal of the__________
Emergency nurse during triage?
correct understanding of the Disaster is community
difference and similarities wide and Emergency is
between a disaster and personal Situation: Conflict
an emergency? Key Question Answer Key
A 40 year old, had Bilroth II dumping syndrome Katherine feels Identify the source of the
(gastrojejunostomy) for uncomfortable believing that conflict and understand the
intractable peptic ulcer disease. she is the scapegoat of points of friction
The nurse is instructing him everything that goes wrong in
concerning the potential her department. Which of the
complication of__? following is the best action
Blood type risk for PID Type O that she must take?
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

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Copyright: Jonas Marvin Anaque, RM, RN
the following statements Milwaukee brace. How long
regarding conflict is not true? should she wear the brace?
Kathlene tells one of the staff. Avoidance The nurse identifies the
“I don’t have time to discuss mechanism of action of adipocytes
the matter with you now. See orlistat is as to the?
me in my office later” when inch needle should be used for 1"
the latter asks if they can talk a morbidly obese patient.?
about an issue. Which of the What is the disadvantage of concern for privacy
following conflict resolution computerized documentation
strategies did she use? of nursing process ?
Kathleen knows that one of Let the staff ventilate her
her staff is experiencing feelings and ask how she can
burnout. Which of the be of help.
following is the best thing for Key Question Answer Key
her to do? The nurse is planning the 1,2,4
She knows that performance Focusing activity on the care of a hemiplegic client to 1=Placing the pillow in the
appraisal consists of all the correction of identified prevent joint deformities of axilla so the arm is away from
following activities EXCEPT: behavior. the arm and hand, which of the body.
the following positions are 2=Inserting the pilloe under
Which of the following Patients are the best source appropriate? the slightly flexed arm,so the
statements is NOT true about of information regarding hand is higher than the elbow
performance appraisal personnel appraisal. 4=Positioning a hand cone in
A nurse on the quality Can be used to discover the hand so the fingers are
improvement committee areas for improvement and barely flexed.
understands that the step of to analyze areas of Why antibiotics are not When mastoiditis develops, it
quality improvement which excellence. considered the mainstay becomes difficult for
analyzes current protocols of treatment for mastoiditis? antibiotics to penetrate the
care and their associated air cells.
outcomes includes all except: What is the mainstay Mastoidectomy with
treatment for mastoiditis? tympanoplasty
What is the most Encephalitis
detrimental complication of
Key Question Answer Key mastoiditis?
Among which of the following is Chest X-ray Which is true regarding the The patient should be placed
not a sophisticated technology? management of clients with on reverse isolation
Mech vent is unavailable in ICU Anesthesiologist meningitis
where to get the equipment department

Water interruption call the Head nurse Situation: Eye examination should be done, frequently
For a client with a menstrual 19 beginning the age of 40, if the client has history of glaucoma.
cycle of The following question pertains to nursing ophthalmology
33 days, ovulation usually occurs and visual acuity.
on day
A client diagnosed with BP of Hypertension Stage 2 Key Question Answer Key
150/100 is classified as The ophthalmologists would The cornea is avascular
treat keratitis with steroid and system.
antibiotic eye drops rather
than using
Key Question Answer Key How does corneal scarring It is related to the
What exercise is ideal and Swimming develop post keratitis? deposition of collagen
most appropriate for scoliosis? tissues during the healing
A 13-year-old has been 23 hours per day process.
diagnosed with structural A client with mature cataracts Macular degeneration
scoliosis and is fitted with a suddenly experience of loss of

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peripheral vision while seeing The patient suddenly developed Trajectory
halos around light likely pericardial tamponade and was
experiencing; rushed to the hospital for
pericardiocentesis. The patient
is in what phase of the model?
Situation: A 28 years old male client was admitted in the ER The patient went in to coma Downward phase
department after experiencing intermittent episodes of because of the cardiac
diplopia, systemic muscle weakness and shortness of tamponade complication of
breath. The doctor made an impression of Myasthenia rheumatoid arthritis. At this
Gravis versus Guillain Barre Syndrome versus Amyotrophic moment, the patient in what
Lateral Sclerosis versus Multiple Sclerosis. stage of the trajectory model?

Key Question Answer Key

The nurse suspect occurrence A client with history of
of the diseases mentioned frequent flu infection.
with which of the client
following history? Key Question Answer Key
Which of the following is not Paresthesia Lung cancer true riak factor Smoking
manifestation of Amyotropic
Lateral Sclerosis? Anti inflammatory aroma Ginger
The client was diagnosed Spontaneous intermittent therapy
with myasthenia gravis after mandatory ventilation Aroma therapy for cough and Eucalyptus
Tensillon’s test was colds
performed. Two days after Overdosage of Acetylcystein
admission, the client acetaminophen
seteriorated and was placed Warfarin toxicity Vit K
in mechanical ventilation.
What ventilation delivers
extra tidal volume when the
client respiratory rate falls Key Question Answer Key
below normal? Crisis is an acute, time-limited lasting 4-6 weeks
event that a client experiences
When the patient in Monitor the blood pressure an emotional response that
ventilation is placed on can't be managed with normal
Positive Expiratory Pressure, coping mechanisms
the priority intervention is to: . displacement characteristics taking out our frustrations,
of crisis communication feelings, and impulses on
technique people or objects that are
less threatening
Trajectomy of disease The nurse provides rapid Crisis intervention
Key Question Answer Key assistance for individuals or
What stage in the model depicts Trajectory groups. the initial task for the
a patient with rheumatoid nurse it to provide a sense of
arthritis who is currently safety by assessing clients
asymptomatic and presents potential suicide or homicide
only prodromal/ non specific What level of prevention is Secondary level
signs and symptoms of the crisis intervention
disease? trial-and-error methods of Crisis phase 3
The patient woke up with Acute phase resolution fail, and the clients
bilateral redness,swelling, anxiety escalates to severe or
tendered and stiffness of the panic levels, leading to flight or
interphalangeal joints. The withdrawal behaviors
patient is in what phase of the client experiences Crisis phase 4
model? overwhelming anxiety that can

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lead to anguish and
apprehension, feeling of Key Question Answer Key
powerlessness and being When the patient who has Avoid sleeping on the
overwhelmed, dissociative undergone cataract extraction operative side
symptoms (depersonalization, is preparing to go home, the
detachment from reality), nurse reinforces which of the
depression, confusion, and/or following instructions?
violence against others or self The nurse is caring for a 2 and 4
patient who has a hearing Use a low voice pitch with
deficit. Which of the following normal loudness.
techniques should be Use short sentences.
Key Question Answer Key implemented by the nurse to
Keep right signs in the - to smooth the traffic and improve communication?
hospital prevent accidents (Select all that apply.)
23 year old man is admitted to Treatment of nausea
what is the proper patient supine, facing up (30 degree the ambulatory surgery unit to
position in caloric testing angle) undergo removal of a
What is caloric testing? assessment evaluating the cholesteatoma from the
function of the lateral middle ear. Which of the
semicircular canal. following post surgery nursing
interventions takes priority?
Primary form of hearing loss Conductive hearing loss The client is admitted to the
in otosclerosis is acute care unit for surgery. A standing on the client's
Conductive hearing loss Middle ear labyrinthectomy will be unaffected side to speak to
affects performed on the client's left the client.
ear. Which of the following
post-procedure nursing
interventions must take
Key Question Answer Key priority:
Myringotomy is -Surgical incision into the From the following list of signs 2 and 4 nausea and
eardrum (to relieve pressure and symptoms, identify those vomiting seeing halos
or release pus from the which are associated with around lights
middle ear angle closure (also called
Patient is preoperative narrow-angle or closed-angle)
position for detached retina Supine glaucoma. (Select all that
The nurse's first action for a Place the patient in a supine apply.)
patient who presents to the position.
Emergency Department with
manifestations of corneal Question ANSWER KEYS
perforation is to KEYS
nursing diagnoses is the Risk for Trauma As circulating D- Maintain surgical aseptic technique
priority diagnosis for a nurse,which of during the procedure.
patient with Ménière's the ff. is your
disease? priority, action
A preschool-age child is Equalize pressures between to promote
undergoing bilateral the middle ear and the safety of your
myringotomy with tubes for environment. patient?
the treatment of recurrent
otitis media. The mother asks Being the Monitor vital signs
the nurse what the tubes will nurse in the
do. The nurse's best response Post-
is that the tubes will Anesthesia
care unit,
which of the
following is
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Copyright: Jonas Marvin Anaque, RM, RN
your PRIORITY invited as a
concern after resource
surgery? person in a
nursing
SITUATION: Write letter of resignation to your employer conference.
the following 30 days before leaving. The
situations are curriculum
related to vitae she
ethical submitted to
practices in the PRC
the work continuing
place. Professional
Len, Development
registered Council
nurse, has reflects the
signed a word Masters
contract for of Arts in
two years in a Nursing
medical (MAN) after
center. A her name. She
recruitment only
agency has completed
offered her a academic
‘’fat’’ salary requirements
for foreign but not her
employment. thesis writing.
If you are in Which of the
the position of following did
Len, what Ms. Paras
should you violate?
do?
It is a hospital Dishonesty
Riza is a BSN Misrepresentation policy for
graduate but nurses in a
did not take health facility
the National that required
Licensure time is 15
axams. She is minutes
in dire need of before the
money so she official
applied and designated
was accepted time. Nurse
in a health reported 30
facility. As a minutes late
nurse she and requested
submitted a her co-staff to
fake PRC sign in, this is
license in an example of
order to be ____________
given the job. _.
Riza is liable to The nurse is B. That the best time for TSE is after a warm
be charged instructing the shower
of____. client to
Ms. Paras an A. RA 9173. perform a TSE.
R.N was The nurse tells

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the client cervix?

Which of the C. I will do complete BSE on both breasts 7 The nurse is A. Prepare private room at the end of the
following to 10 days after menses preparing a hallway
statements by plan of care
a 25 year old for a client
woman who will be
indicates that hospitalized
she for insertion
understands of an internal
BSE? cervical
radiation
A nurse is B. Do not use deodorant in the underarm implant.
instructing a area before the test Which nursing
patient about intervention
a the nurse
mammogram. implements in
Which of the preparation
following for the arrival
instructions of the client?
should the
nurse include An adult is C. "I will have an indwelling catheter while
during patient scheduled for the implant is in place"
teaching? a radioactive
implant for
A client B. Carcinoma in situ, no abnormal regional treatment of
undergoes a lymph nodes, and no evidence of distant cervical
biopsy of a metastasis cancer. The
suspected -Carcinoma in situ [Tis], no abnormal nurse has
lesion. The regional lymph nodes [N0], and no evidence instructed the
biopsy of distant metastasis [M0] client about
classifies the care following
lesion the
according to procedure.
the TNM The nurse
staging system determines
as follows: Tis, that the client
N0, M0. What has
does this understood
classification the
mean? instructions
when she
Which B. "My 7 year old twins should not come to says,
statement by visit me while I'm receiving treatment"
the client A client is in B. Pick up the implant with long handed
indicates to isolation after forceps and place it in a lead-lined container
the nurse that receiving an
the patient internal
understands radioactive
precautions implant to
necessary treat cancer. 2
during sealed hours later,
radiation the nurse
therapy for discovers the
cancer of the implant in the
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Copyright: Jonas Marvin Anaque, RM, RN
bed linens. the prostate
What should (TURP) under
the nurse do spinal
first? anesthesia.
Before
The nurse is D. Report symptoms of dyspnea surgery, the
giving nurse should
discharge tell the patient
planning to a that:
cancer patient
on
doxorubicin
(Adriamycin). Which finding A. Painless hematuria
What is is an early
important to indicator of
tell to the bladder
client? cancer?

client with B. Numbness

ovarian cancer A nurse is B. A sedentary 65 year old female smoker
is being conducting a
treated with health
Vincristine screening for
(Oncovin). A osteoporosis.
nurse The nurse
monitors the would
client, interpret that
knowing that which of the
which of the following
following is a clients is at
side effect greatest risk
specific to this of developing
medication? this disorder?

Right B. Left side-lying position Primary C. Maintain the optimal calcium intake
pneumonecto prevention of
my for lung osteoporosis,
cancer. Which includes which
of the of the
following following
positions measures?
shouldn't be
used when The nurse D. Genetic predisposition
repositioning knows that a
her 60-year old
immediately female client's
following the susceptibility
procedure? to
osteoporosis
The physician A. He may receive continuous bladder is most likely
schedules Mr. irrigation after the procedure not related to:
Pama for a
transurethral Alvin, a client B. Except 1, 2 and 3
resection of with lactose
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intolerance adult in Buck's
requires Traction
dietary would not
teaching. include:
Which of the
following
foods should
the nurse An infant with A. Skin integrity over the scapulae
advise him to a dislocated
eat to ensure hip is placed in
adequate Bryant's
calcium Traction. The
intake? nurse plans to
1. Bananas assess which if
and avocados the following
2. Beef liver while the
and broccoli infant is in
3. Cheese and traction?
yogurt
4. Malunggay Which nursing A. Checking site of pins for bleeding or
and kangkong intervention is infection
appropriate
For a client C. 1,3 and 4 for a client
with with skeletal
osteoporosis, traction?
the nurse
shouldn't A 45-year old C. "Take a warm tub bath or shower before
provide which female client exercising. This may help you with your
dietary with discomfort."
instruction? rheumatoid
1. "Limit arthritis tells
intake of liver the nurse, "I
and beans." know how
2. "Eat more important it is
dairy products to exercise my
to increase joints so that I
your calcium won't lose
intake." mobility. But
3. "Decrease they are so
your intake of stiff and
popcorn, nuts, painful that
and seeds." exercising is
4. "Avoid difficult."
eating fresh Which of the
fruits and following is
vegetables." the MOST
appropriate
All of the D. Osteophytes response of
following are the nurse?
manifestation
s of fractures The following B. It should be treated initially by
EXCEPT: statements corticosteroid
are TRUE
Nursing care A. Checking site of pins for bleeding or concerning
specific for an infection rheumatoid
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Copyright: Jonas Marvin Anaque, RM, RN
arthritis rays
EXCEPT: performed on
both knees. X-
Which type of B. NSAIDs rays of an
medication is ostoeoarthriti
most c joint reveal:
commonly
used to treat Which of the A. Overuse of joints, aging, and obesity
RA? following
conditions or
Ralph is C. "The disease pattern of RA is usually actions can
studying for unilateral and in single joint, whereas OA is cause primary
his nursing usually bilateral, symmetric, and in multiple osteoarthritis?
boards when joints."
he comes The nurse is C. Monitor body temperature
upon different preparing a
types of client with SLE
arthritis. At for discharge.
the course it Which
was instruction
recommended should the
to study the nurse include
differences in the
between teaching plan?
osteoarthritis
and In assessing a A. Butterfly rashes
rheumatoid young woman
arthritis. just diagnosed
Which with SLE, what
statement, if characteristic
made by observation is
Ralph, the nurse
demonstrates most likely to
that further assess?
teaching is
needed? When a nurse A. Advise the client to stop, drop on the
encounters a ground and roll
Rheumatoid C. Occurrence of an autoimmune response running
arthritis is burning client,
currently which of the
attributed to: following
immediate
A 69-year old C. "OA affects joints on both sides of the nursing
client asks the body. RA is usually unilateral." actions is
nurse what appropriate to
the difference intervene in
between OA the burn
and RA. Which scene?
response is
correct?

A client with C. Osteophyte formation Which of the A. It is characterized by irreversible

possible following is blindness
osteoarthritis true about
is having X- glaucoma?
Page 60 of 79
Copyright: Jonas Marvin Anaque, RM, RN

The nurse is A Protecting the client from infection

assisting in
A client with B. "I need to turn my head each time I planning care
open-angle locate my things on the side." for a client
glaucoma will with a
manifest the diagnosis of
following immune
symptoms: deficiency.
The nurse
The following C. Atropine SO4 would
drugs may be incorporate
administered which of the
to the client following as a
with glaucoma priority in the
EXCEPT: plan of care?
The nurse is Corticosteroid
Jessie is D. Preparing him for surgery assigned to
diagnosed care for a
with retinal client
detachment. admitted to
Which the hospital
intervention is with a
the most diagnosis of
important for systemic lupus
this client? erythematosu
s (SLE). The
Which of the C. Eye pain nurse reviews
following the health
symptoms care
wouldn't provider's
occur in a prescriptions.
client with a Which of the
detached following
retina? medications
would the
Signs and A. Painless decrease in vision, veil over the nurse expect
symptoms of visual field, and flashing lights to be
retinal prescribed?
detachment The nurse D-Butterfly rash on cheeks and bridge of
include: further checks nose
for which of
Which if the A. "I sleep using two pillows." the following
following that is also
statements, if indicative of
made by a the presence
patient who is of SLE?
suspected of client with "I should take hot baths because they are
having systemic lupus relaxing."
congestive erythematosu
heart failure, s and tells the
would support client about
the diagnosis? methods to
manage
fatigue. Which
Page 61 of 79
Copyright: Jonas Marvin Anaque, RM, RN
statement by tracheostomy
the client A dialysis B. Ineffective breathing pattern
indicates a patient was
need for rushed to the
further Dialysis unit to
instructions? do Emergency
A nurse is Steak Dialysis.
providing Patient
dietary noticed to
instructions to have Ascites,
a client with Bipedal
systemic lupus edema, BP of
erythematosu 180/100mmhg
s. Which of and DOB.
the following What is the
dietary items best nursing
would the diagnosis for
nurse instruct this patient?
the client to What is Process of removal of antibodies in the
avoid? plasmapheresi blood
process of DABDA - Denial-Anger-Bargaining- s?
grieving Depression-Acceptance Situation: -assault
"current Admission sheet nurse sinabi
diagnosis" of sa bata na pt.
patient can be kung ayaw nia
found in magpalit ng
"coffee More than 3 cups a day damit siya
syndrome" mismo ang
Why people For well being gagawa.
tends to drink
coffee
CAFFEINE severe headache; fatigue or true definition irreversible loss or Cessation of all functions
WITHDRAWAL drowsiness; dysphoric mood including of death of the brain
symptoms depression and irritability;difficulty pt. first initial KARDEX
concentrating; visit – to
Serosanguino Pink tinged assess use for
us color is quick
Nurse Independent intervention assessment
performs
nursing care brain Tumor MRI
Interdepende Collaborative intervention exam
nt actions Abdominal BRUIT sound in the abdomen
Urine Dependent intervention aortic
specimen aneurism
collection assessment
Normal urine 200cc finding
12 hours, Aorta is EPIGASTRIC region
except located in the
50% chance of Make a living wil Position of Supine position (flat on bed)
success of patient after
operation AAA surgery
Major SINGING bee sting after Give antihistamine drug
problem to removal check
patient with allergic
reaction.
Page 62 of 79
Copyright: Jonas Marvin Anaque, RM, RN
Emergency Epinephrine of aldactone
drug (select all Diet of liver high in calorieswith high carbohydrate
that apply) Cirrhosis content and moderate to low levels of fat.
Best site of Buttocks Welfare, Phil nursing Act
MgSO4 safety of
administration patient
for injection is
important to Bond paper doing good Beneficence -
buy for
requisition by no harm Non-maleficence
the supervisor Right Left side lying
in training Ventriculo
seminar shunt -
cervical spine check vital signs position to
injury priority First food to rice receals
infant
Cervical spine C4 Vaccine given hepatitis B
injury that at birth
causes Not to be medicine administration
respiratory delegated
distress Safe to be taking height and weight
Sign of respiratory distress delegated
cervical Hospital to Capital budget
trauma buy new
T2 N1 Mx cell 1 tumor more than 2 cm, spread to the Equipment
carinoma lymph nodes. metastasis can't be assessed. Lax laizze fairre
supervision
readmission of Medical patient index Strict authocratic
pt where to supervision
retrieve prev In case of fire horizontal
rec. evacuation
Priority for pt Place pillow for heads Priority in airway
in seizure burn victim
Severe abd morphine Priority in airway
pain anaphylaxis
Basic Ambu bag Priority in rest period when pain occurs
equipment in buergers
cardio unit Burgers is Males
Cardio drug Dopamine common
which must be among
always in Prevention of Quit smoing
emergency buergers
cardio unit Sign of intermittent claufication
Spirinolactone Hyperkalemia buergers
causes Priority in avoid exposure to cold environment
Prominent U Hypokalemia reynauds
waves in ECG Reynauds female
Tented peak T Hyperkalemia Cause of pid chlamydia
waves in ECG Cause of hepa bloodborne
Medication works by slowing or stopping cell growth. By C
for breast damging DNA of cancer cell Tool for questionnaires
cancer - survey
cytoxan
Gloves in OR Sterile gloves withOUT powder
Adverse effect Hyperkalemia for long

Page 63 of 79
Copyright: Jonas Marvin Anaque, RM, RN
period surgical DIC sign and HEMATURIA
operation symptoms
that will
dying patient call a multidisciplinary meeting indicate DIC
wants to Treatment of HEPARIN IV
commit early DIC
suicide,nurse How to No menses for 3 months
put the diagnose
patient to secondary
suicidal prec. amenorrhea?
But the other Furosemide hypokalemia
nurse adverse effect
opposed since Writen LIBEL
its a dying defamation
patient like noting in
Right person Physician chart that
to administer colleague is
blood prod incompetent
is
Blood trans. Blood type,crossmatching,rh
Early sign of restless and irritable
What to incompalibility,[Link],tapos lot no. -------
resp. distress
check. Sata all of these
Bee sting remove sting by scraping
Bee sting anaphylaxis
affected sa inner ear /COCHLEA (if wala inner ear)
RA 10192 CPD LAW New CPD units
acoustic
neuropathy
NOT early hearing loss(kasi gradual sya)
symptom
Sample of Anthrax
acoustic
biochemical
neuroma
terrorism
The following are All of the above
Affected in Fatty tissues
signs and symptoms
3rd degree
of avian flue (SATA)
burn?
1. Fever
Compartment distal part fracture
2. Body
syndrome
weakness
CHECK PULSE
3. Cough
radiation supine position
4. Soar throat
therapy lie on
5. Sore eyes
cervical cancer sex partner more than one
highest factor
What organization as b. DOH
patient d5w Slow down the rate
set by the
infusing
government should
100ml/hr
coordinate to the
develops
suppliers with
pulmonary
vaccine suppliers on
emboli. What
reasonable cost of
is the priority
influenza vaccine for
Adrenal epinephrine. human, especially for
Medulla those working in live
pruduces poultry.
Posses most patient herself
of the right to The incubation 5 to 7 days extended to 2
access patient period of SARS is: weeks
chart
Page 64 of 79
Copyright: Jonas Marvin Anaque, RM, RN
The earliest case of Guangdong China in 2002 priority when caring morning to provide pain
SARS were detected for a client diagnosed relief
from: with RA?

Signs and symptoms Chills, malaise, myalgia and provides long term active immunization
of Respiratory Phase headache immunity
of SARS are following The acid–base A. Metabolic alkalosis and
EXCEPT: disturbances respiratory alkalosis
generally observed in
First vaccine of Louis pasteur Heart failure is?
anthrax in 1881
All of the following Peripheral form
are three clinical where to get supply anesthesiologist department
forms of anthrax if u will perform
except intubation the
Correct doses of 3 dpt, 3Opv, 3hepa patient was in the icu
vaccines 1 bcg 1measles According to the Codeine
Fahrenheit to Celcius 38.2 WHO ladder in
convert 100.8 training cancer pain,
Celcius to Fahrenheit 101.3 which medication is
convert 38.5 recommended for
Reflexology Hands, feet, ears cancer clients
top 2 cancer for men Liver suffering from
2010 moderate pain?
rank of prostate 4th The nurse committed Professional Regulatory
cancer a serious medication Board in Nursing
rank of colorectal 3rd error and patient
cancer in men died. Who is
true in lung cancer smoking responsible to
#1 mortality in the Chronic heart Diseases revoking the nurse’s
Philippines in 2014 license and
Caring patient in distance 6 feet, 30 mins per certificate of
radiotherapy SATA shift, lead apron with registration?
dosimeter badge While administering Ombudsman
a medication to a
Common disease of Heart diseases psychiatric patient,
Elite person the nurse did
Which is a modifiable a. Being overweight enticing and
risk for developing seductive actions in
OA? order to encourage
the client to take his
osteoarthritis. Which b. Joint stiffness medications.
sign/symptom would Someone can file an
the nurse expect the administrative case
client to exhibit? against the nurse to
part affected finger joints the Board of Nursing
osteoarthritis and the:
Which of the Metacarpophalangeal joints Where will the nurse Outside the 2 inches radius
following is the most administer from the umbilicus
common area enoxaparin (klexane)
affected by or insulin
rheumatoid arthritis? subcutaneously?
Which intervention use of warm compress heat The family assigned The nurse should politely
has the highest and water bath in the to a community decline the offer to maintain
health nurse is very a professional relationship.
Page 65 of 79
Copyright: Jonas Marvin Anaque, RM, RN
satisfied with her REVERSE TRIAGE Military priority is high
performance. They survival rate patient
invited the nurse to People who 50%
be come a ninang to experience a
their newborn. How systemic allergic
should the nurse reaction will have a
respond? recurrent reaction
The oldest sibling of You just express to me that when re-stung.
the family told the you’re lesbian. If you see a small - Get sterile syringe
nurse that she is a bubble of air get to aspirate air
lesbian. How should them out of the line through a port.
the nurse respond? - Flicking the tubing
There are several A holistic approach in with your finger.
approaches and tools problem identification
used in ( QI). Meningitis DROPLET PRECAUTIONS
Fishbone diagram is 3 feet distance or Droplet
one of which, which less
of the following Best time for 60 seconds
statements BEST handwahing
describes fishbone Standard V/S Every 4 hours
diagram? monitoring
Gantt chart is also Provides a graphical Telephone call orders Sign within 24 hours
used in quality illustration of resources INITIAL PROGNATHISM
improvement. It is MANIFESTATION of
useful for analyzing, ACROMEGALY
planning, and Triad of ADHD: Inattention, Hyperactivity,
scheduling complex Impulsivity
project, which of the
following is not true Control the Latanoprost eye solution
about GANTT chart? progression of
It glaucoma or IOP
POMR means Problem oriented medical Oral Inhalation Breathes through the
record Therapy mouth.
FDAR means Focus data action response 50% of cases of Mastoidectomy
PDCA is Plan Do check Act MASTOIDITIS are
First sign of cervical Metrorrhagia required to
cancer. Behavioral test used Pure-tone audiometry
Reducible hernia Protruding mass to measure hearing
spontaneously retracts into sensitivity
the abdomen. Most common cause Prolonged or improper use
of corneal ulceration of contact lenses.
Atropine Increases heart rate. is
Viagra Sildenafil Person with Superego and needs
After a corneal Avoid lying on the affected Antisocial Personality immediate gratification.
transplant site , soapsuds and sex Disorder lacks
After a patient Closely monitor the
Risk of cancer is Acetaminophen. undergoes a femoral- peripheral pulses distal to
nearly doubled in popliteal bypass graft the operative site and
frequent users of circulation.
Parkinsonism Dopamine
Dopamine Surge in euphoria and Treatment
increased energy/activity Theophylline/ Wheezes
LYME'S DISEASE Deer ticks aminophylline
Lyme disease Bull's eye lesion relieves

Page 66 of 79
Copyright: Jonas Marvin Anaque, RM, RN
Z-Track Injection 22 to 25 gauge thick through the AV node)
adult
The best position for standing position
inguinal hernia the
client must be in a Nursing Practice V – Care of Clients with Physiologic and
muscle weakness, U Hypokalemia Psychosocial Alterations (Part C)
waves on ECG
Diverticulitis LLQ pain Situation: THERAPEUTIC TOUCH
Diverticulitis Diet avoid fruits and vegetables Key question Answer key
high in fiber and no seeds Nurse Glen assesses the skin Answer: Functional
In otitis media, the bright red turgor of different patients professional touch
tympanic membrane for admission. This is an
is example of which type of
Otic drug pUll pinna down and back therapeutic touch?
administration in
infant Patient DS is seen walking Answer: Social polite touch
drug of choice for Dopamine from the bathroom back to
shock. her bed. Nurse Ana gently
Hypoventilation Respiratory acidosis guides her. This is an
Hyperventilation Respiratory alkalosis example of?
Pulmonary Embolism Left side lying
Position to A 76 years old patient with Answer: friendship warmth
How many nurse to 3 nurses Alzheimers disease is under touch
log roll patient Nurse Mila’s care. She PUT
How to transfer to chair to the side of the bed HER ARMS around the
and from a bed to a near the feet, on the strong patient shoulders, to show
chair or wheelchair side if the person has a which type of touch?
weakened side; the chair
should be parallel to the bed After a long period of time, Answer: Love intimacy touch
Position for ICP? 30-40 degree you meet your cousins again
A nurse is caring for a B. Lorazepam during your Christmas
client who is gathering. HUGS and kisses
experiencing status were given to each other.
epilepticus. Which of These are example of which
the following type of touch?
medications should
the nurse anticipate The following are types of Answer: Sexual – arousal
administering therapeutic touch utilized by touch
immediately? a nurse in a psychiatric ward,
The nurse is aware d. Weight gain EXCEPT
that the signs and
symptoms of
hypothyroidism
include:
Thrombolytic answer dissolve clot
What is the FLAT ON BED. Question Key Answer key
positioned of the myths surrounding rape? A-C-D-F-G
patient for the first 8 (select all that apply): a. women are usually raped by a
hours post PTCA? stranger.
Digoxin effective Positive Inotropic - increases c. most rapes occur away from
force of contraction. home areas such as alleys and
Negative Chronotropic - behind buildings.
decreases heart rate d. documented rape cases
(reduces conduction include women from 8 to 70
years old.
Page 67 of 79
Copyright: Jonas Marvin Anaque, RM, RN
f. rape is usually an impulsive, detachment
spur-of-the-moment that bleeding has Complaints of a burst of black
decision by the rapist. occurred as a result of spots or floaters
g. unless the assailant is armed, the retinal detachment
most women should be able to acute narrow-angle Acetazolamide (Diamox)
get away and avoid the rape glaucoma
preparation for cataract MYDRIATIC
Narcolepsy is Cessation of breathing for 10 surgery, what drug is to
characterized by, except seconds be administered
cataract removal “I will wear my eye shield at
Cataplexy is Sudden involuntary loss of indicates an night and my glasses during the
muscle control understanding of the day.”
(SSRI's) is Selective Serotonin Re-uptake instructions
Inhibitors
Champion rating scale 1. Glasgow Coma right cataract removal (walang left sa choices) supine
(SATA) Scale surgery
2. Systolic Blood depression, feelings Dysthymic disorder.
Pressure of hopelessness, poor
3. Respiratory Rate appetite,
insomnia, fatigue, low
Patient tasted poison in Gustatory hallucination self-esteem, poor
her food concentration, and
change a patient’s Cognitive behavioral therapy difficulty making
thought processes and decisions. The client
behaviors states that these
Disorientation occurs TIME symptoms began at least
first in 2 years ago
evidence from a rape Preserve the clothing in paper
cognitive therapy. a type of psychotherapy that victim bag
focuses treatment on the meniere’s disease Vertigo, tinnitus, and hearing
modification of distorted loss
thinking and maladaptive
behaviors most frequently affected inner ear
appropriate therapy for behavioral therapy by acoustic neuroma?
the management of a surgical approaches for retrosigmoid
child with ADHD removing an acoustic translabyrinthine approach
Turner’s syndrome Answer: (C) Amenorrhea, neuroma; select all that middle cranial fossa
web neck, low hair line, apply approach (Facial nerve
short stature is a symptom repair)
of Turner’s syndrome, which
appears at puberty. otoscopic examination red, dull, thick and immobile
[Link]
macular degeneration Loss of central vision. membrane expect to
Retention of peripheral macular degeneration observe
vision
diagnosis of detached a. A sense of a curtain attacked by vertigo Let the patient to keep eyes
retina falling across the field open and stare straight ahead
of vision when lying down

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 voices.

Page 68 of 79
Copyright: Jonas Marvin Anaque, RM, RN
the nurse take as reality?
Patay na nanay nya , Auditory hallucination
pero sinabi daw sa Zosima is on Antidepressant medication
kanyang patayin ang antidepressant treatment begins to raise mood
dalawang anak nya and was placed on the "
Sabi ng nurse maam ang palilalia Suicide Watch" list. The
ganada mo ngayon ah, nurse must be alert that
Patient : Ang ganda ko! among depressed
Ang ganda ko patients, suicide is likely
% percentage of 1% only to be committed when;
schizophrenia cases
special sense is the last hearing primary nursing diagnosis Risk for Suicide
to go in a comatose
patient
Isolate the suicidal patient
vital sign usually palpated Carotid artery
suicide precautions
below the jaw
except
appropriate room Well lit room
Elavil must avoid Aged cheese or any tyramine
lighting for a dying
rich foods
patient
promote safety which of Bottle of orange juice
How many nurses is 3
the following items will
needed to assist and log
the nurse remove from
roll patient in bed?
the bag?
Slovin’s formula find out 345
what sample of a
population of 2500 measures the electrical EEG
people you need to take activity of the brain
for a survey if you have a
margin of error of 5% responsible for sense of endorphin.
(0.05). humor
Contract as to liable and Accountability
standard as to first sign and symptoms Palpitation
After passing exam Take the oath of professionals of alcohol withdrawal
Dementia cognitive dysfunction and loss of severely dehydrated . "Corazon, I’m Vilma Aunor
memory. client told you that there your Staff Nurse, this is an
is a snake on the floor electrical cord"
diagnosis of dementia is patient history and cognitive
pointing the electric fan
based on assessment
cord then she shouted, "
Dementia unlike delirium Insidious onset
snake
is characterized by
Support groups of AL ANON
Confabulation patient fabricates events or
Alcohol abuse
experiences to fill in the gaps in
Alcohol Withdrawal ATIVAN
memory
treatment
manipulating the Florence Nightingale
manipulates the group Histrionic personality disorder.
environment of the
with attention-seeking
patient to assist him in
behaviors, such as sexual
his recovery is theorized
comments and angry
by
outbursts. The nurse
realizes that these
Situation: Zosima was rushed to the Emergency Room when
behaviors are typical of:
she was discovered to have taken over dosage of sleeping
pills.
handicapped child, how Justice
should a nurse deal with
Myths surround suicide All suicide behavior should be
the tantrums
but which of the taken seriously. It is a cry for
blood transfusion against Autonomy
following of these should help
the wishes of his family,
Page 69 of 79
Copyright: Jonas Marvin Anaque, RM, RN
who are all Jehovah’s children is
Witnesses
fits a situation when the Laissez faire Therapy after patient occupational therapy
followers are self- discharge
directed, experts and are Delirium is abrupt onset while
matured individuals with Difference between dementia is insidious D
delirium and dementia
lax supervision?
Patient said She was visual hallucination
visited by her dead mom
cannabis sativa Marijuana
last night
cancer client who reports Codeine
Binge-eating disorder can C) eating to avoid feeling and
moderate pain
be characterized as: dealing with emotional pain.
nurse has made an error Drawing one line through the
in a narrative error, initialing and dating, and
documentation then documenting the correct
information
ADHD
Time travel is Remembering the past and
Key Question Answer Key
envisioning the future
What is the most effective Pharmacologic treatment
In PIE methods charting ,
treatment for patients with
P is , Except;
ADHD?
When is methylphenidate After meals
[Link]
( Ritalin) best given?
[Link]
When can parents of children During school vacation
[Link]
with ADHD request for
[Link]
methylphenidate or drug
Depression sign. cannot perform ADL’s
holiday?
mania pt. appropriate -folding towel and linen
Situation: Personality disorders are very hard to treat since
activity
one’s personality is difficult to modify. Personality is totality
of an individual which reflect his/her bahaviours, emotions
Food for mania pt.. - Peanut butter sandwich and milk values etc.
pt with mania (nang aapi - drawing
ng mga kasama) nsg Which of the following is a Goes to the mall every time
action characteristic of a client with he/she experiences stress to
borderline personaliyy buy the newest /phone
asking pt. to commit Remove all sharp in the room disorder? model
suicide.
What is the priority nursing Risk for injury
nursing [Link] pt. -eat cracker with small water diagnosis that must be
nausea considered in taking care of
vomitting,lethargy,fatigu clients with boarderline
e personality disorder?

burnout is? a syndrome conceptualized as A client was admitted to the Anti- social personality
resulting from chronic workplace mental health facility after disorder
stress that has not been several incidents of stealing
successfully managed, goods from the vendors in
their community market. The
client would also offer sexual
Not a description of decrease iop pleasures to the tricycle
Glaucoma drivers in their place in
Test for Brain electrical EEG exchange for money. During
activity the mental assessment, the
dead mom telling the auditory command hallucination client appears apathetic about
patient ti kill her 2 the situation and refused to
Page 70 of 79
Copyright: Jonas Marvin Anaque, RM, RN
answer questions. The client care for a client who is the
is exhibiting what type of victim of rape. Which nursing
personality disorder? diagnosis does not support
the client's psychosocial
When clients with personality Let the client sign his needs?
disorders are required to sign informed consent The nurse is assisting in the ***D. Drawing blood for a
an informed consent, what physical examination of a CBC from the antecubital
should the nurse do? client who is the victim of area.
rape. Which action by the
nurse does not involve
collecting evidence that can
be used in a criminal case to
Key Question Answer Key convict the attacker?
Slovins 5% confidence level Answer: 361 The community health nurse ***2. African American
3750 given population is conducting a presentation women welcome all forms of
regarding rape. Which sexual contact because of
Splitting is a symptom of Borderline personality common myth associated their race.
disorder with rape should the nurse *4. Victims deserved the
Restating clients message paraphrasing discuss in the presentation? rape because they were
Rape patient, flashbacks PTSD (SATA) dressed provocatively.
with nightmare
***5. Victims deserved the
rape because of where they
were located.

posttraumatic stress disorder (PTSD)? A client who is the victim of

Question keys Answer keys rape arrives in the
The nurse is providing care to ***2. Flashbacks emergency department. ***3. Burns on the wrists
the victim of a rape that Once the client's safety is
occurred over 1 year ago. ***3. Depression ensured, the nurse begins ***4. Bruising around the
Which symptom supports the the physical examination. neck
diagnosis of posttraumatic ***4. Nightmares The nurse may find which of
stress disorder (PTSD)? Select the following injuries from ***5. Bruising on the ankles
all that applies ***5. Anxiety being restrained?
The nurse is caring for a B. ***"Emergency
client who is the victim of contraception is most
rape. The client refuses the effective if administered
emergency contraception within 3 days."
offered to her. Which
statement by the nurse is the Documentation and charting
most appropriate regarding Question keys Answer keys
the window of time during What is FDAR charting Focus data Response
which emergency What is POMR Problem oriented Medical
contraception is most record
effective? The ff are method of charting [Link]
except:
The nurse is providing ***1. Previously abused as a [Link]
counseling to the child [Link]
incarcerated perpetrator of ***3. Antisocial behaviors [Link]
rape. Which finding in the ***5. Alcohol or drugs [Link]
client's history are known risk In PIE methods charting , P [Link]
factors for those who commit is , Except;
the act of rape? Select all
that applies [Link]
The nurse is writing a plan of B. ***Physical pain [Link]
Page 71 of 79
Copyright: Jonas Marvin Anaque, RM, RN
[Link] failure?
[Link]
Doctors order via phone call Clarified with 2 nurse, record What type of Hypertrophic
and sign cardiomyopathy is seen in cardiomyopathy
Order must be signed Within 24 hours the sudden death of young
error in documentation Draw a single horizontal line athletes?
with mistaken entry with
initials after What heart condition is Coarctation of the aorta
Turner’s syndrome
associated with?
Situation 1-
The nurse is caring for an adult admitted with diagnosis of Signs and symptoms of - Lightheadedness or
brain tumor. He was scheduled for craniotomy. complete heart block dizziness.
Palpitations ,Fatigue. Chest
Question keys Answer keys pain. Shortness of breath.
A client has a supratentorial craniotomy for [Link] of the Fainting spells or syncope.
a tumor in the right frontal lobe of the bed elevated
cerebral cortex. Post operatively,the 45 degrees The patient has been C- Dyspnea
position that would be most appropriate for with a large diagnosed with left-sided
this client would be pillow under heart failure. Which common
the head and finding of this condition
shoulders should the nurse consider
A client is regaining consciousness after a [Link] her when planning care?
craniotomy becomes restless and attempts hands in soft
to pull out her intravenousline. Which “mitten”
nursing intervention protects the client restraints
without increasing her ICP? Situation: PACEMAKER
Key Question Answer Key
Following 3 months of rehabilitation after Where will the procedure (pacemaker Cath Lab
craniotomy, a female client is still having [Link] to placement) take place?
some motor speech [Link] promote her crude
the client’s use of speech the nurse should: efforts What is the time we teach the patient Batteries last 5-
of speaking about the length of time the battery lasts 10 years and
for a pacemaker? require changing
client undergoes a craniotomy for removal [Link]
of her brain tumor. The nurse notes that the dressing What is strictly prohibited from the
her dressing is saturatedwith blood. Which and notifying incision until completely healed? Lotion and
of the following interventions is most the doctor powder
appropriate immediately
What is something the patient cannot be No Magnets, No
After [Link] around, what is an example? big power tools
craniotomy, what is your primary goal? increased ICP (MRI)

Persistent
What to assess after placement of hiccups
ADDENDUM BOARD QUESTIONS pacemaker
Situation: CVD- cardio vascular diseases
Key Question Answer Key Examination of a patient in a supine increased central
What is the most sensitive Troponin I position reveals distended jugular veins venous pressure
and specific marker for a from the base of the neck to the angle of
myocardial infarction (MI)? the jaw. This finding indicates:

What is the most common Left sided heart failure

cause of right sided heart

Page 72 of 79
Copyright: Jonas Marvin Anaque, RM, RN
A patient is admitted to the assess the patient's level of
Situation: CVD- cardio vascular diseases hospital for a carotid understanding of risks,
Key Question Answer Key angiogram with stent benefits, and alternatives.
When caring for a patient -walk as tolerated placement. The patient's
who has intermittent spouse states: "I don't want
claudication, a my spouse to find out there
cardiac/vascular nurse is a risk of a stroke
advises the patient to: connected with this
A cardiac/vascular nurse projection. procedure, because he or
reviews recommended she won't sign the consent
activities with a patient who form." The cardiac/vascular
sustained a myocardial nurse's most appropriate
infarction. The patient action is to:
states, "It doesn't really A patient who is recovering decreases sympathetic
matter what I do or don't from a myocardial infarction nervous system activity.
do. I will either get better or may benefit from
die." This statement meditation, because this
reflects: technique:
A cardiac/vascular nurse assess the patient's
A 55-year-old patient who is ventricular fibrillation. reviews risk factor reduction perception of the event with
diagnosed with an evolving with a patient who is newly open-ended questions.
myocardial infarction (MI) diagnosed with a myocardial
insists on going home. The infarction. The patient
cardiac/vascular nurse states, "I don't know why
encourages the patient to you're making such a big
be admitted, because the deal about this stuff. I feel
greatest risk within the first fine, and the doctor said
24 hours of sustaining an MI that my heart attack was
is: small." The nurse's most
effective action is to:
A patient comes to the irreversible anoxic injury to A patient who underwent clarifying when cardiac
emergency department with muscles and nerves can occur coronary artery bypass rehabilitation will begin.
reports of a swollen and in as few as four hours. surgery demonstrates
painful leg but denies effective understanding of
sustaining any injury. discharge teaching by:
Physical examination reveals A patient with negative
a tense calf muscle, troponins and stress test obtain a 12-lead
decreased sensation to the results reports recurring electrocardiogram.
foot and leg, and absent chest pain that is similar to
pedal pulses. The the patient's pain on
cardiac/vascular nurse asks admission. According to the
the patient when the American Nurses
symptoms began, because: Association's cardiovascular
While a cardiac/vascular Involving the graduate nurse nursing scope and standards
nurse preceptor is orienting in the resuscitation by of
a graduate nurse on the assigning a basic task. A patient with cardiogenic baseline cardiac function.
telemetry unit, a patient shock receives a nursing
experiences cardiac arrest. diagnosis of decreased
Which action by the cardiac output. With the
preceptor, during the appropriate interventions,
emergency cardiac care the anticipated outcome is
procedure, facilitates the for the patient to achieve:
graduate nurse's A patient has been receiving report that the patient is
competence and heparin IV for the last three exhibiting signs of an adverse
professional development? days. The patient's most reaction
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current platelet count is
65,000 X 103/uL; the Set of guidelines for all ages for all 10 commandments
platelet count on admission times
was 350,000 X 103/uL. The Exception to general rules epikia
cardiac/vascular nurse Goal of triage Do the greatest good
contacts the physician to: to the greatest number
theoretical framework would you Madeleine Leininger’s
The cardiac/vascular nurse 1500 mg per day. recommend that this committee theory
encourages a patient with should consider when addressing
hypertension to adopt a mutiethnicity and the culturally
low-sodium diet. The diverse nature of this facility for
American Heart Association this philosophy?
recommends limiting this
patient's sodium to:

One of the Healthy People W ith hypertension who are

2020 objectives is to taking the recommended
increase the proportion of medications to decrease their
Integrated board concepts
adults: blood pressure.
Key Question Answer Key
ICP of 12mmHg a. Normal
A patient recently had a reduces the pressure on the
Using therapeutic [Link] the client and talk, and
cardiac catheterization via puncture site.
communication, how give the pt enough time to respond
right-radial approach. The
to communicate with
patient has a compression
stroke patient?
device in place. The patient
Duodenal ulcer b-Gnawing pain after eating and at
complains of numbness and
night
pain in the right hand. The
Pt is having ventricular a-Defib
cardiac/vascular nurse notes
tachycardia, and
a diminished pulse, with a
unconscious what to
cool and cyanotic hand. The
do?
nurse:
Pt taking ferrous a-Tea and antacid
In an assessment for "Is the leg pain relieved by
sulfate what to avoid?
intermittent claudication, rest?"
How to do oral care for a-Side lying
the cardiac/vascular nurse
coma pt?
assesses for leg pain and
cramping with exertion, Elderly report no a-Sedentary
then asks the patient bowel movement for 6
days what is the
possible reason?
Pt complain of Assess for underlying condition
constipation
Nsg diagnosis for Constipation related to slowed
Situation: PALMER Constipation gastrointestinal motility
Key Question Answer Key
Which is most closely aligned with Morals Jaundice,clay colored Gallbladder
ethics? stool and abdominal
pain,what organ is
One of the roles of the registered Serve as the witness to affected?
nurse in terms of informed consent the client’s signature
is to: on an informed Mode of transmission Airborne
consent. of tuberculosis
Sputum sample first 24 Take 2 sample specimen
Which of the following is most Self determination hours
closely aligned with the principles How many ml of 3-5 ml
and concepts of informed consent? sputum
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Positive mantoux test a. Sputum culture no blood return in IV remove
what is the next site what should the
procedure to confirm nurse do?
tuberculosis
Bleeding under cast a. Mark the blood stain
TB isolated by Robert kochs document and notify the
Pt is obese who is a. Dehiscence physician
abdominal post-op
which frequently Nursing process ADOPIE
coughing and vomiting
what complication is Stage of depression Denial, Anger, Bargaining,
mostly to develop? Depression, and Acceptance,
Central obesity is Endomorph or DABDA.
defined a Post –op with 38 a. Remove the dressing,
degrees Celsius what check for infection and
How to modifiy the a. Diet intake the nurse should do change the dressing
odor of stoma:
Pt take the regular B- 8-10 am Post-femoral artery Strict bed rest
insulin at 6;00 am, angiogram
what time will you intervention
expect for Neutropenic Monitor temp evry 4 hours
hypoglycemia?
Airborne: B-Measles and varicella 3000 g baby 4x a day 3 ounce
Skeletal traction: Weights must hang freely feeding how many
What to watch in Potassium level ounce of milk
digoxin and diuretics
Burn pt with dry and a. Hydrogel To check PICC - x-ray
stable eschar,what to (peripherally inserted
do? central catheter)
Color and odor of D-Infection potency
wound indicates thyroid crisis Fever and tachycardia
What to monitor in pt blood cell counts, kidney and liver
taking vincristine and function What to consider with - Indicate the time of
methothrexate? urinalysis collection
Removing chest tube, gentle valsalva maneuver -
what to instruct? Prevention for otitis - Feed infant in upright
2 days post hemi a. Gastric output media position
colectomy what to -
monitor? Blanching of stomach - inadequate blood supply
Hx of 20years of b- Coronary artery means? to the tissues
smoking is risk for? disease
Pt can continue for the b- Thyroid scan with Purpose of draw sheet - to avoid skin shearing
procedure shellfish allergy in repositioning of -
Action of propranolol - To decrease cardiac client
workload
Patient for organ - Cessation of brain function
Action of salbutamol - Dilate bronchioles donor, True definition
Post-op pt complaining a. Ambulation of death
of abdominal pain “gas Brain death occurs - 6-8 mins
cramps” nx A patient has had a High fever , Top of Form
intervention kidney transplant and chills, body aches or flu, and
How to prevent a. Hand washing develops acute organ nausea
spreading of infection rejection
Swelling, cool skin and a. Stop IV infusion and approximately 1 month

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after the surgery. group therapy will you
Based on the nurse's most likely employ to
knowledge of treat these clients?
transplant rejection,
the nurse knows that caring for an acute care D-Visual disturbances related to
the patient will most adult client in the delirium
likely exhibit symptoms medical unit who has
of no history of a
psychiatric mental
After your assessment Use a mechanical lift. health disorder. This 76
of your client and the year old client has
need to transfer your suddenly and abruptly
client from the bed to started to exhibit
the chair, what is the episodic and
best and safest way to intermittent periods of
transfer this paralyzed time vacillating
client when you between periods of
suspect that you will impaired cognition and
need the help of periods of mental
another for the client’s clarity. The client
first transfer out of reports to you that
bed? they are seeing snakes
in their room. This
caring for a client who Establish trust with the client. client is dehydrated
has been assessed as and has just begun
having a past history of taking an
violent and dangerous anticholinergic
behaviors towards medication. Which of
others. What is the the following is the
first thing that you most appropriate
should do to prevent nursing diagnosis for
violence towards this client?
others?
A therapeutic milieu is: D-The provision of a therapeutic
hospice client who is at The client will remain free of pain environment of consistency to
the end of life. Based and distress promote health.
on this client’s signs
and symptoms, the Place the following 1,5,4,2,3,6
client is comatose, steps for mixing NPH
dehydrated, free of and regular insulin in
pain, constipated, the proper sequential
without distress and order from # 1 to # 6
expected to die in a below. #1 - Prep the
day or two. Which of top of the shorter
the following is an acting insulin with an
appropriate client alcohol swab #2 - Inject
outcome or an air that is equal to the
appropriate ordered dosage of the
intervention for this shorter acting insulin
client? using the same insulin
syringe. #3 - Withdraw
Caring for a group of B-Behavioral psychotherapy the ordered dosage of
clients who are the shorter acting
adversely affected with insulin using the same
phobias. Which form of insulin syringe. #4 -
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Copyright: Jonas Marvin Anaque, RM, RN
Prep the top of the vestibular loss)
longer acting insulin Position during caloric supine with the patient’s head to a
vial with an alcohol test 30-degree angle
swab. #5 - Inject air Affected organ - Inner EAR
that is equal to the
ordered dosage of the What is the description a tentative statement and testable
longer acting insulin of hypothesis in prediction about the relationship
using the insulin research between two or more variables.
syringe. #6 - Withdraw Formula for gavage Glucolyte
the ordered dosage of feeding
the longer acting Blaming other person projection
insulin using the same
insulin syringe.
RESEARCH QUESTIONS
Which of the following B-The client with cancer who is
clients is at greatest receiving bendamustine RESEARCH- “Knowledge and practice of prevention of needle
risk for extravasation? prick injuries of Staff Nurses in a certain private hospital in
Metro Manila” Based on the research title which of the
Your client is receiving Exclude pregnant visitors from the following will be the general objective?
brachytherapy. What client’s room.
nursing intervention Question Answer key
should you implement which of the following Anonymity
for this client? rights of individual
participants must be
Which of the following Nausea and vomiting, Anorexia, ensured when the
is an adverse effect to Diarrhea researcher cannot link the
therapeutic radiation information given by the
therapy? respondent from the
Where to refer alcohol Substance abuse counsellor source of the information?
substance abuse? This study aims to determine the level of
Spinal cord injury that - C4 knowledge and practice of
affects breathing prevention of needle prick
Ruptured appendicitis Fowlers (High) injuries of Staff Nurses in a
position certain private hospital.
Maneuver for blumberg test All of these are specific This study is for nursing
appendicitis objectives except: researchers in the future
Care of Transge nder D. "My name is Ann. How would
Pts you like me to address you?" As a nurse, you know the Questionnaire
How should the nurse appropriate data gathering
address the patient? tool, this is?
As a nurse, these are the Limited to the hospital
What to delegate in maternal and child care following topics in the personnel of a private hospital
midwife scope and limitations
Safe to delegate Physical history taking of height except:
and weight
Not to delegate Giving of medications Which of the following is There is a significant
Hepatitis C is blood borne not a null hypothesis? relationship between the
Malaria is caused by vector borne knowledge and
Clostridium botulinum food borne sociodemographic profile of
is staff nurses
Indication of caloric Test for vestibul-ocular reflex TO
testing RULE OUT CENTRAL ETIOLOGY OF
VERTIGO. (Gold standard for RESEARCH QUESTIONS
detecting unilateral peripheral

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Question Answer key represents
A public health nursing b.-a cost-effectiveness evaluation of a study’s:
department seeks data to analysis. what is the symbol of ”X”
confirm that its service is independent varriable
most efficiently using limited Deductive Reasoning is B. Quantitative research
resources. This type of applied in:
analysis is known as: Which of the following is a C. Phenomenology
What is Crude deaths A rate produced by dividing qualitative research design
the number of deaths during where lived experiences of
one year by the estimated individuals are examined in
(mid-year) population? their "life-world"?
A statistical source for census data.
population age distributions,
dependency ratios, and Which of the following is a D. Inductive process
socioeconomic characteristic of qualitative
characteristics is: research?
The variable which is B. Dependent Which of the following Ethnography
influenced by the qualitative methods focuses
intervention of the on description and
researcher is called: interpretation of cultural
What is the symbol of “”y”” behavior?
dependent varriable The term used to indicate the D. Hawthorne effect
The most effective way to conduct personal interviews placebo effect in which the
assess the health care needs with local health care and knowledge of being included
of older adults in a social services professional in a study cause people to
community is to: change their behaviours,
thereby obscuring the
A tornado strikes a mobile Community leaders activate variable of interest:
home community in a small the community disaster The degree to which an A. Validity
rural town. Approximately 10 plan. instrument measures what it
families are left without food is supposed to be measuring
and shelter. Which reaction is its:
demonstrates the A fundamental ethical B. Beneficence
community's viability? principle that seeks to
prevent harm and
When assessing a Key informant exploitation of, to maximize
community's health care benefits for, study
needs, an advanced public participants is:
health nurse interviews a A. Justice
first-grade teacher and the B. Beneficence
editor of the weekly news C. Nonmalificence
bulletin. The nurse is using D. Coercion
which data collection A method of data collection C. Delphi technique
method? in which several rounds of
The primary role of an advocate for the community questionnaires are mailed to
advisory board for a a panel of experts, focusing
community-based health on their opinions or
organization is to: judgment concerning a
A reviewer assesses a [Link]. specific topic of interest is:
potential researcher’s The degree of consistency B. Reliability
credentials and experience, with which an instrument
the availability of measures the attribute it is
funding and resources, and supposed to be measuring is
ethical considerations of a called:
potential study. This
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Copyright: Jonas Marvin Anaque, RM, RN
The reliability of a measuring C. Efficiency probability sampling?
tool has following Which of the following c) The random selection of
aspects, except: is not a characteristic of units makes it possible to
The extent to which the C. Stability quota sampling? calculate the standard error
same results are obtained on Samples are those who ate Convenience sampling.
repeated administrations of available in the conference
the instrument is termed as: room
Which of the following is a Stratified Sampling
A systematic method for D. Surveillance type of probability sampling?
continuous monitoring of Non Probability form of Quota Sampling
diseases in a population, in sampling is
order to be able to detect
changes in disease patterns Study of life experiences PHENOMENOLOGICAL
and then to control them is: Research
Which statistical test is more A. ANOVA
appropriate when there are Data repetition Saturation
more than two levels of
independent variables to
determine which group
means are significant?
"Cardiac patients who receive A. Directional hypothesis
support from former patients
have less anxiety and higher
self-efficacy than other
patients". This statement is
an example of:

What is TRUE about research B. Statement about the

hypothesis? expected relationship of the
variables

Hypothesis testing is D. Confirmatory data

sometimes called analysis
"Above all, do no harm". C. Beneficence
This principle encompassed
in the ethical dimension of:
A. Human dignity
B. Justice
C. Beneficence
D. Anonymity

Random sampling or D. Purposive Sampling

probability sampling includes
all the following techniques,
except:

Gender, age-class, religion, A. Nominal scale

type of disease, and blood
group are measured on:

Interviewing all members of c) a census.

a given population is called:

Which of the following b) Stratified random

is not a type of non- sampling
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