TOPZRANK REIMIEW ACADEMY * NLE * NCLEX * HAD * PROMETRICS* DHA * MIDWIFERY * LET* RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH REFRESHER PRE BOARD EXAMINATION Nursing Practice Il (GENERAL INSTRUCTIONS: 1. This test questionnaire contains 100 test questions |: Care of Healthy and At Risk Mother and Child 2. Shade only one (1) tox for each question on your answer sheets. Two or more bax shaded wil invalid your answer. 3. AVOID ERASURES. 4. Detach one (1) answer steet from the bottom of your Examines ID/Answer Sheet Set. 5. Write the subject ttle "NURSING PRACTICE I" on the box provided. ‘Situation: The birth process affects the holistic aspects of the mother, to include physiologic changes to both the mother and the fetus. Nursing students are now assigned at the OB Admitting Section of the National Hospital 1. Anurse is performing an assessment ofa pregnant woman who is at 28 weeks of gestation: The nurse measures the fundal height in centimeters and expects the finding to be wiich ofthe folowing? The student nurse correctly identfies: a. Dem 36am >. 30m 4.40cm [Xnusing student is preparing a class on the process of fetal circulation. The instructor asks the student specficall to describe the process through the umbilical Cord. Which of the following statements from the studert is correct? a. "The one artery cares freshly oxygenated blood and nutrient-rich blood back from the placenta to the fetus” b. “The two arteries carry freshly oxygenated blood and nutrient-rich blood back from the placental to the fetus.” © “Thetwo arteries in the umbilical cord cary blood that i high in carbon dioxide'and other waste products away from the fetus tothe placenta” 3. Which ofthe following are not presumptive sign/ simptom of pregnancy? a. Amenorthea ¢ Softening ofthe uterus . Urinary changes 4. Nausea) vorniting 4. OF the following probable signs of pregnancy, which describes the bluish discoloration of the vagina? a. Chadwick's sign c Goode’ sign >. Hegar’s sign 4. Balotement 5. A nurse is reviewing the record of a client who has jUSE been told that a pregnancy tes is postive: The physician has documented the presence of Goodels sigm. The staff nurse asks the student nurse and she states that this a. A softening of the cervix >. The presence of fetal movement ¢. The presence of HCG in the urine 4. A sof blowing sound that corresponds to the maternal pulse during auscultation of the uterus. Situation: A G1PO mother went to the health center for a check-up. You are the nurse assigned. 6. The mother asks the nurse when she will be able to begin feeling the fetal movements. You respond by telling the Sand 10 10nd 12 4. 16 and 20 7. The mother asks about gestational diabetes, as she has familial history and was worried about ber pregnancy. Which statement by the dient indicates a further need for education? “Ineed to be in a diabetic diet” 3. “Twill Perform glucose monitoring at home” ¢. *Ineed to avoid exercise because of the negative effects of insulin production 4, “Ineed to be aware of any infections and report signs of infection immediately” History revealed that there ica history of twins in the family and the client was asking about the possibility of hhaving twins as well. The nurse replies: ‘A. Monozygotic twins result from fertilization of two ova by different sperm, 8. Monozygotic twins occur by chatice regardless of race or heredity. C. Digygoticbwins/are Usually of the same sex. . Digyagie twins occur more often in primigravidthan in multigravid clients. Sheila, the dient’s mother, was Worried that her daughter will ave an enormous amount of blood loss during delivery. Asa nurse, the best response would be: ‘@. The maximum blood loss considered within ‘normal limits is 500 mL." "The minimum blood loss considered within normal limits 54/000 mL.” eg Blood loss during a delivery is rarely estimated unless there is 3 hemorrhage” It WoLld be very, unustil if you lost more than 100 ‘mL of blood during the delivery” Duringthe next visit, the cent attended a childbith Dreparstion class and tels the nurse that her lower beck hhas been aching, Which ofthe following exercises are ‘appropriate for the clent? a. Pelvic rocking ©. Tailor sitting b. Deep breathing d. Squatting 11, Syphilis is a chronic disease cause by Treponema palladium. Which ofthe following isnot true about syphilis? ‘a. Trensmission is by physical contact with syphilitic lesions, which are usually ound on the skin, mucous membranes of the mouth, or genitals b. The infection may not cause abortion or premature labor. a 10.12. 13, 14, 15, 16, 17, 18. 4. Aserum test (Veneral Disease Reseatthl Laboratory or rapid plasmal agi) for syphilis on the first prenatal visit, and repeated on the 36" week of gestation. Gonorrhea is an infection cause by Neisseria gonormhoeae that causes inflammation of mucous membrances of the genital ard urinary tracts. Which of the folowing is true? 32. Transmission of the organism is by airborne. b. Infection is not transmissible to a newbom. c _Itmay cause Opthalmianeonatorum. 4. tis usualy symptomatic, and vaginal discharges common. ’ clinic nurse is performing a psychosocial assessment of ‘lice. Which assessment finding indicates o the nurse that the dient s at high risk for contracting human immunodeficiency virus? ‘a. Aclient who hasa history of intravenous drug use. ‘Acdient who has a significant other who is heterosexual © Adlient who has a history of sexvally transmitted diseases. ‘dient who has had 1 cexual partner for the pasti0 years. When Alice was in her third trimester, she was admitted to the hospital with a diagnosis of saver preeclampsia. A ‘nurse monitors for complications associated with the diagnosis and assesses the client for: 3a. Enlargement of the breasts b. Complaints of feeling hot when the room is cool. Periods of fetal movement fllowed by quiet periods. 4. Evidence of bleeding, such asin the ‘gums, bruises, petechiae, and purpura. ‘Alice gave birth to a stilborn infant. Ater the delivery, the family remained together, holding and touching the infant. Which statement by the nurse would further assist the family in theirassistthe family in thein initial period of orie?? ‘a. “Anong pwede kong gawin para salyo2” ._*Ngayon may anghel ka na sa langit” . "Huwag kang magralala, wala tayong hindi nagawa” *Gagawa tayo ng paraan na mapauwi kaing maaga para dimo na mealala ang mga pinagdaanan mo dito” Which of the following isa proper desétiption for Placenta Accreta? 2. Premature separation of the placenta of the uterine wall after the twentieth week of gestation and before the fetus is delivered b. The placenta penetrates the uterine mustleitsel An abnormally adherent placenta 4. Placenta goes al the way through the uterus. [A nurse in the labor room is preparing to care for a dent with hypertonic uterine contractions. The nurse is told that the dient is experiencing uncoordinated contractions that are erratic in their frequency, duration, and intensity. The priority nursing intervention in caring for the clent is to: a. Provide pain relief measures b. Prepare the client for an amniotomy . Promote ambulation every 30 minutes 4. Monitor the axytocn infusion closely. Jenny, 2 nurse, is performing an initial assessment on 2 ‘cine onlias tenes fnae bees lel Slew ls rani ie BilpiThe client is a 36- year old primigrevida b. The client has a hictory of cardiac disease ©The lient'shaefioglebin level is 13.5 g/dL 4d. The-lient isa 20year old primigravida cf average weight and height. 19. Anurse in/@labor room is monitoring a client with dysfunctional labor for signs of fetal or maternal ‘compremise. Which ef the following assessment findings swould alert the nurse to a compromise? a. Maternal fatigue b. Coordinated uterine contractions ‘C.- Progressive changes inthe cervix d. Persistentnonreassuringfetal heart rate 20. AA Blantin J2bor is transported to the delivery room ard prepared for talcaeserean delivery. After the client is ‘rensferred to the delivery room table, 2 nurse places her ins a. Supine position with a wedge under the right hip ‘Trendelanburg's position with the lege in stirups. Prone position with the legs separated and elevated 4. Semi-Fowlers position with a pillow under the knees. SITUATION: Grounded theory is a general inductive method 'thatis»notyinextricably linked to a particular theoretical perspective or type of data. Grounded theory researchers seek to understand the actions in a substantive area from the perspective: of those involved. Zi. The nurse researcher comprehends that people who pioneered studes in grounded theory includes the following apart from? a. | Glaser & Strauss c — Corbin& Tanner b. Strauss & Corbin d. None of the above 22. Coding in Glaserian grounded theory approach is used to conceptualize data into pattems. The nurse-fesearcher incorrectly identfies conceptualzation of the substance of the topic under study as: a, Substantivecadles| _¢, Selective codes b._Openiodes d. Theoretical codes 23, nevi codes are directly derived from the language of the ‘substantive area, The nurse-researcher correctly identifies these codes as: a. Level c. Level IIL b._Level If d. Level IV 24ceingfBunded theory zpproach, data analysis employ 3. Domain analysis b. Constant comparative analysis ©. Componeatiat analysis Taxonomic analysis 2s.em@llSk (6) CS in families of theoretical codes for grounded theory apelyss developed by Glaser (1978) excludes: Contingencies Continuum ._ Covariances i. Consequences 26cerBlnurse is teaching a postpertum client atout breast feedig. Which ofthe fllowing instructions should the nurse include? '2.. Prenatal vitamins should be discontinued. b. The dict should include additional fruits. Organic, hypoallergenic soap should be used to cleanse the breasts. 4. Gelactagogues should be avoided. 27. A nurseis planning to care fora post-partum client who had a vaginal dlvery 2 hours ago. The client had a 4em midline episiotomy and hes several haemorrhoids. What is the priority nursing diagnosis for this client? a. Acute pain28, A nurse is caring forfour 1-¢ay postpartum clentsWhich dlient has an abnormal finding that would require further intervention? a. The dient with mild afterpains rated 4/10 8. The dient witha pulse rate of 70 beats per minut c. The dient with colostrum discharge from both breasts 4. The client with lochia that is red and has a foul smelling color. 29, Robi, a nurse is providing postpertum instructions toa client who willbe breast-feeding her newkom:Which of the following determines thatthe cent understood the instructions? Select al that @pply 1. “magsusuot ako ng bra na may suporta” 2. *Nakaleasama ang pag-inom ng alak para ea ‘aking gatas-ina” 3. "Ang kape ay maaaring makakapagpababa ng aking gatas-ina” 4, Sisimulan ko ang pag-inom ng estrogen pils pag karating sa amingbahey” 5. "Alam ko na kung ang aking suso ay panandaliang lumaki, hihinto ko ang pagpapasuso” 6. Tinom ako ng maraming tubig upang maparami ang aking gatas-ina” A1,65,3 B.1,2,3,6 2,345 D.3,4,5,6 30. A prolapsed umbilical cord is when the umbilical cord is displaced between the presenting part and the amnion or protruding through the cervix, causing compression of the cord and compromising fetal circulation. Which ofthe following assessment findings are not indicative of @ prolapsed cord? a. The dient has a feeling that something is Coming through the vagina, b. Umbilcal cord is visible or palpable ‘c. Sweating, cool and damp skin d. Fetal heart monitor shows variable G&eBeratiors or bradycardia after rupture of the membranes. Situation: Joshua is a public health nurse assigned in the family planning clinic. Rose, 2.19 year old client roported that she has bean sexually active for one year and is asking about family planning methods. 31. Nurse Joshua talksto the client regarding Natural Family Planning Methods which are based on scientific facts on fetity. Which of the following are notnatural methods oF FP? 2, Sympto-Hormonal Method (SMH) . Sympto-Thermal Method (STM) c. Cervical Mucus Method (CMM) 4. Modified Pomeroy Method (MPM) 32. BT is another natural FP method. Wich of the foloWifg isnot true about this method? ‘8. The basal body temperature of a woman is higher before ovulation, until it decreases to a lower level beginning around thettime of ovulation. . After her ovulation, her BT typically rises slightly and stays in a slightly higher range until her next period begins. This sight increase in BBT from ovulation until menstruation is a sign that she ovulated during this cycle The BBT of 2 woman is lower before her ovulation, a de Wilpwomen who are able to have at least 3 hours of Ebola vrus can stil be transmitted through blood for few years Ebola can stil Be transmitted through sex for onthe except a. . a. Paracetamol is prescribed for muscle pains. Ryan may receive ORESOL cr fluid replacement Via intravenous route, depending on the severity of fluid loss. Aspirin is an alternative if paracetamol ie not available for muscle pains. ‘The treatment for dengue Is symptomatic: Situation: Current epidemiological studies have revealed rent outbreaks of certain dormant diseases. The following questions are relevant: 11. Dengvaxia ™ (CYD-TDV) is the frst dengue vaccineto be licensed in Mexico in 2015 for use in individuals 9-45 years of age living in endemic areas. This was developed by Sanofi Pasteur. What isthe route of administration for this vaccine? b G a Intravenous al Intramuscular ‘Subcutaneous 12,_ Determine the dosage ofthis vaceife ‘2: Ginjections of 0.5m. each at 3-maritilintervals b, injections of 1mL each at 3-month intervals c Ginjections of ImL: each at 6-month intervals d. injections of 0.5mL. each at 6-month intervals. 13, Young wemen in yoUF community are afraid that they could be infected with Zika virlsjand they approached You in request of conducting a small gathering wherein you could share with them information about it. The following are vital points to be discussed about Zika virus) excest a. 14. AS an Developing the infection canijonly, be confirmed by laboratory testing of blood and other bocily fluids. Being affected by Zka virus may cause neurological and autommmune complications tn the newborn. Mothers of children with microcephaly have been exposed to Zika virus. ‘A means to control the spread of Zika virus is by vector side reduction/eradication, ‘occupational nurse, you've been assigned to a response team from your company in controlling the spread (of EBOLA infection in one of the affected areas. One of your tasts Is to conduct health teacting on c. Survivors can safely resume normal sexual practices without fear of Ebola virus transmission after two negative results in laboratory testing. Survivors can safely resume sexual practices provided that condom is used. Situation: Part of Our role as law-abiding and ethical health care professionals come our knowledge of regulatory policies in the Philippines that affect our practice. 16. MDT — muttiple drug therapy is proven effective in the ‘cure for Leprosy and renders client non-infactious 7 days after the start of treatment. Domicillary advocates; W, A B RA4073 Proclamation #45 Cc. PD996 D. RA7496 ‘What law regulates the use and disposal of toxic waste produe’s in the Philippines? a. RA9003 b. PD856 c. RA9695 d. RA6969) 3. ThissReplible Act legalizes the use of human organs for ‘surgical, medical and sclentific purposes. ey b. a 19, RA 1055 RA 349 Ragattl RA6425, ‘The 16” congress of the Republic of the Philippines reporteaithis senate bill as An Act Instituting Reforms fo Further Protect and Develop the Nursing Profession, Amending forthe Purpose of RA 9173, jotherwise knowneasithe Philippine Nursing Act of 2002" inppla of the six senate bills submitted to the house. ‘a. Senate Bill 1009 b, Senate Bill 2583 ‘Senate Bill 2720 d. Senate Bill 1264 20. The Magna Carta of Pubic Health Workers was instituted in 1992. Which Republic Act legalized this: RA7277 ~ Magna Carta of Disabled Persons RA 7305, RA 7164 — PH Nursing Act RA 7192 -Women in Developmert Nation Building pogoilhess experiences of dinic and street-based homeless"/Bays: ‘aged 15-23 years living in Morayta, 21. Nurse Marian, a community healti/furse wants to conduct her own ethnographic study focusing on the Tull tribe in Ifugao. She wants to seek the broad types of information sought by ethnographers. She nas anseinaccurate understanding of the areas of interest in/an ethnographic study if she has included 2. Cutural behavior b. Cutural artifacts Cultural attitude d. Cutural speech 22, To help her understand and interpret the everts and activites by the Tuall tribe, Nurse Marian sought forthe help of the Tluali tribe cheftan a: her key informant. In-depth interviews were conducted and she realized that the chieftain’s view about their own culture reflects: ‘a. Emic perspective b. _Etic perspective Bt perspective d. Tacit perspective 23, Nurse Marian was not satisfied about what she discovered about the T'ual tribe from the chieftain, She realized that she needs to establish her own view about the tribe practices as means of data triangulation. To suit her curiosity, Nurse Marian is doing well with ethnographic research process if she employs which data collection strategy used by most ethnographers? ‘a Use of cose-ended questions and structured interview with the members of T'uall tbe b. Immersion with the T'uali tribe and participant observation © Groupng the members of the Tali tbe into control and experimental group Fat a comprehensive survey questionnaire to all members of T'uali tree 24, Nurse Marian is now ready to analyze the data she gathered. To aid her in ethnographic deta analysis, she has chosen to utilize Spradleys method. She has an accurate chronological understanding of ts use if she will ber 1. Making domain analysis 2. Asking descriptive questions 3, Locating the informant 4, Interviewing an informant 5, Making an ethnographic record 66. Analyzing ethnographic interviews a. 145632 b. 34,5,2,6,1 © 146532 d. 342,561 25. Ethnographic research iS typically 2 labor-intensive endeavor. Nurse Marian underStands that for ethnographers to fully assimilate the culturelUnder study, their main goal should be directed towards acquistion on revelation of: ‘2. Emic and etic perspective b. Emi and ett perspective c_ Emic perspective and tacit knowledge 4d. Emic perspective and key informant’s knowledge! Situation: Buffers both intracellular and extracellular ‘maintain the fluid and electrolyte homeostasis of our body. Effective circulation ie affected by different physiologic factors such as blood volume, cardiac contractility, and vessel patency. Minute deviations from the normal can already cause drastic effects in cellular metabolism. 26. In which acid-base disturbance is an anion gap present? ‘a. Respiratory acidosis c. Metabolic acidosis, b. Respiratory akalosis d. Metabolic akalosis 27. The maximum infusion time of packed RBCS is: a. 45 mnutes cc 2 hours b. 10to 15 cm above the insertion site {Gil-5 cm distal to the insertion ste d. inches above the insertion site 29, How eften should the nurse check on © patient with ‘continuous Intravenous infusion? a. Every 4 hours ¢. Every 8 hours b. Every 2 hours — d. Every 30 minutes '30._A grade 3 infiltration of an intravenous site is characterized hy the following, except: a. Blanched, translucent skin/G» Numbness and rrild pain . Goobto.touch . Deep pitting edema Situation: Nurses play an active role in the prevention, management and containment of communicable diseases. 31. A client with human immunodeficiency virus positive had 2 mantoux skin test. The nurse notes @)7.mm area of induration et the site of the shin test. The nurse interprets the result as; a. Positive Uncertain b. Negative D. Borderline Leprosy is a chronic mildly communicable disease that mainly affects the:skin, the peripheral nerves and the ‘mucosa of the upper respiratory tract. The Multi-Drug Therapy (MDT) is proven effective cure for leprosy and renders patients non-infectious a week after starting the treatment. 32, In a health education class conducted by the PHN, she informed them about the early signs and symptoms of Leprosy. Which of the following choices is inappropriate description of the disease? a. Lagopthalmus b. Painful nerves C. Muscle weakness D. Nasal bleeding 23, The PHN gave emphasis on sights and symptoms indicating the infection hadvadVanced to a leter stage. Which of the folowing information should be excluded A. Madorosis B, Hend contrectures (C. Loss of sensation on skin lesion D._ChronielUleer ‘German Measles is a viral exanthem infection, caused by 2 Paramyxo virus primarily affecting older childron ‘and young adults ccurring sporadically in the Philippines due to mildness of the infection. The Incubation period ranges from 10-24 days with clinical features simulating Measles, also a viral exanthem infection 34. Procetsllthe exposure of the nursing affliates to the Pediatric-solation unit Mrs. Garcia, their C.I conducted pre-conference. She asks her students to describe the hallmark of Rubella infection which is lymphadenopathy. The CI would not have to corect Elsa, one of the nursing affliates if she states 2. It involves mucocutaneous lymph node syndrome b. The superficial cubital noles are enlarged Ths involves enlargement of axillary node d. The post cervical nodes and post auricular nodes are enlarged 35. Charisse, 2 student rurse is currently performing ‘assessment on Faith, a 9 year old child diaqnosed withPinkish to reddish lesions_.ont/Soft palate/uvula ._Erythematous lesions Over the neck Vesicles all over the trunk Petechial lesions over the face 36. Paramyxo virus is spread through direct contact with nasopharyngeal secretions of infected individual. The S.N 's conducting health teachings to the mother. The heat teachings to the mother The health teachings were effective of the mather states. a. It is essential to igolate my other siblings who had Rubela infection last year b. I.should not alow my child to play with n@ighbors who recently recovered from German measles & Playmates who live next door with uncertain immunization are highly risk d. It is appropriate to inform my cousin who recently got married for us to communicate ‘over the phone and reset an outside meeting a week from now. Situation: Different communicable diseases spike up in. today’s trends. It is important for the nurse to understand the background of different emerging diseases, its presentation, diagnosis and interventions associated to the diseases, The following questions apply to emerging communicable diseases. 37. Ebola virus was discovered in 1978 in Congo and re-appeared last 2014 in Guinea with case fatality rate of 50% It has several different causative agents and is transmitted through direct or indirect contact to affected primates such as bats. It is also commorly known as the hemorrhagic fever Given its signs and symptoms of myalgia, high fever, malaise, internal bleeding and shock, the “nurse should anticpate all of the following management except: a. Intensive fluid replacement b. Contact tracing Isolation d. Close-door home care 38. Zika Virus_is another emerging disease |Which.. was discovered in Uganda in 1947. It is known tO be transmitted through mosquito tes specifically of Aedesaegypti and albopictus, “side from 2 known complication of microcephaly to infants}born,to a mother who hada tistory of Zika virus, which complication is known to develop among adults who have had a history of the disease? 2. Guillain-Barre Syndrome b._ Alzheimers disease Degenerative spondylosis 4. Hunter's eyndrome 39, In cating for a client with AIDS and is currently on HAART therepy, which of the followingstatements indicates @ need for further teaching regarding the management of the disease? a. "I shoulé take my HAART medications with meals” b, "I should regularly check my liver function” & "I should immediately consult my physican if T experience abdominal pain which radiates to the back” “L could go swimming in a public resort with my family and friends” 40, Nurse Pau is teaching a group of student nurses about Dengue. Which of the following statements if sald by the student indicates correct understanding of the topic being discussed? a. "The confirmatory test for Dengue virus is the ymplete blood count test” KG "The crug of choice for the dlent’s fever is Beetyisalicylic acid” d. “There is pnced to restrict the clients fluid during Grade III Dengue Fever” Mle»SARS and MERS-COV almost have the same presenting Sighsyend_ symptoms. Although they both tiave the same ‘causative agent wich beta-ceronavirus, MERS-COV has 2 higher case fatality rate of 30% compared to the 10% CFR (of SARS. The dliference between the statistics of the two diseases can be attributed to: TameThe extent of tesplratory complications in MERS-COV b, The presente of renal involvement.in MERS-COV ©. The easier diagnosis of SARS The selimiing nature of SARS Rosedla Infantum also known as Sixth Disease is an acute highly febrile condition followed by occurrence of rashes caused by HHV-human herpes virus Type 6 with high incidence between 6Mos-24Mos of age. 42. A clinical instructor assesses the knowledge of Debbie, one of her student assignment at the Health Center to perform clnical history ot 2 child with an admitting imoression as Exanthema Subtum. Which ofthe following data gathered from the mother Is helpful to make this conclusive zIN)Myichildydevelops pruritic rashes for four days duration, coupled with low grade fever b. My child is apparently sick with vesicle lesions for 3 days duration € I gave my child medicine to control the fever of 39° and yet fever persists for 3 days, with an abrupt appearance of ‘elevated rashes, non pruritus as soon as the fever declines d.\ My child develops painful, pruritic rashes without history of fever Situation: Program Planning is a necessary step in ‘order to deliver efficient, quality, and cost-offective activities. 43. Whichoftié following isnot part ofthe planning process? '&. Source out and sllocate resourses to improve the Present state ofaffars . Intervene withthe community’ capability to achieve wellness Setting priority goals according to availabilty of resources 44. Pursuing the objective of enhancing wellness and improving the health status and quality of life of the pecple e. NOTA 44. As an eccurational nurse; you have developed programs to promote healtiih your company. You may implement the following activities, except: 2, Facilitate employee rehabilitation folowing a work accident '. Conduct stress management workshops c. Implement use of new machine to lessen muscle strain during manual work d. Referring a newly annulled single parent toa support group inthe ofice 45. Nurse Dylan isthe school health nurse at Sito Taipapa Elementary Scheol. How many times must he perform physical exemination to the children in a school year? ‘a. Once a year and as theneed arises b. Once ayear only tlhe becireinn aed eed cicSituation: Public health nursing has dynafiically evolved a a practice which ic influanced by the changing global and local trefds in the Philippines. Public health nursing has evolved alongside the institution and development of the Department of Health which was mandated to promote and protect people’s health. 46, The term "Public Health Nursing” was coined by Lilan Wald who advocated for services to be avallable to all people itl the diferent definitions of public health nursing; the World Health Organization (WHO) defined the term ast a. "Nursing practice inl/a wide variety of commurity services and corsumer advocate areas, ard_ineal variety of roles, at times including independent Practice, community health nursing is not confined to public health nursing agencies” b. "A service rendered by a professional nurse with communities, groups, families, individuals at home, in health centers, in dinics, in schools, in places of work for promotion of health, prevention of illness, ‘are of the sick at home and rehabiltation” "A special fied of nursing that combines the skills of nursing, public health and some phases of social assistance and functions as part of the total public heath programme for the promotion ‘of health, the improvement of conditions in the social and physical environment, rehabilitation of illness and disability” d. "The art and science of preventing disease, prolonging We and promoting health through the organized efforts of society” 47. The public health nurse plays different vital roles in the promotion of health in different fies in the communtty. The PHN coordinates with other agencies for the provision of specific services at the same time conducts home visits in the community to evaluate the plan of care implemented on dlients. When the nurse calls for active participetion of the community through community organizing and mobilization to assist the community in Solving. their own problems and promote independence, which role is the\nurse portraying? a, Manegement function >, Nursing care function . Training function 4. Research function 48, In. the year 2000, the United Nations..Milenniuny Declaration Was signed wherein 189 participating UN Tiémber states agreed to try to achieve the 8 Millennium Development! Goal in the year 2015. After the implementing period of the MDGs, the United (Nations, through 2 Weliberative process involving its 193. member states, came up with the Sustainable Development Goal 2020, o'ficially krown as the “Transforming our world: the 2030 Agenda for. Sustahable Development”, Which of the following statements iS notin line with the targets of the 17 SDGe? a. ensure sustainable food production systems id implement reslient agricultural practices that increase productivity and production, that help maintain ecosystems, that strengthen capacity for adeptation to climate change, extreme weathe, drought, ooding and other disasters and that progressively improve land and soll quality b. ensure limited access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of repreductve health into national strategies and programmes ‘ensure that all learners acquire the knowledge and human rights, gender equality, promotion of a culture (of pestenand nonsolence, glotal ctizership and ‘appreciation of /eultural diversity and of culture's contribution to sustainable development {epeSustain per capita economic growth in. accordance ‘with ational circumstances and, in particular, atleast 7 per cent gr0ssidomestic product growth per annum Inthe least developed countries WapPublic health and public health nursing iS @ practice which primary Wove.in an increasingly health promation direction beyond its responsbility of providing dlinial and curative services in the community. Allbut one are princples of health promotion; 2: tinvolves the population as a whole inthe context of their evetVday, Ife, rather than focusing on people at risk from specific diseases b. Itis primary a medical seAViéB and not a societal and political venture in which healthcare professionals have a vital role © It aims particularly at effective and concrete public participation which requires development of problem-defining ané decision-making life skills both individually and collectively d. It is directed towards action on the determinants or causesjofihealth: This requires a close cooperation between sectors beyond healthcare which reflects the diversity of conditions which influence health. 50. Nurse Lyka is assigned to a number of health centers in District 1 of the Province of Tilo, She manages and oversees diferent. groups of nurses in a total of 4 health centers from Oton, Miag2o, Tigbauan, and Guimbal. She does objective assessment of different health programs, probleme ané services in all of these areas. She also initictes meetings, discussions) and conferences with other nursng staff and health personnel to provide joint planning and stimulation of activities for staff improvement and capacty-building. Nurse Liyka performs the function of a: ‘a. Public Health Nurse IL b. Supervising Publ Health Nurse Public Health Nurse V 4. Nurse Program Supericor Situation: Mrs. Vergara is now the chief nurse of a hospital in Manila, She is clinically reviewing different ‘management styles and theories that will best help her in running the nursing services in the hospital. Si. Which leadership style best empower the staff towards ‘excellence? 1K. Autocratc. 8. Situational C. Democratic D. Lalsser faire 52. As nurse manacer, Jilian enjoys her staff of talented and ‘well-motivated individuals. She knew the leadership style to 'SUt the neds.ofithis Kind of people is called: ‘A. Autactatic CDemocratic B. Participative D. Laissez faire 53, A fire has broken in Jilian’s unit. The bast leadership style Sutted in cases of emergencies lke this is: ‘A. Autocratic . Democratic B. Participative D. Laissez faire S54. Mrs. Vergare is thinking of introducing the Primary Nursing Model Approach. You understand tht in this nursing mode! ‘A. The nurse manager assigns tasks to the staff members 8. Critical pats are used in providing nursing care C.A simple registered nurse is responsible for planning and providing individualized nursing care . Nursing staff are led by an RN leader in providing care to @8, Follow-up activities that have been stated C. A continuing process of seeing that performance mest goals and targets D. Informing personnel how well and how much improvement has been made Situation: Mr. Delos Reyes, 70 years old, was suddenly rushed to the hospital because of severe chest pain. On admission, he was diagnosed to have an acute myocardial infarction and was placed in the ICU. 56. While he is in the ICU, he executes a documentitit ists the medical treatments he chooses tosrefiise in case his condition becomes severe to a point that he will be unable to make decisions for himself, The document is: A Living will . Last will and testament 8. Power of attomey _D. Informed consent. 57. After one day, the patient's condition worsened and he felt hopeless. He requested the nurse to remove the oxygen. The nurse should: |. Follow the patient because it sis right to die gracefully 8, Refuse the patient since euthanasia is not accepted in the Philippines C. Follow the patient as itis his right to determine the medical regimen he needs D. Refuse the patient and encourage him to verbalize his feelings 58, Euthanasia is an ethical dilemma which confronts nurses in the ICU because: |A. Decisions has to be made quickly, often under stressful situations 8, Decisions has to be made based on socetal norms C. The choices involved do not appear to be clearly right or wrong D. A client's legal rights co-exist with the nurse's professional obligation 59, The personal conviction that euthanasia is absolutely wrong in any situation is: ‘A. Personal value B, Legal obligation ©. Btlcal issue D. Immoral belief 60. Mr. Delos Reyes felt better after 3 days but recognized the severity of his illness. He executed a document authorizing his wife to transact any form of business in his behalf in addition. to all decisions relative to\his. confinement. This document is referred to asi ‘A. Power of attomey _C. Medical reco 8. Informed.consent —_D. Living will Situation: The staff nurse supervisor requests all the staff nurses to brainstorm and lear ways to provide health teachings to clients. She wants\to ensure that there are nurses available to do daily health education lasses. 61, When Lanie, 2 nurse, delegatisiaspects of cent care to’ the nurse aide who is an unlicensed staff, Lanien |. Makes the assignment to teach the staff member B. Is assigning the responsibility to the aide but not the) accountability for those tasks C. Does not have to supervise nor evaluate the nurse aide: . Must know how to perform the delegated task 62. Which of the following is not a legally binding document but § very important in the care of all patients in any heath care setting? A. Bil of rights as provided in the Philippine constitution 8. Scope of nursing practice as defined by RA 9173 €. Board of nursing resolution adopting the code of ethics D. Patient's bil of rights B. Orallrepart ‘64. Performing a proeedure.on a cliert in the absence of an informed consent can lead to which of the following charges? oFraud CC. Harassment ‘Assaultand battery 0. Breach of confidentiality . Complaint report 65. Delegation & the) pfocess of assigning tasks that can be performed by a subordinate. The RN shoud always be f@ccourtable and should not jose his accountability. Which of the following is 2 role included in delegation? A. The RN must supervise all celegated tasks Bi After a task has been. delegated, it is no longer e responsibility of the RN ‘CeThe RN is responsible and accountable for the delegated tack in adjunct with the delegate D. Follow up onvandelegated task is necessary only if the ‘assistive personnel Is not fustworthy Situation: Ben has a nursing diagnosis of ineffective ainway clearance related to excessive secretions and is at risk for infection because of retained secretions. Part of Nurse Jenny's care plan Is to loosen and remove secretions in the airway. 66. Jenny listens to Ben's bilateral sounds and finds that Congestion is in the upper lobes of the lungs. The appropriate Psition to drain the anterior and posterior apical segments of the lungs when Jenny does percussion would be: ‘A. Glient lying on NS back and then flat on his abdomen on ‘Trendelenburg position B. Client seated upright in bed or on a chair then leaning forward in sitting position then flat on his back ‘and on his abdomen C. Glient lying let on his back and the fat on his abdomen D. Client ing on his right the left side on Trendelerburo Position 67. When documenting outcome of Ben's treatment, Jenny should include the following on her recording except: ‘A. Color, amount, and consistency of sputum BB. Character of breath sounds and respiratory fate before and after the procedure C. Amount of fluid intake'6f client before and after the procedure D. Significant’changes in vital signs 68. When assessing fen for chest percussion or chest Yibration, 2nd postural-draifiage, Jenny would focus on the folowing except ‘A. Amountiof food and fluid taken during the last meal before treatment B. Respiratory rete, treath soundsjafid location of congestion C. Teaching the client’s relatives to perform the procedure D. Doctors\@fder regarding position restrictions and dent's tolerance for lying fat 69. Jenny prepares Ben\f6Fipestural drainage and percussion Which of the-folloWing is a special consideration when doing the procedure? 1A. Respiratory rete of 16 to 20 per minute B. Client able to tolerate itting and lying position © Glient has no signs of infection 1D. Time of last food and fluid intake of the client 70. The purpose of chest percussion and vibration is to loosen secretions in the lungs. The diference between the procedures is: ‘A. Percussion uses only one hand while vibration uses both hands Percussion delivers cushioned blows to the chest with cupped palms while vibration gently shakes secretions loose on the exhalation cycle C. In both percussion and vibration, the hands are on top ofSituation: Nursing is a profession. Miss Perezis anewly appointed nurse in a hospital in/Manila. Born May 1993, 7, Miss Perez defined nursing as the following except: |. Assisting indivdual, family, and community nwattainng) health 8, Assisting in basic health needs C. Establishing nursing diagnosis and implementing aursing care D. Diagnosing, treating, prescribing medication and doing minor surgery 72, PNA was established: 1. In 1922 2. In 1926 3. With Mrs. Rosario Delgado as the first president 4. With Mrs. Anastacia Tupas as the first president A.1and3 ¢.2and 3 Bo Land 4 D.2and 4 73, As a national nurses” association, PNA is characterized by the folloning, exceot: A. Both a professional body and labor union 8. Affliated with the Internetional Council of Nurses . Advocating improved work and life condition of nurses D. Accrediting body for continuing education program 74, CPE units per yeer are needed for license renewal. The number of CPE units in 3 years should be: A 20 units 8, 30 units C. 60 units D. 100 units 75. To manifest that you want to quit from your job and: discontinue the services you render after the completion of a contract, you will fle a/an: A. Certificate of resignation 8. Honorable diemicsal C. Certificate of termination D. Resignation letter 76. Jenny plans to resign from|hen job as a staff nurse. She must give an advance natice of: A. 15 days 45 days 3. 30 days D. 60 days 77. 1 a nurse filed a sick leaVélandplans to return to work after, she must show her: A. Back to work certificate 8. Ft to work certificate C. Death certificate D. Medical certificate 78, A ‘erticate that wil show that a AUFSS—met the requirement set by the Phiippine Government to practice the profession is: A. Diploma B. Certificate of passing Nursing License D. Board cettificate/CoR 79, Nurses in the Philippine Government also felt the need to organize themselves, this led to the creation of |A. National League of Government Nurses 8, National League of Flipino Government Nurses . National League of Philippine Government Nurses D. Philippine Government Nurses Association 80, The founder of NLPGN, during her lifetime, exemplified professional cignity, high level of intelligence and leadership abil, 2s well as moral integrity. She was a good model, who, like Florence Nightingale, initiated reforms and worked for the Improvement of the nursing profession and health care in the he Kfiowledge of nursing profession development is Required in order to project the profession in away ‘that it uplifts the standard of nursing. ‘Situation: You are a nurse condiicting a statistical ‘analysis in your research entitled “The Effect of Gingko Biloba in Enhancing Memory and Retention Among 4” ‘Year High School Students.” )Bla\What is the independent variable? ‘A. The Affect of gingko biloba B. Memory and retention .Gingko biloba . Enhancing: memory and retention 182. What is the dependert variable? A. The effect of gingko bioba ‘Memory and retention. C. Gingko biloba: . Enhancing memory and retention 83. The research design best used in this research is: A. Experimental B. Non-experimental C Descriptive D. Qualitative 84. The hypothesis developed was: Gingko biloba improves ‘memory and retention, This is an example of: ‘A. Simple, directional B. Simple, non-drectional C. Complex, directional Complex, nor-directional 85. Gingko biloba hes an effect on memory and retention best describes which type of hypothesis? ‘A Simple, cirectonal Simple, non-directional C. Complex, directional D. Complex, nor-directional 86, Which of the folowing Is the best nullhypétess (H,) for this study? ‘A. Gingko biloba has_nogeffgét on enhancing memory and retention B. Gingkogbil6lS has an effect on enhancing. memory and ‘retention C. Gingko biloba has no effect on enhancing memory ‘and retention of 4” year high schoo! students De Gingko biloballhas an effect on enhancing memory. and retention 6f4® year high school students 87. Which of the folloning best fépresents the alterrative Hrypothests (+, fr this study? "K. Gingko bilobasjhas no effect on enhancing memory and retention 8. Gingko bilota has an effect on enhancing memory and retention . Gingko biloto has no effect on enhancing memory and Felention of 4° yer high school students D._Gingko biloba has an effect on ennancing memory {and retention of 4 year high school students 'B8, Which of the following ic the average P value as threshold ‘to determine the plausibilty of the null hypothesis? A.P=0.05, ‘C. P=0.001 B.P=0.01 D.P=05 89. If the study is statistically highly significant, t would reflect a p value of? ‘A.p=0.05 c.p=0.001 B.p=0.01 D.p=05 90. Supposed that your altemative hypothesis has a 1 in 2 hundred chance of accepting the null hypothesis, has a 99%Situation: Health promotion is the priority nursing. responsibility. The nurse should be able to promote the client’s well-being and identify ways on improving the lient’s quality of life. 91. The nurse's caring for 2 16-year old femalé client who isn't sexually active. The client asks if she needs a Papanicolau test. The nurse should reply: AL Yes, she should have a Pap smear after the onsetsofl ‘menstruation B, No, because she isn’t sexually active C. Yes, because she's 15 years old . No, because she is not yet 21 years old 92. The nurses assessing a client who complains of abdominal pain, nausea, and diarrhea. When examining the client's abdomen, which sequence should the nurse use? |. Inspection, palpation, percussion, auscultation B. Inspection, auscultation, percussion, palpation CC Auscultation, inspection, palistion, percussion . Palpation, auscultation, percussion, inspection 93, The nurse is speaking to a group of women about early detection of breast cancer. The average age of women in the Situation: As a peri-operative nurse, you are aware of the correct processing methods for preparing dicinfection. 96. AS an OR nurse, what Is your foremost consideration for selecting chemical agents for disinfection? A. Material compatibility and efficiency B. Odor and availability C. Cast and duration of disinfectant process D. Duration of disinfectant and efficiency 97. Before you use an instrument disinfectant, itis essential that you: ‘A. Rinse with tap water followed by alcohol 8. Wrap the instrument with sterile cloth C. Dy the:instrument thoroughly D. Rinse with sterile water 98. You have a cttical heat labile\instrument to sterilze and are-considering using high level disifectanits What should you do? ‘GFOUBIE'45, Following the Philippine Cancer Society the nurse should recommend that the women should: ‘A. Perform a breast self-examination annually B. Have a mammogram annually ‘GhHave a hormenal receptor assay annually . Have ayphysician conduct a dinical examination every 2 years 04. The School nurse is plannifigiaprogram for a group of teenagers on skin cancer prevention. Whichyof the following InstsuctionshoulJ the nurse emphesize on her tak? ‘A. Stay out of the sun between 1 pm and 3 pm ‘BeTanning booth is a safelaiternative for these who wish to tan C. Sun exposure is safe, provided the client wears a protective ‘dlething . Examifie skin once per month, looking for suspitious lesions ‘or changes in moles 95. An employer establishes a pliysical exercise area in the workplace, and encourages all employees to use it. This is an example of which level of prevention? ‘A. Primary prevention . Tertiery prevertion B. Secondary prevention D. Passive prevention ‘A. Cover the soaking vessel to contain the vapor B, Double the amount of high level disinfectant . Test the potency. cf the high level disinfectant . Prolong the expdsure time according to manufacturer's direction 99. To actieve sterlization using disinfectant, which of the folowing is usec? A. Lowlevel disinfectant immersion for 24 hours B. Intermeciate level disinfectant immersion for 12 hours . High level disinfectant immersion for 1 hour D. High level disinfectant immersion for 10 hours 100. Bronthoscope, thermometer, endoscope, ET tube, cystoscope, are all best sterilized using which of the following? ‘A Autoclving at 121°C in 15 minutes B. Flash stetize at 132°C in 3 minutes Ethylene oxide gas aeration for 20 ors . 2% Glutaraldehyde immersion for 30 minutesTOPZRANK REMIEW ACADEMY “NUE * NCLEX* MAAD = PROMETRICS * DHA* MIDWIFERY * LET“ RADTECH * CRIMINOLOGY ° OENTISTRY * PHARMACY * MED TECH REFRESHER PRE BOARD EXAMINATION Nursing Practice Ill:Care of Clients with Physiologic and Psychosocial Alterations (Part A) ‘GENERAL INSTRUCTIONS: 1 This test questonnate contains 100 test questons 22 Shade orly one (1) box fr each question on your answer shoets. Two or more boxes shaded wilt your answer 3 AVOID ERASURES, 4. Datach one (1) answer sheet fom the botom of your Examines iD/Answer Sheet Set. 5. Wrath subject ile “NURSING PRACTICE Ion the bor provided ‘Situation: Nurse Uncle Drew is sssigned in the telemetry area. He handles patients suffering from ‘eardiovascular conditions. The following questions: only. Tne oF Ne Uncle Drew's patents paint Stephen Girysfers fom percardeleftision. Nase Unde ew ‘rove thatthe nore! amount of Mid in the pes see's promt = om 30m b 20m. 4. mL One of the classe nical manfestatons of para efor is pubis pradons Whch of the foloning Sescrbes ths peomenon? Dastcic Dood pressure that markedy lover dor innate Abnormal difference of at least 1Ommbg in tyme. pressure, between the point of exhalation and inhalation Aromat aiterence cf at ast Omang in date presse fetween the pont of exiaaton and Salon Fase. high readings of Blo pressure upon imalaion ban etaaton ch fhe follomng ets can be the dagnoste test for adc tamporade? Doppler Urasound ¢ Pencardacentess b Bytes Echocardiogram Which of the folowing sons dates that petcrdocntesishas teen success? ‘2. Increasing central verous pressure B. Inceasiy Bood pressure © Feeing of mmedate relat &._ucble Peart sounds ne aterate Weatment for ater Stephen Cun i peverdotony. Nurse Unce Oren woud exp to the aor tht te peer ak procedure where a oma I ceates in the {rteror art of the heat tbe connect the Jerson for oiaze of perkardal Rid S pertion of the periardiom i ancien to permit drainage of pericardial Fuld into the Treat eyster porn othe hearts rected to the ureter for tranage ofthe excessive pcarda Rad A stoma.‘ crested in the percardun to be Connected tos ockzon prot for Sanage Of scesive id Nurse Weatirosk 2 mentoring 952 year ad cent who is Underging read sess tet. WR cent ding al require the most mmdote actor? . ood pressure of 15298 nmbg Ber fte of 14 beatin Oxygen statin of 91% 4. Chest pain tevel of 2 on a scale of 10 7. Nurse Westook's making a hone vst to patent ames Harden. 0 hypertensive lene, wo has een tang & (OP RANK REVIEW ACADEMY, INC. cenaopet (Vosctec). Which finding Indicates that you need to contac the heath cae provider abot the chenge in drug thermpy? ‘Giant reports frequent urinaton IBewGlent’ blood pressure i 136/86 mg & lent coughs often during visit id. Glent sys “Iget czzy sometimes" 8 Charge nurse Michael Jordan is asigning patients in the Telemetry. Which cent is best 0 assign to Nuse Antenkounpo who has come fr the day from the general metal surgical unc? 3) Gent requiring discharge teaching about coronary artery senting Client receiving IV furosemide to treat acute left ventricular failure Gient who just tansferred in from the ratology Gepartment ster a coronary angioplasty lent just admitted wih urstable angna Who hes corters of heparin nfusion and asprin 9. At 1000H, a hosptalized cle receives a new order for transesophageal wechocardiography (TEE) scon 2s possi. Which action wil you take rst? ‘a. Put the client on nothing by mouth status 1B, Teach the chert about the Insert a1 IV catheter n the cients forearm dd. tach te dent to a cardacmontor ‘A resident a long term exe feclity who has venous sta ulcers is treated with an Unra boot. Which nursing Bctvty inchaded inthe cre 1s best to delegate tothe NA? fa. Teaching farsy members the sans of infection 18. Monitoring cally perfusion once every 8 hours _Evatsating foot sensation and movernent each shift 44. Assisting the client in caning around the Unna boot Situation: Nurse Hannah is helping a patients at the forthopedic ward with ambulation. 11. Whi, Hannah is helping 2 patient walk without any Wale oF crutches, the yatirt sudenly has syncene and falls How wif-the nurse protect the patient from any ised he Flesng both es atthe knees and caching by the Feng the patierts fp ard knees, and crying her Back to her bed Extending one of the patient's leg and letting hher gently slide against that log down to the floor 14. Widening the base of support of the patient by putting his fest apart, catching the patents back | patient who had above-the knee amputation ofthe kt leg s being prescribed with crutches. He daims to have no problems with ambulation on the ight leg. Which among the folowing cutch galt is BEST forthe patient? @ Four-pont alemate galt “Tworpoint gait b. Three-point gait — d. Swingthrough gait b © 4 10. b © 2, Pegea16