December 2011 Pre Board Exam
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Transcript of December 2011 Pre Board Exam
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December 2011 Pre-Board Nursing Exam (NLE)
Question 1
Janna, 11 weeks pregnant reported that she has slight vaginal bleeding which nursing instruction is important to
discuss to the pregnant woman at this point?
Please elevate your legs when taking your rest.
It is best to come to the hospital immediately and stay here until the
bleeding stops.
You may stay at home but please restrict fluid intake.
Restrict activities and take a best rest
Question 1 Explanation :Answer: D patients with threatened abortion need not to beadmitted in the hospital !n ma"orit# o$ cases, bed rest is re%uired as it usuall# stops the
bleeding in &' hours (owever, i$ bleeding persists hospitali)ation is necessar# to detectand prevent $urther complications All pads should also be saved $or examination andcoitus should be avoided $or * weeks a$ter the bleeding stops +rgasm stimulatesbleeding
Question *
hich signs should alert the nurse that reveals worsening o$ the Janna-s condition?
Abdominal cramping
.aginal bleeding
/etal thrashing
0ervical dilatation
Question 2 Explanation: Answer: D. The most important sign that distinguishes
inevitable abortion from threatened is cervical dilatation.
Question
A client is discharged $rom a hospital due to complete abortion hich o$ the $ollowing statements about completeabortion is true?
A$ter complete abortion $urther medical and surgical treatment is necessar#
2o restore normal hemoglobin and hematocrit levels, iron therap# is necessar# isconsiderable amount o$ blood is lost
2he $ollowing week a$ter abortion, the patient ma# experience menstrual3like $low
and cramps ever# now and then
All o$ these
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Question 3 Explanation: Answer: A. suall! a complete abortion needs no further medicalor surgical treatment. "o medication is li#el! needed. suall!$ the uterus contracts wellafter expelling the entire contents and the cervix are closed.
Question 4
/ollowing complete abortion, a client is advised to return to the hospital i$ this4these s#mptom4s occur:
evere pelvic pain
!ypothermia
Intermittent and slight vaginal bleeding
"ll of these
Question % Explanation: Answer: A. &ollowing complete abortion$a client is advised to return to the hospital if these s!mptomsoccur: ' (rofuse vaginal bleeding ' )evere pelvic pain 'Temperature greater than *++&
Question #
hich o$ the $ollowing iron preparation provides *56 elemental iron, 75 mg /e4*8 tablet?
$errous ulfate
Ferrous Fumarate
$errous gluconate
"ny of these
Question , Explanation: Answer: -.' &errous )ulfate provides33/ elemental iron$ *+0 mg &e132, tablet ' &errous &umarate provides 2+/ elemental iron$ 0+ mg &e132, tablet ' &errousgluconate provides **.0/ elemental iron$ 3 mg &e132, tablet
Question %
/etal respirator# movements are evident at around which period?
'&% weeks "()
*+'*& weeks "()
14-16 weeks AOG
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,'11 weeks "()
Question 0 Explanation: Answer: . &etal respirator! movementsare evident at around *%*0 wee#s A45.
Question -
2he earliest time an (09 can be detected in maternal urine and plasma is:
Right after fertiliation
1++ days after fertiliation
&nd day after fertiliation
9 days after fertilization
Question 6 Explanation: Answer: D. The earliest time an 75 can
be detected in maternal urine and plasma is 8 da!s afterfertili9ation.
Question /
hich substance is trans$erred across the placenta via active transport?
"mino acids
Iron
Iodine
All of these
Question Explanation: Answer: D. )ubstances transferredacross the placenta via active transport are: ' Amino acids ' ron 'odine ' ;ater soluble vitamins ' (hosphorous ' alcium
Question ,
enedict-s test is done to pregnant women who are suspected o$ having:
"nemia
Diabetes
Preeclampsia
0I
Question 8 Explanation: Answer: -. -enedict
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&yanosis
7ecreased pulse rate
Rela2ed child
8leeding of gums
Question *3 Explanation:Answer: A. !anosis$ child thrashing$increased >> and (> are signs of respirator! obstruction whichre?uires intubation to maintain airwa!.
Question 14
hich additional nursing measure4s is necessar# $or a client with croup?
Providing comfort
Reduce child9s an2iety
"dvise the parent to hold the child as necessary
All of these%
Question *% Explanation:Answer: D. The measures listed in A$ -and are aimed at preventing the child from cr!ing that isprevented in croup as it ma! result to the total occlusion of theairwa!.
Question 1#
;utrition is an important part o$ health teaching to pregnant mothers hich o$ the $ollowing is a good source o$ iron?
'oy beans
5ilk
(range :uice
;one of these
Question *, Explanation:Answer: A. &ood sources of iron: ' (or#liver @the best source ' 4rgan and red meats ' )o! beans ' lams' (eanuts ' Dar# green leaf! vegetables
Question 1%
2he nurse is conducting a enedict-s test A$ter placing 8cc o$ enedict-s solution in a test tube and adding ten drops
o$ urine the solution turned orange 2his is best interpreted as:
;egative for sugar
Positive one
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Positive two
(ositi)e three *+++,
Question *0 Explanation:Answer: D ' "egative for sugar blue '
(ositive one @B green ' (ositive two @BB C !ellow green '(ositive three @BBB C orange ' (ositive four @BBBB C bric# red
Question 1-
2he nurse "ust carried out the determination o$ ho5am is given topregnant women which are >7 negative and oombh positive blood. ;hen a
woman is tested oombho5am is no longeradministered. t is given at 2 wee#s A45 and within 62 hoursafter deliver!.
Question 1,
2he nurse is preparing a neonate $or phototherap# hich o$ the $ollowing statements about phototherap# is true?
It hastens maturity of the fetal lungs.
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It enables the conversion of direct bilirubin to an indirectform
It causes a neonate to e2crete a yellowish defecated
product
t enables the con)ersion of indirect bilirubin to a
direct form
Question *8 Explanation:Answer: D. The purpose of aphototherap! is to hasten the maturit! of the fetal liver to enable itto convert indirect bilirubin to a direct form to be excreted out inthe bod!. t causes a neonate to excrete a greenish1tarli#edefecated product.
Question &+
2he child is admitted with a diagnosis o$ a ilm-s tumor hich o$ the $ollowing should the nurse do?
Instruct the parents to avoid crying episodes as it may
cause further respiratory problem
(lace a .no abdominal $al$ation/ si!n in a hi!hly-
)isible s$ace in the client/s room%
"ssist the client for a renal biopsy per doctor9s order
"ll of these are essential for the nurse to perform
Question 2+ Explanation:Answer: -. ;ilm
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Question &&
During the initial stage o$ the $irst stage o$ labor, which nursing action is the best?
"dministering analgesic
"sking the woman to bear down
nformin! the woman of the $ro!ress of labor
)uiding the woman to perform panting and breathingrapidly
Question 22 Explanation:Answer: . ' Administering analgesic Cdone during the active phase of labor in case the patient cannottolerate pain ' As#ing the woman to bear down C not allowedduring the first stage of labor ' nforming the woman of theprogress of labor C gives the woman a sense of control. ' 5uidingthe woman to perform panting and breathing rapidl! C done in thelatter phase of the first stage of labor and during the secondstage.
Question &*
=igns o$ placental separation appear within how man# minutes or hours a$ter the birth o$ the bab#?
1 hour
& hours
0-10 minutes
*+'%+ minutes
Question 23 Explanation:Answer: . During the third stage oflabor$ signs of placental separation appear within ,*, minutesafter the birth of the bab!.
Question &4
hich o$ the $ollowing is the $irst sign o$ placental separation?
udden gush of blood from the vagina
terus becomin! firm and !lobular
6engthening of the umbilical cord
Rising of the uterus to the level of the umbilicus
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Question 2% Explanation:Answer: -. All of the items listed aresigns of placental separation however$ uterus becoming firm andglobular ta#es place first.
Question
Enema is contraindicated in which cases?
Ruptured bag of water
"bnormal fetal heart rate
Aaginal bleeding
All of these
Question 2, Explanation:Answer: D. ontraindications to enema:' >uptured bag of water ' Abnormal fetal heart rate ' aginalbleeding ' "ot given during the active phase ' Abnormal fetal
presentation and position ' &etus not !et engaged ' (rematurelabor because of the danger of cord prolapse ' Abnormal fetalheart rate pattern
Question &%
r Dinglasa underwent gastric resection 0are o$ this client postoperativel# should $ocus on which o$ the $ollowing?
piritual needs
8ody image
;utritional needs
kin 3are
Question 20 Explanation:Answer: . After 5astric >esection$ aclient ma! re?uire T(" or eunostom! tube feedings to maintainade?uate nutritional status. a. )piritual needs C ma! be aconcern$ depending on the client$ and should be addressed onl!when the client demonstrates readiness to share. b. -od! image Cisn
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7iverticulitis
"denomatous polyps
Question 26 Explanation:Answer: D. A client with adenomatous
pol!ps has a higher ris# of developing cancer than others do.lients with diverticulitis are more li#el! to develop colon cancer.7emorrhoids do not increase the chance of an! t!pe of cancer.lients with (D have a higher incidence of gastric ulcer.
Question &/
hich diagnostic test ma# be per$ormed $or a client who is suspected o$ having a gastric cancer?
)astroscopy
8arium enema
3olonoscopy
"ll of these
Question 2 Explanation:Answer: A. A gastroscop! will allowdirect visuali9ation of the tumor. - and are used to diagnosecolon cancer.
Question &,
/ollowing gastric resection, the nurse should teach the client to watch $or which complication?
)astric spasm
3onstipation
7umping syndrome
Increase gastric emptying
Question 28 Explanation:Answer: . Dumping s!ndrome is a problem that occursafter gastric resection because the ingested food enters the eunum withoutproper mixing and without normal duodenal digestive processing.
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Question *+
rs /arrid is suspected o$ having a rectal cancer hich o$ the $ollowing is expected to be exhibited b# the client?
Rectal bleeding
"bdominal fullness
)astric fullness
R0Q pain
Question 3+ Explanation:Answer: A. A common s!mptom of rectal canceris rectal bleeding which is often missed because other conditions such ashemorrhoids can cause bleeding in the rectum too.
Question *1
A$ter a colon cancer surger# which should the nurse expect to possibl# develop in the client?
3omplete bowel obstruction
Peritonitis
7iverticulosis
"ll of these
Question 3* Explanation:Answer: -. -owel spillage could occur duringsurger! which might result to peritonitis. omplete or partial intestinalobstruction ma! occur before bowel resection. Diverticulosis does notresult from surger! for colon cancer.
Question *&
A$ter colon cancer surger#, the nurse noticed the client-s respirations to be deep and labored 2his is what t#pe o$
respiration pattern?
achypnea
8iot9s respiration
!yperpnea
Bussmaul9s respiration
Question 32 Explanation:Answer: D. Fussmaul
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Question **
hich nursing management takes priorit# during the preoperative period $or a client with gastric cancer who is
scheduled $or resection?
eaching deep breathing e2ercises
7ischarge planning
3orrection of nutritional deficits
Prevention of 7eep Aein hrombosis
Question 33 Explanation:Answer: . lients with gastric cancercommonl! have nutritional deficits and ma! be cachetic$ hencecorrecting the problem ta#es priorit! to be able to survive theoperation.
Question *4
2he nurse is taking the histor# o$ a client with 0rohn-s disease hich o$ the $ollowing $actors is likel# to be linked to
the illness?
!ereditary
7iet
edentary lifestyle
3onstipation
Question 3% Explanation:Answer: A. Although the definitivecause of rohn
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Question *%
/istulas in clients with 0rohn-s disease are most commonl# $ound in?
ransverse colon
Ileum
"norectal
Rectovaginal
Question 30 Explanation:Answer: . &istulas occur in all theseareas$ but the anorectal area is most common because of therelative thinness of the intestinal wall in this part.
Question *-
hich o$ the $ollowing s#mptoms is mani$ested b# a client diagnosed with a 0rohn-s disease?
8loody diarrhea
teatorrhea
;arrow stools
Pro:ectile vomiting
Question 36 Explanation:Answer: -. )teatorrhea occurs from themalabsorption in rohn
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7orothy Cohnson
Rosemarie Rio Parse
$aye )lenn "bdellahQuestion 38 Explanation:Answer: A. irginia 7endersonpromotes the principle of gaining patient independence andenumerated the *% basic components of basic nursing care.(arse defined nursing as a scientific discipline of performing art.Doroth! Gohnson defined nursing as having the main goal offostering e?uilibrium within the individual. Abdellah is the onewho grouped the 2* problem areas as a guide in promoting careto patients
Question 4+
A client has lactose intolerance 2o ensure ade%uate calcium intake, the nurse should advice the client to include
which $ood in his diet?
3heese and yogurt
3ollard greens and spinach
8ananas and avocados
6iver and broccoli
Question %+ Explanation:Answer: -. Dar# green$ leaf! vegetablesare the best nondair! sources of calcium. a. heese and !ogurt Cdair! products which should be avoided b! the client b. ollard
greens and spinach C correct answer c. -ananas and avocados Cgood sources of itamin F d. =iver and broccoli C sources of ron
Question 41
r =armiento is diagnosed with Ewing-s sarcoma hich o$ the $ollowing test is most use$ul in determining the extent
o$ metastasis?
3 scan
5RI
8one scan
Position emission tomography
Question %* Explanation:Answer: . A bone scan reviews theentire s#eletal structure$ indicating areas if possible metastases.A$ -$ and D visuali9e onl! one bod! area at a time
Question 4&
hat is the most common cause o$ osteom#elitis?
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urgery
rauma
Immune suppression
IA drug use
Question %2 Explanation:Answer: -. Trauma is the most commonevent causing osteom!elitis.
Question 4*
2he client with osteom#elitis is prescribed with !. o$ antibiotics !$ antibiotics don-t eliminate the condition, which is
most commonl# done next?
8one grafts
"mputation of the e2tremity
7ebridement of necrotic tissue
!yperbaric o2ygen therapy
Question %3 Explanation:Answer: . The tissues ma! need to bedebrided to eliminate necrotic tissue and allow new to form. -onegraft is done after debridement. Amputation is not indicated forthe treatment of osteom!elitis. Although$ h!perbaric ox!gentherap! is a new treatment modalit! for osteom!elitis that hasproduced
Question 44hich is ;+2 an immune reaction to in"ur#?
Presence of necrotic tissue with mast cells at the fractured
area
umor growth at the fractured long bone
orn ligaments with e2udates below the torn ends
"ll of these
Question %% Explanation:Answer: -. Tumor growth is theabnormal division and replication of cells that ma! result infractures.
Question 4#
A dislocated hip will produce which s#mptoms?
Pain in the inguinal area resulting to abnormal gait
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Pain in the hip where the thigh appears longer in theunaffected leg
Pain relieved with pressure
Internal rotation of the knee@ abduction if the leg
Question %, Explanation:Answer: A. A dislocated hip will createproblems with wal#ing and the pain is often due to a pinchednerve in the oint.
Question 4%
+steoarthritis is correctl# described with which o$ the $ollowing?
Immune'mediated :oint disease
Coint inflammation after a viral disease
;oninflammatory :oint disease
;one of these
Question %0 Explanation:Answer: . Degenerative oint disease$also #nown as osteoarthritis is a oint disease due to the wearand tear on oints and is often seen in athletes.
Question 4-
2o prevent sports related in"ur# which o$ the $ollowing is most e$$ective?
Darming up
8uilding strength
Pacing the activity
Dorking with mild intensity
Question %6 Explanation:Answer: A. The best wa! to preventsportsrelated inur! is to warmup.
Question 4/
9as3$orming $oods are avoided with a client in a hip3spica cast hat is the reason $or this intervention?
o prevent flatus
o prevent constipation
o prevent abdominal distention
o prevent diarrhea
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Question % Explanation:Answer: . A client with hipspica castshould avoid gasforming foods to prevent abdominal distention.5asforming foods ma! cause flatus$ but this isn
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client needs to divert energ! on personal development.
Question #&
A client suspected o$ cocaine abuse is brought to the E@ hich o$ the $ollowing ph#sical $indings is expected to be
mani$ested b# the client?
)lossitis
Pharyngitis
8ilateral ear infections
Perforated nasal septum
Question ,2 Explanation:Answer: D. ;hen cocaine is snorted fre?uentl!$
the client often develops a perforated nasal septum.
Question #*
2o indicate the severit# o$ a client-s drug withdrawal which area re%uires thorough assessment?
6iver function
go strength
Bidney function
eiure history
Question ,3 Explanation:Answer: A. =iver function status is animportant variable that can be used to indicate the severit! of aclient
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"mphetamine abusers may have a severe an2iety andparanoid thinking.
Question ,% Explanation:Answer: . After a client usesamphetamines$ there ma! be longterm effects that exist for
months after use which are commonl! paranoia and ideas andreferences.
Question ##
hen the client saw two people walking in the hall taking to each other, he immediatel# told the nurse that the# are
planning to kill him hich o$ the $ollow thought patterns is this client exhibiting?
Ideas of reference
7elusions of grandeur
cholalia
"uditory hallucinations
Question ,, Explanation:Answer: A. A client with ideas ofreference mista#enl! believes that other people
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Question ,6 Explanation:Answer: -. a. &luoxetine C (ro9ac :antidepressant b. -en9tropine C ogentin : anticholinergic c.Dia9epam C alium : ben9odia9epine d. hlordia9epoxide C=ibrium: ben9odia9epine
Question #/
A client is diagnosed with paranoid schi)ophrenia hich o$ the $ollowing nursing interventions is most appropriate $or
this client?
3larify the content of the client9s delusions
2plain procedures before doing it
7efend yourself when hostile behavior is manifested by
the client
Provide a warm approach by touching the client
Question , Explanation:Answer: -. Explaining ever!thing !oudo will prevent misinterpretation of the actions b! a paranoidclient.
Question #,
/our clients have signaled their call bells $or the nurse ho should be seen $irst?
Patient "@ who needs to use the toilet.
Patient 8@ who does not have his glasses or hearing aid.
Patient 3@ who has :ust been given morphine.
Patient 7@ in a geri chair with a restraint vest on.
Question ,8 Explanation:Answer: . An adverse reaction to an!drug can be lifethreatening and should be dealt with first.Horphine is a respirator! depressant.
Question %+
!n relation to obtaining in$ormed consent $rom a 1B3#ear3old adolescent, the nurse should remember that the
adolescent
7oes not have the legal capacity to give consent
Is not able to make an acceptable or intelligent choice.
Is able to give voluntary consent when parents are not
available.
Dill most likely be unable to choose between alternatives
when asked to consent.
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Question 0+ Explanation:Answer: A. An individual is legall!unable to sign consent until the age * !ears. The onl! exceptionis the emancipated minor$ a minor who is selfsufficient$ ormarried.
Question %1
An example o$ intentional tort is
;egligence
5alpractice
8reach of duty
$alse imprisonment
Question 0* Explanation:Answer: D. &alse imprisonment is awrong committed b! one person against another in a willful
intentional wa! without ust cause and1or excuse. A$ - and areall unintentional torts.
Question %&
Alexa has been medicated $or surger# 2he +@ nurse, when going through the clientCs chart reali)es that the consent
$orm has not been signed hich o$ the $ollowing is the best action $or the nurse to take?
"ssume it is emergency surgery and the consentis implied.
)et the consent form and have the client sign it.
ell the physician that the consent form is notsigned.
!ave a family member sign the consent form.
Question 02 Explanation:Answer: . t is the ph!sicianIs responsibilit! toobtain the consent and to ensure that the signer is competent. Amedicated client generall! is not deemed competent and the surger! ma!have to be postponed.
Question %*
2he patient-s cousin is a ph#sician and wants to see the chart hich o$ the $ollowing is the best response $or the
nurse to take?
!and the cousin the clientEs chart to review
"sk the patient to sign an authoriation@ and have
someone review the chart with the cousin.
3all the attending physician and have the doctor speak
with the cousin.
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ell the cousin that the re?uest cannot be granted.
Question 03 Explanation:Answer: -. The client must agree to andsign an authori9ation before the others can review the chart$including insurance companies. Host institution re?uiressomeone on staff to review the chart with the client or clientrepresentative.
Question %4
hich t#pe o$ research design does not manipulate the independent variable?
2perimental design
Quasi'e2perimental design
;on'e2perimental design
Quantitative designQuestion 0% Explanation:Answer: . "onexperimental designs$such as historical and descriptive research designs$ do notinvolve manipulation of variables
Question %#
An example o$ management $unction o$ a nurse is
eaching patient to do breathing and coughing e2ercises.
Preparing for a surprise party for a client.
Performing nursing procedures for clients.
7irecting and evaluating the staff nurses
Question 0, Explanation:Answer: D. Hanagerial functions of nurses include planning$organi9ing$ directing$ and evaluating1controlling.
Question %%
Adrenal insu$$icienc# develops secondar# to the inade%uate secretion o$ which o$ the $ollowing pituitar# hormones?
hyroid'stimulating hormone
$ollicle'stimulating hormone
3orticotropin
"ntidiuretic hormone
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Question %-
hen there is an excessive secretion o$ vasopressin which condition will most likel# occur?
7iabetes insipidus
yndrome of inappropriate antidiuretic hormone
hyroto2ic crisis
Primary adrenocortical insufficiency
Question 06 Explanation:Answer: -. )AD7 occurs as a result ofexcessive vasopressin
Question %/
2his disorder is suggested when there is pol#dipsia and large amounts o$ waterlike urine with a speci$ic gravit# o$155:
7iabetes mellitus
7iabetic ketoacidosis
I"7!
7iabetic insipidus
Question 0 Explanation:Answer: D. Diabetic insipidus is
characteri9ed b! a great thirst and large amounts of waterli#eurine which has a specific gravit! of *.++* to *.++,. diabetesmellitus presents with pol!dipsia$ pol!uria and pol!phagia but theclient also has h!pergl!cemia.
Question %,
!$ $luid intake is limited in a client with diabetes insipidus which o$ the $ollowing will most likel# develop?
evere dehydration and hypernatremia
Peripheral edema and hyperglycemia
)lucosoria and weight gain
!ypertension and bradycardia
Question 08 Explanation:Answer: A. A client with diabetesinsipidus has high volumes of urine$ even without fluidreplacement. 7ence$ limiting fluid inta#e will result to severdeh!dration and h!pernatremia.
Question -+
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A$ter receiving analgesic the client with skeletal traction complained o$ pain a$ter an hour hich alternative pain
management measure can the nurse implement within the scope o$ her practice?
"cupressure and shiatsu
wedish massage
!ypnosis and therapeutic touch
Rela2ation and imagery
Question 6+ Explanation:Answer: D. >elaxation and imager! areeffective aduncts to pharmacologic pain management that thenurse can implement without a ph!sician
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Question -*
hich o$ the $ollowing sampling methods allow the use o$ an# group o$ research sub"ect?
Purposive
now'ball
3onvenience
Quota
Question 63 Explanation:Answer: . nconvenience1accidental1incidental sampling$ data are collectedfrom an!one most convenientl! available. (urposive1udgmentalsampling involves a criteria from which a person has to ?ualif!first. )nowball1networ# sampling involves subects suggestingor referring other subects. Quota sampling involves specifiednumbers of persons of certain t!pes are included in the sample.
Question -4
hat is the $inal step o$ researching?
7efining the specific problems.
7isseminating the findings.
5aking a nursing diagnosis.
Planning and intervention.
Question 6% Explanation:Answer: -. The final step of the researchprocess is information dissemination.
Question -#
hich among the $ollowing approaches demonstrate trans$ormational leadership?
he leader stimulates group interest in establishing unit
goals that contribute to agency mission.
he leader forms subgroups or task forces to create
possible solutions to unit problems.
he leader provides funding for continuing education.
he leader ad:usts hisFher strategies to fit the current
situation.
Question 6, Explanation:Answer: A. A transformational leadermotivates and inspires people b! helping group members see theimportance and higher good of the tas#.
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Question -%
hich o$ the $ollowing statement is correct?
If people are not attending to the services offered by the
health staff@ the team must reassess the needs of the people
In participatory approach@ the nurse must devotedly adhere
to what the people want
In a peasant community where people are fighting for landownership@ the nurse must not participate as this is not a
health concern
;urses must not :oin protest actions as nurses should
always be neutral at all times
Question 60 Explanation:Answer: A. f people are not attending tothe services offered b! the health staff$ the team must reassessthe needs of the people. This is base on the principle thatommunit! 7ealth "ursing is based on the recogni9ed needs ofindividuals$ families$ communities and groups.
Question --
2he $actor in the ecos#stem a$$ecting the individuals health that is involved in the provision o$ essential health
services whether communit#3based, accessible, sustainable and a$$ordable is the:
ocio'economic influences
!ealth 3are 7elivery ystem
8ehavioral
Political
Question 66 Explanation:Answer: -. 7ealth are Deliver! )!stemis the factor in the ecos!stem affecting the individual
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unmet need for family planning services
here are lesser adult women who die due to accidentsand in:uries compared to adult males
"mong adolescent aged 1,@ there are about 1&G of theyoung people who are already se2ually active
Question 6 Explanation:Answer: -. The 2++3 fertilit! rate in thecountr! remains at 3., children per woman$ much higher than thedesired fertilit! rate of 2., children per woman. 7owever$ option -is an incorrect statement because ;omen aged *,2% !ears arethe age group with the highest$ not lowest$ unmet need for famil!planning services at 20/. 4ption A is a correct statementbecause according the 2+++ (hilippine health )tatistics$ 2,/ ofall maternal deaths are due to h!pertension$ 2+.3/ to postpartumhemorrhage and 8/ to pregnanc! with abortive outcomes. 4ption is correct because there are lesser adult women who die due to
accidents and inuries compared to adult males @0.,/. optionD is a correct statement because among adolescent aged *8$there are about *2/ of the !oung people who are alread! sexuall!active and b! age 2%$ %,/ of women are alread! mothers.
Question -,
0ertain D+( programs utili)e an acceptable decision to which the nurse has to $ollow hat should the public health
nurse do to a program3based case?
5anage the case
Refer to the physician
Provide first aid treatment
Refer the case to the ne2t level of care
Question 68 Explanation:Answer: A. n triaging$ a public healthnurse manage a programbased case. ertain programs of theD47 li#e the H utili9e an acceptable decision to which thenurse has to follow in the management of a simple case. All nonprogram based cases are refer to the ph!sician @option -. Allemergenc! cases are provided with first aid treatment and referthe case to the next level of care @option and D.
Question /+
hen the nurse reviews the records o$ the $amil# in the clinic, in what phase o$ the visit is this?
Preparatory phase
Post visit phase
!ome visit phase
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Recording phase
Question + Explanation:Answer: A. n the (reparator! phase$ the nursereviews the records of the famil! in the clinic.
Question /1
During an in$ection control seminar, the speaker speci$ied that prevention o$ the spread o$ (!. include the $ollowing
measures E>0E2:
Patients with "I7 should be isolated
8lood and other specimens should be labeled "I7Precaution
;eedles should be disposed into a puncture resistant
container
8lood spills should be cleaned with chloro2
Question * Explanation:Answer: A. (atients with AD) areimmunocompromised. >everse isolation is re?uired. -ut thisdoes no prevent the spread of AD).
Question /&
A 753#ear old h#pertensive male client expresses concern about his sexual $unctioning hich %uestion is most
help$ul $or this client in obtaining $urther assessment data?
$amily history
e2ual practices
5edication history
5edical conditions
Question 2 Explanation:Answer: . Han! antih!pertensivemedications can affect sexual functioningJ the nurse must assessif the client is ta#ing other medication that ma! also alter sexualfunctioning.
Question /*
hich o$ the $ollowing drugs is associated with dela#ed e"aculation?
"nticoagulants
"ntibiotics
"ntihypertensives
teroids
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Question 3 Explanation:Answer: . Antih!pertensive agents cancause or contribute to sexual d!sfunction.
Question /4
A client has "ust undergone perineal prostatectom#, which o$ the $ollowing permanent complications might the nurse
expect to see in the client?
8leeding
rectile dysfunction
Infection
Pneumonia
Question % Explanation:Answer: -. After a perinealprostatectom!$ a maor complication is erectile d!sfunction. As
with an! surger! A$ and D ma! be noticed but these are notpermanent conditions
Question /#
hich causes the severe headache in increase !0?
tretching of the meninges
3ervical hypere2tension
Refle2 spasm of the neck e2tensors to splint the neckagainst cervical fle2ion
3erebral ischemia related to altered circulation
Question , Explanation:Answer: A. The mechanism producingthe headache that accompanies increase ( ma! be thestretching of the meninges and pain fibers associated with bloodvessels.
Question /%
;uchal rigidit# is indicated in which $indings?
Positive kernig9s sign
;egative brudinski9s sign
Positive homan9s sign
;egative kernig9s sign
Question 0 Explanation:Answer: A. A positive Fernig
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the same condition.
Question /-
0hildren with m#elomeningocele and h#drocephalus ma# demonstrate problems relating to the damage o$ the white
matter caused b# ventricular enlargement 2his damage ma# mani$est itsel$ in which condition?
Inability to speak
arly hand dominance
Impaired intellectual functions
$laccid paralysis of the lower e2tremities
Question 6 Explanation:Answer: . Damage to the white mattercaused b! ventricular enlargement has been lin#ed to theimpairment of intellectual and perceptual abilities often seen in
children with spina bifida.
Question //
4H exercises toprevent contractures as well as stretching of contractures whenindicated.
Question /,
uscles in a child with muscular d#stroph# will have which o$ the $ollowing characteristics?
oft on palpation
$irm or woody on palpation
2tremely hard on palpation
;o muscle consistency on palpation
Question 8 Explanation:Answer: -. Huscles will often be firm onpalpation secondar! to the infiltration of fatt! tissue andconnective tissue into the muscle.
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Question ,+
hich muscular d#stroph# is most severe?
7uchenne9s
$ascioscapulohumeral
6imb girdle
5yotonia
Question 8+ Explanation:Answer: A. )tudies have shown thatDuchenne
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Pain management
Parental reaction
Question 83 Explanation:Answer: D. (arents t!picall! show
strong negative responses to this deformit!. The! ma! mourn theloss of a perfect child. 7elping the parents cope with their child
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!ypoglycemia
Question 80 Explanation:Answer: -. A calcium chelating agent isused for the treatment of lead poisoning$ so calcium is removedfrom the bod! with the lead. 7!pocalcemia$ not h!percalcemiaoccurs.
Question ,-
hich is the best wa# to prevent lead poisoning in children?
ducate the child
ducate the public
Identify high risk groups
Provide home chelation kits.
Question 86 Explanation:Answer: -. -! educating others aboutlead poisoning$ including the danger signs$ s!mptoms andtreatment$ identification can be determined ?uic#l!.
Question ,/
A child is diagnosed with scarlet $ever 2he nurse assesses the child knowing that which o$ the $ollowing is not a
clinical mani$estation associated with this disease?
PastiaEs sign
Dhite strawberry tongue
dematous and beefy@ red colored pharyn2
Boplik spots
Question 8 Explanation:Answer: D. Fopli# spots are associatedwith rubeola. (astiaIs sign describes a rash that is seen in scarletfever that will blanch with pressure except in areas of deepcreases and folds of the oints. The tongue is initiall! coated witha white furr! covering with red proecting papillae @whitestrawberr! tongue. The phar!nx is edematous and beef! red incolor.
Question ,,
!n order to con$irm the diagnosis o$ =nail $ever, #ou advise patient to have, which o$ these examination:
H'ray of the abdomen
0rinalysis
tool e2amination
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383
Question 88 Explanation:Answer: . The male and femaleparasites live in blood vessels of intestines and liver$ but theeggs are laid in the terminal capillar! vessels in the submucosaof the intestines$ and through the ulcerations reach the lumen ofthe intestines and pass out with the feces.
Question 1++