compre - np 2 ans. key

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COMPREHENSIVE EXAMINATION NURSE LICENSURE –NOV. 2008

NURSING PRACTICE II SET A

NURSING PRACTICE II: COMMUNITY HEALTH NURSING AND CARE OF THE MOTHER AND

CHILD

GENERAL INSTRUCTIONS:

1. This test booklet contains 100 test questions.

2. Read INSTRUCTIONS TO EXAMINEES printed on your answer sheet.3. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded

will invalidate your answer.4. AVOID ERASURES.

5. This is PRC property. Unauthorized possession, reproduction, and/or sale of this test ispunishable by law. Per RA 8981.

INSTRUCTIONS:

1. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set.

2. Write the subject title “Nursing Practice II” on the box provided.

3. Shade Set Box “A” on your answer sheet if your test booklet is Set A; Set Box “B” if yourtest booklet is Set B.

SITUATION: Immunization is necessary in order to save lives, not only for children but also for the mother.

1. Tetanus vaccination is given to the mother. How many years will TT4 last?

A. 3 B. 5 C. 10 D. Life

2. TT1 will give how many percent protections to the mother?

A. 75% B. 80% C. 90% D. 99%

3. What TT gives protection to all infants born to that mother who received that specific vaccination?

A. TT2 B. TT5 C. TT3 D. TT4

4. In a population of 77,500. What is your estimate of the population of pregnant woman needing

tetanus toxoid vaccination?

A. 2712.5 B. 2713 C. 2325 D. 2332.5

5. Which of the following is an inactivated toxin?

A. BCG B. Measles C. Tetanus Toxoid D. Hepatitis B

6. TT administration uses what route?

A. IM B. IV C. SQ D. Oral

7. Christina receives DPT 3 during infancy. The first TT vaccination for her will provide:

A. 5 years protection C. 3 years protection

B. 10 years protection D. No protection until the second TT vaccination

8. Measles vaccination provides atleast how many percent of protection in children age 9 months?

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A. 50% B. 75% C. 80% D. 99%

9. The most common fatal complication of measles is usually associated with:

A. Pneumonia B. Diarrhea C. LTB D. Seizures

10. Which of the following immunization is a plasma derivative?

A. BCG B. Measles C. Tetanus toxoid D. Hepatitis B

SITUATION: Diagnostic examinations performed in pregnant clients are useful in determining the

health of the unborn child. The following questions refer this.

11. Instruction to the mother prior to amniocentesis includes:

A. Ask the woman to void

B. Tell her that 30 ml of amniotic fluid will be taken

C. Ask the woman to drink

D. Instruct to lie in left lateral position

12. Amniocentesis can be done as early as:

A. 6-8th week B. 11-12th week C. 14-16th week D. 18-20th week

13. The rationale of voiding prior to amniocentesis is to:

A. Prevent puncture to the vagina C. Prevent vena cava syndrome

B. Prevent puncture to the bladder D. Promote comfort during the procedure

14. After the procedure, the woman is instructed the rest quietly for a period of:

A. 8 hours B. 30 minutes C. 15 minutes D. 4 hours

15. If Amniocentesis reveals a low value, the physician might suspect genetic or chromosomal

abnormality such as Down syndrome. Genetic testing is another viable option for the family. The

nurse should know that genetic testing should only be done if:

A. Both parents want it performed C. It is necessary for the child to survive

B. It is in the best interest of the child D. No one objects

16. Francis is admitted in active labor. The nurse locates fetal heart sounds in the upper left quadrant

of the mother’s abdomen. The nurse would recognize which of the following?

A. Francis will probably deliver very quickly and without problems]

B. This indicates Francis will probably have a breech delivery

C. The fetus is in the most common anterior fetal positions

D. this position is referred to as being left anteriopelvic

17. Maybelle is scheduled to have an ultrasound examination. What instructions would you give her

before her examination?

A. The intravenous fluid infused to dilate your uterus does not hurt the fetus

B. you will need to drink at least 3 glasses of fluid before the procedure

C. void immediately before the procedure to reduce your bladder size

D. you can have medicine for pain for any contractions cause by the test

18. At 17 weeks’ gestation, a type 1 diabetic undergoes an ultrasound examination. What informationabout the fetus at this time in pregnancy would be the results of this examination provide?

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A. Placental maturity C. Gestational age

B. Estimated fetal weight D. Fetal lung maturity

19. Fetal lung maturity is depicted by an L:S Ratio of:

A. 2:1 B. 1:2 C. 3:3 D. 2:2

20. Genetic counselling can also be performed. The ideal time for genetic counselling is:

A. When the first born child exhibit defects or malformationB. After marriage

C. At the first trimester of pregnancyD. Before the first pregnancy

SITUATION: Two children were brought to you. One with chest indrawing and the other had diarrhea.

The following questions apply:

21.Using Integrated Management and Childhood Illness (IMCI) approach, how would you classify the1st child?

A. Bronchopneumonia C. Severe pneumonia

B. No pneumonia: cough or cold D. Pneumonia

22.The 1st child who is 13 months has fast breathing using IMCI parameters he has:

A. 40 breaths per minute or more C. 30 breaths per minute or moreB. 50 breaths per minute D. 60 breaths per minute

23.Nina, the 2nd child has diarrhea for 5 days. There is no blood in the stool. She is irritable, and her

eyes are sunken. The nurse offered fluids and and the child drinks eagerly. How would you classifyNina’s illness?

A. Some dehydration C. Severe dehydration

B. Dysentery D. No dehydration

24.Nina’s treatment should include the following EXCEPT:A. Reassess the child and classify him for dehydration

B. For infants under 6 months old who are not breastfed, give 100-200 ml clean water as wellduring this period

C. Give in the health center the recommended amount of ORS for 4 hours.D. Do not give any other foods to the child for home treatment

25.While on treatment, Nina 18 months old weighed 18 kgs. and her temperature registered at 37

degrees C. Her mother says she developed cough 3 days ago. Nina has no general danger signs.She has 45 breaths/minute, no chest in-drawing, no stridor. How would you classify Nina’s

manifestation?

A. No pneumonia C. PneumoniaB. Severe pneumonia D. Bronchopneumonia

SITUATION: There are other important basic knowledge in the performance of our task as Community

Health Nurse in relation to IMMUNIZATION, these include:

26. The correct temperature to store vaccines in a refrigerator is:

A. Between -4 deg C and +8 deg CB. Between 2 deg C and +8 deg C

C. Between -8 deg C and 0 deg CD. Between -8 deg C and +4 deg C

27. Which of the following vaccines is not done by intramuscular (IM) injection?

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A. Measles vaccine C. Hepa-B vaccineB. DPT D. Tetanus toxoids

28. This vaccine content is derived from RNA recombinants.

A. Measles C. Hepatitis B vaccines

B. Tetanus toxoids D. DPT

29. This is the vaccine needed before a child reaches one (1) year in order for him/her to qualify as a

“Fully immunized child”.

A. DPT B. Measles C. Hepatitis B D. BCG

30. Which of the following dose of tetanus toxoid is given to the mother to protect her infant from

neonatal tetanus and likewise provide 10 years protection for the mother?

A. Tetanus toxoid 3 C. Tetanus toxoid 1

B. Tetanus toxoid 2 D. Tetanus toxoid 4

31.The nurse instructs the caregivers of a newborn to notch the diapers or fold them in such a way asto expose the cord. The major purpose of exposing the cord is to:

A. Remind caregivers to do cord care C. Provide air circulation for the cord

B. Keep the diaper from rubbing the cord D. Allow visualizations at all times

32.The level of health of an individual, family, group, population, or community is called:

A. Health assets C. Quality of life

B. Health status D. Health needs

33.The nurse is teaching a group of expectant mothers about the prevention of diaper dermatitis. Thenurse explains that one of the preventive measures is the use of:

A. Absorbent disposable diapers C. Plastic panties over diapersB. Baby powder or cornstarch D. Cloth diaper

34.The Code of Nurses

A. Delineates all obligations and responsibilities of the nurse

B. Is a binding oath, which tells nurses how to make ethical decisionsC. Assists the nurse in formulating a personal belief system

D. Supports the concept of respect for all persons

35.The obligation to correctly perform one’s assigned duties is:

A. Delegation C. ResponsibilityB. Assignment D. Accountability

SITUATION: You are working as a Pediatric Nurse in you own Child Health Nursing Clinic. The

following cases pertain to ASSESSMENT AND CARE OF THE NEWBORN AT RISK conditions.

36. Theresa, a mother with a 2 year old daughter asks, “at what age can I be able to take the blood

pressure of my daughter as a routine procedure since hypertension is common in the family?” Your

answer to this is:

A. At 10 years old you mayB. As early as 1 year old

C. When she’s 3 years oldD. When she’s 6 years old

37. You typically gag children to inspect the back of their throat. When is it important NOT to elicit a

gag reflex?

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A. When a girl has a geographic tongue C. When a child has symptoms of epiglottitis

B. When a boy has a possible inguinal hernia D. When children are under 5 years of age

38. Baby John was given a drug at birth to reverse the effects of a narcotic given to his mother in

labor. What drug is commonly used for this?

A. Naloxone (Narcan) C. Sodium ChlorideB. Morphine Sulfate D. Penicillin G

39. Why are small-for-gestational-age newborns at risks for difficulty maintaining body temperature?

A. They do not have as many fat stores as other infantsB. They are more active than usual so throw off covers

C. Their skin is more susceptible to conduction of coldD. They are preterm so are born relatively small in size

40. Baby John develops hyperbilirubinemia. What is a method used to treat hyperbilirubinemia in a

newborn?

A. Keeping infants in a warm and dark environmentB. Administration of cardiovascular stimulant

C. Gentle exercise to stop muscle breakdownD. Early feeding to speed passage of meconium

41. The nurse manager wishes to implement a new way of determining the vacation schedule for the

staff. The senior staff opposes the change while the newer staff seems more accepting of the

change. An effective strategy for resolving this difference in acceptance would be to:

A. Explain that the change will occur as designed, regardless of the staff’s preference

B. Tell the staff that if they really do not want the change, it will not be implementedC. Provide extensive and detailed rationale for the proposed change

D. Encourage each side to share their views with each other

42. The following are the duties of the Public Health Nurse EXCEPT:

A. Leave to the BHW the responsibilities of educating the community

B. Provision of nursing care to the sick and well individuals

C. Provision of technical and administrative support to rural health midwives

D. Conduct of pre and post consultation conference for clinic patients

43. An 8 month old has fast breathing if he has:

A. 40 breaths per minute C. 38 breaths per minute

B. 55 breaths per minute D. 45 breaths per minute

44. The following are the concerns of the Public Health Nurse on the third trimester of pregnancy

EXCEPT:

A. Advice for the mother to take oral contraceptive

B. Where to give birth

C. Proper timing in the separation of mother to other siblings

D. Type of feeding

45. When a child with persistent diarrhea returns for follow-up visit after 5 days, the nurse should ask

the mother if the diarrhea has stopped when:

A. The child has less than 3 loose bowels per day

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B. The child has 4 semi formed stool

C. The child has 5 formed stools

D. The child has 3 loose stools/day

46. In barangay Y, one of the identified problems is unavailability of toilet facility for the residents. The

appropriate intervention is:

A. Secure donations in the form of toilet bowlsB. Ask help from local government

C. None of the above

D. Conduct a community assembly and discuss the consequences of this problems

47. A home visit is a professional interaction between the community health nurse and his patient or

the family. Where could the nurse get available information about the patient or the family to be

visited?

A. Document files C. Doctor’s office

B. Records and reports D. Family health record

48. In planning a home visit, the nurse considers the individual needs. Which of the following is a

priority?

A. Needs of all family members C. Follow-up of medication and treatment

B. Needs recognized by the family D. Clinic schedules after home visit

49. Which of the following is the FIRST action of the nurse during a home visit?

A. Greet the client or the household members

B. State the purpose or objective of the visit

C. Give necessary health teaching

D. Inquire about welfare and health condition of the client

50. Which factor must be considered by the nurse as vital to determine frequency of the home visit?

A. Available resources C. Acceptance of the family

B. Policy of the agency D. Past nursing services

SITUATION: In the toddler period, enormous changes take place in a child and, consequently, in a

family. As a nurse, we must support the child’s growing independence with patience and sensitivity and

learn methods of handling the child’s frustrations that arise from the quest for autonomy. The following

questions are about the care of the toddler patient.

51. Which assessment finding is an early sign of heart failure in a toddler?

A. Increased respiratory rate C. Decreased weight

B. Increased urine output D. Decreased heart rate

52. The physician prescribes digoxin (Lanoxin) elixir for a toddler with heart failure. Immediately before

administering this drug, the nurse must check the toddler's:

A. Serum sodium level.

B. Urine output.

C. Weight.

D. Apical pulse.

53. A 2-year-old child with a low blood level of the immunosuppressive drug cyclosporine comes to a

liver transplant clinic for her appointment. The mother says the child hasn't been vomiting and

hasn't had diarrhea, but she admits that her daughter doesn't like taking the liquid medication.

Based on knowledge of the drug, which of the following would the nurse instruct the mother to do?

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A. Let your daughter take her medication only when she wants it; it's okay for her to miss some

doses.

B. Offer the medication diluted with regular milk, chocolate milk, or orange juice to

make it

more palatable.

C. Insert a nasogastric (NG) tube and administer the medication using the tube as ordered by

the physician.D. Give the ordered dose a little bit at a time over 2 hours to ensure administration of the

medication.

54. A toddler is hospitalized with multiple injuries. Although the parent states that the child fell down

the stairs, the child's history and physical findings suggest abuse as the cause of the injuries. What

should the nurse do first?

A. Refer the parent to a support group such as Parents Anonymous.

B. Report the incident to the proper authorities.

C. Prepare the child for foster care placement.

D. Restrict the parent from the child's room.

55. The mother of a hospitalized 3-year-old girl expresses concern because her daughter is wetting the

bed. What should the nurse tell her?

A. "It's common for a child to exhibit regressive behavior when anxious or stressed."

B. "Your child is probably angry about being hospitalized. This is her way of acting out."

C. "Don't worry. It's common for a 3-year-old child to not be fully toilet-trained."

D. "The nurses probably haven't been answering the call button soon enough. They will try to

respond more quickly."

56. A 2-year-old child is brought to the emergency department with a history of upper airway infectionthat has worsened over the last 2 days. The nurse suspects the child has croup. Signs of croup

include a hoarse voice, inspiratory stridor, and:

A. A barking cough C. Sudden onset

B. A high fever D. Dysphagia

57. A toddler with bacterial meningitis is admitted to the inpatient unit. Which infection control measure

should the nurse be prepared to use?

A. Reverse isolation C. Standard precautions

B. Strict hand washing D. Respiratory isolation

58. An 18-month-old male child is admitted to the pediatric unit with a diagnosis of celiac disease.

What finding would the nurse expect in this child?

A. A concave abdomen C. A protuberant abdomen

B. Bulges in the groin area D. A palpable abdominal mass

59. A toddler with a ventricular septal defect (VSD) is receiving digoxin (Lanoxin) to treat heart failure.

The nurse should monitor the child for early signs of digoxin toxicity, which include:

A. DradycardiaB. Tachycardia

C. Hypertension

D. Hyperactivity

60. For a child with a circumferential chest burn, what is the most important factor for the nurse to

assess?

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A. Wound characteristics C. Breathing pattern

B. Body temperature D. Heart rate

SITUATION: Elvira is asking questions during labor and delivery.

61. Elvira didn’t recognize for over an hour that she was in labor. A sign of true labor is:

A. Sudden increase energy from epinephrine releaseB. “Nagging” but constant pain in the lower back.C. Urinary urgency from increased bladder pressure.

D. “Show” or release of the cervical mucus plug.

62. Elvira asks you which fetal position and presentation are ideal. Your best answer would be:

A. Right occipitoanterior with full flexion C. Right occipitoposterior with no flexionB. Left transverse anterior in moderate flexion D. Left sacroanterior with full flexion

63. Elvira is having long and hard uterine contractions. What length of contraction would you report as

abnormal?

A. Any length over 30 seconds C. A contraction that peaks at 20 secondsB. A contraction over 70 seconds in length D. A contraction shorter than 60 seconds

64. You assess Elvira’s uterine contractions. In relation to the contraction, when does a late

deceleration begin?

A. Forty-five seconds after the contraction is over.B. Thirty seconds after the start of a contraction.

C. After every tenth or more contraction.

D. After a typical contraction ends.

65. Elvira has an amniotomy. After this procedure, which of the following would be an important

nursing assessment?

A. Ask her if her pain level is tolerable postprocedure.B. Assess maternal heart rate to detect possible bleeding.

C. Assess fetal heart rate to detect possible cord prolapsed.D. Document the amount of amniotic fluid that has been lost.

SITUATION: Donna is a client in labor

66. Donna asks you what is the purpose of a doula in labor. Your best answer would be:

A. She times contractions and keeps them from becoming too lengthy.

B. She can cook for a woman in labor to keep her from becoming dehydrated.

C. She can serve as a support person and coach during labor.D. She replaces the husband as a woman’s support person.

67. Donna asks you if she could use warm-water tub bathing during labor. Your best answer would be:

A. No. No one is allowed to tub bathe during labor.B. Yes, as long as her membranes are not ruptured.

C. No, because warm water can diminish labor contractionsD. Yes, as long as the warm water doesn’t raise her temperature.

68. Donna chooses to have epidural anesthesia. What are the two risks associated with this?

A. Hypotension and prolonged second stage of labor.B. Severe headache and coldness of all extremities.

C. Continued back pain and short first stage of labor

D. Hypertension and a reduced red blood cell count.

69. There is no reason to think that Donna will need a general anesthetic. If she did, what type of drugis usually prescribed to minimize the risk of aspiration of vomitus?

A. An anticonvulsant such as diazepam (Valium).

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B. A nerve relaxant such as Phenobarbital.C. Metoclopramide (Reglan) to speed gastric emptying.

D. Oxytocin to increase the effectiveness of labor

70. Donna reports in early labor she isn’t having much pain. You assess that her contractions are alsonot strong. What position usually promotes efficient uterine contractions in any labor?

A. Sitting or standing C. Lying prone

B. Lying supine D. Side-lying position

SITUATION: Angelo is 2 ½ year old boy you see at a pediatric clinic. His mother tells you that he has

changed completely in the past 6 months from an easy-to-care-for a baby into a “monster” who refusesto do anything she asks. The only word he says anymore is “no.” He has a temper tantrum every night

at dinner over some type of food. She tells you this has changed parenting from “fun” to a “real chore.”

Angelo has a sister, Celina, a toddler.

71. What kind of sentence should Angelo, a 2 year old, have mastered?

A. Red ripe tomatoes C. Old McDonaldB. Daddy come D. Please, please

72. Angelo answers every request of his mother by saying “No!” How can she minimize this?

A. Tell Angelo she doesn’t want him to say no anymore.

B. Answer all Angelo’s questions by saying, No!C. Reduce the number of questions she asks Angelo.

D. Explain he is not using good communication skills.

73. Angelo’s mother uses “timeout” for punishment. What is a good rule for this?

A. The child should sit still for as many minutes as his age.B. The child should sit still for as many minutes as he misbehaved.

C. Timeout activities can include quiet play or reading books.

D. Children are not ready for timeout until schoolage.

74. Celina asks constant questions. How many does a typical 3-year-old ask in a day’s time?

A. Less than 50 B. 100-200 C. 300-400 D. 1,200 or more

75. Celina’s parents want to know how to react to her when she begins to masturbate while watchingtelevision. What would you suggest?

A. They give her “time out” when this begins.B. They refuse to allow her to watch television.

C. They remind her some activities are private.D. They schedule for a health check up for vaginal disease.

SITUATION: Nursing research is the term used to describe the evidence used to support nursing

practice. Nursing, as an evidence based area of practice, has been developing since the time of Florence

Nightingale to the present day, where many nurses now work as researchers based in universities as well

as in the health care setting.

76. Mr. DSJ Plans to undertake a research of Community 1 and 2 on how they manage their health

using Primary health care after an organization and training seminars. This type of research is:

A. Experimental

B. Historical

C. Descriptive

D. Basic

77. The independent variable is:

A. Primary Health Care C. Organization and training seminars

B. Community 1 and 2 D. Management of their health

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http://en.wikipedia.org/wiki/Nursing_practice


http://en.wikipedia.org/wiki/Florence_Nightingale


http://en.wikipedia.org/wiki/Universities

http://en.wikipedia.org/wiki/Health_care





http://en.wikipedia.org/wiki/Universities

http://en.wikipedia.org/wiki/Health_care



78. In this design, the variable that is being manipulated is

1. Independent 3. Dependent

2. Organization and training seminars 4. Management of Primary Health Care

A. 1, 2 B. 1, 4 C. 2, 3 D. 3, 4

79. In general, the research process follows the ff. ordered sequence:

1. Determination of design 4. Collection and analysis of data

2. Statement of the problem 5. Review of related literature

3. Definition of variables

A. 2, 5, 3, 1, 4 C. 2, 5, 3, 4, 1

B. 3, 5, 4, 1, 2 D. 2, 5, 1, 3, 4

80. Studies done in natural setting such as this one, posses difficulty of controlling which variable?

A. Independent B. Dependent C. Extraneous D. Organismic

SITUATION: Kiko, 7 weeks old, was brought by his mother to the health center because of diarrhea

occurring 4 to 5 times a day.

81. Your assessment revealed that Kiko has sunken eyes and he is restless and irritable. What will be

your diagnosis?

A. No sign of dehydration

B. Some dehydration

C. Severe dehydration

D. You need to asses him further to be able to make a diagnosis

82. Based on your diagnosis, which of the following is best done for Kiko?

A. Accompany Chico to the nearest facility where IV fluids can be given

B. Give Chico 200 to 400 ml. Oresol in 4 hours

C. Give Chico’s mother instruction in home management

D. Keep him in your health center for close observation

83. In Kiko’s assessment, what other problems do you have to consider?

A. The presence of blood on his stools C. Fever or hypothermia

B. Severe undernutrition D. All of these

84. Kiko’s mother says Chico has been having diarrhea for 6 days now. You will decide that Kiko has:

A. Acute diarrhea C. Persistent Diarrhea

B. You cannot be certain D. Sub-acute diarrhea

85. After your management of Kiko’s condition. Your assessment revealed that he has no more sign of

dehydration. What instruction will you give to Kiko’s mother?

A. Continue breastfeeding him frequently

B. Give him Oresol 50-100ml after every loose stool

C. Observed him for danger sign

D. All of these instruction

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SITUATION: Ear infections are the most common cause of deafness in low income areas. The nurse

should be able to assess early signs and symptoms of ear infection in order to prevent hearing loss,

which in turn, leads to learning problems.

86. Among the following, the most serious complication of an ear infection is:

A. Hearing loss C. Pain

B. Mastoiditis D. Deafness leading to Learning problems

87. Which of the following behavior best suggests that the child is experiencing ear pain?

A. Frequent tugging of the ear C. Voracious appetite

B. Sleepiness D. Irritability

88. An ear infection of 15 days is classified as:

A. Acute otitis media C. Mastoiditis

B. Chronic otitis media D. Subacute otitis media

89. If the child presents with swelling and tenderness behind the ear, how would you classify this child?

1. Green

2. Yellow

3. Pink

4. Urgent referral plus a dose of antibiotic and paracetamol

5. Treat with the same 5 day antibiotic treatment as pneumonia

6. Dry the ear by wicking

A. 1, 6 B. 2, 5 C. 3, 4 D. 1, 4

90. All of the following are danger signs that needs to be routinely checked in all children except:

A. Convulsions C. Blood in the stool

B. Lethargy D. Vomiting

91. Nursing is to assist an individual sick or well in the performance of activities that contributes to

health and recovery is a definition based on the theory of:

A. Virginia Henderson C. Madeleine Leininger

B. Dorothea Orem D. Faye Abdellah

92. Which of the following questions by the nurse would be best fit the philosophy of the nursing

mutual participation model of care (NMPMC)?

A. “Have you brushed your child’s teeth today?”B. “How does your child look to you today?”

C. “Where have you been all morning?” D. “Do you think your child’s color is worse”?

93. There are numerous definitions of the word “health”. Which definition below is from Florence

Nightingale?

A. A state or a process of being and becoming an integrated and whole personB. The state of being free from illness or injury

C. Being well and using every power the individual possesses to the fullest extentD. A state of complete physical, social, and mental well-being and not merely the absence of

disease or infirmity94. Informal communication takes place when individuals talk and is best described by saying the

participants:

A. Are involved in a preexisting informal relationship

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B. Talk with slang wordsC. Have no particular agenda or protocol

D. Are relaxed

95. Tertiary care by the home health nurse is directed toward children with:

A. Problems in mobility C. Minor problemsB. Short-term needs D. Clinically apparent disease

96. The endometrium thickens during which phase of the menstrual cycle?

A. Secretory phase C. Proliferative phaseB. Menstrual phase D. Ischemic phase

97. The nurse is preparing to auscultate fetal heart tones in a pregnant client. Abdominal palpation

reveals a hard, round mass under the left side of the rib cage; a softer, round mass just above the

symphysis pubis; small, irregular shapes in the right side of the abdomen; and a long, firm mass on

the left side of the abdomen. Based on these findings, what is the best place to auscultate fetal

heart tones?

A. Right lower abdominal quadrant C. Left upper abdominal quadrant

B. Right upper abdominal quadrant D. Left lower abdominal quadrant

98. A measurement tool to articulate the nursing workload for a specific patient or groups of patientsover a specific period of time is called:

A. Staffing pattern C. Benchmarking

B. Skill mix D. Patient classification

99. The mother of a 9 month-old infant is concerned that the head circumference of her baby is greater

than the chest circumference. The BEST response by the nurse is:

a. “These circumference normally are the same, but in some babies this just differs.”

b. “Perhaps your baby was small for gestational age or premature.” c. “This is normal until the age of 1 year, when the chest will be greater.”

d. “Let me ask you a few questions, and perhaps we can figure out the cause of thisdifference.”

100. Karen, A 28 year old post hysterectomy client has come to the health center. She inquired about

BSE and asked you when BSE should be performed. You answered her that BSE Is best performed:

A. 7 days after menstruation C. During menstruation

B. At the same day each month D. Before menstruation

Study. Study in earnest. If you are to be salt and light, you need knowledge. Or do you

imagine that an idle and lazy life will entitle you to receive infused knowledge?

END OF EXAM

AIM HIGH NURSES!!! GOD BLESS

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compre - np 2 ans. key

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