situation: a sound scientific basis is essential

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Situation: A sound scientific basis is essential for quality professionalpractice.

1. When you assist an individual to do what be cannot normally doin illness, you are using which nursing theory?

a. Hendersonb. Royc. Oremd. Abdellah

2. Like other professions, what is unique in professional nursing?

a. Its compassionate and caring roleb. Its caring rolec. A well-defined body of knowledge and expertise

d. Its environment in nursing research

3. According to Freud, the ego serves this function:

a. Resorvoir of instincts, basics drives and wishesb. Reality testingc. Moral arm of the personalityd. Resorvoir of psychic energy

4. Horence Nightingale conceptualizes that nursing is.

a. the act of utilizing the environment of the patient to assist him in hisrecovery b. assisting the individual sick or well in the performance of thoseactivities contributing to health or its recovery or to peaceful deathc. a humanistic science dedicated to compassionate concern withrehabilitating the sick or disabled.d. a unique profession, in that it is concerned with all the variablesaffecting an individual’s response to stressors.

5. Which of the following nursing theorists conceptualizes that allpersons strive to achieve self-care.

a. Sister Callista Royb. Dorothea Oremc. Dorothy Johnsond. Jean Watson

6. Which of the following nursing theorists introducedTranscultural Nursing Model?



a. Imogene Kingb. Myra Levinec. Ida Jean Orlandod. Madeleine Leininger

7. Which of the following moral theories is based on respect forother humans and belief that relationships are based on mutualtrust?

a. Erikson’s theoryb. Kohlberg's theory c. Freud’s theoryd. Schulman and Mekler’s theory

Stuation: The primary function of the Department of Health is the

promotion, protection, preservation or restoration of the health of thepeople though the provision and delivery of health services.

8. What is the vision of the Department of Health

a. Responsible for the formulation, planning, implemented, andcoordination of policies and programs in the field of healthb. Regulates health goods and servicesc. Health as Right. Health for all Filipinos by the year 2000 and Health inthe hands of the People by the year 2020d. All of the above

9. DOH should work to make enjoyment of the right to health areality. What is the mission of DOH?

a. by promoting the means to better healthb. by planning the programs in the field of healthc. by encouraging providers of health goods and servicesd none of the above

10. What is the normal temperature of a child who is 1-3 year of age?

a. 39.1 Cb. 35 Cc. 37 C d. 38 C

11. To convert the body temperature of 38 C to F, what’s theanswer?



a. 107.9 F b. 106.2 Fc. 95 Fd. 100.4 F

12. The Rural Health Doctor orders Dextran 12% 1000 ml within 8hours for a client. Drop factor is 12 gtt/ml. Solve for the gtt/min.

a. 24-5 gtts/minb. 25 gtts/min c. 25.5 gtts/mind. 26 gtts/min

13. Baby Boy Noel was admitted and the doctor ordered D5NSS 1Lx KVO. The nurse should calibrate the IVF to:

a. 5 gtts/minb. 10 gtts/minc. 15 gtts/mind. 20 gtts/min

14. Baby Girl Lee, the neighbor of Baby Boy Noel was brought alsoto the clinic by her mother for the immunization. Whatimmunization will be given if Baby Girl Lee is 9 months old?

a. BCG

b. Measlesc. DPT d. Polio 2

15. ORESOL has been introduced to the barangay for dehydration.To prepare for the solution, what will be the desired amount?

a. 2 glasses of water + ½ tbsp. of saltb. ½ glass of water+1 tbsp. of salt + 3 tbsp. of sugar c. 2 ½ glasses of :water + 2 tbsp. of salt + ½ tbsp. of sugard. 1 glass of water + 1 pinch of salt + 1 tbsp. of sugar

16. What is your initial nursing action before you suction thepatient?

a. perform suctioning b. document relevant datac. hyperventilate the patientd. dispose the equipment and ensure availability for the next suction



Situation: Lady Lee, age 5 is brought to the pediatric clinic by her mother,who reports that Lady Lee has a sore throat and fever and will not eat ordrink. The physician diagnosis epiglottitis.

17. Which symptoms are associated with epiglottitis?

a. Dyspnea. restlessness, hoarseness and moaningb. Leaning forward, anxiety, drooling, and a muffled voice c. Crouching, leaning with hands stretched out in back, and extendedneckd. Ruddy complexion, distended neck veins, and knee-chest position

18. The nurse's first action when caring for Lady Lee should be to:

a. Obtain a tracheostomy set and notify the physician

b. Begin respiratory precautions immediatelyc. Obtain I. V. and oxygen equipmentd. Obtain a cardiac monitor and an emergency equipment cart

19. Tracheostomy is an opening through the neck into the tracheathrough which an indwelling tube maybe inserted which of thefollowing is not a part of tracheostomy set?

a. cannulab. respirator c. obturator

d. cuff

20. Hand washing is important in every setting includinghospitals. Which of the following is inappropriate during handwashing when observing a sterile technique.

a. Hold the hands higher than the elbows during hand washb. Maintaining the hands uppermost when applying soapc. After washing and rinsing, use a towel to dry one hand thoroughly in arotating motion from the elbow to the fingers d. Let the running water run from the fingertips to the elbows

Situation: A place in Brgy. Canla has a common cause of Iodine deficiencywhere their main products are "Goitrogenics."

21. Which of the following are considered goitrogenics?

a. mandarinsb. kangkong



c. tomatod. cassava

22. Which of the following are rich source of Iodine?

a. talaba b. liverc. lean meatd. gizzard

Situation: Larry was admitted at Manila Doctor's Hospital because of asecond-degree burn wound.

23. Before debriding a second-degree burn wound in the leftlower leg, the nurse should do which of the following?

a. Apply Lindane (Kwell) to the affected areab. Medicate the client with narcotic analgesic c. Administer acylovir (Zovirax) IVd. Apply a topical antimicrobial ointment

24. Larry’s anterior trunk, both front upper extremities, bothlower extremities sustained second and third degree burn.Estimate the total percentage of body surface area burned usingthe Rule of Nines.

a. 60%

b. 63% c. 62%d. 61%

25. According to Orem's Mode!, which nursing intervention wouldyou render to a one hour post-operative patient?

a. Universalb. Supportive-educativec. Wholly compensatory d. Partially compensatory

26. What area of CHN bag is considered sterile?

a. outsideb. sheathc. insided. sides



Situation: These are nutritional needs of the mother during herpregnancy.

27. Nancy who just delivered a baby boy works as an executivefor a big company. Which of these should the nurse first

encourage?

a. Mixed feedingb. Bottle feedingc. Leave the baby in the nurseryd. Breastfeeding

Situation: Mr. Reyes, 59 years old is a frequent visitor of Lions Club.Lately, he became inefficient with his work and complaining of dizziness.

28. You stressed to him and to the finally the importance of the

following food that will help in the production of RBC, EXCEPT:

a. kangkongb. egg yolkc. broccoli d. ampalaya

29.500 ml of blood was ordered for his blood transfusion. Yournursing responsibility before the start of blood transfusion is:

a. check the amount of blood available

b. check the label of the bottle with bloodc. check if Benadryl is ordered for injectiond. check the vital signs

30. Your health teaching to his family is to serve food rich In Ironand this is:

a. egg yolkb. ampalayac. liverd. lean meat

Situation: The following questions pertain to the nurse andresponsibilities.

31. Concerned with the care of school-children, the nurse does thefollowing.EXCEPT:



a. provides for a safe environmentb. detects, diagnose, and treats children with health problems c. identifies and refers children with eye problemsd. conducts health education classes

32. An important reason why erasures In the patient's chartshould be avoided is:

a. chart would look dirty and reflects, the nurse personalityb. recording maybe illegiblec. chart is a legal document d. chartings are essential for endorsement and follow-up care of patient

Situation: This pertains to human anatomy and physiology.

33. The principal factor-causing vaginal pH to be acidic:

a. Action of Doderlein's bacillusb. Cervical mucus changesc. Secretions from Skene's glandsd. Secretions from the Bartholin’s glands

Situation: In one of your conference with the midwives, you answered thequestion pertaining to computation and presentation of statistical data atthe Rural' Health Unit. Some of the questions are the following amongothers.

34. The following measures is used as a numerator to capture forthe infant mortality rate:

a. Total number of deaths from maternal causes in same yearb. Total number of registered live births of a given yearc. Total number of deaths less than 1 year of age registered in samecalendar year d. Total number of deaths registered in same calendar year

35. In order to present the frequency of occurrence of new casesof PNA In the municipality you have to compute for the:

a. prevalence rateb. case fatality ratec. proportionate mortality rated. incidence rate

Situation: Nursing as a profession benefits from the use of nursingdiagnosis process in professional clinical practice.



36. The most important values of the use of nursing diagnosis incare planning is:

a. highlights your critical thinking and decision-making

b. focuses in cause of the illnessc. helps to define what is healthd. identifies what the nurse can prescribe

Situation: The following questions pertain to nursing care of child withcardiovascular, disorders.

37. Amy, 6 years old, Is admitted with an impression of rheumaticfever. To help establish the diagnosis of rheumatic fever, which of these questions should the nurse ask?

a. Did Amy travel abroad recently?b. Did Amy remark of fatigability?c. Did Amy have sore throat recently? d. Did Amy have viral infections?

38. Nurse Jo reviews the laboratory data of Amy. Of these data,one would be supportive of a diagnosis of rheumatic fever?

a. low hematocritb. increased leukocyte countc. high erythrocyte sedimentation rate

d. elevated antibody level

39. Bob who is diagnosed with rheumatic fever is prescribed withAspirin. The purpose of this medication is to:

a. reduce inflammationb. relieve anxietyc. control headached. decrease fever

Situation: Professional nursing practice primarily aims to promote health

and prevent illness.

40. The meet basic goal of health promotion is:

a. healthyb. absence of diseasec. no illnessd. wellness



41. You are a factory nurse in a bottling industry. What priorityhealth promotion program can you undertake?

a. Physical fitness program

b. Accident prevention programc. Formulating work strategyd. Relaxation exercises

Situation: Your 13 year old daughter tells you that she is having hermenarche and that she fees awful. To comfort her, you would explain themenstrual cycle.

42. You start by defining menstruation is:

a. Expelling of the unfertilized egg which causes the bleeding

b. Soughing off the perimetriumc. Sign of an aborted pregnancyd. Monthly sloughing off of the uterine tiring that had been prepared tonurture a fertilized egg.

43. Ovulation usually occurs on the:

a. 28th day of a 28 day menstrual cycleb. 1st week of a 28 day menstrual cyclec. last week of a 28 day menstrual cycled. 14th ay of a 28 day menstrual cycle

44. The secretory phase is characterized by the secretion orstorage nutrients, glycogen and mucin. This is due to the actionof:

a. prolactinb. estrogenc. androgend. progesterone

45. To allay the fears of your daughter regarding losing too much

blood during menses, you would tell her that the average bloodlost per cycle is:

a. 80mlb. lOOmlc. 120 mld. 30 ml



a. Activities that seek to protect clients from potential or actual healththreats and their harmful consequencesb. Activities directed toward developing the resources of clients that maintain or enhance well-being

c. Activities directed toward decreasing the probability of specific illnessor dysfunctions in individualsd. Activities aimed to prevent to spread of microorganisms to Individual

Situation: The public health nurse performs varied functions and activitiesin her place of work.

51. In dealing with a primigravida who is afraid of childbirth dueto her beliefs and misconceptions. The first thing that the nursesshould do is:

a. help woman recognize the sign of abnormalities in pregnancy to enableher to report to the midwifeb. identify the beliefs and misconceptions and their sourcec. immediately correct the beliefs and misconceptionsd. refer to midwife for regular follow-up visit

52. Kwashiorkor is a condition usually seen among pre- schoolchildren. This is characterized by which of the following signs?

a. all these signsb. retarded growth and hairs

c. loss of appetited. edema

53. Vitamin A deficiency will lead to which of the followingconditions?

a. high blood pressureb. swollen face, body and limbc. inability to see in the dark d. enlargement of the neck

54. Grace was referred to you by a midwife. In order to determinewhether Grace is suffering from severe calorie deficiency, whichof the following condition will you take note of?

a. thin, sparse hairb. an extreme wasting away of fat muscle c. paleness of the inner side of the lipsd. generalized swelling of the body



Situation: You are the new Public Health Nurse in the Municipality of Pontevedra. This municipality has the following data in 2003:Population - 30,000Total infants death - 11

Total number of cases examined for PTB - 200Total births - 500All causes -74Number of confirmed positive of PTB cases - 5

55. You need to gather a lot of data about the community. Whichof these can be given least priority?

a. community's belief and practiceb. community s political leadership c. community's knowledge in health

d. community's way of life

56. You studied the figures of disease and accidents that occurredin Pontevedra for the last 2 years. These figures are referred toas:

a. mortality statisticsb. mortality and morbidity statisticsc. rates and ratiosd. morbidity statistics

57. Which of the following gives a good reflection of the state of health of Pontevedra?

a. maternal morbidity rateb. age-specific death ratec. infant mortality rated. crude death rate

Situation: In one of your home visits you discovered that Tristan, 2 yearsold who lives with Mang Tero his lolo is still on bottle feeding. Nosupplementary feeding given:

58. Supplementary feeding should be started:

a. at the age of 8 -12 monthsb. at the age of 8 monthsc. not earlier than 2 months but not later than 4 monthsd. not earlier than 4 ninths but and later than 6 moths



59. You're Interested to know whether Tristan has signs of malnutrition. Hence, you will:

a. weigh the child and perform physical assessment b. weigh the child

c. perform a physical assessmentd. refer to physician or nearest health facility

Situation: Atypical teenager, Susan, 17 years old, is in her 3rdyear highschool. Besides sports and other school activities, she volunteers forcommunity outreach programs in her school, among them going to theslums of Tondo.

60. Susan wears contact lenses. But she claims that these are socomfortable she forgets to removes them at night. As the schoolnurse, you caution that she should not sleep with her soft contact

lens because they can damage one of these:

a. scierab. optic nervec. cornea d. pupil

61. In one of her information- sharing, Susan mentions that hermother was taking diethyistijbestrd (DES) when she waspregnant withjier. The nurse feels that she must suggest 'toSusan one ofthese. \Wch os correct?

a. "I wiH take your Pap smear for laboratory exams."b. "Do nd use the pi!! for contraception."c. "Please see a gynecologist as soon as possible." d. "Avoid us! ng lampoons during menstruation."

Situation: Miss Go is a clinical instructor in Community Health Nursingdiscussing about vital statistics, epidemiology and laws affecting PublicHealth and practice of Community Health Nursing.

62. It is concerned with the study of factors that influence the

occurrence and distribution of diseases, defects disability ordeaths. This is:

a. Epidemiology b. Statisticsc. Public Healthd. Community Health Nursing



63. The Republic Act that refers to the Magna Carta of PublicHealth Workers:

a. R.A 2382b. R.A 1062

c. R.A 7305 d. R.A 6425

64. Republic Act 7164 known as the "Philippine Nursing Act of 1991" embodies the regulation of Practice of Nursing in thePhilippines. A member of the Board of Nursing must be:

a. Citizen of the Philippinesb. RN and holder of Master's Degreec. 10 years of continuous practice of the professiond. All of the above

Situation: Mr. Laurel, a public nurse is conducting community class inBrgy. Kawayan about pulmonary tuberculosis.

65. Category 3 treatment regimen for TB is prescribed to:

a. New pulmonary TB patients whose sputum is positiveb. Previously treated patients who are on relapsec. New pulmonary TB patients whose sputum is serum-negative for 3x and a chest x-ray of PTB minimal d. Previously treated patients who are failures

66. What TB drug is net given to children under age 6 who are tooyoung to report visual disturbances?

a. INHb. Rifampicinc. Ethambutol d. PZA

67. Category treatment regimen for TB Is prescribed. This isgiven:

a. 2 months Intensive phase, 4 months maintenance phase b. 3 months intensive phase, 5 months maintenance phasec. 2 months intense phase, 2 months maintenance phased. 3 months Intensive phase,6 months maintenance phase

Situation: Cancer ranks third in leading cause of morbidity and mortalityin the Philippines. Early detection Increases the survival rate of those



afflicted. You are a nurse in a cancer-prevention and screening clinic andare for health education.

68. The following are warning signs of cancer. Which one is not?

a. Change In bladder and bowel habitsb. Indigestion or difficulty in swallowingc. Weight gaind. Nagging cough or hoarseness

69. Monthly examination (BSE) can help in early detection of breast CA. When do you perform BSE?

a. once a month after menstruation b. once a month before menstruationc. every ether month after menstruation

d. every other month before menstruation

70. There are several risk factors with developing cancer. Thefollowing are risk factors of cancer, except:

a. ageb. racec. ordinal petition In the family d. lifestyle

71. A form of cancer therapy wherein a beam of high-energy

electromagnetic radiation desires the cancer ceils?

a. surgeryb. radiation therapy c. chemotherapyd. pallitive treatment

Situation: Mental health covers the psychosocial concerns of daily livingcovering the stages of life. Efforts to train manpower have been done bythe government through the National Mental Health Programs.

72. Mental health is defined as:

a. A disturbance in a person's thoughts, feelings and behavior.b. A state of well-being where a person can realize his or her ownabilities, to cope with the normal stresses of life and work productively. c. A science which deals with measures employed to promote mentalhealth, to reduce the incidence of mental illness through preservation andearly treatment.



d. is concerned with the promotion of mental health, prevention of mentaldisorders, and the nursing care of patients during mental illness andrehabilitation.

73. The following are nursing responsibilities in mental health

promotion except:

a. Participate in the promotion of mental health among families and thecommunityb. Help people in the community understand basic emotional needsc. Teach parents the Importance of providing emotional support to theirchildrend. Be aware of the potential causes of breakdown and when necessary take possible preventive action

74. A nurse works in a mental health facility that a therapeutic

community (milieu) to client. Which of the following statementsdescribes the nurse's role in this facility?

a. Primary caregiverb. Member of the milieuc. Supervision more than counselingd. Distinctly seperate from the psychiatrist

75. A community mental health nurse visits a client diagnosedwith paranoid schizophrenia. When she arrives at his house, hecalls for Satan, shouts at her, and tells her to back away. Which of

the following interventions has priority?

a. use his phone and call the policeb. remain safe by leaving the housec. talk to him In a calm voice to reduce his agitationd. remind him who she is and that she has nothing to fear

Situation: Mrs. Madonna, 46 years old, is brought to the hospital withcomplaints of nausea, vomiting, and severe epigastric pain. Initial careincludes insertion of nasogastric tube (NGT).

76. Which of the following steps should the nurse take first whenpreparing to insert a nasogastric tube?

a. Wash handsb. Apply sterile glovesc. Apply a mask and gownd. Open ail necessary kits and tubing



b. Harassmentc. Assault and battery d. Beach of confidentiality

82. Which of the following characteristics of the client goal in the

plan of care is correct?

a. Nurse-focused, flexible, measurable and realisticb. Client-focused, flexible, realistic and measurable c. Nurse-focused, time-limited, realistic, and measurabled. Client-focused, time-limited, realistic, and measurable

83. A nurse is performing an admission assessment on a clientwith exacerbation of asthma. Which of the following time is idealto begin discharge planning?

a. At the time of admissionb. The day before dischargec. After the acute episode is resolvedd. When the discharge order is written

84. A nurse is witnessing consent from a client before a cardiaccatheterization. Which of the following factors is a component of informed consent ?

a. Freedom from coercionb. Durable power of attorney

c. Private insurance coveraged. Disclosure of previous answers given by the client

85. Implementation of plan of action is done through:

a. independent and independent measure b. dependent and independent measurec. dependent and Interdependent measured. none of the above

86. Which of the following has the greatest effect on personal

hygiene?

a. Culture, knowledge, and social influencesb. Occupation, physical environment and geneticsc. Self awareness, time of day, and personnel available for assistanced. Socio-economic status, health and age

87. The most important nursing intervention to correct dryness is:



a. Avoid bathing patient until the condition is remedied, and notify thephysicianb. Ask the physician to refer the patient to a dermatologist and suggestthat the patient wear home-laundered sleepwear.

c. Consult the dietician about increasing the patient's fat intake, andnecessary measures to prevent infection.d. Encourage the patient to increase hid fluid intake, use non-irritatingsoap when bathing the patient, and apply lotion to the involved areas.

Situation: The following questions are concerned with nutrition.

88. Which one is not a function of calcium

a. Bone and teeth mineralizationb. Absorption of iron and the formation of hgb

c. Blood clothingd. Muscle relaxation and contraction

89. Xerophthalmia is characterized by:

a. Tunnel visionb. Floatersc. Night blindnessd. Window vision

90. A deficiency in protein leads to:

a. Kwashiorkor b. Rickettsc. Beri-berid. Hemorrhage

91. Nutrients are classified according to their structures. Whichamong these is not a micronutrient?

a. Vitamin Ab. Iron

c. Iodined. Amino acids

92. What mineral works with Vitamin E to protect bodycompounds from oxidation?

a. Sodiumb. Selenium



c. Zincd. Manganese

Situation: Osteoporosis is considered a major health and economicproblem. One in every four women over age 50 is believed to have this

disease.

93. What is the main reason why Asian women are more indeveloping osteoporosis than African-American women?

a. There are more post menopausal aged Asian womenb. Banes of Asian women are 30-40% less dense than that of African-American womenc. African-American women eat more compared to Asian womend. Asian women have lesser bone mass compared to African-Americanwomen

94. There are factors that predispose an individual forosteoporosis. What factor is least associated with the disease?

a. Decreased level of oxygenb. Calcium deficiencyc. Exposure to sunlight d. Lack of exercise

95. Women over 50 years are very much at risk for fractures.Where Is the most common site of fractures to osteoporosis?

a. femur b. forearmc. vertebraed. hips

Situation: Mrs. M. has been given a copy of her diet. He consulted youabout her prescribed diet.

96. Which of the following diseases results from niacin deficiency?

a. diabetesb. beriberic. pellagrad. megaloblastjc anemia

97. He also asked about Vitamin E. The richest source of Vitamin Eis:



a. vegetable oil b. milkc. fishd. cereals

98. The most common vitamin deficiency seen in alcoholics is:

a. Thiamne b. Riboflavinc. Pyridoxined. Pantothenic acid

Situation: Mr. S., a patient in MS ward, wants to increase his Vitamin Cintake. He also asks you several questions about nutrition.

99. Which of the following foods is not well-known source of

Vitamin C?

a. tomatoesb. grapefruitsc. green and yellow vegetablesd. oranges

100. Vitamin C deficiency is characterized by the following except:

a. redness and edema of the gumsb. pinpoint peripheral hemorrhages

c. pernicious anemia d. bones that fracture easily

situation: a sound scientific basis is essential

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