‭NP5‬

‭ . The 21 nursing problems →‬‭FAYE ABDELLAH‬

A
‭ . You, as the nurse, are thinking of a nursing diagnosis‬
1 ‭B. The 14 components of basic nursing care → VIRGINIA‬
‭for the client. Which of the following‬‭nursing diagnoses‬‭is‬ ‭HENDERSON‬
‭most appropriate?‬ ‭C. Human-to-human relationship → JOYCE TRAVELBEE‬
‭D. The conservation principles → MYRA LEVINE‬
‭ . Impaired physical mobility‬
A
‭B. Unilateral neglect‬ ‭ . Which of the following nursing theorists emphasizes the‬
8
‭C. Activity intolerance‬ ‭establishment of a‬‭nurse-client relationship‬‭?‬
‭D. Sleep pattern disturbance‬
‭ . Jean Watson → THEORY HUMAN CARING‬
A
‭ . During the first 24 hours of admission, a‬‭priority‬
2 ‭B. Hildegard Peplau‬
‭assessment‬‭that you should consider is?‬ ‭C. Josephine Paterson → HUMANISTIC THEROY‬
‭D. Martha Rogers‬
‭ . Health behaviors prior to the injury‬
A
‭B. Urinary elimination patterns‬ ‭ . Central to this nursing theory is promoting‬‭behavioral‬
9
‭C. Risk assessment for vascular disease‬ ‭responses‬‭which affect health. This theory is called?‬
‭D. Pupil size and pupillary response‬
‭ . Conservation Principles‬
A
‭ . Performing a functional status assessment before and‬
3 ‭B. Roy’s Adaptation Model‬
‭after the CVA is crucial for what‬‭reason‬‭?‬ ‭C. Interpersonal Theory‬
‭D. Humanistic Theory‬
‭ . It helps the client internalize his physical limitations.‬
A
‭B. Functional status prior to the insult helps assess‬ ‭ 0. What nursing theory explores the assumption of a‬
1
‭prognosis.‬ ‭patient who may be wholly or partially dependent on the‬
‭C. It helps the patient expect to regain much of his‬ ‭healthcare provider or caregiver?‬
‭abilities.‬
‭D. It serves as a guide for the rehabilitation plan.‬ ‭ . Self-Care Deficit Theory‬
A
‭B. Conservation Principles‬
‭ . The physician-in-charge orders potassium via IV. Which‬
4 ‭C. Humanistic Theory‬
‭of the following nursing actions‬‭warrants immediate‬ ‭D. 21 Nursing Problems‬
‭attention‬‭?‬
‭ 1. The theory of Florence Nightingale focuses on which‬
1
‭ . Agitating the bag prior to hooking it up to prevent bolus‬
A ‭core principle?‬
‭administration.‬
‭B. Diluting the potassium in normal saline.‬ ‭ . A clean and safe environment will facilitate‬
A
‭C. Administering the potassium via IV push.‬ ‭favorable patient outcomes.‬
‭D. Changing the IV insertion site every 72 hours or‬ ‭B. Mutual trust and respect for other humans are‬
‭sooner if there is phlebitis.‬ ‭essential to nursing care.‬
‭C. Self-care and therapeutic touch are valuable.‬
‭ . You observe that while treating a patient with‬
5 ‭D. A good relationship between the patient and the nurse‬
‭hypokalemia‬‭, none of the interventions to raise the‬ ‭should be dynamic.‬
‭potassium level are working. Which pertinent patient‬
‭assessment is significant to this situation?‬ ‭ ituation:‬‭Patient ABC is admitted in hospice care.‬‭She‬
S
‭is in the terminal phase of ovarian cancer. You are‬
‭ . The patient has chronic insomnia.‬
A ‭assigned to take care of Patient ABC and her family. The‬
‭B. The patient has a recent severe leg fracture.‬ ‭following questions apply.‬
‭C. The patient uses estrogen.‬
‭D. The patient abuses laxatives.‬

‭ . If a patient has hypokalemia, which of the following‬

6
‭food choices is the‬‭best potassium source‬‭?‬

‭ . White rice – 35 MG‬

A
‭B. Corn → 368 MG‬
‭C. Broccoli → 316 MG‬
‭D. Lima beans →‬‭508 MG‬

‭ ituation:‬‭Nursing theories are vital in advancing‬

S
‭frameworks that guide and improve the delivery of care.‬
‭Nurse Urielle, the head nurse of Ward X, called for a staff‬
‭development meeting.‬

‭ . Which nursing theory emphasizes the‬‭delivery of‬

7
‭nursing care for the whole individual in order to achieve‬
‭the physical, emotional, intellectual, social, and spiritual‬
‭needs of the patient and the family‬‭?‬
‭ 2. Which of the following‬‭signs of imminent death or‬
1 ‭ . Shields the kidney cells from chemotherapeutic‬
C
‭active dying‬‭is observable in these patients?‬ ‭adverse effects.‬
‭D. Prevents decreased red blood cell, white blood cell,‬
‭ . Euphoria‬
A ‭and platelet counts due to chemotherapy.‬
‭B. Uncontrollable pain‬
‭C. Clinical depression‬ ‭ 8. The patient who is receiving IL-2 complains of‬
1
‭D. Inability to swallow‬ ‭symptoms that may indicate an adverse reaction to the‬
‭drug. Which of the following symptoms is of‬‭utmost‬
‭ 3. As a knowledgeable nurse, you are aware that which‬
1 ‭priority‬‭for the nurse to report?‬
‭of the following choices is a‬‭cardiovascular sign‬‭of‬
‭imminent death‬‭?‬ ‭ . Generalized body aches‬
A
‭B. Dyspnea‬
‭ . A significant increase in heart rate‬
A ‭C. Decreased appetite‬
‭B. A rise in blood pressure‬ ‭D. None of the above‬
‭C. Increased peripheral circulation‬
‭D. Diminished volume of Korotkoff sounds‬ ‭ 9. As a knowledgeable nurse, you should be aware that‬
1
‭the patient who is receiving IL-2 therapy may manifest‬
‭ 4. For a patient who is in the terminal stage of illness,‬
1 ‭physiologic changes‬‭such as?‬
‭the most‬‭appropriate lighting source‬‭would be?‬
‭ . Integumentary changes‬
A
‭ . Softened, sufficient lighting that is enough to‬
A ‭B. Skeletal changes‬
‭distinguish people’s faces.‬ ‭C. Neurologic changes‬
‭B. Fluorescent, to prevent harsh and possibly scary‬ ‭D. Metabolic changes‬
‭shadows.‬
‭C. Dim–near darkness–to prevent sensory overload.‬ ‭ 0. While charting, you note that the patient has a nursing‬
2
‭D. None of the above.‬ ‭diagnosis of “Risk for injury related to side effects of‬
‭chemotherapy”. Which of these options is an appropriate‬
‭ 5. As a nurse who applies collaboration into clinical‬
1 ‭outcome for this diagnosis? The patient will…‬
‭practice, with whom should you work with in addressing‬
‭spiritual needs of the patient‬‭?‬ ‭ . Demonstrate productive and adaptive behaviors‬
A
‭indicative of problem-solving ability.‬
‭ . Psychologist‬
A ‭B. Demonstrate knowledge of rationale for chemotherapy‬
‭B. A fellow nurse or doctor who is also very religious‬ ‭and treatment plan.‬
‭C. Hospital chaplain‬ ‭C. Experience toxic effects of chemotherapy.‬
‭D. Members of a religious organization‬ ‭D. Remain free from infection.‬

‭ 6. With the help of a hospice pastoral care team, you‬

1 ‭ ituation:‬‭Nurse Fifi is conducting a qualitative,‬
S
‭determine the spiritual needs of your patient. Which of the‬ ‭phenomenological research study on the stigma of AIDS‬
‭following information is relevant to take note?‬ ‭and its effect on patients with AIDS. Last week, she was‬
‭able to recruit 6 participants: 3 teenage boys and 3‬
I‭.‬ ‭ he patient’s religious traditions and beliefs‬
T ‭teenage girls.‬
‭II.‬ ‭Whether the patient acknowledges a god or a‬
‭significant deity in her life‬ ‭ 1. The most appropriate method to use in collecting data‬
2
‭III.‬ ‭Values, priorities, and cultural beliefs of family‬ ‭about these participants is?‬
‭members‬
‭IV.‬ ‭A spiritual group or community where the patient‬ ‭ . Observation‬
A
‭belongs in‬ ‭B. Survey questionnaire‬
‭C. Focus group discussion‬
‭ . i and iv‬
A ‭D. Individual interviews‬
‭B. i, ii, and iv‬
‭C. i and ii‬ ‭ 2. The most appropriate sampling method for this study‬
2
‭D. i, ii, iii, and iv‬ ‭is?‬

‭ ituation:‬‭You are caring for a patient diagnosed‬‭with‬

S ‭ . Purposive‬
A
‭metastatic renal carcinoma who is receiving Interleukin-2‬ ‭B. Stratified‬
‭(IL-2) as part of his therapy. The following questions‬ ‭C. Random‬
‭apply.‬ ‭D. Snowball →‬‭IF SENSITIVE ANG TOPIC‬

‭ 7. In educating the patient about the purpose of the‬

1 ‭ 3. Based on the study design, the findings of the study‬
2
‭therapy, which of the following is correct about‬ ‭should be formulated through which methodological‬
‭Interleukin–2?‬ ‭process?‬

‭ . Forcibly enters malignant cells in their resting phase‬

A ‭ . Assigning themes and drawing out meanings from‬
A
‭into mitosis.‬ ‭the statements of the participants‬
‭B. Increases the patient’s immunologic defenses‬ ‭B. Defining answers of the male and female participants‬
‭against tumor cells.‬ ‭C. Identifying answers through percentages‬
‭ . Effectively summarizing the insights of the participants‬
D ‭ 0. Nurse Thalia is interacting with her patients in a‬
3
‭from one sex, and comparing them to the insights of‬ ‭face-to-face setting upon admission‬‭. Which level of‬
‭participants to another sex, before finally concluding a‬ ‭communication is she exhibiting?‬
‭universal meaning for both sexes‬
‭ XTRAPERSONAL‬‭– HUMAN BEING TO NON-HUMAN‬
E
‭ 4. From whom should Nurse Fifi obtain the informed‬
2 ‭INTERPERSONAL‬‭– AMONG 2 OR MORE PEOPLE‬
‭consent for this study?‬ ‭ORGANIZATIONAL‬‭– AMOING THE ORGANIZATION‬
‭MASS‬‭COMMUNICATION‬‭– AMONG THE MASS‬
‭ . From the six participants‬
A
‭B. From the six participants and their parents‬ ‭ . Verbal‬
A
‭C. From the parents of the participants‬ ‭B. Public communication‬
‭D. From the six participants and their available relatives‬ ‭C. Intrapersonal‬
‭D. Interpersonal‬
‭ 5. Which of the following is an‬‭unrecommended action‬
2
‭for Nurse Fifi if she plans to listen to the tape recordings?‬ ‭ ituation:‬‭To ensure the integrity of data within‬‭a‬
S
‭healthcare institution, proper recordkeeping should be‬
‭ . Look into the pauses of the participants while‬
A ‭employed by the organization to safeguard both‬
‭speaking.‬ ‭employees and patients.‬
‭B. Analyze the voice tone and voice infection.‬
‭C. Listen to the audio recordings as soon as possible.‬ ‭ 1.‬‭Incident reports‬‭should be collected for the day.‬‭This‬
3
‭D. Listen to the audio recordings when she feels more‬ ‭should be backed up by due process and investigation, as‬
‭motivated‬‭to do work.‬ ‭scheduled by the Quality Department. Once the‬
‭investigation is through, what happens to the incident‬
‭ ituation:‬‭In any interaction, communication is a‬‭vital tool‬
S ‭reports?‬
‭that facilitates therapeutic outcomes.‬
‭ . Summarized monthly and stored in a secure cabinet‬
A
‭ 6. In a conversation, nurses should not only be active‬
2 ‭file.‬
‭listeners. They should also validate what has been said to‬ ‭B. Classified by date for easy access.‬
‭them by the patient and/or the patient’s significant others.‬ ‭C. Completed and stored in an open, easily-accessed‬
‭All but one are the importance of validation:‬ ‭cabinet.‬
‭D. Put on top of the manager’s desk for easy traceback.‬
‭ . Validation assists in verifying the meaning behind the‬
A
‭thought.‬ ‭ 2. Daily charts are collated every three nights across‬
3
‭B. For cognitively impaired patients, validation helps in‬ ‭different departments. The night shift nurse should do the‬
‭extracting important data.‬ ‭following‬‭except‬‭:‬
‭C. Perception affects how a message is interpreted.‬
‭D. Eye contact does not necessarily equate to a‬ ‭ . Arrange and bind the charts as they are.‬
A
‭meaningful message.‬ ‭B. See that the charts are complete.‬
‭C. Tape and repair torn pages.‬
‭ 7. When a nurse‬‭initiates the transaction‬‭of thoughts‬‭and‬
2 ‭D. Ensure the correct order of the charts.‬
‭messages, he employs which element of communication?‬
‭ 3. Once the patient record reaches the medical records,‬
3
‭ . Message‬
A ‭the assigned employee should?‬
‭B. Initiator‬
‭C. Sender‬ ‭ . Bind the charts as soon as possible.‬
A
‭D. Channel‬ ‭B. Check for completeness of the charting of doctors and‬
‭nurses.‬
‭ 8. If the nurse is encountering a patient who is‬
2 ‭C. Separate the medicolegal charts →‬‭LEGAL ASPECT‬
‭distressed about her condition, what is the best means to‬ ‭D. Store the charts in their respective shelves.‬
‭show effective communication?‬
‭ 4. For how long are charts stored in the‬‭Medical‬
3
‭ . Sharing‬
A ‭Records‬‭? → LIFETIME‬
‭B. Empathizing‬
‭C. Sympathizing and analyzing‬ ‭ . 1-3 years‬
A
‭D. Listening‬ ‭B. 5-10 years‬
‭C. 3-5 years‬
‭ 9. The following are valid reasons for the nurse to‬
2 ‭D. 1-5 years‬
‭continue to work on her communication skills. Which is‬
‭the exception?‬ ‭35. For how long are‬‭medicolegal charts‬‭stored?‬

‭ . Promulgates threat between her and the patient.‬

A ‭ . 5 years‬
A
‭B. Decreases incidents of legal issues.‬ ‭B. 8 years‬
‭C. Gets a higher evaluation rating on care delivery.‬ ‭C. 10 years‬
‭D. Brings change that uplifts the well-being of patients.‬ ‭D. 10 years after the case is closed‬

‭ ituation:‬‭Misconceptions and questions about HIV-AIDS‬

S
‭are still rampant globally. Thus, nurses should‬
t‭ake a proactive action on health education for patients‬ ‭ 1. Which of the following statements can‬‭help alleviate‬
4
‭and their significant others. Mimi, 34 years old, married,‬ ‭Kate's worries‬‭?‬
‭has been recently diagnosed with the disease.‬
‭ . "I understand your feelings. My sister underwent a‬
A
‭ 6. Mimi knows about the mother-to-child transmission of‬
3 ‭similar surgery half a year ago."‬
‭HIV. She asked the nurse when this transmission‬ ‭B. "Rest assured, I believe your husband and children‬
‭happens. The nurse is correct if she answers the following‬ ‭will be understanding."‬
‭statements,‬‭except‬‭?‬ ‭C. "It's advantageous that you had the surgery while you‬
‭were on vacation."‬
‭ . In utero‬
A ‭D. "Believe that something greater awaits you from God;‬
‭B. During typical contact‬ ‭keep holding onto hope."‬
‭C. During breastfeeding‬
‭D. During the birthing process‬ ‭ 2. What would be the most appropriate response from‬
4
‭the nurse to alleviate Mariel's concern about choking and‬
‭ 7. Mimi asked the nurse about preventive measures‬
3 ‭losing the ability to speak due to the tracheostomy tube?‬
‭which lower the risk of transmitting HIV. Nurse Celia tells‬
‭her that the‬‭most effective material for a male condom‬ ‭ . "The tracheostomy tube is temporary and mainly for‬
A
‭that can decrease the transmission of HIV is?‬ ‭managing excessive secretions."‬
‭B. "Rest assured, choking won't happen because‬
‭ . Lambskin‬
A ‭your food doesn't pass through the tracheostomy‬
‭B. Polyurethane → PRONE TO BREAK‬ ‭tube."‬
‭C. Latex → BEST PROTECTION AGAINST HIV‬ ‭C. "You mentioned feeling anxious about choking and‬
‭D. Non-latex‬ ‭speech difficulties due to your tracheostomy tube and‬
‭NGT, is that correct?"‬
‭ 8. Mrs. Mimi’s CD4 lymphocyte count was obtained and‬
3 ‭D. "No need to worry; I'll provide you with a pencil and‬
‭it was revealed that her results were‬‭below 200‬ ‭notepad for communication."‬
‭cells/cumm‬‭. She asks Nurse Celia what this means.‬
‭Nurse Celia is correct when she answers?‬ ‭ 3. Which of the following statements made by the client‬
4
‭preparing for surgery indicates a lack of understanding or‬
‭ TAGE I – CD4 COUNTS‬‭>500 CELLS‬
S ‭knowledge?‬
‭STAGE II – CD4 COUNTS‬‭200-499 CELLS‬
‭STAGE III – CD4 COUNTS‬‭<200 CELLS‬ ‭ . "I must ensure my consent is signed before the‬
A
‭surgery."‬
‭ . It may be worrisome but immediate attention is not a‬
A ‭B. "It's crucial for me to keep my ID bracelet on during the‬
‭requirement.‬ ‭surgery."‬
‭B. It is slightly below normal so there’s nothing to worry‬ ‭C. "I should take Valium to relax before the surgery."‬
‭about.‬ ‭D. "I don't need to follow nothing by mouth‬
‭C. The results are still within normal limits.‬ ‭guidelines."‬
‭D. She has Stage 3 HIV-AIDS.‬
‭ 4. Leslie, a 36-year-old who recently had a right breast‬
4
‭ 9. As an evidence-based nurse, Nurse Celia counsels‬
3 ‭mastectomy, informs you that she‬‭feels nauseated‬‭.‬‭What‬
‭Mrs. Mimi that the preventative method of HIV that is‬‭not‬ ‭should be your primary course of action?‬
‭totally realistic‬‭is which?‬
‭ . Reassure Leslie that nausea can be a common side‬
A
‭ . HIV testing‬
A ‭effect of anesthesia.‬
‭B. Behavioral interventions and modifications‬ ‭B. Position Leslie on her side and prepare an emesis‬
‭C. Promoting linkages to treatment centers‬ ‭basin.‬
‭D. Complete abstinence‬ ‭C.Recommend consulting the anesthesiologist and‬
‭obtaining an antiemetic prescription.‬
‭ 0. Nurses who are at risk for HIV exposure require‬
4 ‭D. Assess Leslie's vital signs.‬
‭post-exposure prophylaxis. In these options, PEP is‬
‭described accurately with which exception?‬ ‭ 5. While assessing Matet, who recently had a partial‬
4
‭gastrectomy, you noticed her blood pressure decreased‬
‭ . The medication must be taken within 72 hours of‬
A ‭from 118/70 mmHg to 90/60 mmHg. You suspect‬‭early‬
‭exposure.‬ ‭signs of hypovolemia and early shock‬‭. What should‬‭be‬
‭B. 2-3 antiretroviral drugs must be taken, as prescribed.‬ ‭your initial action?‬
‭C. Drugs must be taken for 28 days.‬
‭D. Drugs must be taken for at least a week →‬ ‭ . Monitor her heart rate and respiratory rate for a full‬
A
‭EVERYDAY FOR 28 DAYS; STARTED WITHIN 72‬ ‭minute.‬
‭HOURS‬ ‭B. Examine her surgical incision site and check the‬
‭nasogastric tube drainage for signs of bleeding.‬
‭ ituation:‬‭Kate, a 28-year-old woman who is married‬‭and‬
S ‭C. Position Matet in a shock posture, lying flat on the bed‬
‭has two children, recently underwent a left breast‬ ‭with her legs elevated.‬
‭mastectomy. She is deeply worried about how this surgery‬ ‭D. Raise the oxygen inhalation rate to 6 liters per minute.‬
‭will impact her husband and her family.‬
‭ 6. Garreth, who recently had an exploratory laparotomy,‬
4
‭has been transferred to the surgical unit. You‬
‭ ccompanied Garreth and provided an endorsement to‬
a ‭ . Imbalance nutrition: less than body requirement‬
C
‭Noah, the nurse in charge of his care on the surgical floor.‬ ‭related to surgery‬
‭Arrange the following interventions in order of priority:‬ ‭D. Non-compliance to incision care related to knowledge‬
‭deficit‬
‭ . Assess breathing and initiate oxygen inhalation if‬
1
‭necessary.‬ ‭ 1. Which of the following dietary recommendations‬
5
‭2. Evaluate the surgical site and examine the wound‬ ‭would be suitable for the nurse to provide to Susan upon‬
‭drainage.‬‭→‬‭3RD‬ ‭her discharge?‬
‭3. Assess the level of consciousness, orientation, and‬
‭extremity mobility.‬‭→‬‭4TH‬ ‭ . Low purine, high protein diet‬
A
‭4. Connect all drainage tubes to the appropriate drainage‬ ‭B. High fat, high carbohydrate diet‬
‭system and continuously monitor them.‬‭→‬‭1ST‬ ‭C. Low fat, high protein diet‬
‭5. Monitor vital signs and take note of skin color,‬ ‭D. High protein, high carbohydrate diet‬
‭temperature, and the time of the last pain medication‬
‭administration.‬‭→‬‭2ND‬ ‭ ituation:‬‭Aling Aida, aged 78, experienced a thrombotic‬
S
‭6. Evaluate pain levels, pain characteristics, and the time,‬ ‭stroke three months ago, resulting in left-sided weakness‬
‭type, and route of the last pain medication administered.‬ ‭and difficulty swallowing. During her admission to the‬
‭medical ward, she mentioned weight loss, and her‬
‭ . 2, 4, 3, 5, 6, 1‬
A ‭daughter added that her mother had not consumed any‬
‭B. 4, 2, 6, 5, 1, 3‬ ‭food in the last 24 hours.‬
‭C. 4, 5, 2, 3, 6, 1‬
‭D. 5, 4, 2, 6, 1, 3‬ ‭ 2. A percutaneous endoscopic gastrostomy (PEG) tube‬
5
‭has been recently inserted to deliver specialized‬
‭ ituation:‬‭Susan, a 38-year-old dressmaker, sought‬
S ‭nutritional support to the patient. When administering tube‬
‭emergency medical attention because of intense‬ ‭feeding, the‬‭head of the bed‬‭should be raised to a‬
‭abdominal discomfort, accompanied by nausea and‬ ‭minimum of _______.‬
‭vomiting. She displayed signs of anxiety and irritability.‬
‭Her vital signs are as follows: Blood pressure: 180/96‬ ‭ . 30 degrees‬
A
‭mmHg, Pulse rate: 100 bpm, Respiratory rate: 34 cpm.‬ ‭B. 50 degrees‬
‭C. 75 degrees‬
‭ 7. What should be the‬‭primary response‬‭of the nurse‬
4 ‭D. 80 degrees‬
‭regarding the patient's previous complaints?‬
‭ 3. Patients receiving‬‭enteral feeding typically face‬‭a risk‬
5
‭ . Immediately contact the physician‬
A ‭of _______.‬
‭B. Advise the patient to lie down and rest‬
‭C. Provide the patient with reassuring words of comfort‬ ‭ . Aspiration‬
A
‭D. Prepare the required intravenous fluids‬ ‭B. Abdominal distention‬
‭C. Nausea‬
‭ 8. Susan has been admitted for a suspected gallbladder‬
4 ‭D. Infection‬
‭issue and has been scheduled for an‬‭ultrasound‬‭. What‬
‭health teaching should you provide before the diagnostic‬ ‭ 4. When providing feedings directly into the stomach, it‬
5
‭procedure?‬ ‭is crucial to regularly monitor‬‭gastric residual volumes‬
‭every‬‭_____.‬‭4-6 HOURS‬
‭ . Fast overnight‬
A
‭B. Consume fruits and coffee before the procedure‬ ‭ . Every 6-8 hours‬
A
‭C. Drink a glass of water before the test → PELVIC UTZ‬ ‭B. Twice a day‬
‭C. Once a day‬
‭ 9. The physician has informed the patient that she is‬
4 ‭D. Every 2 months‬
‭scheduled for a cholecystectomy with bile duct‬
‭exploration. What is the immediate nursing care required‬ ‭ 5. If the gastric residual volume is‬‭less than 500‬‭mL‬‭, the‬
5
‭when the client has a‬‭T-tube‬‭?‬ ‭nurse should:‬

‭ . Examine for bleeding at the tube site‬

A ‭ 500 ML‬‭– STOP AND REFER‬
>
‭B. Evaluate the color and volume of drainage during each‬ ‭250-500 ML‬‭– CONTINUE FEEDNG & CHEC Q 4HRS‬
‭shift‬ ‭IF‬‭>250 ML‬‭– REFER TO DR‬
‭C. Empty the contents of the tube drainage bag once‬ ‭>500 ML‬‭– SHOULD NEVER BE RETURNED‬
‭daily‬ ‭*** WE NEVER STOP FEEDING UNLESS ORDERED‬
‭D. Perform tube irrigation with an antiseptic solution‬
‭ . Promptly alert the doctor‬
A
‭ 0. What is your primary‬‭nursing diagnosis‬‭immediately‬
5 ‭B. Proceed with PEG feeding‬
‭following the surgery?‬ ‭C. Wait for an additional hour and reevaluate the residual‬
‭volume‬
‭ . Impaired skin integrity related to altered biliary‬
A ‭D. Pause enteral feeding and reevaluate the patient's‬
‭drainage‬ ‭tolerance‬
‭B. Acute pain and discomfort about self-care related to‬
‭knowledge deficit‬ ‭ 6. Among the common issues faced by patients‬
5
‭undergoing tube feeding,‬‭diarrhea‬‭is a concern. In‬‭such‬
‭ ases, the primary nursing response should include all of‬
c ‭ . Ensuring client safety‬
A
‭the following‬‭except‬‭:‬ ‭B. Increasing staffing levels‬
‭C. Maintaining confidentiality‬
‭ . Investigate potential medications contributing to‬
A ‭D. Ensuring an ample supply of pain relief medications‬
‭diarrhea‬
‭B. Switch to a high-fiber formula as prescribed‬ ‭ 3. Nurse Jeline collaborates with other healthcare‬
6
‭C. Administer the feeding at room temperature‬ ‭professionals. She recognizes that an interdisciplinary‬
‭D. Temporarily suspend the formula or water intake‬ ‭care plan encompasses:‬

‭ ituation:‬‭The nurse admits a 28-year-old male patient‬

S ‭ . All nursing staff members who provide input into the‬
A
‭who incurred burns while assisting in extinguishing a fire‬ ‭care plan‬
‭at a neighbor's residence.‬ ‭B. Both the physicians and nurses involved in patient‬
‭care‬
‭ 7. The nurse notes that the client has burns that involve‬
5 ‭C. The client's explicit preferences and advance‬
‭the entire surface of both arms and the front of the trunk.‬ ‭directives‬
‭The nurse calculates the percentage of burned surface‬ ‭D. Contributions from all disciplines involved in the‬
‭area using the rule of nines, which is:‬ ‭patient's care‬

‭ . 18%‬
A ‭ 4. Nurse Jeline recognizes that implementing quality‬
6
‭B. 36%‬ ‭measures in the unit leads to cost savings in patient care.‬
‭C. 40%‬ ‭The following are examples of‬‭inefficient resource‬
‭D. 45%‬ ‭utilization‬‭,‬‭except‬‭: (+)‬

‭ 8. The client is in pain, and the nurse understands that‬

5 ‭ . The time nurses spend searching for missing supplies‬
A
‭during the initial 24 hours following a burn injury,‬‭pain is‬ ‭or laboratory results‬
‭managed by providing‬‭:‬ ‭B. Delays in client discharge caused by a lack of‬
‭coordination among staff‬
‭ . Narcotics injected into non-burned tissues via‬‭IM‬
A ‭C. The time nurses invest in documenting client‬
‭B. Intravenous narcotic medications‬ ‭treatments, medications, and outcomes‬
‭C. Tepid baths and oral morphine‬ ‭D. The expenses associated with overtime pay due to‬
‭D. Liquid narcotics delivered through a nasogastric tube‬ ‭unfilled positions‬

‭ 9. The nurse examines the client's‬‭stool for hidden‬‭blood‬

5 ‭ 5. Nurse Jeline creates a workload budget for the team.‬
6
‭to evaluate the presence of which of the following medical‬ ‭What is the objective of a‬‭workload budget‬‭?‬
‭conditions?‬
‭ ORKLOAD‬‭– AMOUT T OF WORK THAT IS‬
W
‭ . Intestinal ileus‬
A ‭EXPECTED TO DO‬
‭B. Stress ulcers →‬‭CURLING’S ULCERS‬ ‭BUDGET‬‭– FINANCIAL PLAN‬
‭C. Gastric irritation‬
‭D. Bleeding related to bowel distention‬ ‭ . Quantity of work generated by a department,‬
A
‭measured in units of service used to calculate‬
‭ 0. The doctor conducts‬‭enzymatic debridement‬‭on the‬
6 ‭expenditure budgets‬
‭client. The nurse will then evaluate the client for:‬ ‭B. The mean number of patients attended to in a day‬
‭over a specified time frame‬
‭ . Increased fluid loss‬
A ‭C. Gathers statistics on present activity, with a focus on‬
‭B. Allergic reactions‬ ‭the number of units of service provided‬
‭C. Serum electrolyte imbalance‬
‭D. Bleeding from the burned area‬ ‭ 6. Nurse Jeline implements a quality management‬
6
‭program known as Lean Six Sigma, which centers on‬
‭ 1. The nurse administers a‬‭tetanus vaccination‬‭to‬‭a‬
6 ‭enhancing process efficiency and eliminating‬
‭client when the client has ______:‬ ‭inefficiencies. The following statements‬‭accurately‬‭reflect‬
‭resource management‬‭,‬‭except‬‭:‬
‭ . Open wounds with a significant amount of‬
A
‭embedded debris‬ ‭ . Healthcare professionals aim to minimize errors and‬
A
‭B. Third-degree burns‬ ‭enhance client safety‬
‭C. Second-degree burns with open blisters‬ ‭B. Effective planning is a crucial element of resource‬
‭D. Received a vaccination within the past‬‭6 YRS‬‭→‬‭10‬ ‭management‬
‭C. Typically, augmenting nursing staff leads to improved‬
‭ ituation:‬‭Nurse Jeline serves asthe charge nurse‬‭in a‬
S ‭patient outcomes‬
‭trauma unit. She employs management principles to‬ ‭D. Waste occurs when a unit allocates‬‭fewer‬
‭enhance the quality of patient care, with a particular focus‬ ‭resources than needed → MORE‬
‭on optimizing resource utilization and managing the‬
‭patient's environment effectively.‬ ‭ ituation:‬‭An8-year-old girl, accompanied by her parents,‬
S
‭visits the outpatient department due to complaints of pain‬
‭ 2. Nurse Jeline recognizes that environmental factors‬
6 ‭in her ankles, feet, and knees. The initial diagnosis upon‬
‭have a significant impact on patient care. The nurse's‬ ‭admission is‬‭Juvenile Rheumatoid Arthritis (JRA)‬‭.‬
‭primary priority for the patient is ________:‬ ‭→‬‭NO CURE!‬
‭ 7. The parents express their concerns to the nurse‬
6 ‭ 2. The nurse comprehends that individuals with chronic‬
7
‭regarding their child's disease outcome. Based on her‬ ‭heart failure experience the most significant mood swings‬
‭knowledge of the condition, the nurse should clarify that:‬ ‭when they:‬

‭ . Typically, as the child grows into adulthood, the‬

A ‭ . Simultaneously suffer from other cardiovascular‬
A
‭disease tends to advance and may lead to debilitating‬ ‭conditions‬
‭rheumatoid arthritis‬ ‭B. Harbor uncertainties regarding the progression of their‬
‭B. In the majority of cases involving children, the disease‬ ‭illness‬
‭enters a state of permanent remission‬ ‭C. Encounter challenges in maintaining their‬
‭C. While many children experience extended periods of‬ ‭employment‬
‭remission, they may also suffer from severe deformities‬ ‭D. Previously enjoyed highly active lifestyles‬
‭and a decline in their physical function‬
‭D. The majority of affected children typically achieve‬ ‭ 3. A term referring to a chronic state of depression‬
7
‭full recovery within a few years‬ ‭wherein the individual encounters fewer than five‬
‭depressive symptoms persisting for a duration of two‬
‭ 8. Which nursing diagnosis formulated by the nurse is‬
6 ‭years is called _____.‬
‭suitable for a young child diagnosed with JRA?‬
‭ . Minor depression‬
A
‭ . Impaired Physical Mobility‬
A ‭B. Major depression‬
‭B. Impaired Swallowing‬ ‭C. Dysthymia‬
‭C. Ineffective Airway Clearance‬ ‭D. Depression psychosis‬
‭D. Total Incontinence‬
‭ 4. The research examined various factors, including‬
7
‭ 9. The mother inquires of the nurse about the‬
6 ‭physiological interventions for individuals experiencing‬
‭appropriate course of action to take upon noticing her‬ ‭both heart failure and depression, in addition to‬
‭child's‬‭withdrawn behavior‬‭. The nurse's recommendation‬ ‭psychological and psychotherapeutic approaches. The‬
‭would be to:‬ ‭findings revealed that psychosocial and‬
‭psychotherapeutic interventions:‬
‭ . Offer support and understanding to her child‬
A
‭B. Facilitate interactions with other children who have‬ ‭ . May not be preferred by the majority of clients‬
A
‭JRA‬ ‭B. Require a longer duration to achieve effectiveness‬
‭C. Allocate additional time to spend with the child while‬ ‭C. Demonstrate reduced effectiveness‬
‭less time for her other children‬ ‭D. Tend to exacerbate dyspnea‬
‭D. Arrange a meeting with the school guidance counselor‬
‭for her child‬ ‭ ituation:‬‭The nurse manager responsible for the‬
S
‭medical and surgical units conducts a reorientation‬
‭ 0. Which of the statements below accurately describe‬
7 ‭program for the staff nurses and other healthcare team‬
‭Juvenile Rheumatoid Arthritis (JRA)?‬ ‭members regarding the proper procedures for reporting‬
‭and documenting any incidents that might occur within‬
‭ . JRA is the predominant chronic condition among‬
1 ‭the units.‬
‭individuals under 16 years old‬
‭2.‬‭The disease typically begins around the age of‬‭8 and‬ ‭ 5. The nurse manager informs the staff that the reasons‬
7
‭tends to peak during puberty‬ ‭for writing incident reports include all of the following‬
‭3. Initial symptoms are often referred to as growing pains‬ ‭except‬‭for:‬
‭4. Methotrexate (MTX) is generally more effective in‬
‭treating JRA in children compared to adults‬ ‭ . Enhancing the quality of nursing services‬
A
‭B. Providing an objective account of unexpected events‬
‭ . 1 & 2‬
A ‭C. Taking disciplinary action‬
‭B. 1, 3 & 4‬ ‭D. Documenting and conducting follow-up procedures‬
‭C. 1, 2, 3 & 4‬
‭D. 2 & 3‬ ‭ ituation:‬‭The nurse provides care to a cohort of‬‭patients‬
S
‭who have different forms of cancer and are undergoing‬
‭ ituation:‬‭The nurse analyzes the results of a recent‬
S ‭cancer treatment and taking prescribed medications.‬
‭study, which indicated that while individuals with‬
‭depression may face an increased risk of heart failure,‬ ‭ 6. A drug is administered to a client as part of a‬‭Phase 1‬
7
‭those who have cardiovascular disease are more likely to‬ ‭clinical trial. The nurse presumes that the cancer:‬
‭experience symptoms of depression.‬

‭ 1. The study also uncovers that major depression is‬

7
‭most commonly found among which of the following‬
‭groups:‬

‭ . Males‬
A
‭B. Females‬
‭C. Individuals under the age of 60‬
‭ . Is not covered by the client's insurance, along with its‬
A
‭D. Individuals aged 60 and above‬
‭treatment‬
‭ . Is unresponsive to established cancer treatments‬
B ‭D. Pruritus and edema around the eyes and ankles‬
‭C. Is deviating from the anticipated disease progression‬
‭D. Is small in size and less severe‬ ‭ 2. The nurse conducts a physical examination. What‬
8
‭assessment outcomes would the nurse anticipate in a‬
‭ 7. A‬‭Phase II‬‭→‬‭EFFECTIVENESS‬‭clinical trial‬
7 ‭child with appendicitis?‬
‭medication is administered to a patient diagnosed with‬
‭lung cancer. Which of the following represents a suitable‬ ‭ . Sore throat, bone and joint aches‬
1
‭evaluation of the medication by the course?‬ ‭2. Diarrhea or sudden constipation‬
‭3. Focal pain in the lower left region‬
‭ . Identification of the highest tolerated dosage‬
A ‭4. Tensing of the abdominal wall muscles‬
‭B. Characterization of the nature and extent of adverse‬
‭reactions‬ ‭ . 1 & 3‬
A
‭C. Appraisal of the overall efficacy of the medication‬ ‭B. 1, 3 & 4‬
‭D. Description of how the medication measures up‬ ‭C. 1, 2, 3 and 4‬
‭against established treatment protocols‬ ‭D. 2 & 4‬

‭ 8. The nurse responsible for a patient with an‬‭implanted‬

7 ‭ 3. During the assessment, when the child mentions that‬
8
‭radiation source‬‭should minimize their own radiation‬ ‭the pain has disappeared and their abdomen no longer‬
‭exposure by implementing which of the subsequent‬ ‭hurts, the nurse might suspect that:‬
‭methods?‬
‭ . The appendix has ruptured‬
A
‭ . Restricting the duration of proximity to the patient to‬
A ‭B. The child is anxious about undergoing surgery‬
‭thirty minutes per eight-hour shift‬ ‭C. The child seeks additional attention‬
‭B. Utilizing a radiation meter or film badge to monitor‬ ‭D. The child encounters challenges in effectively‬
‭radiation exposure‬ ‭communicating their pain‬
‭C. Maintaining a six-foot distance from the patient except‬
‭when providing hands-on care‬ ‭ 4. The client's diagnosis has been verified, and an‬
8
‭D. Donning a lead-shielded apron upon entering the‬ ‭appendectomy is scheduled. Preoperative nursing care‬
‭patient's room →‬‭REDUCE SELF EXPOSURE‬ ‭involves which of the following:‬

‭ 9. For a 30-year-old patient with an implanted radiation‬

7 ‭ . Applying warm compresses to the child's abdomen to‬
A
‭source, which of the following nursing tasks takes‬ ‭alleviate discomfort‬
‭precedence?‬ ‭B. Administering a prescribed laxative‬
‭C. Evaluating bowel activity through the assessment‬
‭ . Mitigate radiation-related skin issues‬
A ‭of abdominal distension and listening to bowel‬
‭B. Evaluate the client's response to diagnosis and‬ ‭sounds‬
‭treatment‬ ‭D. Positioning the child on their left side to aid in‬
‭C. Encourage regular physical activity during‬ ‭localizing and preventing the spread of infection‬
‭confinement‬
‭D.‬‭Ensure the client and others are protected from‬ ‭ 5. The nurse readies the child for surgery. Which of the‬
8
‭unnecessary radiation exposure → SAFETY!‬ ‭following nursing actions should the nurse undertake?‬

‭ 0. The nurse tending to a patient with a temporary‬

8 ‭ . Providing clear fluids‬
A
‭radioactive cervical implant should‬‭refrain‬‭from which‬‭of‬ ‭B. Applying warmth to the abdominal area‬
‭the following actions?‬ ‭C. Administering an enema as prescribed‬
‭D. Ensuring that the child remains in complete bed‬
‭ . Leaving the client's bedding in a laundry hamper in the‬
A ‭rest‬
‭hospital corridor → IV/IM UNSEALED‬
‭B. Spending an hour conversing with the client by the‬ ‭ ituation:‬‭Engaging in research is an essential pursuit‬
S
‭bedside‬ ‭that nurses must undertake to make meaningful‬
‭C.‬‭Flushing the toilet only once after emptying the‬ ‭client's‬ ‭contributions to the field of nursing science.‬
‭bedpan‬
‭D. Administering an‬‭alcohol-based mouthwash‬‭for the‬ ‭ 6. What type of design is employed when a nurse‬
8
‭client's oral hygiene‬ ‭researcher collects‬‭data at multiple time points over‬‭an‬
‭extended period‬‭?‬
‭ ituation:‬‭A male child, aged 10, has been admitted‬‭to‬
S
‭the surgical department's pediatric unit at Hospital X due‬ ‭ . Time-related‬
A
‭to complaints of pain in the lower right abdomen. The‬ ‭B. Time-sequenced‬
‭preliminary diagnosis suggests acute appendicitis.‬ ‭C. Cross-sectional‬
‭D. Longitudinal‬
‭ 1. Which of the subsequent signs and symptoms is most‬
8
‭likely to manifest in a client suffering from‬‭appendicitis‬‭?‬ ‭ 7. Which type of research design is indicated when a‬
8
‭research study‬‭includes interventions‬‭and binding?‬
‭ . Convulsions, fluctuations in weight‬
A
‭B. Elevated body temperature, feelings of nausea,‬ ‭ . Descriptive‬
A
‭and vomiting‬ ‭B. Non-descriptive‬
‭C. Sore throat, bone and joint aches‬ ‭C. Experimental‬
‭D. Phenomenological‬ ‭ . Draw a line through the sentence, make the‬
C
‭correction above it‬
‭ 8. Which of the following statements is the‬‭least‬
8 ‭D. Erase the error using a rubber eraser and then sign‬
‭descriptive‬‭of a qualitative research design?‬
‭ 4. Which of the following statements is‬‭incorrect‬
9
‭ . It is flexible and elastic‬
A ‭concerning record-keeping?‬
‭B. Gather‬‭1‬‭data from collection strategy →‬‭MULTIPLE‬
‭C. Strives for an understanding of the whole strategy‬ ‭ . Neglecting it could serve as evidence of professional‬
A
‭D. Researchers become involved‬ ‭misconduct‬
‭B. It is an optional task to be completed when‬
‭ 9. Qualitative researchers should select participants who‬
8 ‭circumstances permit‬
‭align most effectively with the study's objectives. Who‬ ‭C. It is a professional practice tool that aids in delivering‬
‭among the following individuals is the‬‭most suitable‬ ‭quality care‬
‭choice?‬ ‭D. It is a fundamental part of a nurse's professional duties‬

‭ . Cooperative community members‬

A ‭ 5. The QA nurse routinely performs an audit of medical‬
9
‭B. Those who are readily available and thus convenient‬ ‭records. The‬‭primary objective of conducting an audit‬
‭for the researcher‬ ‭within a healthcare facility is to:‬
‭C. Individuals capable of articulating and reflecting on‬
‭their experiences with the phenomenon‬ ‭ . Detect errors made by healthcare personnel‬
A
‭D. Individuals referred by friends‬ ‭B. Identify areas for enhancement‬
‭C. Verify compliance with established standards‬
‭ 0. In research, a‬‭"full understanding"‬‭should be‬‭grasped‬
9 ‭D. Facilitate risk management initiatives‬
‭by the nurse researcher as:‬
‭ ituation:‬‭Prior to Ruru's surgery, health education‬
S
‭ . Ensuring that the participants' safety is not‬
A ‭sessions are arranged for him and his family. The health‬
‭compromised‬ ‭education plan focuses on achieving weight gain through‬
‭B. Clearly elucidating the study, encompassing risks‬ ‭a diet rich in protein and calories, and it is being prepared‬
‭and benefits‬ ‭by the nurse.‬
‭C. Upholding the participants' right to make voluntary‬
‭decisions‬ ‭ 6. The nurse ensures that which of the following‬‭groups‬
9
‭D. Avoiding any exploitation of the information shared by‬ ‭should be present and actively participate in the‬
‭the participants‬ ‭educational program?‬

‭ ituation:‬‭Effective record management is crucial‬‭within‬

S ‭ . Patient, family members, and significant others‬
A
‭any healthcare facility. It is the nurse's responsibility to‬ ‭B. Patient, student nurses, and interns‬
‭ensure that the task is carried out with utmost care and‬ ‭C. Head nurse and family members‬
‭attention.‬ ‭D. New staff nurses and nursing aides from the unit‬

‭ 1. Nurse Pauline, while working in the medical unit, is‬

9 ‭ 7. In the‬‭education plan‬‭, the nurse must incorporate‬
9
‭instructed to‬‭use abbreviations that adhere‬‭to the‬ ‭which of the following components? Select all that apply.‬
‭following criteria:‬
I‭. Objectives‬
‭ . Automatically utilized to save valuable time‬
A ‭II. Content and allotment‬
‭B. Minimized in usage across all units‬ ‭III. Teaching and learning resources‬
‭C. Part of the hospital's approved standard list‬ ‭IV. Evaluation criteria‬
‭D. Avoided altogether to prevent potential‬
‭misinterpretations‬ ‭ . I, II, and III‬
A
‭B. I, III, and IV‬
‭ 2. A‬‭mistake‬‭in record-keeping can occur due to illegible‬
9 ‭C. II, III, and IV‬
‭handwriting. In such a situation, what should the nurse‬ ‭D. I, II, III, and IV‬
‭do?‬
‭ 8. To facilitate a simpler and more comprehensible‬
9
‭ . Seek assistance from a senior nurse to clarify the‬
A ‭implementation of the plan, the nurse conveys it using‬
‭order‬ ‭which of the following?‬
‭B. Consult the resident-on-duty at the nurses' station for‬
‭interpretation‬ ‭ . A lecturer‬
A
‭C. Contact the physician who issued the order‬ ‭B. A colleague‬
‭D. Report the lapse to the Quality Assurance Committee‬ ‭C. Colorful illustrations‬
‭D. Printed content on cartolina‬
‭ 3. When a nurse makes an error in the progress notes,‬
9
‭the most appropriate course of‬‭action‬‭is:‬ ‭ 9. Prior to finalizing and implementing the staff nurse's‬
9
‭education plan, it is most advisable to have it reviewed by‬
‭ . Cross out the error repeatedly to ensure it becomes‬
A ‭the:‬
‭unreadable and then sign‬
‭B. Delete the erroneous phrase or sentence, make the‬ ‭ . Head Nurse‬
A
‭correction above it, and sign‬ ‭B. Nurse Supervisor‬
‭ . Chief Nurse‬
C
‭D. Medical Director‬

‭ 00. Throughout the implementation process, the nurse‬

1
‭should ensure a _____ to facilitate better understanding‬
‭of the teachings.‬

‭ . Suitable time and location‬

A
‭B. Lecture beginning at 11:00 AM‬
‭C. Novice as a contributor‬
‭D. Serious lecturer‬