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In the small intestine, they are the finger-like projections formed by the mucosa. A. Villi B. Circular folds C. Peyer’s patches D. Microvilli Villi Two major regions of a tooth. A. Crown and enamel B. Pulp cavity and root C. Root and dentin D. Crown and root Crown and root Spot the Not A. WBC B. RBC C. Sodium and potassium D. Blood proteins Sodium and potassium The female organ of copulation A. Uterus B. Fallopian tube C. Vagina D. Ovary Vagina A diamond-shaped region between the anterior end of the labial folds, anus posteriorly, and ischial tuberosities laterally. A. Perineum B. Vestibule Perineum
C. Clitoris D. Mons pubis It is a phase of therapeutic relationship where in the goal is to develop trust and security within the Nurse and the Patient. Working phase Termination phase Pre-interaction phase Orientation phase Orientation Phase A type of assessment performed to determine status of a specific problem identified in an earlier assessment. Time-lapsed reassessment Emergency assessment Problem-focused assessment Initial Assessment Problem-focused assessment Nurse Anne knows that all of these are considered secondary sources of data EXCEPT? Health care providers Client records Client Support people Client Nurse Lorrie is analyzing the data gathered, identifies health problems of the patient and formulate diagnostic statements. What phase of the nursing process is this? Implementation phase Evaluation phase Assessment phase Diagnosis phase Diagnosis phase All of these are being done during Implementing phase of the nursing process except: Reassessing the client Determining the nurse’s need for assistance Collecting data
Right Dose Right Route Right Drug Before giving the medication, the nurse checks ID band and the chart of the patient. Which of the following is applied on this situation? Right Route Right Drug Right Assessment Right Patient Right Patient The nurse refers to the doctor the cardiac rate of the patient which is only 40beats/min. The action of the nurse tells us that she applies one of the 10 rights in giving the medication. Right Drug Right Assessment Right Route Right Patient Right Assessment A patient with anemia asked the nurse on duty, “Which of the following diet below can I benefit? Nuts and seeds, fruits, and soy products. Grains, berries, and organic vegetables. Legumes, organ meat, and dark green leafy vegetables Vegetables, fish, and pasta. Legumes, organ meat, and dark green leafy vegetables A patient is to be started on enteral feedings. Since you are the nurse on duty, what important step should you take before the patient is started on enteral feedings? Assess patient allergies to lactose. Evaluate the families’ perception of the enteral feedings. Assess the patient’s understanding about enteral feedings. Make sure the patient stays nothing by mouth while enteral feedings are being administered Assess patient allergies to lactose.
What is the other name for “mask of pregnancy”? butterfly rash myoma melanoma chloasma chloasma Expected developmental variation on the spine of a pregnant woman kyphosis progressive lordosis cordosus scoliosis progressive lordosis Integumentary change seen in the midline of the abdomen which shows a darker pigmentation. diastasis recti abdominis straie growidarum linea negricans linea nigra linea nigra Elevated sebaceous glands of the areola which produces lipofluid secretion that lubricates and protects the nipple. Meibomian gland Sweat gland Montgomery glands Coopers gland Montgomery glands A woman is admitted with a diagnosis of ectopic pregnancy. For which procedure should the nurse prepare? intravenous administration of a Tocolytic bed rest for the next 4 weeks immediate surgery internal uterine monitoring Immediate Surgery A woman at 32 weeks' gestation is admitted in preterm labor. On the nurse's admission assessment, which of following findings would Cervical dilation of 5 cm
Ineffective tissue perfusion related to poor heart contraction Nurse Beatrice is a sophomore BSN student, she is well equipped to provide health education to the teenage and adult members of their community. Bon truly understands that to prevent the spread of the COVID infection, the cycle of the infectious process must be broken. This is accomplished primarily through? hand washing before and in between contacts to others use of medical and surgical asepsis leaning the environment wearing of Personal Protective Equipment hand washing before and in between contacts to others Nurse Joefferson a senior BSN nurse understands that the best way for a nurse to practice ethically and be protected legally would be? carry at least 100,000 worth of liability insurance follow hospital policy and procedure whenever possible establish a therapeutic relationship with all patients and family members provide the best possible care to the client/ patient under any circumstance provide the best possible care to the client/ patient under any circumstance A researcher wants to know how grandparents feel about their grandchildren which made him select men and women who are 65 years old and above who have grandchildren to serve as participants. What type of sampling technique was used by the researcher? Accidental Quota Snowball Purposive Purposive An investigator who wants to interview the first 10 patients who first recovered in the COVID Snowball
infection may use what type of sampling technique? Purposive Quota Accidental Snowball The process of selecting the representative portion to represent the entire population: Population Subjects Sampling Sample Sampling Which of the following is considered a probability sampling technique? Purposive Snowball Systematic Quota Systematic Anna would like to make sure that her research instrument can measure exactly what it intends to measure. She had chosen to write experts using the Good and Scates form to look into the items included in the instrument. What is determined by Anna at the moment? Validity Reliability Consistency Sensitivity Validity Informed consent most importantly requires the researcher to explain to the subjects: The right to withdraw from the study anytime The purpose of the study The rigors of the study The number of participants in the study The right to withdraw from the study anytime Qualitative studies used to examine the lived experiences of individuals about a phenomenon Phenomenological
Urine analysis, particularly for the presence of white blood cells. Patient Leila has a nursing diagnosis of fluid volume deficit. Which one of the following medications could potentially exacerbate the problem? Insulin Lasix Synthroid Digoxin Lasix Sodium levels are affected by the secretion of which of the following hormones? Progesterone and aldosterone ECF and aldosterone ADH and ACTH Antidiuretic hormone and FSH ADH and ACTH When teaching a patient about foods high in magnesium, the nurse would include: Green vegetables Tomatoes Butter Cheese Green vegetables Your 75-year-old patient with a feeding tube, has been experiencing severe watery stool. The patient is lethargic and has poor skin turgor, a pulse of 120, and hyperactive reflexes. Nursing interventions would include: Applying wrist restraints to avoid displacement of the feeding tube Administering sedatives. Administering salt tablets and monitoring hypertonic parenteral solutions. Measuring and recording intake and output and daily weights. Measuring and recording intake and output and daily weights. Disease of which of the following structures is most likely to affect electrolyte reabsorption? Renal tubules
Renal tubules Bladder Glomerulus Renal pelvis Len is diagnosed with hypermagnesemia. Symptoms of her condition may include: Tachycardia Hypertension Cardiac arrhythmias Hyperactive deep-tendon reflex Cardiac arrhythmias Drug of choice with kidney stones made of uric? Paracetamol NSAID drug Allopurinol Diazepam Allopurinol Your patient who had undergone surgery is in the recovery room and difficult to arouse two hours following surgery.The patient does not respond to any stimuli. The nurse assesses the ABCs (remember Airway, Breathing, Circulation!) and obtains ABGs STAT! Measurement of arterial blood gas shows pH 7.20, PaCO2 50 mm Hg, and HCO3 20 mEq/L. What does this mean? Metabolic Alkalosis Combined acidosis Respiratory Acidosis Combined alkalosis Combined acidosis Baby Dagul was rushed to the Emergency Room following her mother’s complaint that the infant has been irritable, difficult to breastfeed, and has had diarrhea for the past 3 days. The infant’s respiratory rate is elevated and having seizure. The Emergency Room physician orders ABGs after assessing the ABCs. The results from the ABG results show pH 7.52 , PaCO2 27 mmHg, and HCO3 24 mEq/L. What does this mean? Metabolic acidosis Respiratory alkalosis
Transmission-based precaution Standard Precaution Standard Isolation A type of transmission-based precaution wherein the use of N95 mask is required and negative air pressure room when caring for patients with an infectious disease such as Measles Contact precaution Standard precaution Droplet precaution Airborne precaution Airborne precaution A type of immunity acquired after birth, through the production of antibodies through active infection or through antibody infusion Innate Immunity Adaptive Immunity None of the above Genetic Immunity Adaptive Immunity A type of immunity mediated response which involves B-cell maturation, plasma cell production and antibodies General immune response All of the above Humoral response Cell-mediated response Humoral response The T lymphocyte responsible for recognizing antigens from previous exposure and mounting an immune response Memory T Cells B Cells Helper T Cells Suppressor T Cells Memory T Cells A type of hypersensitivity mediated by IgG antibody which formed when antigens bind to antibodies creating antigen-antibody immune Type III
complexes leading to vascular permeability and tissue injury Type II Type I Type IV Type III A component of blood where clotting factors are found, along with immunoglobulins and enzymes Plasma WBC RBC Platelet Plasma When does preoperative preparation of the patient start? When a patient has enough money When a patient is ready for surgery When a patient decides on an operation When patient feels signs and symptoms that require surgery When a patient decides on an operation A surgery done to estimate the extent of the pathology and eventually confirm diagnosis. Exploratory Reconstructive Diagnostic Ablative Exploratory Which of the following operative procedures is classified as an emergency? Cataract surgery after exposure to corrosive material Amputation following degloving injury of the whole right arm Radical Mastectomy for Stage IV Cancer Cholecystectomy due to gallstones causing intermittent right subcostal pain Amputation following degloving injury of the whole right arm
Cut off time Surgical consent Client verification What is the scoring system used to assess readiness of patients to be discharged form the Post Anesthesia Care Unit? Level of Consciousness Glasgow Coma Scale Aldrete Score Revised Trauma Score Aldrete Score Nurse Joan is assigned in the oncology section of the hospital. Which of the following orders should the nurse question if a client is on radiation therapy? Aspirin every 4 Bland diet Saline rinses every 2 hours Analgesics before meals Aspirin every 4 hours A client had undergone radiation therapy (external). The expected side effects include the following apart from: Ulceration of oral mucous membranes Headache Constipation Hair loss Hair loss The student nurse is conducting a health teaching to female clients in the ward about Breast self-examination. During evaluation the clients are asked to state what they learned. Which of the following statement made by a client needs further teaching about BSE? “BSE palpation is done by starting at the center going to the periphery in a circular motion.” “BSE is done after menstruation." “BSE should start from age 20.” BSE palpation is done by starting at the center going to the periphery in a circular motion
“BSE can be done in either supine or standing position.” In staging and grading neoplasm TNM system is used. TNM stands for: Tumor. node. metastasis Tumor. neoplasm. mode of growth Time. neoplasm. mode of growth Time. node. Metastasis Tumor. node. metastasis A relative with cancer. is asking about the warning signs that may relate to cancer. As a nurse you correctly identify the warning signs of cancer by responding: “If a sore healing took a month or more to heal. cancer should be suspected.” “Sudden weight loss of unexplained etiology can be a warning sign of cancer.” “Presence of dry cough is one of the warning signs of cancer.” “A lump located only in the breast area may suggest the presence of cancer.” “Sudden weight loss of unexplained etiology can be a warning sign of cancer.” When the nurse is not performing any nursing procedures, what distance should be maintained from the client who have internal radiation? 2.5 feet 1 feet 3 feet 2 feet 3 feet A pathway in the secondary hemostasis that involves exposure of collagen, activation of clotting factors leading to formation of stable hemostatic plug Intrinsic pathway Common pathway Extrinsic pathway All of the above Intrinsic pathway The most common type of anemia which results to decrease in RBC caused by low iron intake, Iron deficiency anemia
Positive Chronotropic effect Positive Inotropic effect Negative Chronotropic effect Negative Domotropic effect The signs and symptoms of impending heart attack are the following except: Syncope Vomiting Indigestion Nausea Syncope Which among the following communicable respiratory diseases is considered one of the leading causes of mortality in the Philippines? Pneumonia Asthma Atelectasis Chronic Obstructive Pulmonary Disease Pneumonia The following are modifiable factors relative to non-communicable respiratory pathology, except: Sedentary lifestyle Stress Cigarette smoking Age Age Retraction of the intercostal spaces is significant in assessment of patients with respiratory pathology. Which of the following conditions would represent such a mentioned finding upon inspection? COPD Laryngitis Croup Asthma
COPD
Placement of the index finger at the suprasternal notch enables the nurse to locate the base of the trachea and detect possible respiratory Palpation
pathology. What assessment technique is the nurse using? Palpation Percussion Auscultation Inspection What is an adventitious high-pitched, continuous whistling sound usually heard during expiration of an asthmatic patient? Wheeze Crackles Bronchial Vesicular Wheeze Lagundi is a common herbal plant usually recommended by DOH for cough. Other than this herbal medication available in the community. What is another recommended herbal medication that can alleviate respiratory symptoms present in asthmatic clients? Yerba Buena Garlic Turmeric Ulasimang bato Yerba buena Asthma is a chronic reactive airway disorder characterized by increased resistance to airflow due to episodic airway obstruction. Which of the following non-respiratory conditions is most likely associated with an asthma attack Chronic Sinusitis with Polyposis Gastro Esophageal Reflux Disorder Congenital Aganglionic Megacolon Incarcerated Inguinal Hernia Gastro Esophageal Reflux Disorder Scenario: Ana, a newly hired community health nurse was assigned to Brgy. Masagana with approximately 38,900 population. Nurse Ana is aware that she is guided by the principles of Primary Health Care and the Health care delivery Barangay Health Station
