Progress Notes:

Diagnostic Examination

A client is hospitalized with a diagnosis of possible Cancer of the pancreas. On admission the client asks the nurse, “Do you think I have anything serious like cancer?” What is the nurse’s best reply?

“What makes you think you have cancer?”
“I don’t know if you do, but let’s talk about it.”
“Why don’t you discuss this with your doctor?”
“Don’t worry, we won’t know until all the test result are back.”

Nurse Dante approaches a male client and asks how he is feeling. The client states “I’m feeling a bit nervous today.” Which of the following is the Nurse’s best reply

Please explain what you mean by the word nervous
What is making you feel nervous?
Would a backrub ease your nervousness?
You do look like you’re nervous

When assessing a client what statement would indicate negative self-talk

Everyone has to learn something new sometime
[ ]I am looking forward to making home visits , but I am also nervous
This is going to be difficult, but I know I can do it
Who can ever have enough experience to prepare for that job?

While receiving a preoperative enema a client starts to cry and says. “I’m sorry you have to do this messy thing me,” what is the best response by the nurse?

“I don’t mind it.”
“You seem to be upset.”
“This is part of my job.”
“Nurses get used to this.”

“But you don’t understand” is a common statement associated with adolescent. The best response by the nurse when communicating with an adolescent is to say

“I don’t understand.”
“I would like to understand, let’s talk.”
“I don’t understand. I was a teenager once too.”
“I’m not sure have to I believe it’s you who has to understand.”

“You can eat only the on this list.”
“What types of food do you usually eat?”
“You need to limit the intake of food on this list.”
“Do you understand why you have these food restrictions?”

Nurse Diana is preparing a nursing care plan to a client with Diabetes Mellitus (D.M.) that includes before discharge to know how to self-administer insulin, adjust the insulin dosage, understand the diet, and test the serum for glucose level. The client progresses well and is discharge 5 days following admission. Legally the

Nurse was properly functioning as a health teacher
Visiting nurse should do health teaching in the client’s home
Family members also should have been taught to administer the insulin
Physician was responsible and the nurse should have cleared the care with the physician

Which teaching method has been evaluated as most effective in a new diabetic client

Utilizing breaks after each unit of the teaching session
Having the client repeat the steps of insulin administration
Encouraging the client to ask many questions
Confirming thatthe client is able to give his own insulin

Which of the following statements by a client would alert the Nurse that further teaching on the idea of a restful sleep is indicated?

I don’t take naps throughout the day
I go to bed and get up routinely at the same time each day
I have a small snack and take a bath before going to bed each day
I went to bed earlier than usual and I rested and watched television until I fall asleep

What can the Nurse do to support the client’s ability to sleep in the hospital setting?

Assess the client’s towards the end of the shift , closer to the normal awakening time
Darken the room as much as possible by keeping the lights off
Limit the noise and distraction on the unit
Provide a bath or shower before bedtime

What does Nurse Benjie identify as the most likely cause of the infiltration of a client’s IV

Excessive height of the IV solution
Failure to a adequately secure the catheter
Lack of asepsis during catheter insertion
Infusion of chemically irritating medication

Another client has an IV infusion. If the IV infusion infiltrates, what should Nurse Benjie do first

Elevate the IV site.
Discontinue the infusion.
Attempt to flush the tube.
Apply a warm, moist compress.

The Physician orders the application of a warm soak to an IV site that has infiltrated. Nurse Benjie understands that the application of local heat transfer temperature to the body via the principles of

Radiation
Insulation
Convection
Conduction

A Physician orders 2000 ml of 5% dextrose and ½ Normal Saline to infuse over 24 hours. The drop factor is 15 drops per ml.Nurse Benjie sets the flow rate at how many drops per minute?

15 drops per minute
17 drops per minute
21 drops per minute
28 drops per minute

A Physician has ordered 1000 ml of intravenous fluid to another client to run at 45 drops per minute. Using 15 drops per cc dropper, approximately how long should the IVF run?

4 hours
4.5 hours
5 hours
5.5 hours

Nurse Yolly discusses Teratogens with a client during pre-conceptual counseling. The client demonstrates understanding by stating

“I should stop taking all my medications while I am pregnant.”
“The fetus is at greatest risk for developing anomalies during the first 16 weeks of pregnancy.”
“After 12 weeks, the placenta protects the fetus from teratogens.”
“Exposure to teratogens poses the greatest risk during the first eight weeks.”

Anna had her menstruation last April 12, 2014. She has a 27-day cycle. Given the scenario, the expected date of next ovulation is

April 25, 2014
April 26, 2014
May 25, 2014
May 26, 2014

Following an ultrasound at 6 weeks gestation, the client comments, “The embryo doesn’t look human.” She asks, “When will it begin to look like a baby?” The nurse’s best response is

“In one more week the embryo will take on a human appearance.”
“The embryo looks like a baby already. Let me show you again.”
“The embryo becomes a fetus and looks human after 8 weeks gestation.”
“You are right, the embryo doesn’t look human. Is this important to you?”

Carla another patient in the clinic just found out that she is pregnant. She asks when would be her delivery date. What is the expected date of confinement (EDC) of a pregnant woman whose menstruation was from April 10 to April 13

January 17
January 20
July 17
July 20

The nurse noted the Fundic height of Anna is at the level of the umbilicus. In documenting the data using Bartholomew’s rule, the most probable age of gestation (AOG) in week is

12 weeks
16 weeks
20 weeks
32 weeks

Carol, an OPD nurse admitted Mrs. Felia to the antepartum unit with a diagnosis of severe Hyperemesis Gravidarum.When the nurse reviews the laboratory tests, she would expect which of these findings

Increased hematocrit
Decreased blood urea nitrogen
Increased potassium
Low urine specific gravity

Nurse Carol suspects presence of sexually transmitted infection to Mrs. Felia specifically Syphilis to a pregnant client. Which of the following tests will be recommended to the client to confirm diagnosis

Complete blood count
Urinalysis
Benedict’s test
VDRL

Mrs. Ibrado a 26 year old Primigravida is being prepared for a nonstress test. This is an assessment test based on what phenomenon

Braxton-Hicks contractions cause fetal heart rate alterations.
Fetal heart rate slows in response to a uterine contraction.
Fetal movement causes an increase in maternal heart rate.
Fetal heart sounds increase in connection with fetal movement.

After a non-stress test is completed, Nurse Ibrado observes on a monitor of the fetal strip results that the fetal heart rate accelerated 15 BPM with each fetal movement. The acceleration lasted for 20 seconds and occurred 3 times during the 20 minute test. The Nurse is correct in interpreting the test as a

Reactive test
Non- reactive test
Positive test
Negative test

Another client is also scheduled for Amniocentesis.Nurse Carol explains to the client that one of the risks of amniocentesis is

Rupture of membranes
Premature labor
Fetal death
Malformation

The nurse is assessing the fetal heart monitor strip of a client having a contraction stress test. Which of the following, if noted by the nurse, would indicate a negative test

No late decelerations after any contractions on a strip with three contractions within a 10-minute time frame.
Late decelerations after at least 2 contractions on a strip with three contractions within a 10-minute time frame.
Late decelerations after one contraction on a strip with three contractions within a 10-minute time frame.
An increase in fetal heart rate after three contractions within a 10-minute time frame.

The client complains of feeling tired and thirsty. The nurse evaluates that the mother understand the reason for taking only small sips of water and ice chips during labor.Which of the following statement expressed by the mother would reflect she understands the situation? When

The body normally has a sufficient store of energy
The digestive process is normally slower during labor
The intestinal tract should be completely empty before delivery in order to avoid infecting the baby
Cesarian section is always a possibility even in normal labor

Kim, a 27 year old, multigravida client, has been transferred to the delivery room after spontaneous rupture of membrane and crowning was noted by the nurse in charge. You know that your teaching has been effective when the laboring client’s partner shouts, “She’s crowning!” as

You first start to see a little of the baby’s head.
The baby’s head recedes upward between pushing contractions.
The perineum is thin and stretching around the occiput.
The mouth and nose are being suctioned.

To deliver her infant, a woman is ask to push with contractions to deliver. Ensuring the standards of nursing practice, which of the following is the most effective and safest pushing technique to teach her

Lying supine with legs in lithotomy stirrups.
Squatting while holding her breath.
Head elevated, grasping knees, breathing out.
Lying on side, arms grasped on abdomen.

The delivery room nurse based on the standards of nursing practice, episiotomy is usually indicated for which of the following purposes

To prevents distention of the bladder.
To relieve pressure on the fetal head.
To aid in contraction of the uterus following delivery.
Done primarily for the physician’s benefit.

The Nurse in the delivery room is attending to Mrs. Cruz on labor to make sure that maternal injury will be prevented during the postpartum period. Which of the following instruction should the nurse consider to prevent postpartum hemorrhage?

Massage the fundus regularly
Postpone breastfeeding of the baby- encourage breastfeeding to stimulate release of oxytocin thereby promoting uterine contraction
Apply warm compress to her abdomen
Have bed rest and avoid early ambulation- encourage ambulation

When the placenta has been delivered, the first thing the nurse should do in adherence with the standards of nursing practice is to

Inspect the placenta for completeness of the cotyledons
Palpate the uterus to see if it is contracted
Administer oxytoxic agents as ordered
Estimate the blood loss to detect any bleeding

The delivery room nurse palpates the client’s fundus immediately after delivery of the placenta and assess that it is boggy. The nurse massages the patient’s uterus until it is firm. Considering evidence-based nursing practice, which medication would the nurse anticipate might need to be administered if the uterus becomes boggy again

Oxytocin (Pitocin)
Ibuprofen
Rho (D) immnune globulin (RhoGAM)
Magnesium sulfate

Mrs. Evita 28 years old gave birth through Cesarian section. The Nurse examines her and identify the presence of lochia serosa and feels the fundus 4 fingerbreadths below the umbilicus. This indicated that the time elapsed is

1 to 3 days postpartum
4 to 5 days postpartum
6 to 7 days postpartum
8 to 9 days postpartum

In assessing a new mother’s response to her son’s birth on the first post-partum day, which behavior does the Nurse expect to find present?

Talkativeness and dependency
Autonomy and Independence
Disinterest in her own body function
Interest in learning to care for the baby

Which of the following assessment findings of the nurse would give him a clue that his patient’s preterm labor may still be halted

There was no sudden gush of fluid observed.
The patent is not febrile.
Fetal heart rate was 175 beats per minute.
The last internal examination done by the attending obstetrician revealed 4 cm cervical dilation.

The attending obstetrician has ordered to start a terbutaline infusion to help stop the preterm labor of the patient. Nurse Budoy should take note not to do ALL of the following measures during the preparation and administration of the infusion EXCEPT

Regularly auscultate the lungs of the patient.
After the infusion has been terminated, check for new orders to switch the patient from intravenous terbutaline to oral terbutaline.
Monitor for uterine contractions. Should the uterine contractions stop, the infusion should be terminated, as ordered, usually an hour after.
Mix the drug with a dextrose solution to prevent any unnecessary hypoglycemic episodes.

Inday was permitted by her doctor to stay home but advised her to stay on permanent bed rest so as to prevent any recurrence of the preterm labor. Which of the following statements would tell Nurse Budoy that his discharge teachings to help Inday prevent any recurrence of preterm labor was effective

“I should only call my doctor if I counted my pulse to be more than 120 beats per minute.”
“If I feel like uterine contractions are beginning again, I should lie down and elevate my feet.”
“If I forget a dose of the medication for the contractions, I should take two pills as soon as possible to make up for the lost dose.”
“If I notice any increase in my frequency of urination, I should lessen my oral fluid intake.”

Inday is asking Nurse Budoy how she would perform the Count to 10 Test. The latter should make sure to point out ALL of the following EXCEPT

When doing the test, the patient should assume a side-lying position.
The patient should count the number of fetal movements that will occur in an hour.
If the time it takes to feel 10 movements is twice what it was the day before, she should immediately call her physician.
If she was able to count 12 fetal movements in an hour, there is no need to call up her physician.

If in case Inday experienced preterm labor again but cannot be medically halted anymore, which of the following information should be provided to her

She would only deliver the fetus vaginally considering that it is small enough.
She should not expect any episiotomies to be performed because the fetus will be able to pass through the vaginal canal easily.
She may expect analgesic agents such as Meperidine to be given to address the pain she is experiencing.
The duration of the whole labor will not be significantly different.

Nurse Rico is assigned to care for a G1P0 pregnant client. It was endorsed to him that the said patient is currently having hypotonic contractions. Which of the following is TRUE regarding the condition

The number of contractions is usually not more than two or three in a 20-minute period.
The administration of analgesia is not a contributory factor
Nulliparous patients are mostly at risk to have hypotonic contractions.
It occurs mostly during the active phase of labor.

Which of the following actions should Nurse Rico be keen in doing after the patient in the above case has delivered

Monitor the temperature every 15 minutes.
Palpate the uterus every 15 minutes.
Provide the patient with oxygen support, as ordered.
Watch out for any complaints of headache.

Nurse Rico has also been assigned to care for another parturient whose labor is being monitored. Which of the following findings would make the nurse suspect the presence of hypertonic contractions?

The patient’s situation did not improve after the administration of sedatives.
The patient complains of severe pain during contractions which are relatively mild.
The patient’s current cervical dilation is estimated to be 6 cm.
Fetal monitoring reveals no evidences of fetal distress.

Which of the following nursing actions should be done if Nurse Rico is assisting in the Laminaria Technique for cervical ripening

Establish baseline vital signs and monitor them during and after the procedure.
Maintain the patient in a side-lying position after the procedure.
Document the number of dilators and sponges that were used.
Monitor the fetal heart especially after the procedure has been completed.

Which of the following is NOT TRUE regarding the application of prostaglandin gel to facilitate cervical ripening

Labor induction with oxytocin may be started after the last prostaglandin dose has been administered.
Women should stay in bed in a side-lying position after the application of the medication.
An example of a prostaglandin analog gel is Misoprostol (Cytotec).
Misoprostol should be used with caution among women who have renal diseases.

What is a legal implication pertinent to maternal and child health?

Informed consent is rarely needed as children are unable to understand this.
All adolescents over age 14 are able to sign consent for their own health care.
Children who feel they have been wronged can sue years into the future.
Pregnant women are not legally mandated to protect the health of their fetus.

A patient asks you whether maternal and child nursing is a profession. What qualifies as an activity of a profession

MCN nurses in the community supervise the rural health midwife and the BHWs.
MCN nurses follow the MCNAP Standards of MCN in their practice.
MCN nurses enjoy good working conditions in air-conditioned units.
MCN nurses receive relatively high pay compared with other specialty nurses.

Maternal and child nursing is changing because social change affects care. Which of the following is a trend that is occurring because of social change?

Children are treated in emergent care clinics, so nurses are hardly needed.
Immunizations are now available for all childhood infectious diseases.
The use of skilled technology has made nursing care more complex.
Pregnant women are so healthy today that they rarely need prenatal care.

You are working in a maternal unit of a tertiary-level hospital in Manila. The Chief Nurse of the Obstetrics Department is nominated to replace a BON member who served for 1 year. You know that your Chief Nurse will serve for how many years in the Board

1 year
2 years
3 years
Past their lawful term until she is replaced

In the emergency admitting section of the Obstetrics Department, a G3P2 mother with eclampsia is brought in with active seizures. Which of the following principles is observed when the admitting obstetrician assesses the patient and institutes emergency measures without seeking consent from her

Principle of Double Effect
Benevolent Deception
Paternalism
Advocacy

The novice nurse observes that a senior nurse avoids any opportunity to do bedside care, and chooses to do all the charting and carrying out of orders. He is more concerned with their delayed salaries, rather than with all the learnings he can get in the area. The novice nurse knows that the senior nurse matches which theory of management

Theory X
Theory Y
Theory Z
Theory A

Various equipment in the area, such as air-conditioning units, computers, and infusion pumps, are due for maintenance this month. Budget for this will come from

Capital Expense Budget
Operational Budget
Personnel budget
Cash budget

During another day of duty, two senior nurses are arguing about a patient error. The head nurse calls both parties in her office to immediately end the conflict. The head nurse is using what conflict resolution strategy

Smoothing
Compromise
Forcing
Withdrawing

The head nurse knows that the practice of instilling normal saline during suctioning of pediatric patients should be avoided, following evidence-based practice guidelines. How will she implement this policy

Identify the problems caused by instilling normal saline during suctioning
Call for a ward meeting to discuss the evidences of this practice
Attend a pediatric subspecialty conference to get more details about this practice
Approach each staff nurse one by one to determine their thoughts about normal saline instillation

A team from the Nursing Services Division performs an evaluation of nurses’ practice in the pediatric ward. The novice nurses knows that this is also known as

Nursing Audit
Performance Appraisal
Quality assurance
Quality improvement

Esophageal atresia (EA) / Transesophageal fistula (TEF) are often a component of associated anomalies involving the following organs except

Heart
Trachea
Kidneys
Lungs

When taking the client’s health history, which specific prenatal condition demonstrated by the mother shows the possibility of EA/TEF in the unborn infant

Oligohydramnios
Gestational DM
Polyhydramnios
PIH

Which of the following procedures should Nurse Dianne conduct in the initial nursing physical assessment to help determine the presence of EA/TEF

Passage of a small-gauge OG feeding tube
Suctioning
Auscultation of bowel sounds
Abdominal CT Scan

Which of the following Nursing Diagnoses should Nurse Dianne prioritize when caring for the client with EA/TEF

Imbalanced Nutrition: Less than Body Requirements
Ineffective Airway Clearance
Impaired Gas Exchange
Risk for Aspiration

Based on the client’s ABG result, he is experiencing which gas exchange problem

Respiratory Acidosis, Uncompensated
Respiratory Acidosis, Compensated
Respiratory Alkalosis, Uncompensated
Respiratory Alkalosis, Compensated

Nurse Dianne should be aware that the most desirable position for a newborn who is suspected of having an EA with a TEF is

Supine
High-Fowler’s
Side-lying
Semi-Fowler’s

Post-surgical repair of the EA/TEF, Nurse Kate understands that oral feedings are begun wit

Breast milk
Sterile water
Glucose water
Ice chips

An important intervention to prevent feeding aversion for an infant requiring esophageal replacement and is on NPO for an extended period of time is

Parenteral Nutrition
Early breastfeeding
Non-nutritive sucking
IV Therapy

Upon discharge, Nurse Kate should educate the parents about a common complication post EA/TEF repair and treatment

Atelectasis
Respiratory Distress
Tracheomalacia
GER

Discharge education on feeding techniques in an infant with a repaired esophagus include feeding in which of the following positions

Semi-upright
Side-lying
Prone
Supine

Which of these is not a purpose of the nursing process

It offers a plan of care to a patient that is organized according to the goals set by the nurse.
It helps nurses identify a client’s health status, and actual or potential health care problems.
It delivers specific nursing interventions for the client to be able to meet his identified needs.
It diagnoses and treats human responses to actual or potential health problems.

In planning for your care, you decide to use the Nursing Interventions Classification (NIC) taxonomy. Which of these indicate that you need further teaching on using NIC

Documenting the customized activities as planned, rather than the broad NIC labels.
Only selecting NIC intervention labels that are appropriate to the client and can fit the available resources.
Including all the activities under the appropriate NIC label selected
Using the nursing problems, goals, and outcomes identified as guide to selecting NIC labels

Which of the following principles does the nurse use in selecting interventions for the care plan

Always select independent interventions when possible.
Actions should address the etiology of the nursing diagnosis.
There is one best intervention for each goal or outcome.
Interventions should be “doing,” not just “monitoring.”

Implementation is related to other steps of the nursing process. Which of the following statements is true regarding the relationship of the implementing phase to other phases

After implementing, the nurse moves towards the diagnosing phase.
The data that the nurse gathered during assessment are reassessed in the implementing phase.
The nurse’s need for actual involvement of members from other health disciplines in implementing occurs during the planning phase.
Evaluation can begin after all interventions have been carried out.

Evaluation is done primarily to identify whether

The nursing interventions planned were carried out
Desired outcomes have been achieved
There was a change in the client’s condition
The implemented activities were effective

Nursing responsibilities associated with specimen collection include: (Select all that applies)

To remind the medical technologist to explain the purpose of the specimen collection.
Provide client comfort, privacy and safety.
Ensure that the client or staff follows the correct procedure.
Transport the specimen promptly.
Report abnormal finding to the health care provider.

Analysis of stool specimen can provide information about a client’s health condition. Which of the following statements is CORRECT

To analyze for dietary products and digestive secretions like Steatorrhea, the nurse needs to collect at least 1 inch of formed stool.
To detect parasites in the stool it is important to let it stay in the nurse’s station for a while to let the stool cool down.
To determine presence of blood or hidden blood in the stool, the nurse needs to perform stool culture.
To detect bacteria and viruses. Only small amount of feces is required. Note if the client receives antibiotics.

Nurses need to give clients which of the following instructions in collecting stool specimen? (Select all that apply)

Notify the nurse as soon as possible after defecation, particularly for specimens that need to be sent to the laboratory immediately.
When obtaining stool samples, handling the bedpan and disposing the contents, the nurse follows a medical aseptic technique.
If possible do not contaminate with urine and blood.
Use one or two tongue blades to transfer the specimen into the container.

Certain foods and medications may cause inaccurate results for Guaiac Test. A false negative result may occur because of ingestion of: (Select all that applies

Red meat such as beef, lamb, liver and processed meat.
Raw fruits like melon
Aspirin and Steroids
Vitamin C 250 mg / day

To collect urine from a Foley (retention) catheter, the nurse should follow the following nursing actions, EXCEPT

To aspirate urine and to facilitate sealing of the rubber, insert the needle at a 10 degree angle.
Withdraw the required amount of urine. 3 ml for urine culture and 30 ml for routine urinalysis.
Clean and wipe the area with Alcohol or a Disinfectant swab prior to insertion of needle.
For a needleless port, insert the Luer Lock Syringe at 90 degree angle.

The nurse is aware that the following are the purposes of condom catheter application except:

To collect urine and control urinary incontinence
To permit physical activity of the patient
To promote relaxation of the urinary bladder
To prevent skin irritation

During condom catheter application, the nurse must follow these standards apart from

Roll the condom outward onto itself
Roll the condom over the penis, leaving 2.5-inch distance from the tip of the penis to the connecting tube
[ ]Make sure that the tip of the penis is not touching the condom and that the condom is not twisted.
Instruct the client to keep the drainage below the level of the condom and avoid loops or kinks in the tubing.

The nurse is aware that she should attach the urinary drainage bag of the condom catheter to the

Side rails
Bed frame
Patient’s gown
Patient’s leg

The nurse is knowledgeable that how often should she assess the penis of the patient

30 minutes after condom catheter application, then q 4 hours
1 hour after condom catheter application, then q shift
30 minutes after condom catheter application, then q 24 hours
1 hour after condom catheter application, then q 2 days

The nurse is aware that how often should she change the condom device

Every 8 hours
Every 16 hours
Every 24 hours
Every 32 hours

The nurse has changed the old condom catheter of the patient. She demonstrates understanding of the procedure if she tapes the new condom catheter in what manner

Vertically
Horizontally
Diagonally
Spirally

The nurse wants to delegate the application of a condom catheter to a nursing aide. What must the nurse assess prior to delegating this task

Assess whether the client has unique needs.
Measure the client’s intake.
Assist the client out of bed to a chair.
Assess changes in the client’s mobility status.

The nursing aide has applied a condom catheter to a client. The nurse should document what information about this procedure?

Number of mL of fluid used to inflate the balloon
Location of the drainage bag
Name of the UAP who applied the device
Time and date that the condom catheter was applied
Integrity of the penis

Nurse Maureen, an OR nurse has assisted the physician with the insertion of a chest tube. She monitors the client and notes oscillation of the fluid level in the water seal chamber after the tube is inserted. Based on this assessment, which action would be appropriate

Inform the physician
Continue to monitor the client
Reinforce the occlusive dressing
Encourage the client to deep-breathe

The patient’s operation was successful and is now being transferred to surgical ward. Nurse Hiromi who is currently caring for this patient, notes continuous gentle bubbling in the suction control chamber. What action is appropriate

Do nothing, because this is an expected finding
Immediately clamp the chest tube and notify the physician
Check for an air leak because the bubbling should be intermittent
Increase the suction pressure so that the bubbling becomes vigorous

Nurse Hiromi also assessed the patient’s chest tube insertion site. She noticed a fine crackling sound and feeling upon palpating the area. What action should the she take

Discontinue the chest tube suction.
Collaborate with the client’s physician.
Mark the area involved and remove the tube.
Reinforce the chest tube dressing.

The patient becomes irritable and restless. He incessantly turns from side to side. Unfortunately, the chest tube accidentally disconnects. The initial nursing actionof Hiromi is to

Call the physician
Place the end of the tube in a bottle of sterile water
Immediately replace the chest tube system
Place a sterile occlusive dressing over the disconnection site

The patient’s water seal drainage stopped bubbling. After checking the patient and the bottle system, nurse Hiromi found no unusual findings. The doctor was notified and ordered for chest X-ray. The result reveals re-expansion of the patient’s affected lung. The physician finally orders removal of the chest tube. While assisting the doctor during chest tube removal, she should instruct the patient to:

Exhale slowly with pursed lips
Inhale deeply and hold breath
Inhale and exhale quickly
Exhale and hold breath

A nurse has inserted a nasogastric (NG) tube to the level of the oropharynx and has repositioned the client’s head in a flexed-forward position. The client has been asked to begin swallowing, and as the nurse starts to slowly advance the NG tube with each swallow, the client begins to gag. Which nursing action would least likely result in proper tube insertion and promote client relaxation

Pulling the tube back slightly
Instructing the client to breathe slowly
Continuing to advance the tube to the desired distance
Checking the back of the pharynx using a tongue blade and flashlight

Nurse Billy checks the patient’s NGT placement, he knows that the best way to confirm it is

Checking for appearance of gastric aspirate
Checking the X-ray result
Checking for bubbling if immersed in a basin of water
Checking for acidic pH of gastric aspirate

The client’s nasogastric (NG) tube stops draining. Which should the nurse implement first to maintain client safety?

Verify the tube placement.
Instill 30 to 60 mL of fluid.
Clamp the tube for 2 hours.
Retract the tube by 2 inches.

The patient’s condition improved. Vomiting has lessened but the patient still cannot tolerate oral intake so the doctor made a new order for enteral feeding for nutritional support. A nurse developing a care plan for this client identifies which situations that will place the client at risk for aspiration? Sedation Coughing An artificial airway Head elevated position Nasotracheal suctioning Decreased level of consciousness

The nurse is preparing to initiate bolus enteral feedings via nasogastric (NG) tube to the same client. Which of the following actions represents safe practice by the nurse

Checks the volume of the residual after administering the bolus feeding
Aspirates gastric contents prior to initiating the feeding and ensures that pH is greater than 9
Elevates the head of the bed to 25 degrees and maintains for 30 minutes after instillation of feeding
Measures the length of the tube from where it protrudes from the nose to the end and compares it to previously documented measurements

If the patient is on continuous feeding via NGT, how often should the nurse check the tube’s placement

Every 6-8 hours
Every 1-3 hours
Every 4-6 hours
Every 8-10 hours

The client’s prognosis went well and the doctor ordered the patient for possible discharge within 24 hours. As the nurse prepares the client for the removal of a nasogastric tube, she instructs the client to

Inhale deeply.
Exhale slowly.
Hold in a deep breath.
Pause between breaths.

A client named Daryl is suspected of having a pleural effusion. The nurse assesses him for which typical manifestations of this respiratory problem

Dyspnea at rest and moist, productive cough
Dyspnea on exertion and dry, non-productive cough
Dyspnea at rest and dry, non-productive cough
Dyspnea on exertion and moist, productive cough

The nurse plans to have which of the following items available for immediate use for Daryl’s untreated condition

Intubation tray
Paracentesis tray
Thoracentesis tray
Central venous line insertion tray

The nurse recalls the nursing interventions before, during, and after aspiration of fluid in the pleural cavity. She was not able to recollect accurately if she anticipates that the doctor will not insert the trocar

Below the seventh rib laterally and above the ninth rib posteriorly
Below the 2nd intercostal space (ICS) anteriorly and above 4th ICS posteriorly
Below the seventh rib laterally and below the ninth rib posteriorly
Above the 2nd intercostal space (ICS) anteriorly and below 4th ICS posteriorly

The nurse is assessing Daryl’s respiratory status after thoracentesis. The nurse would become most concerned with which of the following assessment findings

Equal bilateral chest expansion
Respiratory rate of 22 breaths per minute
Diminished breath sounds on the affected side
Few scattered wheezes, unchanged from baseline

Daryl has become progressively dyspneic and now has been co-diagnosed with left tension pneumothorax. Which of the following observed by the nurse indicates that his pneumothorax is rapidly worsening

Tracheal deviation to the left
Tracheal deviation to the center of carina
Pain on respiration with flat neck veins
Tracheal deviation to the right

Pre-Intensive Examination

The barangay captain asked, “What can you do to help solve the problem of Nurse Charity?” What would be the right response of Nurse Charity?

“Well, your problem is easy to solve. I have here some cough syrup, ointments for the skin, and some antibiotics. I will distribute this after the meeting.”
“Who among you here have children who are suffering from respiratory and skin diseases? How about the adults who are here? Are you also having the same problems?”
“I suppose you gave a lot of thought about the problem and its possible solution. However, treating your children is not the first solution. We have to go to the root cause of the problem.”
“May I ask you what solution have you identified for the community problem?”

Which of the following could have been the top contributors to the situation? Select all that apply.

Postponement of people in seeking medical care
Adherence to cultural practices and beliefs
Lack of ambulances and drivers
Delays in receiving appropriate and adequate care

Nurse Corazon and her group prepared objectives for plan of action. Which of the following are the best characteristics of a good objective:

Futuristic, change-oriented, dynamic and systematic
Time-bound, accurate, realistic, measurable, and specific
Flexible, accurate, top-priority, and feasible
Time-bound, measurable, change-oriented, and continuous

Nurse Corazon presented the plan in a community assembly for acceptance and approval. Which of the following is the most important criterion for the plan’s acceptance and approval by the people?

Tasking the community people
Volunteerism and willingness of the community people
Presence of the municipal health officer in the assembly
Huge attendance in the community assembly

To combat the delays in attending to childhood illness, Nurse Corazon adopts the Integrated Management of Childhood Illness in the municipality. This program aims to:

Improve and ensure the accessibility and availability of basic and essential health care in both public and private facilities and services.
Ensure the quality and affordability of health goods and services.
Develop, implement, monitor, and evaluate maternal and newborn care services, ensuring accessibility.
The provision of accessible immunization for preventable childhood diseases up to six years of age.

In Municipality A, like any other municipalities, one major problem that makes any health service program inaccessible is:

Lack of community awareness
Limited number of health-oriented programs
Reliance of government financial support
Lack of ambulance

Nurse Kat learns the five principles goal setting in which the senior nurse must provide enough time for OB nurses to improve performance. This principle is:

Challenge
Commitment
Feedback
Task Complexity

The nurse also learns that continuous training is a personal and organizational goal. Choose the statements which are true regarding continuous training.

Training employees is an excellent investment and a cost to an institution.
Continuous training is more of a personal responsibility than institutional.
Cross-training and job rotation provide on-going part-time learning experience.
Select the best people when hiring employees and invest their retention through continuous training.

Noting the importance of the nurse-patient relationship, Nurse Kat reviewed Hildegard Peplau’s Theory which identified three phases, the first of which is when the pregnant woman:

Feels the need to seek professional assistance.
Demonstrates self-reliance in caring for herself.
Understands the communication of Nurse Kat regarding the services offered.
Begins to have the feeling of belonging.

Nurse Kat took note that evaluating the OB staff is an on-going function of management. Some of the reasons for conducting an evaluation includes the following, except for one:

To provide an indication of the costs of poor-quality services.
To justify the use of resources.
To dissuade self-evaluation of the OB staff.
To ensure that the quality of care provided by the OB staff.

A 35-year-old woman, on her second trimester of pregnancy with insulin-dependent diabetes mellitus, comes to you for some advice. What is the priority message for her at this time?

Infants of diabetic mothers are big, which can result in a more difficult delivery.
Breastfeeding is highly recommended and insulin use is not contraindicated.
Achievement of optimal glycemic control is of utmost importance in preventing congenital anomalies.
Her insulin requirements will likely increase beginning the third trimester of pregnancy.

A 30-year-old G6P5 woman at 12 weeks has just begun prenatal care. Her initial laboratory reveals that she has a human immunodeficiency virus (HIV) infection. What would be the priority evidence-based nurse information for this patient?

Breastfeeding is still recommended due to the great benefits to the infant.
Pregnancy is known to accelerate the course of HIV disease in the mother.
Medication for HIV infection is safe and can greatly reduce transmission of HIV to the infant.
Breastfeeding will potentiate the transmission of HIV from the mother to the child.

Based on the characteristics of the family, Nurse Olive can easily categorize the family’s as being in which development stage?

Families with pre-school children
Family with school-age children
Beginning family
Early child-bearing

In this particular stage, which of the following is a most basic concern?

Emergence of harmony in marital and in-law relations
Child-rearing
The couple shifts to adult social interests
Balancing time and energy to meet the demands of work and family

As a young manager, Freda knows that conflict occurs in any organization. Which of the following statements regarding conflict is not true?

It may result to poor performance of the staff.
It can be destructive, hence, it should not reach the highest level.
It is not beneficial, hence, it should be prevented at all times.
It may create a new leader from among the staff.

Freda tells one of the staff: “I don’t have time to discuss the matter with you at this moment,” when the latter asks if they can talk about an issue. Which of the conflict resolution strategies did she use?

Avoidance
Smoothing
Compromise
Restriction

Which of the following is the best action that Freda can take?

Quit her job and look for another employer.
Disregard what she feels and continue to work independently.
Identify the source of conflict and understand the source of friction.
Seek help from the director of nursing.

Freda knows that one of her staff is experiencing burnout. Which of the following is the most appropriate course of action?

Remind her to show loyalty to the institutions.
Ignore her observations; it will be resolved even without intervention.
Let her staff vent their feelings and ask how she can be of help.
Advise her staff to go on vacation.

Freda knows that the performance appraisal consists of the following activities, except:

Setting specific standards and activities for individual performance.
Using agency standards as a guide.
Focusing activity on the correction of identified behavior.
Determine areas of strengths and weaknesses.

What action must the nursing administration do initially?

Report the matter to the head of office who has the description to appoint the nurse.
Verify with the professional regulation commission regarding the status of Nurse Dora.
Confront Nurse Dora and terminate her.
Write a letter to the Civil Service Commission for proper action for Nurse Dora.

It was found out that Nurse Dora did not pass the Nurse Licensure Examination (NLE). What legal action should be filed against her?

Dishonesty
Conduct unbecoming of a professional
Malpractice
Misrepresentation

In case Dora committed a medication error during her duty, the head of office may be held liable because of the principle of:

Unethical conduct
Respondeat superior
Politicking
Res Ipsa Loquitur

All nurses must understand that, after graduation, they must pass the NLE. To be registered in the roster, they should take the Professional Oath with the following, except:

Member of Sangguniang Panlalawigan
Governor of Philippines Nurse Association
Member of the Professional Regulatory Board of Nursing
Provincial Governor

A nurse is leading a community meeting at a partial-hospitalization program. One group member talks constantly and interrupts the other patients. The most appropriate action for the nurse to take is to:

Explain to the member, after the meeting, that the group time should be shared.
Thank the group members for his contribution and ask the other members for their ideas.
Ask the group members if they are satisfied with the way the group is working.
Remain silent and wait for another group member to speak up.

As a nurse, what would you tell Arlene regarding ovulation? The ovulation usually corresponds to the life of the corpus luteum which occurs approximately:

14 days after the first day of the succeeding menstrual period.
7 days after the first day of the succeeding menstrual period.
7 days before the first day of the succeeding menstrual period.
14 days before the first day of the succeeding menstrual period.

Arlene insisted that she must have been fertile during the time of sexual intercourse. The nurse explains that the absolute period of fertility is the span of time that a woman is likely to be pregnant when she engages in unprotected sexduring which period?

Several days after ovulation
During ovulation
Immediately after ovulation
Immediately before ovulation

The nurse proceeded to take the menstrual history of Arlene to find out if she is likely to be pregnant. Which of the following determines the date of onset of the last menstrual period (LMP)?

Duration and character of the LMP
Implantation bleeding
Spotting after the LMP
Bleeding before the LMP

The nurse also asked about Arlene’s secondary amenorrhea that would most likely indicate pregnancy. Secondary amenorrhea is the cessation of menstrual bleeding for more than how many months after the regular menstrual cycle has been established?

Five
Three
Six
Four

The nurse also asked for the presence of secondary dysmenorrhea. Which of the following conditions is included as a cause of under secondary dysmenorrhea?

Intrauterine Device (IUD)
Pelvic Inflammatory Disease (PID)
Malposition of the cervix
Absence of any underlying anatomic abnormality

In the middle of their conversation, the client raised a question to Jaina. She mentioned that she has been prescribed with Latanoprost (Xalatan) by the municipal doctor. She asks Jaina why she has to take this.

The medicine dilates the affected eye
The medicine moistens the affected eye
The medicine decreases the angle of glaucoma in her affected eye
The medicine decreases the intraocular pressure in her affected eye

In utilizing the IMCI protocol, the nurse should initially:

Observe the condition of the child
Ask the mother what the problem of the child is
Look for danger signs
Identify the main symptoms

Nurse Valentin classifies cases according to the major categories of reproductive tract infections. Which of the following is not part of such classifications?

Iatrogenic infections as an aftermath of invasive procedures like catheterization and intrauterine device (IUD) insertion
Urinary tract infections among male and female patients
Sexually-transmitted infections
Endogenous infections resulting from poor personal hygiene

Irene handles the screening for gonorrhea every two weeks among female sex workers in the implementation of PD 856. In differential diagnosis of discharge among infected clients, which of the following colors of discharge will Irene take note to identify gonorrhea from other causes?

Greenish-yellow as differentiated from mucoid white of trichomoniasis
Mucoid white as compared to graying-white discharge of vaginosis
Graying-white as differentiated from mucoid-white of chlamydia
Yellowish-white as compared to greenish-yellow discharge of trichomoniasis

Nurse Valentin was invited by a women’s group to give a lecture on healthy sexuality. In the expectation check, he noted that there are previous misconceptions expressed by the participants. Which of the following statements are correct?

It is the obligation of the wife to give in to sex whenever the husband requests it.
Sexuality is fluid and may change.
Effeminate men are gays.
Homosexuality is an abnormality.

One of the clients has gonorrhea. Nurse Irene explained that gonorrhea and chlamydia, if left untreated, can lead to pelvic inflammatory disease (PID). Such a condition may result in infertility due to:

Foul-smelling discharge resulting in the death of ovum
An unknown cause
Scarring which can lead to tubal occlusion
Purulent discharge which can kill the sperm

The nurse further explained that a test used to determine tubal patency using a radiopaque material is called:

Post-coital infertility test
Sims-Huhner Test
Friedman’s Test
Hysterosalpingography

Sandy is a newly hired nurse as the 3 to 11 duty nurse at the Neonatal Intensive Care Unit (NICU). She received an endorsement that Baby Boy A and Baby Girl B are ready for discharge. Hours later, Mother A returns to complain because she finds that the baby she received was not hers.

Which of these may prove Nurse Sandy may be charged for gross negligence? Select all that apply.

That Nurse Sandy held the responsibility.
That Nurse Sandy failed to fulfill that responsibility.
That, due to her actions, a patient was injured.
That there is a causal relationship between the failure of the nurse and the resulting injury.

What could have been done to prevent the occurrence of baby-switching?

Calling out the name of the mother
The use of proper name tags for identification
Checking the genitalia
Identifying the babies by checking their footprints

The most important element that determines Nurse Sandy was incompetent is that:

She is a newly-hired nurse.
She did not do her job according to her orientation.
She lacked supervision.
She did not do her job according to a set standard.

Which of the following should Sandy understand as the primary outcome of being a professional nurse should she be proven guilty of incompetence?

That she be delisted as a member of the accredited professional organization
That she can be terminated from work by her employer
That she can be charged in the civil court
That her license to practice nursing can be suspended or revoked for a period of time by the Professional Regulation Commission

Which among the statements is true about health promotion?

It is the process of enabling individuals and communities to increase their abilities to control and improve their health.
It is the process of enhancing the individual’s physical, psychologic, and spiritual well-being.
It is the process of engaging in correcting the people’s health behavior.
It is the process of preventing disease from occurring and treating it when it occurs.

A number of factors influence the health status of the people in the community. A category of these include health care system influences. Which of the following do not fall under this category?

Community resources and programs that are available
The cost of health care
Community perception of the value of available health care
The availability of technology

Which of the following health behavior choices are essential to promoting health and preventing disease?

Taking prescribed medications at the right time and dosage.
Eating the right kind of food, adequate sleep, physical exercise, and effective handling of stress.
Refraining from travelling to countries with high prevalence of infectious disease.
Smoking cessation and drinking alcohol regularly.

There are behaviors that are encouraged by cultural expectations. Which is not included?

Taking herbal supplements to boost the immune system.
Relying for information from community resources/programs.
Having a therapeutic massage (“hilot”) at least once a month during pregnancy.
Talking openly about the details of illness.

What are the essential factors in the integrative models of human health?

Intertwined and interactive, with multiple components such as physical, psychological, and social
Effective only when combined and integrated with alternative therapies
Generally being attributed to psychological problems with individuals
Derived solely from physical phenomenon

Not having a regular check-up is an example of:

Health Problem
Health Need
Health Threat
Health Deficit

A condition that promotes disease or injury and prevents people from realizing their health potential is a:

Health Problem
Health Need
Health Threat
Health Deficit

A situation in which there is a demonstrated health need combined with actual or potential resources to apply remedial measures and a commitment to act on part on the part of the provider or the client is a:

Health Problem
Health Need
Health Threat
Health Deficit

A lack of medical or social technology is an example of:

Health Problem
Health Need
Health Threat
Health Deficit

Stressful occurrences are examples of:

Stress Point
Health Issue
Foreseeable Crisis
Critical Point

In the public health bag, how many pair/s of forceps are needed?

None
1
2
3

In the bag technique, how should the nurse handle the apron?

Take out the apron from the bag and put on the up side out
Take out the apron from the bag and put on with the down side out
Take out the apron from the bag and put on with the left side out
Take out the apron from the bag and put on with the right side out

The following items are not part of the public health bag, except for:

Hypodermic needles
Candle
Flashlight
Ruler

Which of the following solutions are not found in the public health bag?

Zephiran solution
40% alcohol
Benedict’s solution
Spirit of ammonia

The following pairs of scissors are not found in the public health bag, except for:

Surgical Scissors
Bandage Scissors
Beauty and Care Scissors
None of the above

Which of body part of the vendor will be most affected by rabies?

Buttocks
Head
Feet
Hand

To protect the vendor from the danger of rabies, PHN Carl advises him to clean the wound thoroughly with soap and water, consult a physician, and receive anti-rabies vaccination. Which among the following vaccines can provide active immunity?

Purified vero cell vaccine
Human rabies immunoglobulin
Equine rabies immunoglobulin
Purified duck embryo vaccine

The vendor acquired rabies. What will PHN Carl do to protect those who took care of him? He should administer:

Pre-exposure prophylactic treatment for the family of the vendor
Pre-exposure prophylactic treatment to the dog and the vendor’s family members
Post-exposure prophylactic treatment for the family of the vendor
Post-exposure prophylactic treatment to the dog and the vendor’s family members

PHN Carl’s intervention to protect all residents who own pets, especially dogs, should be done by:

Coordinating with the city or municipal agriculturist for the immunization of all pets
Coordinating with the city or municipal’s officials to make an ordinance on stray dogs
Massive campaign to families not to own pets at home
Massive campaign for responsible pet ownership

The following are the objectives of the FHSIS, except for:

Complete the picture of acute and chronic disease
Ensure data recorded are useful and accurate, and are disseminated in a timely, easy-to-use fashion
Minimize recording and reporting burden allowing more time for patient care and promotive activities
Providers standardized facility-level database which can be used for more in-depth studies

As a nurse, you should know the process of how the information is processed and consolidated. The fundamental unit of the FHSIS system is the:

Family Treatment Record
Output Record
Reporting Forms
Target/Client List

The monthly field health service activity report is a form used in which of the components of the FHSIS?

Target/Client List
Output Report
Individual Health Record
Tally Report

In using the tally sheet, the recommended frequency in tallying activities and services is?

Weekly
Quarterly
Monthly
Daily

To monitor clients registered in long-term regimen such as multidrug therapy, which component of the reporting system will be most useful?

Output Report
Tally Report
Target/Client List
Individual Health Record

The nurse’s responsibility is to check on the children’s status and patterns. Which of the following would the nurse’s priority?

Interaction Patterns
Health Status
Adaptation Status
Developmental Patterns

What could be the most important health threat for these children?

Infection
Depression
Malnutrition
Injury

What should be the primary goal of Nurse Grace for these street children?

To change the behavior of the children
To analyze the information gathered
To locate the family of the children
Elicit important data about the family

What is the best approach to discuss the prevention of health threats to the children?

Focus Group Discussion
According to gender
One-on-one interaction
According to age

As the facilitator/leader of the discussion on staying away from conflicts with each other and other street children, which of the following tasks should be induced by Nurse Grace?

Listening attentively to what each child is saying
Doing away with blaming and ridiculing
Forcing all the street children to participate in the discussion
Being sensitive in identifying children who are eager to talk

In the preparatory phase of blood pressure management, how many minutes should the client have been relaxed and how many minutes should the client have not smoked or ingested caffeine?

10 minutes; 15 minutes
5 minutes; 30 minutes
5 minutes; 15 minutes
10 minutes; 30 minutes

In applying the blood pressure cuff and stethoscope, how many centimeters above the brachial artery should the nurse apply the cuff?

2 to 3 centimeters
3 to 4 centimeters
4 to 5 centimeters
5 to 6 centimeters

For obese persons, which part of the stethoscope is preferably used to auscultate the pulse in obtaining the blood pressure reading?

The part of the stethoscope used is irrelevant.
The bell
The diaphragm
Both parts are preferable in obese persons.

Nurse Jake knows that he should take the mean of two readings in order to have an accurate reading. How many minutes will he wait in between the two readings?

5 minutes
4 minutes
3 minutes
2 minutes

Which situation would require Nurse Jake to obtain a third reading?

If the first two readings differ by 15 mm Hg.
If the first two readings differ by 10 mm Hg.
If the first two readings differ by 5 mm Hg.
If the first two readings do not have any difference.

In handling the soiled linens and clothes of an HIV patient, how should Nurse Jake proceed?

Fold the wet portions towards the dry portions
Fold the dry portions towards the wet portions
Fold corners towards the middle
Fold in a circular manner towards the middle

A family member of a diseased HIV client asks Nurse Jake if it is possible to have the body available for public viewing.

“No, the body must be disposed immediately.”
“Yes, the embalmed cadaver is safe for public viewing.”
“Please ask the physician regarding this matter.”
“No, only family members should be allowed to view the body.”

Which of the following procedures done to an HIV-positive client is an example of a low-risk procedure?

Oral surgery
Venipuncture
Collection and transport of laboratory specimen
Injections

Oral prophylaxis is an example of a:

Minimum-risk procedure
Low-risk procedure
Moderate-risk procedure
High-risk procedure

The following procedures are not examples of moderate-risk procedures for a client with HIV except for:

Lumbar puncture
Grafting
Phlebotomy
All of the above

As an occupational health nurse, Nurse Marco knows that the following workers are at risk:

Older, men, self-employed workers
Older, women, self-employed workers
Older, women, employed in larger organizations
Older, women, employed in smaller organizations

Injury rates tend to be higher in which kinds of organization?

There is no relation between injury rates and organizational size.
Smaller (<50)
Mid-size (50 to 249)
Larger (>249)

The following are leading causes of fatal work injuries except:

Falls
Homicides
Highway accidents
None of the above

Any injury that results from a single incident in the work environment is a:

Occupational Illness
Occupational Injury
Options 1 and 2 are interchangeable.
Occupational Crisis

Any abnormal condition or disorder caused by exposure to environmental factors associated with employment is a:

Occupational Illness
Occupational Injury
Options 1 and 2 are interchangeable.
Occupational Crisis

Which statement is not a benefit of breastfeeding for the infant?

Increases IQ points
Reduces infant exposure to infections
Safely dehydrates and provides nutrients to a sick child, especially to those suffering from diarrheal diseases
Strengthens the infant’s immune system, preventing many infections

Which benefit of breastfeeding is not directly for the mother?

Reduces risk of excessive blood loss after giving birth
Provides nutritionally-complete food
Provides natural methods of delaying pregnancies
Reduces the risk of ovarian and breast cancers, and osteoporosis

The household and the community may benefit from breastfeeding by:

Conservation of funds that otherwise would be spent on breastmilk substitutes, supplies, and fuel to prepare them.
Saving of medical cost to families sand governments by preventing illnesses and by providing immediate postpartum* and contraception.
None of the above
Options 1 and 2

This refers to the integration of research findings where the practical application is related to the original research. It utilizes the PICO technique in answering the clinical question.

Research utilization
Research dissemination
Evidence-based practice
Cochrane collaboration

You are a nurse and you wanted to study the relationship between quality of life of seafarers and the use of social media while on-board. Which is the independent variable?

Use of social media
Quality of life of seafarers
On-board
Seafarers

Based on the previous question, which is the outcome variable?

Use of social media
Quality of life of seafarers
On-board
Seafarers

A nurse is preparing a research proposal wherein she will compute the sample size from a population of 2,340 with a margin of error of 5%. What is the computed sample size using Slovin’s formula

1,134
1,563
342
565

A nurse research conducts case control study on the association of physical activity and development of acute coronary syndrome (ACS) and found out an odds ratio of 0.83. The nurse correctly infers that:

People with ACS were 0.83 times more likely to be physically active than those who do not have ACS.
Risk of ACS among those who are physically active is 83% compared to those who are not physically active.
83 cases of ACS are attributable to physical activity.
83% of patients who have ACS have a history of adequate physical activity.

A public health nurse recorded 15 new cases of dengue fever for the months January to June 2018. Currently, 20 are being treated at the health center since last year. What is the incidence considering a population at risk of 95,000?

22 per 100,000 for the year 2017
11 per 100,000 for January to June 2018
16 per 100,000 for January to June 2018
9 per 100,000 for July to December 2017

In a research proposal, a nurse mentioned that snowball sampling will be used as a sampling method. The nurse understands that they will select samples by:

Asking sample members to refer other people who meet the eligibility criteria.
Dividing the population into subsets from which elements are selected at random.
Using the researcher’s knowledge about the population to hand-pick sample members.
Establishing a sampling frame where the sample members are chosen at random.

A nurse is studying the defense mechanisms of young adults towards the problems they encounter during their first jobs. Which type of research design is best to use?

Quantitative
Retrospective
Qualitative
Experimental

A nurse is studying the defense mechanisms of young adults towards the problems they encounter during their first jobs. Which type of research design is best to use?

Quantitative
Retrospective
Qualitative
Experimental

In their research, nurses found out that children living in Manila urban poor areas are vulnerable to contracting pulmonary tuberculosis due to housing congestion. What kind of research design is utilized?

Qualitative
Quantitative
Survey
Mixed Methods

A head nurse of a medical ward is planning to convince her staff nurses to start conducting nursing research to improve nursing practice. Which of the following is the easiest way to do this?

Ask them to join in data gathering
Encouraging them to read related literature regarding the study.
Let them analyze the data.
Instruct them to run statistical tests on the data gathered.

Using the Pearson Product Moment Correlation, the statistical test yielded a -0.75 Pearson’s $r$ value. How does the nurse interpret this?

High positive correlation
High negative correlation
Moderate positive correlation
No significant association

Recalls I

This exam was (mostly) rationalized by Ms. Julianne Lupisan, RN.

In response to above trends, the global community, represented by the Nations General Assembly, decided to adopt a common vision of poverty reduction and sustainable development in September 2000. This vision is exemplified by the Millennium Development Goals (MDGs) which are based on the fundamental values of freedom, equality, solidarity, tolerance, health, respect for nature, and shared responsibility. Which among these is not a Millennium Development Goal?

Improve maternal health
Combat HIV/AIDS, malaria and other diseases
Ensure environmental sustainability
Promote gender equity and empower women

Factors or things that make people healthy or not, known as determinants of health are listed by the World Health Organization to include all except one:

Genetics
Gender
Location
Culture

According to C. E. Winslow, “Public health is the science and art of (1) preventing disease, (2) prolonging life, and (3) promoting health and efficiency through organized community effort.” Which is considered as the key phrase definition of public health?

development of the social machinery to ensure everyone a standard of living adequate for the maintenance of health
through organized community effort
organization of medical and nursing services for the early diagnosis and preventive treatment of disease
education of the individual in personal hygiene

Public health nursing is strongly built on theories of health promotion and disease prevention. This model found that information alone is rarely enough to motivate people to act for their health. Individuals must know what to do and how to do it before they can take action.

Health Belief Model
Health Promotion Model
Social Learning theory
General Systems Theory

It is based on the assumption that behavior change takes place over time, and progresses through stages. Each stage is stable and is open to change; meaning one may stop in one stage, progress to the next stage or return to a previous stage.

General Systems Theory
Transtheoretical Model
PRECEDE-PROCEED Model
Milo’s Framework for Prevention

What is considered the legal basis of PHC in the Philippines?

LOI 949
LOI 497
LOI 789
LOI 747

This is signed by which President of the Philippines?

Pres. Ferdinand Marcos
Pres. Gloria Aquino
Pres. Ramon Magsaysay
Pres. Ferdinand Marcos Jr.

The PHC has 8 essential health services in which it aims to improve. All of these are included, except:

Maternal and Child health
Nutrition
Exclusive Program for Immunization
Education for health

Considerations are made regarding the health services being provided to the people. These have to be to be available, acceptable, affordable and accessible to the people to reach the success of Primary Health Care. Which criteria questions whether the health service is offered in health care facilities or is provided on a regular and organized manner?

Acceptability
Affordability
Accessibility
Availability

The PHC uses multisectoral approaches to communicate, collaborate, and convene to achieve universal health care. When the doctor has to refer the victim of Violence Against Women to the Department of Social Welfare and Development, what referrals or linkages will they use?

Intrasectoral linkages
Intersectoral linkages
Interfacility linkages
Intrafacility linkages

A 7-year old child is being accompanied by his mother to the clinic. The child has been experiencing abdominal pain, and is presenting with a round belly. His mother said that he did drink any “pampurga” when he was young. What medicinal plant should he give?

Lagundi
Yerba Buena
Tsaang Gubat
Niyog-niyogan

How would King Kong tell the mother to prepare and administer the medicinal plant?

Decoction
Leaves are eaten
Poultice
Seeds are used

People at Brgy. Kagalingan often complains having pain in their joints after regularly eating internal organs and beans. What can he advise to the people to take?

Sambong
Bayabas
Ulasimang bato
Akapulco

This medicinal plant is used to help lower hypertension and blood cholesterol.

Ampalaya
Bawang
Akapulko
Sambong

Type II diabetes is also rampant in the barangay. He conducts group health teachings to include which plant into their diet?

Ampalaya
Bawang
Akapulco
Sambong

This vital statistics indicate the natural decrease in population.

Crude birth rate
Crude death rate
Prevalence Rate
Incidence rate

Nurse Caloy wants to determine the health status of a population and infer their longevity of life and lifestyle by using statistics. What vital statistics shall he use?

Prevalence Rate
Swaroop’s Index
Maternal Pregnancy Rate
Case Fatality Ratio

This statistics indicates the health status of the community.

Fetal death rate
Neonatal mortality rate
Infant mortality rate
Mortality rate

This is also known as the index of pregnancy wastage.

Fetal death rate
Neonatal mortality rate
Infant mortality rate
Mortality rate

Retrieving this number, this will help direct the efforts to improve maternal post partum care in the community. This also shows that an improvement in environmental factors must be promoted to improve the numbers.

Fetal death rate
Neonatal mortality rate
Infant mortality rate
Mortality rate

According to Freeman and Heinrich, community health diagnosis is based on three interdependent, interacting and constantly changing conditions. Which of these is not included?

The health status of the community, including the population’s level of vulnerability
Diversity within the community, focusing on making comprehensive and inclusive community health care
Community health capability or the ability of the community to deal with its health problems
Community action potential, or the patterns in which the community is likely to work on its health problems

Collecting data is important in community assessment. There are different methods as to how one can obtain data. Which method is used to elicit and explore opinions of people, determine their attitudes and practices regarding limited set of concepts? Participants selected should have characteristics that will be common to them, and characteristics that will also differentiate them from one another.

Group interviews
Key Informant Interviews
Focus Group Discussions
Windshield Survey

You wanted to be as comprehensive as possible in identifying different problems in the community. You have identified that the RHU is having difficulty in providing services to their population coverage. Further assessment shows that there are a lot of plantilla positions left unfilled. What kind of problem is this?

Health status problem
Health resources problem
Health-related problem
Health concern problem

You have also observed that the local government does not make health as their priority thus leaving their BHCs and RHUs lacking of resources and manpower. There is also a lack health program implementation as no support is received. This is classified as:

Health status problem
Health resources problem
Health-related problem
Health concern problem

Reviewing the records, you found out that there is an increasing number of non-communicable diseases in the barangay. You classify this problem as?

Health status problem
Health resources problem
Health-related problem
Health concern problem

She attempts to derive the risk of an individual developing a disease due to a particular exposure by comparing the occurrence of a disease in a population exposed to the suspected factor. She wants to use an estimate which is the direct measure of strength of association between a suspected cause and effect. Her existing data includes the incidence rates of those who had who were exposed and incidence rate among those who are not exposed. Which risk estimate shall she use?

Odds Ratio
Attributable Risk
Incidental Risk Ratio
Relative Risk

Using the PRECEDE-PROCEED model, she is also aiming to identify the contributing factors of a problem that may become the focus of subsequent intervention. These are characteristics of the client that motivates behavior related to health, and it can be described in terms of client’s knowledge, attitudes, values and perceptions.

Predisposing factors
Internal factors
Enabling factors
Reinforcing factors

These are considered the factors which can be rewards or punishments following or anticipated as a consequence of a health behavior.

Predisposing factors
Internal factors
Enabling factors
Reinforcing factors

As the program comes to an end, she plans to look into the three aspects of the program. She wants to measure the immediate effects of the program and determine whether the objectives of the program were met. What evaluation measure will she use?

Process evaluation
Impact evaluation
Structure evaluation
Outcome evaluation

In evaluating programs, we use indicators to identify which factors should be achieved and resolved by the community. Using the data information gathered from the indicators can be used as basis for recommendations on the future and direction of health programs to be evaluated. Which indicator shows to what extent something that has been made available is actually being used for that purpose?

Relevance
Coverage
Efficiency
Utilization

After listening to Tommy’s lung sounds, Nurse Dan identifies congestion in the upper lobes. To drain the anterior and posterior apical segments of the lungs during percussion, the correct position would be:

Client lying on his back, then flat on his abdomen in the Trendelenburg position
Client seated upright in bed or on a chair, then leaning forward while sitting, then flat on his back and abdomen
Client lying flat on his back, then flat on his abdomen
Client lying on his right side, then left side in the Trendelenburg position

When documenting the results of Tommy’s treatment, Nurse Dan should include the following details EXCEPT:

Color, amount, and consistency of sputum
Character of breath sounds and respiratory rate before and after the procedure
Amount of fluid intake before and after the procedure
Significant changes in vital signs

When evaluating Tommy for chest percussion, vibration, and postural drainage, Nurse Dan should concentrate on the following EXCEPT:

Amount of food and fluid consumed during the last meal before treatment
Respiratory rate, breath sounds, and location of congestion
Instructing the client’s relatives on how to perform the procedure
Doctor’s orders regarding position restrictions and the client’s ability to tolerate lying flat

When preparing Tommy for postural drainage and percussion, which of the following is a special consideration?

Respiratory rate of 16 to 20 per minute
Client’s ability to tolerate sitting and lying positions
Absence of signs of infection
Time of the client’s last food and fluid intake

The purpose of chest percussion and vibration is to loosen lung secretions. The difference between these procedures is:

Percussion uses only one hand, while vibration uses both hands
Percussion delivers cushioned blows to the chest with cupped palms, while vibration gently shakes secretions loose during the exhalation cycle
In both percussion and vibration, the hands are placed on top of each other and move in sync with the client’s breathing rhythm
Percussion slaps the chest to loosen secretions, while vibration shakes the secretions during inhalation

Nurse Angel grabs the defibrillator and rush to the room where resuscitation is in progress. A colleague has started CPR and confirms the patient is in ventricular tachycardia. As she begins to attach the AED, she notices a transdermal medication patch on the victim’s upper right chest, exactly where she needs to place an AED electrode pad. What is the most appropriate action?

Ignore medication patch and place the electrode pad in the standard position
Avoid medication patch and place second electrode pad on victim’s back
Remove the medication patch, wipe the area dry, and place the electrode pad in correct position
Place electrode pad on the victim’s right abdomen

It is important for her to recognize which rhythms are for cardioversion, defibrillation or non-shockable. Which among the following is non-shockable?

Ventricular fibrillation
Ventricular tachycardia
Asystole
Pulseless ventricular tachycardia

This is considered as the most important intervention for VF/ pulseless VT with the greatest effect on survival to hospital discharge?

Epinephrine
Defibrillation
Oxygen
Amiodarone

Which of the following is the most important step to restore oxygenation and ventilation for an unresponsive, breathless near-drowning victim?

Attempt to drain water from the breathing passages by performing the Heimlich maneuver
Begin chest compressions
Provide cervical spine stabilization because a diving accident may have occurred
Open the airway and begin rescue breathing as soon as possible, even in the water

In initiating CPR, nurse Angel knows it is important to do chest compressions correctly. What is the correct way of performing chest compressions?

Compress more than 120 per minute
The rescuer’s arms should be parallel to the victim’s body
Compress for 5 cycles at 30 compressions each cycle
Depth of compressions should be 4 inches

The best position for any procedure that involves vaginal and cervical examination is

Dorsal recumbent
Side lying
Supine
Lithotomy

Which of the following is the best position for the client to assume if the back is to be examined by the nurse?

Standing
Supine
Side lying
Prone

In palpating the client’s abdomen, Which of the following is the best position for the client to assume?

Dorsal recumbent
Side lying
Supine
Lithotomy

Rectal examination is done with a client in what position?

Dorsal recumbent
Sims position
Supine
Lithotomy

One of the patients diagnosed with COPD is having difficulty breathing. Which is the best position to achieve maximal lung expansion?

High fowlers
Semi fowlers
Supine
Orthopneic

Cost-effective healthcare prioritizes the primary prevention of illness. Which of the following is an example of a primary prevention activity?

Administering first aid treatment for a patient bitten by a snake
Providing home modifications to help a client adapt their home environment following a stroke
Offering a weekly ZUMBA class to young adults with a strong family history of high cholesterol
Vaccinating children with anti-rabies after being bitten by a stray dog

The Cardinal Santos Medical Center often holds free health programs in the outpatient department. This month of May, they are holding free Pap smears to the first 10 registrants each day. This is an example of what kind of prevention?

Primary
Secondary
Tertiary
Quaternary

Prior to discharge, nurse Joey discusses with the Santos family the diet modifications their grandmother has to make to prevent further disease progression of her ESRD. This is a sample of what kind of prevention?

Primary
Secondary
Tertiary
Quaternary

Which of the following is an example of tertiary prevention?

Implementing smoking ordinances in the city to prevent risk of lung cancer
Promoting use of seat belts to prevent car accidents
Screening of hearing and vision loss in the community center among old adults
Regular pain management for patient undergoing chemotherapy

A patient experienced a myocardial infarction four weeks ago and is currently participating in the daily cardiac rehabilitation sessions at the local fitness center. In what level of prevention is the patient participating?

Primary
Secondary
Tertiary
Quaternary

The nurse is caring for a client who is 4 days post-op for a transverse colostomy. The client is ready for discharge and asks the nurse to empty his colostomy pouch. What is the best response by the nurse?

You should be emptying the pouch yourself.
Let me demonstrate to you how to empty the pouch.
What have you learned about emptying your pouch?
Show me what you have learned about emptying your pouch.

A 3 year-old child has tympanostomy tubes in place. The child’s parent asks the nurse if he can swim in the family pool. The best response from the nurse is:

Your child should not swim at all while the tubes are in place.
Your child may swim in your own pool but not in a lake or ocean.
Your child may swim if he wears ear plugs.
Your child may swim anywhere.

The feeling of trust can best be established by the nurse during the process of the development of a nurse-client relationship by which of these characteristics?

Reliability and kindness
Demeanor and sincerity
Honesty and consistency
Sympathy and appreciativeness

A client, recovering from alcoholism, asks the nurse, What can I do when I start recognizing relapse triggers within myself?» How might the nurse best respond?

When you have the impulse to stop in a bar, contact a sober friend and talk with him.
Go to an AA meeting when you feel the urge to drink.
It is important to exercise daily and get involved in activities that will cause you not to think about drug use.
Let’s talk about possible options you have when you recognize relapse triggers in yourself.

One hour before the first treatment is scheduled, the client becomes anxious and states he does not wish to go through with electroconvulsive therapy. Which response by the nurse is most appropriate?

I’ll go with you and will be there with you during the treatment.
You’ll be asleep and won’t remember anything.
You have the right to change your mind. You seem anxious. Can we talk about it?
I’ll call the health care provider to notify them of their decision.

Antiretroviral agents, such as AZT, are used in the management of AIDS. Which of the following is NOT an action expected of these drugs.

They prolong the life of the client with AIDS.
They reduce the risk of opportunistic infections
They shorten the period of communicability of the disease.
They are able to bring about a cure of the disease condition.

A barangay had an outbreak of German measles. To prevent congenital rubella, what is the BEST advice that you can give to women in the first trimester of pregnancy in the barangay?

Advice them on the signs of German measles.
Avoid crowded places, such as markets and moviehouses.
Consult at the health center where rubella vaccine may be given.
Consult a physician who may give them rubella immunoglobulin.

You were invited to be the resource person in a training class for food handlers. Which of the following would you emphasize regarding prevention of staphylococcal food poisoning?

All cooking and eating utensils must be thoroughly washed.
Food must be cooked properly to destroy staphylococcal microorganisms.
Food handlers and food servers must have a negative stool examination result.
Proper handwashing during food preparation is the best way of preventing the condition.

In a mothers’ class, you discussed childhood diseases such as chicken pox. Which of the following statements about chicken pox is correct?

The older one gets, the more susceptible he becomes to the complications of chicken pox.
A single attack of chicken pox will prevent future episodes, including conditions such as shingles.
To prevent an outbreak in the community, quarantine may be imposed by health authorities.
Chicken pox vaccine is best given when there is an impending outbreak in the community.

Complications to infectious parotitis (mumps) may be serious in which type of clients?

Pregnant women
Elderly clients
Young adult males
Young infants

The youngest child of the Yen family is vomiting every after feeding. She is then diagnosed with pyloric stenosis. This is classified as a:

Health threat
Health deficit
Foreseeable crisis
Stress point

Mr. and Mrs. Tanseco are discussing their financial budget for their son’s college fees. They are also planning to give him enough allowance for him to afford healthy meals, however this would entail the to cut back on some of their current expenses. They are experiencing what kind of problems?

Health threat
Health deficit
Foreseeable crisis
Stress point

Kiara recently gave birth and wants to commit to be a full-breastfeeding mother. However, she does not know what to do. You plan to teach her the key points of breastfeeding.

Wellness potential
Health deficit
Foreseeable crisis
Stress point

In a recent house inspection, Nurse Mario saw cockroaches and rodents running around in the kitchen. He is especially concerned as the rats were near the toddler’s snacks and formula milk. He raises this concern to the parents.

Health threat
Health deficit
Foreseeable crisis
Stress point

The COVID-19 pandemic led to the loss of numerous job opportunities and positions across different fields of specializations. Mr. Carlos lost his primary source of income as a door-to-door salesman since people are not allowed to leave their residences. What kind of problem is this?

Health threat
Health deficit
Foreseeable crisis
Stress point

This Law acknowledges that women who have retaliated against their partner or who commit violence as a form of self-defense may have suffered from Battered Woman Syndrome (BWS). Any victim who suffers from BWS should be diagnosed by a Psychiatric expert or a clinical psychologist.

RA 9262
RA 9288
RA 9482
RA 7719

RA 9262 is the law for Violence against Women and Children.

The purpose of this law is to mandate compulsory basic immunization for infants and children below eight years of age in the Philippines. The law aims to promote the welfare of children and provide them with opportunities for a useful and happy life.

PD 651
PD 825
PD 856
PD 996

This law is a national policy that mandates the Philippine government to comprehensively address the needs of Filipino citizens when it comes to responsible parenthood and reproductive health.

RA 10028
RA 10121
RA 10152
RA 10354

The State commits itself to promoting the well-being of people by ensuring that: mental health is valued, promoted and protected; mental health conditions are treated and prevented; timely, affordable, high-quality, and culturally- appropriate mental health care is made available to the public. This law is the?

RA 10653
RA 10871
RA 10912
RA 11036

This act provides for the creation of a national program of air pollution management focusing primarily on pollution prevention; for the promotion of mass media communication in order to create social awareness and active participation in air quality planning and monitoring.

RA 8504
RA 8749
RA 8976
RA 9211

Nurse Bea diligently performs her job. She attends to her patients’ needs, keeps them warm and comfortable, and maintains their safety at all times. Her actions help her to maintain the trust of her patients to her. She exhibits which of the following?

Fidelity
Justice
Beneficence
Veracity

The patient makes a decision that is against the medical advice of her physician. All advantages and disadvantages were mentioned, and still she chooses to go home against the medical advice. She is no inebriated or under influence of any substance. You advocated her decision, but still provided essential discharge instructions. This exhibits?

Fidelity
Justice
Autonomy
Veracity

Typhoon Karina hits the cities with strong winds, and rains – destructing the cities of Japan. Nurse Kate ensures that each families get relief packs during the rescue mission. She also prioritizes the people who are in need of immediate attention than those who are still able to walk and do their activities of daily living.

Fidelity
Justice
Autonomy
Veracity

When giving a high alert medication, nurse Paolo, despite his many years of experience, double checks the order and medication with another nurse. He exhibits which of the following?

Fidelity
Justice
Beneficence
Nonmaleficence

Nurse Enzo is prepping his patient before they go into surgery. Changes were made and the patient is to be sedated during the procedure. His patient suddenly exclaims, “I am scared as to how the anesthesia will affect me. Will I be asleep the whole time? How long will I be out?” He then calls for the anesthesiologist to have them explain the sedation plans of the procedure, and to secure the consent. His patient expresses their relief, and agrees to the plan. What does he exhibit?

Fidelity
Justice
Beneficence
Nonmaleficence

These are the key strategies of MNCHN, except:

Ensuring universal access to and utilization of MNCHN core package services and interventions directed not only to individual women of reproductive age and newborns at different stages of the life cycle.
Establishment of a service delivery network at only the primary level of care.
Organized use of instruments for health systems development
Rapid build-up of institutional capacities of DOH and PhilHealth.

Nurse Maloi advocates her clients to have their prenatal visits. What is the recommended minimum number of visits throughout the course of pregnancy?

Essential newborn care is also practiced in every delivery to ensure that all needs of the newborn are met, and protection is given. These are the interventions done within the first 90 minutes, except:

Immediate thorough drying
Skin-to-skin contact between mother and newborn
Early Cord clamping 1 minute after birth is recommended
Early initiation of breastfeeding (within 1 hour after birth)

The Family Planning program started in the 1970s as a family planning service delivery component to achieve fertility reductions. FP is means to prevent high-risk pregnancies brought about by the following conditions, except:

Being too young (less than 20 years old) or too old (over 33 years old)
Having had too many (4 or more) pregnancies
Having closely spaced (too close) pregnancies (less than 36 months)
Being too ill or unhealthy/too sick or having an existing disease or disorder like iron deficiency anemia.

Nurse Maloi also advocates for family planning fit according to the lifestyle and preference of the clients. She advocates the following barrier family planning methods, except:

Condom
Intrauterine device
Cervical cap
Diaphragms

This is any person, animal, arthropod, plant, soil, or substance (or combination of these) in which an causative agent normally lives and multiplies, on which it depends primarily for survival, and where it reproduces in such numbers that it can be transmitted to a susceptible host.

Pathogen/Causative agent
Portal of entry
Susceptible host
Reservoir

By encouraging rest and balance in our lives, you try to minimize risks in what part of the chain of infection?

Pathogen/Causative agent
Portal of entry
Susceptible host
Reservoir

You always change your gloves and practice hand hygiene before and after each patient. You minimize the risk in what part of the chain?

Mode of transmission
Portal of exit
Susceptible host
Reservoir

You make sure to collect all instruments every after surgery to have them sterilized. You know that this minimizes risk in?

Pathogen/Causative agent
Portal of entry
Susceptible host
Reservoir

You practice sterility in placing sterile dressings on surgical wounds. You know that this minimizes risk in?

Pathogen / Causative agent
Portal of entry
Susceptible host
Reservoir

This agent causes the most serious type of malaria because of high parasitic densities in blood, and causes malignant tertian malaria. This is most common in the Philippines.

Plasmodium falciparum
Plasmodium vivax
Plasmodium ovale
Plasmodium malaria

Clinical manifestations of malaria in three stages. This stage happens in 4-6 hours with recurring high grade fever, severe headache, vomiting, abdominal pain, and blue face.

Cold Stage
Warm stage
Hot stage
Diaphoretic stage

Conducting the early diagnosis and prompt treatment for malaria is done to prevent further spread of the disease. This method is based on the examination of blood smear of the patient through a microscope.

Early diagnosis
Clinical method
Microscopic method
Chemoprophylaxis

Sustainable Preventive and Vector Control Measures refer to the adoption of measures for the prevention and control against the malaria parasite and the mosquito vector. This is the cutting of the vegetation overhanging along stream banks to expose the breeding stream to sunlight, rendering it unsuitable for mosquito vector habituation.

Insecticide-Treatment of Mosquito Net
House Spraying
On stream seeding
On stream clearing

In Integrated Management of Childhood Illness, severe conditions generally require urgent referral to a hospital. Which of the following severe conditions DOES NOT always require urgent referral to a hospital?

Mastoiditis
Severe dehydration
Severe pneumonia
Severe febrile disease

A client was diagnosed as having Dengue fever. You will say that there is slow capillary refill when the color of the nailbed that you pressed does not return within how many seconds?

A 3-year old child was brought by his mother to the health center because of fever of 4-day duration. The child had a positive tourniquet test result. In the absence of other signs, which is the most appropriate measure that the PHN may carry out to prevent Dengue shock syndrome?

Insert an NGT and give fluids per NGT.
Instruct the mother to give the child Oresol.
Start the patient on intravenous fluids STAT.
Refer the client to the physician for appropriate management.

A 5-month old infant was brought by his mother to the health center because of diarrhea occurring 4 to 5 times a day. His skin goes back slowly after a skin pinch and his eyes are sunken. Using the IMCI guidelines, you will classify this infant in which category?

No signs of dehydration
Some dehydration
Severe dehydration
The data is insufficient.

Based on assessment, you classified a 3-month old infant with the chief complaint of diarrhea in the category of SOME DEHYDRATION. Based on IMCI management guidelines, which of the following will you do?

Bring the infant to the nearest facility where IV fluids can be given.
Supervise the mother in giving 200 to 400 mL of Oresol in 4 hours.
Give the infant’s mother instructions on home management.
Keep the infant in your health center for close observation.

A mother is using Oresol in the management of diarrhea of her 3-year old child. She asked you what to do if her child vomits. You will tell her to:

Bring the child to the nearest hospital for further assessment.
Bring the child to the health center for intravenous fluid therapy.
Bring the child to the health center for assessment by the physician.
Let the child rest for 10 minutes then continue giving Oresol more slowly.

What is the order of the nursing process?

Assessing, diagnosing, implementing, evaluating, planning
Diagnosing, assessing, planning, implementing, evaluating
Assessing, diagnosing, planning, implementing, evaluating
Planning, evaluating, diagnosing, assessing, implementing

A client is receiving 115 ml/hr of continuous IVF. Nurse Ysabel notices that the venipuncture site is red and swollen. Which of the following interventions would she perform first?

Stop the infusion
Call the attending physician
Slow that infusion to 20 ml/hr
Place a cold towel on the site

She will now proceed to give the appropriate feeding for her patient. Which of the following is inappropriate nursing action when administering NGT feeding?

Place the feeding 20 inches above the point of insertion of NGT
Introduce the feeding slowly
Instill 60 mL of water into the NGT after feeding
Assist the patient in fowler’s position

During application of medication into the ear, which of the following is inappropriate nursing action?

In an adult, pull the pinna upward
Instill the medication directly into the tympanic membrane
Warm the medication at room or body temperature
Press the tragus of the ear a few times to assist flow of medication into the ear canal

Postural drainage to relieve respiratory congestion should take place:

Before meals
After meals
At the nurse’s convenience
At the patient’s convenience

Recalls II

In the management process, Nurse Kaye aims to forecast and project what is most likely to occur in the future. She knows that this encompasses which phase of the management process

Planning
Organizing
Directing
Controlling

To promote the growth of her team, Nurse Kaye utilizes performance appraisal as a tool to determine actual performance compared with the desired output. Which of the following phases does this action fall into

Planning
Organizing
Directing
Controlling

As a nurse supervisor, Nurse Kaye must possess which type of supervisory skill in order to understand and work with other people by fostering harmonious relationships among the group

Technical skills
Human relations skills
Administrative skills
Decision making skills

In order to critically analyze information and problems and make appropriate decisions, Nurse Kaye must possess which supervisory skill

Technical skills
Human relations skills
Administrative skills
Decision making skills

To function harmoniously in the attainment of organizational objectives, Nurse Kaye assembles a team designated for health programs such as Family Planning Program. Which principle of organization is being applied in this case

Span of control
Unity of command
Coordination
Division of work

Nurse Joei is part of a team assigned in the control of communicable diseases, he knows which role and function of Department of Health (DOH)is involved in health emergency response services and in cases of epidemic and other widespread public danger

Leadership in Health
Enabler and Capacity Builder
Administrator of Specific Services
Health Sector Reform Agenda

Nurse Joie knows that the overriding goal of Department of Health (DOH) is:

FOURmula ONE for Health
Health Sector Reform Agenda
National Objectives for Health
Inter Local Health System

A sector-wide approach to implement critical interventions in the implementation of HSRA is delineated in its framework. Nurse Joei has kept in mind that the framework for the implementation of Health Sector Reform Agenda (HSRA) is:

Primary Health Care
Inter Local Health System
National Objectives for Health
FOURmula ONE for Health

FOURmula ONE for Health is the overarching philosophy to achieve end goals. Nurse Joei is aware that all but one are goals of FOURmula ONE for Health?

Better health outcomes
More responsive health systems
Equitable health care financing
Good governance

The devolution of health services from the national level to Local Government Unit (LGUs) was emphasized in the Local Government Code. Nurse Joei is aware that this is the focal point of:

RA 9173
EO 102
RA 7160
LOI 949

Nurse Shape focuses on the people as the center of any health and development effort. Which of the following should he list down as key ingredients to successful and sustainable community-based approach/health initiatives? Select all that apply.

Active community participation
Multi-sectoral collaboration
Strong support and guidance from local governments and technical experts
Involvement of community leaders, committees and other groups

As a public health nurse, Nurse Shape assumes various roles and responsibilities in the prevention and control of NCDs. Which role does he perform when is concerned with promoting health as well as reducing behavior-induced disease.

Health Advocate
Health Educator
Community Organizer
Health Trainer

Nurse Shape conducts hypertension screening among the residents of the community. He is aware that this is under which level of prevention?

Primary Prevention
Secondary Prevention
Tertiary Prevention
Health Promotion

Alice who is diagnosed with DM Type II was given advice by Nurse Shape to identify and prevent complications related to DM. This is considered as?

Primary Prevention
Secondary Prevention
Tertiary Prevention
Health Promotion

Nurse Shape encourages parents to bring their children to the health center for their immunization. He is performing which level of prevention?

Primary Prevention
Secondary Prevention
Tertiary Prevention
Health Promotion

According to the World Health Organization (WHO), this is the presumptive identification of unrecognized disease or defect by the application of tests, examination or other procedures which can be applied rapidly. Nurse Jerico understands that this pertains to which of the following:

Risk Factor
Community Diagnosis
Screening
Triangulation

Jona, 43 years old, arrived at the clinic for consultation. She has a BMI of 26 with a waist circumference of 95 cm and hip circumference of 105. Nurse Jerico assesses her degree of risk of comorbidity based on waist-to-hip ratio (WHR). All but one are incorrect when interpreting the waist-to-hip (WHR) ratio of the client

Jona has a WHR of 0.85 which is considered normal.
Jona has a WHR of 1.0 which is considered normal.
Jona has a WHR of 0.90 which is considered as android or central obesity.
Jona has a WHR of 1.12 which is considered as android or central obesity.

Nurse Jerico knows that the most accurate and reliable technique for indirect BP measurement is:

Palpatory method using a mercury manometer
Palpatory method using aneroid BP
Auscultatory method using a mercury manometer
Auscultatory method using aneroid BP

The municipal health center offers free screening for elevated cholesterol. As part of the committee, Nurse Jerico discusses the guidelines and he is aware that the normal cholesterol level should be:

<150 mg/50 mL
<200 mg/100 mL
200 to 239 mg/100 mL
240 mg/100 mL and above

Early detection and prompt treatment are integral to the management of cancer. Nurse Jerico provides health education to families at risk by including all of the following as warning signs of cancer, except?

Change in bowel habits
Sudden weight gain
Unexplained anemia
Dysphagia

Nurse Whayee performs home hazard appraisal for the family. None of the following suggest an unsafe condition leading to falls or injury, EXCEPT

Presence of insecure handrails
Presence of grab bars around tubs and showers
Adequacy of lighting at night
Anchored rugs and mats

Members of the family have opened up about their experiences in taking care of Hector. Nurse Whayee observes the family during the visit. She should recognize the following as signs of caregiver role strain, except? Select all that apply.

Feelings of anger and depression
Reports of increased physical energy and sufficient time for caregiving
Caregiving responsibilities does not interfere with other roles
Anxiety about ability to meet future care needs of the client
Difficulty performing routine tasks for the client

Nurse Whayee demonstrates infection control and prevention measures to the family. As a nurse, she knows that her major role in infection prevention is:

Provision of basic hand hygiene kits
Addressing challenges to infection prevention such as lack of running water for handwashing
Providing health teaching to client and caregivers
None of the above

Given the condition of Hector, Nurse Whayee was informed that the family was having a hard time with the elderly who is noncompliant to his medication regimen. Nurse Whayee knows that the Joint Commission International (JCI) abides by their patient safety goals.Which of the following should she initially perform in order to promote safety of using medications?

Compare the medication information the patient is currently taking with the medications ordered for the patient in order to identify and resolve discrepancies.
Obtain information on the medications the patient currently takes.
Define the types of medication information (dose, route, frequency, purpose) to be collected in different settings and patient circumstances.
Explain the importance of managing medication information to the patient

Nurse Whayee explores and supports the client’s choices while also considering viable options. The client discussed her plan to have a living will. In order for the client to make informed decisions, Nurse Whayee is aware that advocacy begins when?

First visit
Two days later
A week after
During termination of interaction

For the past 5 years, Nurse Earl has not been practicing the profession. He has been preoccupied with his pares overload business. He plans to return to work as a staff nurse. In order to do this, he must undergo training of:

1 month practicum and 3 months didactic
1 month didactic and 3 months practicum
3 months practicum and 6 months didactic
3 months didactic and 6 months practicum

Along with his desire to return to the hospital, Nurse Earl also plans to advance his studies further by enrolling in graduate programs in order to qualify as a clinical instructor in his alma mater. He is guided by the qualifications of a faculty in the college of nursing which requires him to comply with the following. Select all that apply.

Be a registered nurse in the Philippines
Have atleast one year of clinical practice in a field of specialization
Be a member of good standing in the accredited professional organization of nurses
Be a holder of masters degree in nursing, education or other allied medical and health sciences

Nurse Earl is aware that the professional regulatory board of nursing (PRBON) is composed of a chairperson and members who shall represent different areas of nursing which includes all of the following, except:

Nursing education
Leadership and management
Nursing service
Community health nursing

Nurse Earl understands that the conduct of the licensure examination for nurses in the country shall be in accordance with the PRC Modernization Act of 2000 also known as:

R.A. 7164
R.A. 8981
R.A. 7160
R.A. 877

Nurse Earl will renew his professional identification card. He is certain of which of the following that are included in the ID:

Full name of the registrant, serial number, signature of the Chairperson and Members of the Board
Full name of the registrant, date of registration, license number and date of issuance
Full name of the registrant, duly signed by the Chairperson of the Commission, bearing the date of registration, license number and date of issuance and expiration
Full name of the registrant, serial number, date of registration, license number and date of issuance and expiration and signature of the Chairperson and Members of the Board

Nurse Nycah intends to find out the most frequently occurring cause of contaminated water for the last six months as basis for water safety program. What measure of central tendency will she use to correctly do this?

Mean
Median
Mode
Frequency distribution

Nurse Nycah supervises a study on the compliance of barangay healthcare workers (BHWs) on infection control measures. Given that the subjects are aware that they are being observed on their compliance to hand hygiene, they are more likely to comply and perform such measures. This is referred to as:

Halo effect
Hawthorne effect
Error of leniency
Error of severit

As participants of the study, the barangay healthcare workers (BHWs) know that they are being observed as part of a study on infection control and prevention. This type of observation is commonly referred to as:

Overt observation
Covert observation
Field notes
Deception

A study on the perception of local residents on the emergence of Dengue cases in relation with poor environmental sanitation is being conducted. Nurse Nycah has reached a point where no new information is obtained and redundancy is achieved which pertains to:

Bracketing
Triangulation
Data Saturation
None of the above

Nurse Nycah will conduct a survey among the residents of the community. The eligibility criteria for the study will include the age of the respondent. She knows that age falls on what level of measurement?

Nominal
Ordinal
Interval
Ratio

The quality of the ethical nurse revolves around the ability to explain the rationale behind every action and recognize standards to which he or she will be held. The hallmark of nursing accountability is:

Quality and safety education for nurses
Accurate documentation
Compliance to standards of care
Ethical reasoning

As advocate of patients, Nurse Shel must take appropriate steps to safeguard their rights and privileges which includes observing the following guidelines. Select all that apply.

Respect the “Patients’ Bill of Rights” in the delivery of nursing care
Provide the patients or their families with all pertinent information including those which may be deemed harmful to their well-being
Uphold the patients’ rights when conflict arises regarding management of their care

According to the Code of Ethics, these are the goals of nursing practice

Accurate documentation
Quality and excellence in the care of patients
Individuality and totality of patients
Safeguarding the rights and privileges of patients

Nurses must know the definition and scope of nursing practice which are in the provisions of Philippine Nursing Act and Code of Ethics. The principal basis of the Code of Ethics is:

PRC Modernization Act
Patients’ Bill of Rights
Philippine Nurses Association
Code of Good Governance

The fifth-fold responsibility of a nurse pertains to the:

Promotion of health
Promotion of a spiritual environment
Alleviation of suffering
Restoration of health

In order to understand the behavior of the family as a dynamic, functioning unit, the Structural-Functional framework specifies four structural dimensions which includes all of the following except?

Role structure
Power structure
Reproductive function
Communication processes

Nurse Kayzee assesses the Guo family. In her data collection, which of the following should she include in the first-level assessment? Select all that apply.

Family structure, characteristics and dynamics
Socio-economic and cultural characteristics
Home and environment
Health status of each member
Values and practices on health promotion and disease prevention

As part of the first-level assessment, Nurse Kayzee identifies the lack of immunization of a family member as a:

Wellness Condition
Health Threat
Health Deficit
Foreseeable Crisis

Statements of the family nursing problems are reflected in the second-level assessment. All of the following are necessary health tasks for the family as a functioning unit except:

Recognize the presence of wellness state or health condition/problem
Utilize community resources for health care
Maintain a home environment inconducive to health maintenance and personal development
Provide nursing care to the sick, disabled, dependent or at-risk members

Nurse Kayzee assesses the home and environment of the Guo family. All of the following should be included in her assessment except:

Housing
Kind of neighborhood
Anthropometric data
Communication and transportation facilities available

Donna complaints of a cough that began three weeks ago. She has had fever, back pains, blood-streaked mucus and body malaise. She went to the health center for consultation. Nurse Arjay is aware that the primary diagnostic tool in the National Tuberculosis Program case finding is:

PPD
DSSM
X-ray
Immunochromatographic Test (ICT)

Nurse Arjay knows that the only contraindication for sputum collection is:

Weight loss
Syncope
Angioedema
Hemoptysis

All of the following are true about DSSM except?

Pulmonary TB symptomatics shall be asked to undergo other diagnostic tests (X-ray and culture), if necessary, only after they have undergone DSSM for diagnosis with three sputum specimens yielding negative results.
Barangay health workers in far flung areas are not allowed to do smearing and fixing of specimens.
Trained medical technologists or microscopists shall perform DSSM.
DSSM can be requested after the control of hemoptysis

In administering intradermal injection to a child, which of the following considerations should Nurse Arjay emphasize

Make sure the child understands that the injection is a punishment
The child should be heavily restrained during the procedure
Ask the child not to rub or scratch the injection site
Ask the parent to return for evaluation of the condition of the site after 72 hours

Donna underwent the Mantoux test as a screening for TB. Nurse Arjay knows that the test result will be read:

24 hours after injection
48 to 72 hours after injection
24 to 72 hours after injection
After a week

Terrence is certain of the clinical manifestations of mumps. Nurse Yvette is correct when she identifies the following signs and symptoms for mumps. Select all that apply.

Fever and malaise
Anorexia
Orchitis
Painless swelling of the ears, jaws and neck

Terrence reports discomfort on his left testicle. Upon inspection, there is visible swelling. Nurse Yvette knows that in order to minimize edema and atrophy, she will instruct the client to do the following except:

The scrotum should be supported by a properly fitted suspensory, pillow or a sling between the thighs
Use soft packing between the scrotum and the support
Place a pillow or adhesive bridge between the thighs
Let the client lie on his left side

The client had inquiries regarding his diet. Nurse Yvette is correct when she provides which home instruction to Terrence?

Regular diet as tolerated
Soft or liquid diet as tolerated
Fruit juice and sour foods should be part of his diet
There are no dietary restrictions for the client

Nurse Yvette is aware that the most common complication of mumps in male adults is:

Encephalitis
Meningitis
Orchitis
Nuchal rigidity

Encephalitis may complicate mumps. Which signs and symptoms must the client watch out for in this case? Select all that apply.

Nurse JD plans to resolve problems in scheduling of the staff in the community health center. In using the DECIDE Model as a tool for decision making, Nurse JD is aware that the initial step of this model is to:

Develop and implement a plan of action
Establish criteria
Define the problem
Identify the best alternative

Problem solving consists of the act of identifying a problem and implementing an active systematic process to solve problems. When faced with difficulties in the staffing, Nurse JD capitalizes on the positive characteristics to bring about a culture change by engaging staff in a healthy exchange of knowledge. This is also known as?

Shared decision making
Appreciative inquiry
SWOT analysis
DECIDE Model

Nurse JD implements the use of SOAPIE as the new format for charting in the progress notes. None of the following are subject data except:

X-ray result
Vital signs
Client’s perception of the problem
Laboratory results

As a change agent, Nurse JD plans on strategies to manage staff who are resistant to change. Which strategy assumes that staff members are essentially self-interested and providing information will assist staff in changing behavior to adopt change?

Normative-reeducative strategy
Empirical-rational strategy
Power-coercive strategy
None of the above

When faced with conflict within the team, Nurse JD has a tendency to identify shared goals and commits to working together to achieve resolution. This conflict management strategy is:

Accommodating
Compromising
Competing
Collaborating

To enhance communication among healthcare professionals, Nurse Geo ensures that the patient information is current and available for the meeting and offers the team insight into care issues with the goal of advocating for the patient. This is particular to which communication strategy?

Interprofessional Team Rounding
TeamSTEPPS
SBAR
Handover

When utilizing the SBAR communication tool, Nurse Geo is aware that R stands for:

Response
Reminder
Record
Recommendation

Transition in care when a patient is transferred from one unit to another or during a change of shift is referred to as:

Two-challenge rule
Call out
Check-back
Handover

When communicating with a widow who recently lost her husband due to a car accident, Nurse Geo must alter spoken messages in accordance with behavioral cues from the client. What characteristic does Nurse Geo consider?

Adaptability
Credibility
Timing and Relevance
Clarity and Brevity

While interviewing Jelly, Nurse Geo notices that Jelly is becoming more tense as he was about to give her medications. Which of the following is correct about Nurse Geo’s observations?

The patient is feeling anxious
The patient is depressed
The behavior suggests feeling of well-being
The patient is uncomfortable

In doing quick neurologic assessment, Nurse Anna utilizes the AVPU method. Upon assessment, she will classify the patient as unresponsive in which of the following conditions

The patient is alert and conscious
The patient responds only to verbal stimuli
The patient responds only to painful stimuli
The patient does not respond to all stimuli

When providing health teaching on the prevention of heat-induced illness, which of the following is inappropriate for Nurse Anna to include

Monitor fluid losses and weight loss during workout or exercise and replace fluids and electrolytes
Maintain adequate fluid intake and wear loose clothing
Plan outdoor activities between 10 AM to 2 PM
Avoid immediate re-exposure to high temperatures

Due to the extreme heat-index in some areas of the country, heat stroke can occur. Kim, one of the trainees for ROTC, presents with a temperature of 41 C with hot, dry skin and anhidrosis. She reportedly collapsed and has been delirious.Rapid temperature reduction was initiated within an hour. Which methods should Nurse Geo exclude as a cooling procedure?

Place cool sheets or cooling blankets on the patient
Apply ice to the neck, groin, chest and axilla while spraying tepid water
Immerse the patient in a cold water bath
Administration of sodium bicarbonate

Which of the following is considered as an active external rewarming method?

Forced-air warming blankets
Cardiopulmonary bypass
Peritoneal lavage
Warmed humidified oxygen by ventilator

Nurse Geo assesses a family who is suspected to have experienced food poisoning. He aims to determine the source and type of food poisoning. Which of the following options pertains to a serious form of food poisoning?

Anthrax
Botulism
Smallpox
Tularemia

Nurse Corr initiates a community-based program intended to reduce incidence of teenage smoking. She influences the youth to make good choices about habits and practices that are detrimental to health. As a nurse educator, Nurse Corr knows that the prevalent compound in cigarettes deposited in lung passages that paralyzes the cleaning mechanisms (cilia) and damages the air sacs (alveoli) is

Nicotine
Carbon monoxide
Tar
Ethanol

Nurse Corr recalls that the Third International Conference on Health Promotion was held in 1991 where?

Ottawa, Canada
Sundsvall, Sweden
Adelaide, Australia
Alma Alta, Russia

The Ottawa Charter for Health Promotion states that health promotion must occur on these fronts. Select all that apply.

Building healthy public policy
Creating environment which support healthy living
Strengthening community action
Helping people develop their skills
Reorienting health system

Nurse Corr aims to achieve a sustainable community health development grounded on health promotion. Which of the following approaches strikes at the root of the problem and addresses the social determinants of health?

Community-based approach
Integrated approach
Comprehensive approach
Community organizing

Nurse Corr understands that in order to operationalize the concept of health promotion, the Ottawa Charter recommended the five action areas for health promotion which includes the following. Select all that apply.

As a public health nurse, Nurse Leslie knows that the primary goal of COPAR is to:

To enhance community empowerment and self-reliance
To encourage the residents to identify existing problems and pressing issues in the community
To help the community allocate funds proportionately
To assist the community in prioritizing problems

Nurse Leslie remembers the vital role of the community in COPAR. She knows that they are considered as:

Financer
Beneficiaries
Subjects
Co-researchers

Which of the following pertains to the process whereby the community members develop capability to assess their health needs and problems, plan and implement actions and sustain organizational structure to support health initiatives by the people?

Community Participation
Community Diagnosis
Community Organizing
Community Profiling

Nurse Leslie understands that during this phase in COPAR, the community assumes responsibility in managing their health needs as the nurse gradually prepares for turn-over of work and develops plan for monitoring and subsequent follow-up with the organizations activities. Which phase does this pertain to?

Training
Pre-entry
Entry
Phase-out

Which of the following is the initial step in community diagnosis?

Determining the data to be collected
Defining the study population
Determining the objectives
Developing the instrument

When teaching about the principles of the Expanded Program on Immunization. All are incorrect about the principles of EPI, except

It is safe and immunologically effective to administer all EPI vaccines on the same day at the same site of the body
Vaccines should be restarted from the beginning even if the interval between doses exceeded the recommended interval by months or years
Repeat BCG vaccination if the child develops a scar after the first injection
Giving doses of a vaccine at less than the recommended 4 weeks interval may lessen the antibody response

Nurse Mel must teach that which of the following vaccines must be wrapped in foil and protected from sunlight

BCG
Hep B
Measles
Tetanus Toxoid

Nurse Mel knows that the component of DPT vaccine containing a killed bacteria is:

Diphtheria
Pertussis
Tetanus Toxoid
Hep B

Nurse Mel adheres to the appropriate temperature monitoring of vaccines in the clinic. He understands that the temperature monitoring of the cold chain should be done in how many times and with what interval?

Once daily in the morning
Once daily in the afternoon
Twice a day early in the morning and in the afternoon
Thrice daily every 4 hours

Completing the five doses of Tetanus Toxoid for mothers provides lifetime immunity. Which of the following gives protection to infants from neonatal tetanus and 5 years protection for the mother?

Nurse Andre is aware of the components of FHSIS. He emphasizes the fundamental block of FHSIS is the:

Target/client list
Tally report
Output report
Family treatment record

To properly monitor pregnant clients registered to receive prenatal care, which component will Nurse Andre use?

Target/client lists
Tally report
Output report
Family treatment record

In FHSIS, the ideal reporting of neonatal and maternal deaths should be done:

Weekly
Monthly
Quarterly
Upon occurrence of event

Nurse Andre knows that which level of the DOH management produces the output report:

Regional Health Office
Rural Health Unit
Barangay Health Center
Public Health Office

The lowest level of reporting unit expected to report health services is the:

Barangay Health Station
Regional Health Office
Public Health Office
Department of Health

As an advocate of mental health, she understands the four facets presented as a health burden. Which burden pertains to the stigma associated with all forms of mental health illness?

Defined burden
Undefined burden
Hidden burden
Future burden

Which burden results from the aging of the population, increasing social problems and unrest inherited from an existing burden?

Defined burden
Undefined burden
Hidden burden
Future burden

Betty has been recently diagnosed with bipolar disorder. Her sudden mood and behavioral changes had a devastating impact to her work and responsibilities as an adult. Which burden pertains to this situation?

Defined burden
Undefined burden
Hidden burden
Future burden

Because of her mental health disorder, her family has been very worried about Betty’s wellbeing. Her struggles to make ends meet given her mental health issue has forced her family to intervene and suggested for her to voluntarily admit herself in a psychiatric unit for observation. Which burden is being described in this scenario?

Defined burden
Undefined burden
Hidden burden
Future burden

To grasp the community’s overall mental health status, Nurse Daisy determined the incidence and prevalence of mental illnesses. She is fully aware that incidence rate pertains to the:

Number of new cases of mental illness over a specified period of time in the population at risk
Number of new and old cases of mental illness in the total population
Risk of exposure of persons in a given year
Number of registered deaths from a specific disease over the number or registered cases from same specific disease in the same year

In this particular study, the independent variable is the:

Production of free radicals and antioxidant enzymes
Regular elastic band exercises
Free radicals
Antioxidants

Nurse Han knows that “production of free radicals and antioxidant enzymes” is considered as the:

Independent variable
Dependent variable
Manipulation
Control

When asked about the definition of HbA1c, which of the following should Nurse Han conclude as its conceptual definition:

The normal range of glycosylated hemoglobin range from 4% to 6%
HbA1c is a laboratory value that reflects the average blood sugar reading for a patient over 90 days
HbA1c are byproducts of fat breakdown that accumulate in the blood and urine
HbA1c is a biomedical measure of an individual’s success in managing their type 1 diabetes

The operational definition of HbA1c should be:

The normal range of glycosylated hemoglobin range from 4% to 6%
HbA1c is a laboratory value that reflects the average blood sugar reading for a patient over 90 days
HbA1c are byproducts of fat breakdown that accumulate in the blood and urine
HbA1c is a biomedical measure of an individual’s success in managing their type 1 diabetes

This part of a research refers to the clear concise statement of the specific goal or study. Which of the following would Nurse Han pertain to in relation to this

Research problem
Research objective
Research purpose
Research question

Recalls III

What is the mode of transmission of poliomyelitis?

Blood-borne transmission
Fecal- oral route
Vector-borne transmission
Airborne droplets

What is the route of administration of OPV?

Oral
Intradermal
Intramuscular
Subcutaneous

What is the appropriate temperature to store oral polio vaccine?

-15°C to -25°C
+2°C to +8°C
-2°C to -8°C
+15°C to +25°C

Along with the oral polio vaccine which of the following vaccines is also one of the most sensitive to heat?

DPT/ Hep B
BCG
Tetanus Toxoid
Measles

The following are the general principles which apply in vaccinating children. Select all that apply.

It is safe and immunologically effective to administer all EPI vaccines on the same day at different sites of the body
The vaccination schedule should be restarted from the beginning if the interval between doses exceeds the recommended interval by months or years.
Moderate fever, malnutrition, mild respiratory infection, cough, diarrhea, and vomiting are not contraindications to vaccination.
Giving doses of a vaccine at less than the recommended 4-week interval may lessen the antibody response.
Lengthening the interval between doses of vaccines leads to lesser antibody levels

This pertains to the intermittent occurrence of a few isolated and unrelated cases in a given locality

Sporadic
Epidemic
Endemic
Pandemic

This is the continuous occurrence throughout a period of time, of the usual number of cases in given locality

Sporadic
Epidemic
Endemic
Pandemic

Which of these involves an unusually large number of cases in a relatively short period of time?

Sporadic
Epidemic
Endemic
Pandemic

This is the simultaneous occurrence of an epidemic of the same disease in several countries

Sporadic
Epidemic
Endemic
Pandemic

Rabies is an example of a:

Sporadic
Epidemic
Endemic
Pandemic

Patient Nora arrived at the Seattle Grace Hospital with complaints of fever, profuse sweating, malaise, and recurrent chills. Upon assessment, she also reported a recent vacation in Palawan. Nurse Grace suspects Malaria, further assessment is performed.

Patient Nora asked Nurse Grace, what is the vector of Malaria?

Oncomelania quadrasi
Female Anopheles
Aedes poecilius
Aedes aegypti

Upon health teaching, Nurse Grace includes measures for the prevention and control of the malaria parasite and the mosquito vector. Which of the following should not be included

Construction of bio-ponds for larvivorous fish propagation.
Cutting of vegetation overhanging along stream banks to expose breeding stream to sunlight.
Avoid outdoor night activities, particularly during the vectors’ peak biting hours from 9 pm-3 pm.
Changing water and scrubbing sides of lower vases once a week.

There are various species of plasmodium, among the choices which of the following is found to be common in the Philippines

P. ovale
P. malariae
P. vivax
P. falciparum

Which blood cells are affected by the Malaria parasite?

Red blood cells
White blood cells
Platelets
All of the above

Which of the following is not a clinical manifestation of Malaria?

Fatigue
Petechiae
Pale skin
Cold extremities

The herbal plant used to expel round worms ascariasis is:

Akapulko
Ampalaya
Niyog Niyogan
Tsaang Gubat

The herbal medicine appropriate for kidney stones is:

Sambong
Tsaang gubat
Niyog Niyogan
Bayabas

“Botika ng Barangay” (BnB) refers to a drug outlet to sell, distribute, offer for sale, and or make available low-priced generic home remedies over the counter drugs. Which one is not included?

Cotrimoxazole
Amoxicillin
Metformin
Aspirin

Public Health Nurse Kiara is assigned to pediatric clients in the barangay to administer medications and vaccines. As a registered nurse she should be knowledgeable on how to provide the proper administration. When administering vaccines, the first step Nurse Kiara should do is to:

Reconstitute using diluent supplied.
Check the content prior to drawing up.
Select the proper needle size.
Check the vial for the expiration date.

After administering the vaccine, which of the following Nurse Kiara should not include in the documentation

Date
Lot number
Manufacturer
Needle Gauge

The global agency that initiated the Alma Ata Cconference on Primary Health is the:

World Health Organization (WHO)
United Nations Children’s Fund (UNICEF)
Department of Health
Centers for Disease Control and Prevention (CDC)

Which of the following is not included in the four cornerstones/pillars of Primary Health Care?

Active community participation
Intra and Intersectoral linkages
Use of the latest technology
Support mechanism made available

Nurse Kelsey is correct in enumerating the members of the village or barangay health workers if she answers:

Health auxiliary volunteers, traditional birth attendants, and healers.
Health auxiliary volunteers, traditional birth attendants, and midwives.
Health auxiliary volunteers, public health nurses, and midwives.
Public health nurses and midwives only.

Nurse Kelsey recognizes that health services offered are to be in accordance with the prevailing beliefs and practices of the intended clients of care. This primary health care key principle is known as:

Availability
Acceptability
Affordability
Accessibility

When the hospital reaches out to the Department of Social Welfare and Development (DSWD) this linkage is an example of:

Network linkages
Inter-sectoral linkages
Intra-sectoral linkages
Multiple linkages

Patient Mina is concerned about how she acquired pulmonary tuberculosis. How should Nurse Glenda respond?

It is acquired through ingestion of contaminated foods.
It is acquired through inhalation of bacteria which travel in droplet nuclei that become aerosolized.
It is acquired through the use of infected needles.
It is acquired through a bite of a mosquito carrying the bacteria.

Patient Mina is asking, “Why did the doctor order a chest x-ray?”. Nurse Glenda should answer:

To confirm the diagnosis of PTB.
To know the extent of the lesion in the lungs.
To know which medication the doctor will prescribe.
To know if there is an affectation in the heart.

Further assessment is performed on Patient Mina, her history revealed that she is previously treated and is experiencing a relapse. What is her treatment regimen

2HRZE/4HR
2HRZE/10HR
2HRZES/1HRZE/5HRE
2HRZES/1HRZE/9HRE

After weeks of treatment Patient Mina went back to the hospital with the complaint of numbness, pain, and tingling in the hands and feet. Which drug may have caused this

Rifampin
Isoniazid
Pyrazinamide
Ethambutol

Nurse Grace is now performing health teaching. Which of the following she should not include

Encourage intake of tuna, aged cheese, red wine, and soy sauce.
Encourage intake of dark leafy vegetables, banana, and papaya.
Encourage adherence to treatment regimen.
Encourage socialization after 2 to 3 weeks of continuous medication therapy.

Which of the following would best indicate a maturational crisis

Illness
Death
Marriage
unemployment

Providing crisis intervention is an important part of:

Primary prevention
Health promotion
Secondary prevention
Tertiary prevention

Nurse Anne observes that the family is exhibiting strengths in the face of hardships they are facing. The best description of the strengths Nurse Anne is observing is:

Power
Resilience
Projection
Faith

Nurse Leslie is educating the family regarding the general need for adequate nutrition, rest, and physical activity. Which level of prevention does this describe

Tertiary prevention
Secondary prevention
Health maintenance
Primary Prevention

Nurse Alex is assigned to perform a Home visit to Brgy. Kasinay. Which of the following is the first step in conducting a home visit

Greet the patient and introduce self
State the purpose of the visit
Observe the patient and determine the health needs
Make an appointment for a return visit

As Nurse Alex is performing a home visit to family Lopez, they asked, “How often are you going to visit us?”. Nurse Alex shouldn’t respond

“It will be based on your physical, psychological needs, and educational needs”
“It will be based on your acceptance of the services to be rendered”
“It will be based on Nurse’s convenience”
“It will be based on the ability of the patient and his family to recognize their needs”

Nurse Alex then proceeded to perform the bag technique, which of the following is a principle of bag technique? Select all that apply.

Bag technique minimizes, if not prevents the spread of any infection
It saves time and effort in performance of nursing procedures
It should show effectiveness of total care given to family
It can be performed in a variety of ways depending on agency’s policy and home situation, as long as it avoids transfer of infection is always observed.

Karen, a resident of the community, asked Nurse Lisa on the initial symptoms of rabies. Nurse Lisa is right when she answers:

“Karen, the initial symptoms of rabies include cough, body malaise, syncope, hyperemia and hematemesis”
“Karen, the initial symptom of Rabies include fever with pain and unusual or unexplained tingling, pricking or burning sensation at the wound site”
“ Karen, the initial symptom of rabies includes severe fatigue, muscle weakness, hyperthyroidism and painless wound site
“Karen, the initial symptoms of rabies includes burning sensation on wound site, hemorrhage, hematemesis, hematuria and hematochezia.”

Karen continues to ask Nurse Lisa, “How can rabies be transmitted?”

Highly contagious virus that lives in the nose and throat mucus of an infected person. It can spread to others through coughing and sneezing.
By being bitten by an infective female Anopheles mosquito.
Has lymphatic, microscopic worms circulating in the person’s blood enter and infect the mosquito.
When infectious material, usually saliva, comes into direct contact with a victim’s fresh skin lesions

The public health nurse is responsible for presenting the municipal health statistics using graphs and tables. To compare the frequency of the leading causes of mortality in the municipality, which graph will you prepare?

Line
Bar
Pie
Scatter diagram

Which step in community organizing involves training of potential leaders in the community?

Integration
Community organization
Community study
Core group formation

In which step are plans formulated for solving community problems?

Mobilization
Community organization
Follow-up/extension
Core group formation

Isolation of a child with measles belongs to what level of prevention?

Primary
Secondary
Intermediate
Tertiary

Which type of family-nurse contact will provide you with the best opportunity to observe family dynamics?

Clinic consultation
Group conferences
Home visit
Written communication

The youngest child of the Reyes family has been diagnosed as mentally retarded. According to categories of health problem, this is classified as:

Health Threat
Health Deficit
Foreseeable Crisis
Salience

The Miranda couple have 6-year old child entering school for the first time. The Miranda family has a:

Health Threat
Health Deficit
Foreseeable Crisis
Salience

Which of the following is an advantage of a home visit?

It allows the nurse to provide nursing care to a greater number of people
It provides an opportunity to do first hand appraisal of the home situation
It allows sharing of experience among people with similar health problems
It develops the family’s initiative in providing for health needs of its members

To maintain the cleanliness of the bag and its contents, which of the following must the nurse do?

Wash his/her hands before and after providing nursing care to the family members
In the care of family member’s, as much as possible, use only articles taken from the bag
Put on an apron to protect her uniform and fold it with the right side out before putting it back into the bag.
At the end of the visit, fold the lining on which the bag was placed, ensuring that the contaminated side is on the outside.

Which of the following is an epidemiologic function of the nurse during an epidemic?

Conducting assessment of suspected cases to detect the communicable diseases
Monitoring the condition of the cases affected by the communicable disease
Participating in the investigation to determine the source of epidemic
Teaching the community on preventive measures against the disease

Which law created the Philippine Institute of Traditional and Alternative Health Care?

RA 8423
RA 4823
RA 2483
RA 3482

Which of the following demonstrates inter-sectoral linkages?

Two-way referral system
Team approach
Endorsement done by a midwife to another midwife
Cooperation between PHN and public school teacher

Which statistic can give the most accurate reflection of the health status of a community?

1-4 year old age-specific mortality rate
Infant mortality rate
Swaroop’s index
Crude death rate

This shows the relationship between a vital event and those persons exposed to the occurrence of said event

Ratio
Rate
Crude
Specific rate

The Field Health Services and Information System (FHSIS) is the recording and reporting system of public health care in the Philippines. The monthly field health service activity report is a form used in which of the components of the FHSIS?

Tally report
Output report
Target/client list
Individual health record

To monitor clients registered in long-term regimens, such as the Multi-Drug Therapy, which component will be most useful?

Tally report
Output report
Target/client list
Individual health record

This is the fundamental building block of the Field Health Services and Information System (FHSIS):

Tally report
Output report
Target/client list
Individual health record

Which of the following women should be considered as special targets for family planning?

Those who have two children or more
Those with medical conditions such as anemia
Those younger than 20 years and older than 35 years
Those who just had a delivery within the past 15 months

Freedom of choice in one of the policies of the Family Planning Program of the Philippines. Which of the following illustrates this principle

Information dissemination about the need for family planning
Support of research and development in family planning methods
Adequate information for couples regarding the different methods
Encouragement of couples to take family planning as a joint responsibility

Which immunization produces a permanent scar?

DPT
BCG
Measles vaccination
Hepatitis B vaccination

Inadequate intake by the pregnant woman of which vitamin may cause neural tube defects:

Niacin
Iron
Folic Acid
Thiamine

A 4-week-old baby was brought to the health center for his first immunization. Which can be given to him?

DPT1
OPV1
BCG
Hepatitis B Vaccine

You will not give DPT 2 if the mother says that the infant had

Seizures a day after DPT1
Fever for 3 days after DPT1
Abscess formation after DPT1
Local tenderness for 3 days after DPT1

A 2-month-old infant was brought to the health center for immunization. During assessment, the infant’s temperature registered at 38.1°C. Which is the best course of action that you will take

Continue with the infants immunization
Give paracetamol and wait for his fever to subside
Refer the infant to the physician for further assessment
Advise the infant’s mother to bring him back for immunization when he is well

A pregnant woman had just received her 4th dose of tetanus toxoid. Subsequently, her baby will have protection against tetanus for how long?

1 year
3 years
10 years
Lifetime

Using IMCI guidelines, you classify a child as having severe pneumonia. What is the best management for the child?

Prescribe antibiotic
Refer him urgently to the hospital
Instruct the mother to increase fluid intake
Instruct the mother to continue breastfeeding

Which of the following signs will indicate that a young child is suffering from severe pneumonia?

Dyspnea
Wheezing
Fast breathing
Chest indrawing

No signs of dehydration
Some dehydration
Severe dehydration
Hypovolemia

According to the previous question, what would be your intervention based on the IMCI management guidelines?

Bring the infant to the nearest facility where IV fluids can be given
Supervise the mother in giving 200 to 400 ml of Oresol in 4 hours
Give the infant’s mother instructions on home management
Keep the infant in your health center for close observation

In IMCI, severe conditions generally require urgent referral to a hospital. Which of the following severe conditions does not always require urgent referral to a hospital?

Mastoiditis
Severe dehydration
Severe pneumonia
Severe febrile disease.

The pathognomonic sign of measles is Koplik’s spot. You may see Koplik’s spot by inspecting the:

Nasal Mucosa
Buccal mucosa
Skin on the abdomen
Skin on the antecubital surface

Among the following diseases, which may undergo airborne transmission?

Viral conjunctivitis
Acute poliomyelitis
Diphtheria
Measles

A 6-year-old client was brought to the health center with chief complaint of severe diarrhea and the passage of “rice water”. The client is most probably suffering from which condition?

Giardiasis
Cholera
Amebiasis
Dysentery

A 32-year-old man came for consultation at the health center with the chief complaint of fever for a week. Accompanying symptoms were muscle pains and body malaise. A week after the start of fever, the client noted yellowish discoloration of his sclera. History showed that he waded in flood waters about 2 weeks before the onset of symptoms. Based on this history, which disease condition will you suspect?

Hepatitis A
Hepatitis B
Tetanus
Leptospirosis

Sigmund Freud’s stages of psychosexual development, in chronological order, are

Oral, Anal, Phallic, Latent, and Genital
Oral, Anal, Latent, Phallic, and Genital
Oral, Genital, Anal, Phallic, and Latent
Oral, Phallic, Anal, Latent, and Genital

This acts immediately in an impulsive, irrational way and pays no attention to the consequences of its actions; therefore, often behaves in ways harmful to self and other.

Id
Ego
Superego
Conscience

This includes reality-testing and problem-solving and follows the reality principle:

Id
Ego
Superego
Conscience

This includes the internalization of the values, ideals, and moral standards of parents and society.

Id
Ego
Superego
Conscience

The clinic nurse is preparing to explain the concepts of Kohlberg’s theory of moral development with a parent. The nurse should tell the parent that which factor motivates good and bad actions for the child at the preconventional level?

Peer pressure
Social pressure
Parents’ behavior
Punishment and reward

A client with a diagnosis of depression who has attempted suicide says to the nurse, “I should have died. I’ve always been a failure. Nothing ever goes right for me.” Which response by the nurse demonstrates therapeutic communication?

“You have everything to live for.”
“Why do you see yourself as a failure?”
“Feeling like this is all part of being depressed.”
“You’ve been feeling like a failure for a while?”

The nurse visits a client at home. The client states, “I haven’t slept at all the last couple of nights.” Which response by the nurse demonstrates therapeutic communication?

“I see.”
“Really?”
“You’re having difficulty sleeping?”
“Sometimes I have trouble sleeping too.”

A client diagnosed with terminal cancer says to the nurse, “I’m going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this. After all, I’m the one who’s dying.” Which response by the nurse is therapeutic?

“Have you shared your feelings with your family?”
“I think we should talk more about your anger with your family.”
“You’re feeling angry that your family continues to hope for you to be cured?”
“You are probably very depressed, which is understandable with such a diagnosis.”

The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The neighbor says to the nurse, “How is Carol doing? She is my best friend and is seen at your clinic every week.” Which is the most appropriate nursing response?

“I cannot discuss any client situation with you.”
“If you want to know about Carol, you need to ask her yourself.”
“Only because you’re worried about a friend, I’ll tell you that she is improving.”
“Being her friend, you know she is having a difficult time and deserves her privacy.”

A client says to the nurse, “The federal guards were sent to kill me.” Which is the best response by the nurse to the client’s concern?

“I don’t believe this is true.”
“The guards are not out to kill you.”
“Do you feel afraid that people are trying to hurt you?”
“What makes you think the guards were sent to hurt you?”

A client is unwilling to go to his church because his ex-girlfriend goes there and he feels that she will laugh at him if she sees him. Because of this hypersensitivity to a reaction from her, the client remains homebound. The home care nurse develops a plan of care that addresses which personality disorder?

Avoidant
Borderline
Schizotypal
Obsessive-compulsive

The nurse is developing a teaching plan for a client with glaucoma. Which instruction should the nurse include in the plan of care?

Avoid overuse of the eyes.
Decrease the amount of salt in the diet.
Eye medications will need to be administered for life.
Decrease fluid intake to control the intraocular pressure.

The nurse is performing an admission assessment on a client with a diagnosis of detached retina. Which sign or symptom is associated with this eye problem?

Total loss of vision
Pain in the affected eye
A yellow discoloration of the sclera
A sense of a curtain falling across the field of vision

A client is diagnosed with a problem involving the inner ear. Which is the most common client complaint associated with a problem involving this part of the ear?

Pruritus
Tinnitus
Hearing loss
Burning in the ear

The four major concepts in nursing theory are:

Person, Environment, Nurse, Health
Nurse, Person, Environment, Cure
Promotive, Preventive, Curative, Rehabilitative
Person, Environment, Nursing, Health

The act of utilizing the environment of the patient to assist him in his recovery is theorized by:

Nightingale
Benner
Henderson
Levin

She believe the unique function of the nurse is to assist the individual, sick or well, in the performance of those activities contributing to health that he would perform unaided if he has the necessary strength, will and knowledge, and do this in such a way as to help him gain independence as rapidly as possible.

Henderson
Abdellah
Nightingale
Peplau

Nurse Sabrina is planning a seminar on leadership styles. Which of the following statements describes a democratic leadership style?

The leader assumes a “hands-off” approach.
Under this leadership style, the group may feel secure because procedures are well defined and activities are predictable.
This leadership style demands that the leader have faith in the group members to accomplish the goals.
This leadership style does not trust self or others to make decisions and instead relies rules, policies, and procedures to direct the group’s work efforts on the organization’srules, policies, and procedures to direct the group’s work efforts

A Chief Nurse who fosters creativity, risk taking, commitment, and collaboration by empowering the group to share in the organization’s vision is which type of leader?

Charismatic
Transactional
Transformational
Shared

The head nurse who has the ability and willingness to assume responsibility for one’s actions and to accept the consequences of one’s behavior is demonstrating what management principle?

Accountability
Authority
Responsibility
Coordinating

All except one action is appropriate for Nurse Danielle who is starting an intravenous (IV) infusion?

Adjusts the IV pole so that the solution container is suspended about 1 meter (3 feet) above the client’s head.
Completely fills the drip chamber with solution.
Uses the client’s nondominant arm, unless contraindicated.
Cleans the skin at the site of entry with a topical antiseptic swab

As Nurse Danielle is doing her rounds one patient caught her attention. The patient has complaints of discomfort in her IV site. Nurse Danielle assesses the patient and finds localized swelling, coolness, and pallor. The patient is experiencing:

Extravasation
Phlebitis
Infiltration
Hypersensitivity reaction

A client complains of a headache 10 minutes after the transfusion of a unit of packed red blood cells was initiated. The nurse assesses that the client has slight shortness of breath and feels warm to the touch. What action by the nurse is priority

Notify the client’s physician.
Discontinue the transfusion.
Slow the rate of the transfusion.
Prepare to resuscitate the client.

A client was discharged after having a 1-day surgery on her gallbladder. The registered nurse discharging the client failed to give the client oral or written discharge instructions. This failure to carry out the provision of discharge instructions could result in charges of?

Malpractice
Negligence
Assault
Battery

A nurse threatens to give a loud, disruptive client an injection that will “knock the client out.” The nurse follows through on the threat and gives the injection Without the client’s consent. What has the nurse committed?

Threat, Assault
Battery, Invasion of privacy
Assault, Invasion of privacy
Assault, Battery

Nurse Richard is taking care of an adult client when he throws a temper tantrum because he does not get his own way. Which defense mechanism is the adult client displaying?

Repression
Regression
Reaction formation
Rationalization

A client comes into the clinic with tremors and pitch changes in her voice. She also has facial twitches and shakiness. Her respiratory and heart rates are slightly elevated. At the end of her assessment she tells you, “I feel like I have butterflies in my stomach.” Which level of anxiety is this client experiencing?

Mild
Moderate
Severe
Panic

Recalls IV

In conducting a family assessment, which source of data would be most helpful?

Input from other members of the health team.
Information from other cooperating health care agencies.
Review of family members’ charts and medical record data.
Observation and interaction with the family members.

In completing a family assessment, the public health nurse should begin by:

Gathering the health data from all family members
Testing the family’s ability to cope
Evaluating communication patterns
Identification of the geographic location of resources for the family.

Which of the following would be better understood by the nurse after using a family map?

Roles and relationship within the family
Recognition of the leade who speaks for the family.
Description of the social and economic status of the family.
Identification of the geographic location of resources for the family.

The nurse discusses with the family some actions that needed to be taken and refers to the wife in the family as an outstanding organizer. Which of the following goals is the nurse trying to achieve by making this statement?

Making then husband proud that he had married his wife.
Reinforcing for the family some of the strengths of one of their family members.
Encouraging the wife to volunteer to follow through on all the needed actions.
Making the wife feel very complimented and proud.

In implementing family-centered care, the public health nurse:

Works with clients to help them accept limitations for their actions.
Assists family members to assume dependent roles
Offers information about necessary self-care abilities.
Provides his or her own beliefs on how to solve problems

Public Health Nurse Silang is educating a group of residents in Community Marahas about rabies. A participant asks, “How can you get the virus?” The Nurse explains that the virus can be transmitted by which source?

Saliva
Blood
Urine
Stool

She emphasized that the bites, which are responsible for nearly 99% of human rabies infections, are those of the infected:

Monkeys
Dogs
Bats
Cats

Nurse Silang explains that there are situations which increase the risk of rabies. These are:

Stray of dogs
All of these
Unprovoked bites
Animals display abnormal behavior

In another health education session, Nurse Silang explains about leprosy. Which of the following should be included? Select all that apply.

Leprosy is curable
Not all leprosy patients are infectious
Leprosy is hereditary
Casual contact with a patient causes leprosy
Regular and adequate treatment is essential

Nurse Silang stated that a definitive diagnosis of leprosy is obtained through?

Blood examinations
Tuberculin testing
Skin smears/Biopsies
Nasal smears

Which of the following best defines a disaster?

Any event that results in multiple deaths.
Devastation that covers a broad geographic area.
Devastation that cannot be relieved without assistance.
The event results in multiple injuries, deaths and property damage

Nurse Nikito is guided by the ICN framework of disaster nursing competencies. This framework consists of four areas in the continuum of disaster management that corresponds to the four stages of disaster. What consists of the first stage?

Response
Preparedness
Prevention
Recovery

Nurse Nikito has invited several agencies in the community to a meeting to discuss the disaster plan for the community. Which of the following best describes the purpose of this meeting?

Enhance communication among agencies in the community
Increase stability in the community
Manage response to disasters in the community
Improve overall community functioning

Nurse Nikito adapts professional nursing skills in recognizing and meeting the physical and emotional needs resulting from a disaster. For people who are willing to talk ensuing a disaster, which of the following in the most appropriate approach?

“I am with you. It is good you are trying to release your distress by crying. It will make you feel better. “
“What you need to do now is to wait for instructions and services to be provided.”
“Don’t feel bad. Others are in the same situation as yours.”
“You need not cry. You need to move on and build your life again.”

As he passed by a road going to an evacuation center, Nurse Nikito encountered a flash flood. A flash flood:

Occurs suddenly and for a short duration
Is caused by the blocking of drains
Is caused by heavy rains
Occurs in urban areas

When performing a family assessment, select what the nurse must first determine.

How the family expresses and manages emotions
The communication patterns between the patient and parents
Names and relationships among family members
The meaning that the patient’s suicide attempt has for family members

Which of the following is the best question for the nurse to ask to assess a family’s ability to cope?

“Do you think your family copes effectively?”
“What do you think of the current family problem?”
“What strengths does your family have?”
“Can you describe how you successfully handled one family problem?”

The mother of Albert asks the nurse, “Why do you want to do a family assessment? My teenager is the patient, not the rest of us.” What is the best response of the nurse?

“Family dysfunction might have caused the mental illness.”
“Every family member ‘s perception of events is different and adds to the total picture.”
“Family members provide more accurate information than the patient.”
“Family assessment is a protocol for care of all patients with mental illness.”

Which information is the nurse most likely to find when assessing the family of a patient with mental illness?

Power in the family is maintained in the parental dyad and rarely delegated.
Several family members have serious problems with their psychological health.
Stress that living with a mentally ill member has challenged the family’s function.
The family exhibits many characteristics of dysfunctional families.

Parents of Albert say, “We have never known anymore who was mentally ill. We have no one to talk to because none of our friends understand the problems we are facing.” Which of the following is the nurse’s most helpful action?

Facilitate achievement of normal developmental tasks of the family.
Build the parent’s self-concept as coping patterns.
Teach the parents techniques of therapeutic communication.
Refers the parents to a support group.

You want to distinguish between records and reports. As applied to public health, the following are types of records, except:

Events such as births, illness, deaths
Analysis of a problem situation
Clinic consultation
Written data on home visit

Reports are prepared usually for administrative purposes. Which of the examples below is not a report?

Summary of services delivered
Accomplishments and failures of services
Description of a program and planned services
Client information and profile

There are commonly used record and reports in public health nursing practice. The individual clinical record contains which of the following information? Select all that apply.

Socio-demographic characteristics
Patient’s chief complaint
Physical Examination findings
Prescription of drugs
Frequency of clinic check up
Attendance to community settings

The family Service and Progress Record (FSPR) serves as a tool to operationalize the concept of the family as the unit of care. The FSPR consists of four parts, the first being?

Health and nursing problems
Nursing care plan
Assessment of the family and the environment
Service and Progress Notes

Which of the following relates to the family’s nursing problem?

Inability to assume health tasks with respect to health problems
Crisis situation or developmental deficite
Health threats, risks or hazards
Strained relationships or disunity

The need for supervision may arise from which of the following? Select all that apply

Lack of motivation
Conflict between personal and organizationalgoals.
Lack of knowledge and skills
Desire for promotion or job permanency
Achieve health goals for the agency

Ms. Mahilom would require information regarding the supervisory needs of the midwives which can be taken from which of the following?

Review of records and reports
Interview of the midwives
Review of literature
Observation of the midwives at work
Results of survey among the staff.

Ms. Mahilom prioritizes supervisory needs and problems based on the following criteria, except?

Convenience to both parties to address needs
Degree of importance of the identified need
Availability of resources needed
Activities needed to meet the identified need

During the actual supervisory visit, which of the following is not expected of Ms. Mahilom? She:

Discusses the objective of the visit
Expresses appreciation and support given for the visit
Conveys a formal, strict approach to the midwives
Explains the process and outcomes of the visit

After setting the objectives and selecting the activities, Ms. Mahilom would need to identify the indicators for evaluation. Which one is not included?

Needs met
Performance increased
Promotion achieved
Quality of service improved

Nurse Sisa collects data and monitors the health status of the population. Which of the following core public functions is being implemented?

Assurance
Policy development
Assessment
Prevention

Nurse Sisa included in her data collection the number and proportion of persons aged 25 or older with less than a high school education. Which of the following best describes this data?

Health status data
Health care resource information
Health risk factors
Sociodemographic data

Working in the community with an aggregate/population, who does Nurse Sisa most likely to interact with?

Students in a local high school
Patients at the local hospital
Residents who play basketball
Christians in the community

Nurse Sisa has a clear understanding of population-focused practice. Which of the following characteristics would she most likely display?

Improving the effectiveness of care provided
Sponsoring a fund-raising project
Volunteering for a community action
Providing health interventions for individuals

Nurse Sisa is working to improve population-focused care in the community. Which of the following best described a key opportunity for nurses like her to accomplish this goal?

Assuming traditional nursing roles
Conducting community assessments
Specializing in community health practice
Influencing public health policy

What is the appropriate approach for the community/public health nurse in balancing individual privacy and community’s needs for safety and security?

Fulfill agency policies first.
Implement professional standards of nursing practice.
Remember the group needs outrank individual needs.
Seek a balance between individual’s need and the community’s needs.

In regard to informed consent, which of the following statements is true?

Client may not be told about costs and alternatives to treatment.
Consent must be voluntary.
Only parents themselves should give consent for minor children.
Legally incompetent adults can give consent.

The client has a living will in which he states he does not want to be kept alive by artificial means even at home. The client’s family wants to disregard the client’s wishes and have him maintained on artificial life support. The most appropriate initial course of action for the nurse would be to:

Allow the family to ventilate their feelings and concerns, while maintaining the role of client advocate.
Tell the family that they have no legal rights.
Report the situation to the hospital’s Ethics Committee.
Advise the family that they have the right to ignore the living will as the patient cannot speak.

During a routine visit, the nurse noted that Perlita, 20-year old wife and mother, has several bruises at various stages of healing. She tells the nurse that she fell down. Failure to report your findings is an example of?

Malpractice
Reasonable Prudence
Maleficence
Negligence

Which of the following examples would indicate observance of client confidentiality?

Reading a friend’s chart in another health care facility.
Describing a difficulty with a client in a health team conference.
Using a client’s name in a social conversation.
Talking about the client’s symptoms in front of family members.

When caring for a patient with type 2 diabetes who has been discharged, which topic will be most important to include in your health teaching?

Impact of the patient’s family history on likelihood of developing diabetes.
Symptoms indicating that the patient should contact the health care provider.
Effect of endogenous insulin on transportation of glucose into cells
Function of the liver in formation of glycogen and gluconeogenesis

To obtain the most complete information when doing an assessment for a 75-year-old patient, you will:

Ask the patient to write down medical problems and medications
Use a geriatric assessment instrument to evaluate the patient.
Interview both the patient and the primary patient caregiver
Review the patient’s chart for the history of medical problems

Which information about a 77-year-old patient who is being assessed by the public health nurse us of utmost concern? The patient:

Says, “I don’t go on my daily walks since I had pneumonia two months ago.”
Tells the nurse, “I prefer to manage my life without much help from others.”
Uses three different medications for chronic heart and joint problems.
Organizes medications in a marked pillbox “so I don’t forget them.”

When caring for an older adult who lives in a rural area, you will:

Ensure transportation to appointments with the health care provider.
Assess the patient for chronic diseases that are unique to rural areas.
Obtain adequate medications for the patient to last for 4 to 6 months.
Suggest that the patient move to an urban area for better health care

Which of these patients assigned to you is most likely to need planning for long-term nursing management?

71 year-old with appendicitis who has had an emergency appendectomy
60 year-old with bilateral knee osteoarthritis who weighs 350 lbs (159 kg)
54 year-old with cholecystitis who has had a laparoscopic cholecystectomy
62 year-old with acute sinusitis who will require antibiotic therapy for 5 days

Assessment is the first step in the nursing process. In the setting, which of the following objectives of assessment by the public health nurse is not included?

Identify specific risk factors related to health and health problems.
Define the nature of the health status and health-related problems
Identify clients who should be given priority for care.
Determine who should be referred to different health care facilities.

Conducting a community assessment leads to a community diagnosis, its products consists of a profile of the community’s state of health. As a process, the public health nurse actively participates in community diagnosis. The most common method of data collection that is accurate and provides the biggest bulk of community data is the:

Observation
Community census
Interview
Records review

The data on health and disease can be gathered from different sources. Which of the following sources provide a most accurate set of data?

Population health profile from school and factory clinics.
Births and death from city/municipality registrar.
Morbidity data from filed personnel.
Mortality cases from medical death certificates.

Data analysis involves qualification, description and classification of data which would reveal community health problems. An analysis of the social, economic, environmental and political factors that influence health is categorized as:

Health resources problems
Health status problems
Health-related problems
Comprehensive problems

With the stated problems, the nurse and the community prioritize these using a set of criteria. Which of the following criteria refers to the probability of reducing, controlling or eradicating the problem?

Modifiability of the problem
Preventive potential
Magnitude of the problem
Nature of the problem

Identify the element that is the BEST indicator of increasing accountability in the profession of Nursing:

Increasing salary scale for nurses.
Improved public image of nurses in social media
Increasing number of nurses with doctoral degree
Demonstrate competency and high-quality care

Which of the following is the most important element in nursing’s attempt to gain full autonomy of practices?

Maintaining the education system for nurses as it is now
Economic well-being and welfare of nurses
Restricting the latitude of decisions made by nurses
Gaining and maintaining control of nursing practice by nurses

What is the best method for nurses to prepare for future professional practice?

Train other health care workers to whom delegation of tasks can be given.
Understand and explore the issues involved in professional practice
Establish a coalition with professional health organizations
Take additional courses in the use of computers and telemetry

What allows a nurse to exert legitimate power over a client when providing nursing care?

The ability to perform procedures to alleviate patient’s discomfort
The ability to provide the client and family incentives and for self care
The power given to the nurse by reason of licensure examination and registration
The establishment of a professional and personal relationship with the client

A nurse is employed by a health care agency that provides an informal training session on how to properly use a new vital sign monitor. Which type of education did the nurse receive?

Career counseling
Continuing education
Pre-employment education
In-service education

The acronym PDCA stands for:

Plan-Do-Check-Act
Program-Design-Check-Act
Plan-Draft-Certify-Act
Prepare-Do-Check-Achieve

Public Health Nurse Rosita will use the PDCA when doing which of the following? Select all that apply.

Working towards continuous improvement
Implementing any change
Developing a new design of a process or service
Completing a designed project
Planning data collection and analysis to prioritize problems

Using the PDCA cycle as a model for defining most of the work processes the following are some areas of its applications, except:

Needs analysis
Overall strategic planning
Staff goal setting and evaluation
Delegation of work to lower levels

Public Health Nurse Rosita knows that the purpose of continuous quality improvement (CQI) is to:

Provide opportunity for staff members to participate in self-governance
Restructure health care delivery to improve cost savings
Deliver appropriate nursing care at tertiary level of service
Monitor processes involved in the provision of safe, effective client care

Public Health Nurse Rosita is implementing quality performance standards in a public health department. Which of the following BEST describes the importance of this action? Quality performance standards:

Can be used as hiring guidelines for nurses
Are used to guide improvement in the public health system
Guide administrators to monitor public health at the national level
Rigidly control public health

Occupational health services can make a significant contribution to government initiative. These include the following, reducing:

The nurse is a key figure involved in delivering quality occupational health services. They work independently or as part of a larger interprofessional health team. They perform, along with others, a job safety analysis. In doing so, the following methods may be employed, except:

Review of records, interviews, surveys
Walk-through, process and output reviews
Observation, focused group discussion
Racial background check

The head of the health team creates a workplace safety report for a new clinic. He makes a strict recommendation to ensure that sharps are properly disposed in a puncture-proof container to decrease the risk of needle-prick injuries. This upholds safety under which of the following categories?

Physical
Chemical
Biological infections
Psychosocial

The occupational nurse has advocated the use of ramps and assistive equipment for physically challenged workers. This is good example of which of the following levels of prevention?

Health promotion
Secondary
Tertiary
Primary

Every employee has right to privacy and should be protected from unauthorized and inappropriate disclosure of personal information. Which situation does not provide exception to employee’s right to privacy?

Authorization by the employee to release information
Life-threating emergencies
Compliance with government laws and regulations
Request from community leaders

Public health surveillance includes the following activities, except:

Data analysis
Data collection
Disease control
Data interpretation

Public health surveillance can be best described primarily as which of the following:

A system for collecting health-related information
A method to monitor occurrences of public health problems
A program to control disease outbreaks
A system for monitoring persons who have been exposed to a communicable disease

Which of the following is not a criterion for prioritizing health problems for surveillance?

Incidence of the problem
Number of previous studies of the problem
Social and economic impact of the problem
Public concern about the problem

Current public health surveillance targets the following. Which one is not included?

Chronic disease
Population migration
Communicable disease
Occupation Hazard

Common uses and application of public health surveillance include which of the following examples?

Detecting individual persons with malaria so that they can receive prompt and appropriate treatment.
Helping public health officials decide how to allocate their disease control resource.
Identifying changes over time in the proportion of children with elevated blood levels in a community.
Documenting changes in varicella (chicken pox) incidence, after a law mandating varicella vaccination in the Expanded Program of Immunization took effect.

The factors that contribute to the occurrence of food-transmitted diseases are the following, except:

Consumption of improperly cooked food
Eating habits of the population such as eating raw food
Lack of fuel for cooking food
Overconsumption of locally available food

Paragonimus westermani or the oriental lung fluke causes in the human population by eating inadequately cooked crabs. Patients with paragonimiasis are usually misdiagnosed to have:

Malaria
Bacillary dysentery
Typhoid fever
Pulmonary tuberculosis

The eggs of Taenia solium or taenia saginata may be ingested by the pigs or cattle who serve as intermediate hosts. Which of the following measures will prevent the access of animals from ingesting Taenia eggs?

Quarantine or isolate the animals Foods
Feeding the pigs and cattle with clean foods.
Proper disposal of human faces
Protect the animals by giving them vitamins.

Prevention of Infection from Entamoeba histolytica is best done through which of the following practices?

Eating only organic vegetables
Washing food very well
Cooking food properly
Boiling of water from questionable source

Giardiasis is a disease caused by a flagellated protozoan and its prevalence is associated with which of the following conditions? Select all that apply.

Public health Nurse Tess is analyzing a research article. What section in the article can she expect to find the research question and study purpose?

Discussion
Results
Methods
Introduction

Public Health Nurse Tess is looking for a description of the type of measurement used in the study. She will find this which section of the article?

Conclusion
Introduction
Results
Methods

A brief explanation of data collection and analysis procedure is found in which section of the article?

Abstract
Conclusion
Discussion
Introduction

Public Health Nurse Tess wants to go over the list of references used in the study which can be found:

At the end of the article
In the results section
As part of the literature review
In the introduction

Public Health Nurse Tess believes that research is significant to the nursing profession, hence, the study results should be disseminated. This is because research allows:

A specialized body of knowledge to be generated for use in health care delivery.
The scope of nursing practice to be expanded into areas formerly reserved for other disciplines.
Nursing responsibility to be more specifically defined
Liability within the practice of nursing to be decreased

A nurse must follow laws that protect public health, safety, and welfare. Which law is the nurse following?

Code of Ethics
Standards of Practice
Continuing Professional Development
Nursing Practice Act

Which situation supports the charge of malpractice against a professional nurse?

A failure on the part of the nurse to establish a therapeutic relationship with the patient.
A failure on the part of the nurse to ensure that patients only receive care for which they could pay.
A failure on then part of then nurse to exercise reasonable and prudent care in treating a patient.
A failure on the part of the nurse to allay a patient’s fears about an upcoming procedure.

What does the court consider in determining the nurse’s liability for standards of care?

Professional education, experience, and specific conduct.
Professional experience, but not education or conduct.
Professional conduct, but not experience or education
Professional education, but not experience or conduct

The board of nursing has brought action against a nurse’s license based upon violation of a regulation. What is true about this scenario?

Rules and Regulations are internal to the Board, not the nurse.
Rules and regulations are only suggested standards or care and do not have to be followed.
These rules and regulations have the force of law.
Violation of a rule and regulation is not the same as violation of the nursing Practice Act.

The patient, injured at work, was seen by the factory occupational nurse. The nurse treated the wound and instructed the patient to get a tetanus antitoxin injection at the City Health Center. The patient failed to follow instructions, developed tetanus, and subsequently filed a suit against the nurse. What is the most likely result of the ensuing trial? The nurse is:

Liable, because there was no follow-up to ensure that the patient receive the injection
Not liable for damages, because the nurse has a right to expect that instructions will be followed.
Liable, because tetanus is easily treatable after diagnosis
Not liable, because tetanus is a reportable disease and the health center should have insisted ten treatment.

A nurse wants to present information about influenza immunization to the older adults in the community. Which type of communication should the nurse use?

Signified meaning is wrong
Affect is appropriate
Personal space was violated
Vocabulary is poor

A nurse is standing beside then patient’s bed. Nurse: “how are you doing?” Patient: “I don’t feel good.” Which of the following communication elements is categorized as feedback?

“How are you doing?”
“I don’t feel good.”
Nurse is standing
Patient in bed

A smiling patient angrily states, “I will not cough and deep breathe.” How will the nurse interpret the finding? The patient’s:

Signified meaning is wrong
Affect is inappropriate
Personal space was violated
Vocabulary is poor

Before meeting the patient, a nurse talks to other caregivers about the patient. Which phase of the helping relationship is the nurse in with this patient?

Termination
Pre-interaction
Working
Orientation

During the initial home visit, the nurse lets the patient know that the visits are expected to end in about a month. Which phase of the helping relationship is the nurse in with this patient?

Working
Pre-interaction
Orientation
Termination

The key global agency that initiated the Alma Ata Conference on Primary Health Care is the:

World Bank
World Health Organization (WHO)
CARE International
United Nations Children’s Fund (UNICEF)

Which Asian country is considered among the first to adopt the principle of PHC?

Malaysia
Indonesia
Thailand
Philippines

Nurse Tawi-Tawi is aware that she has to use “tools and methods that are suitable and acceptable to the families and communities” that she serve. This PHC principle is referred to as:

Cultural application
Appropriate application
essential methodology
community participation

Nurse Tawi-Tawi recognizes that health services offered are to in accordance to the prevailing beliefs and practices of the intended clients of care. This PHC principle is known as:

Availability
Acceptability
Affordability
Accessibility

Collaboration and cooperation is crucial to the achievement of PHC goals. The referral system among the RHU, non-government organization, and local social welfare and development office is classified as what type of relationship?

Intra-sectoral collaboration
Coalition building
Inter-sectoral collaboration
Network linkage

Which of the following is not recognized as part of the nurse’s role as member of the health team?

Care manager and supervisor
Provider of care and education
Patient advocate and supporter
Performing physician’s functions with supervision

The health team has brainstormed for ideas on creating a more collaborative environment in a health care facility. Which idea or action would be the best to develop further?

Develop a plan for the different team members to follow and show impact of their work.
Emphasize that no one profession has all the necessary competence to provide all care.
Hold education sessions regarding collaboration for each unit.
Institute collaborative strategies that are traditionally practiced

Which patient scenario describes the best example of professional collaboration?

The nurse, physician, and physical therapist have all visited separately with the patient.
The nurse mentions to the physical therapist that the patient may benefit from muscle strengthening evaluation
The nurse and physician discuss the patient’s muscle weakness and initiate a referral for physical therapy.
The nurse, physical therapist, and physician have all developed separate care plans for the patient.

Which activities are appropriate for the nurse to collaborate with a patient? Select all that apply.

Prescribing a new medication dose
Health Promotion activities
End-of-life comfort decisions
Interpreting laboratory results
Lifestyle changes to improve health

The Rural Health Nurse and the Rural Health Physician are explaining the home care that will be needed by a patient with Tuberculosis. The patient’s spouse states angrily that it will not be possible to provide the care recommended. What is the best response by the nurse?

“I would like to listen to your concerns about the prescribed care.”
“It is important that you do. What the physician has prescribed.”
I can come back after you talk with your spouse about the care.”
“Let me review what is needed again, then I’ll talk to you later.”

NNN

Explorer

NP1

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