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DAVAO ** BAGUIO ** ILOILO ** GENSAN ** provide:
CABANATUAN MANILA HEAD OFFICE A. 5 years protection C. 3 years protection COMPREHENSIVE EXAMINATION NURSE LICENSURE – B. 10 years protection D. No protection until the second TT NURSING PRACTICE II SET A vaccination NURSING PRACTICE II: COMMUNITY HEALTH NURSING AND 8. Measles vaccination provides atleast how many percent CARE OF THE MOTHER AND of protection in children age 9 CHILD months? GENERAL INSTRUCTIONS: A. 50% B. 75% C. 80% D. 99% 1. This test booklet contains 100 test questions. 9. The most common fatal complication of measles is 2. Read INSTRUCTIONS TO EXAMINEES printed on your usually associated with: answer sheet. A. Pneumonia B. Diarrhea C. LTB D. Seizures 3. Shade only one (1) box for each question on your answer 10. Which of the following immunization is a plasma sheets. Two or more boxes shaded derivative? will invalidate your answer. A. BCG B. Measles C. Tetanus toxoid D. Hepatitis B 4. AVOID ERASURES. SITUATION: Diagnostic examinations performed in pregnant 5. This is PRC property. Unauthorized possession, clients are useful in determining the reproduction, and/or sale of this test is health of the unborn child. The following questions refer punishable by law. Per RA 8981. this. INSTRUCTIONS: 11. Instruction to the mother prior to amniocentesis 1. Detach one (1) answer sheet from the bottom of your includes: Examinee ID/Answer Sheet Set. A. Ask the woman to void 2. Write the subject title “Nursing Practice II” on the box B. Tell her that 30 ml of amniotic fluid will be taken provided. C. Ask the woman to drink 3. Shade Set Box “A” on your answer sheet if your test D. Instruct to lie in left lateral position booklet is Set A; Set Box “B” if your 12. Amniocentesis can be done as early as: test booklet is Set B. A. 6-8 SITUATION: Immunization is necessary in order to save th week B. 11-12 lives, not only for children but also for the th week C. 14-16 mother. 1. Tetanus vaccination is given to the mother. How th week D. 18-20 many years will TT4 last? th week 13. The rationale of voiding A. 3 B. 5 C. 10 D. Life prior to amniocentesis is to: 2. TT1 will give how many percent protections to the A. Prevent puncture to the vagina C. Prevent vena cava mother? syndrome B. Prevent puncture A. 75% B. 80% C. 90% D. 99% to the bladder D. Promote comfort during the procedure 3. What TT gives protection to all infants born to that 14. After the procedure, the woman is instructed the rest mother who received that specific vaccination? quietly for a period of: A. 8 hours B. A. TT2 B. TT5 C. TT3 D. TT4 30 minutes C. 15 minutes D. 4 hours 4. In a population of 77,500. What is your estimate of the 15. If Amniocentesis reveals a low value, the physician population of pregnant woman needing might suspect genetic or chromosomal tetanus toxoid vaccination? abnormality such as Down syndrome. Genetic testing is A. 2712.5 B. 2713 C. 2325 D. 2332.5 another viable option for the family. The 5. Which of the following is an inactivated toxin? nurse should know that genetic testing should only be done A. BCG B. Measles C. Tetanus Toxoid D. Hepatitis B if: 6. TT administration uses what route? A. Both parents want it performed C. It is necessary for the A. IM B. IV C. SQ D. Oral child to survive B. It is in 7. Christina receives DPT 3 during infancy. The first TT the best interest of the child D. No one objects vaccination for her will 16. Francis is admitted in active labor. The nurse locates A. 40 breaths per minute or more C. 30 breaths per minute fetal heart sounds in the upper left quadrant or more B. 50 breaths per of the mother’s abdomen. The nurse would recognize minute D. 60 breaths per minute which of the following? 23. Nina, the 2 A. Francis will probably deliver very quickly and without nd child has diarrhea for 5 days. There is no blood in the problems] stool. She is irritable, and her B. This indicates Francis will probably have a breech delivery eyes are sunken. The nurse offered fluids and and the child C. The fetus is in the most common anterior fetal positions drinks eagerly. How would you classify D. this position is referred to as being left anteriopelvic Nina’s illness? 17. Maybelle is scheduled to have an ultrasound A. Some dehydration C. Severe dehydration B. Dysentery D. examination. What instructions would you give her No dehydration before her examination? 24. Nina’s treatment should include the following EXCEPT: A. The intravenous fluid infused to dilate your uterus does A. Reassess the child and classify him for dehydration not hurt the fetus B. For infants under 6 months old who are not breastfed, B. you will need to drink at least 3 glasses of fluid before the give 100-200 ml clean water as well procedure C. void immediately before the procedure to during this period reduce your bladder C. Give in the health center the recommended amount of size ORS for 4 hours. D. you can have medicine for pain for any contractions D. Do not give any other foods to the child for home cause by the test treatment 2 25.While on treatment, Nina 18 months old weighed 18 kgs. 18. At 17 weeks’ gestation, a type 1 diabetic undergoes an and her temperature registered at 37 ultrasound examination. What information degrees C. Her mother says she developed cough 3 days about the fetus at this time in pregnancy would be the ago. Nina has no general danger signs. results of this examination provide? She has 45 breaths/minute, no chest in-drawing, no stridor. A. Placental maturity C. Gestational age How would you classify Nina’s B. Estimated fetal weight D. Fetal lung maturity manifestation? 19. Fetal lung maturity is depicted by an L:S Ratio of: A. No pneumonia C. Pneumonia A. 2:1 B. 1:2 C. 3:3 D. 2:2 20. Genetic counselling can also be B. Severe pneumonia D. Bronchopneumonia performed. The ideal SITUATION: There are other important basic knowledge in time for genetic counselling is: the performance of our task as A. When the first born child exhibit defects or malformation Community Health Nurse in relation to IMMUNIZATION, B. After marriage these include: C. At the first trimester of pregnancy 26. The correct temperature to store vaccines in a D. Before the first pregnancy refrigerator is: SITUATION: Two children were brought to you. One with A. Between -4 deg C and +8 deg C chest indrawing and the other had diarrhea. B. Between 2 deg C and +8 deg C The following questions apply: C. Between -8 deg C and 0 deg C 21. Using Integrated Management and Childhood Illness D. Between -8 deg C and +4 deg C (IMCI) approach, how would you classify the 3 1 27. Which of the following vaccines is not done by st child? intramuscular (IM) injection? A. Bronchopneumonia C. Severe pneumonia A. Measles vaccine C. Hepa-B vaccine B. No pneumonia: cough or cold D. Pneumonia B. DPT D. Tetanus toxoids 22. The 1 28. This vaccine content is derived from RNA recombinants. st child who is 13 months has fast breathing using IMCI A. Measles C. Hepatitis B vaccines parameters he has: B. Tetanus toxoids D. DPT 29. This is the vaccine needed before a child reaches one (1) answer to this is: year in order for him/her to qualify as a A. At 10 years old you may “Fully immunized child”. B. As early as 1 year old A. DPT B. Measles C. Hepatitis B D. BCG C. When she’s 3 years old 30. Which of the following dose of tetanus toxoid is given to D. When she’s 6 years old the mother to protect her infant from 4 neonatal tetanus and likewise provide 10 years protection 37. You typically gag children to inspect the back of their for the mother? throat. When is it important NOT to elicit a A. Tetanus toxoid 3 C. Tetanus toxoid 1 gag reflex? B. Tetanus toxoid 2 D. Tetanus toxoid 4 A. When a girl has a geographic tongue C. When a child has 31. The nurse instructs the caregivers of a newborn to symptoms of epiglottitis notch the diapers or fold them in such a way as B. When a boy has a possible inguinal hernia D. When to expose the cord. The major purpose of exposing the cord children are under 5 years of age is to: 38. Baby John was given a drug at birth to reverse the A. Remind caregivers to do cord care C. Provide air effects of a narcotic given to his mother in circulation for the cord B. Keep the labor. What drug is commonly used for this? diaper from rubbing the cord D. Allow visualizations at all A. Naloxone (Narcan) C. Sodium Chloride times B. Morphine Sulfate D. Penicillin G 32. The level of health of an individual, family, group, 39. Why are small-for-gestational-age newborns at risks for population, or community is called: difficulty maintaining body temperature? A. Health assets C. Quality of life A. They do not have as many fat stores as other infants B. Health status D. Health needs B. They are more active than usual so throw off covers 33. The nurse is teaching a group of expectant mothers C. Their skin is more susceptible to conduction of cold about the prevention of diaper dermatitis. The D. They are preterm so are born relatively small in size nurse explains that one of the preventive measures is the 40. Baby John develops hyperbilirubinemia. What is a use of: method used to treat hyperbilirubinemia in a A. Absorbent disposable diapers C. Plastic panties over newborn? diapers B. Baby powder or A. Keeping infants in a warm and dark environment cornstarch D. Cloth diaper B. Administration of cardiovascular stimulant 34. The Code of Nurses C. Gentle exercise to stop muscle breakdown A. Delineates all obligations and responsibilities of the nurse D. Early feeding to speed passage of meconium B. Is a binding oath, which tells nurses how to make ethical 41. The nurse manager wishes to implement a new way of decisions determining the vacation schedule for the C. Assists the nurse in formulating a personal belief system staff. The senior staff opposes the change while the newer D. Supports the concept of respect for all persons staff seems more accepting of the 35. The obligation to correctly perform one’s assigned change. An effective strategy for resolving this difference in duties is: acceptance would be to: A. Delegation C. Responsibility A. Explain that the change will occur as designed, regardless B. Assignment D. Accountability of the staff’s preference SITUATION: You are working as a Pediatric Nurse in you B. Tell the staff that if they really do not want the change, it own Child Health Nursing Clinic. The will not be implemented following cases pertain to ASSESSMENT AND CARE OF THE C. Provide extensive and detailed rationale for the proposed NEWBORN AT RISK conditions. change 36. Theresa, a mother with a 2 year old daughter asks, “at D. Encourage each side to share their views with each other what age can I be able to take the blood 42. The following are the duties of the Public Health Nurse pressure of my daughter as a routine procedure since EXCEPT: hypertension is common in the family?” Your A. Leave to the BHW the responsibilities of educating the 49. Which of the following is the FIRST action of the nurse community during a home visit? B. Provision of nursing care to the sick and well individuals A. Greet the client or the household members C. Provision of technical and administrative support to rural B. State the purpose or objective of the visit health midwives C. Give necessary health teaching D. Conduct of pre and post consultation conference for D. Inquire about welfare and health condition of the client clinic patients 50. Which factor must be considered by the nurse as vital to 43. An 8 month old has fast breathing if he has: determine frequency of the home visit? A. 40 breaths per minute C. 38 breaths per minute A. Available resources C. Acceptance of the family B. Policy B. 55 breaths per minute D. 45 breaths per minute of the agency D. 44. The following are the concerns of the Public Health Past nursing services Nurse on the third trimester of pregnancy SITUATION: In the toddler period, enormous changes take EXCEPT: place in a child and, consequently, in a A. Advice for the mother to take oral contraceptive family. As a nurse, we must support the child’s growing B. Where to give birth independence with patience and sensitivity and C. Proper timing in the separation of mother to other learn methods of handling the child’s frustrations that arise siblings from the quest for autonomy. The following D. Type of feeding questions are about the care of the toddler patient. 45. When a child with persistent diarrhea returns for 51. Which assessment finding is an early sign of heart follow-up visit after 5 days, the nurse should ask failure in a toddler? the mother if the diarrhea has stopped when: A. Increased respiratory rate C. Decreased weight 5 B. Increased urine output D. Decreased heart rate A. The child has less than 3 loose bowels per day 52. The physician prescribes digoxin (Lanoxin) elixir for a B. The child has 4 semi formed stool toddler with heart failure. Immediately C. The child has 5 formed stools before administering this drug, the nurse must check the D. The child has 3 loose stools/day toddler's: 46. In barangay Y, one of the identified problems is A. Serum sodium level. unavailability of toilet facility for the residents. The B. Urine output. appropriate intervention is: C. Weight. A. Secure donations in the form of toilet bowls D. Apical pulse. B. Ask help from local government 53. A 2-year-old child with a low blood level of the C. None of the above immunosuppressive drug cyclosporine comes to a D. Conduct a community assembly and discuss the liver transplant clinic for her appointment. The mother says consequences of this problems the child hasn't been vomiting and 47. A home visit is a professional interaction between the 6 community health nurse and his patient or hasn't had diarrhea, but she admits that her daughter the family. Where could the nurse get available information doesn't like taking the liquid medication. about the patient or the family to be Based on knowledge of the drug, which of the following visited? would the nurse instruct the mother to A. Document files C. Doctor’s office do? B. Records and reports D. Family health record A. Let your daughter take her medication only when she 48. In planning a home visit, the nurse considers the wants it; it's okay for her to miss some individual needs. Which of the following is a doses. priority? B. Offer the medication diluted with regular milk, chocolate A. Needs of all family members C. Follow-up of medication milk, or orange juice to and treatment B. Needs make it recognized by the family D. Clinic schedules after home visit more palatable. C. Insert a nasogastric (NG) tube and administer the 59. A toddler with a ventricular septal defect (VSD) is medication using the tube as ordered by receiving digoxin (Lanoxin) to treat heart failure. the physician. The nurse should monitor the child for early signs of digoxin D. Give the ordered dose a little bit at a time over 2 hours toxicity, which include: to ensure administration of the A. Dradycardia medication. B. Tachycardia 54. A toddler is hospitalized with multiple injuries. Although C. Hypertension the parent states that the child fell down D. Hyperactivity the stairs, the child's history and physical findings suggest 7 abuse as the cause of the injuries. 60. For a child with a circumferential chest burn, what is the What should the nurse do first? most important factor for the nurse to A. Refer the parent to a support group such as Parents assess? Anonymous. A. Wound characteristics C. Breathing pattern B. Report the incident to the proper authorities. B. Body temperature D. Heart rate C. Prepare the child for foster care placement. SITUATION: Elvira is asking questions during labor and D. Restrict the parent from the child's room. delivery. 55. The mother of a hospitalized 3-year-old girl expresses 61. Elvira didn’t recognize for over an hour that she was in concern because her daughter is wetting labor. A sign of true labor is: the bed. What should the nurse tell her? A. Sudden increase energy from epinephrine release A. "It's common for a child to exhibit regressive behavior B. “Nagging” but constant pain in the lower back. when anxious or C. Urinary urgency from increased bladder pressure. stressed." B. "Your child is probably angry about being D. “Show” or release of the cervical mucus plug. hospitalized. This is her way of acting 62. Elvira asks you which fetal position and presentation are out." C. "Don't worry. It's common for a 3-year-old child to ideal. Your best answer would be: not be fully toilet-trained." D. A. Right occipitoanterior with full flexion C. Right "The nurses probably haven't been answering the call occipitoposterior with no flexion B. button soon enough. They will try to Left transverse anterior in moderate flexion D. Left respond more quickly." sacroanterior with full flexion 56. A 2-year-old child is brought to the emergency 63. Elvira is having long and hard uterine contractions. department with a history of upper airway What length of contraction would you report as infection that has worsened over the last 2 days. The nurse abnormal? suspects the child has croup. Signs of A. Any length over 30 seconds C. A contraction that peaks at croup include a hoarse voice, inspiratory stridor, and: 20 seconds B. A contraction A. A barking cough C. Sudden onset over 70 seconds in length D. A contraction shorter than 60 B. A high fever D. Dysphagia seconds 57. A toddler with bacterial meningitis is admitted to the 64. You assess Elvira’s uterine contractions. In relation to inpatient unit. Which infection control the contraction, when does a late measure should the nurse be prepared to use? deceleration begin? A. Reverse isolation C. Standard precautions A. Forty-five seconds after the contraction is over. B. Strict hand washing D. Respiratory isolation B. Thirty seconds after the start of a contraction. 58. An 18-month-old male child is admitted to the pediatric C. After every tenth or more contraction. unit with a diagnosis of celiac disease. D. After a typical contraction ends. What finding would the nurse expect in this child? 65. Elvira has an amniotomy. After this procedure, which of A. A concave abdomen C. A protuberant abdomen B. Bulges the following would be an important in the groin area nursing assessment? D. A palpable abdominal mass A. Ask her if her pain level is tolerable postprocedure. B. Assess maternal heart rate to detect possible bleeding. C. Assess fetal heart rate to detect possible cord prolapsed. every night at dinner over some type of food. She tells you D. Document the amount of amniotic fluid that has been this has changed parenting from “fun” to a lost. “real chore.” Angelo has a sister, Celina, a toddler. SITUATION: Donna is a client in labor 71. What kind of sentence should Angelo, a 2 year old, have 66. Donna asks you what is the purpose of a doula in labor. mastered? Your best answer would be: A. Red ripe tomatoes C. Old McDonald A. She times contractions and keeps them from becoming B. Daddy come D. Please, please too lengthy. 72. Angelo answers every request of his mother by saying B. She can cook for a woman in labor to keep her from “No!” How can she minimize this? becoming dehydrated. A. Tell Angelo she doesn’t want him to say no anymore. C. She can serve as a support person and coach during B. Answer all Angelo’s questions by saying, No! labor. C. Reduce the number of questions she asks Angelo. D. She replaces the husband as a woman’s support person. D. Explain he is not using good communication skills. 67. Donna asks you if she could use warm-water tub 73. Angelo’s mother uses “timeout” for punishment. What bathing during labor. Your best answer would be: is a good rule for this? A. No. No one is allowed to tub bathe during labor. A. The child should sit still for as many minutes as his age. B. Yes, as long as her membranes are not ruptured. B. The child should sit still for as many minutes as he C. No, because warm water can diminish labor contractions misbehaved. D. Yes, as long as the warm water doesn’t raise her C. Timeout activities can include quiet play or reading temperature. books. 68. Donna chooses to have epidural anesthesia. What are D. Children are not ready for timeout until schoolage. the two risks associated with this? 74. Celina asks constant questions. How many does a typical A. Hypotension and prolonged second stage of labor. 3-year-old ask in a day’s time? A. Less B. Severe headache and coldness of all extremities. than 50 B. 100-200 C. 300-400 D. 1,200 or more C. Continued back pain and short first stage of labor 75. Celina’s parents want to know how to react to her when D. Hypertension and a reduced red blood cell count. she begins to masturbate while watching 8 television. What would you suggest? 69. There is no reason to think that Donna will need a A. They give her “time out” when this begins. general anesthetic. If she did, what type of drug B. They refuse to allow her to watch television. is usually prescribed to minimize the risk of aspiration of C. They remind her some activities are private. vomitus? D. They schedule for a health check up for vaginal disease. A. An anticonvulsant such as diazepam (Valium). SITUATION: Nursing research is the term used to describe B. A nerve relaxant such as Phenobarbital. the evidence used to support nursing C. Metoclopramide (Reglan) to speed gastric emptying. practice. Nursing, as an evidence based area of practice, has D. Oxytocin to increase the effectiveness of labor been developing since the time of 70. Donna reports in early labor she isn’t having much pain. Florence Nightingale to the present day, where many You assess that her contractions are nurses now work as researchers based in also not strong. What position usually promotes efficient universities as well as in the health care setting. uterine contractions in any labor? 76. Mr. DSJ Plans to undertake a research of Community 1 A. Sitting or standing C. Lying prone and 2 on how they manage their health B. Lying supine D. Side-lying position using Primary health care after an organization and training SITUATION: Angelo is 2 ½ year old boy you see at a pediatric seminars. This type of research is: clinic. His mother tells you that he has A. Experimental changed completely in the past 6 months from an easy-to- B. Historical care-for a baby into a “monster” who C. Descriptive refuses to do anything she asks. The only word he says D. Basic anymore is “no.” He has a temper tantrum 77. The independent variable is: 9 85. After your management of Kiko’s condition. Your A. Primary Health Care C. Organization and training assessment revealed that he has no more sign of seminars B. Community 1 and 2 D. dehydration. What instruction will you give to Kiko’s Management of their health mother? 78. In this design, the variable that is being manipulated is A. Continue breastfeeding him frequently 1. Independent 3. Dependent B. Give him Oresol 50-100ml after every loose stool 2. Organization and training seminars 4. Management of C. Observed him for danger sign Primary Health Care A. 1, 2 B. 10 1, 4 C. 2, 3 D. 3, 4 79. In general, the research process D. All of these instruction follows the ff. ordered sequence: SITUATION: Ear infections are the most common cause of 1. Determination of design 4. Collection and analysis of data deafness in low income areas. The nurse 2. Statement of the should be able to assess early signs and symptoms of ear problem 5. Review of related literature 3. Definition of infection in order to prevent hearing loss, variables which in turn, leads to learning problems. A. 2, 5, 3, 1, 4 C. 2, 5, 3, 4, 1 86. Among the following, the most serious complication of B. 3, 5, 4, 1, 2 D. 2, 5, 1, 3, 4 an ear infection is: 80. Studies done in natural setting such as this one, posses A. Hearing loss C. Pain difficulty of controlling which variable? B. Mastoiditis D. Deafness leading to Learning problems 87. A. Independent B. Dependent C. Extraneous D. Organismic Which of the following SITUATION: Kiko, 7 weeks old, was brought by his mother to behavior best suggests that the child is experiencing ear the health center because of diarrhea pain? occurring 4 to 5 times a day. A. Frequent tugging of the ear C. Voracious appetite 81. Your assessment revealed that Kiko has sunken eyes B. Sleepiness D. Irritability and he is restless and irritable. What will be 88. An ear infection of 15 days is classified as: your diagnosis? A. Acute otitis media C. Mastoiditis A. No sign of dehydration B. Chronic otitis media D. Subacute otitis media B. Some dehydration 89. If the child presents with swelling and tenderness C. Severe dehydration behind the ear, how would you classify this child? D. You need to asses him further to be able to make a 1. Green diagnosis 2. Yellow 82. Based on your diagnosis, which of the following is best 3. Pink done for Kiko? 4. Urgent referral plus a dose of antibiotic and paracetamol A. Accompany Chico to the nearest facility where IV fluids 5. Treat with the same 5 day antibiotic treatment as can be given pneumonia B. Give Chico 200 to 400 ml. Oresol in 4 hours 6. Dry the ear by wicking C. Give Chico’s mother instruction in home management A. 1, 6 B. 2, 5 C. 3, 4 D. 1, 4 90. All of the following are D. Keep him in your health center for close observation danger signs that needs to be routinely 83. In Kiko’s assessment, what other problems do you have checked in all children except: to consider? A. Convulsions C. Blood in the stool A. The presence of blood on his stools C. Fever or B. Lethargy D. Vomiting hypothermia 91. Nursing is to assist an individual sick or well in the B. Severe undernutrition D. All of these performance of activities that contributes to 84. Kiko’s mother says Chico has been having diarrhea for 6 health and recovery is a definition based on the theory of: days now. You will decide that Kiko has: A. Virginia Henderson C. Madeleine Leininger A. Acute diarrhea C. Persistent Diarrhea B. Dorothea Orem D. Faye Abdellah B. You cannot be certain D. Sub-acute diarrhea 92. Which of the following questions by the nurse would be best fit the philosophy of the nursing mutual participation model of care (NMPMC)? patients over a specific period of time is called: A. “Have you brushed your child’s teeth today?” A. Staffing pattern C. Benchmarking B. “How does your child look to you today?” B. Skill mix D. Patient classification C. “Where have you been all morning?” 99. The mother of a 9 month-old infant is concerned that D. “Do you think your child’s color is worse”? the head circumference of her baby is 93. There are numerous definitions of the word “health”. greater than the chest circumference. The BEST response by Which definition below is from Florence the nurse is: Nightingale? a. “These circumference normally are the same, but in A. A state or a process of being and becoming an integrated some babies this just differs.” and whole person b. “Perhaps your baby was small for gestational age or B. The state of being free from illness or injury premature.” C. Being well and using every power the individual c. “This is normal until the age of 1 year, when the chest will possesses to the fullest extent D. be greater.” d. “Let me A state of complete physical, social, and mental well-being ask you a few questions, and perhaps we can figure out the and not merely the absence of cause of this difference.” disease or infirmity 100. Karen, A 28 year old post hysterectomy client has 94. Informal communication takes place when individuals come to the health center. She inquired about talk and is best described by saying the BSE and asked you when BSE should be performed. You participants: answered her that BSE Is best 11 performed: A. Are involved in a preexisting informal relationship A. 7 days after menstruation C. During menstruation B. Talk with slang words B. At the same day each month D. Before menstruation C. Have no particular agenda or protocol Study. Study in earnest. If you are to be salt and light, you D. Are relaxed need knowledge. Or do you 95. Tertiary care by the home health nurse is directed imagine that an idle and lazy life will entitle you to receive toward children with: infused knowledge? A. Problems in mobility C. Minor problems END OF EXAM B. Short-term needs D. Clinically apparent disease 96. The AIM HIGH NURSES!!! GOD BLESS endometrium 12 thickens during which phase of the menstrual cycle? A. Secretory phase C. Proliferative phase B. Menstrual phase D. Ischemic phase 97. The nurse is preparing to auscultate fetal heart tones in a pregnant client. Abdominal palpation reveals a hard, round mass under the left side of the rib cage; a softer, round mass just above the symphysis pubis; small, irregular shapes in the right side of the abdomen; and a long, firm mass on the left side of the abdomen. Based on these findings, what is the best place to auscultate fetal heart tones? A. Right lower abdominal quadrant C. Left upper abdominal quadrant B. Right upper abdominal quadrant D. Left lower abdominal quadrant 98. A measurement tool to articulate the nursing workload for a specific patient or groups of