©) studocu PB3 NP95 - - TOPRANK REVIEWER* NLE* NCLEX* RANK RE View ACADEMY \S " HAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH ®{CRIMINOLOGY * DENTISTRY * PHARMIAGY * PREBOARDS EXAMINATION 3 NURSING PRACTICE V CARE OF CLIENTS WITH PHYSIOLOGIG)AND PSYCHOLOGICAL ALTERATIONS (PART C) NOV 2023 Philipp ‘GENERAL INSTRUCTIONS: 1. This test questionnaire contains 100 test questions ‘Nurse Licensure Examination Review 2. Shade only one (1) box for each question on yourlahiswer sheets. Two or mOrB!boxes shaded wil invalid your answer. 3. AVOID ERASURES. 4. Detach one (1) answer sheet from the bottom of your Examinee !D/Answer Sheet Set. 5, Write the subject title "NURSING PRACTICE V" on the box provided ‘situation: Patient X, 70 years OM, male, is brought to the ER due to complaints of (1) inability to move his right arm and leg and (2) absence of muscle tone. The presenting diagnosis is left cerebrovascular accident (CVA) with flaccid hemiplegia of his right sie. 1, You, as the nurse, are thinking of a nursing diagnosis for the client. Which of the following nursing diagnoses is most appropriate? A)impaired physical mobility B. Unilateral neglect . Activity intolerance D. Sleep pattern disturbance 2. During the first 24 hours of admission, a priority assessment that you should consider is? ‘A. Health behaviors prior to the injury 8. Urinary elimination patterns . Risk assessment for vascular disease ©) Pupil size and pupillary response 3. Performing a functional status assessment before and after the CVA is crucial for what reason? ‘A. Tk helps the client internalize his physical limitations. 8. Functional status prion to the insult helps assess ‘prognosis. Gx It helps the patient expect to regaifilmuch of his abilities. 0) It serves as a guide for the rehabilitation plan. 4. The physician-in-charge orders potassium via 1V. Which of the following nursing actions warrants immediate attention? ‘A. Agitating the bag prior to hooking it up'to prevent bolus administration. 8. Diluting the potassium in normal saline. Administering the potassium. via 1V push. . Changing the IV insertion site every 72 hours oF sooner if there is phlebitis 5. You observe that while treating @ patient with hypokalemia, ‘none of the interventions to. raise the potassium level are working. Which pertinent patient assessment is significant to this situation? ‘A. The patient has chronic insomnia, B. The patient has a recent severe leg fracture, . The patient uses estrogen. ©The patient abuses laxatives. 6. If a patient has hypokalemia, which of the following food choices is the best potassium source? ‘A. White rice 8B. Corn . Broccoli ©) Lima beans. Prepared by: Raymund Kernel Mafiago Vanessa Kate S. Manzano ‘Nay Melody C. uico Cristn 8, Pangan "Nathaniel San Andres ‘Alexis Nicole Gumolon Downloaded by Bugay, Xyrah Lineth Silva - BPSU (xyrahlineth7 @ gmail.com) ‘Situation: Nursing theories are vital in advancing frameworks that guide and improve the delivery of care. Nurse Urelle, the head nurse of Ward X, called for a staff development meeting. 7. Which nursing theory emphasizes the delivery of nursing ‘tare for the whole individual in order to achieve the physical, ‘emotional, intellectual, social, and spiritual needs of the patient ‘and the family? @ The 21 nursr'g problems ®. The 14 components of basic rutting care . Human-to-human relationship D, The conservation principles 8. Which of the following nursing theorsts emphasizes the establishment of a nurse-cent relationship? - ean Watson Hidegard Pepau ©. Josephine Paterson: | Martha Rogers 9. Central to this nursing theory is promoting behavioral responses which affect health, This theory is called? A. Conservation Principles (B) Roy's Adaptation Model Interpersonal Theory 0. Humanistic Theory 10. What nursing theory explores the assumption of a patient ‘who maybe wholly or partially dependent on the healthcare provider or caregiver? (@ Self-Care Deficit Theory: 'B. Conservation Principles . Humanist Theory 1. 21 Nursing Problems 41, The theory of Florence Nightingale focuses on which core principe? @® A clean and safe environment wil facitate favorable patient outcomes. Bi Mutual trust and respect for other humans are essential to nursing care. C. Self-care and therapeutic touch are valuable. 1D A 00d elationship between the patient and the nurse should be dynam sitlation: Patient ABC is admitted in hospice care. She is in the terminal phase of ovarian cancer. You are assigned to take are OF Patient ABC and her family. The following questions ‘apply. 12. Which of the following signs of imminent death or active dying is observable in these patients? ‘A. Euphoria B. Uncontrollable pain . Clinical depression D Inability to swallow ‘Alyssa Marie R. Mercado “Trisha Mae G, Dungca 1 | Page13. As a knowledgeable nurse, you are aware that which of the folowing choices isa carcavascular sian of imminent death? ACA significant increase in heart rate 8. Arise in blood pressure C. Increased peripheral circulation 1) Diminished volume of Korotkoff sound 14 For'@ patient who i in the terminal stage of ines the ‘most appropriate lighting source Would be? ® Softened, sufficient lighting that is enough to distinguish people's faces. B. Fluorescent, to prevent harsh and possibly scary shadows C. Din-near darkness-to prevent sensory overload. D. None ofthe above 15. As a nurse who applies collaboration into clinical practice, with whom should you work with in addressing spiritual needs ofthe patient? A. Psychologist. 8. A fellow nurse or doctor who i also very religious © Hospital chaplain D. Members of a religious organization 16. With the help of a hospice pastoral care team, you determine the spirtual needs of your patient. Which of the following information is relevant to take note? “The patient's religious traditions and beliefs Whether the patient acknowledges @ god or a significant deity inher ite Values, prone, end cultural beliefs of family ‘members Ja. A spiritual group or community where the patient belongs in Aland iv Bi i, andi Ciandi 0 ivi ii, and iv Situation: You are caring for a patient diagnosed with metastatic renal carcinoma who is receiving Interleukin-2 (IL 2) 26 part of his therapy. The following questions apply 17. In educating the patient about the purpose of the therapy, Which ofthe following is correct about Interleukin~2? A. Forcibly enters malignant cells in their resting phase into mitosis. ©) Increases the patient's immunologic’ defenses ‘against tumor cells C. Shields the kidney cells from chemotherapeutic adverse effects. . Prevents decreased red blood cell, white blood cel, and platelet counts due to chemotherapy. 18. The patient who is receiving TL-2 complains of syffiptoms that may indicate an adverse reaction to the drug. Which of) the following symptoms is of utmost priority for the nurse to 2 A, Generalized body aches @ Dyspnea C. Decreased appetite None of the above 19, As a knowledgeable nurse, you shOUld be aware that the patient wio is receiving IL-2 therapy may manifest piysiclogic changes such as? A. Integumentary changes 8. Skeletal changes C. Neurologic changes © Metabolic changes 20. While charting, you note that the patient has a fsing diagnosis of “Risk for injury related to side effects of chemotherapy”. Which of these options is an aporooriae cutcome for this diagnosis? The patient wil ‘A. Demonstrate productive and adaptive behaviors indicative of problem-solving ability. B. Demonstrate knowledge of rationale for chemotherapy and treatment pian. C. Experience toc effects of chemotherepy. ©) Remain free from infection ‘Prepared by: Raymund Kernel Mafago Cristin 8, Pangan Vanessa Kate S. Manzano ‘Nathaniel San Andres ‘Nay Melody C 3uico ‘Alexis Nicole Gumolon Downloaded by Bugay, Xyrah Lineth Siva - BPSU (xyrahiineth7 @gmail.com) ‘Situation: Nurse Fi is conducting a qualitative, ‘ehenomenalagical research study on the stigma of AIDS and its effect on patients with AIDS. Last week, she was able to secruit 6 participants: 3 teenage boys and 3 teenage gis. i. Thelfstyappropriate method to use in collecting data ‘about these participants is? ‘A. Observation 8. Survey questionnaire .C. Focus oroup discussion ©}Inalvidva interviews 22. The most appropriate sampling method for this study is? ‘A. Purposive: 8. Stratified Random © Snowball 23, Based on the study design, the findings of the study should be formulated through wiich methodological process? ® Assigning themes and drawing out meanings from the statements ofthe participants B. Defining answers of the male and female participants ‘C.Identifying answers through percentages D. Effectively summarizing the insights of the participants from one Sex, and comparing them to the insights of participants to another sex, before finaly ‘concluding a universal meaning for both sexes 24. From whom should Nurse Fifi obtain the informed consent for this study? ‘A. From the six participants B From the six participants and their parents. CC. From the parents ofthe participants DeFromyltheysix participants and their available relatives 25. Which of the following is an unrecommended action for ‘Nurse Fit if she plans to listen to the tape recordings? ‘A. Look into the pauses of the participants while speaking. B. Analyze the voice tone and voice infection CC Listen to the audio recordings as soon as possible. ®. Listen to the audio recordings when she feels more ‘Motivated to do work. Situations In any interaction, communication is a vital tool that facilitates therapeutic outcomes. 26. In a conversation, nurses shouldifiot only be active listeners. They should also,validate what has been seid to them by the patientsand/or the patient's significant others. All but one are the importance of validation: ‘i, Validation assists in verifying the meaning behind the thought. BB. For cognitively impaired patients, validation helps, in extracting important data, ‘C.Perception affects how a message is interpreted. (D Eve contact does not necessarily equate to a esningful message. 27. When a nurse initiates thé transaction of thoughts and messages, he employ which element of communication? A Message B. Initiator © Sender D.Channel 28. If the nurse,isi@fiéountering a patient who is distressed ‘about henscondition, what is the best means to show effective ‘communication? ‘A Sharing 8: Empathizing CC. Sympathizing and analyzing © Ustening 29. The following are valid reasons forthe nurse to continue to ‘work on her communication skis. Which is the exception? By Promulgates threat between her and the patient. B. Decreases incidents of legal issues. . Gets a higher evaluation rating on care delivery ‘Ayssa Marie R. Mercado ‘Trisha Mae G. Dungca 2| Page. Brings change that uplits the well-being of patients. 30, Nurse Thalia is interacting with her patients in a face-to- {ace setting upon admission. Which level of communication is. ‘she exhibiting? A. Verbal B. Public communication C. Intrapersonal ©) interpersonal Situation: To ensure the integrty of data within a healthcare institution, proper recordkeeping should be employed by the ‘organization to safeguard both employees and patients. 31. Incident reports should be collected for the. daysiThis should be backed up by due process and. investigation, as scheduled by the Quality Department. Once the investigation is ‘through, what happens to the incident reports? ®) Summarized monthly and stored in a secure ‘abinet file. B, Classified by date for easy access: CC. Completed and stored in an open, easlly-accessed cabinet. . Put on top of the manager's desk for easy traceback. 32, Dally charts are collated every three nights across different ‘departments. The night shift nurse should do the following ‘excent: ‘A. Arrange and bind the charts as they are. B, See that the charts are complete. © Tape and repair torn pages. D. Ensure the correct order of the charts. 33. Once the patient record reaches the medical records; the ‘assigned employee should? A. Bind the charts as soon as possible. B. Check for completeness of the charting of doctors and nurses. © Separate the medicolegal charts. ©. Store the charts in their respective shelves, 34. For how long are charts stored in the Medical Records? A. 1-3 years: B) 5-10 years C. 3-5 years: D. 1-5 years. 35, For how long are medicolegal charts stored? AS years, B. B years 10 years. © 10 years after the case is Closed Situation: Misconceptions and questions about HIV-AIDS are ‘til rampant globally. Thus, nurses should take a proactive ‘action on health education for patients and their significant ‘others. Mimi, 34 years old, marriedyshas_ been recently diagnosed with the disease. 36. Mimi knows about the mother-to-child transmission of HIV. She asked the nurse when this transmission happens. The nurse is correct if she answers the following statements, ‘excent? A In utero G.)During typical contact CC During breastfeeding D. During the birthing process 37, Mimi asked the nurse about preventive measures, which lower the risk of transmitting HIV. Nurse Celia tells her that the most effective material for a male condom that can decrease the transmission of HIV is? ‘A. Lambskin 8B. Polyurethane O Latex . Non-latex 38, Mrs. Mimi's CD4 lymphocyte count was obtained and it was revealed that her results were[below)200 cells/cumm. She asks Nurse Celia what this means. Nurse Celia is correct when she answers? ‘Prepared by: Raymund Kernel Mafago Ctistin 8. Pangan ‘Vanessa Kate S. Manzano Nathaniel San Andes ‘Asay Melody C. Juco ‘Nexs Ncole Gumolon Downloaded by Bugay, Xyrah Lineth Siva - BPSU (xyrahlineth7 @gmail.com) ‘A. It may be worrisome but immediate attention is ‘not a requirement, B. It is sightly below normal so there's nothing to worry about, CC. The results are still within normal limits. she has Stage 3 HIV-AIDS. 39, As an evidence-based nurse, Nurse Celia counsels Mrs. ‘Mimi that the preventative method of HIV that is aot totaly swalistic ts which? A,HIV testing B, Behavioral interventions and modifications Promoting linkages to treatment centers, O)complete abstinence 40, Nurses who are at risk for Hi exnosure require post- ‘exposure. prophylaxis. In. these options, PEPHis. described accurately withiwhich excection? ‘A The medication, must be taken within 72 hours of exposure. 8. 2-3 antiretroviral drugs must be taken, as prescribed. . Drligsimust be taken for 28 days. © Drugs must be taken for atleast a week. PATS, storied whe 12H ‘Situation: Kate, @ 28-year-old woman who is married and has two children, recentiy underwent a left breast mastectomy. ‘She is deeply worried about how this surgery will impact her husband and her family. 41, Which of the following statements can help alleviate Kate's, worries? ‘A."T understand your feelings. My sister underwent a similar surgery half a year ago.” (®)"Rest assured 1 believe your husband and children willbe understanding.” . "ts advantageous that you had the surgery while you were on vacation." D. “Believe that something greater awaits you from God; keep holding onto hope." 42. What would be the most appropriate response from the ‘utse fo alleviate Marie's concem about choking and losing the ability to speak due to the tracheostomy tube? ‘A. "The tracheostomy tube Is temporary and mainly for. managing excessive secretions. B, "Rest assured, choking won't happen because your ood doesn’t pass through the tracheostomy tube." © "You mentioned feeling anxious about choking and ‘Speech difficulties due to yountracheostomy tube and GT, is that correct? D. "No needito worry; Til provide you with a pencil ‘and notepad for communication.” 43,ewhich of the following statements made by the client Dreparing for surgery indicates a lack of understanding or knowledge? ‘A. "I mustyerisire my consent is signed before the surgery. B. "Its crucial for me to keep my:ID bracelet on during the surgery." (C."T should take Valluft to relax before the surgery.” © "I_donit’ néed to follow nothing by mouth guidelines.” 4aagt@élie, a 36-year-old who recently had a right breast mastectomy, informs you that she feels nauseated. What should be your primary course of action? ‘A. ReassureLesile that nausea can be a common side effect of anesthesia, B Postion Leslie on her side and prepare an emesis ‘asin. ERecommend consulting the anesthesiologist and ‘obtaining an antiemetic prescription. . Assess Lesle's vital signs. 45, While assessing Matet, who recently had a partial gastrectomy, you noticed her blood pressure decreased from 118/70 mmHg to 90/60 mmHg. You suspect early signs of hypovolemia and early shock. What should be your initia action? ‘Nyssa Marie R. Mercado Trisha Mae G. Dungca 3 | Page‘A. Monitor her heart rate and respiratory rate for a full minute. B, Examine her surgical incision site and check the nasogastric tube drainage for signs of bleeding. © Position Matet in a shock posture, lying flaton tie bed with her legs elevated. D. Raise the oxygen inhalation fate to 6 liters per minute. 46. Garreth, who recently had an exploratory laparotomy, has been transferred to the surgical unit. You accompanied Garreth, and provided an endorsement to Noah, the nurs in charge of his care on the surgical floor. Arrange the following interventions in order of priority: 1. Assess breathing and initiate oxygen inhalation if necessarys 2: Evaluate the surgical site and examine the wound drainage. 3. Assess the level of consciousness, orientation, and extremity, mobility. 4. Connect all drainage tubes to the appropriate drainage system and continuously monitor them. 5. Monitor vital signs and take note of skin color, temperture, and the time of the last pain medication administration. 6. Evaluate pain levels, pain characteristics, and the time, type, and route of the last pain medication administered, 4.2, 4,3,5,6)1 B.4,2,6,5,1,3 OM, 5, 2,3,6,1 B.5,4,2,6,1,3 Situation: Susan, a 38-year-old dressmaker, sought emergency, ‘medical attention because of intense abdominal discomfort, accompanied by nausea and vomiting. She displayed signs of anxiety and initabilty, Her vital signs are as follows: Blood pressure: 4180/96 mmHg, Pulse rate: 100 bpm, Respiratory rate:s34 cpm. 47. What. should be the primary response of the nurse regarding the patient's previous complaints? 2) Immediately contact the physician '. Advise the patient to le down and rest . Provide the patient with reassuring words of comfort D. Prepare the required intravenous fluids 48, Susan has been admitted for a suspected gallbladder issue and has been scheduled for an ultrasound. What health teaching should you provide before the diagnostic procedure? OH Feast overnight B. Consume fruits and coffee béfore the procedure . Drink a glass of water before the test 49, The physician has informed thewpatient that she is scheduled for a cholecystectomy with bile duct exploration. What is the immediate nursing care required when the dient has a T-tube? ‘A. Examine for bleeding atthe tube site ® Evaluate the color and volume of drainage during each shift CC. Empty the contents of the tube drainage bag once daily . Perform tube irigation with an antiseptic solution 50, What is your primary nursing ‘diagnosis immediately, following the surgery? ® Impaired skin integrity related to altered|bilary drainage B, Acute pain and discomfort about self-care related to knowledge defict CC. Imbalance nutrition: less than body/requirement related to surgery . Non-compliance to incision care related to knowledge deficit 51, Which of the folowing dietary recommendations would be: suitable for the nurse to provide to Susan upon her discharge? ‘A. Low purine, high protein diet B, High fat, high carbohydrate diet (Low fat, high protein diet . High protein, high carbohydrate diet ‘Prepared by: Raymund Kernel Maago Cristi 8, Pangan Vanessa Kate S. Manzano Nathaniel San Andres Ajay Melody C. Juco ‘Alexis Nicole Gumolon Downloaded by Bugay, Xyrah Lineth Silva - BPSU (xyrahlineth7 @ gmail.com) Situation: Aling Aida, aged 78, experienced a thrombotic stroke three months ago, resulting in left-sided weakness and difficulty swallowing. During her admission to the medical Jyard, she mentioned weight loss, and her daughter added that hherlmother had not consumed any food in the last 24 hours 552. A percutanedislendoscopic gastrostomy (PEG) tube has been recently inserted to deliven specialized nutritional support o.the patient. When administering tube feeding, the head of the bed should be raised to a minimum of . @) 30 degrees B, 50 degrees . 75 degrees D, 80 degrees: S3)Patients recewving enteral feeding typical face. a risk of é>Aspiration "B. Abdominal distention C. Nausea D. Infection 54, When providing feedings directly into the stomach, itis ‘erucial to regularly monitor gastric residual volumes every @)every 6-8 hours B. Twice a day C. Once a day D. Every 2 months 55. If the gastric residual volume is less than 500 mL, the purse shou ‘A rompty lr the doctor eal B Proceed with PEG feeding Wal or an addtional hour and reevauate the resi! volume 'D. Pause enteral feeding and reevaluate the patient's toerance 56. Among the common issues faced by patients undergoing tube feeding, diarrhea is a concern. In such cases, the primary hung response sou ue al ofthe fotowing sxe A. Investigate potential medications contributing to: ante B stch toa higher formula as presced . Administer the feeding at room temperate @Prerporay suspend the forma or water take Situation: The nurse admits @ 28-year-old male patient who ‘incurred burns. while assisting in extinguishing’a fire at a neighbor's residence. 57. The nurse notesithalt the client has burns that involve the entire surfaceyof both arms and the front of the trunk. The ‘nurse’calculates the percentage of burned surface area using ‘the rule of nines, which is: f A. 18% 36% C. 40% D. 45% ‘ '58. The client sin pain, and the nurse understands that during ‘the initial 24 hours following @ bum injury, pain is managed by providing: ‘AcsNBiCOtCS Injected Into non-burned tissues via intramuscular route Intravenous narcotic medications € Tepid baths and oral morphine ‘D. Liquid narcotics delivered through a nasogastric ‘tube The nurse examines the client's stool for hidden blood to Tevaluate the presence of which of the following medical conditions? A. Intestinal ileus B) Stress ulcers . Gastric iritation D. Bleeding related to bowel distention 60, The doctor conducts enzymatic debridement on the client. ‘The nurse will then evaluate the client for: ‘A. Increased fluid loss ® Allergic reactions ‘Nyssa Marie R. Mercado ‘Trisha Mae G. Dungca 4| Page. Serum electrolyte imbalance D. Bleeding from the burned area 61. The nurse administers a tetanus vaccination to a client when the client has__: @) Open wounds with a significant amount\l@h ‘embedded debris B. Third-degree burns . Second-degree burns with open blisters D. Received a vaccination within the past 9 years. Situation: Nurse Jeline serves as the charge nursé in @ trauma’ Unit. She employs management principles to enhance the’ quality of patient care, with a particular focus on optimizing resource utilization and managing the patient's environment: effectively. 62. Nurse Jeline recognizes that environmental factors have 3: significant impact on patient care. The nurse's primary priority for the patient is @Ensuring client safety B. Increasing staffing levels C. Maintaining confidentiality D. Ensuring an ample supply of pain relief medications 63. Nurse Jeline collaborates with other healthcare professionals. She recognizes that an interdiscilinary care plan ‘encompasses: ‘A. All nursing staff members who provide input into the care plan B. Both the physicians and nurses involved in patient core C. The client's explicit preferences and advance: ditectives 0) Contributions from all disciplines involved in the Patient's care 64. Nurse Jeline recognizes that implementing quality ‘measures in the unit leads to cost savings in patient care. The following are examples of inefficient resource utilization, except: ‘A. The time nurses spend searching for missing) ‘supplies or laboratory results B. Delays in client discharge caused by a lack of ‘coordination among staff © The time nurses invest in documenting’ client Yreatments, medications, and outcomes, D. The expenses associated with overtime pay due to unfiled positions 65. Nurse Jeline creates @ workload budget for the team. What is the objective of a workload huciget? @) Quantity of work generated by/aydepartment, Measured. in units of service used to calculate ‘expenditure budgets B. The mean number of patients attended to in a day ‘over a specified time frame . Gathers statistics on present activtyjwith, 2 focus ‘on the number of units of service provided 66. Nurse Jeline implements a quality management program known as Lean Six Sigma, which centers/on enhancing process efficiency and eliminating inefficiencies. The». following statements accurately reflect resource management, except: ‘A. Healthcare professionals aim to minimize errors ‘and enhance client safety B. Effective planning is a crucial/element of resource management . Typically, augmenting nursing staff \eBd5)ito, improved patient outcomes ©) Waste occurs when a unit allocates fewer resources than needed Situation: An 8-year-old girl, accompanied by her parents, Visits the outpatient department due to complaints of pain in her ankles, feet, and knees. The initial diagnosis upon ‘admission is Juvenile Rheumatoid Arthritis (IRA). Prepared by: Raymund Kernell Mafiago Vanessa Kate S. Manzano Ajay Melody C. Juco Cristn 8, Pangan ‘Nathaniel San Andres ‘Alexis Nicole Gumolon Downloaded by Bugay, Xyrah Lineth Silva - BPSU (xyrahiineth7 @ gmail.com) 67. The parents express their concems to the nurse regarding their chia's disease outcome. Based on her knowledge of the condition, the nurse should clarify that: ‘A. Typically, as the child grows into adulthood, the disease tends to advance and may lead to debilitating rheumatoid arthritis B, In the majority of cases involving children, the Gisease enters a state of permanent remission ‘C While many children experience extended periods ‘of remission, they may also suffer from severe deformities and a decie in their physical function (©) The majority of affected children typically achieve full recovery within a few years 68, Which nursing, diagnosis formulated..by the nurse is sulle for a young child diagnosed with IRA? BNimpaired Physical Mobily B. Impaired Swaliowing G. Ineffective Airway Clearance D. Total Incontinence 68) Tfeymother inquires of the nurse about the appropriate ‘course of action'to,take upon noticing her child's withdrawn ‘behavior. The nurse's recommendation would be to: ®Oter support and understanding to her child 5, Fcitate interactions with other children who have JRA C. Allocate adaitional time to spend with the child while ess time for her other children D. Arrange a meeting with the schoo! guidance counselor for her child 70. Which of the statements below accurately describe Juvenile Rheumatoid Arthritis (IRA)? £. RA isthe predominant chronic condition among individuals under 16 years old 2. The disease typically beoins around the age of 8 and tends to peak during puberty 2; Initial symptoms are often referred to as growing pains . Methotrexate (TX) is generally more effective in treating JRA in children compared to aduts A182 @1,384 12,384 D283 Situation: The nurse analyzes the results of a recent study, ‘hich indicated that while individuals with depression may face fan increased, risk of heart failure, those who have cardiovascular disease are more likey to @Xperience symptoms of depression. 71. The_study"I60 uncovers that major depression is most ‘commonly found among which of the following groups: A Males @)Females . Individualsidfider the age of 60 Dy Individuals aged 60 and above 72TH nurse comprehends that individuals with chronic heart failure experience the most significant mood swings when they: ‘A. Simuitaneoisly suffer from other cardiovascular conditions 'B. Harbor uncertainties regarding the progression of their illness © Encounter_.challenges in maintaining their employment: Ds Previously enjoyed highly active lifestyles 733/Alterm referring to a chronic state of depression wherein the individual encounters fewer than five depressive symptoms persisting for a duration of two vears is called ‘A. Minor depression | B. Major depression © Dysthymia 5. Depression psychosis 74, The research examined various factors, including physiological interventions for individuals experiencing both heart failure and depression, in addition to psychological and ‘Alyssa Marie R. Mercado Trisha Mae G, Dungea 5 | Pagepsychotherapeutic approaches. The findings revealed that Psychosocial and psychotherapeutic interventions: ‘A. May not be preferred by the majority of clients B) Require a longer duration to achieve effectiveness ‘C. Demonstrate reduced effectiveness D. Tend to exacerbate dyspnea Situation: The nurse manager responsible for the medical and ‘surgical units conducts @ reorientation program for the staff nurses. and other healthcare team members regarding the Proper procedures for reporting and documenting any incidents that might occur within the units. 75. The nurse manager informs the staff that the reasons fon ‘writing incident reports include all of the folowing except for ‘A. Enhancing the quality of nursing services B. Providing an objective account of unexpected events ©) Taking disciplinary action . Documenting and conducting follow-up procedures, ‘Situation: The nurse provides care to @ cohort of patients who have different forms of cancer and are undergoing cancer treatment and taking prescribed medications. 76. & drug is administered to a client as part of a Phase 1 clinical trial. The nurse presumes that the cancer: ‘ATs not covered by the clients insurance, along with, its treatment B)IS unresponsive to established cancer treatments CIs deviating from the anticpated disease progression D. Is smal in size and less severe 77. A Rhase I cnical trial medication is administered to a patient dBASE" lung cancer. Which of the following represents a suitable evaluation of the medication by the course? ‘A Identification ofthe highest tolerated dosage B. Characterization of the nature and extent of adverse reactions Appraisal ofthe overaleicacy ofthe medication D. Description of how the medication measures. up ‘against established treatment protocols 78, The nurse responsible for a patient with an implanted ‘adiation source should minimize their own radiation exposure by implementing which of the subsequent methods? ‘A. Restricting the duration of proximity to the patient to thirty minutes per eight-hour shit 8. Utilizing a radiation meter orflm, badge to monitor radiation exposure CC. Maintaining 2 six-foot distance from the patient ‘except when providing hands-on care © Donning a lead-shielded. apron upon entering the Patient's room 79, For a. 30-year-old patient with an_ implanted radiation ‘source, which ofthe folowing nursing tasks takes precedence? ‘A. Mitigate radiation-related skin issues B. Evaluate the client's response to diagnosis and treatment C.. Encourage regular physical "tivity. during confinement ©) Ensure the cient and others are protected from ‘unnecessary radiation exposure 80, The nurse tending to. patient with. temoorany radioactive cervical implant should refiain from Which. of the following actions? ‘8 Leaving the client's bedding in 2 laundry hamper in the hospital corridor BI Spending an hour conversing with the client by the bedside C. Flushing the toilet only once after emptying the client's bedpan D. Administering an alcohakbased mouthwash for the lent’s oral hygiene Prepared by: Raymund Kerell Mafago Vanessa Kate S. Manzano ‘ay Meloy C. Dien Ccristn 8. Pangan ‘Nathaniel San Andres. ‘Alexis Nicole Gumolon Downloaded by Bugay, Xyrah Lineth Silva - BPSU (xyrahlineth7 @¢mail com) Situation: A male child, aged 10, has been admitted to the ‘surgical department's pediatric unit at Hospital X due to ‘complaints of pain in the lower right abdomen. The preliminary diagnosis suggests acute appendicitis, 81, Whichlofithe subsequent signs and symptoms is most likely tomanifestina cient suffering from appendictis? ‘A. Convulsions fluctuations in weight & Bevated body temperature, feclings of nausea, 4nd vomiting {. Sore throat, bone and joint aches D. Pruitus and edema around the eyes and ankles 82, The nurse conducts a physical examination. What assessment outcomes would the nurse anticipate ina child with appendicitis? 1. Sore throaty bone and joint aches 2 Diarthea or sudden constipation 3, Focal pain inthe lower let region 4. Tensing ofthe abdominal wall muscles Aol 83 81384 1,2, 3and4 D204 83, During the assessment, when the child mentions that the pain has disappeared and their abdomen no longer hurts, the furse might suspect that: @ The appendix has ruptured The chi is anxious about undergoing surgery C. The chid seeks addtional attention D. The child encounters challenges in effectively communicating their pain 84, The clients diagnosis has been verified, and an ‘appendectomy/is scheduled. Preoperative nursing care involves which ofthe following: ‘A. Applying warm compresses to the child's abdomen to alleviate discomfort B. Administering a prescribed laxative © Evaluating bowel activity through the assessment & abdominal distension and listening to bowel sounds D. Positioning the child on their left side to aid in localizing and preventing the spread of infection 85. The murse readies the chiid for surgery. Which of the following nursing actions should the nurse undertake? ‘A Providing clear fds B. Applying warmth to the abdominal area Administering an enema as prescribed © Ensuring that the child. remains in complete bed rest Situation; Engaging in research is an essential pursuit that ursesimust undertake to make meaningful contributions to the field of nursing science: ‘86. What type of design is employed when a nurse researcher collects data at multiple time noints over an extended period? ‘A. Time-related B, Time-sequenced C. Cross-sectional B tongitudinal 187. Which type of research design is indicated when a research study includes interventions and binding? ‘A. Descriptive B, Non-descriptive O Experimental . Phenomenological ‘88. Whichiof the following statements is the least descriptive ‘of a qualitative research design? A. tis flexible and elastic ® Gather oge data from collection strategy C. Strives for an understanding of the whole strategy D. Researchers become involved 89. Qualitative researchers should select participants who align most effectively with the study's objectives. Who among the following individuals is the most suitable choice? ‘A. Cooperative community members B. Those who are readily available and thus convenient for the researcher ‘Alyssa Marie R. Mercado Trisha Mae G, Dungca 6 | Pave