Comprehensive Exam (Week 2)

After injection using the Z track technique, the nurse should know that she needs to wait for a few seconds before withdrawing the needle and
this is to allow the medication to disperse into the muscle tissue, thus decreasing the client’s discomfort. How many seconds should the nurse wait before withdrawing the needle?

Diabetes is one of the leading causes of disability in persons over the age of 45. The most important function of the public health nurse in the prevention of diabetes is?

A new registered nurse is working on a pediatric unit in a large teaching hospital that uses focus charting with the acronym DAR. What does this stand for?

After receiving 75 mL of Packed RBC, the client complains chills & low back pain. The nurse suspects a hemolytic transfusion reaction & stops the infusion. the blood bag & a urine specimen are sent to the laboratory. The reason for sending a urine specimen to the laboratory is to test for:

Nursing ethics is an important part of the nursing profession. As the ethical situation arises, so is the need to have an accurate and ethical decision making. The purposes of having a nurses code of ethics is:

The principles that govern right and proper conduct of a person regarding life biology and the health professionals as referred to as:

Violation of the Code of Ethics might equate to the revocation of the nursing license. Who revokes the license?

In a client with diabetic ketoacidosis. Kussmaul's respiration is exhibited. This is evidence that there is the presence of:

Which of the following food choices is appropriate for a client prescribed with low sodium diet?

The nurse is about to begin a blood transfusion for a client with renal failure. What should the nurse pay particularly close attention to, when checking the bag?

An emergency department nurse is caring for a child suspected of acute epiglottitis. Which interventions apply in the care of the child? SATA
1. Obtain a throat culture
2. Ensure a patent airway
3. Prepare the child for a chest x-ray
4. Maintain the child in a supine position
5. Obtain a pediatric-size tracheostomy tray
6. Place the child on an oxygen saturation monitor

to foster sound interpersonal relationship s duringn an initial meetings with a family the nurse should assume the role of:

A RN suffers from chronic back pain that was the result of an injury she suffered when pulling a patient up in bed. She is addicted to pain medication and has recently been accused of stealing narcotics. This is an example of which of the following violations of the law?

If patient asks the nurse her opinion about a particular physicians and the nurse replies that the physician
is incompetent, the nurse could be held liable for:

Which of the following is an example of nursing malpractice?

Immobility impairs bladder elimination, resulting in such disorders as:

In a recumbent, immobilized patient, lung ventilation can become altered, leading to such respiratory
complications as:

Thrombophlebitis typically develops in patients with which of the following conditions?

When transferring a patient from a bed to a chair, the nurse should use which muscles to avoid back
injury?

During which of the following stages of labor would the nurse assess “crowning”?

A client has a midpelvic contracture from a previous pelvic injury due to a motor vehicle accident as a teenager. The nurse is aware that this could prevent a fetus from passing through or around which structure during childbirth?

Monet Rivera tells you she used to worry because she developed breasts later than most of her friends. Breast development is termed:

The infant of a substance-abusing mother is at risk for developing a sense of which of the following?

While assessing a child with pyloric stenosis, the nurse is likely to note which of the following?

SITUATION : Barangay FreeNLEReview has the following data in year 2015
1. July 1 population : 254,316
2. Livebirths : 2,289
3. Deaths from maternal cause : 15
4. Death from CVD : 3,029
5. Deaths under 1 year of age : 23
6. Fetal deaths : 8
7. Deaths under 28 days : 8
8. Death due to rabies : 45
9. Registered cases of rabies : 45
10. People with pneumonia : 79
11. People exposed with pneumonia : 2,593
12. Total number of deaths from all causes : 10,998

What is the crude birth rate of Barangay FreeNLEReview?

SITUATION : Barangay FreeNLEReview has the following data in year 2015
1. July 1 population : 254,316
2. Livebirths : 2,289
3. Deaths from maternal cause : 15
4. Death from CVD : 3,029
5. Deaths under 1 year of age : 23
6. Fetal deaths : 8
7. Deaths under 28 days : 8
8. Death due to rabies : 45
9. Registered cases of rabies : 45
10. People with pneumonia : 79
11. People exposed with pneumonia : 2,593
12. Total number of deaths from all causes : 10,998

What is the cause specific death rate from cardiovascular diseases?

SITUATION : Barangay FreeNLEReview has the following data in year 2015
1. July 1 population : 254,316
2. Livebirths : 2,289
3. Deaths from maternal cause : 15
4. Death from CVD : 3,029
5. Deaths under 1 year of age : 23
6. Fetal deaths : 8
7. Deaths under 28 days : 8
8. Death due to rabies : 45
9. Registered cases of rabies : 45
10. People with pneumonia : 79
11. People exposed with pneumonia : 2,593
12. Total number of deaths from all causes : 10,998

What is the Maternal Mortality rate of this barangay?

SITUATION : Barangay FreeNLEReview has the following data in year 2015
1. July 1 population : 254,316
2. Livebirths : 2,289
3. Deaths from maternal cause : 15
4. Death from CVD : 3,029
5. Deaths under 1 year of age : 23
6. Fetal deaths : 8
7. Deaths under 28 days : 8
8. Death due to rabies : 45
9. Registered cases of rabies : 45
10. People with pneumonia : 79
11. People exposed with pneumonia : 2,593
12. Total number of deaths from all causes : 10,998

What is the fetal death rate?

SITUATION : Barangay FreeNLEReview has the following data in year 2015
1. July 1 population : 254,316
2. Livebirths : 2,289
3. Deaths from maternal cause : 15
4. Death from CVD : 3,029
5. Deaths under 1 year of age : 23
6. Fetal deaths : 8
7. Deaths under 28 days : 8
8. Death due to rabies : 45
9. Registered cases of rabies : 45
10. People with pneumonia : 79
11. People exposed with pneumonia : 2,593
12. Total number of deaths from all causes : 10,998

Determine the Case fatality ratio of rabies in this Barangay

While performing physical assessment of a 12 month-old, the nurse notes that the infant’s anterior fontanel is still slightly open. Which of the following is the nurse’s most appropriate action?

Which of the following vaccine is not done by (IM) intramuscular injection

This vaccine content derived from RNA recombinants

Which is the primary goal of community health nursing?

According to C.E.Winslow, which of the following is the goal of Public Health?

Which of the following is the most prominent feature of public health nursing?

During electroconvulsive therapy (ECT) the client receives oxygen by mask via positive pressure ventilation. The nurse assisting with this procedure knows that positive pressure ventilation is necessary because?

Nurse Tina is caring for a client with depression who has not responded to antidepressant medication. The
nurse anticipates that what treatment procedure may be prescribed?

Joey who has a chronic user of cocaine reports that he feels like he has cockroaches crawling under his skin.
His arms are red because of scratching. The nurse in charge interprets these findings as possibly indicating
which of the following?

Within a few hours of alcohol withdrawal, nurse John should assess the male client for the presence of:

When being admitted to a mental health facility, a young female adult tells Nurse Mylene that the voices she hears frighten her. Nurse Mylene understands that the client tends to hallucinate more vividly:

A female client is brought by ambulance to the hospital emergency room after taking an overdose of barbiturates is comatose. Nurse Trish would be especially alert for which of the following?

The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:

A client with frequent urinary tract infections asks the nurse how she can prevent the recurrence. The nurse should teach the client to:

A male nurse was found guilty of negligence. His license was revoked. Re-issuance of revoked certificates is after how many years?

The one filing the criminal care against an accused party is said to be the?

When examining a client with abdominal pain, Nurse Hazel should assess:

During acute gout attack, the nurse administer which of the following drug:

The Researcher knows that certain patients who are in a specialized research setting tend to respond psychologically to the
conditions of the study. This is referred to as:

The nurse is caring for a client with ascites. Which is the best method to use for determining early ascites?

1 tsp is equals to how many drops?

The most appropriate nursing order for a patient who develops dyspnea and shortness of breath would be…

The nurse observes that Mr. Galvan begins to have increased difficulty breathing. She elevates the head of the bed to the high Fowler position, which decreases his respiratory distress. The nurse documents this breathing as:

Mrs. Manlapas has been given a copy of her diet. The nurse discusses the foods allowed on a 500-mg low sodium diet. These include:

The physician orders a maintenance dose of 5,000 units of subcutaneous heparin (an anticoagulant) daily. Nursing responsibilities for Mrs. Mercado now include:

The four main concepts common to nursing that appear in each of the current conceptual models are:

In Maslow’s hierarchy of physiologic needs, the human need of greatest priority is:

The family of an accident victim who has been declared brain-dead seems amenable to organ donation. What should the nurse do?

A new head nurse on a unit is distressed about the poor staffing on the 11 p.m. to 7 a.m. shift. What should she do?

Which of the following principles of primary nursing has proven the most satisfying to the patient and nurse?

A couple who wants to conceive but has been unsuccessful during the last 2 years has undergone many diagnostic procedures. When discussing the situation with the nurse, one partner states, “We know several friends in our age group and all of them have their own child already, Why can’t we have one?”. Which of the following would be the most pertinent nursing diagnosis for this couple?

Which of the following urinary symptoms does the pregnant woman most frequently experience during the first trimester?

Heartburn and flatulence, common in the second trimester, are most likely the result of which of the following?

On which of the following areas would the nurse expect to observe chloasma?

A pregnant client states that she “waddles” when she walks. The nurse’s explanation is based on which of the following as the cause?

In the occurrence of SARS and other pandemics, which of the following is the most vital role of a nurse in epidemiology?

Measles outbreak has been reported in Barangay Future RNs, After conducting an epidemiological investigation you have confirmed that the outbreak is factual. You are tasked to lead a team of medical workers for operational procedure in disease outbreak.
Arrange the correct sequence of events that you must do to effectively contain the disease
1. Create a final report and recommendation
2. Perform nasopharyngeal swabbing to infected individuals
3. Perform mass measles immunization to vulnerable groups
4. Perform an environmental sanitation survey on the immediate environment
5. Organize your team and Coordinate the personnel
6. Educate the community on disease transmission

While performing physical assessment of a 12 month-old, the nurse notes that the infant’s anterior fontanelle is still slightly open. Which of the following is the nurse’s most appropriate action?

When teaching a mother about introducing solid foods to her child, which of the following indicates the earliest age at which this should be done?

Which of the following toys should the nurse recommend for a 5-month-old?

Marco who was diagnosed with brain tumor was scheduled for craniotomy. In preventing the development of cerebral edema after surgery, the nurse should expect the use of:

Nurse Maureen knows that the positive diagnosis for HIV infection is made based on which of the following:

Nurse Maureen is aware that a client who has been diagnosed with chronic renal failure recognizes an adequate amount of high-biologic-value protein when the food the client selected from the menu was:

A client has undergone laryngectomy. The immediate nursing priority would be:

Lydia is scheduled for elective splenectomy. Before the clients goes to surgery, the nurse in charge final assessment would be:

Nurse Josie should instruct the client to eat which of the following foods to obtain the best supply of Vitamin B12?

Nurse Joseph teaches the client with angina about common expected side effects of nitroglycerin including:

Immediately after liver biopsy, the client is placed on the right side, the nurse is aware that that this position should be maintained because it will:

Nurse Trish is aware that temporary heterograft (pig skin) is used to treat burns because this graft will:

Mark has multiple abrasions and a laceration to the trunk and all four extremities says, “I can’t eat all this food”. The food that the nurse should suggest to be eaten first should be:

Tony returns form surgery with permanent colostomy. During the first 24 hours the colostomy does not drain. The nurse should be aware that:

Nurse Linda is caring for a client with head injury and monitoring the client with decerebrate posturing. Which of the following is a characteristic of this type of posturing?

A female client is taking Cascara Sagrada. Nurse Betty informs the client that the following maybe experienced as side effects of this medication:

After gastroscopy, an adaptation that indicates major complication would be:

Ryan has undergone subtotal gastrectomy. The nurse should expect that nasogastric tube drainage will be what color for about 12 to 24 hours after surgery?

Another name for knee-chest position is:

The amniotic fluid of a client has a greenish tint. The nurse interprets this to be the result of which of the following?

A nurse who would like to practice nursing in the Philippines can obtain a license to practice by:

Reciprocity of license to practice requires that the country of origin of the interested foreign nurse complies
with the following conditions:

When a nurse causes an injury to the patient and the injury caused becomes the proof of the negligent act, the presence of the injury is said to exemplify the principle of:

Kathleen came across a theory which states that the leadership style is effective dependent on the situation. Which of the following styles best fits a situation when the followers are self-directed, experts and are matured individuals?

A female client is admitted with a diagnosis of delusions of GRANDEUR. This diagnosis reflects a belief that one is:

Nurse Tony should first discuss terminating the nurse-client relationship with a client during the:

Nurse John is aware that a serious effect of inhaling cocaine is?

Before helping a male client who has been sexually assaulted, nurse Kram should recognize that the rapist is motivated by feelings of:

Rosana is in the second stage of Alzheimer’s disease who appears to be in pain. Which question by Nurse Jenny would best elicit information about the pain?

Jose who is receiving monoamine oxidase inhibitor antidepressant should avoid tyramine, a compound found in which of the following foods?

Discharge instructions for a male client receiving tricyclic antidepressants include which of the following information?

Which of the following foods would the nurse Trish eliminate from the diet of a client in alcohol withdrawal?

Nurse Nukushi recognizes that the focus of environmental (MILIEU) therapy is to: