Content text PRE-INTENSIVE - NP1 - SC
2 | Page 2. Improve understanding among the members of the organization 3. Realize the vision-mission of the institution 4. A supportive and powerful coalition is developed 5. Improve communication and public relation A. 3 and 4 only B. 1 and 2 only C. 2, 3 and 4 only D. ALL of the options 12. The team started the planning session with an aim to revisit of the institution's vision-mission. Vision pertains to: A. Value statement of the organization B. Preferred future of the organization C. Mission that anchors on certain specific task D. Belief of the members 13. In the strength, weaknesses, opportunities and threats (SWOT) analysis, the organizational structure of the medical center including the chain of command were analyzed. Which of the following describes an authoritative type of organization? A. Authority and responsibility are delegated to the lowest level B. The organizational structure is flat C. Communication comes from the different directions D. Control and communication flow is from top down 14. The team were unanimous in saying that the Medical Center is a people-oriented organization which promotes Empowerment. When there is a decentralization of power it promotes the following EXCEPT: A. Promotes long-range planning than short-term planning B. Have voice in the governance of the institution C. Encourages creativity and commitment of the people D. Increased morale of the personnel 15. The outcome of the strategic plan session by the representative groups is for the medical center to have a shared governance. It means: 1. There will be increased authority and control over their unit of assignments 2. Wider participation in decision-making before final decision is made 3. There will be autonomy and control of its own practices 4. Environment is democratic and participative A. 1 and 2 only B. 2, 3, and 4 only C. 1 only D. ALL of the options Situation: You are a member of research team of a health unit that is tasked to conduct a study to present an evidence for the best nursing practice in your clinical setting. 16. A research idea or problem is generated through the following, Except: A. Critical review of literature B. Review of policy guidelines C. Practical experience D. Recommendation for funding source 17. Your team is interested to consider handwashing as a topic for research. The statement, "in what situations do staff nurses wash their hands in the clinical areas?" This is an example of a research ___________. A. Purpose B. Problem C. conceptual statement D. hypothesis 18. In the final selection of a research problem, aside from its significance to nursing practice, you will also have to consider the following criteria, except: A. Investigators interest to the problem B. Researchability of the problem C. Feasibility of addressing the research problem D. Investigators work schedule 19. You know that a good research problem should exhibit the following characteristics. Which one is NOT always included? A. Implies the feasibility of empirical testing B. Indicates the hypothesis to be tested C. Specifies the population being studied D. Clearly identified the variables/phenomenon under consideration 20. You also know that a good research requires a thorough review of the literature. The first step in searching for literature to locate all pertinent sources is to A. Conduct print or computer search B. Identify key words and concepts to be searched C. Ask help from the librarian about potential references D. Refer to the bibliographic lists of related studies Situation – Spiritual care deals with the history, philosophy, theories, principles, process, modes and interventions of spiritual care. Emphasis is made on the process of spiritual formation and the role of nurses in providing spiritual care. 21. The following statements are true in spiritual care nursing except: A. Mobilizing the patient’s spiritual resources and patients’ expressed needs B. Developing a relationship of trust between the nurse and the patient C. Referral or utilize members of the team is not important for spiritual care as it is for other aspects of care D. Awareness and respect of the patient’s culture, social and spiritual preferences 22. The following are vulnerable groups needing spiritual care: (1) Chronically ill patient (5) During Emergencies (2) Older adult (6) Patient with acute illness (3) Dying and Bereavement (7) Children and families (4) During disasters A. 2, 4, 6 B. 1 only C. 1, 3, 5, 7 D. All are correct 23. The following statements are true of Parish nursing also known as faith community nurse: A. A registered nurses with a minimum of 2 years experience B. There is conscious partnering of health issues with the faith of the client and client’s family C. The core to this practice is in the intentional care of the spirit of those the PN assist D. All are correct 24. Roles of a parish nurse includes all of the following: (1) Health advisor (2) Educator on health issues (3) Advocate/ resource person (4) Liason to faith and community resources (5) Teacher and volunteers and developer of support groups (6) Healer of body, mind, spirit and community A. 1, 3, 5 B. 2, 4, 6 C. All are true except 6 D. All are correct 25. The following statement are true of palliative/ hospice care (1) Excellent, evidence based medical treatment (2) Vigorous care of pain and symptoms throughout illness (3) Provides support and care for those in the last phases of life- limiting illness (4) Recognizes dying as part of the normal process of living (5) Affirms life and neither hastens nor postpones death (6) Focuses on quality of life for individuals and their family caregivers A. 1, 3, 5 B. 2, 4, 6 C. All are true except 6 D. All are correct SITUATION. Nurse Sophia is caring for Yannie, a 32 year old primigravida at 39-40 weeks AOG was admitted to the labor room due to hypogastric and lumbo-sacral pains. IE revealed a fully dilated, fully effaced cervix. Station 0.
4 | Page understanding on the different concepts and terms utilized in carrying out the research process. 41. In one of the studies conducted, the hypothesis formulated was stated, “Baccalaureate degree-prepared nurses will practice more palliative nursing measures on a client in an ICU than will associate degree-prepared nurses.” The independent variable here is: A. Baccalaureate degree-prepared nurses B. Associate degree-prepared nurses C. Palliative nursing measures D. Type of educational background of nurses 42. In a certain study, the researcher was asked to include the subjects’ gender. Gender is classified in what scale of measurement? A. Ordinal B. Ratio C. Nominal D. Internal 43. Empiricism refers to: A. Making generalizations from a specific observation B. Gathering evidence rooted in objective reality C. Verifying assumptions on which the study was based D. Deciding specific productions from generalizations 44. In conducting a research, you did not collect any information that would link to the identification of the participants to their responses. The ethical guideline observed is: A. Privacy of participants B. Autonomy C. Confidentiality of information D. Anonymity of respondents 45. As you write your introduction for your study, you must take all of the following considerations, except: A. Presenting every detail of the study concisely B. Omitting the major findings of the study C. Careful selection of words to avoid redundancy D. Using a deductive presentation of the study Situation: Aside from knowing the diseases which are currently included in the Philippines’ Newborn Screening Program, nurses must also be equipped with the knowledge on how to properly care for newborns who tested positive for any of the inborn errors of metabolism. 46. Which of the following food products should be eliminated in the diet of a child with Phenylketonuria? A. bread B. pineapple C. milk D. potato 47. In clients with Phenylketonuria, at which developmental period would the dietary restrictions be easily applied? A. Infancy B. Toddlerhood C. Preschool years D. School years 48. Which of the following is recommended for newborns and infants who are diagnosed with Galactosemia? A. breastmilk B. commercial milk formula C. fruit juices D. soy-based formula 49. For newborns diagnosed with Maple Syrup Urine Disease, which of the following vitamins should be increased in their diet? A. Thiamine B. Pyridoxine C. Tochopherol D. Vitamin K 50. All of the following can trigger hemolysis in children with Glucose-6-Phoshate-Dehydrogenase Deficiency, except: A. fava beans B. naphthalene balls C. Aspirin D. Junk foods Situation: Nurse Sunshine works in the orthopedic unit of the pediatric ward. 51. A 13 year old female with structural scoliosis has Harrington rods inserted. Nurse Sunshine knows that the best position during the post- operative period is: A. High fowler’s B. Semi-fowler C. supine in bed D. side-lying 52. Which of the following observations does Nurse Sunshine expect to see in her patient with thoracic scoliosis? A. The patient walks with a waddling gait B. The patient’s sternum is protruding C. The patient’s lower legs are edematous D. The patient’s thoracic area is asymmetrical 53. A child with bilateral clubfeet is going home with corrective braces after having both casts removed. Nurse Sunshine is completing discharge teaching for the parents. Which of the following is the highest priority? A. Keep the braces concealed under long pants B. Remove the braces whenever the child is in public C. Use lotion and then powder to prepare the skin before applying the corrective braces to the legs D. Increase the time of interval of wearing the braces and have the child wear them eventually as much as possible 54. Which of the following positions of the femur is accurate in relation to the acetabulum in a child with congenital hip dislocation? A. Anterior B. Inferior C. posterior D. superior 55. Nurse Sunshine knows that structural scoliosis is not: A. Idiopathic B. Accompanied by damage to the vertebrae C. A primary lateral curvature with a compensatory second curve D. A compensatory mechanism in children who have unequal leg lengths and refractive errors Situation: A major continuing and non-negotiable task of every nurse in the care of infants and children at varying stages of their growth and development is the application of her assessment skills. The following questions apply. 56. Nurse Ivee inquires about the activity level of a 3-year-old under her care. The mother states that the child loves to play at the park, and the nurse encourages the mother to continue physical activities. What important principle guides the nurse’s response? A. allowing he toddler to walk, run and hop enhances the child’s kinesthesia B. socialization with other toddlers helps develop communication skills C. maternal bonding is enhanced through play D. only emotionally happy child can enjoy the park 57. The father of a 2½ year old asked nurse Ivee how to prevent early childhood dental cavities. The best response by nurse Ivee would be: A. “Let the child watch you brush your teeth so that he can learn how to do it himself.” B. “Your child has only baby teeth; these will eventually fall out and so there is no need to worry.” C. “Take the child to the dentist to see if he has any cavities.” D. “Make sure your child’s diet is nutritious, and limit snacks high in sugar.” 58. In caring for a 3-year-old, Nurse Ivee knows that she needs to obtain the height of the child as part of routine health screening. To obtain an accurate measurement, the child must: A. remove his shoes and stand upright, with head level B. stand with his feet wide apart C. be measured in a recumbent position D. face the wall as he is measured