Content text RECALLS 7 - NP1 - SC
14. In another health education session, Nurse Dana explains about LEPROSY. Which of the following should be included? 1. Leprosy is curable 2. Not all leprosy patients are infectious 3. Leprosy is hereditary 4. Casual contact with a patient causes leprosy 5. Regular and adequate treatment is essential A. 1, 3, 5 B. 2, 4, 5 C. 1, 2, 5 D. 2, 3, 4 15. Nurse Dana stated that a definitive diagnosis of leprosy is obtained through _________. A. Blood examinations B. Tuberculin testing C. Skin smears/biopsies D. Nasal smears Situation: Nurse Rei is a staff nurse in the Maternity Ward of Government Hospital. While working as a staff nurse, she also pursues graduate studies for a master’s degree in nursing. She plans to conduct a study in her unit. 16. Nurse Rei understands that the main objective in conducting research in nursing is to __________. A. Develop the nursing profession B. Improve nursing care C. Ensure accountability for nursing practices D. Document the cost effectiveness of nursing care 17. Nurse Rei decides to do a phenomenological study. What is the characteristic of a phenomenological study? A. Was initially developed by anthropologist to study the way a human being react within or experiencing a natural setting. B. Enables the investigator to discover the theory from systematically obtained data. C. Provides an in-depth description of the phenomenon of interest to theninvestigator D. Examines maternal experience as they are lived and understood as reality as human beings 18. Nurse Rei is aware that the phenomenological method of research is ________. A. That is uses primary and secondary sources B. A description of events from the past C. That truth is a lived experience D. That is involves field work 19. To collect data for her study, Nurse Rei interviews six patients who has experienced complications during pregnancy and after delivery. She interviews the patient two or three times until the point of saturation has been reached. To what does the term "saturation" in qualitative research refer to? A. Sample size B. Subject exhaustion C. Data repetition D. Researcher exhaustion 20. Nurse Rei drafts a title for her proposed study. Which of the following would be the appropriate title for her study? A. "Caring Behaviors of Nurses Toward Maternity Patients with Complications" B. "Lived Experiences of Maternity Patients with complications" C. "Quality of life of Maternity Patients with Complications" D. "Competencies of Nurses in the Maternity Unit as Perceived by Patients" Situation: In any setting of nursing practice including community health, records management such as documentation and record keeping, is important. 21. Documentation is a critical component to the delivery of healthcare. It is a tool which serves many purposes. Which of the following is NOT included? A. Create a permanent record for the patient’s future care B. Provide material for discussion C. Plan and evaluate a patient’s treatment D. Ensures continuity of care 22. When recording the home visit, it is important for the public health nurse to _____. A. Document the visit only when there are significant changes B. Follow the agency format for recording and documentation C. Complete the charting every Friday of the week D. Use phrases in outline form 23. The nurse should document intelligently and clearly. There are ways to help protect against an allegation of falsifying a medical record. These are the following: 1. Date, time, and sign every entry. 2. Make entries soon after care is given. 3. Written legibly. 4. Be thorough, accurate, and objective. 5. Use only approved abbreviations. A. 1, 2, 3, 4, and 5 B. 1, 3, and 5 C. 2, 3 and 4 D. 2, 4, and 5 24. Public health nurses must know that all records have a lifecycle and retention scheduling. Clinical records must be retained in the health care facility for: A. Anytime with client’s permission B. Ten years from last date of service C. Two years from date of client’s last visit D. Five years from date of client admission 25. Controlled Substances such as drugs dispensed and administered, order and inventory records must be kept in the health care facility for how many years? A. Six months B. One year C. Five years D. Three years Situation: Nurse Amanda is in charge of record keeping in the health center 26. Which of the following is NOT a step of record keeping? A. Structuring B. Storing C. Securing D. Easy disposal 27. In the community setting which is the essential record about the patient? A. Treatment record B. Tally sheet C. Chart D. Kardex 28. Which of the following is the purpose of record keeping? A. Quantify medication usage B. Historical background C. Archive D. Quality health care 29. Records are IMPORTANT in health care for A. Counting hospital bills B. Evidence of health care C. Quantifying services provided D. For the physician to read 30. What is the ultimate purpose of record keeping? A. Safeguard information B. Archive C. History D. Store information Situation: A pregnant client tests positive for the Hepatitis B virus. 31. The client asks the nurse if she will be able to breastfeed the baby as planned after delivery. Which therapeutic response would the nurse communicate to the client? A. “You will not be able to breastfeed the baby until 6 months after delivery.” B. “Breastfeeding is not advised, and you should seriously consider bottle-feeding the baby.” C. “Breastfeeding is not a problem, and you will be able to breastfeed immediately after birth.” D. “Breastfeeding is allowed if the baby receives prophylaxis treatment at birth and scheduled immunizations.” 2 | Page
32. A hepatitis B screen is performed on a postpartum client, and the results indicate the presence of antigens in the maternal blood. Which intervention would the nurse anticipate to be prescribed to protect the neonate? A. Obtaining serum liver enzymes B. Administering hepatitis vaccine C. Supporting breastfeeding every 5 hours D. Repeating hepatitis B screen in 1 week 33. A nurse is conducting health teaching for a new mother regarding the Hepatitis B immunization schedule for her newborn. Which of the following statements by the mother indicates correct understanding of the vaccination schedule? A. "My baby should receive the first dose at 2 months old." B. "The Hepatitis B vaccine is given in a single dose only." C. "The first dose should be given within 24 hours after birth." D. "My baby will receive the first dose together with the MMR vaccine." 34. Which of the following is the next appropriate schedule for the Hepatitis B vaccine? A. At 3 weeks of age B. At 6 weeks of age C. At 10 weeks of age D. At 14 weeks of age 35. During meals, the pregnant client with Hepatitis B dislodges her IV line and bleeds on the surface of the over-the-bed table. It would be most appropriate for the nurse to instruct a housekeeper to clean the table with: A. Alcohol B. Acetone C. Ammonia D. Bleach Situation: Health Education on HIV-AIDS has been massive in the years prior, yet patients and their relatives still have a number of queries and misconceptions about it. Marie, a young mother of 34, has been recently diagnosed with the disease. 36. Nurse Ana is educating Marie about HIV transmission. Which of the following bodily fluids is considered NOT a significant carrier of HIV due to very low concentrations of the virus? A. Urine B. Cerebrospinal fluid C. Semen D. Menstrual blood 37. Marie is aware that there is mother-to-child transmission of HIV. She becomes concerned and asks the nurse when it specifically happens. The nurse answered that it can occur in the following circumstances, EXCEPT _____. A. During breastfeeding B. During casual contact C. At the time of delivery D. In utero Answer: B 38. Marie asks the nurse, “what kind of transmission occurs between a mother who is HIV-positive and her infant?” Nurse Ana answered: A. Vertical transmission B. Diagonal transmission C. Horizontal transmission D. Airborne transmission 39. Marie has CD4 lymphocyte count below 200 cells/mm3. She then asks what that means. The nurse answered: A. That is within normal limits B. She is in Stage 3 or AIDS C. It is slightly below normal, nothing to worry about D. It is worrisome, but immediate attention is not necessary 40. The nurse counsel Marie that the prevention of HIV infection that is not usually realistic is which one of the following? A. HIV testing B. Behavioral interventions to reduce risk C. Total abstinence D. Linkage to a treatment center Situation: Cassandra is suspected of having poliomyelitis after recent travel to an endemic area. 41. Poliomyelitis is known for its specific modes of transmission. Which of the following is the primary mode of transmission for poliomyelitis? A. Direct contact with respiratory droplets B. Airborne particles C. Fecal-oral route D. Vector-borne transmission 42. What is the causative agent of poliomyelitis? A. Bacteria B. Fungus C. Virus D. Parasite 43. To confirm a diagnosis of poliomyelitis, specific diagnostic tests are used to detect the presence of the virus. What is one of the primary diagnostic methods used to identify poliovirus? A. Blood smear B. Urinalysis C. Stool culture D. Chest x-ray 44. The Oral Polio Vaccine (OPV) is given in a specific dosage to ensure its effectiveness. What is the standard dosage for OPV? A. 0.5 mL B. 1 mL C. 2 drops D. 5 drops 45. The nurse is educating a parent about the poliomyelitis vaccination schedule for their child. Which statements about the Oral Polio Vaccine (OPV) and Inactivated Polio Vaccine (IPV) are correct? 1. OPV is administered as 2 drops orally. 2. IPV should be administered intramuscularly in the deltoid muscle for infants. 3. The first dose of IPV is given at 3 1⁄2 months of age. 4. OPV should be administered at 2 months, 4 months, and 6-18 months. 5. IPV is administered intramuscularly in the anterolateral thigh for infants. A. 1,3,4 B. 1,2,5 C. 2,3,5 D. 1,3,5 Situation: As the rainy season begins, Nurse Jenny and her team are on high alert for a rise in Dengue Fever cases. 46. What is the causative agent of dengue fever? A. Fomite B. Vector C. Bacteria D. Virus 47. Which of the following strategies would be effective in reducing the incidence of dengue infection? A. Healthy nutritious food B. Burning of leaves and garbage C. Destruction of breeding place of vectors D. Adequate rest and sleep 48. Bleeding is the most critical complication of dengue infection. When should the patient be monitored for signs of bleeding? A. 4th to 7 days B. At the onset of symptoms C. 2nd to 3rd day D. 1st day 49. What information about dengue fever should the nurse communicate to the community? A. It is always life threatening. B. It could be deadly but preventable. C. It responds well to antibiotics. D. The incubation period is variable. 50. Which diagnostic test can help confirm the diagnosis of dengue fever? A. Rumpell-Leede B. Mantoux C. Elisa 3 | Page