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C. Confront Nurse Dana and terminate her D. Write a letter to the Civil Service Commission for proper action to Nurse Dana 23. It was found out that Nurse Dana did not pass the Nurse Licensure Examinations (NLE). What legal action should be filled against her? A. Dishonesty B. Conduct unbecoming of professional C. Malpractice D. Misrepresentation 24. In case Dana have medication error during her tour of duty, the head of office can be liable because of the law called ____________. A. Unethical conduct B. Respondeat superior C. Politicking D. Res Ipsa Loquitur 25. All Nurses must understand that after graduation they should pass the NLE. To be registered in the roster, they should take the Professional Oath with a ________, EXCEPT. A. Member of Sangguniang Panlalawigan B. Governor of Philippine Nurse Association C. Member of the Professional Regulatory Board of Nursing D. Provincial Governor Situation – PHN Elfa works in barangay 14 and 15 in the Municipality of Agoho. One day, a neighbor summons her to attend to a 7-year old boy with high grade fever. 26. Upon reaching the house, a local herbolaria, Nanay Isa was already attending to the boy. She said that the boy played near the river and the bad spirits entered his body. The MOST appropriate remark the nurse make is _________________. A. “Go on. Do what you have to do, then I will take over.” B. “Nanay Isa, your intervention is entirely wrong.” C. “It’s good you’re here. You can drive away the spirits that entered the boy’s body.” D. “You have to be sure that all the evil spirits have been driven out of the boy’s body.” 27. After a few minutes, Nanay Isa took a big bowl of soup and gave to the boy. The BEST remark of the Nurse is _____________. A. “I also drink a soup when I get sick. How about you, Nanay Isa, do you do the same?” B. “The soup could have been better if you put lemon grass on it.” C. “Come on, tell me why soup must be given to a child with fever D. “That’s correct. Increasing fluid intake will help lower down temperature.” 28. Finally, Nanay Isa took out from her pocket a dried rose flower and place it on the boy’s forehead. How will Nurse Elsa handle this action? A. Tell her not to use the dried flower again because it does not have any good effect on the sick B. Ask for an extra piece of fried rose flower and promise to use it C. Ask the herboloria the rationale for the intervention D. Leave the intervention as is. Anyway the intervention is neutral: not harmful nor beneficial Situation – The local health board established a reproductive health clinic in the main health center. Two nurses, Hunter and Irene, were assigned to handle services to address problems related to sexuality, reproductive health and fertility problems. 29. Nurse Hunter classifies cases according to the major categories of reproductive tract infections. Which of the following is NOT part of such classification? A. Iatrogenic infections as aftermath of invasive procedures like catheterization and intra-uterine device (IUD) insertion B. Urinary tract infections among male and female patients C. Sexually-transmitted infections D. Endogenous infections resulting from poor personal hygiene 30. Irene handles the screening for gonorrhoea every two weeks among female sex workers in the implementation of PD 856. In differential diagnosis of discharge among infected clients, which of the following colors discharge will Irene take note to identify gonorrhoea from other causes? A. Greenish yellow as differentiated from mucoid white of trichomoniasis B. Mucoid white as compared to grayish-white discharge of vaginosis C. Grayish white as differentiated from mucoid white of chlamydia D. Yellowish white as compared to trichomoniasis’ greenish-yellow 31. Nurse Hunter was invited by a women’s group to give a lecture on healthy sexuality. In the expectation check, he noted that there are previous misconceptions expressed by the participants. Which of the following statements are correct? A. It is the obligation of the wife to give in to sex every time he asks for it B. Sexuality is fluid and may change C. Effeminate men are gays D. Homosexuality, being gay or lesbian, is an abnormality 32. One of the clients was positive to Gonorrhea. Nurse Irene explained that gonorrhoea and chlamydia, if left untreated can lead to Pelvic Inflammatory Disease (PID). Such condition may cause infertility due to ______. A. Foul smelling odor discharge which can kill the ovum B. An unknown cause C. Scarring which can lead to tubal occlusion D. Purulent discharge which can kill the sperm 33. Nurse Irene further explained that a test used to determine tubal patency using a radiopaque material is the __________. A. Post-coital infetitlity test B. Sims Huhner test C. Friedman’s test D. hysterosalpingography Situation – Ela, 21 years old, is a law graduate. She wants to review for the Bar but thinks she is pregnant. She said she has regular menses but does not know when ovulation usually occurs. This have something to do her fertility period during her last sexual intercourse with her husband. 34. As a nurse, what would you tell Ela regarding ovulation? The ovulation usually corresponds to the life of the corpus luteum which occurs approximately _______________. A. 14 days after the first day of the succeeding menstrual B. 7 days after the first day of the succeeding menstrual C. 7 days before the first day of the succeeding menstrual D. 14 days before the first day of the succeeding menstrual 35. Ela insisted she might have been fertile during the time of sexual intercourse. The nurse explains that absolute period of fertility is the span of time that a woman is likely to be pregnant when she engages in unprotected sex______. A. Several days after ovulation B. During ovulation C. Immediately after ovulation D. Immediately before ovulation 36. The nurse proceeded to take the menstrual history of Ela to find out if she is likely to be pregnant. Which of the following determines the date of onset of last menstrual period (LPM)? It is the ___________. A. Duration and character of the LMP B. Implantation bleeding C. Spotting after the LMP D. Bleeding before the last menstrual period (LMP) 37. The nurse also asked about Ela’s secondary amenorrhea that would most likely indicate her pregnancy. Secondary amenorrhea is cessation of menses for more than_______ months, after regular menstrual cycle has been established. A. Five B. Three C. six D. four 38. The nurse also asked for presence of secondary dysmenorrhea. Which of the following conditions is not INCLUDED under secondary dysmenorrhea? A. Intra-uterine device (IUD) 3 | Page
B. Pelvic Inflammatory Disease (PID) C. Malposition of the cervix D. Absence of any underlying anatomic abnormality 39. Carla another patient in the clinic just found out that she is pregnant. She asks when would be her delivery date. What is the expected date of confinement (EDC) of a pregnant woman whose menstruation was from April 10 to April 13? A. January 17 B. January 20 C. July 17 D. July 20 40. The nurse noted the Fundic height of Anna is at the level of the umbilicus. In documenting the data using Bartholomew’s rule, the most probable age of gestation (AOG) in week is : A. 12 weeks B. 16 weeks C. 20 weeks D. 32 weeks Situation: A pregnant woman is monitored continuously for a range of signs and symptoms that indicate potential complication. Nurse Carol attends to different discomforts and problems of pregnant women. 41. Alice an O.P.D nurse admitted Mrs. Felia to the antepartum unit with a diagnosis of severe Hyperemesis Gravidarum. When the nurse reviews the laboratory tests, she would expect which of these findings? A. Increased hematocrit B. Decreased blood urea nitrogen C. Increased potassium D. Low urine specific gravity 42. Nurse Alice suspects presence of sexually transmitted infection to Mrs. Felia specifically Syphilis to a pregnant client. Which of the following tests will be recommended to the client to confirm diagnosis? A. Complete blood count B. Urinalysis C. Benedict’s test D. VDRL 43. Mrs. Ilagan a 26 year old Primigravida is being prepared for a nonstress test. This is an assessment test based on what phenomenon? A. Braxton-Hicks contractions cause fetal heart rate alterations. B. Fetal heart rate slows in response to a uterine contraction. C. Fetal movement causes an increase in maternal heart rate. D. Fetal heart sounds increase in connection with fetal movement. 44. After a non-stress test is completed, Nurse Ilagan observes on a monitor of the fetal strip results that the fetal heart rate accelerated 15 BPM with each fetal movement. The acceleration lasted for 20 seconds and occurred 3 times during the 20 minute test. The Nurse is correct in interpreting the test as a: A. Reactive test B. Non- reactive test C. Positive test D. Negative test 45. Another client is also scheduled for Amniocentesis. Nurse Carol explains to the client that one of the risks of amniocentesis is: A. Rupture of membranes B. Premature labor C. Fetal death D. Malformation 46. The nurse is assessing the fetal heart monitor strip of a client having a contraction stress test. Which of the following, if noted by the nurse, would indicate a negative test? A. No late decelerations after any contractions on a strip with three contractions within a 10-minute time frame. B. Late decelerations after at least 2 contractions on a strip with three contractions within a 10-minute time frame. C. Late decelerations after one contraction on a strip with three contractions within a 10-minute time frame. D. An increase in fetal heart rate after three contractions within a 10-minute time frame. 47. The client complains of feeling tired and thirsty. The nurse evaluates that the mother understand the reason for taking only small sips of water and ice chips during labor. Which of the following statement expressed by the mother would reflect she understands the situation? When: A. the body normally has a sufficient store of energy B. the digestive process is normally slower during labor C. the intestinal tract should be completely empty before delivery in order to avoid infecting the baby D. Cesarian section is always a possibility even in normal labor 48. Kim, a 27 year old, multigravida client, has been transferred to the delivery room after spontaneous rupture of membrane and crowning was noted by the nurse in charge. You know that your teaching has been effective when the laboring client's partner shouts, "She's crowning!" as: A. You first start to see a little of the baby's head. B. The baby's head recedes upward between pushing contractions. C. The perineum is thin and stretching around the occiput. D. The mouth and nose are being suctioned. 49. To deliver her infant, a woman is ask to push with contractions to deliver. Ensuring the standards of nursing practice, which of the following is the most effective and safest pushing technique to teach her? A. Lying supine with legs in lithotomy stirrups. B. Squatting while holding her breath. C. Head elevated, grasping knees, breathing out. D. Lying on side, arms grasped on abdomen. 50. The delivery room nurse based on the standards of nursing practice, episiotomy is usually indicated for which of the following purposes? A. To prevents distention of the bladder. B. To relieve pressure on the fetal head. C. To aid in contraction of the uterus following delivery. D. Done primarily for the physician’s benefit. Situation: It is important for an Obstetric Nurse to perform a comprehensive physical assessment after labor and delivery that could predispose the mothers to potential complications such as hemorrhage. 51. The Nurse in the delivery room is attending to Mrs. Cruz on labor to make sure that maternal injury will be prevented during the postpartum period. Which of the following instruction should the nurse consider to prevent postpartum hemorrhage? A. Massage the fundus regularly B. Postpone breastfeeding of the baby- C. Apply warm compress to her abdomen D. Have bed rest and avoid early ambulation 52. When the placenta has been delivered, the first thing the nurse should do in adherence with the standards of nursing practice is to: A. Inspect the placenta for completeness of the cotyledons B. Palpate the uterus to see if it is contracted C. Administer oxytoxic agents as ordered D. Estimate the blood loss to detect any bleeding 53. The delivery room nurse palpates the client’s fundus immediately after delivery of the placenta and assess that it is boggy. The nurse massages the patient’s uterus until it is firm. Considering evidence-based nursing practice, which medication would the nurse anticipate might need to be administered if the uterus becomes boggy again? A. Oxytocin (Pitocin) B. Ibuprofen C. Rho (D) immnune globulin (RhoGAM) D. Magnesium sulfate 54. Mrs. Evita 28 years old gave birth through Cesarian section. The Nurse examines her and identify the presence of lochia serosa and feels the fundus 4 fingerbreadths below the umbilicus. This indicated that the time elapsed is: A. 1 to 3 days postpartum B. 4 to 5 days postpartum C. 6 to 7 days postpartum D. 8 to 9 days postpartum 4 | Page

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