Title PRE-INTENSIVE - NP1 - STUDENT COPY ✅

35. A client with deep wounds underwent Hydrocolloid dressing. Which of the following is true with regards to this dressing? A. They provide good wound visibility B. They could last indefinitely until the wound heals C. The client could not shower or bath with such dressing D. They can be molded to uneven skin surfaces thus best used in pressure ulcers Situation: Survey and Statistics are important parts of research that is necessary to explain the characteristics of the population. 36. All but one of the following is not a measure of central tendency. * A. Range B. Variable C. Standard deviation D. Mode 37. It reflects the most frequent value that appears in the set data. * A. Mode B. Mean C. Ratio D. Median 38. In the values: 87, 85, 88, 92, 90, the mean is: A. 87 B. 90 C. 88.4 D. 88.2 39. In the values: 80, 80, 80, 82, 82, 90, 90, 100, the mode is: A. 90 B. 85.5 C. 80 D. 82 40. In the values: 80, 80, 10, 10, 25, 65, 100, 200, the median is: A. 72.5 B. 71.25 C. 22.5 D. 10 and 25 Situation: Health promotion is the priority nursing responsibility. The nurse should be able to promote the client’s well-being and identify ways on improving the client’s quality of life. 41. The nurse is caring for a 16-year old female client who isn’t sexually active. The client asks if she needs a Papanicolau test. The nurse should reply: A. Yes, because she’s 16 years old B. No, because she isn’t sexually active C. Yes, she should have a Pap smear after the onset of menstruation D. No, because she is not yet 21 years old 42. The nurse is assessing a client who complains of abdominal pain, nausea, and diarrhea. When examining the client’s abdomen, which sequence should the nurse use? A. Auscultation, inspection, palpation, percussion B. Palpation, auscultation, percussion, inspection C. Inspection, auscultation, percussion, palpation D. Inspection, palpation, percussion, auscultation 43. The nurse is speaking to a group of women about early detection of breast cancer.The average age of women in the group is 45. Following the Philippine Cancer Society guidelines, the nurse should recommend that the women should: A. Have a physician conduct a clinical examination every 2 years B. Have a mammogram annually C. Perform a breast self-examination annually D. Have a hormonal receptor assay annually 44. The school nurse is planning a program for a group of teenagers on skin cancer prevention. Which of the following instruction should the nurse emphasize on her talk? A. Examine skin once per month, looking for suspicious lesions or changes in moles B. Tanning booth is a safe alternative for those who wish to tan C. Stay out of the sun between 1 pm and 3 pm D. Sun exposure is safe, provided the client wears a protective clothing 45. An employer establishes a physical exercise area in the workplace, and encourages all employees to use it. This is an example of which level of prevention? A. Passive prevention B. Tertiary prevention C. Secondary prevention D. Primary prevention Situation: Mr. Reyes, 70 years old, was suddenly rushed to the hospital because of severe chest pain. On admission, he was diagnosed to have an acute myocardial infarction and was placed in the ICU. 46. While he is in the ICU, he executes a document that lists the medical treatments he chooses to refuse in case his condition becomes severe to a point that he will be unable to make decisions for himself. The document is: A. Last will and testament B. Living will C. Informed consent D. Power of attorney 47. After one day, the patient’s condition worsened and he felt hopeless. He requested the nurse to remove the oxygen. The nurse should: A. Refuse the patient and encourage him to verbalize his feelings B. Refuse the patient since euthanasia is not accepted in the Philippines C. Follow the patient as it is his right to determine the medical regimen he needs D. Follow the patient because it is his right to die gracefully 48. Euthanasia is an ethical dilemma which confronts nurses in the ICU because: * A. Decisions has to be made based on societal norms B. Decisions has to be made quickly, often under stressful situations C. The choices involved do not appear to be clearly right or wrong D. A client’s legal rights co-exist with the nurse’s professional obligation 49. The personal conviction that euthanasia is absolutely wrong in any situation is: * A. Legal obligation B. Personal value C. Immoral belief D. Ethical issue 50. Mr. Reyes felt better after 3 days but recognized the severity of his illness. He executed a document authorizing his wife to transact any form of business in his behalf in addition to all decisions relative to his confinement. This document is referred to as: A. Living will B. Power of attorney C. Informed consent D. Medical record Situation: As a peri-operative nurse, you are aware of the correct processing methods for preparing disinfection. 51. As an OR nurse, what is your foremost consideration for selecting chemical agents for disinfection? A. Duration of disinfectant and efficiency B. Material compatibility and efficiency C. Cost and duration of disinfectant process D. Odor and availability 52. Before you use an instrument disinfectant, it is essential that you: * A. Rinse with sterile water B. Dry the instrument thoroughly C. Wrap the instrument with sterile cloth D. Rinse with tap water followed by alcohol 53. You have a critical heat labile instrument to sterilize and are considering using high level disinfectant. What should you do? A. Double the amount of high level disinfectant B. Cover the soaking vessel to contain the vapor C. Prolong the exposure time according to manufacturer’s direction D. Test the potency of the high level disinfectant 54. To achieve sterilization using disinfectant, which of the following is used? * A. High level disinfectant immersion for 1 hour 3 | Page
B. Low level disinfectant immersion for 24 hours C. Intermediate level disinfectant immersion for 12 hours D. High level disinfectant immersion for 10 hours 55. Bronchoscope, thermometer, endoscope, ET tube, cystoscope, are all best sterilized using which of the following? A. Flash sterilizer at 1320C in 3 minutes B. Autoclaving at 1210C in 15 minutes C. 2% Glutaraldehyde immersion for 30 minutes D. Ethylene oxide gas aeration for 20 hours Situation: Nursing as a profession. The nurse should have a background on the theories and foundation of nursing as it has influenced what nursing is today. 56. Nursing is the protection and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response and advocacy in the care of the individuals, families, communities and the population. This is the most accepted definition of nursing as defined by: A. Virginia Henderson B. PNA C. ANA D. Florence Nightingale 57. Advancement in nursing leads to the development of the expanded career roles. Which of the following is not an expanded career role for nurses? A. Nurse practitioner B. Nurse anesthesiologist C. Clinical nurse specialist D. Nurse researcher 58. The board of nursing regulated the nursing profession in the Philippines and is responsible for the maintenance of the quality of nursing in the country. Powers and duties of the board of nursing are the following, except: A. Open and close college of nursing B. Supervise and regulate the practice of nursing C. Issue, suspend, revoke certificates or registration D. Issue subpoena, decus tecum, ad testificandum 59. A nursing student or a beginning staff nurse who has not yet experienced enough real situations to make judgments about them is in what stage of nursing expertise? A. Newbie B. Advanced beginner C. Competent D. Novice 60. Benner’s “proficient” nurse level is different from the other levels in nursing expertise in the context of having: A. Intuitive and analytic ability in new situations B. A holistic understanding and perception of the client C. Attained an advanced level of education D.The ability to organize and plan activities Situation: A client was rushed to the Emergency Room and you are his attending nurse. You are assessing the vital signs. 61. After a few hours in the emergency room, the client is admitted to the ward with an order of hourly monitoring of BP. The nurse finds that the cuff is too narrow and this will cause the BP reading to be: A. Low systolic and high diastolic B. Inconsistent C. Lower than what the reading should be D. Higher than what the reading should be 62. You attached a pulse oximeter to the client. You know that the purpose of this is to: * A. Check level of client’s tissue perfusion B. Determine if the client’s hemoglobin level is low and if he needs blood transfusion C. Detect oxygen saturation of arterial blood before symptoms of hypoxemia develops D. Measure the efficacy of the client’s antihypertensive medications 63. Through the client’s health history, you found out that the patient smokes and drinks coffee. When taking the BP of a client who recently smoked or drank coffee, how long should the nurse wait before taking the client’s BP for accurate reading? A. 1 hour B. 30 minutes C. 15 minutes D. 5 minutes 64. While the pulse oximeter is on the client’s fingertip, you notice that the sunlight is shining on the area where the oximeter is. Your action will be to: A. Do nothing since there are no identified problems B. Turn on and set the alarm of the oximeter C. Change the location of the sensor every four hours D. Cover the fingertip sensor with a towel or bed sheet 65. You are to assess the temperature of the client the next morning and found out that he ate ice cream. How many minutes should you wait before assessing the client’s oral temperature? A. 30 minutes B. 20 minutes C. 15 minutes D. 10 minutes Situation: Ensuring safety before, during, and after a diagnostic procedure is an important responsibility of the nurse. 66. To help Saul better tolerate the bronchoscope, you should instruct him to practice which of the following prior to the procedure? A. Holding his breath periodically for 30 seconds B. Tensing the shoulder muscles while lying on his back C. Breathing in and out through the nose with his mouth open D. Clenching the fist every 2 minutes 67. Thoracentesis may be performed for cytologic studies of the pleural fluid. As a nurse, your most important function during the procedure is to: A. Keep the sterile equipment from contamination B. Observe the patient’s vital signs C. Assist the physician D. Open and close the three-way stopcock 68. How will you prevent ascending infection to Lara who has an indwelling catheter? * A. Change the catheter every 8 hours B. See to it that the drainage tubing touches the level of the urine C. Clean catheter is used since urethral meatus is not a sterile area D. See to it that urine is draining freely 69. A patient’s blood test results reveal a hematocrit level of 66 mg/dL. The nurse should give priority to which nursing diagnosis? A. Activity intolerance B. Ineffective breathing pattern C. Dysreflexia D. Hyperthermia 70. A client’s admission urinalysis shows the specific gravity value of 1.039. Which of the following assessment data would the nurse expect to find when assessing the client? A. Poor skin turgor B. Urinary frequency C. Moist mucous membranes D. Increased blood pressure Situation: The nurse has been asked to administer an injection. 71. The nurse prepares an IM injection for an adult client using the Z track technique. 4mL of medication is to be administered to the client. Which of the following sites will you choose? A. Ventrogluteal B. Rectus femoris C. Vastus lateralis D. Deltoid 72. In infants 1 year and below, which of the following is the site of choice for intramuscular injection? A. Vastus lateralis B. Deltoid C. Ventrogluteal D. Rectus femoris 73. Mrs. Romualdez is obese. When administering subcutaneous injection to an obese patient, it is best for the nurse to: A. Pinch skin at the injection site and use airlock technique B. Inject needle at 15 degree angle over the stretched skin of the client 4 | Page