Title PRE-INTENSIVE - NP1 - SC ✅

3 | Page 26. Andrea is immediately transferred to the DR table. Which of the following conditions signify that delivery is near? 1. A desire to defecate 2. Begins to bear down with uterine contraction 3. Perineum bulges 4. Uterine contraction occur 2-3 minutes intervals at 50 seconds duration A. 1,2,3 B. 1,2,3,4 C. 1,3,4 D. 2,3,4 27. Artificial rupture of the membrane is done. Which of the following nursing diagnoses is the priority? A. High risk for infection related to membrane rupture B. Potential for injury related to prolapse cord C. Alteration in comfort related to increasing strength of uterine contraction D. Anxiety related to unfamiliar procedure 28. Yannie complains of severe abdominal pain and back pain during contraction. Which two of the following measures will be MOST effective in reducing pain? 1. Rubbing the back 2. Effleurage 3. Imagery 4. Breathing techniques A. 2,4 B. 2,3 C. 1,4 D. 1,2 29. Lumbar epidural anesthesia is administered. Which of the following nursing responsibilities should be done immediately following procedure? A. Reposition from side to side B. Administer oxygen C. Increase IV fluid as indicated D. Assess for maternal hypotension 30. The nurse is caring for a woman in labor. The woman is irritable, complains of nausea and vomits and has heavier show. The membranes rupture. The nurse understands that this indicates: A. The woman is in transition stage of labor B. The woman is having a complication and the doctor should be notified C. Labor is slowing down and the woman may need oxytocin D. The woman is emotionally distraught and needs assistance in dealing with labor. Situation: Nurse Mak is caring for pediatric clients who have different metabolic and endocrine disorders. 31. A school-age child needs 5 units of regular insulin to be administered. She is in the playroom when you are ready to give the injection. Your best action would be to: A. Inject it in the playroom; insulin injections do not hurt. B. Tell her to come outside the playroom for the injection. C. Ask the other children if they would mind if you gave the injection in the playroom. D. Ask the girl if she would mind if you gave the injection in the playroom. 32. Diabetes insipidus (DI) is suspected in a child. His parents asked Nurse Mak how often the child needs insulin injections in a day. Nurse Mak answers correctly by stating: A. “The child would need an intermediate- and long- acting insulin given 2 hours and before night time respectively.” B. “You seem very anxious. Do you want to talk about your fears?” C. “Your child’s condition does not necessarily need insulin regimens.” D. “I will ask your doctor first.” 33. A patient with Cushing’s syndrome due to a primary tumor is expected to have elevated levels of the following, except: A. Adrenocorticotropic hormone B. Antidiuretic hormone C. Cortisol D. None is an exception 34. Isabella is suspected to have diabetes mellitus (DM). Her first test reveals elevated blood sugar. She was required to undergo a second test of her blood sugar. Which of these results would confirm presence of DM? A. Fasting blood sugar 104 mg/dL B. Random blood sugar 190 mg/dL C. Fasting blood sugar 130 mg/dL D. Random blood sugar 122 mg/dL 35. Which toy would you expect to provide the best therapeutic play for a child who has to receive daily medicine injections? A. Anatomically-correct puppet B. Doll with a cast in place. C. Syringe to practice injections D. Stuffed bear with Band-Aids. Situation: There are various pediatric disorders that require comprehensive assessment and nursing interventions. The following scenarios refer to health problems of children. 36. Ian is a pediatric patient of Nurse Regine. Ian is diagnosed with Duchenne’s Muscular Dystrophy (DMD). Because of this condition, when Ian tries to walk, he is said to “walk up his front” – pressing his hands against his ankles and thighs. Regine notes sign as: A. Gower’s sign B. Chadwick’s sign C. Ortolani’s sign D. Barlow’s sign 37. To maintain the optimal functioning of Ian’s muscles, select the interventions that Nurse Regine should include in her care plan and discharge plan. i. Maintain complete bed rest as long as possible. ii. Perform stretching exercises, strength and muscle training as much as the client can tolerate. iii. Perform breathing exercises to increase and maintain lung vital capacity. iv. Comply to follow-up in physical therapy v. Encourage influenza and pneumococcal vaccines vi. Encourage parents to perform all Jim’s ADLs to avoid fatigue. A. i, iii, iv B. i, ii, iii, iv, v C. ii, iii, iv D. ii, iii, iv, v 38. Nurse Regine is handling another patient with myelomeningocele, a type of spina bifida. Nurse Regine knows that neural tube disorders like spina bifida is prevented by prenatal intake of which of the following? A. Vitamin B9 B. Vitamin B6 C. Vitamin B12 D. Vitamin B1 39. The patient with myelomeningocele is placed under a warmer without any clothing. How should Nurse Regine care for the patient’s sac? A. Leave it uncovered. B. Frequently rub petroleum jelly on the sac covering. C. Apply sterile, moist, nonadherent dressing over the sac. D. Cover with sterile gauze moistened with 40% ethyl alcohol. 40. In feeding the infant with the myelomeningocele sac, how should Nurse Regine position him to prevent complications? A. Place the infant in a supine position with two pillows under the head B. Keep the patient in prone position with the head turned to the side. C. Place the infant supine with pillows on one side of his back. D. Request for a nasogastric tube to be inserted. Situation: You are part of the research department in the Department of Health. As a nurse researcher, you have a good
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