Tiêu đề PRE-INTENSIVE - NP3 - SC ✅

bats. It is also commonly known as the hemorrhagic fever. Given its signs and symptoms of myalgia, high fever, malaise, internal bleeding and shock, the nurse should anticipate all of the following management except: A. Intensive fluid replacement B. Contact tracing C. Isolation D. Close-door home care 12. Zika virus is another emerging disease which was discovered in Uganda in 1947. It is known to be transmitted through mosquito bites specifically of Aedesaegypti and albopictus. Aside from a known complication of microcephaly to infants born to a mother who had a history of Zika virus, which complication is known to develop among adults who have had a history of the disease? A. Guillain-Barre Syndrome B. Alzheimer’s disease C. Degenerative spondylosis D. Hunter’s syndrome 13. In caring for a client with AIDS and is currently on HAART therapy, which of the following statements indicates a need for further teaching regarding the management of the disease? A. “I should take my HAART medications with meals” B. “I should regularly check my liver function.” C. “I should immediately consult my physician if I experience abdominal pain which radiates to the back” D. “I could go swimming in a public resort with my family and friends” 14. Nurse Pau is teaching a group of student nurses about Dengue. Which of the following statements if said by the student indicates correct understanding of the topic being discussed? A. “The confirmatory test for Dengue virus is the complete blood count test” B. “20 or more petechial spots inside a 2.5 cm2 box may indicate presence of bleeding according to the principle of the Rumpel lead test” C. “The drug of choice for the client’s fever is acetylsalicylic acid” D. “There is a need to restrict the client’s fluid during Grade III Dengue Fever” 15. SARS and MERS-COV almost have the same presenting signs and symptoms. Although they both have the same causative agent which beta-coronavirus, MERS-COV has a higher case fatality rate of 30% compared to the 10% CFR of SARS. The difference between the statistics of the two diseases can be attributed to: A. The extent of respiratory complications in MERS-COV B. The presence of renal involvement in MERS-COV C. The easier diagnosis of SARS D. The self-limiting nature of SARS Situation: Verbal communication is extremely important especially when the Nurse is exploring problems and disorders with the clients in any age group. Nurse Dante is assigned to different clients in the ward. 16. A client is hospitalized with a diagnosis of possible Cancer of the pancreas. On admission the client asks the nurse, “Do you think I have anything serious like cancer?”What is the nurse’s best reply? A. “What makes you think you have cancer? B. “I don’t know if you do, but let’s talk about it.” C. “Why don’t you discuss this with your doctor?” D. “Don’t worry, we won’t know until all the test result are back.” 17. Nurse Dante approaches a male client and asks how he is feeling. The client states “I’m feeling a bit nervous today.” Which of the following is the Nurse’s best reply? 1. Please explain what you mean by the word nervous 2. What is making you feel nervous? 3. Would a backrub ease your nervousness? 4. You do look like you’re nervous 18. When assessing a client what statement would indicate negative self-talk? A. Everyone has to learn something new sometime B. I am looking forward to making home visits , but I am also nervous C. This is going to be difficult, but I know I can do it D. Who can ever have enough experience to prepare for that job? 19. While receiving a preoperative enema a client starts to cry and says. “I’m sorry you have to do this messy thing me,” what is the best response by the nurse? A. “I don’t mind it.” B. “You seem to be upset.” C. “This is part of my job.” D. “Nurses get used to this.” 20. “But you don’t understand” is a common statement associated with adolescent. The best response by the nurse when communicating with an adolescent is to say: A. “I don’t understand.” B. “I would like to understand, let’s talk.” C. “I don’t understand. I was a teenager once too.” D. “I’m not sure have to I believe it’s you who has to understand.” Situation: Knowledge of the physiologic and pathologic changes in pregnant women is necessary in order to determine which situations require management and possible referral. 21. Nurse Dianne is observing a client in the labor room. Which of the following changes in the cardiovascular system shows a pathologic response? A. Increase in total cardiac volume by 40-50%. B. Anasarca C. Varicosities of the lower extremities D. Heart is elevated slightly upward and to the left. 22. The gastrointestinal system is also one of the systems most affected by the pregnancy. Which of the following is true? A. Nausea and vomiting as a result of the secretion of the HCG, subsiding by the 6 th month. B. Poor appetite caused by increased gastric motility. C. Flatulence and heartburn due to decreased gastrointestinal motility and slowed emptying of the stomach caused by a decrease in progesterone production. D. Ptyalism as a result of increasing levels of estrogen. 23. Changes in the endocrine system also occur during the pregnancy process. Which of the following are true A. BMR Increases B. Metabolic function Increases C. Anterior lobe of the pituitary gland reduces D. Thyroid gland enlarges slightly E. Thyroid activity decreases F. Parathyroid gland increases G. Aldosterone levels gradually decrease H. Body weight increases I. Water retention decreases A. H, F, D, C, I B. I, F, B, G, C C. B, A, E, H, F D. A, B, D, F, H 24. After the 8-hour shift, Nurse Dianne is asked to go on duty on another 8 hours.She is performing an assessment of a primigravid mother who is being evaluated in a clinic during her second trimester. Which of the following indicates an abnormal finding? A. Quickening B. Braxton Hicks Contractions C. FHR of 180 beats per minute D. Consistent increase in fundal height 25. She explains some of the purposes of the placenta to a client during a prenatal visit. The nurse determines that the client understands some of these purposes when the client states that the placenta: A. Cushions and protects the baby. B. Maintains the temperature of the baby. C. Is the way the baby gets food and oxygen. D. Prevents all antibodies and viruses from passing to the baby. 26. The patient’s ABG result reveals presence of respiratory acidosis. Which among these values would you expect to see? A. pH 7.35, CO2 39 mmHg, HCO3 24 mEq/L B. pH 7.47, CO2 30 mmHg, HCO3 22 mEq/L C. pH 7.32, CO2 49 mmHg, HCO3 29 mEq/L D. pH 7.31, CO2 31 mmHg, HCO3 20 mEq/L 27.During the initial stages of cardiogenic shock, respiratory 2 | Page

has Crohn’s disease would indicate that corticosteroid therapy has been effective? A. Expansion of muscle mass B. Increase in the number of stools C. Moon- like appearance of the face D. Decreased complaints of abdominal pain 47. The teaching plan for a child who is taking long- term corticosteroid therapy would include which of the following instructions? A. Dental check- ups every three months to assess for gingival hyperplasia B. Regular physical therapy sessions to prevent muscular hypertrophy C. Eye examinations yearly to assess for cataract formation D. Regular appointments with a registered dietician to prevent malnutrition 48. A six- year- old child has a short arm cast placed on the right extremity. While assessing the fingers during the immediate period after casting, a nurse would report which of the following findings? A. Mild edema B. Pain on movement C. Slight coolness of the cast when touched D. Capillary refill greater than three seconds 49. A patient who is undergoing detoxification from heroin complains to the nurse of severe muscle cramps and headache and demands additional Methadone. Which of the following actions should the nurse take first? A. Measure vital signs. B. Administer p. r. n. medication. C. Provide support and reassurance. D. Contact the physician. 50. Which of the following measures should a nurse include in the care plan of a patient who has a diagnosis of bipolar disorder, manic type? A. Decrease environmental stimuli B. Involve the patient in competitive activities C. Limit the verbalization of feelings D. Foster independent decision- making 51. A nurse should instruct a pre- menopausal woman to examine her breasts according to which of the following schedules? A. During the week prior to the onset of the monthly period B. During every shower C. Seven days after the menstrual period D. On the same day every month 52. A nurse is taking the history from a patient who is suspected of having Hodgkin’s disease. Which of the following questions should the nurse ask to support the diagnosis? A. “Do you wake up sweating during the night?” B. “Do you urinate more frequently?” C. “Have you noticed recent memory lapses?” D. “Have you experienced visual changes lately?” 53. A nurse is observed taking all of the following actions when suctioning a patient who has a newly- placed tracheostomy tube. Which of the following actions require intervention? A. Applying suction for less than 15 seconds at one time B. Administering 100% oxygen prior to starting suctioning C. Utilizing negative pressure of 120 mm Hg during suctioning D. Deflating the tracheostomy cuff for three minutes before initiating suction 54. Which of the following criteria would be a reliable indicator of improvement in a patient who has a diagnosis of anorexia nervosa? A. Electrolyte balance B. Energy level C. Fluid intake D. Desire to eat 55. A nurse evaluates a three- month- old, developmentally- delayed infant for manifestations of cerebral palsy. Which of the following findings would a nurse report? A. Exaggerated arching of the back B. Absence of the extrusion reflex when fed from a spoon C. Head circumference measurement less than the 50th percentile D. Slight head lag when pulled to a sitting position 56. To which of the following nursing diagnoses should a nurse give priority in the care of a patient who is receiving chemotherapy for treatment of breast cancer? A. Risk for infection B. Stress incontinence C. Altered sexuality patterns D. Impaired physical mobility 57. Which of the following conditions, reported to a nurse by a 20- year- old male patient, would indicate a risk for development of testicular cancer? A. Genital herpes B. Undescended testicle C. Measles D. Hydrocele 58. Which of the following criteria would indicate improvement in an outpatient who has anorexia nervosa? A. The patient identifies the relationship between emotions and eating behaviors. B. The patient develops a plan to control negative feelings. C. The patient reports putting “thin” clothes on display in her room as a reminder to maintain proper weight. D. The patient avoids contact with her dysfunctional family. 59. A 10- year- old boy who is in the terminal stages of Duchenne muscular dystrophy is being cared for at home. When evaluating for a major complication of this disease, a nurse would give priority to assessing which of the following body systems? A. Integumentary B. Neurological C. Respiratory D. Gastrointestinal 60. The parent of a 12- year- old child, who is on acetylsalicylic acid (Aspirin) therapy for juvenile rheumatoid arthritis, tells a nurse, “I just read an article that said Aspirin should not be given to children.” Which of the following responses by the nurse is most appropriate? A. “Stop the Aspirin only if your child is diagnosed with a viral illness.” B. “Your child can take a different anti- inflammatory instead of aspirin.” C. “Because the Aspirin dose your child receives is so small, the risk is minimal.” D. “The benefits of Aspirin for your child outweigh the risks.” Situation: As a community health nurse, you are now in the entry phase of community organizing process, after establishing rapport with the people in Barangay PutingBuhangin. The following questions apply. 61. In the entry phase of community organizing, all but one are the activities a community health nurse shall implement: A. Information campaign on health programs B. Project Management C. Core group formation D. Conduct of deepening social investigation 62. Identification of potential leaders is crucial during the entry phase, this will facilitate the core group formation and start community mobilization. Which of these characteristics may not be necessary to an efficient and effective community leader? A. Responsive and willing to work for change B. Must have relatively good communication skills C. A respected member of the community D. A college graduate who has good management and leadership skills 63. The best way in identifying potential community leader which is proven to be effective is: A. Do a house-to-house survey among the people on who they see as a leader in the community B. During group meetings and other small mobilization, observe people who actively motivates other residents C. Ask volunteers who are willing to become community leaders D. Conduct a review of the family background and wealth as a basis for the community leader’s capacity 4 | Page