Tiêu đề CDC - PART B (NP4).pdf ✅

CLOSED DOOR COACHING PART 2 Nursing Practice 4 Situation: The Mr. Bello, Hospital Research Coordinator, is discussing the basics of research with the members of the Research Committee as part of continuing education. Questions and answers were also part of the program. 1. During the open forum, the Mr. Bello raised the question as to who among the following provides information in the questionnaires. A. Participants B. key informants C. respondents D. subjects 2. One of the members of the Research Committee wishes to conduct a study involving an interdisciplinary team of colleagues. This study is termed as ____. A. clinical B. exploratory C. collaborative D. applied 3. In conducting a qualitative research, a nurse should follow the logical reasoning process termed as which of the following? A. Deductive B. Intuition C. Causal D. Inductive 4. The lecturer reminded the committee members that bias is an influence that distorts study results. In quantitative research, which will eliminate bias? A. Trustworthiness B. Credibility C. Randomness D. Triangulation 5. One of the committee members raised the question on how to make an abstract. The question was followed by how many words are required in an abstract should APA style be followed? What is the CORRECT answer? A. 450-550 B. 250-350 C. 150-250 D. 350-400 Situation: The Clinical Instructor (CI) is conducting a ward class on how to perform the breast self-examination (BSE) 6. The CI is expected to set the atmosphere by welcoming everyone and by _____. A. showing every one the picture of the breast B. discussing the objectives of the ward class C. giving an anecdote about an old man D. going ahead with the first part of the lecture 7. For the students' better understanding about the anatomy of the breast,the CI shares A. various pictures of the breast, external and internal views B. pictures of different types of mastectomies C. the experiences of breastfeeding mothers D. artistic drawings of the breasts 8. The clinical instructor proceeded with the lecture to the students using the ____. A. Question and Answer method B. Entertainment style of presentation C. Students as the resource persons D. Outline of the lecture 9. When the lecture presentation was finished, the CI proceeded with the ____. A. evaluation of the activity B. Q and A portion on anything the students are interested to tackle C. open forum to solicit questions related to the topic under discussion D. cracking of humorous anecdotes to keep the class alive 10. The last and necessary part of the activity is ______. A. informing the students their next day's assignment. B. the joke portion for good vibes C. evaluation so that future but similar activities can be improved D. after care of the venue, an earlier reminder by the Head Nurse Situation: Nurse Korina, a newly graduated nurse, is assigned in the nursery of Hospital K. She assists her senior nurses in taking care of newborns and guides the mothers who visit to do breastfeeding and ask questions pertaining to their babies. 11. Nurse Korina is knowledgeable about the fact that newborns see as soon as they are born. Newborns demonstrate sight at birth by blinking at a strong light or by following a bright light. There is only a certain distance that a newborn can see from a distance. Nurse Korina is correct when she states that newborns can only see from: A. 9-12 inches B. 3-6 inches C. 2-3 inches D. 6-9 inches 12. Several common types of birthmarks occur in newborn which can fade by school age. It is important to be able to differentiate the various types of hemangiomas that occur. Upon examination of a newborn baby, Nurse Korina notes elevated area formed by immature capillaries and endothelial cells? What type of hemangioma is this? A. Strawberry hemangioma B. Cavernous hemangioma C. Nevus flammeus hemangioma D. Ignis uvas hemangioma 13. This type of hemangioma is a macular purple or dark-red lesion that is present at birth. It typically appears on the face although these can be found on the thighs as well. What type of hemangioma is this? A. Cavernous hemangioma B. Strawberry hemangioma C. Ignis uvas hemangioma D. Nevus flammeus hemangioma 14. This type of hemangioma are comprised of dilated vascular spaces. Such lesions can be removed surgically or be used with steroids, interferon-alfa-2a, or vincristine to reduce their size. What is this type of hemangioma? A. Nevus flammeus hemangioma B. Strawberry hemangioma C. Ignis uvas hemangioma D. Cavernous hemangioma Situation: Hypovolemic Shock. The adult patient on his way to the office met a vehicular accident and was continuously bleeding from the head. He was brought to the nearest hospital by the bystanders. 15. What must the Emergency Room Nurse do FIRST? A. Start an intravenous line at once. B. Position with head lower than extremities. C. Request for laboratory examinations. D. Stop the bleeding immediately. 16. Due to continuous bleeding the patient goes into the second stage of shock with BP 80/60. What are the possible effects on the heart in this stage? I.Increased heart rate II. Chest pain III. Increased cardiac troponin IV. Myocardial infarction A. I, II, III, and IV B. I and II C. I, II, and III D. II, III, and V
17. The BEST position for the patient to assume in case of shock is ________. A. modified Trendelenburg B. high Fowler's C. recumbent D. low Fowler's 18. What isotonic electrolyte solutions are COMMONLY used as fluid replacement in hypovolemic shock? I. Dextrose 5% in water II. 0.9% sodium chloride III. Lactated Ringer's solution IV. Dextrose 10% in water A. II, III, and IV B. I, III, and IV C. II and III D. I and IV 19. In case the patient would go into cardiovascular overload as a result of the intravenous fluid therapy, the PRIORITY nursing action should focus on ______. A. respiratory distress B. increase in total urine output C. increase in body temperature D. edema in the lower extremities Situation: Patient Lola, a 55-year-old mother of 7, has been having involuntary urine leaks aggravated whenever she sneezes or coughs. She is diagnosed with urinary incontinence. The next 5 questions refer to this case. 20. The type of incontinence Patient Lola manifests, where there is involuntary loss of urine as a result of sneezing, coughing or even changing position is called _____. A. overflow B. reflex C. stress D. functional 21. The nurse is aware that urinary incontinence brings about psychosocial costs including the following, EXCEPT ______. A. increased expenses B. social isolation C. embarrassment D. loss of self-esteem 22. The nurse instructs the patient that the BEST time for an incontinent patient to take his diuretics is ___. A. Any time of the day B. After 4:00 PM C. In the morning D. At bedtime 23. When providing health teaching to the patient with urinary incontinence, the nurse must STRESS that it is __. A. Only surgery can alleviate the condition B. Often reversible and treatable. C. Treatable with drugs all of the time D. Controlled with the aid of alcohol 24. The aim of pelvic muscle exercises for the patient with urinary incontinence is to strengthen the muscles that control the _____. A. vagina and rectum B. perineal area C. bowel and the bladder D. vagina and urethra Situation: Nurses should not only abide by the laws, but be guided by the Code of Ethics for Nurses as well. 25. The Code of Ethics for Nurses have articles relating to the relationship of nurses on ____. (Select all that apply.) I. people II. practice and the profession III. co-workers IV. society and environment A. I, III, and IV B. I, II, III, and IV C. II, III, and IV D. I, II, and III 26. The Code of Ethics adopted all the principles under the: A. Code of Good Governance B. Patient's Bill of Rights C. ICN Code of Ethics D. American Nurses Association (ANA) Code of Ethics 27. According to the Code of Ethics, who determines the coverage and scope of the examination for the practice of nursing in the Philippines? A. Professional Regulation Commission B. Association of Deans of Philippine Colleges of Nursing C. Professional Regulatory Board of Nursing (PRBON) D. Professional Association of Philippine Regulatory Boards (PAPRB) 28. What are the three important principles in nursing professional ethics? I. Autonomy II. Informed consent III.Confidentiality IV. Truthtelling A. I, II, and IV B. II, III, and IV C. I, III, and IV D. I, II, and III 29. The "end-justifies-the-means” ethic is described as ____. A. having no correct or wrong conclusion B. basically without any ethical issue C. conclusively unethical D. unavoidable during these modern times Situation: Ms. Lorna, aged 46, has varying degrees of weakness on the lower extremities, inability to perform voluntary movements and paresthesias. Her physician gives a tentative diagnosis of Guillain-Barré Syndrome (GBS) 30. Which is a common verbalization of the patient with GBS regarding the EARLY ONSET of symptoms? A. Acute hemiplegia B. Ascending motor weakness C. Weakness of the four lower extremities D. Acute hemiparesis 31. The nurse is aware that which occurrence in the patient's health historysuggests the diagnosis of GBS? A. viral illness few weeks before B. encephalitis C. severe bacterial infection D. meningitis 32. A PRIORITY nursing diagnosis in Guillain-Barré Syndrome is ____. A. Ineffective breathing pattern B. Impaired verbal communication C. Imbalanced nutrition D. Impaired physical mobility 33. If the patient is unable to talk, how should the nurse BEST communicate to the patient? A. Enunciating the words slowly and well. B. By using picture cards. C. Just stop as he could no longer understand. D. Talking loudly face-to-face with the patient. 34. The nurse informs the patient and family that rehabilitation prior to discharge is BEST described as ___. A. a period of ups and downs, physically and emotionally B. long and one requiring involvement of significant others C. easy and smooth from discharge onwards. D. a rapid process towards recovery

A. Represents the time that elapses from the beginning of atrial depolarization to the beginning of ventricular depolarization. B. Represents ventricular depolarization and repolarization. This varies with heart rate; the faster the rate, the shorter it is. C. Represents the time that the ventricles are in the absolute refractory period, the period between ventricular depolarization and repolarization. D. Represents the spread of the impulse over the atria. 50. The P-R interval represents: A. This represents ventricular repolarization. B. Represents the time that the ventricles are in the absolute refractory period, the period between ventricular depolarization and repolarization. C. Represents the time that elapses from the beginning of atrial depolarization to the beginning of ventricular depolarization. D. Represents ventricular depolarization. Composed of waves that result from the currents generated when the ventricles depolarize before their contraction. Situation: Even if still a staff nurse, Tori can well contribute to the management of the resources and environment of her unit. 51. The electric fan in the unit sparks occasionally but continues to function relatively well. Nurse Tori though knows that she ____. A. has to ask one of the staff to preliminary check it B. will just wait until the fan stops to function immediately C. should alert the unit staff to closely observe the fan D. must have it checked by the Maintenance Department immediately 52. The electric fan now stops every now and then and continues to spark at intervals. The best thing to do NEXT is to ______. A. turn off the fan immediately. B. call the maintenance immediately. C. Let it continue to function and monitor D. request for another fan as soon as possible (ASAP) 53. The last fire in the hospital was due to a malfunctioning equipment. The fire extinguisher was no where to be found. What should have been practiced? A. A dedicated fire extinguisher must be in every strategic place. B. Place one fire extinguisher between two units. C. A fire extinguisher can be replaced with fire sensors. D. Borrowing fire extinguishers may be tolerated if on the same floor. 54. The staff assigned to check the fire extinguisher failed to monitor the"whereabouts" of assigned equipment. The following statements are true, EXCEPT _______. A. all employees are lazy B. monitoring staff is important. C. not all staff are diligent in their tasks D. two errors added together can be potentially devastating 55. Because of the failure to replace the defective electric fan immediately, a fire broke out and it became big enough to burn a major portion of the unit because the fire extinguisher was missing. What lesson can be gained from this? A. Punishment must be imposed on erring employees. B. Reorientation of the new staff. C. Refer the erring employee to HR. D. Every protocol must be followed. Situation: In order for the medical team to work best, there must be smooth collaboration and teamwork among it members. 56. Milo, the patient with Urinary Tract Infection (UTI) is on his 3rd day of antibiotic but is still having high fever. There is a need for the nurse to refer her observation to which of the following? A. Intern B. Resident-on-duty C. Attending Physician D. Head nurse 57. Urine culture and sensitivity (Urine C&S) was ordered, and the nurse was told by the secretary of the laboratory that the result will be due in 5-7 days. The nurse knows from her readings that bacterial Culture and Sensitivity may be reported in three days' time. Thus, she plans to follow up the result from which of the health allied professionals? A. Head nurse B. Intern C. Medical technologist D. Physician 58. The patient developed worsening cough and was given an anti-coughelixir. After 30 minutes he developed itchiness with hives. The nurse ishesitant to call anyone since it is already midnight, and there was noone else since it is a holiday. Who will she refer the patient to? A. Head Nurse B. Nurse Supervisor C. Consultant- in-Charge D. Head intern 59. The patient suddenly developed chest pain. The result of the stat Troponin I revealed high result. What steps are CORRECT and according to protocolin this situation? I. The medical technologist immediately calls up the physician to update him of the result. II. The nurse waits for the doctor to call to confirm the result. III. The nurse calls up the physician to inform him of the just-in lab result. IV. The doctor waits for the update of the result from the hospital. A. I, II, and III B. I, III, and IV C. I, II, and IV D. II, III, and IV 60. The patient was prescribed a number of stat medications to prevent any untoward complications. The nurse closely coordinates with which professional to facilitate the immediate release of the necessary medicines and supplies? A. Attending Physician B. Nurse Supervisor C. Pharmacist D. Head Nurse Situation: Barack, 52 years old has been a cigarette smoker since age 17. He has nagging cough and hoarseness of voice and dyspnea. Based on the physical and laboratory findings, the physician suspected him of having lung cancer. 61. Which of the following is NOT a known predisposing factor to lung cancer? A. House is near a banana plantation. B. Works as a sprayer of vegetables and fruit trees. C. Lives in a suburban area. D. Living with mother who is a tobacco smoker. 62. Upon history-taking, the nurse notes that the cough of a patient with lung cancer usually STARTS off to be _____. A. blood-tinged B. productive C. dark yellow sputum D. dry and persistent 63. Which diagnostic procedure is commonly used to establish the diagnosis of lung cancer which provides a detailed description of the tracheobronchial tree and allows for biopsies of suspicious areas? A. Computerized Tomography (CT) scan B. Bronchoscopy C. Sputum cytology D. Positron Emission Tomography (PET)