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WorksheetsCOMPRE 2 - 50 ITEMS
Total questions: 50
Worksheet time: 57mins
The physician diagnoses Graves’ disease for a 28-year-old woman seen in the clinic. The nurse would expect the client to exhibit which of the following symptoms?
Lethargy in the early morning
Weight loss of 10 lb in 3 weeks
Sensitivity to cold
Menorrhagia
A nurse is assisting in preparing a plan of care for a client with hyperthyroidism. The nurse is instructing the client regarding dietary measures. Which of the following foods would be included in the plan of care?
High in bulk and fiber
Low in calories
Low in carbohydrates and fats
High in calories
The nurse is caring for a hyperthyroidism patient, and having a pulse rate above normal. The nurse would anticipate what doctor’s order?
Anti-thyroid
Iodides
Beta-Blocker
Ca Gluconate
Which of the following measure is most often recommended when preparing SSKI for administration?
Pour the solution over ice chips
Mix the solution with an antacid
Dilute the solution with water, milk, or fruit juice and have the client drink it with a straw.
Disguise the solution in a pureed fruit or vegetable.
After several weeks of medication therapy for treatment of hyperthyroidism, Chona was subjected to thyroidectomy. Which of the following manifestations would point out to laryngeal nerve injury on Chona as a surgical complication?
(+) Trousseau’s sign
Hypotension
Persistent hoarseness of voice
Dyspnea
Postoperative thyroidectomy nursing care includes which measures?
Have the client speak every 5 to 10 minutes if hoarseness is present
Provide a low calcium diet to prevent hypercalcemia
Check the dressing at the back of the neck for bleeding
Apply a soft cervical collar to restrict neck movement
A nurse is performing an assessment on a client who has hypothyroidism. The nurse would expect to note which of these clinical manifestations?
Difficulty sleeping, sluggishness, weight gain
Presence of diarrhea, tachycardia, menstrual changes
Significant weight loss, drowsiness, anorexia
Intolerance to cold weather, lethargy, bradypnea
The priority nursing diagnosis for patient with hypothyroidism in advanced form is:
Risk for imbalanced nutrition
Activity intolerance related to fatigue and depressed cognitive process
Constipation related to depressed gastrointestinal
Ineffective breathing pattern related to depressed ventilation
Which of following measures would a nurse encourage a patient in the acute stage of gout to take in order to minimize complications?
Drinking a minimum of 3L water per day
Eating a minimum of 2500 calories per day
Increase intake of organ meat to promote healing
Limit alcohol intake to three bottles per day
10. Jim is a 40-year old man who presents to the emergency department with an acute gout attack in his right knee. Which treatment option is inappropriate?
Encourage the client to maintain a fluid restriction
Encourage the client to avoid excessive alcohol intake
Encourage the client to limit intake of purine rich foods
All of these
A client has been prescribed a diet that limits purine-rich foods. Which of the following foods would the nurse teach him to limit eating?
Bananas and dried fruits
Milk, ice cream, and yogurt
Wine, cheese, preserved fruits, meats, pickles
Chicken liver, sardines, kidneys
The nurse is reviewing the laboratory results of a client with rheumatoid arthritis. Which of the following laboratory results should the nurse expect to find?
Increased platelet count
Elevated erythrocyte sedimentation rate (ESR)
Electrolyte imbalance
Altered blood urea nitrogen (BUN) and creatinine levels
Ms. Rizal has acute rheumatoid arthritis. Her hands and spine are involved. When the nurse admits Ms. Rizal is most likely to tell the nurse that the first symptoms that caused her to seek health care was:
Stiff, sore joints
Generalized fatigue
Stabbing hand pain
Disuse of fingers
Which of the following is not related to Osteoarthritis?
It is common in older clients
It is common in obese clients
It is manifested with Bouchard and Heberden's node
It is characterized by a positive ANA test result
A client with pernicious anemia is receiving parenteral vitamin B12 therapy. Which client statement indicates effective teaching about this therapy?
I will receive parenteral vitamin B 12 therapy until my signs and symptoms disappear
I will receive parenteral vitamin B 12 therapy until my vitamin B 12 level returns back to normal
I will receive parenteral vitamin B 12 therapy monthly for 6 months to a year
I will receive parenteral vitamin B 12 therapy for the rest of my life
Which of the following observations of a patient who has pernicious anemia would indicate that the goal of care has been achieved?
The patient’s skin has no petechiae
The patient’s tongue has lost its beefy red color
The patient has no dependent edema
The patient has a good appetite
Which foods are the best sources of folic acid?
Green, leafy vegetables
Kidney beans and chicken
Liver and asparagus
Carrots and fish
A patient is suspected of having nephrotic syndrome. As the nurse you know that what substance(s) will be present in the urine to confirm this diagnosis?
Red blood cells and mild protein
Massive red blood cells and moderate protein
Massive protein
Elevated potassium and sodium
A 34-year-old man is seen in the physician’s office for follow-up after treatment for renal calculi. The nurse discusses methods to prevent a reoccurrence of the problem. Which of the following instructions by the nurse is MOST beneficial?
“Drink at least 3000ml of fluid per day”
“Reduce the amount of dairy products and eggs in your diet.”
“Increase the amount of whole grains and vegetables you eat.”
“Avoid foods that contain tyramine, such as wine and cheese.”
A client is complaining of severe flank pain and abdominal pain. A flat plate of abdomen shows urolithiasis. Which of the following interventions is most important?
Strain all urine
Limit fluid intake
Enforce strict bed rest
Encourage a low calcium diet
When teaching the patient about preventing recurrent urinary tract infections, the nurse should include the following statements:
Bathe daily.
Avoid voiding immediately after sexual intercourse.
Drink liberal amounts of fluids.
Void every 6 to 8 hours.
Which of the following is associated with a predictable level of pain that occurs as a result of physical or emotional stress?
Prinzmetal Angina
Stable Angina
Unstable angina
Variant angina
Which of the following instructions should be included in the discharge teaching for a patient discharged with a transdermal nitroglycerin patch?
“Apply the patch to a non hairy area of the upper torso or arms.”
“Apply the patch to the same site each day to maintain consistent drug absorption.”
“If you get a headache, remove the patch for 4 hours and then reapply.”
“If you get chest pain, apply a second patch right next to the first patch.”
A nurse in the emergency room is assessing a client with chest pain. Which observation by the nurse helps to determine that the client’s pain is due to myocardial infarction (MI)?
The pain, unrelieved by nitroglycerin was relieved with morphine sulfate.
The pain was described as substernal and radiating to the left arm
The client experienced no nausea and vomiting
The client reports that the pain began while pushing a lawnmower.
Which of the following appear abnormal on the ECG when ischemia and injury occur in the myocardium?
QRS interval
ST segment and T wave
P wave
PR interval
Which of the following ABG values indicates uncompensated metabolic alkalosis?
pH 7.48, PaCO2 42, HCO3 30
pH 7.48, PaCO2 46, HCO3 30
pH 7.48, PaCO2 34, HCO3 20
pH 7.48, PaCO2 34, HCO3 26
Pedro, a postoperative client with emphysema is receiving oxygen at 2 L/min via nasal cannula when he complains of feeling dyspneic. The spouse asks the nurse to increase the oxygen intake to help him breathe easier. Which response by the nurse is appropriate?
Switch the oxygen to a 100% non-rebreather mask
Explain to the spouse that high concentration of oxygen may depress breathing
Explain that a waiver needs to be signed to increase the flow are of oxygen
Sedate the wife
Abdominal pain in clients with suspected Appendicitis is usually located at the ___________ quadrant:
Left upper
Right upper
Right Lower
Left lower
Clients with RUPTURED Appendicitis should be placed in ___________ position:
Semi-fowler's
Comfortable
Left side lying
Right side lying
The following are appropriate management for clients with suspected Appendicitis (Check all that apply):
Apply warm compress on painful area
Give Morphine for severe pain
Report sudden loss of pain
Avoid palpating painful area
Which among the following roles transcends all dimensions of nursing?
clinician
health educator
researcher
health manager
In FHSIS, which among the following is considered as the SECONDARY building block?
Family Treatment Record
Target/Client List
Output Reports
Reporting Forms
The Cold Chain Officer of the Rural Health Unit is the:
Public Health Nurse
Rural Health Physician
Rural Health Midwife
Sanitary Inspector
In the basic principles of Community Health Nursing, the philosophy of public health nursing according to Margaret Shetland is:
Health and longevity as birthrights
The mandate of the state to protect the birthrights of its citizens
Public health nursing as a specialized field of nursing
The worth and dignity of man
Which of the following vaccines may be detrimental to clients with progressive neurologic disorder such as epilepsy?
Pentavalent
PCV
MMR
OPV
The nurse is preparing for a barangay visit and prepares different vaccines in the carrier. She expects dilution for which of the following vaccines in powder form?
Tetanus-Diphtheria
Pentavalent
MMR
PCV
The legal basis of Primary Health Care (PHC) in the Philippines is:
LOI 994
LOI 949
Alma Ata PHC Conference
RA 9173
Primary Health Care is composed of different pillars, which are (Check All That Apply):
Active Community Participation
Intrasectoral and Intersectoral Linkages
Use of sophisticated technology
Support mechanism made available
Among the vital statistics indicators, this refers to the number of deaths among children less than 1 year of age:
Infant Mortality Rate
Maternal Mortality Rate
Neonatal Mortality Rate
Childhood Mortality Rate
A midwife delivers a healthy, live term baby girl in the lying in of Rural Health Unit. The one who should sign the child's birth certificate is the:
Midwife
Nurse
Physician
Mother
The SECOND leading cause of death among adults in the Philippines according to the latest PSA statistical report is:
Cancer
Ischemic Heart Disease
Pneumonia
Cerebrovascular Accident
A 35 year old woman approaches a nurse and asks about contraceptive methods. She tells you that she is diagnosed with HPN Stage 1. As a prudent nurse, you will tell her that she will NOT be allowed to use:
IUD
DMPA Injection (Depot)
Combined Oral Contraceptive Pills
Condom
Which among the following communicable diseases can be transmitted through airborne transmission?
Diphtheria
Tetanus
PTB
Hepatitis B
When conducting a health class, the epidemiology nurse informs the participants that _____ is the causative agent of COVID-19:
SARS Cov 1
SARS Cov 2
MERS Cov 1
HPV
The nurse knows that the following are modifiable risk factors for Hypertension (Check all that apply):
Age
Diabetes Mellitus
Alcoholic drinking
Familial History
Stress
A family composed of the wife, husband and a child together with the mother of the husband living together with them is called _________:
Dyad
Nuclear
Extended
Compound
Newborn screening is ideally done __________:
within 24 hours from birth
after 24 hours from birth
after 1 week
after 3 weeks when the child is able to feed
Upon encouraging breastfeeding, the nurse informs the mother that colostrum or the "first yellowish milk" of the mother is rich in which antibody?
IgA
IgE
IgG
IgM
In IMCI, the nurse gives ___________ to prevent dehydration in a child with SOME Dehydration:
ORS with Vitamin A
ORS with Zinc
ORS only
Paracetamol and ORS
Nurse Mira is teaching a group of nursing students about the use of medicinal plants. She tells them that _______ is effective for DM Type 2:
Akapulko
Ampalaya
Bayabas
Bawang
