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WorksheetsIKSHA NURSING COACHING INSTITIUTE
Total questions: 65
Worksheet time: 1hrs 5mins
_______ assessments can be done with an initial assessment. They identify new or overlooked problems. They are important because they can "flag" existing problems.
Initial
Focused
On-going
Emergency
Time lapsed assessments compare current status to the ______data
Subjective
Projected
Objective
Baseline
_______ data is observable and measurable data that can be seen, heard, felt or measured by someone other than the person experiencing them
Objective
Subjective
_______ is the conscious and deliberate use of the five senses to gather data
Assessment
Interview
Observation
The act of confirming or verifying data is__________
Interview
Inference
Validation
The four methods used to collect data during an assessment (select all that apply)
Inspection
Palpitation
Percussion
Clarify
Auscultation
The _____ step of the nursing process interprets and analyzes data gathered
Assessment
Diagnosis
Implementation
Evaluation
Alfaro-LaFevre in her book identifies the shift from diagnose and treat to _______, prevent, manage and promote (PPMP)
Preside
Propose
Pattern
Predict
The formulation of nursing diagnosis statements include
(select all that apply)
Problem
Defining characteristics
Related factors
Medical diagnosis
Etiology
Caring for a patient who presents with labored respirations, productive cough, and fever. What would be an appropriate nursing diagnosis for this patient? (select all that apply)
Bronchial pneumonia
Impaired gas exchange
Ineffective airway clearance
Potential complications: sepsis
Risk for septic shock
The nurse repositions a client who has difficulty breathing. Which nursing action, when performed following the intervention, demonstrates evaluation?
Instructing the client the importance of mobility
Arranging the pillows behind the client's back
Checking the client's respiratory status
Changing the rate of flow for the oxygen delivery system
Which statement is correctly stated as an expected client outcome?
Client will ambulate safely.
Client will be able to safely walk down the hallway.
Nurse will assist the client with ambulation three times daily.
Client will ambulate with assistance to nurse's station on second postoperative day.
The nurse is caring for a one day postoperative client with a new colostomy. What nursing diagnosis would be the primary concern for the nurse?
Activity intolerance
Ineffective Health Maintenance
Impaired bowel elimination
Ineffective coping
The nurse knows which intervention is a dependent intervention?
Obtaining a client's BP
Massaging a client's back
Administering medications to a client
Assessing a client's lung sounds
The nurse is caring for a client recovering from a CVA (cerebrovascular accident). When reviewing orders, the nurse notes that a healthcare provider has written an order for the client to ambulate, while another has written for strict bedrest. What is the most appropriate nursing intervention?
Collaborate with the physical therapist to determine if the client can ambulate
Assess the client to determine the client's ability to ambulate
Instruct the client to clarify with the healthcare provider ambulation orders
Clarify ambulation orders with healthcare providers
One hour after receiving pain medication, a postoperative client reports intense pain. What is the nurse's most appropriate first action?
Discuss the frequency of pain medication orders with the client.
Assess the client to determine the cause of the pain
Consult with the healthcare provider for additional pain orders
Assist the client to reposition and splint the incision site
Select The best description of the tricuspid valve.
left semilunar valve
right atrioventricular valve
left atrioventricular valve
right semilunar valve
The function of the pulmonic valve is to:
divide the left atrium and left ventricle
guard the opening between the right atrium and right ventricle
protect the orifice between the right ventricle and the pulmonary artery
guard the entrance to the aorta from the left ventricle
The second heart sound is the result of:
opening of the mitral and tricuspid valves
closing of the mitral and tricuspid valves
opening of the aortic and pulmonic valves
closing of the aortic and pulmonic valves
The student nurse wishes to listen in the pulmonic valve area. To do this, the stethescope would be placed at the:
second right interspace
second left interspace
left lower sternal border
fifth interspace, left midclavicular line
When auscultating the heart, your first step is to:
identify s1 and s2
listen for s3 and s4
listen for murmurs
identify all four sounds on the first round
The stethoscope bell should be pressed lightly against the skin so that:
chest hair doesn't simulate crackles
high-pitched sounds can be heard better
it does not act as a diaphragm
it does not interfere with amplification of heart sounds
While reviewing a medical record, a notation of 4+ edema of the right leg was noted. The best description of this type of edema is:
mild pitting, no perceptible swelling of the leg
moderate pitting, indentation subsides rapidly
deep pitting, leg looks swollen
deep pitting, indentation lasts lover than 3 seconds
The function of the venous system is:
to hold more blood when blood volume increases
to conserve fluid and plasma proteins that leak out of the capillaries
to form a major part of the immune system that dfends the body against disease
to absorb lipids from the intestinal tract
During a cardiovascular assessment, the nurse finds a bluish tinge on the client's lips, fingers, and toes. Wheat is the appropriate documentation for this finding.
Central cyanosis
Peripheral cyanosis
Central and peripheral cyanosis
cyanosis
When performing a dietary history on a client with a cardiovascular history, the nurse should obtain information related to which items?
Dairy consumption
Sodium intake
Whole grain intake
Vitamin supplements
When palpating the carotid arteries, it is essential that the nurse do which of the following?
Palpate the carotids while the client is supine
Avoid palpating the carotids simultaneously
Determine if there is a heave
Palpate for an enlarged heart
In preparing to perform a cardiovascular assessment, the nurse should initially place the client in which position?
Supine
Lithotomy
Sitting upright
Prone
The nurse is performing a cardiovascular assessment. To evaluate the client of pulmonary edema, the nurse would assess the client for which manifestation?
Edema in the lower extremities
Shortness of breath
A thrill
Splinter hemorrhages
During inspection of the carotid arteries, the nurse assessed a bounding pulse. The nurse should evaluate the client for which additional finding?
Fever
Bruits
Chest pain
Cyanosis
This Act shall be known as the "Philippine Nursing Act of 2002."
RA 9173
RA 9713
RA 9317
RA 9137
The Board of Nursing who is tasked to supervise and regulate the practice of the nursing profession is composed of:
2 Chairperson and Five Members
1 Chairperson and Five Members
1 Chairperson and Three Members
1 Chairperson and Six Members
The following are the qualifications for admission to the nursing licensure examination EXCEPT:
The applicant is of good moral character
The applicant is a holder of Bachelor’s Degree in Nursing from a college or university duly recognized by the proper government agency.
The applicant is a citizen of the Philippines.
None of the above
In this role the nurse may represent the client’s needs and wishes to other health professionals, such as relaying the client’s request for information to the physician. They also assist clients in exercising their rights and help them speak up for themselves.
Change Agent
Client Advocate
Caregiver
Counselor
Has 3 to 5 years of experience. Perceives situation as wholes rather than in terms of parts. Uses maxims as guides for what to consider in a situation. Has holistic understanding of the client, which improves decision making. Focuses on long-term goals.
Expert
Advanced Beginner
Proficient
Competent
Knowledge about the empirical world is systematically organized into laws and theories for the purpose of describing, explaining, and predicting phenomena of special concern to the discipline of nursing. This ranges from factual, observable phenomena (e.g., anatomy, physiology, chemistry) to theoretical analysis (e.g., developmental theory, adaptation theory).
Empirical Knowing
Personal Knowing
Ethical Knowing
Aesthetic Knowing
The art of nursing and is expressed by the individual nurse through his or her creativity and style in meet- ing the needs of clients. The nurse uses aesthetic knowing to provide care that is both effective and satisfying. Empathy, compassion, holism, and sensitivity are important modes in the aesthetic pattern of knowing.
Empirical Knowing
Personal Knowing
Ethical Knowing
Aesthetic Knowing
What is the WHO definition of health?
freedom from physical disease or pain.
the state of being free from illness or injury.
the extent of an individual's continuing physical, emotional, mental, and social ability to cope with his or her environment.
is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
Determine this therapeutic communication technique—“Suggesting one’s presence, interest, or wish to understand the client without making any demands or attaching conditions that the client must comply with to receive the nurse’s attention”.
Providing general leads
Offering self
Acknowledging
Focusing
Determine this therapeutic communication technique—“Directing ideas, feelings, questions, or content back to clients to enable them to explore their own ideas and feelings about a situation”.
Summarizing and planning
Presenting Reality
Reflecting
Being specific and Tentative
A disturbance in perception in which there is a misinterpretation of an actual external stimulus.
Illusion
Hallucination
Delusion
Schizophrenia
Pathological coining of new words.
Word salad
Circumstanstiality
Neologism
Flight of Ideas
During a client interview, you noticed that the client shifts from one topic to another in a somewhat related way
Looseness of association
Flight of Ideas
Neologism
Circumstantiality
It is an exaggerated belief of identity.
Nihilistic
Grandeur
Persecution
Self-depreciation
It is a false belief to body function.
Grandeur
Self-depreciation
Somatic
Nihilistic
A disturbance in motor or activity of clients in which pathologically the client imitates posture or action of others.
Waxy flexibility
Echopraxia
Echolalia
Akinesia
A feeling of not having been to a place which one has visited.
Deja vu
Jamais vu
Dementia
Amnesia
It is the presence of two opposing feelings at the same time.
Aphasia
Agnosia
Ambivalence
Apraxia
It is the inability to recognize and interpret sensory stimuli.
Apraxia
Ambivalence
Agnosia
Akathisia
Filling in memory gaps
Amnesia
Confabulation
Deja vu
Jamais vu
Public health nursing in the philippines is in accordance to 10 competency standards.
TRUE
FALSE
People working together to get things done and solve their own problems is?
Organization
Power
Empowerment
Participation
All the core principles of community organizing except?
Developmental
Participative
People centered
Individual focused
The Public health nursing in the Philippines is m accordance to 10 competency standards.
TRUE
FALSE
Identify the characteristics of a healthy community in the following
Members are aware of their own physical and biological health state.
The community members has a robust and reliable governing body.
The community and families meet environmental and physiological demands.
People work together to achieve independence.
On the extended Program on Immunization (EPI), BCG vaccinenis given after 3 months.
TRUE
FALSE
COPAR should always be towards the development of ____________
Self- awareness
Self- reliance
Self- consciousness
Teamwork
These are based on the worth and dignity of man inherent to all human beings.
Human Right
Social Justice
Systematic processes to deliver care to individuals, families, or community groups with a focus on promoting, preseserving, protecting, and maintaining health care provided contributes to the health of the community.
Nursing
Public Health Nursing
Community Health Nursing
Community- Oriented Nursing
The following are the characteristics of a healthy community except?
Members are aware of their own physical and biological health state.
The community members has a robust and reliable governing body.
The community and families meet environmental and physiological demands.
The governing body of a community will ensure clean and safe physical environment.
The phases of community organizing are:
1. Pre- entry phase
2. Entry phase
3. _____________
4. Sustenance and strengthening phase
Creation phase
Organizing- Building phase
Planning
Implementation
This phase occurs when the community organization has already been established and the community members are already actively participating in community undertakings.
Entry phase
Organizing- building phase
Pre- entry phase
Sustenance and strengthening phase
Population is a group of people who share something in common and interact with one another who may exhibit a commitment with one another and may share a geographic boundary.
TRUE
FALSE
Community is a group of people who have at least one thing in common and who may or may not interact with one another.
TRUE
FALSE
The following herbal medicines are approved by DOH except:
Bawang
Lagundi
Malunggay
Ampalaya
