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IKSHA NURSING COACHING INSTITIUTE

Total questions: 65

Worksheet time: 1hrs 5mins

Name
Class
Date
1.

_______ assessments can be done with an initial assessment. They identify new or overlooked problems. They are important because they can "flag" existing problems.

a)

Initial

b)

Focused

c)

On-going

d)

Emergency

2.

Time lapsed assessments compare current status to the ______data

a)

Subjective

b)

Projected

c)

Objective

d)

Baseline

3.

_______ data is observable and measurable data that can be seen, heard, felt or measured by someone other than the person experiencing them

a)

Objective

b)

Subjective

4.

_______ is the conscious and deliberate use of the five senses to gather data

a)

Assessment

b)

Interview

c)

Observation

5.

The act of confirming or verifying data is__________

a)

Interview

b)

Inference

c)

Validation

6.

The four methods used to collect data during an assessment (select all that apply)

a)

Inspection

b)

Palpitation

c)

Percussion

d)

Clarify

e)

Auscultation

7.

The _____ step of the nursing process interprets and analyzes data gathered

a)

Assessment

b)

Diagnosis

c)

Implementation

d)

Evaluation

8.

Alfaro-LaFevre in her book identifies the shift from diagnose and treat to _______, prevent, manage and promote (PPMP)

a)

Preside

b)

Propose

c)

Pattern

d)

Predict

9.

The formulation of nursing diagnosis statements include

(select all that apply)

a)

Problem

b)

Defining characteristics

c)

Related factors

d)

Medical diagnosis

e)

Etiology

10.

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)

a)

Bronchial pneumonia

b)

Impaired gas exchange

c)

Ineffective airway clearance

d)

Potential complications: sepsis

e)

Risk for septic shock

11.

The nurse repositions a client who has difficulty breathing. Which nursing action, when performed following the intervention, demonstrates evaluation?

a)

Instructing the client the importance of mobility

b)

Arranging the pillows behind the client's back

c)

Checking the client's respiratory status

d)

Changing the rate of flow for the oxygen delivery system

12.

Which statement is correctly stated as an expected client outcome?

a)

Client will ambulate safely.

b)

Client will be able to safely walk down the hallway.

c)

Nurse will assist the client with ambulation three times daily.

d)

Client will ambulate with assistance to nurse's station on second postoperative day.

13.

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?

a)

Activity intolerance

b)

Ineffective Health Maintenance

c)

Impaired bowel elimination

d)

Ineffective coping

14.

The nurse knows which intervention is a dependent intervention?

a)

Obtaining a client's BP

b)

Massaging a client's back

c)

Administering medications to a client

d)

Assessing a client's lung sounds

15.

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?

a)

Collaborate with the physical therapist to determine if the client can ambulate

b)

Assess the client to determine the client's ability to ambulate

c)

Instruct the client to clarify with the healthcare provider ambulation orders

d)

Clarify ambulation orders with healthcare providers

16.

One hour after receiving pain medication, a postoperative client reports intense pain. What is the nurse's most appropriate first action?

a)

Discuss the frequency of pain medication orders with the client.

b)

Assess the client to determine the cause of the pain

c)

Consult with the healthcare provider for additional pain orders

d)

Assist the client to reposition and splint the incision site

17.

Select The best description of the tricuspid valve.

a)

left semilunar valve

b)

right atrioventricular valve

c)

left atrioventricular valve

d)

right semilunar valve

18.

The function of the pulmonic valve is to:

a)

divide the left atrium and left ventricle

b)

guard the opening between the right atrium and right ventricle

c)

protect the orifice between the right ventricle and the pulmonary artery

d)

guard the entrance to the aorta from the left ventricle

19.

The second heart sound is the result of:

a)

opening of the mitral and tricuspid valves

b)

closing of the mitral and tricuspid valves

c)

opening of the aortic and pulmonic valves

d)

closing of the aortic and pulmonic valves

20.

The student nurse wishes to listen in the pulmonic valve area. To do this, the stethescope would be placed at the:

a)

second right interspace

b)

second left interspace

c)

left lower sternal border

d)

fifth interspace, left midclavicular line

21.

When auscultating the heart, your first step is to:

a)

identify s1 and s2

b)

listen for s3 and s4

c)

listen for murmurs

d)

identify all four sounds on the first round

22.

The stethoscope bell should be pressed lightly against the skin so that:

a)

chest hair doesn't simulate crackles

b)

high-pitched sounds can be heard better

c)

it does not act as a diaphragm

d)

it does not interfere with amplification of heart sounds

23.

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:

a)

mild pitting, no perceptible swelling of the leg

b)

moderate pitting, indentation subsides rapidly

c)

deep pitting, leg looks swollen

d)

deep pitting, indentation lasts lover than 3 seconds

24.

The function of the venous system is:

a)

to hold more blood when blood volume increases

b)

to conserve fluid and plasma proteins that leak out of the capillaries

c)

to form a major part of the immune system that dfends the body against disease

d)

to absorb lipids from the intestinal tract

25.

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.

a)

Central cyanosis

b)

Peripheral cyanosis

c)

Central and peripheral cyanosis

d)

cyanosis

26.

When performing a dietary history on a client with a cardiovascular history, the nurse should obtain information related to which items?

a)

Dairy consumption

b)

Sodium intake

c)

Whole grain intake

d)

Vitamin supplements

27.

When palpating the carotid arteries, it is essential that the nurse do which of the following?

a)

Palpate the carotids while the client is supine

b)

Avoid palpating the carotids simultaneously

c)

Determine if there is a heave

d)

Palpate for an enlarged heart

28.

In preparing to perform a cardiovascular assessment, the nurse should initially place the client in which position?

a)

Supine

b)

Lithotomy

c)

Sitting upright

d)

Prone

29.

The nurse is performing a cardiovascular assessment. To evaluate the client of pulmonary edema, the nurse would assess the client for which manifestation?

a)

Edema in the lower extremities

b)

Shortness of breath

c)

A thrill

d)

Splinter hemorrhages

30.

During inspection of the carotid arteries, the nurse assessed a bounding pulse. The nurse should evaluate the client for which additional finding?

a)

Fever

b)

Bruits

c)

Chest pain

d)

Cyanosis

31.

This Act shall be known as the "Philippine Nursing Act of 2002."

a)

RA 9173

b)

RA 9713

c)

RA 9317

d)

RA 9137

32.

The Board of Nursing who is tasked to supervise and regulate the practice of the nursing profession is composed of:

a)

2 Chairperson and Five Members

b)

1 Chairperson and Five Members

c)

1 Chairperson and Three Members

d)

1 Chairperson and Six Members

33.

The following are the qualifications for admission to the nursing licensure examination EXCEPT:

a)

The applicant is of good moral character

b)

The applicant is a holder of Bachelor’s Degree in Nursing from a college or university duly recognized by the proper government agency.

c)

The applicant is a citizen of the Philippines.

d)

None of the above

34.

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.

a)

Change Agent

b)

Client Advocate

c)

Caregiver

d)

Counselor

35.

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.

a)

Expert

b)

Advanced Beginner

c)

Proficient

d)

Competent

36.

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).

a)

Empirical Knowing

b)

Personal Knowing

c)

Ethical Knowing

d)

Aesthetic Knowing

37.

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.

a)

Empirical Knowing

b)

Personal Knowing

c)

Ethical Knowing

d)

Aesthetic Knowing

38.

What is the WHO definition of health?

a)

freedom from physical disease or pain.

b)

the state of being free from illness or injury.

c)

the extent of an individual's continuing physical, emotional, mental, and social ability to cope with his or her environment.

d)

is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.

39.

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”.

a)

Providing general leads

b)

Offering self

c)

Acknowledging

d)

Focusing

40.

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”.

a)

Summarizing and planning

b)

Presenting Reality

c)

Reflecting

d)

Being specific and Tentative

41.

A disturbance in perception in which there is a misinterpretation of an actual external stimulus.

a)

Illusion

b)

Hallucination

c)

Delusion

d)

Schizophrenia

42.

Pathological coining of new words.

a)

Word salad

b)

Circumstanstiality

c)

Neologism

d)

Flight of Ideas

43.

During a client interview, you noticed that the client shifts from one topic to another in a somewhat related way

a)

Looseness of association

b)

Flight of Ideas

c)

Neologism

d)

Circumstantiality

44.

It is an exaggerated belief of identity.

a)

Nihilistic

b)

Grandeur

c)

Persecution

d)

Self-depreciation

45.

It is a false belief to body function.

a)

Grandeur

b)

Self-depreciation

c)

Somatic

d)

Nihilistic

46.

A disturbance in motor or activity of clients in which pathologically the client imitates posture or action of others.

a)

Waxy flexibility

b)

Echopraxia

c)

Echolalia

d)

Akinesia

47.

A feeling of not having been to a place which one has visited.

a)

Deja vu

b)

Jamais vu

c)

Dementia

d)

Amnesia

48.

It is the presence of two opposing feelings at the same time.

a)

Aphasia

b)

Agnosia

c)

Ambivalence

d)

Apraxia

49.

It is the inability to recognize and interpret sensory stimuli.

a)

Apraxia

b)

Ambivalence

c)

Agnosia

d)

Akathisia

50.

Filling in memory gaps

a)

Amnesia

b)

Confabulation

c)

Deja vu

d)

Jamais vu

51.

Public health nursing in the philippines is in accordance to 10 competency standards.

a)

TRUE

b)

FALSE

52.

People working together to get things done and solve their own problems is?

a)

Organization

b)

Power

c)

Empowerment

d)

Participation

53.

All the core principles of community organizing except?

a)

Developmental

b)

Participative

c)

People centered

d)

Individual focused

54.

The Public health nursing in the Philippines is m accordance to 10 competency standards.

a)

TRUE

b)

FALSE

55.

Identify the characteristics of a healthy community in the following

a)

Members are aware of their own physical and biological health state.

b)

The community members has a robust and reliable governing body.

c)

The community and families meet environmental and physiological demands.

d)

People work together to achieve independence.

56.

On the extended Program on Immunization (EPI), BCG vaccinenis given after 3 months.

a)

TRUE

b)

FALSE

57.

COPAR should always be towards the development of ____________

a)

Self- awareness

b)

Self- reliance

c)

Self- consciousness

d)

Teamwork

58.

These are based on the worth and dignity of man inherent to all human beings.

a)

Human Right

b)

Social Justice

59.

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.

a)

Nursing

b)

Public Health Nursing

c)

Community Health Nursing

d)

Community- Oriented Nursing

60.

The following are the characteristics of a healthy community except?

a)

Members are aware of their own physical and biological health state.

b)

The community members has a robust and reliable governing body.

c)

The community and families meet environmental and physiological demands.

d)

The governing body of a community will ensure clean and safe physical environment.

61.

The phases of community organizing are:

1. Pre- entry phase

2. Entry phase

3. _____________

4. Sustenance and strengthening phase

a)

Creation phase

b)

Organizing- Building phase

c)

Planning

d)

Implementation

62.

This phase occurs when the community organization has already been established and the community members are already actively participating in community undertakings.

a)

Entry phase

b)

Organizing- building phase

c)

Pre- entry phase

d)

Sustenance and strengthening phase

63.

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.

a)

TRUE

b)

FALSE

64.

Community is a group of people who have at least one thing in common and who may or may not interact with one another.

a)

TRUE

b)

FALSE

65.

The following herbal medicines are approved by DOH except:

a)

Bawang

b)

Lagundi

c)

Malunggay

d)

Ampalaya