MCN Flashcards by Zelski Concha Zabala

Situation- Conchita was diagnosed with gestational diabetes. She is 34 years old and is on her 26 weeks Age of Gestation. In 36 weeks, amniocentesis was orders by the doctor for this patient. What is the purpose of this Procedure? To detect/determined
a. Down syndrome
b. An increase level of bilirubin
c. Fetal lung maturity
d. Genetic abnormalities

c. Fetal lung maturity

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Situation – Nurse Kayla is assigned at the postpartum ward. The following questions refer to Postpartum patients. Amy, a multiparous patient, 28 hours after Ceasarian delivery (CS), who is breastfeeding, Complains of severe abdominal cramps. Nurse Kayla explains that these are caused by which of
The following?
a. Side effects of the medications Administered after delivery.
b. Flatulence accumulation after CS
c. Healing of the abdominal incision after CS.
d. Release of Oxytocin during the breastfeeding session.

d. Release of Oxytocin during the breastfeeding session.

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Situation – Liza is a new nurse in the Obstetrics Ward. She remember her Clinical instruction
Saying that a nurse must learn how to communicate well with her patients. In the course of Liza’s duty in the OB Ward, she also learned that she has to adjust her style of Communication for different types of patients. Thus, Liza should adjust to which of the following Characteristics of Grace? Select all that apply.
1. Level of usual communication
2. Pace of interaction
3. Display of emotions
4.Full development of topic
a. 3 and 4
b. 1,2,3
c. 1 and 2
d. 1,2,3,4

c. 1 and 2

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Situation- To ensure patient safety at all times, personal and professional growth of nursing is a
Necessity than a choice. Nurse Florence is a beginning nurse in one of the hospitals in the suburb.
During the Orientation Program, the need to enhance her skills, knowledge and attitude was Emphasized.
Nursing programs that are based on needs assessment and needs analysis and should be offered
Free is which of the following?
a. Nursing Education Program
b. In-service Training Program
c. Continuing Development Program
d. Post-Graduate Program

b. In-service Training Program

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Situation – Headnurse Mila wishes to successfully change the way her registered nurses, nursing
Assistants, and other nursing staff in providing emotional support to the ward’s patients. Some of the nursing staff seemed to have a sense of entitlement according to nursing Department leadership. They behaved as though they had unlimited job security (because of the
Strength of the nursing unions). Which of the following action is the BEST?

a. Develop new evidence-based general care guidelines for nurse-patient interactions.
b. Continue to work on increasing staff accountability for service behaviors.
c. Develop a documentation-and-tracking process for the observations
d. Revise job descriptions and performance for all nursing staff to include the new general care guideline and highlight Emotional support.

d. Revise job descriptions and performance for all nursing staff to include the new general care guideline and highlight Emotional support.

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Situation -Thelma, a mother of a 6-year-old boy Marco has arrived at school to take her child Home because the school Nurse James has verified that he has an inflamed throat. Nurse James Urges his mother to seek treatment because if the causative agent is beta-hemolytic Streptococcus, he may develop a disorder characterized by inflamed joints, fever, and the
Possibility of endocarditis. Which of the following would be the possible disorder?
a. Tetanus
b. Scarlet fever
c. Rheumatic fever
d. Influenza

c. Rheumatic fever

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Situation – Nursing assessment of individuals across the life span requires a nurse to be familiar With the physiological, cognitive, and psychosocial changes that occur during each stage of Development. The Headnurse of Pediatric Ward asked a staff nurse who is assigned to a 3 month old infant. At What age will her patient start to drink from a cup? The staff nurse’s answer should be
a. 9
b. 24
c. 5
d. 12

d. 12

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Situation- Nurse Carmi made a study on domestic violence against women in a certain province In Luzon.
In as much as the research may have some risks on the part of the subject who is 21 years old, Nurse Carmi must assure the subject of her anonymity, confidentiality and respect for her human Rights. ONE ABSOLUTE WAY is to get an informed and written consent from whom?
a. Guardians
b. Parents
c. Subject herself
d. Husband

c. Subject herself

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Situation – Nurse Carmi made a study on domestic violence against women in a certain province In Luzon.
Nurse Carmi plans to gather 6 participants who are victims of domestic violence where she will Base her questionnaires. What technique in qualitative research is applicable to this plan?
a. Case study
b. Interview
c. Data triangulation
d. Focus group discussion

d. Focus group discussion

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Situation – Nurse Myrna, a nurse in Barangay Mayamot Health Center, will conduct Health Education to the residents of the Barangay on Reproductive Health.
As a Community Nurse, Nurse Myrna should be able to demonstrate knowledge of current laws On reproductive health in which she practices. One of the topic topics that Nurse Myrna will Discuss is RA 10354 which is entitled
a. The Responsible Parenthood and Reproductive Health Act of 2012
b. The Responsible Parenthood and Reproductive Parenthood of 2012
c. Reproductive Health Act of 2012
d. RH Bill

a. The Responsible Parenthood and Reproductive Health Act of 2012

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Situation- Nursing assessment of individuals across the life span requires a nurse to be familiar With the physiological, cognitive, and psychosocial changes that occur during each stage of Development. Patient’s participation in the planning phase of the nursing diagnosis depends on select All that apply.
1. Development Status
2. Psychological condition
3. Level of intelligence
4. Comprehension of his disease
a. 2&3
b. 3&4
c. 1,2,3,&4
d. 1& 2

c. 1,2,3,&4

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b. Negative effect of superstition

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Situation – Headnurse Mila wishes to successfully change the way her registered nurses, nursing
Assistants, and other nursing staff in providing emotional support to the ward’s patients. The BEST quality improvement intervention that Nurse Mila can do is which of the following?
a. Interview staff individually and in group
b. Analyze patients complaint record
c. Recommend increase in salary of nursing staff.
d. Maintain ongoing informal communication with staff.

a. Interview staff individually and in group

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Situation – Nurse Myrna, a nurse in Barangay Mayamot Health Center, will conduct Health Education to the residents of the Barangay on Reproductive Health.
This Law provides reproductive health care program to all citizens prioritizing, which of the Following?
1. Women
2. The poor
3. Marginalized
4. Those in vulnerable or crisis situations
a. 1,2&3
b. 1 only
c. 1, 2, 3 and 4
d. 1&2

c. 1, 2, 3 and 4

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Situation – Nurses Jessy and Karyl are assigned in high risk maternity ward. Here are some cases Which they handle for the morning shift. What would Nurse Jessy monitor to suspect MgSo4 toxicity on Mrs. Purisima?
a. Hypertension
b. Decreased deep tendon reflexes.
c. Rapid pulse rate and hyperventilation.
d. Tingling in the toes.

b. Decreased deep tendon reflexes.

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Situation – Nurse Melissa has been assigned in the Pediatric Ward for almost a year. Her Headnurse is on Maternity Leave for the next 6 months. She was appointed by the Area Nurse Supervisor to be the Charge Nurse. On record keeping, the Area Supervisor reminds Nurse Melissa that for most Nurses who find
Themselves involved in legal proceedings, the best defense to win the case is
a. Honesty
b. Knowledge
c. Quality of nursing documentation
d. Good memory

c. Quality of nursing documentation

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Situation – Nursing assessment of individuals across the life span requires a nurse to be familiar With the physiological, cognitive, and psychosocial changes that occur during each stage of Development. When a 15-year-old female patient is so engrossed and worries as to what her friends think About her, she is categorized to be in the psychosocial development stage. Nurse Nene needs to Inform the mother that this is a normal behaviour. In what stage of the psychosocial development Is the patient in?
a. Autonomy versus Doubt and Shame
b. Identity versus Role Confusion
c. Industry versus Inferiority
d. Initiative versus Guilt

b. Identity versus Role Confusion

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An evening snack is planned for Adel receiving NPH (Novolin N) insulin INTERMMEDIATE. This Will provide
a. Energy for immediate utilization
b. Calories to help the child gain weight
c. Nourishment to counteract late insulin activity
d. Encouragement for the child to stay on a diet

c. Nourishment to counteract late insulin activity

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Situation – Nurse Vergel is newly assigned in the Pediatric Ward in San Isidro Medical Center. Since he will be taking care of pediatric patients, there is a need for Nurse Vergel to be abreast With the legal aspects of pediatric nursing care. The Right to Information does not include
a. Result of the evaluation of the nature and extent of his/her disease
b. Any change in the plan of care before the change is made
c. Extent to which payment maybe expect from Philhealth
d. Discount for the professional fee of the attending doctor(s)

d. Discount for the professional fee of the attending doctor(s)

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a. Has the freedom to do what he likes sans responsibility

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Situation – Nurse Crissel was talking about HIV – AIDS to a group of teen-agers. Here are some Questions which were asked by them during the open forum. On the question as to which of the following are the effects of AIDS on pregnancy, one teenager Cited a wrong answer which was
a. Infertility
b. Mild weight loss
c. Prematurity
d. Repeated abortion

a. Infertility

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Situation – Nurse Carmi made a study on domestic violence against women in a certain province In Luzon. To have a better analysis and interpretation of finding, Nurse Carmi reviewed and compared them With other findings of previous researches on the same topic. This is done MAINLY by doing back To which part of the study? The
a. Related Literature and studies
b. Conceptual framework of the study
c. Theoretical framework of the study
d. Statement of the problem

a. Related Literature and studies

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Situation – Preterm newborns are considered high risk because of their immaturity to adapt to The extrauterine life. They need special treatment and specialized process of nursing care. Which of the following conditions is NOT INCLUDED among the effects of cold stress?
a. Metabolic acidosis
b. Cerebral palsy
c. Hypoglycemia
d. Increase intracranial pressure

b. Cerebral palsy

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Situation- Nurse Myrna, a nurse in Barangay Mayamot Health Center, will conduct Health Education to the residents of the Barangay on Reproductive Health. Factors that affect reproductive health care, which of the following?
1. Economic circumstances
2. Education,
3. Living conditions and family environment
4. Social and gender relationships
a. 2,3,&4
b. 1, 2 and 3
c. 1&2
d. 1,2,3,&4

d. 1,2,3,&4

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Situation Nurse Kayla is assigned at the postpartum ward. The following questions refer to Postpartum patients. Three hours postpartum, a primiparous patient’s fundus is firm and midline. On perineal Inspection by Nurse Kayla, she observes a small constant trickle of blood. What will the nurse Suspect for the patient to have? a. Perineal lacerations b. Retained placenta c. Bladder distention d. Uterine inversion

a. Perineal lacerations

Situation- Nurse Vergel is newly assigned in the Pediatric Ward in San Isidro Medical Center. Since he will be taking care of pediatric patients, there is a need for Nurse Vergel to be abreast with the legal aspects of pediatric nursing care. Based on the Right to Privacy and Confidentiality under the Patient's Bill of Rights, the patient has the right to demand the following, but NOT ______ pertaining to his care as confidential. a. Communication b. Information c. Financial Status d. Records

c. Financial Status

Situation- Nurse Melissa has been assigned in the Pediatric Ward for almost a year. Her Headnurse is on Maternity Leave for the next 6 months. She was appointed by the Area Nurse Supervisor to be the Charge Nurse. The following statements demonstrate to Nurse Melissa that record keeping is good, EXCEPT: a. A full account of your assessment and the care you have planned and provided. b. Abbreviation is used c. Relevant information about the condition of the patient/ client at any given time and the measures you have taken to Respond to their needs d. Entries are dated and timed as close to the actual time of the events as possible

a. A full account of your assessment and the care you have planned and provided.

Situation – Nurse Miriam Kate is the Charge of the Obstetrics & Gynecology Ward of a Government hospital. Nurse Angelina is one of the staff nurses in that ward. The Ward is beset By problems such as having inadequate supplies. One major way of preventing cross-infection is frequent handwashing. However, today, Nurse Angelina just found out there is water interruption. The INITIAL step that Nurse Angelina ought To do is report the problem to a. Manila Water b. Nurse Supervisor c. Chief Nurse d. Head nurse

d. Head nurse

Situation – Headnurse Mila wishes to successfully change the way her registered nurses, nursing Assistants, and other nursing staff in providing emotional support to the ward’s patients. In conducting quality improvement, Nurse Mila should look into which of the following as her Basis, EXCEPT: a. Incident reports b. Patient’s satisfaction survey c. Patient’s chart d. Patient’s complaint data

c. Patient’s chart

Situation – Nurse Myrna, a nurse in Barangay Mayamot Health Center, will conduct Health Education to the residents of the Barangay on Reproductive Health. This Law provides reproductive health care program to all citizens prioritizing, which of the Following? 1. Women 2.The poor 3. Marginalized 4. Those in vulnerable or crisis situations a. 1,2,3 and 4 b. 1, 2& 3 c. 1&2 d. 1 only

a. 1,2,3 and 4

When teaching about insulin and its potential for hypoglycemia, the nurse should include that its PEAK EFFECT occurs in which number of HOURS? a. 5 to 10 b. 4to 12 c. 1to 2 d. 2 to 4

b. 4to 12

Situation- Nursing assessment of individuals across the life span requires a nurse to be familiar With the physiological, cognitive, and psychosocial changes that occur during each stage of Development. 51. The factors that affect the ability of individuals to cope are_____. Select all that apply. 1. Level of development 2. Coping skills 3. Previous experiences with illness and hospitalization 4. Seriousness of diagnosis a. 2,3, and 4 b. 1, 2,3, and 4 c. 1, 2, and 3 d. 1, 2 and 4

b. 1, 2,3, and 4

Situation – Nurse Myrna, a nurse in Barangay Mayamot Health Center, will conduct Health Education to the residents of the Barangay on Reproductive Health. When conducting health education on Reproduction Health, it is important that Nurse Myrna Examines her values because of which of the following reasons? 1. We all hold personal values that can influence how we respond to our clients. 2. One’s values may change in response to life experiences. 3. Encounters with clients and colleagues may influence your beliefs without your having much Of a chance to reflect on these changes. 4. Others exist at a deeper level, so that we don’t necessarily recognize the influence they have On our behavior and judgments as health care providers a. 1, 2 and 3 b. 2,3&4 c. 1,2, 3 and 4 d. 1, 3 and 4

c. 1,2, 3 and 4

Situation – Nurse Carmi made a study on domestic violence against women in a certain province In Luzon. Since she wanted to capture the essence and emotion of the victims she choose to use the Qualitative design. Which among the statements below is CORRECT about qualitative design? a. Allows estimation of relationship between studied variables b. It commences study at present but consummates at any future time c. It provides insights into attitudes, beliefs, motives and behaviors of target population d. It tests result through numerical data and subjects them to statistical analysis.

c. It provides insights into attitudes, beliefs, motives and behaviors of target population

Situation – Headnurse Mila wishes to successfully change the way her registered nurses, nursing Assistants, and other nursing staff in providing emotional support to the ward’s patients. Which of the following requires quality improvement? Select all that apply. 1.Patient’s fall/injury 2.Infection 3.Safety 4.Pressure ulcers a. 1.2,3.&4 b. 1.2.& 4 c. 3 only d. 1&4

b. 1.2.& 4

At 7 AM, the nurse receives the information that Adel has a 6 AM fasting blood glucose level of 180 mg/dL. What should be her PIORITY nursing action? a. Inform Adel that a complex carbohydrate such as cheese should be eaten. b. Ask Adel to obtain again an immediate glucometer reading. c. Encourage Adel to start exercising and to continue for 5 minutes d. Tell Adel that the prescribed dose of regular insulin should be administered.

d. Tell Adel that the prescribed dose of regular insulin should be administered.

Situation – Nurse Katrina admitted a laboring primigravida, Yolanda, brought by an anxious taxi Driver. Nurse Katrina calms down the similarly anxious patient by telling her that the DEFINITIVE sign That labor about BEGIN is a. Rupture of bag of water b. Lengthening of cord c. Initiation of contraction d. Bulging of perineum

c. Initiation of contraction

Situation – Nurse Kayla is assigned at the postpartum ward. The following questions refer to Postpartum patients. After instructing a primiparous patient about episiotomy care, which of the following indicates Successful teaching? a. Will put ice packs on the site 15 minutes once a day for 3 to 4 days.” b. “I’ll use sudsy water to clean the episiotomy.” c. “Before bedtime, I will do a cold water sitz bath.” d. “| will wipe the area from front to back using a blotting motion.

d. “| will wipe the area from front to back using a blotting motion.

Situation – Nurse Kayla is assigned at the postpartum ward. The following questions refer to Postpartum patients. On the first postpartum day, a primiparous patient complains of perineal pain that was Unrelieved by lbuprofen 400 mg given two hours ago. Nurse Kayla should assess for which of the Following? a. Vaginal lacerations b. History of drug abuse c. Perineal Hematoma d. Puerperal infection

c. Perineal Hematoma

Situation – Nurse Crissel was talking about HIV – AIDS to a group of teen-agers. Here are some Questions which were asked by them during the open forum. What are some of the general symptoms the PRIMARY HIV infection? The nurse enumerated the Following. Which among these are CORRECT? 1. Fatigue 2. Headache 3. Fever 4.Sore throat 5.Cough 6. Dyspnea a. 1, 2,3,5,6 b. 1,2,4,5 c. 2,3,4,6 d. 1,2,3,4

d. 1,2,3,4

Situation – Liza is a new nurse in the Obstetrics Ward. She remember her Clinical instruction Saying that a nurse must learn how to communicate well with her patients. Liza learned active listening. How will Liza demonstrate this on her patient named Grace? She Should 1. Listen to what Grace verbalizes and observe how she expresses her feelings 2. Demonstrate interest on what Grace is talking about by avoiding her eyes. 3. Maintain a close body posture such as keeping arms crossed and clenching fist. 4. Tune out other thoughts and refrain from interrupting Grace while she is talking a. 1 and 2 b. 3 and 4 c. 1and 4 d. 2 and 3

c. 1and 4

Situation- Patient Clara visits her obstetrician for a positive pregnancy test. The nurse in the Clinic took her history. Clara reported that she has been pregnant four times before. She has two Children at home, one of whom was born at 32 weeks gestation. She lost a set of twins at 14 Weeks and another baby at 12 weeks. When questioned, Clara admitted that she sometimes has several glasses of wine with dinner. Her alcohol consumption puts her fetus at risk for which condition? a. Down syndrome b. Alcohol addiction c. Anencephaly d. Learning disability

d. Learning disability

Situation – Headnurse Mila wishes to successfully change the way her registered nurses, nursing Assistants, and other nursing staff in providing emotional support to the ward’s patients. The FIRST step in the Quality Improvement process is which of the following? a. Examine the data. b. Set goals c. Assess progress d. Confirm the existence of the problem by gathering data.

d. Confirm the existence of the problem by gathering data.

Situation – Ethics is a field of moral science which deals with the morality of human acts. Registered nurses must be aware that their actions have professional and ethical dimensions. They should strive to perform their work to the best interest of all concerned. Which of the following directly VIOLATES the Patient’s Bill of Rights? a. Immediately referring results of laboratory to the physician. b. Honestly telling the patient about his current condition c. Informing patients about the billing policies of the hospital Situation – Ethics is a field of moral science which deals with the morality of human acts. Registered nurses must be aware that their actions have professional and ethical dimensions. They should strive to perform their work to the best interest of all concerned. Which of the following directly VIOLATES the Patient’s Bill of Rights? a. Immediately referring results of laboratory to the physician. b. Honestly telling the patient about his current condition c. Informing patients about the billing policies of the hospital d. Disclosing the HIV result to members of the patient’s family.

d. Disclosing the HIV result to members of the patient’s family.

Situation – Nurse Kayla is assigned at the postpartum ward. The following questions refer to Postpartum patients Twelve hours after vaginal delivery, Nurse Kayla palpated the fundus of a primiparous patient And finds it to be firm, above the umbilicus and deviated to the right. What is the Best thing for Nurse Kayla to do for the patient? a. Gently massage the fundus to expel the clots. b. Document this as a normal finding in the patient’s records. c. Encourage patient to ambulate and to void. d. Contact the physician for an order of methylergonovine

c. Encourage patient to ambulate and to void.

Situation- Nurse Carmi made a study on domestic violence against women in a certain province In Luzon. Nurse Carmi finally decided to make an in depth study of ONLY ONE SUBJECT of domestic Violence. What design will she use? a. Causality Design b. Predictive Correlational Design c. Descriptive Correlational Design d. Descriptive Case Study Design

d. Descriptive Case Study Design

Situation – Liza is a new nurse in the Obstetrics Ward. She remember her Clinical instruction Saying that a nurse must learn how to communicate well with her patients. Demonstrating what she learned from school in terms of obtaining feedback, Liza’s APPROPRIATE response to Grace’s complaint, “My breasts are engorged and it is so painful, Should be a. “That’s a sacrifice that mothers should do for her babies” b. “Tell me about the pain. Is it tolerable, moderate or severe?” c. “Just continue breastfeeding, it will relieve you from your pain”. d. “It is alright all breastfeeding mother feel the same as you”.

b. “Tell me about the pain. Is it tolerable, moderate or severe?”

Situation – Nurse Crissel was talking about HIV – AIDS to a group of teen-agers. Here are some Questions which were asked by them during the open forum. Nurse Crissel also asked the participants if they got to know the transmission of HIV based from Her lecture? Which is Not correct? a. Kissing b. Accidental blood exposure c. Unprotected sex d. Mother to child transmission

a. Kissing

Situation- Preterm newborns are considered high risk because of their immaturity to adapt to The extrauterine life. They need special treatment and specialized process of nursing care. Hypothermia is common in preterm newborns because of their inability to control heat. Which of The following is an EXCEPTION to the APPROPRIATE nursing intervention to prevent heat loss? a. Using mechanical pressure b. Drying and wrapping the baby c. Placing the crib beside the wall d. Doing kangaroo care

c. Placing the crib beside the wall

Situation- Preterm newborns are considered high risk because of their immaturity to adapt to The extrauterine life. They need special treatment and specialized process of nursing care. Nurses should be alert when caring for a preterm newborn, particularly for which of the Following signs? a. Hypercalcemia b. Meconium aspiration syndrome c. Hypoglycemia d. Premature closure of ductus arterious

c. Hypoglycemia

Situation – Conchita was diagnosed with gestational diabetes. She is 34 years old and is on her 26 weeks Age of Gestation What is the PRIMARY effect to the newborn of a diabetic mother? a. Hyperglycemia b. Hypoglycemia c. Anemia d. Hyperinsulinism

b. Hypoglycemia

Situation- Preterm newborns are considered high risk because of their immaturity to adapt to The extrauterine life. They need special treatment and specialized process of nursing care. The nurse starts giving information about preterm newborns to the parent. She tells them that Preterm newborns exhibits which of the following characteristics/signs? a. Exhibit an abundance of brown fat. b. Resists when the right heel is brought to the right ear. c. Allow elbows to be brought past the midline of the chest. d. Assume significant flexed posture

c. Allow elbows to be brought past the midline of the chest.

Situation – To ensure patient safety at all times, personal and professional growth of nursing is a necessity than a choice. Nurse Florence is a beginning nurse In one of the hospitals in the suburb. During the Orientation Program, the need to enhance her skills, knowledge and attitude was emphasized In three year’s time, Nurse Florence needs to attain certain number of Continuing Professional Development units to be able to renew her a. Philippine Nurses Association membership b. Professional Registration c. Professional Identification Card d. Professional License

c. Professional Identification Card

Situation – Hemophilia is a rare blood disorder that affects the body’s clothing factors. This may result to incapacitation complications to children affected wit This disorder. A 3-year-old child Billy was diagnosed with hemophilia. When counselling parents of a child who has recently been diagnosed with hemophilia, what must Nurse Thelma KNOW about Billy’s condition whose father Is normal and the mother is the carrier? a. There is a 25% chance a daughter will be a carrier. b. It is likely that all sons are affected. c. There is a 50% probability that sons will have the disease d. Every daughter is likely to be a carrier.

b. It is likely that all sons are affected.

Situation- Nursing assessment of individuals across the life span requires a nurse to be familiar with the physiological, cognitive, and psychosocial changes That occur during each stage of development. Appropriate nursing diagnoses for patients with developmental problems are, EXCEPT: a. Impaired social interaction b. Altered Sleeping Pattern c. Delayed growth and development d. Compromised family Coping

b. Altered Sleeping Pattern

When planning a teaching program for a child who has recently been diagnosed with type 1 diabetes, what will be the nurse’s FIRST concern for the parents and Her parents? To let them a. Learn how to monitor blood glucose level b. Understand why activities must be limited c. Assess their own feelings about diabetes d. Learn how to administer insulin injections

c. Assess their own feelings about diabetes

Situation- Liza is a new nurse in the Obstetrics Ward. She remember her Clinical instruction saying that a nurse must learn how to communicate well with her Patients. Demonstrating what she learned from school in terms of obtaining feedback, Liza’s APPROPRIATE response to Grace’s complaint, “My breasts are engorged And it is so painful, “ should be a. “Tell me about the pain. Is it tolerable, moderate or severe?” b. “Just continue breastfeeding, it will relieve you from your pain”. c. “That’s a sacrifice that mothers should do for her babies”. d. “It is alright all breastfeeding mother feel the same as you”.

a. “Tell me about the pain. Is it tolerable, moderate or severe?”

Situation – Headnurse Mila wishes to successfully change the way her registered nurses, nursing assistants, and other nursing staff in providing emotional Support to the ward’s patients. Some of the nursing staff seemed to have a sense of entitlement according to nursing department leadership. They behaved as though they had unlimited jot Security (because of the strength of the nursing unions). Which of the following action is the BEST? a. Develop a documentation-and-tracking process for the observations b. Continue to work on increasing staff accountability for service behaviors c. Revise job descriptions and performance for all nursing staff to include the new general care guideline and highlight emotional support. d. Develop new evidence-based general care guidelines for nurse-patient interactions.

c. Revise job descriptions and performance for all nursing staff to include the new general care guideline and highlight emotional support.

Situation – Patient Clara visits her obstetrician for a positive pregnancy test. The nurse in the clinic took her history. Clara reported that she has been pregnant Four times before. She has two children at home, one of whom was born at 32 weeks gestation. She lost a set of twins at 14 weeks and another baby at 12 Weeks. Clara asks Nurse Merlita whether she can take castor oil for her constipation. How should the nurse respond? “No”. It can a. Initiate premature uterine contractions b. Produce an adverse effects c. Promote sodium retention d. Lead to increased absorption of fat-soluble vitamins

a. Initiate premature uterine contractions

Situation- Nurses Jessy and Karyl are assigned in high risk maternity ward. Here are some cases which they handle for the morning shift. If Mrs. Purisima begins to exhibit signs of labor after eclamptic seizure, what will Nurse Jessy anticipate to occur? a. Abruptio placenta b. Severe infection. c. Placenta accrete. d. Uterine atony

a. Abruptio placenta

Situation – Nursing assessment of individuals across the life span requires a nurse to be familiar with the physiological, cognitive, and psychosocial changes That occur during each stage of development. When a 15-year-old female patient is so engrossed and worries as to what her friends think about her, she is categorized to be in the psychosocial Development stage. Nurse Nene needs to inform the mother that this is a normal behavior. In what stage of the psychosocial development is the patient in? a. Industry versus Inferiority b. Initiative versus Guilt c. Autonomy versus Doubt and Shame d. Identity versus Role Confusion

d. Identity versus Role Confusion

When conducting health education on Reproduction Health, it is important that Nurse Myrna examines her values because of which of the following reasons? 1. We all hold personal values that can influence how we respond to our clients 2. One’s values may change in response to life experiences. 3. Encounters with clients and colleagues may influence your beliefs without your having much of a chance to reflect on these changes. 4. Others exist at a deeper level, so that we don’t necessarily recognize the influence they have on our behavior and judgments as health care providers. a. 1,3 And 4 b. 1, 2 and 3 c. 1,2, 3 and 4 d. 2,3&4

c. 1,2, 3 and 4

Situation – Liza is a new nurse in the Obstetrics Ward. She remember her Clinical instruction saying that a nurse must learn how to communicate well with her Patients. Liza also recalled her Learning on how to REFOCUS conversations. Thus, when Grace’s subsequent messages were, E have this painful engorged breasts and My mother-in-law wants me to bottlefeed instead Of breastfeed”. What will be Liza’s BEST answer using refocusing technique? a. “What did you do about the pain you felt on Your breast?” b. “All mothers s-in-law are just as helpful. OS it will be better to just accept her” c. “What were you saying about your mother-in-law?” d. “I think we were talking about breast engorgement which brought about.”

a. “What did you do about the pain you felt on Your breast?”

Situation – Nurse Crissel was talking about HIV – AIDS to a group of teen-agers. Here are some questions which were asked by them during the open for HIV transmission from mother to infant occur at post-natal period during a. Bottle feeding b. Breastfeeding c. Bathing d. Washing of vagina

b. Breastfeeding

Situation – Headnurse Mila wishes to successfully change the way her registered nurses, nursing assistants, and other nursing staff in providing emotional Support to the ward’s patients. Which of the following requires quality improvement? Select all that apply. 1. Patient’s fall/injury 2. Infection 3. Safety 4. Pressure ulcers a. 1,23,& 4 b. 3 only c. 1,2,&4 d. 1&4

c. 1,2,&4

Situation – Conchita was diagnosed with gestational diabetes. She is 34 years old and is on her 26 weeks Age of Gestation. Gestational diabetes is said to exist in pregnancy because of the diabetogenic effect of what hormone secreted by the placenta? a. Human chorionic gonadotropin b. Human placental lactogen c. Estrogen and progesterone d. Relaxin

b. Human placental lactogen

Situation- Patient Clara visits her obstetrician for a positive pregnancy test. The nurse in the clinic took her history. Clara reported that she has been pregnant Four times before. She has two children at home, one of whom was born at 32 weeks gestation. She lost a set of twins at 14 weeks and another baby at 12 Weeks. Clara also admitted to Nurse Merlita that she also use cocaine at least once per day, skipping meals at times. Which nursing diagnosis is MOST appropriate Her? a. Activity intolerance related to decreased tissue oxygenation. b. Risk for infection related to metabolic and vascular abnormalities. c. Impaired gas exchange related to respiratory effects of substance abuse. d. Impaired nutrition: Less than body requirements related to Limited food intake.

d. Impaired nutrition: Less than body requirements related to Limited food intake.

Situation- Nurses Jessy and Karyl are assigned in high risk maternity ward. Here are some cases which they handle for the morning shift. Nurse Karyl is assisting an obstetrician in the care of a pregnant woman in labor with herpes simplex viral infection. The nurse would anticipate which Management of the condition? a. Preparation for Ceasarian section. b. Hot sitz bath TID. c. Administration of anti-viral drug. d. Vaginal douche

a. Preparation for Ceasarian section.

d. G5, P2,T1,P1, A2,L2

Situation- Ethics is a field of moral science which deals with the morality of human acts. Registered nurses must be aware that their actions have professional And ethical dimensions. They should strive to perform their work to the best interest of all concerned A professional nurse has a duty to know and respect the Patient’s Bill of Rights. Which of the following is NOT included in the Patient’s Bill of Rights. The Right to/for a. A considered and respectful care. b. Privacy and confidentiality c. Expect continuity of care from discharge to full recovery d. A complete and current information about his illness

c. Expect continuity of care from discharge to full recovery

When teaching about insulin and its potential for hypoglycemia, the nurse should include that its PEAK EFFECT occurs in which number of HOURS? a. 1to2 b. 2to4 c. 5 to 10 When teaching about insulin and its potential for hypoglycemia, the nurse should include that its PEAK EFFECT occurs in which number of HOURS? a. 1to2 b. 2to4 c. 5 to 10 d. 4to 12

d. 4to 12

Situation- Preterm newborns are considered high risk because of their immaturity to adapt to the extrauterine life. They need special treatment and Specialized process of nursing care. Nurses should be alert when caring for a preterm newborn, particularly for which of the following signs? a. Meconium aspiration syndrome b. Premature closure of ductus arterious c. Hypercatcemia d. Hypoglycemia

d. Hypoglycemia

Situation Nurse Kayla is assigned at the postpartum ward. The following questions refer to postpartum patients. Three hours postpartum, a primiparous patient’s fundus is firm and midline. On perineal inspection by Nurse Kayla, she observes a small constant trickle of Blood. What will the nurse suspect for the patient to have? a. Perineal lacerations b. Uterine inversion c. Bladder distention d. Retained placenta

a. Perineal lacerations

Situation Thelma, a mother of a 6-year-old boy Marco has arrived at school to take her child home because the school Nurse James has verified that he has An inflamed throat. Nurse James urges his mother to seek treatment because if the causative agent is beta-hemolytic streptococcus, he may develop a disorder Characterized by inflamed joints, fever, and the possibility of endocarditis. In addition to carditis, which of the following should the nurse assess the child? a. Bronchitis and pneumonia b. Arthralgia and low grade fever c. Oliguria and edema d. Malabsorption and diarrhea

b. Arthralgia and low grade fever

Situation- Nurse Melissa has been assigned in the Pediatric Ward for almost a year. Her Headnurse is on Maternity Leave for the next 6 months. She was Appointed by the Area Nurse Supervisor to be the Charge Nurse. Which statement is incorrect regarding record keeping? a. Keeping records of patient care and treatment is NOT an integral part of nursing practice b. Patients now have a legal right to see their own records. c. All records must be signed by the person making the entry together with the date and time of the entry. d. Any later alteration or addition must be carefully indicated, insuring that the original entry can still be clearly read.

a. Keeping records of patient care and treatment is NOT an integral part of nursing practice

Situation – To ensure patient safety at all times, personal and professional growth of nursing is a necessity than a choice. Nurse Florence is a beginning nurse In one of the hospitals in the suburb. During the Orientation Program, the need to enhance her skills, knowledge and attitude was emphasized. Nursing programs that are based on needs assessment and needs analysis and should be offered free is which of the following? a. Continuing Development Program b. Post-Graduate Program c. In-service Training Program d. Nursing Education Program

c. In-service Training Program

Situation – Conchita was diagnosed with gestational diabetes. She is 34 years old and is on her 26 weeks Age of Gestation. Aside from an endocrinologist, to whom should the nurse also plan to refer the patient to? a. Hyperglycemia b. General practitioner c. Surgeon d. Neurologist

d. Neurologist

Situation – Nurse Carmi made a study on domestic violence against women in a certain province in Luzon. Since she wanted to capture the essence and emotion of the victims she choose to use the qualitative design. Which among the statements below is CORRECT About qualitative design a. It Provides insights into attitudes, beliefs, motives and behaviors of target population. b. It allows estimation of relationship between studied variables. c. It commences study at present but consummates at any future time. d. It tests result through numerical data and subjects them to statistical analysis.

a. It Provides insights into attitudes, beliefs, motives and behaviors of target population.

Situation- Preterm newborns are considered high risk because of their immaturity to adapt to the extrauterine life. They need special treatment and Specialized process of nursing care. The goal of a neutral thermal environment is to assist the newborns to stabilize its temperature that does not drop below which of the following? a. 96.7 degreeF b. 97.7 degree F c. 99.5 degreeF d. 98.6 degree F

b. 97.7 degree F

Situation – Ethics is a field of moral science which deals with the morality of human acts. Registered nurses must be aware that their actions have professional And ethical dimensions. They should strive to perform their work to the best interest of all concerned. Autonomy is the prerogative of the patient to give consent or refusal of treatment with the EXCEPTION of which of the following situations? a. Erroneous belief of a head of a church b. Peer pressure c. Negative effect of superstition d. Near death

c. Negative effect of superstition

Situation Nurse Miriam Kate is the Charge of the Obstetrics & Gynecology Ward of a government hospital. Nurse Angelina is one of the staff nurses in that Ward. The Ward is beset by problems such as having inadequate supplies. Nurse Angelina as a beginning assigned on the Obstetric Ward was asked by Head nurse Mimi an example of how she will be able to manage her Environment. Which of her responses are CORRECT? Select all that apply. 1. Check availability and expiry date of fire extinguishers in the Obstetric Ward, 3. Provision of a separate container for each type of waste for on-site collection properly marked as “compostable”, “non-recyclable”, “recyclable” or special 2. Compliance of Republic Act 9003- cological solid waste managementWaste”. 4. Proper isolation of patients known or suspected of harboring infectious diseases. a. 1,2,3&4 b. 1,2&4 c. 1,3&4 d. 2,3&4

a. 1,2,3&4

Situation – Thelma, a mother of a 6-year-old boy Marco has arrived at school to take her child home because the school Nurse James has verified that he has An inflamed throat. Nurse James urges his mother to seek treatment because if the causative agent is beta-hemolytic streptococcus, he may develop a disorder Characterized by inflamed joints, fever, and the possibility of endocarditis. After throat swab for culture and sensitivity, the nurse would expect the physician to prescribe an appropriate antibiotic. Which of the following is the purpose Of this medication? It is to prevent a. Inhalation b. Transmission c. Inflammation d. Recurrence

d. Recurrence

Situation- Patient Clara visits her obstetrician for a positive pregnancy test. The nurse in the clinic took her history. Clara reported that she has been pregnant Four times before. She has two children at home, one of whom was born at 32 weeks gestation. She lost a set of twins at 14 weeks and another baby at Weeks. When questioned, Clara admitted that she sometimes has several glasses of wine with dinner. Her alcohol consumption puts her fetus at risk for which Condition? a. Learning disability b. Down syndrome c. Alcohol addiction d. Anencephaly

a. Learning disability

Situation – Hemophilia is a rare blood disorder that affects the body’s clothing factors. This may result to incapacitation complications to children affected witt This disorder. A 3-year-old child Billy was diagnosed with hemophilia. Nurse Thelma is providing home care instructions to the mother of Billy. Which of the following complications should Nurse Thelma tell the mother, should Repeated bleeding continues? a. Hematoma b. Echymosis c. Hemarthrosis d. Leukemia

c. Hemarthrosis

Situation- Hemophilia is a rare blood disorder that affects the body’s clothing factors. This may result to incapacitation complications to children affected with This disorder. A 3-year-old child Billy was diagnosed with hemophilia. The nurse is planning a meal that would provide IRON for a child with bleeding disorders. Which dinner menu would be the BEST? a. Chicken nuggets, macaroni, peas, cantaloupe, milk b. Fish sticks, French fries, banana, cookies, milk c. Ground beef patty, Lima beans, wheat roll, raisins, milk d. Peanut butter and jelly sandwich, apple slices, milk

c. Ground beef patty, Lima beans, wheat roll, raisins, milk

MCN Flashcards

(86 cards)