NP 1-3 DIAGNOSTIC EXAM (TR) REVCEN 2023

Situation: A batchmate of Nurse Xander Ford, Nurse MarlouArizala, is a company nurse for Lodi Inc. He is responsible for the health promotion of the employees of the company. Aside from this, he also aims to educate the employees regarding birth control measures. The following questions apply.
1.  As an occupational health nurse, Nurse Marlou knows that which of the following workers are most at risk?

Injury rates tend to be higher in which kind of organization?

The following are leading causes of fatal work injuries except:

Any injury that results from a single incident in the work environment is a:

Any abnormal condition or disorder caused by exposure to environmental factors associated with employment is a:

Which of the following statements is not false regarding male sterilization?

On the other hand, which of the following statements regarding female sterilization is true?

Which statement is not a benefit of breastfeeding for the infant?

Which benefit of breastfeeding is not directly for the mother?

The household and the community may benefit from breastfeeding by:

Situation: As a CHN nurse, Nurse Jake Zyrus is responsible for home visits in Barangay Werpa. Thus, he needs to have a strong foundation in blood pressure monitoring and knowledge regarding communicable diseases such as HIV. The following questions apply.

 

11. In the preparatory phase of blood pressure measurement, how many minutes should the client have been relaxed and how many minutes should the client have not smoked or ingested caffeine?

In applying the BP cuff and stethoscope, how many centimeters above the brachial artery should the nurse apply the cuff?

For obese persons, which part of the stethoscope is preferably used to auscultate the pulse in obtaining the blood pressure reading?

As a knowledgeable nurse, Nurse Jake knows that he should take the mean of 2 readings of blood pressure in order to have an accurate reading. How many minutes should be the interval between the 2 readings?

Which situation would require Nurse Jake to obtain a third reading?

In handling soiled linens and clothes of a person with HIV, how should Nurse Jake proceed?

A family member of a deceased HIV client asks Nurse Jake if it is possible to have the body available for public viewing. As a knowledgeable nurse, Nurse Jake answers:

Which of the following procedures done to an HIV-positive client is an example of a low risk procedure?

Oral prophylaxis in an example of a:

The following procedures are not examples of moderate risk procedures for a client with HIV except:

Situation  – Charity, the PHN in the Municipality of Tubog, learned from the residents that children and some elderly had been suffering from respiratory and skin ailments allegedly due to the bad smell curly dark smoke emitting from the factory nearby. She was invited to the community assembly that was initiated by the barangay council.

 
The barangay captain asked, “What can you do to help solve the problem of Nurse Charity?” What would be the right response of Nurse Charity?

Situation – Nurse Binwag, a newly promoted senior nurse in Obstetrics ward (OB) is attending a seminar on management and leadership in preparation for her work. 

 

Nurse Binwag learns the five principles of goal setting in which the senior nurse must provide enough time for OB nurse to improve performance. This is called__________

The nurse also learns that continuous training is a personal as well as an organizational goal. Choose the statements that are true regarding continuous training

1.     Training employees is an excellent investment and a cost to an institution

2.     Continuous training is more of a personal responsibility than institutional

3.     Cross training and job rotation provide on-going part-time learning experience

4.     Select the best people when hiring employees and invest their retention through continuous training

Noting the importance of Nurse-Patient-Relationship, Nurse Binwag reviewed Hildegard Peplau’s Theory which identified three phases, the FIRST of which is when the pregnant woman is________.

Nurse Binwag took note that evaluating the OB staff is an on-going function of management. Some of the reasons for conducting evaluation include, EXCEPT to _____________.

Situation - You are an OB nurse in an out-patient department of a hospital. You encounter pregnant women with complication

A 35-year old woman, on her 2nd trimester of pregnancy with insulin-dependent diabetes mellitus, comes to you for some advice. What is the PRIORITY message for her at this time?

A 30-year old G6P5 woman at 12 weeks has just begun prenatal care. Her initial laboratory reveals that she has human immunodeficiency virus (HIV) infection. What would be a priority evidence-based nurse information for this patient?

What action must the nursing administration do FIRST?

In case Dora have medication error during her tour of duty, the head of office can be liable because of the law called ____________.

All Nurses must understand that after graduation they should pass the NLE. To be registered in the roster, they should take the Professional Oath with a ________, EXCEPT.

A nurse is leading a community meeting at the partial-hospitalization program. One group member talks constantly and interrupts the other patients. The most appropriate action for the nurse to take is to

Situation - Jaina is a fourth year nursing student currently having her community immersion in Barangay Sto. tomas. She, together with her professor, are is conducting a home visit with one of her patients, who is diagnosed with an open-angle glaucoma.

In the middle of their conversation, the client raised a question to Jaina. She mentioned that she has been prescribed with Latanoprost (Xalatan) by the municipal doctor. She asks Jaina why she has to take this. Jaina responds that this medication:

In utilizing the IMCI protocol, the nurse should initially?

Situation – The local health board established a reproductive health clinic in the main health center. Two nurses, Hubert and Irene, were assigned to handle services to address problems related to sexuality, reproductive health and fertility problems.

Nurse Valentin classifies cases according to the major categories of reproductive tract infections. Which of the following is NOT part of such classification?

Irene handles the screening for gonorrhoea every two weeks among female sex workers in the implementation of PD 856. In differential diagnosis of discharge among infected clients, which of the following colors discharge will Irene take note to identify gonorrhoea from other causes?

Nurse Valentin was invited by a women’s group to give a lecture on healthy sexuality. In the expectation check, he noted that there are previous misconceptions expressed by the participants. Which of the following statements are correct?

One of the clients was positive to Gonorrhea. Nurse Irene explained that gonorrhoea and chlamydia, if left untreated can lead to Pelvic Inflammatory Disease (PID). Such condition may cause infertility due to ______.

Nurse hannah further explained that a test used to determine tubal patency using a radiopaque material is the __________.

Situation – Arlene, 21 years old, is a law graduate. She wants to review for the Bar but thinks she is pregnant. She said she has regular menses but does not know when ovulation usually occurs. This have something to do her fertility period during her last sexual intercourse with her husband.

 

As a nurse, what would you tell Arlen regarding ovulation?  The ovulation usually corresponds to the life of the corpus luteum which occurs approximately _______________.

Arlen insisted she might have been fertile during the time of sexual intercourse. The nurse explains that absolute period of fertility is the span of time that a woman is likely to be pregnant when she engages in unprotected sex______.

The nurse proceeded to take the menstrual history of Arlen to find out if she is likely to be pregnant. Which of the following determines the date of onset of last menstrual period (LPM)? It is the ___________.

The nurse also asked about Arlene’s secondary amenorrhea that would most likely indicate her pregnancy. Secondary amenorrhea is cessation of menses for more than_______ months, after regular menstrual cycle has been established.

The nurse also asked for presence of secondary dysmenorrhea. Which of the following conditions is not INCLUDED under secondary dysmenorrhea?

Situation 1 – The family of Roxas is fond of dogs. A vendor who entered the gate without notice is bitten by one of the pet dogs named Bert. PHN Cords Attends to the vendor.

Which of the part of body of the vendor will be the MOST affected in terms of rabies? It is the _________.

To protect the vendor from the dangers of rabies, PHN Cords advises him to clean the wound thoroughly with soap and water, consult a physician and receive anti-rabies vaccination. Which among the following vaccines can provide active immunity? 

1.     Purified vero cell vaccine
2.     Human rabies immunoglobulin
3.     Equine rabies immunoglobulin
4.     Purified duck embryo vaccine

The vendor acquired rabies, what will PHN Cords do to protect those who took care of him? He should administer____________.

PHN Cord’s intervention to protect all residents who own pets, especially dogs, should be done by_______.

Situation 2 – The Field Health Services and Information System (FHSIS) is recording and reporting system in public health care in the Philippines

The following are the objectives of the FHSIS, EXCEPT:

As a nurse, you should know the process of how these information are processed and consolidated. The fundamental block of the FHSIS system is the ______________

The monthly field health service activity report is a form used in which of the components of the FHSIS?

In using the tally sheet, the recommended frequency in tallying activities and services is_______.

To monitor clients client registered in long-term regimen such as the Multi drug Therapy, which component of the reporting system will be most useful?

Situation: Nurse Xander Ford recently passed the Nursing Licensure Examination. He is currently practicing as a CHN nurse in Barangay Petmalu wherein keen assessment and practical nursing skills are much needed. The following questions apply.

Not having regular check-up is an example of:

A condition that promotes disease or injury and prevents people from realizing their health potential is a:

A situation in which there is a demonstrated health need combined with actual or potential resources to apply remedial measures and a commitment to act on the part of the provider or the client is a:

Lack of medical or social technology is an example of:

Stressful occurrences are examples of:

In the public health bag, how many pair/s of forceps are needed?

In the bag technique, how should the nurse handle the apron?

The following items are not found in the public health bag except:

Which of the following solutions is not found in the public health bag?

The following pairs of scissors are not found in the public health bag except:

Situation – Mrs. Reyes, a clinical instructor, is reviewing some concepts of psychiatric nursing with fourth year nursing students.

Which of the following sets of symptoms is characteristic of acute stress disorder?

Which of the following medications are appropriate for a client with obsessive thoughts followed by ritualistic and repeated behaviors?

A nurse found out that her patient in a medical ward was raped by her grandfather. She appropriately reports this assessment to which of the following agencies/departments?

The following are signs that child abuse is most likely present in a pediatric client except:

Which of the following is a characteristic of a sexual abuser?

A patient has just attempted to commit suicide by hanging. To prevent the patient from attempting this again, which of the following is appropriate for the nurse to do?

A manic patient needs food and fluids to maintain proper nutrition. Which of the following is best to provide the patient?

The nurse is caring for a patient with mania. Which of the following activities is appropriate for the patient?

A fundamental concept in nursing is viewing a client with unique personality. Thus, the nurse should:

A basic concept in psychiatric nursing is that behavior _____:

The nurse interviews a patient in the health clinic. She verbalized that she has excessive fear of gaining weight, she sees a fat girl on the mirror despite a thin body frame, and she hasn’t had menstruation for 6 months already. These symptoms define:

Situation – You are a staff nurse in a rehabilitation center for substance abuse.

 You admitted an intoxicated patient for alcohol withdrawal. Which of the following nursing interventions should you do to help the client?

You asked about the amount of alcohol the client consumes daily. The client answered, “I just have a few drinks with officemates after work.” His records show multiple cases of driving under influence of alcohol. Which of the following would be your most therapeutic response?

You asked about the amount of alcohol the client consumes daily. The client answered, “I just have a few drinks with officemates after work.” His records show multiple cases of driving under influence of alcohol. Which of the following would be your most therapeutic response?

Situation – You are a nurse in the emergency department of Hospital A. The following questions apply.

 

A patient who suffered from multiple trauma in the street was seen by the nurse. She responds initially by:

You are supervising a staff nurse administering drug to a 3rd degree burn client. Which of the following statements would require immediate intervention?

Situation – As a nurse, adequate knowledge of research is integral for the development of nursing science. The following questions apply.


This refers to the integration of research findings where the practical application is related to the original research. It utilizes the PICO technique in answering the clinical question.

You are a nurse and you wanted to study the relationship between quality of life of seafarers and the use of social media while on board, what is the independent variable?

Based on the question above, which is the outcome variable?*

A nurse is preparing a research proposal wherein she will compute the sample size from a population of 2, 340 with a margin of error of 5%. What is the computed sample size using Slovin’s formula?

A public health nurse recorded 15 new cases of dengue fever for the months January to June 2018. Currently,20 are being treated at the health center since the last year.What is the incidence considering a population at risk of 95, 000?

In a research proposal, a nurse mentioned that snowball sampling will be used as a sampling method. The nurse understands that they will select samples by:

A nurse is studying the defense mechanisms of young adults towards the problems they encounter during their first jobs. Which type of research design is best to use?

In their research, nurses found out that childrenliving in Manila urban poor areas are vulnerable of contracting pulmonary tuberculosis due to housing congestion. What kind of research design is utilized?

Using the Pearson product moment correlation, the statistical test yielded a (-) 0.75 Pearson’s r value. How does the nurse interpret this?

Situation – Nurses are accountable for documentation of nursing care and all other significant findings of their clients. The following questions apply.

The nurse is documenting nursing care for the night shift. She writes the patient’s nursing diagnosis and problem, assessment findings, interventions and evaluation in an FDAR format. Which of the following documentation systems did the nurse use?

A nurse is charting her nursing care for a patient in their ward who has been admitted for 20 days already. She documents abnormal and significant findings only. Which documentation system did she use?

Most agencies have specific policies about telephone orders. Which of the following is not true about telephone orders?

Nurse Gigi is aware that a record should contain descriptive, objective observations. The following describes how record should be except:

Nurses are ethically obligated to keep information about client’s illness and treatment confidential. The person who has the legitimate access to the patient’s record is the:

You observed a nurse logging into an account of another nurse in your ward. What is your initial action?

Situation – Nurse Rita is a nurse in the neurosciences ward of Toprank Hospital. She cares for several clients with various neurologic conditions.

A paraplegic client is for discharge to home. The nurse correctly includes which instruction for patient education?

Upon assessment of the patient’s hearing acuity, the nurse uses Rinne test. The patient reports that she hears air-conducted sound longer than bone-conducted sound in one ear. What can the nurse conclude from the patient’s response?

The patient with right hemiplegia asks the reason why he has to be turned every 2 hours. The nurse’s best response is:

What type of exercise is most effective to achieve the goal of optimal rehabilitation in a patient with paraplegia?