December 2011 Pre Board Exam

8/13/2019 December 2011 Pre Board Exam

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December 2011 Pre-Board Nursing Exam (NLE)

Question 1

Janna, 11 weeks pregnant reported that she has slight vaginal bleeding which nursing instruction is important to

discuss to the pregnant woman at this point?

Please elevate your legs when taking your rest.

It is best to come to the hospital immediately and stay here until the

bleeding stops.

You may stay at home but please restrict fluid intake.

Restrict activities and take a best rest

Question 1 Explanation :Answer: D patients with threatened abortion need not to beadmitted in the hospital !n ma"orit# o$ cases, bed rest is re%uired as it usuall# stops the

bleeding in &' hours (owever, i$ bleeding persists hospitali)ation is necessar# to detectand prevent $urther complications All pads should also be saved $or examination andcoitus should be avoided $or * weeks a$ter the bleeding stops +rgasm stimulatesbleeding

Question *

hich signs should alert the nurse that reveals worsening o$ the Janna-s condition?

Abdominal cramping

.aginal bleeding

/etal thrashing

0ervical dilatation

Question 2 Explanation: Answer: D. The most important sign that distinguishes

inevitable abortion from threatened is cervical dilatation.

Question

A client is discharged $rom a hospital due to complete abortion hich o$ the $ollowing statements about completeabortion is true?

A$ter complete abortion $urther medical and surgical treatment is necessar#

2o restore normal hemoglobin and hematocrit levels, iron therap# is necessar# isconsiderable amount o$ blood is lost

2he $ollowing week a$ter abortion, the patient ma# experience menstrual3like $low

and cramps ever# now and then

All o$ these


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Question 3 Explanation: Answer: A. suall! a complete abortion needs no further medicalor surgical treatment. "o medication is li#el! needed. suall!$ the uterus contracts wellafter expelling the entire contents and the cervix are closed.

Question 4

/ollowing complete abortion, a client is advised to return to the hospital i$ this4these s#mptom4s occur:

evere pelvic pain

!ypothermia

Intermittent and slight vaginal bleeding

"ll of these

Question % Explanation: Answer: A. &ollowing complete abortion$a client is advised to return to the hospital if these s!mptomsoccur: ' (rofuse vaginal bleeding ' )evere pelvic pain 'Temperature greater than *++&

Question #

hich o$ the $ollowing iron preparation provides *56 elemental iron, 75 mg /e4*8 tablet?

$errous ulfate

Ferrous Fumarate

$errous gluconate

"ny of these

Question , Explanation: Answer: -.' &errous )ulfate provides33/ elemental iron$ *+0 mg &e132, tablet ' &errous &umarate provides 2+/ elemental iron$ 0+ mg &e132, tablet ' &errousgluconate provides **.0/ elemental iron$ 3 mg &e132, tablet

Question %

/etal respirator# movements are evident at around which period?

'&% weeks "()

*+'*& weeks "()

14-16 weeks AOG


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,'11 weeks "()

Question 0 Explanation: Answer: . &etal respirator! movementsare evident at around *%*0 wee#s A45.

Question -

2he earliest time an (09 can be detected in maternal urine and plasma is:

Right after fertiliation

1++ days after fertiliation

&nd day after fertiliation

9 days after fertilization

Question 6 Explanation: Answer: D. The earliest time an 75 can

be detected in maternal urine and plasma is 8 da!s afterfertili9ation.

Question /

hich substance is trans$erred across the placenta via active transport?

"mino acids

Iron

Iodine

All of these

Question Explanation: Answer: D. )ubstances transferredacross the placenta via active transport are: ' Amino acids ' ron 'odine ' ;ater soluble vitamins ' (hosphorous ' alcium

Question ,

enedict-s test is done to pregnant women who are suspected o$ having:

"nemia

Diabetes

Preeclampsia

0I

Question 8 Explanation: Answer: -. -enedict


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&yanosis

7ecreased pulse rate

Rela2ed child

8leeding of gums

Question *3 Explanation:Answer: A. !anosis$ child thrashing$increased >> and (> are signs of respirator! obstruction whichre?uires intubation to maintain airwa!.

Question 14

hich additional nursing measure4s is necessar# $or a client with croup?

Providing comfort

Reduce child9s an2iety

"dvise the parent to hold the child as necessary

All of these%

Question *% Explanation:Answer: D. The measures listed in A$ -and are aimed at preventing the child from cr!ing that isprevented in croup as it ma! result to the total occlusion of theairwa!.

Question 1#

;utrition is an important part o$ health teaching to pregnant mothers hich o$ the $ollowing is a good source o$ iron?

'oy beans

5ilk

(range :uice

;one of these

Question *, Explanation:Answer: A. &ood sources of iron: ' (or#liver @the best source ' 4rgan and red meats ' )o! beans ' lams' (eanuts ' Dar# green leaf! vegetables

Question 1%

2he nurse is conducting a enedict-s test A$ter placing 8cc o$ enedict-s solution in a test tube and adding ten drops

o$ urine the solution turned orange 2his is best interpreted as:

;egative for sugar

Positive one


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Positive two

(ositi)e three *+++,

Question *0 Explanation:Answer: D ' "egative for sugar blue '

(ositive one @B green ' (ositive two @BB C !ellow green '(ositive three @BBB C orange ' (ositive four @BBBB C bric# red

Question 1-

2he nurse "ust carried out the determination o$ ho5am is given topregnant women which are >7 negative and oombh positive blood. ;hen a

woman is tested oombho5am is no longeradministered. t is given at 2 wee#s A45 and within 62 hoursafter deliver!.

Question 1,

2he nurse is preparing a neonate $or phototherap# hich o$ the $ollowing statements about phototherap# is true?

It hastens maturity of the fetal lungs.


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It enables the conversion of direct bilirubin to an indirectform

It causes a neonate to e2crete a yellowish defecated

product

t enables the con)ersion of indirect bilirubin to a

direct form

Question *8 Explanation:Answer: D. The purpose of aphototherap! is to hasten the maturit! of the fetal liver to enable itto convert indirect bilirubin to a direct form to be excreted out inthe bod!. t causes a neonate to excrete a greenish1tarli#edefecated product.

Question &+

2he child is admitted with a diagnosis o$ a ilm-s tumor hich o$ the $ollowing should the nurse do?

Instruct the parents to avoid crying episodes as it may

cause further respiratory problem

(lace a .no abdominal $al$ation/ si!n in a hi!hly-

)isible s$ace in the client/s room%

"ssist the client for a renal biopsy per doctor9s order

"ll of these are essential for the nurse to perform

Question 2+ Explanation:Answer: -. ;ilm


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Question &&

During the initial stage o$ the $irst stage o$ labor, which nursing action is the best?

"dministering analgesic

"sking the woman to bear down

nformin! the woman of the $ro!ress of labor

)uiding the woman to perform panting and breathingrapidly

Question 22 Explanation:Answer: . ' Administering analgesic Cdone during the active phase of labor in case the patient cannottolerate pain ' As#ing the woman to bear down C not allowedduring the first stage of labor ' nforming the woman of theprogress of labor C gives the woman a sense of control. ' 5uidingthe woman to perform panting and breathing rapidl! C done in thelatter phase of the first stage of labor and during the secondstage.

Question &*

=igns o$ placental separation appear within how man# minutes or hours a$ter the birth o$ the bab#?

1 hour

& hours

0-10 minutes

*+'%+ minutes

Question 23 Explanation:Answer: . During the third stage oflabor$ signs of placental separation appear within ,*, minutesafter the birth of the bab!.

Question &4

hich o$ the $ollowing is the $irst sign o$ placental separation?

udden gush of blood from the vagina

terus becomin! firm and !lobular

6engthening of the umbilical cord

Rising of the uterus to the level of the umbilicus


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Question 2% Explanation:Answer: -. All of the items listed aresigns of placental separation however$ uterus becoming firm andglobular ta#es place first.

Question

Enema is contraindicated in which cases?

Ruptured bag of water

"bnormal fetal heart rate

Aaginal bleeding

All of these

Question 2, Explanation:Answer: D. ontraindications to enema:' >uptured bag of water ' Abnormal fetal heart rate ' aginalbleeding ' "ot given during the active phase ' Abnormal fetal

presentation and position ' &etus not !et engaged ' (rematurelabor because of the danger of cord prolapse ' Abnormal fetalheart rate pattern

Question &%

r Dinglasa underwent gastric resection 0are o$ this client postoperativel# should $ocus on which o$ the $ollowing?

piritual needs

8ody image

;utritional needs

kin 3are

Question 20 Explanation:Answer: . After 5astric >esection$ aclient ma! re?uire T(" or eunostom! tube feedings to maintainade?uate nutritional status. a. )piritual needs C ma! be aconcern$ depending on the client$ and should be addressed onl!when the client demonstrates readiness to share. b. -od! image Cisn


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7iverticulitis

"denomatous polyps

Question 26 Explanation:Answer: D. A client with adenomatous

pol!ps has a higher ris# of developing cancer than others do.lients with diverticulitis are more li#el! to develop colon cancer.7emorrhoids do not increase the chance of an! t!pe of cancer.lients with (D have a higher incidence of gastric ulcer.

Question &/

hich diagnostic test ma# be per$ormed $or a client who is suspected o$ having a gastric cancer?

)astroscopy

8arium enema

3olonoscopy

"ll of these

Question 2 Explanation:Answer: A. A gastroscop! will allowdirect visuali9ation of the tumor. - and are used to diagnosecolon cancer.

Question &,

/ollowing gastric resection, the nurse should teach the client to watch $or which complication?

)astric spasm

3onstipation

7umping syndrome

Increase gastric emptying

Question 28 Explanation:Answer: . Dumping s!ndrome is a problem that occursafter gastric resection because the ingested food enters the eunum withoutproper mixing and without normal duodenal digestive processing.


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Question *+

rs /arrid is suspected o$ having a rectal cancer hich o$ the $ollowing is expected to be exhibited b# the client?

Rectal bleeding

"bdominal fullness

)astric fullness

R0Q pain

Question 3+ Explanation:Answer: A. A common s!mptom of rectal canceris rectal bleeding which is often missed because other conditions such ashemorrhoids can cause bleeding in the rectum too.

Question *1

A$ter a colon cancer surger# which should the nurse expect to possibl# develop in the client?

3omplete bowel obstruction

Peritonitis

7iverticulosis

"ll of these

Question 3* Explanation:Answer: -. -owel spillage could occur duringsurger! which might result to peritonitis. omplete or partial intestinalobstruction ma! occur before bowel resection. Diverticulosis does notresult from surger! for colon cancer.

Question *&

A$ter colon cancer surger#, the nurse noticed the client-s respirations to be deep and labored 2his is what t#pe o$

respiration pattern?

achypnea

8iot9s respiration

!yperpnea

Bussmaul9s respiration

Question 32 Explanation:Answer: D. Fussmaul


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Question **

hich nursing management takes priorit# during the preoperative period $or a client with gastric cancer who is

scheduled $or resection?

eaching deep breathing e2ercises

7ischarge planning

3orrection of nutritional deficits

Prevention of 7eep Aein hrombosis

Question 33 Explanation:Answer: . lients with gastric cancercommonl! have nutritional deficits and ma! be cachetic$ hencecorrecting the problem ta#es priorit! to be able to survive theoperation.

Question *4

2he nurse is taking the histor# o$ a client with 0rohn-s disease hich o$ the $ollowing $actors is likel# to be linked to

the illness?

!ereditary

7iet

edentary lifestyle

3onstipation

Question 3% Explanation:Answer: A. Although the definitivecause of rohn


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Question *%

/istulas in clients with 0rohn-s disease are most commonl# $ound in?

ransverse colon

Ileum

"norectal

Rectovaginal

Question 30 Explanation:Answer: . &istulas occur in all theseareas$ but the anorectal area is most common because of therelative thinness of the intestinal wall in this part.

Question *-

hich o$ the $ollowing s#mptoms is mani$ested b# a client diagnosed with a 0rohn-s disease?

8loody diarrhea

teatorrhea

;arrow stools

Pro:ectile vomiting

Question 36 Explanation:Answer: -. )teatorrhea occurs from themalabsorption in rohn


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7orothy Cohnson

Rosemarie Rio Parse

$aye )lenn "bdellahQuestion 38 Explanation:Answer: A. irginia 7endersonpromotes the principle of gaining patient independence andenumerated the *% basic components of basic nursing care.(arse defined nursing as a scientific discipline of performing art.Doroth! Gohnson defined nursing as having the main goal offostering e?uilibrium within the individual. Abdellah is the onewho grouped the 2* problem areas as a guide in promoting careto patients

Question 4+

A client has lactose intolerance 2o ensure ade%uate calcium intake, the nurse should advice the client to include

which $ood in his diet?

3heese and yogurt

3ollard greens and spinach

8ananas and avocados

6iver and broccoli

Question %+ Explanation:Answer: -. Dar# green$ leaf! vegetablesare the best nondair! sources of calcium. a. heese and !ogurt Cdair! products which should be avoided b! the client b. ollard

greens and spinach C correct answer c. -ananas and avocados Cgood sources of itamin F d. =iver and broccoli C sources of ron

Question 41

r =armiento is diagnosed with Ewing-s sarcoma hich o$ the $ollowing test is most use$ul in determining the extent

o$ metastasis?

3 scan

5RI

8one scan

Position emission tomography

Question %* Explanation:Answer: . A bone scan reviews theentire s#eletal structure$ indicating areas if possible metastases.A$ -$ and D visuali9e onl! one bod! area at a time

Question 4&

hat is the most common cause o$ osteom#elitis?


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urgery

rauma

Immune suppression

IA drug use

Question %2 Explanation:Answer: -. Trauma is the most commonevent causing osteom!elitis.

Question 4*

2he client with osteom#elitis is prescribed with !. o$ antibiotics !$ antibiotics don-t eliminate the condition, which is

most commonl# done next?

8one grafts

"mputation of the e2tremity

7ebridement of necrotic tissue

!yperbaric o2ygen therapy

Question %3 Explanation:Answer: . The tissues ma! need to bedebrided to eliminate necrotic tissue and allow new to form. -onegraft is done after debridement. Amputation is not indicated forthe treatment of osteom!elitis. Although$ h!perbaric ox!gentherap! is a new treatment modalit! for osteom!elitis that hasproduced

Question 44hich is ;+2 an immune reaction to in"ur#?

Presence of necrotic tissue with mast cells at the fractured

area

umor growth at the fractured long bone

orn ligaments with e2udates below the torn ends

"ll of these

Question %% Explanation:Answer: -. Tumor growth is theabnormal division and replication of cells that ma! result infractures.

Question 4#

A dislocated hip will produce which s#mptoms?

Pain in the inguinal area resulting to abnormal gait


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Pain in the hip where the thigh appears longer in theunaffected leg

Pain relieved with pressure

Internal rotation of the knee@ abduction if the leg

Question %, Explanation:Answer: A. A dislocated hip will createproblems with wal#ing and the pain is often due to a pinchednerve in the oint.

Question 4%

+steoarthritis is correctl# described with which o$ the $ollowing?

Immune'mediated :oint disease

Coint inflammation after a viral disease

;oninflammatory :oint disease

;one of these

Question %0 Explanation:Answer: . Degenerative oint disease$also #nown as osteoarthritis is a oint disease due to the wearand tear on oints and is often seen in athletes.

Question 4-

2o prevent sports related in"ur# which o$ the $ollowing is most e$$ective?

Darming up

8uilding strength

Pacing the activity

Dorking with mild intensity

Question %6 Explanation:Answer: A. The best wa! to preventsportsrelated inur! is to warmup.

Question 4/

9as3$orming $oods are avoided with a client in a hip3spica cast hat is the reason $or this intervention?

o prevent flatus

o prevent constipation

o prevent abdominal distention

o prevent diarrhea


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Question % Explanation:Answer: . A client with hipspica castshould avoid gasforming foods to prevent abdominal distention.5asforming foods ma! cause flatus$ but this isn


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client needs to divert energ! on personal development.

Question #&

A client suspected o$ cocaine abuse is brought to the E@ hich o$ the $ollowing ph#sical $indings is expected to be

mani$ested b# the client?

)lossitis

Pharyngitis

8ilateral ear infections

Perforated nasal septum

Question ,2 Explanation:Answer: D. ;hen cocaine is snorted fre?uentl!$

the client often develops a perforated nasal septum.

Question #*

2o indicate the severit# o$ a client-s drug withdrawal which area re%uires thorough assessment?

6iver function

go strength

Bidney function

eiure history

Question ,3 Explanation:Answer: A. =iver function status is animportant variable that can be used to indicate the severit! of aclient


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"mphetamine abusers may have a severe an2iety andparanoid thinking.

Question ,% Explanation:Answer: . After a client usesamphetamines$ there ma! be longterm effects that exist for

months after use which are commonl! paranoia and ideas andreferences.

Question ##

hen the client saw two people walking in the hall taking to each other, he immediatel# told the nurse that the# are

planning to kill him hich o$ the $ollow thought patterns is this client exhibiting?

Ideas of reference

7elusions of grandeur

cholalia

"uditory hallucinations

Question ,, Explanation:Answer: A. A client with ideas ofreference mista#enl! believes that other people


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Question ,6 Explanation:Answer: -. a. &luoxetine C (ro9ac :antidepressant b. -en9tropine C ogentin : anticholinergic c.Dia9epam C alium : ben9odia9epine d. hlordia9epoxide C=ibrium: ben9odia9epine

Question #/

A client is diagnosed with paranoid schi)ophrenia hich o$ the $ollowing nursing interventions is most appropriate $or

this client?

3larify the content of the client9s delusions

2plain procedures before doing it

7efend yourself when hostile behavior is manifested by

the client

Provide a warm approach by touching the client

Question , Explanation:Answer: -. Explaining ever!thing !oudo will prevent misinterpretation of the actions b! a paranoidclient.

Question #,

/our clients have signaled their call bells $or the nurse ho should be seen $irst?

Patient "@ who needs to use the toilet.

Patient 8@ who does not have his glasses or hearing aid.

Patient 3@ who has :ust been given morphine.

Patient 7@ in a geri chair with a restraint vest on.

Question ,8 Explanation:Answer: . An adverse reaction to an!drug can be lifethreatening and should be dealt with first.Horphine is a respirator! depressant.

Question %+

!n relation to obtaining in$ormed consent $rom a 1B3#ear3old adolescent, the nurse should remember that the

adolescent

7oes not have the legal capacity to give consent

Is not able to make an acceptable or intelligent choice.

Is able to give voluntary consent when parents are not

available.

Dill most likely be unable to choose between alternatives

when asked to consent.


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Question 0+ Explanation:Answer: A. An individual is legall!unable to sign consent until the age * !ears. The onl! exceptionis the emancipated minor$ a minor who is selfsufficient$ ormarried.

Question %1

An example o$ intentional tort is

;egligence

5alpractice

8reach of duty

$alse imprisonment

Question 0* Explanation:Answer: D. &alse imprisonment is awrong committed b! one person against another in a willful

intentional wa! without ust cause and1or excuse. A$ - and areall unintentional torts.

Question %&

Alexa has been medicated $or surger# 2he +@ nurse, when going through the clientCs chart reali)es that the consent

$orm has not been signed hich o$ the $ollowing is the best action $or the nurse to take?

"ssume it is emergency surgery and the consentis implied.

)et the consent form and have the client sign it.

ell the physician that the consent form is notsigned.

!ave a family member sign the consent form.

Question 02 Explanation:Answer: . t is the ph!sicianIs responsibilit! toobtain the consent and to ensure that the signer is competent. Amedicated client generall! is not deemed competent and the surger! ma!have to be postponed.

Question %*

2he patient-s cousin is a ph#sician and wants to see the chart hich o$ the $ollowing is the best response $or the

nurse to take?

!and the cousin the clientEs chart to review

"sk the patient to sign an authoriation@ and have

someone review the chart with the cousin.

3all the attending physician and have the doctor speak

with the cousin.


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ell the cousin that the re?uest cannot be granted.

Question 03 Explanation:Answer: -. The client must agree to andsign an authori9ation before the others can review the chart$including insurance companies. Host institution re?uiressomeone on staff to review the chart with the client or clientrepresentative.

Question %4

hich t#pe o$ research design does not manipulate the independent variable?

2perimental design

Quasi'e2perimental design

;on'e2perimental design

Quantitative designQuestion 0% Explanation:Answer: . "onexperimental designs$such as historical and descriptive research designs$ do notinvolve manipulation of variables

Question %#

An example o$ management $unction o$ a nurse is

eaching patient to do breathing and coughing e2ercises.

Preparing for a surprise party for a client.

Performing nursing procedures for clients.

7irecting and evaluating the staff nurses

Question 0, Explanation:Answer: D. Hanagerial functions of nurses include planning$organi9ing$ directing$ and evaluating1controlling.

Question %%

Adrenal insu$$icienc# develops secondar# to the inade%uate secretion o$ which o$ the $ollowing pituitar# hormones?

hyroid'stimulating hormone

$ollicle'stimulating hormone

3orticotropin

"ntidiuretic hormone


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Question %-

hen there is an excessive secretion o$ vasopressin which condition will most likel# occur?

7iabetes insipidus

yndrome of inappropriate antidiuretic hormone

hyroto2ic crisis

Primary adrenocortical insufficiency

Question 06 Explanation:Answer: -. )AD7 occurs as a result ofexcessive vasopressin

Question %/

2his disorder is suggested when there is pol#dipsia and large amounts o$ waterlike urine with a speci$ic gravit# o$155:

7iabetes mellitus

7iabetic ketoacidosis

I"7!

7iabetic insipidus

Question 0 Explanation:Answer: D. Diabetic insipidus is

characteri9ed b! a great thirst and large amounts of waterli#eurine which has a specific gravit! of *.++* to *.++,. diabetesmellitus presents with pol!dipsia$ pol!uria and pol!phagia but theclient also has h!pergl!cemia.

Question %,

!$ $luid intake is limited in a client with diabetes insipidus which o$ the $ollowing will most likel# develop?

evere dehydration and hypernatremia

Peripheral edema and hyperglycemia

)lucosoria and weight gain

!ypertension and bradycardia

Question 08 Explanation:Answer: A. A client with diabetesinsipidus has high volumes of urine$ even without fluidreplacement. 7ence$ limiting fluid inta#e will result to severdeh!dration and h!pernatremia.

Question -+


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A$ter receiving analgesic the client with skeletal traction complained o$ pain a$ter an hour hich alternative pain

management measure can the nurse implement within the scope o$ her practice?

"cupressure and shiatsu

wedish massage

!ypnosis and therapeutic touch

Rela2ation and imagery

Question 6+ Explanation:Answer: D. >elaxation and imager! areeffective aduncts to pharmacologic pain management that thenurse can implement without a ph!sician


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Question -*

hich o$ the $ollowing sampling methods allow the use o$ an# group o$ research sub"ect?

Purposive

now'ball

3onvenience

Quota

Question 63 Explanation:Answer: . nconvenience1accidental1incidental sampling$ data are collectedfrom an!one most convenientl! available. (urposive1udgmentalsampling involves a criteria from which a person has to ?ualif!first. )nowball1networ# sampling involves subects suggestingor referring other subects. Quota sampling involves specifiednumbers of persons of certain t!pes are included in the sample.

Question -4

hat is the $inal step o$ researching?

7efining the specific problems.

7isseminating the findings.

5aking a nursing diagnosis.

Planning and intervention.

Question 6% Explanation:Answer: -. The final step of the researchprocess is information dissemination.

Question -#

hich among the $ollowing approaches demonstrate trans$ormational leadership?

he leader stimulates group interest in establishing unit

goals that contribute to agency mission.

he leader forms subgroups or task forces to create

possible solutions to unit problems.

he leader provides funding for continuing education.

he leader ad:usts hisFher strategies to fit the current

situation.

Question 6, Explanation:Answer: A. A transformational leadermotivates and inspires people b! helping group members see theimportance and higher good of the tas#.


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Question -%

hich o$ the $ollowing statement is correct?

If people are not attending to the services offered by the

health staff@ the team must reassess the needs of the people

In participatory approach@ the nurse must devotedly adhere

to what the people want

In a peasant community where people are fighting for landownership@ the nurse must not participate as this is not a

health concern

;urses must not :oin protest actions as nurses should

always be neutral at all times

Question 60 Explanation:Answer: A. f people are not attending tothe services offered b! the health staff$ the team must reassessthe needs of the people. This is base on the principle thatommunit! 7ealth "ursing is based on the recogni9ed needs ofindividuals$ families$ communities and groups.

Question --

2he $actor in the ecos#stem a$$ecting the individuals health that is involved in the provision o$ essential health

services whether communit#3based, accessible, sustainable and a$$ordable is the:

ocio'economic influences

!ealth 3are 7elivery ystem

8ehavioral

Political

Question 66 Explanation:Answer: -. 7ealth are Deliver! )!stemis the factor in the ecos!stem affecting the individual


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unmet need for family planning services

here are lesser adult women who die due to accidentsand in:uries compared to adult males

"mong adolescent aged 1,@ there are about 1&G of theyoung people who are already se2ually active

Question 6 Explanation:Answer: -. The 2++3 fertilit! rate in thecountr! remains at 3., children per woman$ much higher than thedesired fertilit! rate of 2., children per woman. 7owever$ option -is an incorrect statement because ;omen aged *,2% !ears arethe age group with the highest$ not lowest$ unmet need for famil!planning services at 20/. 4ption A is a correct statementbecause according the 2+++ (hilippine health )tatistics$ 2,/ ofall maternal deaths are due to h!pertension$ 2+.3/ to postpartumhemorrhage and 8/ to pregnanc! with abortive outcomes. 4ption is correct because there are lesser adult women who die due to

accidents and inuries compared to adult males @0.,/. optionD is a correct statement because among adolescent aged *8$there are about *2/ of the !oung people who are alread! sexuall!active and b! age 2%$ %,/ of women are alread! mothers.

Question -,

0ertain D+( programs utili)e an acceptable decision to which the nurse has to $ollow hat should the public health

nurse do to a program3based case?

5anage the case

Refer to the physician

Provide first aid treatment

Refer the case to the ne2t level of care

Question 68 Explanation:Answer: A. n triaging$ a public healthnurse manage a programbased case. ertain programs of theD47 li#e the H utili9e an acceptable decision to which thenurse has to follow in the management of a simple case. All nonprogram based cases are refer to the ph!sician @option -. Allemergenc! cases are provided with first aid treatment and referthe case to the next level of care @option and D.

Question /+

hen the nurse reviews the records o$ the $amil# in the clinic, in what phase o$ the visit is this?

Preparatory phase

Post visit phase

!ome visit phase


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Recording phase

Question + Explanation:Answer: A. n the (reparator! phase$ the nursereviews the records of the famil! in the clinic.

Question /1

During an in$ection control seminar, the speaker speci$ied that prevention o$ the spread o$ (!. include the $ollowing

measures E>0E2:

Patients with "I7 should be isolated

8lood and other specimens should be labeled "I7Precaution

;eedles should be disposed into a puncture resistant

container

8lood spills should be cleaned with chloro2

Question * Explanation:Answer: A. (atients with AD) areimmunocompromised. >everse isolation is re?uired. -ut thisdoes no prevent the spread of AD).

Question /&

A 753#ear old h#pertensive male client expresses concern about his sexual $unctioning hich %uestion is most

help$ul $or this client in obtaining $urther assessment data?

$amily history

e2ual practices

5edication history

5edical conditions

Question 2 Explanation:Answer: . Han! antih!pertensivemedications can affect sexual functioningJ the nurse must assessif the client is ta#ing other medication that ma! also alter sexualfunctioning.

Question /*

hich o$ the $ollowing drugs is associated with dela#ed e"aculation?

"nticoagulants

"ntibiotics

"ntihypertensives

teroids


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Question 3 Explanation:Answer: . Antih!pertensive agents cancause or contribute to sexual d!sfunction.

Question /4

A client has "ust undergone perineal prostatectom#, which o$ the $ollowing permanent complications might the nurse

expect to see in the client?

8leeding

rectile dysfunction

Infection

Pneumonia

Question % Explanation:Answer: -. After a perinealprostatectom!$ a maor complication is erectile d!sfunction. As

with an! surger! A$ and D ma! be noticed but these are notpermanent conditions

Question /#

hich causes the severe headache in increase !0?

tretching of the meninges

3ervical hypere2tension

Refle2 spasm of the neck e2tensors to splint the neckagainst cervical fle2ion

3erebral ischemia related to altered circulation

Question , Explanation:Answer: A. The mechanism producingthe headache that accompanies increase ( ma! be thestretching of the meninges and pain fibers associated with bloodvessels.

Question /%

;uchal rigidit# is indicated in which $indings?

Positive kernig9s sign

;egative brudinski9s sign

Positive homan9s sign

;egative kernig9s sign

Question 0 Explanation:Answer: A. A positive Fernig


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the same condition.

Question /-

0hildren with m#elomeningocele and h#drocephalus ma# demonstrate problems relating to the damage o$ the white

matter caused b# ventricular enlargement 2his damage ma# mani$est itsel$ in which condition?

Inability to speak

arly hand dominance

Impaired intellectual functions

$laccid paralysis of the lower e2tremities

Question 6 Explanation:Answer: . Damage to the white mattercaused b! ventricular enlargement has been lin#ed to theimpairment of intellectual and perceptual abilities often seen in

children with spina bifida.

Question //

4H exercises toprevent contractures as well as stretching of contractures whenindicated.

Question /,

uscles in a child with muscular d#stroph# will have which o$ the $ollowing characteristics?

oft on palpation

$irm or woody on palpation

2tremely hard on palpation

;o muscle consistency on palpation

Question 8 Explanation:Answer: -. Huscles will often be firm onpalpation secondar! to the infiltration of fatt! tissue andconnective tissue into the muscle.


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Question ,+

hich muscular d#stroph# is most severe?

7uchenne9s

$ascioscapulohumeral

6imb girdle

5yotonia

Question 8+ Explanation:Answer: A. )tudies have shown thatDuchenne


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Pain management

Parental reaction

Question 83 Explanation:Answer: D. (arents t!picall! show

strong negative responses to this deformit!. The! ma! mourn theloss of a perfect child. 7elping the parents cope with their child


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!ypoglycemia

Question 80 Explanation:Answer: -. A calcium chelating agent isused for the treatment of lead poisoning$ so calcium is removedfrom the bod! with the lead. 7!pocalcemia$ not h!percalcemiaoccurs.

Question ,-

hich is the best wa# to prevent lead poisoning in children?

ducate the child

ducate the public

Identify high risk groups

Provide home chelation kits.

Question 86 Explanation:Answer: -. -! educating others aboutlead poisoning$ including the danger signs$ s!mptoms andtreatment$ identification can be determined ?uic#l!.

Question ,/

A child is diagnosed with scarlet $ever 2he nurse assesses the child knowing that which o$ the $ollowing is not a

clinical mani$estation associated with this disease?

PastiaEs sign

Dhite strawberry tongue

dematous and beefy@ red colored pharyn2

Boplik spots

Question 8 Explanation:Answer: D. Fopli# spots are associatedwith rubeola. (astiaIs sign describes a rash that is seen in scarletfever that will blanch with pressure except in areas of deepcreases and folds of the oints. The tongue is initiall! coated witha white furr! covering with red proecting papillae @whitestrawberr! tongue. The phar!nx is edematous and beef! red incolor.

Question ,,

!n order to con$irm the diagnosis o$ =nail $ever, #ou advise patient to have, which o$ these examination:

H'ray of the abdomen

0rinalysis

tool e2amination


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383

Question 88 Explanation:Answer: . The male and femaleparasites live in blood vessels of intestines and liver$ but theeggs are laid in the terminal capillar! vessels in the submucosaof the intestines$ and through the ulcerations reach the lumen ofthe intestines and pass out with the feces.

Question 1++

Documents

December 2011 Pre Board Exam