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NP5 & NP4
PABAON!! THINK POSITIVE, gaano ka man nahirapan sa board exam. Magiging

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Laban RN!!! Laban Topnotchers!!! 🎉🎉🎊🎋
1. Doctor auscultates patient with pneumothorax, expect to noticed? = absence

of sounds
2. Who owns the patient chart = hospital
3. Has the legitimate access of chart
A. nurse
B. physician✅✅
C. patient
D. husband
4. order of priority , may give consent:
i. spouse;
ii. son or daughter of legal age;
iii. either parent;
iv. brother or sister of legal age, or
v. guardian/second degree relative / physician
5. government agencies PRESCRIBES the mechanism for the investigation and
punishment for your case?
A. Professional Regulation Commission
6. You are a staff nurse in a private hospital. Your co-worker spreads malicious
rumor against you. Which of the following agencies will you file the case of
unprofessional behavior against your co-worker
D. Professional Regulatory Board of Nursing
7. Validity of professional license = 3 years
8. In SOPIE charting, S illustrates the following

= Pain
9. Hormone, sense of humor

= endorphin
10. Involves a descriptive judgment using concept words instead of numbers =
Qualitative research
11. Type of Research collecting and analyzing numerical/NUMERATIVE type of
research to describe characteristics, find correlations, or test. = Quantitative
12. Independent variable symbol = X
13. the physiologic stages of pain mechanism:
· transduction (the process of converting painful stimuli to neuronal action
potentials at the sensory receptor)
· transmission (movement of APs along neurons that travel to the peripheral
receptor, spinal cord, and then centrally to the brain)
· perception (when the brain receives pain signals and interprets them as
painful) and
· modulation (the complex mechanism whereby synaptic transmission of pain
signals is altered).
14. Iron oral intake to infant – give with juice
15. Acute lymphocytic leukemia (ALL) - reverse Isolation precaution
16. HOW to call patient, call patient by
A. Edearment of preference.
B. Preferred name.
C. Civil status only
17. Acromegaly excess = growth hormone

18. Initial signs and symptoms ENLARGEMENT OF HANDS ND FEET (prognathism)
19. The patient had a hypoglycemic episode and is treated with a concentrated
glucose oral tablet. Fifteen minutes later the capillary glucose level (Accu-Check) is
150 mg/dL. What action should you take?
C. Have the patient eat peanut butter and toast.
20. Nurse X delegates the morning care to the nursing aide. who is the MOST
accountable in that care
a. hospital
b. charge supervisor
c. nurse who delegates the care✅✅✅✅
d. nursing aide, followed the delegation
Situation: Terry, 15 y/o pregnant decides to abort baby
21. Attempting abortion-ethical principle telling to nurse to secret the pregnancy
VERACITY
22. Nurse responsibility = BIOETHICS
23. question: based on the advise from the nurse she realized the importance of
life and family. she is doing
= values clarification
24. what advice should appropriate to the patient
a. ask the physician to tell the truth to the parent
b. tell the teacher she is pregnant and ask a favor to tell the truth to the parent
c. ask the nurse to tell the truth to the parent
d. she is a minor, she need to tell the truth to the parent✅✅
25. ICU patient, needs how many person in turning in bed

= 3 (TAKE NOTE: Three staff members are required to logroll a patient)
26. The nurse is assessing patients at the outpatient clinic. Which of these patients
is at risk for health complications related to weight?
a. A 24-year-old with a waist measurement of 30 in (75 cm) and a hip measurement
of 34 in (85 cm)
27. After discussing appropriate exercise activities with an overweight patient who
is starting to exercise as part of a weight-loss program, the nurse will determine
that the instructions have been understood when the patient reports
b. running for 10 to 15 minutes 3 times/week.
28. An obese patient asks the nurse about using orlistat (Xenical) for weight
reduction. The nurse advises the patient that
c. drugs may be helpful in weight loss, but weight gain is likely to recur unless
changes in diet and exercise are maintained.
29. Xenical-commercially prepared laxative affects

= adipocytes
30. Foreign coping to environment temperature, Computation temp 38.5c to
F(101.3F).
31. BMI of obese 30
32. This condition has difficulty in progressing stimuli and new information.
Alzheimer`s is the most common form of which of these?
= D. Dementia
33. Physiologically, what happens to the brain as Alzheimer progresses?

= B. Cells die
34. No drugs cure this condition. Emphasis is put on delaying the onset of severe
symptoms. Which of the following does NOT help improve Alzheimer's?
A. Smoking
35. Which of these measures will help stabilize mentally the parents of Nurse
Lailanie?
A. Establish a regular routine
36. Her parents usually become anxious and confused during late in the afternoon
and after dark. What do you call this phenomenon?
C. Sundowning
37. In a study on Alzheimer`s Disease, the hypothesis offered was "Nursing home
residents aged 65-90 years old who have Alzheimer`s Disease die at an early age
than those who do not have". Identify the dependent variable
= C. Dying at an early age
38. Which of the following is NOT an ingredient of the collaboration process?

A. Receptivity and respect for each health team member`s contribution
B. Active and assertive contribution from each health team member
C. Negotiations between and among health team members to conceptualize new
ways of solving problems
D. Communication techniques used by each health team member✅✅
39. The MOST IMPORTANT step in interdisciplinary team building is to _______.

A. Specific conflict resolution procedures
B. Use disciplinary treatment plan
C. Communicate regularly, openly and clearly✅✅
D. Define the disciplinary and individual roles and responsibilities
40. Which of the following is NOT a barrier to interdisciplinary collaboration?

A. Inequality of power and status
B. Personal qualities of the individual health care team member that promote
shared problem solving✅✅
C. Role conflict
D. Inappropriate education and training of mental health team members
41. Currently, patients in the unit are bathed in the morning between 8 to 11 in
the morning. The nursing staff is considering changing the schedule to bathing the
patients in the evening between 7 to 9 pm. Which statement reflects an assumption
that might affect the nursing staffs ability to think critically about the changes?
1. "The day shift just wants to shift work onto the evening shift"
2. "Everyone likes to bathe right before bed"
3. "If we let them change this, they will want to make lots of other changes"
4. "I read a research article that reported that clients sleep better if they have
been bathed right before bedtime"
C. 1, 2, 3
42. A serious disagreement has arisen between two staff nurses. The head nurse
choose not to make decision regarding the disagreement until more evidence is
collected. Which part of the nursing process does this head nurse`s critical thinking
reflect?
A. Planning
B. Diagnosis✅✅
C. Evaluation
D. D. Assessment
43. A nurse supervisor who is retiring is helping the new supervisor learn about
the position. As part of this education, the current supervisor make all the decisions
that can be made under certainty. What conditions will these decisions have in
common?
1. There is risk associated in decision
2. The alternative are known
3. The condition of each alternative are clear
4. The decision is complex and dynamic
C. 2, 3
44. A disagreement has arisen between to staff nurses. Both have discussed the
situation with the head nurse. The head nurse feels that the problem is likely self
solving. How should the head nurse approach this situation?
1. Allow sometime to pass to see if the situation resolves
2. Support both nurses as they work thru this issue
3. Provide any resources the nurses may need to help solve the problem
4. Intervene if the problem begins affect client care
A. 1, 2, 3, 4
45. Which statement by a formal leader of a surgical unit reflects the personality
required to energize the staff and promote creativity?
1. "This is the decision I have made, and there is no room for discussion
2. "I would like to thank everyone for your hard work and dedication while we
have been short staffed"
3. "I am certain that our new assignment system is going to make the workload
more suitable"
4. "I know this week has been rough"
A. 2, 3, 4
Situation- Occurrence of the conflicts is a natural part of the workplace. Conflict

management is the ability to be able to identify and handle conflicts sensibly, fairly
and efficiently.
46. Public Health Nurse Lilly has become very disagreeable among her team
members. The other nurses know that she has requested to be transferred to
another Rural Health Unit. The nurses decided to ignore the situation. This
illustrates which method of conflict resolution?
B. Avoidance ✅✅
47. Which actions are MOST important in preventing conflict to occur?

1. Allocate resources fairly.
2. Keep problems confidential.
3. Address staff fears.
4. Clearly state expectations.
5. Keep lines between roles flexible.
B. 1, 3, 4
48. A health care worker approaches the public health supervisor with a
complaint about the RHU Nurse and said, "She doesn't do same amount of work as
the other health professionals in health unit". After investigating about the
complaint, the Nurse Supervisor believes the health care worker does not
understand the role of the RHU nurse. What kind of conflict has this situation caused
the health worker?
A. Individual conflict .
49. Which of the following actions by the public health nurse indicates the use of
effective conflict management skill?
A. Negotiates with other
50. The public health midwife was very upset regarding a reprimand issued by
her supervisor. The former confronts her supervisor in the hallway. How should the
supervisor respond?
A. Invite the midwife to come to the supervisor's office
51. Amitriptyline (Elavil), an anti-depressant, is the drug of choice in treating

Bulimia. What is a common side effect of this drug?
C. Anticholinergic effect
48. Mr. Cruz visits the physician’s office to seek treatment for depression, feelings of
hopelessness, poor appetite, insomnia, fatigue, low self-esteem, poor concentration,
and difficulty making decisions. The client states that these symptoms began at
least 2 years ago. Based on this report, the nurse Tiffany suspects:
a. Cyclothymic disorder.
b. Atypical affective disorder.
c. Major depression.
d. Dysthymic disorder.✅✅✅
52. MAOIs (PArnate, NArdil, MArplan) to prevent the occurrence of Hypertensive

Crisis by avoiding tyramine rich foods such as Aged Chee
53. Best position for OSA when sleeping - Lateral position with a pillow support
54. examination used to test the condition of the Middle Ear- Tympanometry
55. Who will sign consent for an emergency surgery if the patient is unconscious –
SURGEON
56. Surgeon signs consent – paternalism
57. Which of the following is most frequently affected by acoustic neuroma?
a. Middle ear
b. tympanic
c. cochlea
d. inner ear✅✅
58. Which cleaning methods should NOT be used inside the operating room to
prevent the spread of micro organism?
A. Mopping
B. Sweeping✅✅
C. Wash cloth
D. Electric vacuum
59. an 83 year old male client was at an extended care facility. He is anxious most
of the time and frequently complains of a number of vague symptoms that interfere
with his ability to eat. These symptoms indicate which of the following disorders?
A. Hypochondriasis
60. Mary is pacing, complaining of financial problems and repeatedly utters multiple
different lines. Nurse asks the client if something upsetting happened and Mary`s
response is vague and not focused on the question. Nurse assessed Mary`s level of
anxiety as _____
A. Panic C. Moderate
B. Severe✅✅ D. Mild
61. Cardiogenic shock appropriate nursing diagnosis

= inpaired urinary implement
62. Drug for cardiogenic shock

= Dopamine
63. Cardiac arrest , common acid base imbalance is

= metabolic acidosis
.64. 1. A model for using evidence-based practice was presented. The model has
the following elements : plan, do, study and act (PDSA). If nurse Edna want to utilize
this model to prove ward management, what questions will she ask?
1.what are we trying to accomplish
2.how well do we know that a change is an environment?
3.Will the patient be satisfied with the improvement
4. what change/changes can we make that will result in an improvement?
ANSWER: D. 1, 2, 3, 4

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🍀🍀🍀🍀🎋🎋🎋🍀🍀🍀🍀

NP5 & NP4

PABAON!! THINK POSITIVE, gaano ka man nahirapan sa board exam. Magiging

1. Doctor auscultates patient with pneumothorax, expect to noticed? = absence

8. In SOPIE charting, S illustrates the following

9. Hormone, sense of humor

17. Acromegaly excess = growth hormone

25. ICU patient, needs how many person in turning in bed

29. Xenical-commercially prepared laxative affects

33. Physiologically, what happens to the brain as Alzheimer progresses?

38. Which of the following is NOT an ingredient of the collaboration process?

39. The MOST IMPORTANT step in interdisciplinary team building is to _______.

40. Which of the following is NOT a barrier to interdisciplinary collaboration?

Situation- Occurrence of the conflicts is a natural part of the workplace. Conflict

47. Which actions are MOST important in preventing conflict to occur?

51. Amitriptyline (Elavil), an anti-depressant, is the drug of choice in treating

52. MAOIs (PArnate, NArdil, MArplan) to prevent the occurrence of Hypertensive

61. Cardiogenic shock appropriate nursing diagnosis

62. Drug for cardiogenic shock

63. Cardiac arrest , common acid base imbalance is

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