FUNDAMENTALS OF NURSING 2

1. A framework for health assessment that evaluates the effects of stressors to the mind, body and environment in relation with the ability of the client to perform ADL.

Functional health framework

Head to toe framework

Body system framework

Cephalocaudal framework

2. Who collects Blood specimen?

The nurse

Medical technologist

Physician

Physical therapist

3. Rectal examination is done with a client in what position?

Dorsal recumbent

Sims position

Supine

Lithotomy

4. In cleaning the thermometer after use, The direction of the cleaning to follow Medical Asepsis is :

From bulb to stem

From stem to bulb

From stem to stem

From bulb to bulb

5. Rhina, who has Menieres disease, said that her environment is moving. Which of the following is a valid assessment? 1. Rhina is giving an objective data 2. Rhina is giving a subjective data 3. The source of the data is primary 4. The source of the data is secondary

1,3

2,3

2.4

1,4

6. Which of the following is a OBJECTIVE data?

Dizziness

Chest pain

Anxiety

Blue nails

7. When is the best time to collect urine specimen for routine urinalysis and C/S?

Early morning

Later afternoon

Midnight

Before breakfast

8. Which of the following is a contraindication in taking RECTAL temperature?

Unconscious

Neutropenic

NPO

Very young children

9. A process of heat loss which involves the transfer of heat from one surface to another is

Radiation

Conduction

Convection

Evaporation

10. John's temperature 10 hours ago is a normal 36.5 degrees. 4 hours ago, He has a fever with a temperature of 38.9 Degrees. Right now, his temperature is back to normal. Which of the following best describe the fever john is having?

Relapsing

Intermittent

Remittent

Constant

11. Which of the following statement is true regarding temperature?

Oral temperature is more accurate than rectal temperature

The bulb used in Rectal temperature reading is pear shaped or round

The older the person, the higher his BMR

When the client is swimming, BMR Decreases

12. Client has undergone Upper GI and Lower GI series. Which type of health assessment framework is used in this situation?

Functional health framework

Head to toe framework

Body system framework

Cephalocaudal framework

13. All of the following are characteristic of the Nursing process except

Dynamic

Cyclical

Universal

Intrapersonal

14. In collecting a routine specimen for fecalysis, Which of the following, if done by a nurse, indicates inadequate knowledge and skills about the procedure?

The nurse scoop the specimen specifically at the site with blood and mucus

She took around 1 inch of specimen or a teaspoonful

Ask the client to call her for the specimen after the client wiped off his anus with a tissue

Ask the client to defecate in a bedpan, Secure a sterile container

15. How many minutes are allowed to pass if the client had engaged in strenuous activities, smoked or ingested caffeine before taking his/her BP?

5

10

15

30

16. Nurse Angela knew that Stephen Lee Mu Chin, has just undergone an operation with an incision near the diaphragm. She knew that this will contribute to some complications later on. She then should develop what type of Nursing diagnosis?

Actual

Probable

Possible

Risk

17. In palpating the client's breast, Which of the following position is necessary for the patient to assume before the start of the procedure?

Supine

Dorsal recumbent

Sitting

Lithotomy

18. Which is a preferable arm for BP taking?

An arm with the most contraptions

The left arm of the client with a CVA affecting the right brain

The right arm

The left arm

19. Refers to the pressure when the ventricles are at rest

Diastole

Systole

Preload

Pulse pressure

20. Which of the following is TRUE about respiration?

I:E 2:1

I:E : 4:3

I:E 1:1

I:E 1:2

21. Which of the following is NOT a contraindication in taking ORAL temperature?

Quadriplegic

Presence of NGT

Dyspnea

Nausea and Vomitting

22. Considered as Safest and most non invasive method of temperature taking

Oral

Rectal

Tympanic

Axillary

23. Which of the following is among an ideal way of collecting a urine specimen for culture and sensitivity?

Use a clean container

Discard the first flow of urine to ensure that the urine is not contaminated

Collect around 30-50 ml of urine

Add preservatives, refrigerate the specimen or add ice according to the agency’s protocol

24. David, 68 year old male client is scheduled for Serum Lipid analysis. Which of the following health teaching is important to ensure accurate reading?

Tell the patient to eat fatty meals 3 days prior to the procedure

NPO for 12 hours pre procedure

Ask the client to drink 1 glass of water 1 hour prior to the procedure

Tell the client that the normal serum lipase level is 50 to 140 U/L

25. When should the client test his blood sugar levels for greater accuracy?

During meals

In between meals

Before meals

2 Hours after meals

26. Which of the following statement is TRUE about pulse?

Young person have higher pulse than older persons

Males have higher pulse rate than females after puberty

Digitalis has a positive chronotropic effect

In lying position, Pulse rate is higher

27. The following are correct actions when taking radial pulse except:

Put the palms downward

Use the thumb to palpate the artery

Use two or three fingers to palpate the pulse at the inner wrist

Assess the pulse rate, rhythm, volume and bilateral quality

28. The difference between the systolic and diastolic pressure is termed as

Apical rate

Cardiac rate

Pulse deficit

Pulse pressure

29. Which of the following completely describes PULSUS PARADOXICUS?

A greater-than-normal increase in systolic blood pressure with inspiration

A greater-than-normal decrease in systolic blood pressure with inspiration

Pulse is paradoxically low when client is in standing position and high when supine.

Pulse is paradoxically high when client is in standing position and low when supine.

30. Which of the following is responsible for deep and prolonged inspiration

Medulla oblongata

Pons

Carotid bodies

Aortic bodies

31. A community health nurse should be resourceful and meet the needs of the client. A villager ask him, Can you test my urine for glucose? Which of the following technique allows the nurse to test a client's urine for glucose without the need for intricate instruments.

Acetic Acid test

Nitrazine paper test

Benedict’s test

Litmus paper test

32. Which of the following is the correct interpretation of the ERROR OF PARALLAX

If the eye level is higher than the level of the meniscus, it will cause a false high reading

If the eye level is higher than the level of the meniscus, it will cause a false low reading

If the eye level is lower than the level of the meniscus, it will cause a false low reading

If the eye level is equal to that of the level of the upper meniscus, the reading is accurate

33. Too narrow cuff will cause what change in the Client's BP?

True high reading

True low reading

False high reading

False low reading

34. Which of the following do not correctly correlates the increase BP of Ms. Aida, a 70 year old diabetic?

Females, after the age 65 tends to have lower BP than males

Disease process like Diabetes increase BP

BP is highest in the morning, and lowest during the night

Africans, have a greater risk of hypertension than Caucasian and Asians.

35. Clinitest is used in testing the urine of a client for glucose. Which of the following, If committed by a nurse indicates error?

Specimen is collected after meals

The nurse puts 1 clinitest tablet into a test tube

She added 5 drops of urine and 10 drops of water

If the color becomes orange or red, It is considered postitive

36. The heat regulating center is found in the

Medulla oblongata

Thalamus

Hypothalamus

Pons

37. In assessing the client's chest, which position best show chest expansion as well as its movements?

Sitting

Prone

Sidelying

Supine

38. They are the first one to suggest a 4 step nursing process which are : APIE , or assessment, planning, implementation and evaluation. 1. Yura 2. Walsh 3. Roy 4. Knowles

1,2

1,3

3,4

2,3

39. Nurse Angela, observe Joel who is very apprehensive over the impending operation. The client is experiencing dyspnea, diaphoresis and asks lots of questions. Angela made a diagnosis of ANXIETY R/T INTRUSIVE PROCEDURE. This is what type of Nursing Diagnosis?

Actual

Probable

Possible

Risk

40. Nurse Angela diagnosed Mrs. Delgado, who have undergone a BKA. Her diagnosis is SELF ESTEEM DISTURBANCE R/T CHANGE IN BODY IMAGE. Although the client has not yet seen her lost leg, Angela already anticipated the diagnosis. This is what type of Diagnosis?

Actual

Probable

Possible

Risk

41. A type of heat loss that occurs when the heat is dissipated by air current

Convection

Conduction

Radiation

Evaporation

42. Tympanic temperature is taken from John, A client who was brought recently into the ER due to frequent barking cough. The temperature reads 37.9 Degrees Celsius. As a nurse, you conclude that this temperature is

High

Low

At the low end of the normal range

At the high end of the normal range

43. Which of the following is a primary factor that affects the BP?

Obesity

Age

Stress

Gender

44. When palpating the client's neck for lymphadenopathy, where should the nurse position himself?

At the client’s back

At the client’s right side

At the client’s left side

In front of a sitting client

45. Which characteristic of nursing process addresses the INDIVIDUALIZED care a client must receive?

Organized and Systematic

Humanistic

Efficient

Effective

46. A characteristic of the nursing process that is essential to promote client satisfaction and progress. The care should also be relevant with the client's needs.

Organized and Systematic

Humanistic

Efficient

Effective

47. In assessing the abdomen, Which of the following is the correct sequence of the physical assessment?

Inspection, Auscultation, Percussion, Palpation

Palpation, Auscultation, Percussion, Inspection

Inspection, Palpation, Auscultation, Percussion

Inspection, Auscultation, Palpation, Percussion

48. Which of the following is TRUE about the auscultation of blood pressure?

Pulse + 4 is considered as FULL

The bell of the stethoscope is use in auscultating BP

Sound produced by BP is considered as HIGH frequency sound

Pulse +1 is considered as NORMAL

49. A community health nurse is assessing client's urine using the Acetic Acid solution. Which of the following, if done by a nurse, indicates lack of correct knowledge with the procedure?

The nurse added the Urine as the 2/3 part of the solution

The nurse heats the test tube after adding 1/3 part acetic acid

The nurse heats the test tube after adding 2/3 part of Urine

The nurse determines abnormal result if she noticed that the test tube becomes cloudy

50. The primary factor responsible for body heat production is the

Metabolism

Release of thyroxin

Muscle activity

Stress

51. +++ Positive result after Benedicts test is depicted by what color?

Blue

Green

Yellow

Orange

52. Nurse Angela is about to make a diagnosis but very unsure because the S/S the client is experiencing is not specific with her diagnosis of POWERLESSNESS R/T DIFFICULTY ACCEPTING LOSS OF LOVED ONE. She then focus on gathering data to refute or prove her diagnosis but her plans and interventions are already ongoing for the diagnosis. Which type of Diagnosis is this?

Actual

Probable

Possible

Risk

53. Which of the following Nursing diagnosis is INCORRECT?

Fluid volume deficit R/T Diarrhea

High risk for injury R/T Absence of side rails

Possible ineffective coping R/T Loss of loved one

Self esteem disturbance R/T Effects of surgical removal of the leg

54. Among the following statements, which should be given the HIGHEST priority?

Client is in extreme pain

Client’s blood pressure is 60/40

Client’s temperature is 40 deg. Centigrade

Client is cyanotic

55. Which of the following need is given a higher priority among others?

The client has attempted suicide and safety precaution is needed

The client has disturbance in his body image because of the recent operation

The client is depressed because her boyfriend left her all alone

The client is thirsty and dehydrated

56. Which of the following is more life threatening?

BP = 180/100

BP = 160/120

BP = 90/60

BP = 80/50

57. Which of the following is a correct nursing action when collecting urine specimen from a client with an Indwelling catheter?

Collect urine specimen from the drainage bag

Detach catheter from the connecting tube and draw the specimen from the port

Use sterile syringe to aspirate urine specimen from the drainage port

Insert the syringe straight to the port to allow self sealing of the port

58. Marianne is now at the Defervescence stage of the fever, which of the following is expected?

Delirium

Goose flesh

Cyanotic nail beds

Sweating

59. Which of the following is true about the NURSING CARE PLAN?

It is nursing centered

Rationales are supported by interventions

Verbal

At least 2 goals are needed for every nursing diagnosis

60. The primary respiratory center

Medulla oblongata

Pons

Carotid bodies

Aortic bodies

61. Which of the following is responsible for the rhythm and quality of breathing?

Medulla oblongata

Pons

Carotid bodies

Aortic bodies

62. Contains the pneumotaxic and the apneutic centers

Medulla oblongata

Pons

Carotid bodies

Aortic bodies

63. In palpating the client's abdomen, Which of the following is the best position for the client to assume?

Dorsal recumbent

Side lying

Supine

Lithotomy

64. The best position for any procedure that involves vaginal and cervical examination is

Dorsal recumbent

Side lying

Supine

Lithotomy

65. John has a fever of 38.5 Deg. Celsius. It surges at around 40 Degrees and go back to 38.5 degrees 6 times today in a typical pattern. What kind of fever is John having?

Relapsing

Intermittent

Remittent

Constant

66. The characteristic fever in Dengue Virus is characterized as:

Tricyclic

Bicyclic

Biphasic

Triphasic

67. The American Nurses association formulated an innovation of the Nursing process. Today, how many distinct steps are there in the nursing process?

APIE – 4

ADPIE – 5

ADOPIE – 6

ADOPIER – 7

68. In a 24 hour urine specimen started Friday, 9:00 A.M, which of the following if done by a Nurse indicate a NEED for further procedural debriefing?

The nurse discards the Friday 9:00 A M urine of the client

The nurse included the Saturday 9:00 A.M urine of the client to the specimen collection

The nurse added preservatives as per protocol and refrigerates the specimen

69. Which of the following is inappropriate in collecting mid stream clean catch urine specimen for urine analysis?

Collect early in the morning, First voided specimen

Do perineal care before specimen collection

Collect 5 to 10 ml for urine

Discard the first flow of the urine

70. In a routine sputum analysis, Which of the following indicates proper nursing action before sputum collection?

Secure a clean container

Discard the container if the outside becomes contaminated with the sputum

Rinse the client’s mouth with Listerine after collection

Tell the client that 4 tablespoon of sputum is needed for each specimen for a routine sputum analysis

71. The following are social data about the client except

Patient’s lifestyle

Religious practices

Family home situation

Usual health status

72. Dr. Fabian De Las Santas, is about to conduct an ophthalmoscope examination. Which of the following, if done by a nurse, is a Correct preparation before the procedure?

Provide the necessary draping to ensure privacy

Open the windows, curtains and light to allow better illumination

Pour warm water over the ophthalmoscope to ensure comfort

Darken the room to provide better illumination

73. She is the first one to coin the term "NURSING PROCESS" She introduced 3 steps of nursing process which are Observation, Ministration and Validation.

Nightingale

Johnson

Rogers

Hall

74. Which characteristic of nursing process is responsible for proper utilization of human resources, time and cost resources?

Organized and Systematic

Humanistic

Efficient

Effective

75. A patient's chart is what type of data source?

Primary

Secondary

Tertiary

Can be A and B

76. Which of the following is TRUE about temperature?

The highest temperature usually occurs later in a day, around 8 P.M to 12 M.N

The lowest temperature is usually in the Afternoon, Around 12 P.M

Thyroxin decreases body temperature

Elderly people are risk for hyperthermia due to the absence of fats, Decreased thermoregulatory control and sedentary lifestyle.

77. Hyperpyrexia is a condition in which the temperature is greater than

40 degree Celsius

39 degree Celsius

100 degree Fahrenheit

105.8 degree Fahrenheit

78. What can you expect from Marianne, who is currently at the ONSET stage of fever?

Hot, flushed skin

Increase thirst

Convulsion

Pale,cold skin

79. Considered as the most accessible and convenient method for temperature taking

Oral

Rectal

Tympanic

Axillary

80. How long should the Rectal Thermometer be inserted to the clients anus?

1 to 2 inches

.5 to 1.5 inches

3 to 5 inches

2 to 3 inches

81. All of the following factors correctly influence respiration except one. Which of the following is incorrect?

Hydrocodone decreases RR

Stress increases RR

Increase temperature of the environment, Increase RR

Increase altitude, Increase RR

82. When does the heart receives blood from the coronary artery?

Systole

Diastole

When the valves opens

When the valves closes

83. The sequence in examining the quadrants of the abdomen is:

RUQ,RLQ,LUQ,LLQ

RLQ,RUQ,LLQ,LUQ

RUQ,RLQ,LLQ,LUQ

RLQ,RUQ,LUQ,LLQ

84. If the client is female, and the doctor is a male and the patient is about to undergo a vaginal and cervical examination, why is it necessary to have a female nurse in attendance?

To ensure that the doctor performs the procedure safely

To assist the doctor

To assess the client’s response to examination

To ensure that the procedure is done in an ethical manner

85. How many minute/s is/are allowed to pass before making a re-reading after the first one?

1

5

15

30

86. Which of the following is INCORRECT in assessing client's BP?

Read the mercury at the upper meniscus, preferably at the eye level to prevent error of parallax

Inflate and deflate slowly, 2-3 mmHg at a time

The sound heard during taking BP is known as KOROTKOFF sound

If the BP is taken on the left leg using the popliteal artery pressure, a BP of 160/80 is normal.

87. Which of the following is TRUE about the blood pressure determinants?

Hypervolemia lowers BP

Hypervolemia increases GFR

HCT of 70% might decrease or increase BP

Epinephrine decreases BP

88. How long should the thermometer stay in the Client's Axilla?

3 minutes

4 minutes

7 minutes

10 minutes

89. Which of the following is incorrect with regards to proper urine testing using Benedict's Solution?

Heat around 5ml of Benedict’s solution together with the urine in a test tube

Add 8 to 10 drops of urine

Heat the Benedict’s solution without the urine to check if the solution is contaminated

If the color remains BLUE, the result is POSITIVE

90. Which of the following is TRUE about the mechanism of action of the Aortic and Carotid bodies?

If the BP is elevated, the RR increases

If the BP is elevated, the RR decreases

Elevated BP leads to Metabolic alkalosis

Low BP leads to Metabolic acidosis

91. When John has been given paracetamol, his fever was brought down dramatically from 40 degrees Celsius to 36.7 degrees in a matter of 10 minutes. The nurse would assess this event as:

The goal of reducing john’s fever has been met with full satisfaction of the outcome criteria

The desired goal has been partially met

The goal is not completely met

The goal has been met but not with the desired outcome criteria

92. John has a fever of 39.5 degrees 2 days ago, But yesterday, he has a normal temperature of 36.5 degrees. Today, his temperature surges to 40 degrees. What type of fever is John having?

Relapsing

Intermittent

Remittent

Constant

93. Which of the following nursing intervention is important for a client scheduled to have a Guaiac Test?

Avoid turnips, radish and horseradish 3 days before procedure

Continue iron preparation to prevent further loss of Iron

Do not eat read meat 12 hours before procedure

Encourage caffeine and dark colored foods to produce accurate results

94. Measure the leg circumference of a client with bipedal edema is best done in what position?

Dorsal recumbent

Sitting

Standing

Supine

95. In collecting a urine from a catheterized patient, Which of the following statement indicates an accurate performance of the procedure?

Clamp above the port for 30 to 60 minutes before drawing the urine from the port

Clamp below the port for 30 to 60 minutes before drawing the urine from the port

Clamp above the port for 5 to 10 minutes before drawing the urine from the port

Clamp below the port for 5 to 10 minutes before drawing the urine from the port

96. In inspecting the abdomen, which of the following is NOT DONE?

Ask the client to void first

Knees and legs are straighten to relax the abdomen

The best position in assessing the abdomen is Dorsal recumbent

The knees and legs are externally rotated

97. Which of the following is a NOT a correct statement of an Outcome criteria?

Ambulates 30 feet with a cane before discharge

Discusses fears and concerns regarding the surgical procedure

Demonstrates proper coughing and breathing technique after a teaching session

Reestablishes a normal pattern of elimination

98. Which of the following is TRUE with regards to Client Goals?

They are specific, measurable, attainable and time bounded

They are general and broadly stated

They should answer for WHO, WHAT ACTIONS, WHAT CIRCUMSTANCES, HOW WELL and WHEN.

Example is : After discharge planning, Client demonstrated the proper psychomotor skills for insulin injection.

99. This specimen is required to assess glucose levels and for the presence of albumin the the urine

Midstream clean catch urine

24 hours urine collection

Postprandial urine collection

Second voided urine

100. Which of the following is the best position for the client to assume if the back is to be examined by the nurse?

Standing

Sitting

Side lying

Prone

Fundamentals Of Nursing 2

1. A framework for health assessment that evaluates the effects of stressors to the mind, body and environment in relation with the ability of the client to perform ADL.

2.

What first name or nickname would you like us to use?

2. Who collects Blood specimen?

3. Rectal examination is done with a client in what position?

4. In cleaning the thermometer after use, The direction of the cleaning to follow Medical Asepsis is :

5. Rhina, who has Menieres disease, said that her environment is moving. Which of the following is a valid assessment? 1. Rhina is giving an objective data 2. Rhina is giving a subjective data 3. The source of the data is primary 4. The source of the data is secondary

6. Which of the following is a OBJECTIVE data?

7. When is the best time to collect urine specimen for routine urinalysis and C/S?

8. Which of the following is a contraindication in taking RECTAL temperature?

9. A process of heat loss which involves the transfer of heat from one surface to another is

10. John's temperature 10 hours ago is a normal 36.5 degrees. 4 hours ago, He has a fever with a temperature of 38.9 Degrees. Right now, his temperature is back to normal. Which of the following best describe the fever john is having?

11. Which of the following statement is true regarding temperature?

12. Client has undergone Upper GI and Lower GI series. Which type of health assessment framework is used in this situation?

13. All of the following are characteristic of the Nursing process except

14. In collecting a routine specimen for fecalysis, Which of the following, if done by a nurse, indicates inadequate knowledge and skills about the procedure?

15. How many minutes are allowed to pass if the client had engaged in strenuous activities, smoked or ingested caffeine before taking his/her BP?

16. Nurse Angela knew that Stephen Lee Mu Chin, has just undergone an operation with an incision near the diaphragm. She knew that this will contribute to some complications later on. She then should develop what type of Nursing diagnosis?

17. In palpating the client's breast, Which of the following position is necessary for the patient to assume before the start of the procedure?

18. Which is a preferable arm for BP taking?

19. Refers to the pressure when the ventricles are at rest

20. Which of the following is TRUE about respiration?

21. Which of the following is NOT a contraindication in taking ORAL temperature?

22. Considered as Safest and most non invasive method of temperature taking

23. Which of the following is among an ideal way of collecting a urine specimen for culture and sensitivity?

24. David, 68 year old male client is scheduled for Serum Lipid analysis. Which of the following health teaching is important to ensure accurate reading?

25. When should the client test his blood sugar levels for greater accuracy?

26. Which of the following statement is TRUE about pulse?

27. The following are correct actions when taking radial pulse except:

28. The difference between the systolic and diastolic pressure is termed as

29. Which of the following completely describes PULSUS PARADOXICUS?

30. Which of the following is responsible for deep and prolonged inspiration

31. A community health nurse should be resourceful and meet the needs of the client. A villager ask him, Can you test my urine for glucose? Which of the following technique allows the nurse to test a client's urine for glucose without the need for intricate instruments.

32. Which of the following is the correct interpretation of the ERROR OF PARALLAX

33. Too narrow cuff will cause what change in the Client's BP?

34. Which of the following do not correctly correlates the increase BP of Ms. Aida, a 70 year old diabetic?

35. Clinitest is used in testing the urine of a client for glucose. Which of the following, If committed by a nurse indicates error?

36. The heat regulating center is found in the

37. In assessing the client's chest, which position best show chest expansion as well as its movements?

38. They are the first one to suggest a 4 step nursing process which are : APIE , or assessment, planning, implementation and evaluation. 1. Yura 2. Walsh 3. Roy 4. Knowles

39. Nurse Angela, observe Joel who is very apprehensive over the impending operation. The client is experiencing dyspnea, diaphoresis and asks lots of questions. Angela made a diagnosis of ANXIETY R/T INTRUSIVE PROCEDURE. This is what type of Nursing Diagnosis?

40. Nurse Angela diagnosed Mrs. Delgado, who have undergone a BKA. Her diagnosis is SELF ESTEEM DISTURBANCE R/T CHANGE IN BODY IMAGE. Although the client has not yet seen her lost leg, Angela already anticipated the diagnosis. This is what type of Diagnosis?

41. A type of heat loss that occurs when the heat is dissipated by air current

42. Tympanic temperature is taken from John, A client who was brought recently into the ER due to frequent barking cough. The temperature reads 37.9 Degrees Celsius. As a nurse, you conclude that this temperature is

43. Which of the following is a primary factor that affects the BP?

44. When palpating the client's neck for lymphadenopathy, where should the nurse position himself?

45. Which characteristic of nursing process addresses the INDIVIDUALIZED care a client must receive?

46. A characteristic of the nursing process that is essential to promote client satisfaction and progress. The care should also be relevant with the client's needs.

47. In assessing the abdomen, Which of the following is the correct sequence of the physical assessment?

48. Which of the following is TRUE about the auscultation of blood pressure?

49. A community health nurse is assessing client's urine using the Acetic Acid solution. Which of the following, if done by a nurse, indicates lack of correct knowledge with the procedure?

50. The primary factor responsible for body heat production is the

51. +++ Positive result after Benedicts test is depicted by what color?

53. Which of the following Nursing diagnosis is INCORRECT?

54. Among the following statements, which should be given the HIGHEST priority?

55. Which of the following need is given a higher priority among others?

56. Which of the following is more life threatening?

57. Which of the following is a correct nursing action when collecting urine specimen from a client with an Indwelling catheter?

58. Marianne is now at the Defervescence stage of the fever, which of the following is expected?

59. Which of the following is true about the NURSING CARE PLAN?

60. The primary respiratory center

61. Which of the following is responsible for the rhythm and quality of breathing?

62. Contains the pneumotaxic and the apneutic centers

63. In palpating the client's abdomen, Which of the following is the best position for the client to assume?

64. The best position for any procedure that involves vaginal and cervical examination is

65. John has a fever of 38.5 Deg. Celsius. It surges at around 40 Degrees and go back to 38.5 degrees 6 times today in a typical pattern. What kind of fever is John having?

66. The characteristic fever in Dengue Virus is characterized as:

67. The American Nurses association formulated an innovation of the Nursing process. Today, how many distinct steps are there in the nursing process?

68. In a 24 hour urine specimen started Friday, 9:00 A.M, which of the following if done by a Nurse indicate a NEED for further procedural debriefing?

69. Which of the following is inappropriate in collecting mid stream clean catch urine specimen for urine analysis?

70. In a routine sputum analysis, Which of the following indicates proper nursing action before sputum collection?

71. The following are social data about the client except

72. Dr. Fabian De Las Santas, is about to conduct an ophthalmoscope examination. Which of the following, if done by a nurse, is a Correct preparation before the procedure?

73. She is the first one to coin the term "NURSING PROCESS" She introduced 3 steps of nursing process which are Observation, Ministration and Validation.

74. Which characteristic of nursing process is responsible for proper utilization of human resources, time and cost resources?

75. A patient's chart is what type of data source?

76. Which of the following is TRUE about temperature?

77. Hyperpyrexia is a condition in which the temperature is greater than

78. What can you expect from Marianne, who is currently at the ONSET stage of fever?