Nursing Licensure Exam: Hardest Quiz!

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  • 1/150 Questions

    An example of subjective data is:

    • Size of wounds
    • VS
    • Lethargy
    • The statement of patient “My hand is painful”
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About This Quiz

Challenge your knowledge with the 'Nursing Licensure Exam: Hardest Quiz!', featuring critical questions on healthcare practices such as rubella vaccination, encephalitis treatment, rabies, and malaria diagnostics. Essential for aspiring nurses aiming to pass their licensure exams.

Nursing Licensure Exam: Hardest Quiz! - Quiz

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  • 2. 

    Which of the following criteria allows Nurse Kris to perform home deliveries?

    • Normal findings during assessment

    • Previous CS

    • Diabetes history

    • Hypertensive history

    Correct Answer
    A. Normal findings during assessment
    Explanation
    Nurse Kris is able to perform home deliveries based on normal findings during assessment. This means that if the patient's assessment reveals no complications or abnormalities that would prevent a home delivery, Nurse Kris can proceed with the delivery in the patient's home. The other criteria listed, such as previous CS, diabetes history, and hypertensive history, do not specifically address the ability to perform home deliveries.

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  • 3. 

    Nurse Jolina must see to it that the written consent of mentally ill patients must be taken from:

    • Nurse

    • Priest

    • Family lawyer

    • Parents/legal guardians

    Correct Answer
    A. Parents/legal guardians
    Explanation
    Nurse Jolina must ensure that the written consent of mentally ill patients is obtained from their parents or legal guardians. This is because mentally ill patients may not have the capacity to make informed decisions, and their parents or legal guardians are responsible for their well-being and decision-making. The consent of other individuals, such as the nurse, priest, or family lawyer, may not be sufficient or appropriate in this situation.

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  • 4. 

    The first college of nursing that was established in the Philippines is:

    • Fatima University

    • Far Eastern University

    • University of the East

    • University of Sto. Tomas

    Correct Answer
    A. University of Sto. Tomas
    Explanation
    The University of Sto. Tomas is considered the first college of nursing established in the Philippines because it was the first institution to offer a formal nursing program in the country. It has a long-standing history and reputation in the field of nursing education, and has produced many successful and skilled nurses over the years.

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  • 5. 

    Jonas who is diagnosed with encephalitis is under the treatment of Mannitol. Which of the following patient outcomes indicate to Nurse Ronald that the treatment of Mannitol has been effective for a patient that has increased intracranial pressure?

    • Increased urinary output

    • Decreased RR

    • Slowed papillary response

    • Decreased level of consciousness

    Correct Answer
    A. Increased urinary output
    Explanation
    Increased urinary output is a patient outcome that indicates the effectiveness of Mannitol treatment for a patient with increased intracranial pressure. Mannitol is an osmotic diuretic that works by drawing fluid out of the brain tissue and into the bloodstream, reducing intracranial pressure. Increased urinary output signifies that the medication is successfully promoting diuresis and removing excess fluid from the body. This helps to decrease intracranial pressure and relieve symptoms associated with encephalitis.

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  • 6. 

    Myrna a pregnant client reports that her last menstrual cycle is July 11, her expected date of birth is

    • November 4

    • November 11

    • April 4

    • April 18

    Correct Answer
    A. April 18
    Explanation
    The expected date of birth is calculated by adding 280 days (40 weeks) to the first day of the last menstrual cycle. In this case, if Myrna's last menstrual cycle was on July 11, adding 280 days would give us April 18 as the expected date of birth.

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  • 7. 

    It is a flip over card usually kept in portable file at nursing station.

    • Nursing care plan

    • Medicine and treatment record

    • Kardex

    • TPR sheet

    Correct Answer
    A. Kardex
    Explanation
    A Kardex is a flip over card that is typically kept in a portable file at a nursing station. It is used to document and track important information related to a patient's care, such as their nursing care plan, medicine and treatment record, and TPR (temperature, pulse, and respiration) sheet. The Kardex serves as a quick reference for healthcare providers to have access to the most up-to-date information about the patient's care and treatment.

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  • 8. 

    Self governance, ability to choose or carry out decision without undue pressure or coercion from anyone:

    • Veracity

    • Autonomy

    • Fidelity

    • Beneficence

    Correct Answer
    A. Autonomy
    Explanation
    Autonomy refers to the ability to make decisions and take actions without being influenced or coerced by others. It is the concept of self-governance and the freedom to choose one's own path. Veracity refers to truthfulness, fidelity refers to loyalty, and beneficence refers to the act of doing good or promoting the well-being of others. While these concepts may be related to personal values and ethics, they do not specifically address the idea of self-governance and decision-making without external pressure. Therefore, autonomy is the correct answer in this context.

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  • 9. 

    The Nurse is aware that the ability to enter into the life of another person and perceive his current feelings and their meaning is known:

    • Belongingness

    • Genuineness

    • Empathy

    • Respect

    Correct Answer
    A. Empathy
    Explanation
    Empathy refers to the ability to understand and share the feelings of another person. It involves entering into the life of another person and perceiving their current emotions and the meaning behind them. This understanding allows the nurse to connect with the patient on a deeper level and provide the appropriate support and care. Empathy is an essential quality for healthcare professionals as it helps in building trust, establishing rapport, and promoting effective communication with patients.

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  • 10. 

    What is the best position in palpating the breast?

    • Trendelenburg

    • Side lying

    • Supine

    • Lithotomy

    Correct Answer
    A. Supine
    Explanation
    The best position for palpating the breast is supine. This position allows for easy access and examination of the breast while the patient is lying flat on their back. It provides a comfortable and stable position for both the patient and the healthcare provider, ensuring a thorough examination of the breast tissue. The supine position also allows for better visualization and palpation of any abnormalities or lumps in the breast.

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  • 11. 

    What is the fast breathing of Jana who is 3 weeks old?

    • 60 breaths per minute

    • 40 breaths per minute

    • 10 breaths per minute

    • 20 breaths per minute

    Correct Answer
    A. 60 breaths per minute
    Explanation
    At 3 weeks old, infants typically have a faster breathing rate compared to older children and adults. The normal breathing rate for a 3-week-old baby is around 40-60 breaths per minute. Therefore, the correct answer is 60 breaths per minute.

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  • 12. 

    In caring for a dying client, you should perform which of the following activities

    • Do not resuscitate

    • Assist client to perform ADL

    • Encourage to exercise

    • Assist client towards a peaceful death

    Correct Answer
    A. Assist client towards a peaceful death
    Explanation
    In caring for a dying client, it is important to prioritize their comfort and well-being. Assisting the client towards a peaceful death involves providing emotional support, managing pain and symptoms, and ensuring a calm and peaceful environment. This may include providing spiritual support, facilitating communication with loved ones, and promoting dignity and respect. It is essential to respect the client's wishes and preferences, while also ensuring their physical and emotional needs are met during this difficult time.

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  • 13. 

    A bacteria which causes diphtheria is also known as?

    • Amoeba

    • Cholera

    • Klebs-loeffler bacillus

    • Spirochete

    Correct Answer
    A. Klebs-loeffler bacillus
    Explanation
    The correct answer is Klebs-loeffler bacillus. Klebs-loeffler bacillus is the bacteria that causes diphtheria. Diphtheria is a highly contagious bacterial infection that primarily affects the throat and nose. It is characterized by the formation of a thick grayish coating in the throat, which can lead to difficulty in breathing and swallowing. Klebs-loeffler bacillus produces a toxin that causes the symptoms of diphtheria.

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  • 14. 

    Nurse Ron performed mantoux skin test today (Monday) to a male adult client. Which statement by the client indicates that he understood the instruction well?

    • I will come back later

    • I will come back next month

    • I will come back on Friday

    • I will come back on Wednesday, same time, to read the result

    Correct Answer
    A. I will come back on Wednesday, same time, to read the result
    Explanation
    The correct answer indicates that the client understood the instruction well because they stated that they will come back on Wednesday, at the same time, to read the result. This shows that they understood the importance of returning to have the test read within the specified timeframe.

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  • 15. 

    An illustration that shows how the members of an organization are connected:

    • Flowchart

    • Bar graph

    • Organizational chart

    • Line graph

    Correct Answer
    A. Organizational chart
    Explanation
    An organizational chart is a visual representation that depicts the hierarchical structure of an organization, illustrating how the members are connected. It shows the relationships between different positions, departments, and levels of authority within the organization. This chart helps to understand the reporting structure, communication channels, and overall organization of the members. It is commonly used for planning, decision-making, and understanding the roles and responsibilities of individuals within the organization.

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  • 16. 

    In assessing a client’s incision 1 day after the surgery, Nurse Betty expect to see which of the following as signs of a local inflammatory response?

    • Greenish discharge

    • Brown exudates at incision edges

    • Pallor around sutures

    • Redness and warmth

    Correct Answer
    A. Redness and warmth
    Explanation
    Redness and warmth are signs of a local inflammatory response. Inflammation is the body's natural response to injury or infection. It is characterized by increased blood flow to the affected area, which causes redness and warmth. These symptoms indicate that the body is sending immune cells and other substances to the site of the incision to promote healing and fight off any potential infection. Greenish discharge and brown exudates at the incision edges may indicate infection, while pallor around sutures may suggest poor blood flow to the area.

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  • 17. 

    A force within an individual that influences the strength of behavior?

    • Motivation

    • Envy

    • Reward

    • Self-esteem

    Correct Answer
    A. Motivation
    Explanation
    Motivation refers to the force within an individual that influences the strength and direction of their behavior. It is the internal drive or desire that compels individuals to take action and achieve their goals. Motivation can be influenced by various factors such as personal needs, desires, values, and external rewards. It plays a crucial role in determining the level of effort and persistence individuals put into their actions, ultimately affecting their behavior and outcomes.

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  • 18. 

    Which of the following may cause an increase in the cystitis symptoms?

    • Water

    • Orange juice

    • Coffee

    • Mango juice

    Correct Answer
    A. Coffee
    Explanation
    Coffee may cause an increase in cystitis symptoms because it is a diuretic, meaning it increases urine production. This can lead to increased frequency and urgency to urinate, which are common symptoms of cystitis. Additionally, coffee is acidic and can irritate the bladder, exacerbating inflammation and discomfort associated with cystitis.

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  • 19. 

    Mr. Dela Rosa is suspected to have malaria after a business trip in Palawan. The most important diagnostic test in malaria is:

    • WBC count

    • Urinalysis

    • ELISA

    • Peripheral blood smear

    Correct Answer
    A. Peripheral blood smear
    Explanation
    A peripheral blood smear is the most important diagnostic test in malaria because it allows for the direct visualization of the malaria parasite in the blood. This test involves examining a thin blood film under a microscope to identify the presence of the parasite and determine the species of malaria causing the infection. Other tests such as WBC count, urinalysis, and ELISA may be helpful in supporting the diagnosis or assessing the severity of the infection, but they are not as specific or reliable as the peripheral blood smear.

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  • 20. 

    Tristan a 4 year old boy has suffered from full thickness burns of the face, chest and neck. What will be the priority nursing diagnosis?

    • Ineffective airway clearance related to edema

    • Impaired mobility related to pain

    • Impaired urinary elimination related to fluid loss

    • Risk for infection related to epidermal disruption

    Correct Answer
    A. Ineffective airway clearance related to edema
    Explanation
    The priority nursing diagnosis for Tristan, a 4-year-old boy who has suffered from full thickness burns of the face, chest, and neck, would be "Ineffective airway clearance related to edema." This is because burns to the face, chest, and neck can cause swelling and edema, which can potentially obstruct the airway and compromise breathing. Ensuring effective airway clearance is crucial in order to maintain oxygenation and prevent respiratory distress.

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  • 21. 

    After delivery of a baby girl. Nurse Gina examines the umbilical cord and expects to find a cord to:

    • Two arteries and two veins

    • One artery and one vein

    • Two arteries and one vein

    • One artery and two veins

    Correct Answer
    A. Two arteries and one vein
    Explanation
    After delivery, the nurse examines the umbilical cord to determine the presence of blood vessels. In a normal umbilical cord, there are usually two arteries and one vein. The two arteries carry deoxygenated blood from the baby to the placenta, while the one vein carries oxygenated blood from the placenta to the baby. This arrangement allows for the exchange of nutrients and waste between the baby and the placenta.

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  • 22. 

    The present chairman of the Board of Nursing in the Philippines is:

    • Maria Joanna Cervantes

    • Carmencita Abaquin

    • Leonor Rosero

    • Primitiva Paquic

    Correct Answer
    A. Carmencita Abaquin
    Explanation
    Carmencita Abaquin is the correct answer because she is currently serving as the chairman of the Board of Nursing in the Philippines.

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  • 23. 

    Which of the following should Nurse Cherry do first in taking care of a male client with rabies?

    • Encourage the patient to take a bath

    • Cover IV bottle with brown paper bag

    • Place the patient near the comfort room

    • Place the patient near the door

    Correct Answer
    A. Cover IV bottle with brown paper bag
    Explanation
    Nurse Cherry should cover the IV bottle with a brown paper bag first in taking care of a male client with rabies. Rabies is a viral infection that affects the central nervous system, and it is transmitted through the saliva of an infected animal. By covering the IV bottle, Nurse Cherry can prevent any potential contamination of the bottle with the client's saliva, reducing the risk of spreading the infection. This precaution is important to ensure the safety of both the client and the healthcare providers.

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  • 24. 

    Which of the following should be given the highest priority before performing physical examination to a patient?

    • Preparation of the room

    • Preparation of the patient

    • Preparation of the nurse

    • Preparation of environment

    Correct Answer
    A. Preparation of the patient
    Explanation
    Before performing a physical examination on a patient, the highest priority should be given to the preparation of the patient. This includes ensuring that the patient is comfortable, informed about the procedure, and ready for the examination. It may involve obtaining their medical history, explaining the purpose of the examination, and addressing any concerns or questions they may have. By prioritizing the preparation of the patient, healthcare professionals can establish trust and cooperation, which are crucial for a successful examination.

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  • 25. 

    Nurse Hazel knows that Myrna understands her condition well when she remarks that urinary frequency is caused by:

    • Pressure caused by the ascending uterus

    • Water intake of 3L a day

    • Effect of cold weather

    • Increase intake of fruits and vegetables

    Correct Answer
    A. Pressure caused by the ascending uterus
    Explanation
    The correct answer is "Pressure caused by the ascending uterus." This is because urinary frequency is a common symptom during pregnancy due to the growing uterus putting pressure on the bladder. This pressure can lead to increased frequency in urination.

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  • 26. 

    During the evening round Nurse Tina saw Mr. Toralba meditating and afterwards started singing prayerful hymns. What would be the best response of Nurse Tina?

    • Call the attention of the client and encourage to sleep

    • Report the incidence to head nurse

    • Respect the client’s action

    • Document the situation

    Correct Answer
    A. Respect the client’s action
    Explanation
    Respecting the client's action would be the best response for Nurse Tina. Mr. Toralba was meditating and singing prayerful hymns, which may be a part of his personal beliefs or coping mechanisms. As a nurse, it is important to respect the autonomy and choices of the client, as long as they are not harming themselves or others. Therefore, Nurse Tina should acknowledge and honor Mr. Toralba's actions without interfering or passing judgment.

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  • 27. 

    The nurse is aware that the primary nursing diagnosis for the client is:

    • Altered nutrition : less than body requirement

    • Altered nutrition : more than body requirement

    • Impaired tissue integrity

    • Risk for malnutrition

    Correct Answer
    A. Altered nutrition : less than body requirement
    Explanation
    The nurse determines that the primary nursing diagnosis for the client is "Altered nutrition: less than body requirement" because the client is experiencing a deficiency in the intake of nutrients necessary for optimal health. This diagnosis indicates that the client's nutritional intake is insufficient to meet their body's needs, leading to potential malnutrition. The other options, "Altered nutrition: more than body requirement," "Impaired tissue integrity," and "Risk for malnutrition," do not accurately reflect the client's current nutritional status.

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  • 28. 

    Which is the most frequent reason for postpartum hemorrhage?

    • Perineal lacerations

    • Frequent internal examination (IE)

    • CS

    • Uterine atony

    Correct Answer
    A. Uterine atony
    Explanation
    Uterine atony is the most frequent reason for postpartum hemorrhage. Uterine atony refers to the inability of the uterus to contract effectively after childbirth, leading to excessive bleeding. This can occur due to factors such as a prolonged or difficult labor, multiple pregnancies, or the use of certain medications during labor. When the uterus fails to contract properly, the blood vessels that were connected to the placenta remain open, causing bleeding. Prompt medical intervention is necessary to control the bleeding and prevent complications.

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  • 29. 

    When is the best time in performing breast self examination?

    • 7 days after menstrual period

    • 7 days before menstrual period

    • 5 days after menstrual period

    • 5 days before menstrual period

    Correct Answer
    A. 7 days after menstrual period
    Explanation
    The best time to perform a breast self-examination is 7 days after the menstrual period. This is because during the menstrual cycle, hormonal changes can cause breast tissue to become more tender and swollen, making it difficult to detect any abnormalities. Waiting until after the period allows the breasts to return to their normal state, making it easier to feel for any lumps or changes.

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  • 30. 

    It is the certification recognition program that develop and promotes standard for health facilities:

    • Formula

    • Tutok gamutan

    • Sentrong program movement

    • Sentrong sigla movement

    Correct Answer
    A. Sentrong sigla movement
    Explanation
    The correct answer is "Sentrong sigla movement". This program is a certification recognition program that develops and promotes standards for health facilities. It aims to improve the quality of health services by ensuring that health facilities meet certain criteria and adhere to specific standards. The program focuses on enhancing the overall health system in the country, including the delivery of quality healthcare services to the community.

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  • 31. 

    A male patient complained because his scheduled surgery was cancelled because of earthquake. The hospital personnel may be excused because of:

    • Governance

    • Respondent superior

    • Force majeure

    • Res ipsa loquitor

    Correct Answer
    A. Force majeure
    Explanation
    The hospital personnel may be excused because of force majeure. Force majeure refers to unforeseeable circumstances that prevent someone from fulfilling a contract or obligation. In this case, the earthquake is an unforeseeable event that caused the cancellation of the scheduled surgery. The hospital personnel cannot be held responsible for the cancellation as it was beyond their control.

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  • 32. 

    The Nurse supervisor is planning for patient’s assignment for the AM shift. The nurse supervisor avoids assigning which of the following staff members to a client with herpes zoster?

    • Nurse who never had chicken pox

    • Nurse who never had roseola

    • Nurse who never had german measles

    • Nurse who never had mumps

    Correct Answer
    A. Nurse who never had chicken pox
    Explanation
    The nurse supervisor avoids assigning a nurse who never had chicken pox to a client with herpes zoster because chicken pox and herpes zoster are caused by the same virus, the varicella-zoster virus. If a nurse has never had chicken pox, it means they have not been exposed to the virus and therefore have not developed immunity. Assigning this nurse to a client with herpes zoster could put them at risk of contracting the virus.

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  • 33. 

    How many ml of blood is loss during the first 24 hours post delivery of Myrna?

    • 100

    • 500

    • 200

    • 400

    Correct Answer
    A. 500
  • 34. 

    A woman in a child bearing age receives a rubella vaccination. Nurse Joy would give her which of the following instructions?

    • Refrain from eating eggs or egg products for 24 hours

    • Avoid having sexual intercourse

    • Don’t get pregnant at least 3 months

    • Avoid exposure to sun

    Correct Answer
    A. Don’t get pregnant at least 3 months
    Explanation
    Rubella, also known as German measles, is a contagious viral infection that can cause serious harm to a developing fetus if a woman contracts it during pregnancy. The rubella vaccine is given to protect women of childbearing age from contracting rubella and potentially passing it on to their unborn child. The instruction "Don't get pregnant at least 3 months" is given because it takes time for the vaccine to provide full protection, and it is recommended to wait for at least 3 months after receiving the vaccine before trying to conceive to ensure the maximum effectiveness of the vaccine.

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  • 35. 

    Which is the primary characteristic lesion of syphilis?

    • Sore eyes

    • Sore throat

    • Chancroid

    • Chancre

    Correct Answer
    A. Chancre
    Explanation
    The primary characteristic lesion of syphilis is a chancre. A chancre is a painless, ulcerated sore that typically appears at the site of infection, usually on the genitals, anus, or mouth. It is the initial manifestation of syphilis and is highly infectious. The sore may heal on its own, but if left untreated, syphilis can progress to more severe stages and cause serious complications.

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  • 36. 

    Which of the following is not a good source of iron?

    • Butter

    • Pechay

    • Grains

    • Beef

    Correct Answer
    A. Butter
    Explanation
    Butter is not a good source of iron because it is derived from milk and does not naturally contain a significant amount of iron. Iron is primarily found in animal products such as beef and in plant-based sources such as grains and leafy greens like pechay. While butter is a source of fat and other nutrients, it is not a reliable source of iron.

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  • 37. 

    The appropriate nutrition for Bipolar I disorder, in manic phase is:

    • Low fat, low sodium

    • Low calorie, high fat

    • Finger foods, high in calorie

    • Small frequent feedings

    Correct Answer
    A. Finger foods, high in calorie
    Explanation
    During the manic phase of Bipolar I disorder, individuals often experience increased energy levels and may have difficulty sitting down for a full meal. Finger foods that are high in calories can be beneficial in such situations as they provide a quick and convenient source of energy. These foods can be easily eaten on the go and help to maintain adequate calorie intake during this phase.

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  • 38. 

    Which of the following activity would be best for a depressed client?

    • Chess

    • Basketball

    • Swimming

    • Finger painting

    Correct Answer
    A. Finger painting
    Explanation
    Finger painting would be the best activity for a depressed client because it allows for self-expression and creativity. Engaging in art therapy can help individuals process their emotions, reduce stress, and promote relaxation. The tactile nature of finger painting can also provide a sensory experience that can be soothing and grounding. Additionally, the process of creating art can boost self-esteem and provide a sense of accomplishment, which can be particularly beneficial for someone struggling with depression.

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  • 39. 

    Which of the following information cannot be seen in the PRC identification card?

    • Registration Date

    • License Number

    • Date of Application

    • Signature of PRC chairperson

    Correct Answer
    A. Date of Application
    Explanation
    The PRC identification card does not display the Date of Application. The identification card typically includes information such as the Registration Date, License Number, and the Signature of the PRC chairperson. However, the Date of Application is not considered necessary to be displayed on the identification card.

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  • 40. 

    Nurse Emma provides teaching to a patient with recurrent urinary tract infection includes the following:

    • Increase intake of tea, coffee and colas

    • Void every 6 hours per day

    • Void immediately after intercourse

    • Take tub bath everyday

    Correct Answer
    A. Void immediately after intercourse
    Explanation
    Voiding immediately after intercourse is an important step in preventing recurrent urinary tract infections. During sexual activity, bacteria can be pushed into the urethra, increasing the risk of infection. By urinating shortly after intercourse, any bacteria that may have entered the urethra can be flushed out, reducing the chances of infection. This practice helps to maintain good urinary tract hygiene and minimize the risk of developing further infections.

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  • 41. 

    The one filing the criminal care against an accused party is said to be the?

    • Guilty

    • Accused

    • Plaintiff

    • Witness

    Correct Answer
    A. Plaintiff
    Explanation
    The one filing the criminal case against an accused party is referred to as the plaintiff. In a criminal case, the plaintiff is the party who brings the charges against the accused, seeking legal action and justice. The plaintiff is responsible for presenting evidence and arguments to prove the guilt of the accused. This term is commonly used in civil law systems, where the plaintiff is the individual or entity initiating the legal action.

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  • 42. 

    Toy with a tentative diagnosis of myasthenia gravis is admitted for diagnostic make up. Myasthenia gravis can confirmed by:

    • Kernigs sign

    • Brudzinski’s sign

    • A positive sweat chloride test

    • A positive edrophonium (Tensilon) test

    Correct Answer
    A. A positive edrophonium (Tensilon) test
    Explanation
    A positive edrophonium (Tensilon) test can confirm a diagnosis of myasthenia gravis. Edrophonium is a medication that temporarily improves muscle strength in individuals with myasthenia gravis. If the patient experiences a significant improvement in muscle strength after receiving edrophonium, it suggests that they have myasthenia gravis. This test is commonly used as a diagnostic tool for this condition. Kernig's sign and Brudzinski's sign are not specific to myasthenia gravis, and a positive sweat chloride test is associated with cystic fibrosis, not myasthenia gravis.

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  • 43. 

    Which nursing assessment would identify the earliest sign of ICP?

    • Change in level of consciousness

    • Temperature of over 103°F

    • Widening pulse pressure

    • Unequal pupils

    Correct Answer
    A. Change in level of consciousness
    Explanation
    The earliest sign of increased intracranial pressure (ICP) is a change in the level of consciousness. This can manifest as confusion, disorientation, or altered mental status. As ICP increases, the brain becomes compressed, leading to impaired brain function. Therefore, monitoring and recognizing any changes in the level of consciousness is crucial in identifying and managing ICP. Temperature elevation, widening pulse pressure, and unequal pupils may occur later as ICP progresses.

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  • 44. 

    Which of the following signs and symptoms indicate some dehydration?

    • Drinks eagerly

    • Restless and irritable

    • Unconscious

    • A and B

    Correct Answer
    A. A and B
    Explanation
    The signs and symptoms of drinking eagerly and being restless and irritable indicate some dehydration. When a person is dehydrated, their body craves fluids, leading to increased eagerness to drink. Additionally, dehydration can cause irritability and restlessness as the body tries to compensate for the lack of fluids. The unconsciousness mentioned in the options does not directly indicate dehydration and is therefore not included in the signs and symptoms of some dehydration.

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  • 45. 

    Maureen is admitted with a diagnosis of ectopic pregnancy. Which of the following would you anticipate?

    • NPO

    • Bed rest

    • Immediate surgery

    • Enema

    Correct Answer
    A. Immediate surgery
    Explanation
    Given that Maureen is admitted with a diagnosis of ectopic pregnancy, immediate surgery would be the anticipated course of action. Ectopic pregnancy occurs when a fertilized egg implants itself outside of the uterus, typically in the fallopian tube. This condition is considered a medical emergency as it can lead to life-threatening complications such as rupture and internal bleeding. Immediate surgery is necessary to remove the ectopic pregnancy and prevent further complications.

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  • 46. 

    After 14 days in the hospital, which finding indicates that her condition in improving?

    • She tells the nurse that she had no idea that she is thin

    • She arrives earlier than scheduled time of group therapy

    • She tells the nurse that she eat 3 times or more in a day

    • She gained 4 lbs in two weeks

    Correct Answer
    A. She gained 4 lbs in two weeks
    Explanation
    The finding that she gained 4 lbs in two weeks indicates that her condition is improving. Weight gain is often a positive sign in medical settings, as it suggests that the patient's body is recovering and becoming healthier. In this case, the fact that she gained weight after being in the hospital for 14 days indicates that her condition is improving. This finding is more significant than the other options, as the patient's perception of her own weight, arriving early for therapy, or her eating habits may not necessarily indicate improvement in her overall condition.

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  • 47. 

    Florence nightingale is born on:

    • France

    • Britain

    • U.S

    • Italy

    Correct Answer
    A. Italy
    Explanation
    Florence Nightingale was born in Italy.

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  • 48. 

    Objective data is also called:

    • Covert

    • Overt

    • Inference

    • Evaluation

    Correct Answer
    A. Overt
    Explanation
    Objective data refers to information that is factual, observable, and measurable. It is data that can be collected through direct observation or measurement, without any subjective interpretation or bias. Overt, in this context, means that the data is openly observable and does not require any inference or interpretation. Therefore, the term "overt" is synonymous with objective data, as it implies that the data is observable and does not involve any subjective interpretation.

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  • 49. 

    The leaking fluid is tested with nitrazine paper. Nurse Kelly confirms that the client’s membrane have ruptures when the paper turns into a:

    • Pink

    • Violet

    • Green

    • Blue

    Correct Answer
    A. Blue
    Explanation
    The correct answer is blue because nitrazine paper is used to test for the presence of amniotic fluid, which is usually clear and has a pH of around 7. If the paper turns blue, it indicates the presence of amniotic fluid, suggesting that the client's membranes have ruptured. Pink, violet, and green are not the correct answers as they do not indicate the presence of amniotic fluid.

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  • Mar 17, 2023
    Quiz Edited by
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  • Feb 23, 2010
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    RNpedia.com

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