THREE PHASE REVIEW PROGRAM 1. a.

. This is a 45 day program in which the students will receive an outline of subjects discussing the very meat and they will also receive NLE SALIENT POINTS which highlights the meat of the concept. b. 2. CRITICAL REVIEW a. This is a 25 day program wherein the students will answer BOARD SENSITIVE QUESTIONS with rationale. This phase will exercise the critical thinking ability of the students in preparation for board examination. b. Test Taking Strategies (TTS) will also be included during giving of rationale. c. KEYWORDS will also be discussed. d. 3. INTENSIVE COACHING

SAMPLE QUESTIONS The following are ACTUAL BOARD EXAMINATION QUESTIONS. SITUATION: As a new nurse in a tertiary hospital, you were tasked to take the vital signs of the clients assigned to you. Accuracy in recording of vital signs is of utmost importance in the management of patient care. 1. Special considerations to be observed when taking vital signs include the following except: a. Wait at least 30 minutes after exercising, eating or smoking before taking vital signs b. Clients with acute neurologic deficits must be checked frequently

c. Use of games and stories to decrease anxiety in infants to assess vital signs d. Frequent measurement of vital signs for immediate post operative clients 2. The nurse considers which of the following of these to be correct as when taking vital signs? a. Standard and uniform equipment are used to measure vital signs for all clients in the ward b. Baseline data of clients physiologic functioning are established through accurate measurement of vital signs c. Blood pressure is routinely assessed in young infants and children to assess cardiac functioning d. Measurement and interpretation of vital signs can be delegated to nursing aides who have been well trained. 3. The nurse obtained blood pressure reading of 120/80 when the client was in supine position. After an hour, the nurse rechecked the blood pressure and obtained a reading of 132/78 in supine position and 110/60 in sitting position. The most appropriate action by the nurse is to: a. Get the clients blood pressure reading in the other arm b. Report the readings to the supervisor for appropriate nursing action c. Conduct physical assessment of the client d. Assist the client to return to a supine position 4. The nurse has to take the clients thigh blood pressure. You will assist the client to assume which correct position? a. Fowlers position b. Sims position c. Side lying position d. Supine, knees flexed position 5. The nurse obtained a prior blood pressure reading of 70/40 mmHg in a male client. This time she could not obtain a reading by auscultation. The most appropriate nursing action would be to: a. Report to physician immediately for proper intervention b. Take the clients blood pressure by palpation reporting to physician any 20 mmHg change in reading c. Ask a nursing assistant to take blood pressure by auscultation d. Leave the blood pressure cuff on the client so as not to disturb when checking the blood pressure again. SITUATION: Tere, 32 weeks pregnant, G1P0, expelled bloody tinged mucus over 24 hours ago. About 15 minutes ago, a sudden gush of warm liquid flowed, accompanied by stronger painful and regular uterine contractions. Tere was taken to the hospital immediately. 6. Tere informs the nurse that her bag of water (BOW) broke. The most appropriate question to ask would be: a. How much water did you lose?

b. Describe the appearance of the fluid. c. Was it accompanied by bloody show? d. How frequent are your contraction now? 7. Since for: a. b. c. d. the membranes ruptured, the nurse protects Tere from increased risk Hemorrhage Intrauterine infection Precipitate labor Prolonged dry labor

8. Upon admission to the labor room, the nurse monitored the fetus and Teres contractions which are now intense, regular and lasting for 60 to 80 seconds at 2 3 minutes interval. Within an hour from admission, a baby girl was delivered spontaneously. The nurse records this as: a. Emergency child birth b. Hypotonic labor and delivery c. Precipitous delivery d. Precipitous labor 9. Attention to Tere and the preterm baby is of paramount importance. The nurses immediate action upon expulsion of the fetus would be to: a. Receive the infant in a warm blanket to prevent heat loss b. Dry the infant and wipe off the white cheesy material c. Hold the infants feet up to drain any fluids that may clog the airway d. Clamp then cut the umbilical cord 10.Considering Teres rapid labor and delivery, the nurses priority intervention would be focused on the following outcomes except: a. Uterus is contracted and firm after delivery b. Minimal tissue injuries and lacerations c. Stable maternal vital signs d. Uterine position and size SITUATION: Documentation and data collection are tasks for any community health nurse. The Public Health Nurse should never get tired of obtaining information which is necessary for any nursing actions/interventions. 11.The public health nurse collect data regarding the number of cases of influenza in the past month. The data collected will be reflected in which report of the RHU? a. Tally report b. Output report c. Family health record d. Census 12.The public health nurse collects data about 100% of the population in a barangay. The nurse is conducting: a. Community survey

b. Community assembly c. Census taking d. Epidemiologic survey 13.In documentation, the public health nurse must be aware that erasure in the clients record must be avoided because the: a. Record is legal document b. Record will look messy c. Writing would be blurred and difficult to read d. Record is statistical document 14.For purposes of accuracy and completion of documents, it is required that registration of births within 30 days from occurrence is done. Which law mandated this? a. EO 119 b. RA 3573 c. RA 3375 d. PD 651 15.When death occurs, which of the following professional can sign the death certificate? a. Public Health Nurse (PHN) b. Municipal Health Officer (MHO) c. Any health professional d. Rural Health Midwife (RHM) SITUATION: Diarrhea in young children may be life threatening and requires immediate attention. 16.Ricky, 3 years old, has had diarrhea for 5 days and is irritable. He has sunken eyeballs but has no blood in his stools. He drinks eagerly when offered liquid. Skin pinch at the abdomen shows slow return. Using Integrated Management of Childhood Illness (IMCI), Rickys illness is classified as: a. Severe dehydration b. Some dehydration c. No dehydration d. Persistent Diarrhea 17.Which of the following treatments should be immediately considered in Rickys case? a. Reassess the child after 4 hours and classify problem b. Explain to the mother how to prepare ORS c. Continue feeding d. Give 900 1, 400 ORS during the first four hours 18.Mho, 1 year old has had diarrhea for 2 days. He has sunken eyes, skin pinch goes back very slowly and he is drinking poorly and is irritable. There is no blood in the stool. How will you classify Mhos illness? a. Persistent diarrhea b. No dehydration

c. Some dehydration d. Severe dehydration 19.As a nurse, you must remember that any child with diarrhea who has no general danger signs and classified to have no dehydration, no anemia and not very low weight, may be given at least 2 packets of ORS to use at home. You may also encourage the mother to give the following to drink as long as diarrhea continues, except: a. Fruit and buko juice b. Water c. Tea that child usually drinks d. ORS after each loose stool 20.Which of the following should not be given to children with diarrhea under the Plan A treatment of IMCI? a. If the child is exclusively breastfed, give ORS or clean water in addition to breastmilk b. Give the child ORS, water and food based fluids like soup, rice water c. Give the child 900 1400 ml of ORS within 4 hours d. Give extra fluid as much as the child wants SITUATION: Sheila, 42 years old was brought to the Operating Room (OR) suite for vaginal hysterectomy under spinal anesthesia. 21.The circulating nurse welcomes the client to the OR suite. Which of the following is the priority nursing intervention at this point? a. Validates if the client observed NPO appropriately b. Validates OR schedule c. Checks the client for presence of denture, ring and nail polish d. Checks the ID bracelet and call the client by name. 22.Because of the complexity of the surgical environment, each member of the surgical team has vital role to play. Who is the guardian of asepsis while client is undergoing the procedure? a. Anaesthesiologist b. Scrub nurse c. Circulating nurse d. Surgeon 23.Sheila is assisted to assume lithotomy position for the operation. This position can damage the peripheral blood vessels, nerves and joints if not done properly. Which of the following precautionary measures should be observed by the circulating nurse? a. Both legs are placed simultaneously and adjusted to stirrups b. Legs are raised one at a time slowly and simultaneously placed on padded stirrups c. Legs are placed slowly on well padded stirrups one at a time d. Both legs are raised slowly and placed simultaneously on well padded stirrups

24.While the surgery is on going, the circulating nurse has to monitor the needs of scrub nurse and rest of the team. What is the safe distance from the sterile area for her to avoid contaminating the sterile field? a. Anywhere behind the scrub nurse b. Arm length from the sterile area c. As long as you can see the operative field d. Within hearing distance from the surgical team 25.Research studies have shown that clients awareness during intraoperative period maybe greater than once believed. For this reason, the circulating nurse should remind the surgical team to keep the conversation during surgical procedure: a. Tolerated b. Modulated c. Professional d. Limited SITUATION: Charice, a year old mother of three school aged children, was diagnosed with cholelithiasis and admitted for possible removal of the gallbladder. 26.When performing initial history and physical examination, the admitting nurse would expect the client to describe pain as: a. Sudden onset, intense, boring in mid epigastrium, radiates to left upper quadrant b. Gnawing, burning in epigastric region, sometimes radiating to the back c. Severe, episodic in the right upper quadrant, radiates to the right shoulder or scapula d. Cramping on the periumbilical area, increasing in intensity and shifts to right lower quadrant 27.To be able to determine associated symptoms with pain, which of the following is least relevant question the nurse may ask the client? a. Do you have allergies to food? What are they? How do you react? b. Do you have indigestion, flatulence? What causes this? c. Are there foods you cannot tolerate? d. What are your food likes and dislikes? 28.The physician ordered the following diagnostic tests. Which of the following will the nurse consider as the test intended to identify obstructed bile flow? a. Serum amylase and lipase b. Lactate dehydrogenase (LHD) c. Complete blood count d. Serum bilirubin 29.During the teaching session preoperatively, the client asked the nurse why she experiences pain whenever she takes food rich in fat. Which of the following is the correct response of the nurse?

a. When digested, fats causes the gallbladder to contract to excrete bile; if obstructed with gall stones, tissue spasm occur. b. Gallbladder contracts when fats are absorbed; pain results from muscle contractions attempting to move gallstones. c. When gallstones obstruct bile flow in the gallbladder duct, pain is felt due to tissue spasms. d. When fats get to the duodenum, gallbladder contracts, if bile duct is obstructed with gallstones, pain is experienced. 30.The patient was discharged the day after the surgery. Which of the following behaviors of the client indicates that the nurse needs to re instruct? a. Talks about reducing fat intake while keeping her weight stable b. Anxiously look forward to resuming daily work activities c. Appropriately care for her incisions d. Verbalized understanding of initial activity restrictions.