Republic of the Philippines

CAVITE STATE UNIVERSITY (CvSU)

DON SEVERINO DE AS A AS CA!PUS In"#n$% C#vite Tel&' (()*() *+,-..+./*+,-..++ 0#1' (()*() *+,-..+2 E-3#il A""4ess' cvsu5#si#&co3

Dualan, Ma. Karenina P. BSN 4-1

Test 2' !#te4n#l 6 Chil" 7e#lth 6 Co33unit8 7e#lth Nu4sin$ Situation 1: Mariah is a 31 year old lawyer who has been married or ! months. She "onsults you or #uidan"e in relation with her menstrual "y"le and her desire to #et $re#nant. 1. She wants to %now the len#th o her menstrual "y"le. &er $eriodi" menstrual $eriod is '"tober (( to (!. &er )MB is No*ember (1. +hi"h o the ollowin# number o days will be your "orre"t res$onse, -. (. B. (/ C& ). D. 31 (. 0ou ad*ised her to obser*e and re"ord the si#ns o '*ulation. +hi"h o the ollowin# si#ns will she li%ely note down, 1. - 1 de#ree 1arenheit rise in basal body tem$erature (. 2er*i"al mu"us be"omes "o$ious and "lear 3. 'ne $ound in"rease in wei#ht 4. Mitteis"hmer3 A& +%2%* B. 1,(,3 2. (,3,4 D. 1,3,4 3. 0ou instru"t Mariah to %ee$ re"ord o her basal tem$erature e*eryday, whi"h o the ollowin# instru"tions is in"orre"t, A& If coitus h#s occu4e"% this shoul" be 4eflecte" in the ch#4t B. 4t is best to ha*e "oitus on the e*enin# ollowin# a dro$ in BB5 to be"ome $re#nant 2. 5em$erature should be ta%en immediately a ter wa%in# and be ore #ettin# $ut o bed D. BB5 is lowest durin# the se"retory $hase 4. She re$orts an in"rease in BB5 on De"ember 1!. +hi"h hormone brin#s about this "han#e in her BB5, A& Est4o$en B. Pro#esterone 2. 6onadootro$hine D. 1olli"le Stimulatin# &ormone 7. 5he ollowin# month, Mariah sus$e"ts she is $re#nant. &er urine is $ositi*e or &uman 2horioni" 6onadotro$hin. +hi"h stru"ture $rodu"e &26, -. Pituitary 6land 9& T4ophobl#stic cells of the e3b48o 2. 8terine de"iduas D. '*arian olli"les Situation (: Mariah "ame ba"% and she is now $re#nant. !. -t 7 moths #estation, whi"h o the ollowin# etal de*elo$ment would $robably be e9$e"ted: -. 1etal de*elo$ment are elt by Mariah B. :erni9 "aseosa "o*ers the entire body 2. :iable i deli*ered within this $eriod D& 94#1ton hic:s cont4#ctions #4e obse4ve" ;. 5he nurse $al$ates the abdomen o Mariah. Now at 7 month #estation, what le*el o the abdomen "an be the undi" hei#ht be $al$ated, -. Sym$hysis $ubis B. Mid$oint between the umbili"us and the 9i$hoid $ro"ess 2. Mid$oint between the Sym$hysis $ubis the umbili"us D& U3bilicus /. She worries about her small breast, thin%in# that she $robably will in"a$able to breast eed her baby. +hi"h o the ollowin# res$onses o the

nurse is "orre"t, A& ;The si<e of 8ou4 b4e#st =ill not #ffect 8ou4 l#ct#tion.< B. =0ou "an swit"h to bottle eedin#.< 2. =0ou "an try to ha*e e9er"ise to in"rease the si3e o your breast.< D. =Manual e9$ression o mil% is $ossible.< .. She tells the nurse that she does not ta%e mil% re#ularly. She "laims that she does not want to #ain too mu"h wei#ht durin# her $re#nan"y. +hi"h o the ollowin# nursin# dia#nosis is a $riority, -. Potential sel -esteem disturban"e related to $hysiolo#i" "han#es in $re#nan"y 9& Ineffective in"ivi"u#l copin$ 4el#te" to ph8siolo$ic ch#n$es in p4e$n#nc8 2. 1ear related to the e e"ts o $re#nan"y D. Knowled#e de i"it re#ardin# nutritional re>uirements $re#nan"ies related to la"% o in ormation sour"es. 1?. +hi"h o the ollowin# inter*entions will li%ely ensure "om$lian"e o Mariah, -. 4n"or$orate her ood $re eren"es that are ade>uately nutritious in her meal $lan. B. 2onsistently "ounsel toward o$timum nutritional inta%e 2. @es$e"t her ri#ht to reAe"t dietary in ormation i she "hooses D& Info43#tion of the #"ve4se effects of in#"e>u#te nut4ition to he4 fetus Situation 3: Susan is a $atient in the "lini" where you wor%. She is in>uirin# about $re#nan"y. 11. Susan tells you she is worried be"ause she de*elo$s breast later than most o her riends. Breast de*elo$ment is termed as: A& A"4en#4che B. Mamar"he 2. 5helar"he D. Menar"he 1(. Ke*in, SusanBs husband tells you that he is "onsiderin# *ase"tomy. - ter the birth o their new "hild. :ase"tomy in*ol*es the in"ision o whi"h or#an, -. 5he testes 9& The v#s "efe4ens

2. 5he e$ididymis D. 5he s"rotum 13. 'n e9amination, Susan has been ound o ha*in# a "ysto"ele. - "ysto"ele is: -. - seba"eous "yst arisin# rom the *ul*ar old. B. Protrusion o intestines into the *a#ina 2. Prola$se o the uterus into the *a#ina D& 7e4ni#tion of the bl#""e4 into the v#$in#l =#ll& 14. Susan ty$i"ally has menstrual "y"le o 34 days. She told you she had a "oitus on days /, 1? and (? o her menstrual "y"le. +hi"h is the day on whi"h she is most li%ely to "on"ei*e, -. /th day 9& +.th "#8 2. Day 17 D. Day (? 17. +hile ta%in# with Susan, ( new $atients arri*ed and they are "o*ered with lar#e towels and the nurse noti"ed that there are many "ameraman and news $eo$le outside o the 'PD. 8$on assessment the nurse noti"ed that both o them are still nude and the male "lientBs $enis is still inside the emale "lientBs *a#ina and the male "lient said that =4 "anBt $ull it.< :a#inismus was your irst im$ression. 0ou %now that the $sy"holo#i"al "ause o :a#inismus is related to: -. 5he male "lient inserted the $enis too dee$ly that it stimulates *a#inal "losure B. 5he $enis was too lar#e thatBs why the *a#ina tri##ered itBs de ense to attem$t to "lose C& The v#$in# "o not =#nt to be penet4#te" D. 4t is due to learnin# $atterns o the emale "lient where she *iews se9 as bad or sin ul. Situation 4: '*er$o$ulation is one $roblem in the Phili$$ines that "ase e"onomi" drain. Most 1ili$inos are a#ainst in le#ali3in# abortion. -s a nurse, Mastery o "ontra"e$tion is needed to "ontribute to the so"iety and e"onomi" #rowth. 1!. Su$$osed that Dana, 1; years old, tells you she wants to use ertility awareness method o "ontra"e$tion. &ow will she determine her ertile days, -. She will noti"e that she eels hot as i she has

an ele*ated tem$erature 9& She shoul" #ssess =hethe4 he4 ce4vic#l 3ucus is thin colou4% cle#4 #n" =#te48& 2. She should monitor her emotions ro sudden an#er or "ryin# D. She should assess whether her breast eel sensiti*e to "ool air. 1;. Dana "hooses to use 2'2 as her amily $lannin# method, what is the dan#er si#n o 2'2 you would as% her to re$ort, A& A stuff8 o4 4unn8 nose B. -rthritis li%e sym$toms 2. Sli#ht wei#ht #ain D. Mi#raine heada"he 1/. Dana as%s about sub"utaneous im$lants and she as%s how lon# will these im$lants be e e"ti*e. 0our best answer is: -. 'ne month 9& T=elve 3onth 2. 1i*e years D. 1? years 1.. Dana as%s about emale "ondoms. +hi"h o the ollowin# is true with re#ards to emale "ondoms, -. 5he hormone the "ondom releases mi#ht "ause mild wei#ht #ain. B. She should insert the "ondom be ore any $enile $enetration C& She shoul" co#t the con"o3 =ith spe43eci"e befo4e use D. 1emale "ondoms unli%e male "ondoms are reusable. (?. Dana has as%ed about 6415 $ro"edure. +hat ma%es her a #ood "andidate or 6415, -. She has $atent allo$ian tubes, so ertili3ed o*a "an be im$lanted on them. B. She is @& ne#ati*e, a ne"essary sti$ulation to rule out @& in"om$atibity. C& She h#s no43#l ute4us% so the spe43 c#n be in?ecte" th4ou$h the ce4vi1 into it& D. &er husband is ta%in# sildena il, so all s$erms will be motile. Situation 7 C Nurse )orena is a 1amily Plannin# and 4n ertility Nurse S$e"ialist and "urrently attends to 1-M4)0 P)-NN4N6 2)4DN5S -ND

4N1D@54)D 2'8P)DS. 5he ollowin# "onditions $ertain to meetin# the nursin# needs o this $arti"ular $o$ulation #rou$. (1. Dina, 1; years old, as%s you how a tubal li#ation $re*ents $re#nan"y. +hi"h would be the best answer, -. Prosta#landins released rom the "ut allo$ian tubes "an %ill s$erm B. S$erm "an not enter the uterus be"ause the "er*i"al entran"e is blo"%ed. C& Spe43 c#n no lon$e4 4e#ch the ov#% bec#use the f#llopi#n tubes #4e bloc:e" D. 5he o*ary no lon#er releases o*a as there is no where or them to #o. ((. 5he Dators are a "ou$le under#oin# testin# or in ertility. 4n ertility is said to e9ist when: -. a woman has no uterus B. a woman has no "hildren C& # couple h#s been t48in$ to conceive fo4 + 8e#4 D. a "ou$le has wanted a "hild or ! months (3. -nother "lient named )ilia is dia#nosed as ha*in# endometriosis. 5his "ondition inter eres with ertility be"ause: A& en"o3et4i#l i3pl#nts c#n bloc: the f#llopi#n tubes B. the uterine "er*i9 be"omes in lamed and swollen 2. the o*aries sto$ $rodu"in# ade>uate estro#en D. $ressure on the $ituitary leads to de"reased 1S& le*els (4. )ilia is s"heduled to ha*e a hysterosal$hin#o#ram. +hi"h o the ollowin# instru"tions would you #i*e her re#ardin# this $ro"edure, -. She will not be able to "on"ei*e or 3 months a ter the $ro"edure B. 5he sono#ram o the uterus will re*eal any tumors $resent 2. Many women e9$erien"e mild bleedin# as an a ter e e"t D& She 3#8 feel so3e c4#3pin$ =hen the "8e is inse4te"

(7. )iliaBs "ousin on the other hand, %nowin# nurse )orenaBs s$e"iali3ation as%s what arti i"ial insemination by donor entails. +hi"h would be your best answer i you were Nurse )orena, A& Dono4 spe43 #4e int4o"uce" v#$in#ll8 into the ute4us o4 ce4vi1 B. Donor s$erm are inAe"ted intra-abdominally into ea"h o*ary 2. -rti i"ial s$erm are inAe"ted *a#inally to test tubal $aten"y D. 5he husbandBs s$erm is administered intra*enously wee%ly Situation !: 0ou are assi#ned to ta%e "are o a #rou$ o $atients a"ross the li es$an. (!. Pain in the elder $ersons re>uire "are ul assessment be"ause they: -. E1pe4ience" 4e"uce senso48 pe4ception B. &a*e in"reased sensory $er"e$tion 2. -re e9$e"ted to e9$erien"e "hroni" $ain D. &a*e de"reased $ain threshold (;. -dministration o anal#esi"s to the older $ersons re>uire "are ul $atient assessment be"ause older $eo$le: A& A4e 3o4e sensitive "4u$s B. &a*e in"reased he$ati", renal, and #astrointestinal un"tion 2. &a*e in"reased sensory $er"e$tion D. Mobili3e dru#s more ra$idly (/. 5he elderly $atient is at hi#her ris% or urinary in"ontinen"e be"ause: -. 4n"reased #lomerular iltration B. Diureti" use C& Dec4e#se" bl#""e4 c#p#cit8 D. (.. +hi"h o the ollowin# is the M'S5 2'MM'N si#n o in e"tion amon# the elderly, -. De"reased breath sounds with "ra"%les 9& 0eve4 2. Pain D. 2han#e in the mental status 3?. Priorities when "arin# or the elderly trauma $atient: A& Ci4cul#tion% #i4=#8% b4e#thin$ B. DisabilityENeurolo#i"F, airway, breathin#

2. -irway, Breathin#, DisabilityENeurolo#i"F, D. -irway, breathin#, 2ir"ulation 31. Pres"hoolers are able to see thin#s rom whi"h o the ollowin# $ers$e"ti*es, -. 5heir $eers 9& Thei4 o=n #n" thei4 c#4e$ive4s 2. 5heir own and their motherBs D. 'nly their own 3(. 4n "on li"t mana#ement, the win-win a$$roa"h o""urs when: -. 5here are two "on li"ts and the $arties a#ree to ea"h one B. Da"h $arty #i*es in on 7?G o the disa#reement ma%in# the "on li"t C& 9oth p#4ties involve" #4e co33itte" in solvin$ the conflict D. 5he "on li"t is settled out o "ourt so the le#al system mandates $arties win. 33. -""ordin# to the so"ial-4nternational $ers$e"ti*e o "hild abuse and ne#le"t, our a"tors $la"e the amily members at ris% or abuse, these ris% a"tors are the amily members at ris% or abuse. 5hese ris% a"tors are the amily itsel , the "are#i*er, the "hild and: A& The p4esence of # f#3il8 c4isis B. 6eneti"s 2. 5he national em$hasis on se9 D. 2hroni" $o*erty 34. +hi"h o the ollowin# si#ns and sym$toms would you most li%ely ind when assessin# an in ant with -rnold-2hari mal ormation, A& @e#:ness of the le$ 3uscles% loss of sens#tion in the le$s% #n" 4estlessness B. Di i"ulty swallowin#, diminished or absent #a# re le9 and res$iratory distress 2. Di i"ulty slee$in#, hy$er*i#ilant and an ar"hin# o the ba"% D. Parado9i"al irritability, diarrhea and *omitin# 37. - $arent "alls you and ranti"ally re$orts that her "hild has #otten into her amous errous sul ate $ills and in#ested a number o these $ills. &er "hild is now *omitin#, has bloody diarrhea and is "om$lainin# o abdominal $ain. 0ou will tell the mother to: A& C#ll e3e4$enc8 3e"ic#l se4vices (E!S)

#n" $et the chil" to the e3e4$enc8 4oo3 B. @ela9 be"ause these sym$toms will $ass and the "hild will be ine 2. -dminister syru$ o $e"a" D. 2all the $oison "ontrol "enter 3!. - "lient says she heard rom a riend that you sto$ ha*in# $eriods on"e you are on the =$ill.< 5he most a$$ro$riate res$onse would be: A& ;The pill p4events the ute4us f4o3 3#:in$ such en"o3et4i#l linin$% th#t is =h8 pe4io" 3#8 often be sc#nt o4 s:ippe" occ#sion#ll8&A B. =4 your riend has missed her $eriod, she should sto$ ta%in# the $ills and #et a $re#nan"y test.< 2. =5he $ill should "ause a normal menstrual $eriod e*ery month. 4t sounds li%e your riend has not been ta%in# the $ills $ro$erly.< D. Missed $eriod "an be *ery dan#erous and may lead to the ormation o $re"an"erous "ells.< 3;. 5he nurse assessin# newborn babies and in ants durin# their hos$ital stay noti"e whi"h o the ollowin# sym$toms as a $rimary mani estation o &irs"h$run#Bs disorder, A& A fine 4#sh ove4 the t4un: B. 1ailure to $ass me"onium durin# the irst (4 hours a ter birth 2. 5he s%in turns yellow and then brown o*er the irst (4 hours to 4! hours a ter birth. D. &i#h #rade e*er. 3/. - "lient is ; months $re#nant and has Aust been dia#nosed as ha*in# a $artial $la"enta $re*ia. She is able and has minimal s$ottin# and is bein# sent home. +hi"h o these instru"tions to the "lient may indi"ate a need or urther tea"hin#, A& !#int#in be" 4est =ith b#th4oo3 p4ivile$es B. -*oid inter"ourse or three days 2. 2all i "ontra"tions o""ur. D. Stay on le t side as mu"h as $ossible when lyin# down. 3.. - woman has been rushed to the hos$ital with ru$tured membrane. +hi"h o the ollowin# should the nurse "he"% irst, -. 2he"% or the $resen"e o in ar"tion.

9& Assess fo4 P4ol#pse of the u3bilic#l co4" 2. 2he"% the maternal heart rate D. -ssess the "olor o the amnioti" luid 4?. 5he nurse notes that the in ant is wearin# a $lasti"-"oated dia$er. 4 a to$i"al medi"ation were to be $res"ribed and it were to #o on the stoma"hs or butto"%s, the nurse would tea"h the "are#i*ers to: A& Avoi" cove4in$ the #4e# of the topic#l 3e"ic#tion =ith the "i#pe4 B. -*oid the use o "lothin# on to$ o the dia$er 2. Put the dia$er on as usual D. -$$ly an i"e$a"% or 7 minutes to the outside o the dia$er 41. +hi"h o the ollowin# a"tors is most im$ortant in determinin# the su""ess o relationshi$s used in deli*erin# nursin# "are, -. 5y$e o illness o the "lient B. 5rans eren"e and "ounter 5rans eren"e C& Effective co33unic#tion D. Personality o the $arti"i$ants 4(. 6ra"e sustained a la"eration on her le# rom automobile a""ident. +hy are la"erations o lower e9tremities $otentially more serious amon# $re#nant women than other, -. la"erations "an $ro*o%e aller#i" res$onses due to #onadotro$i" hormone release B. a woman is less able to %ee$ the la"eration "lean be"ause o her ati#ue 2. healin# is limited durin# $re#nan"y so these will not heal until a ter birth D& inc4e#se" blee"in$ c#n occu4 f4o3 ute4ine p4essu4e on le$ veins 43. 4n wor%in# with the "are#i*ers o a "lient with an "ute or "hroni" illness, the nurse would: A& Te#ch c#4e "#il8 #n" let the c#4e$ive4s "o # 4etu4n "e3onst4#tion ?ust befo4e "isch#4$e B. Di i"ulty swallowin#, diminished or absent #a# re le9 and res$iratory distress 2. Di i"ulty slee$in#, hy$er*i#ilant and ar"hin# o the ba"% D. Parado9i"al irritability, diarrhea and *omitin# 44. +hi"h o the ollowin# roles BDS5 e9em$li ies the e9$anded role o the nurse, -. 2ir"ulatin# nurse in sur#ery

9& !e"ic#tion nu4se 2. 'bstreti"al nurse D. Pediatri" nurse $ra"titioner 47. -""ordin# to De @osa and Ko"huraBs E(??!F arti"le entitled =4m$lement 2ulturally &ealth 2are in your wor%$la"e,< "ultures ha*e di erent $atterns o *erbal and non*erbal "ommuni"ation. +hi"h di eren"e does N'5 ne"essarily belon#, -. Personal beha*iour B. Dye "onta"t C& Sub?ect !#tte4 D. 2on*ersational style 4!. 0ou are the nurse assi#ned to wor% with a "hild with a"ute #lomerulone$hritis. By ollowin# the $res"ribed treatment re#imen, the "hild e9$erien"es a remission. 0ou are now "he"%in# to ma%e sure the "hild does not ha*e a rela$se. +hi"h indin# most lead you to the "on"lusion that a rela$se is ha$$enin#, -. Dle*ated tem$erature, "ou#h, sore throat, "han#in# "om$lete blood "ount E2B2F with di erential "ount B. - urine di$sti"% measurement o (H $roteinuria or more or 3 days or the "hild ound to ha*e 3-4H $roteinuria $lus edema. 2. 5he urine di$sti"% showin# #lu"ose in the urine or 3 days, e9treme thirst, in"rease in urine out$ut and a moon a"e. D. - tem$erature o 3;./ de#rees E1?? de#rees 0) fl#n: p#in% bu4nin$ f4e>uenc8% u4$enc8 on voi"in$ #n" clou"8 u4ine& 4;. 5he nurse is wor%in# with an adoles"ent who "om$lains o bein# lonely and ha*in# a la"% o ul ilment in her li e. 5his adoles"ent shies away rom intimate relationshi$s at times yet at other times she a$$ears $romis"uous. 5he nurse will li%ely wor% with this adoles"ent in whi"h o the areas, A& Isol#tion B. )oneliness 2. )a"% o ul ilment D. 4dentity 4/. 5he use o inter$ersonal de"ision ma%in# $sy"homotor s%ills and a$$li"ation o %nowled#e e9$e"ted in the role o a li"ensed

health "are $ro essional in the "onte9t o $ubli" health wel are and sa ety as an e9am$le o , -. Dele#ation B. Su$er*ision 2. @es$onsibility D& Co3petence 4.. 5he $ain ul $henomenon %nown as ba"% labor o""urs in a "lient whose etus in what $osition, A& 94o= position B. @i#ht o""i$ito--nterior Position 2. Bree"h $osition D. )e t o""i$ito-Posterior Position 7?. 1o"us methodolo#y stands or, A& 0ocus% O4$#ni<e% Cl#4if8% Un"e4st#n" #n" Solution B. 1o"us, '$$ortunity, 2ontinuous, 8tili3e, Substantiate 2. 1o"us, 'r#ani3e, 2lari y, 8nderstand, Substantiate D. 1o"us, '$$ortunity, 2ontinuous E$ro"essF, 8nderstand, Solution Situation ;: 5he in ant and "hild mortality rate in the low to middle in"ome "ountries is ten times hi#her than industriali3ed "ountries. 4n res$onse to this the +&' and 8N42D1 laun"hed $roto"ol 4nte#rated Mana#ement o 2hildhood 4llness to redu"e the morbidity and mortality a#ainst "hildhood illnesses. 71. 4 a "hild with diarrhea re#isters two si#ns in the yellow row in the 4M224 "har, we "an "lassi y the $atient as: -. Moderate dehydration 9& So3e "eh8"4#tion 2. Se*ere dehydration D. No dehydration 7(. 2eleste has had diarrhea or / days. 5here is no blood in the stool, he is irritable, his eyes are sun%en, the nurse o ers luid to 2eleste and he drin%s ea#erly. +hen the nurse $in"hed the abdomen it #oes ba"% slowly. &ow will you "lassi y 2elesteBs 4llness, -& !o"e4#te "eh8"4#tion B. Some dehydration 2. Se*ere dehydration D. No dehydration

73. - "hild who is ; wee%s has had diarrhea or 14 days but has no si#n o dehydration is "lassi ied as, -. Persistent diarrhea B. Se*ere dysentery C& D8sente48 D. Se*ere Persistent diarrhea 74. 5he "hild with no dehydration needs home treatment. +hi"h o the ollowin# is not in"luded in the rules or home treatment in this "ase, -. 1or"ed luids B. +hen to return 2. 6i*e :itamin - su$$lement D& 0ee"in$ 3o4e 77. 1e*er as used in 4M24 in"ludes: -. -9illary tem$erature o 3;.7 or hi#her B. @e"tal tem$erature o 3/ or hi#her 2. 1eelin# hot to tou"h D& All of the #bove D. - and 2 only Situation: Pre*ention o Den#ue is an im$ortant nursin# res$onsibility and "ontrollin# itBs s$read is $riority on"e outbrea% has been obser*ed. 7!. -n im$ortant role o the "ommunity health nurse in the $re*ention and "ontrol o Den#ue &- e*er in"ludes: -. -d*isin# the elimination o *e"tors by %ee$in# water "ontainers "o*ered B. 2ondu"tin# stron# health edu"ation dri*esI"am$ai#n dire"ted toward $ro$er #arba#e dis$osal C& E1pl#inin$ to the in"ivi"u#ls% f#3ilies% $4oups #n" co33unit8 the n#tu4e of the "ise#se #n" its c#us#tion& D. Pra"ti"in# residual s$rayin# with inse"tesides 7;. 2ommunity health nurses should be alert in obser*in# a Den#ue sus$e"t. 5he ollowin# is N'5 an indi"ator or hos$itali3ation o &- e*er sus$e"ts, -. Mar%ed anore9ia, abdominal $ain and *omitin# B. 4n"reasin# hemato"rit "ount C& Cou$h of ). "#8s D. Persistent heada"he

7/. 5he "ommunity health nurses $rimary "on"ern in the immediate "ontrol o hemmorrha#e amon# $atients with den#ue is: -. -d*isin# low iber and non- at diet B. Pro*idin# warmth throu#h li#ht wei#ht "o*ers C& Obse4vin$ closel8 the p#tient fo4 vit#l si$ns le#"in$ to shoc: D. Kee$in# the $atient at rest. 7.. +hi"h o these si#ns may N'5 be @D6-@DDD as a truly $ositi*e si#ns indi"ati*e o Den#ue &e*er, A& P4olon$e" 9lee"in$ Ti3e B. -$$earan"e o at least (? $ete"hiae within 1 "m s>uare 2. Steadily in"reasin# hemato"rit "ount D. 1all in the $latelet "ount !?. +hi"h o the ollowin# is the most im$ortant treatment o $atients with Den#ue &- e*er, -. 6i*e as$irin or e*er 9& Repl#ce3ent of bo"8 flui"s 2. -*oid unne"essary mo*ement D. 4"e "a$ o*er abdomen in "ase o melena Situation .: &ealth edu"ation and &ealth Promotion is an im$ortant $art o nursin# res$onsibility in the "ommunity. 4mmuni3ation is a orm o health $romotion that aims at $re*entin#the "ommon "hildhood illnesses. !1. 4n "orre"tin# mis"on"e$tion and myths about "ertain diseases and their mana#ement, the health wor%er should irst: A& I"entif8 the 38ths #n" 3isconceptions p4ev#ilin$ in the co33unit8 B. 4denti y the sour"e o these myths and mis"on"e$tions 2. D9$lain how and why these myths "ame about D. Sele"t the a$$ro$riate 4D2 strate#ies to "orre"t them. !(. &ow many $er"ent o measles are $re*ented by immuni3ation at . months a#e, -. /? G B. .?G 2. .. G D& B, C

!3. - ter 553 *a""ination a mother is said to be $rote"ted to tetanus by around, A& D. C B. /7 G 2. .. G D. .? G !4. 4 e*er "on*ulsion o""urs a ter administerin# DP5, what should nurse best su##est to the mother, -. Do not "ontinue DP5 *a""ination anymore B. -d*ise mother to "ome ba"% aster 1 wee% C& Eive DT inste#" of DPT D. 6i*e $ertussis o the DP5 and remo*e D5 !7. 5hese *a""ines are #i*en 3 doses at one month inter*als: -. DP5, B26, 55 B. DP5, 55, 'P: C& OPV% 7ep& 9% DPT D. Measles, 'P:, DP5 Situation 1?: +ith the in"reasin# do"umented "ases o 2-N2D@ the best alternati*e to treatment still remains to be P@D:DN54'N. 5he ollowin# "onditions a$$ly. !!. +hi"h amon# the ollowin# is the $rimary o"us o $re*ention o "an"er, -. Dlimination o "onditions "ausin# "an"er B. Dia#nosis and treatment 2. 5reatment at early sta#e D& E#4l8 "etection !;. 4n the $re*ention and "ontrol o "an"er, whi"h o the ollowin# a"ti*ity is the most im$ortant un"tion o the "ommunity health nurse, -. Con"uct "ommunity assemblies B. @e erral to "an"er s$e"ialist those "lients with sym$toms o "an"er 2. 8se the nine warnin# si#ns o "an"er as $arameters in our $ro"ess o dete"tionJ "ontrol and treatment modalities. D. 5ea"h woman about $ro$erI"orre"t nutrition. !/. +ho amon# the ollowin# are re"i$ients o the se"ondary le*el o "are or "an"er "ases, A& Those un"e4 e#4l8 c#se "etection B. 5hose under su$$orti*e "are

2. 5hose s"heduled or sur#ery D. 5hose under #oin# treatment !.. +ho amon# the ollowin# are re"i$ients o the tertiary le*el o "are or "an"er "ases, A& Those un"e4 e#4l8 t4e#t3ent B. 5hose under su$$orti*e "are 2. 5hose under early dete"tion D. 5hose s"heduled or sur#ery ;?. 4n 2ommunity &ealth Nursin#, des$ite the a*ailability and use o many e>ui$ment and de*i"es to a"ilitate the Aob o the "ommunity health nurse, the nurse should be $re$ared to a$$ly is a s"ienti i" a$$roa"h. 5his a$$roa"h ensures >uality o "are e*en at the "ommunity settin#. 5his nursin# $arlan"e is nothin# less than the: -. Nursin# dia#nosis B. Nursin# $roto"ol 2. Nursin# resear"h D& Nu4sin$ p4ocess Situation 11 C 5wo "hildren were brou#ht to you. 'ne with "hest indrawin# and the other had diarrhea. 5he ollowin# >uestions a$$ly: ;1. 8sin# 4nte#rated Mana#ement and 2hildhood 4llness E4M24F a$$roa"h, how would you "lassi y the 1st "hild, A& 94ochopneu3oni# B. No $neumonia: "ou#h or "old 2. Se*ere $neumonia D. Pneumonia ;(. 5he 1st "hild who is 13 months has ast breathin# usin# 4M24 $arameters he has: A& *. b4e#ths pe4 3inute o4 3o4e B. 7? breaths $er minute 2. 3? breaths $er minute or more D. !? breaths $er minute ;3. Nina, the (nd "hild has diarrhea or 7 days. 5here is no blood in the stool. She is irritable and her eyes are sun%en. 5he nurse o ered luids and the "hild drin%s ea#erly. &ow would you "lassi y NinaBs illness, -. Some dehydration B. Dysentery C& Seve4e "eh8"4#tion

D. No dehydration ;4. NinaBs treatment should in"lude the ollowin# DK2DP5: -. @eassess the "hild and "lassi y him or dehydration 9& 0o4 inf#nts un"e4 ( 3onths ol" =ho #4e not b4e#stfe"% $ive +..-2.. 3l cle#n =#te4 #s =ell "u4in$ this pe4io"& 2. 6i*e in the health "enter the re"ommended amount o '@S or 4 hours. D. Do not #i*e any other oods to the "hild or home treatment ;7. +hile on treatment, Nina 1/ months old wei#hed 1/ %#s and her tem$erature re#istered at 3; de#rees 2. &er mother says she de*elo$ed "ou#h 3 days a#o. Nina has no #eneral dan#er si#ns. She has 47 breathsIminute, no "hest indrawin#, no stridor. &ow would you "lassi y NinaBs mani estation. A& No pneu3oni# B. Se*ere $neumonia 2. Pneumonia D. Bron"ho$neumonia ;!. 2arol is 17 months old and wei#hs 7.7 %#s and it is her initial *isit. &er mother says that 2arol is not eatin# well and unable to breast eed, he has no *omitin#, has no "on*ulsion and not abnormally slee$y or di i"ult to awa%en. &er tem$erature is 3/.. de# 2. 8sin# the inte#rated mana#ement o "hildhood illness or 4M24 strate#y, i you were the nurse in "har#e o 2arol, how will you "lassi y her illness, -. a "hild at a #eneral dan#er si#n 9& ve48 seve4e feb4ile "ise#se 2. se*ere $neumonia D. se*ere malnutrition ;;. +hy are small or #estational a#e newborns at ris% or di i"ulty maintainin# body tem$erature, -. their s%in is more sus"e$tible to "ondu"tion o "old B. they are $reterm so are born relati*ely small in si3e C& the8 "o not h#ve #s 3#n8 f#t sto4e" #s othe4 inf#nts D. they are more a"ti*e than usual so they throw o "omes

;/. '9yto"in is administered to @ita to au#ment labor. +hat are the irst sym$toms o water into9i"ation to obser*e or durin# this $ro"edure, -. heada"he and *omitin# B. a swollen tender ton#ue 2. a hi#h "ho%in# *oi"e D& #b"o3in#l blee"in$ #n" p#in ;.. +hi"h o the ollowin# treatment should N'5 be "onsidered i the "hild has se*ere den#ue hemorrha#i" e*er, -. use $lan 2 i there is bleedin# rom the nose or #ums B. #i*e '@S i there is s%in Pete"hiae, $ersistent *omitin#, and $ositi*e tourni>uet test C& $ive #spi4in D. $re*ent low blood su#ar /?. 4n assessin# the $atientBs "ondition usin# the 4nte#rated Mana#ement o 2hildhood 4llness a$$roa"h strate#y, the irst thin# that a nurse should do is to: -. as% what are the "hildBs $roblem 9& chec: the p#tientFs level of consciousness 2. "he"% or the our main sym$toms D. "he"% or the #eneral dan#er si#ns /1. - "hild with diarrhea is obser*ed or the ollowin# DK2DP5: -. how lon# the "hild has diarrhea 9& s:in Petechi#e 2. $resen"e o blood in the stool D. si#ns o dehydration /(. 5he "hild with no dehydration needs home treatment. +hi"h o the ollowin# is N'5 in"luded in the "are or home mana#ement at this "ase, -. #i*e dru#s e*ery 4 hours 9& continue fee"in$ the chil" 2. #i*e the "hild more luids D. in orm when to return to the health "enter /3. Ms. Lordan, @N, belie*es that a $atient should be treated as indi*idual. 5his ethi"al $rin"i$le that the $atient re erred to: -. bene i"en"e B. nonmale i"en"e

C& 4espect fo4 pe4son D. autonomy /4. +hen $atients "annot ma%e de"isions or themsel*es, the nurse ad*o"ate relies on the ethi"al $rin"i$le o : -. Austi"e and bene i"en"e B. idelity and nonmale i"en"e 2. beneficence #n" non3#leficence D. idelity and Austi"e /7. Bein# a "ommunity health nurse, you ha*e the res$onsibility o $arti"i$atin# in $rote"tin# the health o $eo$le. 2onsider this situation: :endors sellin# bread with their bare hands. 5hey re"ei*e money with these hands. 0ou do not see them washin# their hands. +hat should you sayIdo, -. =Miss, may 4 #et the bread mysel be"ause you ha*e not washed your hands< B. -ll o these C& ;!iss% it is bette4 to use # pic: up fo4ceps/ b4e#" ton$A D. =Miss, your hands are dirty. +ash your hands irst be ore #ettin# the bread< Situation 1(: 5he ollowin# >uestions re er to "ommon "lini"al en"ounters e9$erien"ed by an entry le*el nurse. /!. - emale "lient as%s the nurse about the use o "er*i"al "a$. +hi"h statement is "orre"t re#ardin# the use o the "er*i"al "a$, -. 4t may a e"t Pa$ smear results B. 4t does not need to be itted by the $hysi"ian 2. 4t does not re>uire the use o s$ermi"ide D. 4t must be remo*ed within (4 hours /;. 5he maAor "om$onents o the "ommuni"ation $ro"ess are, -. :erbal, written, and non*erbal B. S$ea%er, )istener and re$ly 2. 1a"ial e9$ression, tone o *oi"e and #estures D. Messa#e, sender, "hannel, @e"ei*er and 1eedba"% //. 5he e9tent o burns in "hildren are normally assessed and e9$ressed in terms o : -. 5he amount o body sur a"e that is unburned B. Per"enta#es o total body sur a"e area

E5BS-F 2. &ow dee$ the dee$est burns are D. 5he se*erity o the burns on a 1 to 7 burn s"ale /.. 5he s"hool nurse noti"es a "hild who is wearin# old, dirty, $oor- ittin# "lothesJ is always hun#ryJ has no lun"h moneyJ and is always tired. +hen the nurse as%s the boy his tiredness, he tal%s o $layin# outside until midni#ht. 5he nurse will sus$e"t that this "hild is: -. Bein# raised by a $arent o low intelli#en"e E4MF B. -n or$han 2. - *i"tim o "hild ne#le"t D. 5he *i"tim o $o*erty .?. +hi"h o the ollowin# indi"ates the ty$eEsF o a"ute renal ailure, -. 1our ty$es: hemorrha#i" with and without "lottin#, and non hemorrha#i" with and without "lottin# B. 'ne ty$e: -"ute 2. 5hree ty$es: Prerenal, intrarenal, $ostrenal D. 5wo ty$es: -"ute and suba"ute Situation 13: Mi%e 1! yIo has been dia#nose to ha*e -4DS, he wor%ed as entertainer in a "ruise shi$: .1. +hi"h method o transmission is "ommon to "ontra"t -4DS: -. Syrin#e and needles B. Body luids 2. Se9ual "onta"t D. 5rans usion .(. 2ausati*e or#anism in -4DS is one o the ollowin#: -. 1un#us B. Ba"teria 2. @etro*irus D. Parasites .3. 0ou are assi#ned in a $ri*ate room o Mi%e. +hi"h $ro"edure should be o outmost im$ortan"e: -. -l"ohol wash B. 8ni*ersal $re"aution

2. +ashin# isolation D. 6lo*in# te"hni>ue .4. +hat $rimary health tea"hin# would you #i*e to Mi%e, -. Daily e9er"ise B. Pre*ent in e"tion 2. @e*ersal 4solation D. Pro$er nutrition .7. D9er"ise $re"aution must be ta%en to $rote"t health wor%er dealin# with the -4DS $atients, whi"h amon# these must be done as $riority, -. Boil used syrin#ed and needles B. 8se #lo*es when handlin# s$e"imen 2. )abel $ersonal belon#in# D. -*oid a""idental wound Situation 14: Mi"helle is a ! year old $res"hooler. She was re$orted by her sister to ha*e measles but she was at home be"ause o e*er, u$$er res$iratory $roblem and white s$orts in her mouth. .!. @ubeola is an -rabi" term meanin# @ed, the rash a$$ears on the s%in in in*asi*e sta#e $rior to eru$tion. -s a nurse, your $hysi"al e9amination must determine "om$li"ation es$e"ially: -. 'titis media B. Bron"hial $neumonia 2. 4n lammatory "onAun"ti*a D. Membranous laryn#itis .;. 5o render "om ort measure is one o the $riorities, whi"h in"ludes "are o the s%in, eyes, ears, mouth and nose. 5o "lean the mouth, your antise$ti" is in some orm o whi"h one below, -. +ater B. Sul ur 2. -l%aline D. Salt ./. -s a $ubli" health nurse, you tea"h mother and amily members the $re*ention o "om$li"ation o measles. +hi"h o the ollowin# should be "losely wat"hed, -. 5em$erature ails to dro$ B. 4n lammation o the "onAun"ti*a 2. 4n lammation o the naso$haryn9 D. 8l"erati*e stomatitis

... Sour"e o in e"tion o measles is se"retion o nose and throat o in e"tion $erson. 1ilterable o measles is transmitted by: -. +ater su$$ly B. Dro$let 2. 1ood in#estion D. Se9ual "onta"t 1??. Method o $re*ention is to a*oid e9$osure to an in e"tion $erson. Nursin# res$onsibility or rehabilitation o $atient in"ludes the $ro*ision o: -. 5erminal disin e"tion B. 4nAe"tion o #amma #lobulin 2. 4mmuni3ation D. 2om ort measures

P4ebo#4" E1#3 D !S+ G Test )' !e"ic#l Su4$ic#l Nu4sin$ E1#3 Situation 1: )eo li*es in the s>uatter area. &e #oes to nearby s"hool. &e hel$s his mother #ather molasses a ter s"hool. 'ne day, he was absent be"ause o e*er, malaise, anore9ia and abdominal dis"om ort. 1. 8$on assessment, )eo was dia#nosed to ha*e he$atitis -. +hi"h mode o transmission has the in e"tion a#ent ta%en, -. 1e"al oral B. Dro$let 2. -irborne D. Se9ual "onta"t (. +hi"h o the ollowin# is "on"urrent disin e"tion in the "ase o )eo, -. 4n B. Sanitary dis$osal o e"es, urine and blood 2. Muarantine o the si"% indi*idual D. 3. +hi"h o the ollowin# must be em$hasi3ed durin# motherBs "lass to )eoBs mother, -. -dministration o immuno#lobulin to amilies B. 5horou#h hand washin# be ore and a ter eatin# and toiletin#

2. 8se o attenuated *a""ines D. Boilin# o ood es$e"ially meat 4. Disaster "ontrol should be underta%en when there are 3 or more he$atitis - "ases. +hi"h o these measures is a $riority, -. Dliminate e"al "ontamination rom oods B. Mass *a""ination o unin e"ted indi*iduals 2. &ealth $romotion and edu"ation to amilies and "ommunities about the disease itBs "ause and transmission. D. Mass administration o immuno#lobulin 7. +hat is the a*era#e in"ubation $eriod o &e$atitis -, -. 3? days B. !? days 2. 7? days D. 14 days Situation (: -s a nurse resear"her you must ha*e a *ery #ood understandin# o the "ommon terms o "on"e$t used in resear"h. !. 5he in ormation that an in*esti#ator "olle"ts rom the subAe"ts or $arti"i$ants in a resear"h study is usually "alled: -. &y$othesis B. Data 2. :ariable D. 2on"e$t ;. +hi"h o the ollowin# usually re ers to the inde$endent *ariables in doin# resear"h, -. @esult B. 2ause 2. 'ut$ut D. D e"t /. 5he re"i$ients o e9$erimental treatment is an e9$erimental desi#n or the indi*iduals to be obser*ed in a non e9$erimental desi#n are "alledJ -. Settin# B. SubAe"ts 2. 5reatment D. Sam$le

.. 5he de*i"e or te"hni>ues an in*esti#ator em$loys to "olle"t data is "alled, -. Sam$le B. 4nstrument 2. &y$othesis D. 2on"e$t 1?. 5he use o another $ersons ideas or wordin#s #i*in# a$$ro$riate "redit results rom ina""urate attribution o materials to its sour"es. +hi"h o the ollowin# is re erred to when another $ersons idea is ina$$ro$riate "redited as oneBs own, -. Pla#iarism B. Muotation 2. -ssum$tion D. Para$hrase Situation 3: Mrs. Pi"hay is admitted to your ward. 5he MD ordered =Pre$are or thora"entesis this $m to remo*e e9"ess air rom the $leural "a*ity.< 11. +hi"h o the ollowin# nursin# res$onsibilities is essential in Mrs. Pi"hay who will under#o thora"entesis, -. Su$$ort and reassure "lient durin# the $ro"edure B. Dnsure that in ormed "onsent has been si#ned 2. Determine i "lient has aller#i" rea"tion to lo"al anesthesia D. -s"ertain i "hest 9-rays and other tests ha*e been $res"ribed and "om$leted 1(. Mrs. Pi"hay who is or thora"entesis is assi#ned by the nurse to whi"h o the ollowin# $ositions, -. 5rendelenbur# $osition B. Su$ine $osition 2. Dorsal @e"umbent $osition D. 'rtho$nei" $osition 13. Durin# thora"entesis, whi"h o the ollowin# nursin# inter*ention will be most "ru"ial, -. Pla"e $atient in a >uiet and "ool room B. Maintain stri"t ase$ti" te"hni>ue 2. -d*i"e $atient to sit $er e"tly still durin# needle insertion until it has been withdrawn rom the "hest D. -$$ly $ressure o*er the $un"ture site as soon as the needle is withdrawn

14. 5o $re*ent lea%a#e o luid in the thora"i" "a*ity, how will you $osition the "lient a ter thora"entesis, -. Pla"e lat in bed B. 5urn on the una e"ted side 2. 5urn on the a e"ted side D. 'n bed rest 17. 2hest 9-ray was ordered a ter thora"entesis. +hen your "lient as%s what is the reason or another "hest 9ray, you will e9$lain: -. to rule out $neumothora9 B. to rule out any $ossible $er oration 2. to de"on#est D. to rule out any orei#n body Situation 4: - "om$uter analyst, Mr. @i"ardo L. Santos, (7 was brou#ht to the hos$ital or dia#nosti" wor%u$ a ter he had e9$erien"ed sei3ure in his o i"e. 1!.Lust as nurse was enterin# the room, the $atient who was sittin# on his "hair be#ins to ha*e a sei3ure. +hi"h o the ollowin# must the nurse do irst, -. Dase the $atient to the loor B. )i t the $atient and $ut him on the bed 2. 4nsert a $added ton#ue de$ressor between his Aaws D. @estrain $atientBs body mo*ement 1;. Mr. Santos is s"heduled or 25 S2-N or the ne9t day, noon time. +hi"h o the ollowin# is the "orre"t $re$aration as instru"ted by the nurse, -. Sham$oo hair thorou#hly to remo*e oil and dirt B. No s$e"ial $re$aration is needed. 4nstru"t the $atient to %ee$ his head still and stead. 2. 6i*e a "leansin# enema and #i*e until / -M D. Sha*e s"al$ and se"urely atta"h ele"trodes to it 1/. Mr. Santos is $la"ed on sei3ure $re"aution. +hi"h o the ollowin# would be "ontraindi"ated, -. 'btain his oral tem$erature B. Dn"oura#e to $er orm his own $ersonal hy#iene 2. -llow him to wear his own "lothin# D. Dn"oura#e him to be out o bed. 1.. 8sually, how does the $atient beha*e a ter his sei3ure has subsided, -. Most "om ortable wal%in# and mo*in# about. B. Be"omes restless and a#itated.

2. Slee$s or a $eriod o time D. Say he is thirsty and hun#ry. (?. Be ore, durin# and a ter sei3ure. 5he nurse %nows that the $atient is -)+-0S $la"ed in what $osition, -. )ow owlerBs B. Modi ied trendelenbur# 2. Side )yin# D. Su$ine Situation 7: Mrs. Damian an immediate $ost o$ "hole"yste"tomy and "holedo"holithotomy $atient, "om$lained o se*ere $ain at the wound site. (1. 2holedo"holithotomy is: -. 5he remo*al o the #allbladder B. 5he remo*al o the stones in the #allbladder 2. 5he remo*al o the stones in the "ommon bile du"t D. 5he remo*al o the stones in the %idney ((. 5he sim$lest $ain relie*in# te"hni>ue is: -. Distra"tion B. 5a%in# as$irin 2. Dee$ breathin# e9er"ise D. Positionin# (3. +hi"h o the ollowin# statement on $ain is true, -. 2ulture and $ain are not asso"iated B. Pain a""om$lished a"ute illness 2. PatientBs rea"tion to $ain *aries D. Pain $rodu"es the same rea"tion su"h as #roanin# and moanin# (4. 4n a $ain assessment, whi"h o the ollowin# "ondition is a more reliable indi"ator, -. Pain ratin# s"ale o 1 C 1? B. 1a"ial e9$ression and #estures 2. Physiolo#i"al res$onses D. Patients des"ri$tion o the $ain sensation (7. +hen a "lient "om$lains o $ain, your initial res$onse is: -. @e"ord the des"ri$tion o $ain B. :erbally a"%nowled#e the $ain 2. @e er the "om$laint to the do"tor D. 2han#e to a more "om ortable $osition

Situation !: 0ou are assi#ned at the sur#i"al ward and "lients ha*e been "om$lainin# o $ost $ain at *aryin# de#rees. Pain as you %now is *ery subAe"ti*e. (!. - one-day $ost o$erati*e abdominal sur#ery "lient has been "om$lainin# o se*ere throbbin# abdominal $ain des"ribed as . in 1 C 1? $ain ratin#. 0our assessment re*eals bowel sounds on all >uadrants and the dressin# is dry and inta"t. +hat nursin# inter*ention would you ta%e, -. Medi"ate "lient as $res"ribed B. Dn"oura#e "lient to do-ima#ery 2. Dn"oura#e dee$ breathin# e9er"ise D. 2all sur#eon stat (;. Pento9idone 7 m# 4: e*ery / hours was $res"ribed or $ost abdominal $ain, whi"h will be your $riority nursin# a"tion, -. 2he"% abdominal dressin# or $ossible swellin# B. D9$lain the $ro$er use o P2- to alle*iate an9iety 2. -*oid o*erdosin# to $re*ent de$enden"eItoleran"e D. Monitor :S, more im$ortantly @@ (/. 5he "lient "om$lained o abdominal distention and $ain. 0our nursin# inter*ention that "an alle*iate $ain is: -. 4nstru"t "lient to #o to slee$ and rela9 B. -d*i"e the "lient to "lose the li$s and a*oid dee$ breathin# and tal%in# 2. ' er hot and "lear sou$ D. 5urn to sides re>uently and a*oid too mu"h tal%in# (.. Sur#i"al $ain mi#ht be minimi3ed b whi"h nursin# a"tion in the '.@. -. S%ill o sur#i"al team and lesser mani$ulation B. -$$ro$riate $re$aration or the s"heduled $ro"edure 2. 8se o modern te"hnolo#y in "losin# the wound D. Pro$er $ositionin# and dra$in# o "lient.

3?. 4nade>uate anesthesia is said to be one o the "ommon "ause o $ain both in intra and $ost-o$ $atients. 4 #eneral anesthesia is desired, it will in*ol*e loss o "ons"iousness. +hi"h o the ollowin# are the ( #eneral ty$es o 6-, -. D$idural and S$inal B. Subara"hnoid blo"% and intra*enous 2. 4nhalation and @e#ional D. 4ntra*enous and inhalation Situation ;: NurseBs attitudes toward the $ain in luen"e the way they $er"ei*e and intera"t with "lients in $ain. 31. Nurses should be aware o that older adults are at ris% o underrated $ain. Nursin# assessment and mana#ement o $ain should address the ollowin# belie s DK2DP5: -. 'lder $atients seldom tend to re$ort $ain than the youn#er ones B. Pain is a si#n o wea%ness 2. 'lder $atients do not belie*e in anal#esi"s, they are tolerant. D. 2om$lainin# o $ain will lead to bein# labelled a bad $atient 3(. Nurses should understand that when a "lient res$onds a*ourably to a $la"ebo, it is %nown as the $la"ebo e e"t. Pla"ebos do not indi"ate whether or not a "lient has: -. 2ons"ien"e B. @eal $ain 2. Disease D. Dru# toleran"e 33. 0ou are the nurse in the $ain "lini" where you ha*e "lient who has di i"ulty s$e"i y the lo"ation o $ain. &ow "an you assist su"h "lient, -. 5he $ain is *a#ue B. By "hartin#-it hurts all o*er 2. 4denti yin# the absen"e and $resen"e o $ain D. -s% the "lient to $oint to the $ain ul are by Aust one in#er. 34. +hat sym$tom more distressin# than $ain, should the nurse monitor when #i*in# o$ioids es$e"ially amon# elderly "lients who are in $ain,

-. 1or#et ulness B. 2onsti$ation 2. Drowsiness D. -ller#i" rea"tions li%e $ruritus 37. Physi"al de$enden"e o""urs in anyone who ta%es o$iods o*er a $eriod o time. +hat do you tell a mother o a Nde$endentB when as%ed or ad*i"e, -. Start another dru# and slowly lessen the o$ioid dosa#e B. 4ndul#e in re"reational outdoor a"ti*ities 2. 4solate o$ioid de$endent to a rest ul resort D. 4nstru"t slow ta$erin# o the dru# dosa#e and alle*iate $hysi"al withdrawal sym$toms. Situation /: 5he nurse is $er ormin# health edu"ation a"ti*ities or Lane*i Se#o*ia, a 3? years old Dentist with 4nsulin de$endent diabetes Mellitus. 3!. Lane*i is $re$arin# a mi9ed dose o insulin. 5he nurse is satis ied with her $er orman"e when she: -. Draw insulin rom the *ial o "lear insulin irst B. Draw insulin rom the *ial o the intermediate a"tin# insulin irst 2. 1ill both syrin#es with the $res"ribed insulin dosa#e then sha%e the bottle *i#orously D. +ithdraw the intermediate a"tin# insulin irst be ore withdrawin# the short a"tin# insulin irst. 3;. Lane*i "om$lains o nausea, *omitin#, dia$horesis and heada"he. +hi"h o the ollowin# nursin# inter*ention are you #oin# to "arry irst, -. +ithhold the "lientBs ne9t insulin inAe"tion B. 5est the "lientBs blood #lu"ose le*el 2. -dminister 5ylenol as ordered D. ' er ruit Aui"e, #elatine and "hi"%en bouillon 3/. Lane*i administered re#ular insulin at ; -.M. and the nurse should instru"t Lane to a*oid e9er"isin# at around: -. . to 11 -.M. B. - ter / hours 2. Between / -.M. to . -.M. D. 4n the a ternoon, a ter ta%in# lun"h. 3.. Lane*i was brou#ht at the emer#en"y room a ter our month be"ause she ainted in her "lini". 5he nurse should monitor whi"h o the ollowin# test to e*aluate

the o*erall thera$euti" "om$lian"e o a diabeti" $atient, -. 6ly"osylated &emo#lobin B. 1astin# blood #lu"ose 2. Ketone le*els D. 8irne #lu"ose le*el 4?. 8$on the assessment o &b-12 o Mrs. Se#o*ia. 5he nurse has been in ormed o a . G &b-12 result. 4n this "ase, she will tea"h the $atient to: -. -*oid in e"tion B. 5a%e ade>uate ood and nutrition 2. Pre*ent and re"o#ni3e hy$o#ly"aemia D. Pre*ent and re"o#ni3e hy$o#ly"aemia 41. 5he nurse is tea"hin# $lan o "are or Lane with re#ards to $ro$er oot "are. +hi"h o the ollowin# should be in"luded in the $lan, -. Soa% eet in hot water B. -*oid usin# mild soa$ on the eet 2. -$$ly a moisturi3in# lotion to dry eet but not between the toes D. -lways ha*e a $odiatrist to "ut your toe nailsJ ne*er "ut them yoursel 4(. -nother $atient was brou#ht to the emer#en"y room in an unres$onsi*e state and a dia#nosis o hy$er#ly"aemi" hy$erosmolar non%etoti" syndrome is made. 5he nurse immediately $re$are to initiate whi"h o the ollowin# anti"i$ated $hysi"ianBs order, -. Dndotra"heal intubation B. 1?? units o insulin 2. 4ntra*enous in usion o normal saline D. 4ntra*enous in usion o sodium bi"arbonate 43. Lane e*entually de*elo$ed DK- and is bein# treated in the emer#en"y room. +hi"h indin# would the nurse e9$e"t to note as "on irmin# this dia#nosis, -. 2omatose state B. De"reased urine out$ut 2. 4n"reased res$iration and in"rease in $& D. Dle*ated blood #lu"ose le*el and $lasma bi"arbonate le*el 44. 5he nurse tea"hes Lane to %now the di eren"e between hy$o#ly"aemia and %etoa"idosis. Lane demonstrates understandin# o the tea"hin# by statin#

that #lu"ose will be ta%en o whi"h o the ollowin# sym$toms de*elo$s, -. B. Sha%iness 2. Blurred *ision D. 1oul breath odor 47. Lane has been s"heduled to ha*e a 1BS ta%en in the mornin#. 5he nurse tells Lane to eat or drin% a ter midni#ht. Prior to ta%in# the blood s$e"imen, the nurse noti"ed that Lane is holdin# a bottle o distilled water. 5he nurse as%ed Lane i she drin% any, and she said yes. +hi"h o the ollowin# is the best nursin# a"tion, -. -dminister syru$ o i$e"a" to remo*e the distilled water rom the stoma"h. B. Su"tion the stoma"h "ontent usin# N65 $rior to s$e"imen "olle"tion 2. -d*i"e to $hysi"ian to res"hedule to dia#nosti" e9amination ne9t day D. 2ontinue as usual and ha*e the 1BS analysis $er ormed and s$e"imen be ta%en. Situation .: Dlderly "lients usually $rodu"e unusual si#ns when it "omes to di erent diseases. 5he a#ein# $ro"ess is a "om$li"ated $ro"ess and the nurse should understand that it is an ine*itable a"t and she must be $re$ared to "are or the #rowin# elderly $o$ulation. 4!. &y$o9ia may o""ur in the older $atients be"ause o whi"h o the ollowin# $hysiolo#i" "han#es asso"iated with a#in#. -. 4ne e"ti*e airway "learan"e B. De"reased al*eolar sur a"ed area 2. De"reased anterior-$osterior "hest diameter D. &y$er*entilation 4;. 5he older $atient is at hi#her ris% or in"ontinen"e be"ause o : -. dilated urethra B. in"reased #lomerular iltration rate 2. diureti" use D. de"reased bladder "a$a"ity 4/. Merle, a#e /!, is "om$lainin# o di33iness when she stands u$. 5his may indi"ate:

-. dementia B. a *isual $roblem 2. un"tional de"line D. dru# to9i"ity 4.. 2ardia" is"hemia in an older $atient usually $rodu"es: -. S5-5 wa*e "han#es B. :ery hi#h "reatinine %inase le*el 2. 2hest $ain radiatin# to the le t arm D. -"ute "on usion 7?. 5he most de$endable si#n o in e"tion in the older $atient is: -. "han#e in mental status B. e*er 2. $ain D. de"reased breath sounds with "ra"%les Situation 1? C 4n the '@, there are sa ety $roto"ols that should be ollowed. 5he '@ nurseshould be well *ersed with all these to sa e#uard the sa ety and >uality o $atient deli*ery out"ome. 71. +hi"h o the ollowin# should be #i*en hi#hest $riority when re"ei*in# $atient in the '@, -. -ssess le*el o "ons"iousness B. :eri y $atient identi i"ation and in ormed "onsent 2. -ssess *ital si#ns D. 2he"% or Aewelry, #own, mani"ure, and dentures 7(. Sur#eries li%e 4 and D Ein"ision and draina#eF and debridement are relati*ely short $ro"edures but "onsidered Ndirty "asesB. +hen are these $ro"edures best s"heduled, -. )ast "ase B. 4n between "ases 2. -""ordin# to a*ailability o anaesthesiolo#ist D. -""ordin# to the sur#eonBs $re eren"e 73. '@ nurses should be aware that maintainin# the "lientBs sa ety is the o*erall #oal o nursin# "are durin# the intrao$erati*e $hase. -s the "ir"ulatin# nurse, you ma%e "ertain that throu#hout the $ro"edureO -. the sur#eon #reets his "lient be ore indu"tion o anesthesia B. the sur#eon and anesthesiolo#ist are in tandem

2. stra$ made o stron# non-abrasi*e materials are astened se"urely around the Aoints o the %nees and an%les and around the ( hands around an arm board. D. 2lient is monitored throu#hout the sur#ery by the assistant anaesthesiolo#ist 74. -nother nursin# "he"% that should not be missed be ore the indu"tion o #eneral anesthesia is: -. "he"% or $resen"e underwear B. "he"% or $resen"e dentures 2. "he"% $atientBs 4D D. "he"% baseline *ital si#ns 77. Some li etime habits and hobbies a e"t $osto$erati*e res$iratory un"tion. 4 your "lient smo%es 3 $a"%s o "i#arettes a day or the $ast 1? years, you will anti"i$ate in"reased ris% or: -. $erio$erati*e an9iety and stress B. delayed "oa#ulation time 2. delayed wound healin# D. $osto$erati*e res$iratory un"tion Situation 11: Sterili3ation is the $ro"ess o remo*in# -)) li*in# mi"roor#anism. 5o be ree o -)) li*in# mi"roor#anism is sterility. 7!. 5here are 3 #eneral ty$es o sterili3ation use in the hos$ital whi"h one is not in"luded, -. Steam sterili3ation B. 2hemi"al sterili3ation 2. D. Sterili3ation by boilin# 7;. -uto"la*e or steam steam under $ressure is the most "ommon method o sterili3ation in the hos$ital. 5he nurse %nows that the tem$erature and time is set to the o$timum le*el to destroy not only the mi"roor#anism, but also the s$ores. +hi"h o the ollowin# is the ideal settin# o the auto"la*e ma"hine, -. 1?,??? de#ree 2elsius or 1 hour B. 7,??? de#ree 2elsius or 3? minutes

2. 3; de#ree 2elsius or 17 minutes D. 1(1 de#ree 2elsius or 17 minutes 7/. 4t is im$ortant that be ore a nurse $re$ares the material to be sterili3ed, - "hemi"al indi"ator stri$ should be $la"ed abo*e the $a"%a#e, $re erably, Muslin sheet. +hat is the "olor o the stri$ed $rodu"ed a ter auto"la*in#, -. Bla"% B. Blue 2. 6ray D. Pur$le 7.. 2hemi"al indi"ators "ommuni"ate that: -. 5he items are sterile B. 5hat the items had under#one sterili3ation $ro"ess but not ne"essarily sterile 2. 5he items are disin e"ted D. 5hat the items had under#one disin e"tion $ro"ess but not ne"essarily disin e"ted !?. 4 a nurse will sterili3e a heat and moisture labile instruments, it is a""ordin# to -'@N re"ommendation to use whi"h o the ollowin# method o sterili3ation, -. Dthylene o9ide #as B. -uto"la*in# 2. 1lash sterili3er D. -l"ohol immersion Situation 1( C Nurses hold a *ariety o roles when $ro*idin# "are to a $erio$erati*e $atient. !1. +hi"h o the ollowin# role would be the res$onsibility o the s"rub nurse, -. -ssess the readiness o the "lient $rior to sur#ery B. Dnsure that the airway is ade>uate 2. -""ount or the number o s$on#es, needles, su$$lies, used durin# the sur#i"al $ro"edure. D. D*aluate the ty$e o anesthesia a$$ro$riate or the sur#i"al "lient !(. -s a $erio$erati*e nurse, how "an you best meet the sa ety need o the "lient a ter administerin# $reo$erati*e nar"oti", -. Put side rails u$ and as% the "lient not to #et out o bed B. Send the "lient to '@ with the amily

2. -llow "lient to #et u$ to #o to the "om ort room D. 'btain "onsent orm !3. 4t is the res$onsibility o the $re-o$ nurse to do s%in $re$ or $atients under#oin#P sur#ery. 4 hair at the o$erati*e site is not sha*ed, what should be done to ma%e suturin# easy and lessen "han"e o in"ision in e"tion, -. Dra$ed B. Pulled 2. 2li$$ed D. Sham$ooed !4. 4t is also the nurseBs un"tion to determine when in e"tion is de*elo$in# in the sur#i"al in"ision. 5he $erio$erati*e nurse should obser*e or what si#ns o im$endin# in e"tion, -. )o"ali3ed heat and redness B. Serosan#uinous e9udates and s%in blan"hin# 2. Se$aration o the in"ision D. Blood "lots and s"ar tissue are *isible !7. +hi"h o the ollowin# nursin# inter*entions is done when e9aminin# the in"ision wound and "han#in# the dressin#, -. 'bser*e the dressin# and ty$e and odor o draina#e i any B. 6et $atientBs "onsent 2. +ash hands D. @e>uest the "lient to e9$ose the in"ision wound Situation 13: 5he $reo$erati*e nurse "ollaborates with the "lient si#ni i"ant others, and health"are $ro*iders. !!. 5o "ontrol en*ironmental ha3ards in the '@, the nurse "ollaborates with the ollowin# de$artments DK2DP5: -. Biomedi"al di*ision B. 2ha$lan"y ser*i"es 2. 4n e"tion "ontrol "ommittee D. Patholo#y de$artment !;. -n air "rash o""urred near the hos$ital leadin# to a sur#e o trauma $atient. 'ne o the last $atients will need sur#i"al am$utation but there are no sterile sur#i"al e>ui$ments. 4n this "ase, whi"h o the ollowin# will the nurse e9$e"t,

-. D>ui$ments needed or sur#ery need not be sterili3ed i this is an emer#en"y ne"essitatin# li e sa*in# measures B. 1orwardin# the trauma "lient to the nearest hos$ital that has a*ailable sterile e>ui$ment is a$$ro$riate 2. 5he nurse will need to sterili3e the item be ore usin# it to the "lient usin# the re#ular sterili3ation settin# at 1(1 de#ree 2elsius in 17 minutes. D. 4n su"h "ases, lash sterili3er will be use at 13( de#ree 2elsius in 3 minutes. !/. 5ess, the P-28 nurse dis"o*ered that Malou, who wei#hts 11? lbs $rior to sur#ery, is in se*ere $ain / hours a ter "hole"yste"tomy. 8$on "he"%in# the "hart, Malou ound out that she has an order o Demerol 1?? m# 4.M. $rn or $ain. 5ess should *eri y the order with: -. Nurse su$er*isor B. -nesthesiolo#ist 2. Sur#eon D. 4ntern on duty !.. @osie, 7;, who is diabeti" is or debridement i in"ision wound. +hen the "ir"ulatin# nurse "he"%ed the $resent 4: luid, she ound out that there is no insulin in"or$orated as ordered. +hat should the "ir"ulatin# nurse do, -. Double "he"% the do"torBs order and "all the attendin# MD B. 2ommuni"ate with the ward nurse to *eri y i insulin was in"or$orated or not 2. 2ommuni"ate with the "lient to *eri y i insulin was in"or$orated D. 4n"or$orate insulin as ordered ;?. 5he do"umentation o all nursin# a"ti*ities $er ormed is le#ally and $ro essionally *ital. +hi"h o the ollowin# should N'5 be in"luded in the $atients "hart, -. Presen"e o $rostheti" de*i"es su"h as dentures, arti i"ial limbs hearin# aid, et". B. Baseline $hysi"al, emotional, and $sy"hoso"ial data 2. -r#uments between nurses and residents re#ardin# treatment D. 'bser*ed untoward si#ns and sym$toms and inter*entions in"ludin# "ontaminant inter*enin# a"tors.

Situation 14 C 5eam e orts is best demonstrated in the '@. ;1. 4 you are the nurse in "har#e or s"hedulin# sur#i"al "ases, what im$ortant in ormation do you need to as% the sur#eon, -. +ho is your internist B. +ho is your assistant and anesthesiolo#ist, and what is your $re erred time and ty$e o sur#ery, 2. +ho are your anesthesiolo#ist, internist, and assistant D. +ho is your anesthesiolo#ist ;(. 4n the '@, the nursin# tandem or e*ery sur#ery is: -. 4nstrument te"hni"ian and "ir"ulatin# nurse B. Nurse anesthetist, nurse assistant, and instrument te"hni"ian 2. S"rub nurse and nurse anesthetist D. S"rub and "ir"ulatin# nurses ;3. +hile team e ort is needed in the '@ or e i"ient and >uality $atient "are deli*ery, we should limit the number o $eo$le in the room or in e"tion "ontrol. +ho "om$rise this team, -. Sur#eon, anesthesiolo#ist, s"rub nurse, radiolo#ist, orderly B. Sur#eon, assistants, s"rub nurse, "ir"ulatin# nurse, anesthesiolo#ist 2. Sur#eon, assistant sur#eon, anesthesiolo#ist, s"rub nurse, $atholo#ist D. Sur#eon, assistant sur#eon, anesthesiolo#ist, intern, s"rub nurse ;4. +ho usually a"t as an im$ortant $art o the '@ $ersonnel by #ettin# the wheel"hair or stret"her, and $ushin#I$ullin# them towards the o$eratin# room, -. 'rderlyI"ler% B. Nurse Su$er*isor 2. 2ir"ulatin# Nurse D. -nesthesiolo#ist

;7. 5he brea%down in teamwor% is o ten times a ailure in: -. Dle"tri"ity B. 4nade>uate su$$ly 2. )e# wor% D. 2ommuni"ation Situation 17: Basi" %nowled#e on 4ntra*enous solutions is ne"essary or "are o "lients with $roblems with luids and ele"trolytes. ;!. - "lient in*ol*ed in a motor *ehi"le "rash $resents to the emer#en"y de$artment with se*ere internal bleedin#. 5he "lient is se*erely hy$otensi*e and unres$onsi*e. 5he nurse anti"i$ates whi"h o the ollowin# intra*enous solutions will most li%ely be $res"ribed to in"rease intra*as"ular *olume, re$la"e immediate blood loss and in"rease blood $ressure, -. ?.47 G sodium "hloride B. Normal saline solution 2. o.33G sodium "hloride D. )a"tated rin#erBs solution ;;. 5he $hysi"ian orders the nurse to $re$are an isotoni" solution. +hi"h o the ollowin# 4: solution would the nurse e9$e"t the intern to $res"ribe, -. 7 G de9trose in water B. 1? G de9trose in water 2. ?.47 G sodium "hloride D. ?.7 G de9trose in ?..G sodium "hloride ;/. 5he nurse is ma%in# initial rounds on the nursin# unit to assess the "ondition or assi#ned "lients. 5he nurse notes that the "lientBs 4: site is "ool, $ale and swollen and the solution is not in usin#. 5he nurse "on"ludes that whi"h o the ollowin# "om$li"ations has been e9$erien"ed by the "lient, -. 4n e"tion B. Phlebitis 2. 4n iltration D. 5hrombo$hlebitis ;.. - nurse re*iews the "lientBs ele"trolytes laboratory re$ort and notes that the $otassium le*el is 3.( mD>I). +hi"h o the ollowin# would the nurse note on the le"tro"ardio#ram as a result o the laboratory *alue,

-. 8 wa*es B. 2. Dle*ated 5 wa*es D. Dle*ated S5 se#ment /?. 'ne $atient has a runaway 4: o 7? G de9trose. 5o $re*ent tem$orary e9"ess o insulin or transient hy$erinsulin rea"tion what solution you $re$are in anti"i$ation o the do"torBs order, -. -ny 4: solution a*ailable to K:' B. 4sotoni" solution 2. &y$ertoni" solution D. &y$otoni" solution /1. -n in ormed "onsent is re>uired or: -. 2losed redu"tion o a ra"ture B. 4nsertion o intra*enous "atheter 2. 4rri#ation o the e9ternal ear "anal D. 8rethral "atheteri3ation /(. +hi"h o the ollowin# is not true with re#ards to the in ormed "onsent, -. 4t should des"ribe di erent treatment alternati*es B. 4t should "ontain a thorou#h and detailed e9$lanation o the $ro"edure to be done 2. 4t should des"ribe the "lientBs dia#nosis D. 4t should #i*en an e9$lanation o the "lientBs $ro#nosis /3. 0ou %now that the hallmar% o nursin# a""ountability is the: -. -""urate do"umentation and re$ortin# B. -dmittin# your mista%es 2. 1ilin# an in"iden"e re$ort D. @e$ortin# a medi"ation error /4. - nurse is assi#ned to "are or a #rou$ o "lients. 'n re*iew o the "lientBs medi"al re"ords the nurse determines that whi"h "lient is at ris% or e9"ess luid *olume, -. 5he "lient ta%in# diureti"s B. 5he "lient with renal ailure 2. 5he "lient with an ileostomy D. 5he "lient who re>uires #astrointestinal su"tionin# /7. - nurse is assi#ned to "are or a #rou$ o "lients. 'n re*iew o the "lientBs medi"al re"ords, the nurse

determines that whi"h "lient is at ris% or de i"ient luid *olume, -. - "lient with "olostomy B. - "lient with "on#esti*e heart ailure 2. - "lient with de"reased %idney un"tion D. - "lient re"ei*in# re>uent wound irri#ation Situation 1!: -s a $erio$erati*e nurse, you are aware o the "orre"t $ro"essin# methods or $re$arin# instruments and other de*i"es or $atient use to $re*ent in e"tion. /!. -s an '@ nurse, what are your oremost "onsiderations or sele"tin# "hemi"al a#ents or disin e"tion, -. Material "om$atibility and e i"ien"y B. 'dor and a*ailabilityI 2. 2ost and duration o disin e"tion $ro"ess D. Duration o disin e"tion and e i"ien"y /;. Be ore you used disin e"ted instrument it is essential that you: -. @inse with ta$ water ollowed by al"ohol B. +i$e the instrument with sterile water 2. Dry the instrument thorou#hly D. @inse with sterile water //. 0ou ha*e a "riti"al heat labile instrument to sterili3e and are "onsiderin# to use hi#h le*el o disin e"tant. +hat should you do, -. 2o*er the soa%in# *essel to "ontain the *a$our B. Double the amount o hi#h le*el o disin e"tant 2. 5est the $oten"y o the hi#h le*el o disin e"tant D. Prolon# the e9$osure time a""ordin# to manu a"turerBs dire"tion /.. 5o a"hie*e sterili3ation usin# disin e"tants, whi"h o the ollowin# is used, -. )ow le*el disin e"tants immersion in (4 hours B. 4ntermediate le*el disin e"tants immersion in 1( hours 2. &i#h le*el disin e"tants immersion in 1 hour D. &i#h le*el disin e"tants immersion in 1? hours .?. Bron"hos"o$e, 5hermometer, Dndos"o$e, D5 tube, 2ytos"o$e are all BDS5 sterili3ed usin# whi"h o the ollowin#, -. -uto"la*in# at 1(1 de#ree 2elsius in 17 minutes

B. 1lash sterili3er at 13( de#ree 2elsius in 3 minutes 2. Dthylene '9ide #as aeration or (? hours D. (G 6lutaraldehyde immersion or 1? hours Situation 1;: 5he '@ is di*ided in three 3ones to "ontrol tra i" low and "ontamination. .1. +hat '@ attires are worn in the restri"ted area, -. S"rub suit, '@ shoes, head "a$ B. &ead "a$ s"rub suit, mas%, '@ shoes 2. Mas%, '@ shoes, s"rub suit D. 2a$, Mas%, #lo*es, shoes .(. Nursin# inter*ention or a $atient on low dose 4: insulin thera$y in"ludes the ollowin# DK2DP5: -. Dle*ation o serum %etones to monitor %etosis B. :ital si#ns in"ludin# BP 2. Dstimate serum $otassium D. Dle*ation o blood #lu"ose le*els .3. 5he do"tor ordered to in"or$orate 1??? =u< insulin to the remainin# on #oin# 4:. 5he stren#th is 7??Iml. &ow mu"h should you in"or$orate into the 4: solution, -. 1? ml B. ( ml 2. ?.7 ml D. 7 ml .4. Multi$le *ial-dose-insulin when in use should be: -. Ke$t at room tem$erature B. Ke$t in the re ri#erator 2. Ke$t in nar"oti" "abinet D. Store in the ree3er .7. 4nsulin usin# insulin syrin#e are #i*en usin# how many de#rees o needle insertion, -. 47 B. 1/? 2. .? D. 17 Situation 1/: Maintenan"e o sterility is an im$ortant un"tion a nurse should $er orm in any '@ settin#. .!. +hi"h o the ollowin# is true with re#ards to sterility,

-. Sterility is time related items are not "onsidered sterile a ter a $eriod o 3? days o bein# not in use. B. or . months sterile items are "onsidered sterile as lon# as they are "o*ered with sterile muslin "o*er and stored in a dust $roo "o*ers. 2. Sterility is e*ent related, not time related. D. 1or 3 wee%s, items double "o*ered with muslin are "onsidered sterile as lon# as they ha*e under#one the sterili3ation $ro"ess .;. ( or#ani3ations endorsed that sterility are a e"ted by a"tors other that the time itsel , these are: -. 5he PN- and the P@2 B. -'@N and L2-&' 2. '@N-P and M2N-P D. MMD- and D4)6 ./. -ll o these a"tors a e"t the sterility o the '@ e>ui$ments, these are the ollowin# e9"e$t: -. 5he material used or $a"%a#in# B. 5he handlin# o the materials as well as its trans$ort 2. Stora#e D. 5he "hemi"al or $ro"ess used in sterili3in# the material ... +hen you say sterile, it means: -. 5he material is "lean. B. 5he material as well as the e>ui$ments are sterili3ed and had under#one a ri#orous sterili3ation $ro"ess 2. 5here is a bla"% stri$e on the $a$er indi"ator D. 5he material has no mi"roor#anism nor s$ores $resent that mi#ht "ause an in e"tion 1??. 4n usin# li>uid sterili3er *ersus auto"la*e ma"hine, whi"h o the ollowin# is true, -. -uto"la*e is better in sterili3in# '@ su$$lies *erus li>uid sterili3er B. 5hey are both "a$able o sterili3in# the e>ui$ments, howe*er, it is ne"essary to soa% su$$lies in the li>uid sterili3er or a lon#er $eriod o time. 2. Shar$s are sterili3ed usin# auto"la*e and not "ide9. D. 4 li>uid sterili3er sterili3ation $ro"ess is used, rinsin# it be ore usin# is not ne"essary.