RN/RPN EXAMINATION Independent Question and answers Vol-1 Exam (elaborations)

RN/RPN EXAMINATION Independent Question Vol-1 1. Baby Polar has a head injury from fall this morning and had a history of fall six months ago. The child was rushed to ER and the mother is telling the nurse she wasn’t around during the incident. What is the reason for child’s admission? A. To observe the child B. To suspect child’s abuse C. A law to admit the child D. To protect the child from further harm 2. Mr. Paul is admitted with hepatitis A with ascites after traveling from Japan. As a Nurse taking care of him, How you will provide nursing management? A. Skincare B. Weigh patient daily C. Measure abdominal circumference D. Vital signs 3. Marlina a 15 years old teen has gonorrhea and asked the nurse if this situation could be kept confidential. What is the best nursing response? A. Don’t have to worry will keep it as confidential B. Because of your age, I will inform your parents C. I will inform the Public Health Authority D. I will inform the community physician 4. A group of pregnant mother’s are having pre & post natal health teachings in the clinic and one of them ask the nurse what is the proper nutrition for her. What will be your nursing response ? A. Well balanced food, 300-500 calories, increase fluid intake B. Because you’re eating well-balanced food, no need to drink more water C. Increase fluid intake D. calories, vitamins and mineral and increase fluid intake 5. An Indian immigrant who doesn’t speak English was admitted to the hospital and the nurse is establishing nurse client relationship through the interpreter and noticed that the trusting relationship were not met. How should the nurse handle the situation ? A. Through the interpreter, ask the client why the nurse client relationship has not met B. Through the interpreter, refer the client to the same cultural group C. Through the interpreter, revalidate the expectation and the needs of client D. Through the interpreter, tell client that they could communicate by no-verbal communication. 2 6. Patient with left sided weakness accompanied by his wife is for discharged today but his attending physician told him to come back to the OPD for weekly check-up. How will the nurse ensure that the client will show up for his weekly check-up? A. Ask his wife if he could drive him to the hospital B. Ask him if he could afford to pay for his taxi C. Ask him, “Do you have difficulty in coming to the hospital? D. Refer him to the social worker 7. Martine was brought to the emergency room from the community health clinic who fell while riding in his bicycle and without wearing a helmet. He is confused, drowsy with nausea and vomiting and could not remember what happened. What is the best nursing action? A. Assess his neurological status and complete the Glasgow coma scale B. Assess his neurological status and call for an ambulance C. Check his vital signs D. Let the client lay down in a supine position 8. A post TUP (Transurethral Resection of Prostate) client who just came from the recovery room, the nurse noticed a slightly red drainage-flow from a three-way catheter. What is the nursing action should be made ? A. Continue to assess the flow rate B. Increase the IV flow rate C. Refer to the Doctor immediately D. Increase the flow of the CBI 9. A 12 year old boy with asthma had an order of Ventolin mobilization. What is the initial action of the nurse after administering the medication? A. Immediately sign the MAR sheet B. Assess the effect of the medicine C. Check vital signs of the patient D. Persecute the chest of the client 10. Mr. Alex is on TPN and having a good therapeutic conversation with you, after awhile he mentioned, he develops diarrhea and dryness of the mouth for two days now. What is your nursing action? A. Give him Gravol B. Give him no-sugar coated chewing gum C. Provide him ice chips D. Give Imodium and lemon candy 11. In dealing with adolescents according to their developmental stage, what is the best nursing action? A. Involve the parents in decision-making B. Allow peer group participation C. Allow them to have a decision independently D. Allow the teachers to get involved in decision-making 12. A COP client with O2 sat. of 82%, Respiration 24/min, with crackles in his lungs on auscultation, BP 80/60, and comfortable in a sitting position. What is your nursing assessment? A. Exacerbation of COP B. Patient is on respiratory depression C. Client is developing emphysema D. Early shock assessment 13. A 36 weeks pregnant mother is in the delivery room, on 6 cm cervical dilation with ruptured membranes and complained of severe pain during contractions. She verbalizes that her breathing techniques is no longer helpful and she is requesting for an epidural analgesia. What is your nursing response? A. I will inform your Doctor about giving an epidural analgesia B. Your membranes are already ruptured, epidural analgesia is contraindicated C. Prepare her for vaginal delivery D. Tell her husband to encourage her to do breathing exercises during contraction 14. A client from the community has been transferred to the hospital medical floor with complaints of diarrhea more than 20 min times with pus & blood but without any fat in the stool. How would you assess this client with dehydration aside from skin turgor? A. Weigh daily B. Intake and output C. Ask if he is thirsty D. Measure abdominal circumference 15. Community awareness is the role and functions of all health team about the spread of HIV, while giving heath information to a group of HIV positive participants, one member of the group asked the nurse of the social determinants of their diagnosis during the meeting. What is your response? A. Mode of evaluation B. Country of origin C. Gender D. Pneumocystic carinii for pneumonia 16. A community nurse was asked to give lecture about IDDM to a newly diagnosed teenagers 11-14 years. Sarah one of the teenagers wants to clarify how to deal with her diagnosis. How you will assess that she understands the lecture? A. She demonstrated how to inject her insulin B. She is asking questions on how she got the disease C. She is playing and referring her diet to the menu exchange list D. She is concern of her nails and circulations 17. An 78-year-old client is to be discharged home, and she is living alone. How you will know that she will take her medications accurately at home. What is your nursing intervention? A. Ask her to make list of all her medication including OTC drugs B. Let her use the pill organizer C. Let the neighbors assist her with medications D. Ask any member of the family to help her with her medication 18. A leukemia client need to have blood infusion related to his blood works are all in borderline and the hemoglobin results indicates to transfuse blood replacements, during the administration he develops an allergic reaction. What is your best nursing action? A. Stop the IV and inform the Doctor B. Flush with normal saline C. Stop the blood transfusion and flush it with normal saline D. Keep KVO till the Doctor arrives 19. A 16 year old girl is having an interview with the nurse who is advocating the smoking cessation program in school. During the interview, she took a cigarette and smoke. What is your best nursing action? A. Tell her smoking in this area is banned B. Allow her to smoke during the interview C. Let her go outside for smoking D. Stop the interview and report to the principal 20. A teenager who had been smoking since she was 10 years old is complaining of cough and-the mother consulted the community nurse. A. I am concerned about your cough, tell me about it B. Your mother is concerned about your cough, how do you feel about it? C. Can you tell me how you got your cough? D. Smoking triggers your coughing, do you want to talk about it? 21. Mr. Smith, 65 years old with history of MI and complained of chest pain at home. He was brought to the hospital and had taken Nitroglycerin 0.3 mg, three times, each for 5 min apart with no relief. What is your best nursing action? A. Connect him to the ECG machine B. Connect him to the 12 lead ECG machine C. Give him oxygen and position to semi-fowler’s until the Doctor arrives D. Check the Vital Signs 22. You are working in the ward with unrealistic workload with procedures to be done. You informed the supervisor but she said that she can’t give a staff to help her, as a nurse, you’re thinking that you may risk your license. What are you going to do at this time? A. Refuse to do the procedure at this time B. Do only as much as you can and leave it to the next shift C. Complain to the manager that the supervisor had done nothing D. Ask the supervisor to help you out 23. Susan 67 years old was diagnosed with osteoporosis asked you how to prevent osteoporosis. What will be your nursing response? A. Hormone replacement therapy postmenopausal B. Only exercise can prevent osteoporosis C. Adequate intake of calcium and Vitamin D D. ROM Isotonic walking exercise 24. Mr. Burn a principal of the St. Ann’s catholic school is giving speech to the students and suddenly, he feels dizzy and fell to the floor. What is your first nursing action? A. Check the level of consciousness B. Check his temperature C. Check his pulse D. Check his skin color 25. The patient is unresponsive and his skin is cold and clammy. What you will do next? A. Put him in high fowler’s position B. Put him in trendelenburg position C. Put him fat and legs elevated D. Start compressions and ask for help 26. A camp nurse is with a group of 13-15 year old teen. What would be the most appropriate topic to talk about according to their level of development? A. Independency B. Peer group C. Parents relationship D. Puberty 27. Which of the following is the therapeutic technique of communication? A. To listen B. To probe C. To explore D. To judge 28. What is the most common deceleration pattern in pregnancy that the nurse may watch immediately inform the Doctor? A. Late deceleration B. Bradycardia C. Variable deceleration D. Early deceleration 29. A patient had a dumping syndrome after he had undergone partial gastrectomy for cancer of the stomach. What is the early symptoms of Dumping Syndrome? A. Dizziness B. Vomiting C. Constipation D. Feeling of fullness 30. A patient with dumping syndrome. What is the diet that you will recommend to the patient? A. Lot of liquid B. Solid food C. More dry than liquid food D. Semi-solid food 31. A patient with tracheotomy and on the first post-operative day. What would you do to prevent atelectasis? A. Change position every 2 hours B. Deep breathing and coughing exercises C. Oxygen D. High fowler’s position 32. A woman was brought to the hospital and was diagnosed with HIV positive. What you should do? A. Encourage her to tell her husband immediately B. Keep it confidential C. Notify the Doctor D. Notify her family 33. A 35 year old patient had post appendectomy and the Doctor ordered Demerol 75-100 mgs every four hors. The patient asked the nurse for a smaller dose. What should the nurse do? A. Ask to the Doctor to change his order B. Do nothing as it is normal for a patient to ask for a smaller dose C. Tell the patient that you have to follow Doctor’s order and give him the ordered dose D. Change Doctor’s order and notify him 34. The patient was diagnosed with Clostridium Botulism. The nurse will do first? A. Prepare for endotraceal tube B. Send for laboratory tests C. Liquid diet D. Oxygen 35. Which of the following will decrease the viscosity of secretions? A. Drinking fluids B. Alcohol intake C. Smoking D. Vaporizer 36. A client has been exposed to rabies. The nurse knows that the injection of anti-rabies will be. A. Two sites of the body B. Three sites of the body C. Vastus lateratis D. Fours sites of the body 37. Client asks the nurse why burns on the face, neck and chest are dangerous. What is your best response? A. Have higher risk of infection & breathing problem B. Have higher risk of site damage C. Inabilty to breathe properly D. Risk of pneumonia 38. Epiglotitis is a serious obstructive inflammatory process that occur mainly in children A. 0-1 years old B. 2-5 years old C. 5-9 years old D. Teens 39. Seleeste, 15 years old has Type 1 diabetes. What do you want them to learn about? A. Diet B. Insulin injection C. Exercise once a week D. Foot care 40. A 17 year old was raped by her boyfriend and was brought to the hospital. The police came to the hospital for investigation. What would you do? A. Let police talk to the girl first B. Finish your assessment first and let police talk to the girl C. Ask police to come later D. Ask the girl if she wants to talk to police first 41. Which of the following blood gases is common with bronchitis? A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic acidosis D. Metabolic alkalosis 42. A post cholecystectomy patient had a Doctor’s order of Demerol 50-100 mgs every 4 hours. A nurse had given 50 mg 30 minutes ago, and the patient still complain of pain. What would you do? A. Notify the Doctor B. Tell patient to wait for another 30 minutes C. Give Demerol 50 mgs more D. Mark it on MAR sheet 43. A patient with high BP complains of pain at the back of his head. What would you do immediately? A. Put wet towel at the back of patient’s head B. Give oxygen C. Give analgesic as ordered D. Notify Doctor immediately 44. Lincy, 10 year old child with cystic fibrosis. What is the characteristic findings that you will recognize on this patients? A. Steatorrhea B. Light yellow colored stool C. Bloody stools D. Foul smelling stools 45. A child with cystic fibrosis. When are you going to administer the pancreatic enzymes? A. With all meals B. Every 4 hours C. Before meals D. After meals 46. The Doctor ordered IV 2/3+1/3 at 75 ml/hr. At 0800 hrs. 600 mls of solution remains to be absorbed. What time should the nurse plan to hang the next bag? A. 1430 hrs B. 1600 hrs C. 1830 hrs D. 2000 hrs 47. A 8 year child has ordered Ritalin PO at 3 mg/kg/day and to be given at 1000 hrs and 2200 hrs. The child weighs 40 kilograms. What dosage should the nurse administer at 1000? A. 6 mg B. 10 mg C. 8 mg D. 12 mg 48. A patient was diagnosed with paraplegia. What part of the body is affected? A. Left side of the body B. Right side of the body C. Both legs and the lower part of the body D. From the waist up 49. A child with myelomeningocele. The immediate care centers on the following: A. Prevention of contractures B. Prevention of atelectasis C. Prevention of local infection D. Prevention of respiratory depression 50. You are assigned in the Pediatric ward and you witnessed the child suddenly become unconscious and you are going to CPR. What is your best action? A. 2 Breath 10 compression B. 1 Breath 5 compression C. 10 Breath 2 compression D. 5 Breath 1 compression 51. What is your best nursing action in doing CPR to an adult? A. 2 Breaths, 15 compression B. 10 Breaths, 2 compression C. 1 Breath, 5 compression D. 5 Breaths, 1 compression 52. Alina was diagnosed with gonorrhea infection involves the following A. Rectum B. Eyes C. Pharynx D. Genitourinary tract 53. A patient had cardiac tamponade after having a myocardial infarction. Which space the pericardium fluid builds up? A. Endocardium B. Between endocardium and pericardium C. Pericadium D Between epicardium and pericardium 54. A patient was diagnosed with Celiac disease, and the disease is characterized by the following: A. Steatorrhea, frothy, pale, bulky, foul smelling. Greasy stool B. Currant jelly-like stools C. Colicky pain D. Rebound tenderness on the abdomen 55. A patient with cast on the left leg and the nurse is checking for signs of compartment syndrome which includes the following except: A. Cool to touch B. Prolong capillary refill C. Swelling D. Warm to touch RN/RPN EXAMINATION Independent Question Vol-2 1. Mr. Samual had Permanent colostomy which of the following needs further instruction? A. I am going to empty my bag when it is full B. Empty the bag while half C. He said he will wearer the gloves while holding the bag D. He will clean wash dry technique 2. As a nurse how will you provide perineal care? A. Clean from vagina B. Clean the rectum first C. Clean labia minora and majora D. Clean from perineum to rectum(front back) 3. Child with myomeningocele is admitted to hospital for surgical repair what is your best nursing advice? A. Tell the parent to keep the baby in a prone position B. Supine position is the best position C. Side lateral D. Check for hydrocephalus 4. Baby boy admitted to the hospital because is irritability, highpitchedcry and unusual bleeding from mouth & nose & ear, Doctor diagnosed this is the case as a Baby Shaking syndrome. What is the common cause of baby shaking syndrome? A. Head proportion is larger than body B. Open anterior fontanel C. Muscular tonicity D. Open posterior fontanel 5. Mrs. Martine is suffering from IDDM she came to clinic with symptom of fever, headache, running nose, and family physician diagnosed her flue which of the following shows to the nurse that she is fully understood about her disease? A. Now I am not going to check my sugar level B. I will tell my friend to give orange juice while I am hypoglycemic stage C. I will do my sugar test daily even I am sick D. Now I am going to take insulin 6. Which of the following is the effectiveness of HR ( hormonal replace mental therapy) A. DVT B. Heart attack C. Increase libido D. Weight gain 7. DM patient came to community clinic and she is asking contraceptic pills. As a community health nurse what will be your best advise? A. Contraceptic pills are contraindicated for DM it will affect your sugar level B. Contraceptic pills are best for you C. You can use contraceptic pills as a alternative birth controller D. You have to consult your Doctor 8. What is the best health education for SIDS parents? A. Always keep the baby in supine position B. Prone position is best position for infant C. Using crib is more safe D. Use humidifire in baby’s room 9. What is the best position for total hip replacement patient? A. Abduction and neutral rotation B. Adduction and neutral rotation C. Abduction and internal rotation D. Adduction and external rotation 10 Mr. Mack had total hip replacement three days ago, which position he have to avoid preventing dislocation? A. Abduction B. Adduction C. External rotation D. Neutral rotation 11. Mr. Kabine is admitted to hospital because of his feelings of worthless, useless, and plan of self-distraction during interview he said, “I am very sad and I have thoughts of harming my self” as psychiatric nurse how you are going to document it? A. He is having insomnia, self distraction plan B. I am very sad and I have thoughts of harming my self C. Feeling of worthlessness D. Feeling of hopelessness 12. Bed No 18 is on TPN, as a nurse how you will assess the electrolytes level of the patient? A. Daily lab test B. Glucose tolerance test C. Weight the patient daily D. Liver function test 13. Now you came for your shift as a nurse what is your most important nursing responsibility to one of your patient who is on TPN? A. Intake and out put B. Skin turgor C. Weight D. Glucose test 14. What is the purpose of ROM exercise for CVA patient? A. Prevent contracture B. Promotion of mobility C. Prevent deformity D. Prevent deformity and improve joint mobility 15. A full blown HIV patient is admitted to the hospital at present patient complaints about severe nausea and vomiting because of this symptom patient don’t feel to do anything, some times he feels to die, to relive this symptom he wants to start smoking. As a nurse what is your best advice? A. For your problem smoking is good remedy B. We have to respect patients wish C. Tell him to consult Doctor for medication which help him to get relive from his symptom D. Tell him this will not come under her care 16. What are the signs of I.V infiltration? A. Cold to touch, edema and pain B. Warm to touch, edema and pain C. Cold to touch, swelling and bleeding at the site D. Decrease the rate of drop factor 17. Mrs. Lee 60 years old, she had total hip replacement, now she is on PICC line as a nurse how you will prevent I.V infiltration? A. Restraint her hand B. Restraint her neck C. Stop I.V D. Applly bandage 18. Mrs. Martine is a menopausal women and complaining about incontinence of urine, because of this she is very upset, what is the good exercise for incontinence of urine? A. Teach her kegel exercise B. Provide her catheter C. Tell her incontinence is normal during this age D. Body break is good exercise 19. Maline is 8 months pregnant, she has severe itching in vagina and fowel smelling discharge is coming from there, she is worried about this situation and she came to her family physician. Physician prescribed antibiotic for her yeast infection. Now she is worried to take this medication, she afraid may be this cause harm to her unborn baby and she asks your opinion as a nurse how you will respond? A. Provide her written note B. Tell her Doctors are prescribing antibiotics very carefully to pregnant women’s C. Refer her to other Doctor D. Provide some pamphlet 20. You are watching a physiotherapist is shifting a patient from bed to wheelchair which approach by the nurse is most likely to facilitate continuity and consistency of this client care? A. Co-ordinate regulate client-focused conferences attended by relevant health team members B. Identify the clients health care needs on behave of all health team member C. Communicate individually with each health team member D. Make decision regarding client care based on input form all health team member 21. Community nurse pp is assigned to do prenatal class for pregnant women in particular community, as a nurse how you will assess the learning needs of pregnant women in the particular community ? A. Focus on group B. Participants observation C. Windshield survey D. Statistics 22. Ms Luis came to emergency she has complaints about painful micturation, fever and back pain, attending Doctor diagnosed her the case of Urinary Tract Infection. She got antibiotic for her UTI . Now she is going to discharge; during discharge health teaching she asked how she could prevent this in future? A. Advise her to increase her fluid intalke B. Life long intake of antibiotic C. Ask her what she knows about cause of UTI? D. Tell her to use cranberry juice 23. Jessica 15 years old she has just diagnosed gonorrhea, she asks whom she has to inform? A. Because of your age parents has to know B. Public health officer C. Public health authority D. Family physician 24. Mr Kiya is a HIV patient at hospital easily get tired during care, he is taking AZT (antiviral medication for his disease) 8 hourly, and how the nurse will administer the medication? A. 0-7, 0-15, 0-23 B. 0-9, 0-17, 0-1 C. 0-5, 0-13, 0-21 D. 0-10, 0-18, 0-2 25. Daughter brought her mother (Alzheimer 11) to nursing home for admission, while taking history daughter started to cry, what the nurse will do at this situation? A. Leave the daughter for some time so that she can build self esteem and come back later B. Leave the daughter to compose her feelings come back later and continue the interview C. Continue the interview D. Tell her, her action is inappropriate 26. Which of the following person is most prone to get yeast infection? A. Sexually active teen B. Menopausal women C. Women who is on continues antibiotic therapy D. Women who had early menarche before 11 27. Mr & Mrs Kodak brought their 22 days son to hospital, Baby has fever since 2 days and irritable too. While collection the date nurse found, Husband is explaining everything and wife is not responding to any question and she is staring on the floor. Which of the following is reason for her behaviour? A. Depression B. Pot partum psychosis C. She is abused D. She is not responsible mother 28. A pregnant women came to the clinic for prenatal check-up, during physical examination nurse found bruises on her breast, as a nurse how you will deal with this situation? A. Ask directly how is her relationship with her husband B. Tell her during pregnancy bruises is normal C. Advise her to inform police D. Advise her to use antibacterial cream 29. Community nurse is doing research on particular community, that time she realized many of the people are suffering from MS (Multiple Sclerosis). As a nurse how she will facilitate service to them? A. Fund raising program B. Pet therapy C. Provide transportation D. Community awareness program 30. You are assisting your colleague in catheterization, In between the procedure she breaks the sterility and remove the catheter and again she is trying to reinsert it as a nurse what is your critical decision at this point? A. Appreciate her that she is doing good B. Tell her you will provide her a new catheter C. Tell her to postponed the procedure D. Inform your charge nurse 31. Which of the following will cause injury to osteoporosis women? A. Less intake of vitamin D B. Less intake pf calcium C. Falling in winter D. Obesity 32. What is the most important sign of Abdominal Aneurysm? A. Back pain B. Distended neck vein C. Halo sign D. Presence of babinski reflex 33. A 73 year old homeless man developed an ulcer on his left leg. A Wound-care nurse regularly visited him in a drop-in center. One day the nurse found him shaking and asked him to go to the nearest hospital. However, he refused to follow the nurse’s recommendation. What is the best nursing response for this situation? A. Ask another homeless individual to encourage him to go to the hospital B. Ask the community police to accompany him to the hospital C. Assess his mental status and competence to treat D. Assess LOC 34. A terminally ill patient wants to say goodbye to his dog: The policy in the unit does not allow any pet to visit the unit. How can the nurse advocate for the client? A. Apologize to the patient and tell the patient that nurses cannot change the policy B. Suggest to the relative to go to the hospital administrator to obtain a permit to bring the dog. C. Ask the nurse’s direct supervisor and advocate for the change-of the policy D. Tell the family to bring the dog in the evening when no one could see them 35. Mr. Brown is diabetic mellitus patient he is receiving insulin, Nurse Sally administered 10 units of insulin instead of 5 units, as a nurse what is your immediate nursing responsibility? A. Inform Mr. Brown immediately B. Inform the Doctor C. Inform nursing supervisor D. Inform head nurse 36. How should a pregnant woman wear seatbelts? A. Use a lap belt only B. Use a shoulder and lap/hip belt all time C. Use belt crossing the chest between the breast and through the abdomen D. Use belt crossing the chest between the breast below the expanding abdomen (shoulder and hip/lap belt) 37. A nurse came into a room of a pot-operative client who wanted some pain reliever and who needed repositioning. While she was about to initiate her care, a nursing aid came into the room informing the nurse that the I.V pump alarm was beeping in the other room. How should the nurse respond? A. Reposition the patient with the help of the nursing aide and obtain analgesic for the client. B. Turn off the alarm first, then obtain a pain reliever and go back to reposition the patient. C. Ask the nursing aide to turn off the pump alarm D. Give analgesics and turn off alarm 38. A depressed patient suddenly became upset during a group therapy. What is the best nursing action? A. Take the patient to a quiet room B. Isolate the patient C. Allow her to go back to her room and later sit down with her and let her feelings be expressed after the group session D. Ignore her reaction 39. Mr. Harris, a policeman, had been diagnosed with depression 3 years ago. He had a relapse of depression shortly after undergoing a knee replacement surgery five days ago. Which among these statements best describe that Mr. Harris is now coping well with his depression? A. He states that he is taking his medications regularly B. He states that he is calling his fellow workers in the police station C. He states that he still have thoughts of harming himself D. He states that he is fine now 40. A breastfeeding mother told the nurse that she does not eat meat. What should be the best nursing action for this situation? A. Determine what foods are rich in protein as patient’s substitute for meat for the patient. B. Tell the mother that she needs to eat meat because she is breastfeeding her baby. C. Ask the mother what foods she likes. D. Tell the mother to eat more meat 41. Which of the following characteristics would be least likely to occur to children who survive physical abuse? A. Academic achievers B. Depressed C. Drug abuses D. Abusive parents 42. The nurse is going to give health teachings to a group of 11 to 15 year old clients with diabetes mellitus. What type of learning activity will the nurse plan for this group that would reflect their developmental needs? A. Include the parents in the teaching sessions. B. Teach about the physiology of puberty C. Ensure participants make independent decisions about their treatment D. Plan activities that will encourage per support 43. A 4 year old boy is going to have a diagnostic cardiac catheterization tomorrow. The child appears very worried about the upcoming surgical procedure. How can the nurse prepare the child for the procedure? A. Demonstrate the procedure by using a doll. B. Bring the child to the operating room and let him touch the instruments and equipment C. Explain the procedure clearly to the child D. Speak to the child’s mother and explain to her the purpose of the procedure. 44. What is the best way in dealing with a child’s temper tantrums? A. Rewarding positive behavior B. Immediately setting boundaries during such behavior by explaining that it is not a desirable behavior C. Providing safety to the child by yielding to what the child wants. D. Addressing to the child that his behavior is his way of venting his frustrations 45. One of the persons in a group of lactating young mothers in a post-parturn class started saying that the only way to have, her old jeans she use to wear before pregnancy to fit again is to go back smoking and start dieting. What will the nurse discuss in this group? A. The influences of diet on breastfeeding B. The influences of smoking and eating habits on breastfeeding C. The influences of smoking on breastfeeding D. Tell them smoking once a while is ok 46. How would you ask an out-patient client to ensure that he will come back for his weekly blood test appointment? A. Can you pay your taxi fare to come to the clinic? B. Will you com to the clinic for your appointment? Will it be difficult for you? C. Can you make sure that you can come the clinic every week? D. Can your wife drive the car? 47. A breastfeeding wife and her husband are in the emergency room the wife has also been physically abused by her husband. How would the nurse demonstrate the use of a breast pump to the wife? A. Demonstrate the procedure with the presence of the husband B. Place the mother in a private room and demonstrate the procedure away from the presence of the husband. C. Close the curtain and demonstrate the procedure away from the presence of the husband 48. Which among these is the most accurate CPR guideline? A. 15 chest compressions to two breathe regardless of one or two rescuers. B. 5 chest compressions to on breath for two rescuers and 15 chest compression to one breath for one rescuer. C. The rescuers must check presence of pulse before initiating CPR. D. For an unconscious choking victim, lay rescuer would attempt ventilation, open the airway and look for a foreign body, perform abdominal thrusts ( Heirritich Maneurver ) and continue CPR. 49. The patient’s mother is teaching her daughter to take a deep breath and scream during the first stage of labor. What is the best nursing action to take in this situation? A. Tell the mother that she is doing the right thing B. Explain to the mother the proper techniques of deep breathing C. Teach the daughter that proper techniques of deep breathing D. Tell the mother that she is teaching the wrong deep breathing technique 50. Your unit is short of staff for the shift. As a nurse, what is your best action? A. Inform the union about the staff shortage B. Inform the nursing supervisor about an unrealistic workload C. Inform the nursing supervisor to find a relief staff D. Inform the nursing supervisor that you can do the job 51. A patient with diabetes mellitus is readmitted to the hospital for the third time. He already had two health teaching sessions regarding the care for diabetes mellitus during the previous two admissions. The wife complains, “ I don’t understand the reason why he still cannot get it. The nurse reviewed the patient’s chart. What is the next best nursing action to take? A. Plan for a one-to-one health teaching B. Discus the situation with the health care team C. Discus with the husband and wife about the plan of care D. Discus with the patient 52. Mrs. Ricky was brought to the hospital for pneumonia and was also found out she have AIDS. Mrs. Ricky requested the nurse not to disclose her AIDS diagnosis to her husband especially if he asks several questions. What should the nurse do in regards to her patient’s request? A. Refrain from talking to the husband at all B. Refrain from discussing with her husband about the patient’s AIDS diagnosis C. Answer the husband’s questions pertaining to her pneumonia diagnosis only D. Tell all the details about diagnosis 53. A female patient with Alzheimer’s disease is admitted to the long-term care facility. The patient’s husband verbalizes, “Now that she is not with me, I have nothing to do anymore. I’m going to miss her, ’’ What is the best nursing response to the patient? A. ‘’She’ll be cared for here. So you have much time to be with her’’ B. For sure you are going to miss her C. What do you mean by ‘’ I have nothing to do anymore? D. Don’t worry everything is going to be ok 54. Toddlers are prone to accidents. What safety measures can you provide to the parents? A. Water safety such as swimming B. CO ( carbon monoxide) safety C. Safety measures in case of being lost such as remembering their na0mes, address, and phone numbers D. Led safety 55. A group of teenagers with diabetes mellitus is gathered in the meeting hall of the community health center. How would the nurse assess the teenagers’ knowledge of their r health condition? A. Allow them to eat whatever food they like B. Allow them to choose the food they like from a prepared menu C. Call the dietitian for nutrition education D. Provide them resources on Canada Food Guide 56. During break time, your colleague was discussing with the other nurses about her patient in the nurse’s lounge. You were in the lounge, too. What would be the most appropriate response to this situation? A. We do not have to share information or talk about a patient during our break times B. It’s aright to discuss about it especially if the patient said that everyone knows about his issues and that he doesn’t keep secrets anymore C. It is appropriate to share information about a patient even during break times as we sometime forget information about our patients D. You are doing a good job 57. Who is at a greater risk for testicular cancer? A. A 28 year old male who had undergone an orchiopex when he was 5 years old B. A 65 year old male with and enlarged prostrate C. A 70 year old male with gynecomastia D. A 22 year old male with dermatitis 58. A 52 year old female tells the nurse that she is experiencing hot flashes and insomnia. She is very upset for the lack of sleep and asks the nurse what she should do. What would be the most appropriate response by the nurse? A. Let’s discuss about the different therapies which may help you with symptoms of menopause. B. You are experiencing symptoms of menopause. This is normal at your age C. You should start eating Soya in your diet as it will stop symptoms of menopause D. To cope with the fatigue of menopause, try to take naps during the day 59. Mary has just received the report from the previous shift and she is faced with this scenario: Mrs. Brown who had chest pain and was given Nitroglycerin at 7:15 a.m., Mrs. Smith who is complaining of pain and is asking for analgesics and Mr. Booth who is for immediate transfer to physiotherapy’. How will nurse Mary handle this situation? A. Assess Mrs. Brown, give analgesic to Mrs. Brown and facilitate transfer of Mr. Booth. B. Give the analgesic to Mrs. Smith, assess Mrs. Brown and facilitate transfer of Mr. Booth. C. Facilitate transfer of Mr. Booth, assess Mrs. Brown and then give analgesic to Mrs. Smith D. Facilitate transfer of Mr. Booth, give analgesic to Mrs. Smith and then assess Mrs. Brown 60. A community daycare center has an outbreak of Pertussis or “whooping cough’’ As a community health nurse, what would be your most prompt response? A. Report to the public health authorities B. Provide test to all the children affected C. Advise to close the operations of the day care center D. Conduct screening tests for immunization 61. Which among these patients with communicable diseases need the most critical decision-making of the nurse in preventing transmission of diseases to the other patiens in the floor? A. An HIV positive patient with diarrhea B. An 80 year old female patient with MRSA C. A client with Hepatitis A and nausea D. A patient with gastroenteritis and vomiting 62. Which of the following is true regarding hormone replacement therapy (HRP) A. Research concerning the effects of HRT is inconclusive B. HRT is recommended for all menopause women C. Alternative therapies are safer than HRT D. HRT should be started before menopause begin 63. A 38 year old male with a diagnosis of paranoid schizophrenia is being treated with Zyprexa. He comes to the nursing desk with a stiff neck deviating to one side, an enlarged tongue sticking out of his mouth, and he is drooling. His arms and legs are stiff and he appears to be short of breath. Which of the following prescribed medicines should the nurse administer? A. Cogentin ( Benztropine) IM B. Artane (Trihexypheindyl) PO C. Ativan (Lorazepam) IM D. Zyprexa ( Olanzpine) SL 64. The patient told you that he has decided together with his family to discontinur chemotherapy. How should you respond to the patient? A. Would you like to speak to somebody about your decision? B. Do you know the consequences of your decisions? C. Has the physician discussed with you the benefits of Chemotherapy? D. Do you know the effect? 65. A female client is admitted to the emergency room for abdominal bleeding and anxiety. While you were collecting information about the history, the client was quiet and silent. It was the husband who was answering the questions in behalf of the client. What would be your nursing action to determine if she was abused? A. Ask the husband to leave during the reassessment interview B. Use a tool or a set of guidelines in assessing abused clients C. Inform the physician for the data collected D. Ask assistance from your colleague to witness the interview. 66. A nurse has realized that she didn’t know how to initiate an IV line on a client whom she performed CPR previously. What should she do in order to gain knowledge on this specific procedure? A. Buy and read an IV therapy book B. Ask the nursing supervisor if she could attend an IV therapy session offerd in the hospital C. Seek the help to the most senior nurse in the unit D. Call the IV team to teach her how to start and IV line 67. A media reporter came to your institution and asked you regarding an outbreak in the hospital of a certain disease. How will you respond? A. Tell the reporter that hospital problems are confidential to the institution B. Redirect the reporter to the public relations officer of the hospital C. Answer the reporter’s questions as appropriately as possible as you have a duty to share to the community’s right to information D. Tell the reporter that you are not on the authority to divulge the back ground of this problem and request your supervisor to release the appropriate information instead. RN/RPN EXAMINATION Independent Question Vol-3 1. Which type of exercise would strengthen muscle tone and joint mobilization? A. Isotonic B. Activity assistance C. Isometric D. Passive exercise 2. Sili 35 years old was 7 months pregnant. How would she wear seatbelt? A. On her thighs B. On her chest C. On her abdomen D. On her shoulder 3. The nurse had admitted an intoxicated, verbally aggressive client, accompanied by the police officer. The client had laceration on his forehead as he fell down the road while walking that hit his head. What is the best action of the nurse? A. She will ask the police to help her immobilize the client till she did dressing to his injuries B. She will call her colleague to do the dressing C. Let the client rest D. Inform the Doctor about the client 4. A drunken man verbally abusive and aggressive accompanied by policemen to ER for treatment. How will you render your care while protecting yourself? A. Ask the policemen to restrain the client B. Ask the Doctor for tranquilizers to sedate the client C. Let the client rest and calm down before giving care D. Ask presence of colleague while doing care 5. Tonney 46 years old had stable angina. He had a nitroglycerin tablet 0.3 mgs. For chest pain sublingual PRN. What is the side effect of Nitroglycerin tablet sublingual? A. Tingling of the tongue B. Headache C. Flushes of face D. Vertigo 6. Which of the following medications will be most likely ordered on the client with atrial fibrillation? A. Inderal B. Digoxin C. O2 D. Morphine sulfate 7. Henry, 24 years old, homosexual was admitted with a full-blown AIDS. He is on strict respiratory isolation as he develops PCP ( pnemocystic capic pneumonia). To many people, AIDS is a social disease. The social determinants of AIDS include: A. Mode of transmission B. Sexual orientation C. Gender and ethnic group D. Country of origin 8. A nurse received a call from a lady who is 75 years old and stated that her husband took a full bottle of Tylenol tables which was brought by her few hors ago, and inquired if her husband is admitted to the hospital. It sounds to the nurse that the lady herself is a drug overdosed. What action the nurse is supposed to take? A. Inform police B. Inform nurse supervisor C. Prepare for admission, send a security person to ER to rind out whether her husband collapsed in ER D. Call the family Doctor 9. Mim is an 11 moth old baby brought to the clinic by his father for immunization. The nurse who administered the drug uses Brandon’s vastus lateralis . The father asked the nurse to explain why the previous shot was given at the child’s buttocks and not at the vastus lateralis. The most appropriate response by the nurse in which of the following: A. I will discuss your concern to the nurse who gave the shot last time B. There is nothing to worry about, everything is normal C. The medication is best absorbed in vastus lateralis D. Both sites can be used for this type of medications 10. A newly graduate nurse was asked by the Doctor to defibrillate a patient with ventricular tachycardia., what should the nurse respond? A. Follow the Doctor’s order B. Refuse to carry out the order C. Report to the nurse manager D. Verify with her colleague 11. Noel 3 years old admitted whit cystic fibrosis. What is the best diet to advise? A. Skin-milk milkshakes B. Chocolates C. Peanut butte D. Potato fries 12. A patient who is terminally ill told his nurse one day that he is planning to commit suicide and stressed that this is a secret between 2 of them. What should the nurse do? A. Report to his Doctor B. Report to medical team C. Report to nurse supervisor D. Refer the case to an assisted suicide organization 13. What kind of exercise is advised to the post CVA patient? A. Passive B. Isotonic C. Isometric D. Active ROM 14. What is the difference between policy and procedure manual? A. Unit policy and procedure manuals B. Nursing manual C. Hospital protocol D. Any book with instructions provided with equipments 15. Lucy, 45 years old had a history of diabetes mellitus. She was brought to the emergency room with Kausmall breathing and dyspnea. How would you initially assess the hydration status of the patient? A. Serum ph B. Urine Ketones C. Serum albumin D. Blood glucose 16. A two and half year old healthy old boy came to the clinic to do first annual check up with his mother. What are you going to check as a nurse? A. Respiration, apical pulse, weight B. Weight only C. Apical pulse, Respiration, Temperature D. Weight, respiration, Temperature, apical pulse 17. What is the sequence of taking vital signs for an infant? A. Weight, respiratory, pulse, temperature B. Respiration, pulse, temperature, weight C. Respiration, weight, pulse, temperature D. Weight, temperature, respiration, pulse 18. Tim 32 years old fall from a motorcycle ride and was admitted to the hospital with a dose reduction on his left leg and was on skin traction. Nurse B was assigned to the client and nurse a saw nurse B lifting the weight as she’s going to turn the patient. What will be the best nursing action A. Tell a colleague about the incident B. Inform the Doctor C. I will inform the nurse supervisor D. Order for an x-ray of left leg 19. Bipolar client became very aggressive, throwing chars around. What is the best nursing action? A. Take him out B. Call for help C. Remove other client for a safe place D. Tell client firmly that it is not appropriate 20. A CVA client was admitted to the hospital, which of the following is most appropriate regarding Adalat administration. A. Client do headache with BP 150/110 B. Client with BP 180/140 C. Blurring of vision BP 150/90 D. Dizziness BP 160/80 21. Timy, 40 year old was diagnosed with breast cancer. As a nurse , what is the best health teaching to advocate preventing the risk of breast cancer? A. Survivor to speak B. Society information C. Mammogram is a routine D. Maintenance of body mass 22. The PCA pump on the patient was discontinued today. The nurse who discard the remaining morphine in the PCA pump will approximately do which of the following? A. Return the remaining medications to the pharmacy B. Discontinue the IV access, discard the remaining medication C. Discontinue the IV access, ask another nurse to witness as you discard the remaining medication D. Keep the PCA pump running until someone is ready to witness your waste 23. Jully 16 years old has been diagnosed with gonorrhea. Who needs to be informed? A. Parents B. Public health officer C. Family Doctor D. Social worker 24. The community nurse found out that there is certain number of children in community who had been immunized. How would he get the statistics A. Go from home to home and check B. Check from the statistics office C. Find the number of children D. Call for a meeting 25. The child is due for immunization and the mother doesn’t want to take the child to the Doctor’s clinic because it is not common anymore. What is your best nursing response? A. Prevent from other diseases B. Build child’s immune system C. Preventive measure D. Cure the underlying disease 26. A 45 year old patient came to the Doctor’s cline for yearly physical examination. The Doctor advised the patient for mammography, and the patient asked why there is still a need fro mammography? What is the best nursing response? A. Mammography is better than breast-self exam B. It is a requirement to have mammography for age 35 and above C. Mammography can only detect the tumor D. It is a must for all women of all ages 27. A child with cystic fibrosis. What is the best nursing intervention to help a child recover from the disease? A. Food B. Dance C. Postural drainage D. Morning evening enzyme 28. Ben had fractured his ankle and was on cast and using crutches for walking. How would you measure the correct crutch to be used by the patient? A. Measure from the feet to the axilla minus two ringers B. Measure from the feet to the axilla C. Measure from the feet to the axilla plus two fingers D. Measure from the feet to the axilla plus three fingers 29. A 28 years old patient was diagnosed with tuberculosis and was discharged home. He was walking in the street with family members, and suddenly he sneezed and coughed. What is the best health teaching of the nurse to the patient upon discharge to prevent the spread of infection? A. Cover his mouth while coughing or sneezing B. Use face mask while walking C. Isolate patient at home D. Don’t allow patient to take buses 30. Nurse giving health teaching regarding osteoporosis to under-developed community. What is the best advise that the nurse will recommend? A. Book club B. Coffee club C. Food club D. Walking club 31. What is the purpose of back tapping? A. Help to loosen the secretions B. Help to mobilize the mucus secretions C. Expand the lung D. Facilitate good breathing 32. Romy called 911 as she noticed the child is not breathing and was rushed to the ER. The bay was pronounced dead on arrival and was diagnosed as Sudden Infant Death (SID). The mother told-the nurse that her husband was out of town. As a nurse, how would you provide good nurse patient relationship? A. Offer to call the husband B. Stay with the mother till husband comes C. Allow the mother to view the baby D. Bring the mother to the quiet room 33. A 65 year old man was found unconscious in the street. Cindy, an Nurse walked by and started to do a CPR. How would the nurse initiate a CPR? A. 1-5 B. 1-15 C. 2-5 D. 2-15 34. An adolescent mother who just gave birth to a 7lb baby boy. She wanted to loose weight and believing that smoking can loose weight. What will the nurse advise? A. Weight reduction program B. Smoking cessation program C. Psychotherapy program D. Alcoholic anonymous program 35. Based on the above situation, what is the clinical manifestation of a patient with bronchitis? A. Apnea and dyspnea B. Brachycardia and shallow breathing C. Tachypnea and wheezes D. Dyspnea and bradycardia 36. A 47 year old was admitted with bronchitis. She was on 50% oxygen by facemask. ABC results are the following : Ph 7.34, Pco2 37, Hco 24. How would you analyze ABC results? A. Respiratory acidosis B. Respiratory alkalosis C. Metabolic acidosis D. Metabolic alkalosis 37. Mlke 47 years old was diagnosed with Ulcerative Volitis. He smokes 2 packs per day, an alcohol drinker, and lives alone. Which of the following clinical manifestation that the nurse will be most concerned? A. Diarrhea 15 times B. Currant jelly stools C. Nausea and vomiting D. Weight loss 38 Tery 72 years old, with sigmoid colon resection, had TPN for two weeks. The Doctor ordered to discontinue TPN and the patient to be transferred to the floor. What is the best nursing action after discontinuation of TPN? A. Ringers lactate B. Dextrose 5% Water C. Normal Saline D. Oral fluids 39. Susan, 14 years old was brought to ER as she was raped by boy friend. She asked the nurse if she can shower herself and the nurse advised that should be the Doctor first and to obtain some specimen and blood samples. The patient asked the nurse why she is not allowed to go for shower. What is the best nursing response? A. It will serve as evidence in court if she files a case B. It is a hospital policy C. It is a requirement for all raped cases D. It is for your safety and protection 40. Which of the following is a high risk for death? A. Smoking B. Accident C. Cancer D. Poisoning 41. K. post appendectomy was transferred to ward. Upon admission to the ward, what is the initial action of the nurse? A. Check vital signs B. Check report C. Check tubings D. Check drainage 42. Mr. Forest, 49 years old was admitted for malignant hypertension. He is for discharged home and he asked the nurse for a date. What is the best nursing response? A. Ignore patient B. Against profession C. Make arrangement to meet D. Inform supervisor 43. A 5 year old child was admitted to the hospital with diagnosis of cerebral palsy, as a nurse, what is the clinical assessment that the nurse will be most concern? A. Drooling of saliva B. Drooping of half face C. Involuntary muscle face D. Blinking of both eyes 44. A police officer was severely depressed upon knowing that he has to have another surgery for the leg. He had an accident tow years ago and this new surgery makes him more worried than before. What is the best nursing advice? A. Tell me what makes you worry about B. You shouldn’t be afraid of the new surgery C. You should be brave enough to face the surgery D. You seem not happy, what wrong with you? 45. Cicily a new mother decided to do the manual breast pump as her breasts are engorgement and pain. What is the best health of the nurse? A. Wash hands B. Ash nipple with soap and water C. Sterilize the bottle D. Bath 46. Ros 62 years old post cholecystectomy patient. She has a nasogastric tube connected to low gomco suction. The NG drains only 80 mls, greenish fluid and the Doctor ordered to discontinue the NG tube and starts on clear fluids. While removing what will your nursing response? A. Check bowel sound B. Tell the patient to hold the breath and take the tube out C. Exhale while removing slowly the NG tube D. Aspirate while removing the NG tube 47. Mr. Potato 47 years old had left lower lobotomy, He was a smoker and with no other medical history, He has left chest tube suction. As a nurse, what is your best health teaching to prevent further pulmonary complication? A. Position on semi fowler’s B. Position change from side to side C. Breathing exercises and coughing D. Drainage change with gloves and secure all connection tubes 48. Manuel, post nephrectomy was admitted to surgical intensive care unit for overnight monitoring because of history of deep apnea. What is your best health teaching to the patient to prevent atelectasis postoperatively? A. Encourage breathing exercise and coughing B. Regular turning every two hours C. Semi-fowler’s position D. Encourage postural drainage 49. Jim, a three-months-old baby was discharge from hospital after he had a pneumonia. How would you provide a safe environment at home? A. Remove drapery and cords from the crib B. Tell visitors not to bring hot drinks C. Pad the side rails and give rubber toys to hold D. Provide playpen with mobile toys 50. Rebecca 3 years old child with COPD. How will you check her vital signs? A. Respiration , pulse, pulse oximetry, temperature B. Temperature, pulse, BP C. Pulse, temperature, pulse oximetry, respiration D. Temperature, pulse, BP, weigh RN/RPN EXAMINATION Independent Question Vol-4 1. What is your nursing judgment to a client who seek medical consultation with the following complaints, swollen lymph nodes, night sweats, fever, diarrhea, weight loss, and tiredness? A. Symptomatic HIV infection B. Pulmonary tuberculosis C. Dehydration or hypovolemia D. Ulcerative colitis 2. A 33 years old female patient has acquired symptomatic HIV infection as what the Doctor told you as her nurse to have a precautionary in giving treatment, with her. What are your nursing assessment to confirm the medical diagnosis of the client? A. She has infection like thrush, persistent vaginal yeast infection, oral hairy leukoplakia B. Swollen lymph nodes, night sweats, fever, weight loss, tiredness, diarrhea flue like symptoms for 3 weeks, fatigue, headache, fever, sore throat, swollen lymphnode C. Swollen lymph nodes, loss of appetite or skin rash D. The T4 cell count or absolute CD4 count is low 3. Nimmimos was admitted to the emergency hospital with the following signs and symptoms, diarrhea, persistent vaginal yeast infection, fever, weight loss and night sweating. The Doctor confirmed the initial test for HIV is positive. What would be your next test to confirm the final diagnosis of HIV? A. SA-Enzyme-linked immunosorbent assay B. Western Blot C. Complete Blood Count-CBC D. Liver Integrity test 4. A pregnant mother consulted the community health nurse of what might be the possibilities of transferring the HIV infection to her baby. What would be your most appropriate nursing response? A. The placenta protects the baby from the disease B. Do not breast feed your baby when she born C. Usually HIV positive mother has risk of passing HIV to a given birth child D. Ask if she would like to talk to the Doctor or be referred to support groups 5. A woman was looking for a complementary therapy that would ease her pain, stress, tiredness, improve circulation, and loosen knotted muscles. What would you suggest that would also, help her immune system to defeat her HIV symptoms? A. Swedish massage B. Therapeutic touch C. Reik D. Shiatsu 6. Therese wanted to make a difference and get involve with the treatment of HIV as what she verbalizes and living with AIDS for long, what kind of program would you suggest for her to participate? A. Complementary therapies B. Clinical trials C. Traditional therapies D. Participates in open forums and seminars 7. Peter is 65 years old living with HIV virus and now has a difficulty of concentration, forgetful and has loss his short and ling term memory. He cannot remember what happened why he was at the hospital. What would be yournursing judgement.? A. He is on stage of Alzheimer disease B. AIDS Dementia complex C. Suffering of multiple sclerosis D. Parkinson’s disease 8. Sandra has been diagnosed with AIDS/HIV related condition as Kaposi’s sarcoma and wondering how in the world she got the disease. The nurse collecting the information was trying to find out the sexual activities of the client. What is the signigicant assessment made by the nurse would confirm the possible cause. ? A. She used to have rimming and licking sexual activities B. Through oral sex C. Blood and body fluids contamination D. Purple lesions on the mouth, face, neck, chest and back on the sole of the feet 9. A terminally AIDS client wanted to die with privacy, what is your best nursing action to provide comfort with the client? A. Refer to Hospice home for palliative care B. Arrange a 24 hours nurse from agency C. Make an urgent appointment with the community shelters D. Inform the client and family relatives to stay at the hostel 10. An Indian teenager asked you to where she could avail a place to stay after knowing her diagnosis as an HIV carrier. She was so anxious and devastated of the result of the examination and said “why me, I don’t have anybody to support me, I need somebody to talk” As her nurse, you have given your situation right now’’. What woulde be your appropriate nursing response. A. Make an arrangement to the friendship community centre nearst to where she stays B. Refer to the psychologist and social worker C. Contact the community health center for immediatefollow up D. Inform the medical Doctor for another consultation 11. A group of HIV positive were discussing about public Homophobic reactions to them and the misconceptions that they could easily spread the disease and they are now on the verge of death. What would be your best nursing intervention to facilitate good public awareness? A. Ask them to get involve in AIDS group activities to make changes B. Connect them to support groups and people who are affected by HIV/AIDS C. Advise them to seek counseling D. Refer them to the psychologist of the community centre 12. Magy is a newly diagnosed of HIV carrier and he’s living with his partner for 15 years now. He is psychologically affected by the news and afraid of what would be the outcome to his realationship. What would be your best nursing response when Maggy said ‘’I do now’’? A. Advise him to tell his partner when his ready to come out B. Teach him the precautionary measures when having sex with his partner C. Refer him to the counselor D. Facilitate community based support group for him 13. A group of HIV and AIDS organized a community based health philosophy focuses on empowerment and advocacy. It needs resources in order to do these health promotion, treatment, care support and prevention. What would be your most suggestion to facilitate the speed implementation of their program? A. Ask the support of the community B. Send a representative to have dialogue with the government officials C. Organized fund raising program D. Ask support from the media 14. 10-15 Year old students are conduction a smoking cessation program at ht community, as a nurse who will be your most suggestive reliable resource person that could provide good health teachings and would be a good model to the community in regards to cancer prevention that smoking is the cause? A. An artist who is a former smoker B. TV and Video commercial programs C. Reading material and pamphlets about smoking D. A newly transferred medical Doctor of the area who wanted to get invove 15. What would be your nursing intervention when someone infected with the AIDS virus approach you of what safe sex methods-will be applicable for them during intercourse? A. Always check the expiry date while using condoms B. Abstinence from sex C. Avoid cunnings D. Use tampons after sex 16. One HIV client approach you after diagnosed with the deadly disease, ‘’whom I have to tell will they accept me’’. What would be your best nursing response? A. Inform your family, partner and friends if you are ready B. Other people you deal with HIV/AIDS C. Sexual partners and people you share needles with 17. Sam is thinking about suicide is the answer after being HIV positive but having a second thoughts because of this partner and a child. What would be your best nursing advice? A. Tell him to keep it to himself and it is nor unusual to have some thoughts but don’t panic B. Advise him to talk to someone who will really listen whom he know and trust C. Ask him if the feelings is continuously then offer to see psychiatrist or counselor D. Give him the anonymous crisis lines to call if he needs help 18. A 45 years old man came into the community health clinic for follow of his laboratory exam and verbalizes to the nurse what would be the causative factor in determining AIDS virus. How you will response to be the question when you observed the client is depressed and nervous? A. HIV is a type of virus called retrovirus B. Helico bateria pylori C. T4 CD4 determinants D. When you have 500-1000 lymph node in your body 19. What would be your best nursing suggestions to a group of HIV/AIDS suffering from stigma and prejudice of the community ? A. Tell them to participate to community awreness B. Speak in public forums, attend conferences and participate in AIDS activism C. Advice to seek consultation with psychologist D. Suggest to use conventional therapy and clinical trials 20. A drug abusers were having healf lessons with team of the community centre as health awareness program by the newly elected mayor. What would be your best health teaching advise to provide? A. Avoid needle exchange B. Abstinence of the drug C. Emphasize the rehabilitation program D. Provide materials to quit drugs 21. A man with the following signs and symptoms of flue like fatigue, fever, headache, loss of appetite, sore throat, and swollen lymp nodes has asked your nursing opinion what kind of usual diseases he is manifesting. What would be your nursing responses? A. Your presenting Sx. & Sx. Is common to Pulmonary Tuberculosis B. It is more to Primary HIV infection C. You are now