PREBOARD EXAMINATIONNURSING PRACTICE ISituation: ENTEROSTOMAL
THERAPY is now consid!d a s"cia#t$ in nu!sin%& You a!
"a!tici"atin% in t' OSTOMY CARE CLASS&(& Du!in% co#osto)$
i!!i%ation* t' c#int co)"#ains o+ a c!a)"in% snsation wit' t' +#uid
was int!oducd& ,'ic' o+ t' +o##owin% is a CORRECT nu!sin%
action-A. Temporarily stop the irrigationB. Clamp the irrigating
tubeC. Pinch or kink the irrigating tube temporarily D& Continu
t' i!!i%ation.& ,'n a! t' co#osto)$ a""#ianc /st )"tid-A. When
there is the sensation of pressureB& ,'n t'! is t' snsation o+
tastC& ,'n t'! is t' snsation o+ s)##D& ,'n it is
+u##0& T' c#int as1d t' nu!s* ,HEN is t' /st ti) to "!+o!)
i!!i%ation- T' nu!s wou#d answ!:A& Ea!#$ )o!nin%* /+o! )a#s*
u"on a!isin%B& Ea!#$ )o!nin%* /+o! )a#sC& Ea!#$ )o!nin%D.
Early morning, After meals2& T' nu!s is tac'in% a c#int 'ow to
i!!i%at 'is sto)a& ,'ic' action indicats t'at t' c#int nds )o!
tac'in%- A. Hanging the irrigation bag !" to #$" %$& to '&
cm( abo)e the stoma B& 3i##in% t' i!!i%ation /a% wit' 455 to
(*555 )# o+ #u1wa!) wat! C& Sto""in% i!!i%ation +o! c!a)"s and
c#a)"in% t' tu/in% unti# c!a)"s "ass D& ,as'in% 'ands wit' soa"
and wat! w'n +inis'd 4& T' "'$sician o!d!s a stoo# cu#tu! to
'#" dia%nos a c#int wit' "!o#on%d dia!!'a& T' nu!s w'o o/tains
t' stoo# s"ci)n +!o) t' co#osto)$ sto)a s'ou#d: A& ta1 t'
s"ci)n to t' #a/o!ato!$ i))diat#$&B& co##ct t' s"ci)n in a
c#an contain!&C. collect the specimen in a sterile
container.D& "!+o!) a )idst!a) c#an catc'
co##ction&6&You "#an to tac' 3!)in 'ow to i!!i%at t'
co#osto)$ w'n:A& T' "!ina# wound 'a#s And 3!)in can sit
co)+o!ta/#$ on t' co))odB& 3!)in can #i on t' sid co)+o!ta/#$*
a/out t' 0!d "osto"!ati7 da$C& T' a/do)ina# incision is c#osd
and conta)ination is no #on%! a dan%!D. The stools starts to become
forme*, aroun* the +th postoperati)e *ay8& ,'n "!"a!in% to tac'
3!)in 'ow to i!!i%at co#osto)$* $ou s'ou#d "#an to do t' "!ocdu!:A.
When ,ermin -oul* ha)e normal bo-el mo)ementB& At #ast . 'ou!s
/+o! 7isitin% 'ou!sC& P!io! to /!a1+ast and )o!nin% ca!D&
A+t! 3!)in acc"ts a#t!ation in /od$ i)a%9&,'n o/s!7in% a !tu!n
d)onst!ation o+ a co#osto)$ i!!i%ation* $ou 1now t'at )o! tac'in%
is !:ui!d i+ 3!)in:A& Lu/!icats t' ti" o+ t' cat't! "!io! to
ins!tin% into t' sto)aB. Hangs the irrigating bag on the bathroom
*oor cloth hook *uring flui* insertionC& Discontinus t'
ins!tion o+ +#uid a+t!455 )# o+ +#uid 'as /n insti##dD& C#a)"s
o+ t' +#ow o+ +#uid w'n +##in% unco)+o!ta/#;&You a! awa! t'at
tac'in% a/out co#osto)$ ca! is und!stood w'n 3!)in stats*
"#anationC& Ma1 su! t'at t' c#int +u##$ und!stood t'
inst!uctions* t' consnt was %i7n 7o#unta!i#$* t' si%natu! is
aut'ntic and t' c#int is co)"tnt w'n !ci7in% t' consnt&D. 1ake
sure that the client fully un*erstoo* the instructions, the consent
-as gi)en )oluntarily, the signature is authentic an* the client is
competent -hen gi)ing the consent.(4& Autono)$ is said to / t'
/iot'ica# "!inci"# !s"ctd in En#i%'tnd consnt& I+ t' nu!s )ad
su! t'at t' c#int !ci7d nou%' in+o!)ation w'n t' "'$sician o/taind
t' consnt* as1d and 7!i+is i+ t' c#int und!stood t' "!ocdu! and
in+o!)s t' "'$sician i+ t' c#int 'a7 so) :ustions wit' !%a!ds to t'
dia%nosis* "!ocdu!* a#t!nati7s and "!o%nosis* T' nu!s is "#a$in%
w'ic' !o#-A& Mot'! su!!o%at C. Client A*)ocateB& Ca!
"!o7id! D& Co##a/o!ato!Situation: Nu!sin% O!%aniAations 'as /n
sta/#is'd to n'anc %!owt' o+ t' "!o+ssion as w## as its ))/!s&
(6& Esta/#is'd in (9;6* T'is is t' nationa# "!o+ssiona#
o!%aniAation o+ t' Unitd stats o+ A)!ica& A. A2A C&
PNAB& ICN D& CNA(8& T' #a!%st and t' )ost "!sti%ious
o!%aniAation o+ Nu!ss* ,'!in* T'is 3d!ation is t' co##ction o+ a##
nationa# nu!sin% o!%aniAations&A& ANA C& PNAB. .C2
D& CNA(9& Anastacia Gi!on Tu"as "!sidd in t' +oundin% o+ t'
PNA on:A. 3eptember , 4' C& Octo/! .* (;5.B& S"t)/! .* (;.8
D& Octo/! .* (;..(;& Nu!ss in t' P'i#i""in %o7!n)nt a#so
+#t t' nd to o!%aniA t')s#7s* t'is #ads to t' c!ation o+:A&
Nationa# La%u o+ Go7!n)nt Nu!ssB& Nationa# La%u o+ 3i#i"ino
Go7!n)nt Nu!ssC. 2ational 5eague of Philippine 6o)ernment
2ursesD& P'i#i""in Go7!n)nt Nu!ss Association.5& T' +ound!
o+ NLPGN* du!in% '! #i+ti)* >)"#i+id "!o+ssiona# di%nit$* 'i%'
#7# o+ int##i%nc and #ad!s'i" a/i#it$* as w## as )o!a#
int%!it$& S' was a %ood )od#* w'o* #i1 3#o!nc Ni%'tin%a#*
initiatd !+o!)s and wo!1d +o! t' i)"!o7)nt o+ t' nu!sin% "!o+ssion
and 'a#t' ca! in t' P'i#i""ins& T' na) o+ t' NLPGN Rco%nition
awa!d was a#so na)d a+t! '!:A& Anastacia Gi!on Tu"as C&
AnniB& 3!ancisca D#%ado D. Annie 3an*eSITUATION: Nu!sin% is a
"!o+ssion& T' nu!s s'ou#d 'a7 a /ac1%!ound on t' t'o!is and
+oundation o+ nu!sin% as it in+#uncd w'at is nu!sin%
toda$&.(& Nu!sin% is t' "!otction* "!o)otion and
o"ti)iAation o+ 'a#t' and a/i#itis* "!7ntion o+ i##nss and inBu!$*
a##7iation o+ su++!in% t'!ou%' t' dia%nosis and t!at)nt o+ 'u)an
!s"ons and ad7ocac$ in t' ca! o+ t' indi7idua#s* +a)i#is*
co))unitis and t' "o"u#ation& T'is is t' )ost acc"td d+inition
o+ nu!sin% as d+ind /$ t':A& PNA B. A2A C& Ni%'tin%a#
D& Hnd!son..& Ad7anc)nt in Nu!sin% #ads to t' d7#o")nt o+
t' E>"andd Ca!! Ro#s& ,'ic' o+ t' +o##owin% is NOT an
>"andd ca!! !o# +o! nu!ss-A& Nu!s "!actition! C& Nu!s
Rsa!c'!B& C#inica# nu!s s"cia#ist D. 2urse
anaesthesiologist.0& T' Boa!d o+ Nu!sin% !%u#atd t' Nu!sin%
"!o+ssion in t' P'i#i""ins and is !s"onsi/# +o! t' )aintnanc o+ t'
:ua#it$ o+ nu!sin% in t' count!$& Pow!s and dutis o+ t' /oa!d
o+ nu!sin% a! t' +o##owin%* EXCEPT: A& Issu* sus"nd* !7o1
c!ti+icats o+ !%ist!ationB& Issu su/"ona ducs tcu)* ad
tsti+icandu)C. 7pen an* close colleges of nursingD& Su"!7is and
!%u#at t' "!actic o+ nu!sin%.2& A nu!sin% studnt o! a /%innin%
sta++ nu!s w'o 'as not $t >"!incd nou%' !a# situations to )a1
Bud%)nts a/out t') is in w'at sta% o+ Nu!sin% E>"!tis-A. 2o)ice
B& Nw/i C& Ad7ancd B%inn! D& Co)"tnt.4&Bnn!?s "!tis
in t' cont>t o+ 'a7in%:A& t' a/i#it$ to o!%aniA and "#an
acti7itisB& 'a7in% attaind an ad7ancd #7# o+ ducationC. a
holistic un*erstan*ing an* perception of the clientD& intuiti7
and ana#$tic a/i#it$ in nw situationsSITUATION: T' nu!s 'as /n as1d
to ad)inist! an inBction 7ia C TRAC@ tc'ni:u& Dustions 6 to (5
!+! to t'is&.6& T' nu!s "!"a!s an IM inBction +o! an adu#t
c#int usin% t' C t!ac1 tc'ni:u& 2 )# o+ )dication is to /
ad)inist!d to t' c#int& ,'ic' o+ t' +o##owin% sit wi## $ou
c'oos-A& D#toid B& Rctus +)o!is C. 8entrogluteal D&
Eastus #at!a#is.8& In in+ants ( $a! o#d and /#ow* w'ic' o+ t'
+o##owin% is t' sit o+ c'oic +o! int!a)uscu#a!InBction-A&
D#toid B& Rctus +)o!is C& Ent!o%#uta# D. 8astus
lateralis.9& In o!d! to dc!as disco)+o!t in C t!ac1
ad)inist!ation* w'ic' o+ t' +o##owin% is a""#ica/#-A. Pierce the
skin 9uickly an* smoothly at a '& *egree angleB& InBct t'
)dication stadi#$ at a!ound (5 )inuts "! )i##i#it!C& Pu## /ac1
t' "#un%! and as"i!at +o! ( )inut to )a1 su! t'at t' nd# did not
'it a /#ood 7ss#D& Pi!c t' s1in s#ow#$ and ca!+u##$ at a ;5 d%!
an%#.;& A+t! inBction usin% t' C t!ac1 tc'ni:u* t' nu!s s'ou#d
1now t'at s' nds to wait +o! a +w sconds /+o! wit'd!awin% t' nd#
and t'is is to a##ow t' )dication to dis"!s into t' )usc# tissu*
t'us dc!asin% t' c#int?s disco)+o!t& How )an$ sconds s'ou#d t'
nu!s wait /+o! wit'd!awin% t' nd#-A& . sconds B& 4 sconds
C. 4& secon*s D& (4 sconds05& T' !ationa# in usin% t' C
t!ac1 tc'ni:u in an int!a)uscu#a! inBction is:A. .t *ecreases the
leakage of *iscolouring an* irritating me*ication into the
subcutaneous tissuesB& It wi## a##ow a +ast! a/so!"tion o+ t'
)dicationC& T' C t!ac1 tc'ni:u "!7nt i!!itation o+ t'
)usc#D& It is )uc' )o! con7nint +o! t' nu!sSITUATION: A C#int
was !us'd to t' )!%nc$ !oo) and $ou a! 'is attndin% nu!s& You
a! "!+o!)in% a 7ita# si%n assss)nt&0(& A## o+ t' +o##owin%
a! co!!ct )t'ods in assss)nt o+ t' /#ood "!ssu! EXCEPT:A& Ta1
t' /#ood "!ssu! !adin% on /ot' a!)s +o! co)"a!isonB& Listn to
and idnti+$ t' "'ass o+ @o!ot1o++?s soundC. Pump the cuff to aroun*
:& mmHg abo)e the point -here the pulse is obliterate*D&
O/s!7 "!ocdu!s +o! in+ction cont!o#0.& You attac'd a "u#s
o>i)t! to t' c#int& You 1now t'at t' "u!"os is to:A&
Dt!)in i+ t' c#int?s ')o%#o/in #7# is #ow and i+ ' nds /#ood
t!ans+usionB& C'c1 #7# o+ c#int?s tissu "!+usionC& Masu! t'
++icac$ o+ t' c#int?s antiF'$"!tnsi7 )dicationsD. Detect o;ygen
saturation of arterial bloo* before symptoms of hypo;emia
*e)elops00& A+t! a +w 'ou!s in t' E)!%nc$ Roo)* T' c#int is
ad)ittd to t' wa!d wit' an o!d! o+ 'ou!#$ )onito!in% o+ /#ood
"!ssu!& T' nu!s +inds t'at t' cu++ is too na!!ow and t'is wi##
caus t' /#ood "!ssu! !adin% to /:A& inconsistntB& #ow
s$sto#ic and 'i%' diasto#icC. higher than -hat the rea*ing shoul*
beD& #ow! t'an w'at t' !adin% s'ou#d /02& T'!ou%' t'
c#int?s 'a#t' 'isto!$* $ou %at'! t'at t' "atint s)o1s and d!in1s
co++& ,'n ta1in% t' /#ood "!ssu! o+ a c#int w'o !cnt#$ s)o1d o!
d!an1 co++* 'ow #on% s'ou#d t' nu!s wait /+o! ta1in% t' c#int?s
/#ood "!ssu! +o! accu!at !adin%-A& (4 )inutsB. #&
minutesC& ( 'ou!D& 4 )inuts04& ,'i# t' c#int 'as "u#s
o>i)t! on 'is +in%!ti"* $ou notic t'at t' sun#i%'t is s'inin% on
t' a!a w'! t' o>i)t! is& You! action wi## / to:A& St and
tu!n on t' a#a!) o+ t' o>i)t!B& Do not'in% sinc t'! is no
idnti+id "!o/#)C. Co)er the fingertip sensor -ith a to-el or
be*sheetD& C'an% t' #ocation o+ t' snso! 7!$ +ou! 'ou!s06&
T' nu!s +inds it ncssa!$ to !c'c1 t' /#ood "!ssu! !adin%& In
cas o+ suc' ! assss)nt* t' nu!s s'ou#d wait +o! a "!iod o+:A&
(4 sconds B. 4 tominutes C& 05 )inuts D& (4 )inuts08&
I+ t' a!) is said to / #7atd w'n ta1in% t' /#ood "!ssu!* it wi##
c!at a:A& 3a#s 'i%' !adin% B. ,alse lo- rea*ing C& T!u +a#s
!adin% D& Indt!)inat09& You a! to assssd t' t)"!atu! o+ t'
c#int t' n>t )o!nin% and +ound out t'at ' at ic c!a)& How
)an$ )inuts s'ou#d $ou wait /+o! assssin% t' c#int?s o!a#
t)"!atu!-A& (5 )inuts B& .5 )inuts C. #& minutes D&
(4 )inuts0;& ,'n auscu#tatin% t' c#int?s /#ood "!ssu! t' nu!s
'a!s t' +o##owin%: 3!o) (45 ))H% to (05 ))H%: Si#nc* T'n: a
t'u)"in% sound continuin% down to (55 ))H%G )u++#d sound continuin%
down to 95 ))H% and t'n si#nc& ,'at is t' c#int?s /#ood
"!ssu!-A. 4#&it$ dsc!i"tion and wi## / cat%o!iAd as it'! MILD*
MODERATE o! SEEERE=EI& Post )astcto)$ wo)an a%s 05 to
45&EII& (5 Post )astcto)$ wo)an a%s 05 to 45 na)#$ : Ma%da*
Ma!ia* Hn!osa* Iad* A#na* @at!ina* Ma%da* Eio#ta* Dana and
D7ita&EIII& A#in% A#naIX& T' !#ations'i" /twn Bod$ I)a%
and S#+ Est) #7#s o+ wo)an "ostF)astcto)$X& Mas#ow notd two
7!sions o+ st) nds* a #ow! on and a 'i%'! on&T' #ow! on is t'
nd +o! t' !s"ct o+ ot'!s* t' nd +o! status* +a)* %#o!$* !co%nition*
attntion* !"utation* a""!ciation* di%nit$* 7n do)inanc&T' 'i%'!
+o!) in7o#7s t' nd +o! s#+F!s"ct* inc#udin% suc' +#in%s as
con+idnc* co)"tnc* ac'i7)nt* )ast!$* ind"ndnc* and
+!do)&XI& A )iniatu!* t!ia# 7!sion o+ t' stud$ was conductd
/+o! t' actua# !sa!c'& T'is is to "!7nt an$ +utu! disast! t'at
)i%'t !su#ts +!o) inco!!ct data ana#$sis* data co##ction "!ocdu!s
and !sa!c' dsi%n&46& ,'ic' stat)nt d#i7!s t' tit# o+ t'
!sa!c'-A& II B& EI C. .@ D& IE48& Pa!a%!a"' nu)/! X
is $ou!:A& Conc"tua# +!a)wo!1 C& R7iw o+ !#atd #it!atu!B.
Theoretical frame-ork D& Int!oduction49& Pa!a%!a"' nu)/! IE
is $ou!:A. Theoretical *efinition C& O"!ationa# D+initionB&
Conc"tua# d+inition D& Dsc!i"tion4;& Pa!a%!a"' nu)/! E is
$ou!:A& T'o!tica# d+inition C. 7perational DefinitionB&
Conc"tua# d+inition D& Dsc!i"tion65& ,'ic' "a!a%!a"' d+ins
$ou! ta!%t "o"u#ation o! t' %!ou" o+ int!st-A. 8. B& EII C&
EIII D& IX6(& ,'ic' "a!a%!a"' d+ins $ou! su/%!ou" c'osn to
!"!snt $ou! ta!%t "o"u#ation-A& EI B. 8.. C& EIII D&
IX6.& Pa!a%!a"' nu)/! EIII is $ou!:A& Sa)"# C&
Po"u#ationB& Su/Bct D. Element60& Pa!a%!a"' nu)/! XI is
$ou!:A& Dsi%n C& Int!oductionB& Po"u#ation D. Pilot
3tu*y62& ,'ic' "a!a%!a"' s'ows $ou! "!o/#) stat)nt-A&
IB& II C. ... D& IX64& An a""!o"!iat tit# +o! t'is
stud$ is /st s'own /$ w'ic' "a!a%!a"'-A& IB& II C& III
D. .@66& ,'ic' is $ou! Ind"ndnt 7a!ia/#-A. Positi)e bo*y image
C& Hi%'! s#+ st)B& Post )astcto)$ wo)an D&
Mastcto)$68& ,'ic' is $ou! D"ndnt 7a!ia/#-A& Positi7 /od$
i)a% C. Higher self esteemB& Post )astcto)$ wo)an D&
Mastcto)$69& ,'ic' 7a!ia/# is )ani"u#atd-A& Positi7 /od$
i)a% C& Hi%'! s#+ st)B& Post )astcto)$ wo)an D. 2one6;&
,'at is t' /st !sa!c' dsi%n t'at $ou can us in t'is stud$-A.
?ualitati)e C& Non E>"!i)nta#B& E>"!i)nta# D&
Duantitati785& ,'ic' "a!a%!a"' R7iws t' !#atd #it!atu!-A. .
B& X C& XI D& IXSITUATION: Scinti+ic Mana%)nt was
sta/#is'd in o!d! to ana#$A and s$nt'siA wo!1+o!c to i)"!o7 #a/ou!
"!oducti7it$& , /#i7 t'at to acco)"#is' a c!tain tas1* t'! is
a#wa$s a /st )o7&8(& To "!+o!) a tas1 wit' :ua#it$* s"d and
)ini)a# wast o+ /ot' !sou!cs and ti) a! a## c'a!act!istics
o+:A& T'ou!ou%'nss B. Efficiency C& R#ia/i#it$ D&
Ana#$tic Sns8.& T' co! idas t'at )o7)nts s'ou#d / )asu!d and t'
/st )otions s'ou#d / usd to "!+o!) a tas1 at a %!at! s"d and
)o/i#it$ a! t' !oot +oundation o+ t' Scinti+ic t'o!$ o+
Mana%)nt& 3oundd in (995 /$:A& Li#ian Gi#/!t' B& 3!an1
Gi#/!t' C& BnBa)in G!a'a) D. ,.W.Taylor80& A +o!) o+
!acti7it$ w'!/$ su/Bcts i)"!o7 an as"ct o+ t'i! /'a7io! /in%
>"!i)nta##$ )asu!d si)"#$ in !s"ons to t' +act t'at t'$M! /in%
studid is 1nown as t':A. Ha-thorne Effect B& Ho!ns E++ct C&
Ha#o E++ct D& Pa!to E++ct82& P#annin%* O!%aniAin%* Di!ctin%
and Cont!o##in% a! t' +ou! "!i)a!$ +unctions in )ana%)nt& T'is
was int!oducd /$:A. Henry ,ayol B& E#ton Ma$o C& Li#ian
Gi#/!t' D& Dou%#as McG!%o! 84& ,'ic' o+ t' +o##owin% /st
dsc!i/d t' Pa!to "!inci"# d7#o"d /$ Ios"' Iu!an-A&
S"cia#iAation is ndd +o! an indi7idua# to d7#o" )ast!$ and
++icinc$B& X a! /st #ad usin% autoc!atic #ad!s'i" w'i# Y a! #ad
usin% #aissA +i!C. ,or many e)ents, roughly =&A of the effects
come from &A of the causesD& Eac' wo!1! s'ou#d on#$ !"o!t
to on su"!io!Situation: Bud%tin% is an i)"o!tant "a!t o+ a nu!s
)ana%!ia# acti7it$& T' co!!ct a##ocation and dist!i/ution o+
!sou!cs is 7ita# in t' 'a!)onious o"!ation o+ t' +inancia# /a#anc
o+ t' a%nc$& 86& ,'ic' o+ t' +o##owin% /st d+ins Bud%t-A.
Plan for the allocation of resourcesfor future useB& T' "!ocss
o+ a##ocatin% !sou!cs +o! +utu! us C& Esti)at cost o+
>"nssD& Continuous "!ocss in sin% t'at t' %oa#s and o/Bcti7
o+ t' a%nc$ is )t88& ,'ic' o+ t' +o##owin% /st d+ins Ca"ita#
Bud%t-A& Bud%t to sti)at t' cost o+ di!ct #a/ou!* nu)/! o+
sta++ to / 'i!d and ncssa!$ nu)/! o+ wo!1!s to )t t' %n!a# "atint
ndsB& Inc#uds t' )ont'#$ and dai#$ >"nss and >"ctd !7nu
and >"nssC. These are relate* to long term planning an* inclu*es
maBor replacement or e;pansion of the plant, maBor e9uipments an*
in)entories. D& T's a! >"nss t'at a! not d"ndnt on t' #7# o+
"!oduction o! sa#s& T'$ tnd to / ti)F!#atd* suc' as sa#a!is o!
!nts /in% "aid "! )ont'89& ,'ic' o+ t' +o##owin% /st dsc!i/d
O"!ationa# Bud%t-A& Bud%t to sti)at t' cost o+ di!ct #a/ou!*
nu)/! o+ sta++ to / 'i!d and ncssa!$ nu)/! o+ wo!1!s to )t t' %n!a#
"atint ndsB. .nclu*es the monthly an* *aily e;penses an* e;pecte*
re)enue an* e;pensesC& T's a! !#atd to #on% t!) "#annin% and
inc#uds )aBo! !"#ac)nt o! >"ansion o+ t' "#ant* )aBo! :ui")nts
and in7nto!is& D& T's a! >"nss t'at a! not d"ndnt on t'
#7# o+ "!oduction o! sa#s& T'$ tnd to / ti)F!#atd* suc' as
!nt8;& ,'ic' o+ t' +o##owin% accu!at#$ dsc!i/s a 3i>d Cost
in /ud%tin%-A& T's a! usua##$ t' !aw )at!ia#s and #a/o! sa#a!is
t'at d"nd on t' "!oduction o! sa#sB& T's a! >"nss t'at c'an%
in "!o"o!tion to t' acti7it$ o+ a /usinssC. These are e;penses that
are not *epen*ent on the le)el of pro*uction or sales. They ten* to
be time>relate*, such as rentD& T'is is t' su))ation o+ t'
Ea!ia/# Cost and t' 3i>d Cost95& ,'ic' o+ t' +o##owin%
accu!at#$ dsc!i/s Ea!ia/# Cost in /ud%tin%-A& T's a! !#atd to
#on% t!) "#annin% and inc#ud )aBo! !"#ac)nt o! >"ansion o+ t'
"#ant* )aBo! :ui")nts and in7nto!is&B. These are e;penses that
change in proportion to the acti)ity of a businessC& T's a!
>"nss t'at a! not d"ndnt on t' #7# o+ "!oduction o! sa#s&
T'$ tnd to / ti)F!#atd* suc' as !ntD& T'is is t' su))ation o+
t' Ea!ia/# Cost and t' 3i>d CostSituation: T' 'u)an /od$ is a
co)"#> s$st) o+ int!!#atd c##s* tissus and o!%ans t'at "!+o!)s
7ita# +unctions ncssa!$ to sustain #i+& @now#d% o+ /asic
anato)$ is ssntia# to und!stand 'ow w## ou! /od$ ada"ts to t'
d)ands o+ #i+& 9(& ,'at %#and sc!ts t' 'u)an %!owt' 'o!)on
o! t' so)atot!o"in-A& H$"ot'a#a)us C. Anterior pituitary
glan*B& Post!io! Pituita!$ G#and D& Li7!9.& T' %#and
!s"onsi/# +o! s$nt'siAin% and "!oducin% 7aso"!ssin o! antiFdiu!tic
'o!)on is t':A. Hypothalamus C& Ant!io! "ituita!$ %#andB&
Post!io! Pituita!$ G#and D& Panc!as90& RAAS o! t'
!nninFan%iotnsinFa#dost!on )c'anis) "!oducs w'ic' ++ct in t'
/od$-A& Easodi#ation and inc!as sodiu) and wat!
!a/so!"tionB& Easoconst!iction and dc!as sodiu) and wat!
!a/so!"tionC& Easodi#ation and dc!as sodiu) and wat!
!sa/so!"tionD. 8asoconstriction an* increase so*ium an* -ater
reabsoprtion92& H)ato"oisis in a +u## %!own adu#t occu!s )ain#$
in t':A. Ce* bone marro- C& Y##ow /on )a!!owB& Li7! D&
S"#n94& T' !s"i!ato!$ cnt!* w'ic' cont!o#s !s"i!ation* is
#ocatd in t':A. 1e*ulla 7blongata C& H$"ot'a#a)usB& Pons
Ea!o#ii D& Lun%s and Dia"'!a%)Situation N T' )ana%!ia# "!ocss
is a 7!$ i)"o!tant too# t'at '#"s nu!s )ana%! in "!+o!)in% di++!nt
)ana%!ia# tas1s& T' +o##owin% :ustions tst $ou! 1now#d% on t's
)ana%!ia# "!inci"#s&96& Acco!din% to @atA* t' 0 ncssa!$
+unda)nta# s1i##s o+ a )ana%! a!:(& Tc'nica#.& Hu)an0&
Conc"tua#2& O"!ationa#4& 3inancia#A. 4,,# B& (*0*2
C& (*2*4 D& 0*2*4 E& (*.*0*2*498& T'is s1i## da#s
wit' t' a/i#it$ to s indi7idua# )att!s as t'$ !#at to t' tota#
"ictu! and to d7#o" c!ati7 wa$s o+ idnti+$in% "!tinnt +acto!s*
!s"ondin% to /i% "!o/#)s and disca!din% i!!#7ant +acts: A&
Tc'nica# B& Hu)an C. Conceptual D& O"!ationa#99& In
t'is )ana%!ia# s1i##* it da#s wit' !#atin% wit' "o"# and 'ow to da#
wit' t'):A& Tc'nica# B. Human C& Conc"tua# D&
O"!ationa#9;& T'is s1i## is t' "!+o!)anc o+ an acti7it$ in a
co!!ct )ann! and !i%'t tc'ni:u:A. Technical B& Hu)an C&
Conc"tua# D& O"!ationa#;5& As an nt!$ #7# )ana%!* $ou a!
!:ui!d to 'a7 at#ast:A. ' units of gra*uate stu*ies in nursing
C& Mast!?s d%! in nu!sin% B& ( unit o+ %!aduat studis in
nu!sin% D& (55 'ou!s o+ continuin% "!o+ssiona# ducation;(&
Eision stats t':A. ,uture role an* functionB& T' !ason +o!
>istncC& T' /#i+ o+ an a%nc$D& T'in%s t'at t' a%nc$
wants to ac'i7;.& ,'ic' o+ t' +o##owin% stats t' a%nc$?s
/#i+& Ea#us* ida#s and "u!"oss to ac'i7 t' a%nc$?s )ission and
%oa#s- A& Mission B& Eision C. Philosophy D& Goa#s and
O/Bcti7s;0& D7#o")nt o+ Bo/ dsc!i"tion and :ua#i+ications o+
'os"ita# "!sonn# a! a## "!+o!)d du!in% w'ic' )ana%!ia# "'as-A&
P#annin% B. 7rganiDing C& Di!ctin% D& Cont!o##in%;2&
Co))unication as w## as coo!dination wit' 7a!ious ))/!s o+ t' 'a#t'
ca! ta) a! "!+o!)d du!in% w'ic' )ana%!ia# "'as-A& P#annin%
B& O!%aniAin% C. Directing D& Cont!o##in%;4& Dua#it$
assu!anc* t' nu!sin% audit* standa!ds suc' as "!ocss* st!uctu! and
outco) a! a## uti#iAd and "!+o!)d du!in% w'ic' )ana%!ia#
"'as-A& P#annin% B& O!%aniAin% C& Di!ctin% D.
Controlling;6& Bud%tin% is +o!)u#atd du!in% w'ic' )ana%!ia#
"'as-A. Planning B& O!%aniAin% C& Di!ctin% D&
Cont!o##in%;8& T' 'os"ita# Bust ac:ui!d a nw 7nti#ato! as w##
as an anast'sia )ac'in& T'is is co7!d usin% w'ic' t$" o+
/ud%t-A. Capital B& Cas' C& O"!ationa# D&
P!sonn#;9& T' sa#a!$ o+ t' )"#o$* )"#o$ /n+its as w## as in
s!7ic ducation "!o%!a)s a! a## co7!d usin% w'ic' /ud%t-A&
Ca"ita# B& Cas' C. 7perational D& P!sonn#;;& T'is /ud%t
is t' cas' on 'and o! t' a)ount o+ )on$ to / co##ctd +!o) t' "atint
in t' 'os"ita#& A& Ca"ita# B. Cash C& O"!ationa# D&
P!sonn#(55& T' )ont'#$ +s suc' as #ct!icit$* wat!* int!nt and
)a%aAin su/sc!i"tion /i##s a! a## co7!d usin% w'ic' t$" o+
/ud%t-A& Ca"ita# B& Cas' C. 7perational D&
P!sonn#PREBOARD EXAMINATIONNURSING PRACTICE II(& ,'ic' o+ t'
+o##owin% /st d+ins COPAR-A. Process -hereby the community members
*e)elop their capability to assess their health nee*s an*problems,
Plan an* implement actions to sol)e these problemsB& P!o)otion
and "!s!7ation o+ t' 'a#t' o+ t' "u/#ic C& P!ocss in w'ic'*
T'nu!s conducts acti7itis t'at wi## '#" +o!) t' "o"#?s o!%aniAation
D& P!ocss w'!/$ t' nu!s d7#o" t' ca"a/i#it$ to assss t' nds and
"!o/#)s o+ t' co))unit$* P#an Oand i)"#)nt actions ncssa!$ to so#7
t'i! "!o/#)s.& COPAR stands +o!:A. Community 7rganiDing
Participatory Action CesearchB& Co))unit$ O!%aniAin%
Pa!tici"ato!$ Actin% Rsa!c'C& Co))unit$ O!%aniAin% P!o+i#in%
Action Rsa!c'D& Co))unit$ O!%aniAation Pa!tici"ation Action and
Rsa!c'0& T' nu!s s#cts t' a""!o"!iat A!a* Idnti+$in% t'
"o"u#ation c'a!act!istics and t' actua# Li7in% wit' t' "o"# a! a##
"!+o!)d du!in% w'ic' COPAR "'as-A. Preparatory phase C&
Education and T!ainin% "'asB& O!%aniAationa# "'as D& P'as
Out2& In w'ic' "'as dos t' nu!s tu!ns o7! t' wo!1 and d7#o"s a
"#an +o! )onito!in% and )a1in% +o##ow u" o+ t' o!%aniAationa#
acti7itis +o! t' co))unit$ to ac'i7 s#+ !#ianc-A& P!"a!ato!$
"'as C& Education and T!ainin% "'asB& O!%aniAationa# "'as
D. Phase 7ut4& Du!in% t' o!%aniAationa# "'as* t' nu!s s'ou#d
s"ot "otntia# #ad!s& T' co##ction o+ t' co))unit$ Lad!s is
1nown as t' CORE GROUP& T' st$# o+ #ad!s'i" ncssa!$ to ac'i7
s#+ !#ianc at t' nd "'as O+ COPAR is:A& Bu!auc!atic C&
LaissA 3ai! B& Autoc!atic D. DemocraticSITUATION: Mi%u# and
Io## a! cou"#s as1in% $ou a/out )t'ods o+ cont!ac"tion&6&
A/stinnc is "!'a"s t' SUREST and t' )ost E33ECTIEE ,AY to "!7nt
"!%nanc$* /ut o/7ious#$ not t' /st& Educatin% t' c#int a/out
a/stinnc #ads to #ss "!otction w'n it co)s to s>ua# int!cou!s
t'at #ads to 'i%'! STD !ats& Io## as1d $ou a/out a natu!a# wa$
to "!7nt "!%nanc$ /$ c'c1in% '! c!7ica# )ucus& T'is is 1nown
as:A& S$)"tot'!)a# )t'od C& C!7ica# Mucus )t'odB&
Bi##in%s )t'odD. All of these8& A )o! ++cti7 wa$ t'an C!7ica#
)ucus )t'od a#on* in t'is )t'od* Io## wi## co)/in /ot' BBT as w##
as C!7ica# )ucus )t'od:A. 3ymptothermal metho* C& LAMB&
Bi##in%s )t'od D& Coitus Int!!u"tus9& In Basa# Bod$
T)"!atu! )t'od* t' wo)an s'ou#d watc' +o! a +a## o+ '! t)"!atu! o+
'a#+ a d%! 3a'!n'it +o##owd /$ an inc!as o+ a +u## d%!& T'is is
/caus o+ t' 'o!)on:A& Est!o%n C& And!o%nB.
ProgesteroneD& Tstost!on;& Ma$ .0* .55;& Io##
>"!incd a 5&4 D%! 3a'!n'it d!o" on '! t)"!atu! +o##owd /$ a
(&( d%! inc!as t' n>t da$& ,'n s'ou#d s' a7oid
coitus-A& Ma$ ..* .55; C. 1ay !,:,$ an* + &&'B& Ma$
.0*.2*.4 .55; D& Ma$ .2 to Iun (5 .55;(5& LAM is on#$
++cti7 du!in% t' +i!st:A& Mont' C& 0 )ont'sB& Ya! D. $
months((& I+ Io## wi## 'a7 a !co!d o+ t' +o##owin% #n%t' o+
)nst!ua# c$c# : C$c# (F.6* C$c# .F.4* C$c# 0F.6* C$c# 2F.;* C$c#
4F.9* C$c# 6F.;& ,'n s'ou#d s' a/stain s>ua# int!cou!s i+ s'
wi## us t' ca#nda! )t'od-A. +th to 4=th *ay of the 1enstrual cycle
C& 9t' to (9t' da$ o+ t' Mnst!ua# C$c#B& 6t' to (8t' da$ o+
t' Mnst!ua# c$c# D& ;t' to t' (;t' da$ o+ t' Mnst!ua#
C$c#(.& Io## %ts '! "!iod on Ianua!$ 9* .55; and t'n a%ain on
3/!ua!$ .* .55;& How #on% is '! Mnst!ua# C$c# Da$s-A& .2
B.: C&.6 D&.8(0& In s#ctin% t' BEST cont!ac"ti7 )t'ods*
w'ic' o+ t' +o##owin% s'ou#d / at t' 'i%'st "!io!it$-A. The
acceptance of the couple C& T' cu#tu! o+ t' cou"#B& T'
!#i%ious /#i+ o+ t' cou"# D& T' >"!t o"inion o+ t'
Nu!s(2& ,'ic' o+ t' +o##owin% condition* I+ Io## "osssss* )i%'t
/ a 'ind!anc in IUD ins!tion-A. 3TD C& S' is 05 $a!s o#dB&
Mu#ti"a!it$ D& Histo!$ o+ 'a7in% twin "!%nancis (4& IUD a!
not !co))ndd +o! ado#scnts /caus o+ w'ic' o+ t' +o##owin% !asons-A.
They ha)e multiple se; partners an* usually nulligra)i*aB& T'i!
ut!us is not $t )atu!d and sti## %!owin%C& T'i! ut!us is
disto!td in s'a" o! siAD& T'$ a! )o! #i1#$ to ac:ui!
TSSSituation : You! nu!sin% unit "#ans to conduct a stud$ on t' us
o+ st!uctu!d "!o"!ati7 "!"a!ation in #ssnin% t' d)and +o!
"ostFo"!ati7 "ain )dications&(6& ,'ic' o+ t' +o##owin%
!sa!c' acti7itis s'ou#d $ou initia##$ do- A& +ind out +!o)
int!7iw 'ow )an$ "atints a! wi##in% to "a!tici"at B& %t t'
"!)ission +!o) t' 'os"ita# di!cto! C. re)ie- literature on the
topic D& "!"a! t' too# +o! co##ctin% data (8& ,'ic' o+ t'
+o##owin% stat)nts do NOT cont!i/ut to t' !sa!c'a/i#t$ o+ $ou!
"!o"osd "!o/#)- A& "otntia# us o+ +indin%sC& w##Fd+ind
"!o/#) stat)nt B. rea*ability of fin*ingsD& )asu!a/i#it$ o+
7a!ia/#s (9& Astud$ H!sa!c' ta/# s'ou#d NOT contain w'ic' o+ t'
+o##owin% - A& cat%o!is o+ data co##ctdC& s"ci+ic tit# o+
ta/# B& !#7ant !ows and co#u)nsD. names an* sample of the
selecte* (;& ,'ic' o+ t' +o##owin% actions wi## +aci#itat
ana#$sis o+ !sa!c' data- A& consu#t a "'$sicianC& consu#ta
co)"#t >"!t B& consu#t an ad7is!D. categoriDe *ata collecte*
.5& T' !sa!c' )t'odo#o%$ t'at is a""!o"!iat +o! t' a/o7 "!o/#)
wou#d /:A& dsc!i"ti7 B& no!)ati7 C. e;perimentalD&
:uasi >"!i)nta#.(& ,'ic' o+ t' +o##owin% is t' )ost
i)"o!tant !ason +o! doin% a #it!atu! !7iw +o! const!uctin% a !sa!c'
stud$-A& '#"+u# in+o!)ation on d)o%!a"'ic inst!u)nt d7#o")nt
cou#d / unco7!dB. e;isting kno-le*ge about the i*entifie* problem
can be foun*C& a dt!)ination o+ t' stud$?s +asi/i#it$ cou#d /
>t!a"o#atdD& t' !sa!c' dsi%n can / co"id +!o) anot'!
stud$..& ,'ic' t$" o+ !sa!c' in:ui!$ in7sti%ats t' issus o+
'u)an co)"#>it$ K & %&und!standin% t' 'u)an
>"!tis-LA& "ositi7is) C& #o%ica# "ositionB&
:uantitati7 !sa!c'D. natural in9uiry.0& ,'ic' o+ t' +o##owin%
)i%'t "!7nt t' conduct o+ a !sa!c' stud$-A. in or*er to gather *ata
for the research, e;cessi)e risk to subBect is re9uire*B& costs
+o! conductin% t' stud$ a! #ow co)"a!d to t' "otntia# /n+its +!o)
t' !sa!c'!C& t' idnti+id "!o/#) is co7!d in t' #it!atu!D&
t' !sa!c' "!o/#) is /asd on untstd nu!sin% t'o!is.2& E7!$ $a! w
disco7! nw )t'ods o! %ad%ts to i)"!o7 )an?s #i+& T' !sa!c' t$"d
usd o+ t'is natu! is:A. applie* C& >"!i)nta#B&
d7#o")nta# D& :uantitati7.4& @P is "a!tici"atin% in a
ca!diac stud$ in w'ic' 'is "'$sician is di!ct#$ in7o#7d& ,'ic'
stat)nt /$ @P indicats a #ac1 o+ und!standin% a/out 'is !i%'ts as a
!sa!c' stud$ "a!tici"ant-A& !&&D& (*.55 o!
)o!05& C#ina?s "a!nts want to 1now 'ow to !act to '! w'n s'
/%ins to )astu!/at w'i# watc'in% t#7ision& ,'at wou#d $ou
su%%st-A& T'$ %i7 '! c"t:A& Con7u#sionsB& Lt'a!%$C.
Bloo* in the stoolD& Eo)itin%SITUATION : T' IMCI st!at%$
inc#uds /ot' "!7nti7 and cu!ati7 int!7ntions t'at ai) to i)"!o7
"!actics in 'a#t' +aci#itis* t' 'a#t' s$st) and at 'o)& At t'
co! o+ t' st!at%$ is int%!atd cas )ana%)nt o+ t' )ost co))on
c'i#d'ood "!o/#)s wit' a +ocus on t' )ost co))on causs o+ dat'&
86& A## /ut on o+ t' +o##owin% a! st!at%is o+ t' int%!atd
)ana%)nt o+ c'i#d'ood:A& I)"!o7)nts in t' casF)ana%)nt s1i##s
o+ 'a#t' sta++ t'!ou%' t' "!o7ision o+ #oca##$Fada"td %uid#ins on
int%!atd )ana%)nt o+ c'i#d'ood i##nss and acti7itis to "!o)ot t'i!
usB& I)"!o7)nts in t' o7!a## 'a#t' s$st) !:ui!d +o! ++cti7
)ana%)nt o+ c'i#d'ood i##nssGC& I)"!o7)nts in +a)i#$ and
co))unit$ 'a#t' ca! "!acticsD. All sick chil*ren must be e;amine*
for Egeneral *anger signs/ -hich in*icate the nee* for imme*iate
referral or a*mission to a hospital88& T' co#o! $##ow
indicats:A& U!%nt !+!!a#B& Ho) t!at)ntC& 3u!t'!
o/s!7ationD. .nitiation of treatment89& In )ana%in% c'i#d'ood
i##nsss* ,'ic' a)on% t' +o##owin% is /in% usd /$ Nu!ss to co) out
wit' t' o"ti)a# )ana%)nt and dcidin% w't'! o! not t' c'i#d nds
u!%nt !+!!a# o! 'o) t!at)nt-A& Ta/#s and Ba! %!a"'sB& Gant
C'a!tC& 3#ow s't and 3#ow c'a!tsD. .ntegrate* case management
process8;& In a c'i#d c#assi+id as 'a7in% NO DEHYDRATION* w'ic'
a)on% t' +o##owin% s'ou#d not / %i7n as a +#uid +o! t' c'i#d-A&
Ta t'at t' c'i#d usua##$ d!in1sB& P#ain wat!C& a)ination
!7a#s no c'st ind!awin%* no ina/i#it$ to d!in1* no con7u#sion o!
an$ ot'! dan%! si%ns& 9(& E!ic1a is c#assi+id in IMCI
as:A& Pnu)onia not s7!B& No Pnu)oniaC. 8ery se)ere
*iseaseD& S7! "nu)onia9.& Und! t' "!o%!a)* )ana%)nt +o!
E!ic1a wou#d /:A& Ho) Ca!B. Ceferral to hospitalC& C#os
o/s!7ationD& O>$%n ad)inist!ation 90& In t' IMCI P!o%!a)
c#assi+ication o+ Cou%' o! di++icu#t$ o+ /!at'in%* A c'i#d w'o 'as
'a7in% on#$ on o+ t' dan%! si%n is c#assi+id as:(& G!n.&
Y##ow0& Pin12& Pnu)onia4& S7! "nu)onia6& E!$ s7!
disasA& (*2B& .*4C. #,$D& .*692& A cou%' +o! 0(
da$s is said to /:A& AcutB. ChronicC& Su/acutD& Dan%!
si%n94& 3ast /!at'in% cut o++ +o! !ic1a is:A& 65B& 45C.
!&D& 05SITUATION : T' +o##owin% :ustions asssss $ou!
1now#d% on t' di++!nt t$"s o+ dia%nostic >a)inations +o! a
"!%nant c#int& Co!!ct und!standin% o+ t's "!ocdu!s is 7ita# in
!nd!in% "!o"! nu!sin% ca!&96& A c#int in t' t'i!t$Fscond w1
o+ "!%nanc$ is sc'du#d +o! u#t!asono%!a"'$& T' nu!s >"#ains
t' "!ocdu! and in+o!)s t' c#int t'at +o! t'is tst s' wi## 'a7
to:A& B %i7n an n)a t' ni%'t /+o! t' >a)inationB. Cefrain
from )oi*ing for atleast # hours before the testC& B )onito!d
c#os#$ a+t!wa!d +o! si%ns o+ "!ci"itat #a/o!D& B 1"t NPO +o! (.
'ou!s to )ini)iA t' "ossi/i#it$ o+ 7o)itin%98& A )idd# a%d
c#int 'as an a)niocntsis du!in% t' si>tnt' w1 o+ %station /caus
o+ conc!n a/out Down s$nd!o)& E>a)ination o+ t' a)niotic
+#uid wi## a#so "!o7id in+o!)ation a/out:A& 3ta# dia/tsB&
3ta# #un% )atu!it$C& Ca!diac ano)a#isD. Presence of neural tube
*efects99& B+o! an a)niocntsis* a c#int is as1d to d!in1 9 oA
o+ +#uid& T'is is don to:A. .mpro)e ultrasonic )isualiDation of
the fetusB& H$d!at t' )ot'! and inc!as ci!cu#ationC& H$d!at
t' +tus and dc!as its )o7)ntD& R"#ac +#uid t'at )a$ / #ost
du!in% t' "!ocdu!9;& R'oGAM 'as /n o!d!d +o! an R'Fn%ati7 c#int
w'o 'as Bust d#i7!d& B+o! %i7in% t' )dication* t' nu!s )ust
7!i+$ t'at t' in+ant is:A& R' "ositi7* "ositi7 Coo)/sB. Ch
positi)e, negati)e CoombsC& R' n%ati7* "ositi7 Coo)/sD& R'
n%ati7* n%ati7 Coo)/s;5& Du!in% a nonst!ss tst* t' nu!s nots
t'! +ta# 'a!t !at inc!as o+ .5 /atsH)inut ac' #astin% +o! .5
sconds& T's inc!ass occu! on#$ wit' +ta# )o7)nt& ,'at dos
t'is +indin% su%%sts-A& T' c#int s'ou#d und!%o an o>$tocin
c'a##n% tstB& T' tst is inconc#usi7 and )ust / !"atdC& T'
+tus is non!acti7 and '$"o>icD. The fetus isn0t in *istress at
this timeSITUATION : B!ast canc! is t' )ost co))on canc! in +)a#s
and t' scond )ost +ata# a+t! #un% canc!& Ea!#$ dtction and
t!at)nt o+ /!ast canc! is t' 1$ to inc!as su!7i7a/i#it$&
;(& A 08 $a! o#d c#int 'as a :ustiona/# )a))o%!a"'$ and "!snts
at t' tu)o! c#inic wit' a non tnd! "a#"a/# /!ast )ass& S' is
und!%oin% +u!t'! dia%nosis to dt!)in i+ t' )ass is )a#i%nant&
Du!in% t' dia%nostic "'as* w'n "#annin% 'a#t' tac'in% +o! t'is
c#int* t' nu!s s'ou#d consid! t'at:A& S:ua)ous c## ca!cino)a a!
no"#as)s a!isin% +!o) %#andu#a! tissusB& Ma))o%!a"'$ s'ou#d /
!"atd to con+i!) t' "!snc o+ )a#i%nanc$C. The results of the biopsy
are necessary before selecting specific surgical therapyD& An
>tndd "!iod o+ ti) /twn sus"ctin% and con+i!)in% t' "!snc o+
canc! is '#"+u# to t' c#int;.& Canc! o+ t' /!ast is dia%nosd in
a 08 $a! o#d +)a#* and a )odi+id !adica# )astcto)$ is sc'du#d&
A+t! su!%!$* T' c#int is t!atd wit' a co)/ination t'!a"$ "!otoco#
t'at inc#uds do>o!u/icin KAd!ia)$cinL to "!7nt )tastass&
Ra#iAin% t' "otntia##$ to>ic ++cts o+ t'is d!u%* t' nu!s s'ou#d
o/s!7 +o! and i))diat#$ !"o!t:A& C#a! !d u!inB& Inc!asin%
a#o"ciaC. 7ccurrence of *ysryhtmiasD& E#7ation o+ s!u)
)a%nsiu);0& Anita is "!+o!)in% BSE and s' stands in +!ont o+ t'
Mi!!o!& T' !ationa# +o! standin% in +!ont o+ t' )i!!o! is to
c'c1 +o!:A& Unusua# disc'a!%s co)in% out +!o) t' /!astB&
An$ o/7ious )a#i%nanc$C. The 3iDe an* Contour of the breastD&
T'ic1nss and #u)"s in t' /!ast;2& An )!%in% tc'ni:u in sc!nin%
+o! B!ast Canc! in d7#o"in% count!is #i1 t' P'i#i""ins is:A&
Ma))o%!a"'$ onc a $a! sta!tin% at t' a% o+ 45B& C#inica# BSE
Onc a $a!C. B3E 7nce a monthD& Pa" s)a! sta!tin% at t' a% o+ (9
o! a!#i! i+ s>ua##$ acti7;4& T' )ost co))on co)"#ication
associatd "ost o" )astcto)$ is:A& H)o!!'a%B. 5ymphe*emaC&
S#+ st) distu!/ancD& Pain;6& Post o" )astcto)$* T' nu!s
wou#d do t' +o##owin% to "!7nt unncssa!$ inBu!$ to t' A!) o+ t'
c#int >c"t:A. BP taking from the affecte* armB& No IM
InBction to t' a++ctd a!)C& E#7atin% t' a++ctd a!)D&
P!7ntin% t!au)a and inBu!$ to t' a++ctd a!);8& ,'ic' o+ t's
)ani+station wou#d #ad on to sus"ct canc!-A& Pa#"a/# /!ast
)assB& Con%std /!astC& In7!td ni""#D. 7range peel
appearance of skin;9& ,'ic' o+ t' +o##owin% is !)o7d in a
)odi+id !adica# )astcto)$-A& Enti! /!ast* a>i##a!$
#$)"'nods* "cto!a#is )aBo! and )ino!B& Enti! /!ast* a>i##a!$
tai# and "cto!a# +asciaC& Enti! /!ast* a>i##a!$ #$)"' nods*
"cto!a#is )aBo!D. Entire breast an* a;illary lymphno*es;;& ,'n
)onito!in% ca!inas "ost o"!ati7 EHS& BP is not to / ta1n on t'
a!) o+ t' a++ctd sid& T' !ationa# is toA& P!7nt ')o!!'a%
+!o) o"!ati7 sitB. ,acilitate *rainageC& A7oid +u!t'!
const!iction o+ t' /#ood 7ss#D& Rduc sw##in% o+ t' a++ctd
a!)(55& C')ot'!a"$ was /%un& T' docto! o!d!d a#1$#atin%
a%nt& ,'ic' o+ t' +o##owin% is t' co)"#ication associatd wit'
t'is d!u%s-(& Tissu nc!osis +!o) >t!a7asation.&
H$"ot'!)ia0& Bon )a!!ow su""!ssion2& Rd u!inA& (*.B.
#,!C& .*2D& (*0PREBOARD EXAMINATIONNURSING PRACTICE
IIISituation: Dia/ts M##itus is t' )ost co))on ndoc!in diso!d!t'at
accounts +o! t' )aBo!it$ o+ non t!au)atic a)"utationas w## as t'
t'i!d #adin% caus o+ dat' /$ disas&(& ,'o a)on% t'
+o##owin% 'as t' 'i%'st !is1 in ac:ui!in% dia/ts )##itus-A&
@a!n* (; $a! o#d A+!ican A)!icanB& Ga!$* 2. $a! o#d* wit' a
Dia/tic )ot'!C& Ionat'an* .( $a! o#d* Asian* wit' a dia/tic
)ot'! and a sist! wit' dia/tsD. Chris, != year ol* -ith a B1. of
#&.& ,'ic' o+ t' +o##owin% is TRUE wit' !%a!ds to t' TYPE (
dia/ts )##itus-A& It accounts +o! t' )aBo!it$ o+ Dia/tsB&
A## c#ints wit' T$" ( DM 'as an a/so#ut #ac1 o+ insu#inC. The
insulin pro*ucing pancreatic beta cells pro*uces 27 or 5.TT5E
insulinD& Dit* E>!cis and OHA a! t' t!at)nt o+ c'oic0&
,'ic' o+ t' +o##owin% is t!u wit' !%a!ds to t' TYPE . dia/ts
)##itus-A& @tosis is co))onB& Usua##$ t'in at dia%nosis
wit' !cnt wi%'t #ossC& Onst is usua##$ at t' a!#$ .5sD. There
is no islet cells antibo*ies2& Os)otic di!sis occu!s w'n t'
1idn$s +ai#d to !a/so!/ a## t' +i#t!d %#ucos and u!in a""a!s in
t'u!in& T'is #ads to t' Po#$u!ia sn in DM& How )uc' /#ood
%#ucos #7# is !:ui!d to !ac' t' No!)a# 1idn$ %#ucos t'!s'o#d t'at
#ads to Po#$u!ia-A& 85 )%Hd# B& (25 )%Hd# C. &&
mg!cis C. .nsulinB& Ba#anc Dit D& OHA8& ,'i# in T$" .
Dia/ts* t' "!i)a!$ t!at)nt is:A. Weight loss C& OHAB&
E>!cis D& Insu#in9& In a c#int wit' "!sistnt #7atd /#ood
%#ucos #7# o+ .25)%Hd# o! )o!* @tosis s'ou#d / sus"ctd& T' nu!s
1nows t'at to dtct @tosis* w'ic' o+ t' +o##owin% s"ci)n is
o/taind-A& B#ood B& S"utu) C. Hrine D& 3cs;& I+
@tosis is "!snt* t' nu!s 1nows t'at t' insu#in to / %i7n is:A.
Cegular B& Int!)diatC& Lon% actin% D& U#t!a Lon%
Actin%(5& T' ac!on$) NPH stands +o!:A& No!)a# P!otin
Hu)a#o% C& No!)a# P!otin Ha%do!nB& Nut!a# P!ota)in Hu)a#o%
D. 2eutral Protamine Hage*ornSITUATION: Man% Ro/!to was #on%
dia%nosd wit' c'!onic !na# +ai#u!& You a! 'is nu!s and t'
+o##owin% :ustion asssss $ou! 1now#d% in t' di++!nt +#uid and
#ct!o#$t i)/a#ancs t'at a! associatd wit' c'!onic !na#
+ai#u!&((& Dis:ui#i/!iu) s$nd!o) is a#wa$s a !is1 in a##
c#ints und!%oin% ')odia#$sis +o! c'!onic !na# +ai#u!& T' nu!s
s'ou#d assss Man% Ro/!to +o! w'ic' o+ t' +o##owin% si%n and s$)"to)
associatd wit' Dis:ui#i/!iu) s$nd!o)-A& H$"!tnsion* Tac'$ca!dia
and 37!B& I)/a#anc* %ait a/no!)a#it$ and ina/i#it$ to stand
u"C& Rst#ssnss* i!!ita/i#it$ and %n!a#iAd wa1nssD. Hea*ache,
*eteriorating le)el of consciousness an* t-itching(.& A+t! Man%
Ro/!to co)"#td 'is ')odia#$sis* T' nu!s s'ou#d us w'ic' indicato!s
to 7a#uat t' c#int?s status a+t! dia#$sis-A& Potassiu) #7# and
wi%'t C& B#ood U!a Nit!o%n and C!atinin #7#B& Eita# si%ns
and B#ood U!a Nit!o%n D. 8ital signs an* -eight(0& Man%
Ro/!to?s c'!onic !na# +ai#u! was causd /$ a c!us' inBu!$ to t' #ow!
#% !i%'t a+t! an accidnt& T' acut !na# +ai#u! "!o%!sss to
c'!onic !na# +ai#u! unti# now* 'is cas is i!!7!si/#& T' nu!s is
co!!ct in dt!)inin% t'at t' caus o+ Man% Ro/!to?s Acut !na# +ai#u!
/+o! was:A& P! !na# B& Post !na# C. Cenal D& E>t!a
!na#(2& Man% Ro/!to )isss . sssions o+ ')odia#$sis& B#ood
was d!awn and is snt +o! ana#$sis& ,'ic' #ct!o#$t distu!/anc is
>"ctd in a c#int wit' c'!onic !na# +ai#u!-A& H$"!nat!)ia B.
Hyperkalemia C& H$"o1a#)ia D& A#1a#)ia(4& In Man%
Ro/!to?s ECG t!acin%* $ou wou#d >"ct to +ind:A& D"!ssd T wa7
C. A peake* T -a)eB& P!snc o+ U wa7 D& In7!td T wa7(6&
T' )ain indicato! o+ t' nd +o! ')odia#$sis is:A& Ascits B&
Acidosis C& H$"!tnsion D. Hyperkalemia(8& To %ain accss to
t' 7in and a!t!$* an AE s'unt was usd +o! Man% Ro/!to& T' )ost
s!ious "!o/#) wit' !%a!ds to t' AE s'unt is:A& S"tic)ia B&
C#ot +o!)ation C. E;sanguinationD& Ess# sc#!osis(9& ,'n
ca!in% +o! Man% Ro/!to?s AE s'unt on 'is !i%'t a!)* $ou
s'ou#d:A& Co7! t' nti! cannu#a wit' an #astic /anda%B&
Noti+$ t' "'$sician i+ a /!uit and t'!i## a! "!sntC. Hser surgical
aseptic techni9ue -hen gi)ing shunt careD& Ta1 t' /#ood "!ssu!
on t' !i%'t a!) instad(;& Man% Ro/!to Co)"#ains o+ tin%#in% in
t' +in%! and twitc'in% o+ t' )usc#s& T'is is causd /$:A&
Acidosis C. Calcium DepletionB& Potassiu) !tntion D& Sodiu)
c'#o!id d"#tion.5& ,'ic' o+ t' +o##owin% is an a""!o"!iat
inst!uction +o! Man% Ro/!to-A& 3o##ow a 'i%' "otassiu) ditB.
3trictly follo- the hemo*ialysis sche*uleC& Us sa#t su/stitut
instad o+ t' no!)a# ta/# sa#tD& Us a#co'o# on t' s1in to c#an
it du to int%u)nta!$ c'an%sSITUATION: Man% Ro/!to?s condition
continus to wo!sn and t' docto! su%%std @idn$ T!ans"#antation&
.(& Man% Ro/!to 'as Bust !ci7d a !na# t!ans"#ant and 'as sta!td
c$c#os"o!in t'!a"$ to "!7nt %!a+t !Bction& ,'ic' o+ t'
+o##owin% condition is a )aBo! co)"#ication o+ t'is d!u%
t'!a"$-A& D"!ssion C. .nfectionB& H)o!!'a% D& P"tic
u#c! disas..& ,'ic' o+ t' +o##owin% is t' !ationa# w'$
AAat'io"!in KI)u!anL* P!dnison o! C$c#os"o!in KSandI))unL is %i7n
in a c#int t'at 'as und!%on @idn$ T!ans"#antation-A& To n'anc
t' i))un s$st) "!7ntin% !BctionB. To suppress the immune system
pre)enting reBectionC& To n'anc 1idn$ +unctionD& To "!otct
t' nw#$ t!ans"#antd 1idn$ +!o) in7adin% "at'o%ns.0&
I))unosu""!ssion +o##owin% @idn$ t!ans"#antation is continud:A. ,or
life C& A w1 a+t! t!ans"#antationB& .2 'ou!s a+t!
t!ans"#antation D& Unti# t' 1idn$ is not an$)o! !Bctd .2&
St!oids* i+ usd +o##owin% 1idn$ t!ans"#antation wou#d caus w'ic' o+
t' +o##owin% sid ++cts-A& A#o"cia C& O!t'ostatic
H$"otnsionB& Inc!as C'o#st!o# L7# D. .ncrease Bloo* 6lucose
5e)el.4& Man% Ro/!to was !ad)ittd to t' 'os"ita# wit' acut
%!a+t !Bction& ,'ic' o+ t' +o##owin% assss)nt +indin% wou#d /
>"ctd-A& H$"otnsion C& Dc!asd ,BCB& No!)a# Bod$
T)"!atu! D. Ele)ate* BH2 an* CreatinineSITUATION: You a! %oin% to
a""#$ 7a!ious )dications.6& You a! to a""#$ a t!ansd!)a# "atc'
o+ nit!o%#$c!in to $ou! c#int& T' +o##owin% a! i)"o!tant
%uid#ins to o/s!7 >c"t:A& A""#$ to 'ai!#ss a!a o+ t' s1in
not su/Bct to too )uc' w!in1#in%B. Patches can be applie* to *istal
part of the e;tremities like the forearmC& C'an% a""#ication
and sit !%u#a!#$ to "!7nt i!!itation o+ t' s1inD& ,a! %#o7s to
a7oid an$ )dication on 'and.8& You wi## / a""#$in% $ d!o"s to
)iss Ro)ua#dA& A+t! c'c1in% a## t' ncssa!$ in+o!)ation and
c#anin% t' a++ctd $#id and $#as's* $ou ad)inist! t' o"'t'a#)ic
d!o"s /$ insti##in% t' $ d!o"s:A& Di!ct#$ onto t' co!naB. .nto
the outer thir* of the lo-er conBuncti)al sacC& P!ssin% on t'
#ac!i)a# ductD& 3!o) t' inn! cant'us %oin% towa!ds t' sid o+ t'
$.9& ,'n a""#$in% $ oint)nt* t' +o##owin% %uid#ins a""#$
>c"t:A& S:uA a/out . c) o+ oint)nt and %nt#$ c#os /ut not
s:uA t' $B& A""#$ t' oint)nt +!o) t' inn! cant'us %oin% outwa!d
o+ t' a++ctd $C. Discar* the first bea* of the eye ointment before
application because the tube is likely to e;pel more than *esire
amount of ointmentD& Ho#d t' tu/ a/o7 t' conBuncti7a# sac* do
not #t ti" touc' t' conBuncti7a.;&I+ $ou a! to %i7 . nasa#
in'a#ation +o! a c#int* on is a /!onc'odi#ato! and t' ot'! on is a
st!oid* w'ic' %uid#in s'ou#d $ou +o##ow-A& Ad)inist! t' st!oid
+i!st* t'is is to o"n t' ai!wa$ /$ #ssnin% t' d)aB. A*minister the
broncho*ilator first, this is to rela; the bronchial muscle an*
*ilate the air-ayC& O!d! is not ncssa!$ in ad)inist!in% nasa#
in'a#ation as #on% as t'at t' nu!s wi## wait ( )inut /twn
ad)inist!ations o+ . d!u%sD& O!d! is not ncssa!$ in
ad)inist!in% nasa# in'a#ation as #on% as t' nu!s wi## wait 05
)inuts /twn "u++s&05& ,'n a""#$in% $ oint)nt* t' +o##owin%
%uid#ins a""#$ >c"t:A& S:uA a/out . c) o+ oint)nt and %nt#$
c#os /ut not s:uA t' $B& A""#$ t' oint)nt +!o) t' inn! cant'us
%oin% outwa!d o+ t' a++ctd $C. Discar* the first bea* of the eye
ointment before application because the tube is likely to e;pel
more than *esire amount of ointmentD& Ho#d t' tu/ a/o7 t'
conBuncti7a# sac* do not #t ti" touc' t' conBuncti7a0(& I+ $ou
a! to %i7 . nasa# in'a#ation +o! a c#int* on is a /!onc'odi#ato!
and t' ot'! on is a st!oid* w'ic' %uid#in s'ou#d $ou +o##ow-A&
Ad)inist! t' st!oid +i!st* t'is is to o"n t' ai!wa$ /$ #ssnin% t'
d)aB. A*minister the broncho*ilator first, this is to rela; the
bronchial muscle an* *ilate the air-ayC& O!d! is not ncssa!$ in
ad)inist!in% nasa# in'a#ation as #on% as t'at t' nu!s wi## wait (
)inut /twn ad)inist!ations o+ . d!u%sD& O!d! is not ncssa!$ in
ad)inist!in% nasa# in'a#ation as #on% as t' nu!s wi## wait 05
)inuts /twn "u++s0.& ,'n ad)inist!in% an otic )dication to t'
c#ints RIGHT a!* t' c#int is BEST "#acd on:A& Ri%'t sid#$in%
"osition C& Su"in "ositionB. 5eft si*elying positition D&
P!on "osition00& ,'n "!+o!)in% otic i!!i%ation on t' c#int?s
LE3T a!* t' c#int is /st /#acd on:A& Ri%'t sid#$in% "osition
C& Su"in "ositionB. 5eft si*elying positition D& P!on
"osition02& To "!7nt t' s$st)ic a/so!"tion o+ )dication du!in%
o"'t'a#)ic )dication ad)inist!ation* t' nu!s s'ou#d:A& P!ss on
t' naso#ac!i)a# duct +o! 05 )inutsB& P!ss on t' naso#ac!i)a#
duct +o! 65 )inutsC. Press on the nasolacrimal *uct for #&
secon*sD& P!ss on t' naso#ac!i)a# duct +o! 65 sconds04& In
O"'t'a#)ic )dication ad)inist!ation* t' nu!s uss w'ic' as"tic
tc'ni:u-A& C#an B. 3terile C& Mdica# D&
Nu!sin%SITUATION: You a! +o!tunat to / c'osn as "a!t o+ t' !sa!c'
ta) in t' 'os"ita#& A !7iw o+ t' +o##owin% IMPORTANT nu!sin%
conc"ts was )ad&06& As a "!o+ssiona#* a nu!s can do !sa!c'
+o! 7a!id !ason >c"t:A& P!o+ssiona# ad7anc)nt t'!ou%' !sa!c'
"a!tici"ationB& To 7a#idat !su#ts o+ nw nu!sin% )oda#itisC. ,or
financial gainsD& To i)"!o7 nu!sin% ca!08& Eac' nu!s
"a!tici"ants was as1d to idnti+$ a "!o/#)& A+t! t'
idnti+ication o+ t' !sa!c' "!o/#)* w'ic' o+ t' +o##owin% s'ou#d /
don- A& Mt'odo#o%$ C& Ac1now#d%)ntB. Ce)ie- of relate*
literature D& 3o!)u#at '$"ot'sis09& ,'ic' o+ t' +o##owin%
co))unicat t' !su#ts o+ t' !sa!c' to t' !ad!s& T'$ +aci#itat t'
dsc!i"tion o+ t' data& A& H$"ot'sis C& Rsa!c'
"!o/#)B& Statistics D. Tables an* 6raphs0;& In Duantitati7
dat* w'ic' o+ t' +o##owin% is dsc!i/d as t' distanc in t' sco!in%
units o+ t' 7a!ia/# +!o) t' 'i%'st to t' #ow!-A& 3!:unc$ C&
MdianB& Man D. Cange25& T'is >"!sss t' 7a!ia/i#it$ o+ t'
data in !+!nc to t' )an& It "!o7ids as wit' a nu)!ica# sti)at
o+ 'ow +a!* on t' a7!a% t' s"a!at o/s!7ation a! +!o) t' )an:A&
Mod C& MdianB. 3tan*ar* *e)iation D& 3!:unc$Situation:
Su!7$ and Statistics a! i)"o!tant "a!t o+ !sa!c' t'at is ncssa!$ to
>"#ain t' c'a!act!istics o+ t' "o"u#ation&2(& Acco!din%
to t' ,HO statistics on t' Ho)#ss "o"u#ation a!ound t' wo!#d* w'ic'
o+ t' +o##owin% %!ou"s o+ "o"# in t' wo!#d dis"!o"o!tionat#$
!"!snts t' 'o)#ss "o"u#ation-His"anics C&A+!ican A)!icansAsians
D&Caucasians2.& A## /ut on o+ t' +o##owin% is not a )asu!
o+ Cnt!a# Tndnc$:A. 1o*e C& Standa!d D7iationB& Ea!ianc
D& Ran%20& In t' 7a#u : 98* 94* 99* ;.* ;5G ,'at is t'
)an-A& 99&. B. ==.! C& 98 D& ;522& In t' 7a#u :
95* 95* 95* 9.* 9.* ;5* ;5* (55G ,'at is t' )od-A. =& B& 9.
C& ;5 D& 94&424& In t' 7a#u:
95*95*(5*(5*.4*64*(55*.55G ,'at is t' )dian-A& 8(&.4 B&
..&4 C& (5 and .4 D. +.:26& D!aw Lots* Lott!$* Ta/# o+
!ando) nu)/!s o! a sa)"#in% t'at nsu!s t'at ac' #)nt o+ t'
"o"u#ation 'as an :ua# and ind"ndnt c'anc o+ /in% c'osn is
ca##d:A& C#ust! C& St!ati+idB. 3imple D&
S$st)atic28& An in7sti%ato! wants to dt!)in so) o+ t' "!o/#)s
t'at a! >"!incd /$ dia/tic c#ints w'n usin% an insu#in "u)"&
T' in7sti%ato! wnt into a c#inic w'! ' "!sona##$ 1nows s7!a#
dia/tic c#ints 'a7in% "!o/#) wit' insu#in "u)"& T' t$" o+
sa)"#in% don /$ t' in7sti%ato! is ca##d:A& P!o/a/i#it$ C&
Snow/a##B. Purposi)e D& Incidnta#29& I+ t' !sa!c'! i)"#)ntd
a nw st!uctu!d couns##in% "!o%!a) wit' a !ando)iAd %!ou" o+ su/Bct
and a !outin couns##in% "!o%!a) wit' anot'! !ando)iAd %!ou" o+
su/Bct* t' !sa!c' is uti#iAin% w'ic' dsi%n-A& Duasi
>"!i)nta# C& Co)"a!ati7 B. E;perimental D&
Mt'odo#o%ica#2;& ,'ic' o+ t' +o##owin% is not t!u a/out a Pu!
E>"!i)nta# !sa!c'-A& T'! is a cont!o# %!ou"B& T'! is an
>"!i)nta# %!ou"C& S#ction o+ su/Bcts in t' cont!o# %!ou" is
!ando)iAdD. There is a careful selection of subBects in the
e;perimental group45& T' !sa!c'! i)"#)ntd a )dication !%i)n
usin% a nw t$" o+ co)/ination d!u%s to )anic "atints w'i# anot'!
%!ou" o+ )anic "atint !ci7s t' !outin d!u%s& T' !sa!c'! 'ow7!
'and "ic1d t' >"!i)nta# %!ou" +o! t'$ a! t' c#ints wit' )u#ti"#
"isods o+ /i"o#a! diso!d!& T' !sa!c'! uti#iAd w'ic' !sa!c'
dsi%n-A. ?uasi>e;perimental C& P'no)no#o%ica#B& Pu!
>"!i)nta# D& Lon%itudina# Situation (;: As a nu!s* $ou a!
>"ctd to "a!tici"at in initiatin% o! "a!tici"atin% in t' conduct
o+ !sa!c' studis to i)"!o7 nu!sin% "!actic& You to / u"datd on
t' #atst t!nds and issus a++ctd t' "!o+ssion and t' /st "!actics
a!!i7d at /$ t' "!o+ssion& 4(& You a! int!std to stud$ t'
++cts o+ )diation and !#a>ation on t' "ain >"!incd /$ canc!
"atints& ,'at t$" o+ 7a!ia/# is "ain-A. Depen*ent C&
Ind"ndntB& Co!!#ationa# D& D)o%!a"'ic4.& You wou#d #i1
to co)"a! t' su""o!t s$st) o+ "atint wit' c'!onic i##nss to t'os
wit' acut i##nss& How wi## $ou /st stat $ou! "!o/#)-A& A
dsc!i"ti7 stud$ to co)"a! t' su""o!t s$st) o+ "atints wit' c'!onic
i##nss and t'os wit' acut i##nss in t!)s o+ d)o%!a"'ic data and
1now#d% a/out int!7ntion&B& T' ++cts o+ t' t$"s o+ su""o!t
s$st) o+ "atints wit' c'!onic i##nss and t'os wit' acut
i##nss&C& A co)"a!ati7 ana#$sis o+ t' su""o!t s$st) o+
"atints wit' c'!onic i##nss and t'os wit' acut i##nss&D& A
stud$ to co)"a! t' su""o!t s$st) o+ "atints wit' c'!onic i##nss and
t'os wit' acut i##nss& E. What are the *ifferences of the
support system being recei)e* by patient -ith chronic illness an*
patients -ith acute illnessF40& You wou#d #i1 to co)"a! t'
su""o!t s$st) o+ "atints wit' c'!onic i##nss to t'os wit' acut
i##nss& Consid!in% t'at t' '$"ot'sis was: "!i)nta# D& Duasi
E>"!i)nta#42& In an$ !sa!c' stud$ w'! indi7idua# "!sons a!
in7o#7d* it is i)"o!tant t'at an in+o!)d consnt o+ t' stud$ is
o/taind& T' +o##owin% a! ssntia# in+o!)ation a/out t' consnt
t'at $ou s'ou#d disc#os to t' "!os"cti7 su/Bcts >c"t:A. Consent
to incomplete *isclosureB& Dsc!i"tion o+ /n+its* !is1s and
disco)+o!tsC& E>"#anation o+ "!ocdu!D& Assu!anc o+
anon$)it$ and con+idntia#it$44& In t' H$"ot'sis: t!na#
!adiationt'!a"$and'co)"#ains o+ +ati%uand)a#ais& ,'ic'o+ t'
+o##owin% nu!sin% int!7ntions wou#d / )ost '#"+u# +o! A#/!t-A&
T## 'i) t'at so)ti)s t's +#in%s can / "s$c'o%nicB& R+! 'i) to
t' "'$sicianC& Rassu! 'i) t'at t's +#in%s a! no!)a#D. Help him
plan his acti)ities6.& I))diat#$ +o##owin% t' !adiation
t#t'!a"$* A#/!t isA& Consid!d !adioacti7 +o! .2 '!sB& Gi7n
a co)"#t /at'C& P#acd on iso#ation +o! 6 'ou!sD. ,ree from
ra*iation60& A#/!t is ad)ittd wit' a !adiation inducd
t'!o)/oc$to"nia& As a nu!s $ou s'ou#d o/s!7 t' +o##owin%
s$)"to)s:A. Petechiae, ecchymosis, epista;is B& ,a1nss* as$
+ati%a/i#it$* "a##o!C& Hadac'* diAAinss* /#u!!d 7isionD&
S7! so! t'!oat* /act!)ia* '"ato)%a#$62& ,'at nu!sin% dia%nosis
s'ou#d / o+ 'i%'st "!io!it$-A& @now#d% d+icit !%a!din%
t'!o)/oc$to"nia "!cautionsB& Acti7it$ into#!ancC. .mpaire*
tissue integrityD& In++cti7 tissu "!+usion* "!i"'!a#* c!/!a#*
ca!dio7ascu#a!* %ast!ointstina#* !na#64& ,'at int!7ntion s'ou#d
$ou inc#ud in $ou! ca! "#an-A. .nspect his skin for petechiae,
bruising, 6. blee*ing regularlyB& P#ac A#/!t on st!ict
iso#ation "!cautionC& P!o7id !st in /twn acti7itisD&
Ad)inist! anti"$!tics i+ 'is t)"!atu! >cds 09CSituation:
Bu!na!caus/$t!ans+!o+'atsou!ctot'/od$& Itcan/t'!)a#* #ct!ica#*
!adiationo! c')ica#& 66& A /u!n c'a!act!iAd /$ Pa# w'it
a""a!anc* c'a!!d o! wit' +at >"osd and "ain#ssnss is:A&
Su"!+icia# "a!tia# t'ic1nss /u!nB& D" "a!tia# t'ic1nss /u!nC.
,ull thickness burnD& D" +u## t'ic1nss /u!n68& ,'ic' o+ t'
+o##owin% BEST dsc!i/s su"!+icia# "a!tia# t'ic1nss /u!n o! +i!st
d%! /u!n-A& St!uctu!s /nat' t' s1in a! da)a%B. Dermis is
partially *amage*C& E"id!)is and d!)is a! /ot' da)a%dD&
E"id!)is is da)a%d69& A /u!n t'at is said to / inL90& T'
nu!s 1nows t'at Ta"aAo# 'as w'ic' o+ t' +o##owin% sid ++ct t'at
wi## wa!!ant i))diat wit''o#din% o+ t' )dication-A& Dat' C&
H$"!t'!)iaB. 3ore throat D& T'!o)/oc$tosis92& You as1d
:ustions as soon as s' !%aind consciousnss +!o) t'$!oidcto)$
"!i)a!i#$ to assss t' 7idnc o+:A& T'$!oid sto!) C. Damage to
the laryngeal ner)eB& Mdiastina# s'i+t D& H$"oca#ca)ia
ttan$94& S'ou#d $ou c'c1 +o! 'a)o!!'a%* $ou wi##:A. 3lip your
han* un*er the nape of her neckB& C'c1 +o! '$"otnsionC&
A""#$ nc1 co##a! to "!7nt 'a)o!!'a%D& O/s!7 t' d!ssin% i+ it is
soa1d wit' /#ood96& T' BMR is /asd on t' )asu!)nt t'at:A&
Rat o+ !s"i!ation und! di++!nt condition o+ acti7itis and !stB.
Amount of o;ygen consumption un*er resting con*ition o)er a
measure* perio* of timeC& A)ount o+ o>$%n consu)"tion und!
st!ssd condition o7! a )asu!d "!iod o+ ti)D& Ratio o+
!s"i!ation to "u#s !at o7! a )asu!d "!iod o+ ti)98& H!
"'$sician o!d!d #u%o#?s so#ution in o!d! to:A. Decrease the
)ascularity an* siDe of the thyroi* glan*B& Dc!as t' siA o+ t'
t'$!oid %#and on#$C& Inc!as t' 7ascu#a!it$ and siA o+ t'
t'$!oid %#andD& Inc!as t' siA o+ t' t'$!oid %#and on#$99&
,'ic' o+ t' +o##owin% is a sid ++ct o+ Lu%o#?s so#ution-A&
H$"o1a#)ia C& En#a!%)nt o+ t' T'!$oid %#andB& N$sta%)us D.
E;cessi)e sali)ation9;& In ad)inist!in% Lu%o#?s so#ution* t'
"!cautiona!$ )asu! s'ou#d inc#ud:A& Ad)inist! wit' %#ass on#$B.
Dilute -ith Buice an* a*minister -ith a stra-C& Ad)inist! it
wit' )i#1 and d!in1 itD& 3o##ow it wit' )i#1 o+ )a%nsia;5&
In t' i))diat "ost o"!ati7 "!iod* on w'at "osition wi## $ou "#ac
Io'nn$-A& Su"in B& P!on C& 3#at D. 3emi
fo-lersSITUATION: T' +o##owin% :ustions !+! to di++!nt "!o/#)s in
t' ndoc!in s$st)&;(& An accidnta# !)o7a# o+ t' "a!at'$!oid
%#and du!in% t'$!oidcto)$ wi## "!oduc:A. Tetany C&
M$>d)aB& H$"o7o#)ic s'oc1D& Ad!noco!tica#
sti)u#ation;.& ,'n a c#int !tu!ns +!o) "ostanst'sia unit
+o##owin% a su/tota# t'$!oidcto)$* T' nu!s s'ou#d i))diat#$:A&
Ins"ct t' incision C& @" t' c#int su"in +o! .2 'ou!sB&
Inst!uct t' c#int to s"a1 D. Place a tracheostomy tube at the
be*si*e;0& As a !su#t o+ #ow t0 and t2 #7#s in a c#int wit'
'$"ot'$!oidis)* t' nu!s wou#d >"ct:A& I!!ita/i#it$ C. Col*
intoleranceB& Tac'$ca!dia D& P!o+us dia"'o!sis;2& In
assssin% co)"#ication in a c#int wit' '$"!"a!at'$!oidis)* T' nu!s
s'ou#d )onito! t' c#int +o!:A& Ttan$ B& SiAu! C& G!a7?s
Disas D. Bone *estruction ;4& A c#int was ad)ittd wit'
'$"!"a!at'$!oidis)& T' a""#ica/# nu!sin% action t'at s'ou#d /
inc#udd in t' c#int?s "#an o+ ca! wou#d /:A& P!o7ision o+ 'i%'
ca#ciu) dit C& Institution o+ siAu! "!cautionB. Ensurance of a
large flui* intake D& Maintnanc o+ a/so#ut /d !st;6& ,'ic'
o+ t' +o##owin% is t' )ost c!itica# int!7ntion ndd +o! a c#int wit'
)$>d)a co)a-A& Ad)inist!in% an o!a# dos o+ #7ot'$!o>in
KS$nt'!oidLB& ,a!)in% t' c#int wit' a wa!)in% /#an1tC&
Masu!in% and !co!din% accu!at inta1 and out"utD. 1aintaining a
patent air-ay;8& ,'ic' outco) wou#d indicat succss+u# t!at)nt
o+ dia/ts insi"idus-A. ,lui* intake of less than ,:&& ml in
! hoursB& U!in out"ut o+ )o! t'an .55 )#H'ou!C& B#ood
"!ssu! o+ ;5H45 )) H%D& Pu#s !at o+ (.6 /atsH)inut;9& A
69F$a!Fo#d c#int 'as /n co)"#ainin% o+ s#"in% )o! t'an usua#*
inc!asd u!ination* ano!>ia* wa1nss* i!!ita/i#it$* d"!ssion* and
/on "ain t'at int!+!s wit' '! %oin% outdoo!s& Basd on t's
assss)nt +indin%s* t' nu!s wou#d sus"ct w'ic' diso!d!-A& Dia/ts
)##itus C& Dia/ts insi"idusB& H$"o"a!at'$!oidis) D.
Hyperparathyroi*ism;;& 3o! a c#int in addisonian c!isis* it
wou#d / 7!$ !is1$ +o! a nu!s to ad)inist!:A. potassium chlori*e.
C& '$d!oco!tison&B& no!)a# sa#in so#ution& D&
+#ud!oco!tison&(55& ,'ic' o+ t' +o##owin% d!u% is usd in a
c#int wit' '$"ot'$!oidis)-A& Mt'i)aAo#KTa"aAo#L C& Lu%o#?s
so#utionB& PTU D. 5e)othyro;ine%3ynthroi*(PREBOARD
EXAMINATIONNURSING PRACTICE IESITUATION: ,ound Ca! is "a!t o+ t'
ssntia# nu!sin% "!actic& It is a#)ost a#wa$s t'at a Nu!s wou#d
ca! +o! a c#int wit' wound in t' 7!$da$ "!actic o+ t'
"!o+ssion& @now#d% o+ ,ound Ca! and ,ound Assss)nt is
7ita#&(& A nu!s asssss a c#int?s su!%ica# incision +o!
si%ns o+ in+ction& ,'ic' +indin% /$ t' nu!s wou#d / int!"!td as
a no!)a# +indin% at t' su!%ica# sit-A& Rd* Ha!d s1in C. 3erous
*rainageB& Pu!u#nt d!aina% D& ,a!)* Tnd! s1in.& ,'n
"!+o!)in% a su!%ica# d!ssin% c'an% o+ a c#int?s a/do)ina# d!ssin%*
a nu!s nots an inc!as in t' a)ount o+ d!aina% and s"a!ation o+ t'
incision #in& T' und!#$in% tissu is 7isi/# to t' nu!s& T'
nu!s wou#d do w'ic' o+ t' +o##owin% in t' initia# ca! o+ t'is
wound-A& La7 t' incision o"n to t' ai! to d!$ t' a!aB&
A""#$ a st!i# d!ssin% soa1d in "!o7idon iodin KBtadinLC&
I!!i%at t' wound and a""#$ a st!i# d!ssin%D. Apply a sterile
*ressing soake* -ith normal saline solution0& T' s"a!ation o+
wound d%s at t' sutu! #in is ca##d:A& E7isc!ation C&
At#ctasisB. DehiscenceD& In+ction2& ,'ic' o+ t' +o##owin%
int!7ntion is "!+o!)d +i!st w'n c'an%in% a d!ssin% %i7in% wound
ca!-A& Put on %#o7sB& S#ow#$ !)o7 soi#d d!ssin%C. Wash
han*s thoroughlyD& Assss t' d!ssin% +o! t' a)ount* t$" and odo!
o+ t' d!aina%4& ,'ic' o+ t' +o##owin% nu!sin% dia%noss is
co!!ct +o! a c#int wit' a !ddnd sac!u) un!#i7d /$ "osition
c'an%-A& Ris1 +o! "!ssu! u#c!B& Ris1 +o! i)"ai!d s1in
int%!it$C& I)"ai!d s1in int%!it$ !#atd to in+!:unt tu!nin% and
"ositionin%D. .mpaire* skin integrity relate* to the effects of
pressure an* shearing forces3ituationIInfection can cause
debilitating consequences when hosts resistance is compromised and
environmental factors are favorable. As a nurse you have important
roles and responsibilities in infection control.6& E3 was
ad)ittd to t' 'os"ita# wit' a tntati7 dia%nosis o+ acut
"$#on"'!itis&To assss '! !is1 +acto!s* w'at :ustion s'ou#d $ou
as1-a& 'i/itin% c'st "ain& ((& ,'ic' o+ t' +o##owin% is
NOT a !is1 +acto! +o! d7#o"in% At'!osc#!osis-A& Ad7ancin% a% C.
Cegular Physical acti)itiesB. HD5 J$& mg1BD& E#7atd
Sdi)ntation !at and ASO(2& T' "!i)a!$ o/Bcti7 +o! "uttin%
M!& L on a/so#ut /d !st u"on ad)ission is to:A& P!7nt
i)"ndin% s'oc1B. 5o-er the heart rate an* o;ygen *eman* of the
heartC& To )aintain 'is 7ita# si%nsD& R#i7 'is an>it$
and di++icu#t$ o+ /!at'in%(4& In a c#int dia%nosd wit' MI* T'
nu!s 1nows t'at BED REST is ncssa!$& I+ t' c#int wants to
u!inat* t' nu!s s'ou#d o++!:A& B!in% t' c#int to t' na!st
/at'!oo)B& Bdsid Co))odC. Be* PanD& Cat't!iAation(6&
P!o#on%d /d !st in 'a!t conditions wi## o+tn #ad to:A& Pnu)onia
C. ThrombophlebitisB& Poo! "ostu! D& At#ctasis(8& As
M!& L?s nu!s* $ou 'a7 to antici"at occu!!nc o+
co)"#ications& Ta1 not t'at t' )aBo! caus o+ dat' a+t! an MI
is:A.Car*iac arrhythmias C&Ca!dio%nic s'oc1B&Ha!t +ai#u!
D&Pu#)ona!$ )/o#is)(9& ,'o a)on% t' +o##owin% a! )ost
susc"ti/# to at'!osc#!osis* MI as w## as An%ina and CEA-A&
CaucasianFA)!icans C& His"anicsB& Asian D. African
Americans(;& ,'ic' o+ t' +o##owin% is t!u wit' !%a!ds to
Ca!diac An%io%!a"'$-A. Consent is nee*e*B& T'is is t'
7isua#iAation o+ t' 'a!t usin% U#t!asono%!a"'$C& A##!%$ to
"anuts and %%s a! assssdD& A#so ca##d as A!t!io%!a"'$* CT SCAN*
MRI* 3LUROSCOPY a! t' tc'ni:us usd to 7isua#iAd n!7 "at'wa$s.5&
3o##owin% a ca!daic an%io%!a"'$* t' "atint assss)nt "!io!it$ is
t':A. respiratory effortC& c'st "ainB& /#ood "!ssu!D&
"unctu! sitSituation: La!$n%a# canc! is a )a#i%nant tu)o! in t'
7oic /o>& M!& Rnato Sau!o is $ou! c#int dia%nosd wit' t'
canc! o+ t' La!$n>&.(& ,'ic' o+ t' +o##owin% is NOT t!u
a/out La!$n%a# Canc!-A. .t ac9uires more commonly in -omen than in
menB& A#co'o#* to/acco* >"osu! to +u)s* "aints* dust*
as/stos a! a## idnti+id ca!cino%nic !is1 +acto!sC& Nut!itiona#
d+icinc$ can #ad to t'is t$" o+ canc!D& A+!ican A)!ican a! t'
!ac )ost co))on#$ a++ctd..& S$)"to) notd EARLY in #a!$n%a#
canc! inc#uds:A& D$s"'a%ia and D$s"naB& 3ou# /!at'C&
Pain !adiatin% to t' a!D. Hoarseness of )oice or sore throat.0&
M!& Sau!o Und!%on tota# #a!$n%cto)$& You wou#d >"ct t'at
a+t! t' "!ocdu!* M!& Sau!o wi## 'a7:A& NGT Tu/ +o!
+din%B& T)"o!a!$ T!ac'a# Sto)aC. Permanent 5oss of 8oiceD&
Eoic 'oa!snss.2& I))diat#$ a+t! La!$n%cto)$* t' nu!s wou#d
>"ct t'at t' nut!ition o+ t' c#int is )t t'!ou%':A. TP2 B&
IBunost)$C& O!a# D& NGT.4& A+t! (5 da$s* T' "'$sician
dt!)ind t'at M!& Sau!o is !ad$ +o! O!a# +din%s& As a nu!s*
$ou wou#d >"ct t'at t' initia# +din% +o! t' c#int "ost
#a!$n%cto)$ s'ou#d consist o+:A& C#a! #i:uid suc' as Boui##on
C. Thickene* li9ui*s such as applesauce B& Swt #i:uids suc' as
Ta D& Osto!iAd +din% t'!ou%' NGTSituation: You a! acti7#$
"!acticin% nu!s w'o 'as Bust +inis'd $ou %!aduat studis& You
#a!nd t' 7a#u o+ !sa!c' and wou#d #i1 to uti#iA t' 1now#d% and
s1i##s %aind in t' a""#ication o+ !sa!c' to t' nu!sin% s!7ic&
T' +o##owin% :ustions a""#$ to !sa!c'&.6& ,'ic' t$" o+
!sa!c' in:ui!$ in7sti%ats t' issus o+ 'u)an co)"#>it$ K&%
und!standin% t' 'u)an >"!tisL-A& Lo%ica# "osition C&
Positi7is)B. 2aturalistic in9uiry D& Duantitati7 !sa!c'.8&
,'ic' o+ t' +o##owin% studis is /asd on :uantitati7 !sa!c'-A& A
stud$ >a)inin% t' /!a7)nt "!ocss in s"ous o+ c#ints wit' t!)ina#
canc!B& A stud$ >"#o!in% t' +acto!s in+#uncin% wi%'t cont!o#
/'a7iou!C. A 3tu*y measuring the effects of sleep *epri)ation on
-oun* healingD& A stud$ >a)inin% c#int?s +#in%s /+o!* du!in%
and a+t! /on )a!!ow as"i!ation&.9& ,'ic' o+ t' +o##owin%
studis is /asd on t' :ua#itati7 !sa!c'-A. A stu*y e;amining clients
reaction to stress after open heart surgeryB& A stud$ )asu!in%
nut!ition and wi%'t #ossH%ain in c#ints wit' canc!C& A stud$
>a)inin% o>$%n #7#s a+t! ndot!ac'a# suctionin%D& A stud$
)asu!in% di++!ncs in /#ood "!ssu! /+o!* du!in% and a+t!
"!ocdu!.;& An 94 $a! o#d c#int in a nu!sin% 'o) t##s a nu!s*
a)ination is "!o"o!tiona# to '! /oa!d !atin%& Du!in% t' Iun
.559 /oa!d >a)ination* S' studid +o! 6 )ont's and %aind 69R* On
t' n>t /oa!d >a)* s' studid +o! 6 )ont's a%ain +o! a tota# o+
( $a! and %aind 82R* On t' t'i!d /oa!d >a)* S' studid +o! 6
)ont's +o! a tota# o+ ( and a 'a#+ $a! and %aind 9.R& T' !sa!c'
dsi%nd s' usd is:A& Co)"a!ati7 C. E;perimentalB&
Co!!#ationa# D& Dua#itati7 0.& Anton was a#wa$s atin% 'i%'
+at dit& You want to dt!)in i+ w'at wi## / t' ++ct o+ 'i%'
c'o#st!o# +ood to Anton in t' n>t (5 $a!s&You wi## us:A.
Comparati)e C& Histo!ica#B& Co!!#ationa# D&
Lon%itudina# 00& Co))unit$ A was s#ctd !ando)#$ as w## as
co))unit$ B* nu!s Edna conductd tac'in% to co))unit$ A and assss i+
co))unit$ A wi## 'a7 a /tt! status t'an co))unit$ B& T'is is an
>a)"# o+:A& Co)"a!ati7 C. E;perimentalB& Co!!#ationa#
D& Dua#itati7 02& Ana !sa!c'd on t' d7#o")nt o+ a nw wa$ to
)asu! int##i%nc /$ c!atin% a (55 it) :ustionnai! t'at wi## assss t'
co%niti7 s1i##s o+ an indi7idua#& T' dsi%n /st suitd +o! t'is
stud$ is:A& Histo!ica# C& Su!7$B. 1etho*ological D& Cas
stud$04& Gn is conductin% a !sa!c' stud$ on 'ow )a!1* an AIDS
c#int #i7s 'is #i+& A dsi%n suitd +o! t'is is:A& Histo!ica#
C. PhenomenologicalB& Cas Stud$ D& Et'no%!a"'ic06&
Ma!co is to "!+o!) a stud$ a/out 'ow nu!ss "!+o!) su!%ica# as"sis
du!in% ,o!#d ,a! II& A dsi%n /st +o! t'is stud$ is:A.
Historical C& P'no)no#o%ica#B& Cas Stud$ D&
Et'no%!a"'ic08& Ton$o conducts sa)"#in% at /a!an%a$ 2(.& H
co##ctd (55 !ando) indi7idua#s and dt!)in w'o is t'i! +a7ou!it
co)dian acto!& 45R said Do#"'$* .5R said Eic Sotto*w'i# so)
answ!d Io$ d Lon* A##an @* Mic'a# E& Ton$o conductd w'at t$" o+
!sa!c' stud$-A& P'no)no#o%ica# C& Non >"!i)nta#B&
Cas Stud$ D. 3ur)ey09& Ian 7isitd a t!i/ #ocatd so)w'! in
C'ina* it is ca##d t' S'in Ia t!i/& S' studid t' wa$ o+ #i+*
t!adition and t' socita# st!uctu! o+ t's "o"#& Ian wi## /st us
w'ic' !sa!c' dsi%n-A& Histo!ica# C& P'no)no#o%ica#B&
Cas Stud$ D. Ethnographic0;& AnBo !sa!c'd on TB& Its
t!ans)ission* Causati7 a%nt and +acto!s* t!at)nt si%n and s$)"to)s
as w## as )dication and a## ot'! in d"t' in+o!)ation a/out
tu/!cu#osis& T'is stud$ is /st suitd +o! w'ic' !sa!c'
dsi%n-A& Histo!ica# C& P'no)no#o%ica#B. Case 3tu*y D&
Et'no%!a"'ic25& Diana is to conduct a stud$ a/out t'
!#ations'i" o+ T' nu)/! o+ +a)i#$ ))/!s in t' 'ous'o#d and t'
#ct!icit$ /i##& ,'ic' o+ t' +o##owin% is t' /st !sa!c' dsi%n
suitd +o! t'is stud$-(& Dsc!i"ti7.& E>"#o!ato!$0&
E>"#anato!$2& Co!!#ationa#4& Co)"a!ati76&
E>"!i)nta#A. 4,! B& .*4 C& 0*6 D& (*4E&
.*2SITUATION: Eio#ta* A 65 $a! o#d c#int ca) to t' c#inic +o! a
!outin c'c1 u"&2(& You #a!n t'at Eio#ta d!in1s 4F9 cu"s o
co++ a da$ "#us co#a d!in1s& Bcaus s' is in '! "ostF)no"ausa#
$a!s* t' nu!s inst!ucts '! to dc!as consu)"tion o+ co++ and co#a
"!"a!ation /caus: A. these pro*ucts increase calcium loss from the
bonesB& T's "!oducts 'a7 sti)u#ant ++ct n t' /od$ C& t's
"!oducts ncou!a% inc!as in su%a! consu)"tionD& t's "!oducts a!
addictin% 2.& Asid +!o) ca#ciu)* a )aBo! )in!a# +ound in /on
is:A& Ma%nsiu) B& I!on C& Cinc D. Phosphorous20&
Osto"o!osis is co))on a)on%:A& His"anics B& B#ac1s C. Asian
D& A+!ican A)!ican22& You s'ou#d inst!uct A#in% Eio#ta t'at
w'n ta1in% CALCI AID o! an$ ot'! ca#ciu) su""#)nts* s'
s'ou#d:A& Mdications suc' as I!on a! /st ta1n to%t'! wit'
ca#ciu)B& Ca#ciu) is /st ta1n a+t! )a#sC. .ncrease flui* intake
-hen taking Calcium supplementsD& Ca#ciu) w'n ta1n* #i1
Diu!tics* s'ou#d on#$ us T to P %#ass o+ wat!24& You wou#d
ncou!a% A#in% Eio#ta to at w'ic' o+ t' +o##owin% +ood t'at is
HIGHEST in Ca#ciu)-A. Cheese, 1ilk, Dark green leafy )egetables,
7ysters an* 3ar*inesB& Yo%u!t* Mi#1* E%%s* Panuts* Da!1 %!n
#a+$ 7%ta/#s * Sa!dins* Co++C& B!occo#i* Yo%u!t* Panuts* Da!1
%!n #a+$ 7%ta/#s * ,in* S"inac'D& C's* Mi#1* Da!1 %!n #a+$
7%ta/#s* B!occo#i* Ta26& I+ A#in% Eio#ta wi## sustain a
+!actu!* $ou wou#d >"ct t'at t' MOST LI@ELY /on to / +!actu!d in
an #d!#$ c#int is t':A. ,emur or Hips C& Ti/ia o! S'inB&
C#a7ic# o! Co#a! /on D& S"ina# Co#u)n o! Bac128& ,'ic' o+
t' +o##owin% acti7it$ is 'i%'#$ !co))ndd +o! A#in% Eio#ta-A&
Non ,i%'t /a!in% acti7itis suc' as S,IMMINGB. Weight bearing
acti)ities such as WA5L.26C& Passi7 !an% o+ )otion
>!cissD& Acti7 !an% o+ )otion >!ciss29& A#in% Eio#ta
is co!!ct in und!standin% t' /st acti7itis +o! '! w'n s'
stats:A& in D& A##!%nSituation: Ho!)ons a! sc!td /$ t'
7a!ious %#ands in t' /od$& Basic 1now#d% o+ t' ndoc!in s$st) is
ncssa!$&2(& So)atoc!inin o! t' G!owt' 'o!)on !#asin% 'o!)on
is sc!td /$ t':A. Hypothalamus C& Post!io! "ituita!$
%#andB& Ant!io! "ituita!$ %#and D& T'$!oid %#and2.& A##
o+ t' +o##owin% a! sc!td /$ t' ant!io! "ituita!$ %#and
>c"t:A& So)atot!o"inHG!owt' 'o!)on C& T'$!oid
sti)u#atin% 'o!)onB& 3o##ic# sti)u#atin% 'o!)onD. 6ona*otropin
hormone releasing hormone20& A## o+ t' +o##owin% 'o!)ons a!
'o!)ons sc!td /$ t' Post!io! "ituita!$ %#and >c"t:A&
Easo"!ssin C& Anti diu!tic 'o!)onB& O>$tocin D. 6ro-th
hormone22& Ca#citonin* a 'o!)on ncssa!$ +o! ca#ciu) !%u#ation
is sc!td in t':A. Thyroi* glan* C& Pa!at'$!oid %#andB&
H$"ot'a#a)us D& Ant!io! "ituita!$ %#and24& ,'i#
Pa!at'o!)on* a 'o!)on t'at n%ats t' ++ct o+ ca#citonin is sc!td /$
t':A& T'$!oid %#and C. Parathyroi* glan*B& H$"ot'a#a)us
D& Ant!io! "ituita!$ %#andSituation N In t' OR* t'! a! sa+t$
"!otoco#s t'at s'ou#d / +o##owd& T' OR nu!s s'ou#d / w## 7!sd
wit' a## t's to sa+%ua!d t' sa+t$ and :ua#it$ o+ "atint d#i7!$
outco)&6(& ,'ic' o+ t' +o##owin% s'ou#d / %i7n 'i%'st
"!io!it$ w'n !ci7in% "atint in t' OR-A& Assss #7# o+
consciousnssB. 8erify patient i*entification an* informe*
consentC& Assss 7ita# si%nsD& C'c1 +o! Bw#!$* %own*
)anicu!* and dntu!s6.& Su!%!is #i1 I and D Kincision and
d!aina%L and d/!id)nt a! !#ati7#$ s'o!t "!ocdu!s /ut consid!d
Udi!t$ cass?& ,'n a! t's "!ocdu!s /st sc'du#d-A. 5ast
caseB& In /twn cassC& Acco!din% to a7ai#a/i#it$ o+
anast'sio#o%istD& Acco!din% to t' su!%on?s "!+!nc60& OR
nu!ss s'ou#d / awa! t'at )aintainin% t' c#int?s sa+t$ is t' o7!a##
%oa# o+ nu!sin% ca! du!in% t' int!ao"!ati7 "'as& As t'
ci!cu#atin% nu!s* $ou )a1 c!tain t'at t'!ou%'out t' "!ocdu!JA&
t' su!%on %!ts 'is c#int /+o! induction o+ anst'siaB& t' su!%on
and anst'sio#o%ist a! in tand)C. strap ma*e of strong
non>abrasi)e materials are fastene* securely aroun* the Boints
of the knees an* ankles an* aroun* thehan*s aroun* an arm
boar*.D& C#int is )onito!d t'!ou%'out t' su!%!$ /$ t' assistant
anst'sio#o%ist62& Anot'! nu!sin% c'c1 t'at s'ou#d not / )issd
/+o! t' induction o+ %n!a# anst'sia is:A& c'c1 +o! "!snc
und!wa!B& c'c1 +o! "!snc dntu!sC& c'c1 "atint?s IDD. check
baseline )ital signs64& So) #i+ti) 'a/its and 'o//is a++ct
"osto"!ati7 !s"i!ato!$ +unction& I+ $ou! c#int s)o1s 0 "ac1s o+
ci%a!tts a da$ +o! t' "ast (5 $a!s* $ou wi## antici"at inc!asd !is1
+o!:A& "!io"!ati7 an>it$ and st!ssB& d#a$d coa%u#ation
ti)C& d#a$d wound 'a#in%D. postoperati)e respiratory
infectionSituation: St!i#iAation is t' "!ocss o+ !)o7in% ALL #i7in%
)ic!oo!%anis)& To / +! o+ ALL #i7in% )ic!oo!%anis) is
st!i#it$&66& T'! a! 0 %n!a# t$"s o+ st!i#iAation us in t'
'os"ita#* w'ic' on is not inc#udd-A& Sta) st!i#iAation C&
P'$sica# st!i#iAationB& C')ica# st!i#iAation D. 3teriliDation
by boiling68& Autoc#a7 o! sta) und! "!ssu! is t' )ost co))on
)t'od o+ st!i#iAation in t' 'os"ita#& T' nu!s 1nows t'at t'
t)"!atu! and ti) is st to t' o"ti)u) #7# to dst!o$ not on#$ t'
)ic!oo!%anis)* /ut a#so t' s"o!s& ,'ic' o+ t' +o##owin% is t'
ida# sttin% o+ t' autoc#a7 )ac'in-A& (5*555 d%! C#sius +o! (
'ou!B& 4*555 d%! C#sius +o! 05 )inuts C& 08 d%! C#sius +o!
(4 )inutsD. 44 *egree Celsius for 4: minutes69& It is i)"o!tant
t'at /+o! a nu!s "!"a!s t' )at!ia# to / st!i#iAd* A c')ica#
indicato! st!i" s'ou#d / "#acd a/o7 t' "ac1a%* "!+!a/#$* Mus#in
s't& ,'at is t' co#o! o+ t' st!i"d "!oducd a+t! autoc#a7in%-A.
Black B& B#u C& G!a$ D& Pu!"#6;& C')ica# indicato!s
co))unicat t'at:A& T' it)s a! st!i#B. That the items ha*
un*ergone steriliDation process but not necessarily sterileC&
T' it)s a! disin+ctdD& T'at t' it)s 'ad und!%on disin+ction
"!ocss /ut not ncssa!i#$ disin+ctd85& I+ a nu!s wi## st!i#iA a
'at and )oistu! #a/i# inst!u)nts* It is acco!din% to AORN
!co))ndation to us w'ic' o+ t' +o##owin% )t'od o+ st!i#iAation-A.
Ethylene o;i*e gas B& Autoc#a7in% C& 3#as' st!i#iA! D&
A#co'o# i))!sionSituation 4 N Nu!ss 'o#d a 7a!it$ o+ !o#s w'n
"!o7idin% ca! to a "!io"!ati7 "atint&8(& ,'ic' o+ t'
+o##owin% !o# wou#d / t' !s"onsi/i#it$ o+ t' sc!u/ nu!s-A&
Assss t' !adinss o+ t' c#int "!io! to su!%!$B& Ensu! t'at t'
ai!wa$ is ad:uat C. Account for the number of sponges, nee*les,
supplies, use* *uring the surgical proce*ure.D& E7a#uat t' t$"
o+ anst'sia a""!o"!iat +o! t' su!%ica# c#int8.& As a "!io"!ati7
nu!s* 'ow can $ou /st )t t' sa+t$ nd o+ t' c#int a+t! ad)inist!in%
"!o"!ati7 na!cotic-A. Put si*e rails up an* ask the client not to
get out of be*B& Snd t' c#int to OR wit' t' +a)i#$C& A##ow
c#int to %t u" to %o to t' co)+o!t !oo)D& O/tain consnt
+o!)80& It is t' !s"onsi/i#it$ o+ t' "!Fo" nu!s to do s1in "!"
+o! "atints und!%oin% su!%!$& I+ 'ai! at t' o"!ati7 sit is not
s'a7d* w'at s'ou#d / don to )a1 sutu!in% as$ and #ssn c'anc o+
incision in+ction-A& D!a"dB& Pu##dC. Clippe*D&
S'a)"ood82& It is a#so t' nu!s?s +unction to dt!)in w'n
in+ction is d7#o"in% in t' su!%ica# incision& T' "!io"!ati7
nu!s s'ou#d o/s!7 +o! w'at si%ns o+ i)"ndin% in+ction-A. 5ocaliDe*
heat an* re*nessB& S!osan%uinous >udats and s1in
/#anc'in%C& S"a!ation o+ t' incisionD& B#ood c#ots and sca!
tissu a! 7isi/#84& ,'ic' o+ t' +o##owin% nu!sin% int!7ntions is
don w'n >a)inin% t' incision wound and c'an%in% t' d!ssin%-A.
7bser)e the *ressing an* type an* o*or of *rainage if anyB& Gt
"atint?s consntC& ,as' 'andsD& R:ust t' c#int to >"os t'
incision woundSituation N T' "!o"!ati7 nu!s co##a/o!ats wit' t'
c#int si%ni+icant ot'!s* and 'a#t'ca! "!o7id!s&86& To
cont!o# n7i!on)nta# 'aAa!ds in t' OR* t' nu!s co##a/o!ats wit' t'
+o##owin% d"a!t)nts EXCEPT:A& Bio)dica# di7isionC& In+ction
cont!o# co))ittB& Chaplaincy ser)ices D& Pat'o#o%$
d"a!t)nt88& An ai! c!as' occu!!d na! t' 'os"ita# #adin% to a
su!% o+ t!au)a "atint& On o+ t' #ast "atints wi## nd su!%ica#
a)"utation /ut t'! a! no st!i# su!%ica# :ui")nts& In t'is cas*
w'ic' o+ t' +o##owin% wi## t' nu!s >"ct-A& E:ui")nts ndd +o!
su!%!$ nd not / st!i#iAd i+ t'is is an )!%nc$ ncssitatin% #i+
sa7in% )asu!sB& 3o!wa!din% t' t!au)a c#int to t' na!st 'os"ita#
t'at 'as a7ai#a/# st!i# :ui")nts is a""!o"!iatC& T' nu!s wi##
nd to st!i#iA t' it) /+o! usin% it to t' c#int usin% t' !%u#a!
st!i#iAation sttin% at (.( d%! C#sius in (4 )inutsD. .n such cases,
flash sterliDer -ill be use at 4# *egree Celsius in #
minutes89& Tss* t' PACU nu!s* disco7!d t'at Ma#ou* w'o wi%'ts
((5 #/s "!io! to su!%!$* is in s7! "ain 0 '!s a+t!
c'o#c$stcto)$& U"on c'c1in% t' c'a!t* Ma#ou +ound out t'at s'
'as an o!d! o+ D)!o# (55 )% I&M& "!n +o! "ain& Tss
s'ou#d 7!i+$ t' o!d! wit':A& Nu!s su"!7iso! C. 3urgeonB&
Anst'sio#o%ist D& Int!n on dut$8;& Rosi* 48* w'o is dia/tic
is +o! d/!id)nt i+ incision wound& ,'n t' ci!cu#atin% nu!s
c'c1d t' "!snt IE +#uid* s' +ound out t'at t'! is no insu#in
inco!"o!atd as o!d!d& ,'at s'ou#d t' ci!cu#atin% nu!s do-A.
Double check the *octor0s or*er an* call the atten*ing 1DB&
Co))unicat wit' t' wa!d nu!s to 7!i+$ i+ insu#in was inco!"o!atd o!
notC& Co))unicat wit' t' c#int to 7!i+$ i+ insu#in was
inco!"o!atdD& Inco!"o!at insu#in as o!d!d&95& T'
docu)ntation o+ a## nu!sin% acti7itis "!+o!)d is #%a##$ and
"!o+ssiona##$ 7ita#& ,'ic' o+ t' +o##owin% s'ou#d NOT / inc#udd
in t' "atint?s c'a!t-A& P!snc o+ "!ost'toid d7ics suc' as
dntu!s* a!ti+icia# #i)/s 'a!in% aid* tc&B& Bas#in "'$sica#*
)otiona#* and "s$c'osocia# dataC. Arguments bet-een nurses an*
resi*ents regar*ing treatmentsD& O/s!7d untowa!d si%ns and
s$)"to)s and int!7ntions inc#udin% conta)inant int!7nin%
+acto!sSituation N Ta) ++o!ts is /st d)onst!atd in t'
OR&9(& I+ $ou a! t' nu!s in c'a!% +o! sc'du#in% su!%ica#
cass* w'at i)"o!tant in+o!)ation do $ou nd to as1 t' su!%on-A&
,'o is $ou! int!nistB. Who is your assistant an* anaesthesiologist,
an* -hat is your preferre* time an* type of surgeryFC& ,'o a!
$ou! anast'sio#o%ist* int!nist* and assistantD& ,'o is $ou!
anast'sio#o%ist9.& In t' OR* t' nu!sin% tand) +o! 7!$ su!%!$
is:A& Inst!u)nt tc'nician and ci!cu#atin% nu!sB& Nu!s
anast'tist* nu!s assistant* and inst!u)nt tc'nicianC& Sc!u/
nu!s and nu!s anast'tistD. 3crub an* circulating nurses90& ,'i#
ta) ++o!t is ndd in t' OR +o! ++icint and :ua#it$ "atint ca!
d#i7!$* w s'ou#d #i)it t' nu)/! o+ "o"# in t' !oo) +o! in+ction
cont!o#& ,'o co)"!is t'is ta)-A& Su!%on* anast'sio#o%ist*
sc!u/ nu!s* !adio#o%ist* o!d!#$B. 3urgeon, assistants, scrub nurse,
circulating nurse, anaesthesiologistC& Su!%on* assistant
su!%on* anast'sio#o%ist* sc!u/ nu!s* "at'o#o%istD& Su!%on*
assistant su!%on* anast'sio#o%ist* int!n* sc!u/ nu!s92& ,'o
usua##$ act as an i)"o!tant "a!t o+ t' OR "!sonn# /$ %ttin% t'
w'#c'ai! o! st!tc'!* and "us'in%H"u##in% t') towa!ds t' o"!atin%
!oo)-A. 7r*erlyt!os in wat! D& 4R d>t!os in 5&;R sodiu)
c'#o!id99& T' nu!s is )a1in% initia# !ounds on t' nu!sin% unit
to assss t' condition o+ assi%nd c#ints& T' nu!s nots t'at t'
c#int?s IE Sit is coo#* "a# and swo##n and t' so#ution is not
in+usin%& T' nu!s conc#uds t'at w'ic' o+ t' +o##owin%
co)"#ications 'as /n >"!incd /$ t' c#int-A& In+ction B&
P'#/itis C. .nfiltration D& T'!o)/o"'#i/itis9;& A nu!s
!7iws t' c#int?s #ct!o#$t #a/o!ato!$ !"o!t and nots t'at t'
"otassiu) #7# is 0&. )E:HL& ,'ic' o+ t' +o##owin% wou#d t'
nu!s not on t' #ct!oca!dio%!a) as a !su#t o+ t' #a/o!ato!$ 7a#u-A.
H -a)es B& A/snd P wa7s C& E#7atd T wa7s D& E#7atd ST
s%)nt;5& On "atint 'ad a U!unawa$? IE o+ 45R d>t!os& To
"!7nt t)"o!a!$ >css o+ insu#in o! t!ansint '$"!insu#in !action
w'at so#ution $ou "!"a! in antici"ation o+ t' docto!?s o!d!-A&
An$ IE so#ution a7ai#a/# to @EOB& Isotonic so#utionC.
Hypertonic solutionD& H$"otonic so#ution;(& An in+o!)d
consnt is !:ui!d +o!: A. close* re*uction of a fractureC&
i!!i%ation o+ t' >t!na# a! cana# B& ins!tion o+ int!a7nous
cat't!D& u!t'!a# cat't!iAation;.& ,'ic' o+ t' +o##owin% is
not t!u wit' !%a!ds to t' in+o!)d consnt-A& It s'ou#d dsc!i/
di++!nt t!at)nt a#t!nati7sB. .t shoul* contain a thorough an*
*etaile* e;planation of the proce*ure to be *oneC& It s'ou#d
dsc!i/ t' c#int?s dia%nosisD& It s'ou#d %i7 an >"#anation o+
t' c#int?s "!o%nosis;0& You 1now t'at t' 'a##)a!1 o+ nu!sin%
accounta/i#it$ is t':A. accurate *ocumentation an* reportingB&
ad)ittin% $ou! )ista1sC& +i#in% an incidnc !"o!tD& !"o!tin%
a )dication !!o!;2& A nu!s is assi%nd to ca! +o! a %!ou" o+
c#ints& On !7iw o+ t' c#int?s )dica# !co!ds* t' nu!s dt!)ins
t'at w'ic' c#int is at !is1 +o! >css +#uid 7o#u)-A& T' c#int
ta1in% diu!ticsB. The client -ith renal failureC& T' c#int wit'
an i#osto)$D& T' c#int w'o !:ui!s %ast!ointstina#
suctionin%;4& A nu!s is assi%nd to ca! +o! a %!ou" o+
c#ints& On !7iw o+ t' c#int?s )dica# !co!ds* t' nu!s dt!)ins
t'at w'ic' c#int is at !is1 +o! d+icint +#uid 7o#u)-A. A client
-ith colostomyB& A c#int wit' con%sti7 'a!t +ai#u!C& A
c#int wit' dc!asd 1idn$ +unctionD& A c#int !ci7in% +!:unt wound
i!!i%ationSituation: As a "!io"!ati7 nu!s* $ou a! awa! o+ t' co!!ct
"!ocssin% )t'ods +o! "!"a!in% inst!u)nts and ot'! d7ics +o! "atint
us to "!7nt in+ction&;6&As an OR nu!s* w'at a! $ou! +o!)ost
consid!ations +o! s#ctin% c')ica# a%nts +o! disin+ction-A. 1aterial
compatibility an* efficiencyB& Odo! and a7ai#a/i#it$C& Cost
and du!ation o+ disin+ction "!ocssD& Du!ation o+ disin+ction
and ++icinc$;8&B+o! $ou us a disin+ctd inst!u)nt it is ssntia#
t'at $ou:A& Rins wit' ta" wat! +o##owd /$ a#co'o#B& ,!a" t'
inst!u)nt wit' st!i# wat!C& D!$ t' inst!u)nt t'o!ou%'#$D. Cinse
-ith sterile -ater ;9&You 'a7 a c!itica# 'at #a/i# inst!u)nt to
st!i#iA and a! consid!in% to us 'i%' #7# disin+ctant& ,'at
s'ou#d $ou do-A& Co7! t' soa1in% 7ss# to contain t' 7a"o!B&
Dou/# t' a)ount o+ 'i%' #7# disin+ctantC& Tst t' "otnc$ o+ t'
'i%' #7# disin+ctantD. Prolong the e;posure time accor*ing to
manufacturer0s *irection;;& To ac'i7 st!i#iAation usin%
disin+ctants* w'ic' o+ t' +o##owin% is usd-A& Low #7#
disin+ctants i))!sion in .2 'ou!sB& Int!)diat #7# disin+ctants
i))!sion in (. 'ou!sC& Hi%' #7# disin+ctants i))!sion in (
'ou!D. High le)el *isinfectant immersion in 4& hours(55&
B!onc'osco"* T'!)o)t!* Endosco"* ET tu/* C$tosco" a! a## BEST
st!i#iAd usin% w'ic' o+ t' +o##owin%-A& Autoc#a7in% at (.( d%!
C#sius in (4 )inutsB& 3#as' st!i#iA! at (0. d%! C#sius in 0
)inutsC& Et'$#n O>id %as a!ation +o! .5 'ou!sD. A
6lutaral*ehy*e immersion for 4& hours PREBOARD
EXAMINATIONNURSING PRACTICE ESituation : You are assigned in the
neurology stroe unit. To prepare for this assignment! you should be
able to answer the following questions.(& ,'ic' o+ t' +o##owin%
stat)nts can BEST dsc!i/Hd+in st!o1 o! /!ain attac1-A. it occurs
-hen circulation to a part of the brain is *isrupte*B& it is
usua##$ causd /$ a/us o+ "!sc!i/d )dicationsC& it is causd /$ a
c!/!a# ')o!!'a% D& it )a$ / t' !su#ts o+ a t!ansint isc')ic
attac1 KTIAL.& S7!a# dia%nostic tsts )a$ / o!d!d +o! "!o"!
7a#uation& T' "u!"os o+ ac' o+ t' +o##owin% dia%nostic
>a)ination is co!!ct EXCEPT:A& C!/!a# An%io%!a"'$ N is usd
to idnti+$ co##at!a# /#ood ci!cu#ation and )a$ !7a# sit o+ !u"tu!
o! occ#usionB. EC6 M may re)eal abnormal electrical acti)ity, such
as focal slo-ing an* assess amount of brain -a)e acti)ity.C&
MRI N )a$ !7a# t' sit o+ in+a!ction* ')ato)a and s'i+t o+ /!ain
st!uctu!sD& PET Scannin% N )a$ !7a# in+o!)ation on c!/!a#
)ta/o#is) and /#ood +#ow c'a!act!istics&0& ,'ic' o+ t'
+o##owin% is t' MOST co))on caus o+ st!o1 o! /!ain attac1-A&
)/o#is) C& c!/!a# a!t!ia# s"as)B& ')o!!'a%D. thrombosis
2& To %uid $ou in $ou! assss)nt* it is a#so i)"o!tant +o! $ou
to !))/! t'at t' c#inica# +atu!s o+ st!o1 7a!$ wit' t' +o##owin%
+acto!s EXCEPT:A& s7!it$ o+ da)a%C& a!t!$ a++ctdB. gen*er
D& t' >tnt o+ co##at!a# ci!cu#ation 4& It is i)"o!tant
+o! $ou to a#so tac' c#ints and t'i! +a)i#is w'o a! at !is1 to
o/s!7d "!i)a!$ "!7ntion w'ic' inc#uds t' +o##owin% EXCEPT:A.
maintain serum cholesterol le)el bet-een & an* 4=& mm and
d7#o" nw co"in% s1i##s&=05& A C#int stat* "#o! t' c#int?s
"ast >"!incs t'at causs t' i##nssD. Help client mo*ify the
belief that anything less than perfect is horrible 0(& T' )ost
ad7anta%ous t'!a"$ +o! a "!sc'oo# a% c'i#d wit' a 'isto!$ o+
"'$sica# and s>ua# a/us wou#d /:A. PlayB& Ps$c'oana#$sis
C& G!ou" D& 3a)i#$0.& An (9 $a! o#d c#int is ad)ittd
wit' t' dia%nosis o+ ano!>ia n!7osa& A co%niti7 /'a7iou!a#
a""!oac' is usd as "a!t o+ '! t!at)nt "#an& T' nu!s und!stands
t'at t' "u!"os o+ t'is a""!oac' is to:A. Help the client i*entify
an* e;amine *ysfunctional thoughts an* beliefsB& E)"'asiA
socia# int!action wit' c#ints w'o wit'd!awC& P!o7id a su""o!ti7
n7i!on)nt and a t'!a"utic co))unit$D& E>a)in int!a"s$c'ic
con+#icts and "ast 7nts in #i+00& T' nu!s is "!"a!in% to "!o7id
!)iniscnc t'!a"$ +o! a %!ou" o+ c#ints& ,'ic' o+ t' +o##owin%
c#ints wi## t' nu!s s#ct +o! t'is %!ou"-A& A c#int w'o
>"!incs "!o+ound d"!ssion wit' )od!at co%niti7 i)"ai!)ntB& A
catatonic* i))o/i# c#int wit' )od!at co%niti7 i)"ai!)ntC& An
undi++!ntiatd sc'iAo"'!nic c#int wit' )od!at co%niti7 i)"ai!)ntD. A
client -ith mil* *epression -ho e;hibits -ho *emonstrates normal
cognition02& ,'ic' int!7ntion wou#d / t$"ica# o+ a nu!s usin%
co%niti7F/'a7io!a# a""!oac' to a c#int >"!incin% #ow s#+
st)-A& Us o+ unconditiona# "ositi7 !%a!d C& Ana#$sis o+ +!
associationB& C#assica# conditionin% D. E;amination of negati)e
thought patterns04& ,'ic' o+ t' +o##owin% t'!a"is 'as /n
st!on%#$ ad7ocatd +o! t' t!at)nt o+ "ost t!au)atic st!ss
diso!d!s-A& ECT B. 6roup Therapy C& H$"not'!a"$ D&
Ps$c'oana#$sis06& T' nu!s 1nows t'at in %!ou" t'!a"$* t'
)a>i)u) nu)/! o+ ))/!s to inc#ud is:A& 2 B& 9 C. 4&
D& (608&T' nu!s is "!o7idin% in+o!)ation to a c#int wit' t'
us o+ disu#+i!a) Kanta/usL +o! t' t!at)nt o+ a#co'o# a/us& T'
nu!s und!stands t'at t'is +o!) o+ t'!a"$ wo!1s on w'at
"!inci"#-A& N%ati7 Rin+o!c)nt C& O"!ant Conditionin%B.
A)ersion Therapy C& Gsta#t t'!a"$09& A /io#o%ica# o! )dica#
a""!oac' in t!atin% "s$c'iat!ic "atint is:A& Mi##ion t'!a"$
C& B'a7io!a# t'!a"$B. 3omatic therapy D&
Ps$c'ot'!a"$0;& ,'ic' o+ t's nu!sin% actions /#on% to t'
sconda!$ #7# o+ "!7nti7 int!7ntion-A& P!o7idin% )nta# 'a#t'
consu#tation to 'a#t' ca! "!o7id!sB. Pro)i*ing emergency
psychiatric ser)icesC& Bin% "o#itica##$ acti7 in !#ation to
)nta# 'a#t' issusD& P!o7idin% )nta# 'a#t' ducation to ))/!s o+
t' co))unit$25& ,'n t' nu!s idnti+is a c#int w'o 'as att)"t to
co))it suicid t' nu!s s'ou#d:A& ca## a "!istB& couns# t'
c#intC. refer the client to the psychiatrist D& !+! t' )att! to
t' "o#icSituation: Ros s1s "s$c'iat!ic consu#tation /caus o+ intns
+a! o+ +#$in% in an ai!"#an w'ic' 'as %!at#$ a++ctd '! c'ancs o+
succss in '! Bo/&2(& T' )ost co))on d+ns )c'anis) usd /$
"'o/ic c#ints is:A& Su"!ssion C& Dnia#B&
Rationa#iAation D. Displacement2.& T' %oa# o+ t' t'!a"$ in
"'o/ia is:A& C'an% '! #i+st$#B& I%no! tnsion "!oducin%
situationC. Change her reaction to-ar*s an;ietyD& E#i)inat +a!
"!oducin% situations20& T' t'!a"$ )ost ++cti7 +o! c#int?s wit'
"'o/ia is:A& H$"not'!a"$ C& Co%niti7 t'!a"$B& G!ou"
t'!a"$ D. Beha)ior therapy22& T' +a! and an>it$ !#atd to
"'o/ia is said to / a/!u"t#$ dc!asd w'n t' "atint is >"osd to
w'at is +a!d t'!ou%':A& Guidd I)a%!$B& S$st)atic
dsnsitiAationC. ,loo*ingD& H$"ot'!a"$24& Basd on t' "!snc
o+ s$)"to)* T' a""!o"!iat nu!sin% dia%nosis is:A& S#+ st)
distu!/ancB& Acti7it$ into#!ancC& I)"ai!d adBust)ntD.
.neffecti)e in*i)i*ual copingSituation: Man% Ios* 0; $a! o#d +a!)!*
un)a!!id* 'ad /n con+ind in t' Nationa# cnt! +o! )nta# 'a#t' +o!
t'! $a!s wit' a dia%nosis o+ sc'iAo"'!nia&26& T' )ost
co))on d+ns )c'anis) usd /$ a "a!anoid c#int is:A& Dis"#ac)nt
C& Rationa#iAationB& Su""!ssion D. ProBection28& ,'n
Man% Ios sa$s to $ou: c"t:A. Be -arm an* enthusiasticB& R+!ain
+!o) touc'in% IosC& Do not a!%u !%a!din% 'is 'a##ucination and
d#usionD& Us si)"#* c#a! #an%ua%Situation: G!in%o s1s
"s$c'iat!ic couns##in% +o! 'is !itua#istic /'a7io! o+ countin% 'is
)on$ as )an$ as (5 ti)s /+o! #a7in% 'o)&4(& An initia#
a""!o"!iat nu!sin% dia%nosis is:A& I)"ai!d socia# int!actionB.
.neffecti)e in*i)i*ual copingC& I)"ai!d adBust)ntD&
An>it$ Mod!at4.& O/sssi7 co)"u#si7 diso!d! is BEST dsc!i/d
/$:A& Uncont!o##a/# i)"u#s to "!+o!) an act o! !itua#
!"atd#$B& P!sistnt t'ou%'tsC. Cecurring un-ante* an* *isturbing
thought alternating -ith a beha)ior D& Pat'o#o%ica# "!sistnc o+
unwi##d t'ou%'t* +#in% o! i)"u#s40& T' d+ns )c'anis) usd /$
"!sons wit' o/sssi7 co)"u#si7 diso!d! is undoin% and it is /st
dsc!i/d in on o+ t' +o##owin% stat)nts:A& Unacc"ta/# +#in%s o!
/'a7io! a! 1"t out o+ awa!nss /$ d7#o"in% t' o""osit /'a7io! o!
)otionB& Conscious#$ unacc"ta/# instinctua# d!i7s a! di7!td
into "!sona##$ and socia##$ acc"ta/# c'ann#sC. 3omething
unacceptable alrea*y *one is symbolically acte* out in
re)erseD& T!ans+! o+ )otions associatd wit' a "a!ticu#a! "!son*
o/Bct o! situation to anot'! #ss t'!atnin% "!son* o/Bct o!
situation42& To / )o! ++cti7* t' nu!s w'o ca!s +o! "!sons wit'
o/sssi7 co)"u#si7 diso!d! )ust "ossss on o+ t' +o##owin%
:ua#itis:A& Co)"assion C& PatincB. Consistency D&
3!ind#inss44& P!sons wit' OCD usua##$ )ani+st:A& 3a! B&
A"at'$ C& Sus"iciousnss D. An;ietySituation :T' "atint w'o is
d"!ssd wi## und!%o #ct!ocon7u#si7 t'!a"$&46&Studis on
/io#o%ica# d"!ssion su""o!t #ct!ocon7u#si7 t'!a"$ as a )od o+
t!at)nt&T' !ationa# is:A&ECT "!oducs )assi7 /!ain da)a%
w'ic' dst!o$s t' s"ci+ic a!a containin% ))o!is !#atd to t' 7nts
su!!oundin% t' d7#o")nt o+ "s$c'otic conditionB&T' t!at)nt s!7s
as a s$)/o#ic "unis')nt +o! t' c#int w'o +#s %ui#t$ and
wo!t'#ssC.ECT relie)es *epression psychologically by increasing the
norepinephrine le)elD&ECT is sn as a #i+Ft'!atnin% >"!inc
and d"!ssd "atints )o/i#iA a## t'i! /odi#$ d+nss to da# wit' t'is
attac1&48&T' "!"a!ation o+ a "atint +o! ECT ida##$ is MOST
si)i#a! to "!"a!ation +o! a "atint +o!: Act!onc"'a#o%!a) C. general
anesthesiaB&XF!a$ D& #ct!oca!dio%!a)49& ,'ic' o+ t'
+o##owin% is a "ossi/# sid ++ct w'ic' $ou wi## discuss wit' t'
"atint-A& ')o!!'a% wit'in t' /!ainB& nc"'a#itisC&
!o/otF#i1 /od$ sti++nssD. confusion, *isorientation an* short term
memory loss4;& In+o!)d consnt is ncssa!$ +o! t' t!at)nt +o!
in7o#unta!$ c#ints& ,'n t'is cannot / o/taind* "!)ission )a$ /
ta1n +!o) t': A& socia# wo!1! C. ne;t of kin or guar*ianB&
docto! D& c'i+ nu!s65& A+t! ECT* t' nu!s s'ou#d do t'is
action /+o! %i7in% t' c#int +#uids* +ood o! )dication: A. assess
the gag refle; C& n>t o+ 1in o! %ua!dianB& assss t'
snso!iu) D& c'c1 O. Sat wit' a "u#s o>i)t!SITUATION:
Sc'iAo"'!nia is a )nta# i##nss t'at #ads to a distu!/in% dtac')nt
+!o) !a#it$& 6(& A c#int is ad)ittd to t' "s$c'iat!ic unit
wit' acti7 "s$c'osis& T' "'$sician dia%noss sc'iAo"'!nia a+t!
!u#in% out s7!a# ot'! conditions& Sc'iAo"'!nia is c'a!act!iAd
/$:A& #oss o+ idntit$ and s#+Fst)&B& )u#ti"#
"!sona#itis and dc!asd s#+Fst)&C. *isturbances in affect,
perception, an* thought content an* form.D& "!sistnt ))o!$
i)"ai!)nt and con+usion&6.& T' nu!s is ca!in% +o! a c#int
w'o >"!incs +a#s snso!$ "!c"tions wit' no /asis in !a#it$&
T's "!c"tions a! 1nown as:A& Loosnss o+ association C&
D#usionB. Hallucination D& P!s7!ation60& A c#int wit'
sc'iAo"'!nia t##s t' nu!s* VM$ intstins a! !ottd +!o) t' wo!)s
c'win% on t')&V T'is stat)nt indicats a:A& d#usion