SMDC

Convection

1. In four care steps of essential

newborn care mandated by DOH
Immediate
and
thorough
drying.

8. After the umbilical pulsation the

stopped, clamp the cord using a
sterile plastic clamp or tie at
how many cm from the umbilical
base ?
2cm

2. In preparation for delivery at

perineal bulging the prudent nurse
will perform as part of the care
except:
Single
gloves
just
before
delivery

9. During the properly timed cord

clamping the nurse needs further
instruction when she does which of
the following?
Not stripping the cord before
applying the 2nd clamp

3. Newborn is critical for the first

minutes
after
birth,
Drying
thoroughly the newborn
The baby will appear distress
and
manifest
a
GRUNTING
RESPIRATION

10.Breastfeeding
is
also
equally
important develop, breastfeeding
the prudent nurse is aware that all
of are signs is correct except
Mouth wide open and close
eyes

4. Newborn rarely shiver as adult do

to
increase
heat
production,
shivering seen in a newborn
indicates:
Decrease temperature increase
metabolic rate

11.

In the essential newborn care,

certain modification have been
made in order to promote wellness
and maturation of the baby. Which
is not include in first 30 seconds
after birth?
Do not position on lateral

6. After 30 seconds of drying if the

newborn is crying or breathing
which is not nursing care?
Place identification band on the
wrist
7. Heat loss during newborn is very
critical as it may change the
newborn status. The nurse must do
all thing to prevent such loss. Heat
loss can be wrapping the infant in a
blanket and placing a stocking.

To promote enfacement between

the mother and newborn, the nurse
is aware that during this time, it is
essential to do which of the
following except:
Do not store colostrums
12.Time bound interventions the
objective within 90 mins
To
facilitate
initiation
of
breastfeeding through sustained
contact
13.Bathing
6 hours
14.Proper sequence should be made in
order to prevent odd stress.
Excessive heat loss will lead to cold
stress.
Therefore,
the
nurse
understands the last part to be
bathe. To prevent heat loss is
Head
15.After all the essential newborn care
is done, identification is needed for
the birth certificate is the:

Hospital/case number
IMMEDIATE NEWBORN CARE
16.The
following
are
considered
normal among newborns except:
Obligate nasal and thoracic
breathing
17.The nurse is aware that suctioning
the nose first will cause aspiration
of mucus/meconium secondary to
the stimulation of what reflex?
Gasp reflex
18. The following are the correct
principle of suctioning a newborn
except:
If the baby is crying, stop
suctioning and position on prone to
promote drainage
19.Harsh suctioning can cause vagal
stimulation to the newborn as
manifested by:
Reflex bradycardia
20. To prevent opthalmia neonatarum,
the nurse is prudent in provide
credes prophylaxis correct:
Uses erythromycin ointment
placing on lower lid from inner to
outer direction
21.The
following
are
sign
of
hemorrhagic
disease
of
the
newborn. Which is considered to be
the Herald sign?
Oozing or bleeding from the
umbilicus
22.The nurse doing the initial care of
the newborn who is 7 month and
15 days term the doc ordered for
Vit K prophylaxis. Knowing this
condition, the nurse will inject
where?
Upper outer middle third of the
vastus lateralis

23.It is a part of the hospital routine to

include
the
newborn
neuromuscular maturity. Which of
the following is not a part of the
Ballard scale?
Heel to butt
24.After the newborn screening, the
newborn
is
diagnosed
with
galactosemia. The prudent nurse
knows that this body be avoided
with the following foods except:
Tomato sauce
25. In APGAR scoring system, except:
Temperature of the room
26.
This test is used to evaluate the
respiratory status
Silverman and Anderson Scale
27.High-pitched cry
Indicate
hypoglycemia
increased ICP

or

NP IV
28.Radiation treatment with radio
dermatitis, a client just
Avoid applying cream or lotion
to the area
29.

Radiation implant has been

dislodged. If cannot locate, the
nurse would:
Call the physician and bar all
visitors from the room

30.Purpose
of
film
badge
radioactive?
Measure
the
amount
exposure to radiation
31.Success of treatment of
radiation depends upon
Extent of tissue injury

in
of
local

32. Handling radiation sources can

minimize exposure to radiation by
recognizing the importance of

Time

Respiratory paralysis

33. Normal cells divide and proliferate

rapidly in which area of the body
would be at least at risk?
Nervous tissue

44. Discussing home care with a client

after TURP should teach client that
dribbling of urine?
Can persists for several months

34. Most important assessment to

observe for complication of IV
Infection and phlebitis

45. Testicular examination should

perform at?
After warm bath or shower

35. Cancer that has metastasized in

the liver is started on chemo. What is
the rationale of dividing doses?
Divided doses produce greater
cytotoxic effects on the diseased cell

46. Normal testis can be described as:

Egg-shaped

36. Function of alkalyting drugs that

stop the cancer growth by?
Damaging DNA in the cell
nucleus
37. Experiencing diarrhea is a side
effects of chemo? Diagnosis
Fluid volume deficit
38. Greatest risk for developing breast
cancer
Experienced menopause at the
age 60
39. Scheduled for ultrasonography?
Explain?
High frequency transmitted into
the breast and displayed on a screen
40. Breast masses due to malignancy?
An irregular shape
41. Wound drain is attached to
Hemovac, drainage system which
action take?
Assess the color and amount in
Hemovac chamber
42. Prostatic hypertrophy will most
report?
Difficulty starting of urine
43. TURP, spinal anesthesia. Early sign
of

NP V
47. Most reliable index of cerebral
status?
Level of consciousness
48. In ICP, nursing intervention is?
Elevate the head 30-45 degrees
49. Dexamethasone during past 3
weeks, effect?
Decreased cerebral capillary
permeability
50. Late sign of ICP
Increased lethargy, widened
pulsed pressure, elevate temperature,
tachycardia
51. Chemo is limited for intracranial
cancer because?
Many of the used agents cannot
pass the BBB insufficient quantities to
be effective
NP I
52. Most important to determine
before oral hygiene to unconscious
patient?
Color, texture and bleeding of
gums
53. When providing mouth care?
Position
the
patient
High
fowlers, head to side and have suction
available to remove secretion

54. In caring for dentures

Store in clean and dry container

Culture

55. Oral hygiene for patients at risk for

oral problems?
Potassium permanganate

65. Peritoneal dialysis, drainage of

dialysate has ceased before required
amount drained out.
Turning from side to side.

56. Radiation treatment can cause oral

problems because of?
Dryness and soreness of the
mouth

NP I
66. Not illness behavior?
Ignoring a physical symptom
such as headache

NP IV
57. Changes in GUT in elderly, exceot:
Bladder capacity increases with
advanced age

67.
Not
considered
as
health
preventive activities?
Giving
immunizations
to
toddlers

58. Best intervention of the skin of the

older adult patient was dry, pale and
fragile with wrinkling and sagging
Increased oral fluid intake

68. must be avoided to prevent illness

Self-medicaiton

59. A client with ESRD (long term)

received
hemodialysis,
effective
when?
Return to employment
60. Urinalysis reveals + 4 for protein,
indicates?
Noticeable increase in the
permeability
of
the
glomerular
membrane to albumin
61. Severe left flank pain, nausea, and
hematuria. Diagnosis is ureteral colic.
The nurse would expect to report
Pain that intensifies in the
urination
62. Acute pyelonephritis
Flank pain on the affected side
63. Acute renal failure
pH = 7.26, HCO3= 14, pCO2 =
30
64. I feel I have to urinate more often
than the usual and it burns when I
urinate.

69. Tertiary level except:

Supervising Lamaze
couples

class

to

70. Primary level of prevention except:

Giving a TSB to a febrile child
NP 3
71. Pain is:
A protective mechanism
warning on tissue damage

or

72. Teach the child about painful

procedure is best achieved by:
Relevant play directed toward
procedure activities
73. Which analgesic administration is
correct?
Narcotic
injection
provides
longer, more sustained relief for client
with chronic pain
74. Accurate information about quality
of pain?
Tell me what your pain feels
like.