Practice Questions with answers

1. A new mother has some questions about (PKU). Which of the following statements made by a nurse is not correct regarding PKU?

1. A Guthrie test can check the necessary lab values.

2. The urine has a high concentration of phenylpyruvic acid

3. Mental deficits are often present with PKU.

4. The effects of PKU are reversible.

2. A patient has taken an overdose of aspirin. Which of the following should a nurse most closely monitor for during acute management of this patient?

1. Onset of pulmonary edema

2. Metabolic alkalosis

3. Respiratory alkalosis

4. Parkinson’s disease type symptoms

3. A fifty-year-old blind and deaf patient has been admitted to your floor. As the charge nurse your primary responsibility for this patient is?

1. Let others know about the patient’s deficits.

2. Communicate with your supervisor your patient safety concerns.

3. Continuously update the patient on the social environment.

4. Provide a secure environment for the patient.

4. A patient is getting discharged from a SNF facility. The patient has a history of severe COPD and PVD. The patient is primarily concerned about their ability to breath easily. Which of the following would be the best instruction for this patient?

1. Deep breathing techniques to increase O2 levels.

2. Cough regularly and deeply to clear airway passages.

3. Cough following bronchodilator utilization

4. Decrease CO2 levels by increase oxygen take output during meals.

5. A nurse is caring for an infant that has recently been diagnosed with a congenital heart defect. Which of the following clinical signs would most likely be present?

1. Slow pulse rate

2. Weight gain

3. Decreased systolic pressure

4. Irregular WBC lab values

6. A mother has recently been informed that her child has Down’s syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down’s syndrome?

1. Simian crease

2. Brachycephaly

3. Oily skin

4. Hypotonicity

7. A patient has recently experienced a (MI) within the last 4 hours. Which of the following medications would most like be administered?

1. Streptokinase

2. Atropine

3. Acetaminophen

4. Coumadin

8. A patient asks a nurse, “My doctor recommended I increase my intake of folic acid. What type of foods contain the highest concentration of folic acids?”

1. Green vegetables and liver

2. Yellow vegetables and red meat

3. Carrots

4. Milk

9. A nurse is putting together a presentation on meningitis. Which of the following microorganisms has noted been linked to meningitis in humans?

1. S. pneumonia

2. H. influenza

3. N. meningitis

4. Cl. Difficile

10. A nurse is administering blood to a patient who has a low hemoglobin count. The patient asks how long to RBC’s last in my body? The correct response is.

1. The life span of RBC is 45 days.

2. The life span of RBC is 60 days.

3. The life span of RBC is 90 days.

4. The life span of RBC is 120 days.

Practice Question Answer Keys

1.
D The effects of PKU stay with the infant throughout their life.
2.
D Aspirin overdose can lead to metabolic acidosis and cause pulmonary edema development.
3.
D This patient’s safety is your primary concern.
4.
C The bronchodilator will allow a more productive cough.
5.
B Weight gain is associated with CHF and congenital heart deficits.
6.
C The skin would be dry and not oily.
7.
A Streptokinase is a clot busting drug and the best choice in this situation.
8.
A Green vegetables and liver are a great source of folic acid.
9.
D Cl. difficile has not been linked to meningitis.
10.
D RBC’s last for 120 days in the body.

INSPIRATIONAL THOUGHTS AND POEMS FROM PORTRAIT OF A NURSE

Inspirational Thoughts and Poems from Portrait of a Nurse

Be thankful that you don't already have everything you desire.
If you did, what would there be to look forward to?
Be thankful when you don't know something,
for it gives you the opportunity to learn.

Be thankful for the difficult times. During those times you grow.
Be thankful for your limitations,
because they give you opportunities for improvement.
Be thankful for each new challenge,
because it will build your strength and character.

Be thankful for your mistakes.
They will teach you valuable lessons.
Be thankful when you're tired and weary,
because it means you've made a difference.

It's easy to be thankful for the good things.
A life of rich fulfillment comes to those who
are also thankful for the setbacks.
Gratitude can turn a negative into a positive.
Find a way to be thankful for your troubles,
and they can become your blessings.

Author unknown

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A Bit of Wisdom

People are often unreasonable, illogical, and self-centered;
Forgive them anyway.

If you are kind, people may accuse you of selfish, ulterior motives;
Be kind anyway.

If you are successful, you will win some
false friends and some true enemies;
Succeed anyway.

If you are honest and frank, people may cheat you;
Be honest and frank anyway.

What you spend years building, someone could destroy overnight;
Build anyway.

If you find serenity and happiness, they may be jealous;
Be happy anyway.

The good you do today, people will often forget tomorrow;
Do good anyway.

Give the world the best you have, and it may never be enough;
Give the world the best you've got anyway.

You see, in the final analysis, it is between you and God;
It never was between you and them anyway.

Author Unknown

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An Angel wrote:

Many people will walk in and out of your life, but only true friends will leave footprints in your heart.

To handle yourself, use your head; To handle others, use your heart.

Anger is only one letter short of danger.

If someone betrays you once, it's his fault; if he betrays you twice, it's your fault.

Great minds discuss ideas; Average minds discuss events; Small minds discuss people.

God gives every bird it's food, but He does not throw it into it's nest.

He who loses money, loses much; He who loses a friend, loses more; He who loses faith, loses all.

Beautiful young people are acts of nature, but beautiful old people are works of art.

Learn from the mistakes of others. You can't live long enough to make them all yourself.

The tongue weighs practically nothing, but so few people can hold it.

Author unknown

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I asked God to take away my pain.
God said, No.
It is not for me to take away,
but for you to give it up.

I asked God to make my handicapped child whole.
God said, No.
Her spirit is whole,
her body is only temporary.

I asked God to grant me patience.
God said, No.
Patience is a by-product of tribulations,
it isn't granted, it is earned.

I asked God to give me happiness.
God said, No.
I give you blessings,
Happiness is up to you.

I asked God to spare me suffering.
God said, No.
Suffering draws you apart from worldly cares
and brings you closer to me.

I asked God to make my spirit grow.
God said, No.
You must grow on your own,
but I will prune you to make you fruitful.

I asked for all things that I might enjoy life.
God said, No.
I will give you life so that you may enjoy all things.

I ask God to help me love others, as much as he loves me.
God said...
Ahhhh, finally you have the idea.

Author unknown

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Humility is the state of being humble. A humble person is generally thought to be unpretentious and modest: someone who does not think that he or she is better or more important than others. Humility is not to be confused with humiliation, which is the act of making someone else feel ashamed, and is seen as something completely different. It is a virtue, is the quality of being humble or having a lowly opinion of oneself, meekness, lowliness, humbleness, the opposite of pride or haughtiness. The Law of Humility is God's Wisdom and Love in perfect balance as Compassion. Humility is Nonresistance in its purest expression. True Humility is complete willing surrender to be ready for the Father's use in any capacity, in any way, anywhere, anytime.

**************************************************************************

Dear Future Nurses,

Being a nurse, is not only my profession, it is my vocation. This is my life, this is all a Blessing from God. Whatever success in life, always be "meek and humble of heart". God will bless you more by doing good things to others.Remember, everything happens for a reason, even the fall of the leaves has its reason. Have FAITH and God will hear your HEART'S DESIRE!

Ma'am Ana

Portrait of a Nurse Advocacies

Nurses have the power to be advocates

Nurses are empowered to be advocates. It is the very nature of our noble profession that has placed us in this powerful position of nurse advocate. Webster's Dictionary (2002) defines advocate as "a vocal supporter of any cause; one who pleads or speaks for another; to recommend; to maintain by argument; intercessor."

Nurses work to promote health, prevent disease, and help patients cope with illness and stress. Nurses are advocates and health educators for patients, families, and communities. Most importantly, nurses now must become advocates for the nursing profession.

Advocate for Our Patients

All practicing nurses should advocate for patients on a daily basis. Nurses play a key role in educating consumers about quality health care.The patient is the single most important factor in health care, and it is important that nurses care about their patients. As nurses, we are concerned about the type of care our patients receive, and many times, we are frustrated in our attempt to give the care we know our patients deserve. We must become the voice, the intercessor, and the interpreter for our patients. It is well-known that the general public trusts nurses. How many times has a family member, friend, or neighbor asked us for advice or help with a problem? As advocates, we can use our knowledge and expertise to assist others.

Advocate for Quality

Advocacy does not end at the bedside. It is the goal of every nurse to be an advocate and a champion of quality. Nurses must advocate for quality health care and be educated about the issues that affect health care delivery. We need to make sure our voices are heard in government. We want to keep health care quality in the forefront and not on the back burner. The cost of health care is rising, and many of our seniors cannot afford to pay for health benefits, prescription drugs, or food. Nurses can support appropriate legislation. You may ask yourself what can I do? As a nurse, you can make a phone call, write letters, e-mail your elected officials, or write a letter in your local newspaper responding to current health care issues. When something is repeated, people begin to take notice. When we begin to speak with one voice and remove the barriers across specialty lines then we will become a force to be reckoned with. We must be advocates for evidence-based practice that will facilitate improvement in adult health.

Our Regular Activities includes:

Regular Medical Mission at San Pablo Cathedral Free Clinic every Sunday, 8-12nn with Dra. Vency Manalo

Special Medical Mission of San Pablo Parish Health care Ministry every 2 months in chosen Barangay of San Pablo City, Laguna, 7-12nn with Dra. Cynthia Sanchez.

RED CROSS San Pablo Chapter Volunteerism

Nazareth Bahay Pag-ibig, House of Apostolate Volunteerism

Medical Mission with some politicians

other Outreach Program for the benefit of the chosen indigent children of San Pablo

Preparing To Take The Philippine Nurse Licensure Examination

If you are contemplating on taking the board exam, listed below are requirements that you need.

1. Complete your scrubs:

5 Major Operation Scrubs
5 Minor Operation Scrubs
5 Delivery Room Handles
5 Delivery Room Assists
5 Cord Dresses

2. Visit your school registrar to see if you have completed your requirements:

ex. birth certificate, request for SO, school transcript of records, basically everything that needs to be done so that your papers are in order.

When preparing for the Philippine Board Exam, it is important that you understand that the board questions that are going to come out are the basic concept that you should know in order to work as an entry level nurse. What are these concepts that you need to focus on, you might ask?


Community Health Nursing - vaccination schedules, communicable diseases, public health nurse, requirement to be a dean, clinical instructor, principles of home visit, and the bag technique. Good resource for this is the (DOH) Department of Health on Community Health Nursing in the Philippines.

Fundamentals of Nursing
Theorist like Lydia Hall, Nightingale, Orem, primary care, health care delivery system, maslow's , mode of transmission, risk factors


Nursing Research
Simple Sampling, Simple Stratefied Sample, Clustered, Snowballing, phases of research (design, operations,...)


Psychiatric Nursing
Therapeutic communications, defense/coping mechanisms, psychiatric drugs


Maternal and Child Health Nursing
Pregnancy and common pregnancy-related complications, Labor Process, Hormones related with pregnancy, growth and development concepts (Freud, and other theorist).

Medical-Surgical Nursing
Review on the common diseases found primarily in the Philippines. Ex. Tuberculosis, Asthma, COPD, Malaria, Dengue, etc. Try to browse your Department of Health on Community Health Nursing in the Philippines book.

Nursing Ethics, Jurisprudence and Professional Adjustment
Theorist of Management, characteristics of a leader / manager, memories just the important republic acts like R.A. 9173, breast feeding act 7100, child abuse, clean air, nurse week, nutrition month.

PORTRAIT OF A NURSE

The PORTRAIT OF A NURSE Review Center is a new review center in the heart of San Pablo, designed for nursing graduates to prepare them to pass the Philippine Nurse Licensure Examination; it also guides them to become the image of a professional nurse with distinct quality and innate ability to express genuine concern for their fellow human beings. It strengthens to the ideals and purposes of the profession of nursing.

The Vision: To establish a comprehensive nursing review center in the heart of San Pablo and to the whole town of Laguna that will strengthen the nursing graduate's capability to pass the Philippine Nurse Licensure Examination, generate new ideas about the nature of nursing practice and promote high quality and consistency in educational programs.

The Mission: To meet the learning needs of the graduate nurses for the Philippines Nurse Licensure Examination, hold seminars, medical missions and training that define their respective competencies, to provide unique approaches to knowledge production, and to promote nursing perspectives to the health care community and the public with excellence.

General Program

Portrait of a Nurse Review Program offers a comprehensive review for the Philippine Board Examination that includes live lectures and practice exam which simulate the actual Local-RN examinations. It is intensive specialized review program lecturing all concepts of the BSN curriculum and the Core Competencies Framework integrated in the local board examinations.

Our reviewers are highly qualified faculty and seasoned reviewer who are experienced and proficient in scientific foundations and clinical applications of nursing principles. The reviewers and reviewees comprise a community learners with the reviewer as facilitator and the reviewee responsible for his or her own learning. Review strategies are varied so that reviewees are able to maximize their learning potentials.

The Review Program provides an opportunity to analyze, synthesize, evaluate and integrate knowledge, skills, and perspectives to pass the Philippine Nurse Licensure Examination through lots of practice test and examination drills designed to train critical thinking and to evaluate learning.

114 Colago Avenue, San Pablo City, Laguna

(beside DIGITEL)

(049) 800-1423 / 09088876340

anabbondad@yahoo.com.ph

portraitofanurse-reviewcenter.blogspot.com