Nokea
Founder of the PNA
- A. Julita Sotejo
- B. Anastacia Giron Tupas
- C. Eufemia Octaviano
- D. Anesia Dionisio
Correct Answer: B
Rationale: Anastacia Giron-Tupas founded the Philippine Nurses Association in 1922, advancing Filipino nursing's professional status e.g., advocating licensure. Sotejo, Octaviano, and Dionisio contributed differently. Her leadership at PGH and PNA shaped national standards, a key historical milestone in local nursing.
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Considered as Safest and most non invasive method of temperature taking
- A. Oral
- B. Rectal
- C. Tympanic
- D. Axillary
Correct Answer: D
Rationale: Axillary temp is safest, least invasive no mucosal entry e.g., armpit avoids rectal (perforation), oral (biting), or tympanic (ear) risks. Ideal for infants, nurses use it e.g., frail patients for safety, per non-invasive guidelines.
An eleven-month-old infant is brought to the pediatric clinic. The nurse suspects that the child has iron deficiency anemia. Because iron deficiency anemia is suspected, which of the following is the most important information to obtain from the infant's parents?
- A. Normal dietary intake
- B. Relevant socio cultural, economic, and educational background of the family
- C. Any evidence of blood in the stools
- D. A history of maternal anemia during pregnancy
Correct Answer: A
Rationale: Dietary intake reveals iron sources, critical for diagnosing deficiency.
The nurse assesses a client at 40 weeks gestation and notes regular contractions and cervical dilatation of $6 \mathrm{~cm}$. Which actions by the nurse are important during this stage? Select all that apply.
- A. Administering the epidural injection
- B. Ensuring adequate hydration
- C. Encouraging the client to void
- D. Monitoring the condition of the fetus
Correct Answer: D
Rationale: At 40 weeks gestation with 6 cm cervical dilatation, the client is in active labor. Monitoring the fetus (D) is critical to assess for distress via heart rate patterns, a priority in labor management. Administering an epidural (A) requires an order and isn't universally needed. Ensuring hydration (B) supports labor but isn't the top action. Encouraging voiding (C) prevents bladder distension but is secondary. D is chosen. Rationale: Fetal monitoring detects hypoxia or distress, guiding interventions like position changes or delivery, per ACOG standards, outweighing comfort or supportive measures in immediacy during active labor.
The nurse gave Mr. Gary his medication as planned. This is an example of?
- A. Implementation
- B. Planning
- C. Evaluation
- D. Assessment
Correct Answer: A
Rationale: Giving medication as planned is implementation (A) executing care, per process. Planning (B) sets, evaluation (C) assesses, assessment (D) gathers not action-specific. A fits intervention delivery, making it correct.
An adult client is on extreme pain. He is moaning and grimacing. What is the best way to assess the client's pain?
- A. Perform physical assessment
- B. Have the client rate his pain on the smiley pain rating scale
- C. Active listening on what the patient says
- D. Observe the client's behavior
Correct Answer: B
Rationale: Rating pain on a smiley scale (B) is best for an adult in extreme pain; it quantifies subjective experience, per pain assessment tools. Physical assessment (A) is secondary, listening (C) misses rating, observing (D) lacks precision. B captures intensity, making it correct.