Question 1

In the basic research concepts, a sample that is too small may lack:
A)internal validity
B)internal and external validity
C)external validity alone
D)neither internal nor external validity

Accepted Answer

Internal and External validity are absent in samples that are too small in basic research concepts. The nurse must be able to critically analyze studies and conduct a survey of the literature. External validity is ensured if the results hold true in different environments and circumstances with different populations.

Question 2

Indicators of quality outcome according to ACCN synergy include:
A)Adherence to discharge plans
B)Satisfaction of patient and family
C)Rate of complications
D)All of above

Accepted Answer

Indicators of quality outcome according to ACCN synergy include all of the above. The ACCN synergy model has three levels of quality outcomes which are patient, nurse, and system or environment. There are overall six general indicators of quality outcomes. Indicators of quality outcome are adherence to discharge plans, satisfaction of patients and family, and rate of complications.

Question 3

Supporting families of dying patients before death includes:
A)encouraging family members to stay with the patient as long as they wish
B)sending card or condolence note
C)staying with the family quietly allowing them to talk and cry
D)using the patient's name when talking to the family

Accepted Answer

Supporting families of dying patients before death includes staying with the family quietly allowing them to talk and cry. The nurse should stay and sit with the patient's family and allowing them to talk, cry, to share their grief. Nurse should avoid judgmental to the family's reactions Show caring by touching the patient and encouraging family to do the same.

Question 4

How many stages of grief are there in Kubler-Ross's proposal?
A)8
B)7
C)4
D)5

Accepted Answer

There are 5 stages of grief in Kubler-Ross's proposal. Grief is a normal response to the death or any problem of a patient. Every person deals with grief is very personal, and differently.

Question 5

The skills needed for collaboration are:
A)willingness to compromise
B)clear communication
C)ability to work with teams
D)all the above

Accepted Answer

All these skills are needed for collaboration. An important form of collaboration is that between the nurse and the patient/family, this type of collaboration must not be overlooked.

Question 6

In patient's characteristics, what does stability means:
A)Ability to recover from a devastating illness
B)Factors that put a person at increased risk
C)A trait that allows a patient to maintain a state of equilibrium despite illness and challenges
D)A behavior that occurs when more than one system is involved

Accepted Answer

Stability allows a patient to maintain a state of equilibrium. The synergy method for patient care needs number of patient characteristics that must be considered if a nurse's competencies are to match those of the patient/family. Patient's stability must be thee in spite of illness and challenges. Important factors include relief from stress, conflicts, and emotional burdens as well as motivation and values.

Question 7

In the pain scale, what does 3-5 indicates:
A)Mild pain
B)Moderate pain
C)Very severe pain
D)Severe pain

Accepted Answer

On the pain scale, 3-5 refers to moderate pain. Pain is a subjective feeling and depends on individual's pain threshold plus pain tolerance. One should assess the pain with the help of information about onset, duration, and intensity.

Question 8

Which is the correct order of steps of systems thinking?
A)Define issue, describe behavior pattern, define patterns of performance, find solutions
B)Describe behavior pattern, define issue, find solutions, define patterns of performance
C)Define patterns of performance, define issue, find solutions, describe behavior pattern
D)Define issue, describe behavior pattern, find solutions, define patterns of performance

Accepted Answer

Define issue, describe behavior pattern, define patterns of performance, find solutions is the correct sequence of systems thinking. The organizational values and commitment must need that the organization embodies systems thinking and its associated concepts. Systems thinking focus on different things like systems interrelation, with each part affecting the entire system.

Question 9

What is the first step of problem solving?
A)define the issue
B)collect data
C)identify concepts
D)consider reason for action

Accepted Answer

Defining the issue is the first step in problem solving. Problem solving for satisfaction of patient/family involves forming a hypothesis, testing, and assessing data to determine if the hypothesis holds true.

Question 10

The responsibility of the patient and his/her family is to:
A)provide honest information about health issues and medical history
B)ask for clarification if they don't understand information provided
C)follow the plan of care that is outlined
D)all the above

Accepted Answer

All of these are the responsibility of the patient and family. Patients and families must act as their own advocates and should have a clear understanding of their rights and responsibilities. They should provide honest information about health issues and medical history.

Question 11

A 38-year-old woman presented to accident and emergency department with short history of abdominal pain and distention, severe constipation, vomiting, dehydration and respiratory distress. On examination, she was having abdominal rigidity and no bowel sounds were audible. What is the most likely diagnosis based on this clinical scenario?
A)Bowel or intestinal obstruction
B)Appendicitis
C)Peritonitis
D)Pancreatitis

Accepted Answer

The most likely diagnosis is bowel or intestinal obstruction because severe constipation, vomiting and resulting dehydration are features of this. Moreover, absent bowel sounds also indicate intestinal obstruction. The condition will be confirmed by doing abdominal x-rays.

Question 12

Which is the key quality concept below?
A)Accessibility
B)Coordination
C)Respect
D)All the above

Accepted Answer

All the qualities listed are part of the key quality concept. All the key concepts related to quality must be communicated to the members of the organization through workshops, newsletters, fact sheets, general meetings.

Question 13

The synergy model of nursing practice places which of the following as the central focus?
A)Needs of the doctors
B)Needs of the nurses
C)Needs of the patients
D)Needs of the patient's relatives

Accepted Answer

The synergy model defines the relationship between 8 patient characteristics and 8 nurse competencies for the needs of the patients as the central focus. The needs of the patient are the main force for nurse competencies, and both are dependent on the healthcare system.

Question 14

A 50 years old male was admitted in the hospital for the treatment of hip osteoarthritis. During his stay in the general ward he developed off and on fever, sore throat and cough. His Total leukocyte count was raised, which was otherwise normal at admission. What has he developed?
A)Nosocomial infection
B)Water borne infection
C)Surgery related infection
D)None of the above

Accepted Answer

patient has developed nosocomial infection because when patient was admitted he was absolutely normal except pain in hip joint. During his admission he acquired some infection and developed fever, sore throat. Total leukocyte count was also raised which was showing infection. Most probably the patient has got infection after the admission in the hospital. This is called nosocomial infection.

Question 15

A young boy has ingested 20 tylenol (acetaminophen). What do you expect he is likely to have due to this?
A)Fulminant hepatic failure
B)Renal failure
C)Cardiac failure
D)Stroke

Accepted Answer

The boys is likely to have Fulminant hepatic failure that will happen due to acetaminophen intake. Fulminant hepatic failure (FHF) is usually defined as the severe impairment of hepatic functions in the absence of preexisting liver disease. However, unlike in adults, encephalopathy may be absent, late, or unrecognized in children.

Question 16

Which among the following is included in the Learning Styles?
A)Visual learners
B)Kinesthetic learners
C)Only B
D)Both A and B

Accepted Answer

Visual and kinesthetic learners are included in Learning Styles. People should aware of their preferred learning style. Teaching materials relates to all 3 learning preferences, visual, auditory, and kinesthetic.

Question 17

During the round of the ward, consultant was discussing about a 50 years old patient suffering from end stage renal disease. He said that certain metabolic problems start occurring in this condition and creatinine clearance decreased to < 10 ml/min. moreover fluid and electrolyte balance, acid base balance, hormone production and waste removal are also affected. What is he pointing towards?
A)Uremic syndrome
B)Cushing syndrome
C)Nephritic syndrome
D)None of the above

Accepted Answer

Actually he is pointing towards uremic syndrome as in end stage renal disease uremic syndrome occurs in which there are certain metabolic disorders and creatinine clearance decreases to <10 ml/min, due to extensive damage of the kidneys. Moreover all the other functions of kidneys are alsa decreased.

Question 18

A 50 year old female a known case of HIV/AIDS, presented to medical OPD with general weight loss, night sweats, general debility, fever, productive cough and hemoptysis. What is she suffering from?
A)Pneumonia
B)Tuberculosis
C)Emphysema
D)Bronchiectasis

Accepted Answer

She is suffering from tuberculosis because in tuberculosis there is weight loss, general debility, night sweats, fever and hemoptysis. Moreover AIDS is responsible for the immunocompromised state of the patient. Immunocompromised patients are prone to have tuberculosis.

Question 19

A 20 years old girl presented with high fever, diarrhea, myalgia and widespread erythematous rash that has the appearance of bad sunburn, with subsequent desquamation. On examination he had hypotension. She gives history of recent tampon use. What is the likely diagnosis?
A)Toxic shock syndrome
B)Necrotizing fasciitis
C)Herpes zoster
D)Shingles

Accepted Answer

The likely diagnosis is toxic shock syndrome which occurs in females due to tampon use. Its characteristic features are high grade fever, myalgia, diarrhea and widespread erythematous rash. It is caused by staphylococcus aureus.

Question 20

Stroke or cerebrovascular accidents are classified as:
A)Ischemic and hemorrhagic
B)Only ischemic
C)Only hemorrhagic
D)None of the above

Accepted Answer

Stroke or cerebrovascular accidents are classified as two types: ischemic and hemorrhagic. Ischemic strokes are those that are caused by interruption of the blood supply, while hemorrhagic strokes are the ones which result from rupture of a blood vessel or an abnormal vascular structure. 87% of strokes are caused by ischemia and the remainder by hemorrhage.

Quiz 1: Progressive Care Nursing (PCCN)

In the basic research concepts, a sample that is too small may lack:

Indicators of quality outcome according to ACCN synergy include:

Supporting families of dying patients before death includes:

How many stages of grief are there in Kubler-Ross's proposal?

The skills needed for collaboration are:

In patient's characteristics, what does stability means:

In the pain scale, what does 3-5 indicates:

Which is the correct order of steps of systems thinking?

What is the first step of problem solving?

The responsibility of the patient and his/her family is to:

Which is the key quality concept below?

The synergy model of nursing practice places which of the following as the central focus?

A 50 years old male was admitted in the hospital for the treatment of hip osteoarthritis. During his stay in the general ward he developed off and on fever, sore throat and cough. His Total leukocyte count was raised, which was otherwise normal at admission. What has he developed?

A young boy has ingested 20 tylenol (acetaminophen) . What do you expect he is likely to have due to this?

Which among the following is included in the Learning Styles?

A 50 year old female a known case of HIV/AIDS, presented to medical OPD with general weight loss, night sweats, general debility, fever, productive cough and hemoptysis. What is she suffering from?

A 20 years old girl presented with high fever, diarrhea, myalgia and widespread erythematous rash that has the appearance of bad sunburn, with subsequent desquamation. On examination he had hypotension. She gives history of recent tampon use. What is the likely diagnosis?

Stroke or cerebrovascular accidents are classified as: