Nursing Elites

1. Who among the following can work as a practicing nurse in the Philippines without taking the Licensure examination?

• A. Internationally well known experts which services are for a fee
• B. Those that are hired by local hospitals in the country
• C. Expert nurse clinicians hired by prestigious hospitals
• D. Those involved in medical mission who’s services are for free

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.

2. Baby John develops hyperbilirubinemia. What is a method used to treat hyperbilirubinemia in a newborn?

• A. Keeping infants in a warm and dark environment
• B. Administration of cardiovascular stimulant
• C. Gentle exercise to stop muscle breakdown
• D. Early feeding to speed passage of meconium

Correct answer: A

Rationale: Patient safety and efficacy of care depend on actions rooted in established nursing protocols that consider both the immediate and long-term needs of the patient.

3. A nurse is providing teaching to a group of parents of newborns who are planning to formula feed. Which of the following statements by a parent indicates a need for further teaching?

• A. "I will give formula to my baby at room temperature."
• B. "I will ensure my baby's feeds last 10 to 15 minutes."
• C. "I will burp my baby halfway through each feeding."
• D. "I will watch for signs my baby is full and stop the feeding."

Correct answer: B

Rationale: The correct answer is, "I will ensure my baby's feeds last 10 to 15 minutes." This statement indicates a need for further teaching because it suggests a strict time limit for feedings, which may not be appropriate for a newborn. Newborns should be allowed to feed as long as they want, typically around 20-30 minutes per breast if breastfeeding, or on-demand with formula. Choices A, C, and D demonstrate proper feeding practices such as feeding at room temperature, burping halfway through each feeding, and watching for signs of fullness to stop the feeding, which are all appropriate responses by a parent of a formula-fed newborn.

4. Approximately 75% of reputable producers of bottled water use groundwater as their water source. Plain tap water is the most natural source of fluids.

• A. Both statements are true.
• B. Both statements are false.
• C. The first statement is true; the second is false.
• D. The first statement is false; the second is true.

Correct answer: A

Rationale: Both statements are true. Approximately 75% of reputable producers of bottled water use groundwater as their water source, which is the same source as the public water supply. Plain tap water, coming from underground sources or reservoirs, is indeed a natural source of fluids. The first statement is supported by the fact that groundwater is a common source for bottled water due to its purity and taste. The second statement is true as tap water is sourced from natural reservoirs or underground aquifers in most cases, making it a natural fluid source for consumption. Other choices are incorrect because both statements are factually accurate based on common practices in the production and sourcing of bottled water and tap water.

5. The small intestine is comprised of the cecum, colon, and rectum. The large intestine includes the duodenum, jejunum, and ileum.

• A. Both statements are true
• B. Both statements are false
• C. The first statement is true; the second is false
• D. The first statement is false; the second is true

Correct answer: B

Rationale: Both statements are false. The small intestine consists of the duodenum, jejunum, and ileum, while the large intestine includes the cecum, colon, and rectum.

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