Compete Solutions 2026-2027 Edition.
SITUATION 1
Chacha, a 6 month old baby is admitted in the Pediatric unit for acute diarrhea and dehydration.
- Answer
1. You are in charge of this patient. In your assessment you expect to find which of the
following?
a. Moderately lethargic
b. Bulging fontanelle
c. loosening of the skin
d. High grade fever - Answer d. High grade fever
2. Further clinical findings of the child that you have observed include which ONE of the
following?
a. Metabolic alkalosis
b. Metabolic acidosis
c. Respiratory acidosis
d. respiratory alkalosis - Answer b. Metabolic acidosis
3. The child was ordered Oresol (ORS). As a nurse, how would you prepare Oresol treatment for
this child?
a. Mix 2 sachet of ORS in 1 liter of water
b. Mix 1 sachet of ORS in 2 liters of water
c. Mix 2 sachet of ORS in 2 liters of water
d. Mix 1 sachet of ORS in 1 liter of water - Answer d. Mix 1 sachet of ORS in 1 liter of water
4. The BEST practice for the nursing staff to prevent spread of infection when patient has
infectious diarrhea is _________.
a. Autoclave linens
b. Strict handwashing
, c. isolate the patient
d. wear latex gloves - Answer b. Strict handwashing
5. After the Oresol Treatment which of the following is an indication that Oresol is effective?
a. Patient is well hydrated
b. Refuse to play with other children
c. Socialization with other children
d. Temperature is 36.8°C - Answer a. Patient is well hydrated
SITUATION 2
Dr. Lopez, a Ph.D graduate in Nursing, has been appointed as a consultant in a tertiary hospital
to help administration of coming up to strategies that will further enhance culture of team work
and quality improvement (QI) among health personnel in the workplace. One day, Dr. lopez
while conducting her rounds observed a charge nurse (CN) facilitating a team on reducing post-
operative complications in her unit of assignment. The nurse was emphasizing the four (4)
essential steps of the QI process. - Answer
6. The FIRST phase of this activity is __________.
a. Review cause/s of the problems
b. List of problems & prioritize
c. Conduct root cause analysis
d. Analyze the problems carefully - Answer b. List of problems & prioritize
7. While undergoing the QI process, three (3) members of the team were having conflict in what
management to do. Which of the following can be an EFFECTIVE strategy to resolve this
conflict?
a. Reprimand the three members of the team of their behavior
b. Assign the three members of the team in the different shifts
c. Assign an Administration to solve the conflict
d. Have the three members confront with each other - Answer d. Have the three members
confront with each other
8. Dr. Lopez was initiating some innovative activities in the medical center for a continuous
quality improvement (CQI) in patient care services. A policy has been adopted for nursing staff
every shift to conduct hourly rounds for patients with PRIORITY health problems and attached