2026/01/15 NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH
RATIONALE
BAGUIOEN, KATHLENE
KAYE L. BSN IV-A
1. A 65-year-old man has been admitted to the hospital for spinal stenosis
surgery. When should the discharge training and planning begin for this
patient?
A. Following surgery
B. Upon admission
C. Within 48 hours of discharge
D. Preoperative discussion
Rationale: B. Upon admission
Discharge education begins upon admission. Ideally, it involves the client
and the family, as well as the hospital staff. Effective discharge planning can
decrease the chances of the client being readmitted to the hospital, and
also can help in recovery, ensure medications are prescribed and given
correctly, and adequately prepare folks to take over the client’s care.
A: Preoperative instructions are important for discharge planning, so it must
start not only after the surgery.
C: Creating a discharge plan within 48 hours of discharge could cause the plan to
be incomplete, as it would lack the preparations made before the surgery.
D: Including the preoperative discussion in the discharge plan is correct, but this
should also extend towards the admission and the data taken upon admission
for comprehensive planning of the client’s discharge.
2. A nurse is reviewing a patient’s chart and notices that the patient suffers
from Lyme disease. Which of the following microorganisms is related to this
condition?
A. Borrelia burgdorferi
B. Streptococcus pyogenes
C. Bacillus anthracis
D. Enterococcus faecalis
Rationale: A. Borrelia burgdorferi
Lyme disease is the most common vector-borne disease in the United
States. Lyme disease is caused by the bacterium Borrelia burgdorferi and
rarely, Borrelia mayonii.
B: Group A Streptococcus (group A strep, Streptococcus pyogenes) can cause
both noninvasive and invasive disease, as well as nonsuppurative sequelae.
C: Anthrax is a serious infectious disease caused by gram-positive, rod-shaped
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE
,2026/01/15 NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH
RATIONALE
bacteria known as Bacillus anthracis.
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE
,2026/01/15 NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH
RATIONALE
D: Enterococcus faecalis and Enterococcus faecium are the most prevalent
species cultured from humans, accounting for more than 90% of clinical isolates.
Infections commonly caused by enterococci include urinary tract infection (UTIs),
endocarditis, bacteremia, catheter-related infections, wound infections, and
intra-abdominal and pelvic infections.
3. 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?”
A. Green vegetables and liver
B. Yellow vegetables and red meat
C. Carrots
D. Milk
Rationale: A. Green vegetables and liver
Green vegetables and liver are a great source of folic Acid.
B: Yellow vegetables are great sources of vitamins, such as vitamins A, B6, C,
folate, magnesium, fiber, riboflavin, phosphorus, and potassium. Red meat is rich
in protein, saturated fat, iron, zinc, and vitamin B.
C: Carrots are a rich source of vitamin A from beta carotene, K1 (phylloquinone),
and vitamin B6.
D: Milk is a rich source of calcium. Milk is an excellent source of many vitamins
and minerals, including vitamin B12, calcium, riboflavin, and phosphorus. It’s
often fortified with other vitamins, especially vitamin D.
4. A patient’s chart indicates a history of hyperkalemia. Which of the
following would you not expect to see with this patient if this condition were
acute?
A. Decreased HR
B. Paresthesias
C. Muscle weakness of the extremities
D. Migraines
Rationale: D.
Migraines
Migraines are not a symptom of hyperkalemia. Symptoms of
hyperkalemia, when present, are nonspecific and predominantly related to
muscular or cardiac function.
A: Occasionally, a cardiac examination may reveal extrasystoles, pauses, or
bradycardia resulting from heart block or tachypnea resulting from respiratory
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE
, 2026/01/15 NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH
RATIONALE
muscle weakness.
B: Paresthesias refers to a burning or prickling sensation that is usually felt in the
hands, arms, legs, or feet, and is common in hyperkalemia.
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH
RATIONALE
BAGUIOEN, KATHLENE
KAYE L. BSN IV-A
1. A 65-year-old man has been admitted to the hospital for spinal stenosis
surgery. When should the discharge training and planning begin for this
patient?
A. Following surgery
B. Upon admission
C. Within 48 hours of discharge
D. Preoperative discussion
Rationale: B. Upon admission
Discharge education begins upon admission. Ideally, it involves the client
and the family, as well as the hospital staff. Effective discharge planning can
decrease the chances of the client being readmitted to the hospital, and
also can help in recovery, ensure medications are prescribed and given
correctly, and adequately prepare folks to take over the client’s care.
A: Preoperative instructions are important for discharge planning, so it must
start not only after the surgery.
C: Creating a discharge plan within 48 hours of discharge could cause the plan to
be incomplete, as it would lack the preparations made before the surgery.
D: Including the preoperative discussion in the discharge plan is correct, but this
should also extend towards the admission and the data taken upon admission
for comprehensive planning of the client’s discharge.
2. A nurse is reviewing a patient’s chart and notices that the patient suffers
from Lyme disease. Which of the following microorganisms is related to this
condition?
A. Borrelia burgdorferi
B. Streptococcus pyogenes
C. Bacillus anthracis
D. Enterococcus faecalis
Rationale: A. Borrelia burgdorferi
Lyme disease is the most common vector-borne disease in the United
States. Lyme disease is caused by the bacterium Borrelia burgdorferi and
rarely, Borrelia mayonii.
B: Group A Streptococcus (group A strep, Streptococcus pyogenes) can cause
both noninvasive and invasive disease, as well as nonsuppurative sequelae.
C: Anthrax is a serious infectious disease caused by gram-positive, rod-shaped
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE
,2026/01/15 NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH
RATIONALE
bacteria known as Bacillus anthracis.
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE
,2026/01/15 NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH
RATIONALE
D: Enterococcus faecalis and Enterococcus faecium are the most prevalent
species cultured from humans, accounting for more than 90% of clinical isolates.
Infections commonly caused by enterococci include urinary tract infection (UTIs),
endocarditis, bacteremia, catheter-related infections, wound infections, and
intra-abdominal and pelvic infections.
3. 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?”
A. Green vegetables and liver
B. Yellow vegetables and red meat
C. Carrots
D. Milk
Rationale: A. Green vegetables and liver
Green vegetables and liver are a great source of folic Acid.
B: Yellow vegetables are great sources of vitamins, such as vitamins A, B6, C,
folate, magnesium, fiber, riboflavin, phosphorus, and potassium. Red meat is rich
in protein, saturated fat, iron, zinc, and vitamin B.
C: Carrots are a rich source of vitamin A from beta carotene, K1 (phylloquinone),
and vitamin B6.
D: Milk is a rich source of calcium. Milk is an excellent source of many vitamins
and minerals, including vitamin B12, calcium, riboflavin, and phosphorus. It’s
often fortified with other vitamins, especially vitamin D.
4. A patient’s chart indicates a history of hyperkalemia. Which of the
following would you not expect to see with this patient if this condition were
acute?
A. Decreased HR
B. Paresthesias
C. Muscle weakness of the extremities
D. Migraines
Rationale: D.
Migraines
Migraines are not a symptom of hyperkalemia. Symptoms of
hyperkalemia, when present, are nonspecific and predominantly related to
muscular or cardiac function.
A: Occasionally, a cardiac examination may reveal extrasystoles, pauses, or
bradycardia resulting from heart block or tachypnea resulting from respiratory
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE
, 2026/01/15 NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH
RATIONALE
muscle weakness.
B: Paresthesias refers to a burning or prickling sensation that is usually felt in the
hands, arms, legs, or feet, and is common in hyperkalemia.
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE.pdf
NUPC 124 A QUESTIONS,ANSWERS WITH RATIONALE
