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Indicate which of the following situations does not usually occur in a biofilm of a wound bed: | Persists through autolytic and enzymatic debridements. | It can be easily removed with a gauze/curette. | It regenerates easily. 165 Negative pressure therapy for the treatment of wounds is contraindicated in: | Nursing | It is very adhered to the bed of the lesion. | 164 | 3 | 23eaccb6-0c7a-469d-ad8d-f3b3c2a57c63 | 2024 |
In the triage of a one-month-old infant, we observe that she is active, calm, responds to stimuli, has normal-colored skin, with marmorata skin, and scores 0 on the Silverman-Anderson test. How would you rate the Pediatric Assessment Triangle? | Subacute. | Acute. | Unstable. | Nursing | Stable. | 167 | 3 | 31010b93-9476-418d-a33b-21353cf4b907 | 2024 |
The anthropometric assessment of a 19-month-old girl presents a Z-Score in weight for age of -1.25 standard deviations. According to the 2006 WHO child growth standards, what is happening to this girl? | Acute mild malnutrition. | Chronic severe malnutrition. | Overweight. | Nursing | Nothing. | 168 | 3 | 0d637d07-9bf6-49a3-b989-63e089867b1c | 2024 |
A child comes to the clinic for us to administer the vaccines recommended by the common vaccination schedule throughout life corresponding to 4 months (current schedule for 2023). The parents ask, "how many shots does he have to get?" | 3. | 2. | 6. | Nursing | 4. | 169 | 3 | cb8bf4f0-32b8-4f38-965b-476ca4fe448f | 2024 |
What is the "gold standard" confirmatory test for diagnosing non-immunoglobulin E mediated cow's milk protein allergy in an infant? | Prick Test. | Anamnesis (typical semiology). | Oral provocation test. | Nursing | Specific IgE determination. | 170 | 4 | 0f9c2374-da60-46ce-b1c6-c4e5e00ba838 | 2024 |
What are some of the risk factors for presenting withdrawal syndrome in children with reduced sedoanalgesia? | Accumulated doses of fentanyl greater than 0.8mg/Kg and of midazolam of 20 mg/Kg. | Continuous infusion of midazolam or fentanyl for 5 or more days, infants under 6 months and psychomotor delay. | Duration of treatment with dexmedetomidine longer than 5 days and accumulated dose greater than 50 µg/kg. | Nursing | Infants under 1 month and infusions of fentanyl greater than 2 µg/kg/hour and midazolam greater than 0.5 mg/kg/hour. | 171 | 1 | 2ac02ae2-1a84-429f-a937-682295cf3636 | 2024 |
How many microdrops/min should a serum scheduled at 12 ml/h pass in a pediatric patient? | 24 microdrops/minute. | 26 microdrops/minute. | 12 micro drops/minute. | Nursing | 14 microdrops/minute. | 172 | 4 | e0cc4733-639f-4342-81d5-c3d9493a509e | 2024 |
Which of the following diseases is not included in the Newborn Screening Program for Endocrine-Metabolic Diseases of the common services portfolio of the National Health System?: | Autism. | Congenital Hypothyroidism. | Sickle cell anemia. | Nursing | Phenylketonuria. | 173 | 2 | b155e111-016d-4fc4-9aa6-c9318d65a8a0 | 2024 |
According to the recommendations for the use of nirsevimab, against the respiratory syncytial virus (RSV), published by the Public Health Commission of the Interterritorial Council of the National Health System of the Ministry of Health in July 2023, it is correct: | The recommended dosage is two doses of 100 mg for infants with a body weight >5Kg. | The recommended dose is a single dose of 50 mg for infants with a body weight of <5Kg. | Infants with congenital metabolic disorders are not included in the population of children at high risk of severe illness due to RSV. | Nursing | It should be administered separately and with a period of at least 7 days from other vaccines recommended in the vaccination schedule. | 174 | 1 | 58c0a508-6af3-482b-9e52-4fc4fbc969a3 | 2024 |
In relation to delayed clamping of the umbilical cord in newborns, the new update of the Neonatal Stabilization and Resuscitation Recommendations from the Spanish Society of Neonatology states that: | In neonates requiring resuscitation, priority should be given to late clamping over the initiation of positive pressure ventilation (PPV). | The late clamping of the cord (at least one minute) should be the strategy of choice in full term newborns (RNT) and preterm infants (RNPT) of any gestational age, born vaginally or by cesarean, who do not require immediate resuscitation. | Milking the umbilical cord from the placenta to the neonate with an intact cord is far superior to late clamping, in terms of benefits for the neonate. | Nursing | Late cord clamping (at least one minute) should be the strategy of choice in term newborns (RNT) and preterm newborns (RNPT) of any gestational age, only in those born vaginally. | 175 | 1 | 727d0312-0ed9-462b-921a-a176ae4d65af | 2024 |
According to the Pediatric Assessment Triangle, a 10-year-old girl who is presenting severe respiratory distress, drowsiness, and little response to verbal stimuli and peripheral cyanosis on her lips, is in a pathophysiological state of: | Respiratory failure. | Central nervous system dysfunction. | Decompensated shock. | Nursing | Cardiopulmonary failure. | 176 | 3 | 868fcc2d-e6ba-431b-a251-e586a23ce2e8 | 2024 |
Indicate the correct option when transfusing a blood component: | The maximum recommended infusion time for a unit of platelets is 1 hour. | The drip chamber should be filled more than half way in order to achieve better filtration. | The first 15 minutes of the transfusion should be performed at a slow speed, 10 drops/minute, with strict monitoring by the nursing professional. | Nursing | On average, blood components will be administered at a rate of 20-25 ml/Kg/h. | 177 | 4 | eefe9ad9-05d7-48a0-a5ac-edb2a44f8ef2 | 2024 |
What is the proper position to prevent air embolism when removing the Peripherally Inserted Central Catheter (PICC)? | Semifowler or sitting. | Trendelenburg. | Supine position. | Nursing | Lie on the side opposite to the arm where the PICC is implanted. | 178 | 2 | c2a784e0-9205-48ba-9cd7-8977a37826be | 2024 |
According to the Clinical Practice Guide for Nurses on Blood Cultures from the Spanish Institute of Nursing Research, what is the best method of applying antiseptic for skin disinfection prior to the extraction of blood cultures? | Use of 2% alcoholic chlorhexidine, rubbing the indicated area for 30 seconds and allowing it to dry for at least 2 minutes. | Use of 2% alcoholic chlorhexidine, rubbing the indicated area for 30 seconds and letting it dry for at least 3-5 minutes. | Use of 2% alcoholic chlorhexidine by friction on an area of 2-3 x 2-3 cm for 15 seconds on the indicated area and allowing it to dry for at least 3-5 minutes. | Nursing | Use of 2% alcoholic chlorhexidine, rubbing the indicated area for 15 seconds and allowing it to dry for at least 3-5 minutes. | 179 | 1 | d98e2ddc-ee94-43bd-8062-9faffdaa7000 | 2024 |
What are the steps to follow to prevent pinch off syndrome in venous reservoirs? | Use the jugular access for the catheter insertion and remove the venous port immediately when it is no longer necessary. | Implantation of the catheter via the subclavian route in a forced position of the upper limb and control through X-ray. | Implantation of the central venous catheter in the middle third of the costoclavicular space. | Nursing | Implantation of the catheter between the first rib and the subclavian and closely observing the patient. | 180 | 2 | 684430c0-12d5-4a6f-84ca-14f3a32b4280 | 2024 |
Of the following bones, which one is found within the bones of the face?: | Cheekbone. | Clivus bone. | Skull bone. | Nursing | Sphenoid bone. | 181 | 2 | 5b963d63-0bfb-4f51-8d1b-eef70967a2a7 | 2024 |
What is the name of the syndrome known as Reflex Sympathetic Dystrophy (RSD)? | Carpal Tunnel Syndrome. | Guyon's Canal Syndrome. | Painful Shoulder Syndrome. | Nursing | Sudeck's Syndrome. | 182 | 3 | 042d0060-4c64-460e-8876-df2048d756ca | 2024 |
Regarding the use of the epidural hematoma patch (EHP), indicate the correct answer: | Does not require a sterile technique. | It is used for the treatment of post-puncture headache lasting less than 24 hours, which does not improve with medication, and prevents normal activity. | One of the contraindications for its implementation is sepsis. | Nursing | It involves drawing blood from the patient and injecting a maximum of 5 ml into the epidural space. | 183 | 4 | f479542c-3d4e-456f-b7c7-6defd11d2738 | 2024 |
Indicate the correct position for placing a patient in relation to the indicated surgical intervention: | Morestin's surgical position for uterine gynecological surgeries. | Laminectomy position in lumbar fusion. | Position in supine decubitus on traction table for placement of total hip prosthesis surgery. | Nursing | Position in supine decubitus with hyperflexion of the neck and bolster under shoulders in craniotomy. | 184 | 1 | dface094-b6cd-48ec-bfe0-6fc02192a12a | 2024 |
Indicate the incorrect option in relation to epidural and spinal anesthesia: | Spinal anesthesia can be used for postoperative pain control, just like epidural anesthesia. | In epidural anesthesia, the anesthetic is injected through a catheter, and in spinal anesthesia, it is done through a needle. | Among the complications of both are: headaches, urine retention, and hypotension. | Nursing | The amount of anesthetic injected is less in spinal anesthesia than in epidural anesthesia. | 185 | 2 | 576b0f11-3494-4933-8f7c-4014085452bc | 2024 |
Indicate the correct answer about the placement of a double J urinary diversion catheter: | X-rays are needed for its placement. | It is an intervention in which a suprapubic incision is made. | The placement implies a deterioration in the patient's quality of life. | Nursing | The catheter will be positioned with one end in the ureter opposite to the affected one and the other end in the bladder. | 186 | 2 | d9922011-3861-4d95-9a36-dc02661becaa | 2024 |
Among the instructions for the use of botulinic toxin, it does not include: | Chronic migraine. | Severe primary axillary hyperhidrosis. | Neuromuscular diseases such as myasthenia gravis or Amyotrophic Lateral Sclerosis. | Nursing | Idiopathic overactive bladder. | 187 | 4 | 52b8527d-dd80-4a1b-9b12-07807b5b81b8 | 2024 |
Which of the following tests is used for suicide risk assessment?: | Hamilton Hospital Anxiety and Depression Scale. | Beck Depression Scale. | Norton Scale. | Nursing | MINI Neuropsychiatric Interview. | 188 | 3 | 7818c01a-6df0-4cd1-bbd6-d321edd24fa5 | 2024 |
What is the primary purpose of a safety plan in the assessment and management of patients at risk of suicide? | Identify supportive people in the patient's life. | Focus on the problem. | Promote open communication about suicidal ideation. | Nursing | Reduce access to lethal means. | 189 | 3 | 277ca73d-65eb-4a4c-b377-fbff62e35bae | 2024 |
Which of the following symptoms is considered a core diagnostic criterion in the autism spectrum disorder according to the DSM 5-TR? | Alteration of intellectual capacity. | Persistent deficiency in social interaction. | Disruption in language development. | Nursing | Persistent pattern of inattention. | 190 | 1 | 0cc6b782-4cd7-4ed9-be2c-2d251ed23693 | 2024 |
Which of the following attitudes can hinder therapeutic communication with a person diagnosed with a mental disorder?: | Ask the person to justify or explain the reason for a behavior. | Use silence in an intentional manner. | Reflect the other person's ideas, feelings or thoughts. | Nursing | Clarify the person's expectations in relation to their process. | 191 | 2 | a5663f5e-53c2-4f8d-8d14-15251839a66b | 2024 |
In the nursing assessment according to M. Gordon's functional patterns, which of the following aspects would not be recorded within the self-perception-self-concept pattern? | Expression about their body image. | Expansive mood. | Anhedonia. | Nursing | Recognition of personal data (age, level of education, date of birth). | 192 | 3 | acb169b6-a20d-4eeb-b47e-993dbc96f84e | 2024 |
In relation to the pattern of sexuality and reproduction in a person with mental health problems, indicate the correct answer: | The nurse must assess whether sexual activity conforms to criteria of normality in order to detect possible sexual difficulties. | It is not relevant for the nursing assessment whether regular sexual activity is satisfying or indifferent. | Adherence to treatment may be conditioned by side effects of medication. | Nursing | Inhibited sexual desire is a symptom associated with hypomania. | 193 | 4 | d72a1cce-8bd6-4ae5-b921-db694078d24c | 2024 |
Within the Recovery, Transformation and Resilience Plan, in its component 22: "Shock Plan for the Care Economy and reinforcement of equality and inclusion policies", what model is considered most suitable for the provision of long-term care for dependent people? | Model of Comprehensive Health Care. | Person-Centered Care Model. | Bismarck Model. | Nursing | Neuman's Systems Model. | 194 | 1 | 5d62513f-0845-4a29-9164-3c803d60bf1d | 2024 |
Which theory questions the principles of psychiatry and proposes a horizontal therapeutic relationship in which the voice of the users is crucial, contexts gain greater prominence as sources of meaning, and ethics is placed ahead of technology? | The post-psychiatry. | Antipsychiatry. | Positive psychology. | Nursing | Lacanian psychoanalysis. | 195 | 2 | 69ad6937-a490-470f-beef-d52c0e32b055 | 2024 |
Which of the following assessment tools would be used to detect cognitive impairment?: | Hamilton Scale. | Eurotest. | Yale Brown Scale. | Nursing | Katz Index. | 196 | 1 | 072f0ce0-cf4f-4b8e-963b-72de5a15a63c | 2024 |
Indicate the correct answer in relation to early intervention programs in psychosis: | The assessment interviews will preferably be conducted at the corresponding mental health center. | The target population are individuals under 18 years old who present high-risk mental states. | The period of high vulnerability is considered to be three to five years after recovery from the first psychotic episode. | Nursing | The objective is to delay as much as possible the access to specialized mental health services in order to reduce the stigma. | 197 | 4 | fd7c3644-6ab2-42b7-ab61-1d42e5189008 | 2024 |
Which of the following life circumstances poses the greatest risk of suicide according to Patterson's SAD PERSONS scale? | Male gender, thirty years old and a regular user of cocaine. | Female sex, lives with a partner and suffers from a somatic illness. | Male sex, forty-seven years old and absence of social network. | Nursing | Female sex, fifty-nine years old and previous suicidal attempt. | 198 | 4 | 7d574adf-dcdd-46e3-9af0-0d4cbb69e2d6 | 2024 |
A pattern of distancing from social relationships, a restricted range of emotional expression in interpersonal situations, and indifference to the approval or criticism of others, would define the personality disorder: | Schizotypal. | Antisocial. | Avoidant. | Nursing | Schizoid. | 199 | 3 | 9cf5ad49-501e-46ec-b10b-6ca0eddcabbc | 2024 |
According to the NANDA 2021-2023 nursing diagnosis classification, the inability to maintain a complete and integrated perception of 'self' corresponds to: | Ineffective denial. | Risk of low situational self-esteem. | Personal identity disorder. | Nursing | Deterioration of personal resilience. | 200 | 4 | 8445f089-3ba0-4c74-b10c-69e91ace982d | 2024 |
According to the Spanish Society of Gynecology and Obstetrics (SEGO) and the Spanish Society of Endocrinology and Nutrition (SEEN), in their consensus document on the management of thyroid dysfunction during pregnancy, it is true that: | In primary thyroid hyperfunction, the pituitary tries to stimulate the thyroid gland by increasing the secretion of thyroid-stimulating hormone (TSH), while in hypothyroidism, the production of TSH is inhibited. | Thyroid pathology is equally common in women as in men. | All degrees of iodine deficiency (mild, moderate, or severe), can potentially cause neurological damage in the fetus. | Nursing | In Spain, the SEEN and the SEGO recommend conducting a selective thyroid function screening during pregnancy. | 201 | 4 | 14231617-3da6-4832-b948-ff0ab3ca4958 | 2024 |
One of the measurements obtained through spirometry is the ratio between the forced vital capacity (FVC) and the forced expiratory volume in the first second (FEV1). In this regard, what is the definition of stage II (moderate) COPD according to the severity classification of the GOLD scale (Global Initiative for Chronic Obstructive Lung Disease): | FEV1/FVC <70% and FEV1 ≥80% of the predicted, with symptoms of cough and sputum production. | FEV1/FVC <70% and FEV1 of 50 to 80% of the predicted, with the onset of typical shortness of breath during exercise. | FEV1/FVC <70% and FEV1 <30 to 50% of the predicted, with symptoms and signs of chronic respiratory failure. | Nursing | FEV1/FVC <70% and FEV1 <30 to 50% of the predicted, with increased breathlessness, reduced exercise capacity and repeated exacerbations. | 202 | 1 | 935bc447-9c88-47e5-981a-addd66d277db | 2024 |
In accordance with Royal Decree 664/1997, of May 12, regarding the protection of workers against risks related to exposure to biological agents at work, that biological agent which is unlikely to cause a disease in humans is classified as: | Group 2 Biological Agent. | Group 1 Biological Agent. | Group 4 Biological Agent. | Nursing | Group 3 Biological Agent. | 203 | 1 | 6c4e0d45-7e24-4e02-9b86-84f61b01afe2 | 2024 |
Indicate what is a preventive measure for Transfusion-Related Acute Lung Injury: | Avoid transfusing red blood cell concentrates for more than 6 hours. | Avoid transfusing plasma from female donors. | It is advisable to associate a Ringer's lactate infusion with the transfusion of the blood component. | Nursing | Prioritize the transfusion of platelets in situations of hemorrhagic shock over other components. | 204 | 1 | 3b278a76-0e09-47c0-bf93-6a683f00b24d | 2024 |
In which cases are at least two criteria required to develop a Refeeding Syndrome during nutritional treatment according to the nutritional support guide for adults by the National Institute for Clinical Excellence in the United Kingdom (NICE): | Minimal or no nutritional intake for more than 20 days, BMI less than 20 kg/m2, involuntary weight loss of more than 10% in the last year or alcoholism. | Minimal or no nutritional intake for more than 10 days, BMI less than 16 kg/m2, unintentional weight loss greater than 15% in the last 3-6 months, previous low levels of phosphorus, potassium or magnesium. | Minimal or no nutritional intake for more than 5 days, BMI less than 18.5 kg/m2, involuntary weight loss greater than 10% in the last 3-6 months, alcoholism, or consumption of certain drugs. | Nursing | Minimal or no nutritional intake for more than 15 days, BMI less than 20 kg/m2, involuntary weight loss greater than 10% in the last 3-6 months, alcoholism, or consumption of certain drugs. | 205 | 4 | 0726a0ad-9c13-48cd-8266-d7f836cf8adf | 2024 |
A patient with visual agnosia: | Does not recognize a stimulus visually (for example, some keys), but does through other sensory means (for example, the jingling of keys or feeling them) without presenting aphasia or confusion. | Does not recognize a stimulus visually (for example, keys), and may not recognize them through the rest of the sensory pathways either. | Recognizes a stimulus visually (for example, some keys), but not through other sensory pathways (for example, the jingling of keys or the touch of them) showing aphasia or confusion. | Nursing | They do not recognize a stimulus visually (for example, keys), but they do through other sensory pathways (for example, the jingling of keys or the touch of them), presenting aphasia or confusion. | 206 | 2 | 835ee7ae-99be-4b9f-b602-9d592c433b25 | 2024 |
Which of the following intramuscularly administered antipsychotics is indicated as maintenance treatment in people diagnosed with schizophrenia?: | Paliperidone Palmitate. | Lithium carbonate. | Olanzapine. | Nursing | Zuclopenthixol Acetate. | 207 | 2 | b67775a9-b517-4bab-98a9-4358f2013471 | 2024 |
Establish the correct relationship when dealing with a patient with possible dehydration: | Increased pulse amplitude and concentrated diuresis. | Increased heart rate and collapsed jugular veins. | Reduced systolic blood pressure and tight skin (fovea). | Nursing | Dependent edema and increased heart rate. | 208 | 1 | 9e114ab2-ba17-46a0-98f0-03e46ee7f1a7 | 2024 |
It is correct to say about the main evaluative designs of interventions in Public Health: | Quasi-experimental designs have a comparison group, assigning each group randomly. | Non-experimental designs have a comparison group, collecting information from both individuals who receive intervention and individuals who do not receive intervention. | Community trials are included within experimental designs, selecting groups in a random manner. | Nursing | The multiple time series design is a type of quasi-experimental design with the presence of a comparison group. | 209 | 3 | 0b74e62e-990e-423a-aff5-6b7027dba57d | 2024 |
What does a result of 1 indicate in an Ankle-Brachial Index? | Mild peripheral arterial disease. | Normality. | Severe peripheral arterial disease. | Nursing | Moderate peripheral arterial disease. | 210 | 1 | 959274dd-aa50-4bfb-93f2-0d927273c61e | 2024 |
The nursing model that describes four phases: orientation, identification, exploitation, and resolution, corresponds to: | Marjory Gordon. | Hildegard Peplau. | Callista Roy. | Nursing | Dorothea Orem. | 14 | 1 | f6beeeeb-0be7-4782-ad2f-4a688375dd36 | 2023 |
Identify the correct answer about the Current State Result Analysis (AREA) model: | It was developed by Marion Johnson and Meridean Maas. | It provides a structure that links NANDA-I diagnoses, NIC and NOC interventions and outcomes. | The research aimed at its development began in 1987. | Nursing | It represents a standardized and comprehensive classification of patient outcomes. | 15 | 1 | e4c0a451-690a-46f5-92f8-947ad9758d2e | 2023 |
At which WHO conference was the Ottawa Charter for Health Promotion published?: | At the first conference in 1979. | At the second conference in 1976. | In the first conference in 1986. | Nursing | At the third conference in 1984. | 16 | 4 | 6e17359e-befd-44e1-a140-23645360db8f | 2023 |
What was the main contribution of the Eighth World Conference on Health Promotion held in Helsinki in 2013? | Commitment to the "Health in All Policies" approach. | Approach to the determinants of health, including new aspects such as the promotion of social responsibility. | It focused on the relationship between health, its determinants, and the empowerment of individuals. | Nursing | The need to establish public policies favorable to health. | 17 | 2 | 23ffba51-61bd-46a8-b45f-670dd8ee1c99 | 2023 |
In response to the proposal of common indicators for the evaluation of community health strategies and the actions of the Primary Care action plan, the percentage of Autonomous Communities that have implemented the Autonomous Community Services Portfolio, would be of the type: | Process. | Of Structure. | On Efficacy. | Nursing | Outcome. | 18 | 1 | d3db7e82-61d4-42c5-9bb6-8e9b72bbab93 | 2023 |
According to Mintzberg, which of the following is one of the 5 control mechanisms that seem to explain the fundamental ways in which organizations coordinate their work?: | Evaluation. | Teamwork. | Mutual adaptation. | Nursing | Indirect supervision. | 19 | 4 | d61ee349-9b24-486b-b5ff-b77d39be8b02 | 2023 |
The ratio between the incidence of the disease in the exposed (Ie) and the incidence of the disease in the unexposed (Io), corresponds to: | Attributable Risk (AR). | Relative Risk (RR). | Relative Risk Reduction (RRR). | Nursing | Number Needed to Treat (NNT). | 20 | 1 | 5e89863f-b474-43fb-8734-1bdf5d3cd518 | 2023 |
When speaking of global value in the diagnostic decision-making process, it refers to: | It is the total number of positives obtained in the diagnostic process in relation to the total number of subjects that comprise the studied sample. | The number of patients that exist in a specific population within a specific period of time. | The degree to which the results of a study are generalizable to other subjects or populations. | Nursing | The proportion of subjects correctly classified by the test in relation to the total number of subjects that make up the study sample. | 21 | 3 | 0cc70749-e447-4ec8-a088-c3be3ae53f42 | 2023 |
Indicate what type of study the following description refers to: "subjects who have not yet acquired the disease or those who are at risk of acquiring it and in which preventive factors of diseases are studied, such as the administration of vaccines or the monitoring of diets." | Community trial. | Field trial. | Cohort study. | Nursing | Clinical trial. | 22 | 1 | 15ea07ed-48c3-4128-8897-e763c2a8b2da | 2023 |
What is the term for the number of cases of a disease that appear within the incubation period among susceptible contacts? | Basic reproductive number. | Secondary attack rate. | Lethality. | Nursing | Incidence rate. | 23 | 1 | b6e9099a-46a5-42f5-8f6e-527a2569f8dd | 2023 |
Identify the correct test for statistical analysis considering that you are dealing with a quantitative variable and a dichotomous qualitative one, that there is not a good fit with the normal distribution, and that the variables are paired: | Wilcoxon. | Mann Whitney U. | Friedman. | Nursing | Student's t-test. | 24 | 2 | 1f9b112b-078d-47c7-80ab-945349f3cd4f | 2023 |
When conducting the statistical analysis, several concepts must be taken into account. Identify the incorrect answer: | In a 2xn contingency table, with expected frequencies less than 5 in more than one cell (25%), one must resort to Fisher's exact test. | Two variables are paired or matched only if they are directly related (same individuals in different environments). | The Student's t-test for independent samples should be accompanied by the Levene's test to assess whether there is homoscedasticity (p >0.05, equal variances) or heteroscedasticity (p<0.05, different variances). | Nursing | With quantitative variables, it is necessary to evaluate the goodness of fit with the normal distribution using the Shapiro-Wilk test for large samples and the Kolmogorov-Smirnov test for smaller samples. | 25 | 3 | d13aacf1-5457-4702-a815-9c8b70c4876f | 2023 |
The GRADE system considers as a strong recommendation: | For administrators, there is a need for significant debate and the participation of interest groups. | For patients, most people would agree with the recommended action, but a significant number of them would not. | For planners, it is recognized that different options will be appropriate for different patients, and that the doctor has to help each patient reach the decision most consistent with their values and preferences. | Nursing | For clinicians, the majority of patients should receive the recommended intervention. | 26 | 3 | b1a00313-d0e8-4f46-9aa6-6a248415fc54 | 2023 |
Regarding the Haynes pyramid, the primary sources are found in: | Intermediate layer: Compendiums. | The base. | The apex. | Nursing | Intermediate layer: System. | 27 | 1 | c27d9a77-7c9e-442b-9d8b-f5ac625bbbc0 | 2023 |
According to Thomas Gordon, what would be one of the obstacles to reflective listening in the motivational interview? | Repeat. | Interpret. | Reflect feelings. | Nursing | Rephrase. | 28 | 1 | 2ecdcfb5-c85f-4830-873d-4b2a0e657ed4 | 2023 |
In a review of care for a healthy child, the father tells the nurse: "I think Carlos is still too young to diet. Besides, I'm sure he will slim down when he hits his puberty growth spurt." Which stage does this sentence correspond to according to Prochaska and Di Clemente's Transtheoretical Model of Change Readiness? | Contemplation. | Precontemplation. | Action. | Nursing | Preparation. | 29 | 1 | 09edf7c9-9e59-41d9-aa96-cc3535aee150 | 2023 |
The colorectal cancer screening program, included in the common portfolio of services of the National Health System, stipulates that: | The result of the analysis test can be assessed qualitatively (positive or negative result), or quantitatively (determining a cut-off point to consider the test positive). | The interval for examinations is every 3 years. | A target population would be women aged between 50 and 75 years. | Nursing | A target population would be men aged between 45 and 70 years. | 30 | 2 | 48087d6b-b14a-4faa-9a2f-86e0345f43b4 | 2023 |
Identify the general characteristic of an attenuated vaccine: | They need a large number of microorganisms. | The spread of infection to the unvaccinated is not possible. | They induce humoral and cellular response. | Nursing | Require adjuvants. | 31 | 4 | a865e64f-3bbd-4c43-bf95-761016ecb081 | 2023 |
Which of the following is not included in the Sustainable Development Goals proposed by the WHO?: | Clean water and sanitation. | End of poverty. | Zero spatial residues. | Nursing | Health and well-being. | 32 | 4 | 9122ef41-fa39-4a2e-baf5-ce4ad35063ba | 2023 |
Taking into account the progressive availability of doses in relation to recommendations for vaccination against herpes zoster in adults, priority will be given to individuals with the following risk conditions, except: | Treatment with anti-JAK drugs. | Malignant blood diseases. | Solid organ transplant. | Nursing | Tumors larger than 20 mm in treatment with chemotherapy. | 33 | 3 | ce45949c-e41f-4b90-974f-c817a570d3d6 | 2023 |
A 52-year-old male, in a state of immunosuppression, is about to start work as a bat bander and requests the rabies vaccine. What will be the administration schedule for preexposure prophylaxis?: | Three doses of vaccine will be administered; on day 0, between days 3-7, and on day 14. | Three doses of vaccine will be administered: 0, 3, and 21 days. | Three doses of the vaccine will be administered: 0, 7, and 21-28 days. | Nursing | Three doses of the vaccine will be administered: on day 0, between day 3-7, and on day 21. | 34 | 4 | 3ce0cb06-3cee-4068-8486-7b984871b551 | 2023 |
A 33-year-old woman comes to the nursing consultation at the Health Center requesting the determination of high-risk human papillomavirus (HR-HPV). According to what is established in the common services portfolio of the National Health System, what would be the correct action? | Determination of high-risk human papillomavirus (HPV-HR). If HPV-HR is positive, triage with cytology. If cytology is negative, repeat HPV-HR at 6 months. | Determination of the high-risk human papillomavirus (HPV-HR). If HPV-HR is negative, repeat HPV-HR test in five years. | Cytology every three years. | Nursing | Determination of high-risk human papillomavirus (HR-HPV). If HR-HPV is positive, triage with cytology. If the cytology is negative, repeat HR-HPV after a year. | 35 | 4 | 11baf0ba-9def-4b78-9add-be26d6e0dd63 | 2023 |
As stated in the Guide for recommendations for early HIV diagnosis in the healthcare setting, and considering potential exposure, it is recommended to offer the HIV test to: | Heterosexual individuals with more than one sexual partner and/or engaging in risky practices in the last six months. | All individuals, aged 18 or older, who request it due to suspected risk exposure. | Individuals who wish to stop using condoms with their stable partners. | Nursing | People coming from countries with a high prevalence of HIV (>2%) and their sexual partners. | 36 | 4 | 253b5748-bb12-4df3-a100-1014cf0067e3 | 2023 |
The casts from plaster, to which group within the classification of healthcare waste management does it belong to? | II: non-specific healthcare waste. | I: Healthcare waste similar to municipal waste. | IV: Waste types classified in unique regulations. | Nursing | III: Specific healthcare waste. | 37 | 2 | b6e44cab-323a-4696-a1da-1f7f0b7e2d01 | 2023 |
The salutogenesis theory was stated by: | Aaron Antonovsky. | Albert Bandura. | Butler Flora. | Nursing | Viktor Emil Frankl. | 38 | 2 | c414ed85-f402-445e-8905-e15facd2d0cf | 2023 |
When it comes to strengthening community orientation in Primary Care, group health education working on "the causes of the causes" corresponds to: | Level 2. | Level 1. | Level 4. | Nursing | Level 3. | 39 | 2 | 80170601-6880-449f-8a6c-23607ed13c15 | 2023 |
Identify the incorrect option regarding the explicit sections proposed to be included in the design of community health strategies according to the latest recommendations: | Objectives. | Specific budget. | Evaluation of the design by a committee of experts. | Nursing | Lines of action. | 40 | 4 | 18ed2d68-dc95-42ab-b93e-ab131f8bdf2f | 2023 |
What does a "resource recognized as favorable for maintaining or improving health from the perspective of the people involved" refer to? | Resource. | Active. | Healthy product. | Nursing | Empowerment process. | 41 | 1 | 978d25ec-9711-4d2c-aac0-be5688b8efbd | 2023 |
They are all pillars of community action, EXCEPT: | Participation. | Analysis of the situation. | Result keys. | Nursing | Relational processes. | 42 | 1 | 7ba4124e-edaa-419b-b4bb-235b4840959a | 2023 |
What is the absorption capacity of the Day Absorbent? | From 600-900 ml. | From 50-300 ml. | > 1200 ml. | Nursing | From 900-1200 ml. | 43 | 2 | cbd1f18a-0668-4290-a669-1ae8801aa505 | 2023 |
Scoring 2 points on the FAMILY APGAR questionnaire means: | Mildly dysfunctional. | Normofunctional. | Severe dysfunction. | Nursing | Moderate dysfunction. | 44 | 4 | 902cac26-f53b-4ddf-bf5a-aa17c78362ee | 2023 |
Regarding loneliness as a health issue, indicate the incorrect answer: | The feeling of loneliness can be measured with the UCLA loneliness scale. | Unwanted loneliness is the lack of satisfactory social networks in the immediate environment (Weiss, 1973). | It is not addressed in the 2019 Strategic Framework for Primary and Community Care. | Nursing | It is associated with increased morbidity and mortality. | 45 | 1 | c355ae73-9e93-4fab-a1bf-5ee6203da999 | 2023 |
The Zarit test measures: | The effort involved in addressing care by family caregivers. | The degree of subjective burden of caregivers. | The caregiver's stress. | Nursing | The perceived social support in relation to two aspects: people to whom one can communicate intimate feelings and people who express positive feelings of empathy. | 47 | 1 | a5c1187d-34e7-4081-a6d2-8c6199073dba | 2023 |
Which of the following is a performance test to preferably use for early detection of frailty in the family nurse's consultation? | Serial Get Up and Go Test or Test Get Up and Go. | Short Physical Performance Test or Short Physical Performance Battery (SPPB). | FRAIL Scale. | Nursing | SHARE-FI Scale. | 48 | 1 | f0739810-46db-4569-844c-664f6990c41a | 2023 |
A 37-year-old woman visits her family nurse, who assesses her alcohol consumption. It is currently considered that she would have a risk consumption if she meets any of these criteria: | AUDIT Questionnaire: > 6 points and > 35 g/d (3.5 UBEs/day). | AUDIT Questionnaire: > 5 points and > 20-25 g/d (2-2.5 standard drinks per day). | AUDIT Questionnaire: > 7 points and > 40 g/d (4 standard drinks per day). | Nursing | AUDIT Questionnaire: > 5 points and > 40 g/d (4 standard drinks/day). | 50 | 1 | 94279917-e2ff-42f7-8a42-a02684e06ec6 | 2023 |
Which of the following would not be a risk factor for urinary tract infection associated with bladder catheterization in an 82-year-old woman who has had a permanent bladder catheter for 6 years?: | Elevated serum creatinine. | The lack of systemic antibiotic treatment. | The female sex. | Nursing | Insertion of the catheter in the operating room. | 51 | 3 | 48f06068-6f5c-40fa-9f74-67cb33c3b697 | 2023 |
Which of the following would be a mechanical complication of Home Parenteral Nutrition?: | Infection of the catheter exit site. | Venous thrombosis. | Infection of the reservoir pocket. | Nursing | Catheter-associated sepsis. | 52 | 1 | ca4f989f-b244-4fa4-98ef-b581694fe7c6 | 2023 |
Within the teaching-learning process, the action stage includes: | Analyze different aspects. | Develop knowledge. | Develop resources and skills. | Nursing | Reflect on the emotional area. | 53 | 4 | 6b45eb51-5427-4c68-baf5-e12a2609a444 | 2023 |
How long could the application of oxygen through nasal glasses with a flow of 5 liters per minute to a patient last at most, if it is connected to a 25-liter oxygen cylinder pressurized at 200 bars, and with a safe residual pressure of 50 bars? | 625 minutes. | 400 minutes. | 875 minutes. | Nursing | 750 minutes. | 54 | 3 | a1949bc7-148e-40b9-87b9-af11926661b8 | 2023 |
Which of the following is a factor that does not affect the quality of pulse oximetry measurement: | Presence of carboxyhemoglobin. | Jaundice. | Presence of methemoglobin (congenital or acquired). | Nursing | High levels of ambient light. | 55 | 1 | 029893be-c608-492d-84fd-24f09d6e46fe | 2023 |
The so-called 'five moments' for hand washing in the hospital context are: | Before entering the patient's room, before performing an aseptic technique, before exposing oneself to bodily fluids, before making contact with the patient, and before interacting with the patient's surrounding environment. | Before starting the work shift, before performing an aseptic technique, after being exposed to body fluids, after coming into contact with the patient, and after coming into contact with the environment surrounding the patient. | Before performing an aseptic technique, before exposing yourself to bodily fluids, after coming into contact with the patient, after coming into contact with the environment surrounding the patient, and after documenting the care provided to the patient. | Nursing | Before coming into contact with the patient, before performing an aseptic technique, after being exposed to bodily fluids, after coming into contact with the patient, and after coming into contact with the environment surrounding the patient. | 56 | 3 | 2aaa9ff2-e77a-42b5-bf97-a9bc20b124f9 | 2023 |
Indicate the incorrect response about the sterilization of surgical equipment: | Shelf life is defined as the amount of time that a sterile packaged item remains sterile when stored. | Dry heat, steam, ethylene oxide gas and hydrogen peroxide are some sterilization methods. | All materials will always undergo a cycle of washing and disinfection prior to being sterilized. | Nursing | Hydrogen peroxide or gas plasma is flammable and highly toxic. | 57 | 3 | 76e2ab1e-75f2-4e46-965c-9563de701a6a | 2023 |
Which of the following is a good food to recommend to a patient with a clear deficit of cyanocobalamin, considering its higher concentration of this micronutrient per 100 grams?: | Mussel. | Clam. | Venison. | Nursing | Veal meat. | 58 | 2 | 29e7b50d-69bd-42a9-a9ea-23aa4564cd3c | 2023 |
Regarding the CONUT (nutritional control) computer screening method, used for prevention, early detection and monitoring of clinical malnutrition, which of the following analytical parameters is not evaluated by this method? | Albumin. | Creatinine. | Total determination of lymphocytes. | Nursing | Total cholesterol. | 59 | 1 | fdc60f60-cca5-44a1-a6c4-1240d3bf4db4 | 2023 |
Regarding the recommendation of the Clinical Nutrition Guidelines in the Oncology Patient from the Spanish Society of Medical Oncology, concerning physical exercise in the prevention of sarcopenia in cancer patients, what are the most effective strategies? | Aerobic training, daily physical activity and resistance exercises. | Anaerobic training, daily physical activity, and limit resistance exercises. | Physical activity, muscle toning exercises, and resistance training. | Nursing | Aerobic training, daily physical activity and limit resistance exercises. | 60 | 2 | e734a398-0f8b-4275-856e-7ea3168be4f6 | 2023 |
From the following options, indicate which is one of the aspects related to outpatient nutritional preparation indicated by the Clinical Pathway of Enhanced Recovery in Adult Surgery (RICA): | Perform a complete nutritional assessment on patients with severe malnutrition and establish a monitoring plan. | Conduct an MST nutritional screening for all patients who are to undergo major surgery. | Conduct a complete nutritional assessment 15 days before surgery in patients with moderate malnutrition and establish a monitoring plan. | Nursing | Patients with severe nutritional risk or severe malnutrition should receive nutritional treatment at least 7 - 10 days before surgery. | 61 | 3 | 546b4bb1-3b26-49be-8184-241cf5ff86ad | 2023 |
Regarding enteral nutrition by gastrostomy, in case percutaneous endoscopic gastrostomy (PEG) is not a viable option for long-term enteral nutrition administration, what would be the safe alternatives according to the latest nutrition guidelines from the European Society for Clinical Nutrition and Metabolism (ESPEN)?: | Surgical gastrostomy and endoscopic gastrojejunostomy. | Laparoscopic Assisted Percutaneous Gastrostomy (PLAG) and Radiologic Percutaneous Gastrostomy (PRG). | Witzel jejunostomy and Stamm type gastrostomy. | Nursing | Gastrostomy by video fluoroscopy and surgical gastrostomy. | 62 | 1 | d7de86bc-165f-4bdc-8145-22282ca1d54e | 2023 |
According to the latest guidelines from the European Society for Clinical Nutrition and Metabolism (ESPEN), what would be the recommendation regarding the protein intake of patients with liver cirrhosis? | In hepatic encephalopathy, it is recommended to restrict protein intake to 0.6 g/kg of weight/day, and these should be of plant origin. | In a cirrhotic patient with hepatic encephalopathy, protein intake should not be restricted because it increases protein catabolism. | In hepatic encephalopathy, the protein intake should be 0.8 gr/kg of weight/day, based on branched amino acids. | Nursing | In case of protein intolerance, the intake should not exceed 0.5gr/kg of weight/day, it is advisable that they be of plant origin. | 63 | 1 | a4c43c23-4c77-41a8-8263-64f2bab44242 | 2023 |
Among the characteristics of the NANDA diagnosis "Overweight", are: | BMI in children aged 2 to 18 years greater than the 95th percentile for age and sex. | BMI in adults greater than 30 kg/m2. | BMI in children from 2 to 18 years old less than the 85th percentile for age and sex. | Nursing | BMI in adults greater than 25 kg/m2. | 64 | 3 | d2c37561-373f-445c-a0cc-d2cd842d7205 | 2023 |
Among the GLIM phenotypic criteria that classify the degree of malnutrition as severe, are: | BMI under 20 kg/m2 in people aged 70 or older. | Percentage of weight loss 5-10% in more than 6 months. | Percentage of weight loss 10-20% in more than 6 months. | Nursing | BMI less than 20 kg/m2 in people under 70 years old. | 65 | 2 | 64a9fade-99aa-4537-8d31-bcf933a9d839 | 2023 |
What do we mean when we talk about protein redistribution diets in patients with Parkinson's? | Intake patterns for patients undergoing complementary enteral nutrition treatment, with a protein contribution of 2 gr/kg of weight/day. | Intake patterns for patients undergoing levodopa treatment that restrict protein intake to 0.5 gr/kg of weight/day. | Intake patterns for patients undergoing treatment with levodopa with protein restriction during the day, fulfilling the requirements at dinner. | Nursing | Patterns of intake with protein restriction at dinner, meeting the protein requirements during the day. | 66 | 4 | a3ac6cf2-fa23-49b3-8888-96d484cafa9f | 2023 |
Indicate the correct option in relation to nutrition in patients with acute kidney injury: | In the diuretic phase, the patient's caloric intake will be restricted. | In the oliguric phase, a diet rich in carbohydrates will be provided. | In the diuretic phase, the intake of liquids will be restricted. | Nursing | In the oliguric phase, the intake of foods high in phosphorus will be increased. | 67 | 1 | 88e837a8-327c-4afb-930f-4766848fbb3e | 2023 |
Therapeutic education in diabetes is associated with: | Positive coping behaviors. | Achievement of a time above target (level 1) less than 15 hours, in 14-day periods, in people wearing continuous and/or intermittent monitoring systems. | No worsening of the risk of mortality from any cause. | Nursing | Achieving a time below target (level 1) of less than 10 hours, in 14-day periods, in individuals carrying continuous and/or intermittent monitoring systems. | 68 | 2 | 541f970a-2334-4664-aeb9-b26064ed40fa | 2023 |
Indicate the correct answer in relation to educational and support programs for people with type 2 diabetes: | Educational activities totaling more than 10 hours are associated with statistically significant decreases in glycosylated hemoglobin. | The paternalistic model presents a higher acceptance among people with diabetes, relatives and/or caregivers compared to an empowerment model. | The clinical implication of the positive impact of education and support for people with diabetes in reducing glycemic control is not of vital importance as this is not one of the predictors of disease progression and development of vascular complications. | Nursing | The methods of education and support administered by a single educator achieve smaller reductions in glycosylated hemoglobin. | 69 | 2 | 3ddae992-97fa-4fc5-9f53-095e02690a6c | 2023 |
Indicate the correct answer: | Obstructive sleep apnea affects less than half of the people with type 2 diabetes, and its severity is not associated with blood glucose levels. | Sleep disorders are common in people with type 2 diabetes and cause alterations in the amount, quality, and timing of sleep, associating with a higher risk of obesity and alterations in daytime functioning and glucose metabolism. | The concept of "catch-up" sleep on the weekend alone is sufficient to reverse the impact of insufficient sleep in people with type 2 diabetes. | Nursing | Long sleep durations (> 8 h) do not have negative impacts on diabetes. | 70 | 1 | 24edd2ec-c786-49d8-a9d3-de0effb58bbd | 2023 |
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