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Within the Nursing Interventions to Facilitate Grieving (NIC 5290) are:
Remove from the sight of the grieving person photos or memories of the deceased person.
Redirect the children's questions about death to avoid dwelling on the loss and minimize emotional impact.
Avoid repeated discussion of previous loss experiences.
Nursing
Use clear words like "death" or "dead" instead of euphemisms.
79
3
b034e1c4-ae72-47e7-b604-91852f00c1c1
2021
Indicate which of the following scales would be appropriate to assess mania:
Goldberg Scale.
Young Scale.
Pfeiffer Scale.
Nursing
PANSS Scale.
80
1
0f410870-d4d6-46fd-ad0d-ea4192820a9b
2021
According to A. Lobo's classification, which of the following mental disorders is considered psychotic or potentially psychotic?
Bipolar disorder.
Antisocial personality disorder.
Adjustment disorder.
Nursing
Obsessive-compulsive disorder.
81
2
9219bdf5-47f8-4b10-b1e3-a6a90147c64f
2021
According to the assessment by M. Gordon's functional patterns, the level of "insight" in a person suffering from schizophrenia would be included within the pattern of:
Nutritional/metabolic pattern.
Cognitive and perceptual pattern.
Coping pattern and stress tolerance.
Nursing
Health Perception/Health Maintenance Pattern.
82
3
ee23d8ec-8bb2-4c6d-997f-eb3d0ec4d367
2021
According to the Clinical Practice Guide, prepared among others by the Biomedical Research Network Center in Mental Health (CIBERSAM), what is considered "Dual Pathology"?
When a person meets the diagnostic criteria for two types of personality disorder.
The coexistence of substance use disorders with other psychiatric diagnoses.
When the person suffering from dissociative identity disorder has two types of personalities.
Nursing
The coexistence of schizophrenia and personality disorder.
83
1
9125a518-c83f-4618-b00f-685e2662e011
2021
Among the characteristics of families that positively influence good mental health development, the following is not found:
The permeable boundaries that allow a contribution from society and the environment.
Orientation towards an open system.
Shared authority among its members and that implies complementary role behaviors.
Nursing
The hierarchical and pyramidal structure where the functions of each of its members are perfectly defined.
84
3
f67bacbb-d8fd-4320-a15a-9bbb8ab1930e
2021
According to the Resolution of April 26, 2019, from the General Directorate of Basic Portfolio of Services of the National Health System and Pharmacy, regarding the glucose monitoring system through sensors (flash type), to which of the following groups of adult patients with T1DM can it be indicated?
Patients who suffer from repeated hypoglycemia, understood as those that occur at least 5 times per week.
Patients with controlled HbA1c levels (<7.5%).
Patients who suffer from repeated hypoglycemia, understood as those that occur at least 4 times a week or when they have 15% of the readings from the glucose meter below 70 mg/dl after performing an average of 6 capillary blood glucose controls per day.
Nursing
Patients with uncontrolled HbA1c levels (<6.5%).
85
1
4770b9b1-7131-4c82-aa88-0716b3be81bd
2021
For the administration of serum therapy and intravenous medication with an osmolarity less than 500 mOsm that is expected to last less than 7 days, what would be the appropriate choice of catheter type?:
The selected catheter should be the largest gauge and the longest length necessary to ensure the prescribed treatment.
The selected catheter should be the smallest gauge and with the longest length necessary to ensure the prescribed treatment.
The selected catheter should be the smallest gauge and shortest length necessary to ensure the prescribed treatment.
Nursing
The selected catheter should be the one of the largest gauge and with the shortest length necessary to ensure the prescribed treatment.
86
4
2a7b8172-ac26-4c64-b126-54b768cb6bd8
2021
Regarding the technique of controlling the INR with capillary blood in patients taking oral anticoagulants antagonists of vitamin K, what is the correct puncture area?
The puncture area should be at the most proximal and lateral end of a finger, avoiding the fingertips, preferably on the 2nd or 3rd finger.
The puncture area should be at the most proximal and lateral end of a finger, avoiding the fingertips, preferably on the 3rd or 4th finger.
The puncture area should be at the most distal and lateral end of a finger, avoiding the fingertips, preferably on the 3rd or 4th finger.
Nursing
The puncture area should be at the most distal and lateral end of a finger, avoiding the fingertips, preferably on the 2nd or 3rd finger.
87
4
ca2cf22c-9834-430d-b331-9bd05dc8c530
2021
What is the incorrect response regarding preoperative fasting in elective surgery for adults?:
The intake of a light meal can be done 6 hours before, and if it includes fried foods, fat or meat, up to a minimum of 8 hours.
Clear liquids may be consumed up to 2 hours before the procedure.
There is controversy over the fasting time for chewing gum and candies.
Nursing
Non-maternal milk is considered a clear liquid.
88
3
3396f05d-f1e6-4942-ac01-f570723ffc21
2021
Indicate the incorrect option in the use of the ischemia cuff:
In Bier's block anesthesia, a simple ischemia cuff is used.
Among the contraindications are peripheral neuropathy and peripheral vascular disease.
There is no exact duration of ischemia time that is considered safe.
Nursing
Among the possible complications are: pain, nerve injury, and skin damage.
89
2
f68a31e1-ac3b-4677-87d1-912dd0516ffc
2021
Regarding sutures, indicate the incorrect answer:
Memory, flexibility, grip strength are some of its properties.
Catgut is a natural suture of bovine or ovine origin.
A 4-0 gauge suture is thinner than a 2-0 one.
Nursing
The suture material can be absorbable, non-absorbable, natural, and synthetic.
90
2
c09c0591-647d-46fd-aee3-0325ba83341f
2021
Which of the following airway assessment scales requires the use of a laryngoscope?
Patil Scale (thyromental distance).
Mallampati Scale.
Hachinsky Scale.
Nursing
Cormack and Lehane scale.
91
3
cc22badc-89fd-4b71-9f0c-7c03fd1a5db0
2021
Indicate which of the following instructions should be considered when using alcoholic chlorhexidine in a surgical intervention:
The possible spill of alcoholic chlorhexidine under the patient's sheet must be checked due to the risk of inflammation.
It is an optional measure within the Surgical Infection Zero protocol.
A concentration of 5% must be used.
Nursing
One should wait at least 5 minutes for it to completely dry.
92
2
1fda4637-6d09-4a67-ab19-985aec7413b5
2021
The process that occurs when osmotic and/or hydrostatic pressure pushes water through a membrane and liquid is extracted exclusively from one compartment without intending the purification of solutes is called:
Diffusion.
Ultrafiltration.
Adsorption.
Nursing
Decantation.
93
1
76f6b82b-99f1-4a2d-b488-b8fc2290e841
2021
Among the strategies for preventing rapid gastric emptying syndrome (dumping) are:
Administer the nutrition preferably cold.
Choose the administration of nutrition in fractional doses over continuous infusion if the patient tolerates it.
Speed up the intake as much as possible, for a quick digestion of carbohydrates and the prevention of hypoglycemia.
Nursing
Wash the probe with the minimum amount of water before and after administering the nutrition.
94
3
444424a5-e880-4e6f-acc3-518b59d309e2
2021
Indicate the score on the Glasgow Coma Scale with Pupil Response for a patient who does not open eyes, does not respond to call or painful stimulus, but swiftly bends the arm at the elbow without abnormal characteristics to pain, and one of his pupils is not reactive:
5.
4.
7.
Nursing
6.
95
2
ed4dc29a-0f9c-4c13-9682-4638f8496358
2021
Which of the following locations is recommended for stimulation when measuring a score on the Glasgow Coma Scale?
Inner area of thighs or arms.
Outer area of thighs or arms.
Sternal area.
Nursing
Supraorbital arch.
96
3
18145d2a-dd24-4121-9a6d-6d163a1ef67f
2021
The cumulative tobacco consumption index (pack-years index) is the result of:
Multiply the number of cigarettes you smoke each day by the number of years you have been smoking and divide by 20.
Multiply the number of cigarettes you smoke in a day by 20 and divide it by the number of years you have been smoking.
Multiply the number of cigarettes smoked per day by the number of years spent smoking and add them up.
Nursing
Multiply the number of years you've been smoking by 20, divided by the number of cigarettes you smoke per day.
97
2
ae444c16-0052-431d-a961-50b43716935c
2021
According to the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR), what is the correct indication for performing a slow spirometry:
Inhale to total lung capacity and exhale slowly until reaching residual volume.
Inhale as much air as you can up to vital capacity and exhale slowly until residual volume.
Inhale as much air as possible until total lung capacity and then exhale slowly until residual capacity.
Nursing
Inhale as much air as you can until vital capacity is reached and exhale slowly until residual capacity is reached.
99
2
0594cdfa-edb0-4249-b2ef-59e42b3c97d1
2021
According to the Spanish Guide for Asthma Management (GEMA), indicate the correct answer about jet nebulizers:
High flows should be used, between 6 and 9 l/min.
Constant flow jet nebulizers administer the aerosol only during inhalation or a fraction of it.
In Venturi effect jet nebulizers, approximately 60-70% of the nominal volume is lost to the environment.
Nursing
There is always a residual volume that is usually 0.1-0.3 ml.
100
2
cf9eec72-4107-427f-a3aa-3124caaac9ac
2021
A patient has been connected to their hemodialysis monitor for 15 minutes. They alert the nurse because they feel sweaty and dizzy. Their initial blood pressure was: 140/80 mmHg. The blood pressure is taken again and it has dropped to 85/50 mmHg. Their interdialysis gain is 2Kg and they have a scheduled 4-hour long session. With this information, what could be the origin of the hypotension they are experiencing?
Intolerance to food intake.
High interdialytic weight gain.
Elevated dialysis fluid temperature.
Nursing
Electrolyte imbalance.
101
4
5acb9928-c097-46b9-ba08-fe44e3c832a1
2021
Indicate which activities are not recommended for a person at risk of developing pressure ulcers who remains seated:
Place a donut-type cushion to increase comfort and improve pressure distribution.
Change the pressure support areas of the body every 15 minutes while remaining seated.
Teach the person the appropriate techniques to change pressure areas according to the interprofessional care plan.
Nursing
Ensure that the person's feet are properly supported while they remain seated.
102
2
923afff8-5c70-40b2-95c4-a6e8d700426c
2021
Regarding the management of arteriovenous fistulas in hemodialysis, indicate the incorrect option:
The venous needle should be inserted proximal to the arterial to avoid recirculation.
Proximal compression should not be used for the puncture of prosthetic fistulas.
The puncture of any arteriovenous fistula should be performed exclusively by specialized nurses in the hemodialysis department.
Nursing
It is recommended to use the buttonhole technique instead of the step-ladder puncture in native fistulas.
103
3
19406d98-4136-41c8-b3d2-61d44a111325
2021
In relation to pinworm infestation, indicate the correct option about the advice that will be given to both the patient and the family:
The patient must be isolated in a private room.
The bed linen should be changed the day before starting the treatment.
One should sleep without pajamas in order to observe the pinworms on the bed.
Nursing
The rest of the family should be treated at the same time.
104
3
76b20f2d-b348-464d-b602-3232e15c6a84
2021
Indicate the correct option in relation to the diagnosis of familial cardiomyopathies (CF):
A genogram of at least 4 generations should be created for analysis.
The majority of CFs are of autosomal recessive transmission.
Blood and/or tissue samples should be collected and stored from sudden death victims with suspected or confirmed CF, to allow for genetic study.
Nursing
It is advisable to begin the clinical study of relatives of patients with CF from the age of 15.
105
4
4da19d0b-7e65-4ba4-83e6-4b79f78f0a0c
2021
Which patient with cardiovascular disease is initially considered low risk, in relation to the possibility of having sexual activity?
Patients with heart failure in NYHA stage III-IV.
Patients with implanted ICD as secondary prevention to determine if moderate exercise (3-5 METS) triggers the onset of tachycardia or ventricular fibrillation.
Patients who have suffered a MI (Myocardial Infarction), starting from the first week as long as they do not have symptoms during moderate physical activity.
Nursing
Asymptomatic patients with severe valve disorders.
106
4
9d9aeecf-f0ce-43a8-b8ea-a2ec2bf6951e
2021
Indicate the correct option in relation to the differences between the ventilatory modes Volume Control (VC) and Pressure Control (PC):
The circulating volume remains constant in PC mode, while it is variable in VC.
The maximum pressure remains constant in VC mode, while it is variable in PC.
High distensibility in the patient's lung increases the airway pressure in VC mode, while it reduces the circulating volume in PC mode.
Nursing
The increase in the patient's inspiratory effort reduces the airway pressure in VC mode, while it increases the circulating volume in PC mode.
107
3
fc0dd85a-1069-4fc0-8a8e-dfad2ddc7804
2021
When is the administration of the first dose of intravenous adrenaline recommended in a patient with Pulseless Electrical Activity and a temperature of 28ºC?
After reviving and warming up the victim until achieving a temperature ≥30ºC.
As soon as vascular access is available.
The use of adrenaline is not recommended in situations of severe hypothermia.
Nursing
After resuscitating and warming the victim until a temperature of ≥32ºC is achieved.
108
2
2458570f-fb9d-45e8-8f9b-eb343e0a62db
2021
According to the START triage method, what priority of care would you assign to a victim who you find cannot walk, breathes at a respiratory rate of 26 rpm, has a capillary refill time of 3 seconds and obeys simple orders?
Priority 3-Green.
Priority 4-Black.
Priority 1-Red.
Nursing
Priority 2-Yellow.
109
4
51c9a305-f34e-404b-b052-e858087d5f9e
2021
What type of entrapment would a vehicle driver suffer from if, after a frontal collision with another vehicle, their legs are trapped due to the structural deformation of the car's dashboard?
Physical Entrapment 1.
Mechanical entrapment.
Outdoor entrapment.
Nursing
Physical Entrapment 2.
110
3
521c46ab-ecd0-4b35-ab58-1e3f545ce143
2021
Indicate the incorrect option in relation to the recommendations of the European Resuscitation Council on advanced life support in the situation of a pandemic by Covid - 19:
Do not start chest compressions or interventions on the airway without Personal Protective Equipment against airborne transmission for aerosol-generating procedures.
In the case of an unconscious patient, do not listen or bring your cheek close to the patient's face, check if they have vital signs and/or a pulse.
Minimize the use of the self-inflating mask-balloon device, always with a HEPA filter and using the two-person technique.
Nursing
If a supraglottic device has been inserted, it is not recommended to maintain the compression/ventilation ratio of 30/2.
111
3
1a0a3f0f-dbc8-442b-9bf8-963031adfffd
2021
According to the guidelines on exercise and sports practice in cardiovascular patients from the European Society of Cardiology, what I-A evidence-based sports recommendation will be given to a well-controlled hypertensive patient?:
High-intensity sports are discouraged for patients with hypertension.
At least 150 minutes per week of moderate-intensity exercise, or 75 minutes per week of vigorous-intensity exercise, or an equivalent combination.
They will perform resistance exercises at least 3 times per week, in addition to moderate or vigorous aerobic exercise (at least 30 minutes), 5 to 7 times per week.
Nursing
Will perform strength, coordination, and balance exercises, at least 2 days a week.
112
4
7db778d1-a803-4e29-b2ed-a2bec8a80928
2021
Indicate the expected results of the Rinne and Weber tests in a patient with middle ear infection:
In the Weber test, the sound is heard better in the unaffected ear, while in the Rinne test, the sound transmitted by air in the affected ear is heard longer than the sound conducted by the bone.
In the Weber test, the sound is heard better in the affected ear, while in the Rinne test, the sound transmitted by the bone is heard for the same amount of time or longer in the affected ear than the sound transmitted through the air.
In the Weber test, the sound is heard better in the unaffected ear, while in the Rinne test, the air-conducted sound is heard for a longer time than the bone-conducted sound, in both ears.
Nursing
In the Weber test, the sound is heard equally in both ears, while in the Rinne test, the air conduction is audible further than the bone conduction in both ears.
114
1
4c306add-6357-4488-b4a1-6cb4fe6536dc
2021
In relation to the monitoring of neuromuscular blockage using the "train of four" (TOF), indicate the correct option:
They should produce a stimulus of at least 90mA.
The assessment of the response is carried out visually or by touch.
A neurostimulator is a device with 3 electrodes (2 positive and one negative), which are arranged along the ulnar nerve intercalated.
Nursing
In the case of using a non-depolarizing drug, the 4 responses are identical.
116
1
a2ebfc09-3cc6-4570-87eb-bcbffd766ce1
2021
Regarding blood donation, indicate the correct option:
It is preferable that at least 2 hours pass after a heavy meal before making the donation.
Acupuncture is an exclusion criterion in all cases.
Those individuals who, after donation, will engage in a risk activity may be accepted, provided that it is properly supervised.
Nursing
Donors who have undergone a weight loss treatment with a weight loss greater than 10Kg will be excluded.
117
2
3379182d-b37d-49fa-83fa-5f6d0ef8656a
2021
What should be taken into account when performing the pre-surgical nursing assessment of a patient who will undergo an intervention in the perineal area?
If it is necessary to remove hair from the area to be treated, chemical depilation will be used.
If necessary, they will remove the hair from the area to be treated with a razor.
The hair in the area to be treated will preferably be removed with wax.
Nursing
If necessary, they will remove the hair from the area to be treated with scissors.
118
2
2a0bc988-dca7-4421-9e89-daba1dfb7e88
2021
From the following sweeteners, indicate those considered as non-caloric:
Sorbitol and mannitol.
Sucralose and cyclamate.
Maltodextrin and xylitol.
Nursing
Sucrose and fructose.
119
1
ab052574-3950-48a6-ad10-4d4a4c18ed82
2021
A diabetic patient comes to the clinic with fever, abdominal pain, and general malaise. Their capillary blood glucose is 485 mg/dl, and a ketone blood test is also performed with a value of 0.4 mmol/l. It is considered that this patient has:
Hyperglycemia with mild ketosis.
Hyperglycemia without ketosis.
Severe hypoglycemia with ketosis.
Nursing
Hyperglycemia with moderate ketosis.
120
1
ce46cab5-5f47-4cbc-afe8-9f631a0e7556
2021
Indicate the incorrect option in relation to the treatment of a girl who has just been diagnosed with type 1 diabetes mellitus, and it has been decided to put her on an insulin pump:
The infusion equipment must be changed every 3 days.
The pump's reservoir is loaded with slow insulin analogs like Abasaglar or Levemir.
With this type of treatment, there may be an increased risk of ketoacidosis.
Nursing
After administering a bolus to cover a meal or to correct hyperglycemia, the effect of the insulin will act for a maximum of 4 hours.
121
1
5e110429-46cb-4557-9c8b-6deb5b4f708b
2021
In what situation during a hemodialysis session, would it be indicated to administer hypertonic saline and/or 50% glucose to correct the situation?
Cramps.
Hiccup crisis.
Itchiness.
Nursing
Drowsiness.
122
2
3b1c5934-44b5-434f-8f37-5712efe6904a
2021
What type of stem cells do hematopoietic progenitors belong to?
Pluripotent Cells.
Totipotent Cells.
Multipotent Cells.
Nursing
Retro-potent Cells.
123
4
4a8ebdde-770d-41c6-b8ca-2f5dfff2f431
2021
In relation to the phase of interviewing family members and obtaining consent, recorded by the National Transplant Organization for the request of organ donation, indicate the incorrect option:
The family should avoid being informed about the organ procurement process and subsequent restoration of the cadaver.
In the event of family refusal, the coordinator or the professional who conducted the interview must consider whether it is a definitive and irrevocable decision or if there is a possibility that the family may change their mind.
It will be communicated that consent for organ extraction includes the need for vascular grafts for their implantation in the recipient.
Nursing
In the case of a potential donor in controlled asystole, if it were a patient who is conscious and competent to make the decision freely and voluntarily, he or she would be the one to give consent.
124
2
b7bb4d88-6eb7-4a77-b1d8-a566dad766f0
2021
Indicate the correct option in relation to ventilation through high-flow glasses:
They are not indicated in invasive procedures (for example, a fibroscopy) due to the risk of aggravating previous symptoms.
They administer a decelerated flow.
The FiO2 supplied is close to what the patient receives.
Nursing
For greater success of the therapy, humidification should be avoided.
125
4
a6166a5c-ebe1-479e-80b3-ffe2d4921676
2021
What is the maximum permissible administration speed of potassium chloride via peripheral route in a patient with a hypokalemia of 2.6 mEq/l?
≤20 mEq/h.
≤10 mEq/h.
≤40 mEq/h.
Nursing
≤30 mEq/h.
126
2
9ae46431-25e6-40e1-b97f-d802a4aeaa49
2021
Indicate the correct option regarding the tilt table test for the diagnosis of syncope:
In the event of administering nitroglycerin, a fixed dose of 100 micrograms intravenously is recommended, administered with the patient in an upright position.
The classification most frequently used to define the positive response in the tilt table test is defined in the Vasovagal Syncope International Study (VASIS).
Before lying down in the supine position, it is recommended that the patient remains inclined for at least 5 minutes, if a venous line has not been placed, and at least 20 minutes since the insertion of a venous line.
Nursing
In the bipedal phase, a tilt angle of the table between 80º and 90º is recommended.
127
1
b288f8e5-d304-4e74-98f5-ceea66234a85
2021
Indicate the correct option when performing an electrocardiogram on a patient with dextrocardia:
This will make us suspect it, a P wave and a positive QRS complex in D-I, along with an inverted T wave.
Changes appear compatible with a left bundle branch block.
It is not necessary to reverse the AVF derivation.
Nursing
We will observe an elevation of the ST segment mainly in v4 and v5.
128
4
7bf532c9-be7c-4510-964a-4ceef83c5a09
2021
In the absence of a specific indication for an alternative type of fluid, what is generally the recommended fluid for the initial resuscitation of children with septic shock or other organ dysfunction associated with sepsis?
Lactated Ringer's.
0.9% sodium chloride solution.
Albumin.
Nursing
Hydroxyethyl starch.
129
2
c3b24506-cf02-479d-806f-508bac15fcfe
2021
Which of the following statements is correct, regarding the difference in growth time between blood cultures simultaneously taken from the catheter and from a peripheral vein (differential positivity time between blood cultures)?:
It requires that the volume of blood drawn in both blood cultures be equal.
It is not considered an accurate diagnostic method for the diagnosis of Catheter-Related Bacteremia (CRB).
It allows not having to draw blood from all the lumens of the catheter, taking a sample from the distal lumen of the catheter is sufficient.
Nursing
The time that establishes a significant growth difference between paired samples is 60 minutes.
130
2
adbabf15-eead-4452-8b6e-4d6e23a90644
2021
When subcutaneous infusion is used to administer medication, it is recommended to change the puncture site:
Every time a new dose of medication is infused.
Every 72-96 hours.
It should not be changed routinely, it should only be changed when there are signs of complications.
Nursing
Every 7 days.
131
3
17d2faba-f767-48ce-83d3-30e3c34a5efb
2021
Before implanting a PICC, we measure the diameter of the chosen vein. The vein occupancy percentage should be:
≤50%.
≤45%.
It is irrelevant, since the tip of the catheter is located in a vein of much larger diameter.
Nursing
≤60%.
132
1
2cf9e61d-df3e-4c72-97ca-11abe652362e
2021
Regarding hematuria and its causes, indicate the incorrect answer:
Intense exercise or long-distance running can cause hematuria.
A possible cause of painless hematuria could be Tuberculosis.
Some drugs, such as rifampicin or Warfarin, can cause confusion about hematuria by coloring the urine red-brown.
Nursing
Characteristically, hematuria resulting from a urinary tract infection is painless.
133
3
c091fbcd-8674-451e-904d-7829ef04ab66
2021
Regarding Chronic Kidney Disease (CKD), indicate the incorrect answer:
A typical sign of CKD (Chronic Kidney Disease) is Xerosis.
Diabetes Mellitus is the main cause of CKD (Chronic Kidney Disease) in Spain.
The synthesis of endogenous Erythropoietin in phase 3 of CKD, causes normocytic anemia.
Nursing
There are two modalities of renal replacement therapy, dialysis and kidney transplant.
134
4
73eb845e-76a5-4418-9688-60957f1ddb02
2021
According to the World Cancer Report 2020, there is strong evidence of an association between obesity and an increased risk of some types of cancer. Of the following, indicate the incorrect option:
Esophagus.
Bladder.
Kidney.
Nursing
Colorectal.
135
1
e1d9b52c-1644-42b0-8e1d-62f14a423b3d
2021
Indicate the correct option about the World Health Organization's mucositis assessment scale:
In grade 5, there are very extensive ulcers, bleeding gums, infections, no saliva, inability to swallow, enteral or parenteral support, and very extensive pain.
It has 6 degrees.
In grade 1, erythema is observed, reddened mucosa, normal voice, and mild pain.
Nursing
In grade 2, erythema is observed, along with small ulcers, solid swallowing is maintained, and there is mild pain.
136
3
e8e81f11-4045-4dca-b9bc-a53ec43dab63
2021
Irrigation through the colostomy is a method to seek continence in colostomized people. In this regard, indicate the incorrect statement:
It is contraindicated during chemotherapy treatment.
It is indicated for sigmoid and descending colostomies.
The irrigation will be done initially every 24 hours, then every 48 hours, and if possible, it can be done every 72 hours.
Nursing
It begins one month after the intervention with the authorization of the surgeon or expert nurse, without the need to wait for the intestinal transit to be normalized.
137
3
bd6d1376-2f86-425c-96f8-4270232f35c9
2021
Indicate the correct option in relation to the management of the subcutaneous reservoir:
Insert the needle obliquely into the reservoir membrane, aiming for the center of the chamber and avoiding previous injection sites, pushing it firmly until it hits the metallic stopper.
Do not inject liquids through the reservoir with syringes less than 10 ml, as the silicone in the chamber can crack and leak the medication.
For prolonged infusions, change the needle at least once every four weeks.
Nursing
Heparinize the reservoir with 5 ml of a heparinized solution with a concentration of 200 IU/ml.
138
1
51f5e931-91f1-4118-8c3d-6554b429610c
2021
Regarding surgical drains, a passive drain is considered:
Jackson-Pratt.
Saratoga.
Drain.
Nursing
Kher.
139
3
625aceff-6932-4fed-9594-ec73bec3b6b2
2021
Regarding the atropine test for determining brain death, indicate the correct answer:
Atropine is a dopaminergic that causes an increase in heart rate.
The atropine test explores the activity of the IX cranial nerve.
When the reflex is absent, the heart rate should not exceed 10% of the basal heart rate.
Nursing
4 mg/kg of body weight of atropine sulfate is administered intravenously.
140
4
7a2b967c-a6d9-428e-b011-ff66c94e4265
2021
In restrictive ventilatory function disorders:
The FEV1 (Forced Expiratory Volume)/FVC (Forced Vital Capacity) ratio is decreased.
The main characteristic is the reduction of expiratory flow, that is, the FEV1.
The residual volume (VR) is increased due to trapping during exhalation.
Nursing
The total lung capacity is decreased.
141
3
0c2c3759-7ecc-4148-bf5f-c1df43235142
2021
For the administration of drugs through a gastrostomy tube (PEG tube), a series of recommendations must be considered. Indicate the correct one:
Feeding should be stopped 15 minutes before administering the drug (in continuous administration) or 1 hour before in the case of administering food in bolus.
It is recommended to administer the drug at the same time as introducing enteral nutrition or homemade crushed food to reduce its impact on the gastric mucosa.
In the event of administering multiple drugs, solid forms should be administered first and finally the more liquid ones.
Nursing
In case of having to administer more than one different drug at the same time, do not introduce water through the tube between the different pharmacological substances, and finally end up washing the tube with at least 30 ml of water after the administration of the last drug.
142
2
46601596-e116-4cac-aaa8-9da58438d721
2021
The decision-making pyramid for the treatment of fecal incontinence (FI) involves a stepped approach going from the bottom (conservative measures) to the top (invasive techniques). What place would the creation of a stoma occupy for the treatment of FI?
In the mid-region, the creation of a stoma is a minimally invasive technique.
Firstly, at its core, it is a conservative technique.
An stoma is not performed to treat IF.
Nursing
Lastly, at the apex, it is an invasive technique.
143
3
2bc9a3bf-7ffc-460d-bef2-2d0227a82a07
2021
Pyoderma gangrenosum (PG) is a type of ulcers that can appear on the peristomal skin of certain patients. Indicate the correct option in relation to PG:
There are four clinical variants of pyoderma gangrenosum: classic or ulcerative, papulopustular, bullous, and vegetative.
Pyoderma gangrenosum is a chronic, ulcerative, and painful skin disease likely of autoimmune etiology. It progresses in a few days from a small pustule to form a large ulcer.
Pyoderma gangrenosum is a very common skin disease and is key to the diagnosis of an internal disease.
Nursing
As the origin is bacterial, the treatments of choice are beta-lactam antibiotics or macrolides.
144
1
706cfd88-bb63-4b02-bf2c-3374e4be8e7a
2021
What is intended to be diagnosed through the ergonovine test, frequently carried out in the hemodynamics laboratory?
The aim is to detect the origin of the electrical impulse that causes Paroxysmal Tachycardia in order to eliminate it through cardiac ablation.
Seeking to detect the presence of Prinzmetal's Angina or vasospastic angina.
The aim is to distinguish whether a patient suffers from a second degree Mobitz 1 atrioventricular block or a second degree Mobitz 2 atrioventricular block.
Nursing
It is a test designed for the diagnosis of Wolff-Parkinson-White Syndrome.
145
1
1de2ff86-3a01-4f67-8064-32553b3e1040
2021
A patient with heart failure of 2 years progression reports that it is a great effort to go from the garage to his house (200 meters away) with shopping bags, arriving very breathless and with profuse sweating. Two weeks ago, he was able to do it with little effort and a slight feeling of fatigue. When he rests a bit, he recovers and does not present symptoms. According to the New York Heart Association (NYHA) Functional Classification, what has been the patient's progression?
They have moved from an NYHA class V to an NYHA class IV.
They have gone from a NYHA class I to a NYHA class II.
They have transitioned from a NYHA class II to a NYHA class III.
Nursing
They have gone from a NYHA class I to a NYHA class IV.
146
4
9e4f05b0-424e-45a2-a895-af7bffc4cca4
2021
According to the pressure ulcers classification system proposed by the National Group for the Study and Advice on Pressure Ulcers and Chronic Wounds (GNEAUPP) and the NPUAP/EPUAP, it is defined as a Category III Pressure Ulcer:
The partial thickness loss of the dermis that presents itself as a shallow open ulcer with a wound bed between pinkish and reddish, without sloughing. It may also present as an intact or open/broken blister filled with serum or bloody serum.
The partial thickness loss of the dermis that presents as a very deep open ulcer with a wound bed between pink and reddish, with slough. It can also present as an intact or open/broken blister filled with serum or bloody serum.
Total loss of tissue thickness with bone, tendon or muscle exposed. Slough or eschars may appear. Often includes cavitation and tunneling.
Nursing
Complete loss of tissue thickness. Subcutaneous fat may become visible, but bones, tendons, or muscles are not exposed. Slough may appear. It may include cavitations and tunneling.
147
3
945ecd60-1729-45a3-bac5-86418102c9dc
2021
In the assessment of the most prevalent signs and symptoms attributable to venous etiology ulcers, it is not usually found:
Round-oval shape with excavated edges.
Location: inner lateral area of the distal third of the leg.
Peri-ulcer tissue with signs of advanced chronic venous insufficiency: pigmentation, eczema, and lipodermatosclerosis, among others.
Nursing
Persistent pain, with exacerbation when placing the limb in decubitus position.
148
3
c6a67840-f21b-428a-998c-470bdbd0ab98
2021
Nutrition in a patient with chronic kidney disease (CKD) is a key point in the progression of the disease. Indicate which of the following statements is incorrect:
The patient with advanced CKD should consume the minimum possible amount of protein, with the goal being as close to 0.2gr/kg as possible, as protein damages the kidney.
The main reasons for dietary control in patients with CKD are: to minimize the risk of uremia, hyperkalemia, hyperphosphatemia, hypercalcemia, hypervolemia, anemia and metabolic acidosis.
In the patient with advanced CKD, it is important to give instructions on how to consume fruits and vegetables, taking into account not only a suitable selection but also correct cooking techniques: thin slicing, removal of water after boiling, double cooking, among others.
Nursing
The consumption of apple and pear is recommended for patients with advanced CKD due to their low potassium content.
149
2
2f0828ce-8734-46cf-a0ec-1b8dc1bea20d
2021
An outbreak of Shigellosis is considered of type:
Prosodemic.
Holomantic or from a common source.
Transmitted from person to person.
Nursing
Mixed.
150
3
33aab8f9-be06-443f-a656-095e4e41a742
2021
In accordance with the cancer screening programs included in the current portfolio of common services of the National Health System, identify the correct one:
The hidden blood in stool test is generally performed in men and women between the ages of 45 and 69 every 2 years.
Mammography is generally performed on women aged between 45 and 69 every 2 years.
If HPV-HR positive, triage is performed with cytology. If HPV-HR positive and cytology negative: repeat HPV-HR after a year.
Nursing
The High-Risk HPV Determination (HR-HPV) is generally performed on women between the ages of 25-34 years every 3 years.
151
4
3af95336-21fd-42bb-a9b4-20ac7c7fed80
2021
A case with high clinical-epidemiological suspicion with diagnostic tests for active SARS-CoV-2 infection repeatedly negative (at least one PCR) and positive serology for SARS-CoV-2 performed by high-performance serological techniques, would be a:
Probable case.
Suspected case.
Case dismissed.
Nursing
Confirmed case with active infection.
152
2
5a10da96-7f96-4251-8ae7-6168a340c23b
2021
What recommendation does the World Health Organization make regarding Physical Activity for Health for ages between 5 to 17 years old?
The average daily physical activity should be, for the most part, anaerobic.
Physical Activity for at least 60 minutes daily of moderate to vigorous intensity.
Physical Activity for at least 120 minutes daily of light to moderate intensity.
Nursing
It would be advisable to incorporate vigorous activities, particularly to strengthen the muscles and bones, at least twice a week.
153
1
3cac04e8-c704-4743-8b54-f83ef932ebee
2021
The Grids as a training technique used in Health Education correspond to:
An expository technique.
A research technique.
A skill development technique.
Nursing
An analysis technique.
154
1
f4510cba-9bd2-43f6-b1ad-698c7beae74b
2021
Considering the importance of addressing safety and unintentional injuries in Primary Care, one of the recommendations for the proper use of the seat belt during pregnancy in a vehicle would be:
The diagonal band over the shoulder, without touching the neck, between the breasts, without resting on either of them and diagonally over the abdomen.
The diagonal band over the shoulder, without rubbing the neck, between the breasts, without resting on either of them and wrapping around the abdomen.
The lower band at the mid-level of the abdomen, adjusting as closely as possible to the bony part of the hips, never above the belly.
Nursing
The lower band is below the abdomen, adjusting as much as possible to the bony part of the hips, above the belly.
155
1
d85e00d5-5b78-4379-8d1a-d05bd8f58cb8
2021
In relation to medication reconciliation at Hospital Discharge in Chronic Patients present in the recommendations of safe practices, indicate the correct answer:
This involves reviewing the treatment to improve its suitability to the patient or their clinical situation.
It is a practice that has been developed with the aim of improving communication and reducing medication errors in care transitions, and thus ensuring that the patient receives the correct medication at all times throughout the entire care process.
It refers to the review of the appropriateness of treatment, de-prescription, the assessment of therapeutic adherence or other interventions that have their own specific methods or tools, and which are associated with better use of medications.
Nursing
It involves the review of the appropriateness of medications or verification that the medications (dose, route, and frequency) are correct.
156
1
4f6e47dd-47a9-4038-8c31-058999972eb3
2021
Identifies one of the tools used to assess patient therapeutic adherence in the Primary Care consultation:
Richmond Test.
Morisky-Green Test.
Health Questionnaire SF - 12.
Nursing
EuroQol - 5D Questionnaire.
157
1
b70978df-4101-404c-a934-1e88c43716fa
2021
According to the Technical Document GNEAUPP No. I, Classification-categorization of dependence-related injuries, a moisture injury in the perianal area related to urinary incontinence and which presents a partial loss of the dermis thickness less than 50% of the erythema, we will classify it as:
Category 1B.
Category 1A.
Category 2B.
Nursing
Category 2A.
158
3
7f9953b8-78cc-4ba1-b55f-e0f46a12a44a
2021
Of the following self-care tips for staying active in people with fibromyalgia, which one is incorrect?:
Organize your work time and include short breaks (no more than 30 minutes) after a period of not very prolonged activity.
Please note that absolute rest, whether frequent or sustained over time, is only effective in acute pain.
Do not stay at home all day; find the most suitable time for you and go out even if it's just for 10 minutes.
Nursing
Select an activity that you find enjoyable, adapt it if necessary to your current situation so that you can do it regardless of your pain.
160
2
e447b9f5-5d29-4ba5-a2d9-998058531cc9
2021
A 58-year-old man visits a primary care consultation. An assessment of the levels of alcohol risk consumption is carried out, for which we apply the AUDIT questionnaire and obtain a score of 8. What type of intervention should be carried out?
Extended brief advice.
Evaluate referral.
Information and reinforcement.
Nursing
Brief advice.
161
3
3824827c-1bad-49e4-95b8-3f4e7602f24a
2021
How often should advice on healthy eating be given to the adult population?
At least once a year, coinciding with the assessment of the rest of the factors.
At least every 3 months, coinciding with the assessment of the rest of the factors.
At least once a year, and on any occasion that they contact the system in an opportunistic manner.
Nursing
At least every 2 years, coinciding with the assessment of the rest of the factors.
162
3
dc856706-b769-49c2-a681-5daf5db43391
2021
The statement: People with more resources, whose healthcare needs are almost always less, consume the most care, while those with fewer resources and more health problems consume the least, is referred to as:
Impoverishing care.
Reverse attention.
Inadequate guidance of care.
Nursing
Fragmented care and in the process of fragmentation.
163
1
1b09062f-a213-4098-9fa4-2bde2d3b2931
2021
The tool used to understand the family structure and its connection with the existing or absent extramural support network of resources in each family, is called:
Ecomap.
Genogram.
Family APGAR.
Nursing
Family record.
164
2
8962447f-8b75-4873-b591-2cbcc79e7513
2021
The incorporation of a new member into the family is:
An event included in the scale of stressful life events.
A determinant included in Lalonde's model.
A situation to assess in the family APGAR (Adaptability, Participation, Gradient of personal resource, Affection, and Resources).
Nursing
An aspect to evaluate included in the document Comprehensive Counseling in Lifestyle in Primary Care, linked with community resources in the adult population.
165
2
8137805f-43a5-459a-99d4-f9da010d2fdb
2021
Regarding community networks, indicate the incorrect one:
The strength of community networks lies in their inclusivity (diversity of sectors, professions and social groups) and their flexibility (various options for involvement that can change over time).
Community networks are collaborative structures for managing a common good or problem.
The assessment of the implementation of actions by a community network will be carried out after the completion of the actions and will mainly take into account their effectiveness.
Nursing
Coordinated work is fundamental to implementing actions in community networks.
166
4
2ab8f60d-f65c-40e9-94b7-d0e8568c7418
2021
In the promotion of health based on the model of assets for health, which of these statements is incorrect:
The deficit model, focused on solving health problems by promoting medicalization and dependence, and the health assets model that leverages the talents and skills of the community, cannot complement each other due to their incompatible approaches.
In community health interventions, the incorporation of the assets for health model can reinforce aspects related to equity and the approach to social determinants.
The asset model provides a perspective on health that encourages communities to focus on what improves their health and well-being.
Nursing
Intersectorality and participation in community interventions could be enhanced by using the asset model for health.
167
2
4aa076be-4637-4326-b417-8d84f1be3f8a
2021
In accordance with the flu vaccination recommendations for the 2020-2021 season from the Interterritorial Council of the National Health System, identify which of the following is considered a target population group for flu vaccination:
Women during the postpartum period (up to 10 months after childbirth and who have not been vaccinated during pregnancy).
Children between 4 months and 4 years old with a history of prematurity less than 32 weeks of gestation.
Adolescents with a body mass index ≥35.
Nursing
Minors between 4 months and 14 years, who receive prolonged treatment with acetylsalicylic acid, due to the possibility of developing Reye's syndrome after the flu.
168
4
75d7ff67-9c16-419f-ada9-21403ee9a0fa
2021
Referring to the recommended common vaccination schedule throughout life for 2020, identify which of the following vaccines and age of administration is not correct:
Chickenpox Vaccine (VVZ) in adolescents who do not report a history of having had the disease and have not been vaccinated, 2 doses of VVZ will be administered separated by a minimum interval of 4 weeks between doses (preferably 8 weeks) or the schedule will be completed if only one dose has been previously received.
Pneumococcal disease vaccine from the age of 65, in addition to the one administered in childhood.
Poliomyelitis Vaccine (IPV) will be administered to children vaccinated at 2, 4, and 11 months when they reach the age of 4 years, but as a combined DTPa/IPV vaccine. Those who received the vaccination at 2, 4, 6, and 18 months (4 doses in total) will receive DTPa without IPV at 4 years old.
Nursing
The Human Papillomavirus (HPV) vaccine is administered to girls at the age of 12. 2 doses are given with a separation of at least 5-6 months (depending on the vaccine used).
169
4
2f5779b6-afcf-4041-b329-f877de9d185f
2021
Regarding the different vaccines against COVID-19, it is true that:
The Moderna vaccine can be stored in perfect conditions for up to 30 days at a temperature of 2-8ºC.
The Pfizer/BioNTech vaccine allows its storage under optimal conditions for up to 7 days at a temperature of 2-8ºC.
Unlike the Pfizer/BioNTech vaccine, the Moderna vaccine can be administered via deep subcutaneous injection.
Nursing
The preparation of the Astrazeneca/Oxford vaccine requires prior reconstitution with serum for its administration.
170
2
c00355c0-dd7f-470c-b9fb-7b9055e59f11
2021
Indicate the correct answer in relation to Article 15 of the Royal Decree 183/2008, of February 8, which determines and classifies the specialties in Health Sciences and develops certain aspects of the specialized health training system, in which aspects relating to the resident's progressive responsibility are exposed:
Physical presence during the residency is not necessary, but their work should be reviewed by professionals providing services in the different devices of the center or unit where the resident is rotating or providing continuous care services.
The supervision of first-year residents will be of physical presence.
The degree of supervision will depend on the assessment made by the Tutor, regardless of the training year.
Nursing
Supervision will depend on the skills and previous experience of the resident, regardless of the training year.
171
1
1854c979-01c3-4d74-a9a5-7ea70ebbb1a5
2021
In accordance with the Royal Decree 1616/2009, of October 26, which regulates active implantable medical devices, the definition: "Any medical device that depends on electricity or any other source of energy other than that generated directly by the human body or by gravity to function properly" refers to:
Active medical product.
Integrated sanitary product.
Product intended for clinical research.
Nursing
Custom-made product.
172
2
b2ac3add-4af5-44ab-93be-c9ed6771367a
2021
Pursuant to Law 16/2003 of May 28, on Cohesion and Quality of the National Health System, foreign individuals who, being in Spain, are not registered or authorized as residents in Spain:
They are entitled to health protection and healthcare under the same conditions as people with Spanish nationality, for which it will be mandatory to subscribe to a private insurance policy.
They will not have the right to health protection and health care.
They will be entitled to basic health protection and healthcare services, exclusively in situations of urgency or vital emergency.
Nursing
They have the right to health protection and healthcare, at least under the same conditions as people with Spanish nationality.
173
3
9b38b56b-b228-4147-a627-dbc239dc6497
2021
Indicate the correct answer in relation to the operating regime of the Interterritorial Council of the National Health System:
The agreements of the Council will be embodied through instructions that will be approved, if applicable, by consensus.
The agreements of the Council will be embodied through recommendations that will be approved, if applicable, by a simple majority of its members.
The Council's decisions will be embodied through instructions that will be approved, as appropriate, by a simple majority of its members.
Nursing
The agreements of the Council will be embodied through recommendations that will be approved, if applicable, by consensus.
174
3
d07dfe0f-9661-42c6-9fcc-9da3e13f6d41
2021
The Organic Law 3/2018, of December 5, on Personal Data Protection and Guarantee of Digital Rights, is very clear in the protection of especially sensitive data such as biomedical data. Indicate the correct answer in relation to this protection:
Health professionals who need to access patients' personal data in the case of a public health or epidemiological risk situation are not subject to the duty of professional secrecy.
In case of risk or serious danger to the health of the population, public administrations can access non-identifying data of patients for epidemiological reasons or for public health protection.
The use of personal data for health and biomedical research for a specific purpose is legal and compatible once consent is obtained, but its reuse in another biomedical research is not, even if it is related to the initial research.
Nursing
In the case of situations of exceptional relevance and severity to public health, the health authorities and competent public powers may carry out scientific studies without the consent of those affected.
175
3
5d0ca948-400e-4d90-89bb-c07d8a32f052
2021
Identify which of the following is not a paraverbal element to consider in communication:
The pauses and silences.
The latency of response.
The tone.
Nursing
The smile.
176
3
fa7acd2c-bfd8-4cd8-bb8c-cdedf5d8592c
2021
What is the dosage of intramuscular adrenaline in the treatment of anaphylaxis in a 7-year-old child weighing 35 kilograms?
150 micrograms.
5 micrograms per kilogram of weight.
500 micrograms.
Nursing
300 micrograms.
177
3
f5e01194-a11b-45fd-a927-adcc8bbfbc46
2021
Which of the following disorders are classified under Dissociative Disorders according to the DSM-5?:
Depersonalization/Derealization Disorder.
Post-traumatic stress disorder.
Factitious disorder.
Nursing
Conversion disorder.
178
2
4d0c4f8a-a16b-4db9-b1d3-1473a0398ee1
2021
The case definition to be considered for the diagnosis of urinary tract infection in a patient with a urinary catheter would be:
Patients who have had a urinary catheter for more than 2 days and at the time of symptom presentation, the catheter had been removed in the previous 48 hours.
Patients who have had a catheter for more than 2 days and at the time of symptom presentation, the catheter is still present or was removed the day before, and not in the previous 48 hours.
Patients who have had a catheter for more than 3 days and at the time of symptom presentation, the catheter is still present or was removed the previous day and not within the previous 48 hours.
Nursing
Patients who have had a bladder catheter for more than 3 days and at the time of presenting the symptoms the catheter is still present or was removed the day before and not in the previous 72 hours.
179
1
7916cf39-e91e-4c2c-af3b-af7910d1022d
2021
Regarding the Pfizer/BioNTech (BNT162b2) COVID-19 vaccine - COMIRNATY, it is incorrect that:
The vaccine and vial should preferably be stored with ultraviolet light once removed from the freezer to improve its preservation.
The vials should not be shaken during handling to avoid altering the lipid layer that protects the messenger RNA of the vaccine.
The vaccine appears as a whitish solution with no visible particles after reconstitution.
Nursing
The appearance of the solution may contain small amorphous and opaque particles of white or whitish color before reconstitution.
180
2
8d85491f-96a4-44e0-9873-701faa93a794
2021
Which of the following options is incorrect in relation to the recommendations for action in the case of a dental avulsion that is susceptible to reimplantation in a pediatric patient?:
Handle the tooth from the crown, avoiding touching the root.
Act in the same way whether it is a temporary or permanent tooth.
Preserve the tooth for transport in milk, saline solution, or saliva.
Nursing
Encourage the patient or companion to reimplant the tooth in the site of the trauma.
181
1
61b856cf-8b52-44f6-af94-a585ef82c38d
2021
One of the premises of the Belmont report is:
Defines the principles of beneficence, justice, and utility as fundamental in clinical practice and research.
Research and practice can be conducted together when the former is designed to evaluate the safety and effectiveness of the latter.
The applications of research lead to considering the need for informed consent and the reciprocity of benefits in research.
Nursing
The degree of protection in research involving vulnerable individuals will depend on the probability of obtaining benefit and the individual's own decision to participate in the research.
182
1
f618c7b9-ade7-4ba2-a54f-54b3629a5a3c
2021