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Teratozoospermia refers to the poor morphology of sperm in the ejaculated semen. According to the criteria of the World Health Organization, with what percentage is this sperm alteration associated? | Less than 48% of sperm with normal shapes. | Less than 85% of sperm with normal shapes. | Less than 4% of sperm with normal shapes. | Nursing | Less than 15% of sperm with normal shapes. | 183 | 4 | bfbb64c2-dd19-47e8-9f37-755b1aed4548 | 2021 |
What is the first criterion for defining priorities in implementing a Health Program? | Efficacy and evidence of the problem. | Feasibility. | Diversity of the population being targeted. | Nursing | Magnitude and severity of the health problem. | 184 | 3 | d36d09b1-7b62-4f43-b49d-d764716ef5ee | 2021 |
Regarding hemodiafiltration as a method of hemodialysis, indicate the correct option: | In hemodiafiltration, the final amount of ultrafiltration is the result of the sum of the patient's water excess and the bath fluid circulating through the dialyzer during the entire treatment. | Hemodiafiltration is characterized by low-flow diffusion. | Online hemodiafiltration combines diffusive and convective clearance, making it the most efficient method for removing small and medium-sized uremic toxins. | Nursing | In hemodiafiltration, it is not necessary to take into account the selection of the dialyzer, since any are valid to perform this method of dialysis. | 185 | 4 | a174406f-eac2-483d-84ac-5ccdc5c43463 | 2021 |
Before discharging a patient who has been implanted with a permanent pacemaker, indicate which of the following recommendations is incorrect: | They will carry at all times the identification card that certifies them as the carrier of this device. | Avoid staying for prolonged periods near anti-theft devices present in places like shopping centers, airports, etc. | At home, avoid staying near "Wi-Fi" devices. | Nursing | Avoid performing electric welding and using chainsaws or alternatively limit the welding current or use electric chainsaws instead of gasoline. | 5 | 4 | 735f22db-a723-4920-982a-d0edfd6ea05d | 2020 |
Which of the following is not an absolute contraindication when administering fibrinolytic treatment in the face of an acute coronary syndrome?: | Traumatic cardiopulmonary resuscitation. | Ischemic stroke in the last 6 months. | Non-compressible punctures in the last 24 hours. | Nursing | Aortic dissection. | 6 | 2 | 5505e65d-a65a-4554-ae28-efd9a83e16a9 | 2020 |
Which of the following recommendations would you not give as a nurse to a patient with aortic stenosis?: | Weigh yourself daily and report any sudden weight gain. | Take sublingual nitroglycerin for angina-like pain to prevent the pain from progressing. | Sleep propped up in bed to prevent the onset of orthopnea. | Nursing | Plan your level of physical activity and rest to adopt a healthy lifestyle. | 7 | 1 | 162d688a-5a72-4578-98df-c5dd404a3119 | 2020 |
Among the characteristics and indications of flash continuous glucose monitoring sensors, the following are included, except: | They can be submerged in water up to one meter deep and for a maximum of 30 minutes. | They measure glucose in interstitial fluid through enzymatic reaction. | There is no need to remove them when conducting imaging studies. | Nursing | Insulin can be administered by injection at least 2.5 cm away from the site where the sensor is inserted. | 8 | 4 | ab765c30-e7e9-4d41-b158-d02cca8838a1 | 2020 |
D.G.T. has Type 1 Diabetes Mellitus and trains in basketball 4 days a week. Which of these actions would not be correct in relation to sports practice?: | If the blood glucose level before exercise is between 100-150 mg/dl, the exercise could be performed without risk. | If the blood glucose level before exercise is greater than 300 mg/dl, one should train twice as much. | They will try to avoid exercise at the peak action of insulin or adjust the dose beforehand. | Nursing | If the blood glucose level is less than 100 mg/dl, take a dietary supplement before performing the exercise. | 9 | 1 | 7bb2f30d-eecb-42b0-9503-86e3d24553e8 | 2020 |
What is one of the most frequent causes of irregular insulin absorption and lipodystrophy formation? | Administer the insulin in the subcutaneous tissue. | Reuse of the same needle during the day for multiple pricks. | Do not apply gentle massage at the puncture site after removing the needle. | Nursing | Alternate and rotate injection sites (abdomen, buttocks, thighs...). | 10 | 1 | 651f5cdd-4f93-4a16-98b3-210c92e32507 | 2020 |
Which of the following constitutes an excluding cause when making a blood donation?: | Flu vaccination less than 1 week ago. | Taking of anxiolytics. | First donation from the age of 65. | Nursing | Cocaine consumption through nasal/sniffing route. | 11 | 4 | 25203ae5-fe74-4726-b530-da10573b3544 | 2020 |
Regarding the anticoagulant treatment with acenocoumarol in a 30-year-old woman with a mechanical valve prosthesis, it is false that: | If one day you forget to take the dose at the usual time, but realize it later in the same day, take it as soon as possible, although you must allow 12 hours to pass between doses. | During treatment with oral anticoagulants, pregnancy is discouraged. | Although initially the INR checks will be performed relatively frequently, once a stable dose is reached, these can be done every 4-6 weeks. | Nursing | An INR value of 2 indicates that there is a risk of bleeding and it is recommended to reduce the total weekly dose by 5-10% and perform a new INR check in two weeks. | 12 | 3 | e25b8b0c-7edf-45ba-aef1-74bb91d0ad76 | 2020 |
A polytrauma patient is requested for the transfusion of two units of red blood cell concentrate and one of fresh frozen plasma. After determining the patient's blood group, the result obtained is that the patient's red blood cells clump with antiB serum but do not clump with anti-A or anti-D serum. Which of the following blood derivatives would be most correct to transfuse?: | Red blood cell concentrate 0+ and plasma 0. | Concentrated B+ group red blood cells and AB plasma. | Concentrated red blood cells of group 0- and plasma 0. | Nursing | Concentrated red blood cells of group B- and AB plasma. | 13 | 3 | 17352a5d-d01d-4b1f-bac9-8b649788f0a1 | 2020 |
For a patient with thrombocytopenia without active bleeding or risk of fluid overload, a prophylactic transfusion of a 300cc volume pool of platelets is requested. What is the recommended infusion rate for this patient? | Between 300 and 150 ml/h. | Between 900 and 600 ml/h. | Between 100 and 75 ml/h. | Nursing | Between 150 and 100 ml/h. | 14 | 1 | 579857f1-d9e7-477f-bd9f-88b46fe916df | 2020 |
The minimum Cerebral Perfusion Pressure (CPP) goal to prevent the onset of serious complications in patients with head injury is: | 40 mmHg. | 20 mmHg. | 80 mmHg. | Nursing | 60 mmHg. | 15 | 3 | bf4edd7e-099a-4f10-a1b5-971ec6100f63 | 2020 |
Among the recommendations to the relatives of a patient diagnosed with Alzheimer's disease is not: | Promote the recall of their image through mirrors. | Focus your attention on other activities that distract you in case of anger. | Leave an emergency light on during the night. | Nursing | Guide the patient about the environment surrounding them. | 16 | 2 | 63b90249-65fe-4fa3-9928-f80f36d2c626 | 2020 |
Among the postoperative home recommendations for a patient who has undergone a transsphenoidal approach pituitary adenoma surgery, the following is not included: | Raise the bed 30 degrees for at least 2 weeks after the procedure. | The use of a dehumidifier in the bedroom in order to maintain a dry environment and thus avoid irritation of the mucous membranes. | Avoid brushing your teeth until the incision above them has healed. | Nursing | Blow your nose gently for at least 1 month. | 17 | 1 | aa9fb71c-ff81-40fb-9966-26c1dfda5c74 | 2020 |
The Volume Viscosity Swallowing Method (VVSM) allows the identification of patients with oropharyngeal dysphagia. Indicate the correct algorithm for its implementation: | Series of 5 ml, 10 ml, and 20 ml of nectar viscosity, progress to pudding viscosity (5 ml, 10 ml, and 20ml) and conclude with liquid viscosity (5 ml, 10 ml, and 20 ml). | Series of 5 ml, 10 ml, and 20 ml of pudding consistency, progress to nectar consistency (5 ml, 10 ml, and 20ml) and conclude with liquid consistency (5 ml, 10 ml, and 20 ml). | Series of 5 ml, 10 ml and 20 ml of nectar viscosity, progress to liquid viscosity (5 ml, 10 ml and 20ml) and conclude with pudding viscosity (5 ml, 10 ml and 20 ml). | Nursing | Series of 5 ml, 10 ml, and 20 ml of liquid viscosity, progress to nectar viscosity (5 ml, 10 ml, and 20ml) and conclude with pudding viscosity (5 ml, 10 ml, and 20 ml). | 18 | 4 | 6ecf8be0-991d-4daf-9721-92258a0397da | 2020 |
According to the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR), how long should we apply firm compression to the puncture point after an arterial blood gas test in a patient without hematological alterations or anticoagulant treatment? | Seven minutes in radial artery. | Three minutes in radial artery. | Fifteen minutes in femoral and humeral artery. | Nursing | Ten minutes in femoral and humeral artery. | 19 | 3 | 04f50d39-dbe5-4632-a0fe-c1027ffe20e7 | 2020 |
According to the Spanish Guide for Asthma Management (GEMA), which of the following is the correct technique for inhaling from a pressurized cartridge inhaler?: | Inhale from the beginning with maximum inspiratory effort as deep and strong as you can until your lungs are full and at the same time press the device to activate a dose. | Start slowly inhaling through the mouth and at the same time press the device to activate a dose. | Inhale from the beginning with the maximum inspiratory effort as deep and strong as you can until your lungs are filled, and then press the device to activate a dose. | Nursing | Start to inhale slowly through the mouth and then press the device to activate a dose. | 20 | 1 | 2954f96e-e668-4aa3-a712-7a3d2d5c647f | 2020 |
According to the regulations of the Spanish Society of Pneumology and Thoracic Surgery (SEPAR), please indicate to which spirometric pattern the following results of a respiratory function test correspond: FVC: 2380 cc (71%); FEV1: 1890 cc (76%), FEV1/FVC: 79.41%: | Restrictive pattern. | Obstructive pattern. | Mixed pattern. | Nursing | Non-obstructive pattern. | 21 | 3 | d648c819-303e-46cb-86ea-07fb679037ef | 2020 |
What does the high level of the water seal in a chest drain indicate to us? | Positive pressure in the thoracic cavity. | Negative pressure in the thoracic cavity. | The filling volume of the thoracic drain. | Nursing | The filling pressure of the thoracic drain. | 22 | 1 | d4b15b5e-7764-427c-9c77-25d98ff77557 | 2020 |
Indicate the correct option regarding the precordial thump in the presence of a cardiac arrest: | A sharp impact is administered to the upper half of the sternum. | Its routine use is recommended. | It is indicated in a cardiac arrest of a non-monitored patient. | Nursing | It is applied with the ulnar edge and tightly clenched fist from an approximate height of 20 cm. | 23 | 3 | 34ab6af8-09a6-49ab-b807-7b6d2b21d18e | 2020 |
Indicate the correct option in relation to the use of capnography (ETCO2) during Advanced Life Support maneuvers: | Quality chest compressions result in typical ETCO2 values of 1 to 1.5 kilopascals (7.5-11.2 mmHg). | The increase in ETCO2 can occur even before the pulse is palpable. | Capnography has low sensitivity and specificity for determining the proper position of the endotracheal tube. | Nursing | A decrease in ETCO2 during resuscitation is associated with a higher probability of spontaneous circulation recovery. | 24 | 1 | 68fe23a0-a6ad-4d43-9ff3-78dcf3493fd6 | 2020 |
During a synchronized cardioversion, what is the recommended energy for the first cardioversion of a broad complex tachycardia in an adult patient? | 100 joules of biphasic energy. | Between 70 and 90 joules of biphasic energy. | 200 joules of biphasic energy. | Nursing | Between 120 and 150 joules of biphasic energy. | 25 | 3 | f9b25835-d82f-430a-a9a6-25a70d31f1a9 | 2020 |
Which of the following statements is incorrect for a patient suspected of decompression sickness after a deep water dive and is going to be referred to a hyperbaric chamber: | We will actively cool the patient, at a rate of 1 degree per hour. | If the patient is awake, conscious, and without central neurological deficits, they can be transported by land. | Oxygen will be administered at 100% before and during the transfer. | Nursing | In the suspicion of gas embolism, the patient's head will be lowered during the transfer. | 26 | 2 | 28327303-bb43-4052-abf0-2ed3cda04c98 | 2020 |
Among the possible side effects that a patient may experience after a prostate brachytherapy procedure does not include: | Pain or discomfort during ejaculation. | Diarrhea. | Orchitis. | Nursing | Cystitis. | 27 | 4 | 8e5b8218-8098-4463-8c58-311eef31a001 | 2020 |
Which of the following actions will nursing professionals not take for a patient with acute kidney injury?: | Whenever possible, we will place a permanent urinary catheter in the patient for better fluid control. | The necessary measures will be taken to reduce the patient's metabolic rate. | We will make the relevant clarifications regarding the medical information about your situation. | Nursing | We will provide cool water baths, frequent position changes, and keep the skin moisturized, as well as keep the nails trimmed. | 28 | 2 | d1801292-e10f-42ca-a13b-50e58879ddcb | 2020 |
Among the recommended measures to prevent urinary tract infections related to permanent bladder catheterization, it does not include: | Daily washing of the urinary meatus with antiseptics. | Washing with soap and water of the urinary meatus during hygiene care. | Change of the catheter in case of symptomatic infection that requires antibiotic treatment, in order to avoid relapses. | Nursing | Hand washing of the patient, caregivers and healthcare professionals. | 29 | 2 | f7b7e421-a47c-4616-ad3f-a33805848b86 | 2020 |
Regarding bladder retraining exercises to modify urination habits, it is false: | The patient is advised to initiate a new forced urination after the act of urination to completely empty the bladder. | It is recommended to perform a forced urination at set times throughout the day to keep the bladder empty. | There is conclusive evidence suggesting that intermittent catheterization is advantageous compared to permanent or the use of collectors in patients with neurogenic bladder. | Nursing | Keeping a urination diary helps to establish an appropriate schedule for each patient. | 30 | 4 | 18681475-3004-45e1-a39f-a22f2e9e8d04 | 2020 |
In relation to the criteria for administering pre-exposure prophylaxis (PrEP) against HIV, which of the following statements is not true?: | The existence of an HIV infection must be ruled out before administering PrEP. | The patient must be at least 18 years old. | One of the various risk criteria to consider when recommending PrEP is that the person has had at least 10 different sexual partners in the last year. | Nursing | After starting PrEP, clinical and analytical monitoring must be done once a year. | 31 | 3 | aa08b572-0b56-4fdd-b2a0-dffbd6c066cb | 2020 |
Indicate the incorrect option about heterotopic urinary diversions: | These diversions can be continent or incontinent. | The urine will exit through a different duct than the urethra. | One of the most commonly used diversions is the Bricker type ureteroileostomy. | Nursing | A bladder substitution is performed while respecting the natural excretory route, that is, the urethra (a neobladder is created). | 32 | 3 | 090cc07b-c456-49bc-b27f-7df7b9fd1e9e | 2020 |
Which of the following recommendations for practice in relation to the Preoperative Phase is included in the Best Practice Guidelines: Care and management of ostomy by the Registered Nurses Association of Ontario (RNAO)? | Identify the risk factors that influence complications of the stoma and peristomal area. | Examine the possible impact of ostomy surgery on the patient's intimate relationships and sexual function and that of their partner. | Train the patient and their family members to be able to recognize complications that affect the stoma and the peristomal skin. | Nursing | Ensure that the ostomy care plan is a personalized plan that will cover the needs of the patient and their family. | 33 | 1 | 0fb209f8-f7b9-45b7-8299-f38cbd8d9c5c | 2020 |
Which validated questionnaire in our means measures the quality of life of people with ostomies? | HRQOL Questionnaire. | SF-38 Questionnaire. | Stoma-Live Questionnaire. | Nursing | Stoma-QoL Questionnaire. | 34 | 3 | d4120e6c-f785-490f-9943-c45052e1dc11 | 2020 |
What is the first-choice alternative route at home for a patient with palliative care needs when the Oral Route fails? | Intravenous route (IV). | Subcutaneous route (SC). | Intramuscular route (IM). | Nursing | Intrathecal route (IT). | 35 | 1 | 8d85eff9-4503-47e0-98fd-9a3fa932229e | 2020 |
What is understood as palliative sedation?: | Deliberate intervention to end the life of a patient with severe and advanced disease who is in a Palliative Care program. | Assisted suicide for the patient with palliative needs aimed at causing the death of a person who has a serious and irreversible illness for compassionate reasons in a medical context. | The deliberate administration of drugs, to reduce the consciousness of a patient with an advanced or terminal illness to relieve refractory symptoms and with explicit consent. | Nursing | Death of a patient in the Palliative Care environment, without physical suffering, directed by a doctor. | 36 | 4 | 6f2095b6-d4f3-41ea-861f-d8fd4a43c473 | 2020 |
From what perspective is pain evaluated in Palliative Care?: | From a physical and psycho-emotional perspective, taking into account the intensity of it. | From a physical, psycho-emotional, social and spiritual perspective. | From the somato-psychic perspective. | Nursing | From a spiritual perspective, where beliefs and values are relevant to the sensation of pain. | 37 | 1 | bc637312-8c55-463a-b27a-316266f81b02 | 2020 |
Among the general recommendations that we will give to a patient suffering from floaters in the absence of other pathologies, are: | Avoid intense exercise late in the day. | Use sunglasses, avoid looking at bright backgrounds and do not follow the floaters. | Increase the reading glasses by +1 diopter. | Nursing | Increase water consumption to 2 liters/day. | 38 | 1 | bfad16ca-a527-4988-b275-3d489c63759d | 2020 |
Which of the following statements is incorrect in relation to the application of ophthalmic medication? | If the patient is unable to feel the drop falling in the eye, they should keep the container in the refrigerator in order to feel the change in temperature. | The waiting time to apply two different eye drops is 3-5 minutes. | The excess medication should not be removed from the eye. | Nursing | To decrease systemic absorption and minimize undesirable effects, it is important to occlude the lacrimal points, especially in individuals with greater vulnerability to drug overdoses. | 39 | 4 | a9b17a85-4c39-4de1-af4c-7282a4ce5d8a | 2020 |
Among the preventive measures for the onset of mucositis in patients undergoing radiotherapy treatment, I would recommend all of the following except: | Avoid acidic drinks. | Use of mouthwashes that contain alcohol. | Rinses with chamomile infusion at room temperature. | Nursing | Gentle tooth brushing after each meal. | 40 | 1 | 91c7dc8b-3e7e-4277-91cb-51c91665e2f9 | 2020 |
Which of the following items should not be mandatorily collected in the general assessment of a patient with neoplastic ulcers?: | Patient's nutritional status. | Prognosis of the oncological process. | Psychological aspects of the patient (self-esteem and body image). | Nursing | Antineoplastic treatment administered. | 41 | 3 | 5d6d6b0e-9c47-4b12-87d7-346dbe8f207c | 2020 |
In a patient who has undergone chemotherapy, which of the following care recommendations would you not give as a nurse for the nadir?: | Avoid intramuscular injections. | Avoid sources of infection. | Increase the intake of fresh fruit with its skin and raw vegetables. | Nursing | Plan your physical activity. | 42 | 4 | 52ac5a1b-5ca6-4e7d-b29f-8958fab99308 | 2020 |
According to the manual of standardized nursing care plans aimed at patient and family in advanced and terminal processes, by the Spanish Association of Palliative Care Nursing (AECPAL), which would not be a classification of nursing outcomes (noC) related to the diagnosis "oral mucosa deterioration"?: | Restoration of oral health. | Hydration. | Severity of the symptoms. | Nursing | Patient/user satisfaction: Symptom control. | 43 | 2 | 350c7b92-5a15-41b9-8ae8-94f817c483b1 | 2020 |
A burn caused by a hot liquid, very painful, with blisters, a bright red appearance, and without affecting venous return, is considered: | Deep second degree. | Superficial second degree. | Deep first degree. | Nursing | Third degree. | 45 | 1 | 746f8c8a-451a-47c5-837c-778281274ed4 | 2020 |
Of the three stages into which shock is divided (compensatory, progressive, and irreversible), what are the characteristics of Respiration, Heart Rate (HR), and Blood Pressure (BP) that correspond to the progressive stage? | Respiratory rate (RR) > 20 breaths per minute; Heart rate (HR) > 100 bpm; Normal blood pressure (BP). | Rapid breathing and with rales; HR > 150 bpm; systolic BP < 90 mmHg. | Respiration: Normal RR; HR > 180 bpm; systolic BP > 180 mmHg. | Nursing | Breathing that requires intubation and ventilation; erratic heart rate; blood pressure that requires pharmacological support. | 46 | 1 | 7ef68d2f-4b2d-4047-831b-a49498524844 | 2020 |
Shoulder pain is a problem that affects numerous patients affected by a stroke, limiting self-care and quality of life. Indicate which of the following statements corresponds to a prevention activity for painful shoulder in a patient affected by a stroke: | We will have pulleys for the patient to exercise strength in the upper limbs. | We will lift the patient using the flaccid or affected shoulder. | Exercises involving range of motion should be avoided to prevent the onset of pain. | Nursing | While the patient remains seated, we will place the limp arm in a comfortable position on a table or with the help of pillows. | 47 | 3 | 646f113f-ddde-453c-8958-403a4e6c1f98 | 2020 |
Which of the following items is not found in the fracture risk assessment tool "FRAX®"?: | History of previous fractures during adulthood, which can be spontaneous or caused by a trauma that would not have occurred in a healthy individual. | Parents have a history of hip fracture. | History of osteoarthritis. | Nursing | Active smoking. | 48 | 4 | 3904a888-b3d4-4f92-9a33-de6479380582 | 2020 |
Which is the clinic that corresponds to stage III of the La Fontaine classification? | Mild claudication. | Pain at rest. | Debilitating intermittent claudication. | Nursing | Severe claudication. | 49 | 1 | a1e5aaeb-b886-465c-af80-6731a431a2f3 | 2020 |
Indicate which of the following nursing care will not be performed in the immediate postoperative period after the creation of an arteriovenous fistula: | Maintain a compressive dressing on the arm with the arteriovenous fistula. | Checking for the existence of murmur and thrill in the arteriovenous fistula. | Monitor vital signs. | Nursing | Keep the extremity of the arteriovenous fistula elevated. | 50 | 2 | 9bf06e0b-7444-4041-8f6b-e035f51e21e3 | 2020 |
To reduce the risk of infection, when subcutaneous infusion is used for hydration, changing the puncture site is recommended. | Every 24 - 48 hours. | Every 72 or 96 hours. | It should not be routinely changed, it will only be changed when there are signs of complications. | Nursing | Every 7 days, with the change of dressing. | 51 | 2 | c83ae7e6-b8da-4718-aad1-5763687a9de1 | 2020 |
The most appropriate location for the tip of peripherally inserted central catheters (PICC) is: | The union of the left brachiocephalic vein and the superior vena cava. | The upper part of the superior vena cava. | Adjacent to the lateral wall of the upper part of the superior vena cava. | Nursing | The lower third of the superior vena cava, close to the junction of this vein with the right atrium. | 52 | 3 | 1c30b75a-8eaf-41e8-a541-9c5910d8a3e0 | 2020 |
The minimum recommended volume of solution for washing a venous catheter is: | 5 ml ending with positive pressure. | 5 ml using the "Push-stop" technique. | Twice the internal volume of the catheter and system to be washed (for example, extension if it has one). | Nursing | 5 ml using a 10 ml syringe to generate greater pressure. | 53 | 4 | 6a55795d-82be-4986-adf5-e6c56acc7406 | 2020 |
Among the elements that can slow down or prevent the healing of chronic wounds, indicate which one is not usual: | Excess moisture. | Dehydration or excessive dryness. | Neurological problems. | Nursing | Living alone. | 54 | 4 | 3d390953-3e38-45da-9927-8a94de5118d3 | 2020 |
In the classification-staging of pressure ulcers, the GNEAUPP and the NPUAP-EPUAPPPPIA refer to a category called "deep tissue injury" with very specific characteristics. What causes this type of injury?: | To the combined action of pressure and humidity. | To the action of pressure. | To the action of friction in combination with pressure. | Nursing | To the combined action of pressure and shear. | 55 | 3 | cf8b8655-8d60-4cb6-b2b6-1db754ce05f5 | 2020 |
The location of pressure ulcers in children changes depending on age. What are the areas with the highest risk of injury in children under 3 years old?: | Heels and sacral area. | Occiput and ears. | Face and heels. | Nursing | Nose and heels. | 56 | 1 | 06552d28-89ff-446f-9696-874b67478eb2 | 2020 |
Regarding malignant hyperthermia from anesthesia, identify the incorrect answer: | This refers to a non-heritable genetic anomaly that affects striated muscle (certain myopathies). | It is an abnormal response to halogenated anesthetic agents and/or depolarizing neuromuscular relaxants (suxamethonium). | To reverse the symptoms, Sodium Dantrolene is used. | Nursing | Among its signs and symptoms are increased exhaled CO2, sinus tachycardia, hyperthermia, general muscular stiffness, and respiratory acidosis. | 57 | 2 | 7e4dacbd-1522-4c80-b263-4b3e1d666054 | 2020 |
Regarding the count of surgical material, indicate the incorrect answer: | If a tamponade is performed due to bleeding, it will be done with contrasting compresses, noting the number of compresses that remain inside the patient so that there are no errors in a subsequent reoperation. | In case of an incorrect count, as a first option, an X-ray of the surgery area will be performed. | The count includes: gauzes, compresses, cloth wipes, swabs, lentinas, instruments, sharp cutting tools, and anything else that could be accidentally left in a patient's cavity. | Nursing | Gauzes and bandages with contrast should not be cut, nor should the radiological thread from them be removed. | 58 | 1 | 0b93340e-9ff3-4971-b3dc-aa813964cf1a | 2020 |
Indicate the incorrect answer about the technique of surgical hand washing: | Washing can be done directly, even if the hands are visibly dirty. | The technique can be performed with a disposable and antiseptic brush, or without a brush using an alcohol-based solution, the latter being more advisable and effective. | In the sequence of washing with an alcoholic solution, it begins with the nails, followed by the forearm, and ends with the hand and fingers. | Nursing | We must remove rings, bracelets, and watches, with fake nails being prohibited. | 59 | 2 | b3e20944-8cb8-462a-b878-943bb25c2b00 | 2020 |
What scale is used in the Post-Anesthesia Care Unit to assess post-operative recovery and establish discharge criteria?: | Mallampati. | Aldrete. | APACHE. | Nursing | Caprini. | 60 | 1 | a10f65eb-9059-4cd8-ace2-9b53105a5b39 | 2020 |
Which of the following scales is used to assess the risk of postoperative nausea and vomiting?: | Apfel. | CHADS. | Bromage. | Nursing | Parkland. | 61 | 2 | 1ebfdfc0-3a10-47f9-b9c4-7c6993cdb3cc | 2020 |
According to the Parkland formula, what would be the amount of fluid to be replaced in a patient with 30% body surface burned, with deep second-degree burns and weighing 70kg? | 3,800 ml. | 1.500ml. | 8,400ml. | Nursing | 5,000ml. | 62 | 4 | f5acfa53-81fb-4e88-81f2-e473154baea6 | 2020 |
Regarding trigeminal neuralgia, indicate the incorrect option: | The pain is felt in the skin of the face in a bilateral manner, and can be triggered by minor stimuli such as a cold breeze, talking, etc. | The recurrent episodes of pain begin and end abruptly and last from a few seconds to minutes, and can occur in flare-ups up to hundreds of times a day. | Sleep provides a period of respite from pain. | Nursing | The affected areas include lips, upper or lower gum, cheeks, forehead or one side of the nose. | 63 | 2 | 69985fb2-df4d-48bd-b99f-12621fbc5b4e | 2020 |
The Cushing's triad is characterized by: | High blood pressure, tachycardia, and respiratory disorders. | Low blood pressure, tachycardia, and respiratory disorders. | High blood pressure, bradycardia, and respiratory disorders. | Nursing | Low blood pressure, bradycardia, and respiratory disorders. | 64 | 4 | 6e752baf-6a02-4864-b71c-46ad9f12621f | 2020 |
Indicate which of the following scales you will use to assess physical dependence in a patient with a smoking habit: | Glover Nilsson Test. | MNWS Questionnaire (Minnesota Nicotine Withdrawal Scale). | Reward Frequency Questionnaire (RFQ) Test. | Nursing | HSI Test (Heavy Smoking Index). | 65 | 3 | b7c8bf05-2386-4163-879c-835e7dd449e3 | 2020 |
When establishing a peripheral catheter of Gauge 18G, you know that the maximum flow is approximately: | 215 ml/min. | 330 ml/min. | 62 ml/min. | Nursing | 106 ml/min. | 66 | 3 | 11532cb3-b30b-4578-b4dd-84093598b7d7 | 2020 |
Which of the following is a method to determine the training heart rate for a patient with ischemic heart disease? | Calculation of maximum heart rate according to the classic formula. | Calculation adjusted by the heart rate reserve (Karvonen Formula). | Calculation of cardiovascular risk using the FINDRISK test. | Nursing | The use of the intermittent effort scale. | 67 | 1 | b902c712-1681-46a8-901c-e4ca31a6bea8 | 2020 |
A validation study of a diagnostic test has been conducted, the results of which are reflected in a contingency table. Which of the following statements is correct?: | The specificity is calculated using the formula: c / (a+c). | The overall value is calculated using the formula: a / (a+b+c+d). | The Negative Predictive Value is calculated using the formula: (b+c) / (a+b+c+d). | Nursing | Sensitivity is calculated using the formula: a / (a+c). | 68 | 3 | 4cb8b873-5881-4a2b-96ae-dccbd74426b2 | 2020 |
Which of the following criteria should be applied, according to the current common services portfolio of the National Health System, regarding population screening for cervical cancer: | In a woman who is indicated for high-risk human papillomavirus (HR-HPV) determination, if the result is positive, a triage with cytology should be performed. | In a 26-year-old woman, an annual cytology should be recommended. | A high-risk human papillomavirus (HPV-HR) determination should be recommended for a 50-year-old woman every three years. | Nursing | In a 50-year-old woman who is indicated for high-risk human papilloma virus (HR-HPV) determination, if the result is negative, there is no need for further checks. | 69 | 2 | 481a5920-fea4-42af-b718-078cdd1fe5d0 | 2020 |
Regarding the analysis of ROC curves in diagnostic tests, which of the following statements is false?: | The Y-axis represents sensitivity. | The X-axis represents the false positive results. | They allow to choose the appropriate cut-off point to consider positive and negative results of a test. | Nursing | A test with perfect healthy-sick discrimination will result in a 45-degree diagonal line. | 70 | 3 | 8242f524-f62d-4bbc-a393-2514b84fe8a6 | 2020 |
Premature mortality is a key indicator of the National Health System. Indicate the incorrect answer: | Cancer and ischemic heart disease are causes of premature death included in this indicator. | Its formula is: Population under 75 years in that year, divided by the number of deaths in under 75 years during a year for each of the selected causes, multiplied by 1000. | It is studied and analyzed by sex and autonomous community. | Nursing | Diabetes mellitus and cerebrovascular disease are causes of premature death included in this indicator. | 71 | 1 | d9b72829-5a0e-4bf7-9a33-4cfb31d43888 | 2020 |
Regarding the application and measurement of the ankle-brachial index (ABI), identify the incorrect answer: | The determination of the ABI is a very useful tool in cardiovascular risk stratification as it identifies subjects with subclinical atherosclerosis and high cardiovascular risk. | The ABPI (Ankle-Brachial Pressure Index) is the result of dividing the highest systolic blood pressure (SBP) value from either of the brachial arteries by the SBP of each ankle. | It is a simple, cheap, and reproducible test, with great utility for the diagnosis of peripheral artery disease and for the detection of individuals with high cardiovascular risk. | Nursing | Getting a result of 1.1 is considered within the range of normal values. | 72 | 1 | 56857d23-9732-425e-ba42-9fcc6ce69580 | 2020 |
To reorganize information (transmit information, concepts, interpretive schemas, etc.) within the teaching-learning process in Health Education, one of the chosen techniques for its approach would be: | Expert panel. | Grills. | Problem analysis. | Nursing | Role-playing. | 73 | 2 | 4d0f9f84-3130-48e3-ba91-567bc167cd83 | 2020 |
The following symbol used in the genogram identifies: | Woman with alcoholism problem. | Patient identified. | Primary caregiver. | Nursing | Pregnant woman. | 74 | 4 | 59cfc192-d94b-49c4-a78b-25b5eb635b4f | 2020 |
Personal factors have a lot of influence on health behaviors, and they can be from the cognitive, emotional, or skills area. Which of the following factors belong to a person's emotional area?: | Cognitive abilities. | Self-efficacy. | Thinking Styles. | Nursing | Psychomotor skills. | 75 | 1 | 2995e6a5-d240-410d-b19e-9069bfd7b113 | 2020 |
Which nurse developed the Nursing Theory of Health Promotion? | Linda Carpenito. | Nola J. Pender. | Afaf Meleis Ibrahim. | Nursing | Madeleine M. Leininger. | 76 | 1 | bbf8a842-bfc5-4a25-8b79-605b728fc8f6 | 2020 |
What type of learning should be employed in Health Education? | Informal learning. | Meaningful learning. | Blended Learning. | Nursing | Personalized learning. | 77 | 1 | 061d11f1-12d3-498a-b936-6f84142c3080 | 2020 |
Regarding the asset model for health in Primary Health Care, indicate the incorrect answer: | The asset model provides key fundamentals for addressing health promotion at the community level, and provides tools to work from different levels in Primary Care. | The assets approach is based on the salutogenesis theory developed by Antonovsky, which is based on the factorial model called "sense of coherence". | The asset model for health implies a revitalization of health promotion and community health interventions in terms of intersectorality, positive health, participation, equity, and orientation to the determinants of health. | Nursing | Health asset is defined as any factor or resource identified by health professionals as enhancers of the ability of individuals, communities and populations to maintain health and wellbeing. | 78 | 3 | 8b219cae-6a18-4eb7-bc6a-6517785a5f35 | 2020 |
Which of the following is considered a secondary prevention activity? | Early detection of congenital hypothyroidism in the newborn. | Flu vaccination in institutionalized elderly patients. | Prophylaxis for hepatitis B in patients with HIV. | Nursing | Respiratory physiotherapy in patients post- Acute Myocardial Infarction. | 79 | 2 | 040984be-f98c-47f1-8aff-c340b6237e8d | 2020 |
Keeping in mind the general principles regarding the minimum interval between the non-simultaneous administration of different vaccines, identify the minimum interval between an inactivated vaccine and an attenuated one: | Two weeks. | None. | Eight weeks. | Nursing | Four weeks. | 80 | 1 | f7d19dcb-2fc4-45d6-86f1-9415129cd92b | 2020 |
What are the 5 domains of the FRAIL questionnaire? | Fatigability, Transfers, Ambulation, Comorbidity and Weight Loss. | Fatigability, Endurance, Ambulation, Comorbidity, and Weight Loss. | Fatigability, Transfers, Ambulation, Adherence to pharmacological treatment, and Self-care. | Nursing | Fatigability, Transfers, Ambulation, Comorbidity and Self-Care. | 81 | 1 | 71d5996b-1ba8-4552-8edb-a451f939783b | 2020 |
A.T.C., 72 years old, has had a permanent urinary catheter for 8 years and goes to his nurse's consultation at the Health Center for a urine sample collection. What would be the correct intervention? | The catheter will be clamped, after 20 minutes it will be disconnected from the collection bag over a sterile field and unclamped, collecting the sample directly into a sterile container. | The urine collection is performed by aspiration puncture through the specific device in the catheter, with sterile needle and syringe after cleaning the collection point. | The catheter will be clamped and, on a sterile field, a collection bag with a drain valve will be connected. After 20 minutes, the catheter will be unclamped and the drainage valve will be opened, collecting the sample directly into a sterile container. | Nursing | The catheter should be replaced and the urine sample will be obtained from the newly placed catheter. | 82 | 3 | 29ec5686-ff6d-47bd-960d-6afd805eed22 | 2020 |
J.C.L., a 46-year-old with a spinal cord injury from a traffic accident 5 years ago, needs to perform intermittent catheterization. He goes to the nursing consultation in the Health Center to collect the necessary materials. What type of catheter could be most beneficial in his case? | Prelubricated hydrophobic catheters. | Hydrogel-coated elastomeric latex catheters. | Catheters with hydrophilic materials. | Nursing | Silicone catheters impregnated with antibiotics to reduce the risk of infection. | 83 | 4 | 6948a1cb-2797-4ccf-ba86-2d5a6af9d0fa | 2020 |
The nurse screens a user for risky alcohol consumption using the AUDIT Test with a score of 14, identifying them as a person with Risk 2 consumption. What would be the correct intervention according to the document "Comprehensive Lifestyle Advice in Primary Care, linked with Community Resources in Adult Population"?: | Brief advice. | Information and reinforcement. | Assess referral. | Nursing | Extended brief advice. | 84 | 2 | 6a506501-7ef5-4e07-a15a-c9ea9410009f | 2020 |
In which stage of Prochaska and Di Clemente's change process is a person who wants to quit smoking and is reducing the number of cigarettes/day: | Preparation. | Contemplation. | Maintenance. | Nursing | Action. | 85 | 2 | b7c94e21-19b1-4477-9737-981f00592345 | 2020 |
To determine the evolutionary phase in which the person with Alzheimer's is, it is recommended to administer the instrument called: | Informant Test. | Katz Index. | Reisberg's Global Deterioration Scale. | Nursing | EuroQol-5D. | 86 | 4 | b2536933-2dae-4a48-8eb6-a2d9a64444fc | 2020 |
In accordance with the Spanish Constitution of 1978, Law 14/1986 of April 25, General Health, and Law 16/2003 of May 28, on cohesion and quality of the National Health System, indicate the competency in health matters that does not correspond to the state administration and yes to the Autonomous Communities: | Healthcare Planning. | Bases and coordination of health care. | Management of the National Institute of Health Management (INGESA). | Nursing | Public Health. | 87 | 2 | 6c49d7ee-bc00-4265-ae23-e08da52905f6 | 2020 |
The clinical diagnosis of Diabetes Mellitus (DM) is based on the abnormal elevation of blood glucose levels. The American Diabetes Association (ADA) proposes the following as the diagnostic criterion for type 2 DM: | HbA1c ≥ 6% in one determination. | Plasma glucose ≥ 126mg/dl when fasting on two different determinations on different days. | Random venous plasma glucose ≥ 150 mg/dl with typical symptoms of hyperglycemia. | Nursing | Plasma glucose level 2 hours after the oral glucose tolerance test ≥ 150 mg/dl. | 88 | 1 | c614b1b7-183f-40da-ad35-c9e734a6be14 | 2020 |
To achieve faster absorption with preprandial fast-acting subcutaneous insulin injection, what would be the administration area? | The abdominal wall is not periumbilical. | The upper part of the buttocks. | Inner side of the thigh. | Nursing | Upper lateral part of the arm. | 89 | 2 | b153ce38-7e33-4149-9b02-7b1c34e917db | 2020 |
In which stage of the evolution of nursing care would the care given in the Middle Ages be included? | Technical stage of care. | Vocational stage of care. | Professional stage. | Nursing | Domestic stage of care. | 90 | 1 | 5046a5e9-63c2-4114-8dfe-cafb739ed2bc | 2020 |
Which of the following principles is not included in the 2019 - 2023 Strategic Plan of the International Council of Nurses?: | Empowerment of the institutions. | Global impact. | Strategic leadership. | Nursing | Innovative growth. | 91 | 2 | cb4fec45-c536-4c04-a7c0-ad2f698b1e2e | 2020 |
R. Alfaro-LeFevre's four-circle critical thinking model provides a general framework for what it means to think critically. Which of the following options is not included in this model?: | Develop characteristics and behaviors. | Develop intercultural skills. | Expand practical technical skills. | Nursing | Acquire theoretical and practical knowledge. | 92 | 1 | 274733d3-73c6-4cb4-b0a4-e99bf4ca96a2 | 2020 |
In the Nursing Outcomes Classification (NOC), the class: growth and development that is related to the outcomes that describe a person's physical, emotional, and social maturation, to which domain does it belong?: | Psychosocial health. | Functional health. | Perceived health. | Nursing | Physiological health. | 93 | 1 | aad2a422-074a-4269-a6a3-249e01568a14 | 2020 |
To which type of NANDA Nursing Diagnosis 2018-2020 does a clinical judgment about the susceptibility of an individual, family, group or community to develop an undesirable human response to health conditions/life processes correspond: | Nursing diagnosis for health promotion. | Nursing diagnosis. | Nursing risk diagnosis. | Nursing | Nursing diagnosis focused on the problem. | 94 | 4 | cce34053-e27c-4095-b376-cd24c61c3036 | 2020 |
Regarding hypotonic dehydration in older people, it is true that: | The clinical manifestations of hypotonicity are not related to the rate of onset, but to the inability to compensate for losses. | A few minutes after the development of hypotonicity, water enters the brain tissue leading to edema and a decrease in the brain's osmolality. | In elderly people, mild hyponatremia (serum Na+ < 125 mEq/L) is usually asymptomatic. | Nursing | In older people's hypotonic dehydration, unlike in younger people, symptoms usually do not occur due to volume depletion, but due to an excess of serum Na+ ions. | 95 | 1 | 0b0d4958-0af0-4cf9-82ea-6d1207c0f30b | 2020 |
The consensus document on the prevention of frailty and falls in the elderly within the Health Promotion and Prevention Strategy in the National Health System, specifies and addresses development proposals. Identify the incorrect one: | The scope of action is Primary Care and community environment, in coordination with the appropriate specialized geriatric and hospital resources. | This involves conducting organized opportunistic screening for people over 70 years old. | In the event that the person scores less than 90 points on the self-reported Barthel scale, screening for frailty will be carried out. | Nursing | An initial assessment of the basic activities of daily living (ADL) is carried out using the self-reported Barthel scale. | 96 | 4 | c6e2742a-65bf-4b7f-be6d-42761ac5c740 | 2020 |
Regarding the use of mechanical and/or pharmacological restraints in the elderly in geriatric and gerontological centers, it's not true: | The deliberate and intentional use of medications to manage a non-psychiatric and non-medical underlying problem, which restricts the patient's daily life activities, is a restraint. | The use of restraints does not decrease falls or their consequences, but can increase them, and potentially cause injuries and fatal accidents. | Restraints, according to whether the person accepts them or not, are classified as voluntary and involuntary. | Nursing | The adapted ergonomic furniture such as chairs, geriatric armchairs, and tables, would not constitute a mechanical restriction in those cases where they are used to maintain body posture, or when requested by the user themselves. | 97 | 3 | 0d475456-1d39-4579-9ec6-a50278ced852 | 2020 |
According to the Clinical Practice Guide on the approach to vasomotor and vaginal symptoms associated with menopause and postmenopause, from the Ministry of Health, Social Services and Equality, some of the following factors are associated with the age of onset of menopause, except: | High body mass index. | Early menarche. | Age of menopause in mother and sisters. | Nursing | Tobacco use. | 98 | 2 | 7beff647-870b-4e2c-b857-57ba2613a5e3 | 2020 |
Which of the following statements is incorrect in relation to pertussis vaccination in pregnant women?: | The flu and whooping cough vaccinations cannot be done on the same day. | By administering the whooping cough vaccine during the last stage of pregnancy, the levels of maternal antibodies temporarily increase. | Vaccinating mothers during pregnancy can prevent more cases of whooping cough, hospitalizations, and newborn deaths, compared to postpartum vaccination and the child vaccination strategy. | Nursing | The whooping cough vaccination should ideally be administered between 28 and 32 weeks of gestation. | 99 | 2 | 83b02fd2-3888-4e04-b94e-021a3fd75e84 | 2020 |
What is the most common location of an ectopic pregnancy? | Fimbriae. | Ampullary portion of the tube. | Isthmic tubal portion. | Nursing | Interstitial area. | 100 | 1 | 5115a993-fb19-4fe6-9f1c-62edaec2f24f | 2020 |
Which of the following criteria, according to the Clinical Practice Guide on breastfeeding from the Ministry of Health, Social Services and Equality, would make you think that there is not a good start or establishment of breastfeeding? | There is less areola visible below the chin than above the nipple. | The infant's mouth is wide open with the lower lip everted and both lips form an angle of about 120º. | An upward weight curve with an average gain of 20-35 grams/day from the fourth day of birth ensures adequate intake. | Nursing | There are sucking sounds from the newborn. | 101 | 3 | e3c3c784-ff15-489b-bce8-00073a20d339 | 2020 |
Regarding the relationship between breast cancer and breastfeeding as a protective factor, which of the following statements is true?: | The increase in serum estrogen levels during breastfeeding reduces the incidence of breast cancer. | The protective factor is linked to the secretion of prolactin during breastfeeding. | The risk of breast cancer is reduced by 4.3% for every 12 months of breastfeeding. | Nursing | The delay in the restoration of ovarian function during lactation is not related to the incidence of breast cancer. | 102 | 4 | 12cbebf2-8bdb-4630-a5e8-6886a66c6d5d | 2020 |
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