Saint Louis University

School of Nursing

Name: ________________________Sec/Group: ______________ Date: ______________

Instruction: Read the questions carefully and select the best answer. Write your answer in the
sheet provided for you.

I. Multiple Choice. Choose the best answer. Use CAPITAL letters only. Strictly No
ERASURES or SUPERIMPOSITIONS allowed!
“Be relaxed, Keep calm, Take a friendly attitude, Have FAITH, Do your BEST!”
Management of Care:

1. A male client is admitted to BGH Surgical Ward because of malignant tumor in the colon. He
is to undergo Hemicolectomy as a surgical procedure to remove the affected part of the colon.
Due to anticipated massive blood loss during the surgery, blood is needed for transfusion. The
nurse understands that he should coordinate to what department to address this problem:
A. Pathology/Laboratory Department
B. Internal Medicine Department
C. Bimolecular Department
D. Biomedical Department
E. Oncology Department
2. Patient Barola, 54 years old is admitted to surgical ward due to anorectal carcinoma. He has
not been defecating for one week. After a comprehensive assessment of the patient, the doctor
ordered to prepare the patient for colostomy procedure. During the signing of the consent for
colostomy, the patient is a little bit drowsy and disoriented. Legally the nurse should consider the
signature:
A. Valid
B. Invalid
C. Should have witnessed by another staff
D. Needs court hearing
3. A 35-year old Patient Malecdan is suspected with erosive gastritis returned to her room an
hour ago following EGD and colonoscopy. He is requesting for a glass of water. The nurse must
first:
A. Keep the client on NPO until an order is written
B. Check the VS
C. Check the gag and swallowing reflex
D. Encourage deep breathing and coughing exercises
4. The nurse is teaching a client about precaution of taking metronidazole as a medication post-
surgery. The nurse should instruct the client to avoid.
A. Jackfruit C. Aged cheese
D. High purine diet
B. Alcohol
5. The nurse is performing Neurological assessment on a conscious post surgery patient. How
can the nurse best assess motor response?
A. Grasp the Nurse’s finger C. Wiggle his toes
B. Cough and deep breathe D. Repeat a phrase
6. Level III nursing students of SLU-SON Section C group 5 will be conducting a research on
the completeness and accuracy of the FDAR Charting of student nurses rotated at BGH for the
School Year 2016-2017. In obtaining the charts of the patients the student nurses should first
coordinate to the:
A. Nursing Service Department C. Hospital Administrator/director
B. Head of the Medical Record D. Information Department
Section
7. Patient Lozano, geriatric patient, 88 years old, underwent resection of the colon, was
admitted at the BGH Surgical ward has residual dysphagia. When a diet order is initiated, the
nurse avoids doing which of the following?
A. Giving the client thin liquids
B. Thickening liquid to the consistency of oatmeal
C. Placing food on the unaffected side of the mouth
D. allowing plenty of time for chewing and swallowing
8. What is the priority nursing diagnosis for a patient who had just had emergency
appendectomy?
A. Acute pain C. Impaired skin integrity
B. Activity intolerance D. Ineffective thermoregulation
9. When auditing a patient’s chart, the nurse determines that which expected outcome is correctly
written?
A. The patient will feel less surgical pain in 24 hours.
B. The patient will eat the right amount of food daily.
C. The patient will identify high-protein food from a list.
D. The patient will have enough sleep.
10. To prevent post-op complications relating to abdominal surgery, the nurse should instruct:
A. Adherence to prophylactic antibiotics
B. Oral administration of vitamin C and intake of foods rich in protein, vitamins and
minerals
C. Early ambulation
D. Handwashing
11. Patient Svero is upset about the appearance of his colostomy. The nurse formulates which
nursing diagnosis for the client?
A. Disturbed body image C. Impaired tissue integrity
B. Disturbed sensory perception D. Low self esteem
12. Nursing research is indispensable. You are conducting a literature review on the effectiveness
of music therapy on reducing pain among post-operative patient. As a nursing student, you need
to remember that literature review should be:
A. brief and exhaustive B. broad and theoretical
C. systematic and focused D. general and context
13. A diabetic, post-op client was confined at Surgical ward, Mrs. Billote, needs a change in diet
to improve hi health status. He should be referred to a:
A. nutritionist C. attending physician
B. dietitian D. dietary department
14. To ensure a safe environment among immobile patients confined at the BGH Surgical ward,
the nurse should:
A. Raise the side rails of the bed C. Provide pillow
B. Stay at bedside all the time D. Offer bedside commode
15. Rapport has been established in the nurse-client relationship in the Surgical ward. A 20-year-
old watcher of a post colostomy client asks to visit the nurse after his patient will be discharged.
The appropriate response of the nurse would be:
A. The best time to talk is during the nurse-client interaction time. I am committed to have this
time available for us while you are at the hospital and ends after our rotation.
B. Yes, if you keep it confidential, this is part of privileged communication.
C. I am committed for your care.
D. I am sorry, though I would want to, it is against school policy.
16. To prevent the spread of infection, the nurse should dispose the supplies used for wound care
at:
A. Yellow thrash bin
B. Black thrash bin
C. Dispose syringes to sharp bins as needed
D. Green thrash bin
17. When the nurse respects the client’s self-disclosure, this is a gauge for the nurse’s:
A. trustworthiness C. integrity
B. loyalty D. professionalism
18. The modal age of the patients admitted in BGH Surgical Ward is 50. This represents:
A. the sum ages divided by total number of patients admitted in BHG Surgical Ward
B. the youngest patient is 50 years old
C. the oldest patient is 50 years old
D. most of the age of the patient is 50 years old
19. A student nurse is teaching a client about needs according to Maslow, during evaluation the
client is correct when he/she states that the most basic need is _______?
a) Physiologic needs c) Safety and security needs
b) Self-actualization d) Belongingness
20. Which of the following items is considered the single most important factor in assisting the
health professional in arriving at a diagnosis or determining the person’s needs?
a) History of present illness c) Diagnostic test results
b) Physical examination d) Biographical data
21. During physical examination, which of the following methods refers to the translation of
physical force into sound?
a) Percussion c) Auscultation
b) Palpation d) Manipulation
22. In order to help prevent the development of an external rotation deformity of the hip in a
patient who must remain in bed for any period of time, the most appropriate nursing action
would be to use
a) a trochanter roll extending from the crest c) a hip-abductor pillow.
of the ilium to the midthigh. d) a footboard.
b) pillows under the lower legs.
23. During client hospitalization, nurses’ responsibility is to prevent complication such as
footdrop, to prevent it from occurring to clients, the patient is positioned in:
a) Order to keep the feet at right angles to the leg
b) A semi-sitting position in bed
c) A sitting position with legs hanging off the side of the bed
d) A side-lying position
24. A client in the surgical ward has mobility problems and has developed pressure ulcers, during
which stage of pressure ulcer development does the ulcer extend into the subcutaneous tissue?
a) Stage III c) Stage II
b) Stage IV d) Stage I

25. During assessment of the respiratory system of the older adult, the nurse anticipates increase
in which of the follow components of respiratory status?
a) Residual lung volume c) Gas exchange and diffusing capacity
b) Vital capacity d) Cough efficiency
26. A nurse is teaching a hypertensive class, according to the classification of hypertension
diagnosed in the older adult, hypertension that can be attributed to an underlying cause is termed
a) secondary. c) essential.
b) primary. d) isolated systolic.
27. A client in the surgical ward with chronic pain has been taking opioids and becomes less
sensitive to their analgesic properties, that client is said to have developed a (an) ____.
a) tolerance. c) dependence.
b) addiction. d) balanced analgesia.
28. A nurse is teaching in a ward class about pain and its management. During evaluation she
asked about prostaglandins. The client is correct when he/she states that prostaglandin are
chemical substances thought to _______.
a) increase sensitivity of pain receptors.
b) reduce the perception of pain.
c) inhibit the transmission of pain.
d) inhibit the transmission of noxious stimuli.
29. During drug administration, the nurse knows that the preferred route of administration of
medication in the most acute care situations is which of the following routes?
a) Intravenous c) Subcutaneous
b) Epidural d) Intramuscular
30. The nurse is administering Mu opioids. The nurse must have the knowledge that this drug has
which of the following effects on respiratory rate:
a) Stimulation, then depression c) Stimulation, only
b) No change d) Depression, only
31. The doctor ordered a hypotonic solution to be administered to a client. As a nurse you will
prepare which of the following solutions is hypotonic?
a) 0.45% NaCl. c) 0.9% NaCl.
b) Lactated Ringer’s solution. d) 5% NaCl
.
32. As a nurse working in the surgical department you know that which stage of shock is best
described as that stage when the mechanisms that regulate blood pressure fail to sustain a
systolic pressure above 90 mm Hg?
a) Progressive c) Compensatory
b) Refractory d) Irreversible
33. When the nurse observes that the patient’s systolic blood pressure is less than 80–90 mm Hg,
respirations are rapid and shallow, heart rate is over 150 beats per minute, and urine output is less
than 30 cc per hour, the nurse recognizes that the patient is demonstrating which stage of shock?
a) Compensatory c) Refractory
b) Progressive d) Irreversible
34. A nurse is caring for a surgical patient, which of the following terms refers to the period of
time that constitutes the surgical experience?
a) Perioperative phase c) Intraoperative phase
b) Preoperative phase d) Postoperative phase
35. When the indication for surgery is without delay, the nurse recognizes that the surgery will be
classified as
a) emergency. c) required.
b) urgent. d) elective.
36. A nurse is discussing non-parmacologic pain management in the surgical ward. When the
patient is encouraged to concentrate on a pleasant experience or restful scene, the cognitive
coping strategy being employed by the nurse is
a) imagery. c) distraction.
b) optimistic self-recitation. d) progressive muscular relaxation.
37. A nurse is in the surgical ward when he/she noted protrusion of abdominal organs through the
surgical incision this surgical complication is called?
a) Evisceration c) Dehiscence
b) Hernia d) Erythema
38. When the method of wound healing is one in which wound edges are not surgically
approximated and integumentary continuity is restored by granulations, the wound healing is
termed
a) second intention healing. c) first intention healing.
b) primary intention healing. d) third intention healing.
39. The nurse recognizes which of the following signs as typical of the patient in shock?
a) Rapid, weak, thready pulse c) Warm, dry skin
b) Flushed face d) Increased urine output
40. When the nurse observes that the postoperative patient demonstrates a constant low level of
oxygen saturation, although the patient’s breathing appears normal, the nurse identifies thatthe
patient may be suffering which type of hypoxemia?
a) Subacute c) Episodic
b) Hypoxic d) Anemic
41. When the surgeon performs an appendectomy, the nurse recognizes that the surgical category
will be identified as
a) clean contaminated. c) contaminated.
b) clean. d) dirty.
42. a nurse is assessing a client with pulmonary problem. Which of the following terms is used to
describe inability to breathe easily except in an upright position?
a) Orthopnea c) Hemoptysis
b) Dyspnea d) Hypoxemia
43. Which respiratory volume is the maximum volume of air that can be inhaled after maximal
expiration?
a) Inspiratory reserve volume c) Expiratory reserve volume
b) Tidal volume d) Residual volume
44. When the nurse auscultates chest sounds that are harsh and cracking, sounding like two
pieces of leather being rubbed together, she records her finding as
a) pleural friction rub. c) sonorous wheezes.
b) crackles. d) sibilant wheezes.
45. Which of the following terms refers to lung tissue that has become more solid in nature due
to a collapse of alveoli or infectious process?
a) Consolidation c) Bronchiectasis
b) Atelectasis d) Empyema
46. A nurse is inserting a nasogastric tube. Which of the following methods is the best method for
determining nasogastric tube placement in the stomach?
a) X-ray
b) Observation of gastric aspirate
c) Testing of pH of gastric aspirate
d) Placement of external end of tube under water
47. A nurse is reviewing an X-ray result. The result revealed Emphysema. Emphysema is
described as:
a) A disease of the airways characterized by destruction of the walls of over distended alveoli.
b) A disease that results in a common clinical outcome of reversible airflow obstruction.
c) The presence of cough and sputum production for at least a combined total of two or three
months in each of two consecutive years.
d) Chronic dilatation of a bronchus or bronchi
48. A group of student nurses are having a ward class. In the discussion the student nurses knows
that which of the following is the most important risk factor for development of Chronic
Obstructive Pulmonary Disease?
a) Cigarette smoking c) Air pollution
b) Occupational exposure d) Genetic abnormalities
49. During inspection of a client with COPD. Which type of chest configuration is typical of the
patient with COPD?
a) Barrel chest c) Flail chest
b) Pigeon chest d) Funnel chest
50. The nurse is administering an oxygen therapy to a client. Of the following oxygen
administration devices, which has the advantage of providing high oxygen concentration?
a) Non-rebreather mask c) Catheter
b) Venturi mask d) Face tent
51. When performing endotracheal suctioning, the nurse applies suctioning while withdrawing
and gently rotating the catheter 360 degrees for which of the following time periods?
a) 10-15 seconds c) 20-25 seconds
b) 30-35 seconds d) 0-5 seconds
52. A student nurse is reviewing characteristics of a cardiac muscle. Which term is used to
describe the ability of the heart to initiate an electrical impulse?
a) Automaticity c) Conductivity
b) Contractility d) Excitability
53. The nurse auscultates the apex beat at which of the following anatomical locations?
a) Fifth intercostal space, midclavicular line
b) Mid-sternum
c) 2” to the left of the lower end of the sternum
d) 1” to the left of the xiphoid process
54. A student nurse is studying cardiac physiology. Which of the following terms describes the
amount of blood ejected per heartbeat?
a) Stroke volume c) Ejection fraction
b) Cardiac output d) Afterload
55. A nurse is monitoring client ‘s blood pressure. When measuring the blood pressure in each of
the patient’s arms, the nurse recognizes that in the normal adult, the pressures
a) differ no more than 5 mm Hg between arm pressures.
b) must be equal in both arms.
c) may vary 10 mm Hg or more between arms.
d) may vary, with the higher pressure found in the left arm.
56. A nurse is reviewing a client’s ECG. Which of the following ECG characteristics is usually
seen when a patient’s serum potassium level is low?
a) U wave c) P wave
b) T wave d) QT interval
57. When the nurse observes that the patient’s heart rate increases during inspiration and
decreases during expiration, the nurse reports that the patient is demonstrating
a) sinus dysrhythmia. c) sinus bradycardia.
b) normal sinus rhythm. d) sinus tachycardia.
58. Which of the following terms refers to chest pain brought on by physical or emotional stress
and relieved by rest or medication?
a) angina pectoris c) atheroma
b) atherosclerosis d) ischemia
59. A student nurse is studying factors for illnesses. Of the following risk factors, which is
considered modifiable?
a) Diabetes mellitus c) Race
b) Gender d) Increasing age
60. When the patient with known angina pectoris complains that he is experiencing chest pain
more frequently even at rest, the period of pain is longer, and it takes less stress for the pain to
occur, the nurse recognizes that the patient is describing
a) unstable angina. c) variant angina.
b) intractable angina. d) refractory angina

Prepared by:

Piduca, Michael Joel C. MAN, RN