Test Drills

(CHN&COPAR) Question 11
Question 1 Children with various health conditions although considered

A 2-months old infant was brought to the health center for common diseases are difficult to manage. The DOH adopted
immunization. During assessment, the infant's temperature the recommended integrated case management process on
registered at 38.1°C. Which of the following is the best course childhood illnesses. If a 5-year-old child with a fever of
of action by the nurse? 38.8°C is blood smear positive with no runny nose, the nurse
a. Give Paracetamol and wait for his fever to subside should do the following as forms of specific treatment, except:
b. Advise the infant's mother to bring him back for a.Treat the child with an oral antimalarial drug
immunization when he is well b.Give first dose of quinine
c. Refer the infant to the physician for further c.Give one dose of paracetamol
assessment d.Advise to follow up in 2 days if fever persists
d. Go on with the infant's immunizations Question 12
Question 2 Clinic visit is being executed by a health team. Who acts as a
A 4-year-old child who has visible severe wasting and severe leader in planning the clinical activities?
palmar pallor should be classified as: a.Barangay Health Worker
a. Anemia or Very low weight b.Physician-in-Charge
b. Moderate malnutrition/anemia c.Public Health Nurse
c. Severe malnutrition/anemia d.Rural Health Midwife
d. Malnutrition with severe anemia Question 13
Question 3 Clinic Visit is done at the health center or health station so that
A protected well or a developed spring with an outlet but the community health nurse can provide the necessary health
without a distribution system is known as: care services to the people in the community. On the other
a. Point Source hand, home visit is a family-nurse contact which allows the
b. Communal Faucet health worker to assess the home and family situations in
c. Stand Post order to provide necessary nursing care.During clinic visit,
d. Waterworks System which among the following activities is done during pre-
Question 4 consultation conference?
According to Dr. Margaret Shetland, the philosophy of public a.One-on-one counseling
health nursing is based on which of the following? b.Record preparation
a. The worth and dignity of man c.First come, first served queuing
b.The mandate of the state to protect the birthrights of its d.Pre-clinic lecture
citizens Question 14
c.Health and longevity as birthrights Community Assessment through Vital Statistics and
d.Public health nursing as a specialized field of nursing Epidemiology. Major factors affecting population include the
Question 5 following, except:
Alternative medicines include the use of herbal medicines, and a.Morbidity
the practice of acupressure, acupuncture and aromatherapy. b.Mortality
Which of the following laws paved way for the creation of the c.Migration
Philippine Institute of Traditional and Alternative Health d.Births
Care? Question 15
a. R.A. 7610 Community Health Nursing is a specialized field of nursing
b.R.A. 8423 that follows the basic principles in Community Development
c.R.A. 7160 work. Which of the following statements best described
d.P.D. 965 Community Development as a process of empowering people
Question 6 in the community?
An orange result of a Benedict's test should be interpreted by a.Community development may allow women to discover and
the nurse as to which extent of glucosuria? strengthen their innate capabilities to enjoy and utilize equal
a.(-) opportunities in all aspects of development work
b.+ b.Sustainability aspects of development strategies can be taken
c.++ into consideration
d.+++ c.Community development is solely confined to the meeting
Question 7 of the day to day survival of the people
As a nurse, you have gained entry in the community. Which d.Community development is a learning process where
initial step is done? both women and men participate to improve their lives
a.List names of persons to contact Question 16
b.Gather information from persons and records Community Health Nursing is a unique blend of nursing and
c.Arrange the first meeting public health practice woven into a human service that
d.Prepare the agenda properly developed and applied has a tremendous impact on
Question 8 human well-being.
Based on the principle that life is the result of Qi or life The primary goal of Community Health Nursing is to:
energy, what is the alternative medicine practice that a.Support and supplement the efforts of the medical
maintains health, treats diseases, and alleviates pain by professions in the promotion of health and prevention of
massaging certain points on the body surface? illness
a.Tai Chi b.Enhance the capacity of individuals, families and
b.Cupping communities to cope with their heath needs
c.Acupressure c.Increase the productivity of the people
d.Acupuncture d.Raise the level of health of the citizenry
Question 9 Question 17
Camela, is a new known patient of PTB with three consecutive Community Organization is a process wherein people in the
negative results in DSSM yet PTB positive-extensive as community, health care providers and agencies in the
revealed in CXR. Camela should be classified as Category: community are brought together. Which of the following is the
a.1 c.3 primary principle involved in community organization?
b.2 d.4 a.Technique in asking questions
Question 10 b.Assembly of community leaders
Certain DOH programs utilize an acceptable decision to which c.Defined functions in each group
the nurse has to follow. What should the public health nurse d.Planning group needs
do to a program-based case?
a.Manage the case
b.Refer to the physician
c.Provide first aid treatment
d. Refer the case to the next level of care
COPAR (Community Organizing Participatory Action Junival, 4 years old, has had diarrhea for 5 days. He weighs 15
Research) recognizes people's participation as a tool for kg. There is no blood in the stool, he is irritable. His eyes are
community development. Arrange the activities of community sunken. Nurse Herbert offers fluid to the child and he drinks
organizing as a continuous sustained process for community eagerly. When the nurse pinched the abdomen, it goes back
development. slowly. Nurse Herbert should classify the child's condition as:
a.Organization, Education, Mobilization a.No dehydration
b.Organization, Mobilization, Education b.Some dehydration
c.Education, Organization, Mobilization c.Severe dehydration
d.Education, Mobilization, Organization d.Severe persistent diarrhea
Environmental health is a branch of public health that deals Manageable units of the community to facilitate service
with the study of preventing illnesses by managing the delivery and people's participation is called the:
environment and changing people's behavior to reduce a.Core group
exposure to biological and non-biological agents of disease b.Small group
and injury. Which of the following is responsible for the c.Spot map
promotion of health environmental conditions and prevention d.Organizing group
of environmental related diseases? Question 29
a.Rural Health and Sanitary Office Nurse Bulilit knows that Camela should start the treatment
b.Environmental Sanitation Code of the Philippines with which of the following anti-TB drugs?
c.Center for Health and Development a.Rifampicin and Isoniazid
d.Environmental and Occupational Health Office b.Rifampicin, Isoniazid, and Ethambutol
Question 20 c.Rifampicin, Isoniazid, Pyrazinamide, and Ethambutol
Identification of health risks in the community is a step in d.Rifampicin, Isoniazid, Pyrazinamide, Ethambutol, and
formulating a community health diagnosis. Which of the Streptomycin
following methods Nurse Sid should do to best facilitate the Question 30
identification of health risks threatening the community? Nurse Cezar is a newly hired occupational health nurse in an
a.Assess community resources and industries available international company. He knows that the following are
b.Familiarize with the prevalent lifestyle of the people within functions of an occupational health nurse, except:
the community a.Recommends to Local Health Authority the issuance of
c.Study health center records and reports license/business permits and suspensions or revocation of the
d.Review of vital statistics available same
Question 21 b.Height and weight measurement and nutritional status
If a particular health service fails, the most basic question is: determination
a.Is this what the people demanded? c.Provide control measures to reduce noise, dust, health and
b.What went wrong? other hazards
c.Is this what the people need? Question 31
d.Who is responsible for the failure? Nurse Cezar is oriented on the mission of occupational health
Question 22 and safety, which is:
If the child does not have ear problem, what should the nurse a.To conduct and/or assist other health personnel in outbreak
do following the protocol of IMCI chart? investigation
a.Check for other problems b.To assure so far as possible every working man and
b.Check for danger signs woman in the country is safe and in healthful working
c.Check for immunization status conditions
d.Check for nutritional status c.To promote and maintain the health and safety of workers
Question 23 through a systematic process of assessment, planning,
If the result of a Heat and Acetic acid test is clear, the nurse intervention and evaluation
knows that: d.To provide summary of data on health services delivery and
a.Albuminuria is abnormal selected program accomplished indicators at the barangay,
b.Protein is traced in the urine municipality/city, district, provincial, regional and national
c.This is a positive result of protein leak levels
d.There is no albumin in the urine Question 32
Question 24 Nurse Sid, a public health nurse, prepares a community health
In the Health Care Delivery System, ideally, rehabilitation nursing care plan utilizing the nursing process, which is
services begin: responsive to the health promotion needs of the community.
a.Upon admission of the client in the health care system To obtain a 100% population count of the community, Nurse
b.Upon discharge of the client from the health care system Sid should need to do a:
c.After the client's physical condition stabilizes a.Survey
d.Soon after the client had requested for rehabilitation services b.One to one interview
Question 25 c.Census
Incidence rate means new cases as percent of population and d.Sampling of the population
prevalence rate means cases in a given period of time as Question 33
percent of population. Which formula below is a prevalence Once the nurse initiates contact with a client, asking questions
rate? to gather data, this process is called:
a.Number of cases of a specific disease / 1,000 estimated a.Implementation
population x 100 b.Evaluation
b.Total number of cases of a disease (old + new) / 1,000 c.Planning
estimated population at the time x 100 d.Assessment
c.Number of cases of a specific disease during a specific time / Question 34
Estimated population exposed to that disease during that time One of the functions of Nurse Feng is health assessment.
x 100 Which of the following is not true regarding the conduct of a
d.Total number of cases of a disease (old + new) at a given health assessment?
time / Estimated population at the time x 100 a. Health assessment should include appraisal of the general
Question 26 physical and mental condition
It is the competencies required of registered nurses in their b.Before the health assessment, the nurse should conduct a
secondary and tertiary-level care practice within health classroom health lecture
facilities: c.Every school child should be examined twice a year
a.Public Health skills d.Three to five children at a time should be in waiting for the
b.Technical skills assessment
c.Clinical skills
d.Millennium Development Goals
One of the roles of the public health nurse in promoting a Sedentary lifestyle, a life spent with little or no physical
smoke-free environment is assisting smokers to quit. The activity, has grave consequences to one’s health. The
following are the four "As" used in helping smokers to quit, following are health benefits of regular physical activity,
except: except:
a.Ask a.Promotes psychological well-being and reduces feelings of
b.Announce stress
c.Arrange follow up b.Reduces the risk of developing colon cancer
d.Advise to stop smoking c.Helps reduce blood pressure in people who already have
Question 36 hypertension
Planning for a home visit is an essential tool in achieving best d.Lowers both total blood cholesterol and triglycerides and
results in health care. The following are principles in a home may increase low-density lipoproteins
visit, except: Question 44
a.Planning should be flexible and practical Smearing , fixing, and staining of sputum specimens, as well
b.Home visit should have a purpose as recording and reporting results for DSSM shall be
c. Plans are based in available information including those performed only by trained medical technologists or
from other agencies that may have rendered services to the microscopists. However, in far flung areas, who are allowed to
family do the DSSM as long as they have been trained?
d.Planning of continuing care must be developed by the a.Rural Health Midwife
nurse b.Barangay Health Worker
Question 37 c.Public Health Nurse
Pour flush toilet and aqua privies are classified under which d.PTB Community Patient
level of approved toilet facilities? Question 45
a.Level I The application of the nursing process is rational method of
b.Level II planning and providing nursing care. As basic tool in
c.Level III professional nursing practice, its utilization ensures competent
d.Level IV and safe practice. It is a scientific tool that is utilized also in
Question 38 Community Health Nursing. Which of the following is
Primary Health Care as an approach to delivery of health care Community Health Nursing Assessment?
services. Which one is the goal of Primary Health Care in the a.Auditing Nursing Record
Philippines? b.Monitoring health services
a.Reorientation and reorganization of the national health care c.Prioritizing needs
system with the establishment of functional support d.Intensive fact-finding
mechanism Question 46
b.Essential health care made universally accessible, The basic reasons why community organizers need to phase
acceptable, available, and affordable to all out from the community is to enable the:
c.Health for all Filipinos and health in the hands of the a.People to exercise self-reliance
people by the year 2020 b.Nurse to open community organization work in other
d.To strengthen the health care system, let the people manage depressed communities
their own health care c.People's organization to expand their coverage
Question 39 d.People to test their unity and strength
Project NARS is a training cum deployment project designed Question 47
to mobilize registered nurses in the poorest municipalities of The community health diagnosis is an important input to the
the Philippines to improve the delivery of health care services. formulation of a community health nursing care plan. In order
Project NARS is otherwise known as: to assure a successful implementation of the care plan, the
a.Nurses Assigned in Regional Station Project diagnosis must be carried out in a manner where:
b.Nationwide Assignments of Registered nurse’s Service a.An outside consultant determines what data to collect
Project b.The community is directly involved in data collection
c.Nurses Assigned in Rural Service Project and analysis
d.National Affiliation of Registered nurses Project c.The nurse delegates the collection of data to the barangay
Question 40 health workers
Project NARS is built within the frameworks of the d.All the members of the rural health unit participates in data
“Economic Resiliency Plan of the Arroyo Administration” and collection
the Department of Health’s “Formula One for Health.” The Question 48
following are aims of the project, except: The context of Community Health Nursing is based on the
a.Aggravate the impact of the Global Financial Crisis nurse's evaluation about the:
b.To save and create as many jobs as possible a.Existing health problems and needs of the people
c.Expand social protection b.Current health status of the people
d.Help achieve better health service and care for the people c.Department of Heath (DOH) goals
Question 41 d.Devolution of health
Public health is dedicated to the common attainment of the Question 49
highest level of physical, mental and social well-being and The Department of Health implements various health
longevity consistent with available knowledge and resources programs and projects in order to achieve its goals and
at a given time and place.According to Dr. C.E. Winslow, objectives. As a Public Health Nurse, you are one of the
which of the following is the goal of Public Health? implementers of these programs at the municipal level. The
a.For promotion of health and prevention and diseases mission of the Department of Health is:
b.For people to be organized in their health efforts a.The leader, staunch advocate and model in promoting Health
c.For people to have access to basic health services for All in the Philippines
d.For people to attain their birthrights and longevity b.Health for all Filipinos
Question 42 c.Guarantee equitable, sustainable and quality health for
Qualifications to be a public health nurse includes which of all Filipinos, especially the poor and shall lead the quest
the following: for excellence in health
1. Good physical and mental health d.To strengthen the health care system, let the people manage
2. BSN graduate their own health care
3. Registered nurse Question 50
4. Masters degree in Nursing The factor in the ecosystem affecting the individual's health
5. 3 years experience as a Clinical Instructor that is involved in the menace of pollution, basically man-
a.1, 2 and 3 made, is:
b.1, 3 and 4 a.Behavioral
c.1, 4 and 5 b.Socio-economic
d.2, 3 and 4 c.Environmental influences
The factor in the ecosystem affecting the individuals health The goal of the DOH is Health Sector Reform Agenda
that is involved in the provision of essential health services (HSRA), with the National Objectives for Health (NOH)
whether community-based, accessible, sustainable and serving as the road map for all stakeholders in health. All of
affordable is the: the following are reasons for health sector reform, except:
a.Socio-economic influences a.Slowing down in the reduction of both Infant and Maternal
b.Health Care Delivery System Mortality Rates
c.Behavioral b.Rising and high burden from chronic, degenerative diseases
d.Political and infectious diseases, respectively
Question 52 c.Unattended emerging health risks from environmental and
The following are duties and responsibilities of Nurse Feng, work related factors
except: d.Burden of disease is heaviest on the affluent
a.Community outreach like attending community assemblies Question 61
and organizing school community health councils The Health Sector Reform Agenda (HSRA) utilizes
b.Health and nutrition assessment including other screening FOURmula ONE for Health as its framework having four
procedures such as vision and hearing components such as health financing, health regulation, health
c.Supervision of the health and safety of the school plant service delivery and good governance. Which of the following
d.Coordinates with other government agencies relative to is not included in the goals of this framework?
the implementation of the implementing rules and a. Better health outcomes
regulations b.More responsive health systems
Question 53 c.Streamlining health system bureaucracy
The following are included in the 8 Millennium Development d.Equitable health care financing
Goals that are based on the fundamental values of freedom, Question 62
equality, solidarity, tolerance, health, respect for nature, and The herbal plant used as an anti-helmintic, which expels round
shared responsibility. Which is not health related? worms that cause ascariasis, is:
a.Eradicate extreme poverty a.Tsaanggubat
b.Improve maternal health b.Niyug-niyogan
c.Promote gender equality and empower women c.Lagundi
d.Ensure environmental sustainability d. Bayabas
The following are programs aimed at preventing non- The herbal plant used for the treatment of rheumatism and
communicable diseases. The following are nutrition-related gout as it lowers uric acid level is:
problems that lead to non-communicable disease, except: a.Sambong
a.Obesity b.Yerba Buena
b.Increased intake of processed/instant foods c.Akapulko
c.Increased dietary fiber d.Ulasimangbato
d.Increased fat intake Question 64
Question 55 The law that provided mandate for the implementation of
The following are steps in data processing. As a nurse, you Primary Health Care in the Philippines is:
should know its proper sequencing: a.R.A. 7160
1. Data analysis b.LOI 949
2. Data collection c.R.A. 8423
3. Data presentation d.R.A. 9255
4. Data collation Question 65
a.2, 4, 3 and 1 The mission of Primary Health Care refers to which of the
b.2, 3, 4 and 1 following?
c.2, 4, 1 and 3 a.To strengthen the health care system, let the people
d.2, 3, 1 and 4 manage their own health care
Question 56 b.Guarantee equitable, sustainable and quality health for all
The following best describes a home visit, except: Filipinos, especially the poor, and shall lead the quest for
a.May or may not be recorded excellence in health
b.Extension of the services of the health center c.Health for all by the year 2020
c.A professional contact made by the nurse d.Health for all Filipinos and health in the hands of the people
d.Should have an objective by the year 2020
The following procedures are very important to the public The most important among the elements of the DOTS strategy
health nurse in rendering effective nursing care to clients in is:
varied settings. The nurse should understand which rationale a.Sustained political strategy
when performing the bag technique? b.Access to quality-assured sputum microscopy
a.It should not overshadow the concerns for the client c.Standardized short-course chemotherapy
b.It should render effective nursing care to clients or other d.Uninterrupted supply of quality-assured drugs
family members Question 67
c.It should minimize or prevent the spread of infection The NARS trainees shall be warriors of wellness in their
d.It should save time and effort when performing nursing hometowns to do the following, I's, except:
procedures a.Initiate
Question 58 b.Implement
The following statements pertain to Community Organizing, c.Inform
except: d.Immunize
a.Its goal is community development Question 68
b.A never-ending process once started The nurse utilizes three different agents when wiping the
c.Can apply for increasing awareness thermometer after use. Arrange them according to sequence:
d.A process for increasing organization and initiating a.3x soap, 3x water, 3x alcohol
responsible action b.1x soap, 1x water, 1x alcohol
Question 59 c.3x soap, 3x water, 1x alcohol
The four rights in food safety include the following, except: d.1x soap, 1x water, 3x alcohol
a.Right source
b.Right handling
c.Right preparation
d.Right cooking
The public health nurse is the supervisor of rural health What is the general objective of the NARS project?
midwives. Which of the following is a supervisory function of a.To provide registered nurses with necessary competencies
the pubic health nurse? that encompasses both community health practice as well as
a.Referring cases or patients to the midwife clinical skills
b.Providing technical guidance to the midwife b.To augment the nursing workforce of hospitals and rural
c.Proving nursing care to cases referred by the midwife health units from identified poor municipalities of needed
d.Formulating and implementing training programs for clinical and public health nurses
midwives c.To provide deployment opportunities for nurses in rural
Question 70 areas and undeserved communities
The town of Bagong Pag-asa has a population of 100,000 as of d.To improve the delivery of health care services and
July 1, 2021 (midyear) as per calendar year 2021 (January to create a pool of registered nurses with enhanced clinical
December) 2,000 died. Which formula below should be used and preventive health management competencies for
to compute the crude death rate? national public and private sector and overseas
a.100,000 / 100,000 x 1,000 employment
b.2,000 / 100,000 x 100 Question 78
c.100,000 / 2,000 x 1,000 What is the vision of the National Prevention of Blindness
d.2,000 / 100,000 x 1,000 Program?
Question 71 a.Institutionalize visual acuity screening for all sectors by
There are other fields of nursing where public health nurses 2010
are working. They are in schools and work settings. Nurse b.Strengthen partnership among and with stakeholders to
Feng is a newly hired school nurse. She wants to know the eliminate avoidable blindness in the Philippines
objectives of school nursing. The following are specific c.Reduce the prevalence of avoidable blindness in the
objectives of school nursing, except: Philippines through the provision of quality eye care
a.To promote and maintain the health of the school d.All Filipinos enjoy the right to sight by year 2020
populace by providing comprehensive and quality nursing Question 79
care When the nurse invites other members of the nursing team to
b.Provide quality nursing service to the school population develop evaluation parameters, this process is called:
c.Establish/strengthen linkages with government and non- a.Interpreting data
government organization/agencies for school community b.Tabulating data
health work c.Planning nursing action
d.Conduct and participate in researches related to nursing care d.Putting plan of action
There are several factors in the ecosystem which affect the When the nurse performs appraisals, this process is called:
optimum level of functioning (OLOF) of individuals, families a.Assessment
and communities. The nurse must be knowledgeable on this. b.Planning
The modern concept of health refers to: c.Evaluation
a.How individuals maintain a maximum level of wellness d.Diagnosing
b.How individuals can be called disease-free Question 81
c.How individuals avoid diseases When the RHU nurse provides health teaching to individuals
d.How individuals can avail of their immune system or families, this process is called:
Question 73 a.Intervention
Tourniquet test or Rumpel-Lead's test is used as screening for b.Planning
dengue. If the nurse counted 10 petechial spots in the c.Assessment
imaginary one square inch just below the BP cuff or in the d.Evaluation
antecubital fossa, this should be interpreted as: Question 82
a.Positive Which among the following does not pertain to Participatory
b.Negative Action Research?
c.Alarming a.Problem identification involves the community or group
d.Warning experiencing the problem
Question 74 b.Method of data gathering is determined by local culture and
Tuberculosis ranks sixth among the leading causes of innovativeness
morbidity and mortality in the Philippines. The goal of the c.Use of research results is within the full control of the people
National Tuberculosis Control Program which is also reflected d.It is done by an outsider utilizing technical quantitative
in the Millennium Development Goal is: techniques for publication use
a.A country where TB is no longer a public health problem Question 83
b.Ensure that TB DOTS services are available, accessible, and Which among the following is an important requirement for
affordable to communities in collaboration with the LGUs and registration and renewal of licenses of newly constructed and
other partners existing hospitals?
c.To reduce prevalence and mortality from TB by half by a.Incineration system of hazardous hospital wastes
the year 2015 b.Municipal refuse disposal system
d.Cure at least 85% of the sputum smear-positive TB patients c.Hospital waste management program
discovered d.Disinfection treatment to prevent transmission of diseases
Unused BCG should be discarded how many hours after Which among the following is not considered as a specific
reconstitution? role of the DOH based on Executive Order 102?
a.2 hours a.Leader in health
b.4 hours b.Reformist for health development
c.6 hours c.Enabler and capacity builder
Question 76 d.Administrator of specific services
Vaccines are administered to induce immunity thereby causing Question 85
the recipient's immune system to react to the vaccine that Which basic method can determine the extent to which the
produces antibodies to fight infection. Vaccinations promote basic needs are met for the health workers to bring about the
health and protect children from disease-causing agents. What adjustment between need and resources?
day of the week is designated as immunization day and is a.Fact finding
adopted in all parts of the country? b.Program formation
a.Monday c.Determination of needs
b.Tuesday d.Education and Interpretation
c.Wednesday
d.Thursday
Which criterion in priority setting of health problems is used Which of the following statement is correct?
only in community health care? a.If people are not attending to the services offered by the
a. Magnitude of the health problem health staff, the team must reassess the needs of the people
b.Preventive potential of the health problem b.In participatory approach, the nurse must devotedly adhere
c.Nature of the problem presented to what the people want
d.Modifiability of the problem c.In a peasant community where people are fighting for land
Question 87 ownership, the nurse must not participate as this is not a health
Which does not describe Primary Health Care? concern
a.It emphasizes partnership between health care providers and d.Nurses must not join protest actions as nurses should always
the people be neutral at all times
b.It is a total approach to community development Question 98
c.It stresses the importance of linkages Which one of the following is not an objective of community
d.It aims to provide free health services to the people organization?
Question 88 a.Learn about common problems
Which is not an example of behavioral influences in OLOF on b.Plan the kind of action needed to solve problems
health status? c.Never to act on issues presented
a.Cigarette smoking and alcohol drinking d.Identify problems as their own
b.Exposure to toxic substances in the workplace Question 99
c.Sedentary lifestyle of an office worker While on treatment, Rica, 18 months old weighed 18 kgs and
d.A grandmother with an adult-onset diabetes her temperature registered at 37°C. Her mother says she
Question 89 developed cough 3 days ago. Rica has no general danger
Which of the following Expanded Program on Immunization signs. She has 45 breaths/minute, no chest indrawing, no
(EPI) vaccines is stored in the freezer? stridor. With Rica's condition, what should the nurse do?
a.Measles vaccines a.Classify the child's condition as severe pneumonia
b.DPT b.Classify the child's condition as pneumonia
c.Hepatitis B vaccine c.Give amoxicillin BID for 3 days
d.Tetanus toxoid d.Assess further the condition of the child by giving a trial
Question 90 of rapid-acting inhaled bronchodilator
Which of the following is a well-stated objective in a Question 100
community health nursing care plan? You will not give DPT 2 if the mother says that the infant had:
a.To increase the number of mothers coming for prenatal a.Abscess formation after DPT 1
check-up by 25% in 6 months time b.Local tenderness for 3 days after DPT 1
b.To increase the number of home visits by 50% c.Fever for 3 days after DPT 1
c.To increase the coverage for immunization in 1 year time d.Seizures a day after DPT 1
d.To increase the number of children receiving food assistance
Question 91
Which of the following is not a corner stone of Primary Health
Care?
a.Support mechanisms made available
b.Active community participation
c.Intra and intersectoral solicitation linkages
d.Use of appropriate technology
Question 92
Which of the following is the leading cause of visual
impairment and of bilateral or monocular low vision?
a.Errors of refraction
b.Glaucoma
c.Optic atrophy
d.Cataract
Question 93
Which of the following is the most prominent feature of public
health nursing?
a.It involves providing home care to sick people who are not
confined in the hospital
b.Public health nursing focuses on preventive, not curative
services
c.The public health nurse functions as part of a team providing
a public health nursing service
d.Services are provided free of charge to people within the
catchment area
Question 94
Which of the following patterns is intermittent and confined to
a certain geographical area or locality?
a.Pandemic
b.Endemic
c.Epidemic
d.Sporadic
Question 95
Which of the following refers to ear acupuncture?
a.Auriculotherapy
b.Homeopathy
c.Moxibustion
Question 96
Which of the following should a nurse do if the purpose in
community organizing is to integrate with the people?
a.Live with the people
b.Assign community officers
c.Be punctual in reporting at the Rural Health Unit (RHU)
d.Reside in the home of the Municipal Health Officer
(Quizzes) Question 8
Question 1 Better and sustained investments in health is found in which
Maternal mortality rate measures the risk of dying from causes elements of the FOURmula One for Health?
associated with childbirth. Which of the following should a.Health Financing
NOT be included under maternal mortality? b.Good Governance
a.Asthma c.Health Service Delivery
b.Infection d.Health Regulation
c.Abortion Question 9
d.Hemorrhage Ruthie conducts a mother's class to discuss the importance of
Question 2 boiling water to make it safe for drinking. Which among the
On December 7, 2020, the Department of health issued an following roles is she performing?
Administrative Order implementing the ENC protocol with the a.Clinician
goal of rapidly reducing the number of newborn deaths in the b.Health educator
Philippines. Incorporating international standards of care in c.Leader
the intrapartal period has evolved into what is later called the d.Researcher
EINC program. Policy framework, tried and tested by Question 10
international experts from many countries under the guidance Situation: Barangay Pag-asa is located at the foot of Sierra
of the WHO debunked which of the following practices? Madre Mountain. Main livelihood here is farming and they
1. Use of enema to reduce the risk of infections and shorten have a total population of 9,000. Last year, there were 23
the duration of labor recorded pregnancies and two (2) maternal deaths. Three (3)
2. Shaving the public hair of women in labor as a hygienic cases of neonatal deaths were likewise recorded. Four farmers
practice to minimize infection also died of PTB while two died of accidents. The following
3. Restricted intake of food and fluid during active labor for questions apply. The crude death rate is:
possible risk of aspiring gastric contents due anesthesia a.2.32 c. 1.22
4. Application of I.V therapy to hydrate women due to food b.2.22 d.1.32
and drink restrictions Question 11
5. Use a fundal pressure to help the mother in the expulsion of OPV vaccine should be stored at what cold chain requirement?
her fetus a.between -15 to -25 degree
6. Early amniotomy and oxytocin augmentation in order to b.between 15 to 25 degree
prevent operative delivery c.between -2 to -8 degree
a.4, 5 and 6 d.between 2 to 8 degree
b.1,2 and 3 Question 12
c.none of the above The content of the PHN bag must be thoroughly accounted
d.All of the above for. Which needle gauge must be available?
Question 3 a.Intravenous needle set
The Department of Health was mandated as the national b.Needle gauge 20 for distilled water extraction.
authority in health through: c.Hypodermic gauge 19, 22, 23 and 25
a.Executive Order 201 d.Tuberculin syringe
b.RA 5904 Question 13
c.Executive Order 102 Which is not included in the functions of the Department of
d.RA 7160 Health as the leader in health?
Question 4 a.Leader in formulation of national health policies
The conceptual framework of Primary Health Care includes b.Advocate in the adoption of health policies
all but one: c.Ensure the delivery of health care services to all poor
a.Health should be an equal opportunity for all Filipinos only
b.Health is a fundamental human right d.National policy and regulatory institution
c.Health is both an individual and collective responsibility Question 14
d.All health care services should be free Karel is performing self-breast examination every month.
Question 5 Karel is engaging in which level of prevention?
Joseph, 45 years of age, a community resident of Baranggay a.Secondary prevention
22-A suddenly had 2 bouts of soft to almost watery stools after b.Health education
having taken his lunch. While observing his condition further c.Tertiary prevention
at home later deciding whether to refer him for medical d.Primary prevention
treatment you recommended that he boil a decoction for 15 Question 15
minutes at low fire 10-15 leaves of what medicinal plant? Manny Pacquiao, a Filipino and world boxing used to
a.Pancitpancitan advertise a muscle pain-relieving drug popularly known in
b.Sambong Philippines market. What can be an equally effective
c.Lagundi medicinal alternative which one can use, especially on far
d.Bayabas flung communities and provinces, to relieve muscles and joint
Question 6 pains and prove to be non-costly?
The most common cause of diarrhea globally is: a.Sambong
a. Rotavirus b.Akapulko
b.V. cholera c.Yerba Buena
c.Compylobacter d.Lagundi
d.E. coli Question 16
Question 7 In the immediate care of the newborn there are also practices
Situation: Barangay Pag-asa is located at the foot of Sierra which were debunked as practices based on false beliefs.
Madre Mountain. Main livelihood here is farming and they Which are they?
have a total population of 9,000. Last year, there were 23 1.Routine suctioning believed to be necessary to clear the
recorded pregnancies and two (2) maternal deaths. Three (3) baby's airway and stimulate him to breathe
cases of neonatal deaths were likewise recorded. Four farmers 2.Foot-printing as a means of ID for the newborn
also died of PTB while two died of accidents. The following 3.Early bathing and washing as a form of hygiene practice
questions apply. What is the maternal death rate of the 4.Routine separation (baby in the nursery while mother is in
barangay? her room)
a. 95.86 5.Continue to provide artificial feeding (starts with pre-
b.87.96 lacteals then artificial milk substitutes)
c.87.95 a.Only 2
d.86.95 b.1, 3 and 4
c.All 5 are wrong beliefs
d.2 and 5
Which of Ana's teaching activities would be considered It provides the roadmap for stakeholders in health and health-
PRIMARY prevention when caring for clients in her case related sectors to intensify and harmonize their efforts to
load? achieve health for all Filipinos:
a.educating parents on the importance of routine a.Health Sector Reform Agenda
immunization b.FOURmula One for Health
b.teaching parents first aid for insect bites c.Aquino Health Agenda
c.educating parents on the signs of lead poisoning d.National Objectives for Health
d.providing families with her telephone number for any home Question 27
emergencies The public health bag contains which of the following
Question 18 equpment?
What is the minimum temperature for cooking foods in a.Guavas and kaimito
accordance with the 4 Rights of Food Safety? b.Umbrella
a.100 degree centigrade c.Heat and Acetic Acid
b.80 degree centigrade d.BP apparatus
c.70 degreecentrigrade Question 28
d.60 degreecentrigrade PRIMARY HEALTH CARE embraces all of the following
Question 19 concepts, EXCEPT:
What is the dosage of Vitamin given to children with Vitamin a.Community organizing as the core of PHC
A deficiency? b.It is an approach to provide the basic needs of the
a.10,000 IU community
b.200,000 IU c.Use of appropriate technology
c.150,000 IU d.People's participation is essential
d.100,000 IU Question 29
Question 20 The cornerstones of Primary Health Care are:
Primary Element of EPI? 1.Active community participation
a.Target Setting 2.Intra- and inter-sectoral linkage
b.Surveillance 3.Use of appropriate technology
c.Cold chain and Logistic Management 4. Support mechanism made available
d.IEC 5. Use of modern equipments
Question 21 a.2, 3, 4, 5
Ana BEST exemplifies primary prevention by which of the b.1, 2, 4, 5
following activities? c.All of the above
a.tracheostomy care d.1, 2, 3, 4
b.teaching new mothers infant care Question 30
c.infant phototherapy A sex ratio of 99 in Brgy succeed indicates that:
d.oxygen humidification a.There are 99 males in the Bgy
Question 22 b.There are 99 males for every 100 Females in the Bgy.
Which element of FOURmula one aims to improve and ensure c.There are 99 females in the Bgy.
accessibility and availability of basic and essential health d.There are 99 Females for evey 100 males in the Bgy.
care? Question 31
a.Good governance Delivery of health care services and budgetary allocations for
b.Health financing health were devolved to the local government units by which
c.Health service delivery law?
d.Health regulation a.Executive Order 102
Question 23 b.Republic Act 5904
Which of the following is TRUE of the Philippine Health Care c.RA 7610
System (PHCDS)? d.Republic Act 7160
a.Health insurance companies dictate the current referral Question 32
system in the country. A public health nurse and a home health care nurse are
b.The PHCDS is composed of a 3-tier referral system meeting to discuss their roles in the community. The home
c.The Department of Interior and Local Government is the health care nurse states that her role in home health care
country's foremost health coordinating agency because of the focuses on:
implementation of devolution a.Rehabilitative care in the home
d.Health care delivery system in the country was specifically b.Illness care in the home
designed for the poor congruent with the Primary health Care c.Health promotion in the home
concept. d.Disease prevention in the home
A home health nurse is made aware that a client and family To whom would the PHN give feedback regarding home visit
are about to lose their home due to foreclosure. The nurse program?
contacts the social service department of the home health care a.DOH secretary
agency for assistance in finding housing for the family. The b.Mayor's Office
actions taken by the nurse best exemplify which of the c.Barangay Captain
following roles of the community health care nurse? d.Midwife
a.advocate Question 34
b.clinician A unit Girl Scouts went up hiking over Mt. Makiling. While
c.consultant resting, scout Jaymee, 14 years of age complained of sudden
d.researcher moderately bearable toothache. In checking their first- aid kit
Question 25 they found none of mefenamic acid BUT they luckily chanced
A traditional plant used to lower uric-acid is used by Rosario, upon a home who uses alternative pain relieving medicinal
a 55 old client with rheumatism. This herbal plats called plants. What would this plant be:
"ulasimangbato". How is it commonly known? a.Tsaanggubat
a.Bayabas b.Bawang
b.Lagundi c.Sambong
c.Pancitpancitan d.Lagundi
d.Sambong
The DOH is aspiring to give Hib vaccine for a very affordable The Philippine health care delivery system is composed of two
price in every public health facility to be able to uphold their sectors. This is a largely financed sector through tax-based
vision. This aspiration is based on what element of the budgeting system both national and local levels, hence,
FOURmula one? socialized user fees have been introduced in recent years for
a.Good governance certain type of service.
b.Health financing a.public sector
c.Health service delivery b.none of the above
d.Health regulation c.non government sector
Question 36 d.private sector
What is the basic protection of Tetanus toxoid 3 to the baby Question 45
after administering to Pregnant mother? In-patient and diagnostic care including surgery belongs to
a.6 months what level of health care?
b.10 years a.Tertiary level
c.3 years b.Secondary level
d.5 years c.Specialized level
Question 37 d.Primary level
Primary Client in the community health care? Question 46
a.Groups Health education is the one of the most significant functions of
b.Community a nurse especially in the prevention and control of
c.Family communicable diseases. All EXCEPT ONE of the following
d.Individual statements are TRUE description of health education:
Question 38 a.Health education is a learning process whereby knowledge,
In accordance with the food Sanitation Program, Which of the attitudes and practices of people are modified to help improve
following should be complied by the Cook or cook helpers the life and social conditions of individuals, families and
including waiters before handling food? groups towards development
a.Health Certificate b.Health education is integrated in the planning, and
b.Sanitary Permit implementation of all health programs and services
c.All of the Above. c.Health education considers the health status of the people
d.Physical Examination d.Health education is an independent effort of all health
Question 39 personnel
In the new approach to maternal health called Emergency Question 47
Obstetric Care (EMOC), the following are considered to be at The primary goal of CHN is
risk of developing complications during childbirth: a.Health in the hands of the people.
a.Pregnant women age 18 years and below b.Raise the level of health of the citizenry.
b.Pregnant women aged 35 years and above c.Upholding the worth and dignity of the total population.
c.Multigravida d.Socioeconomic development and alleviation of property.
d.All pregnant women Question 48
Question 40 Jana is a first time community health nurse. She recognizes
Situation: Barangay Pag-asa is located at the foot of Sierra that she belongs to what level of primary health care workers?
Madre Mountain. Main livelihood here is farming and they a.Intermediate level health workers
have a total population of 9,000. Last year, there were 23 b.Novice nurse
recorded pregnancies and two (2) maternal deaths. Three (3) c.Frontliners
cases of neonatal deaths were likewise recorded. Four farmers d.Grassroot health workers
also died of PTB while two died of accidents. The following Question 49
questions apply. Accessibility of health service implies that:
This formula aims to reflect the lifestyle of the people? a.Health services are available in health facilities on a round
a.Swaroop's Index the clock basis
b.Incidence Rate b.Health service providers are within 5 kilometers from
c.Infant Mortality Rate most of the catchment population
d.Maternal Mortality Rate c.Health care providers maximize the service of traditional
Question 41 healers whom the people commonly approach for health
Nurse Tess intends to get maximum participation from the problems
community members to get an accurate assessment of their d.The people and the government can afford the health
health needs. To do this, nurse Tess collaborates with the services being provided
community to do a situational analysis. The process entails the Question 50
following EXCEPT: What is the legal basis of the implementation of PHC in
a.Assisting the community to identify health situations that conjunction to the First International Conference on Primary
need change. Health Care sponsored by the World Health Organization?
b.Allowing people to freely express what they consider their a.RA 7305
health problem b.Letter of Instruction 949
c.Asking people why they think the health problems exist. c.Presidential Decree 996
d.Providing immediate solution to identified health d.RA 7164
problems.
Question 42
In evaluating the nursing care given, which of the following
vital statistics in the communities served will indicate BEST
their health status?
a.0 infant mortality rate for the year 2021
b.0 crude death rate for the year 2021
c.0 crude birth rate for the year 2021
d.50% (Swaroop's) index for the year 2021
Question 43
The following statements describe the human health resources,
except:
a.Migration to other countries is primarily an economic
issue
b.The growing number of health professionals contributes to
their low salaries and lack of benefits
c.Every year there is a marked increase in the number of
health professionals
(Maternal/Pedia) Question 10
Question 1 A nurse providing care to a newborn would use knowledge of
A 10-year-old child begins to choke and cough on a piece of which of the following concepts underlying adaptation of the
candy. Which priority nursing action should the nurse newborn's immune system?
implement? a.Iron stores from the mother are sufficient to carry the
a.Provide abdominal thrusts newborn through the 5th month of extrauterine life
b.Give 5 back slaps, followed by 5 abdominal thrusts b.Unconjugated bilirubin can leave the vascular system and
c.Look in the mouth and perform a blind finger sweep permeate the other extravascular tissues
d.Allow a child to expel the candy by himself or herself c.The newborn is unable to limit invading organisms at
Question 2 their point of entry
A 2-week-old is diagnosed as having hypertrophic pyloric d.Most newborns void in the first 24 hours after birth and 5 to
stenosis, and is scheduled for corrective surgery. When 20 times thereafter
palpating the infant's abdomen, the nurse would expect to find: Question 11
a.An impacted and distended colon A nurse reviews the record of 3-week-old infant and notes that
b.Marked tenderness around the umbilicus the physician has documented a diagnosis of suspected
c.An olive-sized mass in the right upper quadrant Hirschsprung’s disease. The nurse reviews the assessment
d.Rhythmic peristaltic waves in the lower abdomen finding documented in the record, knowing that which
Question 3 symptom most likely led the mother to seek healthcare for the
A 5-year-old child has lactose intolerance. The nurse tells the infant?
mother that it is necessary to provide which dietary a.Diarrhea
supplement in the child’s diet? b.Projectile vomiting
a.Zinc c.Regurgitation of feedings
b.Protein d.Foul-smelling ribbon-like stools
c.Calcium Question 12
d.Fats A pregnant client has delayed her first prenatal visit. She visits
Question 4 the prenatal clinic only after she starts to experience edema of
A child is admitted to the hospital with a history of vomiting the feet and hands. The nurse takes a history and physical
and diarrhea for two days. The admitting diagnosis is assessment to begin Mrs. Barton's care.
gastroenteritis and isotonic dehydration. The nurse The client's response to one of the nurse's questions is, "This is
understands that isotonic dehydration: my third pregnancy. I miscarried twice, the first time I was 8
a.Occurs when water and electrolytes are lost in about the weeks pregnant, and the last time I was 26 weeks pregnant."
same proportions as they exist in the body The nurse correctly records Mrs. Barton's pregnancy status as:
b.Occurs when the loss of electrolytes is greater than the loss a.G2, P0, A1
of water b.G3, P0, A2
c.Occurs when the loss of water is greater than the loss of c.G2, P1, A1
electrolytes d.G3, P1, A1
d.Causes the serum sodium level to rise above 150 mEq/L Question 13
Question 5 A professional nurse should know how to respond in these
A nurse is monitoring Helen for Disseminated Intravascular varied health situations. RhoGAM is given to Rh-negative
Coagulopathy. Which assessment finding is least likely to be women to prevent maternal sensitization from occurring. The
associated with DIC? nurse is aware that in addition to pregnancy, Rh-negative
a.Swelling of the calf on one leg women would also receive this medication after which of the
b.Prolonged clotting times following?
c.Decreased platelet count a.Unsuccessful artificial insemination procedure
d.Petechiae, oozing from injection sites, and hematuria b.Blood transfusion after hemorrhage
Question 6 c.Therapeutic or spontaneous abortion
A nurse is performing CPR on an infant. When performing d.Head injury from a car accident
chest compressions, the nurse understands that the Question 14
compression rate is at least: After a tonsillectomy, the nurse documents on the plan of care
a.60 times per minute to place Santino in which most appropriate position?
b.80 times per minute a.Supine
c.100 times per minute b.Trendelenburg's
d.160 times per minute c.Side-lying
Question 7 d.High Fowler's
A nurse is preparing to attempt to relieve an airway Question 15
obstruction on a 3-year-old conscious child. The nurse After a tonsillectomy, the nurse suspects hemorrhage
performs this maneuver by placing the hands between the: postoperatively when the child:
a.Umbilicus and the groin a.Snores noisily
b.Groin and the abdomen b.Becomes pale
c.Umbilicus and the xiphoid process c.Complains of thirst
d.Lower abdomen and the chest d.Swallows frequently
A nurse is working in the Holy Child ward. One of her After orthopedic surgery, a 15-year-old complains of pain and
patients is an infant diagnosed with Cystic fibrosis. The foul- is given 15 mg of codeine sulfate ad ordered every3 hours
smelling, frothy characteristics stool in cystic results from the PRN. Two hours after having been given this medication, the
presence of large amounts of: adolescent complain of severe pain. Nurse Jean should:
a.Undigested fat a.Report that the adolescent has an apparent idiosyncrasy to
b.Sodium and chloride codeine
c.Semidigested carbohydrates b.Tell the adolescent that additional medication cannot be
d.Lipase, trypsin and amylase given for 1 more hour
Question 9 c.Request that the physician evaluate the adolescent’s need
A nurse panning care for Santino knows that which of the for additional mediation
following would present the highest risk of aspiration during d.Administer another dose of codeine within 30 minutes,
surgery? because it is a relatively safe drug
a.Difficulty in swallowing
b.The presence of loose teeth
c.Bleeding during surgery
d.Exudate in the throat area
Question 17
After the corrective surgery, the nurse caring for an infant, c.Bloody stools
who had been formula-fed, notices that the post-operative d.Glucose in urine
orders are similar to those for the other infants having Question 26
undergone such surgery and include: Based on the mode of transmission of this infection, which of
a.Thickened formula 24 hours after surgery the following would be included in the plan of care?
b.Withholding all feedings for the first 24 hours a.No precautions are required as long as antibiotics have been
c.Regular formula feeding 24 hours after the surgery started
d.Additional glucose feeding as desired after the first 24 hours b.Maintain enteric precautions
Question 18 c.Maintain respiratory isolation precautions for at least 24
An 11-year-old child has just had the application of a cast for hours after the initiation of antibiotics
a fractured wrist. The wrist and elbow are immobilized. When d.Maintain neutropenic precautions
providing home care instructions before discharge, Nurse Jean Question 27
should include the fact that the: Cecil comes to the health center. Her doctor examines Cecil's
a.Child can resume usual activities vaginal secretions and finds out that she has Trichomoniasis
b.Casted arm should be elevated while upright and resting infection. Trichomoniasis is diagnosed through which of the
c.Physician should be notified if swelling of the fingers following methods?
occurs a.Vaginal secretions are examined in a wet slide that has
d.Shoulder on the affected side should remain immobilized in been treated with potassium hydroxide
a splint b.Vaginal speculum is used to obtain secretions from the
Question 19 cervix
Anne delivered a child two days ago. She is breastfeeding her c.A litmus paper is used to test if the vaginal secretions are
child.To show Anne how to help her have good attachment of infected with Trichomoniasis
the infant during breast feeding. Which of the following d.Vaginal secretions are examined on a wet slide treated with
statements should NOT be included? zephiram solution
a.Place the infant in your most convenient position Question 28
b.Touch the infant's lips with her nipples Cora, 9 months pregnant, is admitted to the hospital with
c.Wait until the infant's mouth is widely open bleeding caused by possible placenta previa. The laboratory
d.Move the infant quickly onto her breast, aiming the infant’s technician takes blood samples and IV fluids are begun.
lips well below the nipple A client with placenta previa is likely to present with:
Question 20 a.Hard, tender uterus
Anne has received treatment for a warm, reddened, painful b.Painless, bright-red vaginal bleeding after the 20th week
area in the breast as well as cracked and fissured nipples. The of gestation
client expresses the desire to continue breastfeeding. The c.A sluggish fetus with weak heart sounds on auscultation
following are instructions that the nurse should include to d.Bleeding during the first trimester
prevent recurrence of this condition EXCEPT: after the 20th week of gestation
a.Change the breast pads frequently Question 29
b.Expose the nipples to air for part of each day Cryocautery may be used in removing the lesions of a client
c.Wash hands before handling the breast and breastfeeding with venereal warts. The healing period after cryocautery may
d.Make sure that the baby grasps the nipple only be completed in 4-6 weeks but may cause some discomforts to
Question 21 the woman. What measures can alleviate these discomforts?
Anne is visited by the home health nurse two weeks after a.Kegel's exercise
delivery. The woman is febrile with flu-like symptoms. On b.Cool air
assessment, the nurse notes a warm, reddened painful area of c.Topical steroids
the right breast. The best initial action of the nurse is to: d.Sitz bath and lidocaine cream
a.Contact the physician for an order of antibiotics Question 30
b.Advise the mother to stop breastfeeding and pumping Diplopia was noted during the assessment of Mrs. Barton.
c.Assess the mother's feeding technique and knowledge of This condition is described as:
breast care a.Elevated pigmentation of the skin
d.Obtain a sample of the breast milk for culture b.Double vision
Feedback c.Facial edema
Question 22 d.Gingivitis
As the child recovers from meningitis, for which long-term Question 31
complication should Nurse Melai watch carefully? During the examination, while client is lying in a lithotomy
a.Encephalitis position, the client complains of dizziness and nausea. What
b.Hydrocephalus would be an appropriate nursing action to relieve the client's
c.Learning disabilities discomfort?
d.Mental retardation a.Administering an antiemetic ordered by the physician
Question 23 b.Offering small sips of ginger ale
At 6-week postpartum visit, what should Leah's fundic height c.Assisting to a side-lying position temporarily
be? d.Discontinuing the examination
a.Inverted and palpable at the cervix Question 32
b.Six finger breadths below umbilicus During the third stage of labor, the nurse may have which of
c.No longer palpable on her abdomen the following responsibilities?
d.One centimeter above the symphysis pubis a.Administer intramuscular Oxytocin to facilitate uterine
Question 24 contractility
At 7 months of age, an infant exhibits the following skills. The b.Monitor for blood loss greater than 100 cc, which would
nurse should know that the most recently acquired skill is the indicate gross hemorrhage
ability to: c.Note if the placenta makes a Schultz presentation, which is a
a.Roll over sign of gross complication
b.Sit up d.Push down on the relaxed uterus to aid in the removal of the
c.Bear some weight on legs placenta
d.Pick up objects with palmar grasp Question 33
Question 25 Helen is given a unit of blood. The realizes that this is
At a previous visit, the parents of an infant with cystic fibrosis necessary, since the bleeding following severe abruptio
received instruction in administration of pancrelipase placenta is usually caused by:
(Pancrease). At a follow up visit, which finding in the infant a.Hypofibrinogenemia
suggests that the parents are not administering the pancreatic b.Hyperglobulinemia
enzymes as instructed? c.Thrombocytopenia
a.Fatty stools d.Polycythemia
b.Bloody urine
Helen, age 20, is 37 weeks pregnant. She is admitted to the Leah wants to loose the weight she gained in pregnancy, so
hospital with preeclampsia, moderate vaginal bleeding, and she is reluctant to increase her caloric intake for breast-
sudden abdominal pain. The results of the ultrasound indicate feeding. By how much should a lactating mother increase her
that abruptio placenta is present. Based on these findings, the caloric intake during the first 6 months after birth?
nurse would prepare the client for: a.350 kcal/day
a.Complete bed rest for the remainder of the pregnancy b.500 kcal/day
b.Delivery of the fetus c.200 kcal/day
c.Strict monitoring of intake and output d.1000 kcal/day
d.The need for weekly monitoring of coagulation studies until Question 44
the time of delivery Medications that will probably be used in the therapeutic
Question 35 regimen for a child with cystic fibrosis include:
If a vaginal examination is to be performed on Cora, the nurse a.A steroid and an antimetabolite
should be prepared for an immediate: b.Pancreatic enzymes and antibiotics
a.Induction of labor c.Aerosol mists, decongestants, and fat-soluble vitamins
b.Cesarean delivery d.Antibiotics, a multivitamin preparation, and cough drops
c.Forceps delivery Question 45
d.X-ray examination Mrs. Barton reports that the last day of her last menstrual
Question 36 period was May 11, 2021. Her menstruation lasted for 5 days.
Immediately after the membranes rupture, which of the Her expected date of delivery will be:
following should the nurse check? a.February 14, 2022
a.Check the presence of infection b.February 18, 2022
b.Assess for prolapsed umbilical cord c.August 4, 2022
c.Check for maternal heart rate d.August 18, 2022
d.Assess the color of the amniotic fluid Question 46
Question 37 Mrs. Medina comes to you for check-up on June 2, her EDC is
In assessing the development of a 5-year-old, the nurse would June 11. What do you expect during assessment?
not expect the child to be able to: a.Fundic height of 2 fingers below xyphoid process,
a.Name primary colors engaged
b.Count to 100 b.Cervix close, uneffaced, FH-midway between the umbilicus
c.Know the days of the week and symphysis pubis
d.Give telephone number and address c.Cervix open, fundic height 2 fingers below xyphoid process,
Question 38 floating
In doing Leopold's Maneuver palpation which among the d.Fundic height at least at the level of the xyphoid process,
following is NOT considered a good preparation: engaged
a.The woman should lie in a supine position with her knees Question 47
flexed slightly Nene asks which fetal position and presentation are ideal.
b.The hands of the nurse should be cold so that abdominal Your best answer would be:
muscles would contract and tighten a.Right occipitoanterior full flexion
c.Be certain that your hands are warm (by washing them in b.Left transverse anterior in moderate flexion
warm water first if necessary) c.Right occipitoposterior with no flexion
d.The woman empties her bladder before palpation d.Left sacroanterior with flexion
In her pregnancy, she experienced fatigue and drowsiness. Nene is a 26-year-old woman you admit to a birthing room.
This probably occurs because: She's been having contractions 45 seconds long and 3 minutes
a.Of high blood pressure apart for the last 6 hours. She tells you she wants to have her
b.She is expressing pressure baby "natural" without analgesia or anesthesia. Her husband is
c.The fetus utilizes her glucose stores and leaves her with a in the army assigned overseas, so he is not with her. Although
low blood glucose her sister lives only two blocks from the birthing center, Nene
d.Of the rapid growth of the fetus doesn't want her called. She asks if she can talk to her mother
Question 40 on the telephone. As you finish assessing contractions, she
In planning a roommate for the child, Nurse Melai should screams with pain and shouts, "Ginagawa ko na ang lahat ng
realize that a child of this developmental level will: makakaya ko! Kailanbamatatapos ang paghihirapkongito?"
a.Prefer another girl her own age Nene did not recognize for over an hour that she was in labor.
b.Most likely seek out opportunities to socialize with A sign of true labor is:
teenagers a.Sudden increased energy from epinephrine release
c.Enjoy being with either a girl or boy, as long as they are the b."Nagging" but constant pain in the lower back
same age c.Urinary urgency from increased bladder pressur
d.Feel helpful if given the opportunity to look after a slightly d."Show" or release of the cervical mucus plug
younger child Question 49
Question 41 Nene is having long and hard uterine contraction. What length
In young children with cystic fibrosis, frequent stool and of contraction would you report as abnormal?
tenacious mucus often produce: a.Any length over 30 seconds
a.Anal fissures b.A contraction over 70 seconds in length
b.Intussusception c.A contraction that peaks at 20 seconds
c.Rectal prolapse d.A contraction shorter than 60 seconds
d.Meconium ileus Question 50
Question 42 Nette, a nurse palpates the abdomen of Mrs. Medina, a
Jarisch-Herxheimer reaction maybe experienced by the client primigravida. She is unsure of the date of her last menstrual
with syphilis after therapy with Benzathine Penicillin G. The period. Leopold's Maneuver is done. The obstetrician said that
characteristic manifestation of Jarisch-Herxheimer reaction she appears to be 20 weeks pregnant. Nette explains this
are: because the fundus is:
a.Rashes, itchiness, hives and pruritus a.At the level of the umbilicus, and the fetal heart can be
b.Confusion, drowsiness, and numbness of extremities heard with a fetoscope
c.Sudden episode of hypotension, fever, tachycardia, and b.18 cm, and the baby is just about to move
muscle aches c.Is just over the symphysis, and fetal heart cannot be heard
d.Episodes of nausea and vomiting, with bradypnea and d.28 cm, and fetal heart can be heard with a Doppler
bradycardia
Nurse Gwen is an Independent Nurse Practitioner following- Rita wants to walk about in the labor room. Which of the
up referred clients in their respective homes. She handles following criteria will help the nurse determine whether she
Leah's case, a postpartal mother. Leah is developing should walk?
constipation from being on bed rest. What measures would a.Whether membranes are intact
you suggest she take to help prevent this? b.Frequency of contraction
a.Eat more frequent small meals instead of three large one c.Fetal position
daily d.Fetal station
b.Walk for at least half an hour daily to stimulate peristalsis Question 61
c.Drink more milk, increased calcium intake prevents Santino, a 3-year-old child is scheduled for a tonsillectomy. A
constipation nurse is reviewing the laboratory results of Santino. The nurse
d.Drink eight full glasses of fluid such as water daily determines that which of the following laboratory values is
Question 52 most significant to review?
Nurse Jean is working in the Orthopedic ward, wherein she a.Prothrombin time
encounters various cases of fractures in children. A 9-year-old b.Sedimentation rate
child has a fractured tibia, and a full leg cast has been applied. c.Blood urea nitrogen
Nurse Jean should immediately notify the physician if d.Creatinine
assessment demonstrates: Question 62
a.A pedal pulse of 90 Sexually Transmitted Diseases are important to identify during
b.An increased urinary output pregnancy because of its potential effect on the pregnancy,
c.An inability to move the toes fetus, or newborn. The following questions pertain to STDs.
d.A plaster cast that is still damp after 4 hours Frankie, a promiscuous woman in Manila, submits herself to
Question 53 the clinic for check-up. She complains of vaginal irritation,
Nurse Jean takes care of an 8-year-old child with a diagnosis redness and a thick cream cheese-like vaginal discharge. As a
of a basilar skull fracture. Nurse Jean reviews the physician's nurse, you will suspect that Frankie is having a vaginal
orders and contacts the physician to question which order? infection caused by:
a.Clear liquid intake a.Gardnerella vaginalis
b.Maintain a patent intravenous line b.Candida albicans
c.Daily weight c.Treponema pallidum
d.Suction as needed d.Herpes simplex virus type 2
Nurse Melai is taking care of a 12-year-old female The best way to perform a DDST on a 9-month-old is to:
hospitalized with a suspected diagnosis of acute bacterial a.Take the infant from the mother and ask her to wait in the
meningitis. In performing the lumbar puncture, which safety child's room
measure would Nurse Melai implement while CSF specimen b.Take the infant from the mother and ask her to come with
is obtained? them to the testing area
a.Place the child in a sitting position with the head extended c.Briefly talk first with the mother, then take the infant to the
b.Place the child in a side-lying position with the back testing area alone
closest to the edge of the bed d.Ask the infant's mother to carry the child to testing area
c.Do not wear gloves because the physician is collecting the Feedback
specimen Question 64
d.Place one arm behind the child's neck and the other behind The breathing technique that the mother should be instructed
the knees to use as the fetus' head is crowning is:
Question 55 a.Blowing
Nurse Melai reviews the results of the CSF analysis and b.Slow chest
determines that which of the following results would confirm c.Shallow
bacterial meningitis? d.Accelerated-decelerated
a.Cloudy CSF, ↓ protein, and ↓ glucose Question 65
b.Cloudy CSF, ↑ protein, and ↓ glucose The care of a client with placenta previa includes:
c.Clear CSF, ↑ protein, and ↓ glucose a.Vital signs at least once per shift
d.Clear CSF, ↓ pressure, and ↑ protein b.A tap-water enema before delivery
Question 56 c.Observation and recording of the bleeding
Nurses must know the developmental milestones of children d.Limited ambulation until the bleeding stops
in order to perform age-appropriate assessments. Which Question 66
behavior should the nurse expect a 3-year-old child to be The drug of choice for a client with Trichomoniasis is:
capable of doing? a.Flagyl
a.Going up the stairs on alternate feet b.Cotrimazole
b.Pedaling a bicycle c.Monistat
c.Dressing without supervision d.Zovira
d.Tying shoelaces Question 67
Question 57 The first hours after birth represent a critical adjustment period
Nursing care for Cora includes: for the newborn. The nurse must provide direct care to the
a.Withholding foods and fluids newborn immediately after birth. Which of the following
b.Encouraging ambulation and supervision would the nurse identify as goal of newborn care in the initial
c.Inspecting the hemorrhage postpartum period?
d.Avoiding all extraneous stimuli a.To facilitate development of a close parent-newborn
Question 58 relationship
On Helen's admission to the unit the nurse should observe for: b.To assist parents in developing healthy attitudes about
a.Decrease in size of uterus, cessation of contractions, visible childbearing practices
or concealed hemorrhage c.To identify actual or potential problems requiring
b.Firm and tender uterus, concealed or external immediate or emergency attention
hemorrhage, shock d.To provide the parents of the newborn with information
c.Increase in size uterus, visible bleeding, no associated pain about well-baby programs
d.Shock, decrease in size uterus, absence of external bleeding Question 68
Question 59 The first period of reactivity in the newborn begins at birth.
On the day of surgery, Santino will most likely be fearful of: The following are characteristics of this period EXCEPT:
a.Intrusive procedure a.This lasts for 30 minutes
b.Perceived abandonment b.Respirations are increased to 80/minute
c.Premature death c.Flaring of nares and grunting are common
d.Unfamiliar caregivers d.Bowel sounds are present
The following cases pertain to different Gastrointestinal The nurse realizes that the abdominal pain associated with
Disorders in children. A toddler is brought to the emergency abruption placenta is caused by:
department with sudden onset of abdominal pain, vomiting a.Hemorrhagic shock
and stools that look like red currant jelly. To confirm b.Inflammatory reactions
intussusception, the suspected cause of these findings, the c.Blood in the uterine muscle
nurse would expect the physician to order: d.Concealed hemorrhage
a.Barium enema Question 78
b.Suprapubic aspiration The nurse should carefully observe the infant for:
c.NG Tube insertion a.Quality of cry
d.Indwelling urinary catheter insertion b.Character of stool
Question 70 c.Signs of dehydration
The following questions will assess your knowledge on basic d.Coughing after feeding
life support measures for infant and children. The nurse Question 79
performs cardiopulmonary resuscitation (CPR) for 1 minute The nurse, when planning care, recalls that chest percussion
on an infant without calling for assistance. In reassessing the and postural drainage for a toddler with cystic fibrosis are best
infant after 1 minute of CPR, the nurse finds he still isn’t done:
breathing and has no pulse. The nurse should then: a.After suctioning
a.Resume CPR beginning with breaths b.Before aerosol therapy
b.Declare her efforts futile c.One hour before meals
c.Resume CPR beginning with chest compressions d.Immediately after meals
d.Call for assistance Question 80
Question 71 The physician asks the nurse to make sure his pregnant
The nurse assesses the woman at 20 weeks gestation and patient's next appointment is scheduled correctly. The patient
expects the woman to report: is in her 33rd week. Her next appointment should be in:
a.Spotting related to fetal implantation a.1 month
b.Symptoms of diabetes as human placental lactogen is b.2 weeks
released c.3 weeks
c.Feeling fetal kicks d.1 week
d.Nausea and vomiting related HCG production Question 81
Question 72 To hasten drying of the cast, Nurse Jean should include the
The nurse documents that the infant with GERD should be following in the care plan:
maintained in which position following feeding and at night in a.Using a blow dryer
order to manage reflux? b.Exposing the casted extremity
a.30-degree angle when supine c.Covering the cast with a light sheet
b.60-degree angle when supine d.Opening the window slightly to circulate air
c.Head-elevated prone position Question 82
d.20-degree angle when supine To reduce vomiting, the nurse should teach the mother that
Question 73 immediately after the feeding the infant, she should:
The nurse following the physician's order, begins a.Rock the baby for 20 minutes
administering oxygen by mask. The client's apprehension is b.Place the baby in an infant seat.
increasing and she asked the nurse what is happening. The c.Place the baby flat on the right side
nurse tells her not to worry, that she is going to be all right and d.Keep the baby awake with sensory stimulation
everything is under control. The nurse statements are: Question 83
a.Correct, since only the physician should explain why What type of room assignment should the nurse make?
treatment are being done a.A room near the nurse's station so that he can be checked
b.Proper, since the client’s anxieties would be increased if she frequently and heard if he vomits
knew the dangers b.A single room with a sink nears the doorway for isolation
c.Adequate, since all preparations are routine and need no use
explanation c.A double room with another toddler who also has vomiting
d.Questionable, since the client has the right to know what and diarrhea
treatment is being given and why d.A bed in the pediatric intensive care unit, in case
Question 74 dehydration develops
The nurse is assessing the child for dehydration. The nurse Question 84
determines that the child is moderately dehydrated if which When her membranes rupture, the nurse should expect to see:
symptom is noted on assessment? a.A large amount of bloody fluid
a.Flat fontanels b.A moderate amount of clear to straw-colored fluid
b.Moist mucous membranes c.A small amount of greenish fluid
c.Pale skin color d.A small segment of the umbilical cord
d.Oliguria Question 85
Question 75 When her membranes rupture, the nurse's first action should
The nurse monitors the infant with suspected diagnosis of be to:
imperforate anus, knowing that which of the following is a a.Notify the physician because delivery is imminent
clinical manifestation associated with this disorder? b.Measure the amount of fluid
a.Sausage-shaped mass palpated in the upper right abdominal c.Count the fetal heart rate
quadrant d.Perform a vaginal exam
b.Bile-stained fecal emesis Question 86
c.Failure to pass meconium stool in the first 24 hours after When planning comfort measures to help Rita in active labor
birth to tolerate her pain, the nurse must consider which of the
d.The passage of currant jelly-like stools following?
Question 76 a.Early labor contractions are usually regular, coordinated, and
The nurse prepares to take the child's temperature and avoids very painful
which method of measurement? b.If women are properly prepared, they will require no pain
a.Tympanic medication to manage their pain
b.Axillary c.Pain medication given during the latent phase of labor is not
c.Rectal likely to impair contractions
d.Electronic d.The acceleration phase of labor can be a time of true
discomfort and high anxiety
When preparing recommendations for Leah, which of the Which of the following signs of good attachment should the
following contraceptive methods would be avoided? nurse teach Anne?
a.Diaphragm a.The chin should touch the breast, the mouth is wide open
b.Female condom while the lower lip is turned inward, and more areola is visible
c.Oral contraceptives above than below
d.Rhythm method b.The chin should touch the breast, the mouth is wide open
Question 88 while the lower lip turned outward, and more areola
When preparing to administer the vitamin K to a neonate, the visible above than below
nurse would select which of the following sites as appropriate c.The chin should touch the breast, the mouth is wide open
for the injection? while the lower lip turned outward, and more areola visible
a.Deltoid muscle below than above
b.Anterior femoris muscle d.The chin should touch the breast, the mouth is wide open
c.Vastus lateralis muscle while the lower lip turned inward, and more areola is visible
d.Gluteus maximus muscle below than above
When providing prenatal education to a pregnant woman with Which of the following would the nurse use as the basis for
asthma, which of the following would be important for the the teaching plan when caring for a pregnant teenager
nurse to do? concerned about gaining too much weight during pregnancy?
a.Demonstrate how to assess her blood glucose levels a.10 pounds per trimester
b.Teach correct administration of subcutaneous b.1 pound per week for 40 weeks
bronchodilators c.½ pound per week for 40 weeks
c.Ensure she seeks treatment for any acute exacerbation d.A total gain of 25 to 30 pounds
d.Explain that she should avoid steroids during her Question 99
pregnancy Which priority nursing intervention should be included when
Question 90 caring for a client diagnosed with gastroenteritis?
When the corrective surgery for hypertrophic pyloric stenosis a.Encouraging optimal nutritional intake
is completed, the infant was returned in stable condition to the b.Alleviating abdominal pain and cramping
pediatric unit with an intravenous infusion and a nasogastric c.Administering an oral anti-emetic every 2 hours
tube in place. The priority nursing action should be to: d.Monitoring intake and output, and electrolyte levels
a.Apply adequate restraints Question 100
b.Administer a mild sedative You assess Nene's uterine contractions. In relation to the
c.Assess the IV site for infiltration contraction, when does a late deceleration begin?
d.Attach the nasogastric tube to wall suction a.45 seconds after the contraction is over
Question 91 b.30 seconds after the start of a contraction
Which among the following is the most appropriate location to c.After every tenth or more contraction
assess the pulse of an infant under 1 year of age? d.After a typical contraction ends
a.Brachial
b.Carotid (Quizzes)
c.Popliteal Question 1
d.Radial Normal shape of the uterus during the last trimester of
Question 92 pregnancy.
Which of the following actions would alert Nurse Gwen that a.Almond
Leah is entering a postpartal taking-hold phase? b.ovoid
a.She urges the baby to stay awake so that she can breast- c.pear
feed him or her d.globular
b.She tells you she was in a lot of pain all during labor Question 2
c.She says that she has not selected a name for the baby as yet Most ideal pelvis for childbearing is:
d.She sleeps as if exhausted from the effort of labor a.Gynecoid
Question 93 b.Anthropoid
Which of the following actions would be least effective in c.Platypelloid
maintaining a neutral environment for the newborn? d.Android
a.Placing an infant under a radiant warmer after bathing Question 3
b.Covering the scale with a warmed blanket prior to weighing Fertile mucus is one that is assessed as having:
c.Placing crib close to the nursery window for family a.clear&stretchy
viewing b.laky & stretchy
d.Covering the infant's head with a stockinette c.Slippery & cloudy
Question 94 d.Sticky & cloudy
Which of the following activities should a 2-year-old child be Question 4
able to do? Nursing implication when the bag of water is meconium
a.Build a tower of 8 cubes stained in breech presentation
b.Point out a picture a.blood defect
c.Wash and dry his hands b.fetal death
d.Remove a garment c.Fetal distress
Question 95 d.Abruption placenta
Which of the following conditions would cause an insulin- Question 5
dependent diabetic client the most difficulty during her The cardinal function of the ovaries is:
pregnancy? a.ovulation
a.Rh incompatibility b.Fertilization
b.Placenta Previa c.copulation
c.Hyperemesis Gravidarum d.Endocrine
d.Abruptio Placenta Question 6
Question 96 Drug of choice for Syphilis is:
Which of the following instructions can the nurse give to a.Mycostatin
Anne? b.Doxycycline
a.Wear a good, well-supporting bra c.Penicillin
b.Apply warm compresses to breast if too full d.Metronidazole
c.Apply cold compresses to breast if too full
d.Do not apply any soap to your nipples
Defined as the obliteration of the cervix: Which layer of the uterus is going to shed off during
a.Cervical dilatation menstruation?
b.Chadwick’s a.mucosal layer
c.Cervical effacement b.Muscular layer
d.Crowning c.Serosal layer
e.Goodell’s sign d.deciduas
What hormone is responsible for causing a fertile mucus: If baby is delivered from a mother with untreated candidiasis,
a.progesterone assess the newborn for: - caused by Candida albicans, which
b.prolactin may cause oral or vaginal thrush
c.oxytocin a.Oral thrush
d.estrogen b.Choanal atresia
Question 9 c.Retrolental fibroplasia
Upon IE of the physician, she mentioned to you as the nurse d.Epstein pearls
on duty that your client’s IE reveals the following: intact bag e.Opthalmia neonatorum
of water, 5 cms dilated cervix, station -1, ROA position, and Question 19
the cervix is ¼ of the original length. Succeeding questions Known as the male pelvis:
pertain to the above situation. How many percent have a.Platypelloid
effaced? b.Gynecoid
a.100% c.Android
b.25% d.Anthropoid
c.75% Question 20
d.50% Collectively, the external genitalia that starts from mons pubis
Question 10 down to the perineum is also known to the nurse as:
Primordial follicles which houses and protects the ovum is a.Reproductive organ
located in what part of the ovary? b.Vulva
a.Inner cortex c.Perineum
b.inner medulla d.Vestibule
c.Outer cortex Question 21
d.outer medulla Upon IE of the physician, she mentioned to you as the nurse
Question 11 on duty that your client’s IE reveals the following: intact bag
The muscular layer of the uterus will respond to which of water, 5 cms dilated cervix, station -1, ROA position, and
hormone below? the cervix is ¼ of the original length. Succeeding questions
a.Estrogen pertain to the above situation. What phase of labor is your
b.Progesterone client?
c.Oxytocin a.Transitional
d.Prolactin b.Active
Question 12 c.Latent
Common site for fertilization occurs in what part of the d.Delayed
fallopian tube? Question 22
a.Ampulla During labor & delivery, the nurse will not only monitor FHT
b.Infundibulum but as well as uterine contractions duration, interval, and
c.Interstitial frequency. Where should the nurse position her hand in the
d.Isthmus patients abdomen:
Question 13 a.Corpus
Upon IE of the physician, she mentioned to you as the nurse b.any areas of abdomen
on duty that your client’s IE reveals the following: intact bag c.anterior portion
of water, 5 cms dilated cervix, station -1, ROA position, and d.Fundus
the cervix is ¼ of the original length. Succeeding questions Question 23
pertain to the above situation. What is the presentation of the What manifestation leads the nurse to suspect Moniliasis is
baby? present in a client on her 16 weeks of pregnancy?
a.Sinciput a.Pus discharges of foul smelly odor
b.Brow b.Cheese/curdlike vaginal discharges
c.Vertex c.Frothy/bubbly vaginal discharges
d.Face d.Itchiness
Question 14 e.Burning sensation upon urination
What technique will the nurse use in monitoring the uterine Question 24
contractions: A corrugated tissue of squamous cell located at the posterior
a.Two hand technique, fingertips only over the fundus portion of the vagina, prominent and well appreciated among
b.One hand technique, fingertips only spread lightly over the primigravidas while almost absent among multiparas, it allows
fundus maximum stretching during labor and delivery to facilitate the
c.One hand technique, abdominal palpation over the fundus passage of the baby:
d.Two hand technique, abdominal palpation over the a.Cervical dilatation
fundus b.Crowning or bulging of the perineum
Question 15 c.Rugae
A highly sensitive erectile organ comparable with the glans d.Cervical effacement
penis in male: Question 25
a.Clitoris Production of the sperm cells happens in which structure?
b.Prepuce a.penis
c.Nipples b.testis
d.Labia c.vas deferens
Question 16 d.scrotum
One of the usage of ultrasound in obstetrics is- it can Question 1
determine the sex of the baby as early as 5 months. Ultrasound A process wherein there is union of the ovum and sperm cells
declares a baby boy inside in the presence of which of the is known as?
following male reproductive structure? a.menstruation
a.Scrotum b.Nidation
b.testis c.fecundation
c.vas deferens d.Implantation
d.Penis
Which of the following is NOT a probable sign of Pregnancy? The umbilical cord is normally composed of:
a.Fetal movement perceived by the mother a.Two arteries and two veins
b.Balotement and Braxton Hicks contraction b.One artery and one vein
c.Goodell’s sign with Hegar’s sign c.Two arteries and one vein
d.Positive pregnancy test d.One artery and two veins
What congenital anomaly does the fetus have if the ultrasound What is the nursing implication when upon rupture of the bag
of the mother reveals polyhydramnios? of water, it reveals a yellowish amniotic fluid?
a.Spina bifida a.Blood incompatibility
b.Tracheoesphageal atresia b.Abruption placenta
c.Congenital renal anomaly c.Fetal distress
d.Hydrocephalus d.Fetal death in utero
e.Cleft lip and palate Question 15
Question 4 Fertilized ovum as a result of the process fertilization is
How does the placenta becomes the circulatory system for the known as:
baby. a.zygote
a.diffusion b.embryo
b.filtration c.infant
c.Phagocytosis d.fetus
d.Osmosis Question 16
Question 5 Which hormone responsible for giving positive pregnancy
Altered body image during pregnancy is due to skin darkening test?
in the forehead,cheek and chin, including the sides of the nose, a.HPL
this known as : b.Progesterone
a.striae gravidarum c.Estrogen
b.Melasma d.HCG
c.Linea negra e.insulinase
d.chloasma Question 17
Question 6 Highest priority of the nurse when bag of water ruptures is?
What is the best way to diagnose pregnancy? a.Temperature
a.soufflé b.FHT
b.Pregnancy test c.Color
c.quickening d.Time
d.Ultrasound Question 18
Question 7 Lately client complained that she is having some constipation,
How does the placenta become the respiratory system for the the nurse encourage the client to increase fiber in her diet as
baby? well fluid intake and she should have some activity so that
a.filtration peristalsis can promote evacuation of bowels and assures the
b.diffusion client that it is a normal adaptation of pregnancy due to what
c.Phagocytosis hormone?
d.Osmosis a.progesterone
Question 8 b.Oxytocin
The most critical stage of labor is the: c.Estrogen
a.1st d.melanin
b.4th e.Prolactin
c.2nd Question 19
d.3rd When can a nurse consider a post vasectomized male sterile?
Question 9 a.In 2-3 months
Which of the following is NOT associated with too long b.after zero sperm count
umbilical cord? c.after 20 ejaculations
a.true knots d.Immediately
b.cord compression Question 20
c.Abruption placenta Which of the following is considered to be the hormone of
d.cord prolapsed ovulation?
e.cord coil a.HCG
Question 10 b.GnRH
The most critical stage of pre natal development? c.FSH
a.Zygote d.LH
b.embryo Question 21
c.fetus Which of the following is considered to be the hormone of
d.Fertilization pregnancy?
Question 11 a.Estrogen
Who carries the highest oxygen to be delivered to the baby b.HCG
coming from the placenta? c.LH
a.Both arteries and vein d.Progesterone
b.Whartons jelly Question 22
c.Umbilical arteries All but one is a hormone produced by the placenta.
d.Umbilical vein a.Estrogen
Question 12 b.Progesterone
What is the associated problem if mother is having “dry labor” c.insulinase
or oligohydramnios? d.HPL- human placental lactogrn
a.Fetal distress e.HCG
b.Uterine rupture Question 23
c.Preterm labor A port wine stained amniotic fluid is indicative of: (red as
d.Congenital renal anomaly wine)
a.placenta previa
b.true knots
c.abruption
d.cord coil
The nurse instruct the mother not to remove the dry umbilical As the charge nurse, you are reviewing the charts of clients
because it is expected to fall off on itself by when? who were assigned to a newly graduated RN. The RN has
a.7-10th day correctly charted dose and time of medication, but there is no
b.In 3 days of life documentation regarding non-pharmaceutical measures. What
c.5-7 days action should you take first?
d.10th day a.Make a note in the nurse's file and continue to observe
Question 25 clinical performance
How does the placenta protect the baby from the insecticide b.Refer the new nurse to the in-service education department.
exposure that the mother had 2 months ago while working in c.Quiz the nurse about knowledge of pain management
the banana plantation? d.Give praise for the correct dose and time and discuss the
a.diffusion deficits in charting.
b.Phagocytosis Question 10
c.Osmosis Cations are electrolytes that carry positive charges. Which is
d.filtration the most abundant electrolyte in the ECF?
(Medical-Surgical Nursing Part 1) a.Potassium
Question 1 b.Magnesium
A 25-year old male working on a factory was rushed to the c.Sodium
emergency department with burn injury. Areas of burn d.Calcium
includes the anterior trunk, anterior aspect of the head, and Question 11
anterior portion of the right upper and right lower extremities. Chest tube insertion primarily aims to:
The nurse should intervene on this situation. The nurse utilizes a.Remove fluids and blood from the pleural cavity
the rule of nines for the total body surface area burned. Based b.Correct the mediastina shifting
on this situation, the approximate percentage of TBSA is: c.Allow the lungs to reexpand independently
a.30% d.Removes positive pressure to bring back negative
b.45% intrathoracic pressure
c.36% Question 12
d.7% Colostomy is a surgically created anus- It can be temporary or
Question 2 permanent, depending on the disease condition. Skin care
A client with diabetic neuropathy reports a burning, electrical- around the stoma is critical. Which of the following is not
type in the lower extremities that is not responding to indicated as a skin care barriers?
NSAIDs. You anticipate that the physician will order which a.Apply liberal amount of mineral oil to the area
adjuvant medication for this type of pain? b.Use karaya paste and rings around the stoma
a.Amitriptyline (Elavil) c.Clean the area daily with soap and water before applying bag
b.Corticosteroids d.Apply talcum powder twice a day
c.Methylphenidate (Ritalin) Question 13
d.Lorazepam (Ativan) Computed tomography (CT) scan and magnetic resonance
Question 3 imaging (MRI) are usually done if the patient is suspected for
A patient who is a victim of food-poisoning is persistently what respiratory disturbance?
vomiting and passes loose stools oftenly. What possible a.Lung cancer
condition thus the patient's signs and symptoms predispose to? b.Pneumothorax
a.Hperkalemia and hypercalcemia c.Pleural effusion
b.Metabolic acidosis and hypokalemia d.Fractured ribs
c.Metabolic alkalosis and hypokalemia Question 14
d.Hypokalemia and metabolic acidosis During the emergent phase of burn injury, the nurse should
Question 4 intervene by administering intravenous fluids within 24 hours.
After an abdominal surgery, the circulating and scrub nurses If the patient weighs 122.6lbs, the total amount of fluids to be
have critical responsibility about sponge and Instrument count. given during this period is:
When is the first sponge/instrument count reported? a.8000ml
a.Before closing the subcutaneous layer b.7000ml
b.Before peritoneum is closed c.8025ml
c.Before dosing the skin d.7025ml
d.Before the fascia is sutured Question 15
Question 5 Family members are encouraging your client to "tough it out"
After bronchoscopy the nurse should advise the patient to rather than run the risk of becoming addicted to narcotics. The
expect the following discomforts, except: client is stoically abiding by the family's wishes. Priority
a.Blood-tinged sputum nursing interventions for this client should target which
b.Return of gag reflex dimension of pain?
c.Hemoptysis a.Sensory
d.Occasional coughing b.Affective
Question 6 c.Sociocultural
After ileostomy, which of the following condition is NOT d.Behavioral
expected? e.Cognitive
a.increased weight Question 16
b.Irritation of skin around the stoma In applying the principles of pain treatment, what is the first
c.Liquid stool consideration?
d.Establishment of regular bowel movement a.Treatment is based on client goals.
Question 7 b.A multidisciplinary approach is needed.
After surgery, Johnny develops peripheral numbness, tingling c.The client must be believed about perceptions of own
and muscle twitching and spasm. What would you anticipate pain.
to administer? d.Drug side effects must be prevented and managed.
a.Magnesium Sulfate Question 17
b.Calcium Gluconate In caring for a young child with pain, which assessment tool is
c.Potassium Iodide the most useful?
d.Potassium Chloride a.Simple description pain intensity scale
Question 8 b.0-10 numeric pain scale
Another alternative "suture" for skin closure is the use of: c.Faces pain-rating scale
a.Staple d.McGill-Melzack pain questionnaire
b.Therapeutic glue
c.Absorbent dressing
d.invisible suture
In the OR, the nursing tandem for every surgery is: Team efforts is best demonstrated in the OR. If you are the
a.Instrument technician and circulating nurse nurse in charge for scheduling surgical cases, what important
b.Nurse anesthetist, nurse assistant, and instrument technician information do you need to ask the surgeon?
c.Scrub nurse and nurse anesthetist a.Who is your internist
d.Scrub and circulating nurses b.Who is your assistant and anesthesiologist, and what is
Question 19 your preferred time and type of surgery?
Like any nursing interventions, counts should be documented. c.Who are your anesthesiologist, internist, and assistant
To whom does the scrub nurse report any discrepancy of d.Who is your anesthesiologist.
country so that immediate and appropriate action in instituted? Question 28
a.Anesthesiologist The 85-year-old male client diagnosed with cancer of the
b.Surgeon colon asks the nurse, "Why did I get this cancer?" Which
c.OR nurse supervisor statement is the nurse's best response?
d.Circulating nurse a.Cancer of the colon is associated with a lack of fiber in
Question 20 the diet.
Like sutures, needles also vary in shape and uses. If you are b.Cancer of the colon has a greater incidence among those
the scrub nurse for a patient who is prone to keloid formation younger than age 50 years.
and has a low threshold of pain, what needle would you c.Cancer of the colon has no known risk factors.
prepare? d.Cancer of the colon is rare among male clients.
a.Round needle Question 29
b.A traumatic needle The amount of air that remains in the lungs after a maximum
c.Reverse cutting needle expiration is also known as:
d.Tapered needle a.Residual volume
Question 21 b.Tidal volume
Lungs are responsible for maintaining the acid-base balance. c.Vital capacity
Which principle with regards to this function is incorrect? d.Leftover volume
a.High level of carbon dioxide will result to acidosis Question 30
b.Low level of carbon dioxide will lead to alkalosis The breakdown in teamwork is often times a failure in:
c.When pH level is below normal the carbon dioxide level a.Electricity
rises b.Inadequate supply
d.Values oxygen and carbon dioxide are both pertinent c.Leg work
data to consider a respiratory ABG imbalance d.Communication
Nurse Amythist is dealing with patients with problems to The bronchial tree starts at the primary bronchus then divided
fluids and electrolytes. For effective intervention and into two by what anatomical structure?
management, she reviews her fluids and electrolytes a.Base of the lung
homeostasis. Which among the following is a correct b.Secondary bronchi
principle? c.Bronchioles
a.Females have higher fluid status compared to males. d.Hilum
b.Majority of the newborn's fluids composition belongs to the Question 32
interstitial fluid compartment. The charge nurse is making assignments. Staffing includes a
c.Higher percentage of adipose tissue will increase the chance registered nurse with five (5) years of medical-surgical
of fluid maintenance. experience, a newly graduated registered nurse, and two (2)
d.The average adult fluid is approximately 60% of the unlicensed nursing assistants. Which client should be assigned
body weight. to the most experienced nurse?
Question 23 a.The 39-year-old client diagnosed with lower esophageal
Nurse Burakdayreview different diagnostic procedure for dysfunction who is complaining of pyrosis.
patients with problems to gas exchange. The following b.the 54-year-old client diagnosed with Barrett's esophagitis
questions are applied. Arnaldo is confined with possible who is scheduled to have an endoscopy this morning.
diagnosis of bronchocarcinoma (lung cancer). Nurse Ivy c.The 46-year-old client diagnosed with gastroesophageal
review the patient's chart and the doctor's order reads reflux disease who has wheezes in all five (5) lobes.
"bronchoscopy by 7am tommorrow". The nurse correctly d.The 68-year-old client who is three (3) days post-op hiatal
prepare the patient for the procedure by initially: hernia and needs to be ambulated four (4) times today.
a.Obtain signature for informed consent Question 33
b.Ensure the patient's understanding of the procedure The client admitted to the medical unit with diverticulitis is
c.Question the physician for the appropriateness of the complaining of severe pain in the left lower quadrant and has
procedure an oral temperature of 100.6⁰F. Which action should the nurse
d.Suggest that the patient should disagree with the physician implement first?
Question 24 a.Notify the doctor.
Respiratory measurement that refers to the volume of air after b.Document the findings in the chart.
the patient had a normal cycle of inspiration and expiration is c.Administer an oral antipyretic.
termed: d.Assess the client’s abdomen.
a.Vital capacity Question 34
b.Tidal volume The client complains to the nurse of unhappiness with the
c.Force expired volume physician. Which intervention should the nurse implement
d.Residual volume next?
Question 25 a.Call the doctor and suggest he or she talk with the client.
Respiratory system is a pipe system where gas passes through. b.Determine what about the doctor is bothering the client.
The correct order of respiratory organs is: c.Notify the nursing supervisor to arrange a new doctor to take
a.Nose-oropharynx-trachea-larynx-lungs over.
b.Nostrils-orophraynx-nasopharyx-larynx-lungs d.Explain to the client that until discharge, the client will have
c.Nares-laryngopharynx-larynx-trachea-lungs to keep the doctor.
d.Nares-orophraynx-trache-larynx-alveoli Question 35
Question 26 The client is admitted to the medical unit with a diagnosis of
Situation: The student nurse assigned in the medical ward acute diverticulitis. Which health-care provider's order should
where most cases are related to problems on oxygenation, the nurse question?
review the anatomy and physiology of the respiratory system. a.Insert a nasogastric tube.
Which among the following is true about voice production? b.Start IV D5W at 125 mL/hr.
c.Long cords of the larynx produces high pitch sound c.Put client on a clear liquid diet.
d.The larynx is the major organ for phonation d.Place client on bed rest with bathroom privileges.
The client presents with a complete blockage of the large The nurse caring for a client diagnosed with gastroesophageal
intestine from a large tumor. Which doctor's order would the reflux disease (GERD) writes the nursing problem of
nurse question? "behavior modification." Which intervention should be
a.Obtain consent for a colonoscopy and biopsy. included for this problem?
b.Start an IV of 0.9% saline at 125 mL/hour. a.Teach the client to sleep with a foam wedge under the
c.Administer 3 liters of Go-LYTELY. head.
d.Give tap water enemas until it is clear. b.Encourage the client to decrease the amount of smoking.
Question 37 c.Instruct the client to take over-the-counter medication for
The client who has had an abdominal perineal resection is relief of pain.
being discharged. Which discharge information should the d.Discuss the need to attend Alcoholics Anonymous to quit
nurse teach? drinking.
a.The stoma should be a white, blue, or purple color. Question 47
b.Limit ambulation to prevent the pouch from coming off. The nurse caring for a client one (1) day postoperative
c.Take pain medication when the pain level is at an "8". sigmoid resection notes a moderate amount of dark reddish
d.Empty the pouch when it is one-third to one-half full. brown drainage on the midline abdominal incision. Which
Question 38 intervention should the nurse implement first?
The client with a new colostomy is being discharged. Which a.Mark the drainage on the dressing with the time and
statement made by the client indicates the need for further date.
teaching? b.Change the dressing immediately using sterile technique.
a."If I notice any skin breakdown I will call the doctor." c.Notify the doctor immediately.
b."I should drink only liquids until the colostomy starts to d.Reinforce the dressing with a sterile gauze pad.
work." Question 48
c."I should not take a tub bath until the doctor okays it." The nurse is administering morning medications at 0730.
d."I should not drive or lift more than five (5) pounds." Which medication would have priority?
Question 39 a.A proton pump inhibitor.
The following are appropriate nursing interventions during b.A nonnarcotic analgesic.
colostomy irrigation EXCEPT: c.A histamine receptor antagonist.
a.Increase the irrigating solution flow rate when d.A mucosal barrier agent.
abdominal cramps is felt Question 49
b.Insert 2-4 inches of an adequately lubricated catheter to the The nurse is admitting a male client to a medical floor with a
stoma diagnosis of adenocarcinoma of the rectosigmoid colon.
c.Position client in semi-Fowler Which assessment data support this diagnosis?
d.Hand the solution 18 inches above the stoma a.The client reports up to 20 bloody stools per day.
Question 40 b.The client states that he has a feeling of fullness after a
The following questions pertain to the concept of Pain heavy meal.
Management.A client with chronic pain reports to you, the c.The client has diarrhea alternating with constipation.
charge nurse, that the nurse have not been responding to d.The client complains of right lower quadrant pain with
requests for pain medication. What is your initial action? rebound tenderness.
a.Check the MARs and nurses' notes for the past several days. Question 50
b.Ask the nurse educator to give an in-service about pain The nurse is caring for a client diagnosed with
management. gastroesophageal reflux disease (GERD). Which nursing
c.Perform a complete pain assessment and history on the interventions should be implemented?
client. a.Place the client prone in bed and administer nonsteroidal
d.Have a conference with the nurses responsible for the anti-inflammatory medications.
care of this client. b.Have the client remain upright at all times and walk for 30
Question 41 minutes three (3) times a week.
The hormone that tends to decrease calcium concentration in c.Instruct the client to maintain a right lateral side-lying
the blood is: position and take antacids before meals.
a.Calcitonin b.aldosterone d.Elevate the head of the bed 30 degrees and discuss
c.thyroid hormone d.parathyroid hormone lifestyle modifications with the client.
The male client in a physician's office tells the nurse that he The nurse is caring for an adult client diagnosed with
has been experiencing "heartburn" at night that awakens him. gastroesophageal reflux disease (GERD). Which condition is
Which assessment question should the nurse ask? the most common comorbid disease associated with GERD?
a."How much weight have you gained recently?" a.Adult-onset asthma.
b."What have you done to alleviate the heartburn?" b.Pancreatitis.
c."Do you consume many milk and dairy products?" c.Peptic ulcer disease.
d."Have you been around anyone with a stomach virus?" d.Increased gastric emptying.
The most precise and accurate diagnostic test that will monitor The nurse is caring for clients in an outpatient clinic. Which
patient's respiratory function is: information should the nurse teach regarding the Philippine
a.Sputum culture b.Chest X-ray Cancer Society's recommendations for the early detection of
c.CT scan d.Pulmonary function test colon cancer?
Question 44 a.Beginning at age 60, a digital rectal exam should be done
The normal respiratory rate of a newborn is: yearly.
a.>20cpm b.>40cpm b.After the client reaches middle age, a yearly fecal occult test
c.>60cpm d.>80cpm should be done.
Question 45 c.At age 50, a colonoscopy and then once every five (5) to
The nurse also assess the area burned and noticed that a large ten (10) years.
area of blister formation has been noted. Which other d.A flexible sigmoidoscopy should be done yearly after age
manifestations are consistent to this type of burn according to 40.
degree? Question 53
a.Redness, pruritus and mild pain The nurse is planning the care of a client diagnosed with lower
b.Painful burning sensation due to dermal layer damage esophageal sphincter dysfunction. Which dietary
c.Mild pain including subcutaneos layer damage modifications should be included in the plan of care?
d.Painless sensation, with gangrenous muscles and bones c.Eat four (4) to six (6) small meals a day and limit fluids
tissue during mealtimes.
d.Encourage the client to consume a glass of red wine with
one (1) meal a day.
CorrectMark 1 out of 1Not flaggedFlag question The occupational health nurse is preparing a presentation to a
Question text group of factory workers about preventing colon cancer.
The nurse is planning the care of a client who has had an Which information should be included in the presentation?
abdominal perineal resection for cancer of the colon. Which a.Wear a high filtration mask when around chemicals.
interventions should the nurse implement? Select all that b.Eat several servings of cruciferous vegetables daily.
apply. c.Take a multiple vitamin every day.
1.Provide meticulous skin care to stoma. d.Do not engage in high-risk sexual behaviors.
2.Assess the flank incision. Question 62
3.Maintain the indwelling catheter. The patient's serum potassium level is 5.6mEq/L. Which
4.Irrigate the J-P drains every shift. among the following finding warrants immediate intervention
5.Position the client semi-recumbent. by the nurse?
a.1-2-3 a.The client stops taking the prescribed diuretic,
b.1-2-4 Spironolactone
c.2-3-4 b.Patient's urine output is 180 ml for the past 8 hour
d.1-3-5 c.Patient's KCl drip has been discontinued
Question 55 d.The nurse notifies the physician for the value is above
The nurse is preparing a client diagnosed with recommended levels
gastroesophageal reflux disease (GERD) for surgery. Which Question 63
information should be brought to the attention of the doctor? The physician has advised the patient to undergo grafting of
a.The client's Bernstein esophageal test was positive. the areas that incurs 3rd and 4th degrees. The type of grafting
b.The client's abdominal x-ray shows a hiatal hernia. that will least likely result into rejection is:
c.The client's WBC count is 14,000 mg/dL. a.Allograft
d.The client's hemoglobin is 13.8 mg/dL. b.Heterograft
Question 56 c.Xenograft
The nurse is preparing a client diagnosed with GERD for d.Autograft
discharge following an esophagogastroduodenoscopy. Which Question 64
statement indicates the client understands the discharge The ratio of the intracellular fluid compared to extracellular
instructions? fluid is:
a."I should not eat for twenty-four (24) hours following this a.The ICF is inversely proportional to ECF
procedure." b.ECF IS 10-20% higher than the ICF
b."I can lie down whenever I want after a meal. It won’t make c.ICF is 60-70% of body weight while ECF is only 20-30%
a difference." d.ICF and ECF contains the same amount of fluids
c."The stomach contents won’t bother my esophagus but will Question 65
make me nauseous." The respiratory center is located to what region of the central
d.”I should avoid drinking orange juice and eating nervous system?
tomatoes until my esophagus heals." a.Diencephalon b.Brain stem
Question 57 c.Limbic system d.Cerebrum
The nurse is preparing to hang a new bag of total parental Question 66
nutrition on a client that has had an abdominal perineal The two underbalanced regulatory agents that control overall
resection. The bag has 1500 mL of 50% dextrose, 10 mL of calcium balance in the body are:
trace elements, 20 mL of multivitamins, 20 mL of potassium a.Phosphorus and ACTH
chloride, and 500 mL of lipids. The bag is to infuse over the b.Vitamin A and thyroid hormone
next 24 hours. At what rate should the nurse set the pump? c.Ascorbic acid and growth hormone
a.85 mL/hours d.Vitamin D and parathyroid hormone
b.84 mL/hours Question 67
c.56 mL/hours The type I cells of the alveoli will make the:
d.87 mL/hours a.Walls b.Bronchioles
Question 58 c.Surfactant d.Hilum
The nurse is teaching the client diagnosed with diverticulosis. Question 68
Which instruction should the nurse include in the teaching The type II cells of the alveoli will make the:
session? a.Walls
a.Discuss the importance of drinking 1000 mL of water daily. b.Bronchioles
b.Instruct the client to exercise at least three (3) times a week. c.Surfactant
c.Teach the client about a eating a low-residue diet. d.Hilum
d.Explain the need to have daily bowel movements. Question 69
Question 59 Thoracentesis was performed to patient with hemothorax, the
The nurse understands that the insertion of a fine-long needle nurse's initial assessment should focus on:
to the pleural cavity to remove air, fluids or blood is termed a.Assess patient for the return of gag reflex
as: b.Assess the patient for potential complication such as
a.Thoracotomy b.PleurEvac haemoptysis
c.Amniocentesis d.Thoracentesis c.Evaluate the patient's knowledge about the procedure
Question 60 d.Assess patient for potential shock such as hypotension
The nurse writes a psychosocial problem of "risk for altered Question 70
sexual functioning related to new colostomy." Which To prevent possible complications after bronchoscopy, the
intervention should the nurse implement? nurse should assess return of gag reflex by:
a.Tell the client that there should be no intimacy for at least a.Placing tongue blade at the posterior aspect of the tongue
three (3) months. b.Touching the uvula
b.Ensure that the client and significant other are able to change c.Place the tongue blade at the posterior palate
the ostomy pouch. d.Both B & C are correct
c.Demonstrate with charts possible sexual positions for the Question 71
client to assume. What health instruction will enhance regulation of a
d.Teach the client to protect the pouch from becoming colostomy (defecation) of clients?
dislodged during sex. a.Irrigate after lunch everyday
b.Eat fruits and vegetables in all three meals
c.Eat balanced meals at regular intervals
d.Restrict exercise to walking only
What major supportive layer of the abdominal wall must be Which among the following may not be routinely done when a
sutured with long tensile strength such as cotton or nylon or patient is about to receive Chest Physiotherapy (CPT)?
silk suture? a.Incentive spirometry
a.Fascia b.Postural drainage
bMuscle c.Vibration
c.Peritoneum d.Percussion
d.Skin Question 84
Question 73 Which among the following patients with fluid volume deficit
What mechanism of action is involved in gas exchanges? will the nurse monitor for the fastest improvement provided
a.Osmosis from higher to lower solute concentration that they have been manage at the same time?
b.Diffusion from an area of higher to lower oxygen a.A 40- year old with 25% TBSA is given normal saline
concentration solution.
c.Osmosis from lower to higher solute concentration b.An infant with severe dehydration hooked with Ringer's
d.Diffusion from area of lower to higher oxygen concentration Lactate solution
Question 74 c.A middle-adult male who had an overdose of diuretic
What patient's condition may cause hypokalemia and managed with D5W.
hyperkalemia at the same time? d.A plasma expander is given to a patient with diagnosis of
a.Metabolic alkaosis diabetes insipidus
b.Metabolic acidosis Question 85
c.Renal insufficiency Which among the following principles of fluid movement is
d.Use of k-sparing diuretics correctly stated?
Question 75 a.Osmosis is movement of water from an area of low to
What sensation is used as a gauge so that patients with high solutee concentration
ileostomy can determine how often their pouch should be b.Diffusion is movement of fluid from an area of low to high
drained? molecular component
a.Sensation of taste c.Active transport is movement of subtances without energy
b.Sensation of pressure utilization
c.Sensation of smell d.Filtration is from an area of low hydrostatic pressure to high
d.Urge to defecate hydrostatic pressure
When serum calcium level rises above normal it follows that Which arterial blood gas would the nurse expect in the client
the: diagnosed with diabetic ketoacidosis?
a.Serum Mg is below normal value a.pH 7.34, PaO2 99, PaCO2 48, HCO3 24.
b.Serum Phosphate is below normal b.pH 7.38, PaO2 95, PaCO2 40, HCO3 22.
c.Serum K also rises c.pH 7.46, PaO2 85, PaCO2 30, HCO3 26.
d.Serum Na will rise above normal limits d.pH 7.30, PaO2 90, PaCO2 30, HCO3 18.
When surgery is on-going, who coordinates the activities Which client is most likely to receive opioids for extended
outside, including the family? periods of time?
a.Orderly/clerk b.Nurse supervisor a.A client with fibromyalgia
c.Circulating nurse d.Anesthesiologist b.A client with phantom limb pain
Question 78 c.A client with progressive pancreatic cancer
When the donor tissue is obtained from a person not related to d.A client with trigeminal neuralgia
the patient, the type of grafting used is: Question 88
a.Xenograft b.Autograft Which electrolyte replacement should the nurse anticipate
c.Heterograft d.Allograft being ordered by the health-care provider in the client
Question 79 diagnosed with DKA who has just been admitted to the ICD?
When the patient's air volume is assessed during a maximum a.Glucose
or forced inspiration and expiration, the nurse obtains the: b.Potassium
a.Inspiratory reserved volume c.Calcium
b.Expiratory reserved volume d.Sodium
c.Vital capacity Question 89
d.Tidal volume Which intervention should the nurse include as a
Question 80 nonpharmacologic pain-relief intervention for chronic pain?
When the patient's fluid volume has been replaced a.Referring the client for hypnosis
successfully, your priority nursing diagnosis following b.Administering pain medication as prescribed
emergent phase is? c.Removing all glaring lights and excessive noise
a.Fluid Volume Excess d.Using transcutaneous electric nerve stimulation
b.Risk for infection Question 90
c.Risk for injury Which is a laboratory finding is within normal limits (WNL)?
d.Altered tissue perfusion a.Serum calcium of 12.5mg/dl
Question 81 b.Serum potassium of 3.0mEq/L
When titrating an analgesic to manage pain, what is the c.Serum sodium of 149mEq/L
priority goal? d.Serum magnesium of 2.0mEq/L
a.Administer smallest dose that provides relief with the Question 91
fewest side effects. Which is the correct order of the steps in performing CPT?
b.Titrate upward until the client is pain free. 1. Percussion 2. Vibration
c.Titrate downwards to prevent toxicity. 3. Incentive Spirometry 4. Postural drainage
d.Ensure that the drug is adequate to meet the client’s a.1,2,3,4 b.1,3,2,4
subjective needs. c.3,1,2,4 d.3,2,1,4
Which among the following is an expected deterioration of the Which is true about second-fluid-shifting found in peripheral
respiratory function among geriatric patients? edema and ascites?
a.Increase tidal volume a.When the plasma osmolality is higher than the interstitial
b.Altered tissue perfusion osmolality edema will result
c.Decreased residual volume b.When the interstitial oncotic pressure is higher than the
d.Increased residual volume plasma oncotic pressure edema will result
c.When the interstitial osmolality is higher than the plasma
osmolality edema will result
Which laboratory finding can be observed to the emergent The influenza vaccine is in short supply. Which group of
phase of burn? clients would the public health nurse consider priority when
a.Hypokalemia and hypernatremia administering the vaccine?
b.Hypokalemia and hyponatremia a.Schoolteachers and students living in a dormitory.
c.Hyperkalemia and hyponatremia b.Elderly and chronically ill clients.
d.Hyperkalemia and hypernatremia c.Hospital chaplains and health-care workers.
Question 94 d.Child-care workers and children younger than age four (4)
Which of the following is true about right and left lobes of the years.
lungs? Question 3
a.Left lung is consist 2 lobes while the right is 1 lobe lesser The client is admitted to a medical unit with a diagnosis of
b.Right lung is comprised of one lobe higher than the left pneumonia. Which signs and symptoms would the nurse look
c.Right lung is composed of 3 lobes whileleft lung is 1 lobe for when assessing the client?
d.Both right and left lungs contains 3 lobes a.Asymmetrical chest expansion and pallor.
Question 95 b.Leukopenia and CRT less than 3 seconds.
Which route of administration is preferred if immediate c.Pleuritic chest discomfort and anxiety.
analgesia and rapid titration are necessary? d.Substernal chest pain and diaphoresis.
a.Intraspinal Question 4
b.Patient-controlled analgesia (PCA) The nurse is planning the care of a client diagnosed with
c.Intravenous (IV) pneumonia and writes a problem of "impaired gas exchange."
d.Sublingual Which would be an expected outcome for this problem?
Question 96 a.Able to complete activities of daily living.
Which statement made by the client would alert the nurse that b.Alert and oriented to person, place, time, and events.
the client may be experiencing GERD? c.Ambulates in the hall and back several times during each
a."My chest hurts when I walk up the stairs in my home." shift.
b."I take antacid tablets with me wherever I go." d.Performs chest physiotherapy three (3) times a day.
c."My spouse tells me I snore very loudly at night." Question 5
d."I drink six (6) to seven (7) soft drinks every day." A nurse assesses the carbon monoxide level of a client
Question 97 following a burn injury and notes that the level is 14%. Based
While team effort is needed in the OR for efficient and quality on this level, which finding would the nurse expect to note
patient care delivery, we should limit the number of people in during the assessment of the client?
the room for infection control. Who comprise this team? a.Headache b.Nausea
a.Surgeon, anesthesiologist, scrub nurse, radiologist, orderly c.Tachycardia d.Impaired visual acuity
b.Surgeon, assistants, scrub nurse, circulating nurse, Question 6
anesthesiologist Which action should the nurse implement for the client with a
c.Surgeon, assistant surgeon, anesthesiologist, scrub nurse, hemothorax who has a right-sided chest tube and there is
pathologist excessive bubbling in the water-seal compartment?
d.Surgeon, assistant surgeon, anesthesiologist, intern, scrub a.Assess the tubing for any blood clots.
nurse b.Milk the tubing proximal to distal.
Question 98 c.Encourage the client to cough forcefully.
With the same situation above, to avoid complication during d.Check the amount of wall suction being applied.
bronchoscopy, the Nurse Ivy advise the patient to: Question 7
a.Increased fluids before the procedure The charge nurse on a surgical floor is making assignments.
b.Start nothing by mouth by 9pm tonight Which client should be assigned to the most experienced
c.Increased fiber in the diet registered nurse (RN)?
d.Advise the patient not to introduce anyting by mouth a.The six (6)-year-old client scheduled for a tonsillectomy and
starting midnight adenoidectomy this morning who will not swallow
Question 99 medication.
the nurse appropriately anticipate to administer what IVF b.The 18-year-old client who had a Caldwell Luc
solution? procedure three (3) days ago and has purulent drainage on
a.PNSS incorporated with potassium chloride. the drip pad.
b.D5W diluted with 5% dextrose to be infused slowly c.The 45-year client diagnosed with a peritonsillar abscess
c.0.45%NaCl diluted with 5%dextrose to be infused rapidly who requires IVPB antibiotic therapy four (4) times a day.
d.Any type of hypertonic solution will reverse the electrolyte d.The 36-year-old client who has undergone an antral
imbalance irrigation for sinusitis yesterday and has moderate pain.
You are assigned to the medical ward with variety of patients The nurse is presenting a class on chest tubes. Which
whose conditions are related to fluids and electrolytes statement describes a tension pneumothorax?
imbalances. You are responsible for the assessment and a.When a tension pneumothorax occurs, the air moves freely
management of these conditions. The following questions may between the pleural space and the atmosphere.
be applied. One patient has been receiving PNSS. You have b.A tension pneumothorax results from a mechanical
noticed that the doctor's order reads the IVF shoukd be given ventilation therapy among patients with ARDS.
at KVO rate. The nurse assigned prior to your shif has given c.The injury allows air into the pleural space but prevents it
5-Liters of the solution. Which laboratory finding will be from escaping from the pleural space.
expected on this situation? d.A tension pneumothorax develops when an air-filled bleb on
a.Hypocalcemia b.Hyponatremia the surface of the lung ruptures.
c.Hypercalcemia d.Hypernatremia Question 9
(Med-Surge Part 1: Disturbances in Oxygenation) The client diagnosed with influenza A is being discharged
Question 1 from the emergency department with a prescription for
CorrectMark 1 out of 1Not flaggedFlag question antibiotics. Which statement by the client indicates an
Question text understanding of this prescription?
7. The client diagnosed with sinusitis who has undergone a a."If I had gotten this prescription sooner I could have
Caldwell Luc procedure is complaining of pain. Which prevented this illness."
intervention should the nurse implement first? b."I need to take these pills until I feel better; then I can stop
a.Administer the narcotic analgesic IVP. taking the rest."
b.Assess the client's pain. c."The antibiotics will help prevent me from developing a
c.Perform gentle oral hygiene. bacterial pneumonia."
d.Place the client in a semi-Fowler’s position. d."These pills will make me feel better fast and I can
return to work."
The nurse is preparing the client diagnosed with laryngeal The client diagnosed with a community-acquired pneumonia
cancer for a laryngectomy in the morning. Which intervention is being admitted to the medical unit. Which nursing
would have priority? intervention has the highest priority?
a.Explain that the client will need to ask for pain medication. a.Administer the oral antibiotic stat.
b.Demonstrate the use of an anti-embolism hose. b.Order the meal tray to be delivered as soon as possible.
c.Take the client to the intensive care unit for a visit. c.Obtain a sputum specimen for culture and sensitivity.
d.Find out if the client can read and write. d.Have the unlicensed nursing assistant weigh the client.
The 56-year-old client diagnosed with tuberculosis (TB) is The nurse is caring for a client diagnosed with a cold. Which
being discharged. Which statement made by the client is an example of an alternative therapy?
indicates an understanding of the discharge instructions? a.Decongestant therapy.
a."I will take my medication for the full three (3) weeks b.Strict bed rest.
prescribed." c.Humidification of the air.
b."I should get a TB skin test every three (3) months to d.Vitamin C, 2000 mg daily.
determine if I am well." Question 19
c."I must stay on the medication for months if I am to get When assessing the client with COPD, which health
well." promotion information would be most important for the nurse
d."I can be around my friends because I have started taking to obtain?
antibiotics." a.Number of years the client has smoked.
Question 12 b.Possibility for lifestyle changes.
The charge nurse is assigning clients for the shift. Which c.Risk factors for complications.
client should be assigned to the new graduate nurse? d.Ability to administer inhaled medication.
a.The client diagnosed with laryngeal spasms who has stridor. Question 20
b.The client diagnosed with laryngeal cancer who has multiple The employee health nurse is administering tuberculin skin
fistulas. testing to employees who have possibly been exposed to a
c.The client who is two (2) hours post-partial laryngectomy. client with active tuberculosis. Which statement indicates the
d.The client diagnosed with cancer of the lung who has need for radiological evaluation instead of skin testing?
chest tubes. a.The client has never shown a reaction to the tuberculin
Question 13 medication.
Which nursing task could be delegated to an unlicensed b.The client's second skin test indicates a red area measuring
nursing assistant? four (4) mm.
a.Encourage the client diagnosed with a cold to drink a c.The client's first skin test indicates a purple flat area at the
glass of orange juice. site of injection.
b.Obtain a throat culture on a client diagnosed with bacterial d.The client's previous skin test was read as positive.
pharyngitis. Question 21
c.Feed a client who is postoperative tonsillectomy the first The client diagnosed with tonsillitis is scheduled to have
meal of clear liquids. surgery in the morning. Which assessment data should the
d.Escort the client diagnosed with laryngitis outside to smoke nurse notify the health-care provider about prior to surgery?
a cigarette. a.The client’s current International Normalized Ratio (INR) is
Question 14 1.0.
The nurse avoids which action in caring for a client who b.The client has an oral temperature of 100.2F and a dry
sustained smoke inhalation and is at risk for impaired gas cough.
exchange? c.The client has a hemoglobin of 12.2 g/dL and hematocrit of
a.Repositioning the client from side to side every 2 hours 36.5%.
b.Maintaining the client in a supine position with the head d.There are one (1) to two (2) white blood cells in the
of the bed elevated urinalysis.
c.Suctioning the airway as needed Question 22
d.Providing humidified oxygen as prescribed The client is admitted with a diagnosis of rule out tuberculosis.
Question 15 Which type of isolation procedures should the nurse
The nurse is developing a plan of care for a client diagnosed implement?
with laryngitis and identifies the client problem "altered a.Droplet Precautions.
communication." Which intervention should the nurse b.Contact Precautions.
implement? c.Airborne Precautions.
a.Provide the client with a blank note pad for writing any d.Standard Precautions.
communication. Question 23
b.Explain that the client’s aphonia may become a permanent The client has been diagnosed with chronic sinusitis. Which
condition. signs and symptoms would alert the nurse to a potentially life-
c.Encourage the client to whisper instead of trying to speak at threatening complication?
a normal level. a.Muscle weakness.
d.Instruct the client to drink a mixture of brandy and honey b.Purulent sputum.
several times a day. c.Nuchal rigidity.
Question 16 d.Intermittent loss of muscle control.
The nurse is caring for the client diagnosed with pneumonia. Question 24
Which information should the nurse include in the teaching The nurse is assessing a 79-year-old client diagnosed with
plan? Select all that apply. pneumonia. Which signs and symptoms would the nurse
1.Place the client on oxygen by nasal cannula. expect to find when assessing the client?
2.Plan for periods of rest during activities of daily living. a.Bradypnea and jugular vein distention.
3.Place the client on a fluid restriction of 1000 mL per day. b.Frothy sputum and edema.
4.Restrict the client's smoking to two (2) to three (3) cigarettes c.Confusion and lethargy.
per day. d.High fever and chills.
5.Monitor the client's pulse oximetry readings every four (4) Question 25
hours. The nurse observes the unlicensed nursing assistant (NA)
a.1 and 2 b.1,2,5 entering an airborne isolation room and leaving the door open.
c.1,3,5 d.1 only Which action would be the nurse’s best response?
a.Enter the client's room and discuss the matter with the NA
immediately.
b.Close the door and discuss the NA's action when the NA
comes out of the room.
c.Make the NA come back outside the room and then reenter
closing the door.
Which assessment data would support that the client has The nurse is caring for the client diagnosed with end-stage
experienced a pulmonary embolus? COPD. Which data would warrant immediate intervention by
a.Left-sided chest pain and diaphoresis. the nurse?
b.Sudden onset of chest pain and dyspnea. a.The client has SOB when walking to the bathroom.
c.Bilateral crackles and low-grade fever. b.The client's pulse oximeter reading is 92%.
d.Calf pain with dorsiflexion of the foot. c.The client's arterial blood gas level is 74.
Question 2 d.The client's sputum is rusty colored.
Which intervention should the emergency department nurse Question 11
implement first for the client admitted for an acute asthma A client who has emphysema complains of non-productive
attack? cough and dyspnea that is steadily worsening. A nurse should
a.Encourage the client to cough forcefully. include which of the following nursing diagnosis in the
b.Administer glucocorticoids intravenously. patient’s care plan?
c.Establish and maintain a 20-gauge saline lock. a.ineffective thermoregulation
d.Assess breath sounds every 15 minutes. b.chronic pain
Question 3 c.non-compliance
The nurse identified the client problem "decreased cardiac d.activity intolerance
output" for the client diagnosed with a pulmonary embolus. Question 12
Which intervention should be included in the plan of care? While the nurse is caring for the client diagnosed with COPD,
a.Monitor the client’s arterial blood gases. which outcome would require a revision in the plan of care?
b.Assess skin color and temperature. a.The client has no signs of respiratory distress.
c.Keep the client in the Trendelenburg position. b.The client demonstrates intolerance to activity.
d.Check the client for signs of bleeding. c.The client shows an improved respiratory pattern.
Question 4 d.The client participates in establishing goals.
The client is admitted to the emergency department with chest Question 13
trauma. When assessing the client, which signs/symptoms Which nursing diagnoses would be appropriate for the nurse to
would the nurse expect to find that support the diagnosis of include in the plan of care for the client diagnosed with
pneumothorax? COPD? Select all that apply.
a.Barrel chest and polycythemia. 1.Impaired gas exchange.
b.Unequal lung expansion and dyspnea. 2.Inability to tolerate temperature extremes.
c.Bronchovesicular lung sounds and bradypnea. 3.Activity intolerance.
d.Frothy bloody sputum and consolidation. 4.Inability to cope with changes in roles.
Question 5 5.Alteration in nutrition.
Mr. B. age 45 with a long history of asthma is scheduled for a.1,5. b.1,3,4,5
surgery. Preoperative teaching by the nurse should include the c.1,2,3,4,5. d.1,2,4,5
fact that Mr. B.: Question 14
a.should limit coughing to prevent chest distention The nurse suspects the client admitted with a near drowning is
b.can control and limit asthmatic attacks developing acute respiratory distress syndrome (ARDS).
c.can control anxiety and decrease severity of asthma Which data would support the nurse's suspicion?
attack a.The client's bilateral lung sounds have crackles and rhonchi.
d.will be prone to respiratory tract infection b.The client's arterial blood gases are within normal limits.
Question 6 c.The client has intercostal retractions and is using accessory
CorrectMark 1 out of 1Not flaggedFlag question muscles.
Question text d.The client appears anxious, has dyspnea, and is
When assessing the client with the diagnosis of COPD, which tachypneic.
data would require the nurse to take immediate action? Feedback
a.Large amounts of thick white sputum. Question 15
b.Use of accessory muscles during inspiration. The nurse is admitting a client with a diagnosis of rule out
c.Presence of a barrel chest and dyspnea. cancer of the larynx. Which information should the nurse
d.Oxygen flow meter set on eight (8) liters. teach?
Question 7 a.Demonstrate the proper method of gargling with normal
A client is taking theophylline for the management of asthma. saline.
The nurse would advise the client to report which of the b.Teach the client to self-examine the larynx monthly.
following? c.Perform voice exercises for 30 minutes three (3) times a day.
a.weight gain d.Explain that a lighted instrument will be placed in the
b.red orange urine throat to biopsy the area.
c.excessive thirst Question 16
d.heart palpitation Which isolation procedure should be instituted for the client
Question 8 admitted to rule out severe acute respiratory syndrome
The client diagnosed with an exacerbation of COPD is in (SARS)?
respiratory distress. Which intervention should the nurse a.Airborne isolation. b.Contact isolation.
implement first? c.Droplet isolation. d.Reverse isolation.
a.Notify the health-care provider about the client’s status. Question 17
b.Assist the client into a sitting position at 90 degrees. The nurse is discharging a client newly diagnosed with
c.Monitor vital signs with the client sitting upright. restrictive airway disease, asthma. Which statement indicates
d.Give oxygen at six (6) LPM via nasal cannula. the client understands the discharge instructions?
Question 9 a."I should wash my bedding in warm water."
The school nurse is presenting a class to students at a primary b."I will call 911 if my medications don’t control an attack."
school on how to prevent the transmission of the common cold c."I can still eat at the Chinese restaurant when I want."
virus. Which information should the nurse discuss? d."If I get a headache I should take a non-steroidal anti-
a.Include a demonstration of how to wash hands correctly. inflammatory drug."
b.Instruct the children to always keep a tissue or Question 18
handkerchief with them. Nurse Rene is caring for a client admitted to the hospital with
c.Tell the children that they should go to the doctor if they get suspected atelectasis. When assessing this client, Nurse Rene
a cold. would expect which of the following?
d.Explain that children current with immunizations will not a.normal body temperature
get a cold. b.an unproductive dry cough
c.a respiration which is deep and slow
d.diminished breath sounds
The client is getting out of bed and becomes very anxious and The client diagnosed with asthma is admitted to the
has a feeling of impending doom. The nurse thinks the client emergency department with difficulty breathing and a blue
may be experiencing a pulmonary embolus(difficulty of color around the mouth. Which diagnostic test will be ordered
breathing as part of the disease process in patient). Which to determine the status of the client?
action should the nurse implement first? a.Drug cortisol level.
a.Administer oxygen ten (10) L via nasal cannula. b.Allergy skin testing.(RISKFOR ANAPHYLACTIC
b.Place the client in a high Fowler’s position. SHOCK!)
c.Obtain a STAT pulse oximeter reading. c.Complete blood count.
d.Auscultate the client’s lung sounds. d.Pulmonary function test.
Which assessment data indicate that the chest tubes have been The case manager is arranging a care planning meeting
effective in treating the client with a hemothorax who has a regarding the care of a 65- year-old client diagnosed with
right-sided chest tube? adult-onset asthma. Which health-care disciplines should
a.There is no fluctuation (tidaling) in the water-seal participate in the meeting? Select all that apply.
compartment. 1.Nursing. 2.Pharmacy. 3.Social Work.
b.There is gentle bubbling in the suction compartment. 4.Occupational Therapy. 5.Speech Therapy.
c.The client is able to deep breathe without any pain. a.1,5 only
d.There is 250 mL of blood in the drainage compartment b.1,3,4
Question 21 c.1,2,3
Which statement indicates the client diagnosed with asthma d.1,2,3,4
needs more teaching concerning the medication regimen? Question 4
a."I need to take oral glucocorticoids every day to prevent Which outcome would be appropriate for the client problem
my asthma attacks." "ineffective gas exchange" for the client recently diagnosed
b."I need to use my Intal, Cromolyn inhaler 15 minutes before with COPD?
I begin my exercise." a.The client demonstrates the correct way to purse-lip
c."I will take Singulair, a leukotriene, every day to prevent breathe.
allergic asthma attacks." b.The client will be able to ambulate 100 feet with dyspnea.
d."If I have an asthma attack, I need to use my Albuterol, a c.The client lists three (3) signs/symptoms to report to the
beta2 agonist, inhaler." HCP.
Question 22 d.The client will drink at least 2500 mL of water daily.
A client with asthma is given instructions about the use of Question 5
inhalant medications. Which of the following statements, if The client is diagnosed with mild intermittent asthma. Which
made by the patient, indicates that the patient understands the medication should the nurse discuss with the client?
instructions? a.Use of a “rescue inhaler.”
a."I need to take these medications one hour after each meal." b.Daily inhaled corticosteroids.
b."I need to alternate the sequence of inhaler administrations." c.Leukotriene agonists.
c."I will use the steroid inhaler one hour before I use the d.Use of systemic steroids.
bronchodilator." Question 6
d."I will use the bronchodilator before I use the steroid The client is admitted to the outpatient surgery center for a
inhaler." bronchoscopy to rule out cancer of the lung. Which
Question 23 information should the nurse teach?
The physician ordered Nurse Manny to monitor a client for the a.There is no discomfort associated with this procedure.
complication of subcutaneous emphysema after the b.The client can eat and drink immediately after the test.
insertion of chest tubes, the nurse should do which of the c.The test will confirm the MRI results.
following? d.The HCP can do a biopsy of the tumor through the
a.assess for the presence of barrel shaped chest scope.
b.palpate for crepitus around chest tubes insertion site Question 7
c.auscultate for the presence of crackles The client diagnosed with restrictive airway disease, asthma,
d.assess inspirations and expiration for depth and length has been prescribed a glucocorticoid inhaled medication.
Question 24 Which information should the nurse teach regarding this
The nurse is caring for a client with a right-sided chest tube medication?
secondary to a pneumothorax. Which interventions should the a.Take the medication immediately when an attack starts.
nurse implement when caring for this client? Select all that b.Hold the medication in the mouth for fifteen (15) seconds
apply. before swallowing.
1.Place the client in a low-Fowler’s position. c.Immediately rinse the mouth following administration of
2.Assess chest tube drainage system frequently. the drug.
3.Maintain strict bed rest for the client. d.Do not abruptly stop taking this medication; it must be
4.Secure a loop of drainage tubing to the sheet. tapered off.
5.Observe the site for subcutaneous emphysema. Question 8
a.1,3,5 b.1,3,5 The client diagnosed with lung cancer has been told that the
c.2.3.5 d.2,4,5 cancer has metastasized to the brain. Which intervention
Question 25 should the nurse implement?
Which of the following statements, if made by an elderly a.Explain the use of chemotherapy for brain involvement.
client, indicates that client understands the most effective b.Have the significant other make decisions for the client.
methods for preventing influenza? c.Discuss implementing an advance directive.
a."I will take a day multivitamin supplement." d.Teach the client to discontinue driving.
b."I will stay indoors in bad weather." Question 9
c."I will have an annual flu vaccine."(vaccination yearly) The nurse is planning the care of a client diagnosed with
d."I will wear masks whenever my grandchildren come for a asthma and has written a problem of "anxiety." Which
visit." nursing intervention should be implemented?
Question 1 a.Stay with the client.
The client diagnosed with oat cell carcinoma of the lung tells b.Administer an anxiolytic medication.
the nurse, "I am so tired of all this. I might as well just end it c.Notify the health-care provider.
all." Which should be the nurse’s first response? d.Encourage the client to drink fluids.
a.Tell the HCP of the client’s statement.
b.Refer the client to a social worker or spiritual advisor.
c.Respond by saying, "This must be hard for you. Would
you like to talk?"(therapeutic communication: encourage
to express emotion)
d.Find out if the client has a plan to carry out suicide.
The nurse is completing the admission assessment on a 13- The client diagnosed with lung cancer is in an
year-old client diagnosed with asthma. Which signs and investigational program and receiving a vaccine to treat the
symptoms would the nurse expect to find? cancer. Which information regarding investigational regimens
a.Rales and hives. should the nurse teach?
b.Normal chest shape and eupnea. a.Investigational regimens provide a better chance of
c.Fever and crepitus. survival for the client.
d.Dyspnea and wheezing. b.Investigational treatments have not been proved helpful to
Question 11 clients.
The nurse writes a problem of "impaired gas exchange" for c.Only clients that are dying qualify for investigational
a client diagnosed with cancer of the lung. Which treatments.
interventions should be included in the plan of care? Select all d.Clients will be paid to participate in an investigational
that apply. program.
1.Apply O2 via nasal cannula. Question 19
2.Have the dietitian plan for six (6) small meals per day. The client is three (3) days post-partial laryngectomy. Which
3.Place the client in respiratory isolation. type of nutrition should the nurse offer the client?
4.Assess vital signs for fever. a.Clear liquid diet.
5.Listen to lung sounds every shift. b.Soft, regular diet.
a.2 and 4 only b.1 and 5 only c.Total parenteral nutrition.
c.1, 2, and 3 only d.1,3,4 and 5 d.Partial parenteral nutrition.
What statement made by the client would indicate that the The primary nurse observes the unlicensed nursing assistant
nurse’s discharge teaching was effective for the client removing the nasal cannula from the client diagnosed with
diagnosed with COPD? COPD while ambulating the client to the bathroom. Which
a."I need to get an influenza vaccine each year, even when action should the primary nurse take?
there is a shortage." a.Place the oxygen back on the client while sitting in the
b."I need to get a vaccine for pneumonia each year with my bathroom and say nothing.
flu shot." b.Explain to the NA in front of the client that the oxygen must
c."If I reduce my cigarette smoking to six (6) a day, I won’t be left in place at all times.
have difficulty breathing." c.Praise the NA because this prevents the client from tripping
d."I need to restrict my drinking liquids to keep from having on the oxygen tubing.
so much phlegm." d.Discuss the NA's action with the charge nurse so that
Question 13 appropriate action can be taken.
The nurse working in an outpatient clinic is interviewing Question 21
clients. Which information provided by the client warrants The client is diagnosed with cancer of the larynx and is to
further investigation? have radiation therapy to the area. For which prophylactic
a.The client has been coughing up blood in the mornings. procedure will the nurse prepare the client?
b.The client has had an appendectomy. a.Taking anti-emetic medications every four (4) hours.
c.The client takes a multiple vitamin pill every day. b.Placement of a PEG tube.
d.The client uses Vicks VapoRub every night before bed. c.Wearing sunscreen on the area at all times.
Question 14 d.Removal of the teeth.
The nurse is discussing the care of a child diagnosed with Question 22
asthma with the parent. Which referral would be important to The client is four (4) hours post-lobectomy for cancer of the
include? lung. Which assessment data warrant immediate
a.Referral for allergy testing. intervention by the nurse?
b.Referral to a dietitian. a.The client has 450 mL of bright-red drainage in the chest
c.Referral to a home health nurse. tube.
d.Referral to the developmental psychologist. b.The client has an intake of 1500 mL IV and an output of
Question 15 1000 mL.
The client diagnosed with lung cancer is being discharged. c.The client is complaining of pain at a “10” on a 1–10
Which statement made by the client indicates that more scale.
teaching is needed? d.The client has absent lung sound on the side of the surgery.
a."It doesn't matter if I smoke now. I already have Question 23
cancer." When assessing the client recently diagnosed with COPD,
b."If I begin to run a fever I should notify the HCP." which sign and symptom should the nurse expect?
c."I should plan for periods of rest throughout the day. a.Clubbing of the client's fingers.
d."I should see the oncologist at my scheduled appointment." b.Nonproductive hacking cough.
Question 16 c.Infrequent respiratory infections.
The nurse knows the client understands teaching regarding d.Chronic sputum production.
mast cell stabilizer medications when the client makes which Question 24
statement? The registered nurse and a licensed practical nurse are caring
a."These drugs will be most effective if taken at bedtime." for five (5) clients on a medical unit. Which clients would the
b."I should take two (2) puffs when I begin to have an nurse assign to the licensed practical nurse? Select all that
asthma attack." apply.
c."I must taper off the medications and not stop taking them 1.The 32-year-old female diagnosed with exercise-induced
abruptly." asthma who has a forced vital capacity of 1000 mL.
d."These drugs are not good at the time of an attack." 2.The 45-year-old male with adult-onset asthma who is
Question 17 complaining of difficulty completing all of the ADLs at one
The client diagnosed with exercise-induced asthma (EIA) is time.
being discharged. Which information should the nurse include 3.The 92-year-old client diagnosed with respiratory difficulty
in the discharge teaching? who is beginning to be confused and keeps climbing out of
a.Use the bronchodilator inhaler immediately prior to bed.
beginning to exercise. 4.The 6-year-old client diagnosed with intrinsic asthma who is
b.Increase dietary intake of food high in monosodium scheduled for discharge and the mother needs teaching about
glutamate (MSG). the medications.
c.Take two (2) puffs on the rescue inhaler and wait five (5) 5.The 20-year-old client diagnosed with asthma who has a
minutes before exercise. pulse oximetry reading of 95% and wants to sleep all the time.
d.Warm-up exercises will increase the potential for developing a.1,3,4 b.1,5 c.1,2,5 d.1,3,5
the asthma attacks.
The charge nurse is making rounds. Which client should the A diagnosis of multiple sclerosis is often delayed because of
nurse assess first? the varied symptoms experienced by those affected with the
a.The 15-year-old client diagnosed with diabetic ketoacidosis disease. Which symptom is most common in those with
after a bout with the flu who has a blood glucose reading of multiple sclerosis?
189 mg/dL. a.Resting tremors
b.The 62-year-old client diagnosed with COPD and b.Double vision
pneumonia who is receiving O2 by nasal cannula at two (2) c.Flaccid paralysis
liters per minute. d."Pill-rolling" tremors
c.The 29-year-old client diagnosed with reactive airway Question 10
disease who is complaining that the nurse caring for him A feeling of pleasantness or unpleasantness, varying in
was rude. degree from mild to intense, occurs when sensory impulses
d.The 76-year-old client diagnosed with heart failure who has reach the:
2 edema of the lower extremities. a.Thalamus b.Basal ganglia
(Med-Surge 2: Communicable Dses) c.Hypothalamus d.Cerebral cortex
A cataract is: A major goal for the client during the first 48 hours after a
a.An opacity of the lens severe burn is to prevent hypovolemic shock. The best
b.A thin film over the cornea indicator of adequate fluid balance during this period is
c.A crystallization of the pupil a.Elevated hematocrit levels.
d.An increase in the density of the conjunctiva b.Urine output of 30 to 50 ml/hr.
Question 2 c.Change in level of consciousness.
A client has a tentative diagnosis of myasthenia gravis. The d.Estimate of fluid loss through the burn eschar.
nurse recognizes that myasthenia gravis involves: Question 12
a.Loss the myelin sheath in portions of the brain and spinal A nurse is receiving a client in transfer from the emergency
cord room who has a diagnosis of Guillain-Barre syndrome. The
b.An interruption in the transmission of impulses from client's chief complaint is an ascending paralysis that has
nerve endings to muscles reached the level of the waist. The nurse plans to have which
c.Progressive weakness and loss of sensation that begins in the item available for emergency use?
lower extremities a.Cardiac monitor and intubation tray
d.Loss of coordination and stiff "cogwheel" rigidity b.Blood pressure cuff and flashlight
Question 3 c.Nebulizer and pulse oximeter
A client has been receiving Rheumatrex (methotrexate) for d.Flashlight and incentive spirometer
severe rheumatoid arthritis. The nurse should tell the client FeedbackThe correct answer is: Cardiac monitor and
to avoid taking: intubation tray
a.Aspirin Question 13
b.Multivitamins CorrectMark 1 out of 1Not flaggedFlag question
c.Omega 3 fish oils Question text
d.Acetaminophen A patient is hemorrhaging from multiple trauma sites. The
Question 4 nurse expects that compensatory mechanisms associated with
A client has dilated right pupil. The nurse understands that hypovolemia would cause all of the following symptoms
this adaptation is related to the: EXCEPT
a.Second cranial nerve
b.Third cranial nerve a.
c.Fourth cranial nerve hypertension
d.Seventh cranial nerve
Question 5 b.
A client suffering from acute renal failure has an unexpected oliguria
increase in urinary output to 150ml/hr. The nurse assesses that
the client has entered the second phase of acute renal failure. c.
Nursing actions throughout this phase include observation for tachycardia
signs and symptoms of
a.Hypervolemia, hypokalemia, and hypernatremia. d.
b.Hypervolemia, hyperkalemia, and hypernatremia. tachypnea
c.Hypovolemia, wide fluctuations in serum sodium and Feedback
potassium levels.(Electrolyte shiftings) The correct answer is: hypertension
d.Hypovolemia, no fluctuation in serum sodium and potassium Question 14
levels. CorrectMark 1 out of 1Not flaggedFlag question
Question 6 Question text
A client who complaints of tinnitus(vibration sound inside A physician performs a lumbar puncture. To do this
the ears) is describing a symptom that is: procedure, the physician m ust insert a needle into the:
a.Objective
b.Subjective a.
c.Functional Pia matter
d.Prodromal
Question 7 b.
A client with glaucoma should be advised to: Foramen ovale
a.Take laxatives daily
b.Use eyewashes on a regular basis c.
c.Keep an extra supply of eye medication on hand Aqueduct of sylvius
d.Have corrective lens prescriptions checked every 3 months
Question 8 d.
A client with myasthenia gravis is admitted in a cholinergic Subarachnoid space
crisis. Signs of cholinergic crisis include: Feedback
a.Decreased blood pressure and constricted pupils The correct answer is: Subarachnoid space
b.Increased heart rate and increased respirations Question 15
c.Increased respirations and increased blood pressure CorrectMark 1 out of 1Not flaggedFlag question
d.Anoxia and absence of the cough reflex Question text
A procedure done to relieve intractable pain in the upper torso
is a:
a. b.
Rhizotomy Monitor the vital signs
b. c.
Rhinotomy Administer the ordered analgesic
c. d.
Cordotomy Determine the characteristics of pain
Feedback
d. The correct answer is: Determine the characteristics of pain
Chondrectomy Question 20
Feedback CorrectMark 1 out of 1Not flaggedFlag question
The correct answer is: Rhizotomy Question text
Question 16 After an anterior wall myocardial infarction, which of the
IncorrectMark 0 out of 1Not flaggedFlag question following problems is indicated by auscultation of crackles in
Question text the lungs?
Acticoat (silver nitrate) dressings are applied to the legs of a
client with deep partial thickness burns. The nurse should: a.
Left-sided heart failure
a.
Change the dressings once per shift b.
Pulmonic valve malfunction
b.
Moisten the dressing with sterile water c.
Right-sided heart failure
c.
Change the dressings only when they become soiled d.
Tricupsid valve malfunction
d. Feedback
Moisten the dressing with normal saline The correct answer is: Left-sided heart failure
Feedback Question 21
The correct answer is: Moisten the dressing with sterile water CorrectMark 1 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question An indication of parasympathetic dominance in a client under
Question text stress would be:
After a brain attack a client remains unresponsive to sensory
stimulation the lobe of the cerebral cortex that registers a.
general sensations such as heat, cold, pain, and touch is: Constipation
a. b.
Frontal lobe Goose pimples
b. c.
Parietal lobe Excess epinephrine secretions
c. d.
Occipital lobe Increased gastrointestinal secretion
Feedback
d. The correct answer is: Increased gastrointestinal secretion
Temporal lobe Question 22
The correct answer is: Parietal lobe Question text
Question 18 An over exercised muscle that has an insufficient oxygen
IncorrectMark 0 out of 1Not flaggedFlag question supply may become sore from a build-up of:
Question text
After a client has cataract surgery, the nurse should: a.
Acetone
a.
Instruct the client to avoid driving for 2 weeks b.
Lactic acid
b.
Teach the client coughing and deep-breathing exercises c.
Butyric acid
c.
Encourage eye exercises to strengthen the ocular musculature d.
Acetoacetic acid
d. Feedback
Advise the client to refrain from vigorous brushing of teeth The correct answer is: Lactic acid
and hair Question 23
The correct answer is: Advise the client to refrain from Question text
vigorous brushing of teeth and hair Before administering antibodies against tetanus, which of the
Question 19 following patient statements would indicate a need for further
CorrectMark 1 out of 1Not flaggedFlag question nursing assessment?
Question text
After abdominal surgery a client complaints of pain. The first a.
action by the nurse should be to: "I have reactions to horse serum."
a. b.
Reposition the patient "I cannot have any seafood."
c. Feedback
"I have lactose intolerance." The correct answer is: Oresol
Question 28
d. CorrectMark 1 out of 1Not flaggedFlag question
"I do not like eggs." Question text
Feedback In doing a tourniquet test, how would petechiae be considered
The correct answer is: "I have reactions to horse serum." positive
Question 24
CorrectMark 1 out of 1Not flaggedFlag question a.
Question text 10
Category I of the TB treatment regimen is prescribed to the
following but: b.
20
a.
New pulmonary TB patient sputum positive c.
30
b.
Seriously ill patient with form of smear-negative TB with d.
extensive parenchyma involvement 5
Feedback
c. The correct answer is: 20
Seriously ill patient with form of extra pulmonary TB Question 29
CorrectMark 1 out of 1Not flaggedFlag question
d. Question text
Previously treated patient classified as relapse and failure In TB control program DOH has specific objectives, one on
Feedback prevention programs, which is focused on children. Which one
The correct answer is: Seriously ill patient with form of below is this program?
smear-negative TB with extensive parenchyma involvement
Question 25 a.
IncorrectMark 0 out of 1Not flaggedFlag question Sputum collection and examination
Question text
Cold applications for short periods of time produce: b.
Tuberculin skin testing
a.
Local anesthesia c.
EPI for BCG vaccine
b.
Peripheral vasodilation d.
Maternal and child health nursing
c. Feedback
Depression of vital signs The correct answer is: EPI for BCG vaccine
Question 30
d. IncorrectMark 0 out of 1Not flaggedFlag question
Constriction of pupils Question text
Feedback In the critical stage of anthrax, what is the most appropriate
The correct answer is: Local anesthesia nursing intervention?
Question 26
Question text Infuse IV fluids
Damage to the VII cranial nerve results in:
b.
a. Bring the patients to the hospital
Facial pain
c.
b. Institute isolation technique
Absence of ability to smell
d.
c. Use respiratory precautions
Absence of eye movement Feedback
The correct answer is: Institute isolation technique
d. Question 31
Tinnitus CorrectMark 1 out of 1Not flaggedFlag question
Feedback Question text
The correct answer is: Facial pain Incubation period of SARS
Question 27
IncorrectMark 0 out of 1Not flaggedFlag question a.
Question text 2-8 days
In a patient with dengue fever, which f the following will you
give the patient as part of the nursing intervention? b.
5-11 days
a.
Water and salt solution c.
1-10 days
b.
Oresol d.
1-5 days
c. Feedback
Saline solution The correct answer is: 2-8 days
Question 32
IV fluids Question text
Jabog was bitten by a dog. You interviewed Jabog and his CorrectMark 1 out of 1Not flaggedFlag question
father to take the history before seeing a doctor. You told Question text
Jabog's father not to kill the dog because the dog will be: Looking at her client, Ms. Judy was able to identify fluid
deficit: nursing assessment indicating fluid deficit are the
a. following except:
Given a vaccine
a.
b. Oliguria
Confined
b.
c. Hypovolemic shock
Observed for 10 days
c.
d. Cystitis
Be examined
Feedback d.
The correct answer is: Observed for 10 days Cardiogenic shock
Question 33 Feedback
IncorrectMark 0 out of 1Not flaggedFlag question The correct answer is: Cystitis
Question text Question 37
Kendall is a teacher, was rushed to the hospital due to burns CorrectMark 1 out of 1Not flaggedFlag question
sustained from a burning building. Ms. Kylie, the ER nurse Question text
attended to the client. The initial nursing management is to: Malaria can be prevented by the following except:
a. a.
Administer oxygen inhalation Avoiding outdoor night time activities
b. b.
Apply furacin ointment over the burned surface Use of mosquito repellants
c. c.
Check the vital signs Planting of herbal plants which can be mosquito repellants
d. d.
Assess airway, breathing and circulation Spending leisure time in the forest
Feedback Feedback
The correct answer is: Administer oxygen inhalation The correct answer is: Spending leisure time in the forest
CorrectMark 1 out of 1Not flaggedFlag question CorrectMark 1 out of 1Not flaggedFlag question
Question text Question text
Kendall's condition was referred to the attending physician, IV Mr. B. diagnosed with septicemia has the following orders.
fluids were ordered. The purpose of fluids requirements is to Which order has the highest priority?
prevent:
a.
a. Provide clear liquid diet.
Oliguria
b.
b. Initiate IV antibiotic therapy.
Hypovolemic shock
c.
c. Obtain a STAT chest x-ray.
Cystitis
d.
d. Perform hourly blood sugar checks.
Cardiogenic shock Feedback
Feedback The correct answer is: Initiate IV antibiotic therapy.
The correct answer is: Hypovolemic shock Question 39
Question 35 CorrectMark 1 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question Question text
Question text Mrs. C. is diagnosed with neurogenic shock. Which
Leprosy has been a public health problem in the Philippines. signs/symptoms would the nurse assess in this client?
The following are early signs and symptoms except:
1. Change of skin color a.
2. Loss of sensation on skin lesion Cool moist skin
3. Loss of eyebrow
4. Ulcers that do not heal b.
Bradycardia
a.
1,2 c.
Wheezing
b.
3 d.
Decreased bowel sounds
c. Feedback
4 The correct answer is: Bradycardia
Question 40
2,4 Question text
Feedback Ms. Sy undergoes surgery and the abdominal aortic aneurysm
The correct answer is: 3 is resected and replaced with a graft. When she arrives in the
Question 36 RR she is still in shock. The nurse's priority should be:
Health workers counsel and observes their patients swallow
a. each anti-TB medication and monitor progress until cures
placing her in a trendeleburg position
b.
b. Regular drug supply
putting several warm blankets on her
c.
c. Political will in terms of manpower and funding
monitoring her hourly urine output
d.
d. Sputum microscopy services
assessing her VS especially her RR Feedback
Feedback The correct answer is: Health workers counsel and observes
The correct answer is: assessing her VS especially her RR their patients swallow each anti-TB medication and monitor
Question 41 progress until cures
CorrectMark 1 out of 1Not flaggedFlag question Question 45
Question text IncorrectMark 0 out of 1Not flaggedFlag question
Oral levothyroxine (synthroid) daily is prescribed for a client Question text
with hypothyroidism. The nurse provides medication TB ranks fifth in the leading cause of morbidity and mortality
instructions to the client and tells the client to take the recognizes that the most hazardous form for development of
medication: critical diseases is:
a. a.
Just after breakfast 1 year
b. b.
With a snack at 3:00pm 2 ½ years
c. c.
In the morning on an empty stomach 3 months
d. d.
With food 6-12 months
Feedback Feedback
The correct answer is: In the morning on an empty stomach The correct answer is: 6-12 months
CorrectMark 1 out of 1Not flaggedFlag question IncorrectMark 0 out of 1Not flaggedFlag question
Otosclerosis is a common cause of conductive hearing loss. The client comes to the emergency department with weakness
With such a partial hearing loss: that has been progressing upward in both legs for two days.
The nurse, suspecting Guillain-Barré syndrome, begins care
a. by doing which of the following? Select all that apply.
Stapedectomy is the procedure of choice 1.Taking medical history, noting recent viral influenza
2.Giving the client orange juice for fatigue and low blood
b. glucose
Hearing aids usually restore some hearing 3.Assessing neurological and respiratory function
4.Evaluating for petit malseizures
c. 5.Assessing vital signs
The client is usually unable to hear bass bones
a.
d. 1,3,5
Air conduction is more effective than bone conduction
Feedback b.
The correct answer is: Hearing aids usually restore some 2,3,4
hearing
Question 43 c.
CorrectMark 1 out of 1Not flaggedFlag question 1,2,4
Question text
Stimulation of the vagus nerve result in: d.
3,4,5
a. Feedback
Tachycardia The correct answer is: 3,4,5
Question 47
b. CorrectMark 1 out of 1Not flaggedFlag question
Slowing of the heart Question text
The client diagnosed with septicemia is receiving a broad-
c. spectrum antibiotic. Which laboratory data require the nurse to
Dilation of the bronchioles notify the physician?
d. a.
Coronary artery vasodilation The client's potassium level is 3.8 mEq/L.
Feedback
The correct answer is: Slowing of the heart b.
Question 44 The urine culture indicates high sensitivity to the antibiotic.
Question text c.
TB has been declared emergency in 1993 by the WHO. DOTS The client's pulse oximeter reading is 94%.
is a comprehensive strategy to detect and cure TB. The
primary element of DOTS is? d.
The culture and sensitivity is resistant to the client's antibiotic.
a. Feedback
The correct answer is: The culture and sensitivity is resistant The correct answer is: Hypovolemic shock
to the client's antibiotic. Question 52
Question 48 IncorrectMark 0 out of 1Not flaggedFlag question
Question text The first symptom of a client with open-angle glaucoma is
The client has recently experienced a myocardial infarction. most likely to exhibit is:
Which action by the nurse would help prevent cardiogenic
shock? a.
Constant blurred vision
a.
Monitor the client's telemetry. b.
Sudden attacks of acute pain
b.
Turn the client every two (2) hours. c.
Impairment of peripheral vision
c.
Administer oxygen via nasal cannula. d.
A sudden, complete loss of vision
d. Feedback
Place the client in the Trendelenburg position. The correct answer is: Impairment of peripheral vision
The correct answer is: Administer oxygen via nasal cannula. CorrectMark 1 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question The following are epidemiological triad except for:
Question text
The drug of choice or the treatment of Anthrax is: a.
Environment
a.
Aspirin b.
People
b.
Penicillin c.
Host
c.
Dilantin d.
Agent
d. Feedback
Accutane The correct answer is: People
The correct answer is: Penicillin CorrectMark 1 out of 1Not flaggedFlag question
IncorrectMark 0 out of 1Not flaggedFlag question The following countries where SARS originated includes the
Question text following except:
The earbones that transmit vibrations to the oval window of
the cochlea are found in the: a.
China
a.
Utricle b.
Canada
b.
Cochlea c.
Philippines
c.
Middle ear d.
Australia
d. Feedback
Eustachian tube The correct answer is: Philippines
The correct answer is: Middle ear CorrectMark 1 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question The following questions pertain to the concept in the
Question text Disturbances in Perception and Coordination.
The elderly female client with vertebral fractures who has The relay center for sensory impulses is the:
been self-medicating with ibuprofen, a nonsteroidal anti-
inflammatory drug (NSAID), presents to the emergency a.
department complaining of abdominal pain; is pale, clammy, Thalamus
and has a P 110 and a BP of 92/60. Which type of shock
would the nurse suspect? b.
Cerebellum
a.
Cardiogenic shock c.
Hypothalamus
b.
Hypovolemic shock d.
Medulla oblongata
c. Feedback
Neurogenic shock The correct answer is: Thalamus
Question 56
Septic shock Question text
Feedback
The following questions pertain to the concept in the CorrectMark 1 out of 1Not flaggedFlag question
Disturbances in Cellular Functioning. Which of the following Question text
instructions should be included in the teaching for the client The nurse and an unlicensed nursing assistant are caring for a
with rheumatoid arthritis? group of clients on a medical floor. Which action by the
assistant would warrant immediate intervention by the nurse?
a.
Avoid exercise because it fatigues the joints a.
The assistant places a urine specimen in a biohazard bag in the
b. hallway.
Take prescribed anti-inflammatory medications with meals
b.
c. The assistant uses the alcohol foam hand cleanser after
Alternate hot and cold packs to affected joints removing gloves.
d. c.
Avoid weight-bearing activity The assistant puts soiled linen in a plastic bag in the client's
Feedback room.
The correct answer is: Take prescribed anti-inflammatory
medications with meals d.
Question 57 The assistant obtains a stethoscope for a client in an isolation
CorrectMark 1 out of 1Not flaggedFlag question room.
Question text Feedback
The following questions pertain to the concept in the The correct answer is: The assistant places a urine specimen in
Disturbances in Acute Biologic Crisis & Emergency & a biohazard bag in the hallway.
Disaster Nursing. Mr. A. is admitted into the emergency Question 61
department with diaphoresis, pale, clammy skin, and BP of CorrectMark 1 out of 1Not flaggedFlag question
120/80. Thirty minutes later the client’s B/P is 90/70. Which Question text
intervention should the nurse implement first? The nurse assists the physician in performing a lumbar
puncture. When pressure is placed on the jugular vein during a
a. lumbar puncture, there is normally a rise in the spinal fluid
Start an IV with an 18-gauge catheter. pressure. This is referred to as:
b. a.
Administer dopamine intravenous infusion. Homan's sign
c. b.
Obtain arterial blood gases (ABGs). Romberg's sign
d. c.
Insert an indwelling urinary catheter Chvostek's sign
Feedback
The correct answer is: Start an IV with an 18-gauge catheter. d.
Question 58 Queckenstedt's sign
IncorrectMark 0 out of 1Not flaggedFlag question Feedback
Question text The correct answer is: Queckenstedt's sign
The goal of surgery for the treatment of detached retina is to: Question 62
a. Question text
Promote growth of new retinal cells The nurse caring for a client with sepsis writes the client
diagnosis of "alteration in comfort R/T chills and fever."
b. Which intervention should be included in the plan of care?
Adhere the sclera of the choroid layer
a.
c. Ambulate the client in the hallway every shift.
Graft a healthy piece of retina to place
b.
d. Monitor urinalysis, creatinine level, and BUN levels.
Create a scar that aids in healing retinal holes
Feedback c.
The correct answer is: Create a scar that aids in healing retinal Apply sequential compression devices to the lower
holes extremities.
Question 59
IncorrectMark 0 out of 1Not flaggedFlag question d.
Question text Administer an antipyretic medication every four (4) hours
The mouth of a client sustained trauma to the face, is drawn PRN.
over the left. This suggests injury to the: Feedback
The correct answer is: Administer an antipyretic medication
a. every four (4) hours PRN.
Left facial nerve Question 63
b. Question text
Right facial nerve The nurse demonstrates understanding of natural immunity
when he makes which of the following statements?
c.
Left abducent nerve a.
"Breastfeeding is the best way to enhance the infant's
d. immunity."
Right trigeminal nerve
Feedback b.
The correct answer is: Left facial nerve "Timely vaccination could easily provide protection from
Question 60 hepatitis."
c. b.
"The skin provides the first line of defense in warding off Weight loss
disease."
c.
d. Resting tremors
"Administration of human immune globulins boosts the
immunity." d.
Feedback Heat intolerance
The correct answer is: "Breastfeeding is the best way to Feedback
enhance the infant's immunity." The correct answer is: Heat intolerance
IncorrectMark 0 out of 1Not flaggedFlag question IncorrectMark 0 out of 1Not flaggedFlag question
The nurse implements which of the following interventions in The nurse is caring for a client with Guillain-Barre Syndrome.
the plan of care for a client with hypothyroidism? Which of the following would indicate the client's condition is
deteriorating?
a.
Applying lotion for skin care a.
Weakness and Paresthesia
b.
Providing a cool temperature in the room b.
Pain and Muscle aches
c.
Scheduling periods of test c.
Urinary Retention
d.
Administering p.r.n. medication for diarrhea d.
Feedback Respiratory Infection
The correct answer is: Providing a cool temperature in the Feedback
room The correct answer is: Weakness and Paresthesia
The nurse in the emergency department administered an The nurse is caring for a client with myxedema. Which of the
intramuscular antibiotic in the left gluteal muscle to the client following would indicate to the nurse that the client's
with pneumonia who is being discharged home. Which condition is deteriorating?
intervention should the nurse implement?
a.
a. An increase in pulse rate and respirations
Ask the client about drug allergies.
b.
b. Cold skin and episodes of chills
Obtain a sterile sputum specimen.
c.
c. Difficulty in arousing the client for medications
Have the client wait for 30 minutes.
d.
d. Client complaints of palpitations
Place a warm washcloth on the client's left hip. Feedback
Feedback The correct answer is: Difficulty in arousing the client for
The correct answer is: Ask the client about drug allergies. medications
IncorrectMark 0 out of 1Not flaggedFlag question CorrectMark 1 out of 1Not flaggedFlag question
The nurse instructs a client who has been prescribed Lugol's The nurse is caring for a client with rheumatoid arthritis. The
solution to notify the physician if which of the following nurse knows that the client's symptoms will be most improved
occurs? by:
a. a.
Blurred Vision Taking a warm shower upon awakening
b. b.
Weight Gain Applying ice packs to the joints
c. c.
Increased Urinary Output Taking two aspirin before going to bed
d. d.
Brassy taste in mouth Going for an early morning walk
Feedback Feedback
The correct answer is: Brassy taste in mouth The correct answer is: Taking a warm shower upon awakening
The nurse is assessing a client with a diagnosis of The nurse is formulating a plan of care for a client with a
hypothyroidism. Which adaptation should the nurse expect goiter. The priority nursing diagnosis for the client with a
this client to exhibit? goiter is:
a. a.
Dry skin Body image disturbance related to enlargement of the neck
"The body's immune defenses fail to respond to the pathogenic
b. agents."
Activity intolerance related to fatigue
b.
c. "Immune defenses are attacking the normal body cells."
Nutrition imbalance, less than body requirements , related to
increased metabolism c.
"There is a break in the body's defenses."
d.
Risk for ineffective airway clearance related to pressure of d.
goiter on the trachea "The physician was able to identify the underlying cause of
Feedback the disorder."
The correct answer is: Risk for ineffective airway clearance Feedback
related to pressure of goiter on the trachea The correct answer is: "Immune defenses are attacking the
Question 72 normal body cells."
The nurse understands that hemiplegia involves: Question text
The Philippines is composed of a majority of young
a. population. An increase of the incidence of communicable
Paresis of both extremities disease is commonly observed among countries with young
population. Communicable disease prevention program is an
b. important function of the public health nurse in improving the
Paralysis of one side of the body quality of life. When providing nursing intervention for
preventing injury when a rabid patient is in convulsion, you
c. tell the family or watcher to:
Paralysis of both lower extremities
a.
d. Call you when patient is in convulsion
Paralysis of both upper and lower extremities
Feedback b.
The correct answer is: Paralysis of one side of the body Give sedatives so patient can sleep
Question 73
IncorrectMark 0 out of 1Not flaggedFlag question c.
Question text Stay with patient all the time
The nurse would recognize that further teaching is need when
a client with glaucoma states, "It would be dangerous for me d.
to: Restraint the patient and ring the bell
Feedback
a. The correct answer is: Restraint the patient and ring the bell
Use any sedatives." Question 77
b. Question text
Become constipated." The physician has ordered a low purine diet for a client with
gout. Which protein source is high in purine?
c.
Lift any heavy objects." a.
Dried beans
d.
Use atropine in any form." b.
Feedback Nuts
The correct answer is: Use any sedatives."
Question 74 c.
CorrectMark 1 out of 1Not flaggedFlag question Cheese
Question text
The occurrence of a particular disease beyond the d.
immunizable population is: Eggs
Feedback
a. The correct answer is: Dried beans
Endemic Question 78
IncorrectMark 0 out of 1Not flaggedFlag question
b. Question text
Epidemic The physician has ordered a lumbar puncture for a client with
suspected Guillain-Barre syndrome. The spinal fluid of a
c. client with Guillian-Barre syndrome typically shows:
Sporadic
a.
d. Decreased protein concentration with a normal cell count
Pandemic
Feedback b.
The correct answer is: Epidemic Increased protein concentration with a normal cell count
Question 75
CorrectMark 1 out of 1Not flaggedFlag question c.
Question text Increased protein concentration with an abnormal cell count
The patient is newly diagnosed with an autoimmune thyroid
disease. When the nurse discusses the patient’s asks, “What d.
did the physician mean by autoimmune disease?” The nurse Decreased protein concentration with an abnormal cell count
appropriately responds: Feedback
The correct answer is: Increased protein concentration with a
a. normal cell count
Question 79
IncorrectMark 0 out of 1Not flaggedFlag question Tina, 3 year old came to the RHU due to unresponsiveness to
Question text antibiotics. She showed her strawberry tongue. Which among
The primary purpose for the insertion of Foley bag catheter to the following syndrome is her diagnosis?
Kendall is to:
a.
a. Nagasaki fever
Prevent bladder distention
b.
b. Typhoid fever
Determine accurate workout of the kidney
c.
c. Kawasaki fever
Obtain urine specimen
d.
d. H-fever
Assure accurate urinary output measurements Feedback
Feedback The correct answer is: Kawasaki fever
The correct answer is: Determine accurate workout of the Question 84
kidney IncorrectMark 0 out of 1Not flaggedFlag question
IncorrectMark 0 out of 1Not flaggedFlag question To gain insight into immunologic disorders the nurse needs a
Question text sound knowledge to assess and care for clients with
The recent incident of SARS is classified as: dysfunction in immune system.
The administration of weak or attenuated microorganisms to
a. stimulate the production of antibodies without causing a full-
Endemic blown disease is referred to as:
b. a.
Pandemic active naturally acquired immunity
c. b.
Epidemic active artificially acquired immunity
d. c.
Sporadic passive natural immunity
Feedback
The correct answer is: Endemic d.
Question 81 passive artificial immunity
CorrectMark 1 out of 1Not flaggedFlag question Feedback
Question text The correct answer is: active artificially acquired immunity
The source of infection in PTB is through which of the Question 85
following? CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. Treatment of leptospirosis is symptomatic but this drug is
Contamination of potable water prescribed at 200mg orally once a week for prevention. What
is the drug of choice?
b.
Direct contact with infected person a.
Doxycycline
c.
Crowded living patterns b.
Rifampicin
d.
Sexual intercourse c.
Feedback Chloramphenicol
The correct answer is: Direct contact with infected person
Question 82 d.
CorrectMark 1 out of 1Not flaggedFlag question Ziduvodin
This is the study of distribution of disease or physiologic The correct answer is: Doxycycline
condition among the population and the factors affecting such Question 86
distribution? CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. What does the nurse understand that clients with myasthenia
Epidemic gravis, Guillain-Barre syndrome, and amyotrophic lateral
sclerosis share in common?
b.
Pandemic a.
Progressive deterioration until death
c.
Epidemiology b.
Deficiencies of essential neurotransmitters
d.
Endemic c.
Feedback Increased risk for respiratory complications
The correct answer is: Epidemiology
Question 83 d.
CorrectMark 1 out of 1Not flaggedFlag question Involuntary twitching of small muscle groups
The correct answer is: Increased risk for respiratory
complications
Question 87 Consequence of optic-retinal atrophy
Question text b.
What is the causative agent of SARS? Degeneration of the choroid and optic chiasm
a. c.
Corona virus Division between the photoreceptor and neural layers of the
retina
b.
Retro virus d.
Separation between the sensory portion of the retina and the
c. pigment layer
Rhabdo virus Feedback
The correct answer is: Separation between the sensory portion
d. of the retina and the pigment layer
Influenza virus Question 92
The correct answer is: Corona virus Question text
Question 88 When caring for a client with primary closed-angle glaucoma,
CorrectMark 1 out of 1Not flaggedFlag question the nurse should understand that the goal of the therapy is:
Question text
What is the first intervention for a client experiencing MI? a.
Dilating the pupil
a.
Administer morphine b.
Resting the eye muscles
b.
Administer oxygen c.
Controlling intraocular pressure
c.
Administer sublingual nitroglycerin d.
Preventing secondary infections
d. Feedback
Obtain an ECG The correct answer is: Controlling intraocular pressure
The correct answer is: Administer oxygen IncorrectMark 0 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question Which assessment data would warrant immediate intervention
Question text for the client diagnosed with septic shock?
What is the mode of transmission of leptospirosis?
a.
a. Vital signs T 100.4°F, P 104, R 26, and BP 102/60.
Open skin contact
b.
b. A white blood cell count of 18,000 mm.
Sexually transmitted
c.
c. A urinary output of 90 mL in the last four (4) hours.
Contaminated food
d.
d. The client complains of being thirsty
Droplet Feedback
Feedback The correct answer is: A white blood cell count of 18,000 mm.
The correct answer is: Open skin contact Question 94
IncorrectMark 0 out of 1Not flaggedFlag question Question text
Question text Which is irrelevant in the pharmacologic management of a
What nursing intervention is anticipated for a client in the client with CVA?
plateau phase of Guillain Barre syndrome?
a.
a. Osmotic diuretics and corticosteroids are given to decrease
Providing a straw to stimulate the facial muscles cerebral edema
b. b.
Inserting an indwelling catheter to monitor urinary output Anticonvulsants are given to prevent seizures
c. c.
Encouraging aerobic exercises to avoid muscle atrophy Thrombolytics are most useful within three hours of an
occlusive CVA
d.
Administering antibiotic medication to prevent pneumonia d.
Feedback Aspirin is used in the acute management of a completed
The correct answer is: Inserting an indwelling catheter to stroke.
monitor urinary output Feedback
Question 91 The correct answer is: Aspirin is used in the acute
CorrectMark 1 out of 1Not flaggedFlag question management of a completed stroke.
When a client with detached retina asks about the condition, CorrectMark 1 out of 1Not flaggedFlag question
the nurse should explain that retinal detachment is a: Question text
a.
Which of the following classes of medications protects the
ischemic myocardium by blocking catecholamines and b.
sympathetic nerve stimulation? BCG vaccination of newborn and in grade 1 school entrants
a. c.
Beta-adrenergic blockers Make available medical lab and x-ray facilities
b. d.
Calcium channel blockers Educate the public in mode of spread and methods of control
Feedback
c. The correct answer is: Provide public health nursing outreach
Narcotics services
Question 100
Nitrates Question text
Feedback Which of the following symptoms is the most likely origin of
The correct answer is: Beta-adrenergic blockers pain the client described as knifelike chest pain that increases
Question 96 in intensity with inspiration?
Question text a.
Which of the following complications is indicated by a third Cardiac
heart sound (S3)?
b.
a. Gastrointestinal
Ventricular dilation
c.
b. Musculoskeletal
Systemic hypertension
d.
c. Pulmonary
Aortic valve malfunction Feedback
The correct answer is: Pulmonary
d.
Increased atrial contractions Test Drills
Feedback Question 1
The correct answer is: Ventricular dilation CorrectMark 1 out of 1Not flaggedFlag question
IncorrectMark 0 out of 1Not flaggedFlag question The shortest interval between malarial attacks is associated
Question text with;
Which of the following is the diagnostic test for H-fever?
a.
a. Plasmodium vivax
Rumple leads test
b.
b. Plasmodium falciparum
Malarial smear
c.
c. Plasmodium ovale
Immunochromatographic test
d.
d. Plasmodium malariae
Nocturnal blood exam Feedback
Feedback The correct answer is: Plasmodium falciparum
The correct answer is: Rumple leads test Question 2
Question text Which of the following statements primary preventive
Which of the following is the most common symptom of measure for PTB?
myocardial infarction (MI)?
a.
a. Educate the public in mode of spread and methods of control
Chest pain
b.
b. BCG vaccination of newborn and in grade 1 school entrants
Dyspnea
c.
c. Make available medical lab and x-ray facilities
Edema
d.
d. Provide public health nursing outreach services
Palpitations Feedback
Feedback The correct answer is: Provide public health nursing outreach
The correct answer is: Chest pain services
Which of the following statements primary preventive Which of the following diseases are caused by bacteria?
measure for PTB? 1.Tuberculosis
2.Leprosy
a. 3.Leptospirosis
Provide public health nursing outreach services 4.Tetanus
DOTS is a comprehensive strategy to detect and cure TB. The
a. primary element of DOTS is?
1,2,4
a.
b. Sputum microscopy services
All
b.
c. Regular drug supply
1,2,3
c.
d. Political will in terms of manpower and funding
1 and 2
Feedback d.
The correct answer is: All Health workers counsel and observes their patients swallow
Question 4 each anti-TB medication and monitor progress until cures
Not answeredMarked out of 1FlaggedRemove flag Feedback
Question text The correct answer is: Health workers counsel and observes
Which of the following diseases are considered notifiable? their patients swallow each anti-TB medication and monitor
1.Syphilis progress until cures
2.Acute poliomyelitis Question 8
3.AIDS IncorrectMark 0 out of 1Not flaggedFlag question
4.Diseases of the heart Question text
5.Malignant neoplasm In which of the following diseases has a carrier state?
1.Hepatitis B
a. 2.Typhoid fever
1,2,3 3.Tuberculosis
4. Diphtheria
b.
1,2 a.
1,2
c.
All b.
2,4
d.
1,2,4 c.
Feedback 1,3
The correct answer is: All
Question 5 d.
CorrectMark 1 out of 1Not flaggedFlag question 3,4
This is the study of distribution of disease or physiologic The correct answer is: 1,2
condition among the population and the factors affecting such Question 9
distribution? CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. Reporting of CD cases to nearest health station is RA:
Epidemic
a.
b. RA 8423
Pandemic
b.
c. RA 2382
Epidemiology
c.
d. RA 3573
Endemic
Feedback d.
The correct answer is: Epidemiology RA 6425
Question 6 Feedback
IncorrectMark 0 out of 1Not flaggedFlag question The correct answer is: RA 3573
The source of infection in PTB is through which of the CorrectMark 1 out of 1Not flaggedFlag question
following? Question text
The most common cause of malaria in the country is;
a.
Contamination of potable water a.
Plasmodium falciparum
b.
Sexual intercourse b.
Plasmodium ovale
c.
Crowded living patterns c.
Plasmodium vivax
d.
Direct contact with infected person d.
Feedback Plasmodium malariae
The correct answer is: Direct contact with infected person Feedback
Question 7 The correct answer is: Plasmodium falciparum
Situation: TB has been declared emergency in 1993 by the Question text
WHO.
Category I of the TB treatment regimen is prescribed to the Be assured that the result of the test will not ne divulged to
following but: anybody
a. b.
Previously treated patient classified as relapse and failure Be given free anti-HIV drugs
b. c.
New pulmonary TB patient sputum positive Should be quarantined
c. d.
Seriously ill patient with form of smear-negative TB with Be protected from scrutiny of people who are not involved in
extensive parenchyma involvement his treatment
Feedback
d. The correct answer is: Be protected from scrutiny of people
Seriously ill patient with form of extra pulmonary TB who are not involved in his treatment
The correct answer is: Seriously ill patient with form of IncorrectMark 0 out of 1Not flaggedFlag question
smear-negative TB with extensive parenchyma involvement Question text
Question 12 In teaching commercial sex workers about AIDS, the pHN
CorrectMark 1 out of 1Not flaggedFlag question should tell them that it can be transmitted through the
Question text following
Malaria can be prevented by the following except: 1.Sharing contaminated needle
2.Transplacentally
a. 3.Sexual contact
Spending leisure time in the forest 4.Breast milk of an infected mother
b. a.
Avoiding outdoor night time activities 1,2,3
c. b.
Use of mosquito repellants 1,3,4
d. c.
Planting of herbal plants which can be mosquito repellants All
Feedback
The correct answer is: Spending leisure time in the forest d.
Question 13 1 and 3
Question text The correct answer is: 1 and 3
Which of the following interventions against malaria is an Question 17
example of primary prevention? CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. In TB control program DOH has specific objectives, one on
Use of chemically treated bednets prevention programs, which is focused on children. Which one
below is this program?
b.
Giving of antimalarial drugs and antipyretics a.
Sputum collection and examination
c.
Hospitalization b.
EPI for BCG vaccine
d.
Serological tests c.
Feedback Maternal and child health nursing
The correct answer is: Use of chemically treated bednets
Question 14 d.
CorrectMark 1 out of 1Not flaggedFlag question Tuberculin skin testing
The following countries where SARS originated includes the The correct answer is: EPI for BCG vaccine
following except: Question 18
a. Question text
Australia The presence of Negri bodies in the brain tissue of the animal
suspected to have the disease confirms the presence of;
b.
Canada a.
Rabies
c.
China b.
Encephalitis
d.
Philippines c.
Feedback Poliomyelitis
The correct answer is: Philippines
Question 15 d.
IncorrectMark 0 out of 1Not flaggedFlag question Leprosy
Testing for HIV should respect the rights of the one being The correct answer is: Rabies
tested. This means that he should; Question 19
a. Question text
Tina, 3 year old came to the RHU due to unresponsiveness to CorrectMark 1 out of 1Not flaggedFlag question
antibiotics. She showed her strawberry tongue. Which among Question text
the following syndrome is her diagnosis? Poliovirus can be transmitted thru;
a. a.
H-fever Saliva of an infected person
b. b.
Typhoid fever Food contaminated with toxin
c. c.
Nagasaki fever Infected oropharyngeal infections
d. d.
Kawasaki fever Direct contact with contaminated blood
Feedback Feedback
The correct answer is: Kawasaki fever The correct answer is: Infected oropharyngeal infections
What is the causative agent of SARS? Doing a Western blot test or an immunofluorescence assay:
a. a.
Corona virus Is done on those who tested negative in ELISA test.
b. b.
Influenza virus Is an initial screening test
c. c.
Retro virus Can be done at the RHUís
d. d.
Rhabdo virus Is a confirmatory test
Feedback Feedback
The correct answer is: Corona virus The correct answer is: Is a confirmatory test
The PHN is preparing a session with a group of farmers on The following are epidemiological triad except for:
how to prevent leptospirosis. In her discussion, she should
emphasize that; a.
1.They can get the disease from the urine of infected animals Agent
2.They can get it by wading in contaminated waters
3.The leptospires can survive outside the human body for b.
weeks People
4.The first signs and symptoms include fever and headache
c.
a. Environment
1,2,3
d.
b. Host
1,2,4 Feedback
The correct answer is: People
c. Question 26
1,2 CorrectMark 1 out of 1Not flaggedFlag question
Question text
d. Which of the following organism produce toxins?
All
Feedback a.
The correct answer is: All Poliovirus
Question 22
CorrectMark 1 out of 1Not flaggedFlag question b.
Question text Clostridium tetani
A patient in the community is admitted to the emergency
hospital with a diagnosis of hepatitis B. The patient should be c.
placed on which of these types of precautions? Neisseria gonorrhea
a. d.
Droplet Rubella virus
Feedback
b. The correct answer is: Clostridium tetani
Standard Question 27
c. Question text
Contact The respiratory tract is the portal of entry in the following
diseases:
d. 1.Tuberculosis
Airborne 2.Diphtheria
Feedback 3. Pertussis
The correct answer is: Standard 4. Influenza
Question 23
a. IV fluids
1,2,3
c.
b. Saline solution
1 and 4
d.
c. Oresol
All Feedback
The correct answer is: Oresol
d. Question 32
1,2,4 IncorrectMark 0 out of 1Not flaggedFlag question
The correct answer is: All AMeasles is a potential major health problem in the
Question 28 evacuation center. Why is this so?
CorrectMark 1 out of 1Not flaggedFlag question 1.It is a highly communicable disease
Question text 2.It is communicable even before rashes appear
TB ranks fifth in the leading cause of morbidity and mortality 3.It is easily acquired by malnourished children
recognizes that the most hazardous form for development of 4.It is vaccine preventable
critical diseases is:
a.
a. All
2 Ω years
b.
b. 1,2
1 year
c.
c. 1,3,4
3 months
d.
d. 1,2,3
6-12 months Feedback
Feedback The correct answer is: 1,2,3
The correct answer is: 6-12 months Question 33
Question text The avian flu is caused by a;
Treatment of leptospirosis is symptomatic but this drug is
prescribed at 200mg orally once a week for prevention. What a.
is the drug of choice? Virus
a. b.
Ziduvodin Protozoa
b. c.
Rifampicin Fungus
c. d.
Chloramphenicol Bacteria
Feedback
d. The correct answer is: Virus
Doxycycline Question 34
The correct answer is: Doxycycline Question text
Question 30 The occurrence of a particular disease beyond the
CorrectMark 1 out of 1Not flaggedFlag question immunizable population is:
Question text
What is the mode of transmission of leptospirosis? a.
Pandemic
a.
Droplet b.
Epidemic
b.
Open skin contact c.
Endemic
c.
Sexually transmitted d.
Sporadic
d. Feedback
Contaminated food The correct answer is: Epidemic
The correct answer is: Open skin contact IncorrectMark 0 out of 1Not flaggedFlag question
IncorrectMark 0 out of 1Not flaggedFlag question When leaving the room of a patient in strict isolation, the
Question text nurse should remove which protective equipment first?
In a patient with dengue fever, which f the following will you
give the patient as part of the nursing intervention? a.
Mask
a.
Water and salt solution b.
Gown
b.
c. Feedback
Gloves The correct answer is: Katayama fever
Question 40
Cap Question text
Feedback Incubation period of SARS
The correct answer is: Gloves
Question 36 a.
IncorrectMark 0 out of 1Not flaggedFlag question 1-10 days
Question text
The recent incident of SARS is classified as: b.
5-11 days
a.
Endemic c.
1-5 days
b.
Sporadic d.
2-8 days
c. Feedback
Pandemic The correct answer is: 2-8 days
Question 41
Epidemic Question text
Feedback Schistosomiasis is found in many provinces of the country
The correct answer is: Endemic such as sorsogon, samar, leyte and bohol. Which of the
Question 37 following statements on shistosomiasis is true?
CorrectMark 1 out of 1Not flaggedFlag question 1.Schistosomiasis is of epidemic proportion in these areas.
Question text 2.Diagnosis is done through stool exam
Which of the following demographic indicators can be used in 3.The disease could be prevented through environmental
analyzing the transmission of infectious diseases in a sanitation
household? 4.The most important role of PHNs in the prevention and
control is screening.
a.
Dependency ratio a.
1 and 2
b.
Population density b.
2 and 3
c.
Crowding index c.
1 and 3
d.
Age and sex distribution d.
Feedback 3 and 4
The correct answer is: Crowding index Feedback
Question 38 The correct answer is: 2 and 3
IncorrectMark 0 out of 1Not flaggedFlag question Question 42
The presence of a carrier state makes a disease difficult to Question text
control. A stool exam should be done on those who had this Which of the following are necessary when taking care of a
problem: patient with hepatitis B?
I.Gown
a. II.Mask
Red tide poisoning III. Gloves
IV. Private room
b.
Hepatitis A a.
I, III, IV
c.
All of the above b.
I, II, III
d.
Bacillary dysentery c.
Feedback I, III
The correct answer is: Bacillary dysentery
Question 39 d.
CorrectMark 1 out of 1Not flaggedFlag question II, III
The classical signs of leprosy except: The correct answer is: I, II, III
Question 43
a. CorrectMark 1 out of 1Not flaggedFlag question
Katayama fever Question text
Jabog was bitten by a dog. You interviewed Jabog and his
b. father to take the history before seeing a doctor. You told
Chronic ulcer Jabogís father not to kill the dog because the dog will be:
c. a.
Lagopthalmus Given a vaccine
d. b.
Madarosis Confined
Aspirin
c.
Be examined c.
Penicillin
d.
Observed for 10 days d.
Feedback Allopurinol
The correct answer is: Observed for 10 days Feedback
Question 44 The correct answer is: Penicillin
Question text IncorrectMark 0 out of 1FlaggedRemove flag
Which of the following could be transmitted through a Question text
vehicle? In the critical stage of anthrax, what is the most appropriate
nursing intervention?
a.
Malaria a.
Use respiratory precautions
b.
Measles b.
Infuse IV fluids
c.
Hepatitis b c.
Institute isolation technique
d.
Tuberculosis d.
Feedback Bring the patients to the hospital
The correct answer is: Hepatitis b Feedback
Question 45 The correct answer is: Institute isolation technique
Question text CorrectMark 1 out of 1Not flaggedFlag question
Situation: The Philippines is composed of a majority of young Question text
population. An increase of the incidence of communicable Which of the following is the diagnostic test for H-fever?
disease is commonly observed among countries with young
population. Communicable disease prevention program is an In doing a tourniquet test, how would petechiae be considered
important function of the public health nurse in improving the positive
quality of life. {
When providing nursing intervention for preventing injury ~10
when a rabid patient is in convulsion, you tell the family or =20
watcher to: ~30
~5
a. }
Restraint the patient and ring the bell
a.
b. Rumple leads test
Call you when patient is in convulsion
b.
c. Immunochromatographic test
Give sedatives so patient can sleep
c.
d. Nocturnal blood exam
Stay with patient all the time
Feedback d.
The correct answer is: Stay with patient all the time Malarial smear
IncorrectMark 0 out of 1Not flaggedFlag question The correct answer is: Nocturnal blood exam
Which of the following is a good example of specific IncorrectMark 0 out of 1Not flaggedFlag question
protection in CD prevention? Question text
Leprosy has been a public health problem in the Philippines.
a. The following are early signs and symptoms except:
Marriage counseling 1. Change of skin color
2. Loss of sensation on skin lesion
b. 3. Loss of eyebrow
Health education 4. Ulcers that do not heal
c. a.
Personal hygiene 3
d. b.
BCG immunization 4
Feedback
The correct answer is: BCG immunization c.
Question 47 1, 2
Question text d.
The drug of choice or the treatment of Anthrax is: 2, 4
Feedback
a. The correct answer is: 3
Dilantin
Test Drills on Acute Biologic Crisis
b. Question 1
CorrectMark 1.00 out of 1.00Not flaggedFlag question The correct answer is: will plan to have dinner with one or two
Question text friends weekly
John suddenly experiences a seizure, and Nurse Gina notice Question 5
that John exhibits uncontrollable jerking movements. Nurse IncorrectMark 0.00 out of 1.00Not flaggedFlag question
Gina documents that John experienced which type of seizure? Question text
A client is scheduled for a Neurologic Exam. Which of the
a. following would Nurse Kk need to assess the function of
Clonic seizure Cranial Nerve V?
b. a.
Absence seizure various scent, such as coffee and vanilla
c. b.
Myoclonic seizure measuring tape and pencil
d. c.
Tonic seizure cotton ball and safety pin
Feedback
The correct answer is: Myoclonic seizure d.
Question 2 stethoscope with bell and diaphragm
CorrectMark 1.00 out of 1.00Not flaggedFlag question Feedback
Question text The correct answer is: cotton ball and safety pin
The elevation of the upper lid of the eye is controlled by Information
which of the following Cranial Nerve? Not flaggedFlag question
Information text
a. SITUATION: Nurse Lala is caring for a client Mrs.
Cranial Nerve VII Luzviminda who has been complaining of ascending weakness
and numbness and Mrs. Dabawenya who is recently diagnosed
b. of Multiple Sclerosis. The physician is evaluating Mrs.
Cranial Nerve II Luzviminda for possible Guillain-Barre syndrome. After
several tests have been instituted, Mrs. Luzviminda is
c. diagnosed of GBS.
Cranial Nerve V Question 6
CorrectMark 1.00 out of 1.00Not flaggedFlag question
d. Question text
Cranial Nerve III A client with vertigo will most likely reflect a problem in
Feedback which of the following Cranial Nerve?
The correct answer is: Cranial Nerve III
Question 3 a.
CorrectMark 1.00 out of 1.00Not flaggedFlag question Cranial Nerve X
Question text
A 68-year-old client is diagnosed with a Right-Sided Brain b.
Attack and is admitted to the hospital. In caring for this client, Cranial Nerve VII
the nurse should plan to provide which of the following?
c.
a. Cranial Nerve XII
Do passive range of motion exercise
d.
b. Cranial Nerve VIII
Use a bed cradle to prevent dorsiflexion of feet Feedback
The correct answer is: Cranial Nerve VIII
c. Question 7
Use hand roll and extend the left upper extremity on a pillow CorrectMark 1.00 out of 1.00Not flaggedFlag question
to prevent contractions Question text
Which of the following Cranial Nerve innervates the superior
d. oblique muscle of the eye?
Application of elastic stockings to prevent flaccid by muscle
Feedback a.
The correct answer is: Use hand roll and extend the left upper Oculomotor nerve
extremity on a pillow to prevent contractions
Question 4 b.
IncorrectMark 0.00 out of 1.00Not flaggedFlag question Trochlear nerve
Question text
Nurse P caring for a client with severe hearing deficit c.
identifies which of the following as an appropriate goal Facial nerve
towards improving client’s social interaction?
d.
a. Abducens nerve
will engage in activities such as card tournaments and dancing Feedback
The correct answer is: Trochlear nerve
b. Question 8
will plan to have dinner with one or two friends weekly IncorrectMark 0.00 out of 1.00Not flaggedFlag question
Question text
c. Mrs. Dabawenya has two children, one of whom is an active
will attend religious services of choice toddler. The client currently is in remission. At the present
time, it is most important Nurse Lala to encourage the client
d. to:
will participate in senior center communal lunches at least
twice per week a.
Feedback develop a flexible schedule for completion of routine daily
activities
a.
b. ingestion of more fruits and vegetables
provide support to other people with multiple sclerosis
b.
c. a stressful week at work
meet with a self-help group for people with the diagnosis of
multiple sclerosis c.
inability to sleep well
d.
schedule periodic quality time with her child d.
Feedback a recent bout of the flu
The correct answer is: schedule periodic quality time with her Feedback
child The correct answer is: ingestion of more fruits and vegetables
IncorrectMark 0.00 out of 1.00Not flaggedFlag question CorrectMark 1.00 out of 1.00Not flaggedFlag question
A client came to the hospital experiencing the following When assessing a client, Nurse Kk notes absence of red reflex
flexion of the arms, clenching of list, and extension of legs. in the client's right eyes. On questioning the client responds,
Which of the following type of posture is being demonstrated? "Oh, yes. My doctor told me I have cataracts. When do you
think I should have them removed?" How should Nurse Ken
a. respond?
Flaccidity
a.
b. "are you starting to experience pain in your right eye or
none of the above frequent headache?"
c. b.
decerebrate "are you having difficulty reading, or doing activities you
enjoy?"
d.
decorticate c.
Feedback "cataracts are removed anytime that is convenient for you"
The correct answer is: decorticate
Question 10 d.
CorrectMark 1.00 out of 1.00Not flaggedFlag question "it appears that the right eye is due for surgery"
The nurse is aware that Anicusuria can be developed as a The correct answer is: "are you having difficulty reading, or
result of possible compression of which of the following doing activities you enjoy?"
Cranial Nerve? Question 14
IncorrectMark 0.00 out of 1.00Not flaggedFlag question
a. Question text
Cranial Nerve I Which of the following manifestation is consistently assessed
by Nurse Kk in client with Generalized Seizures?
b.
Cranial Nerve III a.
loss of consciousness
c.
Cranial Nerve X b.
clinics movement
d.
Cranial Nerve VII c.
Feedback repetitive non-purposeful activity
The correct answer is: Cranial Nerve III
Question 11 d.
CorrectMark 1.00 out of 1.00Not flaggedFlag question tonic movement
Nurse Kk is administering an Anti-epileptic drug to a newly The correct answer is: repetitive non-purposeful activity
diagnosed seizure client. the client say, "will this cure my Question 15
convulsion?" what would Nurse Kk say? IncorrectMark 0.00 out of 1.00Not flaggedFlag question
Question text
a. Nurse Kk is monitoring the Neurologic Status of a client in a
no, but it will help decrease the aura you experience coma. Which of the following commands is the most accurate
in identifying changes in mental status?
b.
no, but it could relieve your headache a.
"tell me your name"
c.
no, not for the first year b.
"look at this light when I shine in your eyes"
d.
no, but it will reduce or control them c.
Feedback "are you having trouble breathing"
The correct answer is: no, but it will reduce or control them
Question 12 d.
IncorrectMark 0.00 out of 1.00Not flaggedFlag question "squeeze my hand"
Nurse Lala is assessing Mrs. Dabawenya for possible The correct answer is: "tell me your name"
precipitating risk factors of the recent exacerbation. Which of Question 16
the following factors, if stated by Mrs. Dabawenya, would CorrectMark 1.00 out of 1.00Not flaggedFlag question
Nurse Lala assess as being unrelated to the exacerbation? Question text
Which of the following Cranial Nerve innervates the lateral the airway will be free from oral or gastric secretions
rectus muscle of the eye? Feedback
The correct answer is: the airway will be free from oral or
a. gastric secretions
Oculomotor nerve Question 20
b. Question text
Trochlear nerve When teaching the client diagnosed with Myasthenia Gravis
about Anti-cholinesterase medications, which of the following
c. would be most important for the nurse to include?
Facial nerve
a.
d. instructions to avoid exposure to sunlight
Abducens nerve
Feedback b.
The correct answer is: Abducens nerve instructions to take medication 30 minutes before eating meals
Question 17
CorrectMark 1.00 out of 1.00Not flaggedFlag question c.
Question text discussion of importance of tapering dose when discontinuing
Which of the following is considered the longest Cranial this medication
Nerve?
d.
a. explanation that atropine is used to determine a Myasthenic or
Cranial Nerve II Cholinergic crisis
Feedback
b. The correct answer is: instructions to take medication 30
Cranial Nerve X minutes before eating meals
Question 21
c. IncorrectMark 0.00 out of 1.00Not flaggedFlag question
Cranial Nerve VI Question text
A client with a Right Cerebrovascular Accident consistently
d. ask for when served meal trays. On further investigation, it is
Cranial Nerve VII noted that the client does not eat food on the left side of the
Feedback tray. Nurse Kk identifies the problem and initiates which of
The correct answer is: Cranial Nerve X the following interventions to help the client learn to
Question 18 compensate for the visual deficit?
Question text a.
A client with suspected Myasthenia Gravis is to undergo provide for increased self-care by placing food and utensils in
Tensilon test. Tensilon (Endrophonium) is used to diagnose, the side of the tray
but not treat, this disease. This is so because of which of the
following? b.
encourage the client to use the left hand when feeding self
a.
immunosuppression may occur with repeated use c.
provide for increased self-care by placing food and utensil on
b. the right side of the tray
the short half-life of the drug makes it impractical for long
term use d.
encourage the client to use the right hand when feeding self
c. Feedback
it isn’t available in oral form The correct answer is: provide for increased self-care by
placing food and utensil on the right side of the tray
d. Question 22
dry mouth and abdominal cramps may be intolerable adverse IncorrectMark 0.00 out of 1.00Not flaggedFlag question
effects Question text
Feedback The nurse knows that the anterior 2/3 of the tongue is
The correct answer is: the short half-life of the drug makes it innervated by which of the following Cranial Nerve?
impractical for long term use
Question 19 a.
CorrectMark 1.00 out of 1.00Not flaggedFlag question Cranial Nerve IX
Question text
The client is experiencing Neurologic Infectious isorder with b.
the following vital signs: T=38.6°C; BP=130/90; RR=32; Cranial Nerve VIII
PR=98; SpQ₂75%. He is experiencing headache. He is
restless, irritable, nauseous and vomiting, difficulty c.
swallowing without seizures. What will Nurse Kk prioritize in Cranial Nerve VII
planning for client care?
d.
a. Cranial Nerve XII
client’s discomfort will be relieved or reduced to a tolerable Feedback
level within 30 minutes of nursing measures The correct answer is: Cranial Nerve VII
Question 23
b. IncorrectMark 0.00 out of 1.00Not flaggedFlag question
breathing will be sufficient to maintain the blood oxygen Question text
saturation above 90% Diplopia can be developed due to affectation of which of the
following Cranial Nerve?
c.
body temperature will be controlled at 38.8°C below a.
Cranial Nerve IV
d.
b. Feedback
Cranial Nerve VI The correct answer is: Systolic blood pressure less than 90mm
Hg
c. Question 2
Cranial Nerve III IncorrectMark 0.00 out of 1.00Not flaggedFlag question
Question text
d. A client is being instructed on the use of elastic stockings. The
Cranial Nerve V nurse should teach the client that the stockings should be in
Feedback which of the following?
The correct answer is: Cranial Nerve VI
Question 24 a.
IncorrectMark 0.00 out of 1.00Not flaggedFlag question Alternately kept on 2 hours and off 2 hours
Question text
A condition like Nystagmus may occurs when there is a b.
possible compression of which of the following Cranial Put on before getting out of bed in the morning
Nerve?
c.
a. Worn only at night when activity is lessened
Trocheal nerve
d.
b. Left in place until the physician advises otherwise
Oculomotor nerve Feedback
The correct answer is: Put on before getting out of bed in the
c. morning
Optic nerve Question 3
d. Question text
Facial nerve A nursing student is giving instructions to a client about to
Feedback wear Anti-embolic stockings. Which of the following
The correct answer is: Trocheal nerve teachings made by the student nurse is considered correct?
Question 25
IncorrectMark 0.00 out of 1.00Not flaggedFlag question a.
Question text "Before getting out of bed in the morning, you should put on
Stimulation of the vagus nerve causes which of the following? the stockings."
a. b.
decreased HCl secretion from parietal cells of the stomach "You should remove the stocking every four hours for 30
minutes."
b.
increase in systolic blood pressure c.
"Wear the stockings until the physician tells you to remove
c. them."
increase in catecholamine secretion from the thyroid gland
d.
d. "Even when you sleep, you should wear your stockings."
decrease in heart rate Feedback
Feedback The correct answer is: "Even when you sleep, you should wear
The correct answer is: decrease in heart rate your stockings."
Question 4
Test Drills on Cellular Aberrations CorrectMark 1.00 out of 1.00Not flaggedFlag question
Information Question text
Not flaggedFlag question A patient was admitted because of Severe complications
Information text related to Steven-Johnson Syndrome. The patient has red
SITUATION: A 68-year-old male client is admitted after a purplish lesions on the face, torso, and mucous membrane.
motor vehicle crash. He has increasing intracranial pressure Nurse Jewel recognized that which of the following is
from a suspected closed head injury. He is admitted to the ICU CORRECT about Steven-Johnson Syndrome?
for a ventriculostomy.
Information a.
Not flaggedFlag question Viral infection
Information text
SITUATION: Nurse Terry is assigned to take care for client b.
with different vascular diseases. Having the basic knowledge Skin malignancy
about these diseases is important to provide quality care and
prevent further damage or complications. c.
Question 1 Bacterial infection
Question text d.
A client has 15% blood loss. Which of the following nursing Hypersensitivity reactions
assessment findings indicates Hypovolemic Shock? Feedback
The correct answer is: Hypersensitivity reactions
a. Question 5
Pupils unequally dilated IncorrectMark 0.00 out of 1.00Not flaggedFlag question
Question text
b. A synchronized cardioversion was prescribed for Rosania
Respiratory rate of 4 breath/min because regular sinus rhythm was not restored. Which of the
following is the CORRECT description of synchronized
c. cardioversion?
Pulse rate less than 60bpm
a.
d. Countershock without regard to the heart rhythm
Systolic blood pressure less than 90mm Hg
b. Question 9
Pulse generator is used to provide electrical stimulus to the IncorrectMark 0.00 out of 1.00Not flaggedFlag question
heart Question text
Nurse Terry is caring for client H who is diagnosed with
c. Acute Arterial Occlusion of the left extremity. Which of the
Delivers direct current taking into consideration cardiac cycle following is an important for nurse Terry to observe to prevent
further tissue damage?
d.
Delivers a pacing stimulus at rate regardless of cardiac activity a.
Feedback Swelling in the lower extremity
The correct answer is: Delivers direct current taking into
consideration cardiac cycle b.
Question 6 Blood pressure and heart rate changes
Question text c.
For clients with Diabetic Ketoacidosis, their body compensate Gradual or acute loss of sensory and motor function
for the acidosis in many ways. When caring for these clients,
which of the following manifestations will you anticipate to d.
observe? Metabolic acidosis
1.Nausea and vomiting Feedback
2.Oliguria The correct answer is: Gradual or acute loss of sensory and
3.Kussmaul breathing motor function
4.Polyuria Question 10
a. Question text
1 and 2 On auscultation, which of the following will the nurse expect
as indicative of Mitral Stenosis?
b.
3 and 4 a.
Crescendo-decrescendo systolic murmur.
c.
All of the above b.
Murmur is high pitched and holosystolic
d.
1,3 and 4 c.
Feedback Blowing high pitched diastolic murmur
The correct answer is: 1,3 and 4
Question 7 d.
CorrectMark 1.00 out of 1.00Not flaggedFlag question Low pitched, rumbling murmur occurring during diastole
Nurse Jewel is a newly hired ICU nurse at SPMC. During her The correct answer is: Low pitched, rumbling murmur
assessment, she observed that a liver biopsy which was occurring during diastole
scheduled for a patient was postponed. When she reviewed the Question 11
CBC and Prothrombin time results of the patient. Which of the CorrectMark 1.00 out of 1.00Not flaggedFlag question
following did she identify as the probable cause of the Question text
postponement of the liver biopsy? Related literature claims that carotid massage is indicated for
Supraventricular Tachycardia. The nurse recognizes that such
a. intervention may terminate SVT through stimulation of which
Prothrombin time – 15 seconds of the following cranial nerves?
b. a.
Platelet count – 100,000/ mm3 Cranial nerve IX
c. b.
Hematocrit 39% Cranial nerve X
d. c.
Hemoglobin – 12 gm/dL Cranial nerve XI
Feedback
The correct answer is: Platelet count – 100,000/ mm3 d.
Question 8 Cranial nerve XII
IncorrectMark 0.00 out of 1.00Not flaggedFlag question Feedback
Question text The correct answer is: Cranial nerve X
Nurse Marsha observed the following Arterial Blood Gases Question 12
results in one of the patient’s records: pH-7.46; PaO2- 97 IncorrectMark 0.00 out of 1.00Not flaggedFlag question
mmHg; PaCO2- 40 mmHg and HCO3 -30 mEq/L. Which of Question text
the following is the interpretation of these results? Sheijan, 30 years old, was brought to the Emergency
Department (ED) with nausea, confusion, dehydration and
a. oliguria. Her mother informs you that Sheijan has been
Metabolic Alkalosis depressed after losing her job as bank executive. An empty
bottle of aspirin was found in her bathroom sink. Her
b. laboratory values revealed the following: pH= 7.35, PaCO2=
Metabolic Acidosis 16 mmHg, PaO2= 130 mmHg, and HCO3= 15 mEq/L. Which
of the following is the CORRECT acid-base interpretation of
c. her ABG?
Respiratory Acidosis
a.
d. Partially compensated metabolic acidosis
Respiratory Alkalosis
Feedback b.
The correct answer is: Metabolic Alkalosis Compensated metabolic acidosis
Question 16
c. CorrectMark 1.00 out of 1.00Not flaggedFlag question
Partially compensated respiratory acidosis Question text
The nurse teaches a client being discharged. A home
d. medication of Ferrous Sulfate is given. You will teach the
Uncompensated metabolic acidosis client to take this medication in which of the following?
Feedback
The correct answer is: Compensated metabolic acidosis a.
Question 13 After meals, with citrus juice
Question text b.
Situation – Nurse Marsha is a newly ICU nurse orientee who With meals, with water
was given the task to go over the client’s records. From the
records, she is expected to obtain learning experiences. c.
From the record of a client whose pulmonary artery pressure is Before meals, with milk
being monitored through a pulmonary artery catheter, she
encountered a report regarding right atrial pressure. Which of d.
the following is an appropriate interpretation of right atrial Between meals, with tea
pressure? Feedback
The correct answer is: After meals, with citrus juice
a. Question 17
Reflects atrial filling from superior vena cava IncorrectMark 0.00 out of 1.00Not flaggedFlag question
Question text
b. The parent of the child with suspected Leukemia asks the
Pressure in the atrium during right ventricular filling nurse why a bone marrow biopsy must be performed. The
nurse’s best reply would be which of the following?
c.
Indirectly reflects ventricular contraction a.
"It is the only way to confirm the diagnosis of leukemia."
d.
Right ventricular end-systolic pressure b.
Feedback "To compare biopsy cells with cells in blood to help identify
The correct answer is: Reflects atrial filling from superior the source of the of the leukemia."
vena cava
Question 14 c.
IncorrectMark 0.00 out of 1.00Not flaggedFlag question "To draw blood for typing and cross-matching should your
Question text child needs transfusion."
Situation – Rosania a 50-year-old single woman, was admitted
to the cardiac unit because of dyspnea, accompanied by d.
palpitations and dizziness. Health history and diagnostic tests "To help identify HLA compatible bone marrow transplant
reveal Rheumatic Heart Disease and Mitral Stenosis. donor."
Electrocardiogram result showed that the patient has Feedback
Supraventricular Tachycardia (SVT). Which of the following The correct answer is: "It is the only way to confirm the
nursing diagnoses if of HIGHEST priority for the client? diagnosis of leukemia."
Question 18
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Ineffective breathing pattern Question text
The primary nursing intervention in therapeutic management
b. of shock is which of the following?
Altered tissue perfusion
a.
c. Administering sodium bicarbonate
Decreased cardiac output
b.
d. Initiating ventilator management
Risk for injury
Feedback c.
The correct answer is: Decreased cardiac output Initiating IV therapy
Question 15
IncorrectMark 0.00 out of 1.00Not flaggedFlag question d.
Question text Administering cortisone
The client is taken to surgery for a ventriculostomy. His wife Feedback
is afraid and asks the nurse what is going to happen in surgery. The correct answer is: Initiating IV therapy
Which of the following statement should the nurse respond? Question 19
a. Question text
"Don't worry. Everything's fine." To prevent Hemorrhage, the nurse includes which of the
following interventions in the care plan of a client with
b. Aplastic Anemia?
"You seem afraid for your husband."
a.
c. Provide meticulous hygiene
"This procedure is done to accurately monitor your husband’s
intracranial pressure." b.
Avoid fatigue producing activities
d.
"The doctor will administer a medication to relax your c.
husband so he would feel no pain." Apply pressure to arterial punctures for 5 minutes
Feedback
The correct answer is: "This procedure is done to accurately d.
monitor your husband’s intracranial pressure." Avoid invasive procedures
The correct answer is: Avoid invasive procedures IncorrectMark 0.00 out of 1.00Not flaggedFlag question
CorrectMark 1.00 out of 1.00Not flaggedFlag question Which of the following client behaviours does not suggest an
Question text increase in ICP?
When assessing an individual with Peripheral Vascular
Disease. Which of the following manifestation would indicate a.
a Complete Arterial Obstruction in the lower leg? Shallow breaths followed by a period of apnea then deep
breaths
a.
Coldness of the left foot and ankle b.
Glasgow coma scale score of 3
b.
Aching pain in the left calf c.
Blood pressure 168/58 mm Hg, heart rate 48/min
c.
Numbness and tingling in the left leg d.
DTR 2+ BL lower extremities
d. Feedback
Burning pain in the left calf The correct answer is: DTR 2+ BL lower extremities
The correct answer is: Coldness of the left foot and ankle CorrectMark 1.00 out of 1.00Not flaggedFlag question
IncorrectMark 0.00 out of 1.00Not flaggedFlag question Which of the following factors has increased the client’s risk
Question text of developing Buerger's disease?
Which nursing action would be most effective in preventing
venous stasis in the immobilized client? a.
Age and gender
a.
Assist the client to walk as soon as and often as possible b.
History of cigarette smoking
b.
Raise the foot of the bed for 1 hour, then lower it down c.
Occupational exposure to radiation
c.
Vigorous massage of the lower extremities every 6 hours d.
History of hypertension
d. Feedback
Active range of motion of the upper body The correct answer is: History of cigarette smoking
The correct answer is: Active range of motion of the upper CorrectMark 1.00 out of 1.00Not flaggedFlag question
body Question text
Question 22 Which of the following is the appropriate nursing action for a
CorrectMark 1.00 out of 1.00Not flaggedFlag question child with Increased Intracranial Pressure?
Question text
Which nursing interventions should be included in this client’s a.
plan of care to decrease chances of this complication Head of bed elevated 45 degrees with child’s head maintained
occurring? in a neutral position
a. b.
Utilize clean technique. Frequent visitation for stimulation
b. c.
Limit monitoring to 10 to 15 days. Child lying flat
c. d.
Irrigate the system as often as possible. Head turned to side
Feedback
d. The correct answer is: Head of bed elevated 45 degrees with
Keep drainage systems closed. child’s head maintained in a neutral position
The correct answer is: Keep drainage systems closed. CorrectMark 1.00 out of 1.00Not flaggedFlag question
IncorrectMark 0.00 out of 1.00Not flaggedFlag question Which of the following statements should the nurse teach the
Question text Neutropenic client and his family to avoid?
Which of the following “at-risk” nursing diagnosis has a
priority for this client when he returns from surgery? a.
Performing perineal hygiene after each bowel movement
a.
Risk for injury b.
Using a filter mask
b.
Risk for fluid volume excess c.
Using suppositories or enemas
c.
Risk for fluid volume deficit d.
Performing oral hygiene after every meal
d. Feedback
Risk for infection The correct answer is: Using suppositories or enemas
The correct answer is: Risk for infection CorrectMark 1.00 out of 1.00Not flaggedFlag question
Question text Use hand roll and extend the left upper extremity on a pillow
Which of the following symbols are used to document arterial to prevent contractions
oxygen saturation as measured by a pulse oximeter?
d.
a. Use a bed cradle to prevent dorsiflexion of feet
SO2 Feedback
The correct answer is: Use hand roll and extend the left upper
b. extremity on a pillow to prevent contractions
pO2 Question 2
c. Question text
SpO2 A nursing history of a client with Cataract would most likely
include the client has which of the following?
d.
PaO2 a.
Feedback Eye pain
The correct answer is: SpO2
Question 29 b.
CorrectMark 1.00 out of 1.00Not flaggedFlag question Blurred vision
Question text
Which of these observations of a client who has Nutritional c.
Anemia would the nurse most likely expected to see? Eye redness
a. d.
The client is moderately underweight Floaters
Feedback
b. The correct answer is: Blurred vision
The client’s oral mucosa is pale Question 3
c. Question text
The client’s skin is dry and scaly Appropriate actions for a patient experiencing a tonic-clonic
seizure would include which of the following?
d.
The client appears nervous and irritable a.
Feedback Elevating the head
The correct answer is: The client’s oral mucosa is pale
Question 30 b.
CorrectMark 1.00 out of 1.00Not flaggedFlag question Placing a tongue blank between the teeth
Question text
While convalescing from abdominal surgery a client develops c.
Thrombophlebitis. The sign that would indicate this Protecting the head and extremities from hitting object
complication to the nurse would be which of the following?
d.
a. Restraining the arms and legs
Pitting edema of the lower extremities Feedback
The correct answer is: Protecting the head and extremities
b. from hitting object
Intermittent claudication Question 4
c. Question text
Localized warmth and tenderness of the leg As you assess the client physically, you know that a sign of
Tension Pneumothorax is which of the following?
d.
Severe pain on extension of an extremity a.
Feedback Gurgling respiration
The correct answer is: Localized warmth and tenderness of the
leg b.
Neck vein distension
Test Drills on Emergency Disaster
Information c.
Not flaggedFlag question Rise and fall water in chamber
Information text
SITUATION - Shock is a life-threatening condition with a d.
variety of underlying causes. Nurses caring for clients with Increased BP
shock and for those at risk for shock must understand the Feedback
underlying mechanisms of shock and recognize its subtle as The correct answer is: Neck vein distension
well as more obvious signs. Question 5
Question 1 IncorrectMark 0.00 out of 1.00Not flaggedFlag question
CorrectMark 1.00 out of 1.00Not flaggedFlag question Question text
Question text In Cardiogenic Shock, decreased contractility leads to all of
A 68-year-old client is diagnosed with a right-sided brain the following compensatory responses, EXCEPT:
attack and is admitted to the hospital. In caring for this client,
the nurse should plan to have which of the following? a.
Pulmonary congestion
a.
Do passive range of motion exercise b.
Increased stroke volume
b.
Application of elastic stockings to prevent flaccid by muscle c.
Decreased stroke volume
c.
d. decreased capillary permeability and localized edema
Decreased tissue perfusion Feedback
Feedback The correct answer is: increased blood urea nitrogen and
The correct answer is: Increased stroke volume serum creatinine
CorrectMark 1.00 out of 1.00Not flaggedFlag question CorrectMark 1.00 out of 1.00Not flaggedFlag question
Kennard was immediately operated. After surgery which of Physiologic responses to all types of Shock include all of the
the following would be most helpful in maintaining Kennard’s following, EXCEPT:
airway while he is still unconscious at the PACU?
a.
a. Increased intravascular volume
Raising his arm over his head
b.
b. Hypermetabolism
Placing a pillow under his shoulder
c.
c. Hypoperfusion of tissues
Elevating the foot of the bed frame
d.
d. Activation of inflammatory responses
Pulling his lower jaw down an up Feedback
Feedback The correct answer is: Increased intravascular volume
The correct answer is: Placing a pillow under his shoulder Question 11
Question 7 CorrectMark 1.00 out of 1.00Not flaggedFlag question
IncorrectMark 0.00 out of 1.00Not flaggedFlag question Question text
Question text Situation: Administering basic life support or CPR is a
Kennard’s physical assessment on admission would most necessary skill for the nurse which is essential during
likely reveal which of the following? emergency situations.
The nurse on the day shift walk’s into the client’s room finds
a. the client unresponsive. The client is not breathing and does
Absence of superficial abdominal reflex not have a pulse. The nurse immediately calls out for help.
The next nursing action is which of the following?
b.
Dilation and engorgement of periumbilical vein a.
Start chest compression
c.
Hypoactive bowel sounds b.
Ventilate with mouth-to-mouth mask device
d.
Rebound tenderness of lower quadrant c.
Feedback Give the client oxygen
The correct answer is: Hypoactive bowel sounds
Question 8 d.
CorrectMark 1.00 out of 1.00Not flaggedFlag question Open the airway
Nurse Lulu is caring for a client with Head Injury and The correct answer is: Start chest compression
monitoring the client with decerebrate posturing. Which of the Question 12
following is a characteristic of this type of posturing? CorrectMark 1.00 out of 1.00Not flaggedFlag question
Question text
a. Situation: Kennard complained of diffuse abdominal pain
Upper extremity flexion with lower extremity flexion associated with several episodes of vomiting. His attending
physician saw him and a diagnosis of Acute Appendicitis was
b. made.
Upper extremity flexion with lower extremity extension In which of the following position would Kennard probably
most comfortable on his admission to the ward while waiting
c. for surgery?
Flexion of the extremities after stimulus
a.
d. On his side with right knee bent
Extension of the extremities after a stimulus
Feedback b.
The correct answer is: Extension of the extremities after a Sitting upright in a chair
stimulus
Question 9 c.
CorrectMark 1.00 out of 1.00Not flaggedFlag question Lying absolutely on his back
Question text
Oliguria occurs in the progressive stage of shock because the d.
kidneys decompensate. To assess for this condition, the nurse Prone with head turned side
should look for which of the following signs and symptoms? Feedback
The correct answer is: On his side with right knee bent
a. Question 13
congestive heart failure CorrectMark 1.00 out of 1.00Not flaggedFlag question
Question text
b. Situation: The client is admitted to the SICU with stab to his
systolic blood pressure greater than 20 mmHg right chest. While he was in the Emergency Room, a chest
tube was inserted because of Hemothorax.
c. Chest tubes are primarily used for which of the following
increased blood urea nitrogen and serum creatinine reason?
d. a.
To regain positive intrapleural pressure
b.
b. Respirations fewer than 15 breaths/min
To remove air or fluid from the intrapleural space
c.
c. Lethargy and mental confusion
To establish pleural irritation
d.
d. A heart rate greater than 100 bpm
To prevent pleural pressure Feedback
Feedback The correct answer is: Respirations fewer than 15 breaths/min
The correct answer is: To remove air or fluid from the Question 18
intrapleural space IncorrectMark 0.00 out of 1.00Not flaggedFlag question
IncorrectMark 0.00 out of 1.00Not flaggedFlag question The nurse is aware that Kennard is vulnerable to electrolyte
Question text imbalance as a consequence ofvomiting. If not corrected, he is
The client underwent surgery and has bilateral chest tubes. In most likely to develop which of the following complication?
discussing the drainage system to the client within the first 24
hours post op, the nurse explain that water seal drainage a.
involves attaching the chest tube in which of the following? Metabolic acidosis
a. b.
Tube that is open to air Metabolic alkalosis
b. c.
Bottle at a level above the bed Respiratory acidosis
c. d.
Tube submerged under water Respiratory alkalosis
Feedback
d. The correct answer is: Metabolic alkalosis
Drainage bottle Question 19
Feedback IncorrectMark 0.00 out of 1.00Not flaggedFlag question
The correct answer is: Tube submerged under water Question text
Question 15 The nurse should be aware that Arteriosclerosis of blood
CorrectMark 1.00 out of 1.00Not flaggedFlag question vessels leading to the brain may not become evident until
Question text there is an extremely severe blockage or until a stroke occurs
The evaluation of management of the client with Acute because of collateral blood circulation supplied through which
Glaucoma is that the client: of the following structures?
a. a.
By mydriasis established Hypothalamic-Hypophyseal portal system
b. b.
Report relief of eye pain The Bicarotid trunk
c. c.
Has miosis established Jugular vessels
d. d.
Report relief of nausea and vomiting Circle of Wilis
The correct answer is: Has miosis established CorrectMark 1.00 out of 1.00Not flaggedFlag question
CorrectMark 1.00 out of 1.00Not flaggedFlag question The nurse understands that during the CPR the compression
Question text rate for infant is which of the following?
The most serious complication of Tension Pneumothorax is
which of the following? a.
200 time per minute
a.
Mediastinal shift b.
100 time per minute
b.
Decreased intrapleural pressure c.
160 times per minute
c.
Increased filling of ventricle d.
60 times per minute
d. Feedback
Increased cardiac output The correct answer is: 100 time per minute
The correct answer is: Mediastinal shift IncorrectMark 0.00 out of 1.00Not flaggedFlag question
IncorrectMark 0.00 out of 1.00Not flaggedFlag question The nurse understands that when performing chest
Question text compressions on an adult client, the sternum should be
The nurse assesses a client in compensatory stage of shock depressed for which of the following length?
whose lungs have decompensated. The nurse would NOT
EXPECT to find which of the following symptoms? a.
1 ½ to 2 inches
a.
Crackles b.
½ to ¾ inch The system is functioning properly
c. d.
¾ to 1-inch The patient needs to be turned the other side
Feedback
d. The correct answer is: There is a leak in the system
2 ½ to 3 inches Proficiency Test (Med-Surge Part 3: Psychiatric
Feedback NSG/PALMAR/Research)
The correct answer is: 1 ½ to 2 inches Question 1
CorrectMark 1.00 out of 1.00Not flaggedFlag question Question text
Question text A 23-year-old client diagnosed with schizophrenia cheerfully
The sequence of organ failure in multiple-organ dysfunction announces, "My mom and I are so excited that I'm pregnant.
syndrome usually begins in which of the following organs? She's willing to help us take care of the baby too." Which of
the following reasons should cause the nurse to be concerned
a. about this situation?
Lungs
a.
b. The client did not say that the father of the baby was excited
Liver about this.
c. b.
Kidneys The mother is not likely to provide enough help for what the
client needs
d.
Heart c.
Feedback Symptom management will be difficult in early pregnancy
The correct answer is: Lungs without medications
Question 23
CorrectMark 1.00 out of 1.00Not flaggedFlag question d.
Question text The client will have difficulty financially supporting the baby.
When performing basic life support on a 7-year-old child. The Feedback
nurse delivers how many breaths per minute to the child? The correct answer is: Symptom management will be difficult
in early pregnancy without medications
a. Question 2
15 CorrectMark 1 out of 1Not flaggedFlag question
Question text
b. A 24-year-old man ordered by the court to undergo psychiatric
18 evaluation after arrest for robbery and assault. During
admission to the unit he comments to the nurse, "Don't worry,
c. sweetie, I'll only be here a short time. This was all my lawyer's
16 idea, but it sure beats jail." These statements would best
illustrate the defense mechanism of?
d.
12 a.
Feedback Rationalization
The correct answer is: 12
Question 24 b.
CorrectMark 1.00 out of 1.00Not flaggedFlag question Regression
Question text
When performing chest compressions, the nurse understand c.
that correct hand placement is located over which of the Sublimation
following parts?
d.
a. Splitting
Lower third of the sternum Feedback
The correct answer is: Rationalization
b. Question 3
Upper half of the sternum IncorrectMark 0 out of 1Not flaggedFlag question
Question text
c. A 48-year-old woman is transferred from medical ICU
Lower half of the sternum following management of a suicide attempt. Her provisional
diagnosis upon admission to the psychiatric unit is acute
d. depressive episode. In conducting a thorough assessment of
Upper third of the sternum the patient, the nurse notes all of these problems. Which
Feedback should be the priority for intervention?
The correct answer is: Lower half of the sternum
Question 25 a.
IncorrectMark 0.00 out of 1.00Not flaggedFlag question Lack of interest in personal hygiene and appearance
Question text
While taking care of client you notice that there is bubbling in b.
the water weal chamber. You understand that this probably Loss of appetite
means:
c.
a. Narrowed perception and impaired problem-solving
The patient exhaling
d.
b. Disturbance in sleep pattern
There is a leak in the system Feedback
The correct answer is: Disturbance in sleep pattern
c. Question 4
CorrectMark 1 out of 1Not flaggedFlag question d.
Question text "Let's talk about your strengths."
A 50 seater bus fell in a ravine. The victims were rushed to the Feedback
nearest hospital. The ER supervising nurse was leading the The correct answer is: "Please tell staff when you think you
nurses in the ER during the triage. What leadership style is need to punish yourself."
most applicable in this situation? Question 8
a. Question text
Autocratic A client who is neatly dressed and clutching a leather
briefcase tightly in his arms scans the adult inpatient unit on
b. his arrival at the hospital and backs away from the window.
Bureaucratic The client requests that the nurse move away from the
window. The nurse recognizes that doing as the client
c. requested is contraindicated for which of the following
Democratic reasons?
d. a.
Laissez faire The action will make the client feel that the nurse is humoring
Feedback him.
The correct answer is: Autocratic
Question 5 b.
CorrectMark 1 out of 1Not flaggedFlag question The action indicates nonverbal agreement with the client's
Question text false ideas.
A client is sitting in the corner of the dayroom cocking his
head to one side as if he hears something, but no one is c.
nearby. The nurse suspects he is having auditory The client will think that he will have his way when he wishes.
hallucinations. Which of the following questions should the
nurse ask first? d.
The nurse will be demonstrating a lack of composure over the
a. situation
"Are you seeing someone other than me?" Feedback
The correct answer is: The action indicates nonverbal
b. agreement with the client's false ideas.
"What are you hearing right now?" Question 9
c. Question text
"What is going on with you right now?" A client with chronic undifferentiated schizophrenia (CUS)
reports doing very little all day except sleeping and eating.
d. The nurse should:
"Do you what to go to the recreation room?"
Feedback a.
The correct answer is: "What are you hearing right now?" Have three meals per day brought in to increase the amount of
Question 6 time the client spends out of bed.
Question text b.
A client reports that men in blue clothes keep looking in her Ask a relative to call the client at least 10 times a day to
window and talking about her. Which of the following decrease the sleeping.
responses by the nurse is most appropriate?
c.
a. Help the client set up a daily activity schedule to include
"Those men are groundkeepers. They're talking about their setting a wake-up alarm.
work, not you."
d.
b. Arrange for the client to move to a group home with structured
"Don't take things so personally. Not everyone is talking about activities.
you." Feedback
The correct answer is: Help the client set up a daily activity
c. schedule to include setting a wake-up alarm.
"Let's not pay attention to the men. Let's play cards instead." Question 10
d. Question text
"I'll close the drapes so you can’t see the men." A man is brought to an acute psychiatric facility by his family,
Feedback who describe him as a "loner" who seems "Out of time with
The correct answer is: "Those men are groundkeepers. They're the rest of the world." Past psychiatric records indicate that he
talking about their work, not you." has been hospitalized 13 times since age 19 for treatment of
Question 7 psychiatric illness. The patient has never followed up with
CorrectMark 1 out of 1Not flaggedFlag question outpatient care. His current diagnosis is schizophrenia, chronic
Question text undifferentiated type. The patient is placed on Prolixin
A client states that she hears God's voice telling her she has (fluphenazine) and is to be discharged to a structured group
sinned and needs to punish herself. Which response by the home in the community. After he learns he has been accepted
nurse is most important? for placement, the nurse notices he begins to regress and
becomes very dependent upon the staff. What should the nurse
a. do first?
"How do you think you will be punished?"
a.
b. Postpone discharge until he appears ready
"Please tell staff when you think you need to punish yourself."
b.
c. Describe the observed behavior and discuss it with him
"What exactly do you think you have done to be punished?"
c.
Suggest to his physician increasing his dosage of medications Question 14
d. Question text
Ignore the behavior unless he comments on it himself A nurse is planning to teach a 4-day postoperative patient
Feedback about care of his incision, in preparation for discharge. Which
The correct answer is: Describe the observed behavior and of these assessments of the patient should cause the nurse to
discuss it with him postpone the teaching session?
Question 11
Question text "I'm anxious to go home to my family. I'm looking forward to
A meeting was called by the hospital director to seek the a good home-cooked meal!"
cooperation of all hospital personnel to cut cost. They were
requested to save on water, electricity, and unnecessary IDD b.
calls. Which budget can they save on? "It's still a little sore where they did my surgery, but I manage
pretty well."
a.
Operating budget c.
"I'm feeling nauseated now. I think that antibiotic is making
b. me feel sick to my stomach."
Personnel budget
d.
c. "I didn't realize this incision would be so big. Do you think I
Capital budget have a scar?"
Feedback
d. The correct answer is: "I'm feeling nauseated now. I think that
Fixed ceiling budget antibiotic is making me feel sick to my stomach."
The correct answer is: Operating budget IncorrectMark 0 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question A nurse was apprehended after carrying 25 grams of
Question text methamphetamine hydrochloride inside patient's room. The
A nurse caring for a child hospitalized because of parental following are the possible liabilities or sanctions for him,
abuse says to the unit supervisor, "I don't think I can do this…. EXCEPT:
I find myself feeling angry at those same parent! We'll care for
this child, and then he will go back to those same parents who a.
beat him! What's the point? Revocation of license
Which of the following initial responses by the unit supervisor
would be most appropriate? b.
Suspension
a.
"We have a number of child abuse cases here. It might be best c.
for you to request a transfer to a different unit." Fines
b. d.
"I know this is very difficult situation, but we must care for Imprisonment
our patient's." Feedback
The correct answer is: Suspension
c. Question 16
"Let's make a time for us to sit and talk. It may help you to IncorrectMark 0 out of 1Not flaggedFlag question
share what you're feelings." Question text
A patient says to the nurse, "I have so much cleaning to do.
d. Germs, you know, they're everywhere." Which of the
"You've cared for abused patients before without being so following explanations of the patient's compulsive washing is
upset. Is something else bothering you?" most accurate?
Feedback
The correct answer is: "Let's make a time for us to sit and talk. a.
It may help you to share what you're feelings." It serves to keep the patient distracted from her real fears.
Question 13
Question text It serves to decrease anxiety by eliminating the obsession.
A nurse checks on a patient awaiting surgery the following
morning and finds her alone quietly weeping. Which of the c.
following would be the most appropriate initial response of the It helps the patient to control or modify her obsession.
nurse?
d.
a. It represents a symbolic method through which the patient can
Leave the room quietly and close the patient's door. face her fear.
Feedback
b. The correct answer is: It helps the patient to control or modify
Apologize for disturbing the patient and return to the room her obsession.
later. Question 17
c. Question text
Sit with the patient silently and use therapeutic touch. A patient scheduled for lumpectomy asks the nurse, "Will I
have a lot of pain with this type of surgery?" Which of the
d. following would be the most appropriate response of the
Ask the patient if there is a family member the patient would nursae?
like to be with.
Feedback a.
The correct answer is: Sit with the patient silently and use "You seem worried about your upcoming surgery."
therapeutic touch.
b. Question 21
"Your physician will order medications to control any pain CorrectMark 1 out of 1Not flaggedFlag question
you experience following your surgery." Question text
An 85 year old client in a nursing home tells a nurse, "I signed
c. the papers of that research study because the doctor was so
"All patients react differently to surgery--- it's impossible to insistent and I want him to continue taking care for me."
tell what pain you might experience after the procedure." Which client right is being violated?
d. a.
"The nurses will make sure that you don't have any pain Right to self determination
following your sergury."
Feedback b.
The correct answer is: "Your physician will order medications Right to privacy and confidentiality
to control any pain you experience following your surgery."
Question 18 c.
CorrectMark 1 out of 1Not flaggedFlag question Right to full disclosure
Question text
A supposition or system of ideas that is proposed to explain a d.
given phenomenon best defines: Right not to be harmed
Feedback
a. The correct answer is: Right to self determination
A paradigm Question 22
b. Question text
A concept An adolescent girl is admitted for evaluation of lower
abdominal pain. She tells the nurse, "I wish my friends would
c. come to visit me. I don't like being alone." Which of the
A theory following would be the most appropriate response of the
nurse?
d.
A conceptual framework a.
Feedback "You must be terribly lonely. When do you expect your
The correct answer is: A theory friends?"
Question 19
Question text "I'm sure your friends will come to see you soon."
A young adult male is brought to the emergency room by the
police, who describe him as "uncooperative" and "suspicious." c.
Although the patient will provide no information to the "It's a little too early for visiting hours. You’ll have to wait
admitting physician, his family is contacted using until this afternoon."
identification information in his wallet. Additional history is
obtained from the patient's family and past medical paranoid d.
type. Emotional arrest in such patient's is most likely to have "It's hard to be alone. Would you like me to stay with you
occurred during what stage of development? awhile?"
Feedback
a. The correct answer is: "It's hard to be alone. Would you like
Autonomy versus shame and doubt me to stay with you awhile?"
Question 23
Intimacy versus stagnation Question text
An alcoholic patient asks, "Is there any medication to help me
c. get over this alcoholism?" Which drug may be prescribed?
Generativity versus stagnation
a.
d. Xanax
Trust versus mistrust
Feedback b.
The correct answer is: Trust versus mistrust Librium
Question 20
Question text Catapres
A young client diagnosed with paranoid schizophrenia is
talking with the nurse. "You know, when I thought everyone d.
was out to get me, I was staying in my apartment all the time. Antabuse
Now, I'd like to get out and do things again." What is best Feedback
initial response by the nurse? The correct answer is: Antabuse
Question 24
a. IncorrectMark 0 out of 1Not flaggedFlag question
"With whom do you want to do things?" Question text
An effective nursing intervention of Francis is:
b.
"What activities did you enjoy in the past?" a.
Set constructive limits on negative behavior
c.
"What kind of transportation do you use?" b.
Maintain consistent approach in dealing with him
d.
"How much money can you spend?" c.
Feedback Encourage him to express his thoughts and feelings directly
The correct answer is: "What activities did you enjoy in the
past?" d.
Encourage him to participate in group activities a.
Feedback case management
The correct answer is: Encourage him to participate in group
activities b.
Question 25 functional method
Question text c.
An investigator wants to determine some of the problems that total patient care
are experienced by diabetic clients when using an insulin
pump. The investigator went into the clinic where he d.
personally knows several diabetic clients having problem with team nursing
insulin pump. The type of sampling done by the investigator is Feedback
called: The correct answer is: team nursing
Question 29
Probability Question text
Cheryl, 20-year-old college student was diagnosed with post-
b. traumatic disorder. Which of the following therapies has been
Purposive most strongly advocated for the treatment of post-traumatic
stress disorder?
c.
Snowball a.
Electroconvulsive therapy (ECT)
d.
Incidental b.
Feedback Group therapy
The correct answer is: Purposive
Question 26 c.
IncorrectMark 0 out of 1Not flaggedFlag question Hypnotherapy
Question text
Ana wants to know if the length of time she will study for the d.
board examination is proportional to her board rating. During Individual therapy
the June2008 board examination, she studied for 6 months and Feedback
gained 68%. On the next board exam, she studied for 6 months The correct answer is: Hypnotherapy
again for a total of 1 year and gained 74%. On the third board Question 30
exam, she studied for 6 months for a total of 1 and a half year CorrectMark 1 out of 1Not flaggedFlag question
and gained 82%. The research designed she used is: Question text
During a home visit, the nurse discovers that the client is less
a. verbal, less active, less responsive to directions, severely
Comparative anxious, and more stuporous. The nurse interprets these
findings to indicate that the client needs which of the
b. following?
Correlational
a.
c. A sleep aid
Experimental
b.
d. A clinic appointment
Qualitative
Feedback c.
The correct answer is: Correlational An increase in medication
Question 27
Question text Immediate medical evaluation
As a nurse, you are expected to participate in initiating or Feedback
participation in the conduct of research studies to improve The correct answer is: Immediate medical evaluation
nursing practice. You to be updated on the latest trends and Question 31
issues affected the profession and the best practices arrived at IncorrectMark 0 out of 1Not flaggedFlag question
by the profession. You are interested to study the effects of Question text
mediation and relaxation on the pain experienced by the During a therapy session, the wife of an alcoholic states, "I
cancer patients. What type of variable is pain? just don't think my husband drinks that much." The nurse
focuses on :
a.
Dependent a.
Gaining insight into her codependency role
b.
Correlational b.
Immediately insisting that she join AA
c.
Independent c.
Telling her that alcoholism is a disease
d.
Demographic d.
Feedback Telling her she has done all she can do
The correct answer is: Dependent Feedback
Question 28 The correct answer is: Gaining insight into her codependency
CorrectMark 1 out of 1Not flaggedFlag question role
Care delivery model that assigns staff to teams that then are CorrectMark 1 out of 1Not flaggedFlag question
responsible for a group of patients Question text
During her introduction in her new position as a staff nurse, Question text
Ms. Gana noticed that power, responsibility, and authority are If the researcher implemented a new structured counseling
concentrated at the top management. What organizational program with a randomized group of subject and a routine
structure pictures this image? counseling program with another randomized group of
subject, the research is utilizing which design?
a.
Bureaucratic design a.
Quasi experimental
b.
Hierarchical organizational structure b.
Experimental
c.
Shared governance c.
Comparative
d.
Flat organizational design d.
Feedback Methodological
The correct answer is: Hierarchical organizational structure Feedback
Question 33 The correct answer is: Experimental
Each nurse participants was asked to identify a problem. After Question text
the identification of the research problem, which of the In a meeting among the members of the local chapter of the
following should be done? ANSAP, the Chief Nurses and Directors of Nursing Services
were sharing their best practice methods to deliver quality
a. care. This is an example of:
Methodology
a.
b. Standardization
Review of related literature
b.
c. Nursing Audit
Acknowledgement
c.
d. Accreditation
Formulate hypothesis
Feedback d.
The correct answer is: Review of related literature Benchmarking
IncorrectMark 0 out of 1Not flaggedFlag question The correct answer is: Benchmarking
Francis is a 30 years old man with a medical diagnosis of CorrectMark 1 out of 1Not flaggedFlag question
paranoid Personality disorder. A person with paranoid Question text
thinking is commonly characterizes by: In any research study where individual persons are involved, it
is important that an informed consent of the study is obtained.
a. The following are essential information about the consent that
Anger you should disclose to the prospective subjects except:
b. a.
Self-centeredness Consent to incomplete disclosure
c. b.
Fear Description of benefits, risks and discomforts
d. c.
Suspiciousness Explanation of procedure
Feedback
The correct answer is: Suspiciousness d.
Question 35 Assurance of anonymity and confidentiality
Question text The correct answer is: Consent to incomplete disclosure
If a client is suffering from posttraumatic stress disorder days, Question 39
"I've decided to just avoid everything and everyone," the nurse IncorrectMark 0 out of 1Not flaggedFlag question
might suspect the client is at greatest risk for which of the Question text
following behaviors? In development an effective nurse-patient relationship, the
nurse should?
a.
Becoming homeless a.
Anticipate that with support and nurturance he may well
b. recognize the degree of his illness
Exhausting finances
b.
c. Expect attempts to test limits and recognize their importance
Terminating conversation for him
d. c.
Using substances Capitalize upon his highly developed intelligence and level of
Feedback insight
The correct answer is: Using substances
Question 36 d.
Allow him a high degree of autonomy and self-direction to Nursing students
increase motivation
Feedback d.
The correct answer is: Expect attempts to test limits and Teaching
recognize their importance for him Feedback
Question 40 The correct answer is: Improvement in the retention and
CorrectMark 1 out of 1Not flaggedFlag question attention
In light of his diagnosis, the nurse should anticipate that the CorrectMark 1 out of 1Not flaggedFlag question
patient's interaction with order patient's will be characterized Question text
by which of the following? In the OR, the nursing tandem for every surgery is:
a. a.
Attempting to monopolize conversations and being intrusive Instrument technician and circulating nurse
b. b.
Being superficially pleasant and appearing interested in them Nurse anaesthetist, nurse assistant, and instrument technician
c. c.
Avoiding most contact and refusing to join in group activities scrub nurse and nurse anaesthetist
d. d.
Demonstrating poor social skills and little awareness of the Scrub and circulating nurse’s
milieu Feedback
Feedback The correct answer is: Scrub and circulating nurse’s
The correct answer is: Being superficially pleasant and Question 45
appearing interested in them IncorrectMark 0 out of 1Not flaggedFlag question
IncorrectMark 0 out of 1Not flaggedFlag question Initially, the nurse would identify this nursing diagnosis:
Question text
In order to pass the board examination, a nursing examinee a.
must obtain a general weight average rating of: Personal identity disturbance
a. b.
75% with no grade below 60%in any subject Altered role performance
b. c.
60% with no grade below 75%in any subject Ineffective individual coping
c. d.
75% in all nursing practice Self-esteem disturbance
Feedback
d. The correct answer is: Ineffective individual coping
75% with no grade below 65%in any subject Question 46
The correct answer is: 75% with no grade below 60%in any Question text
subject Many managers distribute biweekly newsletters of ongoing
Question 42 unit or health care agency activities and post minutes of
CorrectMark 1 out of 1Not flaggedFlag question committee meetings in an accessible location for all staff to
Question text read. This is an example of:
In Quantitative data, which of the following is described as the
distance in the scoring unites of the variable form the highest a.
to the lower? Staff communication
a. b.
Frequency Problem-solving committees
b. c.
Mean Interdisciplinary collaboration
c. d.
Median Nurse-physician collaborative practice
Feedback
d. The correct answer is: Staff communication
Range Question 47
Feedback IncorrectMark 0 out of 1Not flaggedFlag question
The correct answer is: Range Question text
Question 43 Miss Marilyn Jose, RN, reports significant problems in the
IncorrectMark 0 out of 1Not flaggedFlag question ward only to her head nurse. Which management principle
Question text does she abides with?
In the Hypothesis: "The utilization of technology in teaching
improves the retention and attention of the nursing students." a.
Which is the dependent variable? Discipline
a. b.
Utilization of technology Equity
b. c.
Improvement in the retention and attention Unity of command
c. d.
Unity of direction c.
Feedback Help the client to bed and raise all four bedrails
The correct answer is: Unity of command
Question 48 d.
IncorrectMark 0 out of 1Not flaggedFlag question Ask a family member to stay with the client at night
Mrs. De Jesus met her supervisors so that they can devise a The correct answer is: Move the client to a room near the
way of having work done carefully without having too much nurse's station and install a bed alarm
energy expenditure. Which management theory is the basis of Question 52
this action? CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. Of influence whereby the leader influences others toward goal
Theory Z achievement
b. a.
Field Theory of Human Behavior power
c. b.
Scientific Management Theory management process
d. c.
Theory of Social and Economic Organization motivation
Feedback
The correct answer is: Scientific Management Theory d.
Question 49 leadership
Question text The correct answer is: leadership
Mrs. San Pascual, the new Director of Nursing is expected by Question 53
the administration to carry out her specific duties well. What is IncorrectMark 0 out of 1Not flaggedFlag question
she considered? Question text
On the third day of the patient's hospitalization, the nurse
a. notes that she is repeatedly late to group sessions and
Leader activities. Which of the following comments by the nurse to
the patient would be most appropriate?
b.
Manager a.
"You must realize that these washing behaviors are
c. unnecessary."
Boss
b.
d. "I will have to limit you to one session of washing per day."
Blind follower
Feedback c.
The correct answer is: Manager "You'll need to start earlier so you can complete your washing
Question 50 in time to fo to group session."
Question text d.
Nurse Sharon worked for 25 years at Al KayHid Medical "You will only get better if you go to your sessions. You'll
Center in Saudi decides to return back to the Philippines. As a have to control your washing routines."
Filipino professional, she can practice her profession in the Feedback
country in pursuant of: The correct answer is: "You'll need to start earlier so you can
complete your washing in time to fo to group session."
a. Question 54
PD 541 IncorrectMark 0 out of 1Not flaggedFlag question
Question text
b. One of the essential elements of nursing intervention for a
PD 603 patient with personality disorder is:
c. a.
PD 856 Decrease environment stimuli
d. b.
PD 807 Establish a therapeutic relationship
Feedback
The correct answer is: PD 541 c.
Question 51 Involve him in social activities
Question text d.
Nursing staff are trying to provide for the safety of an elderly Encourage verbal expression of feelings
female client with moderate dementia. She was wandering at Feedback
night and has trouble keeping her balance. She has fallen twice The correct answer is: Decrease environment stimuli
but has had no resulting injuries. The nurse should: Question 55
a. Question text
Move the client to a room near the nurse's station and install a One realistic goal for the patient is that she will:
bed alarm
a.
b. Express insight into obsessive thoughts.
Have the client sleep in a reclining chair across from the
nurse's station b.
Accept limits on ritualistic behaviors.
c. c.
Initiate new forms of activity. Undoing
d. d.
Stop ritualistic and repetitive behaviors Suppression
Feedback Feedback
The correct answer is: Accept limits on ritualistic behaviors. The correct answer is: Undoing
Process of coordinating actions and allocating resources to Team effort is best demonstrated in the OR: If you Are the
achieve organizational goals nurse in charge for scheduling surgical case's, what important
information do you need to ask the surgeon?
a.
autocratic leadership a.
Who is your internist?
b.
bureaucratic organization b.
Who is your assistant and anesthesiologist, and what is your
c. preffered time and type of surgery?
informal leader
c.
d. Who are your anesthesiologist, internist?
management
Feedback d.
The correct answer is: management Who is your anesthesiologist?
IncorrectMark 0 out of 1Not flaggedFlag question The correct answer is: Who is your assistant and
Question text anesthesiologist, and what is your preffered time and type of
Resources in management refers to all of the following except: surgery?
Question 61
Money, manpower Question text
The certificate of registration can be revoked or suspended for
b. the following acts, EXCEPT:
Machine, moment
a.
c. Serious ignorance
Space, materials
b.
d. Accused of immoral an dishonorable conduct
Money, memory
Feedback c.
The correct answer is: Money, memory Gross incompetence
Question 58
Question text Illegal practice
Ron, 40 years old, father of 5, has been diagnosed with Feedback
Alcoholism. Which of the following is the drug of choice to The correct answer is: Accused of immoral an dishonorable
ease the withdrawal symptom of an alcoholic client? conduct
Question 62
Librium Question text
The law that allows the nurse to give immunization to children
b. 0-6 years old without parent's consent during an epidemic is:
Disulfiram
a.
c. PD 996
Flumazenil
b.
d. PD 625
Naltrexone
Feedback c.
The correct answer is: Librium PD 603
Question 59
Question text PD 651
SITUATION: A woman is admitted to a psychiatric hospital Feedback
with a diagnosis of obsessive- compulsive reaction. She The correct answer is: PD 996
spends hours carrying out a routine of washing her hands and Question 63
cleaning the toilet facilities and the sink. She is careful to CorrectMark 1 out of 1Not flaggedFlag question
wash all food and dishes before she eats. The patient's Question text
obsessive-compulsive behavior is characterized by an overuse The Magna Carta for public health workers is embodied in?
of the following?
a.
a. RA 7305
sublimation
b.
b. RA 6425
Conversation
c. Assisting clients with living arrangements
RA 7600
c.
d. Helping clients in insight-oriented therapy
RA 6809
Feedback d.
The correct answer is: RA 7305 Linking clients with community resources.
IncorrectMark 0 out of 1Not flaggedFlag question The correct answer is: Helping clients in insight-oriented
Question text therapy
The major responsibility of the Board of Nursing is to ensure Question 68
that the Nurse Practice Act is carried out. Which of the CorrectMark 1 out of 1Not flaggedFlag question
following is not within its jurisdiction? Question text
The nurse observes a client in a group who is reminiscing
a. about his past. Which effect should the nurse expect
Setting minimal standards of practice reminiscing to have on the client's functioning in the hospital?
b. a.
Establish rules and regulations in nursing Increase the client's confusion and disorientation
c. b.
Approve nursing education programs Cause the client to become sad
d. c.
Impose discipline to incompetent nurses Decrease the client's feelings of isolation and loneliness
Feedback
The correct answer is: Approve nursing education programs d.
Question 65 Keep the client from participating in therapeutic activities
Question text The correct answer is: Decrease the client's feelings of
The nurse in the substance abuse unit is trying to encourage a isolation and loneliness
client to attend alcoholics anonymous meetings. When the Question 69
client asks the nurse what he must do to become a member, CorrectMark 1 out of 1Not flaggedFlag question
the nurse should respond: Question text
The nurse utilize principles to effectively and efficiently carry
a. out tasks and activities in her nursing unit. As the nurse, you
"Your physician must refer you to this program." need to complete all of the following. Which task do you
complete first?
b.
"You must first stop drinking." a.
Cough and deep breathe the client who had surgery yesterday.
c.
"You must bring along friends who will support you." b.
Make a referral to the home care nurse for a client who is
d. being discharged in 2 days.
"Admit you're powerless over alcohol and that you need help."
Feedback c.
The correct answer is: "Admit you're powerless over alcohol Do the teaching on wound care for a client with a wound drain
and that you need help." who is being discharged later today.
Question 66
IncorrectMark 0 out of 1Not flaggedFlag question d.
Question text Notify the health care provider of the decreased level of
The nurse is assessing a client who is taking an antipsychotic consciousness in the client who had a stroke yesterday.
medication. Which of the following symptoms is uniquely Feedback
indicative of neuroleptic malignant syndrome (NMS) and The correct answer is: Notify the health care provider of the
requires immediate attention? decreased level of consciousness in the client who had a stroke
yesterday.
a. Question 70
Very high temperature IncorrectMark 0 out of 1Not flaggedFlag question
Question text
b. The patient is admitted to inpatient psychiatric services. He
Muscular rigidity remains aloof and distant, seeming to avoid contacts with
other patients or unit staff. In order to establish a relationship,
c. it will be most helpful if the nurse
Tremors
a.
d. Approaches him directly and converses about topic like unit
Altered consciousness events or daily activities
Feedback
The correct answer is: Very high temperature b.
Question 67 Encourages him to participate in cooperative activities with
CorrectMark 1 out of 1Not flaggedFlag question other patients
Question text
The nurse is planning care for a group of clients who are c.
chronically mentally ill. Which of the following strategies is Provides warm and supportive contact, allowing him to select
likely to be the least beneficial for the client population? the focus of conversation
a. d.
Teaching independent living skills Asks him to discuss his obvious discomfort in the presence of
others, to gain insight
b. Feedback
The correct answer is: Approaches him directly and converses Pure experimental
about topic like unit events or daily activities
Question 71 c.
CorrectMark 1 out of 1Not flaggedFlag question Phenomenological
Question text
The patient the nurse, "You know I'm the last Czar of Russia d.
don't you? The KGB and CIA are both looking for him!" the Longitudinal
nurse must recognize that these statement likely reflect all of Feedback
the following except: The correct answer is: Phenomenological
Question 75
Delusional beliefs Question text
The type of care management approach that coordinates and
b. links health care services to clients and their families while
Use of defense mechanism streamlining costs and maintaining quality is:
c. a.
Impaired self-concept Primary nursing
d. b.
Sense of entitlement Total patient care
Feedback
The correct answer is: Sense of entitlement c.
Question 72 Functional nursing
Question text d.
The patient's tentative diagnosis is sociopathic personality Case management
disorder. Whats factors in the patient's history would be least Feedback
consistent with this diagnosis? The correct answer is: Case management
Question 76
Early childhood deprivation and neglect Question text
The wife of a client diagnosed with paranoid schizophrenia
b. visits 2 days after her husband's admission and states to the
Previous incarceration for stealing and vandalism nurse, "Why isn’t he eating? He's still talking about his food
being poisoned." Which of the following appraisals by the
c. nurse is most accurate?
Prior diagnosis of childhood conduct disorder
a.
d. The wife's inquiry is reasonable.
Symptom onset following an identifiable loss
Feedback b.
The correct answer is: Symptom onset following an Education about her husband's medication is needed
identifiable loss
Question 73 c.
IncorrectMark 0 out of 1Not flaggedFlag question Her expectations of her husband are realistic.
Question text
The Philippine Nursing Act of 2002 regulates the practice of d.
Nursing in the Philippines. It is therefore a must for Filipino An increase in the client's medication is indicated.
nurses to be familiar with this nursing law. Which of the Feedback
following institutions or organizations is responsible for The correct answer is: Education about her husband's
approving the certificate to operate as a nursing school in the medication is needed
Philippines? Question 77
a. Question text
Board of Nursing There are plenty of laws affecting health and nursing practice
in the Philippines. Nurses must be familiar with these existing
b. laws and standards that govern safe nursing practice. The
Commission on Higher Education Board of Nursing has adopted certain rules and regulation in
professional nursing practice as the Code of Nursing Ethics in
c. the Philippines through:
Philippine Nurses Association
a.
d. Board Resolution No. 223 series of 1989
Professional Regulatory Commission
Feedback b.
The correct answer is: Commission on Higher Education Republic Act 9173
Question 74
Question text Board Resolution No. 220 series of 2004
The researcher implemented a medication regimen using a
new type of combination drugs to manic patients while d.
another group of manic patient receives the routine drugs. The Republic Act No. 7160
researcher however hand picked the experimental group for Feedback
they are the clients with multiple episodes of bipolar disorder. The correct answer is: Board Resolution No. 220 series of
The researcher utilized which research design? 2004
Question 78
Quasi-experimental Question text
b.
This expresses the variability of the data in references to the a.
mean. It provides as with a numerical estimate of how far, on Informing the client of schedule changes
the average the separate observation are from the mean:
b.
a. Whispering with others where the client can observe
Mode
c.
b. Telling the client gently that the nurse does not share the
Standard deviation client’s view
c. d.
Median Inviting the client to join in leisure activities
Feedback
d. The correct answer is: Whispering with others where the client
Frequency can observe
The correct answer is: Standard deviation IncorrectMark 0 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question Which of the following actions would be most appropriate
Question text when speaking with a client with posttraumatic stress disorder
This is considered as the True Nursing Law: about the trauma?
a. a.
Act 2493 Obtain validation of what the clients says of what the client
says from another party
b.
Act 2808 b.
Request that the client write down what is being asked
c.
RA 7164 c.
Ask questions to convey an interest in the details
d.
RA 9173 d.
Feedback Listen attentively
The correct answer is: Act 2808 Feedback
Question 80 The correct answer is: Ask questions to convey an interest in
CorrectMark 1 out of 1Not flaggedFlag question the details
What are the stages of Kurt Lewin's theory of change? CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. Which of the following clients has the least priority for
Unfreezing, Change, Refreezing admission to a psychiatric health care facility? A client with a:
b. a.
Unfreezing, Molding, Deep Freezing Potential self-harm
c. b.
Unfreezing and Refreezing Potential for harm to others
d. c.
Communication, Change, Motivation Grave disability (cannot care for self)
Feedback
The correct answer is: Unfreezing, Change, Refreezing d.
Question 81 Decline in functioning at work
Question text The correct answer is: Decline in functioning at work
When planning care for a client with schizophrenia who lacks Question 85
motivation to shower and dress, which of the following CorrectMark 1 out of 1Not flaggedFlag question
outcomes should the nurse expect the client to achieve by the Question text
end of 4 days? Which of the following communicate the results of the
research to the readers? They facilitate the description of the
a. data.
Verbalize the need to shower and dress herself
a.
b. Hypothesis
Recognize the need to shower and dress herself
b.
c. Statistics
Explain reasons for showering and dressing herself
c.
d. Research problem
Perform showering and dressing for herself
Feedback d.
The correct answer is: Recognize the need to shower and dress Tables and graphs
herself Feedback
Question 82 The correct answer is: Tables and graphs
Which action by the nurse is likely to increase the anxiety and Question text
suspiciousness of a client who is delusional?
Which of the following instructions should the nurse include "I should be able to got my cleaning done more quickly
about relationships for the client was posttraumatic stress tomorrow."
disorder? Feedback
The correct answer is: "I should be able to got my cleaning
a. done more quickly tomorrow."
Encourage the client to resume former roles as soon as Question 90
possible IncorrectMark 0 out of 1Not flaggedFlag question
Question text
b. Which of the following studies is based on quantitative
Asses the client's discomfort when talking about the feelings research?
to family members
a.
c. A study examining the bereavement process in spouse of
Explain that avoiding emotional attachment protects against clients with terminal cancer.
anxiety
b.
d. A study exploring the factors influencing weight control
Warn the client he will have a tendency to over dependent in behaviour.
his relationships
Feedback c.
The correct answer is: Asses the client's discomfort when A study measuring the effects of sleep deprivation on wound
talking about the feelings to family members healing
Question 87
Question text A study examining client's feelings before, during and after
Which of the following is essential when caring for a client bone marrow aspiration.
who is experiencing delirium? Feedback
The correct answer is: A study measuring the effects of sleep
a. deprivation on wound healing
Controlling behavioral symptoms with low-dose psychotropics Question 91
b. Question text
Identifying the underlying causative condition or illness Which of the following studies is based on the qualitative
research?
c.
Manipulating the environment to increase orientation a.
A study examining client's reaction to stress after open heart
d. surgery
Decreasing or discontinuing all previously prescribed
medications b.
Feedback A study measuring nutrition and weight loss/gain in clients
The correct answer is: Identifying the underlying causative with cancer
condition or illness
Question 88 c.
CorrectMark 1 out of 1Not flaggedFlag question A study examining oxygen levels after endotracheal
Question text suctioning
Which of the following is not true about a Pure Experimental
research? d.
A study measuring differences in blood pressure before,
a. during and after procedures
There is a control group. Feedback
The correct answer is: A study examining client's reaction to
b. stress after open heart surgery
There is an experimental group. Question 92
c. Question text
Selection of subjects in the control group is randomized. Which of the following symptoms of posttraumatic stress
disorder would indicate that hypothesis is an appropriate
d. treatment modality?
There is a careful selection of subjects in the experimental
group. a.
Feedback Addiction
The correct answer is: There is a careful selection of subjects
in the experimental group. b.
Question 89 Confabulation
Question text c.
Which of the following statements indicates a realistic short- Dissociation
term measure of improvement in the patient?
d.
a. Hallucinations
"Wow, I never realized how ridiculous I was acting!" Feedback
The correct answer is: Confabulation
b. Question 93
"I'll do whatever you think is best, nurse." CorrectMark 1 out of 1Not flaggedFlag question
Question text
c. Which of these approaches by the patient's primary nurse
"I wish I know why I feel so anxious and scared all the time." would be most therapeutic?
d. a.
Firm and restrictive
You are actively practicing nurse who has just finished your
b. graduate studies. You learned the value of research and would
Cautious and withdrawn like to utilize the knowledge and skills gained in the
application of research to the nursing service. The following
c. questions apply to research. Which type of research inquiry
Friendly and accepting investigates the issues of human complexity (e.g.
understanding the human expertise)?
d.
Supportive and nonjudgmental a.
Feedback Logical position
The correct answer is: Supportive and nonjudgmental
Question 94 b.
CorrectMark 1 out of 1Not flaggedFlag question Naturalistic inquiry
Question text
While administering medications, the nurse realizes she has c.
given the wrong dose of medication to a client. The nurse acts Positivism
by completing an incident report and notifying the client's
physician. The nurse is exercising: d.
Quantitative research
a. Feedback
Authority The correct answer is: Naturalistic inquiry
Question 98
Responsibility Question text
You are fortunate to be chosen as part of the research team in
c. the hospital. A review of the following IMPORTANT nursing
Accountability concepts was made. As a professional, a nurse can do research
for varied reason except:
d.
Decision making a.
Feedback Professional advancement through research participation
The correct answer is: Accountability
Question 95 b.
CorrectMark 1 out of 1Not flaggedFlag question To validate results of new nursing modalities
Question text
While team effort is needed in the the OR for efficient and c.
quality patient care delivery, we should limit the number of For financial gains
people in the room for infection control. Who comprise this
team? d.
To improve nursing care
a. Feedback
Surgeon, anaesthesiologist, scrub nurse, radiologist orderly The correct answer is: For financial gains
Question 99
b. IncorrectMark 0 out of 1Not flaggedFlag question
Surgeon, assistant, scrub nurse, circulating nurse, Question text
anaesthesiologist You would like to compare the support system of patient with
chronic illness to those with acute illness. How will you best
c. state your problem?
Surgeon, assistant surgeon, anaesthesiologist, scrub nurse,
pathologist a.
A descriptive study to compare the support system of patients
d. with chronic illness and those with acute illness in terms of
Surgeon, assistant surgeon, anaesthesiologist, intern, scrub demographic data and knowledge about intervention.
nurse
Feedback b.
The correct answer is: Surgeon, assistant, scrub nurse, The effects of the types of support system of patients with
circulating nurse, anaesthesiologist chronic illness and those with acute illness.
Question 96
Question text A study to compare the support system of patients with
Who usually act as an important part of the OR personnel by chronic illness and those with acute illness.
getting the wheelchair or stretcher, and pushing/pulling them
towards the operating room? d.
What are the differences of the support system being received
a. by the patient with chronic illness and the patients with acute
Orderly/clerk illness?
Feedback
b. The correct answer is: What are the differences of the support
Nurse supervisor system being received by the patient with chronic illness and
the patients with acute illness?
c. Question 100
Circulating nurse IncorrectMark 0 out of 1Not flaggedFlag question
Question text
d. You would like to compare the support system of patients with
Anaesthesiologist chronic illness to those with acute illness. Considering that the
Feedback hypothesis was: "Client's with chronic illness have lesser
The correct answer is: Orderly/clerk support system than client's with acute illness." What type of
Question 97 research is this?
Question text a.
Descriptive
Internal mammary artery
b.
Experimental b.
Circumflex artery
c.
Correlational, Non experimental c.
Left anterior descending artery
d.
Quasi Experimental d.
Feedback Right coronary artery
The correct answer is: Descriptive Feedback
The correct answer is: Left anterior descending artery
NSEIP BSN 4: Test Drills on Anatomy and Physiology Question 5
(Cardiovascular, Respiratory System and Endocrine system) CorrectMark 1 out of 1Not flaggedFlag question
IncorrectMark 0 out of 1Not flaggedFlag question The thyroid cartilage is the largest piece of cartilage that can
Question text be seen externally which moves up and down when a person is
The superior vena cava returns blood from the head, neck, speaking and swallowing?
thorax, and upper limbs to the right atrium of
the heart, and the inferior vena cava returns blood from the a.
abdomen, pelvis, and lower limbs to the left atrium. Voice box
a. b.
Statement 1 is correct while Statement 2 is incorrect Trachea
b. c.
Statement 1 is incorrect while Statement 2 is correct. Adam’s apple
c. d.
Statement 1 and 2 are incorrect Thyroid gland
Feedback
d. The correct answer is: Adam’s apple
Statement 1 and 2 are correct Question 6
The correct answer is: Statement 1 is correct while Statement Question text
2 is incorrect Statement 1: Arterioles transport blood from small arteries to
Question 2 capillaries and are the smallest arteries in which the three
CorrectMark 1 out of 1Not flaggedFlag question tunics can be identified.
Question text Statement 2: Blood flows from capillaries into venules, which
The first heart sound, the “lubb” sound, is caused by the which transport blood from capillaries to small veins.
of the following valves?
a.
a. Statement 1 is incorrect while Statement 2 is correct.
None of the above
b.
b. Statement 1 is correct while Statement 2 is incorrect
Closing of the semilunar valves.
c.
c. Statement 1 and 2 are incorrect
Blood rushing out of the ventricles
d.
d. Statement 1 and 2 are correct
Closing of the Atrioventricular valves Feedback
Feedback The correct answer is: Statement 1 and 2 are correct
The correct answer is: Closing of the Atrioventricular valves Question 7
Question text Which of the following will be the effect after removal of the
Which component of the blood prevents the body's loss of parathyroid glands on blood Calcium levels?
blood?
a.
a. None of the above
Leukocytes
b.
b. Blood Calcium levels would increase
Erythrocytes
c.
c. Blood Calcium levels would drop
Eosinophils
d.
d. Bones would no longer be exposed to the bone-digesting
Platelet stimulus of PTH
Feedback Feedback
The correct answer is: Platelet The correct answer is: Blood Calcium levels would drop
Which of the following arteries primarily feeds the anterior Which of the following bronchus characterized as more
wall of the heart? vertical, shorter, and wider in diameter?
a. a.
Trachea b.
Hyposecretion of FSH and LH
b.
Right primary bronchus c.
Hyposecretion of GH
c.
Left primary bronchus d.
Hypersecretion of FSH and LH
d. Feedback
Secondary bronchus The correct answer is: Hyposecretion of FSH and LH
The correct answer is: Right primary bronchus CorrectMark 1 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question Which lymphoid organ gets rid of the aged red blood cells?
Question text
Which blood vessels carry blood back into the heart? a.
Spleen
a.
Arteriole b.
Tonsils
b.
Venule c.
Thymus
c.
Veins d.
Bone marrow
d. Feedback
Artery The correct answer is: Spleen
The correct answer is: Veins CorrectMark 1 out of 1Not flaggedFlag question
IncorrectMark 0 out of 1Not flaggedFlag question The shape of the lungs is characterized in which of the
Question text following?
What is the difference of endocrine and exocrine glands?
a.
a. Leaf shape
All of the above
b.
b. Rod shape
Endocrine glands are found inside the body while exocrine
glands are found outside. c.
cone shape
c.
Anatomically, they are both considered as glands of the body. d.
Wedge shape
d. Feedback
Endocrine glands releases its substances in the blood while The correct answer is: cone shape
exocrine glands releases its substances in the epithelial Question 15
surfaces. CorrectMark 1 out of 1Not flaggedFlag question
The correct answer is: Endocrine glands releases its The pericardium is a sac surrounding the heart and consisting
substances in the blood while exocrine glands releases its of the fibrous pericardium and the serous pericardium. The
substances in the epithelial surfaces. serous pericardium increases friction as the heart beats
Question 11
Question text Statement 1 and 2 are incorrect
Which of the following is the sequelae of hypersecretion of
GH that occurs after long bone growth? b.
Statement 1 is correct while Statement 2 is incorrect
a.
Pituitary dwarfism c.
Statement 1 and 2 are correct
b.
All of the above d.
Statement 1 is incorrect while Statement 2 is correct
c. Feedback
Gigantism The correct answer is: Statement 1 is correct while Statement
2 is incorrect
d. Question 16
Acromegaly CorrectMark 1 out of 1Not flaggedFlag question
The correct answer is: Acromegaly Statement 1: Nutrients and oxygen diffuse from blood vessels
Question 12 to cells in all areas of the body. Waste products and carbon
CorrectMark 1 out of 1Not flaggedFlag question dioxide diff use from the cells to blood vessels.
Question text Statement 2: Components of the immune system, molecules
Which of the following causes sterility in both males and required for blood clotting, enzymes,
females? nutrients, gases, waste products other substances EXCEPT
hormones are transported in the blood to most parts of the
a. body.
Hypersecretion of GH
a.
Statement 1 is correct while Statement 2 is incorrect Which of the following is the function of lymphatic vessels?
b. a.
Statement 1 is incorrect while Statement 2 is correct. It makes the body less prone to infection and distributes
immune cells in the digestive system.
c.
Statement 1 and 2 are correct b.
None of the above
d.
Statement 1 and 2 are incorrect c.
Feedback It traps the foreign substances and blood.
The correct answer is: Statement 1 is correct while Statement
2 is incorrect d.
Question 17 It picks up fluid and proteins leaked from the blood into the
CorrectMark 1 out of 1Not flaggedFlag question interstitial space.
Which of the following is the circulation of blood between the The correct answer is: It picks up fluid and proteins leaked
heart and the lungs? from the blood into the interstitial space.
Question 21
Pulmonary Circulation Question text
What is the benefit of having fewer efferent the afferent
b. lymphatic vessels?
None of the above
a.
c. The lymphatic system doesn’t need that much of an efferent
Cardiovascular Circulation vessels because it is just a passageway between the nodes.
d. b.
Conduction system of the heart Because the outlet is smaller than the inlet to the lymph node,
Feedback the fluid stagnates briefly in the node, giving macrophages and
The correct answer is: Pulmonary Circulation lymphocytes time to monitor the lymph for pathogens and
Question 18 process them.
Question text c.
Which of the following is the impostor? None of the above1
a. d.
Peyer’s Patches Since we have more afferent than efferent vessels, the nodes
will be able to accommodate lymph fluids needed by the
b. macrophages and lymphocytes.
Tonsils Feedback
The correct answer is: Because the outlet is smaller than the
c. inlet to the lymph node, the fluid stagnates briefly in the node,
Appendix giving macrophages and lymphocytes time to monitor the
lymph for pathogens and process them.
d. Question 22
Thymus CorrectMark 1 out of 1Not flaggedFlag question
Question text
e. The surface of the respiratory membrane inside each alveolus
Blood Capillaries is coated with a fluid consisting a mixture of lipoproteins is
Feedback refers to which of the following?
The correct answer is: Blood Capillaries
Question 19 a.
IncorrectMark 0 out of 1Not flaggedFlag question Surfactant
Question text
Statement 1: The SA node and the AV node are in the right b.
atrium. The AV node is connected to the bundle branches in Alveolar capillary
the interventricular septum by the AV bundle.
Statement 2: The bundle branches give rise to Purkinje fibers, c.
which supply the ventricles. The SA node initiates action Macrophages
potentials, which spread across the atria and cause them to
relax. d.
Bronchioles
a. Feedback
Statement 1 is correct while Statement 2 is incorrect The correct answer is: Surfactant
Question 23
Statement 1 and 2 are incorrect Question text
Along with the respiratory system, which of the following
c. system has the responsibility of supplying oxygen and
Statement 1 and 2 are correct eliminating carbon dioxide?
d. a.
Statement 1 is incorrect while Statement 2 is correct. Cardiovascular
Feedback
The correct answer is: Statement 1 is correct while Statement b.
2 is incorrect integumentary
Question 20
Question text Nervous
Cardiac muscle cells are autorhythmic because of the
d. spontaneous development of a prepotential. The
Muscular Atrioventricular node is the pacemaker of the heart.
Feedback
The correct answer is: Cardiovascular a.
Question 24 Statement 1 is correct while Statement 2 is incorrect
Question text b.
Action potentials are slowed in the AV node, allowing the Statement 1 is incorrect while Statement 2 is correct.
atria to contract and blood to move into the ventricles. Then
the action potentials travel through the AV bundles and bundle c.
branches to the Statement 1 and 2 are correct
Purkinje fibers, causing the ventricles to contract, starting at
the apex. d.
Effective pumping of blood through the heart depends on Statement 1 and 2 are incorrect
coordinated contraction of the atria and ventricles. The atria Feedback
contract, moving blood into the ventricles. Then the ventricles The correct answer is: Statement 1 is correct while Statement
contract, moving blood to the lungs and body. 2 is incorrect
The following are functions of the heart, EXCEPT: Question 28
a. Question text
Generates blood pressure, which is necessary for blood fl ow. Which of the following refers to the large leaf-shaped piece of
cartilage that lies on the tip of the larynx that moves up and
b. down like a trap door so that the food and liquids will get
Release insulin routed into the esophagus?
c. a.
Pushes blood through the pulmonary circuit. Larynx
d. b.
Modifies blood fl ow by changing its rate and force of Glottis
contraction
Feedback c.
The correct answer is: Release insulin Pharynx
Question 25
Question text Epiglottis
The lacrimal ducts empty the tears into which of the Feedback
following? The correct answer is: Epiglottis
Question 29
Trachea Question text
Blood flows from the heart through elastic arteries, muscular
b. arteries, and arterioles to the capillaries.
Mouth Blood returns to the heart from the capillaries through venules,
small veins, and large veins.
c.
Nose a.
Statement 1 and 2 are incorrect
d.
Pharynx b.
Feedback Statement 1 and 2 are correct
The correct answer is: Nose
Question 26 c.
IncorrectMark 0 out of 1Not flaggedFlag question Statement 1 is incorrect while Statement 2 is correct.
Question text
1Statement 1: The bicuspid valve is open. The cusps of the d.
valve are pushed by the blood into the ventricle, and blood Statement 1 is correct while Statement 2 is incorrect
flows into the ventricle. The chordae tendineae are relaxed. Feedback
Statement 2: The aortic semilunar valve is closed. The cusps The correct answer is: Statement 1 and 2 are correct
of the valve overlap as they are pushed by the blood in the Question 30
aorta toward the ventricle. Backflow of blood into the CorrectMark 1 out of 1Not flaggedFlag question
ventricle is prevented. Question text
What would be the consequence of the blockage of the
a. thoracic duct?
Statement 1 is incorrect while Statement 2 is correct
a.
b. Lymph nodes will become infected
Statement 1 is correct while Statement 2 is incorrect
b.
c. Edema in the axillary nodes.
Statement 1 and 2 are correct
c.
d. Edema in the areas that drain into thoracic duct
Statement 1 and 2 are incorrect
Feedback d.
The correct answer is: Statement 1 and 2 are correct Widening of the blood vessels
IncorrectMark 0 out of 1Not flaggedFlag question The correct answer is: Edema in the areas that drain into
Question text thoracic duct
Question 31
IncorrectMark 0 out of 1Not flaggedFlag question What do you call the chemical substances that are secreted by
Question text endocrine cells?
Given these blood vessels: 1. aorta 2. inferior vena cava 3.
pulmonary arteries 4. pulmonary veins a.
Which vessels carry oxygenated blood? WBCs
Which vessels carry oxygenated blood?
b.
a. Hormones
2,4
c.
b. Lymph
2,3
d.
c. Enzymes
1,3 Feedback
The correct answer is: Hormones
d. Question 36
1,4 CorrectMark 1 out of 1Not flaggedFlag question
The correct answer is: 1,4 The term “swollen glands” do not actually mean the glands are
Question 32 swollen but rather the nodes of the lymphatic system. The
CorrectMark 1 out of 1Not flaggedFlag question term “swollen glands” is not a misnomer.
Question text
Which type of hormone is made from cholesterol? a.
Both of the statement are correct
a.
Prostaglandins b.
Only the FIRST statement is correct
b.
Steroid c.
Only the second statement is correct
c.
Amino acid-based molecule d.
None of the are correct
d. Feedback
Sterol The correct answer is: Only the FIRST statement is correct
The correct answer is: Steroid CorrectMark 1 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question Which of the following keeps the blood flow moving in one
Question text direction throughout the heart from the atrium to the
Effective pumping of blood through the heart depends on ventricles?
coordinated contraction of the atria and ventricles. The atria
contract, moving blood into the ventricles. Then the ventricles a.
contract, moving blood to the lungs and body. Left Atrium
a. b.
Statement 1 and 2 are correct Aorta
b. c.
Statement 1 is incorrect while Statement 2 is correct. Valve
c. d.
Statement 1 and 2 are incorrect Left Ventricle
Feedback
d. The correct answer is: Valve
Statement 1 is correct while Statement 2 is incorrect Question 38
The correct answer is: Statement 1 and 2 are correct Question text
Question 34 Which of the following blood vessels that carry blood away
CorrectMark 1 out of 1Not flaggedFlag question from the heart?
Question text
The larynx is also called as which of the following? a.
Venule
a.
Trachea b.
Artery
b.
Adam’s apple c.
Veins
c.
Thyroid gland d.
Arteriole
d. Feedback
Voice box The correct answer is: Artery
The correct answer is: Voice box IncorrectMark 0 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question In order for a hormone to help its target cells/organs, it should
Question text first attach to which of the following site?
a. b.
B and C are correct Tendons
b. c.
Receptor protein in the plasma membrane Cartilage
c. d.
Hormone-receptor in the nucleus Epithelial tissue
Feedback
d. The correct answer is: Cartilage
Phospholipid receptors of the cell Question 44
The correct answer is: B and C are correct Question text
Question 40 What lymphoid organ that prevents the bacteria from
CorrectMark 1 out of 1Not flaggedFlag question penetrating the intestinal wall?
Question text
Which of the following describes Lymph Capillaries? a.
Peyer’s patches
a.
None of the above b.
Thymus
b.
Are open-ended, like drinking straws. c.
Tonsils
c.
Have continuous tight junctions, like the capillaries of the d.
brain. Spleen
Feedback
d. The correct answer is: Peyer’s patches
Contain endothelial cells separated by flaplike valves that can Question 45
open wide. IncorrectMark 0 out of 1Not flaggedFlag question
have special barrier that stop cancer cells from entering Question text
Feedback Which of the following is not included in the ways in which
The correct answer is: Contain endothelial cells separated by endocrine glands are stimulated to secrete their hormones?
flaplike valves that can open wide.
have special barrier that stop cancer cells from entering a.
Question 41 Humoral Stimulus
Question text b.
Which of the following is the definition of MALT? Neonatal Stimulus
a. c.
Mucosal Arterial Lymphoid Tissue A and B are correct
b. d.
Mucosa-Associated Lymphoid Tissue Hormonal Stimulus
Feedback
c. The correct answer is: A and B are correct
Maltulose Question 46
d. Question text
Maltose Which of the following is not considered as an endocrine
Feedback gland but rather a storage of hormones made by the
The correct answer is: Mucosa-Associated Lymphoid Tissue hypothalamus?
Question 42
Question text Posterior pituitary gland
Which of the following site the right lymphatic duct will drain
the lymph? b.
Thalamus
a.
Right subclavian vein c.
Parathyroid
b.
All of the above d.
Thymus
c. Feedback
Right side of the head The correct answer is: Posterior pituitary gland
Question 47
Right arm Question text
Feedback Which of the following is not a tropic hormone?
The correct answer is: All of the above
Question 43 a.
CorrectMark 1 out of 1Not flaggedFlag question LH
Question text
The nasal septum is made up of which of the following? b.
GH
a.
Bone c.
ACTH
d. d.
FSH Melanocytes
Feedback
The correct answer is: GH e.
Question 48 Astrocytes
Question text The correct answer is: Melanocytes
Which of the following is the third process of respiration? Question 3
a. Question text
Exhalation Higher brain centers control the micturition reflex. Stretching
of the urinary bladder stimulates sensory neurons that carry
b. impulses to the brain and inform the brain of the need to
Internal respiration defecate.
c. a.
Breathing Statement 1 and 2 are correct
d. b.
External respiration Statement 1 and 2 are incorrect
Feedback
The correct answer is: Internal respiration c.
Question 49 Statement 1 is correct while Statement 2 is incorrect
Question text d.
Which of following is the muscular wall that separates the Statement 1 is incorrect while Statement 2 is correct.
right and left side of the heart? Feedback
The correct answer is: Statement 1 is correct while Statement
a. 2 is incorrect
Right Atrium Question 4
b. Question text
Septum Which electrolyte would the nurse identify as the major
electrolyte responsible for determining the concentration of
c. the extracellular fluid?
Left Ventricle
a.
d. Chloride
Right Ventricle
Feedback b.
The correct answer is: Septum Sodium
Test Drills No. 2 Review on Anatomy & Physiology ( Urinary c.

system, Fluids and Electrolytes, Integumentary system and Potassium
Nervous system)
Question 1 d.
CorrectMark 1 out of 1Not flaggedFlag question Phosphate
Which of the following is NOT a neurotransmitter? The correct answer is: Sodium
Question 5
Acetylcholine Question text
Which of the following stores urine formed by the kidneys?
b.
None of the above a.
Bladder
c.
Serotonin b.
Urethra
d.
Dopamine c.
Liver
e.
Norepinephrine d.
Feedback Gallbladder
The correct answer is: None of the above Feedback
Question 2 The correct answer is: Bladder
The racial color differences are a result of variation in quantity Question text
of which of the following? The gray matter is found in which of the following?
a. a.
Desmosome Myelin
b. b.
Karyocytes Nerve tracts
c. c.
Keratin None of the above
Meninges
d.
Neuroglia b.
Foramen Ovale
e.
Cortex c.
Feedback Corpus callosum
The correct answer is: Cortex
Question 7 d.
CorrectMark 1 out of 1Not flaggedFlag question Aqueduct of Sylvius
Question text
Which of the following cells that line the cavities in brain and e.
spinal cord? Foramen of Monro
Feedback
a. The correct answer is: Aqueduct of Sylvius
Oligodendroglia Question 11
b. Question text
Microglia The functions of the spinal cord includes which of the
following?
c.
Schwann cells a.
Reflex / protection
d.
Ependymal cells b.
Reflex / conveyance
e.
Astrocytes c.
Feedback Reflex / respiration
The correct answer is: Ependymal cells
Question 8 d.
CorrectMark 1 out of 1Not flaggedFlag question Reflex / cogitation
Question text
The functional unit of the kidney is the neuron. The parts of a e.
nephron are the renal corpuscle, the proximal convoluted Reflex / emotion
tubule, the loop of Henle, and the distal convoluted tubule. Feedback
The correct answer is: Reflex / conveyance
a. Question 12
Statement 1 and 2 are incorrect CorrectMark 1 out of 1Not flaggedFlag question
Question text
b. A white crescent located at the proximal end of the nails is
Statement 1 is correct while Statement 2 is incorrect refers to which of the following?
c. a.
Statement 1 and 2 are correct Nail bed
d. b.
Statement 1 is incorrect while Statement 2 is correct. Cuticle
Feedback
The correct answer is: Statement 1 is incorrect while c.
Statement 2 is correct. None of the above
Question 9
Question text Root
Which of the following system conducts impulses from the
brain and spinal cord going to skeletal muscles? e.
Lunula
a. Feedback
Autonomic The correct answer is: Lunula
Question 13
Afferent Question text
Which of the following enzyme that breaks down
c. acetylcholine?
Parasympathetic
a.
d. Sodium
Somatic
b.
e. Acetylcholinesterase
Sympathetic
Feedback c.
The correct answer is: Somatic An anabolic steroid
Question 10
Question text Serotonin
The fourth ventricle lies between the cerebellum and the lower
brainstems and it connects with the third ventriclevia which of e.
the following? Dopamine
Feedback
a. The correct answer is: Acetylcholinesterase
Question 14 The correct answer is: Instituting seizure precaution to prevent
IncorrectMark 0 out of 1Not flaggedFlag question injury
The kidneys reabsorb waste products. CorrectMark 1 out of 1Not flaggedFlag question
The kidneys control blood volume and blood pressure by Question text
regulating the volume of urine produced. The shiny hair is a result of which of the following?
a. a.
Statement 1 and 2 are correct Melanocytes
b. b.
Statement 1 is correct while Statement 2 is incorrect Lice
c. c.
Statement 1 and 2 are incorrect Sweat
d. d.
Statement 1 is incorrect while Statement 2 is correct. Callus
Feedback
The correct answer is: Statement 1 is incorrect while e.
Statement 2 is correct. Sebum
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Sebum
The nervous system shares in the maintenance of homeostasis CorrectMark 1 out of 1Not flaggedFlag question
with which of the following system? Question text
Which of the following layers of the epidermis in which
a. mitosis takes place in the stratum:
Endocrine
a.
b. Stratum granulosum
Digestive
b.
c. Stratum corneum
Skeletal
c.
d. Stratum lucidum
Respiratory
d.
e. Stratum spinosum
Muscular
Feedback e.
The correct answer is: Endocrine Stratum germinativum
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Stratum germinativum
Which of the following nursing interventions is needed for IncorrectMark 0 out of 1Not flaggedFlag question
client with hyponatremia? Question text
Which of the following are the three main steps of urine
a. formation?
Restricting fluid intake
a.
b. Filtration, reabsorption, excretion
Encouraging water intake
b.
c. Reabsorption, filtration, excretion
Administering hypotonic IV fluids
c.
d. Filtration, reabsorption, secretion
Restricting sodium intake
Feedback d.
The correct answer is: Restricting fluid intake Excretion, secretion, filtration
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Filtration, reabsorption, excretion
Roberto is diagnosed with hypomagnesemia, which nursing IncorrectMark 0 out of 1Not flaggedFlag question
intervention would be appropriate? Question text
Lab tests revealed that client A's Sodium (Na+) is 170 mEq/L.
a. Which clinical manifestation would nurse Natty expect to
Avoiding the use of tight tourniquet when drawing blood assess?
b. a.
Teaching the client the importance of early ambulation Muscle weakness and paresthesia
c. b.
Instructing the client on the importance of preventing infection Muscle twitching and tetany
d. c.
Instituting seizure precaution to prevent injury Tented skin turgor and thirst
Feedback
d.
Fruity breath Aqueduct of Sylvius
Feedback
The correct answer is: Tented skin turgor and thirst c.
Question 22 Foramen Ovale
Question text d.
The stratum basale is found in which of the following layer? Meninges
a. e.
Stratum spinosum Corpus callosum
Feedback
b. The correct answer is: Foramen of Monro
Stratum germinativum Question 26
c. Question text
Stratum corneum The spinal nerves are composed of how many pairs?
d. a.
Stratum granulosum 23
e. b.
Stratum lucidum 31
Feedback
The correct answer is: Stratum germinativum c.
Question 23 12
Question text d.
Statement 1: The filtration membrane is formed by the 21
glomerular capillaries,
the basement membrane, and the podocytes of the Bowman e.
capsule 46
Statement 2: Efferent arterioles carry blood from the glomeruli Feedback
to the The correct answer is: 31
peritubular capillaries Question 27
a. Question text
Statement 1 and 2 are correct Which of the following are the cells that make up the myelin
sheath?
b.
Statement 1 and 2 are incorrect a.
Ependymal cells
c.
Statement 1 is correct while Statement 2 is incorrect b.
Schwann cells
d.
Statement 1 is incorrect while Statement 2 is correct c.
Feedback Oligodendroglia
The correct answer is: Statement 1 and 2 are correct
Question 24 d.
CorrectMark 1 out of 1Not flaggedFlag question Node of ranvier
Question text
A lipid covering of cells is found in which of the following? e.
Microglia
a. Feedback
Stratum lucidum The correct answer is: Schwann cells
Question 28
Stratum granulosum Question text
The heartbeat rate, digestion, and breathing rates are
c. controlled and maintained by reflexes concerned with
Stratum corneum ___________processes?
d. a.
Stratum spinosum Cortical
e. b.
Stratum germinativum Somatic
Feedback
The correct answer is: Stratum corneum c.
Question 25 Cognitive
Question text d.
The third ventricle is a slit between the and inferior to the right Involuntary
and left halves of the thalamus, and situated between lateral
ventricles. This connect with the third ventricle by a narrow e.
oval opening called: Voluntary
Feedback
a. The correct answer is: Involuntary
Foramen of Monro Question 29
b. Question text
The kidneys regulate the concentration of red blood cells in The "glue" cells that perform the function of support and
the blood. protection is refers to which of the following?
The kidneys participate, with the skin and liver, in regulating
vitamin D synthesis. a.
Astrocytes
a.
Statement 1 and 2 are correct b.
Schwann
b.
Statement 1 and 2 are incorrect c.
Ependymal
c.
Statement 1 is correct while Statement 2 is incorrect d.
Neurons
d.
Statement 1 is incorrect while Statement 2 is correct. e.
Feedback Neuroglia
The correct answer is: Statement 1 and 2 are correct Feedback
Question 30 The correct answer is: Neuroglia
Which of the following is a major anion in the extracellular Question text
fluid? Which of the following layers containing numerous blood
vessels and nerves?
a.
Potassium a.
Spider layer
b.
Magnesium b.
Pia mater
c.
Chloride c.
Arachnoid mater
d.
Calcium d.
Feedback Subdural space
The correct answer is: Chloride
Question 31 e.
CorrectMark 1 out of 1Not flaggedFlag question Dura mater
Angelo's laboratory test just revealed that his chloride level is The correct answer is: Pia mater
96 mEq/L. As a nurse, which of the following choices is the Question 35
interpretation of this result? CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. Aldosterone secretion in response to fluid loss will result in
High which one of the following electrolyte imbalances?
b. a.
High normal Hyperkalemia
c. b.
Within normal range Hypernatremia
d. c.
Low Hyponatremia
Feedback
The correct answer is: Within normal range d.
Question 32 Hypokalemia
Question text The correct answer is: Hypokalemia
Mona's lab test revealed that her serum calcium is 2.5 mEq/L. Question 36
Which assessment data does the nurse document when a client CorrectMark 1 out of 1Not flaggedFlag question
diagnosed with hypocalcemia develops a carpopedal spasm Question text
after the blood-pressure cuff is inflated? Parathyroid hormone secreted from the parathyroid glands
increases extracellular Ca2+ levels by causing bone resorption
a. and increased Ca2+ uptake in the kidney. Parathyroid
Positive Trousseau's sign hormone increases vitamin D synthesis.
b. a.
Paresthesia Statement 1 is correct while Statement 2 is incorrect
c. b.
Positive Chvostek’s sign Statement 1 and 2 are correct
d. c.
Tetany Statement 1 and 2 are incorrect
Feedback
The correct answer is: Positive Trousseau's sign d.
Question 33 Statement 1 is incorrect while Statement 2 is correct.
Question text The correct answer is: Statement 1 and 2 are correct
Statement 1: About 98% of the filtrate volume is reabsorbed; Which of the following dietary recommendations is needed for
2% becomes urine. a client with a hypotonic fluid excess?
Statement 2: Among the substances reabsorbed are proteins,
amino acids, a.
glucose, fructose, Na+, K+, Ca2+, HCO3 −, and Cl−. Intake of potassium-rich foods
a. b.
Statement 1 is incorrect while Statement 2 is correct. Increased sodium intake
b. c.
Statement 1 is correct while Statement 2 is incorrect Decreased sodium intake
c. d.
Statement 1 and 2 are correct Increased fluid intake
Feedback
d. The correct answer is: Increased sodium intake
Statement 1 and 2 are incorrect Question 42
The correct answer is: Statement 1 is correct while Statement Question text
2 is incorrect Hair covers all of the body, EXCEPT:
Question 38
Question text Palms of the hands
Which of the following is included in insensible fluid loss?
b.
a. Legs
Bleeding
c.
b. Face
Gastric drainage
d.
c. Arms
Urine
e.
d. None of the above
Perspiration Feedback
Feedback The correct answer is: Palms of the hands
The correct answer is: Perspiration Question 43
Question text The meninges are separated from the vertebrae by which of
Which structure connects your kidney to the bladder? the following?
a. a.
Bile Duct Epidural space
b. b.
Ureter Subdural space
c. c.
Esophagus Pia mater
d. d.
Pancreatic Duct Spider layer
Feedback
The correct answer is: Ureter e.
Question 40 Subarachnoid space
Question text The correct answer is: Epidural space
Keratinization produces distinct layers of the epidermis this is Question 44
called:_________ CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. The oligodendroglia are commonly found in which of the
Desmosomes following organs?
b. a.
Strata Brain and spinal cord
c. b.
Integuments Fingers
d. c.
Receptors Heart
e. d.
Melanocytes. Muscles
Feedback
The correct answer is: Strata e.
Lungs ANS
Feedback
The correct answer is: Brain and spinal cord d.
Question 45 Neuroglia
Question text e.
The arrector pili muscles engage when we get: CNS
Feedback
a. The correct answer is: Reflex
Cold sores Question 49
b. Question text
A papillomavirus A neuron with one axon and one dendrite is known as?
c. a.
Psoriasis Afferent
d. b.
Shingles Bipolar
e. c.
A chill Terminal
Feedback
The correct answer is: A chill d.
Question 46 Multipolar
Question text e.
Spinal taps are done in which of the following region of the Unipolar
spine? Feedback
The correct answer is: Unipolar
a. Question 50
Thoracic IncorrectMark 0 out of 1Not flaggedFlag question
Question text
b. Phagocytosis is performed by which of the following cells?
Lumbar
a.
c. Ependymal cells
Coccyx
b.
d. Schwann cells
Cervical
c.
e. Oligodendroglia
Sacral
Feedback d.
The correct answer is: Lumbar Astrocytes
Question 47
CorrectMark 1 out of 1Not flaggedFlag question e.
Question text Microglia
The sebaceous secretion is controlled by which of the Feedback
following? The correct answer is: Microglia
a. Test Drills No. 3 Mental Health & Psychiatric Nursing

Thalamus Question 1
b. Question text
Endocrine system A nurse is implementing a one-on-one suicide observation
level with a client diagnosed with Major Depressive Disorder.
c. The client states,"I'm feeling a lot better so you can stop
Senses watching me. I have taken up too much of your time already."
Which of the following is the best nursing reply?
d.
Hypothalamus a.
"I really appreciate your concern but I have been ordered to
e. continue to watch you."
Circulatory system
Feedback b.
The correct answer is: Endocrine system "I am glad you are feeling better. The treatment team will
Question 48 consider your request."
Question text c.
The smallest, simplest pathway to receive and process a "I will forward you request to your psychiatrist because it is
stimulus is the: his decision."
a. d.
Reflex "Because we are concerned about your safety,we will continue
to observe you."
b. Feedback
None of the above The correct answer is: "Because we are concerned about your
safety,we will continue to observe you."
c. Question 2
CorrectMark 1 out of 1Not flaggedFlag question Self-care deficit
Question text
A client diagnosed with Obsessive-Compulsive Disorder b.
(OCD)continually carries a toothbrush,and will brush and Anxiety
floss up to fifty times each day. The nurse understands that the
client's behavior is an attempt to accomplish which of the c.
following? Social isolation
a. d.
Avoid interacting with others Decisional conflict
Feedback
b. The correct answer is: Social isolation
Relieve anxiety Question 6
c. Question text
Promote oral health Parents ask a nurse how they should reply when their
child,diagnosed with Paranoid Schizophrenia,tells them that
d. voices command him to harm others. Which of the following
Experience pleasure is the appropriate nursing reply?
Feedback
The correct answer is: Relieve anxiety a.
Question 3 "Focus on the feelings generated by the hallucinations and
CorrectMark 1 out of 1Not flaggedFlag question present reality."
Question text
A client diagnosed with Paranoid Schizophrenia states,"My b.
psychiatrist is out to get me. I'm sad that the voice is telling "Ignore what he is saying,while attempting to discover the
me to stop him." What symptom is the client exhibiting,and underlying cause."
what is the nurse's legal responsibility related to this
symptom? c.
"Tell him to stop discussing the voices."
a.
Magical thinking; administer an antipsychotic medication d.
"Present objective evidence that the voices are not real."
b. Feedback
Command hallucinations; warn the psychiatrist The correct answer is: "Focus on the feelings generated by the
hallucinations and present reality."
c. Question 7
Persecutory delusions; orient the client to reality CorrectMark 1 out of 1Not flaggedFlag question
Question text
d. Ms. G is a client with a fear of air travel. She is being treated
Altered thought processes; call an emergency treatment team in a mental institution for Phobic Disorder. The treatment
meeting method involves systematic desensitization. Which of the
Feedback following actions of the client the nurse would consider the
The correct answer is: Command hallucinations; warn the treatment successful?
psychiatrist
Question 4 a.
CorrectMark 1 out of 1Not flaggedFlag question Ms. G plans a trip requiring air travel.
Question text
A 16-year-old-client diagnosed with Paranoid Schizophrenia b.
experiences command hallucinations to harm others. The Ms. G. recognizes the unrealistic nature of the fear of riding
client's parents ask a nurse,"Where do the voices come from?" on airplanes.
Which of the following is the appropriate nursing reply?
c.
a. Ms. G. takes a short trip in an airplane.
"Your child has a chemical imbalance of the brain which leads
to altered thoughts." d.
Ms. G. verbalizes a decreased fear about air travel.
b. Feedback
"Your child's hallucinations are caused by medication The correct answer is: Ms. G. takes a short trip in an airplane.
interactions." Question 8
c. Question text
"Your child's abnormal hormonal changes have precipitated When caring for a client with a diagnosis of Schizotypal
auditory hallucinations." Personality Disorder,the nurse should:
d. a.
"Your child has too little serotonin in the brain causing Encourage participation in group therapy
delusions and hallucinations."
Feedback b.
The correct answer is: "Your child has a chemical imbalance Respect the client's needs for social isolation
of the brain which leads to altered thoughts."
Question 5 c.
CorrectMark 1 out of 1Not flaggedFlag question Set limits on manipulative behavior
Question text
Upon Mr. S admission for acute psychiatric d.
hospitalization,Nurse J documents the following; Client Understand that seductive behavior is expected.
refuses to bathe or dress,remains in room most of the Feedback
day,speaks infrequently to peers or staff. Which of the The correct answer is: Respect the client's needs for social
following nursing diagnosis would be the priority at this time? isolation
Question 9
Question text How to make eye contact when communicating
A nurse notices that a client is mistrustful and shows hostile
behavior. Which of the following types of Personality d.
Disorder is associated with these characteristics? How to be a leader
Feedback
a. The correct answer is: How to make eye contact when
Avoidant communicating
Question 13
b. IncorrectMark 0 out of 1Not flaggedFlag question
Paranoid Question text
A client diagnosed with Panic Disorderstates,"When an attack
c. happens,I feel like I am going to die." Which of the following
Antisocial is the most appropriate nursing reply?
d. a.
Borderline "Death from a panic attack happens so infrequently that there
Feedback is no need to worry."
The correct answer is: Paranoid
Question 10 b.
CorrectMark 1 out of 1Not flaggedFlag question "I know it's frightening,but try to remind yourself that this will
Question text only last a short time."
A client in a manic state emerges from her room. She is
topless and is making sexual remarks and gestures toward staff c.
and peers. Which of the following nursing action is the most "Most people who experience panic attacks have feelings of
appropriate for the nurse to take? impending doom."
a. d.
Approach the client in the hallway and insist that she go into "Tell me why you think you are going to die every time you
the room have a panic attack."
Feedback
b. The correct answer is: "I know it's frightening,but try to
Ask the other client to ignore her behavior; she will eventually remind yourself that this will only last a short time."
return to her room. Question 14
c. Question text
Confront the client on the inappropriateness of her behavior A client diagnosed with Schizophrenia states,"Can't you hear
and offer her a time out. him? It's the devil. He's telling me I'm going to hell." Which of
the following is the most appropriate nursing reply?
d.
Quietly approach the client,escort her to her room and assist a.
her in getting dressed "The devil only talks to people who are receptive to his
Feedback influence."
The correct answer is: Quietly approach the client,escort her to
her room and assist her in getting dressed b.
Question 11 "Did you take your medicine this morning?"
Question text c.
A client with Antisocial Personality Disorder was admitted in "You are not going to hell. You are a good person."
a unit at South Wales Hospital. The newly admitted client
stole money from an elderly in the unit. Which of the d.
following is the most appropriate for the nurse to say to this "I'm sure the voices sound scary. The devil is not talking to
client? you. This is part of your illness."
Feedback
a. The correct answer is: "I'm sure the voices sound scary. The
"Why did you take the money?" devil is not talking to you. This is part of your illness."
Question 15
"Let's talk about how you felt when you took the money." Question text
A client in a manic state emerges from her room. She is
c. topless and is making sexual remarks and gestures toward staff
"The consequences of stealing are a loss of privileges." and peers. Which of the following nursing action is the most
appropriate for the nurse to take?
d.
"This client is defenseless against you." a.
Feedback Confront the client on the inappropriateness of her behavior
The correct answer is: "The consequences of stealing are a and offer her a time out.
loss of privileges."
Question 12 b.
CorrectMark 1 out of 1Not flaggedFlag question Approach the client in the hallway and insist that she go into
Question text the room
A client diagnosed with Schizoaffective Disorder is admitted
for social skills training. Which of the following information c.
should be taught by the nurse? Ask the other client to ignore her behavior; she will eventually
return to her room.
a.
The side effects of medications d.
Quietly approach the client,escort her to her room and assist
b. her in getting dressed
Deep breathing techniques to decrease stress Feedback
The correct answer is: Quietly approach the client,escort her to
c. her room and assist her in getting dressed
Question 16 Extreme social withdrawal,oddmannerisms,and behavior
Question text d.
A nurse discusses job possibilities with a client with Schizoid Absence of acute symptoms impaired role function
Personality Disorder. Which of the following suggestion by Feedback
the nurse would be helpful? The correct answer is: Extreme social
withdrawal,oddmannerisms,and behavior
a. Question 20
"Your idea of applying for the position of filing and CorrectMark 1 out of 1Not flaggedFlag question
organizing records is worth pursuing." Question text
A mother of a teenage daughter with an Anxiety Disorder is
b. concerned about her daughter's progress on discharge. She
"Maybe your friend could get you that customer service job states that her daughter "stashes food,eats all the wrong things
where you work only on the weekends." that make her hyperactive," and "hangs out with the wrong
crowd." In helping the mother prepare for her daughter's
c. discharge,the nurse suggests that the mother;
"You can work in a family restaurant part-time on the
weekend and holidays." a.
Keep her daughter out of school until she can adjust to the
d. school environment
"Being an introvert limits the employment opportunities you
can pursue." b.
Feedback Consider taking time from work to help her daughter readjust
The correct answer is: "Your idea of applying for the position to being at home
of filing and organizing records is worth pursuing."
Question 17 c.
CorrectMark 1 out of 1Not flaggedFlag question Restrict the amount of chocolate and caffeine products in the
Question text home
A nurse is assessing a client diagnosed with Dependent
Personality Disorder. Which of the following characteristics is d.
a major component to this disorder? Restrict the daughter's socializing time with her friends
Feedback
a. The correct answer is: Restrict the amount of chocolate and
Indifferent to others caffeine products in the home
Question 21
Abrasive to others Question text
The nurse observes a client pacing in the hall. Which of the
c. following statements by the nurse may help the client
Over reliance on others recognize his anxiety?
d. a.
Manipulative of others "I notice that you're pacing. How are you feeling?"
Feedback
The correct answer is: Over reliance on others b.
Question 18 "I guess you're worried about something,aren't you?
Question text c.
A client diagnosed with Schizophrenia is slow to respond and "Have you been pacing for a long time?"
appears to be listening to unseen others. Which of the
following medication should a nurse expect a physician to d.
order to address this type of symptom? "Can I get you some medication to help calm you?"
Feedback
a. The correct answer is: "I notice that you're pacing. How are
Risperidone (Risperdal)to address the positive symptom you feeling?"
Question 22
Clozapine (Clozaril)to address the negative symptom Question text
A nursing instructor is teaching about Specific Phobias. Which
c. of the following student statement should indicate that
Clonazepam (Klonopin)to address the positive symptom learning has occurred?
d. a.
Haloperidol (Haldol)to address the negative symptom "These clients have a panic level of fear that is overwhelming
Feedback and unreasonable."
The correct answer is: Risperidone (Risperdal)to address the
positive symptom b.
Question 19 "These clients do not recognize that their fear is excessive and
CorrectMark 1 out of 1Not flaggedFlag question rarely seek treatment."
Question text
Client C is diagnosed as having Disorganized Schizophrenia. c.
Which of the following behaviors would Nurse S most likely "These clients experience symptoms that mirror a
assess in the client? cerebrovascular accident (CVA)."
a. d.
Psychomotor immobility; presence of waxy flexibility "These clients experience the symptoms of
tachycardia,dysphagia,and diaphoresis."
b. Feedback
Suspiciousness toward others and increased hostility The correct answer is: "These clients have a panic level of fear
that is overwhelming and unreasonable."
c. Question 23
CorrectMark 1 out of 1Not flaggedFlag question Ambivalence
Which of the following information must be included for the The correct answer is: Splitting
family of a client diagnosed with Dependent Personality Question 27
Disorder? CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. A client with Avoidant Personality Disorder says occupational
Explore panic attacks therapy is boring and doesn't want to go. Which of the
following nursing action would be best?
b.
Promote exercise programs a.
Arrange for the client not to attend OT until he is feeling
c. better
Address coping skills
b.
d. Ask the client to talk about why OT is boring
Decrease aggressive outbursts
Feedback c.
The correct answer is: Address coping skills Arrange with OT for the client to do a project on the unit.
Question 24
Question text State firmly that you'll escort him to OT.
The nurse is reviewing a depressed client's history from an Feedback
earlier admission. Documentation of anhedonia is noted. The The correct answer is: State firmly that you'll escort him to
nurse understands that this symptom refers to which of the OT.
following? Question 28
a. Question text
Reports difficulty falling and staying asleep How should a nurse best describe the major maladaptive client
response to Panic Disorder?
b.
lack of enjoyment in usual pleasures a.
Clients overuse medical care due to physical symptoms.
c.
Expression of persistent suicidal thoughts b.
Clients use illegal drugs to ease symptoms.
d.
Reduced senses of taste and smell c.
Feedback Clients develop compulsions to deal with anxiety.
The correct answer is: lack of enjoyment in usual pleasures
Question 25 d.
CorrectMark 1 out of 1Not flaggedFlag question Clients perceive having no control over life situations.
In a day treatment program,a Manic client is creating The correct answer is: Clients perceive having no control over
considerable chaos,behaving in a dominating and manipulative life situations.
way. Which of the following nursing intervention is most Question 29
appropriate? CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. Nurse N is assessing client J who is diagnosed with Bipolar
Recommend that the client is hospitalized for treatment. Disorder. The nurse would expect to find a history of which of
the following?
b.
Allow the peer group to intervene. a.
Symptoms of mania that include delusional thoughts.
c.
Describe acceptable behavior and set realistic limits with the b.
client. Symptoms of mania that may or may not be followed by
depression.
d.
Tell the client that his behavior is inappropriate. c.
Feedback Depressive episode followed by prolonged sadness.
The correct answer is: Describe acceptable behavior and set
realistic limits with the client. d.
Question 26 A series of depressive episodes that recur periodically.
Question text The correct answer is: Symptoms of mania that may or may
A client with a diagnosis of Borderline Personality Disorder not be followed by depression.
has negative feelings toward the other clients on the unit and Question 30
considers them all to be "bad." The nurse understands this CorrectMark 1 out of 1Not flaggedFlag question
defense is known as which of the following? Question text
Client C who has had auditory hallucinations for many years
a. tells Nurse L that the voices prevent his participation in a
Splitting social skills training program at the community health center.
Which of the following nursing intervention is most
b. appropriate that nurse should take?
Passive aggression
a.
c. Teach client C to use thought stopping techniques.
Reaction formation
b.
d. Advise client C to take his medications as prescribed.
a.
c. Provide personal space to respect the client's boundaries.
Let client C analyze the content of the voices.
b.
d. Use therapeutic touch to increase trust and rapport.
Advise client C to participate in the program when the voices
cease. c.
Feedback Maintain continual eye contact throughout the interview.
The correct answer is: Teach client C to use thought stopping
techniques. d.
Question 31 Provide neon lights and soft music.
Question text The correct answer is: Provide personal space to respect the
A client with Schizotypal Personality Disorder is sitting in a client's boundaries.
puddle of urine. She's playing in it,smiling,and softly singing a Question 35
child's song. Which of the following nursing action would be CorrectMark 1 out of 1Not flaggedFlag question
best that the nurse should take? Question text
A client tells the nurse that psychotropic medicines are
a. dangerous and refuses to take them. Which of the following
Help the client to the shower,and change the bedclothes. intervention should the nurse prioritize?
b. a.
Ask the client if she's ready to get cleaned up now Ask the client if an injection is preferable.
c. b.
Admonish the client for not using the bathroom Ask the client about any previous problems with psychotropic
medications.
d.
Firmly tell the client that her behavior is unacceptable c.
Feedback Insist that the client takes medication as prescribed.
The correct answer is: Help the client to the shower,and
change the bedclothes. d.
Question 32 Withhold the medication until the client is less suspicious.
Question text The correct answer is: Ask the client about any previous
When caring for a client during an Acute Panic Attack, which problems with psychotropic medications.
of the following actions by the nurse is most appropriate? Question 36
a. Question text
Ask open-ended questions to encourage communication How would a nurse differentiate a client diagnosed with
Obsessive-Compulsive Disorder (OCD)from a client
b. diagnosed with Obsessive-Compulsive Personality Disorder?
Explore common phobias associated with panic attacks
a.
c. Clients diagnosed with OCD experience both obsessions and
Offer the client reassurance of safety and security compulsions,and clients diagnosed with obsessive-compulsive
personality disorder do not.
d.
Use distraction techniques to change the client's focus b.
Feedback Clients diagnosed with obsessive-compulsive personality
The correct answer is: Offer the client reassurance of safety disorder experience only obsessions,and clients diagnosed
and security with OCD experience only compulsions.
Question 33
Question text Clients diagnosed with OCD experience only obsessions,and
Which of the following interventions is important for a client clients diagnosed with obsessive-compulsive personality
with Paranoid Personality Disorder taking olanzapine disorder experience only compulsions.
(Zyprexa)?
d.
a. Clients diagnosed with obsessive-compulsive personality
Teach the client to watch for extrapyramidal adverse reactions disorder experience both obsessions and compulsions,and
clients diagnosed with OCD do not.
b. Feedback
Explain effects of serotonin syndrome The correct answer is: Clients diagnosed with OCD
experience both obsessions and compulsions,and clients
c. diagnosed with obsessive-compulsive personality disorder do
Discuss the need to report paradoxical effects such as not.
euphoria. Question 37
d. Question text
Explain that the drug is less effective if the client smokes A client living on the beachfront seeks help with an extreme
Feedback fear of crossing bridges which interferes with daily life. A
The correct answer is: Explain that the drug is less effective if psychiatric nurse practitioner decides to try systematic
the client smokes desensitization. Which of the following explanation of this
Question 34 therapy should the nurse convey to the client?
Question text a.
Which of the following nursing intervention would be most "Through a series of increasingly anxiety-provoking steps,we
appropriate when caring for an acutely agitated client will gradually increase your tolerance to anxiety."
diagnosed with Paranoid Schizophrenia?
b.
"Using your imagination,we will attempt to achieve a state of The correct answer is: Symptoms indicate lithium carbonate
relaxation that you can replicate when faced with crossing a toxicity.
bridge." Question 41
c. Question text
"Because anxiety and relaxation are mutually exclusive Nurse K educates the family about symptom management for
states,we can attempt to substitute a relaxation response for when the Schizophrenic client becomes upset or anxious.
the anxiety response." Which of the following would Nurse K statement is helpful?
d. a.
"In one intense session,you will be exposed to a maximum Wait before the anxiety worsens before intervening.
level of anxiety that you will learn to tolerate."
Feedback b.
The correct answer is: "Through a series of increasingly Request that the client be hospitalized until the crisis is over.
anxiety-provoking steps,we will gradually increase your
tolerance to anxiety." c.
Question 38 Encourage the use of learned relaxation techniques.
Question text d.
A young,handsome man with a diagnosis of Antisocial Call the therapist to request a medication change.
Personality Disorder is being discharged from the hospital Feedback
next week. He asks the nurse for her phone number so that he The correct answer is: Encourage the use of learned relaxation
can call her for a date. The nurse's best response would be; techniques.
Question 42
"I like you,but our relationship is professional." Question text
The community nurse is speaking to a group of new mothers
b. as part of a primary prevention program. Which of the
"It's against my professional ethics to date clients." following self-measures would be most helpful as a strategy to
decrease the occurrence of Mood Disorders?
c.
"We are not permitted to date clients." a.
Verbalizing rather than internalizing feelings
d.
"No,you are a client and I am a nurse." b.
Feedback Keeping busy,so as not to confront problem areas
The correct answer is: "I like you,but our relationship is
professional." c.
Question 39 Use of crisis intervention services
Question text d.
A client is experiencing a Severe Panic Attack. Which of the Medication with antidepressants
following nursing intervention would meet this client's Feedback
immediate need? The correct answer is: Verbalizing rather than internalizing
feelings
a. Question 43
Stay with the client and offer reassurance of safety IncorrectMark 0 out of 1Not flaggedFlag question
Question text
b. Which of the following Mood Disorder is characterized by the
Administer the ordered prn buspirone (BuSpar) client feeling depressed most of the day for a 2-year period?
c. a.
Place the client in a Trendelenburg position Dysthymia
d. b.
Teach deep breathing relaxation exercises Cyclothymia
Feedback
The correct answer is: Stay with the client and offer c.
reassurance of safety Melancholic depressive disorder
Question 40
Question text Seasonal affective disorder
A client diagnosed with Bipolar Disorder,who has taken Feedback
lithium carbonate (Lithane)for 1 year,presents in an The correct answer is: Dysthymia
emergency department with severe diarrhea,blurredvision,and Question 44
tinnitus. How should the nurse interpret these symptoms? CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. A client is prescribed alprazolam (Xanax).25 mg OD for
Symptoms indicate the development of lithium carbonate Acute Anxiety. Which of the following client history should
tolerance. cause a nurse to question this order?
b. a.
Symptoms indicate lithium carbonate toxicity. History of personality disorder
c. b.
Symptoms indicate consumption of foods high in tyramine. History of schizophrenia
d. c.
Symptoms indicate lithium carbonate discontinuation History of alcohol dependence
syndrome.
Feedback d.
History of hypertension Follow agency protocol for suicide precautions.
Feedback
The correct answer is: History of alcohol dependence b.
Question 45 Stimulate the client's interest in activities.
Question text c.
A client diagnosed with Seasonal Affective Disorder Allow the client time alone for reflection.
(SAD)states,"I've been feeling 'down' for 3 months. Will I ever
feel like myself again?" Which of the following reply by the d.
nurse will best assess this client's symptoms? Encourage the client to use problem solving.
Feedback
a. The correct answer is: Follow agency protocol for suicide
"Help me understand what you mean when you say,'feeling precautions.
down'?" Question 49
b. Question text
"People who have seasonal mood changes often feel better A man in his mid-30s calls to make an appointment for
when spring comes." counseling,stating that his relationship of 5 years just broke
off,at his partner's insistence. He says that he is unsure what to
c. do because he has not been without a significant other for
"Have you been diagnosed with any physical disorder within more than a week or so since high school. You determine that
the last 3 months?" the man is not suicidal or homicidal,but from his responses to
your questions you get the sense that this man's sense of loss
d. will persist long after a normal period of adjustment,unless he
"Have you experienced any traumatic events that triggered this enters into a new relationship. You think this because you are
mood change?" guessing that this man has this type of which of the following
Feedback Personality Disorder?
The correct answer is: "Help me understand what you mean
when you say,'feeling down'?" a.
Question 46 Avoidant Personality Disorder
Question text b.
The nurse is reviewing a depressed client's history from an Borderline Personality Disorder
earlier admission. Documentation of anhedonia is noted. The
nurse understands that this symptom refers to which of the c.
following? Obsessive-Compulsive Personality Disorder
a. d.
Expression of persistent suicidal thoughts Dependent Personality Disorder
Feedback
b. The correct answer is: Dependent Personality Disorder
Reduced senses of taste and smell Question 50
c. Question text
lack of enjoyment in usual pleasures Mr. P,35,is admitted for Bipolar Illness,ManicPhase,after
assaulting his landlord in an argument over Mr. P is staying up
d. all night playing loud music. Mr. P is
Reports difficulty falling and staying asleep hyperactive,intrusive,and has rapid,pressured speech. He has
Feedback not slept in three days and appears thin and disheveled. Which
The correct answer is: lack of enjoyment in usual pleasures of the following is the most essential nursing action at this
Question 47 time?
Question text a.
Mr. R is diagnosed with Schizophrenia Paranoid Type and is Providing for client safety by limiting his privileges.
admitted to the psychiatric unit of South Seattle Medical
Center. Which of the following nursing interventions would be b.
most appropriate for Mr. R? Consulting with the psychiatrist to order a hypnotic to promote
sleep.
a.
Encouraging involvement in group activities c.
Providing linens and toiletries for Mr. Peterson to attend to his
b. hygiene.
Establishing a non-demanding relationship
d.
c. Providing a meal and beverage for Mr. Peterson to eat in the
Spending more time with Mr. R. dining room.
Feedback
d. The correct answer is: Providing for client safety by limiting
Waiting until Mr. R. initiates interaction his privileges.
Feedback
The correct answer is: Establishing a non-demanding Test Drills No. 4 Medical Surgical Nursing
relationship Question 1
Question text Which of the following is the causative agent of Tuberculosis?
Client R is admitted in an acute psychiatric unit at South
Wales Medical Center. He suddenly tells Nurse M about his a.
plans for Suicide. Which of the following is the nurse's Hansen's Bacilli
priority action?
b.
a. Group A Beta Hemolytic Streptococcus
During the past 6 months, a client diagnosed with Acquired
c. Immunodeficiency Syndrome has had chronic diarrhea and
Bacillus Anthracis has lost 18 pounds. Additional assessment findings include
tented skin turgor, dry mucous membranes, and listleness.
d. Which nursing diagnosis focuses attention on the client's most
Mycobacterium Tuberculosis immediate problem?
Feedback
The correct answer is: Mycobacterium Tuberculosis a.
Question 2 Disturbed thought processes related to central nervous system
CorrectMark 1 out of 1Not flaggedFlag question effects of disease
Question text
What are the critiquing criteria used to judge the worth of a b.
research study? Diarrhea related to the disease process and acute infection
a. c.
All of the above Deficient fluid volume related to diarrhea and abnormal fluid
loss
b.
Measure d.
Imbalanced nutrition: less than body requirements related to
c. nausea and vomiting
Standard Feedback
The correct answer is: Deficient fluid volume related to
d. diarrhea and abnormal fluid loss
Questions Question 6
The correct answer is: All of the above Question text
Question 3 The nurse plans care for a client with chronic obstructive
CorrectMark 1 out of 1Not flaggedFlag question pulmonary disease (COPD), understanding that the client is
Question text most likely to experience what type of acid-base imbalance?
Brent has chronic obstructive pulmonary disease, causing a
constant state of respiratory acidosis. He has a history of a.
chronic trimethoprim and NSAID use, leading to Respiratory acidosis
hyperkalemia. Which of the following are associated with
hyperkalemia? b.
Metabolic acidosis
a.
Cardiac arrhythmia, nausea, vomiting, constipation, c.
dehydration, kidney stones, muscle weakness, and sinus arrest. Respiratory alkalosis
b. d.
Irritability, circumoral paresthesia, muscle spasms, tetany, Metabolic alkalosis
abdominal pain, laryngospasm, and prolonged QT intervals. Feedback
The correct answer is: Respiratory acidosis
c. Question 7
Muscle cramps, malaise, diminished deep tendon reflexes, CorrectMark 1 out of 1Not flaggedFlag question
anorexia, constipation, palpitations, and rhabdomyolysis. Question text
Liz is an elderly woman brought in by concerned family
d. members. After physical examination, she was diagnosed with
Weakness, dizziness, abdominal distention, nausea, vomiting, dehydration. What assessment findings would you expect to
diarrhea, palpitations, and cardiac arrhythmias. see?
Feedback
The correct answer is: Weakness, dizziness, abdominal a.
distention, nausea, vomiting, diarrhea, palpitations, and Rales, peripheral edema, palpitations, and diaphoresis.
cardiac arrhythmias.
Question 4 b.
CorrectMark 1 out of 1Not flaggedFlag question Malaise, lymphadenopathy, fever, shortness of breath, and
Question text nausea
A college student diagnosed with infectious mononucleosis
asks the school health nurse how the condition was acquired. c.
The best answer by the nurse is that the virus is transmitted by Tachypnea, tachycardia, hypotension, poor skin turgor, and
which of the following methods? decreased urinary output.
a. d.
The bite of an insect such as a mosquito Bradycardia, slowed respirations, low body temperature, and
weight gain.
b. Feedback
Consuming contaminated food or water. The correct answer is: Tachypnea, tachycardia, hypotension,
poor skin turgor, and decreased urinary output.
c. Question 8
Contact with the saliva of an infected person. CorrectMark 1 out of 1Not flaggedFlag question
Question text
d. A pneumonectomy is a surgical procedure sometimes
Through microorganisms in infected blood. indicated for treatment of non-small-cell lung cancer.
Feedback Pneumonectomy involves removal of which of the following
The correct answer is: Contact with the saliva of an infected part?
person.
Question 5 a.
CorrectMark 1 out of 1Not flaggedFlag question An entire lung field
Question text
b.
One or more segments of a lung lobe Nose, nasal cavity, mouth/oral cavity, larynx, trachea, lungs,
bronchioles, bronchi and alveoli.
c. Nose, nasal cavity, mouth/oral cavity, trachea, lungs, bronchi,
One lobe of a lung larynx, bronchioles, and alveoli.
d. b.
A small, wedge-shaped lung surface Nose, nasal cavity, mouth/oral cavity, trachea, larynx, lungs,
Feedback bronchi, bronchioles, and alveoli.
The correct answer is: An entire lung field
Question 9 c.
CorrectMark 1 out of 1Not flaggedFlag question Nose, nasal cavity, mouth/oral cavity, larynx, trachea, lungs,
Question text bronchi, bronchioles, and alveoli.
A child is seen in the pediatrician's office for complaints of Feedback
bone and joint pain. Which of the following other assessment The correct answer is: Nose, nasal cavity, mouth/oral cavity,
findings may suggest leukemia? larynx, trachea, lungs, bronchi, bronchioles, and alveoli.
Question 13
Increased appetite Question text
A 36-year-old man with lymphoma presents with signs of
b. impending septic shock 9 days after chemotherapy. The nurse
Increased activity level could expect which of the following to be present?
c. a.
Abdominal pain Low-grade fever, chills, tachycardia
d. b.
Petechiae Flushing, decreased oxygen saturation, mild hypotension
Feedback
The correct answer is: Petechiae c.
Question 10 Elevated temperature, oliguria, hypotension
Question text d.
Nurse Vincent is providing dietary instructions to the client High-grade fever, normal blood pressure, increased
with Systemic Lupus Erythematosus. Which of the following respirations
dietary items would the nurse instruct the client to avoid? Feedback
The correct answer is: Low-grade fever, chills, tachycardia
a. Question 14
Turkey CorrectMark 1 out of 1Not flaggedFlag question
Question text
b. A 58-year-old man is going to have chemotherapy for lung
Cantaloupe cancer. He asks the nurse how the chemotherapeutic drugs
will work. The most accurate explanation the nurse can give is
c. which of the following?
Rib eye steak
a.
d. "Chemotherapy affects all rapidly dividing cells."
Broccoli
Feedback b.
The correct answer is: Rib eye steak "Cancer cells are susceptible to drug toxins."
Question 11
Question text "The molecular structure of the DNA is altered."
In order to assure a good fit of the appliance to avoid leakage,
which factors should be considered for stoma placement? d.
"Chemotherapy encourages cancer cells to divide."
a. Feedback
Medications taken regularly, regular clothing styles The correct answer is: "Chemotherapy affects all rapidly
dividing cells."
b. Question 15
{ CorrectMark 1 out of 1Not flaggedFlag question
Question text
c. Which intervention should the nurse implement when caring
Usual patterns of client's skin healing ability for a client diagnosed with Pneumocystis carinii pneumonia
related to acquired immunodeficiency syndrome who is crying
d. over the loss of friends and family members because they will
Location of bony prominences, umbilicus not talk to him anymore?
e. a.
Client's pre-operative diet preferences and dislikes Asking the health care provider for a psychiatric consult to
Feedback assess the client's mental functioning
The correct answer is: Location of bony prominences,
umbilicus b.
Question 12 Telling the client that the friends probably were not true
CorrectMark 1 out of 1Not flaggedFlag question friends anyway
Question text
As you inhale, air moves through your respiratory system and c.
into your lungs. List, in order, the structures through which air Sitting down and listening to the client's concerns and
passes until it reaches the alveoli. frustrations
a. d.
Advising the client not to worry, and telling him everything Feedback
will be alright The correct answer is: Are called gamma globulins or
Feedback immunoglobulins
The correct answer is: Sitting down and listening to the client's Question 20
concerns and frustrations CorrectMark 1 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question A hospitalized client with Hodgkin's Disease is at risk for
Question text ineffective airway clearance and impaired gas exchange
Which of the following is not a function of the lymphatic related to compression of the trachea by enlarged lymph
system? nodes. Which of the following measures would the nurse take
first to help ensure that breathing and blood oxygen saturation
a. remain adequate?
Draining of interstitial fluid from tissues
a.
b. Administer oxygen per the physician's orders.
Absorption and transportation of dietary fats
b.
c. Assess respiratory status during each shift.
Lymphocyte transport and activation
c.
d. Restrict visitors and unnecessary personnel.
Secondary gas exchange
Feedback d.
The correct answer is: Secondary gas exchange Place the client in semito high Fowler's position
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Assess respiratory status during each
Question text shift.
A 24-year-old client who is receiving antibiotics for an Question 21
infected leg wound has a temperature of 38.7 C. Which action CorrectMark 1 out of 1Not flaggedFlag question
by the nurse is most appropriate? Question text
For Angelo who is diagnosed of having allergic rhinitis, which
a. nursing intervention is the most appropriate?
Notify the health care provider.
a.
b. Instructing the client to carry epinephrine with him at all times
Apply a cooling blanket.
b.
c. Discouraging nose blowing before administering nasal
Give the prescribed PRN aspirin (Ascriptin) 650 mg. medication
d. c.
Check the patient's oral temperature again in 4 hours. Encouraging the client to use nasal saline sprays
Feedback
The correct answer is: Check the patient's oral temperature d.
again in 4 hours. Advising use of bronchodilator regularly, even if having no
Question 18 symptoms
Question text The correct answer is: Encouraging the client to use nasal
What does a level of evidence model use to evaluate the saline sprays
strength of a research study and its findings? Question 22
a. Question text
Quantity Which intervention should Nurse John Joe discuss with Elena
who has an allergic disorder and is requesting information for
b. allergy symptom control?
All of the above
a.
c. Instructing the client to avoid using sprays, powders, and
Quality perfumes
d. b.
Consistency Instructing the client to cover the mattress with a
Feedback hypoallergenic cover
The correct answer is: All of the above
Question 19 c.
CorrectMark 1 out of 1Not flaggedFlag question Instructing the client to wear a mask when cleaning
Question text
Which of the following is TRUE about Antibody molecules? d.
All of the above
a. Feedback
Have a constant region that binds to antigens The correct answer is: All of the above
Question 23
Have a variable region that can activate complement or attach Question text
to macrophages Before weaning a male client from a ventilator, which
assessment parameter is most important for the nurse to
c. review?
Are called gamma globulins or immunoglobulins
a.
d. Prior outcomes of weaning
Are large glycolipids
b. Blood glucose 136 mg/dl
Intake and output
b.
c. Oral temperature 38.3 C
Arterial Blood Gas
c.
d. Patient complaint of increased incisional pain
Electocardiogram Results
Feedback d.
The correct answer is: Arterial Blood Gas New 5 cm separation of the proximal wound edge
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: New 5 cm separation of the proximal
Question text wound edge
A client with an open abdominal wound has a complete blood Question 28
cell (CBC) count and differential, which indicate an increase CorrectMark 1 out of 1Not flaggedFlag question
in white blood cells (WBCs) and a shift to the left. The nurse Question text
anticipates that the next action will be to? There are many barriers that affect the actual implementation
of evidence-based practice (EBP) in a nursing environment.
a. Which statements reflect the most significant concerns of
continue to monitor the wound for purulent drainage. nurses in the community-focused setting?
b. a.
start antibiotic therapy. All of the above
c. b.
redress the wound with wet to dry dressings. EBP requires compliance by the client.
d. c.
obtain wound cultures. EBP questions long-standing nursing practice.
Feedback
The correct answer is: obtain wound cultures. d.
Question 25 Lack of resources
Question text The correct answer is: All of the above
Digestive fat is absorbed through what specialized lymphatic Question 29
vessels of the small intestine? CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. A client who has a positive test for Human Immunodeficiency
Lacteals Virus (HIV) antibodies is admitted to the hospital with
Pneumocystis jiroveci pneumonia (PCP) and a CD4+ T-cell
b. count of less than 200 cells/uL. Based on diagnostic criteria
Villi established by the Centers for Disease Control and Prevention
(CDC), which statement by the nurse is correct?
c.
The cisterna chyli a.
"The patient meets the criteria for a diagnosis of an acute HIV
d. infection."
Microvilli
Feedback b.
The correct answer is: Lacteals "The patient will develop symptomatic chronic HIV infection
Question 26 in less than a year."
Question text c.
Vince has been taking excessive amounts of over the counter "The patient has developed acquired immunodeficiency
antacid tablets. He has been exhibiting signs of irritability, syndrome (AIDS)."
anxiety, muscle cramping, and weakness, and has recently
developed tetany. The physician has initiated seizure d.
precautions. He recognizes that the patient is being monitored "The patient will be diagnosed with asymptomatic chronic
and treated for: HIV infection."
Feedback
a. The correct answer is: "The patient has developed acquired
Hyperphosphatemia immunodeficiency syndrome (AIDS)."
Question 30
Hyperkalemia Question text
A client who has recently traveled to China comes to the
c. emergency department (ED) with increasing shortness of
Metabolic alkalosis breath and is strongly suspected of having a Severe Acute
Respiratory Syndrome (SARS). Which of these prescribed
d. actions will you take first?
Metabolic acidosis
Feedback a.
The correct answer is: Metabolic alkalosis Place the client on contact and airborne precautions.
Question 27
Question text Infuse normal saline at 100ml/hr.
When caring for a diabetic client who had abdominal surgery
one week ago, the nurse obtains these data. Which finding c.
should be reported immediately to the health care provider? Wear Personal Protecive Equipment.
a. d.
Obtain blood, urine, and sputum for cultures. "The Western blot test will be done to determine whether
acquired immunodeficiency syndrome (AIDS) has
e. developed."
Administer methylprednisolone (Solu-Medrol) 1 gram/IV.
Feedback c.
The correct answers are: Place the client on contact and "It will probably be 10 or more years before you develop
airborne precautions., Wear Personal Protecive Equipment. acquired immunodeficiency syndrome (AIDS)."
Question 31
Question text "The EIA test will need to be repeated to verify the results."
After undergoing a left pneumonectomy, a female client has a Feedback
chest tube in place for drainage. When caring for this client, The correct answer is: "The EIA test will need to be repeated
the nurse must: to verify the results."
Question 35
Monitor fluctuations in the water seal chamber Question text
Evidence-based public health utilizes which of the following
b. guidelines?
Milk the chest tube every 2 hours
a.
c. All of the above
Encourage coughing and deep breathing
b.
d. Conducting evaluations
Clamp the chest tube once every shift
Feedback c.
The correct answer is: Encourage coughing and deep Disseminating what has been learned
breathing
Question 32 d.
CorrectMark 1 out of 1Not flaggedFlag question Application of program planning frameworks
Which of the following conditions is linked to more than 50% The correct answer is: All of the above
of clients with abdominal aortic aneurysms? Question 36
a. Question text
Hypertension A client diagnosed with inflammatory bowel disease
experiences an obstruction in the small bowel. When assessing
b. the client, which of the following will the healthcare provider
Asthma anticipate?
c. a.
Syphilis Scaphoid abdomen
d. b.
Diabetes Mellitus Passage of melena
Feedback
The correct answer is: Hypertension c.
Question 33 Hypovolemia
Question text d.
In the client with terminal lung cancer, the focus of nursing Increased flatus
care is on which of the following nursing interventions? Feedback
The correct answer is: Hypovolemia
a. Question 37
Provide nutritional support IncorrectMark 0 out of 1Not flaggedFlag question
Question text
b. A 76-year old client is admitted for elective knee surgery.
Provide pain control Physical examination reveals shallow respirations but no signs
of respiratory distress. Which of the following is a normal
c. physiologic change related to aging?
Prepare the client's will
a.
d. Decreased vital capacity
Provide emotional support
Feedback b.
The correct answer is: Provide pain control Decreased residual volume
Question 34
Question text Increased number of functional capillaries in the alveoli
A client who has vague symptoms of fatigue, headaches, and a
positive test for Human Immunodeficiency Virus (HIV) d.
antibodies using an enzyme immunoassay (EIA) test. What Increased elastic recoil of the lungs
instructions should the nurse give to this patient? Feedback
The correct answer is: Decreased vital capacity
a. Question 38
"A viral culture will be done to determine the progression of CorrectMark 1 out of 1Not flaggedFlag question
the disease." Question text
What are the three most important prognostic factors in
b. determining long-term survival for children with acute
leukemia?
a. The correct answer is: Ensure that dispensers for alcohol-
Histologic type of disease, initial platelet count, and type of based hand rubs are readily available in all client care areas of
treatment the hospital.
Question 42
Histologic type of disease, initial WBC count, and client's age Question text
at diagnosis Nurse Eve formulates a nursing diagnosis of Activity
intolerance related to inadequate oxygenation and dyspnea for
c. a client with chronic bronchitis. To minimize this problem, the
Type of treatment and client's sex nurse instructs the client to avoid conditions that increase
oxygen demands. Which of the following nursing intervention
d. has the highest priority?
Progression of illness, WBC at the time of diagnosis, and
client's age at the time of Diagnosis. a.
Feedback Drinking more than 5 Liters/day
The correct answer is: Histologic type of disease, initial WBC
count, and client's age at diagnosis b.
Question 39 Eating more than three large meals a day
Question text c.
Which nursing action is most likely to detect early signs of Being overweight
infection in a client who is taking immunosuppressive
medications? d.
Eating high protein snack at bedtime
a. Feedback
Check the temperature every 2 hours. The correct answer is: Being overweight
Question 43
Ask about fatigue or feelings of malaise. Question text
Which organ of the lymphatic system is the site of T-cell
c. maturation?
Monitor white blood cell count.
a.
d. The lymph nodes
Check the skin for areas of redness.
Feedback b.
The correct answer is: Ask about fatigue or feelings of The cisterna chyli
malaise.
Question 40 c.
CorrectMark 1 out of 1Not flaggedFlag question The spleen
Question text
Which of the following complications is of greatest concern d.
when caring for a preoperative abdominal aneurysm client? The thymus
Feedback
a. The correct answer is: The thymus
Diminished pedal pulses Question 44
b. Question text
Cardiac arrhythmias Client M, 37 years old, male with stomach cancer is admitted
to the oncology unit after vomiting for 3 days. Physical
c. assessment findings include irregular pulse, muscle twitching,
Hypertension and complaints of prickling sensations in the fingers and
hands. Laboratory results include a potassium level of 2.9
d. mEq/L, a pH of 7.46, and a bicarbonate level of 29 mEq/L.
Aneurysm rupture The client is experiencing which acid base imbalance?
Feedback
The correct answer is: Aneurysm rupture a.
Question 41 Respiratory alkalosis
Question text b.
As the infection control nurse in Malta Hospital Inc., which Metabolic acidosis
action will you take to effectively reduce the incidence of
health care associated infections? c.
Respiratory acidosis
a.
Ensure that dispensers for alcohol-based hand rubs are readily d.
available in all client care areas of the hospital. Metabolic alkalosis
Feedback
b. The correct answer is: Metabolic alkalosis
Develop policies that automatically start antibiotic therapy for Question 45
clients colonized by multi drug resistant organisms. CorrectMark 1 out of 1Not flaggedFlag question
Question text
c. Which research process steps may be noted in an article's
Screen all newly admitted clients for colonization or infection abstract?
with Multiple Resistant Staphylococcus Aureus.
a.
d. All of the above
Require nursing staff to don gowns to change wound dressings
for all clients. b.
Feedback Research question study purpose
c.
Identifying the phenomenon d.
A lobe of the lung
d. Feedback
Design The correct answer is: A small, localized area near the surface
Feedback of the lung
The correct answer is: All of the above Question 50
Question text Finding resources to implement evidence-based practice
A client arrives in the emergency department with a swollen (EBP) in community health will continue to be a challenge
ankle after an injury incurred while playing soccer. Which because of the emphasis on quality care, equal distribution of
action by the nurse is appropriate? health care resources, and cost control. Which of the following
would demonstrate a creative strategy to implementing EBP?
a.
Assess the ankle's range of motion (ROM). a.
Adopting quality indicators for evaluating websites claiming
b. to contain EBP
Apply a warm moist pack to the ankle.
b.
c. Avoiding the issue of community politics
Remove the patient's shoe and sock.
c.
d. Creating the role of a knowledge manager
Elevate the ankle above heart level.
Feedback d.
The correct answer is: Elevate the ankle above heart level. Making decisions on behalf of the community
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Adopting quality indicators for
Question text evaluating websites claiming to contain EBP
The nurse assess a client the morning of the first postoperative Question 51
day and notes redness and warmth around the incision. Which CorrectMark 1 out of 1Not flaggedFlag question
action by the nurse is most appropriate? Question text
Which of the following conditions most commonly results in
a. Coronary Artery Disease?
Notify health care provide
a.
b. Diabetes Mellitus
Document assessment
b.
c. Myocardial Infarction
Assess the wound every 2 hours
c.
d. Atherosclerosis
Obtain wound culture
Feedback d.
The correct answer is: Document assessment Renal Failure
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Atherosclerosis
Which of the following clients is at most risk for Type 2 CorrectMark 1 out of 1Not flaggedFlag question
diabetes? Question text
Which of the following nursing interventions would be most
a. helpful in making the respiratory effort of a client with
None of the above metastatic lung cancer more efficient?
b. a.
A 28 year old male with a BMI of 49. Placing the client in a low semi-Fowlers position
c. b.
A 6 year old girl recovering from a viral infection with a Teaching the client diaphragmatic breathing techniques
family history of diabetes.
c.
d. Teaching and encouraging pursed-lip breathing
A 76 year old female with a history of cardiac disease.
Feedback d.
The correct answer is: A 28 year old male with a BMI of 49. Administering cough suppressants as ordered
IncorrectMark 0 out of 1Not flaggedFlag question The correct answer is: Teaching and encouraging pursed-lip
Question text breathing
A client has been diagnosed with lung cancer and requires a Question 53
wedge resection. How much of the lung is removed? CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. When performing a neurologic assessment on Ken, the
One entire lung physician notices that there is contraction of his facial muscle
after tapping the facial nerve anterior to his ear. He recognize
b. this as Chvostek's sign. This is seen in:
A small, localized area near the surface of the lung
a.
c. Hypokalemia.
A segment of the lung, including a bronchiole and its alveoli
b.
Hyponatremia. b.
Weakness, dizziness, abdominal distention, nausea, vomiting,
c. and diarrhea.
Hypocalcemia.
c.
d. Weight gain, irritability, muscle twitching, and decreased
Hypomagnesemia myocardial contractility.
Feedback
The correct answer is: Hypocalcemia. d.
Question 54 Muscle cramps, malaise, constipation, rhabdomyolysis, and
CorrectMark 1 out of 1Not flaggedFlag question pupillary constriction.
The nurse is teaching a 17-year old client and the client's The correct answer is: Weight gain, irritability, muscle
family about what to expect with high-dose chemotherapy and twitching, and decreased myocardial contractility.
the effects of neutropenia. What should the nurse teach as the Question 58
most reliable early indicator of infection in a neutropenic CorrectMark 1 out of 1Not flaggedFlag question
client? Question text
Which of the following assessment findings in a client with
a. leukemia would indicate that the cancer has invaded the brain?
Chills
a.
b. Restlessness and tachycardia
Fever
b.
c. Hypervigilant and anxious behavior
Dyspnea
c.
d. Headache and vomiting.
Tachycardia
Feedback d.
The correct answer is: Fever Increased heart rate and decreased blood pressure.
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Headache and vomiting.
Which of the following is an artificial opening into a body CorrectMark 1 out of 1Not flaggedFlag question
cavity? Question text
Which of the following treatments is the definitive one for a
a. ruptured aneurysm?
Ureterostomy
a.
b. Beta-adrenergic blocker administration
Ostomy.
b.
c. Antihypertensive medication administration
Gastrostomy
c.
d. Aortogram
Colonoscopy
Feedback d.
The correct answer is: Ostomy. Surgical intervention
IncorrectMark 0 out of 1Not flaggedFlag question The correct answer is: Surgical intervention
For a male client who has acquired immunodeficiency CorrectMark 1 out of 1Not flaggedFlag question
syndrome with chronic diarrhea, anorexia, a history of oral Question text
candidiasis, and weight loss, which dietary instruction would What is the normal pH range for arterial blood?
be included in the teaching plan?
a.
a. 7 - 7.20
"Eat three large meals per day."
b.
b. 7.30 - 7.30
"Include unpasteurized dairy products in the diet."
c.
c. 7.35 - 7.45
"Follow a high-protein, high-calorie diet."
d.
d. All of the above
"Follow a low-protein, high-carbohydrate diet." Feedback
Question 57 The correct answer is: 7.35 - 7.45
Carlo has recently converted his outdoor garage to a gym. He Question text
has been exercising frequently in his new gym due to the The healthcare provider is assessing a client diagnosed with
convenience, even in the extreme heat. He has started taking ulcerative colitis. The client has an altered level of
salt tablets. The physician thinks his current symptoms may be consciousness, fever, and lower abdominal distension. Which
owing to hypernatremia. His physician recognizes these as: of these additional findings would confirm a diagnosis of toxic
megacolon?
a.
Cardiac arrhythmias, palpitations, and sinus arrest. a.
Constipation Which of the following complications are three main
consequences of leukemia?
b.
Leukocytosis a.
Bone deformities, spherocytosis, and infection.
c.
Bradycardia b.
Polycythemia, decreased clotting time, and infection.
d.
Splenomegaly c.
Feedback Lymphocytopoiesis, growth delays, and hirsutism
The correct answer is: Leukocytosis
Question 62 d.
CorrectMark 1 out of 1Not flaggedFlag question Anemia, infection, and bleeding tendencies
Which action is most effective in reducing the incidence of The correct answer is: Anemia, infection, and bleeding
hospital associated urinary tract infections? tendencies
Question 66
Perform dipstick urinalysis for clients with risk factors for Question text
UTI. Which of the following viruses is responsible for infectious
mononucleosis?
b.
Teach assistive personnel how to provide good perineal a.
hygiene. Epstein Barr virus
c. b.
Limit the use of indwelling foley catheter (IFC). Herpes zoster
d. c.
Ensure that clients have enough adequate fluid intake. Parvovirus B19
Feedback
The correct answer is: Limit the use of indwelling foley d.
catheter (IFC). Cytomegalovirus
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Epstein Barr virus
At 11 p.m., a male client is admitted to the emergency CorrectMark 1 out of 1Not flaggedFlag question
department. He has a respiratory rate of 44 breaths/minute. Question text
He's anxious, and wheezes are audible. The client is A newly admitted client with Streptococcal Pharyngitis
immediately given oxygen by face mask and (tonsillitis) has been placed on droplet precaution. Which of
methylprednisolone (Depo-medrol) I.V. At 11:30 p.m., the the following statements indicates the best understanding for
client's arterial blood oxygen saturation is 86% and he's still this type of isolation?
wheezing. The nurse should plan to administer:
a.
a. Gloves should be only worn when giving direct care.
Albuterol (Provetril)
b.
b. A special mask (N95) should be worn when working with the
Alprazolam (Xanax) client.
c. c.
Morphine The client can be placed in a room with another client with
measles (rubeola).
d.
Propanolol (Inderal) d.
Feedback Must maintain a spatial distance of 3 feet.
The correct answer is: Albuterol (Provetril) Feedback
Question 64 The correct answer is: Must maintain a spatial distance of 3
CorrectMark 1 out of 1Not flaggedFlag question feet.
Which of the following tests in performed on a client with IncorrectMark 0 out of 1Not flaggedFlag question
leukemia before initiation of therapy to evaluate the child's Question text
ability to metabolize chemotherapeutic agents? The client with which of the following types of lung cancer
has the best prognosis?
a.
Liver function studies a.
Oat cell
b.
Lumbar puncture b.
Squamous cell
c.
Peripheral blood smear c.
Adenocarcinoma
d.
Complete blood count (CBC) d.
Feedback Small cell
The correct answer is: Liver function studies Feedback
Question 65 The correct answer is: Squamous cell
Four clients with infections arrive at the emergency CorrectMark 1 out of 1Not flaggedFlag question
department with some existing infection, however, only one Question text
private room is available. Which of the following client is the Which of the following interventions is the key to increasing
most appropriate to assign to the private room? the survival rates of clients with lung cancer?
a. a.
A client with a cough who may have Koch disease. High-dose chemotherapy
b. b.
A client with diarrhea caused by Clostridium difficile. Early bronchoscopy
c. c.
A client with toxic shock syndrome and a temperature of 39.1 Smoking cessation
C.
d.
d. Early detection
A client with a wound infected with Pseudomonas. Feedback
Feedback The correct answer is: Early detection
The correct answer is: A client with a cough who may have Question 74
Koch disease. CorrectMark 1 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question For Rosvel who has allergies, which client statement indicates
Question text that the nurse's teaching about her condition was successful?
Which of the following symptoms do NOT present in
hyperglycemia? a.
"I can wear any type of clothing that I want to as long as I
a. wash it first."
Extreme thirst
b.
b. "I should stay in the house when there's a low pollen count
Hunger outside."
c. c.
Blood glucose <60 mg/dL "I should avoid any types of spray, powders, and perfumes."
d. d.
Glycosuria "I don't need to wear any type of mask when I'm cleaning my
Feedback house."
The correct answer is: Blood glucose <60 mg/dL Feedback
Question 71 The correct answer is: "I should avoid any types of spray,
CorrectMark 1 out of 1Not flaggedFlag question powders, and perfumes."
Nausea and vomiting are common adverse effects of radiation CorrectMark 1 out of 1Not flaggedFlag question
and chemotherapy. When should a nurse administer Question text
antiemetics? When you breathe in air, you bring oxygen into your lungs
and blow out which of the following gas?
a.
30 minutes before the initiation of therapy. a.
Carbon Dioxide
b.
When therapy is completed. b.
Hydrogen
c.
Immediately after nausea begins. c.
Carbon Monoxide
d.
With the administration of therapy. d.
Feedback Oxygen
The correct answer is: 30 minutes before the initiation of Feedback
therapy. The correct answer is: Carbon Dioxide
Giving instructions for breast self-examination is particularly What does a critique of a research study always include?
important for clients with which of the following medical
problems? a.
Researching similar studies
a.
Cervical dysplasia b.
None of the above
b.
A dermoid cyst c.
Determining its strengths and weaknesses
c.
Ovarian cancer d.
Explaining your own personal opinions
d. Feedback
Endometrial polyps The correct answer is: Determining its strengths and
Feedback weaknesses
The correct answer is: Ovarian cancer Question 77
The _________ secrete insulin which are located in the Client K has been admitted with severe leg pain. The limb is
_______. cyanotic, cool to the touch, and peripheral pulses are absent.
What should the nurse do first after this assessment?
a.
Alpha cells, pancreas a.
Notify the physician immediately
b.
Alpha cells, liver b.
Ask how long the limb has been hurting.
c.
Beta cells, pancreas c.
Document the findings
d.
Beta cells, liver d.
Feedback Teach relaxation techniques
The correct answer is: Beta cells, pancreas Feedback
Question 78 The correct answer is: Notify the physician immediately
Which statements are part of the criteria used to judge the Question text
soundness of a stated research question? When performing a physical assessment of the client in the
early stages of Hodgkin's Disease, which is the most likely
a. finding when the nurse palpates the client's lymph nodes?
The possibility of empirical testing
a.
b. The lymph nodes are swollen and tender.
All of the above
b.
c. The lymph nodes are enlarged and painless.
The nature of the population being tested
c.
d. The lymph nodes fixed and hard.
A relationship between two or more variables
Feedback d.
The correct answer is: All of the above The lymph nodes are small and firm.
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: The lymph nodes are enlarged and
Question text painless.
Rocco was admitted to the hospital with a diagnosis of Question 83
hypomagnesemia. He is complaining of painful paresthesia. CorrectMark 1 out of 1Not flaggedFlag question
Which of the following do you recognize as part of his Question text
treatment plan? Which of the following is TRUE about B cells?
a. a.
Dialysis and removal of legumes and whole grains from the Are responsible for cell-mediated immunity
diet.
b.
b. Are produced in the adult spleen
Monitoring cardiac rhythm and checking deep tendon reflexes.
c.
c. Are lymphocytes
Monitoring urinary output and auscultating bowel sounds.
d.
d. Become mature in the thymus
Palpating peripheral pulses and checking pupil reactions. Feedback
Feedback The correct answer is: Are lymphocytes
The correct answer is: Monitoring cardiac rhythm and Question 84
checking deep tendon reflexes. IncorrectMark 0 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question The client with cancer is receiving chemotherapy and
Question text develops thrombocytopenia. The nurse identifies which
Nurse Murphy administers Albuterol (Proventil), as intervention as the highest priority in the nursing plan of care?
prescribed, to a client with emphysema. Which finding
indicates that the drug is producing a therapeutic effect? a.
Monitoring the platelet count
a.
Respiratory rate of 22 breaths/minute b.
Monitoring temperature
b.
Dilated pupils c.
Monitoring for pathological factors
c.
Urine output of 40ml/hr d.
Ambulation three times a day
d. Feedback
Heart rate of 100 beats/minute The correct answer is: Monitoring the platelet count
The correct answer is: Respiratory rate of 22 breaths/minute CorrectMark 1 out of 1Not flaggedFlag question
After the first injection of an immunotherapy program, the Question text
nurse notices a large, red wheal on the client's arm, coughing, Which of the following is the incubation period for infectious
and expiratory wheezing. Which intervention should the nurse mononucleosis?
implement first?
a.
a. 2-3 days
Beginning oxygen by way of nasal cannula
b.
b. 30-50 days
Starting an I.V. line for medication administration
c.
c. 14-28 days
Administering I.M. epinephrine per protocol
d.
d. None of the above
Notifying the health care provider immediately Feedback
Feedback The correct answer is: 30-50 days
The correct answer is: Administering I.M. epinephrine per Question 90
protocol CorrectMark 1 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question Grace was diagnosed with hyperparathyroidism after a workup
Question text to determine the cause of her elevated calcium levels. The
Which of the following disorders is jugular vein distention greatest concern in a patient with hypercalcemia would be:
most prominent?
a.
a. Kidney stones and muscle weakness.
Myocardial Infarction
b.
b. Cardiac arrhythmia and sinus arrest.
Abdominal aortic aneurysm
c.
c. Nausea and vomiting.
Heart failure
d.
d. Constipation and dehydration.
Pneumothorax Feedback
Feedback The correct answer is: Cardiac arrhythmia and sinus arrest.
The correct answer is: Heart failure Question 91
Question text Which of the following is the primary goal for surgical
The amount of air inspired and expired with each breath is resection of lung cancer?
called:
a.
a. To remove the tumor and all surrounding tissue.
Dead-space Volume
b.
b. To remove as much as the tumor as possible, without
Residual Volume removing any alveoli.
c. c.
Vital Capacity To remove the tumor and as little surrounding tissue as
possible.
d.
Tidal Volume d.
Feedback To remove all of the tumor and any collapsed alveoli in the
The correct answer is: Tidal Volume same region.
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: To remove the tumor and as little
Question text surrounding tissue as possible.
Rob has a history of using ecstasy. He is exhibiting symptoms Question 92
of hypotension, nausea, diarrhea, personality change, CorrectMark 1 out of 1Not flaggedFlag question
diminished level of consciousness, and decreased deep tendon Question text
reflexes. Laboratory results confirm physician's suspicion of A 56-year-old woman is currently receiving radiation therapy
hyponatremia. Treatment would include: to the chest wall for recurrent breast cancer. She calls her
health care provider to report that she has pain while
a. swallowing and burning and tightness in her chest. Which of
Calcium carbonate orally. the following complications of radiation therapy is most likely
responsible for her symptoms?
b.
Use of salt substitute. a.
Radiation enteritis
c.
0.33% sodium chloride intravenously. b.
Esophagitis
d.
Water restriction. c.
Feedback Stomatitis
The correct answer is: Water restriction.
Question 89 d.
CorrectMark 1 out of 1Not flaggedFlag question Hiatal hernia
Feedback b.
The correct answer is: Esophagitis Sample
Question 93
Question text Review of literature
A physician is monitoring intravenous fluids for Tom who is
currently being treated for metabolic acidosis. The physician d.
monitors his signs and symptoms typical of metabolic acidosis Study design
which include: Feedback
The correct answer is: Review of literature
a. Question 97
Hypotension, hypoxia, irritability, and paresthesia. IncorrectMark 0 out of 1Not flaggedFlag question
Question text
b. A 76-year-old patient has an open surgical wound on the
Elevated blood pressure, bradycardia, elevated respiratory abdomen that contains a creamy exudate and small areas of
rate, and muscle twitching. deep pink granulation tissue. The nurse documents the wound
as a:
c.
Hypotension, altered heart rate, elevated respiratory rate, and a.
muscle weakness. stage III pressure wound.
d. b.
Hypertension, tachycardia, slowed respiratory rate, and muscle yellow wound.
spasms.
Feedback c.
The correct answer is: Hypotension, altered heart rate, red wound.
elevated respiratory rate, and muscle weakness.
Question 94 d.
CorrectMark 1 out of 1Not flaggedFlag question full-thickness wound.
A client with a positive rapid antibody test result for Human The correct answer is: yellow wound.
Immunodeficiency Virus (HIV) is anxious and does not Question 98
appear to hear what the nurse is saying. What action by the CorrectMark 1 out of 1Not flaggedFlag question
nurse is most important at this time? Question text
Bernadette's morning laboratory results have just come in. Her
a. serum potassium level is currently 5.4 mEq/L. The physician
Teach the patient about the medications available for recognizes this as:
treatment.
a.
b. Hypercalcemia
Remind the patient about the need to return for retesting to
verify the results. b.
Hyperkalemia
c.
Ask the patient to notify individuals who have had risky c.
contact with the patient. Hypokalemia
d. d.
Inform the patient how to protect sexual and needle-sharing Hypocalcemia
partners. Feedback
Feedback The correct answer is: Hyperkalemia
The correct answer is: Remind the patient about the need to Question 99
return for retesting to verify the results. CorrectMark 1 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question Nurse Gladys is assisting in administering immunizations at a
Question text health care clinic. The nurse understands that an immunization
Which clinical manifestation would cause the nurse to suspect will provide:
that the client is diagnosed with Systemic Lupus
Erythematosus? a.
Protection from all disease
a.
Fever and night sweats b.
Natural immunity from disease
b.
Joint edema and tenderness c.
Acquired immunity from disease
c.
Red, burning, tearing eyes d.
Innate immunity from disease
d. Feedback
Chest tightness with wheezing on expiration The correct answer is: Acquired immunity from disease
The correct answer is: Joint edema and tenderness CorrectMark 1 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question Which of the following phrases would be found in a report of
Question text a qualitative study?
What is the first step in the qualitative research process?
a.
a. "The control group received no instruction?"
Data analysis
b.
"Perceived pain was measured using the Abbott pain scale?"
c.
"The hypothesis of this study is?"
d.
"Subjects were asked to relate their perceptions of pain?"
Feedback
The correct answer is: "Subjects were asked to relate their
perceptions of pain?"

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(CHN&COPAR) Question 11

Question 1 Children with various health conditions although considered

Test Drills No. 2 Review on Anatomy & Physiology ( Urinary c.

a. Test Drills No. 3 Mental Health & Psychiatric Nursing

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