Test Drils Nseip 103427

(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 CorrectMark 1 out of 1Not flaggedFlag question
because it is expected to fall off on itself by when? Question text
a.7-10th day After an abdominal surgery, the circulating and scrub nurses
b.In 3 days of life have critical responsibility about sponge and Instrument count.
c.5-7 days When is the first sponge/instrument count reported?
d.10th day
Question 25 a.
How does the placenta protect the baby from the insecticide Before closing the subcutaneous layer
exposure that the mother had 2 months ago while working in
the banana plantation? b.
a.diffusion Before peritoneum is closed
b.Phagocytosis
c.Osmosis c.
d.filtration Before dosing the skin
(Medical-Surgical Nursing Part 1)
Question 1 d.
IncorrectMark 0 out of 1Not flaggedFlag question Before the fascia is sutured
Question text Feedback
A 25-year old male working on a factory was rushed to the The correct answer is: Before peritoneum is closed
emergency department with burn injury. Areas of burn Question 5
includes the anterior trunk, anterior aspect of the head, and IncorrectMark 0 out of 1Not flaggedFlag question
anterior portion of the right upper and right lower extremities. Question text
The nurse should intervene on this situation. The nurse utilizes After bronchoscopy the nurse should advise the patient to
the rule of nines for the total body surface area burned. Based expect the following discomforts, except:
on this situation, the approximate percentage of TBSA is:
a.
a. Blood-tinged sputum
30%
b.
b. Return of gag reflex
45%
c.
c. Hemoptysis
36‰
d.
d. Occasional coughing
7% Feedback
Feedback The correct answer is: Return of gag reflex
The correct answer is: 36‰ Question 6
Question 2 IncorrectMark 0 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question Question text
Question text After ileostomy, which of the following condition is NOT
A client with diabetic neuropathy reports a burning, electrical- expected?
type in the lower extremities that is not responding to
NSAIDs. You anticipate that the physician will order which a.
adjuvant medication for this type of pain? increased weight
a. b.
Amitriptyline (Elavil) Irritation of skin around the stoma
b. c.
Corticosteroids Liquid stool
c. d.
Methylphenidate (Ritalin) Establishment of regular bowel movement
Feedback
d. The correct answer is: increased weight
Lorazepam (Ativan) Question 7
Feedback IncorrectMark 0 out of 1Not flaggedFlag question
The correct answer is: Amitriptyline (Elavil) Question text
Question 3 After surgery, Johnny develops peripheral numbness, tingling
IncorrectMark 0 out of 1Not flaggedFlag question and muscle twitching and spasm. What would you anticipate
Question text to administer?
A patient who is a victim of food-poisoning is persistently
vomiting and passes loose stools oftenly. What possible a.
condition thus the patient's signs and symptoms predispose to? Magnesium Sulfate
a. b.
Hperkalemia and hypercalcemia Calcium Gluconate
b. c.
Metabolic acidosis and hypokalemia Potassium Iodide
c. d.
Metabolic alkalosis and hypokalemia Potassium Chloride
Feedback
d. The correct answer is: Calcium Gluconate
Hypokalemia and metabolic acidosis Question 8
Feedback CorrectMark 1 out of 1Not flaggedFlag question
The correct answer is: Metabolic alkalosis and hypokalemia Question text
Another alternative "suture" for skin closure is the use of: Question text
Colostomy is a surgically created anus- It can be temporary or
a. permanent, depending on the disease condition. Skin care
Staple around the stoma is critical. Which of the following is not
indicated as a skin care barriers?
b.
Therapeutic glue a.
Apply liberal amount of mineral oil to the area
c.
Absorbent dressing b.
Use karaya paste and rings around the stoma
d.
invisible suture c.
Feedback Clean the area daily with soap and water before applying bag
The correct answer is: Staple
Question 9 d.
CorrectMark 1 out of 1Not flaggedFlag question Apply talcum powder twice a day
As the charge nurse, you are reviewing the charts of clients The correct answer is: Apply liberal amount of mineral oil to
who were assigned to a newly graduated RN. The RN has the area
correctly charted dose and time of medication, but there is no Question 13
documentation regarding non-pharmaceutical measures. What IncorrectMark 0 out of 1Not flaggedFlag question
action should you take first? Question text
Computed tomography (CT) scan and magnetic resonance
a. imaging (MRI) are usually done if the patient is suspected for
Make a note in the nurse's file and continue to observe clinical what respiratory disturbance?
performance
a.
b. Lung cancer
Refer the new nurse to the in-service education department.
b.
c. Pneumothorax
Quiz the nurse about knowledge of pain management
c.
d. Pleural effusion
Give praise for the correct dose and time and discuss the
deficits in charting. d.
Feedback Fractured ribs
The correct answer is: Give praise for the correct dose and Feedback
time and discuss the deficits in charting. The correct answer is: Lung cancer
CorrectMark 1 out of 1Not flaggedFlag question IncorrectMark 0 out of 1Not flaggedFlag question
Question text Question text
Cations are electrolytes that carry positive charges. Which is During the emergent phase of burn injury, the nurse should
the most abundant electrolyte in the ECF? intervene by administering intravenous fluids within 24 hours.
If the patient weighs 122.6lbs, the total amount of fluids to be
a. given during this period is:
Potassium
a.
b. 8000ml
Magnesium
b.
c. 7000ml
Sodium
c.
d. 8025ml
Calcium
Feedback d.
The correct answer is: Sodium 7025ml
Question 11 Feedback
IncorrectMark 0 out of 1Not flaggedFlag question The correct answer is: 8025ml
Question text Question 15
Chest tube insertion primarily aims to: IncorrectMark 0 out of 1Not flaggedFlag question
Question text
a. Family members are encouraging your client to "tough it out"
Remove fluids and blood from the pleural cavity rather than run the risk of becoming addicted to narcotics. The
client is stoically abiding by the family's wishes. Priority
b. nursing interventions for this client should target which
Correct the mediastina shifting dimension of pain?
c. a.
Allow the lungs to reexpand independently Sensory
d. b.
Removes positive pressure to bring back negative intrathoracic Affective
pressure
Feedback c.
The correct answer is: Removes positive pressure to bring Sociocultural
back negative intrathoracic pressure
Question 12 d.
CorrectMark 1 out of 1Not flaggedFlag question Behavioral
The correct answer is: Surgeon
e. Question 20
Cognitive CorrectMark 1 out of 1Not flaggedFlag question
Feedback Question text
The correct answer is: Sociocultural Like sutures, needles also vary in shape and uses. If you are
Question 16 the scrub nurse for a patient who is prone to keloid formation
CorrectMark 1 out of 1Not flaggedFlag question and has a low threshold of pain, what needle would you
Question text prepare?
In applying the principles of pain treatment, what is the first
consideration? a.
Round needle
a.
Treatment is based on client goals. b.
A traumatic needle
b.
A multidisciplinary approach is needed. c.
Reverse cutting needle
c.
The client must be believed about perceptions of own pain. d.
Tapered needle
d. Feedback
Drug side effects must be prevented and managed. The correct answer is: A traumatic needle
Feedback Question 21
The correct answer is: The client must be believed about CorrectMark 1 out of 1Not flaggedFlag question
perceptions of own pain. Question text
Question 17 Lungs are responsible for maintaining the acid-base balance.
CorrectMark 1 out of 1Not flaggedFlag question Which principle with regards to this function is incorrect?
Question text
In caring for a young child with pain, which assessment tool is a.
the most useful? High level of carbon dioxide will result to acidosis
a. b.
Simple description pain intensity scale Low level of carbon dioxide will lead to alkalosis
b. c.
0-10 numeric pain scale When pH level is below normal the carbon dioxide level rises
c. d.
Faces pain-rating scale Values oxygen and carbon dioxide are both pertinent data to
consider a respiratory ABG imbalance
d. Feedback
McGill-Melzack pain questionnaire The correct answer is: Values oxygen and carbon dioxide are
Feedback both pertinent data to consider a respiratory ABG imbalance
The correct answer is: Faces pain-rating scale Question 22
Question 18 CorrectMark 1 out of 1Not flaggedFlag question
Question text Nurse Amythist is dealing with patients with problems to
In the OR, the nursing tandem for every surgery is: fluids and electrolytes. For effective intervention and
management, she reviews her fluids and electrolytes
a. homeostasis. Which among the following is a correct
Instrument technician and circulating nurse principle?
b. a.
Nurse anesthetist, nurse assistant, and instrument technician Females have higher fluid status compared to males.
c. b.
Scrub nurse and nurse anesthetist Majority of the newborn's fluids composition belongs to the
interstitial fluid compartment.
d.
Scrub and circulating nurses c.
Feedback Higher percentage of adipose tissue will increase the chance of
The correct answer is: Scrub and circulating nurses fluid maintenance.
Question 19
CorrectMark 1 out of 1Not flaggedFlag question d.
Question text The average adult fluid is approximately 60% of the body
Like any nursing interventions, counts should be documented. weight.
To whom does the scrub nurse report any discrepancy of Feedback
country so that immediate and appropriate action in instituted? The correct answer is: The average adult fluid is
approximately 60% of the body weight.
a. Question 23
Anesthesiologist IncorrectMark 0 out of 1Not flaggedFlag question
Question text
b. Nurse Burakdayreview different diagnostic procedure for
Surgeon patients with problems to gas exchange. The following
questions are applied. Arnaldo is confined with possible
c. diagnosis of bronchocarcinoma (lung cancer). Nurse Ivy
OR nurse supervisor review the patient's chart and the doctor's order reads
"bronchoscopy by 7am tommorrow". The nurse correctly
d. prepare the patient for the procedure by initially:
Circulating nurse
Feedback a.
Obtain signature for informed consent Team efforts is best demonstrated in the OR. If you are the
nurse in charge for scheduling surgical cases, what important
b. information do you need to ask the surgeon?
Ensure the patient's understanding of the procedure
a.
c. Who is your internist
Question the physician for the appropriateness of the
procedure b.
Who is your assistant and anesthesiologist, and what is your
d. preferred time and type of surgery?
Suggest that the patient should disagree with the physician
Feedback c.
The correct answer is: Ensure the patient's understanding of Who are your anesthesiologist, internist, and assistant
the procedure
Question 24 d.
IncorrectMark 0 out of 1Not flaggedFlag question Who is your anesthesiologist.
Respiratory measurement that refers to the volume of air after The correct answer is: Who is your assistant and
the patient had a normal cycle of inspiration and expiration is anesthesiologist, and what is your preferred time and type of
termed: surgery?
Question 28
a. CorrectMark 1 out of 1Not flaggedFlag question
Vital capacity Question text
The 85-year-old male client diagnosed with cancer of the
b. colon asks the nurse, "Why did I get this cancer?" Which
Tidal volume statement is the nurse's best response?
c. a.
Force expired volume Cancer of the colon is associated with a lack of fiber in the
diet.
d.
Residual volume b.
Feedback Cancer of the colon has a greater incidence among those
The correct answer is: Tidal volume younger than age 50 years.
Question 25
IncorrectMark 0 out of 1Not flaggedFlag question c.
Question text Cancer of the colon has no known risk factors.
Respiratory system is a pipe system where gas passes through.
The correct order of respiratory organs is: d.
Cancer of the colon is rare among male clients.
a. Feedback
Nose-oropharynx-trachea-larynx-lungs The correct answer is: Cancer of the colon is associated with a
lack of fiber in the diet.
b. Question 29
Nostrils-orophraynx-nasopharyx-larynx-lungs CorrectMark 1 out of 1Not flaggedFlag question
Question text
c. The amount of air that remains in the lungs after a maximum
Nares-laryngopharynx-larynx-trachea-lungs expiration is also known as:
d. a.
Nares-orophraynx-trache-larynx-alveoli Residual volume
Feedback
The correct answer is: Nares-laryngopharynx-larynx-trachea- b.
lungs Tidal volume
Question 26
Question text Vital capacity
Situation: The student nurse assigned in the medical ward
where most cases are related to problems on oxygenation, d.
review the anatomy and physiology of the respiratory system. Leftover volume
Which among the following is true about voice production? Feedback
The correct answer is: Residual volume
a. Question 30
The pharynx is the main organ of voice production CorrectMark 1 out of 1Not flaggedFlag question
Question text
b. The breakdown in teamwork is often times a failure in:
The larynx contains the short cord that produces low pitch
sound a.
Electricity
c.
Long cords of the larynx produces high pitch sound b.
Inadequate supply
d.
The larynx is the major organ for phonation c.
Feedback Leg work
The correct answer is: The larynx is the major organ for
phonation d.
Question 27 Communication
CorrectMark 1 out of 1Not flaggedFlag question Feedback
Question text The correct answer is: Communication
Question 31
IncorrectMark 0 out of 1Not flaggedFlag question Notify the nursing supervisor to arrange a new doctor to take
Question text over.
The bronchial tree starts at the primary bronchus then divided
into two by what anatomical structure? d.
Explain to the client that until discharge, the client will have to
a. keep the doctor.
Base of the lung Feedback
The correct answer is: Determine what about the doctor is
b. bothering the client.
Secondary bronchi Question 35
IncorrectMark 0 out of 1Not flaggedFlag question
c. Question text
Bronchioles The client is admitted to the medical unit with a diagnosis of
acute diverticulitis. Which health-care provider's order should
d. the nurse question?
Hilum
Feedback a.
The correct answer is: Hilum Insert a nasogastric tube.
Question 32
CorrectMark 1 out of 1Not flaggedFlag question b.
Question text Start IV D5W at 125 mL/hr.
The charge nurse is making assignments. Staffing includes a
registered nurse with five (5) years of medical-surgical c.
experience, a newly graduated registered nurse, and two (2) Put client on a clear liquid diet.
unlicensed nursing assistants. Which client should be assigned
to the most experienced nurse? d.
Place client on bed rest with bathroom privileges.
a. Feedback
The 39-year-old client diagnosed with lower esophageal The correct answer is: Put client on a clear liquid diet.
dysfunction who is complaining of pyrosis. Question 36
b. Question text
The 54-year-old client diagnosed with Barrett's esophagitis The client presents with a complete blockage of the large
who is scheduled to have an endoscopy this morning. intestine from a large tumor. Which doctor's order would the
nurse question?
c.
The 46-year-old client diagnosed with gastroesophageal reflux a.
disease who has wheezes in all five (5) lobes. Obtain consent for a colonoscopy and biopsy.
d. b.
The 68-year-old client who is three (3) days post-op hiatal Start an IV of 0.9% saline at 125 mL/hour.
hernia and needs to be ambulated four (4) times today.
Feedback c.
The correct answer is: The 46-year-old client diagnosed with Administer 3 liters of Go-LYTELY.
gastroesophageal reflux disease who has wheezes in all five
(5) lobes. d.
Question 33 Give tap water enemas until it is clear.
IncorrectMark 0 out of 1Not flaggedFlag question Feedback
Question text The correct answer is: Administer 3 liters of Go-LYTELY.
The client admitted to the medical unit with diverticulitis is Question 37
complaining of severe pain in the left lower quadrant and has CorrectMark 1 out of 1Not flaggedFlag question
an oral temperature of 100.6⁰F. Which action should the nurse Question text
implement first? The client who has had an abdominal perineal resection is
being discharged. Which discharge information should the
a. nurse teach?
Notify the doctor.
a.
b. The stoma should be a white, blue, or purple color.
Document the findings in the chart.
b.
c. Limit ambulation to prevent the pouch from coming off.
Administer an oral antipyretic.
c.
d. Take pain medication when the pain level is at an "8".
Assess the client’s abdomen.
Feedback d.
The correct answer is: Assess the client’s abdomen. Empty the pouch when it is one-third to one-half full.
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Empty the pouch when it is one-third to
Question text one-half full.
The client complains to the nurse of unhappiness with the Question 38
physician. Which intervention should the nurse implement CorrectMark 1 out of 1Not flaggedFlag question
next? Question text
The client with a new colostomy is being discharged. Which
a. statement made by the client indicates the need for further
Call the doctor and suggest he or she talk with the client. teaching?
b. a.
Determine what about the doctor is bothering the client. "If I notice any skin breakdown I will call the doctor."
c. b.
"I should drink only liquids until the colostomy starts to The male client in a physician's office tells the nurse that he
work." has been experiencing "heartburn" at night that awakens him.
Which assessment question should the nurse ask?
c.
"I should not take a tub bath until the doctor okays it." a.
"How much weight have you gained recently?"
d.
"I should not drive or lift more than five (5) pounds." b.
Feedback "What have you done to alleviate the heartburn?"
The correct answer is: "I should drink only liquids until the
colostomy starts to work." c.
Question 39 "Do you consume many milk and dairy products?"
CorrectMark 1 out of 1Not flaggedFlag question
Question text d.
The following are appropriate nursing interventions during "Have you been around anyone with a stomach virus?"
colostomy irrigation EXCEPT: Feedback
The correct answer is: "What have you done to alleviate the
a. heartburn?"
Increase the irrigating solution flow rate when abdominal Question 43
cramps is felt CorrectMark 1 out of 1Not flaggedFlag question
Question text
b. The most precise and accurate diagnostic test that will monitor
Insert 2-4 inches of an adequately lubricated catheter to the patient's respiratory function is:
stoma
a.
c. Sputum culture
Position client in semi-Fowler
b.
d. Chest X-ray
Hand the solution 18 inches above the stoma
Feedback c.
The correct answer is: Increase the irrigating solution flow rate CT scan
when abdominal cramps is felt
Question 40 d.
CorrectMark 1 out of 1Not flaggedFlag question Pulmonary function test
The following questions pertain to the concept of Pain The correct answer is: Pulmonary function test
Management. Question 44
A client with chronic pain reports to you, the charge nurse, IncorrectMark 0 out of 1Not flaggedFlag question
that the nurse have not been responding to requests for pain Question text
medication. What is your initial action? The normal respiratory rate of a newborn is:
a. a.
Check the MARs and nurses' notes for the past several days. >20cpm
b. b.
Ask the nurse educator to give an in-service about pain >40cpm
management.
c.
c. >60cpm
Perform a complete pain assessment and history on the client.
d.
d. >80cpm
Have a conference with the nurses responsible for the care of Feedback
this client. The correct answer is: >80cpm
The correct answer is: Have a conference with the nurses IncorrectMark 0 out of 1Not flaggedFlag question
responsible for the care of this client. Question text
Question 41 The nurse also assess the area burned and noticed that a large
CorrectMark 1 out of 1Not flaggedFlag question area of blister formation has been noted. Which other
Question text manifestations are consistent to this type of burn according to
The hormone that tends to decrease calcium concentration in degree?
the blood is:
a.
a. Redness, pruritus and mild pain
Calcitonin
b.
b. Painful burning sensation due to dermal layer damage
aldosterone
c.
c. Mild pain including subcutaneos layer damage
thyroid hormone
d.
d. Painless sensation, with gangrenous muscles and bones tissue
parathyroid hormone Feedback
Feedback The correct answer is: Painful burning sensation due to dermal
The correct answer is: Calcitonin layer damage
CorrectMark 1 out of 1Not flaggedFlag question CorrectMark 1 out of 1Not flaggedFlag question
The nurse caring for a client diagnosed with gastroesophageal The client complains of right lower quadrant pain with
reflux disease (GERD) writes the nursing problem of rebound tenderness.
"behavior modification." Which intervention should be Feedback
included for this problem? The correct answer is: The client has diarrhea alternating with
constipation.
a. Question 50
Teach the client to sleep with a foam wedge under the head. CorrectMark 1 out of 1Not flaggedFlag question
Question text
b. The nurse is caring for a client diagnosed with
Encourage the client to decrease the amount of smoking. gastroesophageal reflux disease (GERD). Which nursing
interventions should be implemented?
c.
Instruct the client to take over-the-counter medication for a.
relief of pain. Place the client prone in bed and administer nonsteroidal anti-
inflammatory medications.
d.
Discuss the need to attend Alcoholics Anonymous to quit b.
drinking. Have the client remain upright at all times and walk for 30
Feedback minutes three (3) times a week.
The correct answer is: Teach the client to sleep with a foam
wedge under the head. c.
Question 47 Instruct the client to maintain a right lateral side-lying position
CorrectMark 1 out of 1Not flaggedFlag question and take antacids before meals.
Question text
The nurse caring for a client one (1) day postoperative d.
sigmoid resection notes a moderate amount of dark reddish Elevate the head of the bed 30 degrees and discuss lifestyle
brown drainage on the midline abdominal incision. Which modifications with the client.
intervention should the nurse implement first? Feedback
The correct answer is: Elevate the head of the bed 30 degrees
a. and discuss lifestyle modifications with the client.
Mark the drainage on the dressing with the time and date. Question 51
b. Question text
Change the dressing immediately using sterile technique. The nurse is caring for an adult client diagnosed with
gastroesophageal reflux disease (GERD). Which condition is
c. the most common comorbid disease associated with GERD?
Notify the doctor immediately.
a.
d. Adult-onset asthma.
Reinforce the dressing with a sterile gauze pad.
Feedback b.
The correct answer is: Mark the drainage on the dressing with Pancreatitis.
the time and date.
Question 48 c.
CorrectMark 1 out of 1Not flaggedFlag question Peptic ulcer disease.
Question text
The nurse is administering morning medications at 0730. d.
Which medication would have priority? Increased gastric emptying.
Feedback
a. The correct answer is: Adult-onset asthma.
A proton pump inhibitor. Question 52
b. Question text
A nonnarcotic analgesic. The nurse is caring for clients in an outpatient clinic. Which
information should the nurse teach regarding the Philippine
c. Cancer Society's recommendations for the early detection of
A histamine receptor antagonist. colon cancer?
d. a.
A mucosal barrier agent. Beginning at age 60, a digital rectal exam should be done
Feedback yearly.
The correct answer is: A mucosal barrier agent.
Question 49 b.
CorrectMark 1 out of 1Not flaggedFlag question After the client reaches middle age, a yearly fecal occult test
Question text should be done.
The nurse is admitting a male client to a medical floor with a
diagnosis of adenocarcinoma of the rectosigmoid colon. c.
Which assessment data support this diagnosis? At age 50, a colonoscopy and then once every five (5) to ten
(10) years.
a.
The client reports up to 20 bloody stools per day. d.
A flexible sigmoidoscopy should be done yearly after age 40.
b. Feedback
The client states that he has a feeling of fullness after a heavy The correct answer is: At age 50, a colonoscopy and then once
meal. every five (5) to ten (10) years.
Question 53
c. IncorrectMark 0 out of 1Not flaggedFlag question
The client has diarrhea alternating with constipation. Question text
The nurse is planning the care of a client diagnosed with lower
d. esophageal sphincter dysfunction. Which dietary
modifications should be included in the plan of care?
a. c.
Allow any of the client's favorite foods as long as the amount "The stomach contents won’t bother my esophagus but will
of the food is limited. make me nauseous."
b. d.
Have the client perform eructation exercises several times a "I should avoid drinking orange juice and eating tomatoes
day. until my esophagus heals."
Feedback
c. The correct answer is: "I should avoid drinking orange juice
Eat four (4) to six (6) small meals a day and limit fluids during and eating tomatoes until my esophagus heals."
mealtimes. Question 57
d. Question text
Encourage the client to consume a glass of red wine with one The nurse is preparing to hang a new bag of total parental
(1) meal a day. nutrition on a client that has had an abdominal perineal
Feedback resection. The bag has 1500 mL of 50% dextrose, 10 mL of
The correct answer is: Eat four (4) to six (6) small meals a day trace elements, 20 mL of multivitamins, 20 mL of potassium
and limit fluids during mealtimes. chloride, and 500 mL of lipids. The bag is to infuse over the
Question 54 next 24 hours. At what rate should the nurse set the pump?
Question text a.
The nurse is planning the care of a client who has had an 85 mL/hours
abdominal perineal resection for cancer of the colon. Which
interventions should the nurse implement? Select all that b.
apply. 84 mL/hours
1.Provide meticulous skin care to stoma.
2.Assess the flank incision. c.
3.Maintain the indwelling catheter. 56 mL/hours
4.Irrigate the J-P drains every shift.
5.Position the client semi-recumbent. d.
87 mL/hours
a. Feedback
1-2-3 The correct answer is: 85 mL/hours
Question 58
b. CorrectMark 1 out of 1Not flaggedFlag question
1-2-4 Question text
The nurse is teaching the client diagnosed with diverticulosis.
c. Which instruction should the nurse include in the teaching
2-3-4 session?
d. a.
1-3-5 Discuss the importance of drinking 1000 mL of water daily.
Feedback
The correct answer is: 1-3-5 b.
Question 55 Instruct the client to exercise at least three (3) times a week.
Question text c.
The nurse is preparing a client diagnosed with Teach the client about a eating a low-residue diet.
gastroesophageal reflux disease (GERD) for surgery. Which
information should be brought to the attention of the doctor? d.
Explain the need to have daily bowel movements.
a. Feedback
The client's Bernstein esophageal test was positive. The correct answer is: Explain the need to have daily bowel
movements.
b. Question 59
The client's abdominal x-ray shows a hiatal hernia. CorrectMark 1 out of 1Not flaggedFlag question
Question text
c. The nurse understands that the insertion of a fine-long needle
The client's WBC count is 14,000 mg/dL. to the pleural cavity to remove air, fluids or blood is termed
as:
d.
The client's hemoglobin is 13.8 mg/dL. a.
Feedback Thoracotomy
The correct answer is: The client's WBC count is 14,000
mg/dL. b.
Question 56 PleurEvac
Question text c.
The nurse is preparing a client diagnosed with GERD for Amniocentesis
discharge following an esophagogastroduodenoscopy. Which
statement indicates the client understands the discharge d.
instructions? Thoracentesis
Feedback
a. The correct answer is: Thoracentesis
"I should not eat for twenty-four (24) hours following this Question 60
procedure." CorrectMark 1 out of 1Not flaggedFlag question
Question text
b. The nurse writes a psychosocial problem of "risk for altered
"I can lie down whenever I want after a meal. It won’t make a sexual functioning related to new colostomy." Which
difference." intervention should the nurse implement?
The correct answer is: Autograft
a. Question 64
Tell the client that there should be no intimacy for at least CorrectMark 1 out of 1Not flaggedFlag question
three (3) months. Question text
The ratio of the intracellular fluid compared to extracellular
b. fluid is:
Ensure that the client and significant other are able to change
the ostomy pouch. a.
The ICF is inversely proportional to ECF
c.
Demonstrate with charts possible sexual positions for the b.
client to assume. ECF IS 10-20% higher than the ICF
d. c.
Teach the client to protect the pouch from becoming dislodged ICF is 60-70% of body weight while ECF is only 20-30%
during sex.
Feedback d.
The correct answer is: Teach the client to protect the pouch ICF and ECF contains the same amount of fluids
from becoming dislodged during sex. Feedback
Question 61 The correct answer is: ICF is 60-70% of body weight while
CorrectMark 1 out of 1Not flaggedFlag question ECF is only 20-30%
The occupational health nurse is preparing a presentation to a CorrectMark 1 out of 1Not flaggedFlag question
group of factory workers about preventing colon cancer. Question text
Which information should be included in the presentation? The respiratory center is located to what region of the central
nervous system?
a.
Wear a high filtration mask when around chemicals. a.
Diencephalon
b.
Eat several servings of cruciferous vegetables daily. b.
Brain stem
c.
Take a multiple vitamin every day. c.
Limbic system
d.
Do not engage in high-risk sexual behaviors. d.
Feedback Cerebrum
The correct answer is: Eat several servings of cruciferous Feedback
vegetables daily. The correct answer is: Brain stem
IncorrectMark 0 out of 1Not flaggedFlag question CorrectMark 1 out of 1Not flaggedFlag question
The patient's serum potassium level is 5.6mEq/L. Which The two underbalanced regulatory agents that control overall
among the following finding warrants immediate intervention calcium balance in the body are:
by the nurse?
a.
a. Phosphorus and ACTH
The client stops taking the prescribed diuretic, Spironolactone
b.
b. Vitamin A and thyroid hormone
Patient's urine output is 180 ml for the past 8 hour
c.
c. Ascorbic acid and growth hormone
Patient's KCl drip has been discontinued
d.
d. Vitamin D and parathyroid hormone
The nurse notifies the physician for the value is above Feedback
recommended levels The correct answer is: Vitamin D and parathyroid hormone
The correct answer is: Patient's urine output is 180 ml for the IncorrectMark 0 out of 1Not flaggedFlag question
past 8 hour Question text
Question 63 The type I cells of the alveoli will make the:
Question text a.
The physician has advised the patient to undergo grafting of Walls
the areas that incurs 3rd and 4th degrees. The type of grafting
that will least likely result into rejection is: b.
Bronchioles
a.
Allograft c.
Surfactant
b.
Heterograft d.
Hilum
c. Feedback
Xenograft The correct answer is: Walls
Question 68
d. CorrectMark 1 out of 1Not flaggedFlag question
Autograft Question text
Feedback The type II cells of the alveoli will make the:
Fascia
a.
Walls b.
Muscle
b.
Bronchioles c.
Peritoneum
c.
Surfactant d.
Skin
d. Feedback
Hilum The correct answer is: Skin
The correct answer is: Surfactant IncorrectMark 0 out of 1Not flaggedFlag question
Question 69 Question text
CorrectMark 1 out of 1Not flaggedFlag question What mechanism of action is involved in gas exchanges?
Question text
Thoracentesis was performed to patient with hemothorax, the a.
nurse's initial assessment should focus on: Osmosis from higher to lower solute concentration
a. b.
Assess patient for the return of gag reflex Diffusion from an area of higher to lower oxygen
concentration
b.
Assess the patient for potential complication such as c.
haemoptysis Osmosis from lower to higher solute concentration
c. d.
Evaluate the patient's knowledge about the procedure Diffusion from area of lower to higher oxygen concentration
Feedback
d. The correct answer is: Diffusion from an area of higher to
Assess patient for potential shock such as hypotension lower oxygen concentration
The correct answer is: Assess patient for potential shock such CorrectMark 1 out of 1Not flaggedFlag question
as hypotension Question text
Question 70 What patient's condition may cause hypokalemia and
IncorrectMark 0 out of 1Not flaggedFlag question hyperkalemia at the same time?
Question text
To prevent possible complications after bronchoscopy, the a.
nurse should assess return of gag reflex by: Metabolic alkaosis
a. b.
Placing tongue blade at the posterior aspect of the tongue Metabolic acidosis
b. c.
Touching the uvula Renal insufficiency
c. d.
Place the tongue blade at the posterior palate Use of k-sparing diuretics
Feedback
d. The correct answer is: Renal insufficiency
Both B & C are correct Question 75
The correct answer is: Both B & C are correct Question text
Question 71 What sensation is used as a gauge so that patients with
CorrectMark 1 out of 1Not flaggedFlag question ileostomy can determine how often their pouch should be
Question text drained?
What health instruction will enhance regulation of a
colostomy (defecation) of clients? a.
Sensation of taste
a.
Irrigate after lunch everyday b.
Sensation of pressure
b.
Eat fruits and vegetables in all three meals c.
Sensation of smell
c.
Eat balanced meals at regular intervals d.
Urge to defecate
d. Feedback
Restrict exercise to walking only The correct answer is: Sensation of pressure
The correct answer is: Eat balanced meals at regular intervals IncorrectMark 0 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question When serum calcium level rises above normal it follows that
Question text the:
What major supportive layer of the abdominal wall must be
sutured with long tensile strength such as cotton or nylon or a.
silk suture? Serum Mg is below normal value
a. b.
Serum Phosphate is below normal
d.
c. Altered tissue perfusion
Serum K also rises Feedback
The correct answer is: Risk for infection
d. Question 81
Serum Na will rise above normal limits CorrectMark 1 out of 1Not flaggedFlag question
The correct answer is: Serum K also rises When titrating an analgesic to manage pain, what is the
Question 77 priority goal?
Question text a.
When surgery is on-going, who coordinates the activities Administer smallest dose that provides relief with the fewest
outside, including the family? side effects.
a. b.
Orderly/clerk Titrate upward until the client is pain free.
b. c.
Nurse supervisor Titrate downwards to prevent toxicity.
c. d.
Circulating nurse Ensure that the drug is adequate to meet the client’s subjective
needs.
d. Feedback
Anesthesiologist The correct answer is: Administer smallest dose that provides
Feedback relief with the fewest side effects.
The correct answer is: Circulating nurse Question 82
IncorrectMark 0 out of 1Not flaggedFlag question Question text
Question text Which among the following is an expected deterioration of the
When the donor tissue is obtained from a person not related to respiratory function among geriatric patients?
the patient, the type of grafting used is:
a.
a. Increase tidal volume
Xenograft
b.
b. Altered tissue perfusion
Autograft
c.
c. Decreased residual volume
Heterograft
d.
d. Increased residual volume
Allograft Feedback
Feedback The correct answer is: Increased residual volume
The correct answer is: Xenograft Question 83
Question text Which among the following may not be routinely done when a
When the patient's air volume is assessed during a maximum patient is about to receive Chest Physiotherapy (CPT)?
or forced inspiration and expiration, the nurse obtains the:
a.
a. Incentive spirometry
Inspiratory reserved volume
b.
b. Postural drainage
Expiratory reserved volume
c.
c. Vibration
Vital capacity
d.
d. Percussion
Tidal volume Feedback
Feedback The correct answer is: Incentive spirometry
The correct answer is: Vital capacity Question 84
Question text Which among the following patients with fluid volume deficit
When the patient's fluid volume has been replaced will the nurse monitor for the fastest improvement provided
successfully, your priority nursing diagnosis following that they have been manage at the same time?
emergent phase is?
a.
a. A 40- year old with 25% TBSA is given normal saline
Fluid Volume Excess solution.
b. b.
Risk for infection An infant with severe dehydration hooked with Ringer's
Lactate solution
c.
Risk for injury c.
A middle-adult male who had an overdose of diuretic Glucose
managed with D5W.
b.
d. Potassium
A plasma expander is given to a patient with diagnosis of
diabetes insipidus c.
Feedback Calcium
The correct answer is: A middle-adult male who had an
overdose of diuretic managed with D5W. d.
Question 85 Sodium
Question text The correct answer is: Potassium
Which among the following principles of fluid movement is Question 89
correctly stated? CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. Which intervention should the nurse include as a
Osmosis is movement of water from an area of low to high nonpharmacologic pain-relief intervention for chronic pain?
solutee concentration
a.
b. Referring the client for hypnosis
Diffusion is movement of fluid from an area of low to high
molecular component b.
Administering pain medication as prescribed
c.
Active transport is movement of subtances without energy c.
utilization Removing all glaring lights and excessive noise
d. d.
Filtration is from an area of low hydrostatic pressure to high Using transcutaneous electric nerve stimulation
hydrostatic pressure Feedback
Feedback The correct answer is: Using transcutaneous electric nerve
The correct answer is: Osmosis is movement of water from an stimulation
area of low to high solutee concentration Question 90
Question text Which is a laboratory finding is within normal limits (WNL)?
Which arterial blood gas would the nurse expect in the client
diagnosed with diabetic ketoacidosis? a.
Serum calcium of 12.5mg/dl
a.
pH 7.34, PaO2 99, PaCO2 48, HCO3 24. b.
Serum potassium of 3.0mEq/L
b.
pH 7.38, PaO2 95, PaCO2 40, HCO3 22. c.
Serum sodium of 149mEq/L
c.
pH 7.46, PaO2 85, PaCO2 30, HCO3 26. d.
Serum magnesium of 2.0mEq/L
d. Feedback
pH 7.30, PaO2 90, PaCO2 30, HCO3 18. The correct answer is: Serum magnesium of 2.0mEq/L
The correct answer is: pH 7.30, PaO2 90, PaCO2 30, HCO3 IncorrectMark 0 out of 1Not flaggedFlag question
18. Question text
Question 87 Which is the correct order of the steps in performing CPT?
CorrectMark 1 out of 1Not flaggedFlag question 1. Percussion
Question text 2. Vibration
Which client is most likely to receive opioids for extended 3. Incentive spirometry
periods of time? 4. Postural drainage
a. a.
A client with fibromyalgia 1,2,3,4
b. b.
A client with phantom limb pain 1,3,2,4
c. c.
A client with progressive pancreatic cancer 3,1,2,4
d. d.
A client with trigeminal neuralgia 3,2,1,4
Feedback Feedback
The correct answer is: A client with progressive pancreatic The correct answer is: 3,2,1,4
cancer Question 92
Question text Which is true about second-fluid-shifting found in peripheral
Which electrolyte replacement should the nurse anticipate edema and ascites?
being ordered by the health-care provider in the client
diagnosed with DKA who has just been admitted to the ICD? a.
When the plasma osmolality is higher than the interstitial
a. osmolality edema will result
b. b.
When the interstitial oncotic pressure is higher than the plasma "I take antacid tablets with me wherever I go."
oncotic pressure edema will result
c.
c. "My spouse tells me I snore very loudly at night."
When the interstitial osmolality is higher than the plasma
osmolality edema will result d.
"I drink six (6) to seven (7) soft drinks every day."
d. Feedback
When the plasma oncotic pressure is higher than the interstitial The correct answer is: "I take antacid tablets with me
oncotin pressure edema will result wherever I go."
The correct answer is: When the interstitial oncotic pressure is CorrectMark 1 out of 1Not flaggedFlag question
higher than the plasma oncotic pressure edema will result Question text
Question 93 While team effort is needed in the OR for efficient and quality
IncorrectMark 0 out of 1Not flaggedFlag question patient care delivery, we should limit the number of people in
Question text the room for infection control. Who comprise this team?
Which laboratory finding can be observed to the emergent
phase of burn? a.
Surgeon, anesthesiologist, scrub nurse, radiologist, orderly
a.
Hypokalemia and hypernatremia b.
Surgeon, assistants, scrub nurse, circulating nurse,
b. anesthesiologist
Hypokalemia and hyponatremia
c.
c. Surgeon, assistant surgeon, anesthesiologist, scrub nurse,
Hyperkalemia and hyponatremia pathologist
d. d.
Hyperkalemia and hypernatremia Surgeon, assistant surgeon, anesthesiologist, intern, scrub
Feedback nurse
The correct answer is: Hyperkalemia and hypernatremia Feedback
Question 94 The correct answer is: Surgeon, assistants, scrub nurse,
IncorrectMark 0 out of 1Not flaggedFlag question circulating nurse, anesthesiologist
Which of the following is true about right and left lobes of the CorrectMark 1 out of 1Not flaggedFlag question
lungs? Question text
With the same situation above, to avoid complication during
a. bronchoscopy, the Nurse Ivy advise the patient to:
Left lung is consist 2 lobes while the right is 1 lobe lesser
a.
b. Increased fluids before the procedure
Right lung is comprised of one lobe higher than the left
b.
c. Start nothing by mouth by 9pm tonight
Right lung is composed of 3 lobes whileleft lung is 1 lobe
c.
d. Increased fiber in the diet
Both right and left lungs contains 3 lobes
Feedback d.
The correct answer is: Right lung is comprised of one lobe Advise the patient not to introduce anyting by mouth starting
higher than the left midnight
IncorrectMark 0 out of 1Not flaggedFlag question The correct answer is: Advise the patient not to introduce
Question text anyting by mouth starting midnight
Which route of administration is preferred if immediate Question 99
analgesia and rapid titration are necessary? IncorrectMark 0 out of 1Not flaggedFlag question
Question text
a. With the same situation in number 16, the nurse appropriately
Intraspinal anticipate to administer what IVF solution?
b. a.
Patient-controlled analgesia (PCA) PNSS incorporated with potassium chloride.
c. b.
Intravenous (IV) D5W diluted with 5% dextrose to be infused slowly
d. c.
Sublingual 0.45%NaCl diluted with 5%dextrose to be infused rapidly
Feedback
The correct answer is: Intravenous (IV) d.
Question 96 Any type of hypertonic solution will reverse the electrolyte
CorrectMark 1 out of 1Not flaggedFlag question imbalance
Which statement made by the client would alert the nurse that The correct answer is: D5W diluted with 5% dextrose to be
the client may be experiencing GERD? infused slowly
Question 100
a. IncorrectMark 0 out of 1Not flaggedFlag question
"My chest hurts when I walk up the stairs in my home." Question text
You are assigned to the medical ward with variety of patients Pleuritic chest discomfort and anxiety.
whose conditions are related to fluids and electrolytes
imbalances. You are responsible for the assessment and d.
management of these conditions. The following questions may Substernal chest pain and diaphoresis.
be applied. One patient has been receiving PNSS. You have Feedback
noticed that the doctor's order reads the IVF shoukd be given The correct answer is: Pleuritic chest discomfort and anxiety.
at KVO rate. The nurse assigned prior to your shif has given Question 4
5-Liters of the solution. Which laboratory finding will be CorrectMark 1 out of 1Not flaggedFlag question
expected on this situation? Question text
The nurse is planning the care of a client diagnosed with
a. pneumonia and writes a problem of "impaired gas exchange."
Hypocalcemia Which would be an expected outcome for this problem?
b. a.
Hyponatremia Able to complete activities of daily living.
c. b.
Hypercalcemia Alert and oriented to person, place, time, and events.
d. c.
Hypernatremia Ambulates in the hall and back several times during each shift.
Feedback
The correct answer is: Hypernatremia d.
Performs chest physiotherapy three (3) times a day.
Test Drills (Med-Surge Part 1: Disturbances in Oxygenation) Feedback
Question 1 The correct answer is: Alert and oriented to person, place,
CorrectMark 1 out of 1Not flaggedFlag question time, and events.
7. The client diagnosed with sinusitis who has undergone a CorrectMark 1 out of 1FlaggedRemove flag
Caldwell Luc procedure is complaining of pain. Which Question text
intervention should the nurse implement first? A nurse assesses the carbon monoxide level of a client
following a burn injury and notes that the level is 14%. Based
a. on this level, which finding would the nurse expect to note
Administer the narcotic analgesic IVP. during the assessment of the client?
b. a.
Assess the client's pain. Headache
c. b.
Perform gentle oral hygiene. Nausea
d. c.
Place the client in a semi-Fowler’s position. Tachycardia
Feedback
The correct answer is: Assess the client's pain. d.
Question 2 Impaired visual acuity
Question text The correct answer is: Tachycardia
The influenza vaccine is in short supply. Which group of Question 6
clients would the public health nurse consider priority when IncorrectMark 0 out of 1FlaggedRemove flag
administering the vaccine? Question text
Which action should the nurse implement for the client with a
a. hemothorax who has a right-sided chest tube and there is
Schoolteachers and students living in a dormitory. excessive bubbling in the water-seal compartment?
b. a.
Elderly and chronically ill clients. Assess the tubing for any blood clots.
c. b.
Hospital chaplains and health-care workers. Milk the tubing proximal to distal.
d. c.
Child-care workers and children younger than age four (4) Encourage the client to cough forcefully.
years.
Feedback d.
The correct answer is: Schoolteachers and students living in a Check the amount of wall suction being applied.
dormitory. Feedback
Question 3 The correct answer is: Assess the tubing for any blood clots.
CorrectMark 1 out of 1Not flaggedFlag question Question 7
Question text IncorrectMark 0 out of 1Not flaggedFlag question
The client is admitted to a medical unit with a diagnosis of Question text
pneumonia. Which signs and symptoms would the nurse look The charge nurse on a surgical floor is making assignments.
for when assessing the client? Which client should be assigned to the most experienced
registered nurse (RN)?
a.
Asymmetrical chest expansion and pallor. a.
The six (6)-year-old client scheduled for a tonsillectomy and
b. adenoidectomy this morning who will not swallow
Leukopenia and CRT less than 3 seconds. medication.
c. b.
The 18-year-old client who had a Caldwell Luc procedure Find out if the client can read and write.
three (3) days ago and has purulent drainage on the drip pad. Feedback
The correct answer is: Find out if the client can read and write.
c. Question 11
The 45-year client diagnosed with a peritonsillar abscess who CorrectMark 1 out of 1Not flaggedFlag question
requires IVPB antibiotic therapy four (4) times a day. Question text
The 56-year-old client diagnosed with tuberculosis (TB) is
d. being discharged. Which statement made by the client
The 36-year-old client who has undergone an antral irrigation indicates an understanding of the discharge instructions?
for sinusitis yesterday and has moderate pain.
Feedback a.
The correct answer is: The 18-year-old client who had a "I will take my medication for the full three (3) weeks
Caldwell Luc procedure three (3) days ago and has purulent prescribed."
drainage on the drip pad.
Question 8 b.
IncorrectMark 0 out of 1Not flaggedFlag question "I should get a TB skin test every three (3) months to
Question text determine if I am well."
The nurse is presenting a class on chest tubes. Which
statement describes a tension pneumothorax? c.
"I must stay on the medication for months if I am to get well."
a.
When a tension pneumothorax occurs, the air moves freely d.
between the pleural space and the atmosphere. "I can be around my friends because I have started taking
antibiotics."
b. Feedback
A tension pneumothorax results from a mechanical ventilation The correct answer is: "I must stay on the medication for
therapy among patients with ARDS. months if I am to get well."
Question 12
The injury allows air into the pleural space but prevents it Question text
from escaping from the pleural space. The charge nurse is assigning clients for the shift. Which
client should be assigned to the new graduate nurse?
d.
A tension pneumothorax develops when an air-filled bleb on a.
the surface of the lung ruptures. The client diagnosed with laryngeal spasms who has stridor.
Feedback
The correct answer is: A tension pneumothorax results from a b.
mechanical ventilation therapy among patients with ARDS. The client diagnosed with laryngeal cancer who has multiple
Question 9 fistulas.
Question text c.
The client diagnosed with influenza A is being discharged The client who is two (2) hours post-partial laryngectomy.
from the emergency department with a prescription for
antibiotics. Which statement by the client indicates an d.
understanding of this prescription? The client diagnosed with cancer of the lung who has chest
tubes.
a. Feedback
"If I had gotten this prescription sooner I could have prevented The correct answer is: The client diagnosed with cancer of the
this illness." lung who has chest tubes.
Question 13
b. IncorrectMark 0 out of 1Not flaggedFlag question
"I need to take these pills until I feel better; then I can stop Question text
taking the rest." Which nursing task could be delegated to an unlicensed
nursing assistant?
c.
"The antibiotics will help prevent me from developing a a.
bacterial pneumonia." Encourage the client diagnosed with a cold to drink a glass of
orange juice.
d.
"These pills will make me feel better fast and I can return to b.
work." Obtain a throat culture on a client diagnosed with bacterial
Feedback pharyngitis.
The correct answer is: "These pills will make me feel better
fast and I can return to work." c.
Question 10 Feed a client who is postoperative tonsillectomy the first meal
CorrectMark 1 out of 1Not flaggedFlag question of clear liquids.
Question text
The nurse is preparing the client diagnosed with laryngeal d.
cancer for a laryngectomy in the morning. Which intervention Escort the client diagnosed with laryngitis outside to smoke a
would have priority? cigarette.
Feedback
a. The correct answer is: Encourage the client diagnosed with a
Explain that the client will need to ask for pain medication. cold to drink a glass of orange juice.
Question 14
Demonstrate the use of an anti-embolism hose. Question text
The nurse avoids which action in caring for a client who
c. sustained smoke inhalation and is at risk for impaired gas
Take the client to the intensive care unit for a visit. exchange?
d. a.
Repositioning the client from side to side every 2 hours Obtain a sputum specimen for culture and sensitivity.
b. d.
Maintaining the client in a supine position with the head of the Have the unlicensed nursing assistant weigh the client.
bed elevated Feedback
The correct answer is: Obtain a sputum specimen for culture
c. and sensitivity.
Suctioning the airway as needed Question 18
Not answeredMarked out of 1Not flaggedFlag question
d. Question text
Providing humidified oxygen as prescribed The nurse is caring for a client diagnosed with a cold. Which
Feedback is an example of an alternative therapy?
The correct answer is: Maintaining the client in a supine
position with the head of the bed elevated a.
Question 15 Decongestant therapy.
Question text b.
10. The nurse is developing a plan of care for a client Strict bed rest.
diagnosed with laryngitis and identifies the client problem
"altered communication." Which intervention should the nurse c.
implement? Humidification of the air.
a. d.
Provide the client with a blank note pad for writing any Vitamin C, 2000 mg daily.
communication. Feedback
The correct answer is: Vitamin C, 2000 mg daily.
b. Question 19
Explain that the client’s aphonia may become a permanent Not answeredMarked out of 1Not flaggedFlag question
condition. Question text
When assessing the client with COPD, which health
c. promotion information would be most important for the nurse
Encourage the client to whisper instead of trying to speak at a to obtain?
normal level.
a.
d. Number of years the client has smoked.
Instruct the client to drink a mixture of brandy and honey
several times a day. b.
Feedback Possibility for lifestyle changes.
The correct answer is: Provide the client with a blank note pad
for writing any communication. c.
Question 16 Risk factors for complications.
Question text d.
The nurse is caring for the client diagnosed with pneumonia. Ability to administer inhaled medication.
Which information should the nurse include in the teaching Feedback
plan? Select all that apply. The correct answer is: Possibility for lifestyle changes.
1.Place the client on oxygen by nasal cannula. Question 20
2.Plan for periods of rest during activities of daily living. Not answeredMarked out of 1Not flaggedFlag question
3.Place the client on a fluid restriction of 1000 mL per day. Question text
4.Restrict the client's smoking to two (2) to three (3) cigarettes 18. The employee health nurse is administering tuberculin skin
per day. testing to employees who have possibly been exposed to a
5.Monitor the client's pulse oximetry readings every four (4) client with active tuberculosis. Which statement indicates the
hours. need for radiological evaluation instead of skin testing?
a. a.
1 and 2 The client has never shown a reaction to the tuberculin
medication.
b.
1,2,5 b.
The client's second skin test indicates a red area measuring
c. four (4) mm.
1,3,5
c.
d. The client's first skin test indicates a purple flat area at the site
1 only of injection.
Feedback
The correct answer is: 1,2,5 d.
Question 17 The client's previous skin test was read as positive.
Not answeredMarked out of 1Not flaggedFlag question Feedback
Question text The correct answer is: The client's previous skin test was read
The client diagnosed with a community-acquired pneumonia as positive.
is being admitted to the medical unit. Which nursing Question 21
intervention has the highest priority? Not answeredMarked out of 1Not flaggedFlag question
Question text
a. The client diagnosed with tonsillitis is scheduled to have
Administer the oral antibiotic stat. surgery in the morning. Which assessment data should the
nurse notify the health-care provider about prior to surgery?
b.
Order the meal tray to be delivered as soon as possible. a.
The client’s current International Normalized Ratio (INR) is
c. 1.0.
Enter the client's room and discuss the matter with the NA
b. immediately.
The client has an oral temperature of 100.2F and a dry cough.
b.
c. Close the door and discuss the NA's action when the NA
The client has a hemoglobin of 12.2 g/dL and hematocrit of comes out of the room.
36.5%.
c.
d. Make the NA come back outside the room and then reenter
There are one (1) to two (2) white blood cells in the urinalysis. closing the door.
Feedback
The correct answer is: The client has an oral temperature of d.
100.2F and a dry cough. Say nothing to the NA but report the incident to the nursing
Question 22 supervisor.
Not answeredMarked out of 1Not flaggedFlag question Feedback
Question text The correct answer is: Close the door and discuss the NA's
22. The client is admitted with a diagnosis of rule out action when the NA comes out of the room.
tuberculosis. Which type of isolation procedures should the
nurse implement? Question 1
a. Question text
Droplet Precautions. Which assessment data would support that the client has
experienced a pulmonary embolus?
b.
Contact Precautions. a.
Left-sided chest pain and diaphoresis.
c.
Airborne Precautions. b.
Sudden onset of chest pain and dyspnea.
d.
Standard Precautions. c.
Feedback Bilateral crackles and low-grade fever.
The correct answer is: Airborne Precautions.
Question 23 d.
Not answeredMarked out of 1Not flaggedFlag question Calf pain with dorsiflexion of the foot.
The client has been diagnosed with chronic sinusitis. Which The correct answer is: Sudden onset of chest pain and
signs and symptoms would alert the nurse to a potentially life- dyspnea.
threatening complication? Question 2
a. Question text
Muscle weakness. Which intervention should the emergency department nurse
implement first for the client admitted for an acute asthma
b. attack?
Purulent sputum.
a.
c. Encourage the client to cough forcefully.
Nuchal rigidity.
b.
d. Administer glucocorticoids intravenously.
Intermittent loss of muscle control.
Feedback c.
The correct answer is: Nuchal rigidity. Establish and maintain a 20-gauge saline lock.
Question 24
Not answeredMarked out of 1Not flaggedFlag question d.
Question text Assess breath sounds every 15 minutes.
The nurse is assessing a 79-year-old client diagnosed with Feedback
pneumonia. Which signs and symptoms would the nurse The correct answer is: Assess breath sounds every 15 minutes.
expect to find when assessing the client? Question 3
a. Question text
Bradypnea and jugular vein distention. The nurse identified the client problem "decreased cardiac
output" for the client diagnosed with a pulmonary embolus.
b. Which intervention should be included in the plan of care?
Frothy sputum and edema.
a.
c. Monitor the client’s arterial blood gases.
Confusion and lethargy.
b.
d. Assess skin color and temperature.
High fever and chills.
Feedback c.
The correct answer is: Confusion and lethargy. Keep the client in the Trendelenburg position.
Question 25
Not answeredMarked out of 1Not flaggedFlag question d.
Question text Check the client for signs of bleeding.
The nurse observes the unlicensed nursing assistant (NA) Feedback
entering an airborne isolation room and leaving the door open. The correct answer is: Assess skin color and temperature.
Which action would be the nurse’s best response? Question 4
a. Question text
The client is admitted to the emergency department with chest Question text
trauma. When assessing the client, which signs/symptoms The client diagnosed with an exacerbation of COPD is in
would the nurse expect to find that support the diagnosis of respiratory distress. Which intervention should the nurse
pneumothorax? implement first?
a. a.
Barrel chest and polycythemia. Notify the health-care provider about the client’s status.
b. b.
Unequal lung expansion and dyspnea. Assist the client into a sitting position at 90 degrees.
c. c.
Bronchovesicular lung sounds and bradypnea. Monitor vital signs with the client sitting upright.
d. d.
Frothy bloody sputum and consolidation. Give oxygen at six (6) LPM via nasal cannula.
Feedback Feedback
The correct answer is: Unequal lung expansion and dyspnea. The correct answer is: Assist the client into a sitting position at
Question 5 90 degrees.
IncorrectMark 0 out of 1Not flaggedFlag question Question 9
33. Mr. B. age 45 with a long history of asthma is scheduled Question text
for surgery. Preoperative teaching by the nurse should include The school nurse is presenting a class to students at a primary
the fact that Mr. B.: school on how to prevent the transmission of the common cold
virus. Which information should the nurse discuss?
a.
should limit coughing to prevent chest distention a.
Include a demonstration of how to wash hands correctly.
b.
can control and limit asthmatic attacks b.
Instruct the children to always keep a tissue or handkerchief
c. with them.
can control anxiety and decrease severity of asthma attack
c.
d. Tell the children that they should go to the doctor if they get a
will be prone to respiratory tract infection cold.
Feedback
The correct answer is: can control anxiety and decrease d.
severity of asthma attack Explain that children current with immunizations will not get a
Question 6 cold.
Question text The correct answer is: Instruct the children to always keep a
When assessing the client with the diagnosis of COPD, which tissue or handkerchief with them.
data would require the nurse to take immediate action? Question 10
a. Question text
Large amounts of thick white sputum. The nurse is caring for the client diagnosed with end-stage
COPD. Which data would warrant immediate intervention by
b. the nurse?
Use of accessory muscles during inspiration.
a.
c. The client has SOB when walking to the bathroom.
Presence of a barrel chest and dyspnea.
b.
d. The client's pulse oximeter reading is 92%.
Oxygen flow meter set on eight (8) liters.
Feedback c.
The correct answer is: Oxygen flow meter set on eight (8) The client's arterial blood gas level is 74.
liters.
Question 7 d.
IncorrectMark 0 out of 1Not flaggedFlag question The client's sputum is rusty colored.
A client is taking theophylline for the management of asthma. The correct answer is: The client's pulse oximeter reading is
The nurse would advise the client to report which of the 92%.
following? Question 11
a. Question text
weight gain A client who has emphysema complains of non-productive
cough and dyspnea that is steadily worsening. A nurse should
b. include which of the following nursing diagnosis in the
red orange urine patient’s care plan?
c. a.
excessive thirst ineffective thermoregulation
d. b.
heart palpitation chronic pain
Feedback
The correct answer is: heart palpitation c.
Question 8 non-compliance
d. Demonstrate the proper method of gargling with normal
activity intolerance saline.
Feedback
The correct answer is: activity intolerance b.
Question 12 Teach the client to self-examine the larynx monthly.
Question text c.
28. While the nurse is caring for the client diagnosed with Perform voice exercises for 30 minutes three (3) times a day.
COPD, which outcome would require a revision in the plan of
care? d.
Explain that a lighted instrument will be placed in the throat to
a. biopsy the area.
The client has no signs of respiratory distress. Feedback
The correct answer is: Explain that a lighted instrument will
b. be placed in the throat to biopsy the area.
The client demonstrates intolerance to activity. Question 16
c. Question text
The client shows an improved respiratory pattern. Which isolation procedure should be instituted for the client
admitted to rule out severe acute respiratory syndrome
d. (SARS)?
The client participates in establishing goals.
Feedback a.
The correct answer is: The client demonstrates intolerance to Airborne isolation.
activity.
Question 13 b.
CorrectMark 1 out of 1Not flaggedFlag question Contact isolation.
Question text
Which nursing diagnoses would be appropriate for the nurse to c.
include in the plan of care for the client diagnosed with Droplet isolation.
COPD? Select all that apply.
1.Impaired gas exchange. d.
2.Inability to tolerate temperature extremes. Reverse isolation.
3.Activity intolerance. Feedback
4.Inability to cope with changes in roles. The correct answer is: Airborne isolation.
5.Alteration in nutrition. Question 17
a. Question text
1,5. The nurse is discharging a client newly diagnosed with
restrictive airway disease, asthma. Which statement indicates
b. the client understands the discharge instructions?
1,3,4,5
a.
c. "I should wash my bedding in warm water."
1,2,3,4,5.
b.
d. "I will call 911 if my medications don’t control an attack."
1,2,4,5
Feedback c.
The correct answer is: 1,2,3,4,5. "I can still eat at the Chinese restaurant when I want."
Question 14
Question text "If I get a headache I should take a non-steroidal anti-
The nurse suspects the client admitted with a near drowning is inflammatory drug."
developing acute respiratory distress syndrome (ARDS). Feedback
Which data would support the nurse's suspicion? The correct answer is: "I can still eat at the Chinese restaurant
when I want."
a. Question 18
The client's bilateral lung sounds have crackles and rhonchi. CorrectMark 1 out of 1Not flaggedFlag question
Question text
b. 31. Nurse Rene is caring for a client admitted to the hospital
The client's arterial blood gases are within normal limits. with suspected atelectasis. When assessing this client, Nurse
Rene would expect which of the following?
c.
The client has intercostal retractions and is using accessory a.
muscles. normal body temperature
d. b.
The client appears anxious, has dyspnea, and is tachypneic. an unproductive dry cough
Feedback
The correct answer is: The client appears anxious, has c.
dyspnea, and is tachypneic. a respiration which is deep and slow
Question 15
Question text diminished breath sounds
35. The nurse is admitting a client with a diagnosis of rule out Feedback
cancer of the larynx. Which information should the nurse The correct answer is: diminished breath sounds
teach? Question 19
a. Question text
The client is getting out of bed and becomes very anxious and "I will use the steroid inhaler one hour before I use the
has a feeling of impending doom. The nurse thinks the client bronchodilator."
may be experiencing a pulmonary embolus. Which action
should the nurse implement first? d.
"I will use the bronchodilator before I use the steroid inhaler."
a. Feedback
Administer oxygen ten (10) L via nasal cannula. The correct answer is: "I will use the bronchodilator before I
use the steroid inhaler."
b. Question 23
Place the client in a high Fowler’s position. CorrectMark 1 out of 1Not flaggedFlag question
Question text
c. The physician ordered Nurse Manny to monitor a client for the
Obtain a STAT pulse oximeter reading. complication of subcutaneous emphysema after the insertion
of chest tubes, the nurse should do which of the following?
d.
Auscultate the client’s lung sounds. a.
Feedback assess for the presence of barrel shaped chest
The correct answer is: Place the client in a high Fowler’s
position. b.
Question 20 palpate for crepitus around chest tubes insertion site
Question text c.
Which assessment data indicate that the chest tubes have been auscultate for the presence of crackles
effective in treating the client with a hemothorax who has a
right-sided chest tube? d.
assess inspirations and expiration for depth and length
a. Feedback
There is no fluctuation (tidaling) in the water-seal The correct answer is: palpate for crepitus around chest tubes
compartment. insertion site
Question 24
There is gentle bubbling in the suction compartment. Question text
The nurse is caring for a client with a right-sided chest tube
c. secondary to a pneumothorax. Which interventions should the
The client is able to deep breathe without any pain. nurse implement when caring for this client? Select all that
apply.
d. 1.Place the client in a low-Fowler’s position.
There is 250 mL of blood in the drainage compartment 2.Assess chest tube drainage system frequently.
Feedback 3.Maintain strict bed rest for the client.
The correct answer is: There is no fluctuation (tidaling) in the 4.Secure a loop of drainage tubing to the sheet.
water-seal compartment. 5.Observe the site for subcutaneous emphysema.
Question 21
CorrectMark 1 out of 1Not flaggedFlag question a.
Question text 1,3,5
Which statement indicates the client diagnosed with asthma
needs more teaching concerning the medication regimen? b.
1,3,5
a.
"I need to take oral glucocorticoids every day to prevent my c.
asthma attacks." 2.3.5
b. d.
"I need to use my Intal, Cromolyn inhaler 15 minutes before I 2,4,5
begin my exercise." Feedback
The correct answer is: 2.3.5
c. Question 25
"I will take Singulair, a leukotriene, every day to prevent CorrectMark 1 out of 1Not flaggedFlag question
allergic asthma attacks." Question text
Which of the following statements, if made by an elderly
d. client, indicates that client understands the most effective
"If I have an asthma attack, I need to use my Albuterol, a methods for preventing influenza?
beta2 agonist, inhaler."
Feedback a.
The correct answer is: "I need to take oral glucocorticoids "I will take a day multivitamin supplement."
every day to prevent my asthma attacks."
Question 22 b.
CorrectMark 1 out of 1Not flaggedFlag question "I will stay indoors in bad weather."
Question text
A client with asthma is given instructions about the use of c.
inhalant medications. Which of the following statements, if "I will have an annual flu vaccine."
made by the patient, indicates that the patient understands the
instructions? d.
"I will wear masks whenever my grandchildren come for a
a. visit."
"I need to take these medications one hour after each meal." Feedback
The correct answer is: "I will have an annual flu vaccine."
b.
"I need to alternate the sequence of inhaler administrations." Question 1
c. Question text
The client diagnosed with oat cell carcinoma of the lung tells
the nurse, "I am so tired of all this. I might as well just end it d.
all." Which should be the nurse’s first response? The client will drink at least 2500 mL of water daily.
Feedback
a. The correct answer is: The client demonstrates the correct way
Tell the HCP of the client’s statement. to purse-lip breathe.
Question 5
Refer the client to a social worker or spiritual advisor. Question text
The client is diagnosed with mild intermittent asthma. Which
c. medication should the nurse discuss with the client?
Respond by saying, "This must be hard for you. Would you
like to talk?" a.
Use of a “rescue inhaler.”
d.
Find out if the client has a plan to carry out suicide. b.
Feedback Daily inhaled corticosteroids.
The correct answer is: Respond by saying, "This must be hard
for you. Would you like to talk?" c.
Question 2 Leukotriene agonists.
Question text d.
The client diagnosed with asthma is admitted to the Use of systemic steroids.
emergency department with difficulty breathing and a blue Feedback
color around the mouth. Which diagnostic test will be ordered The correct answer is: Use of a “rescue inhaler.”
to determine the status of the client? Question 6
a. Question text
Drug cortisol level. The client is admitted to the outpatient surgery center for a
bronchoscopy to rule out cancer of the lung. Which
b. information should the nurse teach?
Allergy skin testing.
a.
c. There is no discomfort associated with this procedure.
Complete blood count.
b.
d. The client can eat and drink immediately after the test.
Pulmonary function test.
Feedback c.
The correct answer is: Allergy skin testing. The test will confirm the MRI results.
Question 3
IncorrectMark 0 out of 1Not flaggedFlag question d.
Question text The HCP can do a biopsy of the tumor through the scope.
The case manager is arranging a care planning meeting Feedback
regarding the care of a 65- year-old client diagnosed with The correct answer is: The HCP can do a biopsy of the tumor
adult-onset asthma. Which health-care disciplines should through the scope.
participate in the meeting? Select all that apply. Question 7
1.Nursing. CorrectMark 1 out of 1Not flaggedFlag question
2.Pharmacy. Question text
3.Social Work. The client diagnosed with restrictive airway disease, asthma,
4.Occupational Therapy. has been prescribed a glucocorticoid inhaled medication.
5.Speech Therapy. Which information should the nurse teach regarding this
medication?
a.
1,5 only a.
Take the medication immediately when an attack starts.
b.
1,3,4 b.
Hold the medication in the mouth for fifteen (15) seconds
c. before swallowing.
1,2,3
c.
d. Immediately rinse the mouth following administration of the
1,2,3,4 drug.
Feedback
The correct answer is: 1,2,3,4 d.
Question 4 Do not abruptly stop taking this medication; it must be tapered
CorrectMark 1 out of 1Not flaggedFlag question off.
Which outcome would be appropriate for the client problem The correct answer is: Immediately rinse the mouth following
"ineffective gas exchange" for the client recently diagnosed administration of the drug.
with COPD? Question 8
a. Question text
The client demonstrates the correct way to purse-lip breathe. The client diagnosed with lung cancer has been told that the
cancer has metastasized to the brain. Which intervention
b. should the nurse implement?
The client will be able to ambulate 100 feet with dyspnea.
a.
c. Explain the use of chemotherapy for brain involvement.
The client lists three (3) signs/symptoms to report to the HCP.
b. What statement made by the client would indicate that the
Have the significant other make decisions for the client. nurse’s discharge teaching was effective for the client
diagnosed with COPD?
c.
Discuss implementing an advance directive. a.
"I need to get an influenza vaccine each year, even when there
d. is a shortage."
Teach the client to discontinue driving.
Feedback b.
The correct answer is: Discuss implementing an advance "I need to get a vaccine for pneumonia each year with my flu
directive. shot."
Question 9
CorrectMark 1 out of 1Not flaggedFlag question c.
Question text "If I reduce my cigarette smoking to six (6) a day, I won’t
The nurse is planning the care of a client diagnosed with have difficulty breathing."
asthma and has written a problem of "anxiety." Which nursing
intervention should be implemented? d.
"I need to restrict my drinking liquids to keep from having so
a. much phlegm."
Stay with the client. Feedback
The correct answer is: "I need to get an influenza vaccine each
b. year, even when there is a shortage."
Administer an anxiolytic medication. Question 13
c. Question text
Notify the health-care provider. The nurse working in an outpatient clinic is interviewing
clients. Which information provided by the client warrants
d. further investigation?
Encourage the client to drink fluids.
Feedback a.
The correct answer is: Stay with the client. The client has been coughing up blood in the mornings.
Question 10
Question text The client has had an appendectomy.
The nurse is completing the admission assessment on a 13-
year-old client diagnosed with asthma. Which signs and c.
symptoms would the nurse expect to find? The client takes a multiple vitamin pill every day.
a. d.
Rales and hives. The client uses Vicks VapoRub every night before bed.
Feedback
b. The correct answer is: The client has been coughing up blood
Normal chest shape and eupnea. in the mornings.
Question 14
c. CorrectMark 1 out of 1Not flaggedFlag question
Fever and crepitus. Question text
The nurse is discussing the care of a child diagnosed with
d. asthma with the parent. Which referral would be important to
Dyspnea and wheezing. include?
Feedback
The correct answer is: Dyspnea and wheezing. a.
Question 11 Referral for allergy testing.
Question text b.
The nurse writes a problem of "impaired gas exchange" for a Referral to a dietitian.
client diagnosed with cancer of the lung. Which interventions
should be included in the plan of care? Select all that apply. c.
1.Apply O2 via nasal cannula. Referral to a home health nurse.
2.Have the dietitian plan for six (6) small meals per day.
3.Place the client in respiratory isolation. d.
4.Assess vital signs for fever. Referral to the developmental psychologist.
5.Listen to lung sounds every shift. Feedback
The correct answer is: Referral for allergy testing.
a. Question 15
2 and 4 only IncorrectMark 0 out of 1Not flaggedFlag question
Question text
b. The client diagnosed with lung cancer is being discharged.
1 and 5 only Which statement made by the client indicates that more
teaching is needed?
c.
1, 2, and 3 only a.
"It doesn't matter if I smoke now. I already have cancer."
d.
1,3,4 and 5 b.
Feedback "If I begin to run a fever I should notify the HCP."
The correct answer is: 1, 2, and 3 only
Question 12 c.
IncorrectMark 0 out of 1Not flaggedFlag question "I should plan for periods of rest throughout the day."
Question text
d.
"I should see the oncologist at my scheduled appointment."
Feedback The client is three (3) days post-partial laryngectomy. Which
The correct answer is: "It doesn't matter if I smoke now. I type of nutrition should the nurse offer the client?
already have cancer."
Question 16 a.
IncorrectMark 0 out of 1Not flaggedFlag question Clear liquid diet.
Question text
The nurse knows the client understands teaching regarding b.
mast cell stabilizer medications when the client makes which Soft, regular diet.
statement?
c.
a. Total parenteral nutrition.
"These drugs will be most effective if taken at bedtime."
d.
b. Partial parenteral nutrition.
"I should take two (2) puffs when I begin to have an asthma Feedback
attack." The correct answer is: Soft, regular diet.
Question 20
"I must taper off the medications and not stop taking them Question text
abruptly." The primary nurse observes the unlicensed nursing assistant
removing the nasal cannula from the client diagnosed with
d. COPD while ambulating the client to the bathroom. Which
"These drugs are not good at the time of an attack." action should the primary nurse take?
Feedback
The correct answer is: "I should take two (2) puffs when I a.
begin to have an asthma attack." Place the oxygen back on the client while sitting in the
Question 17 bathroom and say nothing.
Question text b.
The client diagnosed with exercise-induced asthma (EIA) is Explain to the NA in front of the client that the oxygen must
being discharged. Which information should the nurse include be left in place at all times.
in the discharge teaching?
c.
a. Praise the NA because this prevents the client from tripping on
Use the bronchodilator inhaler immediately prior to beginning the oxygen tubing.
to exercise.
d.
b. Discuss the NA's action with the charge nurse so that
Increase dietary intake of food high in monosodium glutamate appropriate action can be taken.
(MSG). Feedback
The correct answer is: Place the oxygen back on the client
c. while sitting in the bathroom and say nothing.
Take two (2) puffs on the rescue inhaler and wait five (5) Question 21
minutes before exercise. IncorrectMark 0 out of 1Not flaggedFlag question
Question text
d. The client is diagnosed with cancer of the larynx and is to
Warm-up exercises will increase the potential for developing have radiation therapy to the area. For which prophylactic
the asthma attacks. procedure will the nurse prepare the client?
Feedback
The correct answer is: Take two (2) puffs on the rescue inhaler a.
and wait five (5) minutes before exercise. Taking anti-emetic medications every four (4) hours.
Question 18
IncorrectMark 0 out of 1Not flaggedFlag question b.
Question text Placement of a PEG tube.
The client diagnosed with lung cancer is in an investigational
program and receiving a vaccine to treat the cancer. Which c.
information regarding investigational regimens should the Wearing sunscreen on the area at all times.
nurse teach?
d.
a. Removal of the teeth.
Investigational regimens provide a better chance of survival Feedback
for the client. The correct answer is: Removal of the teeth.
Question 22
Investigational treatments have not been proved helpful to Question text
clients. The client is four (4) hours post-lobectomy for cancer of the
lung. Which assessment data warrant immediate intervention
c. by the nurse?
Only clients that are dying qualify for investigational
treatments. a.
The client has 450 mL of bright-red drainage in the chest tube.
d.
Clients will be paid to participate in an investigational b.
program. The client has an intake of 1500 mL IV and an output of 1000
Feedback mL.
The correct answer is: Investigational regimens provide a
better chance of survival for the client. c.
Question 19 The client is complaining of pain at a “10” on a 1–10 scale.
Question text d.
The client has absent lung sound on the side of the surgery.
Feedback The correct answer is: The 29-year-old client diagnosed with
The correct answer is: The client is complaining of pain at a reactive airway disease who is complaining that the nurse
“10” on a 1–10 scale. caring for him was rude.
Question 23
CorrectMark 1 out of 1Not flaggedFlag question Proficiency 504 (Med-Surge 2: Communicable Dses)
When assessing the client recently diagnosed with COPD, IncorrectMark 0 out of 1Not flaggedFlag question
which sign and symptom should the nurse expect? Question text
A cataract is:
a.
Clubbing of the client's fingers. a.
An opacity of the lens
b.
Nonproductive hacking cough. b.
A thin film over the cornea
c.
Infrequent respiratory infections. c.
A crystallization of the pupil
d.
Chronic sputum production. d.
Feedback An increase in the density of the conjunctiva
The correct answer is: Chronic sputum production. Feedback
Question 24 The correct answer is: An opacity of the lens
The registered nurse and a licensed practical nurse are caring Question text
for five (5) clients on a medical unit. Which clients would the A client has a tentative diagnosis of myasthenia gravis. The
nurse assign to the licensed practical nurse? Select all that nurse recognizes that myasthenia gravis involves:
apply.
1.The 32-year-old female diagnosed with exercise-induced a.
asthma who has a forced vital capacity of 1000 mL. Loss the myelin sheath in portions of the brain and spinal cord
2.The 45-year-old male with adult-onset asthma who is
complaining of difficulty completing all of the ADLs at one b.
time. An interruption in the transmission of impulses from nerve
3.The 92-year-old client diagnosed with respiratory difficulty endings to muscles
who is beginning to be confused and keeps climbing out of
bed. c.
4.The 6-year-old client diagnosed with intrinsic asthma who is Progressive weakness and loss of sensation that begins in the
scheduled for discharge and the mother needs teaching about lower extremities
the medications.
5.The 20-year-old client diagnosed with asthma who has a d.
pulse oximetry reading of 95% and wants to sleep all the time. Loss of coordination and stiff "cogwheel" rigidity
Feedback
a. The correct answer is: An interruption in the transmission of
1,3,4 impulses from nerve endings to muscles
Question 3
1,5 Question text
A client has been receiving Rheumatrex (methotrexate) for
c. severe rheumatoid arthritis. The nurse should tell the client to
1,2,5 avoid taking:
d. a.
1,3,5 Aspirin
Feedback
The correct answer is: 1,3,4 b.
Question 25 Multivitamins
Question text c.
The charge nurse is making rounds. Which client should the Omega 3 fish oils
nurse assess first?
d.
a. Acetaminophen
The 15-year-old client diagnosed with diabetic ketoacidosis Feedback
after a bout with the flu who has a blood glucose reading of The correct answer is: Multivitamins
189 mg/dL. Question 4
b. Question text
The 62-year-old client diagnosed with COPD and pneumonia A client has dilated right pupil. The nurse understands that this
who is receiving O2 by nasal cannula at two (2) liters per adaptation is related to the:
minute.
a.
c. Second cranial nerve
The 29-year-old client diagnosed with reactive airway disease
who is complaining that the nurse caring for him was rude. b.
Third cranial nerve
d.
The 76-year-old client diagnosed with heart failure who has 2_ c.
edema of the lower extremities. Fourth cranial nerve
Feedback
d.
Seventh cranial nerve d.
Feedback Anoxia and absence of the cough reflex
The correct answer is: Third cranial nerve Feedback
Question 5 The correct answer is: Decreased blood pressure and
CorrectMark 1 out of 1Not flaggedFlag question constricted pupils
A client suffering from acute renal failure has an unexpected IncorrectMark 0 out of 1Not flaggedFlag question
increase in urinary output to 150ml/hr. The nurse assesses that Question text
the client has entered the second phase of acute renal failure. A diagnosis of multiple sclerosis is often delayed because of
Nursing actions throughout this phase include observation for the varied symptoms experienced by those affected with the
signs and symptoms of disease. Which symptom is most common in those with
multiple sclerosis?
a.
Hypervolemia, hypokalemia, and hypernatremia. a.
Resting tremors
b.
Hypervolemia, hyperkalemia, and hypernatremia. b.
Double vision
c.
Hypovolemia, wide fluctuations in serum sodium and c.
potassium levels. Flaccid paralysis
d. d.
Hypovolemia, no fluctuation in serum sodium and potassium "Pill-rolling" tremors
levels. Feedback
Feedback The correct answer is: Double vision
The correct answer is: Hypovolemia, wide fluctuations in Question 10
serum sodium and potassium levels. CorrectMark 1 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question A feeling of pleasantness or unpleasantness, varying in degree
Question text from mild to intense, occurs when sensory impulses reach the:
A client who complaints of tinnitus is describing a symptom
that is: a.
Thalamus
a.
Objective b.
Basal ganglia
b.
Subjective c.
Hypothalamus
c.
Functional d.
Cerebral cortex
d. Feedback
Prodromal The correct answer is: Thalamus
The correct answer is: Subjective CorrectMark 1 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question A major goal for the client during the first 48 hours after a
Question text severe bum is to prevent hypovolemic shock. The best
A client with glaucoma should be advised to: indicator of adequate fluid balance during this period is
a. a.
Take laxatives daily Elevated hematocrit levels.
b. b.
Use eyewashes on a regular basis Urine output of 30 to 50 ml/hr.
c. c.
Keep an extra supply of eye medication on hand Change in level of consciousness.
d. d.
Have corrective lens prescriptions checked every 3 months Estimate of fluid loss through the burn eschar.
Feedback Feedback
The correct answer is: Keep an extra supply of eye medication The correct answer is: Urine output of 30 to 50 ml/hr.
on hand Question 12
Question text A nurse is receiving a client in transfer from the emergency
A client with myasthenia gravis is admitted in a cholinergic room who has a diagnosis of Guillain-Barre syndrome. The
crisis. Signs of cholinergic crisis include: client's chief complaint is an ascending paralysis that has
reached the level of the waist. The nurse plans to have which
a. item available for emergency use?
Decreased blood pressure and constricted pupils
a.
b. Cardiac monitor and intubation tray
Increased heart rate and increased respirations
b.
c. Blood pressure cuff and flashlight
Increased respirations and increased blood pressure
c.
Nebulizer and pulse oximeter Moisten the dressing with normal saline
Feedback
d. The correct answer is: Moisten the dressing with sterile water
Flashlight and incentive spirometer Question 17
The correct answer is: Cardiac monitor and intubation tray Question text
Question 13 After a brain attack a client remains unresponsive to sensory
CorrectMark 1 out of 1Not flaggedFlag question stimulation the lobe of the cerebral cortex that registers
Question text general sensations such as heat, cold, pain, and touch is:
A patient is hemorrhaging from multiple trauma sites. The
nurse expects that compensatory mechanisms associated with a.
hypovolemia would cause all of the following symptoms Frontal lobe
EXCEPT
b.
a. Parietal lobe
hypertension
c.
b. Occipital lobe
oliguria
d.
c. Temporal lobe
tachycardia Feedback
The correct answer is: Parietal lobe
d. Question 18
tachypnea IncorrectMark 0 out of 1Not flaggedFlag question
The correct answer is: hypertension After a client has cataract surgery, the nurse should:
Question 14
Question text Instruct the client to avoid driving for 2 weeks
A physician performs a lumbar puncture. To do this
procedure, the physician m ust insert a needle into the: b.
Teach the client coughing and deep-breathing exercises
a.
Pia matter c.
Encourage eye exercises to strengthen the ocular musculature
b.
Foramen ovale d.
Advise the client to refrain from vigorous brushing of teeth
c. and hair
Aqueduct of sylvius Feedback
The correct answer is: Advise the client to refrain from
d. vigorous brushing of teeth and hair
Subarachnoid space Question 19
The correct answer is: Subarachnoid space Question text
Question 15 After abdominal surgery a client complaints of pain. The first
CorrectMark 1 out of 1Not flaggedFlag question action by the nurse should be to:
Question text
A procedure done to relieve intractable pain in the upper torso a.
is a: Reposition the patient
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
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
The correct answer is: Left-sided heart failure IncorrectMark 0 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question Cold applications for short periods of time produce:
Question text
An indication of parasympathetic dominance in a client under a.
stress would be: Local anesthesia
a. b.
Constipation Peripheral vasodilation
b. c.
Goose pimples Depression of vital signs
c. d.
Excess epinephrine secretions Constriction of pupils
Feedback
d. The correct answer is: Local anesthesia
Increased gastrointestinal secretion Question 26
The correct answer is: Increased gastrointestinal secretion Question text
Question 22 Damage to the VII cranial nerve results in:
Question text a.
An over exercised muscle that has an insufficient oxygen Facial pain
supply may become sore from a build-up of:
b.
a. Absence of ability to smell
Acetone
c.
b. Absence of eye movement
Lactic acid
d.
c. Tinnitus
Butyric acid Feedback
The correct answer is: Facial pain
d. Question 27
Acetoacetic acid IncorrectMark 0 out of 1Not flaggedFlag question
The correct answer is: Lactic acid In a patient with dengue fever, which f the following will you
Question 23 give the patient as part of the nursing intervention?
Question text a.
Before administering antibodies against tetanus, which of the Water and salt solution
following patient statements would indicate a need for further
nursing assessment? b.
Oresol
a.
"I have reactions to horse serum." c.
Saline solution
b.
"I cannot have any seafood." d.
IV fluids
c. Feedback
"I have lactose intolerance." The correct answer is: Oresol
Question 28
"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
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
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.
Sputum collection and examination
c.
b. Check the vital signs
Tuberculin skin testing
d.
c. Assess airway, breathing and circulation
EPI for BCG vaccine Feedback
The correct answer is: Administer oxygen inhalation
d. Question 34
Maternal and child health nursing CorrectMark 1 out of 1Not flaggedFlag question
The correct answer is: EPI for BCG vaccine Kendall's condition was referred to the attending physician, IV
Question 30 fluids were ordered. The purpose of fluids requirements is to
IncorrectMark 0 out of 1Not flaggedFlag question prevent:
Question text
In the critical stage of anthrax, what is the most appropriate a.
nursing intervention? Oliguria
a. b.
Infuse IV fluids Hypovolemic shock
b. c.
Bring the patients to the hospital Cystitis
c. d.
Institute isolation technique Cardiogenic shock
Feedback
d. The correct answer is: Hypovolemic shock
Use respiratory precautions Question 35
The correct answer is: Institute isolation technique Question text
Question 31 Leprosy has been a public health problem in the Philippines.
CorrectMark 1 out of 1Not flaggedFlag question The following are early signs and symptoms except:
Question text 1. Change of skin color
Incubation period of SARS 2. Loss of sensation on skin lesion
3. Loss of eyebrow
a. 4. Ulcers that do not heal
2-8 days
a.
b. 1,2
5-11 days
b.
c. 3
1-10 days
c.
d. 4
1-5 days
Feedback d.
The correct answer is: 2-8 days 2,4
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: 3
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
IncorrectMark 0 out of 1Not flaggedFlag question The correct answer is: Cystitis
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
In the morning on an empty stomach
c.
Planting of herbal plants which can be mosquito repellants d.
With food
d. Feedback
Spending leisure time in the forest The correct answer is: In the morning on an empty stomach
The correct answer is: Spending leisure time in the forest CorrectMark 1 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question Otosclerosis is a common cause of conductive hearing loss.
Question text With such a partial hearing loss:
Mr. B. diagnosed with septicemia has the following orders.
Which order has the highest priority? a.
Stapedectomy is the procedure of choice
a.
Provide clear liquid diet. b.
Hearing aids usually restore some hearing
b.
Initiate IV antibiotic therapy. c.
The client is usually unable to hear bass bones
c.
Obtain a STAT chest x-ray. d.
Air conduction is more effective than bone conduction
d. Feedback
Perform hourly blood sugar checks. The correct answer is: Hearing aids usually restore some
Feedback hearing
The correct answer is: Initiate IV antibiotic therapy. Question 43
Question text Stimulation of the vagus nerve result in:
Mrs. C. is diagnosed with neurogenic shock. Which
signs/symptoms would the nurse assess in this client? a.
Tachycardia
a.
Cool moist skin b.
Slowing of the heart
b.
Bradycardia c.
Dilation of the bronchioles
c.
Wheezing d.
Coronary artery vasodilation
d. Feedback
Decreased bowel sounds The correct answer is: Slowing of the heart
The correct answer is: Bradycardia CorrectMark 1 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question TB has been declared emergency in 1993 by the WHO. DOTS
Question text is a comprehensive strategy to detect and cure TB. The
Ms. Sy undergoes surgery and the abdominal aortic aneurysm primary element of DOTS is?
is resected and replaced with a graft. When she arrives in the
RR she is still in shock. The nurse's priority should be: a.
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
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.
3 months
b.
d. Penicillin
6-12 months
Feedback c.
The correct answer is: 6-12 months Dilantin
Question 46
Question text Accutane
The client comes to the emergency department with weakness Feedback
that has been progressing upward in both legs for two days. The correct answer is: Penicillin
The nurse, suspecting Guillain-Barré syndrome, begins care Question 50
by doing which of the following? Select all that apply. IncorrectMark 0 out of 1Not flaggedFlag question
1.Taking medical history, noting recent viral influenza Question text
2.Giving the client orange juice for fatigue and low blood The earbones that transmit vibrations to the oval window of
glucose the cochlea are found in the:
3.Assessing neurological and respiratory function
4.Evaluating for petit malseizures a.
5.Assessing vital signs Utricle
a. b.
1,3,5 Cochlea
b. c.
2,3,4 Middle ear
c. d.
1,2,4 Eustachian tube
Feedback
d. The correct answer is: Middle ear
3,4,5 Question 51
The correct answer is: 3,4,5 Question text
Question 47 The elderly female client with vertebral fractures who has
CorrectMark 1 out of 1Not flaggedFlag question been self-medicating with ibuprofen, a nonsteroidal anti-
Question text inflammatory drug (NSAID), presents to the emergency
The client diagnosed with septicemia is receiving a broad- department complaining of abdominal pain; is pale, clammy,
spectrum antibiotic. Which laboratory data require the nurse to and has a P 110 and a BP of 92/60. Which type of shock
notify the physician? would the nurse suspect?
a. a.
The client's potassium level is 3.8 mEq/L. Cardiogenic shock
b. b.
The urine culture indicates high sensitivity to the antibiotic. Hypovolemic shock
c. c.
The client's pulse oximeter reading is 94%. Neurogenic shock
d. d.
The culture and sensitivity is resistant to the client's antibiotic. Septic shock
Feedback 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 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 Start an IV with an 18-gauge catheter.
c. b.
Host Administer dopamine intravenous infusion.
d. c.
Agent Obtain arterial blood gases (ABGs).
Feedback
The correct answer is: People d.
Question 54 Insert an indwelling urinary catheter
Question text The correct answer is: Start an IV with an 18-gauge catheter.
The following countries where SARS originated includes the Question 58
following except: IncorrectMark 0 out of 1Not flaggedFlag question
Question text
a. The goal of surgery for the treatment of detached retina is to:
China
a.
b. Promote growth of new retinal cells
Canada
b.
c. Adhere the sclera of the choroid layer
Philippines
c.
d. Graft a healthy piece of retina to place
Australia
Feedback d.
The correct answer is: Philippines Create a scar that aids in healing retinal holes
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Create a scar that aids in healing retinal
Question text holes
The following questions pertain to the concept in the Question 59
Disturbances in Perception and Coordination. IncorrectMark 0 out of 1Not flaggedFlag question
The relay center for sensory impulses is the: Question text
The mouth of a client sustained trauma to the face, is drawn
a. over the left. This suggests injury to the:
Thalamus
a.
b. Left facial nerve
Cerebellum
b.
c. Right facial nerve
Hypothalamus
c.
d. Left abducent nerve
Medulla oblongata
Feedback d.
The correct answer is: Thalamus Right trigeminal nerve
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Left facial nerve
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.
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 The correct answer is: Providing a cool temperature in the
pressure. This is referred to as: room
Question 65
Homan's sign Question text
The nurse in the emergency department administered an
b. intramuscular antibiotic in the left gluteal muscle to the client
Romberg's sign with pneumonia who is being discharged home. Which
intervention should the nurse implement?
c.
Chvostek's sign a.
Ask the client about drug allergies.
d.
Queckenstedt's sign b.
Feedback Obtain a sterile sputum specimen.
The correct answer is: Queckenstedt's sign
Question 62 c.
CorrectMark 1 out of 1Not flaggedFlag question Have the client wait for 30 minutes.
Question text
The nurse caring for a client with sepsis writes the client d.
diagnosis of "alteration in comfort R/T chills and fever." Place a warm washcloth on the client's left hip.
Which intervention should be included in the plan of care? Feedback
The correct answer is: Ask the client about drug allergies.
a. Question 66
Ambulate the client in the hallway every shift. IncorrectMark 0 out of 1Not flaggedFlag question
Question text
b. The nurse instructs a client who has been prescribed Lugol's
Monitor urinalysis, creatinine level, and BUN levels. solution to notify the physician if which of the following
occurs?
c.
Apply sequential compression devices to the lower a.
extremities. Blurred Vision
d. b.
Administer an antipyretic medication every four (4) hours Weight Gain
PRN.
Feedback c.
The correct answer is: Administer an antipyretic medication Increased Urinary Output
every four (4) hours PRN.
Question 63 d.
CorrectMark 1 out of 1Not flaggedFlag question Brassy taste in mouth
The nurse demonstrates understanding of natural immunity The correct answer is: Brassy taste in mouth
when he makes which of the following statements? Question 67
a. Question text
"Breastfeeding is the best way to enhance the infant's The nurse is assessing a client with a diagnosis of
immunity." hypothyroidism. Which adaptation should the nurse expect
this client to exhibit?
b.
"Timely vaccination could easily provide protection from a.
hepatitis." Dry skin
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
Feedback Paralysis of both upper and lower extremities
The correct answer is: Weakness and Paresthesia Feedback
Question 69 The correct answer is: Paralysis of one side of the body
The nurse is caring for a client with myxedema. Which of the Question text
following would indicate to the nurse that the client's The nurse would recognize that further teaching is need when
condition is deteriorating? a client with glaucoma states, "It would be dangerous for me
to:
a.
An increase in pulse rate and respirations a.
Use any sedatives."
b.
Cold skin and episodes of chills b.
Become constipated."
c.
Difficulty in arousing the client for medications c.
Lift any heavy objects."
d.
Client complaints of palpitations d.
Feedback Use atropine in any form."
The correct answer is: Difficulty in arousing the client for Feedback
medications The correct answer is: Use any sedatives."
The nurse is caring for a client with rheumatoid arthritis. The The occurrence of a particular disease beyond the
nurse knows that the client's symptoms will be most improved immunizable population is:
by:
a.
a. Endemic
Taking a warm shower upon awakening
b.
b. Epidemic
Applying ice packs to the joints
c.
c. Sporadic
Taking two aspirin before going to bed
d.
d. Pandemic
Going for an early morning walk Feedback
Feedback The correct answer is: Epidemic
The correct answer is: Taking a warm shower upon awakening Question 75
Question text The patient is newly diagnosed with an autoimmune thyroid
The nurse is formulating a plan of care for a client with a disease. When the nurse discusses the patient’s asks, “What
goiter. The priority nursing diagnosis for the client with a did the physician mean by autoimmune disease?” The nurse
goiter is: appropriately responds:
a. a.
Body image disturbance related to enlargement of the neck "The body's immune defenses fail to respond to the pathogenic
agents."
b.
Activity intolerance related to fatigue b.
"Immune defenses are attacking the normal body cells."
c.
Nutrition imbalance, less than body requirements , related to c.
increased metabolism "There is a break in the body's defenses."
d. d.
Risk for ineffective airway clearance related to pressure of "The physician was able to identify the underlying cause of
goiter on the trachea the disorder."
Feedback Feedback
The correct answer is: Risk for ineffective airway clearance The correct answer is: "Immune defenses are attacking the
related to pressure of goiter on the trachea normal body cells."
The nurse understands that hemiplegia involves: The Philippines is composed of a majority of young
population. An increase of the incidence of communicable
a. disease is commonly observed among countries with young
Paresis of both extremities population. Communicable disease prevention program is an
important function of the public health nurse in improving the
b. quality of life. When providing nursing intervention for
Paralysis of one side of the body preventing injury when a rabid patient is in convulsion, you
tell the family or watcher to:
c.
Paralysis of both lower extremities a.
Call you when patient is in convulsion
d.
b. c.
Give sedatives so patient can sleep Epidemic
c. d.
Stay with patient all the time Sporadic
Feedback
d. The correct answer is: Endemic
Restraint the patient and ring the bell Question 81
The correct answer is: Restraint the patient and ring the bell Question text
Question 77 The source of infection in PTB is through which of the
CorrectMark 1 out of 1Not flaggedFlag question following?
Question text
The physician has ordered a low purine diet for a client with a.
gout. Which protein source is high in purine? Contamination of potable water
a. b.
Dried beans Direct contact with infected person
b. c.
Nuts Crowded living patterns
c. d.
Cheese Sexual intercourse
Feedback
d. The correct answer is: Direct contact with infected person
Eggs Question 82
The correct answer is: Dried beans Question text
Question 78 This is the study of distribution of disease or physiologic
IncorrectMark 0 out of 1Not flaggedFlag question condition among the population and the factors affecting such
Question text distribution?
The physician has ordered a lumbar puncture for a client with
suspected Guillain-Barre syndrome. The spinal fluid of a a.
client with Guillian-Barre syndrome typically shows: Epidemic
a. b.
Decreased protein concentration with a normal cell count Pandemic
b. c.
Increased protein concentration with a normal cell count Epidemiology
c. d.
Increased protein concentration with an abnormal cell count Endemic
Feedback
d. The correct answer is: Epidemiology
Decreased protein concentration with an abnormal cell count Question 83
The correct answer is: Increased protein concentration with a Question text
normal cell count Tina, 3 year old came to the RHU due to unresponsiveness to
Question 79 antibiotics. She showed her strawberry tongue. Which among
IncorrectMark 0 out of 1Not flaggedFlag question the following syndrome is her diagnosis?
Question text
The primary purpose for the insertion of Foley bag catheter to a.
Kendall is to: Nagasaki fever
a. b.
Prevent bladder distention Typhoid fever
b. c.
Determine accurate workout of the kidney Kawasaki fever
c. d.
Obtain urine specimen H-fever
Feedback
d. The correct answer is: Kawasaki fever
Assure accurate urinary output measurements Question 84
Feedback IncorrectMark 0 out of 1Not flaggedFlag question
The correct answer is: Determine accurate workout of the Question text
kidney To gain insight into immunologic disorders the nurse needs a
Question 80 sound knowledge to assess and care for clients with
IncorrectMark 0 out of 1Not flaggedFlag question dysfunction in immune system.
Question text The administration of weak or attenuated microorganisms to
The recent incident of SARS is classified as: stimulate the production of antibodies without causing a full-
blown disease is referred to as:
a.
Endemic a.
active naturally acquired immunity
b.
Pandemic b.
active artificially acquired immunity
d.
c. Obtain an ECG
passive natural immunity Feedback
The correct answer is: Administer oxygen
d. Question 89
passive artificial immunity CorrectMark 1 out of 1Not flaggedFlag question
The correct answer is: active artificially acquired immunity What is the mode of transmission of leptospirosis?
Question 85
Question text Open skin contact
Treatment of leptospirosis is symptomatic but this drug is
prescribed at 200mg orally once a week for prevention. What b.
is the drug of choice? Sexually transmitted
a. c.
Doxycycline Contaminated food
b. d.
Rifampicin Droplet
Feedback
c. The correct answer is: Open skin contact
Chloramphenicol Question 90
d. Question text
Ziduvodin What nursing intervention is anticipated for a client in the
Feedback plateau phase of Guillain Barre syndrome?
The correct answer is: Doxycycline
Question 86 a.
CorrectMark 1 out of 1Not flaggedFlag question Providing a straw to stimulate the facial muscles
Question text
What does the nurse understand that clients with myasthenia b.
gravis, Guillain-Barre syndrome, and amyotrophic lateral Inserting an indwelling catheter to monitor urinary output
sclerosis share in common?
c.
a. Encouraging aerobic exercises to avoid muscle atrophy
Progressive deterioration until death
d.
b. Administering antibiotic medication to prevent pneumonia
Deficiencies of essential neurotransmitters Feedback
The correct answer is: Inserting an indwelling catheter to
c. monitor urinary output
Increased risk for respiratory complications Question 91
d. Question text
Involuntary twitching of small muscle groups When a client with detached retina asks about the condition,
Feedback the nurse should explain that retinal detachment is a:
The correct answer is: Increased risk for respiratory
complications a.
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
Feedback Feedback
The correct answer is: Controlling intraocular pressure The correct answer is: Ventricular dilation
IncorrectMark 0 out of 1Not flaggedFlag question IncorrectMark 0 out of 1Not flaggedFlag question
Which assessment data would warrant immediate intervention Which of the following is the diagnostic test for H-fever?
for the client diagnosed with septic shock?
a.
a. Rumple leads test
Vital signs T 100.4°F, P 104, R 26, and BP 102/60.
b.
b. Malarial smear
A white blood cell count of 18,000 mm.
c.
c. Immunochromatographic test
A urinary output of 90 mL in the last four (4) hours.
d.
d. Nocturnal blood exam
The client complains of being thirsty Feedback
Feedback The correct answer is: Rumple leads test
The correct answer is: A white blood cell count of 18,000 mm. Question 98
Question text Which of the following is the most common symptom of
Which is irrelevant in the pharmacologic management of a myocardial infarction (MI)?
client with CVA?
a.
a. Chest pain
Osmotic diuretics and corticosteroids are given to decrease
cerebral edema b.
Dyspnea
b.
Anticonvulsants are given to prevent seizures c.
Edema
c.
Thrombolytics are most useful within three hours of an d.
occlusive CVA Palpitations
Feedback
d. The correct answer is: Chest pain
Aspirin is used in the acute management of a completed Question 99
stroke. IncorrectMark 0 out of 1Not flaggedFlag question
The correct answer is: Aspirin is used in the acute Which of the following statements primary preventive
management of a completed stroke. measure for PTB?
Question 95
Question text Provide public health nursing outreach services
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
d. IncorrectMark 0 out of 1Not flaggedFlag question
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
Question 1 1,2,4
Question text The correct answer is: All
The shortest interval between malarial attacks is associated Question 5
with; CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. This is the study of distribution of disease or physiologic
Plasmodium vivax condition among the population and the factors affecting such
distribution?
b.
Plasmodium falciparum a.
Epidemic
c.
Plasmodium ovale b.
Pandemic
d.
Plasmodium malariae c.
Feedback Epidemiology
The correct answer is: Plasmodium falciparum
Question 2 d.
IncorrectMark 0 out of 1Not flaggedFlag question Endemic
Which of the following statements primary preventive The correct answer is: Epidemiology
measure for PTB? Question 6
a. Question text
Educate the public in mode of spread and methods of control The source of infection in PTB is through which of the
following?
b.
BCG vaccination of newborn and in grade 1 school entrants a.
Contamination of potable water
c.
Make available medical lab and x-ray facilities b.
Sexual intercourse
d.
Provide public health nursing outreach services c.
Feedback Crowded living patterns
The correct answer is: Provide public health nursing outreach
services d.
Question 3 Direct contact with infected person
Question text The correct answer is: Direct contact with infected person
Which of the following diseases are caused by bacteria? Question 7
1.Tuberculosis CorrectMark 1 out of 1Not flaggedFlag question
2.Leprosy Question text
3.Leptospirosis Situation: TB has been declared emergency in 1993 by the
4.Tetanus WHO.
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.
c. The correct answer is: Spending leisure time in the forest
1,3 Question 13
d. Question text
3,4 Which of the following interventions against malaria is an
Feedback example of primary prevention?
The correct answer is: 1,2
Question 9 a.
CorrectMark 1 out of 1Not flaggedFlag question Use of chemically treated bednets
Question text
Reporting of CD cases to nearest health station is RA: b.
Giving of antimalarial drugs and antipyretics
a.
RA 8423 c.
Hospitalization
b.
RA 2382 d.
Serological tests
c. Feedback
RA 3573 The correct answer is: Use of chemically treated bednets
Question 14
RA 6425 Question text
Feedback The following countries where SARS originated includes the
The correct answer is: RA 3573 following except:
Question 10
Question text Australia
The most common cause of malaria in the country is;
b.
a. Canada
Plasmodium falciparum
c.
b. China
Plasmodium ovale
d.
c. Philippines
Plasmodium vivax Feedback
The correct answer is: Philippines
d. Question 15
Plasmodium malariae IncorrectMark 0 out of 1Not flaggedFlag question
The correct answer is: Plasmodium falciparum Testing for HIV should respect the rights of the one being
Question 11 tested. This means that he should;
Question text a.
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
d. Question 21
1 and 3 CorrectMark 1 out of 1Not flaggedFlag question
The correct answer is: 1 and 3 The PHN is preparing a session with a group of farmers on
Question 17 how to prevent leptospirosis. In her discussion, she should
CorrectMark 1 out of 1Not flaggedFlag question emphasize that;
Question text 1.They can get the disease from the urine of infected animals
In TB control program DOH has specific objectives, one on 2.They can get it by wading in contaminated waters
prevention programs, which is focused on children. Which one 3.The leptospires can survive outside the human body for
below is this program? weeks
4.The first signs and symptoms include fever and headache
a.
Sputum collection and examination a.
1,2,3
b.
EPI for BCG vaccine b.
1,2,4
c.
Maternal and child health nursing c.
1,2
d.
Tuberculin skin testing d.
Feedback All
The correct answer is: EPI for BCG vaccine Feedback
Question 18 The correct answer is: All
Question text CorrectMark 1 out of 1Not flaggedFlag question
The presence of Negri bodies in the brain tissue of the animal Question text
suspected to have the disease confirms the presence of; A patient in the community is admitted to the emergency
hospital with a diagnosis of hepatitis B. The patient should be
a. placed on which of these types of precautions?
Rabies
a.
b. Droplet
Encephalitis
b.
c. Standard
Poliomyelitis
c.
d. Contact
Leprosy
Feedback d.
The correct answer is: Rabies Airborne
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Standard
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
CorrectMark 1 out of 1Not flaggedFlag question Treatment of leptospirosis is symptomatic but this drug is
Question text prescribed at 200mg orally once a week for prevention. What
The following are epidemiological triad except for: is the drug of choice?
a. a.
Agent Ziduvodin
b. b.
People Rifampicin
c. c.
Environment Chloramphenicol
d. d.
Host Doxycycline
Feedback Feedback
The correct answer is: People The correct answer is: Doxycycline
Which of the following organism produce toxins? What is the mode of transmission of leptospirosis?
a. a.
Poliovirus Droplet
b. b.
Clostridium tetani Open skin contact
c. c.
Neisseria gonorrhea Sexually transmitted
d. d.
Rubella virus Contaminated food
Feedback Feedback
The correct answer is: Clostridium tetani The correct answer is: Open skin contact
The respiratory tract is the portal of entry in the following In a patient with dengue fever, which f the following will you
diseases: give the patient as part of the nursing intervention?
1.Tuberculosis
2.Diphtheria a.
3. Pertussis Water and salt solution
4. Influenza
b.
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
The avian flu is caused by a; b.
Population density
a.
Virus c.
Crowding index
b.
Protozoa d.
Age and sex distribution
c. Feedback
Fungus The correct answer is: Crowding index
Question 38
d. IncorrectMark 0 out of 1Not flaggedFlag question
Bacteria Question text
Feedback The presence of a carrier state makes a disease difficult to
The correct answer is: Virus control. A stool exam should be done on those who had this
Question 34 problem:
Question text a.
The occurrence of a particular disease beyond the Red tide poisoning
immunizable population is:
b.
a. Hepatitis A
Pandemic
c.
b. All of the above
Epidemic
d.
c. Bacillary dysentery
Endemic Feedback
The correct answer is: Bacillary dysentery
d. Question 39
Sporadic CorrectMark 1 out of 1Not flaggedFlag question
The correct answer is: Epidemic The classical signs of leprosy except:
Question 35
IncorrectMark 0 out of 1Not flaggedFlag question a.
Question text Katayama fever
When leaving the room of a patient in strict isolation, the
nurse should remove which protective equipment first? b.
Chronic ulcer
a.
Mask c.
Lagopthalmus
b.
Gown d.
Madarosis
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
important function of the public health nurse in improving the
b. quality of life.
2 and 3 When providing nursing intervention for preventing injury
when a rabid patient is in convulsion, you tell the family or
c. watcher to:
1 and 3
a.
d. Restraint the patient and ring the bell
3 and 4
Feedback b.
The correct answer is: 2 and 3 Call you when patient is in convulsion
Question 42
Question text Give sedatives so patient can sleep
Which of the following are necessary when taking care of a
patient with hepatitis B? d.
I.Gown Stay with patient all the time
II.Mask Feedback
III. Gloves The correct answer is: Stay with patient all the time
IV. Private room Question 46
a. Question text
I, III, IV Which of the following is a good example of specific
protection in CD prevention?
b.
I, II, III a.
Marriage counseling
c.
I, III b.
Health education
d.
II, III c.
Feedback Personal hygiene
The correct answer is: I, II, III
Question 43 d.
CorrectMark 1 out of 1Not flaggedFlag question BCG immunization
Jabog was bitten by a dog. You interviewed Jabog and his The correct answer is: BCG immunization
father to take the history before seeing a doctor. You told Question 47
Jabogís father not to kill the dog because the dog will be: CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. The drug of choice or the treatment of Anthrax is:
Given a vaccine
a.
b. Dilantin
Confined
b.
c. Aspirin
Be examined
c.
d. Penicillin
Observed for 10 days
Feedback d.
The correct answer is: Observed for 10 days Allopurinol
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Penicillin
Which of the following could be transmitted through a IncorrectMark 0 out of 1FlaggedRemove flag
vehicle? Question text
In the critical stage of anthrax, what is the most appropriate
a. nursing intervention?
Malaria
a.
b. Use respiratory precautions
Measles
b.
c. Infuse IV fluids
Hepatitis b
c.
d. Institute isolation technique
Tuberculosis
Feedback d.
The correct answer is: Hepatitis b Bring the patients to the hospital
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Institute isolation technique
Situation: The Philippines is composed of a majority of young CorrectMark 1 out of 1Not flaggedFlag question
population. An increase of the incidence of communicable Question text
disease is commonly observed among countries with young Which of the following is the diagnostic test for H-fever?
population. Communicable disease prevention program is an
In doing a tourniquet test, how would petechiae be considered
positive d.
{ Cranial Nerve III
~10 Feedback
=20 The correct answer is: Cranial Nerve III
~30 Question 3
~5 CorrectMark 1.00 out of 1.00Not flaggedFlag question
} Question text
A 68-year-old client is diagnosed with a Right-Sided Brain
a. Attack and is admitted to the hospital. In caring for this client,
Rumple leads test the nurse should plan to provide which of the following?
b. a.
Immunochromatographic test Do passive range of motion exercise
c. b.
Nocturnal blood exam Use a bed cradle to prevent dorsiflexion of feet
d. c.
Malarial smear Use hand roll and extend the left upper extremity on a pillow
Feedback to prevent contractions
The correct answer is: Nocturnal blood exam
Question 50 d.
IncorrectMark 0 out of 1Not flaggedFlag question Application of elastic stockings to prevent flaccid by muscle
Leprosy has been a public health problem in the Philippines. The correct answer is: Use hand roll and extend the left upper
The following are early signs and symptoms except: extremity on a pillow to prevent contractions
1. Change of skin color Question 4
2. Loss of sensation on skin lesion IncorrectMark 0.00 out of 1.00Not flaggedFlag question
3. Loss of eyebrow Question text
4. Ulcers that do not heal Nurse P caring for a client with severe hearing deficit
identifies which of the following as an appropriate goal
a. towards improving client’s social interaction?
3
a.
b. will engage in activities such as card tournaments and dancing
4
b.
c. will plan to have dinner with one or two friends weekly
1, 2
c.
d. will attend religious services of choice
2, 4
Feedback d.
The correct answer is: 3 will participate in senior center communal lunches at least
twice per week
Test Drills on Acute Biologic Crisis Feedback
Question 1 The correct answer is: will plan to have dinner with one or two
CorrectMark 1.00 out of 1.00Not flaggedFlag question friends weekly
John suddenly experiences a seizure, and Nurse Gina notice IncorrectMark 0.00 out of 1.00Not flaggedFlag question
that John exhibits uncontrollable jerking movements. Nurse Question text
Gina documents that John experienced which type of seizure? A client is scheduled for a Neurologic Exam. Which of the
following would Nurse Kk need to assess the function of
a. Cranial Nerve V?
Clonic seizure
a.
b. various scent, such as coffee and vanilla
Absence seizure
b.
c. measuring tape and pencil
Myoclonic seizure
c.
d. cotton ball and safety pin
Tonic seizure
Feedback d.
The correct answer is: Myoclonic seizure stethoscope with bell and diaphragm
Question 2 Feedback
CorrectMark 1.00 out of 1.00Not flaggedFlag question The correct answer is: cotton ball and safety pin
Question text Information
The elevation of the upper lid of the eye is controlled by Not flaggedFlag question
which of the following Cranial Nerve? Information text
SITUATION: Nurse Lala is caring for a client Mrs.
a. Luzviminda who has been complaining of ascending weakness
Cranial Nerve VII and numbness and Mrs. Dabawenya who is recently diagnosed
of Multiple Sclerosis. The physician is evaluating Mrs.
b. Luzviminda for possible Guillain-Barre syndrome. After
Cranial Nerve II several tests have been instituted, Mrs. Luzviminda is
diagnosed of GBS.
c. Question 6
Cranial Nerve V CorrectMark 1.00 out of 1.00Not flaggedFlag question
Question text CorrectMark 1.00 out of 1.00Not flaggedFlag question
A client with vertigo will most likely reflect a problem in Question text
which of the following Cranial Nerve? The nurse is aware that Anicusuria can be developed as a
result of possible compression of which of the following
a. Cranial Nerve?
Cranial Nerve X
a.
b. Cranial Nerve I
Cranial Nerve VII
b.
c. Cranial Nerve III
Cranial Nerve XII
c.
d. Cranial Nerve X
Cranial Nerve VIII
Feedback d.
The correct answer is: Cranial Nerve VIII Cranial Nerve VII
Question 7 Feedback
CorrectMark 1.00 out of 1.00Not flaggedFlag question The correct answer is: Cranial Nerve III
Which of the following Cranial Nerve innervates the superior CorrectMark 1.00 out of 1.00Not flaggedFlag question
oblique muscle of the eye? Question text
Nurse Kk is administering an Anti-epileptic drug to a newly
a. diagnosed seizure client. the client say, "will this cure my
Oculomotor nerve convulsion?" what would Nurse Kk say?
b. a.
Trochlear nerve no, but it will help decrease the aura you experience
c. b.
Facial nerve no, but it could relieve your headache
d. c.
Abducens nerve no, not for the first year
Feedback
The correct answer is: Trochlear nerve d.
Question 8 no, but it will reduce or control them
IncorrectMark 0.00 out of 1.00Not flaggedFlag question Feedback
Question text The correct answer is: no, but it will reduce or control them
Mrs. Dabawenya has two children, one of whom is an active Question 12
toddler. The client currently is in remission. At the present IncorrectMark 0.00 out of 1.00Not flaggedFlag question
time, it is most important Nurse Lala to encourage the client Question text
to: Nurse Lala is assessing Mrs. Dabawenya for possible
precipitating risk factors of the recent exacerbation. Which of
a. the following factors, if stated by Mrs. Dabawenya, would
develop a flexible schedule for completion of routine daily Nurse Lala assess as being unrelated to the exacerbation?
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.
"it appears that the right eye is due for surgery" Question 18
Feedback IncorrectMark 0.00 out of 1.00Not flaggedFlag question
The correct answer is: "are you having difficulty reading, or Question text
doing activities you enjoy?" A client with suspected Myasthenia Gravis is to undergo
Question 14 Tensilon test. Tensilon (Endrophonium) is used to diagnose,
IncorrectMark 0.00 out of 1.00Not flaggedFlag question but not treat, this disease. This is so because of which of the
Question text following?
Which of the following manifestation is consistently assessed
by Nurse Kk in client with Generalized Seizures? a.
immunosuppression may occur with repeated use
a.
loss of consciousness b.
the short half-life of the drug makes it impractical for long
b. term use
clinics movement
c.
c. it isn’t available in oral form
repetitive non-purposeful activity
d.
d. dry mouth and abdominal cramps may be intolerable adverse
tonic movement effects
Feedback Feedback
The correct answer is: repetitive non-purposeful activity The correct answer is: the short half-life of the drug makes it
Question 15 impractical for long term use
IncorrectMark 0.00 out of 1.00Not flaggedFlag question Question 19
Question text CorrectMark 1.00 out of 1.00Not flaggedFlag question
Nurse Kk is monitoring the Neurologic Status of a client in a Question text
coma. Which of the following commands is the most accurate The client is experiencing Neurologic Infectious isorder with
in identifying changes in mental status? the following vital signs: T=38.6°C; BP=130/90; RR=32;
PR=98; SpQ₂75%. He is experiencing headache. He is
a. restless, irritable, nauseous and vomiting, difficulty
"tell me your name" swallowing without seizures. What will Nurse Kk prioritize in
planning for client care?
b.
"look at this light when I shine in your eyes" a.
client’s discomfort will be relieved or reduced to a tolerable
c. level within 30 minutes of nursing measures
"are you having trouble breathing"
b.
d. breathing will be sufficient to maintain the blood oxygen
"squeeze my hand" saturation above 90%
Feedback
The correct answer is: "tell me your name" c.
Question 16 body temperature will be controlled at 38.8°C below
CorrectMark 1.00 out of 1.00Not flaggedFlag question
Question text d.
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
IncorrectMark 0.00 out of 1.00Not flaggedFlag question
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
compensate for the visual deficit? a.
decreased HCl secretion from parietal cells of the stomach
a.
provide for increased self-care by placing food and utensils in b.
the side of the tray increase in systolic blood pressure
b. c.
encourage the client to use the left hand when feeding self increase in catecholamine secretion from the thyroid gland
c. d.
provide for increased self-care by placing food and utensil on decrease in heart rate
the right side of the tray Feedback
The correct answer is: decrease in heart rate
d.
encourage the client to use the right hand when feeding self Test Drills on Cellular Aberrations
Feedback Information
The correct answer is: provide for increased self-care by Not flaggedFlag question
placing food and utensil on the right side of the tray Information text
Question 22 SITUATION: A 68-year-old male client is admitted after a
IncorrectMark 0.00 out of 1.00Not flaggedFlag question motor vehicle crash. He has increasing intracranial pressure
Question text from a suspected closed head injury. He is admitted to the ICU
The nurse knows that the anterior 2/3 of the tongue is for a ventriculostomy.
innervated by which of the following Cranial Nerve? Information
Not flaggedFlag question
a. Information text
Cranial Nerve IX SITUATION: Nurse Terry is assigned to take care for client
with different vascular diseases. Having the basic knowledge
b. about these diseases is important to provide quality care and
Cranial Nerve VIII prevent further damage or complications.
Question 1
c. CorrectMark 1.00 out of 1.00Not flaggedFlag question
Cranial Nerve VII Question text
A client has 15% blood loss. Which of the following nursing
d. assessment findings indicates Hypovolemic Shock?
Cranial Nerve XII
Feedback a.
The correct answer is: Cranial Nerve VII Pupils unequally dilated
Question 23
IncorrectMark 0.00 out of 1.00Not flaggedFlag question b.
Question text Respiratory rate of 4 breath/min
Diplopia can be developed due to affectation of which of the
following Cranial Nerve? c.
Pulse rate less than 60bpm
a.
Cranial Nerve IV d.
Systolic blood pressure less than 90mm Hg
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."
1,3 and 4
b. Feedback
"You should remove the stocking every four hours for 30 The correct answer is: 1,3 and 4
minutes." Question 7
c. Question text
"Wear the stockings until the physician tells you to remove Nurse Jewel is a newly hired ICU nurse at SPMC. During her
them." assessment, she observed that a liver biopsy which was
scheduled for a patient was postponed. When she reviewed the
d. CBC and Prothrombin time results of the patient. Which of the
"Even when you sleep, you should wear your stockings." following did she identify as the probable cause of the
Feedback postponement of the liver biopsy?
The correct answer is: "Even when you sleep, you should wear
your stockings." a.
Question 4 Prothrombin time – 15 seconds
Question text b.
A patient was admitted because of Severe complications Platelet count – 100,000/ mm3
related to Steven-Johnson Syndrome. The patient has red
purplish lesions on the face, torso, and mucous membrane. c.
Nurse Jewel recognized that which of the following is Hematocrit 39%
CORRECT about Steven-Johnson Syndrome?
d.
a. Hemoglobin – 12 gm/dL
Viral infection Feedback
The correct answer is: Platelet count – 100,000/ mm3
b. Question 8
Skin malignancy IncorrectMark 0.00 out of 1.00Not flaggedFlag question
Question text
c. Nurse Marsha observed the following Arterial Blood Gases
Bacterial infection results in one of the patient’s records: pH-7.46; PaO2- 97
mmHg; PaCO2- 40 mmHg and HCO3 -30 mEq/L. Which of
d. the following is the interpretation of these results?
Hypersensitivity reactions
Feedback a.
The correct answer is: Hypersensitivity reactions Metabolic Alkalosis
Question 5
IncorrectMark 0.00 out of 1.00Not flaggedFlag question b.
Question text Metabolic Acidosis
A synchronized cardioversion was prescribed for Rosania
because regular sinus rhythm was not restored. Which of the c.
following is the CORRECT description of synchronized Respiratory Acidosis
cardioversion?
d.
a. Respiratory Alkalosis
Countershock without regard to the heart rhythm Feedback
The correct answer is: Metabolic Alkalosis
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.
c. Question 14
Blowing high pitched diastolic murmur IncorrectMark 0.00 out of 1.00Not flaggedFlag question
Question text
d. Situation – Rosania a 50-year-old single woman, was admitted
Low pitched, rumbling murmur occurring during diastole to the cardiac unit because of dyspnea, accompanied by
Feedback palpitations and dizziness. Health history and diagnostic tests
The correct answer is: Low pitched, rumbling murmur reveal Rheumatic Heart Disease and Mitral Stenosis.
occurring during diastole Electrocardiogram result showed that the patient has
Question 11 Supraventricular Tachycardia (SVT). Which of the following
CorrectMark 1.00 out of 1.00Not flaggedFlag question nursing diagnoses if of HIGHEST priority for the client?
Question text
Related literature claims that carotid massage is indicated for a.
Supraventricular Tachycardia. The nurse recognizes that such Ineffective breathing pattern
intervention may terminate SVT through stimulation of which
of the following cranial nerves? b.
Altered tissue perfusion
a.
Cranial nerve IX c.
Decreased cardiac output
b.
Cranial nerve X d.
Risk for injury
c. Feedback
Cranial nerve XI The correct answer is: Decreased cardiac output
Question 15
d. IncorrectMark 0.00 out of 1.00Not flaggedFlag question
Cranial nerve XII Question text
Feedback The client is taken to surgery for a ventriculostomy. His wife
The correct answer is: Cranial nerve X is afraid and asks the nurse what is going to happen in surgery.
Question 12 Which of the following statement should the nurse respond?
Question text a.
Sheijan, 30 years old, was brought to the Emergency "Don't worry. Everything's fine."
Department (ED) with nausea, confusion, dehydration and
oliguria. Her mother informs you that Sheijan has been b.
depressed after losing her job as bank executive. An empty "You seem afraid for your husband."
bottle of aspirin was found in her bathroom sink. Her
laboratory values revealed the following: pH= 7.35, PaCO2= c.
16 mmHg, PaO2= 130 mmHg, and HCO3= 15 mEq/L. Which "This procedure is done to accurately monitor your husband’s
of the following is the CORRECT acid-base interpretation of intracranial pressure."
her ABG?
d.
a. "The doctor will administer a medication to relax your
Partially compensated metabolic acidosis husband so he would feel no pain."
Feedback
b. The correct answer is: "This procedure is done to accurately
Compensated metabolic acidosis monitor your husband’s intracranial pressure."
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
c. c.
"To draw blood for typing and cross-matching should your Vigorous massage of the lower extremities every 6 hours
child needs transfusion."
d.
d. Active range of motion of the upper body
"To help identify HLA compatible bone marrow transplant Feedback
donor." The correct answer is: Active range of motion of the upper
Feedback body
The correct answer is: "It is the only way to confirm the Question 22
diagnosis of leukemia." CorrectMark 1.00 out of 1.00Not flaggedFlag question
IncorrectMark 0.00 out of 1.00Not flaggedFlag question Which nursing interventions should be included in this client’s
Question text plan of care to decrease chances of this complication
The primary nursing intervention in therapeutic management occurring?
of shock is which of the following?
a.
a. Utilize clean technique.
Administering sodium bicarbonate
b.
b. Limit monitoring to 10 to 15 days.
Initiating ventilator management
c.
c. Irrigate the system as often as possible.
Initiating IV therapy
d.
d. Keep drainage systems closed.
Administering cortisone Feedback
Feedback The correct answer is: Keep drainage systems closed.
The correct answer is: Initiating IV therapy Question 23
Question 19 IncorrectMark 0.00 out of 1.00Not flaggedFlag question
CorrectMark 1.00 out of 1.00Not flaggedFlag question Question text
Question text Which of the following “at-risk” nursing diagnosis has a
To prevent Hemorrhage, the nurse includes which of the priority for this client when he returns from surgery?
following interventions in the care plan of a client with
Aplastic Anemia? a.
Risk for injury
a.
Provide meticulous hygiene b.
Risk for fluid volume excess
b.
Avoid fatigue producing activities c.
Risk for fluid volume deficit
c.
Apply pressure to arterial punctures for 5 minutes d.
Risk for infection
d. Feedback
Avoid invasive procedures The correct answer is: Risk for infection
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
Feedback
d. The correct answer is: The client’s oral mucosa is pale
History of hypertension Question 30
Feedback CorrectMark 1.00 out of 1.00Not flaggedFlag question
The correct answer is: History of cigarette smoking Question text
Question 26 While convalescing from abdominal surgery a client develops
CorrectMark 1.00 out of 1.00Not flaggedFlag question Thrombophlebitis. The sign that would indicate this
Question text complication to the nurse would be which of the following?
Which of the following is the appropriate nursing action for a
child with Increased Intracranial Pressure? a.
Pitting edema of the lower extremities
a.
Head of bed elevated 45 degrees with child’s head maintained b.
in a neutral position Intermittent claudication
b. c.
Frequent visitation for stimulation Localized warmth and tenderness of the leg
c. d.
Child lying flat Severe pain on extension of an extremity
Feedback
d. The correct answer is: Localized warmth and tenderness of the
Head turned to side leg
Feedback
The correct answer is: Head of bed elevated 45 degrees with Test Drills on Emergency Disaster
child’s head maintained in a neutral position Information
Question 27 Not flaggedFlag question
CorrectMark 1.00 out of 1.00Not flaggedFlag question Information text
Question text SITUATION - Shock is a life-threatening condition with a
Which of the following statements should the nurse teach the variety of underlying causes. Nurses caring for clients with
Neutropenic client and his family to avoid? shock and for those at risk for shock must understand the
underlying mechanisms of shock and recognize its subtle as
a. well as more obvious signs.
Performing perineal hygiene after each bowel movement Question 1
b. Question text
Using a filter mask A 68-year-old client is diagnosed with a right-sided brain
attack and is admitted to the hospital. In caring for this client,
c. the nurse should plan to have which of the following?
Using suppositories or enemas
a.
d. Do passive range of motion exercise
Performing oral hygiene after every meal
Feedback b.
The correct answer is: Using suppositories or enemas Application of elastic stockings to prevent flaccid by muscle
Question 28
CorrectMark 1.00 out of 1.00Not flaggedFlag question c.
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.
Elevating the head Dilation and engorgement of periumbilical vein
b. c.
Placing a tongue blank between the teeth Hypoactive bowel sounds
c. d.
Protecting the head and extremities from hitting object Rebound tenderness of lower quadrant
Feedback
d. The correct answer is: Hypoactive bowel sounds
Restraining the arms and legs Question 8
Feedback CorrectMark 1.00 out of 1.00Not flaggedFlag question
The correct answer is: Protecting the head and extremities Question text
from hitting object Nurse Lulu is caring for a client with Head Injury and
Question 4 monitoring the client with decerebrate posturing. Which of the
IncorrectMark 0.00 out of 1.00Not flaggedFlag question following is a characteristic of this type of posturing?
Question text
As you assess the client physically, you know that a sign of a.
Tension Pneumothorax is which of the following? Upper extremity flexion with lower extremity flexion
a. b.
Gurgling respiration Upper extremity flexion with lower extremity extension
b. c.
Neck vein distension Flexion of the extremities after stimulus
c. d.
Rise and fall water in chamber Extension of the extremities after a stimulus
Feedback
d. The correct answer is: Extension of the extremities after a
Increased BP stimulus
Feedback Question 9
The correct answer is: Neck vein distension CorrectMark 1.00 out of 1.00Not flaggedFlag question
IncorrectMark 0.00 out of 1.00Not flaggedFlag question Oliguria occurs in the progressive stage of shock because the
Question text kidneys decompensate. To assess for this condition, the nurse
In Cardiogenic Shock, decreased contractility leads to all of should look for which of the following signs and symptoms?
the following compensatory responses, EXCEPT:
a.
a. congestive heart failure
Pulmonary congestion
b.
b. systolic blood pressure greater than 20 mmHg
Increased stroke volume
c.
c. increased blood urea nitrogen and serum creatinine
Decreased stroke volume
d.
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.
a. Question 15
Start chest compression CorrectMark 1.00 out of 1.00Not flaggedFlag question
Question text
b. The evaluation of management of the client with Acute
Ventilate with mouth-to-mouth mask device Glaucoma is that the client:
c. a.
Give the client oxygen By mydriasis established
d. b.
Open the airway Report relief of eye pain
Feedback
The correct answer is: Start chest compression c.
Question 12 Has miosis established
Question text d.
Situation: Kennard complained of diffuse abdominal pain Report relief of nausea and vomiting
associated with several episodes of vomiting. His attending Feedback
physician saw him and a diagnosis of Acute Appendicitis was The correct answer is: Has miosis established
made. Question 16
In which of the following position would Kennard probably CorrectMark 1.00 out of 1.00Not flaggedFlag question
most comfortable on his admission to the ward while waiting Question text
for surgery? The most serious complication of Tension Pneumothorax is
which of the following?
a.
On his side with right knee bent a.
Mediastinal shift
b.
Sitting upright in a chair b.
Decreased intrapleural pressure
c.
Lying absolutely on his back c.
Increased filling of ventricle
d.
Prone with head turned side d.
Feedback Increased cardiac output
The correct answer is: On his side with right knee bent Feedback
Question 13 The correct answer is: Mediastinal shift
CorrectMark 1.00 out of 1.00Not flaggedFlag question Question 17
Question text IncorrectMark 0.00 out of 1.00Not flaggedFlag question
Situation: The client is admitted to the SICU with stab to his Question text
right chest. While he was in the Emergency Room, a chest The nurse assesses a client in compensatory stage of shock
tube was inserted because of Hemothorax. whose lungs have decompensated. The nurse would NOT
Chest tubes are primarily used for which of the following EXPECT to find which of the following symptoms?
reason?
a.
a. Crackles
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
The correct answer is: Tube submerged under water Question text
The nurse should be aware that Arteriosclerosis of blood a.
vessels leading to the brain may not become evident until 15
there is an extremely severe blockage or until a stroke occurs
because of collateral blood circulation supplied through which b.
of the following structures? 18
a. c.
Hypothalamic-Hypophyseal portal system 16
b. d.
The Bicarotid trunk 12
Feedback
c. The correct answer is: 12
Jugular vessels Question 24
d. Question text
Circle of Wilis When performing chest compressions, the nurse understand
Question 20 that correct hand placement is located over which of the
CorrectMark 1.00 out of 1.00Not flaggedFlag question following parts?
Question text
The nurse understands that during the CPR the compression a.
rate for infant is which of the following? Lower third of the sternum
a. b.
200 time per minute Upper half of the sternum
b. c.
100 time per minute Lower half of the sternum
c. d.
160 times per minute Upper third of the sternum
Feedback
d. The correct answer is: Lower half of the sternum
60 times per minute Question 25
The correct answer is: 100 time per minute Question text
Question 21 While taking care of client you notice that there is bubbling in
IncorrectMark 0.00 out of 1.00Not flaggedFlag question the water weal chamber. You understand that this probably
Question text means:
The nurse understands that when performing chest
compressions on an adult client, the sternum should be a.
depressed for which of the following length? The patient exhaling
a. b.
1 ½ to 2 inches There is a leak in the system
b. c.
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
Question 2
Question text "What is going on with you right now?"
A 24-year-old man ordered by the court to undergo psychiatric
evaluation after arrest for robbery and assault. During d.
admission to the unit he comments to the nurse, "Don't worry, "Do you what to go to the recreation room?"
sweetie, I'll only be here a short time. This was all my lawyer's Feedback
idea, but it sure beats jail." These statements would best The correct answer is: "What are you hearing right now?"
illustrate the defense mechanism of? Question 6
a. Question text
Rationalization A client reports that men in blue clothes keep looking in her
window and talking about her. Which of the following
b. responses by the nurse is most appropriate?
Regression
a.
c. "Those men are groundkeepers. They're talking about their
Sublimation work, not you."
d. b.
Splitting "Don't take things so personally. Not everyone is talking about
Feedback you."
The correct answer is: Rationalization
Question 3 c.
IncorrectMark 0 out of 1Not flaggedFlag question "Let's not pay attention to the men. Let's play cards instead."
Question text
A 48-year-old woman is transferred from medical ICU d.
following management of a suicide attempt. Her provisional "I'll close the drapes so you can’t see the men."
diagnosis upon admission to the psychiatric unit is acute Feedback
depressive episode. In conducting a thorough assessment of The correct answer is: "Those men are groundkeepers. They're
the patient, the nurse notes all of these problems. Which talking about their work, not you."
should be the priority for intervention? Question 7
a. Question text
Lack of interest in personal hygiene and appearance A client states that she hears God's voice telling her she has
sinned and needs to punish herself. Which response by the
b. nurse is most important?
Loss of appetite
a.
c. "How do you think you will be punished?"
Narrowed perception and impaired problem-solving
b.
d. "Please tell staff when you think you need to punish yourself."
Disturbance in sleep pattern
Feedback c.
The correct answer is: Disturbance in sleep pattern "What exactly do you think you have done to be punished?"
Question 4
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
CorrectMark 1 out of 1Not flaggedFlag question this child, and then he will go back to those same parents who
Question text beat him! What's the point?
A client with chronic undifferentiated schizophrenia (CUS) Which of the following initial responses by the unit supervisor
reports doing very little all day except sleeping and eating. would be most appropriate?
The nurse should:
a.
a. "We have a number of child abuse cases here. It might be best
Have three meals per day brought in to increase the amount of for you to request a transfer to a different unit."
time the client spends out of bed.
b.
b. "I know this is very difficult situation, but we must care for
Ask a relative to call the client at least 10 times a day to our patient's."
decrease the sleeping.
c.
c. "Let's make a time for us to sit and talk. It may help you to
Help the client set up a daily activity schedule to include share what you're feelings."
setting a wake-up alarm.
d.
d. "You've cared for abused patients before without being so
Arrange for the client to move to a group home with structured upset. Is something else bothering you?"
activities. Feedback
Feedback The correct answer is: "Let's make a time for us to sit and talk.
The correct answer is: Help the client set up a daily activity It may help you to share what you're feelings."
schedule to include setting a wake-up alarm. Question 13
Question text A nurse checks on a patient awaiting surgery the following
A man is brought to an acute psychiatric facility by his family, morning and finds her alone quietly weeping. Which of the
who describe him as a "loner" who seems "Out of time with following would be the most appropriate initial response of the
the rest of the world." Past psychiatric records indicate that he nurse?
has been hospitalized 13 times since age 19 for treatment of
psychiatric illness. The patient has never followed up with a.
outpatient care. His current diagnosis is schizophrenia, chronic Leave the room quietly and close the patient's door.
undifferentiated type. The patient is placed on Prolixin
(fluphenazine) and is to be discharged to a structured group b.
home in the community. After he learns he has been accepted Apologize for disturbing the patient and return to the room
for placement, the nurse notices he begins to regress and later.
becomes very dependent upon the staff. What should the nurse
do first? c.
Sit with the patient silently and use therapeutic touch.
a.
Postpone discharge until he appears ready d.
Ask the patient if there is a family member the patient would
b. like to be with.
Describe the observed behavior and discuss it with him Feedback
The correct answer is: Sit with the patient silently and use
c. therapeutic touch.
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
Revocation of license Question text
A young adult male is brought to the emergency room by the
b. police, who describe him as "uncooperative" and "suspicious."
Suspension Although the patient will provide no information to the
admitting physician, his family is contacted using
c. identification information in his wallet. Additional history is
Fines obtained from the patient's family and past medical paranoid
type. Emotional arrest in such patient's is most likely to have
d. occurred during what stage of development?
Imprisonment
Feedback a.
The correct answer is: Suspension Autonomy versus shame and doubt
Question 16
IncorrectMark 0 out of 1Not flaggedFlag question b.
Question text Intimacy versus stagnation
A patient says to the nurse, "I have so much cleaning to do.
Germs, you know, they're everywhere." Which of the c.
following explanations of the patient's compulsive washing is Generativity versus stagnation
most accurate?
d.
a. Trust versus mistrust
It serves to keep the patient distracted from her real fears. Feedback
The correct answer is: Trust versus mistrust
b. Question 20
It serves to decrease anxiety by eliminating the obsession. CorrectMark 1 out of 1Not flaggedFlag question
Question text
c. A young client diagnosed with paranoid schizophrenia is
It helps the patient to control or modify her obsession. talking with the nurse. "You know, when I thought everyone
was out to get me, I was staying in my apartment all the time.
d. Now, I'd like to get out and do things again." What is best
It represents a symbolic method through which the patient can initial response by the nurse?
face her fear.
Feedback a.
The correct answer is: It helps the patient to control or modify "With whom do you want to do things?"
her obsession.
Question 17 b.
CorrectMark 1 out of 1Not flaggedFlag question "What activities did you enjoy in the past?"
Question text
A patient scheduled for lumpectomy asks the nurse, "Will I c.
have a lot of pain with this type of surgery?" Which of the "What kind of transportation do you use?"
following would be the most appropriate response of the
nursae? d.
"How much money can you spend?"
a. Feedback
"You seem worried about your upcoming surgery." The correct answer is: "What activities did you enjoy in the
past?"
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
b. again for a total of 1 year and gained 74%. On the third board
"I'm sure your friends will come to see you soon." exam, she studied for 6 months for a total of 1 and a half year
and gained 82%. The research designed she used is:
c.
"It's a little too early for visiting hours. You’ll have to wait a.
until this afternoon." Comparative
d. b.
"It's hard to be alone. Would you like me to stay with you Correlational
awhile?"
Feedback c.
The correct answer is: "It's hard to be alone. Would you like Experimental
me to stay with you awhile?"
Question 23 d.
CorrectMark 1 out of 1Not flaggedFlag question Qualitative
An alcoholic patient asks, "Is there any medication to help me The correct answer is: Correlational
get over this alcoholism?" Which drug may be prescribed? Question 27
a. Question text
Xanax As a nurse, you are expected to participate in initiating or
participation in the conduct of research studies to improve
b. nursing practice. You to be updated on the latest trends and
Librium issues affected the profession and the best practices arrived at
by the profession. You are interested to study the effects of
c. mediation and relaxation on the pain experienced by the
Catapres cancer patients. What type of variable is pain?
d. a.
Antabuse Dependent
Feedback
The correct answer is: Antabuse b.
Question 24 Correlational
Question text c.
An effective nursing intervention of Francis is: Independent
a. d.
Set constructive limits on negative behavior Demographic
Feedback
b. The correct answer is: Dependent
Maintain consistent approach in dealing with him Question 28
c. Question text
Encourage him to express his thoughts and feelings directly Care delivery model that assigns staff to teams that then are
responsible for a group of patients
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
Question 30 Formulate hypothesis
Question text The correct answer is: Review of related literature
During a home visit, the nurse discovers that the client is less Question 34
verbal, less active, less responsive to directions, severely IncorrectMark 0 out of 1Not flaggedFlag question
anxious, and more stuporous. The nurse interprets these Question text
findings to indicate that the client needs which of the Francis is a 30 years old man with a medical diagnosis of
following? paranoid Personality disorder. A person with paranoid
thinking is commonly characterizes by:
a.
A sleep aid a.
Anger
b.
A clinic appointment b.
Self-centeredness
c.
An increase in medication c.
Fear
d.
Immediate medical evaluation d.
Feedback Suspiciousness
The correct answer is: Immediate medical evaluation Feedback
Question 31 The correct answer is: Suspiciousness
During a therapy session, the wife of an alcoholic states, "I Question text
just don't think my husband drinks that much." The nurse If a client is suffering from posttraumatic stress disorder days,
focuses on : "I've decided to just avoid everything and everyone," the nurse
might suspect the client is at greatest risk for which of the
a. following behaviors?
Gaining insight into her codependency role
a.
b. Becoming homeless
Immediately insisting that she join AA
b.
c. Exhausting finances
Telling her that alcoholism is a disease
c.
d. Terminating conversation
Telling her she has done all she can do
Feedback d.
The correct answer is: Gaining insight into her codependency Using substances
role Feedback
Question 32 The correct answer is: Using substances
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
b.
d. 60% with no grade below 75%in any subject
Benchmarking
Feedback c.
The correct answer is: Benchmarking 75% in all nursing practice
Question 38
Question text 75% with no grade below 65%in any subject
In any research study where individual persons are involved, it Feedback
is important that an informed consent of the study is obtained. The correct answer is: 75% with no grade below 60%in any
The following are essential information about the consent that subject
you should disclose to the prospective subjects except: Question 42
a. Question text
Consent to incomplete disclosure In Quantitative data, which of the following is described as the
distance in the scoring unites of the variable form the highest
b. to the lower?
Description of benefits, risks and discomforts
a.
c. Frequency
Explanation of procedure
b.
d. Mean
Assurance of anonymity and confidentiality
Feedback c.
The correct answer is: Consent to incomplete disclosure Median
Question 39
Question text Range
In development an effective nurse-patient relationship, the Feedback
nurse should? The correct answer is: Range
Question 43
Anticipate that with support and nurturance he may well Question text
recognize the degree of his illness In the Hypothesis: "The utilization of technology in teaching
improves the retention and attention of the nursing students."
b. Which is the dependent variable?
Expect attempts to test limits and recognize their importance
for him a.
Utilization of technology
c.
Capitalize upon his highly developed intelligence and level of b.
insight Improvement in the retention and attention
d. c.
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
c.
Ineffective individual coping c.
Boss
d.
Self-esteem disturbance d.
Feedback Blind follower
The correct answer is: Ineffective individual coping Feedback
Question 46 The correct answer is: Manager
Many managers distribute biweekly newsletters of ongoing Question text
unit or health care agency activities and post minutes of Nurse Sharon worked for 25 years at Al KayHid Medical
committee meetings in an accessible location for all staff to Center in Saudi decides to return back to the Philippines. As a
read. This is an example of: Filipino professional, she can practice her profession in the
country in pursuant of:
a.
Staff communication a.
PD 541
b.
Problem-solving committees b.
PD 603
c.
Interdisciplinary collaboration c.
PD 856
d.
Nurse-physician collaborative practice d.
Feedback PD 807
The correct answer is: Staff communication Feedback
Question 47 The correct answer is: PD 541
Miss Marilyn Jose, RN, reports significant problems in the Question text
ward only to her head nurse. Which management principle Nursing staff are trying to provide for the safety of an elderly
does she abides with? female client with moderate dementia. She was wandering at
night and has trouble keeping her balance. She has fallen twice
a. but has had no resulting injuries. The nurse should:
Discipline
a.
b. Move the client to a room near the nurse's station and install a
Equity bed alarm
c. b.
Unity of command Have the client sleep in a reclining chair across from the
nurse's station
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 Machine, moment
unnecessary."
c.
b. Space, materials
"I will have to limit you to one session of washing per day."
d.
c. Money, memory
"You'll need to start earlier so you can complete your washing Feedback
in time to fo to group session." The correct answer is: Money, memory
Question 58
"You will only get better if you go to your sessions. You'll Question text
have to control your washing routines." 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: "You'll need to start earlier so you can ease the withdrawal symptom of an alcoholic client?
complete your washing in time to fo to group session."
Question 54 a.
IncorrectMark 0 out of 1Not flaggedFlag question Librium
Question text
One of the essential elements of nursing intervention for a b.
patient with personality disorder is: Disulfiram
a. c.
Decrease environment stimuli Flumazenil
b. d.
Establish a therapeutic relationship Naltrexone
Feedback
c. The correct answer is: Librium
Involve him in social activities Question 59
d. Question text
Encourage verbal expression of feelings SITUATION: A woman is admitted to a psychiatric hospital
Feedback with a diagnosis of obsessive- compulsive reaction. She
The correct answer is: Decrease environment stimuli spends hours carrying out a routine of washing her hands and
Question 55 cleaning the toilet facilities and the sink. She is careful to
IncorrectMark 0 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
One realistic goal for the patient is that she will: of the following?
a. a.
Express insight into obsessive thoughts. sublimation
b. b.
Accept limits on ritualistic behaviors. Conversation
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:
"Your physician must refer you to this program."
a.
Serious ignorance b.
"You must first stop drinking."
b.
Accused of immoral an dishonorable conduct c.
"You must bring along friends who will support you."
c.
Gross incompetence d.
"Admit you're powerless over alcohol and that you need help."
d. Feedback
Illegal practice The correct answer is: "Admit you're powerless over alcohol
Feedback and that you need help."
The correct answer is: Accused of immoral an dishonorable Question 66
conduct IncorrectMark 0 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question The nurse is assessing a client who is taking an antipsychotic
Question text medication. Which of the following symptoms is uniquely
The law that allows the nurse to give immunization to children indicative of neuroleptic malignant syndrome (NMS) and
0-6 years old without parent's consent during an epidemic is: requires immediate attention?
a. a.
PD 996 Very high temperature
b. b.
PD 625 Muscular rigidity
c. c.
PD 603 Tremors
d. d.
PD 651 Altered consciousness
Feedback Feedback
The correct answer is: PD 996 The correct answer is: Very high temperature
The Magna Carta for public health workers is embodied in? The nurse is planning care for a group of clients who are
chronically mentally ill. Which of the following strategies is
a. likely to be the least beneficial for the client population?
RA 7305
a.
b. Teaching independent living skills
RA 6425
b.
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
need to complete all of the following. Which task do you c.
complete first? Prior diagnosis of childhood conduct disorder
a. d.
Cough and deep breathe the client who had surgery yesterday. Symptom onset following an identifiable loss
Feedback
b. The correct answer is: Symptom onset following an
Make a referral to the home care nurse for a client who is identifiable loss
being discharged in 2 days. Question 73
c. Question text
Do the teaching on wound care for a client with a wound drain The Philippine Nursing Act of 2002 regulates the practice of
who is being discharged later today. Nursing in the Philippines. It is therefore a must for Filipino
nurses to be familiar with this nursing law. Which of the
d. following institutions or organizations is responsible for
Notify the health care provider of the decreased level of approving the certificate to operate as a nursing school in the
consciousness in the client who had a stroke yesterday. Philippines?
Feedback
The correct answer is: Notify the health care provider of the a.
decreased level of consciousness in the client who had a stroke Board of Nursing
yesterday.
Question 70 b.
IncorrectMark 0 out of 1Not flaggedFlag question Commission on Higher Education
Question text
The patient is admitted to inpatient psychiatric services. He c.
remains aloof and distant, seeming to avoid contacts with Philippine Nurses Association
other patients or unit staff. In order to establish a relationship,
it will be most helpful if the nurse d.
Professional Regulatory Commission
a. Feedback
Approaches him directly and converses about topic like unit The correct answer is: Commission on Higher Education
events or daily activities Question 74
b. Question text
Encourages him to participate in cooperative activities with The researcher implemented a medication regimen using a
other patients new type of combination drugs to manic patients while
another group of manic patient receives the routine drugs. The
c. researcher however hand picked the experimental group for
Provides warm and supportive contact, allowing him to select they are the clients with multiple episodes of bipolar disorder.
the focus of conversation The researcher utilized which research design?
d. a.
Asks him to discuss his obvious discomfort in the presence of Quasi-experimental
others, to gain insight
Feedback b.
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 Question text
nurse is most accurate? What are the stages of Kurt Lewin's theory of change?
a. a.
The wife's inquiry is reasonable. Unfreezing, Change, Refreezing
b. b.
Education about her husband's medication is needed Unfreezing, Molding, Deep Freezing
c. c.
Her expectations of her husband are realistic. Unfreezing and Refreezing
d. d.
An increase in the client's medication is indicated. Communication, Change, Motivation
Feedback Feedback
The correct answer is: Education about her husband's The correct answer is: Unfreezing, Change, Refreezing
medication is needed Question 81
Question text When planning care for a client with schizophrenia who lacks
There are plenty of laws affecting health and nursing practice motivation to shower and dress, which of the following
in the Philippines. Nurses must be familiar with these existing outcomes should the nurse expect the client to achieve by the
laws and standards that govern safe nursing practice. The end of 4 days?
Board of Nursing has adopted certain rules and regulation in
professional nursing practice as the Code of Nursing Ethics in a.
the Philippines through: Verbalize the need to shower and dress herself
a. b.
Board Resolution No. 223 series of 1989 Recognize the need to shower and dress herself
b. c.
Republic Act 9173 Explain reasons for showering and dressing herself
c. d.
Board Resolution No. 220 series of 2004 Perform showering and dressing for herself
Feedback
d. The correct answer is: Recognize the need to shower and dress
Republic Act No. 7160 herself
The correct answer is: Board Resolution No. 220 series of CorrectMark 1 out of 1Not flaggedFlag question
2004 Question text
Question 78 Which action by the nurse is likely to increase the anxiety and
CorrectMark 1 out of 1Not flaggedFlag question suspiciousness of a client who is delusional?
Question text
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
Question 84 Decreasing or discontinuing all previously prescribed
CorrectMark 1 out of 1Not flaggedFlag question medications
Which of the following clients has the least priority for The correct answer is: Identifying the underlying causative
admission to a psychiatric health care facility? A client with a: condition or illness
Question 88
Potential self-harm Question text
Which of the following is not true about a Pure Experimental
b. research?
Potential for harm to others
a.
c. There is a control group.
Grave disability (cannot care for self)
b.
d. There is an experimental group.
Decline in functioning at work
Feedback c.
The correct answer is: Decline in functioning at work Selection of subjects in the control group is randomized.
Question 85
Question text There is a careful selection of subjects in the experimental
Which of the following communicate the results of the group.
research to the readers? They facilitate the description of the Feedback
data. The correct answer is: There is a careful selection of subjects
in the experimental group.
a. Question 89
Hypothesis IncorrectMark 0 out of 1Not flaggedFlag question
Question text
b. Which of the following statements indicates a realistic short-
Statistics term measure of improvement in the patient?
c. a.
Research problem "Wow, I never realized how ridiculous I was acting!"
d. b.
Tables and graphs "I'll do whatever you think is best, nurse."
Feedback
The correct answer is: Tables and graphs c.
Question 86 "I wish I know why I feel so anxious and scared all the time."
Question text d.
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
b.
A study measuring nutrition and weight loss/gain in clients a.
with cancer Surgeon, anaesthesiologist, scrub nurse, radiologist orderly
c. b.
A study examining oxygen levels after endotracheal Surgeon, assistant, scrub nurse, circulating nurse,
suctioning anaesthesiologist
d. c.
A study measuring differences in blood pressure before, Surgeon, assistant surgeon, anaesthesiologist, scrub nurse,
during and after procedures pathologist
Feedback
The correct answer is: A study examining client's reaction to d.
stress after open heart surgery Surgeon, assistant surgeon, anaesthesiologist, intern, scrub
Question 92 nurse
Question text The correct answer is: Surgeon, assistant, scrub nurse,
Which of the following symptoms of posttraumatic stress circulating nurse, anaesthesiologist
disorder would indicate that hypothesis is an appropriate Question 96
treatment modality? CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. Who usually act as an important part of the OR personnel by
Addiction getting the wheelchair or stretcher, and pushing/pulling them
towards the operating room?
b.
Confabulation a.
Orderly/clerk
c.
Dissociation b.
Nurse supervisor
d.
Hallucinations c.
Feedback Circulating nurse
The correct answer is: Confabulation
Question 93 d.
CorrectMark 1 out of 1Not flaggedFlag question Anaesthesiologist
Which of these approaches by the patient's primary nurse The correct answer is: Orderly/clerk
would be most therapeutic? Question 97
a. Question text
Firm and restrictive You are actively practicing nurse who has just finished your
graduate studies. You learned the value of research and would
b. like to utilize the knowledge and skills gained in the
Cautious and withdrawn application of research to the nursing service. The following
questions apply to research. Which type of research inquiry
c. investigates the issues of human complexity (e.g.
Friendly and accepting understanding the human expertise)?
d. a.
Supportive and nonjudgmental Logical position
Feedback
The correct answer is: Supportive and nonjudgmental b.
Question 94 Naturalistic inquiry
Question text c.
While administering medications, the nurse realizes she has Positivism
given the wrong dose of medication to a client. The nurse acts
by completing an incident report and notifying the client's d.
physician. The nurse is exercising: Quantitative research
Feedback
a. The correct answer is: Naturalistic inquiry
Authority Question 98
b. Question text
Responsibility You are fortunate to be chosen as part of the research team in
the hospital. A review of the following IMPORTANT nursing
c. concepts was made. As a professional, a nurse can do research
Accountability for varied reason except:
d. a.
Decision making Professional advancement through research participation
Feedback
The correct answer is: Accountability b.
Question 95 To validate results of new nursing modalities
Question text c.
While team effort is needed in the the OR for efficient and For financial gains
quality patient care delivery, we should limit the number of
people in the room for infection control. Who comprise this d.
team? To improve nursing care
Feedback The first heart sound, the “lubb” sound, is caused by the which
The correct answer is: For financial gains of the following valves?
Question 99
IncorrectMark 0 out of 1Not flaggedFlag question a.
Question text None of the above
You would like to compare the support system of patient with
chronic illness to those with acute illness. How will you best b.
state your problem? Closing of the semilunar valves.
a. c.
A descriptive study to compare the support system of patients Blood rushing out of the ventricles
with chronic illness and those with acute illness in terms of
demographic data and knowledge about intervention. d.
Closing of the Atrioventricular valves
b. Feedback
The effects of the types of support system of patients with The correct answer is: Closing of the Atrioventricular valves
chronic illness and those with acute illness. Question 3
c. Question text
A study to compare the support system of patients with Which component of the blood prevents the body's loss of
chronic illness and those with acute illness. blood?
d. a.
What are the differences of the support system being received Leukocytes
by the patient with chronic illness and the patients with acute
illness? b.
Feedback Erythrocytes
The correct answer is: What are the differences of the support
system being received by the patient with chronic illness and c.
the patients with acute illness? Eosinophils
Question 100
Question text Platelet
You would like to compare the support system of patients with Feedback
chronic illness to those with acute illness. Considering that the The correct answer is: Platelet
hypothesis was: "Client's with chronic illness have lesser Question 4
support system than client's with acute illness." What type of CorrectMark 1 out of 1Not flaggedFlag question
research is this? Question text
Which of the following arteries primarily feeds the anterior
a. wall of the heart?
Descriptive
a.
b. Internal mammary artery
Experimental
b.
c. Circumflex artery
Correlational, Non experimental
c.
d. Left anterior descending artery
Quasi Experimental
Feedback d.
The correct answer is: Descriptive Right coronary artery
Feedback
NSEIP BSN 4: Test Drills on Anatomy and Physiology The correct answer is: Left anterior descending artery
(Cardiovascular, Respiratory System and Endocrine system) Question 5
Question text The thyroid cartilage is the largest piece of cartilage that can
The superior vena cava returns blood from the head, neck, be seen externally which moves up and down when a person is
thorax, and upper limbs to the right atrium of speaking and swallowing?
the heart, and the inferior vena cava returns blood from the
abdomen, pelvis, and lower limbs to the left atrium. a.
Voice box
a.
Statement 1 is correct while Statement 2 is incorrect b.
Trachea
b.
Statement 1 is incorrect while Statement 2 is correct. c.
Adam’s apple
c.
Statement 1 and 2 are incorrect d.
Thyroid gland
d. Feedback
Statement 1 and 2 are correct The correct answer is: Adam’s apple
Feedback Question 6
The correct answer is: Statement 1 is correct while Statement CorrectMark 1 out of 1Not flaggedFlag question
2 is incorrect Question text
Question 2 Statement 1: Arterioles transport blood from small arteries to
CorrectMark 1 out of 1Not flaggedFlag question capillaries and are the smallest arteries in which the three
Question text tunics can be identified.
Statement 2: Blood flows from capillaries into venules, which b.
transport blood from capillaries to small veins. Endocrine glands are found inside the body while exocrine
glands are found outside.
a.
Statement 1 is incorrect while Statement 2 is correct. c.
Anatomically, they are both considered as glands of the body.
b.
Statement 1 is correct while Statement 2 is incorrect d.
Endocrine glands releases its substances in the blood while
c. exocrine glands releases its substances in the epithelial
Statement 1 and 2 are incorrect surfaces.
Feedback
d. The correct answer is: Endocrine glands releases its
Statement 1 and 2 are correct substances in the blood while exocrine glands releases its
Feedback substances in the epithelial surfaces.
The correct answer is: Statement 1 and 2 are correct Question 11
Question text Which of the following is the sequelae of hypersecretion of
Which of the following will be the effect after removal of the GH that occurs after long bone growth?
parathyroid glands on blood Calcium levels?
a.
a. Pituitary dwarfism
None of the above
b.
b. All of the above
Blood Calcium levels would increase
c.
c. Gigantism
Blood Calcium levels would drop
d.
d. Acromegaly
Bones would no longer be exposed to the bone-digesting Feedback
stimulus of PTH The correct answer is: Acromegaly
The correct answer is: Blood Calcium levels would drop CorrectMark 1 out of 1Not flaggedFlag question
IncorrectMark 0 out of 1Not flaggedFlag question Which of the following causes sterility in both males and
Question text females?
Which of the following bronchus characterized as more
vertical, shorter, and wider in diameter? a.
Hypersecretion of GH
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.
Rod shape Peyer’s Patches
c. b.
cone shape Tonsils
d. c.
Wedge shape Appendix
Feedback
The correct answer is: cone shape d.
Question 15 Thymus
Question text e.
The pericardium is a sac surrounding the heart and consisting Blood Capillaries
of the fibrous pericardium and the serous pericardium. The Feedback
serous pericardium increases friction as the heart beats The correct answer is: Blood Capillaries
Question 19
Statement 1 and 2 are incorrect 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
Statement 1 is correct while Statement 2 is incorrect 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
Statement 1 and 2 are correct potentials, which spread across the atria and cause them to
relax.
d.
Statement 1 is incorrect while Statement 2 is correct a.
Feedback Statement 1 is correct while Statement 2 is incorrect
The correct answer is: Statement 1 is correct while Statement
2 is incorrect b.
Question 16 Statement 1 and 2 are incorrect
Question text c.
Statement 1: Nutrients and oxygen diffuse from blood vessels Statement 1 and 2 are correct
to cells in all areas of the body. Waste products and carbon
dioxide diff use from the cells to blood vessels. d.
Statement 2: Components of the immune system, molecules Statement 1 is incorrect while Statement 2 is correct.
required for blood clotting, enzymes, Feedback
nutrients, gases, waste products other substances EXCEPT The correct answer is: Statement 1 is correct while Statement
hormones are transported in the blood to most parts of the 2 is incorrect
body. Question 20
a. Question text
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.
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.
Since we have more afferent than efferent vessels, the nodes The lacrimal ducts empty the tears into which of the
will be able to accommodate lymph fluids needed by the following?
macrophages and lymphocytes.
Feedback a.
The correct answer is: Because the outlet is smaller than the Trachea
inlet to the lymph node, the fluid stagnates briefly in the node,
giving macrophages and lymphocytes time to monitor the b.
lymph for pathogens and process them. Mouth
Question 22
Question text Nose
The surface of the respiratory membrane inside each alveolus
is coated with a fluid consisting a mixture of lipoproteins is d.
refers to which of the following? Pharynx
Feedback
a. The correct answer is: Nose
Surfactant Question 26
b. Question text
Alveolar capillary 1Statement 1: The bicuspid valve is open. The cusps of the
valve are pushed by the blood into the ventricle, and blood
c. flows into the ventricle. The chordae tendineae are relaxed.
Macrophages Statement 2: The aortic semilunar valve is closed. The cusps
of the valve overlap as they are pushed by the blood in the
d. aorta toward the ventricle. Backflow of blood into the
Bronchioles ventricle is prevented.
Feedback
The correct answer is: Surfactant a.
Question 23 Statement 1 is incorrect while Statement 2 is correct
Question text b.
Along with the respiratory system, which of the following Statement 1 is correct while Statement 2 is incorrect
system has the responsibility of supplying oxygen and
eliminating carbon dioxide? c.
Statement 1 and 2 are correct
a.
Cardiovascular d.
Statement 1 and 2 are incorrect
b. Feedback
integumentary The correct answer is: Statement 1 and 2 are correct
Question 27
Nervous Question text
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
Feedback
The correct answer is: Epiglottis Question 33
Question text Effective pumping of blood through the heart depends on
Blood flows from the heart through elastic arteries, muscular coordinated contraction of the atria and ventricles. The atria
arteries, and arterioles to the capillaries. contract, moving blood into the ventricles. Then the ventricles
Blood returns to the heart from the capillaries through venules, contract, moving blood to the lungs and body.
small veins, and large veins.
a.
a. Statement 1 and 2 are correct
b.
b. Statement 1 is incorrect while Statement 2 is correct.
c.
c. Statement 1 and 2 are incorrect
Statement 1 is incorrect while Statement 2 is correct.
d.
d. Statement 1 is correct while Statement 2 is incorrect
Statement 1 is correct while Statement 2 is incorrect Feedback
Feedback The correct answer is: Statement 1 and 2 are correct
The correct answer is: Statement 1 and 2 are correct Question 34
Question text The larynx is also called as which of the following?
What would be the consequence of the blockage of the
thoracic duct? a.
Trachea
a.
Lymph nodes will become infected b.
Adam’s apple
b.
Edema in the axillary nodes. c.
Thyroid gland
c.
Edema in the areas that drain into thoracic duct d.
Voice box
d. Feedback
Widening of the blood vessels The correct answer is: Voice box
The correct answer is: Edema in the areas that drain into CorrectMark 1 out of 1Not flaggedFlag question
thoracic duct Question text
Question 31 What do you call the chemical substances that are secreted by
IncorrectMark 0 out of 1Not flaggedFlag question endocrine cells?
Question text
Given these blood vessels: 1. aorta 2. inferior vena cava 3. a.
pulmonary arteries 4. pulmonary veins WBCs
Which vessels carry oxygenated blood?
Which vessels carry oxygenated blood? b.
Hormones
a.
2,4 c.
Lymph
b.
2,3 d.
Enzymes
c. Feedback
1,3 The correct answer is: Hormones
Question 36
1,4 Question text
Feedback The term “swollen glands” do not actually mean the glands are
The correct answer is: 1,4 swollen but rather the nodes of the lymphatic system. The
Question 32 term “swollen glands” is not a misnomer.
Question text a.
Which type of hormone is made from cholesterol? Both of the statement are correct
a. b.
Prostaglandins Only the FIRST statement is correct
b. c.
Steroid Only the second statement is correct
c. d.
Amino acid-based molecule None of the are correct
Feedback
d. The correct answer is: Only the FIRST statement is correct
Sterol Question 37
The correct answer is: Steroid Question text
Which of the following keeps the blood flow moving in one Which of the following is the definition of MALT?
direction throughout the heart from the atrium to the
ventricles? a.
Mucosal Arterial Lymphoid Tissue
a.
Left Atrium b.
Mucosa-Associated Lymphoid Tissue
b.
Aorta c.
Maltulose
c.
Valve d.
Maltose
d. Feedback
Left Ventricle The correct answer is: Mucosa-Associated Lymphoid Tissue
The correct answer is: Valve CorrectMark 1 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question Which of the following site the right lymphatic duct will drain
Question text the lymph?
Which of the following blood vessels that carry blood away
from the heart? a.
Right subclavian vein
a.
Venule b.
All of the above
b.
Artery c.
Right side of the head
c.
Veins d.
Right arm
d. Feedback
Arteriole The correct answer is: All of the above
The correct answer is: Artery CorrectMark 1 out of 1Not flaggedFlag question
IncorrectMark 0 out of 1Not flaggedFlag question The nasal septum is made up of which of the following?
Question text
In order for a hormone to help its target cells/organs, it should a.
first attach to which of the following site? Bone
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.
Neonatal Stimulus Right Ventricle
Feedback
c. The correct answer is: Septum
A and B are correct
Test Drills No. 2 Review on Anatomy & Physiology ( Urinary
d. system, Fluids and Electrolytes, Integumentary system and
Hormonal Stimulus Nervous system)
Feedback Question 1
The correct answer is: A and B are correct CorrectMark 1 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question Which of the following is NOT a neurotransmitter?
Question text
Which of the following is not considered as an endocrine a.
gland but rather a storage of hormones made by the Acetylcholine
hypothalamus?
b.
a. None of the above
Posterior pituitary gland
c.
b. Serotonin
Thalamus
d.
c. Dopamine
Parathyroid
e.
d. Norepinephrine
Thymus Feedback
Feedback The correct answer is: None of the above
The correct answer is: Posterior pituitary gland Question 2
Question text The racial color differences are a result of variation in quantity
Which of the following is not a tropic hormone? of which of the following?
a. a.
LH Desmosome
b. b.
GH Karyocytes
c. c.
ACTH Keratin
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
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
b. b.
Sodium Statement 1 is correct while Statement 2 is incorrect
c. c.
Potassium Statement 1 and 2 are correct
d. d.
Phosphate Statement 1 is incorrect while Statement 2 is correct.
Feedback Feedback
The correct answer is: Sodium The correct answer is: Statement 1 is incorrect while
Question 5 Statement 2 is correct.
Which of the following stores urine formed by the kidneys? Question text
Which of the following system conducts impulses from the
a. brain and spinal cord going to skeletal muscles?
Bladder
a.
b. Autonomic
Urethra
b.
c. Afferent
Liver
c.
d. Parasympathetic
Gallbladder
Feedback d.
The correct answer is: Bladder Somatic
Question 6
IncorrectMark 0 out of 1Not flaggedFlag question e.
Question text Sympathetic
The gray matter is found in which of the following? Feedback
The correct answer is: Somatic
a. Question 10
Myelin CorrectMark 1 out of 1Not flaggedFlag question
Question text
b. The fourth ventricle lies between the cerebellum and the lower
Nerve tracts brainstems and it connects with the third ventriclevia which of
the following?
c.
None of the above a.
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 e.
A white crescent located at the proximal end of the nails is Muscular
refers to which of the following? Feedback
The correct answer is: Endocrine
a. Question 16
Nail bed CorrectMark 1 out of 1Not flaggedFlag question
Question text
b. Which of the following nursing interventions is needed for
Cuticle client with hyponatremia?
c. a.
None of the above Restricting fluid intake
d. b.
Root Encouraging water intake
e. c.
Lunula Administering hypotonic IV fluids
Feedback
The correct answer is: Lunula d.
Question 13 Restricting sodium intake
Question text The correct answer is: Restricting fluid intake
Which of the following enzyme that breaks down Question 17
acetylcholine? CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. Roberto is diagnosed with hypomagnesemia, which nursing
Sodium intervention would be appropriate?
b. a.
Acetylcholinesterase Avoiding the use of tight tourniquet when drawing blood
c. b.
An anabolic steroid Teaching the client the importance of early ambulation
d. c.
Serotonin Instructing the client on the importance of preventing infection
e. d.
Dopamine Instituting seizure precaution to prevent injury
Feedback Feedback
The correct answer is: Acetylcholinesterase The correct answer is: Instituting seizure precaution to prevent
Question 14 injury
The kidneys reabsorb waste products. Question text
The kidneys control blood volume and blood pressure by The shiny hair is a result of which of the following?
regulating the volume of urine produced.
a.
a. Melanocytes
b.
b. Lice
Statement 1 is correct while Statement 2 is incorrect
c.
c. Sweat
d.
d. Callus
Statement 1 is incorrect while Statement 2 is correct.
Feedback e.
The correct answer is: Statement 1 is incorrect while Sebum
Statement 2 is correct. Feedback
Question 15 The correct answer is: Sebum
The nervous system shares in the maintenance of homeostasis Question text
with which of the following system? Which of the following layers of the epidermis in which
mitosis takes place in the stratum:
a.
Endocrine a.
Stratum granulosum
b.
Digestive b.
Stratum corneum
c.
Skeletal c.
Stratum lucidum
d.
Respiratory d.
Stratum spinosum
e. c.
Stratum germinativum Statement 1 is correct while Statement 2 is incorrect
Feedback
The correct answer is: Stratum germinativum d.
Question 20 Statement 1 is incorrect while Statement 2 is correct
Question text The correct answer is: Statement 1 and 2 are correct
Which of the following are the three main steps of urine Question 24
formation? CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. A lipid covering of cells is found in which of the following?
Filtration, reabsorption, excretion
a.
b. Stratum lucidum
Reabsorption, filtration, excretion
b.
c. Stratum granulosum
Filtration, reabsorption, secretion
c.
d. Stratum corneum
Excretion, secretion, filtration
Feedback d.
The correct answer is: Filtration, reabsorption, excretion Stratum spinosum
Question 21
IncorrectMark 0 out of 1Not flaggedFlag question e.
Question text Stratum germinativum
Lab tests revealed that client A's Sodium (Na+) is 170 mEq/L. Feedback
Which clinical manifestation would nurse Natty expect to The correct answer is: Stratum corneum
assess? Question 25
a. Question text
Muscle weakness and paresthesia The third ventricle is a slit between the and inferior to the right
and left halves of the thalamus, and situated between lateral
b. ventricles. This connect with the third ventricle by a narrow
Muscle twitching and tetany oval opening called:
c. a.
Tented skin turgor and thirst Foramen of Monro
d. b.
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 Angelo's laboratory test just revealed that his chloride level is
96 mEq/L. As a nurse, which of the following choices is the
b. interpretation of this result?
Schwann cells
a.
c. High
Oligodendroglia
b.
d. High normal
Node of ranvier
c.
e. Within normal range
Microglia
Feedback d.
The correct answer is: Schwann cells Low
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Within normal range
The heartbeat rate, digestion, and breathing rates are CorrectMark 1 out of 1Not flaggedFlag question
controlled and maintained by reflexes concerned with Question text
___________processes? Mona's lab test revealed that her serum calcium is 2.5 mEq/L.
Which assessment data does the nurse document when a client
a. diagnosed with hypocalcemia develops a carpopedal spasm
Cortical after the blood-pressure cuff is inflated?
b. a.
Somatic Positive Trousseau's sign
c. b.
Cognitive Paresthesia
d. c.
Involuntary Positive Chvostek’s sign
e. d.
Voluntary Tetany
Feedback Feedback
The correct answer is: Involuntary The correct answer is: Positive Trousseau's sign
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
The correct answer is: Pia mater The correct answer is: Perspiration
Aldosterone secretion in response to fluid loss will result in Which structure connects your kidney to the bladder?
which one of the following electrolyte imbalances?
a.
a. Bile Duct
Hyperkalemia
b.
b. Ureter
Hypernatremia
c.
c. Esophagus
Hyponatremia
d.
d. Pancreatic Duct
Hypokalemia Feedback
Feedback The correct answer is: Ureter
The correct answer is: Hypokalemia Question 40
Question text Keratinization produces distinct layers of the epidermis this is
Parathyroid hormone secreted from the parathyroid glands called:_________
increases extracellular Ca2+ levels by causing bone resorption
and increased Ca2+ uptake in the kidney. Parathyroid a.
hormone increases vitamin D synthesis. Desmosomes
a. b.
Statement 1 is correct while Statement 2 is incorrect Strata
b. c.
Statement 1 and 2 are correct Integuments
c. d.
Statement 1 and 2 are incorrect Receptors
d. e.
Statement 1 is incorrect while Statement 2 is correct. Melanocytes.
Feedback Feedback
The correct answer is: Statement 1 and 2 are correct The correct answer is: Strata
IncorrectMark 0 out of 1Not flaggedFlag question CorrectMark 1 out of 1Not flaggedFlag question
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
Question 43 Cervical
Question text e.
The meninges are separated from the vertebrae by which of Sacral
the following? Feedback
The correct answer is: Lumbar
a. Question 47
Epidural space CorrectMark 1 out of 1Not flaggedFlag question
Question text
b. The sebaceous secretion is controlled by which of the
Subdural space following?
c. a.
Pia mater Thalamus
d. b.
Spider layer Endocrine system
e. c.
Subarachnoid space Senses
Feedback
The correct answer is: Epidural space d.
Question 44 Hypothalamus
Question text e.
The oligodendroglia are commonly found in which of the Circulatory system
following organs? Feedback
The correct answer is: Endocrine system
a. Question 48
Brain and spinal cord CorrectMark 1 out of 1Not flaggedFlag question
Question text
b. The smallest, simplest pathway to receive and process a
Fingers stimulus is the:
c. a.
Heart Reflex
d. b.
Muscles None of the above
e. c.
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
Altered thought processes; call an emergency treatment team
c. meeting
Oligodendroglia Feedback
The correct answer is: Command hallucinations; warn the
d. psychiatrist
Astrocytes Question 4
e. Question text
Microglia A 16-year-old-client diagnosed with Paranoid Schizophrenia
Feedback experiences command hallucinations to harm others. The
The correct answer is: Microglia client's parents ask a nurse,"Where do the voices come from?"
Which of the following is the appropriate nursing reply?
Test Drills No. 3 Mental Health & Psychiatric Nursing
Question 1 a.
CorrectMark 1 out of 1Not flaggedFlag question "Your child has a chemical imbalance of the brain which leads
Question text to altered thoughts."
A nurse is implementing a one-on-one suicide observation
level with a client diagnosed with Major Depressive Disorder. b.
The client states,"I'm feeling a lot better so you can stop "Your child's hallucinations are caused by medication
watching me. I have taken up too much of your time already." interactions."
Which of the following is the best nursing reply?
c.
a. "Your child's abnormal hormonal changes have precipitated
"I really appreciate your concern but I have been ordered to auditory hallucinations."
continue to watch you."
d.
b. "Your child has too little serotonin in the brain causing
"I am glad you are feeling better. The treatment team will delusions and hallucinations."
consider your request." Feedback
The correct answer is: "Your child has a chemical imbalance
c. of the brain which leads to altered thoughts."
"I will forward you request to your psychiatrist because it is Question 5
his decision." CorrectMark 1 out of 1Not flaggedFlag question
Question text
d. Upon Mr. S admission for acute psychiatric
"Because we are concerned about your safety,we will continue hospitalization,Nurse J documents the following; Client
to observe you." 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: "Because we are concerned about your following nursing diagnosis would be the priority at this time?
safety,we will continue to observe you."
Question 2 a.
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 Quietly approach the client,escort her to her room and assist
in a mental institution for Phobic Disorder. The treatment her in getting dressed
method involves systematic desensitization. Which of the Feedback
following actions of the client the nurse would consider the The correct answer is: Quietly approach the client,escort her to
treatment successful? her room and assist her in getting dressed
Question 11
Ms. G plans a trip requiring air travel. Question text
A client with Antisocial Personality Disorder was admitted in
b. a unit at South Wales Hospital. The newly admitted client
Ms. G. recognizes the unrealistic nature of the fear of riding stole money from an elderly in the unit. Which of the
on airplanes. following is the most appropriate for the nurse to say to this
client?
c.
Ms. G. takes a short trip in an airplane. a.
"Why did you take the money?"
d.
Ms. G. verbalizes a decreased fear about air travel. b.
Feedback "Let's talk about how you felt when you took the money."
The correct answer is: Ms. G. takes a short trip in an airplane.
Question 8 c.
CorrectMark 1 out of 1Not flaggedFlag question "The consequences of stealing are a loss of privileges."
Question text
When caring for a client with a diagnosis of Schizotypal d.
Personality Disorder,the nurse should: "This client is defenseless against you."
Feedback
a. The correct answer is: "The consequences of stealing are a
Encourage participation in group therapy loss of privileges."
Question 12
Respect the client's needs for social isolation Question text
A client diagnosed with Schizoaffective Disorder is admitted
c. for social skills training. Which of the following information
Set limits on manipulative behavior should be taught by the nurse?
d. a.
Understand that seductive behavior is expected. The side effects of medications
Feedback
The correct answer is: Respect the client's needs for social b.
isolation Deep breathing techniques to decrease stress
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
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.
a. Over reliance on others
"The devil only talks to people who are receptive to his
influence." d.
Manipulative of others
b. Feedback
"Did you take your medicine this morning?" The correct answer is: Over reliance on others
Question 18
"You are not going to hell. You are a good person." Question text
A client diagnosed with Schizophrenia is slow to respond and
d. appears to be listening to unseen others. Which of the
"I'm sure the voices sound scary. The devil is not talking to following medication should a nurse expect a physician to
you. This is part of your illness." order to address this type of symptom?
Feedback
The correct answer is: "I'm sure the voices sound scary. The a.
devil is not talking to you. This is part of your illness." Risperidone (Risperdal)to address the positive symptom
Question 15
Question text Clozapine (Clozaril)to address the negative symptom
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 Clonazepam (Klonopin)to address the positive symptom
appropriate for the nurse to take?
d.
a. Haloperidol (Haldol)to address the negative symptom
Confront the client on the inappropriateness of her behavior Feedback
and offer her a time out. The correct answer is: Risperidone (Risperdal)to address the
positive symptom
b. Question 19
Approach the client in the hallway and insist that she go into CorrectMark 1 out of 1Not flaggedFlag question
the room Question text
Client C is diagnosed as having Disorganized Schizophrenia.
c. Which of the following behaviors would Nurse S most likely
Ask the other client to ignore her behavior; she will eventually assess in the client?
return to her room.
a.
d. Psychomotor immobility; presence of waxy flexibility
Quietly approach the client,escort her to her room and assist
her in getting dressed b.
Feedback Suspiciousness toward others and increased hostility
The correct answer is: Quietly approach the client,escort her to
her room and assist her in getting dressed c.
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
c.
The nurse observes a client pacing in the hall. Which of the Reduced senses of taste and smell
following statements by the nurse may help the client Feedback
recognize his anxiety? The correct answer is: lack of enjoyment in usual pleasures
Question 25
"I notice that you're pacing. How are you feeling?" Question text
In a day treatment program,a Manic client is creating
b. considerable chaos,behaving in a dominating and manipulative
"I guess you're worried about something,aren't you? way. Which of the following nursing intervention is most
appropriate?
c.
"Have you been pacing for a long time?" a.
Recommend that the client is hospitalized for treatment.
d.
"Can I get you some medication to help calm you?" b.
Feedback Allow the peer group to intervene.
The correct answer is: "I notice that you're pacing. How are
you feeling?" c.
Question 22 Describe acceptable behavior and set realistic limits with the
CorrectMark 1 out of 1Not flaggedFlag question client.
Question text
A nursing instructor is teaching about Specific Phobias. Which d.
of the following student statement should indicate that Tell the client that his behavior is inappropriate.
learning has occurred? Feedback
The correct answer is: Describe acceptable behavior and set
a. realistic limits with the client.
"These clients have a panic level of fear that is overwhelming Question 26
and unreasonable." IncorrectMark 0 out of 1Not flaggedFlag question
Question text
b. A client with a diagnosis of Borderline Personality Disorder
"These clients do not recognize that their fear is excessive and has negative feelings toward the other clients on the unit and
rarely seek treatment." considers them all to be "bad." The nurse understands this
defense is known as which of the following?
c.
"These clients experience symptoms that mirror a a.
cerebrovascular accident (CVA)." Splitting
d. b.
"These clients experience the symptoms of Passive aggression
tachycardia,dysphagia,and diaphoresis."
Feedback c.
The correct answer is: "These clients have a panic level of fear Reaction formation
that is overwhelming and unreasonable."
Question 23 d.
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.
c.
Clients develop compulsions to deal with anxiety. a.
Ask open-ended questions to encourage communication
d.
Clients perceive having no control over life situations. b.
Feedback Explore common phobias associated with panic attacks
The correct answer is: Clients perceive having no control over
life situations. c.
Question 29 Offer the client reassurance of safety and security
Question text d.
Nurse N is assessing client J who is diagnosed with Bipolar Use distraction techniques to change the client's focus
Disorder. The nurse would expect to find a history of which of Feedback
the following? The correct answer is: Offer the client reassurance of safety
and security
a. Question 33
Symptoms of mania that include delusional thoughts. IncorrectMark 0 out of 1Not flaggedFlag question
Question text
b. Which of the following interventions is important for a client
Symptoms of mania that may or may not be followed by with Paranoid Personality Disorder taking olanzapine
depression. (Zyprexa)?
c. a.
Depressive episode followed by prolonged sadness. Teach the client to watch for extrapyramidal adverse reactions
d. b.
A series of depressive episodes that recur periodically. Explain effects of serotonin syndrome
Feedback
The correct answer is: Symptoms of mania that may or may c.
not be followed by depression. Discuss the need to report paradoxical effects such as
Question 30 euphoria.
Question text d.
Client C who has had auditory hallucinations for many years Explain that the drug is less effective if the client smokes
tells Nurse L that the voices prevent his participation in a Feedback
social skills training program at the community health center. The correct answer is: Explain that the drug is less effective if
Which of the following nursing intervention is most the client smokes
appropriate that nurse should take? Question 34
a. Question text
Teach client C to use thought stopping techniques. Which of the following nursing intervention would be most
appropriate when caring for an acutely agitated client
b. diagnosed with Paranoid Schizophrenia?
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
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: "I like you,but our relationship is
Question text professional."
How would a nurse differentiate a client diagnosed with Question 39
Obsessive-Compulsive Disorder (OCD)from a client CorrectMark 1 out of 1Not flaggedFlag question
diagnosed with Obsessive-Compulsive Personality Disorder? Question text
A client is experiencing a Severe Panic Attack. Which of the
a. following nursing intervention would meet this client's
Clients diagnosed with OCD experience both obsessions and immediate need?
compulsions,and clients diagnosed with obsessive-compulsive
personality disorder do not. a.
Stay with the client and offer reassurance of safety
b.
Clients diagnosed with obsessive-compulsive personality b.
disorder experience only obsessions,and clients diagnosed Administer the ordered prn buspirone (BuSpar)
with OCD experience only compulsions.
c.
c. Place the client in a Trendelenburg position
Clients diagnosed with OCD experience only obsessions,and
clients diagnosed with obsessive-compulsive personality d.
disorder experience only compulsions. Teach deep breathing relaxation exercises
Feedback
d. The correct answer is: Stay with the client and offer
Clients diagnosed with obsessive-compulsive personality reassurance of safety
disorder experience both obsessions and compulsions,and Question 40
clients diagnosed with OCD do not. CorrectMark 1 out of 1Not flaggedFlag question
The correct answer is: Clients diagnosed with OCD A client diagnosed with Bipolar Disorder,who has taken
experience both obsessions and compulsions,and clients lithium carbonate (Lithane)for 1 year,presents in an
diagnosed with obsessive-compulsive personality disorder do emergency department with severe diarrhea,blurredvision,and
not. tinnitus. How should the nurse interpret these symptoms?
Question 37
Question text Symptoms indicate the development of lithium carbonate
A client living on the beachfront seeks help with an extreme tolerance.
fear of crossing bridges which interferes with daily life. A
psychiatric nurse practitioner decides to try systematic b.
desensitization. Which of the following explanation of this Symptoms indicate lithium carbonate toxicity.
therapy should the nurse convey to the client?
c.
a. Symptoms indicate consumption of foods high in tyramine.
"Through a series of increasingly anxiety-provoking steps,we
will gradually increase your tolerance to anxiety." d.
Symptoms indicate lithium carbonate discontinuation
b. syndrome.
"Using your imagination,we will attempt to achieve a state of Feedback
relaxation that you can replicate when faced with crossing a The correct answer is: Symptoms indicate lithium carbonate
bridge." toxicity.
Question 41
"Because anxiety and relaxation are mutually exclusive Question text
states,we can attempt to substitute a relaxation response for Nurse K educates the family about symptom management for
the anxiety response." when the Schizophrenic client becomes upset or anxious.
Which of the following would Nurse K statement is helpful?
d.
"In one intense session,you will be exposed to a maximum a.
level of anxiety that you will learn to tolerate." Wait before the anxiety worsens before intervening.
Feedback
The correct answer is: "Through a series of increasingly b.
anxiety-provoking steps,we will gradually increase your Request that the client be hospitalized until the crisis is over.
tolerance to anxiety."
Question 38 c.
CorrectMark 1 out of 1Not flaggedFlag question Encourage the use of learned relaxation techniques.
Question text
A young,handsome man with a diagnosis of Antisocial d.
Personality Disorder is being discharged from the hospital Call the therapist to request a medication change.
next week. He asks the nurse for her phone number so that he Feedback
can call her for a date. The nurse's best response would be; The correct answer is: Encourage the use of learned relaxation
techniques.
a. Question 42
"I like you,but our relationship is professional." CorrectMark 1 out of 1Not flaggedFlag question
Question text
b. The community nurse is speaking to a group of new mothers
"It's against my professional ethics to date clients." as part of a primary prevention program. Which of the
following self-measures would be most helpful as a strategy to
c. decrease the occurrence of Mood Disorders?
"We are not permitted to date clients."
a.
d. Verbalizing rather than internalizing feelings
"No,you are a client and I am a nurse."
Feedback b.
Keeping busy,so as not to confront problem areas
c. a.
Use of crisis intervention services Expression of persistent suicidal thoughts
d. b.
Medication with antidepressants Reduced senses of taste and smell
Feedback
The correct answer is: Verbalizing rather than internalizing c.
feelings lack of enjoyment in usual pleasures
Question 43
Question text Reports difficulty falling and staying asleep
Which of the following Mood Disorder is characterized by the Feedback
client feeling depressed most of the day for a 2-year period? The correct answer is: lack of enjoyment in usual pleasures
Question 47
Dysthymia Question text
Mr. R is diagnosed with Schizophrenia Paranoid Type and is
b. admitted to the psychiatric unit of South Seattle Medical
Cyclothymia Center. Which of the following nursing interventions would be
most appropriate for Mr. R?
c.
Melancholic depressive disorder a.
Encouraging involvement in group activities
d.
Seasonal affective disorder b.
Feedback Establishing a non-demanding relationship
The correct answer is: Dysthymia
Question 44 c.
CorrectMark 1 out of 1Not flaggedFlag question Spending more time with Mr. R.
Question text
A client is prescribed alprazolam (Xanax).25 mg OD for d.
Acute Anxiety. Which of the following client history should Waiting until Mr. R. initiates interaction
cause a nurse to question this order? Feedback
The correct answer is: Establishing a non-demanding
a. relationship
History of personality disorder Question 48
b. Question text
History of schizophrenia Client R is admitted in an acute psychiatric unit at South
Wales Medical Center. He suddenly tells Nurse M about his
c. plans for Suicide. Which of the following is the nurse's
History of alcohol dependence priority action?
d. a.
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. Cardiac arrhythmia, nausea, vomiting, constipation,
Dependent Personality Disorder dehydration, kidney stones, muscle weakness, and sinus arrest.
Feedback
The correct answer is: Dependent Personality Disorder b.
Question 50 Irritability, circumoral paresthesia, muscle spasms, tetany,
CorrectMark 1 out of 1Not flaggedFlag question abdominal pain, laryngospasm, and prolonged QT intervals.
Question text
Mr. P,35,is admitted for Bipolar Illness,ManicPhase,after c.
assaulting his landlord in an argument over Mr. P is staying up Muscle cramps, malaise, diminished deep tendon reflexes,
all night playing loud music. Mr. P is anorexia, constipation, palpitations, and rhabdomyolysis.
hyperactive,intrusive,and has rapid,pressured speech. He has
not slept in three days and appears thin and disheveled. Which d.
of the following is the most essential nursing action at this Weakness, dizziness, abdominal distention, nausea, vomiting,
time? diarrhea, palpitations, and cardiac arrhythmias.
Feedback
a. The correct answer is: Weakness, dizziness, abdominal
Providing for client safety by limiting his privileges. distention, nausea, vomiting, diarrhea, palpitations, and
cardiac arrhythmias.
b. Question 4
Consulting with the psychiatrist to order a hypnotic to promote CorrectMark 1 out of 1Not flaggedFlag question
sleep. Question text
A college student diagnosed with infectious mononucleosis
c. asks the school health nurse how the condition was acquired.
Providing linens and toiletries for Mr. Peterson to attend to his The best answer by the nurse is that the virus is transmitted by
hygiene. which of the following methods?
d. a.
Providing a meal and beverage for Mr. Peterson to eat in the The bite of an insect such as a mosquito
dining room.
Feedback b.
The correct answer is: Providing for client safety by limiting Consuming contaminated food or water.
his privileges.
c.
Test Drills No. 4 Medical Surgical Nursing Contact with the saliva of an infected person.
Question 1
Question text Through microorganisms in infected blood.
Which of the following is the causative agent of Tuberculosis? Feedback
The correct answer is: Contact with the saliva of an infected
a. person.
Hansen's Bacilli Question 5
b. Question text
Group A Beta Hemolytic Streptococcus During the past 6 months, a client diagnosed with Acquired
Immunodeficiency Syndrome has had chronic diarrhea and
c. has lost 18 pounds. Additional assessment findings include
Bacillus Anthracis tented skin turgor, dry mucous membranes, and listleness.
Which nursing diagnosis focuses attention on the client's most
d. immediate problem?
Mycobacterium Tuberculosis
Feedback a.
The correct answer is: Mycobacterium Tuberculosis Disturbed thought processes related to central nervous system
Question 2 effects of disease
Question text b.
What are the critiquing criteria used to judge the worth of a Diarrhea related to the disease process and acute infection
research study?
c.
a. Deficient fluid volume related to diarrhea and abnormal fluid
All of the above loss
b. d.
Measure Imbalanced nutrition: less than body requirements related to
nausea and vomiting
c. Feedback
Standard The correct answer is: Deficient fluid volume related to
diarrhea and abnormal fluid loss
d. Question 6
Questions CorrectMark 1 out of 1Not flaggedFlag question
The correct answer is: All of the above The nurse plans care for a client with chronic obstructive
Question 3 pulmonary disease (COPD), understanding that the client is
CorrectMark 1 out of 1Not flaggedFlag question most likely to experience what type of acid-base imbalance?
Question text
Brent has chronic obstructive pulmonary disease, causing a a.
constant state of respiratory acidosis. He has a history of Respiratory acidosis
chronic trimethoprim and NSAID use, leading to
hyperkalemia. Which of the following are associated with b.
hyperkalemia? Metabolic acidosis
c. Turkey
Respiratory alkalosis
b.
d. Cantaloupe
Metabolic alkalosis
Feedback c.
The correct answer is: Respiratory acidosis Rib eye steak
Question 7
Question text Broccoli
Liz is an elderly woman brought in by concerned family Feedback
members. After physical examination, she was diagnosed with The correct answer is: Rib eye steak
dehydration. What assessment findings would you expect to Question 11
see? CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. In order to assure a good fit of the appliance to avoid leakage,
Rales, peripheral edema, palpitations, and diaphoresis. which factors should be considered for stoma placement?
b. a.
Malaise, lymphadenopathy, fever, shortness of breath, and Medications taken regularly, regular clothing styles
nausea
b.
c. {
Tachypnea, tachycardia, hypotension, poor skin turgor, and
decreased urinary output. c.
Usual patterns of client's skin healing ability
d.
Bradycardia, slowed respirations, low body temperature, and d.
weight gain. Location of bony prominences, umbilicus
Feedback
The correct answer is: Tachypnea, tachycardia, hypotension, e.
poor skin turgor, and decreased urinary output. Client's pre-operative diet preferences and dislikes
Question 8 Feedback
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Location of bony prominences,
Question text umbilicus
A pneumonectomy is a surgical procedure sometimes Question 12
indicated for treatment of non-small-cell lung cancer. CorrectMark 1 out of 1Not flaggedFlag question
Pneumonectomy involves removal of which of the following Question text
part? As you inhale, air moves through your respiratory system and
into your lungs. List, in order, the structures through which air
a. passes until it reaches the alveoli.
An entire lung field
a.
b. Nose, nasal cavity, mouth/oral cavity, larynx, trachea, lungs,
One or more segments of a lung lobe bronchioles, bronchi and alveoli.
Nose, nasal cavity, mouth/oral cavity, trachea, lungs, bronchi,
c. larynx, bronchioles, and alveoli.
One lobe of a lung
b.
d. Nose, nasal cavity, mouth/oral cavity, trachea, larynx, lungs,
A small, wedge-shaped lung surface bronchi, bronchioles, and alveoli.
Feedback
The correct answer is: An entire lung field c.
Question 9 Nose, nasal cavity, mouth/oral cavity, larynx, trachea, lungs,
CorrectMark 1 out of 1Not flaggedFlag question bronchi, bronchioles, and alveoli.
A child is seen in the pediatrician's office for complaints of The correct answer is: Nose, nasal cavity, mouth/oral cavity,
bone and joint pain. Which of the following other assessment larynx, trachea, lungs, bronchi, bronchioles, and alveoli.
findings may suggest leukemia? Question 13
a. Question text
Increased appetite A 36-year-old man with lymphoma presents with signs of
impending septic shock 9 days after chemotherapy. The nurse
b. could expect which of the following to be present?
Increased activity level
a.
c. Low-grade fever, chills, tachycardia
Abdominal pain
b.
d. Flushing, decreased oxygen saturation, mild hypotension
Petechiae
Feedback c.
The correct answer is: Petechiae Elevated temperature, oliguria, hypotension
Question 10
Question text High-grade fever, normal blood pressure, increased
Nurse Vincent is providing dietary instructions to the client respirations
with Systemic Lupus Erythematosus. Which of the following Feedback
dietary items would the nurse instruct the client to avoid? The correct answer is: Low-grade fever, chills, tachycardia
Question 14
Question text
A 58-year-old man is going to have chemotherapy for lung d.
cancer. He asks the nurse how the chemotherapeutic drugs Check the patient's oral temperature again in 4 hours.
will work. The most accurate explanation the nurse can give is Feedback
which of the following? The correct answer is: Check the patient's oral temperature
again in 4 hours.
a. Question 18
"Chemotherapy affects all rapidly dividing cells." CorrectMark 1 out of 1Not flaggedFlag question
Question text
b. What does a level of evidence model use to evaluate the
"Cancer cells are susceptible to drug toxins." strength of a research study and its findings?
c. a.
"The molecular structure of the DNA is altered." Quantity
d. b.
"Chemotherapy encourages cancer cells to divide." All of the above
Feedback
The correct answer is: "Chemotherapy affects all rapidly c.
dividing cells." Quality
Question 15
Question text Consistency
Which intervention should the nurse implement when caring Feedback
for a client diagnosed with Pneumocystis carinii pneumonia The correct answer is: All of the above
related to acquired immunodeficiency syndrome who is crying Question 19
over the loss of friends and family members because they will CorrectMark 1 out of 1Not flaggedFlag question
not talk to him anymore? Question text
Which of the following is TRUE about Antibody molecules?
a.
Asking the health care provider for a psychiatric consult to a.
assess the client's mental functioning Have a constant region that binds to antigens
b. b.
Telling the client that the friends probably were not true Have a variable region that can activate complement or attach
friends anyway to macrophages
c. c.
Sitting down and listening to the client's concerns and Are called gamma globulins or immunoglobulins
frustrations
d.
d. Are large glycolipids
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
c. b.
Encouraging the client to use nasal saline sprays Villi
d. c.
Advising use of bronchodilator regularly, even if having no The cisterna chyli
symptoms
Feedback d.
The correct answer is: Encouraging the client to use nasal Microvilli
saline sprays Feedback
Question 22 The correct answer is: Lacteals
Which intervention should Nurse John Joe discuss with Elena Question text
who has an allergic disorder and is requesting information for Vince has been taking excessive amounts of over the counter
allergy symptom control? antacid tablets. He has been exhibiting signs of irritability,
anxiety, muscle cramping, and weakness, and has recently
a. developed tetany. The physician has initiated seizure
Instructing the client to avoid using sprays, powders, and precautions. He recognizes that the patient is being monitored
perfumes and treated for:
b. a.
Instructing the client to cover the mattress with a Hyperphosphatemia
hypoallergenic cover
b.
c. Hyperkalemia
Instructing the client to wear a mask when cleaning
c.
d. Metabolic alkalosis
All of the above
Feedback d.
The correct answer is: All of the above Metabolic acidosis
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Metabolic alkalosis
Before weaning a male client from a ventilator, which CorrectMark 1 out of 1Not flaggedFlag question
assessment parameter is most important for the nurse to Question text
review? When caring for a diabetic client who had abdominal surgery
one week ago, the nurse obtains these data. Which finding
a. should be reported immediately to the health care provider?
Prior outcomes of weaning
a.
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
count of less than 200 cells/uL. Based on diagnostic criteria c.
established by the Centers for Disease Control and Prevention Syphilis
(CDC), which statement by the nurse is correct?
d.
a. Diabetes Mellitus
"The patient meets the criteria for a diagnosis of an acute HIV Feedback
infection." The correct answer is: Hypertension
Question 33
"The patient will develop symptomatic chronic HIV infection Question text
in less than a year." In the client with terminal lung cancer, the focus of nursing
care is on which of the following nursing interventions?
c.
"The patient has developed acquired immunodeficiency a.
syndrome (AIDS)." Provide nutritional support
d. b.
"The patient will be diagnosed with asymptomatic chronic Provide pain control
HIV infection."
Feedback c.
The correct answer is: "The patient has developed acquired Prepare the client's will
immunodeficiency syndrome (AIDS)."
Question 30 d.
CorrectMark 1 out of 1Not flaggedFlag question Provide emotional support
A client who has recently traveled to China comes to the The correct answer is: Provide pain control
emergency department (ED) with increasing shortness of Question 34
breath and is strongly suspected of having a Severe Acute CorrectMark 1 out of 1Not flaggedFlag question
Respiratory Syndrome (SARS). Which of these prescribed Question text
actions will you take first? A client who has vague symptoms of fatigue, headaches, and a
positive test for Human Immunodeficiency Virus (HIV)
a. antibodies using an enzyme immunoassay (EIA) test. What
Place the client on contact and airborne precautions. instructions should the nurse give to this patient?
b. a.
Infuse normal saline at 100ml/hr. "A viral culture will be done to determine the progression of
the disease."
c.
Wear Personal Protecive Equipment. b.
"The Western blot test will be done to determine whether
d. acquired immunodeficiency syndrome (AIDS) has
Obtain blood, urine, and sputum for cultures. developed."
e. c.
Administer methylprednisolone (Solu-Medrol) 1 gram/IV. "It will probably be 10 or more years before you develop
Feedback acquired immunodeficiency syndrome (AIDS)."
The correct answers are: Place the client on contact and
airborne precautions., Wear Personal Protecive Equipment. d.
Question 31 "The EIA test will need to be repeated to verify the results."
Question text The correct answer is: "The EIA test will need to be repeated
After undergoing a left pneumonectomy, a female client has a to verify the results."
chest tube in place for drainage. When caring for this client, Question 35
the nurse must: CorrectMark 1 out of 1Not flaggedFlag question
Question text
a. Evidence-based public health utilizes which of the following
Monitor fluctuations in the water seal chamber guidelines?
b. a.
Milk the chest tube every 2 hours All of the above
c. b.
Encourage coughing and deep breathing Conducting evaluations
d. c.
Clamp the chest tube once every shift Disseminating what has been learned
Feedback
The correct answer is: Encourage coughing and deep d.
breathing Application of program planning frameworks
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: All of the above
Which of the following conditions is linked to more than 50% CorrectMark 1 out of 1Not flaggedFlag question
of clients with abdominal aortic aneurysms? Question text
A client diagnosed with inflammatory bowel disease
a. experiences an obstruction in the small bowel. When assessing
Hypertension the client, which of the following will the healthcare provider
anticipate?
b.
Asthma a.
Scaphoid abdomen Which of the following complications is of greatest concern
when caring for a preoperative abdominal aneurysm client?
b.
Passage of melena a.
Diminished pedal pulses
c.
Hypovolemia b.
Cardiac arrhythmias
d.
Increased flatus c.
Feedback Hypertension
The correct answer is: Hypovolemia
Question 37 d.
IncorrectMark 0 out of 1Not flaggedFlag question Aneurysm rupture
A 76-year old client is admitted for elective knee surgery. The correct answer is: Aneurysm rupture
Physical examination reveals shallow respirations but no signs Question 41
of respiratory distress. Which of the following is a normal CorrectMark 1 out of 1Not flaggedFlag question
physiologic change related to aging? Question text
As the infection control nurse in Malta Hospital Inc., which
a. action will you take to effectively reduce the incidence of
Decreased vital capacity health care associated infections?
b. a.
Decreased residual volume Ensure that dispensers for alcohol-based hand rubs are readily
available in all client care areas of the hospital.
c.
Increased number of functional capillaries in the alveoli b.
Develop policies that automatically start antibiotic therapy for
d. clients colonized by multi drug resistant organisms.
Increased elastic recoil of the lungs
Feedback c.
The correct answer is: Decreased vital capacity Screen all newly admitted clients for colonization or infection
Question 38 with Multiple Resistant Staphylococcus Aureus.
Question text d.
What are the three most important prognostic factors in Require nursing staff to don gowns to change wound dressings
determining long-term survival for children with acute for all clients.
leukemia? Feedback
The correct answer is: Ensure that dispensers for alcohol-
a. based hand rubs are readily available in all client care areas of
Histologic type of disease, initial platelet count, and type of the hospital.
treatment Question 42
b. Question text
Histologic type of disease, initial WBC count, and client's age Nurse Eve formulates a nursing diagnosis of Activity
at diagnosis intolerance related to inadequate oxygenation and dyspnea for
a client with chronic bronchitis. To minimize this problem, the
c. nurse instructs the client to avoid conditions that increase
Type of treatment and client's sex oxygen demands. Which of the following nursing intervention
has the highest priority?
d.
Progression of illness, WBC at the time of diagnosis, and a.
client's age at the time of Diagnosis. Drinking more than 5 Liters/day
Feedback
The correct answer is: Histologic type of disease, initial WBC b.
count, and client's age at diagnosis Eating more than three large meals a day
Question 39
Question text Being overweight
Which nursing action is most likely to detect early signs of
infection in a client who is taking immunosuppressive d.
medications? Eating high protein snack at bedtime
Feedback
a. The correct answer is: Being overweight
Check the temperature every 2 hours. Question 43
b. Question text
Ask about fatigue or feelings of malaise. Which organ of the lymphatic system is the site of T-cell
maturation?
c.
Monitor white blood cell count. a.
The lymph nodes
d.
Check the skin for areas of redness. b.
Feedback The cisterna chyli
The correct answer is: Ask about fatigue or feelings of
malaise. c.
Question 40 The spleen
Question text d.
The thymus
Feedback d.
The correct answer is: The thymus Obtain wound culture
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Document assessment
Client M, 37 years old, male with stomach cancer is admitted CorrectMark 1 out of 1Not flaggedFlag question
to the oncology unit after vomiting for 3 days. Physical Question text
assessment findings include irregular pulse, muscle twitching, Which of the following clients is at most risk for Type 2
and complaints of prickling sensations in the fingers and diabetes?
hands. Laboratory results include a potassium level of 2.9
mEq/L, a pH of 7.46, and a bicarbonate level of 29 mEq/L. a.
The client is experiencing which acid base imbalance? None of the above
a. b.
Respiratory alkalosis A 28 year old male with a BMI of 49.
b. c.
Metabolic acidosis A 6 year old girl recovering from a viral infection with a
family history of diabetes.
c.
Respiratory acidosis d.
A 76 year old female with a history of cardiac disease.
d. Feedback
Metabolic alkalosis The correct answer is: A 28 year old male with a BMI of 49.
The correct answer is: Metabolic alkalosis IncorrectMark 0 out of 1Not flaggedFlag question
CorrectMark 1 out of 1Not flaggedFlag question A client has been diagnosed with lung cancer and requires a
Question text wedge resection. How much of the lung is removed?
Which research process steps may be noted in an article's
abstract? a.
One entire lung
a.
All of the above b.
A small, localized area near the surface of the lung
b.
Research question study purpose c.
A segment of the lung, including a bronchiole and its alveoli
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. Ostomy.
Atherosclerosis
c.
d. Gastrostomy
Renal Failure
Feedback d.
The correct answer is: Atherosclerosis Colonoscopy
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Ostomy.
Which of the following nursing interventions would be most IncorrectMark 0 out of 1Not flaggedFlag question
helpful in making the respiratory effort of a client with Question text
metastatic lung cancer more efficient? For a male client who has acquired immunodeficiency
syndrome with chronic diarrhea, anorexia, a history of oral
a. candidiasis, and weight loss, which dietary instruction would
Placing the client in a low semi-Fowlers position be included in the teaching plan?
b. a.
Teaching the client diaphragmatic breathing techniques "Eat three large meals per day."
c. b.
Teaching and encouraging pursed-lip breathing "Include unpasteurized dairy products in the diet."
d. c.
Administering cough suppressants as ordered "Follow a high-protein, high-calorie diet."
Feedback
The correct answer is: Teaching and encouraging pursed-lip d.
breathing "Follow a low-protein, high-carbohydrate diet."
When performing a neurologic assessment on Ken, the Carlo has recently converted his outdoor garage to a gym. He
physician notices that there is contraction of his facial muscle has been exercising frequently in his new gym due to the
after tapping the facial nerve anterior to his ear. He recognize convenience, even in the extreme heat. He has started taking
this as Chvostek's sign. This is seen in: salt tablets. The physician thinks his current symptoms may be
owing to hypernatremia. His physician recognizes these as:
a.
Hypokalemia. a.
Cardiac arrhythmias, palpitations, and sinus arrest.
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
client's arterial blood oxygen saturation is 86% and he's still
b. wheezing. The nurse should plan to administer:
Antihypertensive medication administration
a.
c. Albuterol (Provetril)
Aortogram
b.
d. Alprazolam (Xanax)
Surgical intervention
Feedback c.
The correct answer is: Surgical intervention Morphine
Question 60
Question text Propanolol (Inderal)
What is the normal pH range for arterial blood? Feedback
The correct answer is: Albuterol (Provetril)
a. Question 64
7 - 7.20 CorrectMark 1 out of 1Not flaggedFlag question
Question text
b. Which of the following tests in performed on a client with
7.30 - 7.30 leukemia before initiation of therapy to evaluate the child's
ability to metabolize chemotherapeutic agents?
c.
7.35 - 7.45 a.
Liver function studies
d.
All of the above b.
Feedback Lumbar puncture
The correct answer is: 7.35 - 7.45
Question 61 c.
CorrectMark 1 out of 1Not flaggedFlag question Peripheral blood smear
Question text
The healthcare provider is assessing a client diagnosed with d.
ulcerative colitis. The client has an altered level of Complete blood count (CBC)
consciousness, fever, and lower abdominal distension. Which Feedback
of these additional findings would confirm a diagnosis of toxic The correct answer is: Liver function studies
megacolon? Question 65
a. Question text
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 CorrectMark 1 out of 1Not flaggedFlag question
this type of isolation? Question text
Nausea and vomiting are common adverse effects of radiation
a. and chemotherapy. When should a nurse administer
Gloves should be only worn when giving direct care. antiemetics?
b. a.
A special mask (N95) should be worn when working with the 30 minutes before the initiation of therapy.
client.
b.
c. When therapy is completed.
The client can be placed in a room with another client with
measles (rubeola). c.
Immediately after nausea begins.
d.
Must maintain a spatial distance of 3 feet. d.
Feedback With the administration of therapy.
The correct answer is: Must maintain a spatial distance of 3 Feedback
feet. The correct answer is: 30 minutes before the initiation of
Question 68 therapy.
The client with which of the following types of lung cancer Question text
has the best prognosis? Giving instructions for breast self-examination is particularly
important for clients with which of the following medical
a. problems?
Oat cell
a.
b. Cervical dysplasia
Squamous cell
b.
c. A dermoid cyst
Adenocarcinoma
c.
d. Ovarian cancer
Small cell
Feedback d.
The correct answer is: Squamous cell Endometrial polyps
CorrectMark 1 out of 1Not flaggedFlag question The correct answer is: Ovarian cancer
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, Rocco was admitted to the hospital with a diagnosis of
powders, and perfumes." hypomagnesemia. He is complaining of painful paresthesia.
Question 75 Which of the following do you recognize as part of his
CorrectMark 1 out of 1Not flaggedFlag question treatment plan?
Question text
When you breathe in air, you bring oxygen into your lungs a.
and blow out which of the following gas? Dialysis and removal of legumes and whole grains from the
diet.
a.
Carbon Dioxide b.
Monitoring cardiac rhythm and checking deep tendon reflexes.
b.
Hydrogen c.
Monitoring urinary output and auscultating bowel sounds.
c.
Carbon Monoxide d.
Palpating peripheral pulses and checking pupil reactions.
d. Feedback
Oxygen The correct answer is: Monitoring cardiac rhythm and
Feedback checking deep tendon reflexes.
The correct answer is: Carbon Dioxide Question 80
Question text Nurse Murphy administers Albuterol (Proventil), as
What does a critique of a research study always include? prescribed, to a client with emphysema. Which finding
indicates that the drug is producing a therapeutic effect?
a.
Researching similar studies a.
Respiratory rate of 22 breaths/minute
b.
None of the above b.
Dilated pupils
c.
Determining its strengths and weaknesses c.
Urine output of 40ml/hr
d.
Explaining your own personal opinions d.
Feedback Heart rate of 100 beats/minute
The correct answer is: Determining its strengths and Feedback
weaknesses The correct answer is: Respiratory rate of 22 breaths/minute
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.
CorrectMark 1 out of 1Not flaggedFlag question The amount of air inspired and expired with each breath is
Question text called:
Which of the following is TRUE about B cells?
a.
a. Dead-space Volume
Are responsible for cell-mediated immunity
b.
b. Residual Volume
Are produced in the adult spleen
c.
c. Vital Capacity
Are lymphocytes
d.
d. Tidal Volume
Become mature in the thymus Feedback
Feedback The correct answer is: Tidal Volume
The correct answer is: Are lymphocytes Question 88
Question text Rob has a history of using ecstasy. He is exhibiting symptoms
The client with cancer is receiving chemotherapy and of hypotension, nausea, diarrhea, personality change,
develops thrombocytopenia. The nurse identifies which diminished level of consciousness, and decreased deep tendon
intervention as the highest priority in the nursing plan of care? reflexes. Laboratory results confirm physician's suspicion of
hyponatremia. Treatment would include:
a.
Monitoring the platelet count a.
Calcium carbonate orally.
b.
Monitoring temperature b.
Use of salt substitute.
c.
Monitoring for pathological factors c.
0.33% sodium chloride intravenously.
d.
Ambulation three times a day d.
Feedback Water restriction.
The correct answer is: Monitoring the platelet count Feedback
Question 85 The correct answer is: Water restriction.
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
Which of the following is the primary goal for surgical Remind the patient about the need to return for retesting to
resection of lung cancer? verify the results.
a. c.
To remove the tumor and all surrounding tissue. Ask the patient to notify individuals who have had risky
contact with the patient.
b.
To remove as much as the tumor as possible, without d.
removing any alveoli. Inform the patient how to protect sexual and needle-sharing
partners.
c. Feedback
To remove the tumor and as little surrounding tissue as The correct answer is: Remind the patient about the need to
possible. return for retesting to verify the results.
Question 95
To remove all of the tumor and any collapsed alveoli in the Question text
same region. Which clinical manifestation would cause the nurse to suspect
Feedback that the client is diagnosed with Systemic Lupus
The correct answer is: To remove the tumor and as little Erythematosus?
surrounding tissue as possible.
Question 92 a.
CorrectMark 1 out of 1Not flaggedFlag question Fever and night sweats
Question text
A 56-year-old woman is currently receiving radiation therapy b.
to the chest wall for recurrent breast cancer. She calls her Joint edema and tenderness
health care provider to report that she has pain while
swallowing and burning and tightness in her chest. Which of c.
the following complications of radiation therapy is most likely Red, burning, tearing eyes
responsible for her symptoms?
d.
a. Chest tightness with wheezing on expiration
Radiation enteritis Feedback
The correct answer is: Joint edema and tenderness
b. Question 96
Esophagitis CorrectMark 1 out of 1Not flaggedFlag question
Question text
c. What is the first step in the qualitative research process?
Stomatitis
a.
d. Data analysis
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
b.
Hyperkalemia
c.
Hypokalemia
d.
Hypocalcemia
Feedback
The correct answer is: Hyperkalemia
Question 99
Question text
Nurse Gladys is assisting in administering immunizations at a
health care clinic. The nurse understands that an immunization
will provide:
a.
Protection from all disease
b.
Natural immunity from disease
c.
Acquired immunity from disease
d.
Innate immunity from disease
Feedback
The correct answer is: Acquired immunity from disease
Question 100
Question text
Which of the following phrases would be found in a report of
a qualitative study?
a.
"The control group received no instruction?"
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

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