RANK ONE NURSING REVIEW CENTER
CARE OF CLIENTS with PHYSIOLOGIC and PSYCHOSOCIAL ALTERATIONS
General Instructions:
1. This test booklet contains 100 test questions.
2. Shade only one box for each question on your answer sheet. Two or more boxes shaded will invalidate your answer
3. Avoid erasures
Situation: Beverly, 46 years old, married, and with history of taking oral contraceptive pills for 15 years is diagnosed to have breast cancer. She subsequently underwent right
modified radical mastectomy.
1. Beverly states “ I know I am not attractive anymore” the best response of the nurse will be;
a. “Would you wish to discuss this with me”
b. “That’s not important. It is only a benign thing”
c. “Of course you’re still attractive. You can always have a prosthesis later”
d. Have you discussed this with your husband?”
2. What will be an appropriate nursing diagnosis for Beverly?
a. ineffective coping related to total loss of breast
b. disturbance of self[esteem related to loss of breast
c. anticipatory grieving related to total loss of breast
d. grieving related to loss of breast
3. in early detection of breast cancer, which of the following examination is a priority?
RANK ONE NURSING REVIEW CENTER PROF. JOSIE QUIAMBAO-UDAN, RN, MAN
physical examination of the breast b. needs biopsy every 3 years
a. self-breast examination monthly c. mammography every year
4. Which of these may be used to her post operatively?
a. pleural drainage c. Two-way bottle
b. Hemovac d. Cystoclysis bottle
5. The nurse assists Beverly in doing which of the following exercises during the first 24 hrs following surgery?
a. elbow flexion and extension c. pendulum arm swings
b. shoulder abduction and external rotation d. hand wall climbing
6. the nurse includes which of the following in the nursing plan care for Beverly?
a. position the client supine with arm elevated on a pillow
b. take blood pressures in the right arm only
c. draw serum laboratory samples from the right arm only
d. check the right posterior axilla area when assessing the surgical dressing.
7. what is the most common complication of mastectomy which the nurse should prevent?
a. infection c. hematoma formation
b. hemorrhage d. lymphedema
8. the nurse determines that the client understands postoperative restrictions and arm care if the client states to;
a. use a straight razor to shave under the arms c. carry a handbag and heavy objects on the right arm
b. allow blood pressures to be taken only on the right arm d. use gloves when working in the garden
9. Teaching for effective home management is given to Beverly. Which of the following is not included?
a. avoidance of trauma and infection to the affected arm
b. total wound care including aseptic technique
c. assessment of the presence of lymphedema and its prevention
d. exercises to restore full range o motion to the shoulder can be done as son as she reaches home.
Situation: Ned is diagnosed with acute lymphoid leukaemia (ALL) ad is beginning chemotherapy.
10. Ned receiving the chemotherapy has an infiltration intravenous line and extravasation at the site. The nurse avoids doing which of the following in the management of this
situation?
a. stopping the administration of the medication
b. leaving the needle in place and aspirating any residual medication.
c. Administering an available antidote s prescribed
d. Applying direct manual pressure to the site.
11. Ned is beginning to show signs of stomatitis. To promote oral hygiene and comfort, the Nurse should;
a. provide frequent mouth washes with normal saline
b. apply viscous lidocaine to oral ulcers as needed
c. use lemon glyceride swabs every 2 hours
d. rinse mouth with hydrogen peroxide every 4 hours
12. Ned’s mother states to the nurse, “It’s hard to see Ned with no hair he had such lovely soft blonde hair.” The best response oft he nurse is;
a. “Ned looks very nice wearing a baseball hat”
b. “You shouldn’t worry about his hair just be glad he is alive.”
c. Yes, it is upsetting however, try to cover up your feelings when you’re with her or else he’ll get upset.”
d. This temporary, Ned will grow new hair in 3 – 6 months but it may be a different color and/ or texture.
13. Ned is discharge from the hospital following his chemotherapy treatment. Which statement by Ned’s mother indicates that she understand when she should contact the
physician?
a. “I should contact the physician if Ned has difficulty sleeping.”
b. “ I will call my doctor if Ned has persistent vomiting and diarrhea”
c. “my physician should be called if Ned is irritable and unhappy”
d. “Should Ned have continued hair loss. I need to call my doctor.”
Situation: At the medical ward, the nurse must also be concerned about total parenteral nutrition (TPN):
14. A. client receiving total parenteral nutrition (TPN) complains of nausea, excessive thirst, and increased frequency of voiding. The nurse initially assesses which of the
following client data?
a. Serum blood urea nitrogen and creatinine c. Last serum potassium
b. Capillary blood glucose d. Rectal temperature
15. The nurse performs fingerstick glucose, and the result indicates a glucose level of 400 mg/dl. Based on this findings, the nurse takes which action?
a. stops the TPN c. Increase the flow rate of the TPN
b. decrease the flow rate of the TPN d. Notifies the physician
16. You know that in TPN like blood transfusion, these should be no drug incorporation. However the MD’s order read; incorporate insulin to present TPN. Will you follow the
order?
a. No, because insulin will induce hyperglycemia in the patients with TPN
b. Yes, because insulin chemically stable with TPN and can enhance blood glucose level
c. No, because insulin is not compatible with TPN
d. Yes, because it was ordered by the MD
17. A client receiving total parenteral nutrition (TPN) suddenly develops chest pain, dyspnea, tachycardia, cyanosis, and decreased level of consciousness. The nurse suspects
which complication of TPN?
a. Hypergycemia c. Allergic reaction to the TPN catheter
b. Catheter – related sepsis d. Air embolism
18. The nurse, suspecting an air embolism, places the client in lateral trndelenburg position on the left side and then;
a. slows the rate of the TPN after checking the lines of air
b. clamps the catheter and notifies the physician
c. monitors vital signs every 30 minutes
d. boluses the client with 500 ml normal saline to break up the air embolus.
19. Which action of the nurse decreased the risk of infection for the clients receiving total parenteral nutrition?
a. assesses vital signs at four – hour intervals
b. instructs the client to perform a valsalva maneuver during intravenous tubing changes
c. administers acetaminophen (Tylenol) before changing the central line dressing
d. use aseptic technique in handling the TPN solution and tubing
20. Mrs. Paras is receiving total parenteral nutrition (TPN),; if you will evaluate her nutritional status, which of the following indicators will tell you that TPN was effective?
a. laboratory work up c. weight gain
b. adequate hydration d. diminish episode of nausea and vomiting
Situation: OR team efforts are best demonstrated in the OR
21. If you are the nurse in charge for scheduling surgical cases, what important information do you need to ask the surgeon?
RANK ONE NURSING REVIEW CENTER PROF. JOSIE QUIAMBAO-UDAN, RN, MAN
a. who is your internist?
b. Who is your assistant and anaesthesiologist, and what is your preferred time and type of surgery?
c. Who are your anaesthesiologist, and what is your preferred time and type of surgery?
d. Who is your anaesthesiologist?
22. In the OR, the nursing tandem for every surgery is;
a. instrument technician and circulating nurse
b. nurse anesthetist, nurse assistant, and instrument technician
c. Scrub nurse and nurse anesthetist
d. Scrub and circulating nurse
23. While team effort is needed in the OR for efficient and quality patient care delivery, we should limit the number of people in the room for infection control. Who comprise this
team?
a. surgeon, anaesthesiologist, scrub nurse, radiologist, orderly
b. surgeon, assistants, scrub nurse, circulating nurse, anaesthesiologist
c. surgeon, assistant surgeon, anaesthesiologist, scrub nurse and pathologist
d. surgeon, assistant surgeon, anaesthesiologist, intern, scrub nurse
24. When surgery is on going , who coordinates the activities outside, including the family?
a. orderly/clerk c. circulating nurse
b. nurse supervisor d. anaesthesiologist
25. The breakdown in teamwork is often times failure in;
a. electricity c. leg works
b. inadequate supply d. communication
Situation: Concerted work efforts among members of the surgical team are essential to the success of the surgical procedure;
26. The sterile nurse or sterile personnel touch only sterile supplies and instruments. When there is a need for sterile supply which is not in the sterile field, who hands out these
items by opening its outer cover?
a. circulating nurse c. surgeon
b. anaesthesiologist d. nursing aid
27. The OR team performs district roles for one surgical procedure to be accomplished within a prescribed time frame and deliver a standard patient outcome. While the surgeon
performs the surgical procedure, who monitors the status of the client like urine output, blood loss?
a. scrub nurse c. anaesthesiologist
b. surgeon d. circulating nurse
28. The functionality and integrity of instruments and medical devices used in surgical procedure, is the responsibility of the:
a. surgeon b. bio med technician c. OR nurse d. Scrub nurse
Situation: Joint Commission on Accreditation of Hospital Organization (JCAHO) patient safety goals and requirements include the care and efficient use of technology in the OR and
elsewhere in the health care facility;
29. As the head nurse in the OR, how will you improve the effectives of clinical alarm system?
a. limit supplies to a few so that quality is maintained
b. implementing a regular inventor of supplies and equipment
c. adherence to manufacturer’s recommendation
d. implement a regular maintenance and testing of alarm systems
30. Over dosage of medication or anesthetic can happen even with the aid of technology like infusion pums, How can you improve the safety of drug infusion pumps.
a. check the functionality of the pump before use.
b. Select your brand of infusion pump like you do with your cellphone
c. Allow the technician to set the infusion pump before use
d. Verify the flow rate against our computation
31. JCAHO’ s universal protocol for surgical and invasive procedures to prevent wrong sites, wrong person and wrong procedure/surgery, includes which of the following, except:
a. mark the operative site if possible
b. conduct pre procedure verification process
c. take a video of the entire intra – operative procedure
d. conduct “time-out” immediately before starting the procedure
32. You identified a potential risk of pre and postoperative clients. To reduce terisk of patient harm resulting from fall, you can implement the following except;
a. assess potential risk of all associate with the patient’s medication program
b. take action to address any identified risk through incident report (IR)
c. allow client to walk with relatives to our OR
d. assess and periodically reassess individual client’s risk for falling
33. As a nurse, you know you can improve on accuracy of patient’s identification by 2 patient identifiers, except;
a. identify the client by his/her wrist tag and verify with family members
b. identify the client by his/her wrist tag and call his/her by name
c. call the client by his/her case and bed number
d. call the patient by his/her name and bed number
Situation: You are assigned to take care of four patients with different condition:
34. Josua, who is to have a kidney transplant asks you know how long will he take azathioprime (Imuran) cyclosporine and prednisone? You recognized that Josua understood
the teaching when he states, “I must take these medications;
a. until the anastomosis heals c. until the supply is over
b. during the preoperative period d. for the rest of my life
35. After the kidney transplant, you must observe Josua for signs rejection, which includes;
a. fever and weight gain c. polyuria and jaundice
b. hematuria and seizure d. moon face and muscle atrophy
36. Francis, 28 years old with chronic renal disease plans to receive a kidney transplant. Recently, Francis was told by his physician that he was a poor candidate for transplant
because of his hypertension and diabetes mellitus. Now, Frances tells you “ I want to go off dialysis; I’d rather not live than to be in this treatment the rest of my life”. How
would you respond to him?
a. leave the room and allow him to collect his thoughts
b. tell Francis that “we all have days when we don’t fell like going on”
c. tell Francis that “Treatments are only three times a week, you can live with that”
d. take a sit next to him and sit quietly?
37. Diana signed a consent form for participation in clinical trial implantable cardioverter defibrillators. Which statement by Diana indicates the need for further teaching before
true informed consent can be obtained?
a. a wire from the generator will be attached to my heart
b. The physician will make a small incision in my chest wall place the generator there
c. I wonder if there is another way to protect these bad rhythms.
d. This implanted defibrillator will protect me from those bad rhythms my heart goes into.
RANK ONE NURSING REVIEW CENTER PROF. JOSIE QUIAMBAO-UDAN, RN, MAN
38. Patrick is participating in a cardiac study in which his physician is directly involved. Which statement by Patrick indicates a lack of understanding about his rights as a research
study participant?
a. My confidentiality will not be compromised in this study
b. I understand the risk associated in this study
c. I can withdraw from the study anytime
d. I’ll have to find a new physician if I don’t complete this study
Situation: Foot care among patients with peripheral vascular problems is very important;
39. When teaching a client with peripheral vascular disease about foot care, you should include which instructions?
a. avoid wearing canvas shoes
b. avoid using nail clipper to cut toe nails
c. avoid use of cornstarch on the foot
d. avoid wearing cotton socks
40. Floyd, who has known history of peripheral vascular disease, comes to the emergency room complaining in sudden onset of lower leg pain. Inspection and palpation reveal
absent pulses, paresthesia and mottled, cyanotic, cold, cadaverous left calf. While the physician determines the appropriate management, you should:
a. shave the affected leg in anticipation surgery c. Keep the affected leg level or slightly dependent
b. place a heating pad around the calf d. Elevate the affected calf as high as possible
41. Peripheral neuropathies primary affect:
a. sensory functions c. optic functions
b. vascular functions d. motor functions
42. Peripheral neuropathy can best be controlled by:
a. good glucose control c. vitamin supplement
b. steroid therapy d. nothing, there is no slowing process
Situation: Andrea is a admitted to the ER following an assault where she was hit in the face and head. She was brought to the ER by a police woman. Emergency measures were
stated:
43. As Andrea’s nurse, what will be our priority interventions?
a. insert an intravenous catheter c. obtain arterial blood gasses
b. insert an oral or nasopharyngeal airway d. give 100% oxygen
44. Andrea’s arterial blood gasses is respiratory acidosis. This most likely related to:
a. Partially obstructed airway c. Head injury
b. Ineffective breathing pattern d. Pain
45. Andrea loses consciousness. You should prepare for which of the following FIRST?
a. placement of nasogastric tube
b. placement of a second IV line
c. Endotracheal intubation or surgical airway placement
d. CT scan of the head
46. Andrea’s physician gives an order of Mannitol 0.25 g/kg IV bolus for increased ICP. This is given to;
a. promote cerebral tissue fluid movement
b. promote renal perfusion
c. correct acid –base imbalances
d. enhance renal-excretion of drugs
47. As Andrea’s nurse, your goal is to prevent increased intracranial pressure (ICP). Which of the following independent nursing interventions is not suited for her?
a. Do oropharyngeal suction every 15 minutes to prevent pulmonary aspiration.
b. Keep head of bed 30-45 degrees elevated
c. Maintain Andrea’s head in straight alignment and prevent hip flexion
d. Prevent constipation and increase intra-abdominal pressure
48. What do you call the triad of sign and symptoms seen in a client with increasing ICP?
a. Virchow’s triad c. Cushing’s triad
b. The Chinese triad d. Charcoat triad
Situation: Specific surgical interventions may be done when lung cancer is detected early. You have “important peri-operative” responsibilities in caring for patients with lung cancer:
49. Horace underwent lobectomy. Which of the following is the purpose of Horace’s closed chest drainage post lobectomy?
a. Facilitation of coughing c. Expansion of the remaining lung
b. Promotion of wound healing d. Prevention of mediastinal shift
50. When transporting clients with chest tube, the system should be;
a. disconnected
b. closed
c. placed lower than the patient’s chest
d. placed between the legs of the client to prevent breakage
51. Which of the following observations indicates that the closed chest drainage is functioning properly?
a. absence of bubbling in the suction control bottle
b. the fluctuating movement of fluid in the long tube of the water-seal bottle during inspiration
c. intermittent bubbling through the long tube of the suction control bottle
d. less than 25 ml drainage in the drainage bottle
52. A nurse assesses the water seal chamber of a closed chest drainage system and notes fluctuations in the chamber. The nurse determines that this finding indicates that;
a. an air leak is present c. the lung has re expanded
b. the tubing is kinked d. the system is functioning as expected
53. The nurse assists the physician with the removal of a chest tube. What action would prevent the cause of complication?
a. gently pulling the tube upon exhalation c. quickly pulling the tube upon exhalation
b. gently pulling the tube upon inhalation d. quickly pulling the tube upon inhalation
54. Following lobectomy you can best help Horace to reduce pain during deep breathing and coughing exercises by;
a. placing him on his operative side during exercises
b. splinting his chest with both hands during exercises
c. administering the prescribed analgesic immediately prior to exercises
d. providing rest for six hours before exercises
55. Peter underwent pneumonectomy. During the immediate postoperative period, deep tracheal suction should be done with extreme caution because;
a. peter will not be able to tolerate coughing
b. the tracheobrachial trees are dry
c. the remaining normal lung needs minimal stimulation
d. the bronchial suture line may be traumatized
56. on which of the following position should you place Peter who just underwent pneumonectomy?
a. prone position b. on his abdomen or on the side opposite the surgery
RANK ONE NURSING REVIEW CENTER PROF. JOSIE QUIAMBAO-UDAN, RN, MAN
c. on his back or on the side of surgery d. any position is acceptable
57. The client scheduled for a transurethral prostectomy (TURP) has listened to the surgeon’s explanation of the surgery. The client later aks the nurse to explain again how the
prostate is going to be removed. The nurse tells the client that the prostate will be removed through;
a. the urethra using cutting wire c. an upper abdominal incision
b. an incision made in the perineal area d. a lower abdominal incision
58. A nurse is planning to do preoperative teaching with a client scheduled for a transcuretharal resection of the prostate (TURP). The nurse plans to include in the discussion
that the most frequent cause of postoperative pain will be;
a. the lower abdominal incision c. bladder spasms
b. bleeding within the bladder d. tension on the foley catheter
59. A client with benign prostatic hyperplasia undergoes transurethral resection of the prostate (TURP). The nurse orders which of the following solutions from the pharmacy so it
is available postoperatively for continuous bladder irrigation (CBI)?
a. Sterile water c. Sterile dakin’s solution
b. Sterile normal saline d. Sterile water with 5% dextrose
Situation: Mang Felix, a 79 years old man who is brought to the surgical unit from PACU after a transurethral resection of the prostate (TURP). You are assigned to receive him.
You noted that he has a 3 – way indwelling catheter for continuous fast drip bladder irrigation which is connected to a straight drainage;
60. Immediately after surgery, what would you expect his urine to be?
a. light yellow b. amber c. bright red d. pinkish to red
61. The purpose of the continuous bladder irrigation is to:
a. allow continuous monitoring of the fluid output status
b. provide continuous flushing of clots and debris from the bladder
c. allow for proper exchange of electrolytes
d. ensure accurate monitoring of intake and output
62. Mang Felix informs you that he feels some discomfort on the hypogastric area and he has to void. What will be your most appropriate action?
a. remove his catheter then allow him to void on his own
b. irrigate his catheter
c. tell him to “Go ahead and void. You have an indwelling catheter”
d. Assess color and rate outflow, if there is a change refer to urologist for possible irrigation
63..Knowing that proper documentation of assessment findings and interventions are important responsibilities of the nurse during the first postoperative day, which of the following
is the LEAST relevant to document in the case of Mang Felix?
a. Chest pain and vital signs
b. Intravenous infusion rate
c. Amount, color and consistency of bladder irrigation drainage
d. Activities of daily living started
64. During a meal a client with hepatitis B dislodges her IV line and bleeds on the surface of the over – the – bed table. It would be most appropriate for the nurse to instruct a
housekeeper to clean the table with:
a. alcohol b. acetone c. ammonia d. bleach
65. Studies have shown that the highest incidence of Hodgkin’s disease is common among young adults. Juana 20 years old approaches you and tells you “ Iam worried about hthe
mass on my neck”. What should you do as a nurse?
a. tell her there is nothing to worry if it does not bother her
b. palpate juana’a neck and explain the possible cause
c. tell her hodgkin’s disease is common among young adults like her
d. tell her to see a doctor
66. All the following are used for the diagnosis of hodgkin’s lymphoma except;
a X-ray b. Bone marrow Biopsy c. angiography d. CT scan
Situation: Radiation therapy is another modality of cancer management. With emphasis on multidisciplinary management you have important responsibilities as a nurse;
67. Albert is receiving external radiation therapy and he complains of fatigue and malaise. Which of the following nursing interventions would be most helpful for albert?
a. tell him that sometimes these feelings can be psychogenic
b. refer him to the physician
c. reassure him that these feelings are normal
d. help him plan his activities and rest period
68. Immediately following the radiation therapy, Albert is:
a. considered radioactive for 24 hrs c. placed on isolation for 6 hours
b. given a complete bath d. free from radiation
69. Albert is admitted with radiation induced thrombocytopenia. As a nurse you should observe the following symptoms:
a. Petechiae, ecchymosis, epistaxis c. Headache, dizziness, blurred vision
b. weakness, easy fatigability, pallor d. severe sore throat, bacteremia, hepatomegaly
70. What nursing diagnosis should be of the highest priority?
a. Knowledge deficit regarding thrombocytopenia precautions
b. activity intolerance
c. impaired tissue perfusion
d. ineffective tissue perfusion, peripheral, cerebral
71. what intervention should you include in your care plan?
a. inspect his skin for petechiae, bruising, GI bleeding regularly
b. place Albert on strict isolation precaution
c. provide rest in between activities
d. administer antipyretics if his temperature exceeds 38 ◦c
72. Niño is being treated with radiation therapy. What should be included in the plan of care to minimize skin damage from the radiation therapy?
a. cover the areas with thick clothing materials c. wash akin with water after the therapy
b. apply a heating pad to the site d. avoid applying creams and powders to the area
Situation: A “disaster” is a large scale emergency – even a small emergency left unmanaged may turn into a disaster. Disaster preparedness is crucial and is everybody’s business.
There are agencies that are in charge of ensuring prompt response. Comprehensive Emergency Management (CEM) is an integrated approach to the management of emergency
programs and activities for all four emergency phases (mitigation, man made and attack) and for all levels of government and private sectors:
73. Which of the four phases of emergency management is defined as “ sustained action that reduces or eliminates long term risk to people and property from natural hazards and
their effects”?
a. recovery b. mitigation c. response d. preparedness
74. you are a community health nurse sollaborating with the red cross and working with disaster relief following a typhoon, which flooded and devastated the province. Finding safe
housing for survivors, organizing support for the family, organizing counselling debriefing sessions and securing physical care are the services you are involved with. To which type
of prevention are these activities included:
a. tertiary prevention b. primary prevention c. aggregate care prevention
75. During the disaster, you see a victim with a green tag, you know that the person:
RANK ONE NURSING REVIEW CENTER PROF. JOSIE QUIAMBAO-UDAN, RN, MAN
a. Has injuries that are significant and require medical care but can wait hours with threat to life or limb
b. has injuring that are threatening but survival is good with minimal intervention
c. indicates injuries that are extensive and chances of survival are unlikely even with definitive care
d. has injuries that are minor and treatment can be delayed from hours to days
76. The term given to a category to triage that refers to life threatening or potentially threatening injury or illness requiring immediate treatment:
a. immediate b. emergent c. non-acute d. urgent
77. which of the following terms refer to a process by which the individual receives education about recognition of stress reaction and management strategies for handling stress,
which may be instituted after a disaster?
a. clinical incident stress management c. debriefing
b. follow-up d. defusion
78. Circulation must be restored within 4 minutes of cardiopulmonary arrest because:
a. the lungs fill with fluid c. brain cells begin to die
b. the blood begins to coagulate d. irreversible kidney failure develops
79. A nurse is assisting at a code and the physician is going to defibrillate the client. Of the following items, which is the only one that the nurse does not need to remove from the
client just before the client is defibrillated?
a. back board
b. oxygen
c. nitroglycerin patch
d. pulse oximetry machine plugged into an electrical socket
80. A physician is about to defibrillate a client in ventricular fibrillations and says in a loud voice “CLEAR!” The nurse immediately:
a. shuts off the intravenous infusion going into the client’s arm
b. shuts off the mechanical ventilator
c. steps away from the bed and makes sure all others have done the same
d. places the conductive gel pads for defibrillation on the client’s chest
81. You are reviewing the laboratory results of Clare who has rheumatoid arthritis. Which laboratory result should you expect to find?
a. increased platelet count
b. altered blood urea nitrogen (BUN) and creatinine levels
c. Electrolyte imbalance
d. Elevated erythrocyte sedimentation rate (ESR)
82. A nurse provides discharge instructions to a client with rheumatoid arthritis. The instructions focus on measures to lessen discomfort and provide joint protection, and the nurse
tells the client to:
a. change position every hour
b. lift items rather than sliding them
c. Perform prescribed exercises even if the joints are inflamed
d. avoid stooping, bending or overreaching
83. which type of medication is most commonly used to treat rheumatoid arthritis?
a. glucocoticoids c. antimalarial drugs
b. Nonsteroidal anti-inflammatory drugs (NSAIDS) d. Gold salts
Situation: You were on duty at the medical ward when Zeny came in for admission for tiredness, cold intolerance, constipation, and weight gain. Upon examination, the doctor’s
diagnosis was hypothyroidism:
84. Your independent nursing care for hypothyroidism includes;
a. administer sedative round the clock c. providing a cool, quiet, and comfortable environment
b. administer thyroid hormone repalcement d. encourage to drink 6-8 glasses of water
85. As the nurse, you should anticipate to administer which of the following medications to Zeny who is diagnosed to be suffering from hyopothyroidism?
a. livothyroxine b. lidocain c. lipitor d. levophed
86. Your appropriate nursing diagnosis for Zeny who is suffering from hypothyroidism would probably include which of the following.
a. activity intolerance related to tiredness associated with disorder
b. risk to injury related to incomplete eyelid exposure
c. imbalance nutrition related to hypermetabolism
d. deficient fluid volume related to diarrhea
87. Myxedema coma is life threatening complication of long standing and untreated hypothyroidism with one of the following characteristic:
a. hyperglycemia b. hypothermia c. hyperthermia d. hypoglycaemia
88. As the nurse, you know that the most common type of goiter is related to a deficiency of:
a. thyroxine b. thyrotropin c. iron d. Iodine
89.Jonah with hypertension was prescribed by her doctor to take isoptin. She asks nurse budget what is the action of isoptin.
a. relieves pain b. vasodilation c. vasoconstriction d. relieves itchiness
90. The nurse includes which of the following in a health teaching in a client receiving treatment for hypertension in order to avoid orthostatic hypotension?
a. Change position quickly c. eat a high fiber diet
b. make sure the legs are relaxed before standing up d. avoid alcohol
91. Atorvastatin (lipitor) has been prescribed for a client, and the client asks the nurse about the action of the medication. The nurse respond that this medication:
a. decreased low density lipoproteins c. increased plasma cholesterol levels
b. decrease high density lipoproteins d. increased plasma triglycerides
92. What should the nurse teach a client taking atorvastatin?
a. The medication is taken before meals
b. the medication will decrease the amount of fat absorbed by the body
c. report to the doctor if unexpected muscle weakness occurs
d. the medication is best taken in the morning
Situation: Colorectal cancer can affect old and younger people. Surgery procedures and other modes of treatment are done to ensure quality of life. You are assigned in the Cancer
Institute to care patients with this type of cancer:
93. Larry 55 years old, who is suspected of having colorectal cancer, is admitted to the CI. After taking the history and vital signs the physician does which tests as a screening test
for colorectal cancer?
a. Barium enema c. Annual digital rectal examination
b. carcinoembryonic antigen d. proctosigmoidoscopy
94. To confirm his impression of colorectal cancer, Larry will require which diagnostic study?
a. carcinoembryonic antigen c. stool hematologic test
b.proctosigmoidoscopy d. abdominal Computed Tomography (CT) test
95. The following are risk factors for colorectal cancer except:
a. inflammatory bowels c. smoking
b. high fat, high fiber test d. genetic factors familial adenomatous
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96. Symptoms associated with cancer of the colon include:
a. constipation, ascites and mucus in the stool c. blood in the stools, anemia and pencil-shaped stools
b. diarrhea, heartburn and eructation d. Anorexia, hematemesis and increased peristalsis
97. Several days prior to bowel surgery, Larry may be given sulfasuximidine and neomycin primarily to:
a. promote rest of the bowel by minimizing peristalsis c. empty the bowel of solid waste
b. reduced the bacterial content of the colon d. soften the stool by retaining water in the colon
98. You are on duty in the medical ward. You were asked to check the narcotics cabinet. You found out that what is on record does not tally with the drugs used. Which among the
following will you do first?
a. Write an incident report and refer the matter to the nursing director
b. keep your findings to yourself
c. report the matter to your supervisor
d. find out from the endorsement any patient who might have been given narcotics
99. You are on duty in the medical ward. The mother of your patient, who is also a nurse, came running to the nurse’s station and informed you that Fiolo went into cardiopulmonary
arrest. Which among the following will you do first?
a. start basic life support measures c. bring the crash cart to the room
b. call for the Code d. go to see Fiolo and assess for airway patency
100. you are admitted Jorge to the ward and you found out that he is positive for HIV. Which among the following will you do first?
a. take note of it and plan to endorse this to next shift c. write an incident report
b. keep this matter to yourself d. report the matter to your head nurse
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RANK ONE NURSING REVIEW CENTER PROF. JOSIE QUIAMBAO-UDAN, RN, MAN