Situation 6. Meg, a psychologist sought the help of Dr. Evangelista, a neurologist, because of headache. History revealed that the headache started when she banged her right frontal area 2 months ago after the bus she was riding on made a sudden stop.
26. For early detection of Meg's problem, Dr. Evangelista ordered EEG (electroencephalogram). This is:
a. Reading of the electrical activity of the grey matter of the brain
b. Reading of the electrical activity of the heart
c. Reading of the electrical muscle of the brain
d. Reading of the electrical activity of the dura matter of the brain
27. Nurse Naj should address to her that EEG is useful in assessing the following, EXCEPT:
a. Type of seizure disorder
b. Location of fraction
c. Infection such as meningitis
d. Extend of head injury
28. The nurse physical preparation for this diagnostic procedure to her client must include:
a. A clean body
b. An excellent bed bath
c. A good shampoo
d. A clean hair
29. Which of these must be avoided from 24 to 48 hours prior to EEG?
a. Stimulants and anti-convulsants
b. Stimulants and sedatives
c. Anti-pyretics and stimulants
d Anti-convulsants and analgesics
30. If desired, which of these foods may be allowed for Meg to take few hours before her EEG?
a. Tea c. Cola
b. Coffee d. Ice Cream
Situation 7. Senator Rann, a post exploratory laparotomy client, is transported to the surgical unit.
31. Nurse Leana's primary concern upon receiving Senator Rann in the unit is to:
a. Check proper positioning
b. Check for bleeding
c. Check the dressing
d. Check peripheral perfusion
32. The nurse saw blood on the big top dressing (BTD) about the size of a ten centavo coin, what step will Nurse Leana do?
a. Encircle the edge of the bloody area with your pen
b. Reinforce the dressing
c. Change the dressing
d. Call the physician immediately
33. The following can be life threatening postoperative complications, EXCEPT:
a. Wound dehiscence c. Infection
b. Hemorrhage d. Secondary pneumonia
34. The physician ordered a vasoconstrictor drug PRN. Which of these will the nurse give?
a. Levophed c. Xylocard
b. Isordil d. Verelan
35. Senator Rann's blood pressure now is 80/60. In order to promote increased venous return from the legs without interfering cardiac output, nurse Leana will position him in what matter?
a. The lower extremities is elevated at a 45-degree angle from the hip, with the knees straight and the head slightly higher than the chest
b. Fowler's position
c. The lower extremities is elevated at a 35-degree angle from the hip, with the knees straight and the head on a level more higher than the chest
d. Lithotomy position
Situation 8. Infections are quite commonly the reasons for a client’s hospitalization. Appropriate interpretation of diagnostic tests and measures for infection control are helpful in the management of patient care.
36. Lucy underwent diagnostic test and the result of the blood examination are back. On reviewing the result the nurse notices which of the following as abnormal finding?
a. Neutrophils – 60%
b. White blood cells (WBC) – 9000/mm
c. Erythrocyte sedimentation rate (ESR) - 39 mm/hr
d. Iron - 75 mg/100 ml
37. Surgical asepsis is observed when:
a. Inserting an intravenous catheter
b. Disposing of syringes and needles in puncture proof containers
c. Washing hands before changing wound dressing
d. Placing dirty soiled linen in moisture resistant bags
38. A client with viral infection will most likely manifest which of the following during the illness stage of the infection?
a. Client was exposed to the infection 2 days ago but without any symptoms
b. Oral temperature shows fever
c. Acute symptoms are no longer visible
d. Client “feels sick” but can do normal activities
39. Which of the following laboratory test result indicate presence of an infectious process?
a. Erythrocyte sedimentation rate (ESR) - 12 mm/hr
b. White blood cells (WBC) – 18,000/mm3
c. Iron - 90 g/100ml
d. Neutrophils – 67%
40. Among the clients you are assigned to take care of, who is the most susceptible to infection?
a. Diabetic client
b. Client with burns
c. Client with pulmonary emphysema
d. Client with myocardial infarction
Situation 9. Nicole, a two-year-old girl, is brought to the emergency department of San Pedro Hospital because of poisoning.
41. The first emergency action in poisoning is:
a. Give the antidote c. Induced vomiting
b. Lavage the patient d. Identify the poison
42. If the poison is corrosive, what is the best way to mange the poison?
a. Induced vomiting
b. Do gastric lavage
c. Give two parts burned toast
d. Administer syrup of Ipecac
43. Universal antidotes includes the following, EXCEPT:
a. One part milk of magnesia
b. One tablespoon Ipecac
c. Two parts burned toast
d. One part strong tea
44. The least priority in giving nursing interventions for Nicole is directed towards:
a. Providing supportive care
b. Correcting acid-base imbalance
c. Removing the poison from the child's body
d. Teaching parents safety measures to prevent future accidental poisoning
45. What is the rationale for using activated charcoal in poisoning?
a. Promotes acid-base balance
b. Absorbs or inactivates substance
c. Precipitates metals, alkaloids and glucosides
d. Neutralizes acids
Situation 10. Mrs. Padma, 84 years old, is admitted to Davao Doctor's Hospital for evaluation health status. Understanding the characteristics of elderly will enable the nurse to plan carefully.
46. Which of the following statements is not a common observation in assessment of elderly clients?
a. Increased dependence
b. Decline in sex function
c. Reduced functional capacity
d. Disease is unavoidable
47. Mrs. Padma will have most difficult in distinguishing what color?
a. Green and red c. Gold and blue
b. Blue and green d. Red and blue
48. What should be avoided when talking with Mrs. Padma who has a hearing problem?
a. Face the client when speaking
b. Accompany talk with sign language
c. Shout loudly and clearly
d. Speak nearest to her ear
49. Mrs. Padma is prone to infection because of:
a. Diminished physical activities
b. Decreased immune system functioning
c. Increased exposure to microorganisms
d. inadequate nutrition due to poor appetite
50. The nurse knows that elders often have difficulty reading because of an age-related decrease in tear production called “dry eye.” The most appropriate intervention for “dry eye” is to:
a. Encourage use of eye drops
b. Encourage reading indoors only
c. Empathize with them
d. Encourage them to get new eyeware
Posts
No comments :
Post a Comment