51. The
MOST effective method of delivering pain
medication
during the emergent phase is:
a.
intramuscularly
b. orally
c.
subcutaneously
d.
intravenously
52. When a
client accidentally splashes chemicals to
his eyes,
The initial priority care following the
chemical
burn is to:
a. irrigate
with normal saline for 1 to 15
minutes
b.
transport to a physician immediately
c.
irrigate with water for 15 minutes or
longer
d. cover
the eyes with a sterile gauze
53. Which
of the following can be a fatal
complication
of upper airway burns?
a. stress
ulcers
b. shock
c.
hemorrhage
d.
laryngeal spasms and swelling
54. When a
client will rush towards you and he has a
burning
clothes on, It is your priority to do which
of the
following first?
a.
log roll on the grass/ground
b. slap the
flames with his hands
c. Try to
remove the burning clothes
d. Splash the
client with 1 bucket of cool water
55. Once
the flames are extinguished, it is most
important
to:
a. cover
clientwith a warm blanket
b. give him
sips of water
c.
calculate the extent of his burns
d.
assess the Sergio’s breathing
56. During
the first 24 hours after the thermal injury,
you should
asses Sergio for:
a.
hypokalemia and hypernatremia
b.
hypokalemia and hyponatremia
c.
hyperkalemia and hyponatremia
d. hyperkalemia
and hypernatremia
57. A
client who sustained deep partial thickness
and full
thickness burns of the face, whole
anterior
chest and both upper extremities two
days ago
begins to exhibit extreme restlessness.
You
recognize that this most likely indicates that
the client
is developing:
a.
Cerebral hypoxia
b.
metabolic acidosis
c.
Hypervolemia
d. Renal
failure
58. A 165
lbs trauma client was rushed to the
emergency
room with full thickness burns on the
whole face,
right and left arm, and at the
anterior
upper chest sparing the abdominal area.
He also has
superficial partial thickness burn at
the
posterior trunk and at the half upper portion
of the left
leg. He is at the emergent phase of
burn. Using
the parkland’s formula, you know
that during
the first 8 hours of burn, the amount
of fluid
will be given is:
a.
5,400 ml
b. 9, 450
ml
c. 10,800
ml
d. 6,750 ml
59. The
doctor incorporated insulin on the client’s
fluid
during the emergent phase. The nurse
knows that
insulin is given because:
a. Clients
with burn also develops
Metabolic
acidosis
b. Clients
with burn also develops hyperglycemia
c. Insulin
is needed for additional energy
and glucose
burning after the stressful
incidence
to hasten wound healing,
regain of
consciousness and rapid return
of
hemodynamic stability
d.
For hyperkalemia
60. The IV
fluid of choice for burn as well as
dehydration
is:
a. 0.45%
NaCl
b. Sterile
water
c. NSS
d.
D5LR
Situation:
ENTEROSTOMAL THERAPY is now considered a
specialty
in nursing. You are participating in the OSTOMY
CARE CLASS.
61. You
plan to teach Fermin how to irrigate the
colostomy
when:
a. The
perineal wound heals And Fermin
can sit
comfortably on the commode
b. Fermin
can lie on the side comfortably,
about the
3rd postoperative day
c. The
abdominal incision is closed and
contamination
is no longer a danger
d.
The stools starts to become formed,
around
the 7th postoperative day
62. When
preparing to teach Fermin how to irrigate
colostomy,
you should plan to do the procedure:
a.
When Fermin would have normal bowel
movement
b. At least
2 hours before visiting hours
c. Prior to
breakfast and morning care
d. After Fermin
accepts alteration in body image
63. When
observing a return demonstration of a
colostomy
irrigation, you know that more
teaching is
required if Fermin:
a.
Lubricates the tip of the catheter prior to
inserting
into the stoma
b.
Hangs the irrigating bag on the
bathroom
door cloth hook during fluid
insertion
c.
Discontinues the insertion of fluid after
500 ml of
fluid has been instilled
d. Clamps
of the flow of fluid when felling
uncomfortable
64. You are
aware that teaching about colostomy
care is
understood when Fermin states, “I will
contact my
physician and report:
a.
If I have any difficulty inserting the
irrigating
tub into the stoma.”
b. If I
noticed a loss of sensation to touch in
the stoma
tissue.”
c. The
expulsion of flatus while the
irrigating
fluid is running out.”
d. When
mucus is passed from the stoma
between the
irrigations.”
65. You
would know after teaching Fermin that
dietary
instruction for him is effective when he
states, “It
is important that I eat:
a. Soft
food that is easily digested and
absorbed by
my large intestines.”
b. Bland
food so that my intestines do not
become
irritated.”
c. Food low
in fiber so that there are fewer
stools.”
d.
Everything that I ate before the
operation,
while avoiding foods that
cause
gas”.
Situation:
Based on studies of nurses working in special
units like
the intensive care unit and coronary care unit,
it is
important for nurses to gather as much information
to be able
to address their needs for nursing care.
66.
Critically ill patients frequently complain about
which of
the following when hospitalized?
a. Hospital
food
b.
Lack of privacy
c. Lack of
blankets
d.
Inadequate nursing staff
67. Who of
the following is at greatest risk of
developing
sensory problem?
a. Female
patient
b.
Transplant patient
c.
Adoloscent
d.
Unresponsive patient
68. Which of
the following factors may inhibit
learning in
critically ill patients?
a. Gender
b.
Educational level
c.
Medication
d. Previous
knowledge of illness
69. Which
of the following statements does not
apply to
critically ill patients?
a. Majority
need extensive rehabilitation
b.
All have been hospitalized previously
c. Are
physically unstable
d. Most
have chronic illness
70.
Families of critically ill patients desire which of
the
following needs to be met first by the nurse?
a.
Provision of comfortable space
b.
Emotional support
c. Updated
information on client’s status
d.
Spiritual counselling
Situation:
Johnny, sought consultation to the hospital
because of
fatigability, irritability, jittery and he has been
experiencing
this sign and symptoms for the past 5
months.
71. His
diagnosis was hyperthyroidism, the following
are
expected symptoms except:
a.
Anorexia
b. Fine
tremors of the hand
c.
Palpitation
d. Hyper
alertness
72. She has
to take drugs to treat her
hyperthyroidism.
Which of the following will you
NOT expect
that the doctor will prescribe?
a.
Colace (Docusate)
b. Tapazole
(Methimazole)
c. Cytomel
(Liothyronine)
d.
Synthroid (Levothyroxine)
73. The
nurse knows that Tapazole has which of the
following
side effect that will warrant immediate
withholding
of the medication?
a. Death
b.
Hyperthermia
c.
Sore throat
d.
Thrombocytosis
74. You
asked questions as soon as she regained
consciousness
from thyroidectomy primarily to
assess the
evidence of:
a. Thyroid
storm
b.
Damage to the laryngeal nerve
c.
Mediastinal shift
d.
Hypocalcaemia tetany
75. Should
you check for haemorrhage, you will:
a.
Slip your hand under the nape of her
neck
b. Check
for hypotension
c. Apply
neck collar to prevent
haemorrhage
d. Observe
the dressing if it is soaked with
blood
76. Basal
Metabolic rate is assessed on Johnny to
determine
his metabolic rate. In assessing the
BMR using
the standard procedure, you need to
tell Johnny
that:
a.
Obstructing his vision
b.
Restraining his upper and lower
extremities
c.
Obstructing his hearing
d.
Obstructing his nostrils with a clamp
77. The BMR
is based on the measurement that:
a. Rate of
respiration under different
condition
of activities and rest
b.
Amount of oxygen consumption under
resting
condition over a measured
period
of time
c. Amount
of oxygen consumption under
stressed
condition over a measured
period of
time
d. Ratio of
respiration to pulse rate over a
measured
period of time
78. Her
physician ordered lugol’s solution in order
to:
a.
Decrease the vascularity and size of the
thyroid
gland
b. Decrease
the size of the thyroid gland only
c. Increase
the vascularity and size of the
thyroid
gland
d. Increase
the size of the thyroid gland only
79. Which
of the following is a side effect of Lugol’s
solution?
a.
Hypokalemia
b. Enlargement
of the Thryoid gland
c.
Nystagmus
d.
Excessive salivation
80. In
administering Lugol’s solution, the
precautionary
measure should include:
a.
Administer with glass only
b.
Dilute with juice and administer with a
straw
c.
Administer it with milk and drink it
d. Follow
it with milk of magnesia
Situation:
Pharmacological treatment was not effective
for Johnny’s
hyperthyroidism and now, he is scheduled
for
Thyroidectomy.
81.
Instruments in the surgical suite for surgery is
classified
as either CRITICAL, SEMI CRITICAL and
NON
CRITICAL. If the instrument are introduced
directly
into the blood stream or into any
normally
sterile cavity or area of the body it is
classified
as:
a.
Critical
b. Non
Critical
c. Semi
Critical
d. Ultra
Critical
82.
Instruments that do not touch the patient or
have
contact only to intact skin is classified as:
a. Critical
b.
Non Critical
c. Semi
Critical
d. Ultra
Critical
83. If an
instrument is classified as Semi Critical, an
acceptable
method of making the instrument
ready for
surgery is through:
a.
Sterilization
b.
Disinfection
c.
Decontamination
d. Cleaning
84. While
critical items and should be:
a. Clean
b.
Sterilized
c.
Decontaminated
d.
Disinfected
85. As a
nurse, you know that intact skin acts as an
effective
barrier to most microorganisms.
Therefore,
items that come in contact with the
intact skin
or mucus membranes should be:
a.
Disinfected
b. Clean
c. Sterile
d.
Alcoholized
86. You are
caring for Johnny who is scheduled to
undergo
total thyroidectomy because of a
diagnosis
of thyroid cancer. Prior to total
thyroidectomy,
you should instruct Johnny to:
a. Perform
range and motion exercise on
the head
and neck
b. Apply
gentle pressure against the
incision
when swallowing
c. Cough
and deep breathe every 2 hours
d.
Support head with the hands when
changing
position
87. As
Johnny’s nurse, you plan to set up emergency
equipment
at her bedside following
thyroidectomy.
You should include:
a. An
airway and rebreathing tube
b.
A tracheostomy set and oxygen
c. A crush
cart with bed board
d. Two
ampules of sodium bicarbonate
88. Which
of the following nursing interventions is
appropriate
after a total thyroidectomy?
a. Place
pillows under your patient’s
shoulders.
b. Raise
the knee-gatch to 30 degrees
c. Keep you
patient in a high-fowler’s
position.
d.
Support the patient’s head and neck
with
pillows and sandbags.
89. If
there is an accidental injury to the parathyroid
gland
during a thyroidectomy which of the
following
might Leda develops postoperatively?
a. Cardiac
arrest
b.
Respiratory failure
c. Dyspnea
d.
Tetany
90. After
surgery Johnny develops peripheral
numbness,
tingling and muscle twitching and
spasm. What
would you anticipate to
administer?
a.
Magnesium sulfate
b.
Potassium iodide
c.
Calcium gluconate
d.
Potassium chloride
Situation:
Budgeting is an important part of a nurse
managerial
activity. The correct allocation and
distribution
of resources is vital in the harmonious
operation
of the financial balance of the agency.
91. Which
of the following best defines Budget?
a.
Plan for the allocation of resources for
future
use
b. The process
of allocating resources for future use
c. Estimate
cost of expenses
d.
Continuous process in seeing that the
goals and
objective of the agency is met
92. Which
of the following best defines Capital
Budget?
a. Budget
to estimate the cost of direct
labour,
number of staff to be hired and
necessary
number of workers to meet
the general
patient needs
b. Includes
the monthly and daily expenses
and
expected revenue and expenses
c.
These are related to long term planning
and
includes major replacement or
expansion
of the plant, major
equipment
and inventories.
d. These
are expenses that are not
dependent
on the level of production or
sales. They
tend to be time-related, such
as salaries
or rents being paid per month
93. Which
of the following best described
Operational
Budget?
a. Budget
to estimate the cost of direct
labour,
number of staff to be hired and
necessary
number of workers to meet
the general
patient needs
b.
Includes the monthly and daily
expenses
and expected revenue and
expenses
c. These
are related to long term planning
and
includes major replacement or
expansion
of the plant, major
equipments
and inventories.
d. These
are expenses that are not
dependent
on the level of production or
sales. They
tend to be time-related, such as rent
94. Which
of the following accurately describes a
Fixed Cost
in budgeting?
a. These
are usually the raw materials and
labour
salaries that depend on the
production
or sales
b. These
are expenses that change in
proportion
to the activity of a business
c.
These are expenses that are not
dependent
on the level of production or
sales.
They tend to be time-related,
such
as rent
d. This is
the summation of the Variable
Cost and
the Fixed Cost
95. Which
of the following accurately describes
Variable
Cost in budgeting?
a. These
are related to long term planning
and include
major replacement or
expansion
of the plant, major
equipments
and inventories.
b.
These are expenses that change in
proportion
to the activity of a business
c. These
are expenses that are not
dependent
on the level of production or
sales. They
tend to be time-related, such
as rent
d. This is
the summation of the Variable
Cost and
the Fixed Cost
Situation –
Andrea is 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 started.
96. Andrea’s
respiration is described as waxing and
waning. You
know that this rhythm of respiration
is defined
as:
a. Biot’s
b.
Cheyne stokes
c. Kussmaul’s
d. Eupnea
97. What do
you call the triad of sign and symptoms
seen in a
client with increasing ICP?
a. Virchow’s
Triad
b.
Cushing’s Triad
c. The
Chinese Triad
d. Charcot’s
Triad
98. Which
of the following is true with the Triad
seen in
head injuries?
a.
Narrowing of Pulse pressure, Cheyne
stokes
respiration, Tachycardia
b.
Widening Pulse pressure, Irregular
respiration,
Bradycardia
c. Hypertension,
Kussmaul’s respiration,
Tachycardia
d.
Hypotension, Irregular respiration,
Bradycardia
99. In a
client with a Cheyne stokes respiration,
which of
the following is the most appropriate
nursing
diagnosis?
a.
Ineffective airway clearance
b. Impaired
gas exchange
c.
Ineffective breathing pattern
d. Activity
intolerance
100. You
know the apnea is seen in client’s with
cheyne
stokes respiration, APNEA is defined as:
a.
Inability to breathe in a supine position
so the
patient sits up in bed to breathe
b. The
patient is dead, the breathing stops
c.
There is an absence of breathing for a
period
of time, usually 15 seconds or more
d. A period
of hypercapnea and hypoxia
due to the
cessation of respiratory effort
inspite of normal respiratory functioning
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