NP3
1. Nurse Ailah administered 2 tablets of Losartan to Patient Grande within the past 24 hours. According to the doctor's orders, Patient Thea is to receive 100mg of valsartan a day. With this information, Tamara knows that the stock dose Nurse Ailah has on hand is: * a. Losartan 1 mg/tablet b. Losartan 25 mg/tablet c. Losartan 20mg/tablet d. Losartan 50 mg/tablet
D
11. Which of the following questions should be asked by the nurse to accurately describe biliary colic? * A. Nararamdaman niyo po ba ang sakit bagomatulog? B. Nararamdaman niyo po bang sakit sa kaliwang parte ng inyong tiyan? C. Panandalian lamang po ba ang sakit? D. Nararamdaman niyo po ba ang sakit matapos kumain?
D
21. Upon assessment, which of the following differentiates Crohn's disease from ulcerative colitis? * A. Presence of bleeding: severe in Crohn's disease while in Ulcerative Colitis bleeding is mild. B. Presence of diarrhea: severe in Crohn's disease in ulcerative colitis it is mild C. Affected area: Crohn's disease is the descending while Ulcerative colitis is the ascending colon. D. Course of the disease: Crohn's disease is prolonged and variable, Ulcerative colitis has a remission and exacerbation
D
37. Upon administration of theophylline, you are monitoring Anna for which drug induced adverse effect? * A. Bradycardia B. Diarrhea C. Constipation D. Restlessness
D
42. Luke is a 25-year-old patient suspected to have chronic myelogenous leukemia. He is advised to undergo bone marrow biopsy. The following bones may be used for the procedure, except: * a. Posterior superior iliac b. Anterior superior iliac spine c. Sternum d. Triquetrium
D
47. Xavier is teaching a patient with crutches how to go up the stairs. Which among the following should he instruct the patient with? * a. When moving the affected leg up, the body weight should be on the crutches. b. The unaffected leg goes up the step after the affected leg. c. Patient should keep his feet together at the bottom of the stairs d. The crutches and the affected leg go up the step together.
D
56. Which of the following manifestations of the child would cause you to be alarmed? * A. Excessive sweating B. Choking sensation C. Cough with phlegm D. Generalized chest tightness
D
62. Patient Cassandra, was ordered by the physician to undergo several diagnostic tests. You expect that patient will have an elevation of ________. * A. Bromsulphalein excretion B. Lactate dehydrogenase C. Serum gamma glutamyltranspeptidase D. Alkaline phosphatase
D
64. Ms. Cassandra is prepared for surgery. Nurse Edwin provides comfort measures to relieve pain with the following nursing intervention, EXCEPT _______. * A. Quiet environment B. Positioning C. Administering analgesic D. Back rub
D
67. Which ONE of the following vitamins is interfered when there is obstruction of the bile flow in cholecystitis? * A. Vitamin C B. Vitamin B C. Vitamin B12 D. Vitamin K
D
78. While Nurse Denise was completing her assessment, she discovered the following findings. Which of the following should she refer immediately to the physician? * A. Tingling sensation of the hands and feet neuropathy B. Changes in the peripheral vision retinopathy C. Beginning ulceration of the left big toe D. Fruity odor breath
D
80. Nurse Denise's counseling role includes lifestyle changes as well as pharmacologic regimen. Emily's family were interested to know information regarding insulin. She differentiated an intermediate acting insulin from that of short-acting which is _________. * A. Regular onset is 2 hrs. Peak is 3 ½ hr., duration -7 hrs., administered 20-30 min. before meal B. Regular onset is 2-4 hr., peak is 4-12 hr., duration is 8 hr., administered 20-30 min. after meal C. Regular, onset is 1 ½ hr, peak is 3-4 hrs, duration is 6 hrs. administered 20-30 min after meal D. Regular onset is 1 ½ - 1hr, peak is 2-3 hr., 4-6hr duration administered 20-30 min. before
D
16. Given the following assessment cues, Nurse Olivia makes a nursing care plan with the priority nursing diagnosis of: * A. Anxiety related to actual threat to biological integrity secondary to heart failure B. Ineffective breathing patterns related to decreased respiratory depth secondary to pain C. Activity intolerance related to compromised oxygen transport system secondary to heart failure D. Activity intolerance related to compromised oxygen transport system secondary to heart muscle dysfunction
B
2. Phenytoin (Dilantin) 200mg PO BID was prescribed to a patient. The medication label reads 0.1 g/capsule. For each dose, the nurse prepares how many capsules to give to the patient? * a. 500 b. 2 c. 3 d. 4
B
20. The nurse knows that the management of a patient with heart failure requires interprofessional collaboration. Mr. Sonny asks Nurse Olivia from whom can he ask for assistance and counsel regarding home care services. Nurse Olivia responds that the professional who can help him with his concern and who assists the continuing care nurse with planning the patient's discharge is the: * A. Physical therapist B. Social worker C. Psychologist D. Head nurse
B
23. Which systemic complication can be expected from a patient with Crohn's Disease? * A. Perforation B. Small bowel obstruction C. Hemorrhage D. Megacolon
B
34. Nurse Nikki knows that the approximate length of a normal female urethra is: * a. 1.5-2.5 cm b. 4-6.5 cm c. 20-25 cm d. 10-12 cm
B
36. The following are expected assessment findings for Anna except: * A. Decreased tactile fremitus B. Resonant to tympanitic C. Wheezing sounds D. Crackles
B
45. Immediately after obtaining blood for an arterial blood gas examination, Nurse Wanda instructs the patient to do which of the following? * a. Perform ROM exercise on the proximal joint. b. Apply pressure for 5-10 minutes c. Elevate extremity above heart level. d. Increase oral fluid intake.
B
49. Nurse Xavier asks two more nurses to help him logroll a patient. Where should Xavier place the patient's arms prior to logrolling? * a. Along the sides b. Crossed on the chest c. Overhead, extended d. Behind the hips
B
69. Which of the following conditions is NOT a side effect of anticholinergic drugs? * A. Constipation B. Blurred vision C. Dryness of the mouth D. Increased blood pressure
B
71. Which of the following is a form of dispute resolution and considered a legal technique which is outside the court? * A. SuppressiOn B. Arbitration C. Bribe D. Negotiation
B
75. A team building session was conducted by the HRDO task force to come up with strategies for conflict resolution. Which of the following is a WIN-WIN approach in conflict management? * A. Each party involved agree to respond to majority vote B. Each participants agree to resolve conflicts by adhering to the Institutional Vision and Mission C. Each participants will give way to 60-40% of their agreements D. Disagreements are settled with respective compromises on issues presented
B
76. There are metabolic abnormalities in the development of type 2 Diabetes. Which of the following is NOT included in these abnormalities? * A. Inappropriate production of the liver B. Increased ability of the pancreas to produce insulin C. Insulin resistance D. Altered production of hormones by adipose tissues
B
77. Ms. Emily was admitted to the hospital for further check-up. Which of the following diagnostic tests do you expect to be ordered by the diabetologist as an indicator that the patient is compliant to her prescribed diet? * A. Oral glucose tolerance test B. Glycosylated hemoglobin level (hgb, Alc) C. Finger glucose findings for one day D. Fasting blood glucose level
B
83. Nurse Tyler practiced surgical asepsis during foot care. Which of the following techniques has to be observed? * A. Opening container of sterile water after putting gloves on. B. Changing the sterile field after sterile water spilled on it C. Placing sterile dressing 2 cm from the edge of the sterile field. D. Cleaning the wound in circular motion from outer towards the ulcer site
B
6. Nurse Ravi is selecting a vein for an intravenous transfusion in a 62-year-old patient. He wants to dilate and distend the veins for easier insertion. He does the following methods, except: * a. Tapping the selected vein multiple times b. Placing extremity in a dependent position if there are no contraindications c. Applying warm washcloth on to the extremity for several minutes d. Stroking the extremity from distal to proximal below his desired site
A
61. Patient Cassandra's vomiting can be treated with a nasogastric tube insertion with a suction attachment. This measure will remove the gastric juice stimulating painful contractions of the gallbladder which is __________. * A. Cholecystokinin B. Ecchymosis C. Lithotripsy D. Acalculus
A
72. Change is defined "as making something different from what it was". If you become a unit manager in the future, which of the following is your FIRST step as an agent in promoting successful change in your health care setting? * A. Revisit Institutional Vision-Mission and adhere to its commitment B. Obtain majority agreements when issues are presented C. Include obsessed people as part of your Task force for change D. Ignore organizational conflict as possible
A
9. Six hours after initiating an IV line in a patient, Nurse Ravi noticed that the IV site was red and warm. The patient complained that it was painful. Nurse Ravi would suspect which of the following? * a. Phlebitis b. Extravasation c. Infiltration d. Clot formation
A
38. Upon administration of Theophylline, the therapeutic effect that you would expect is: * a. Decrease in breath sounds b. Increase in body temperature c. Decrease in wheezing d. Pruritus
C
41. A patient with suspected pneumonia is ordered to have sputum culture and sensitivity. Nurse Wanda orders the patient to cough up how much sputum into the container? * a. 15-30mL b. 1-5 mL c. 4-10mL d. 250mL
C
44. Nurse Wanda knows that 24-hour urine collection is needed in determining the following, except: * a. Vanillylmandelic acid (VMA) in pheochromocytoma b. Uric acid in gouty arthritis c. Culture and sensitivity of causative agent in urinary tract infections d. Creatinine clearance in acute kidney injury (AKI)
C
51. To describe a sensation of severe pain felt for ruptured appendicitis, Nurse Melody applies deep pressure of her finger into the abdomen at a point away from the pain and then releases. This maneuver is termed as __________. * A. PerforaTion B. McBurney's Point C. Rovsing's sign D. Rebound tenderness
C
52. Mr. Ong was diagnosed with ruptured appendicitis. When the appendix is suspected ruptured, a generalized abdominal pain is felt and becomes ____________. * A. Merely a discomfort and steady rather that intermittent B. Intense and the patient guards the area by living room C. Rigid, stiff and board like feeling D. Tender and focused on the umbilical cord region
C
54. After operation, a nasogastric tube (NGT) was inserted to Patient Ong. The rationale for this surgical measure is to _________. * A. Prevent use of antibiotics B. Decrease hospitalization to two days C. Decrease pain after the operation D. Avoid the use of analgesics
C
57. You would like the child to be comfortable in bed. Which position should you put the child to ease his discomfort? * A. Lying on his side B. Prone position C. High Fowler's Position D. Supine position
C
58. The Pediatrician ordered theophylline by IV route. The effect(s) of this drug is __________. * A. Decrease gastric acid secretion B. Causes coronary vasoconstriction C. Relaxes the smooth muscle of the bronchial tree D. Stimulation of the peripheral nervous system
C
59. What APPROPRIATE activity should you advise the child while in the hospital? * A. Talk on the phone with his classmates adolescent B. Finish his assignments in school promote rest C. Watch cartoon movies on TV D. Play with his teddy bear promote rest, reserve energy
C
60. The patient is ready to go home. What health teachings can you give to him and to his mother? 1) Prevent the child from exposure to dust and pollutants 2) Avoid exposure to extreme hot or cold weather 3) Increase fluid intake 4) Avoid hyper-allergenic food * A. 1 and 2 B. 2, 3, 4 C. 1, 2, 3, 4 D. 1 only
C
63. Nurse Edwin provides important instructions to Ms. Cassandra on the prevention of Cholelithiasis. Select all that apply. 1) Maintain ideal weight 2) Adapt low fat diet 3) Regular exercise 4) Prevent pregnancy * A. 2, 3 ,4 B. 1, 3, 4 C. 1, 2, 3 D. 1, 2, 4
C
68.The patient was ordered Endoscopic Retrograde Cholangiopancreatography (ERCP). He was put on a mild sedation. As a Nurse, what should you check as a PRIORITY action when he returns to the ward? * A. Irritation of oropharynx B. Nausea and vomiting C. cough and gag reflex D. Signs of bleeding
C
73. Decision-making in an organizational structure comes at many levels. The level which is considered empowering to staff-member is when the unit manager does which one of the following? * A. Makes a decision when she reads the reported concerns B. Ask direct report from personnel to decide on a solution C. Makes a decision after convening a core group to analyze the concerned issues D. Makes a decision by herself and assumes responsibility for her action
C
74. The nurse manager is receiving some feedback that one of her staff-nurses has been observed to be always irritated, "bossy", and indifferent to her patients and some co-workers. Which of the following PRIORITY nursing actions should the manager implement? * A. Conduct a joint meeting of both parties involved B. Request the concerned patients and co-workers to submit an Incident report C. Call the nurse concerned and talk to her privately about the observations D. Give a memo to the nurse involved
C
79. Nurse Denise, the nurse in charge of patient Emily, informed her physician that her serum glucose level is 38mmol/L and quite unresponsive to verbal questioning. The nurse suspects that she is starting to develop Diabetes Ketoacidosis (DKA). Which of the following manifestations is UNIQUE to this condition? * A. Shallow slow respirations B. Increased serum potassium C. Rapid deep respirations D. Decreased serum albumin
C
28. Which among the following is not true regarding grief in the older population? * a. Many older adults exhibit resilience in facing losses. b. They are not at risk for complicated grieving. c. Their increased age increases their likelihood of having faced multiple losses. d. Positive reappraisal helps older adults adapt to significant losses.
B
32. An enema to provide relief from gaseous distention is prescribed to a patent. Nikki knows that this is a/an: * a. Oil retention enema b. Carminativeenema c.Soapsuds enema d. Fleet enema
B
14. One of the most common complications post-operatively is: * A. Pleurisy B. Bronchopneumonia C. Pneumonia D. COPD
C
27. What is the immediate focus of nurses in caring for a grieving family who just lost their father from cancer? * a. Post-mortem care b. Return patient's belongings (watch, clothes, etc) to the family c. Obtaining consent for autopsy d. Provide and facilitate time for mourning
D
50. In applying restraints, Xavier should employ which type of ie? * a. Half-bow b. Surgical tie c. Double knot d. Two-throw knot
A
8. How often should Nurse Ravi observe a patient with intravenous infusions? * a. Every 2 hours b. Every 6 hours c. Every 8 hours d. Every 12 hours
A
92. You are a nurse in Las Piñas Doctors Hospital and have just completed a 2 year experience in the surgical unit. One day, your supervisor ordered you to go on a float to the Intensive Care Unit (ICU) as two of the nurses called "on sick" in the said unit. What is the MOST important action you should do in this situation? * A. Explain to your supervisor that you might not be able to perform safely your duty as a nurse in the unit B. File a leave instead and call your husband to fetch you in the hospital C. Refuse the order and tell your supervisor you don't want to put your license in jeopardy D. Report to the surgical ward of your assignment and request one of your nurses to replace you instead as floater in the ICU.
A
48. Xavier is assisted by another staff nurse in lifting a patient. Which among the following actions will prevent injury to Xavier? * a. Keeping the feet wide apart and knees extended b. Positioning himself close to the patient c. Using the muscles of the back in lifting d. Rotating at the waist in lifting
B
26. Which among the following is not considered palliative care? * a. Administering anti-emetics to a cancer patient who underwent chemotherapy b. Frequently turning the position of a comatose patient post-CVA c. Removing the tumor in a Stage I breast cancer d. Providing pain relief to a cancer patient
C
29. Which among the following statements from Nurse Vebs assesses the social support systems of a person experiencing grief from the death of his sister? * a. "What does this loss mean to you?" b. "Tell me how you are feeling." c. "Which friends or family members do you wish were here with you?" d. "Tell me about your relationship with your sister."
C
65. Immediate postoperative care of Nurse Edwin includes providing careful instructions to Ms. Cassandra. Which of the following interventions should be delegated to the caregiver? * A. Administration of intravenous therapy B. Reinforce information on exercise C. T-tube care and changing D. Instructions for the reduction of pain
C
0. What should be the size/gauge of the needle Nurse Ravi would use in administering IV infusions for trauma patients? * a. 18 b. 22 c. 20 d. 24
A
100. The POD established Honey's diagnosis that she is suffering from acquired valvular heart disease. This condition is brought about by _______. * A. Rheumatic fever B. Drug abuse C. alcohol consumption D. heredity
A
18. The doctor ordered oxygen administration for the patient. The nurse knows that the rationale behind this intervention is that: * A. Oxygen helps to decrease the work of breathing B. Oxygen is contraindicated in heart failure so the order is questionable C. Oxygen is given to reduce anxiety D. Oxygen is administered through mechanical ventilation only
A
22. In terms of therapeutics, which of the following medications can be used for inflammatory bowel diseases? * A. Corticosteroids B. Atropine sulfate C. Dulcolax D. Maalox
A
33. After inserting a nasogastric tube, Nikki checks its placement by measuring the pH of the aspirate. Nikki knows that proper placement has likely been made if the aspirate has a pH of: * a. pH 3.0 b. pH 7.0 c. pH 9.0 d. pH 7.4
A
66. Which of the following clinical manifestations would you MOST likely to observe when a patient is suffering from Cholelithiasis? * A. Indigestion, pain on the right upper quadrant radiating pain to the shoulder B. Vague left upper quadrant pain radiating to the scapula C. Feeling of abdominal tenderness after waking-up in the morning D. Feeling of abdominal fullness after taking meals
A
7. Which among the following catheters is used for less than 24 hours? * a. Butterfly needle b. Midline catheter c. Plastic indwelling cannula d. Angiocath
A
70. When a client has a nasogastric tube (NGT) due to abdominal distention post surgery. Which of the following nursing responsibilities should you do? 1) Measure gastric secretion every shift 2) Observe and record color, viscosity of secretions 3) Ensure that the gastric tube is patent 4) Assist patient to assume a comfortable position * A. 1, 2, 3 and 4 B. 1, 2 and 3 C. 1 and 2 D. 2, 3, and 4
A
81. Nurse Tyler holds the hands of Darlyn while doing her assessment. Her hands were cold and clammy, she suspected that the patient was having hypoglycemia. To relieve her condition, an immediate action is to offer her _________. * A. Candy B. Full meal C. Sandwich D. Fruits
A
86. What will be your FIRST pre-operative nursing measure? * A. Get informed consent from the mother. B. Change the boy's street clothes to surgical gown C. Shave the operative site D. Call the OR nurse for scheduling
A
97. Aside from the EKG and laboratory studies, the POD ordered patient Honey to undergo cardiac catheterization to establish further the medical diagnosis of Valvular heart disease. Which of the following is NOT true as part of Nurse Jenny instructions to the patient regarding this procedure? * A. Signing of consent is optional B. Normal procedure is less than 2 hours C. Fasting should be 8 to 12 hours D. Presence of pounding sensation in the chest during the procedure
A
31. Nurse Nikki teaches an incontinent patient bowel training. Which among the following would Nikki not include in her health teaching? a. Opioids are avoided to prevent decrease in bowel peristalsis. b. Regular exercise is encouraged. c. Leaning backward at the hips while sitting on the toilet will help stimulate colon emptying. d. A hot tea or fruit juice may be taken before the patient defecates.
C
82. Nurse Tyler watches Ms. Darlyn while sleeping. An EXCELLENT guideline to differentiate if a patient is just sleeping or experiencing hypoglycemic reaction is when one is observed to be _______. * A.With dyspnea B. Snoring C. With diaphoresis D. Grunting his teeth
C
88. The nurse must prepare the OR environment to be safe and comfortable for the child by reducing the air conditioning temperature so as to prevent ___________. * A. Hypoventilation B. Hyperventilation C. Hypothermia D. Hyperthermia
C
95. What is the MOST important Nursing measure that Nurse Nicole should have done to avoid this situation? 1) Monitor and record closely the vital signs until stable 2) Report to the surgeon the vital signs and degree of bleeding from operative site 3) Call the supervisor on duty to assist you in referring the patient to the surgeon 4) Ask the family members to call the surgeon to see the patient * A. 2 & 3 B. 1, 2 & 3 C. 1 & 2 D. 1 & 3
C
96. What specific information is essential for the Health professionals to know when this EKG is ordered for patient Honey? * A. Rate, rhythm and pressure within the blood vessels B. Rate, rhythm, axis and circulation C. Rate, rhythm, axis, hypertrophy, and infarction D. Rate, hypertrophy and blockage to the chambers of the heart
C
99. When teaching patient Honey about self-management following cardiac catheterization, Nurse Jenny should emphasize to AVOID which ONE of the following? * A. Diet high in Protein and Carbohydrates to low cholesterol and fats B. Lifting objects heavier than five (5) lbs C. Taking shower with the site covered after 24 hours D. Light exercise program within 48 hours when tolerated
C
84. Nurse Tyler after foot care encourages Patient Darlyn to do which of the following APPROPRIATE measures? A. Apply lanolin generously between the toes B. Cut toenails rounded at the edges and close to the skin C. Apply alcohol after cleansing feet to improve infection D. Wear a shoe-type slipper at home
D
89. The scrub nurse has to prepare for a pediatric herniotomy. Which of the following should be ready? * A. Subcuticular 3/0 round, absorbable B. Subcuticular 3/0 cutting, absorbable C. Monofilament 3/0 cutting, absorbable D. Monofilament 3/0 round, absorbable
D
90. The mother was afraid to submit the child for surgery. What is the BEST response to the Nurse in this situation? * A. "It is alright to feel that way but you cannot do anything now." B. "It is the doctor's order; you'll have to accept the situation." C. "Your child's condition is an emergency case. If he is not operated on, he will die." D. "I understand your feelings, but your child needs to be operated on."
D
91. The Professional Regulation Commission, Board of Nursing (PRC- BoN) as a regulatory board has the legal functions and responsibilities EXCEPT in ONE of the following ___________. * A. Ensure the quality nursing education by jointly monitoring with the Commission on Higher Education (CHED) adherence to its guidelines, policies and standards B. Monitor and enforce quality standards and nursing practice in the Philippines to ensure efficient, ethical, moral, technical professional standards C. Issue, suspend or revoke certificates of registration for the practice of nursing D. Recognize specialty organizations in coordination with the accredited professional organization and collect fees to upgrade the conditions of Nurses
D
93. Janna, a 35-year old, married to an insurance agent, was diagnosed with colon cancer only a month ago. The couple have very limited information about this condition. One day, you saw the husband in the room reading the chart which was inadvertently left by a medical intern. What PRIORITY Nursing actions should you do in this situation? * A. Get the chart from the husband so he will not be able to read the diagnosis of his wife B. Explain to the husband as per policy, relatives are not allowed to read the chart C. Report immediately to the supervisor on duty and submit an incident report D. Ask the husband what information he would like to ask from the health care professional regarding medical plan and diagnosis
D
3. Mannitol 0.25g/kg/day was prescribed to a 7-year-old patient with meningitis. The patient weighs 28.6 lbs. How much mannitol should the nurse give? * a. 32.5 g b. 3.25 mg c. 3.25 g d. 0.325 g
NO CORRECT ANSWER
5. Amoxicillin 250 mg oral suspension is prescribed to a patient q8h. Nurse Ailah checked the stock dose and saw that the bottle reads Erythromycin Oral Suspension 125mg/5mL. How much will Nurse Ailah administer to the patient in a day? * a. 6 mL b. 12 mL c. 10mL d. 30mL
NO CORRECT ANSWER
85. Ms. Darlyn was administered NPH insulin at 8 am. At what time would Nurse Tyler expect the patient to be at risk for hypoglycemic reaction. * A. 11 am B. Noon C. 6 pm D. 4 pm
B
87. The boy is transferred to the operating room. What is the BEST mode to be used in transferring the patient? * A. Nurses' carry B. Stretcher C. mother's carry D. wheelchair
B
94. Nurse Nicole, is assisting Mr. Caca who just came from the Recovery unit for a thoracic surgery. She noted that the dressings are saturated with blood, but the Surgeon just reassured the Nurse to reinforce the dressings and monitor him closely. After an hour, Mr. Caca went into shock and died. The family filed charges against the Doctor and the Nurse. What is the lawsuit involved in this case? * A. Murder B. Assault C. Battery D. Malpractice
B
98. Nurse Jenny must be alert that certain complications may arise after the procedure. What PRIORITY nursing assessment should she observe? * A. Tingling sensation B. Signs of bleeding at the puncture site C. Blurring vision D. Disorientation
B
12. In a patient with obstructive jaundice, which of the following assessment findings would you expect? * a. Itchiness of the abdomen b. Clay-colored stool c. Reddish-colored urine and stool d. Presence of urobilinogen in the urine
B
13. Mr. Matthew bile duct exploration with open cholecystectomy. A t-tube was connected to drain after surgery. After 12 hours, there was a marked decrease in output from 260 ml to 90 ml. What is the nurse's priority action? * A. Call the physician stat B. Assess the tube for any obstruction C. Irrigate the tube with normal saline D. Change the position.
B
15. Which dietary restriction should be recommended by the nurse to help prevent recurrence of stone formation? * A. Orange juice, pan de sal B. Whole milk, dairy crème , fried chicken breast C. Steamed lapu-lapu, nilagang okra, salabat D. Nilagangsaba, vegetable salad,
B
17. Mr. Sonny has been diagnosed with heart failure. Nurse Olivia expects this patient to not exhibit the following signs and symptoms EXCEPT: * A. Pulse rate of 48 bpm B. Murmurs C. Respiratory rate of 18 cpm D. Strong, bounding pulse
B
19. Nurse Olivia prepares to perform the following interventions for the immediate management of Mr. Sonny excluding: * A. Establish an IV line and administer PNSS immediately B. Monitor heart rate and dysrhythmia by using a cardiac monitor C. Continuously assess level of consciousness D. Provide reassurance and support to the patient
A
24. In order to accurately diagnose ulcerative colitis, which of the following laboratory studies is needed? * A. Proctosigmoidoscopy B. Albumin study c. colonoscopy d. ultrasound
A
25. Which of the following is the MOST appropriate nursing diagnoses for a patient in acute exacerbation of ulcerative colitis? i. Imbalanced nutrition less than body requirements R/T impaired absorption ii. Risk for deficient fluid volume R/T abnormal fluid loss iii. Risk for ineffective tissue perfusion R/T low hemoglobin iv. Acute Diarrhea R/T inflammation of the bowel * a. ii& iii b. I, ii, & iii c. I, ii, iii, & iv d. i& ii
A
30. Which nursing action of Nurse Vebs will promote a dying, elderly patient's dignity and self-esteem? * a. Providing him regular baths and good hygiene b. Instructing the patient's family members to decide for his food choices c. Calling the elderly patient by his first name only d. Encouraging his siblings to join during your private conversations with the patient
A
35. To prevent urinary tract infection in a female patient with an indwelling catheter, Nikki instructs her to decrease intake of which of the following fruit juices? * a. Pineapple juice b. Prune juice c. Apple juice d. Cranberry juice
A
39. Karl asks the nurse why Anna needs Theophylline. The best response of the nurse is: * a. "Pinaluluwag nito ang daluyan ng hangin." b. "Iniiwasan nito na magkaroon pa ng allergic attack si Athena." c. "Iniiwasan nito na atakihin ng epilepsy si Athena" d. "Binabawasan nito ang pamamaga ng baga"
A
4. Nurse Ailah received an order of enalapril 10 mg OD for a hypertensive patient. How many tablets will she give to the patient if they have a stock dose of 20mg/tablet? * a. 1/2 tablet b. 1 tablet c. 1 ½ tablets d. 2 tablets
A
40. Karl brought food in Anna's room. Which of the following food should be restricted for Anna in consideration to her therapeutic regimen? * a. White Chocolate Mocha drink b. Mango juice c. One piece chicken with rice d. One peach mango pie
A
43. Patient Sola likes to eat melons and strawberries. On the day of her specimen collection for fecal occult blood, she claimed that she has been bingeing on these fruits since 5 days ago. What will be its implication on the test/results? * a. Results can become falsely positive for occult blood. b. Results can become falsely negative for occult blood. c. Increased intake of fruits will confirm presence of occult blood in stool. d. Stool specimen will become clay-colored.
A
46. Xavier is caring for a patient with an arm cast. He knows that the functional position of the wrist and fingers is which among the following: * a. Wrist in extension, fingers and thumb in flexion b. Wrist in flexion, fingers in flexion, thumb in extension c. Wrist in flexion, fingers and thumb in flexion d. Wrist in extension, fingers in flexion, thumb in extension
A
53. Immediate surgery was done on Mr. Ong. Which of the following measures for pain control is NOT advisable to be done by Nurse Melody while patient Ong is having post-op pain? * A. Coughing exercises B. Deep breathing C. High-fowler's position D. Semi-fowler's position
A
55. Nurse Melody assesses the pain intensity of Mr. Ong. The pain assessment tool APPROPRIATE to be used for Mr. Ong is _____________. * A. Faces Pain Rating scale B. Visual Rating Scale C. World Rating Scale D. Numeric Rating Scale
A
