Professional Documents
Culture Documents
Kidney failure
b) Urinary output of 15 ml
c)
d)
5. A client has a phosphorus level of 5.0mg/dL. The nurse closely monitors the client
for?
a)
Signs of tetany
b)
c)
Cardiac dysrhythmias
d)
Hypoglycemia
6. A nurse is caring for a child with pyloric stenosis. The nurse would watch out for
symptoms of?
a)
b)
Watery stool
c)
Projectile vomiting
d)
Dark-colored stool
7.The nurse responder finds a patient unresponsive in his house. Arrange steps for
adult CPR.
a)
Assess consciousness
b) Give 2 breaths
c)
f)
Check breathing
b)
c)
Lung expansion
d)
9.Which if the following young adolescent and adult male clients are at most risk for
testicular cancer?
d)
Polyuria
b)
c)
Hypertension
d)
Laryngospasm
11.An 18-month-old baby appears to have a rounded belly, bowlegs and slightly large
head. The nurse concludes?
a)
b)
c)
d)
12.A nurse is going to administer 500mg capsule to a patient. Which is the correct
route?
d)
14.A nurse is preparing to give an IM injection of Iron Dextran that is irritating to the
subcutaneous tissue. To prevent irritation to the tissue, what is the best action to be
taken?
a)
Control seizures
b)
c)
d)
17.A nurse is going to administer ear drops to a 4-year-old child. What is the correct
way of instilling the medicine after tilting the patients head sidewards?
a) Pull the pinna back then downwards
b) Pull the pinna back then upwards
20.During a basic life support class, the instructor said that blind finger sweeping is not
advisable for infants. Which among the following could be the reason?
a) The mouth is still too small
b) The object may be pushed deeper into the throat
c) Sharp fingernails might injure the victim
d) The infant might bite
21.A nurse enters a room and finds a patient lying on the floor. Which of the following
actions should the nurse perform first?
a)
b)
c)
d)
22.A patient with complaints of chest pain was rushed to the emergency department.
Which priority action should the nurse do first?
a)
Hepatitis A vaccine
b) Hepatitis B vaccine
c) Rotavirus Vaccine
d) Pneumococcal Vaccine
24.Several patients from a reported condominium fire incident were rushed to the
emergency room. Which should the nurse attend to first?
a)
A 15-year-old girl, with burns on the face and chest, reports hoarseness of the
voice
b) A 28-year-old man with burns on all extremities
c) A 4-year-old child who is crying inconsolably and reports severe headache
d) A 40-year-old woman with complaints of severe pain on the left thigh
25.The doctor ordered 1 pack of red blood cells (PRBC) to be transfused to a patient.
The nurse prepares the proper IV tubing. The IV tubing appropriate for blood
transfusion comes with?
a)
Air vent
b)
Microdrip chamber
c)
In-line filter
d)
Soluset
26.The expected yet negative (harmful ) result for posthemodialysis is a decrease in?
a)
Creatinine
b)
BUN
c)
Phosphorus
d)
27.A patient was brought to the emergency room after she fell down the stairs. Which
of the following is the best indicator for increased intracranial pressure in head and
spinal injury?
a) Inability to move extremities
b) Decreased respiratory rate
c) Increase in pulse and blood pressure
d) Decrease level of consciousness
28.A new nurse is administering an enema to a patient. The senior nurse should
intervene if the new nurse?
a) Hangs the enema bag 18 inches above the anus
b) Positions the client on the right side
c) Advances the catheter 4 inches into the anal canal
d) Lubricates 4 inches of the catheter tip
29.The medication nurse is going to give a patient his morning medications. What is the
primary action a nurse should do before administering the medications?
a) Provide privacy
b) Raise head of the bed
c) Give distilled water
d) Check clients identification bracelet
30.A 30-year-old client is admitted with inflammatory bowel syndrome (Crohns
disease). Which of the following instructions should the nurse include in the health
teaching?Select all that apply
1.) Answer: D
Dark green leafy vegetables are good sources of iron. Oranges are good sources of
vitamin C that enhances iron absorption in the small intestines.
2.) Answer: B
Individuals with G6PD may exhibit hemolytic anemia when exposed to infection, certain
medications or chemicals. Salicylates such as Aspirin damages plasma membranes of
erythrocytes, leading to hemolytic anemia.
3.) Answer: B
Lower GI fluids are alkaline in nature and can be lost via ileostomy. Thus, loss of HCO3,
results to metabolic acidosis.
4.) Answer: C
Initially, respiratory system will try to compensate metabolic acidosis. Patients with
metabolic acidosis have high respiratory rate.
5.) Answer: A
Normal phosphorus level is 2.5 4.5 mg/dL .The level reflects hyperphosphatemia
which is inversely proportional to calcium. Client should be assessed for tetany which is
a prominent symptom of hypocalcemia.
6.) Answer: C
There is 6-8 months activity restriction following a spinal fusion. Sitting, lying,
standing, normal stair climbing, walking, and gentle swimming is allowed. Bending and
twisting at the waist should be avoided, along with lifting more than 10 lbs.
14.) Answer: D
Z-track technique is used to administer drugs especially irritating to the subcutaneous
tissue. This method promotes absorption of the drug by preventing drug leakage into
the subcutaneous layer.
15.) Answer: B
Establishing rapport is a way to gain trust that will lead for a patient to relax. You can
get more insights and information from a patient when rapport is established.
16.) Answer: A
Low magnesium (hypomagnesemia) produces clinical manifestations like increased
reflexes, tremors, and seizures. Magnesium Sulfate is the drug of choice to prevent
seizures in pre-eclampsia and eclampsia.
17.) Answer: C
Ear canal of children ages 3years and above can be straightened by pulling the pinna up
then backwards. For children below 3 years of age, the ear canal can be straightened by
pulling the pinna down then backwards.
18.) Answer: A
Infants are nose breathers. A gastric tube may be inserted to facilitate lung expansion
and stomach decompression, but not a nasogastric tube as it can occlude the nare,
thus, making breathing difficult for the infant.
19.) Answer: B
20.) Answer: B
Blind finger sweeps are not recommended in all CPR cases especially for infants and
children because the foreign object may be pushed back into the airway.
21.) Answer: B
First step in cardiopulmonary resuscitation (CPR) is assessing responsiveness of the
patient.
22.) Answer: C
Priority nursing action is to administer oxygen to patients with chest pain. Chest pain is
caused by insufficient myocardial oxygenation.
23.) Answer: D
Pneumococcal Vaccine is a priority immunization for the elderly. Seniors, ages 65 years
old and above, have higher risk for serious pneumococcal infection and likely have low
immunity. This is administered every 5 years.
24.) Answer: A
Burns on the face and neck can cause swelling of the respiratory mucosa that can lead
to airway obstruction manifested by hoarseness of voice and difficulty in breathing.
Maintaining an airway patency is the main concern.
25.) Answer: C
An in-line filter is required for blood transfusions.
26.) Answer: D
Negative outcome: Hemodialysis decreases red blood cell count which worsens anemia,
because RBCs are lost in dialysis from anticoagulation during the procedure, and from
residual blood that is left in the dialyzer.
27.) Answer: D