NURSING PRACTICE IV – SET B

NURSING PRACTICE IV – Care of Clients with Physiologic and

Psychosocial Alterations (Part B)

GENERAL INSTRUCTIONS

D. This test booklet contains 100 test questions

E. Read INSTRUCTIONS TO EXAMINEES printed on your answer sheet.
F. Shade only one (1) box for each question on your answer sheets. Two or
more boxes shaded will invalidate your answer.
G. AVOID ERASURES.

INSTRUCTIONS

H. Detach one (1) answer sheet from the bottom of your Examinee
ID/Answer Sheet Set.
I. Write the subject title “Nursing Practice IV” on the box provided.
J. Shade Set Box A on your answer sheet if your test booklet is Set A; Set
Box “B” if your test booklet is Set B.

MULTIPLE CHOICE

Situation 1 – Because of the serious consequences of severe burns,

management requires a multidisciplinary approach. You have
important responsibilities as a nurse.

K. While Sergio was lighting a barbecue grill with a lighter fluid, his shirt
burns into flames. The most effective way to extinguish the flames with as
little further damage as possible is to:

A. log roll on the grass/ground

B. slap the flames with his hands
C. remove the burning clothes
D. pour cold liquid over the flames

L. Once the flames are extinguished, it is most important to:

A. cover Sergio with a warm blanket

B. give him sips of water
C. calculate the extent of his burns
D. assess the Sergio’s breathing
M. Sergio is brought to Emergency Room after the barbecue grill accident.
Based on the assessment of the physician, Sergio sustained superficial
partial thickness burns on his trunk, right upper extremities and right lower
extremities. His wife asks what that means? Your most accurate response
would be:

A. Structures beneath the skin are damage

B. Dermis is partially damaged
C. Epidermis and dermis are both damaged
D. Epidermis is damaged

N. 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

O. Teddy, 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 Teddy is developing:

A. Cerebral hypoxia C. metabolic acidosis

B. Hypervolemia D. Renal failure

Situation 2 – You are now working as a staff nurse in a general hospital. You
have to be prepared to handle situations with ethico-legal and
moral implifications.

P. You are in night duty in surgical ward. One of your patients Martin is a
prisoner who sustained an abdominal gunshot wound. He is being
guarded by policeman from the local police unit. During your rounds you
heard a commotion. You saw the policeman trying to hit Martin. You asked
why he was trying to hit Martin. He denied the matter. Which among the
following activities will you do first?

A. Write an accident report

B. Call security officer and report the incident
 C. Call your nurse supervisor and report the incident
D. Call the physician on duty

7. You are on morning duty in the medical ward. You have 10 patients
assigned to you. During your endorsement rounds, you found out that
one of your patients was not in bed. The patient next to him informed
you that he went home without notifying the nurses. Which among the
following will you do first?

Q. Make an incident report

R. Call security to report the incident
S. Wait for 2 hours before reporting
T. Report the incident to your supervisor

8. 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?

U. Write an incident report and refer the matter to the nursing director
V. Keep your findings to yourself
W. Report the matter to your supervisor
X. Find out from the endorsement any patient who might have been
given narcotics

9. You are on duty in the medical ward. The mother of your patient who is
also a nurse, came running to the nurses station and informed you that
Fiolo went into cardiopulmonary arrest.

Y. Start basic life support measures

Z. Call for the Code
AA.Bring the crush cart to the room
BB.Go to see Fiolo and assess for airway patency and breathing
problems

10. You are admitting Jorge to the ward and you found out that he is positive
for HIV. Which among the following will you do first?

CC.Take note of it and plan to endorse this to next shift

DD.Keep this matter to yourself
EE.Write an incident report
FF. Report the matter to your head nurse
Situation 3 - Colorectal cancer can affect old and younger people. Surgical
procedures and other modes of treatment are done to ensure
quality of life. You are assigned in the cancer institute to care
of patients with this type of cancer.

11. 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 test as a screening test for colorectal cancer.

GG.Barium enema
HH.Carcinoembryonic antigen
II. Annual digital rectal examination
JJ. Proctosigmoidoscopy

12. To confirm his impression of colorectal cancer, Larry will require which
diagnostic study?

KK.Carcinoembryonic antigen
LL. Proctosigmoidoscopy
MM.Stool hematologic test
NN.Abdominal computed tomography (CT) test

13. The following are risk factors for colorectal cancer, EXCEPT:

OO.Inflammatory bowels
PP.High fat, high fiber diet
QQ.Smoking
RR.Genetic factors-familial adenomatous polyposis

14. Symptoms associated with cancer of the colon include:

SS.constipation, ascites and mucus in the stool

TT. diarrhea, heart burn and eructation
UU.blood in the stools, anemia, and “pencil shaped” stools
VV.anorexia, hematemesis, and increased peristalasis

15. Several days prior to bowel surgery, Larry may be given sulfasuxidine
and neomycin primarily to:
 WW.promote rest of the bowel by minimizing peristalsis
XX.reduce the bacterial content of the colon
YY.empty the bowel of solid waste
ZZ.soften the stool by retaining water in the colon

Situation 4 – ENTEROSTOMAL THERAPY is now considered a specialty

in nursing. You are participating in the OSTOMY CARE
CLASS.

16. You plan to teach Fermin how to irrigate the colostomy when:

AAA.The perineal wound heals And Fermin can sit comfortably on the
commode
BBB.Fermin can lie on the side comfortably, about the 3rd
postoperative day
CCC.The abdominal incision is closed and contamination is no longer
a danger
DDD.The stools starts to become formed, around the 7th
postoperative day

17. When preparing to teach Fermin how to irrigate colostomy, you should
plan to do the procedure:

EEE.When Fermin would have normal bowel movement

FFF.At least 2 hours before visiting hours
GGG.Prior to breakfast and morning care
HHH.After Fermin accepts alteration in body image

18. When observing a return demonstration of a colostomy irrigation, you

know that more teaching is required if Fermin:

III. Lubricates the tip of the catheter prior to inserting into the stoma
JJJ.Hangs the irrigating bag on the bathroom door cloth hook during
fluid insertion
KKK.Discontinues the insertion of fluid after only 500 ml of fluid has
been instilled
LLL.Clamps of the flow of fluid when felling uncomfortable

19. You are aware that teaching about colostomy care is understood
when Fermin states, “I will contact my physician and report:

MMM.If I have any difficulty inserting the irrigating tub into the
stoma.”
 NNN.If I noticed a loss of sensation to touch in the stoma tissue.”
OOO.The expulsion of flatus while the irrigating fluid is running out.”
PPP.When mucus is passed from the stoma between the irrigations.”

20. You would know after teaching Fermin that dietary instruction for him
is effective when he states, “It is important that I eat:

QQQ.Soft food that are easily digested and absorbed by my large

intestines.”
RRR. Bland food so that my intestines do not become irritated.”
SSS.Food low in fiber so that there is less stool.”
TTT.Everything that I ate before the operation, while avoiding foods
that cause gas.”

Situation 5 – Ensuring safety is one of your most important

responsibilities. You will need to provide instructions and
information to your clients to prevent complications.

21. Randy has chest tubes attached to a pleural drainage system. When
caring for him you should:

UUU.empty the drainage system at the end of the shift

VVV.clamp the chest tube when suctioning
WWW.palpate the surrounding areas for crepitus
XXX.change the dressing daily using aseptic techniques

22. Fanny, came in from PACU after pelvic surgery. As Fanny’s nurse
you know that the sign that would be indicative of a developing
thrombophlebitis would be:

YYY.a tender, painful area on the leg

ZZZ.a pitting edema of the ankle
AAAA.a reddened area at the ankle
BBBB.pruritus on the calf and ankle

23. To prevent recurrent attacks on Terry who has acute

glumerulonephritis, you should instruct her to:
A. seek early treatment for respiratory infections
B. take showers instead of tub bath
C. continue to take the same restrictions on fluid intake
D. avoid situations that involve physical activity

24. Herbert had a laryngectomy and he is now for discharge. He

verbalized his concern regarding his laryngectomy tube being
 dislodged. What should you teach him first?

CCCC.Recognize that prompt closure of the tracheal opening may

occur
DDDD.Keep calm because there is no immediate emergency
EEEE.Reinsert another tubing immediately
FFFF.Notify the physician at once

25. When caring for Larry after an exploratory chest surgery and
pneumonectomy, your priority would be to maintain:

GGGG.supplementary oxygen
HHHH.ventilation exchange
IIII. chest tube drainage
JJJJ.blood replacement

Situation 6 – Infection can cause debilitating consequences when host

resistance is compromised and virulence of
microorganisms and environmental factors are favorable.
Infection control is one important responsibility of the nurse
to ensure quality of care.

26. Honrad, who has been complaining of anorexia and feeling tired,
develops jaundice, after a workup he is diagnosed of having
Hepatitis A. his wife asks you about gamma globulin for herself and
her household help. Your most appropriate response would be:

KKKK.“Don’t worry your husband’s type of hepatitis is no longer

communicable”
LLLL.“Gamma globulin provides passive immunity for hepatitis B”
MMMM.“You should contact your physician immediately about
getting gammaglobulin.”
NNNN.“A vaccine has been developed for this type of hepatitis”

27. Voltaire develops a nosocomial respiratory tract infection. He ask

you what that means? Your best response would be:

OOOO.“You acquired the infection after you have been admitted to

the hospital.”
PPPP.“This is a highly contagious infection requiring complete
isolation.”
QQQQ.“The infection you had prior to hospitalization flared up.”
RRRR.“As a result of medical treatment, you have acquired a
secondary infection.’
 28. As a nurse you know that one of the complications that you have to
watch out for when caring for Omar who is receiving total parenteral
nutrition is:

SSSS.stomatitis
TTTT.hepatitis
UUUU.dysrhythmia
VVVV.infection

29. A solution used to treat Pseudomonas wound infection is:

WWWW.Dakin’s solution
XXXX.Half-strength hydrogen peroxide
YYYY.Acetic acid
ZZZZ.Betadine

30. Which of the following is the most reliable in diagnosing a wound

infection?

AAAAA.Culture and sensitivity

BBBBB.Purulent drainage from a wound
CCCCC.WBC count of 20,000/μL
DDDDD.Gram stain testing

Situation 7 – As a nurse you need to anticipate the occurrence of

complications of stroke so that life threatening situations
can be prevented.

31. Wendy is admitted to the hospital with signs and symptoms of

stroke. Her Glasgow Coma Scale is 6 on admission. A central
venous catheter was inserted an I.V. infusion was started. As a
nurse assigned to Wendy what will be your priority goal?

EEEEE.Prevent skin breakdown

FFFFF.Preserve muscle function
GGGGG.Promote urinary elimination
HHHHH.Maintain a patent airway

32. Knowing that for a comatose patient hearing is the last sense to be
lost, as Judy’s nurse, what should you do?

IIIII.Tell her family that probably she can’t hear them

JJJJJ.Talk loudly so that Wendy can hear you
KKKKK.Tell her family who are in the room not to talk
 LLLLL.Speak softly then hold her hands gently

33. Which among the following interventions should you consider as

the highest priority when caring for June who has hemiparesis
secondary to stroke?

MMMMM.Place June on an upright lateral position

NNNNN.Perform range of motion exercises
OOOOO.Apply antiembolic stockings
PPPPP.Use hand rolls or pillows for support

34. Ivy, age 40, was admitted to the hospital with a severe headache,
stiff neck and photophobia. She was diagnosed with a
subarachnoid hemorrhage secondary to ruptured aneurysm.
While waiting for surgery, you can provide a therapeutic
environment by doing which of the following?

QQQQQ.honoring her request for a television

RRRRR.placing her bed near the window
SSSSS.dimming the light in her room
TTTTT.allowing the family unrestricted visiting privileges

35. When performing a neurologic assessment on Walter, you find that

his pupils are fixed and dilated. This indicated that he:

UUUUU.probably has meningitis

VVVVV.is going to be blind because of trauma
WWWWW.is permanently paralyzed
XXXXX.has received a significant brain injury

Situation 8 – With the improvement in life expectancies and the

emphasis in the quality of life it is important to provide
quality care to our older patients. There are frequently
encountered situations and issues relevant to the older
patients.

36. Hypoxia may occur in the older patients because of which of the
following physiologic changes associated with aging.

YYYYY.Ineffective airway clearance

ZZZZZ.Decreased alveolar surfaced area
AAAAAA.Decreased anterior-posterior chest diameter
BBBBBB.Hyperventilation
37. The older patient is at higher risk for incontinence because of:

CCCCCC.dilated urethra
DDDDDD.increased glomerular filtration rate
EEEEEE.diuretic use
FFFFFF.decreased bladder capacity

38. Merle, age 86, is complaining of dizziness when she stands up.
This may indicate:

GGGGGG.dementia
HHHHHH.a visual problem
IIIIII.functional decline
JJJJJJ.drug toxicity

39. Cardiac ischemia in an older patient usually produces:

KKKKKK.ST-T wave changes

LLLLLL.Very high creatinine kinase level
MMMMMM.Chest pain radiating to the left arm
NNNNNN.Acute confusion

40. The most dependable sign of infection in the older patient is:

OOOOOO.change in mental status

PPPPPP.fever
QQQQQQ.pain
RRRRRR.decreased breath sounds with crackles

Situation 9 – 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, preparedness,
response, and recovery), for all types of emergencies
and disasters (natural, man-made, and attack) and for all
levels of government and the private sector.

41. 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.”?

SSSSSS.Recovery
TTTTTT.Mitigation
UUUUUU.Response
VVVVVV.Preparedness

42. You are a community health nurse collaborating with the Red Cross
and working with disaster relief following a typhoon which flooded
and devastated the whole province. Finding safe housing for
survivors, organizing support for the family, organizing counseling
debriefing sessions and securing physical care are the services you
are involved with. To which type of prevention are these activities
included:

WWWWWW.Tertiary prevention
XXXXXX.Primary prevention
YYYYYY.Aggregate care prevention
ZZZZZZ.Secondary prevention

43. During the disaster you see a victim with a green tag, you know
that the person:

AAAAAAA.has injuries that are significant and require medical care

but can wait hours with threat to life or limb
BBBBBBB.has injuries that are life threatening but survival is good
with minimal intervention
CCCCCCC.indicates injuries that are extensive and chances of
survival are unlikely even with definitive care
DDDDDDD.has injuries that are minor and treatment can be
delayed from hours to days

44. The term given to a category of triage that refers to life threatening
or potentially life threatening injury or illness requiring immediate
treatment:

EEEEEEE.Immediate
FFFFFFF.Emergent
GGGGGGG.Non-acute
HHHHHHH.Urgent

45. 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?
 IIIIIII.Clinical incident stress management
JJJJJJJ.Follow-up
KKKKKKK.Defriefing
LLLLLLL.Defusion

Situation 10 – As a member of the health and nursing team you have a

crucial role to play in ensuring that all the members
participate actively is the various tasks agreed upon.

46. While eating his meal, Matthew accidentally dislodges his IV lines
and bleeds. Blood oozes on the surface of the over-bed table. It is
most appropriate that you instruct the housekeeper to clean the
table with:

MMMMMMM.Acetone
NNNNNNN.Alcohol
OOOOOOO.Ammonia
PPPPPPP.Bleach

47. You are a member of the infection control team of the hospital.
Based on a feedback during the meeting of the committee there is
an increased incidence of pseudomonas infection in the Burn Unit
(3 out of 10 patients had positive blood and wound culture). What is
your priority activity?

QQQQQQQ.Establish policies for surveillance and monitoring

RRRRRRR.Do data gathering about the possible sources of
infection (observation, chart review, interview).
SSSSSSS.Assign point persons who can implement policies.
TTTTTTT.Meet with the nursing group working in the burn unit and
discuss problem with them.

48. Part of your responsibility as a member of the diabetes core group is

to get referrals from the various wards regarding diabetic patients
needing diabetes education. Prior to discharge today, 4 patients are
referred to you. How would you start prioritizing your activities?

UUUUUUU.Bring your diabetes teaching kit and start your session

taking into consideration their distance from your office
VVVVVVV.Contact the nurse in-charge and find out from her the
reason for the referral
WWWWWWW.Determine their learning needs then prioritize
XXXXXXX.Involve the whole family in the teaching class
49. You have been designated as a member of the task force to plan
activities for the Cancer Consciousness Week. Your committee has
4 months to plan and implement the plan. You are assigned to
contact the various cancer support groups in your hospital. What
will be your priority activity?

YYYYYYY.Find out if there is a budget for this activity

ZZZZZZZ.Clarify objectives of the activity with the task force before
contacting the support groups
AAAAAAAA.Determine the VIPs and Celebrities who will be invited
BBBBBBBB.Find out how many support groups there are in the
hospital and get the contact number of their president

50. You are invited to participate in the medical mission activity of your
alumni association. In the planning stage everybody is expected to
identify what they can do during the medical mission and what
resources are needed. You thought it is also your chance to share
what you can do for others. What will be your most important role
where you can demonstrate the impact of nursing in health?

CCCCCCCC.Conduct health education on healthy life style

DDDDDDDD.Be a triage nurse
EEEEEEEE.Take the initial history and document findings
FFFFFFFF.Act as a coordinator

Situation 11 – One of the realities that we are confronted with is our

mortality. It is important for us nurses to be aware of
how we view suffering, pain, illness, and even our death
as well as its meaning. That way we can help our
patients cope with death and dying.

51. Irma is terminally ill, she speaks to you in confidence. You now feel
that Irma’s family could be helpful if they knew what Irma has told to
you. What should you do first?
 GGGGGGGG.Tell the physician who in turn could tell the family
HHHHHHHH.Obtain Irma’s permission to share the information in
the family
IIIIIIII.Tell Irma that she has to tell her family what she told you
JJJJJJJJ.Make an appointment to discuss the situation with the
family

52. Ruby who has been told she has terminal cancer, turns away and
refuses to respond to you. You can best help her by:

A. Coming back periodically and indicating your availability if

she would like you to sit with her
B. Insisting that Ruby should talk with you because it is not
good to keep everything inside
C. Leaving her alone because she is uncooperative and
unpleasant to be with
D. Encouraging her to be physically active as possible

53. Leo, who is terminally ill and recognizes that he is in the process of
losing everything and everybody he loves, is depressed. Which of
the following would best help him during his depression?

KKKKKKKK.Arrange for visitors who might cheer him

LLLLLLLL.Sit down and talk with him for a while
MMMMMMMM.Encourage him to look at the brighter side of
things
NNNNNNNN.Sit silently with him

54. Which of the following statements would best indicate that Ruffy,
who is dying, has accepted his impending death?

OOOOOOOO.“I’m ready to go.”

PPPPPPPP.“I have resigned myself to dying.”
QQQQQQQQ.“What’s the use?”
RRRRRRRR.“I’m giving up”

55. Marla, 90 years old has planned ahead for her death-philosophically,
socially, financially and emotionally. This is recognized as:

SSSSSSSS.Acceptance that death is inevitable

TTTTTTTT.Avoidance of the true situation
 UUUUUUUU.Denial with planning for continued life
VVVVVVVV.Awareness that death will soon occur

Situation 12 – Brain tumor, whether malignant or benign, has serious

management implications. As a nurse, you should be
able to understand the consequences of the disease
and the treatment.

56. You are caring for Conrad who has a brained tumor and increased
Intracranial Pressure (ICP). Which intervention should you include
in your plan to reduce ICP?

WWWWWWWW.Administer bowel softener

XXXXXXXX.Position Conrad with his head turned toward the
side of the tumor
YYYYYYYY.Provide sensory stimulation
ZZZZZZZZ.Encourage coughing and deep breathing

57. Keeping Conrad’s head and neck alignment results in:

AAAAAAAAA.increased inthrathoracic pressure

BBBBBBBBB.increased venous outflow
CCCCCCCCC.decreased venous outflow
DDDDDDDDD.increased intrabdominal pressure

58. Which of the following activities may increase intracranial pressure

(ICP)?

EEEEEEEEE.Raising the head of the bed

FFFFFFFFF.Manual hyperventilation
GGGGGGGGG.Use of osmotic diuretics
HHHHHHHHH.Valsalva’s maneuver

59. After you asses Conrad, you suspected increased ICP. Your most
appropriate respiratory goal is to:

IIIIIIIII.maintain partial pressure of arterial O2 (PaO2) above 80

mmHg
JJJJJJJJJ.lower arterial pH
KKKKKKKKK.prevent respiratory alkalosis
LLLLLLLLL.promote CO2 elimination

60. Conrad underwent craniotomy. As his nurse, you know that

 drainage on a craniotomy dressing must be measured and marked.
Which findings should you report immediately to the surgeon?

A. Foul-smelling drainage C. Greenish

drainage
B. Yellowish drainage D. Bloody drainage

Situation 13 – As a Nurse, you have specific responsibilities as

professional. You have to demonstrate specific
competencies.

61. The essential components of professional nursing practice are all

the following EXCEPT:

A. Culture C. Cure
B. Care D. Coordination

62. You are assigned to care for four (4) patients. Which of the following
patients should you give first priority?

MMMMMMMMM.Grace, who is terminally ill with breast cancer.

NNNNNNNNN.Emy, who was previously lucid but is now
unarousable.
OOOOOOOOO.Aris, who is newly admitted and is scheduled
for an executive check-up.
PPPPPPPPP.Claire, who has cholelithiasis and is for operation
on call.

63. Brenda, the Nursing Supervisor of the intensive care unit (ICU) is
not on duty when a staff nurse committed a serious medication
error. Which statement accurately reflects the accountability of the
nursing supervisor?

QQQQQQQQQ.Brenda should be informed when she goes

back on duty
RRRRRRRRR.Although Brenda is not on duty, the nursing
supervisor on duty decides to call her if time permits
SSSSSSSSS.The nursing supervisor on duty will nitify Brenda
at home
TTTTTTTTT.Brenda is not duty therefore it is not necessary to
inform her.

64. Which barrier should you avoid, to manage time wisely?

UUUUUUUUU.Practical planning
 VVVVVVVVV.Procrastination
WWWWWWWWW.Setting limits
XXXXXXXXX.Realistic personal expectation

65. You are caring for Vincent who has just been transferred to the
private room. He is anxious because he fears he won’t be
monitored as closely as he was in the Coronary Care Unit. How can
you allay his fear?

YYYYYYYYY.Move his bed to a room far from nurse’s station

to reduce
ZZZZZZZZZ.Assign the same nurse to him when possible
AAAAAAAAAA.Allow Vincent uninterrupted period of time
BBBBBBBBBB.Limit Vincent’s visitors to coincide with CCU
policies

Situation 14 – As a nurse in the Oncology Unit, you have to be

prepared to provide safe, efficient and effective care to
your patients.

66. Which one of the following nursing interventions would be most

helpful in preparing the patient for radiation therapy?

CCCCCCCCCC.Offer tranquilizers and antiemetics

DDDDDDDDDD.Instruct the patient of the possibility of
radiation burn
EEEEEEEEEE.Emphasis on the therapeutic value of the
treatment
FFFFFFFFFF.Map out the precise course of treatment

67. What side effects are most apt to occur the patient during radiation
therapy to the pelvis?

GGGGGGGGGG.Urinary retention
HHHHHHHHHH.Abnormal vaginal or perineal discharge
IIIIIIIIII.Paresthesia of the lower extremities
JJJJJJJJJJ.Nausea and vomiting and diarrhea

68. Which of the following can be used on the irradiated skin during a
course of radiation therapy?

KKKKKKKKKK.Adhesive tape
 LLLLLLLLLL.Mineral oil
MMMMMMMMMM.Talcum powder
NNNNNNNNNN.Zinc oxide ointment

69. Earliest sign of skin reaction to radiation therapy is:

OOOOOOOOOO.desquamation
PPPPPPPPPP.erythema
QQQQQQQQQQ.atrophy
RRRRRRRRRR.pigmentation

70. What is the purpose of wearing a film badge while caring for the
patient who is radioactive?

SSSSSSSSSS.Identify the nurse who is assigned to care for

such a patient
TTTTTTTTTT.Prevent radiation-induced sterility
UUUUUUUUUU.Protect the nurse from radiation effects
VVVVVVVVVV.Measure the amount of exposure to radiation

Situation 15 – In a disaster there must be a chain of command in place

that defined the roles of each member of the response
team. Within the health care group there are pre-
assigned roles based on education, experience and
training on disaster.

71. As a nurse to which of the following groups are you best prepared
to join?

A. Treatment group C. Morgue

management
B. Triage group D. Transport group

72. There are important principles that should guide the triage team in
disaster management that you have to know if you were to
volunteer as part of the triage team. The following principles should
be observed in disaster triage, EXCEPT:

WWWWWWWWWW.any disaster plan should have resources

available to triage at each facility and at the disaster site if
possible
XXXXXXXXXX.make the most efficient use of available
resources
 YYYYYYYYYY.training on the disaster is not important to the
response in the event of a real disaster because each
disaster is unique in itself
ZZZZZZZZZZ.do the greatest good for the greatest number of
casualties

73. Which of the following categories of conditions should be

considered first priority in a disaster?

AAAAAAAAAAA.Intracranial pressure and mental status

BBBBBBBBBBB.Lower gastrointestinal problems
CCCCCCCCCCC.Respiratory infections
DDDDDDDDDDD.Trauma

74. A guideline that is utilized in determining priorities is to asses the

status of the following, EXCEPT:

A. perfusion C. respiration
B. locomotion D. mentation

75. The most important component of neurologic assessment is:

EEEEEEEEEEE.pupil reactivity
FFFFFFFFFFF.vital sign assessment
GGGGGGGGGGG.cranial nerve assessment
HHHHHHHHHHH.level of consciousness/responsiveness

Situation 16 – You are going to participate in a Cancer Consciousness

Week. You are assigned to take charge of the women
to make them aware of cervical cancer. You reviewed
its manifestations and management,

76. The following are risk factors for cervical cancer EXCEPT:

IIIIIIIIIII.immunosuppressive therapy
JJJJJJJJJJJ.sex at an early age, multiple partners, exposure to
socially transmitted disease, male partner’s sexual habits
KKKKKKKKKKK.viral agents like the Human Papilloma Virus
LLLLLLLLLLL.smoking

77. Late signs and symptoms of cervical cancer include the following
EXCEPT:
 MMMMMMMMMMM.urinary/bowel changes
NNNNNNNNNNN.pain in pelvis, leg or flank
OOOOOOOOOOO.uterine bleeding
PPPPPPPPPPP.lymph edema of lower extremities

78. When a panhysterectomy is performed due to cancer of the cervix,

which of the following organs are removed?

QQQQQQQQQQQ.the uterus, cervix, and one ovary

RRRRRRRRRRR.the uterus, cervix, and two-thirds of the
vagina
SSSSSSSSSSS.the uterus, cervix, tubes and ovaries
TTTTTTTTTTT.the uterus and cervix

79. The primary modalities of treatment for Stage 1 and IIA cervical
cancer include the following:

UUUUUUUUUUU.surgery, radiation therapy and hormone

therapy
VVVVVVVVVVV.surgery
WWWWWWWWWWW.radiation therapy
XXXXXXXXXXX.surgery and radiation therapy

80. A common complication of hysterectomy is

YYYYYYYYYYY.thrombophelbitis of the pelvic and thigh

vessels
ZZZZZZZZZZZ.diarrhea due to over stimulation
AAAAAAAAAAAA.atelectasis
BBBBBBBBBBBB.wound dehiscence

Situation 17 – The body has regulatory mechanism to maintain the

needed electrolytes. However there are conditions/surgical
interventions that could compromise life. You have to
understand how management of these conditions are
done.

81. You are caring for Leda who is scheduled to undergo total
thyroidectomy because of a diagnosis of thyroid cancer. Prior to total
thyroidectomy, you should instruct Leda to:

CCCCCCCCCCCC.Perform range and motion exercise on the

 head and neck
DDDDDDDDDDDD.Apply gentle pressure against the incision
when swallowing
EEEEEEEEEEEE.Cough and deep breath every 2 hours
FFFFFFFFFFFF.Support head with the hands when changing
position

82. As Leda’s nurse, you plan to set up an emergency equipment at her

beside following thyroidectomy. You should include:

GGGGGGGGGGGG.An airway and rebreathing tube

HHHHHHHHHHHH.A tracheostomy set and oxygen
IIIIIIIIIIII.A crush cart with bed board
JJJJJJJJJJJJ.Two ampules of sodium bicarbonate

83. Which of the following nursing interventions is appropriate after a total

thyroidectomy?

KKKKKKKKKKKK.Place pillows under your patient’s shoulders.

LLLLLLLLLLLL.Raise the knee-gatch to 30 degrees
MMMMMMMMMMMM.Keep you patient in a high-fowler’s
position.
NNNNNNNNNNNN.Support the patient’s head and neck with
pillows and sandbags.

84. If there is an accidental injury to the parathyroid gland during a

thyroidectomy which of the following might Leda develop
postoperatively?

A. Cardiac arrest C. Respiratory

failure
B. Dyspnea D. Tetany

85. After surgery Leda develops peripheral numbness, tingling and

muscle twitching and spasm. What would you anticipate to
administer?

A. Magnesium sulfate C. Potassium iodide

B. Calcium gluconate D. Potassium
chloride
 Situation 18 – NURSES are involved in maintaining a safe and healthy
environment. This is part of quality care management.

86. The first step in decontamination is:

OOOOOOOOOOOO.to immediately apply a chemical

decontamination foam to the area of contamination
PPPPPPPPPPPP.a through soap and water wash and rinse of
the patient
QQQQQQQQQQQQ.to immediately apply personal protective
equipment
RRRRRRRRRRRR.removal of the patients clothing and jewelry
and then rinsing the patient with water

87. For a patient experiencing pruritus, you recommend which type of

bath.

A. water C. saline
B. colloidal (oatmeal) D. sodium bicarbonate

88. Induction of vomiting is indicated for the accidental poisoning

patient who has ingested.

A. rust remover C. toilet bowl cleaner

B. gasoline D. aspirin

89. Which of the following term most precisely refer to an infection

acquired in the hospital that was not present or incubating at the
same time of hospital admission?

SSSSSSSSSSSS.Secondary blood stream infections

TTTTTTTTTTTT.Nosocomial infection
UUUUUUUUUUUU.Emerging infectious disease
VVVVVVVVVVVV.Primary blood stream infection

90. Which of the following guidelines is not appropriate to helping

family members cope with sudden death?

WWWWWWWWWWWW.Obtain orders for sedation of family

members
XXXXXXXXXXXX.Provide details of the factors attendant to the
sudden death
YYYYYYYYYYYY.Show acceptance of the body by touching it
and giving the family permission to touch
ZZZZZZZZZZZZ.Inform the family that the patient has passed
on
Situation 19 – As a nurse you are expected to participate in initiating or
participating in the conduct of research studies to
improve nursing practice. You have to be updated on
the latest trends and issues affecting profession and the
best practices arrived at by the profession.

91. You are interested to study the effects of meditation and relaxation
on the pain experienced by cancer patients. What type of variable
is pain?

A. Dependent C.
Independent
B. Correlational D.
Demographic

92. You would like to compare the support system of patients with
chronic illness to those with acute illness. How will you best state
your problem?

AAAAAAAAAAAAA.A Descriptive Study To Compare The

Support System Of Patients With Chronic Illness And Those
With Acute Illness In Terms Of Demographic Data And
Knowledge About Interventions.
BBBBBBBBBBBBB.The Effect Of The Type Of Support System
of Patients With Chronic Illness And Those With Acute
Illness.
CCCCCCCCCCCCC.A Comparative Analysis Of The Support
System Of Patients With Chronic Illness And Those With
Acute Illness.
DDDDDDDDDDDDD.A Study To Compare The Support System
Of Patients With Chronic Illness And Those With Acute
Illness.

93. You would like to compare the support system of patients with
chronic illness to those with acute illness. What type of research it
this?

EEEEEEEEEEEEE.Correlational
FFFFFFFFFFFFF.Descriptive
GGGGGGGGGGGGG.Experimental
HHHHHHHHHHHHH.Quasi-experimental

94. You are shown a Likert Scale that will be used in evaluating your
performance in the clinical area. Which of the following questions
will you not use in critiquing the Likert Scale?
 IIIIIIIIIIIII.Are the techniques to complete and score the scale
provided?
JJJJJJJJJJJJJ.Are the reliability and validity information on the
scale described?
KKKKKKKKKKKKK.If the Likert scale is to be used for a study,
was the development process described?
LLLLLLLLLLLLL.Is the instrument clearly described?

95. In any research study where individual persons are involved, it is

important that an informed consent for the study is obtained. The
following are essential information about the consent that you
should disclose to the prospective subjects EXCEPT:

MMMMMMMMMMMMM.Consent to incomplete disclosure

NNNNNNNNNNNNN.Descriptions of benefits, risks and
discomforts
OOOOOOOOOOOOO.Explanation of procedure
PPPPPPPPPPPPP.Assurance of anonymity and confidentiality

Situation 20 – Because severe burn can affect the person’s totality it is

important that-you apply interventions focusing on the
various dimensions of man. You also have to
understand the rationale of the treatment.

96. What type of debridement involves proteolytic enzymes?

A. Interventional C. Surgical
B. Mechanical D. Chemical

97. Which topical antimicrobial is most frequently used in burn wound

care?

QQQQQQQQQQQQQ.Neosporin
RRRRRRRRRRRRR.Silver nitrate
SSSSSSSSSSSSS.Silver sulfadiazine
TTTTTTTTTTTTT.Sulfamylon

98. Hypertrophic burn scars are caused by:

UUUUUUUUUUUUU.exaggerated contraction
VVVVVVVVVVVVV.random layering of collagen
 WWWWWWWWWWWWW.wound ischemia
XXXXXXXXXXXXX.delayed epithelialization

99. The major disadvantage of whirlpool cleansing of burn wound is:

YYYYYYYYYYYYY.patient hypothermia
ZZZZZZZZZZZZZ.cross contamination of wound
AAAAAAAAAAAAAA.patient discomfort
BBBBBBBBBBBBBB.excessive manpower requirement

100. Oral analgesics are most frequently used to control burn injury pain:

CCCCCCCCCCCCCC.upon patient request

DDDDDDDDDDDDDD.during the emergent phase
EEEEEEEEEEEEEE.after hospital discharge
FFFFFFFFFFFFFF.during the acute phase

*** END ***

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