SET J QUESTIONS

It has been 3 weeks since the death of spouse of Mrs. Chavez . she has not expressed her
grief, she has been complaining of abdominal cramps and loss of appetite
a)
b)
c)
d)

UNRESOLVED GRIEF
DISENFRANCHISED GRIEF
BEREAVEMENT
INHIBITED GRIEF

Which best expresses the S in SBAR

a)
b)
c)
d)

Dementia
Agitation
Vital Signs
Recommendations (bring to the nearest nurses station)

The nurse assists in biofeedback, relaxation, and guided imagery . What process does it
share?

Which of the following apneic type of respiration is a good indicator of impending death?
a)
b)
c)
d)
e)

Biot
Kussmaul
Stridor
Stertorous
Cheyne Stokes

Steps in oxygen therapy

Evaluating a clients response to fluid replacement therapy . The correct observation..

Male indwelling catheterization (Sequence the ff)

Secure the tubing on the lower abdomen
Perineal care
Instruct the client on mouth breathing
Check the integrity of the appliances
Inflate the balloon
Dorsal recumbent
What is the most appropriate site for IM injection for infants

When is autopsy required for a deceased individual

a)
b)
c)
d)

Deceased legal rights

Actual cause of death
Death by accidents, homicide, suicide , illegal drug use
Standard prior to embalming

Who should initiate advance directives for health care and advance directive for finance
a) Nurse
b) Social worker

c) Doctor
d) Client
e)
What should the nurse do when the doctor is applying wet cast?
a)
b)
c)
d)

Soft mattress
Firm surface
Palms of hands
Finger tips..(something)

When inserting a rectal suppository the nurse should insert it :

a)
b)
c)
d)

Towards the bladder

Towards the hip bone
towards 6 0clock
Towards umbilicus

Tracheostomy care (sequencing)

a)
b)
c)
d)
e)
f)

Inflate cuff
Change neck strings
Hyperventilate
Suction
Clean thoroughly
Get inner cannula

Most common finding in adolescents that are new to their body

a)
b)
c)
d)

Masturbation
Exploration of bod parts of self and colleagues

Vial medication preparation

Ans: Rub it with both of your hands
What is the rationale for using a watch with a second han when performing Rinnes test

Complication of reusing insulin syringe

a) Osteomyelitis
b) Lido
A Dr. orders for a carminative (oil retention) for addressing clients flatulence. How many
minutes will the client be instructed to hold this solution. What follows after.
a)
b)
c)
d)

!5 min, Harris flush

20 min, insert rctal tube
40 min, cleansing enema
60 min, fleet enema

Client is experiencing abdominal pain, etc. + could not completely grieve the death of her
husband

Morphine drug is what type of drug

a) Palliative
b) Curative
c) Restorative

d) Supportive
Aroma therapy
a)
b)
c)
d)

Chamomile
Lavender
Garlic
Peppermint

Blood appears in the hub of the needle during aspiration in IM administration. What will the
nurse do?

To help visualize the vein of an obese client. The nurse will

a)
b)
c)
d)

Let the client elevate arms for 5 minutes

Apply cold compress
Let px shake hands
Apply warm compress

What kind of therapy are massage , acupressure , Finnes , reflexology

Fluid replacement therapy. Correct observation

What medications listed can cause gastro intestinal bleeding. Select all that apply
a)
b)
c)
d)
e)

Aspirin
Cathartics
Antidiarrheal opiate drugs
NSAIDS
Proton pump inhibitors

If the client is performing isometric exercises for the quadriceps muscle , what action would
the nurse observe in the client

What to assess after removal of chest tube?

How do you assess the circulation in a casted leg extremity (long leg plaster cast)
a)
b)
c)
d)

Feels heavy
Feels cold
Depress the nailbed and check to see return of color
Check to see if you can insert a finger in the cast

Medication therapeutics with regards to transdermal patch

a)
b)
c)
d)

Easily absorbed in the skin

Medication easily absorbed in the bloodstream

At high risk for error

a) Verbal
b) Telephone
c) Standard

d) PRN
Which is the best observation that indicates IV infiltration?
a)
b)
c)
d)

Changed IV flow rate

Coldness of IV site
Redness of IV site

Technique which shows that the IV line is in the vein and infusing well
a)
b)
c)
d)

Edema in site
When you withdraw there is blood

When administering tablets / capsules

Ans: Asess ability to swallow

Before a nurse administers an IV medication by Bolus through a part of an infusing solution

that also contains a medication , it is essential to: ..

In giving meds IM, the nurse should:

a)
b)
c)
d)

Apply finger pressure 10 minutes before giving meds

Bunch the skin
Spread skin taut
Apply cold compress before giving meds

The nurse notices the patient has difficulty swallowing capsule, Whats the best action to
take?
a) Break capsule in the patients mouth
b) Break capsule in water to soften it
c) Tell patient to bite the capsule
In giving meds vua NGT. According to medical administration , what should the nurses do?
a)
b)
c)
d)

Give meds one at a time

Give meds all together
Heart meds be given separately
Give back meds and ask for liquid form

Warm compress if for

a)
b)
c)
d)

Promote circulation of the injured area

If you have a patient with chest hair , How will you apply the nitroglycerin patch
a)
b)
c)
d)

Clip the hair

Shave the hair
Put tape over nitroglycerin pstch
Apply petroleum jelly

The nurse is correct in instructing clients who use nose drops that to promote accurate
application the best position for instilling the medication is:
a) Bending the head forward
b) Pushing the nose laterally

c) Tilting the head backward

d) Opening the mouth wide
When instilling eye drops its necessary to??
Why do you massage an intramuscular site after injection

Medication therapeutics with regards to transdermal patches

High risk for error (order)

a)
b)
c)
d)

Verbal
Telephone
Standard
Prn

During incentive spirometry , instruct client to:

a)
b)
c)
d)

Inhale through tube

Exhale through tube
Coughing exercises
Breathing exercises

Type of medication order remains effective for a specific period

a)
b)
c)
d)

Standard
Single
Standing
Stat