TAKE HOME EXAMINATION

Amando D. Cope Memorial College

Situation: As a nurse you are expected to participate in initiating or participating in

the conduct of research studies to improve the nursing practice. You have to be
updated on the latest trends and issues affecting profession and the best practices
arrived at by the profession.

1. 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 b. Correlational c. Independent
d. Demographic
2. You would compare the support system of patients with chronic illness to
those with acute illness. How will you best state your problem?
a. 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.
b. The Effect of The Type of Support System of Patients With Chronic Illness
And Those With Acute Illness.
c. A Comparative Analysis Of the Support System of Patients With Chronic
Illness and Those With Acute Illness
d. A Study to Compare The Support System of Patients With Chronic Illness
and Those With Acute Illness.
3. You would like to compare the support system of patients with chronic illness
to those with acute illness. What type of research is this?
a. Correlational b. Descriptive c. Experimental d.
Quasi-Experimental
4. 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?
a. Are the techniques to compete and score the scale provided?
b. Are the reliability and validity of information on the scale described?
c. If the Likert scale is to be used for a study, was the development process
described?
d. Is the instrument clearly desvribed?
5. 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:
a. Consent to incomplete disclosure
b. Descriptions of benefits, risks, and discomfort
c. Explanation of procedure
d. Assurance of anonymity and confidentiality

Prepared by: RHO VINCE C. MALAGUEO, RM, RN, MAN(ue)

Situation: Nurse Mike is caring for Gloria who was diagnosed with cervical
Spondylosis which is caused by chronic wear on the cervical spine. This include the
disks or cushions between the neck and vertebrate and the joints between the
bone of the cervical spine. There may be abnormal growths or spurs on the bones
of the spine.

6. Which of the following signs and symptoms would Nurse Mike expect to find
to the patient?
a. Neck stiffness, numbness or abnormal sensations in the shoulders, arms,
or legs and loss of balance.
b. Headache, grinding and popping sound/feeling in neck with movement
and respiratory distress.
c. Neck Stiffness, loss of balance and absent of diminished gag reflex.
d. Numbness or abnormal sensations in the shoulders, arms, or legs,
headache and restless or irritable
7. The following are diagnostic procedures performed to a patient with cervical
spondylosis except;
a. X-ray b. MRI c. Electroencephalography d.
Eletromyography
8. The patient was prescribed with ibuprofen (NSAID) to manage neck and back
pain, which of the following medication teaching should be given to this
patient?
a. Take the drug on an empty stomach
b. Take only the drug everytime you feel pain at your neck or back
c. You will expect a change in your bowel movement
d. You should take the drug after a meal.
9. The following are possible complications of cervical Spondylosis, except:
a. Fecal and Urinary incontinence
b. Impaired cognition
c. Loss of Muscle function or feeling
d. Poor balance
10.Nurse Mike wants to know more about Cervical Spondylosis and decided to
conduct a research about the factors that would lead to the development of
the disease?
a. Experimental Research
b. Quasi-Experimental Research
c. Descriptive Research
d. Correlational Research

Nurse: Nurse CocoTiti was a newly designated nurse at the orthopaedic ward of Jose
Memorial Hospital. Most of the patients in the ward are with fractures.

11.Tony, a 15 year old has 5 lbs of Bucks extension traction on his leg. Nurse
Ronnie should assess for:
1. Dryness of the skin by removing the foam wraps and boot.
2. Alignment of the shoulder, hips and knees
3. Frayed rope near pulleys
4. Correct amount of traction weight on fracture

Prepared by: RHO VINCE C. MALAGUEO, RM, RN, MAN(ue)

 5. Pressure on the coccyx
a. All except 1 b. 2,3 and 4 only c. All except 5 d.
None of the above
12.While on Bryants traction, which of these observations of Tony and her
traction apparatus would indicate a decrease in the effectiveness of her
traction?
a. Tonys buttocks are resting on the bed
b. The traction weights are hanging 10 inches above the floor
c. Tonys legs are suspended at a 90 degree angle to her trunk
d. The traction ropes move freely through the pulley
13.Another patient Berto, has just had a plaster cast placed on his lower leg.
Which action by Nurse Coco should be performed?
a. Petal the cast as soon as it is put on
b. Keep the child in the same position for 24 hours until the cast is dry.
c. Use only the palms of the hand when handling the cast
d. Notify the physician if the client complains of heat.
14.James is admitted with a fracture of the femur and placed in skeletal traction.
Which of the following should Nurse Coco assess first?
a. The pull of traction on the pin c. The Ace bandage
b. Then pin for signs of infection d. The dressings for lightness
15.Nikki with a fracture of the leg in traction is complaining that her leg hurts.
The nurse knows that it is still too early for pain modification. The nurse
should do which of the following?
a. Place a pillow under the childs buttocks to provide support.
b. Remove the weight from the left leg
c. Assess the feet for signs of neurovascular impairment
d. Reposition the pulleys so the traction is loosen.

Situation: Nurse Gio reviews the special consideration for patients with endocrine
problems. The following situation arises.

16.Nelita is a 35-year old woman who is being treated in the endocrine clinic
from theadult-onset myxedema. The physician has ordered serum thyroxine
(T4) concentration and serum cholesterol tests. Which finding should the
nurse expect?
a. Decreased serum T4 and decreased serum cholesterol
b. Decreased serum T4 and increased serum cholesterol
c. Increased serum T4 and increased serum cholesterol
d. Increased serum T4 and decreased serum cholesterol
17.While taking nursing history, the nurse should expect Miss Eleonor to
complain about:
a. Facial puffiness b. Intolerance to heat c. Exophthalmos d. Heart
palpitations
18.A patient is admitted to the medical unit with possible Graves disease
(hyperthyroidism). Which assessment finding supports this diagnosis?
a. Periorbital edema b. Bradycardia c. Exophthalmus d.
Hoarse Voice

Prepared by: RHO VINCE C. MALAGUEO, RM, RN, MAN(ue)

 19.As the shift begins, you are assigned these patients. Which patient should
you assess first?
a. A 38-year-old patient with Graves Disease and heart rate of 94 bpm
b. A 63-year-old patient with type 2 Diabetes and fingerstick glucose of 137
mg/dl
c. A 58-year-old patient with hypothyroidism and heart rate of 48/minute
d. A 45-year-old patient with Cushings Disease and +1 dependent edema.
20.Gio assesses a patient with Cushings disease. For which finding will the nurse
notify the physician immediately?
a. Purple striae present on abdomen and thighs
b. Weight gain of 1 pound since the previous day
c. +1 dependent edema in ankles and calves.
d. Crackles bilaterally in lower lobes of lungs

Situation: Nurse Marie is assigned in the Oncology handling patients with breast
cancer.

21.Which of the following is not a predisposing factor of Breast Cancer?

a. Menarche at 13 years old
b. Height of 53 and weight of 160 lbs
c. Late menopause
d. Family history
22.The patients relative asked Nurse Marie how often she should perform BSE.
The nurses best response would be:
a. Every month 5 to 7 days after menses start
b. Every month 5 to 7 days before menses start
c. Every month in any date
d. Whenever the patient is convenient
23.The procedure that involves the removal of the entire breast tissue including
the nipple-areola complex and a portion of the axillary lymph nodes is termed
a:
a. Simple mastectomy
b. Radical mastectomy
c. Modified radical mastectomy
d. Total mastectomy
24.The physician has ordered Flurouracil 700 mg IV once a week to a 60 year old
patient with malignant tumor of the breast. When the patient heard this, she
says to the nurse, Am I going to lose my hair? Which is the best response of
the nurse?
a. Hair loss is normal and you can use a wig until your hair grows back
b. Fluorouracil usually does not cause you to lose your hair.
c. The physician will prescribe a medication to prevent this side effect from
occurring.
d. Losing your hair is less traumatic than losing your breast.
25.A 38-year old female client with a history of breast conserving surgery,
axillary node dissection, and radiation therapy calls the clinic to report that

Prepared by: RHO VINCE C. MALAGUEO, RM, RN, MAN(ue)

 her arm is red, warm to touch, and slightly swollen. Which of the following
actions should the nurse suggest?
a. See the physician immediately
b. Apply warm compresses to the affected area
c. Schedule an appointment within 2 to 3 weeks
d. Elevate the arm on two pillows.

Situation: Specific surgical interventions may be done when lung cancer is detected
early. You have important peri-operative responsibilities in caring for patients with
lung cancer.

26. Dona Margarett is scheduled to have lobectomy. The purpose of closed chest
drainage following lobectomy is:

a. Expansion of the remaining lung

b. Facilitation of coughing
c. Prevention of mediastinal shift
d. Promotion of wound healing

27. Following thoracic surgery, you can BEST help Dona Margarett to reduce pain
during deep breathing and coughing exercises by:
a. Splinting the patients chest with both hands during the exercises
b. Administering the prescribed analgesic immediately prior to exercises
c. Providing rest for six hours before exercises
d. Placing the patient on his/her operative side during exercises

28. During the immediate postoperative period following a pneumonectomy, deep

tracheal suction should be done with extreme caution because:
a. The remaining normal lung needs minimal stimulation
b. The patient will not be able to tolerate coughing
c. The tracheobronchial tree are dry
d. The bronchial suture line may be traumatized

29. Which of the following should the nurse perform when the chest tubing is
accidentally disconnected?
a. Reconnect the tube
b. Change the tubing
c. Notify the physician
d. Clamp the tubing

30. Which of the following observations indicates that the closed chest drainage
system is functioning properly?
a. Less than 25 ml drainage in the drainage bottle
b. Absence of bubbling in the suction-control bottle
c. The fluctuating movement of fluid in the long tube of the water-seal bottle during
inspiration
d. Intermittent bubbling through the long tube of the suction control bottle.

Prepared by: RHO VINCE C. MALAGUEO, RM, RN, MAN(ue)