SHIFTING EXAM

Instruction: Read and analyze the questions properly and write the best answer beside the
number.
I. MULTIPLE CHOICE
1. Clinical manifestations associated with a diagnosis of type 1 DM includes all of the following
except:
A. hypoglycemia C. ketonuria
B. hyponatremia D. polyphagia
2. Patient Bermudez has been diagnosed with MI. He has been complaining chest pains. What
would be the cause of pain during MI?
A. enlargement of the coronary veins C. insufficient oxygen of the heart
B. decrease cardiac output D. cardiac dysrhythmias
3. Which of the following actions is the first priority of care for a client exhibiting signs and
symptoms of coronary artery disease?
A. decrease anxiety C. administer sublingual nitroglycerin
B. educate the client about his symptom D. enhance myocardial oxygenation
4. Which of the following is the most common symptom of myocardial infraction?
A. edema C. dyspnea
B. palpitation D. chest pain
5. What is the primary reason why you need to ask to state the client’s name as soon as they
regain consciousness?
A. monitor signs of laryngeal nerve damage C. to determine any signs of amnesia
B. monitor LOC D. for them to sign the waiver
6. Multi organ dysfunction syndrome begins at what part of the body?
A. heart C. brain
B. kidney D. lungs
7. Patient Brooke is suffering from PVC. What is the first line of drug to relieve PVC?
A. cefuroxime C. penytoin
B. aspirin D. lidocaine
8. How would you position your client if he is suffering from shock?
A. side lying C. supine
B. semi fowlers D. modified trendelenburg
9. How many percent of blood loss will it indicate that the patient is in hypovolemic shock?
A. 10-25% C. 15-20%
B. 15-25% D. 10-20%
10. What is the common plasma expander?
A. lactated ringers C. dextran
B. PNSS D. D5W
11. Johnny Sins is suffering from cerebral edema. What will you administer to alleviate his
increase ICP? (Select all that apply)
A. mannitol C. furosemide
B. osmotic diuretic D. digoxin
12. What is the uncontrollable risk factor linked to CHD?
A. obesity C. sex
B. exercise D. high cholesterol
13. What would be given to a client to reverse acidosis?
A. Na Bicarbonate C. calcium carbonate
B. NaCl D. Na Potassium
14. The nurse has been asked by a parent of a child who had lead poisoning what would be the
manifestations present to her child. The nurse would be right if she answered:
A. neurologic deficit C. nausea and vomiting
B. upper gastrointestinal bleeding D. generalized edema
15. What is the maximum potassium supplement per IV?
A. 5 meq/L C. 25 meq/L
B. 15 meg/L D. 10 meq/L
16. When is a diabetic patient taking in Lispro (Humalog) advised to eat?
A. 10-15 minutes after the injection C. Immediately after the injection
B. 10-20 minutes after the injection D. until he finishes the order of the doctor
17. Clients with type 1 diabetes may require which of the following changes to their daily routine
during periods of infection?
A. no changes C. more insulin
B. less insulin D. oral antidiabetic agents
18. Which of the following methods of insulin administration would be used in the initial
treatment of hyperglycemia in a client with DKA
A. subcutaneous C. IV bolus, followed by continuous infusion
B. intramuscular D. IV bolus only
19. A client with a diagnosis of DKA is being treated in the ER. Which finding would a nurse
expect to note as confirming diagnosis?
A. elevated blood glucose level C. decrease urine output
B. comatose state D. increased respiration
20. Common non-specific symptoms of CKD include:
A. increased urination at night C. loss of appetite
B. swelling of hands and feet D. all of the above