Psychiatric Nursing Exam

1. An essential clinical feature of autistic disorder is: A. Inability to concentrate in any task B. Easily Distracted C. Stereotyped motor behaviors D. Poor motor skills

2. Headbanging is a common manifestation of an autistic child. A relevant nursing diagnosis would be: A. Activity intolerance B. Impaired physical mobility C. Risk for Inj ry D. Impaired skin inte!rity . According to freud! "uanito is at what #sychosexual stage$ A. Anal B. "ral C. Phallic D. #atency %. &y#ically! if there is a change in the environment! the child will manifest which of the following$ A. Clin!in! behavior B. $emper tantr ms C. S icide D. $alks incoherently

'. &he best treatment a##roach for autistic children is encouraging their desired behavior through #ositive reinforcement. &his is: A. %ilie $herapy B. Psychoanalysis C. Play $herapy D. Behavior $herapy (. &here is no definite cause identified for autism! but a strong lin) has been found on: A. Environmental factors B. &enetic factors C. 'pbrin!in! D. %%R vaccination

*. +hich of the following is true about Autism$ A. A tism is common amon! boys than !irls B. A tism is common amon! !irls than boys C. %%R vaccination has been stron!ly linked in the development of A tism D. A tistic children s ally develops normal social skills

,. -f a child with autism develo#s destructive behavior! &he drug of choice that the nurse will ex#ect that the #hysician will give to control self in.ury is A. Chlorproma(ine )$hora(ine* B. %ethylphenidate )Ritalin* C. $ime+o t D. ,ali m- #ibri m or other An.iolytic

/. &he mother of "uanito as)ed the nurse! +hen is autism diagnose$ &he nurse will res#ond: A. A tism is dia!nosed after / years old B. A tism is dia!nosed after 0 years old C. At 1 years old- A tism is dia!nosed D. A tism is dia!nosed before / years old

10. 1hlor#roma2ine was given to the child. +hich is true with regards to this medication$ A. E.pect that the child 2ill be n s ally alert and hyperactive d rin! the therape tic period B. $he mother sho ld decrease the fl id intake of the child as this dr ! ca ses fl id retention C. $hat the dr ! is !iven in order to decrease the child3s hyperactivity D. $he mother sho ld avoid overe.posin! the child to s nli!ht for the child mi!ht develop rashes d e to photosensitivity Sit ation 4 %astery of Psychotropic medications is necessary for the therape tic improvement in the health of the psychiatric clients.

3edical45urgical Nursing

1ounting is #erformed thrice: during the #reincision #hase! the o#erative #hase and closing #hase. +ho counts the s#onges! needles and instruments$ A. $he scr b n rse only B. $he circ latin! n rse only C. $he s r!eon and the assistant s r!eon D. $he scr b n rse and circ latin! n rse.

2. &he layers of the abdomen are divided into '. Arrange the following from the first layer going to the dee#est layer: 5. 6ascia 7. % scle /. Peritone m 1. S bc taneo s86at 9. Skin A.9-1-/-7-5 B.9-1-7-5-/ C.9-1-5-/-7-

D.9-1-5-7-/

. +hen is the first s#onge instrument count re#orted$ A. Before closin! the s bc taneo s layer B. Before peritone m is closed C. Before closin! the skin D. Before the fascia is s t red

%. 6i)e any nursing intervention! counts should be documented. &o whom does the scrub nurse re#ort any discre#ancy of counts so that immediate and a##ro#riate action is instituted$ A. Anaesthesiolo!ist B. S r!eon C. "R n rse s pervisor D. Circ latin! n rse

'. +hich of the following are 2 interventions of the surgical team when an instrument was confirmed missing$ A. %RI and Incidence report B. C$ Scan- %RI- Incidence Report C. :+ray- and Incidence Report D. C$ scan and Incidence Report Sit ation 74 An entry level n rse sho ld be able to apply theoretical kno2led!e in the performance of the basic n rsin! skills.

(. A client has an indwelling urinary catheter and she is sus#ected of having urinary infection. How should you collect a urine s#ecimen for culture and sensitivity$ A. Clamp t bin! for 0; min tes and insert a sterile needle into the t bin! above the clamp to aspirate rine. B. Drain rine from the draina!e ba! into the sterile container C. Disconnect the t bin! from the rinary catheter and let rine floe into a sterile container D. <ipe the self sealin! aspirations port 2ith antiseptic sol tion and insert a sterile needle into the self sealin! self+sealin! port.

*. &o obtain s#ecimen for s#utum culture and sensitivity! which of the following instruction is best$ A. 'pon 2akin! p- co !h deeply and e.pectorate into container B. Co !h after p rsed lip breathin! C. Save sp t m for t2o days in covered container D. After respiratory treatment- e.pectorate into a container

,. &he best time for collecting the s#utum s#ecimen for culture: A. Before retirin! at ni!ht B. 'pon 2akin! p in the mornin! C. Anytime of the day. D. Before meal /. +hen suctioning the endotracheal tube! the nurse should: A. E.plain proced re to patient4 Insert catheter motion. B. Insert catheter ntil resistance is met= then catheter is 2ithdra2n. C. >ypero.y!enate client insert catheter sin! D. Insert s ction- catheter fo r inches into the catheter is 2ithdra2n. !ently applyin! s ction. <ithdra2n sin! t2istin! 2ithdra2 sli!htly- applyin! s ction intermittently as back and forth motion t be- s ction /; seconds sin! t2irlin! motion as

10. &he #ur#ose of N7& -33E8-A&E69 after o#eration is: A. 6or feedin! or !ava!e B. 6or !astric decompression C. 6or lava!e- or the cleansin! of the stomach content D. 6or the rapid ret rn of peristalsis Sit ation /4 %r. Santos- 9;- is to nder!o cystoscopy d e to m ltiple problems like scantly rinationhemat ria- and dys ria.

3aternal : 1hild Health Nursing

1.8a#hne! 1/ years old! as)s nurse 3acarena how can #regnancy be #revented through tubal ligation. +hich would be the best answer$ A. Prosta!landins released from the c t fallopian t bes 2ill lead to permanent clos re of the va!ina. B. Sperm can not enter the ter s beca se the cervical entrance is blocked. C. Sperm can no lon!er reach the ova- beca se the fallopian t bes are blocked D. $he ovary no lon!er releases ova as there is no 2here for them to !o.

2. &he 5tevens are a cou#le undergoing testing for infertility. -nfertility is said to exist when: A. A 2oman has no ter s B. A 2oman has no children C. A co ple has been tryin! to conceive for 5 year D. A co ple has 2anted a child for 0 months

. Another client named 1indy is diagnosed as having endometriosis. &his condition interferes with fertility because: A. Endometrial implants can block the fallopian t bes

B. $he terine cervi. becomes inflamed and s2ollen C. $he endometrial linin! becomes inflamed leadin! to narro2in! of the cervi.. D. Inflammation of the endometri m ca ses release of s bstance P 2hich kills the sperm.

%. 1indy submits herself to ;atima 3edical 1enter and is scheduled to have a hysterosal#ingogram. +hich of the following instructions would you give her regarding this #rocedure$ A. %enstr ation 2ill be irre! lar for fe2 months as an effect of the dye b t it is j st normal B. $he sono!ram of the ter s 2ill reveal any t mors present C. $he 2omen may e.perience some itchiness in the va!ina as an after effect. D. Crampin! may be felt 2hen the dye is inserted

'. 1indy<s cousin on the other hand! )nowing nurse 3acarena<s s#eciali2ation as)s what artificial insemination by donor entails. +hich would be your best answer if you were Nurse 3acarena$ A. Donor sperm are introd ced va!inally into the ter s or cervi. B. Donor sperm are injected intra+abdominally into each ovary C. Artificial sperm are injected va!inally to test t bal patency D. $he h sband3s sperm is administered intraveno sly 2eekly

(. Pain in geriatric clients re=uire careful assessment because they: A. e.perienced red ce sensory perception B. have increased sensory perception C. are e.pected to e.perience chronic pain D. have a increased pain sensitivity

*. Administration of aminoglycosides to the older #ersons re=uires careful #atient assessment because older #eo#le: A. are more sensitive to dr !s B. have increased hepatic- renal and !astrointestinal f nction C. have increased sensory perception D. mobili(e dr !s more rapidly

,. Elder clients are often at ris) of having im#aired s)in integrity. >ne factor is that they often ex#erience urinary incontinence. &he elderly #atient is at higher ris) for urinary incontinence because of: A. increased !lomer lar filtration B. decrease elasticity of blood vessels C. decreased bladder capacity D. dilated rethra

/. +hich of the following is the 3>5& 1>33>N sign of infection among the elderly$ A. decreased breath so nds 2ith crackles B. Increase body temperat re

C. pain D. Restlessness- conf sion- irritability

10. Prioriti2ation is im#ortant to test a nurse<s good .udgment towards different situations. Priorities when caring for the elderly trauma #atient: A. circ lation- air2ay- breathin! B. disability ?ne rolo!ic@- air2ay- breathin! C. air2ay- breathin!- disability ?ne rolo!ic@ D. air2ay- breathin!- circ lation