NURSING PRACTICE III – SET B

NURSING PRACTICE III – Care of Clients with Physiologic and

Psychosocial Alterations (Part A)
GENERAL INSTRUCTIONS:

1. This test booklet contains 100 test questions

2. Read INSTRUCTIONS TO EXAMINESS printed on your answer sheet.
3. Shade only one (1) box for each question on your answer sheets. Two or more boxes
shaded will invalidate your answer.
4. AVOID ERASURES.

INSTRUCTIONS:

1. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set.
2. Write the subject title “Nursing Practice III” on the box provided.
3. 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.

SITUATION: As a nurse researcher, you must have a very good understanding of the common
terms of concept used in research.

1. The information that a investigator collects form the subjects or participants in a research study
is usually called?

A. Data B. Hypothesis C. Variable D. Concept

2. Which of the following usually refers to the independent variables in doing research?

A. Results B. Output C. Effect D. Cause

3. The recipients of experimental treatment is an experimental design of the individuals to be

observed in a non-experimental design are called:

A. Setting B. Treatment C. Subject D. Sample

4. The device or technique an investigator employs to collect data is called:

A. Sample B. Hypothesis C. Instrument D. Concept

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 NURSING PRACTICE III – SET B

SITUATION: A computer analyst, Mr. Mario Herrera, 26 was brought to the hospital for diagnostic
workup after he had experienced seizure in his office.

5. Just as the nurse was entering the room, the patient who was sitting on his chair begins to have
seizure. Which of the following must the nurse do first?

A. Insert a padded tongue depressor between his jaws C. Ease the patient to the floor
B. Lift the patient and put him on bed D. Restraint patient’s body movement

6. Mr. Herrera is scheduled for CT SCAN for the next day, noon time. Which of the following is the
correct preparation as instructed by the nurse?

A. Shampoo hair thoroughly to remove oil and dirt

B. Insert a padded tongue depressor between his jaws
C. Shave scalp and securely attaché electrodes to it.
D. No special preparation is needed. Instruct the patient to keep his head still and steady.

7. Mr. Herrera is placed on seizure precaution. Which of the following would be contraindicated?

A. Allow him to wear his own clothing C. Obtain his oral temperature
B. Encourage to perform his own personal hygiene D. Encourage him to be out of bed

8. Usually, how does the patient behave after his seizure has subsided?

A. Sleeps for a period of time C. Most comfortable walking and moving about
B. Becomes restless and agitated D. Say he is thirsty and hungry

9. Before and after seizure. The nurse knows that the patient is ALWAYS placed in what position?

A. Low fowler’s B. Side lying C. Modified trendelenburg D. Supine

SITUATION: Mrs. Karla Manahan an immediate post-op cholecystectomy and choledocholithotomy

patient complained of severe pain at the wound site.

10. Choledocholithotomy is:

A. The removal of the stones in the common bile duct

B. The removal of the stones in the gallbladder
C. The removal of the gallbladder
D. The removal of the stones in the kidney

11. The simplest pain relieving technique is:

A. Distraction B. Taking aspirin C. Positioning D. Deep breathing exercise

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 NURSING PRACTICE III – SET B

12. Which of the following statement on pain is TRUE?

A. Culture and pain are not associated

B. Pain accompanies acute illness
C. Patient’s reaction to pain varies
D. Pain procedures the same reaction such as groaning and moaning.

13. Which of the following condition is a more reliable indicator?

A. Pain rating scale of 1 to 10 C. Physiological responses

B. Facial expression and gestures D. Patient’s description of the pain sensation

SITUATION: You are assigned at the surgical ward and clients have been complaining of post pain
at varying degrees. Pain as you know, is very subjective.

14. A one day postoperative abdominal surgery client has been complaining of severe throbbing
abdominal pain described as 9 in a 1-10 pain rating. Your assessment reveals bowel sounds
on all quadrants and the dressing is dry and intact. What nursing intervention would you take?

A. Encourage deep breathing and turning C. Medicate client as prescribed

B. Encourage client to do imagery D. Call surgeon stat

15. Petoxidone 5mg IV every 8 hours was prescribed for post abdominal pain. Which will be your
priority nursing action?

A. Check abdominal dressing for possible swelling C. Medicate client as prescribed

B. Explain the proper use of PCA to alleviate anxiety D. Call surgeon stat

16. The client complained of abdominal distention and pain. Your nursing intervention that can
alleviate pain is:

A. Instruct client to sleep and relax

B. Turn to sides frequently and avoid too much talking
C. Advice the client to close the lips and avoid deep breathing and talking
D. Offer hot and clear soup.

17. Surgical Pain might be minimized by which nursing action in the OR

A. Skill of surgical team and lesser manipulation

B. Appropriate preparation of the scheduled procedure
C. Use of modern technology in closing the would
D. Proper positioning and draping of clients.

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 NURSING PRACTICE III – SET B

18. Inadequate anesthesia is said to be one of the common cause of the pain both in intra and
post-op patients. If general anesthesia is desired, it will involve loss of consciousness. Which
of the following are the 2 general types of GA?

A. Epidural and Spinal C. Inhalation and Regional

B. Subarachnoid block and Intravenous D. Intravenous and inhalation

SITUATION: Mrs. Maria de Luna is admitted to your ward. The MD ordered “Prepare for
thoracentesis this pm to remove excess air from the pleural cavity.”

19. Which of the following nursing responsibilities is essential in Mrs. Michelle Ocampo who will
undergo thoracentesis?

A. Support and reassure client during the procedure

B. Ascertain if chest x-rays and other tests have been prescribed and completed
C. Ensure that informed consent has been signed
D. Determine if client has allergic reaction to local anesthesia

20. Mrs. Maria de Luna who is for thoracentesis is assigned by the nurse to which of the following
positions?

A. Trendelenburg position C. Dorsal Recumbent position

B. Supine position D. Orthopneic position

21. During thoracentesis, which of the following nursing intervention will be most crucial?

A. Advice patient to sit perfectly still during needle insertion until it has been withdrawn
B. Place patient in a quiet and cool room.
C. Maintain strict aseptic technique
D. Apply pressure over the puncture site as soon as the needle is withdrawn.

22. To prevent leakage of fluid in the thoracic cavity, how will you position the client after
thoracentesis?

A. Place flat in bed C. Turn on the affected side

B. On bed rest D. Turn on the unaffected side

23. Chest x-ray was ordered after thoracentesis. When your client asks what the reason for
another chest x-ray is, you will explain;

A. To decongest C. To rule out pneumothorax

B. To rule out any possible perforation D. To rule out any foreign body

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 NURSING PRACTICE III – SET B

SITUATION: Nurse’s attitudes toward the pain influence the way they perceive and interact with
clients in pain.

24. Nurses should be aware that older adults are at risk of underrated pain. Nursing assessment
and management of pain should address the following belief EXCEPT?

A. Older patients seldom tend to report pain than the younger ones
B. Older patients do not believe in analgesics, they are tolerant
C. Pain is a sign of weakness
D. Complaining of pain will lead to being labeled a bad patient.

25. Nurses should understand that when a client responds favorably to a placebo, it is known as
the “placebo effect”. Placebos do not indicate whether or not a client has:

A. Conscience B. Disease C. Real pain D. Drug tolerance

26. You are the nurse in the pain clinic where you have a client who has difficulty specifying the
location of pain. How can you assist such client?

A. The pain is vague C. Identify the absence and presence of pain

B. By charting it hurts all over D. As the client to point to the painful are by just one finger

27. What symptom more distressing than pain, should the nurse monitor when giving opioids
especially among elderly clients who are in pain?

A. Allergic reactions like purities’ C. Identify the absence & presence of pain
B. Forgetfulness D. As the client to point the painful just one finger

28. Physical dependence occurs in anyone who takes opioids over a period of time. What do you
tell a mother of a “dependent| when asked for advised?

A. Start another drug and slowly lessen the opioid dosage

B. Indulge in recreational outdoor activities
C. Isolate opioid dependent to a restful resort
D. Instruct slow tapering of the drug dosage and alleviate physical withdrawal symptoms.

SITUATION: Elderly clients usually produce unusual signs, when it comes to different diseases.
The ageing process is a complicated process and the nurse should understand that it is an
inevitable fact and she must be prepared to care for the growing elderly population.

29. Hypoxie may occur in the older patients because of which of the following physiologic changes
associated with aging?

A. Ineffective airway clearance C. Decreased anterior-posterior chest diameter

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 NURSING PRACTICE III – SET B

B. Decreased alveolar surface area D. Hyperventilation

30. The older patient is at higher risk for incontinence because of:

A. Dilated urethra C. Diuretic use

B. Increased glomerular filtration rate D. Decreased bladder capacity

31. Thomas age 86 is complaining of dizziness when he stands up. This indicates:

A. Dementia B. Visual problem C. Functional decline D. Drug toxicity

32. Cardiac ischemia in an older patient usually produces:

A. ST-T waive changes C. Chest pain radiating to the left arm

B. Very high Creatinine kinase level D. Acute confusion

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

A. Change in mental status C. Pain

B. Fever D. Decreased breath sounds with crackles

SITUATION: IN the OR, there are safety protocols that should be followed. The OR nurse should
be well versed with all these to safeguard the safety and quality of patient delivery outcome.

34. Which of the following should be given highest priority when receiving patient in the OR?

A. Asses level of consciousness

B. Verify patient identification and informed consent
C. Assess vital signs
D. Check for jewelry, gown, manicure and dentures

35. Surgeries like I and D (incision and drainage) and debridement are relatively short procedures
but considered “dirty cases”. When these procedures are best scheduled?

A. Last case C. According to availability of anesthesiologist

B. In between cases D. According to the surgeon’s preference

36. OR nurses should be aware that maintaining the client’s safety the overall goal of nursing care
during the intra-operative phase. As the circulating nurse you make certain that throughout the
procedure.

A. The surgeon greets his client before induction of anesthesia

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 NURSING PRACTICE III – SET B

B. The surgeon and anesthesiologist are in tandem

C. Strap made of strong non-abrasive materials are fastened secure around the joints of the
knee and ankles and around the 2 hand around the arm board.
D. Client is monitored throughout the surgery by the assistant anesthesiologist

37. Another nursing check that should not be missed before the induction of general anesthesia is:

A. Check for presence underwear C. Check patient’s ID

B. Check of presence dentures D. Check baseline vital signs

38. Some lifetime habits and hobbies affect postoperative respiratory function of general
anesthesia is:

A. Perioperative anxiety and stress C. Delayed wound healing

B. Delayed coagulation time D. Postoperative respiratory infection

SITUATION: Sterilization is the process of removing ALL living microorganism. To be free of ALL
living microorganism is sterility.

39. Some lifetime habits and hobbies affect postoperative respiratory function of general
anesthesia is:

A. Steam sterilization C. Chemical sterilization

B. Physical sterilization D. Sterilization by boiling

40. Autoclave or steam under pressure is the most common method of sterilization in the hospital.
The nurse knows that the temperature and time is set to the optimum level to destroy not only
the microorganism, but also the spores. Which of the following is the ideal setting of the
autoclave machine?

A. 10,000 degree Celsius for 1 hour C. 37 degree Celsius for 15 minutes

B. 5,000 degree Celsius for 30 minutes D. 121 degree Celsius for 15 minutes

41. It is important that before a nurse prepares the material to be sterilized. A chemical indicator
strip should be plated above the package, preferably, Muslin sheet. What is the color of the
striped produced after autoclaving?

A. Blue B. Black C. Gray D. Purple

42. If a nurse will sterilized a heat and moisture labile instruments. It is according to APRN
recommendation to use which of the following method of sterilization?

A. Autoclaving B. Flash sterilizer C. Alcohol immersion D. Ethylene oxide gas

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 NURSING PRACTICE III – SET B

43. A client is to undergo an exploratory laparotomy for vague abdominal discomforts that has led
to abdominal rigidity and severe pain. As the surgeon opens the client’s abdomen, which of the
following instruments should the nurse anticipate the surgeon to be use?

A. Mixtner B. Kelly C. Kocher D. Army navy

44. Surgical closure of the skin surfaces usually involves the use of which type of needle?

A. Straight B. Curved C. Rounded D. “Eye Less”

45. Following cataract surgery, which aspect of nursing care is the highest priority of the nurse?

A. Nutrition B. Airway C. Safety D. Fluids

46. To facilitate drainage of secretions from the operative site, the nurse should:

A. Turn the client to the unoperative side every 2-3 hours

B. Turn the client to the operative side every 2-3 hours
C. Keep the client supine until the wound is healed
D. Place the client on semi-fowler’s position at least once during every shift.

SITUATION: Nurses hold variety of roles when providing care to a preoperative patient.

47. Which of the following role would be the responsibility of the scrub nurses?

A. Assess the readiness of the client prior to surgery

B. Ensure that the airway is adequate
C. Evaluate the type of anesthesia appropriate for the surgical client.
D. Account for the number of sponges, needles, supplies used during the surgical procedure

48. As a preoperative nurse, how can you best meet the safety need of the client after
administering preoperative narcotic?

A. Send the client to OR with the family

B. Obtain the consent form
C. Allow client to get up to go to the comfort room
D. Put side rails up and ask the client to get out of bed

49. It is responsibility of the pre-op nurse to do skin prep for patients undergoing surgery. If hair at
the operative site is not shaved, what should be done to make suturing easy and lessen chance of
incision infection?

A. Draped B. Pulled C. Clipped D. Shampooed

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 NURSING PRACTICE III – SET B

50. It is also the nurse’s function to determine when infection is developing in the surgical incision.
The perioperative nurse should observe for what signs of impending infection?

A. Blood clots and scar tissue are visible C. Localized heat and redness
B. Serosanguinois exudates and skin bleaching D. Separation of the incision

51. Which of the following nursing interventions is done when examining the incision would and
changing the dressing?

A. Get patient’s consent C. Request the client to expose the incision wound
B. Wash hands D. Observed the dressing and type of odor of drainage

SITUATION: The preoperative nurse collaborates with the client significant others, and healthcare
providers.

52. To control environmental hazards in the OR, the nurse collaborates with the following
departments, EXCEPT:

A. Chaplaincy services C. Pathology department

B. Biomedical department D. Infection control communities

53. An air crash occurred near the hospital leading to a surge of trauma patients. One of the last
patients will need surgical amputation but three are no sterile surgical equipments. In this case,
which of the following will the nurse expect?

A. Forwarding the trauma client to the nearest hospital that has available sterile equipments is
appropriate.
B. The nurse will need to sterilize the item before using it to the client using the regular
sterilization setting of 121 degree Celsius in 15 minutes
C. In such cases, flash sterilize will be use at 132 degree Celsius in 3 minutes
D. Equipment needed for surgery not be sterilize if this is an emergency necessitating life
saving measures

54. Carlo, the PACU nurse, discovered that Jack, who weight 110 lbs. prior to surgery, is in severe
pain in 3 hours after cholystectomy. Upon checking the chart, Jack found out that he has an order
of Demerol 100 mg IM pm to pain, Carlo should verify the order with:

A. Surgeon B. Intern on duty C. Anesthesiology D. Nurse supervisor

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 NURSING PRACTICE III – SET B

55. Nolan, 57 who diabetic is for debridement if incision wound. When the circulating nurse
checked the present IV fluid, she found out that there is no insulin incorporated as ordered. What
should the circulating nurse do?

A. Communicate with the client to verify if insulin was incorporate

B. Communicate with the ward nurse to verify if insulin was incorporated
C. Incorporate insulin as ordered
D. Double check the doctor’s order and call the attending physician

56. The documentation of all nursing activities performed is legally and professionally vital. Which
of the following should NOT be included in the patient’s chart?

A. Baseline physical, emotional and psychological

B. Arguments between nurses and residents regarding treatments
C. Presence of prosthetoid devices such as dentures, artificial limb, hearing aids, etc.
D. Observed untoward signs, symptom and intervention including contaminant factors.

SITUATION: Team effort is best demonstrated in the OR.

57. If you are the nurse in charge for scheduling surgical cases, what important information do you
need to ask the surgeon?

A. Who is your anesthesiologist?

B. Who is your internist?
C. Who is your assistant and anesthesiologist, what is your preferred time and type of surgery
D. Who are your anesthesiologist, internist and assistant.

58. While team efforts are needed in the OR for efficient and Quality patient care delivery, we
should limit the number of people in the room for infection control. Who comprise this team?

A. Surgeon, assistant, scrub, nurse, circulating nurse, anesthesiologist

B. Surgeon, anesthesiologist, scrub nurse, radiologist, orderly
C. Surgeon, assistant surgeon, anesthesiologist, scrub nurse, pathologist
D. Surgeon, assistant surgeon, anesthesiologist, scrub nurse

59. In the OR, the nursing tandem for every surgery is:

. A. Instrument technician and circulating Nurse C. Scrub and circulating nurse

B. Scrub nurse and nurse anesthetist D. Nurse anesthetist, assistant and technician

60. Who usually act as an important part of the OR personnel be getting the wheelchair or
stretcher, and pushing/pulling them towards the operating room?

A. Orderly/clerk B. Nurse supervisor C. Circulating nurse D. Anesthesiologist

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 NURSING PRACTICE III – SET B

61. The breakdown in teamwork is open times a failure in:

A. Electricity B. Leg work C. Communication D. Inadequate supply

SITUATION: Basic knowledge on intravenous solution is necessary to care of clients with problems
with fluids and electrolytes.

62. A client involved in a motor vehicle crash presents to the emergency department with severe
internal bleeding. The client is severely hypotensive and unresponsive. The nurse anticipates
which of the following intravenous solutions will most likely be prescribed to increase intravenous
intravascular volume, replace immediate blood and increase blood pressure?

A. Normal saline solution C. 0.33% sodium chloride

B. 0.45% sodium chloride D. Lactated Ringer’s solution

63. The physician orders the nurse to prepare an isotonic solution. Which of the following IV
solution would the nurse expect the intern to prescribe?

A. 5% dextrose in 0.95 sodium chloride B. 10% dextrose in water

B. 0.45% sodium chloride D. 5% dextrose in water

64. The nurse is making initial rounds on the nursing unit to assess the condition of assigned
clients. The nurse notes that the client’s IV site is cool, pale and swollen and the solution is not
infusing. The nurse concludes that the following complication has been experienced by the client?

A. Infection phlebitis C. Infiltration D. Thrombophlebitis

65. A nurse reviews the client’s electrolyte laboratory report, notes that the potassium level is
3.2mEq/L. Which of the following would the nurse note on electrocardiogram as a result of the
Lab?

A. Elevated ST segment B. Elevated T waves C. Absent P waves D. U waves

66. One patient had a “runaway” IV or 50% dextrose. To prevent temporary excess of insulin or
transient hyper-insulin reaction, what solution you prepare in anticipation of the doctor’s order?

A. Isotonic solution C. Hypotonic solution

B. Hypertonic solution D. Any IV solution available

67. An informed consent is required for:

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 NURSING PRACTICE III – SET B

A. Insertion of intravenous catheter C. Urethral catheterization

B. Irrigation of the external ear canal D. Closed reduction of a fracture

68. Which of the following is not true with regards to the informed consent?

A. It should described the client’s diagnosis

B. It should give an explanation of the client’s prognosis
C. It should describe different treatment alternative
D. It should contain a thorough and detailed explanation of the procedure to be done

69. You know that the hallmark of nursing accountability is the:

A. Reporting a medication error C. admitting your mistakes

B. Filling an incident report D. Accurate documentation and reporting

70. A nurse is assigned to care for a group of client’s. On review of the client a medical records, the
nurse determines that which client is at risk for excess fluid volume?

A. The client taking diuretics C. The client with an Ileostomy

B. The client with renal failure D. A client requires gastrointestinal suctioning

71. A nurse assigned to care for a group of clients. On review of the client medical records, the
nurse determines that which client is at risk for deficient fluid volume?

A. A client with decrease kidney function C. A client with congestive heart failure
B. A client with colostomy D. A. client receiving frequent wound irrigation

SITUATION: As a preoperative nurse, you are aware of the correct processing methods for
preparing instruments and other devices for patient use to prevent infection.

72. As an OR nurse, what are your foremost considerations for selecting chemical agents for
disinfection?

A. Duration of disinfection and efficiency C. Odor and availability

B. Material compatibility and efficiency D. Cost and duration of disinfection process

73. Before you use a disinfectant instrument it is essential that you:

A. Wrap the instrument with sterile water C. Rinse with sterile water
B. Rinse with tap water followed by alcohol D. Dry the instrument thoroughly

74. You have a critical heat labile instrument to sterilize and are considering using high level
disinfectant. What should you do?

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 NURSING PRACTICE III – SET B

A. High level disinfectants immersion in 10 hours

B. Low level disinfectants immersion in 24 hours
C. Intermediate level disinfectant immersion in 12 hours
D. High level disinfectants immersion in 1 hour

75. Bronchoscopy, thermometer, endoscope, ET tube, cytoscope are all BEST sterilized using
which of the following:

A. Flash sterilized at 132 degree Celsius in 3 minutes

B. Ethylene oxide gas aeration for 20 hours
C. 2% Glutaraldehyde immersion for 10 hours
D. Autoclaving at 121 degree Celsius in 15 minutes

SITUATION: The OR is divided into three zones to control traffic flow and contamination.

76. Nursing intervention for a patient on low dose IV insulin therapy includes the following
EXCEPT:

A. Elevation of blood glucose levels C. Vital sign including BP

B. Eliminate serum potassium D. Elevation of serum ketones to monitor kelosis

77. The doctor ordered to incorporate 1000”u” insulin to the remaining on going IV. The strength is
500/ml. How much should you incorporate into the IV solution.

A. 10 ml B. 2 ml C. 0.5 ml D. 5 ml

78. Multiple vial-dose-insulin when in use should be:

A. Store in the freezer C. Keep at room temperature

B. Keep I narcotic cabinet D. Keep in the refrigerator

79. Insulin, using insulin syringe is given, using how many degrees of needle insertion?

A. 180 B. 45 C. 90 D. 15

80. All this factor effect the sterility of the OR equipment, there are the following EXCEPT:

A. The material used for packaging C. The handling of the materials as well as its transport
B. Storage D. The chemical or process used in sterilizing the
materials

81. When you say sterile, it means:

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 NURSING PRACTICE III – SET B

A. The material as well as the equipment are sterilize

B. The materials is clean
C. There is a black stripe on the paper indicator
D. The material has no micro organism nor spores

82. All this factors affect the sterility of the OR equipments, these are the following EXCEPT:

A .Autoclave is better in sterilizing OR supplies versus liquid sterilizer

B. They are both capable of sterilizing the equipment
C. Sharps are sterilized using autoclave and noticidex
D. If liquid sterilizer is used, rinsing it before using

SITUATION: Alfredo lives in the squatter area. He goes to nearby school. He helps his mother
gather molasses after school. One day, he was absent because of fever, malaise, anorexia and
abdominal discomfort.

83. Upon assessment, Alfredo was diagnosed to have hepatitis A. which mode of transmission has
the infection agent taken?

A. Fecal oral B. Droplet C. Airborne D. Sexual contact

84. Which of the following is concurrent disinfection in the case of Alfredo?

A. Sanitary disposal of feces, urine and blood

B. Investigation of contact
C. Quarantine of the sick individuals
D. Removing all detachable objects in the room

85. Which of the following must be emphasized during mother’s class to Alejandro’s mother?

A. Administration of immunoglobulin to families C. Use Of attenuated vaccine

B. Through hand washing before and after eating D. Boiling of food especially meat

86. What is the average incubation period of hepatitis A.

A. 30 days B. 60 days C. 50 days D. 14 days

SITUATION: Diabetes Mellitus is the most common endocrine disorder that accounts for the
majority of non-traumatic amputation as well as the third leading cause of death by disease.

87. Which of the following is true with regards to the TYPE 2 diabetes mellitus?

A. Ketosis is common C. Usually thin at diagnosis with recent weight loss

B. Onset is usually at early 20’s D. There is no islet cells antibodies.

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 NURSING PRACTICE III – SET B

88. Who among the following has the highest risk in acquiring diabetes mellitus?

A. An old man, 58 year old with a BMI of 30 C. An old man, 62 year old with a diabetic mother
B. Paulo, 19 year old African American D. Mr. Santos, with a diabetic mother and sister

89. The primary treatment in clients with Type 1 DM is:

A. Weight loss B. OHA C. Insulin D. Exercise

SITUATION: Darren, 19 years old, comes to the ER with acute asthmatic attack. RR is 46/mm and
appears to be in acute respiratory distress.

90. Which of the following nursing action should be initiated first?

A. Administer oxygen at 6L/min C. Administer bronco dilatory by nebulizer

B. Suction the client every 30 min D. Promote emotional support

91. Amino phylline was ordered for acute asthmatic attack. The mother asked the nurse, what it is
indication, the nurse will say:

A. Prevent thickening of secretions C. Promote expectoration

B. Suppress cough D. Relax smooth muscles of the bronchial airway

92. You will give health instruction to Jay, a case of bronchial asthma. The health instruction will
include the following, EXCEPT:

A. Avoid pollution like smoking C. Avoid pollens, dust and seafood

B. Practice respiratory isolation D. Avoid emotional stress & extreme temperature

SITUATION: Sonny 11 year old has kissing tonsils and is scheduled for tonsillectomy or T and A.

93. Sonny is to be discharged in the afternoon of the same day after tonsillectomy and
adenoidectomy. You as the RN will make sure that the family knows to:

A. Offer soft foods for a week to minimize discomfort while swallowing

B. Supplement his diet with vitamin C rich juices to enhance healing
C. Offer clear liquid for 3 days to prevent irritation
D. Offer osterized feeding

94. You are the nurse of Sonny who will undergo T and A in the morning. His mother asked you if
Sonny will put to sleep. Your teaching will focus on:

A. Anesthesiologist’s preference C. General anesthesia

B. Spinal anesthesia D. Local anesthesia

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 NURSING PRACTICE III – SET B

95. Mothers of children undergoing tonsillectomy and adenoidectomy usually ask what food to
prepare and give their children after surgery. You as the nurse will say?

A. Balanced diet when fully awake C. Soft diet when fully awake
B. Ice cream when fully awake D. Hot soup when awake

SITUATION: Mr. Mike Jimenez, R.N. is assigned to the medical ward. Several clients are admitted
for treatment of various conditions.

96. Which of the following characteristics of pain indicates gall bladder disease?

A. Right lower quadrant pain with bloody diarrhea

B. Right upper quadrant pain that radiates to the shoulder blade
C. Lower sterna pain that resembles indigestion
D. Left epigastric pain with Cullen’s sign

97. The hallmark sign for the diagnosis of diabetes mellitus is the presence of:

A. Ketonuria B. Acetone odor of breath C. Kussmaul’s breathing D. Hyperglycemia

SITUATION: Sonny was diagnosed to have chronic renal failure. Hemodialysis is ordered so that
an A-V shunt was surgically created.

98. Which of the following action would be of highest priority with regards to the external shunt?

A. Instruct the client not to exercise the arm with the shunt
B. Avoid taking BP or blood sample from the arm with the shunt
C. Change dressing of the shunt
D. Hepannize the shunt daily

99. Diet therapy for Sonny, who has acute renal failure, is low protein, low potassium and low
sodium. The nutrition instruction should include:

A. Encourage client to include raw cucumbers, carrots, cabbage and tomatoes

B. Allowing the client cheese, canned foods and other processed food
C. Recommended protein of high biologic value like eggs, poultry and lean meat
D. Bananas, cantaloupe, orange and other fresh fruits can be included in the diet

100. A renal failure patient was ordered for Creatinine clearance. As the nurse you will collect:

A. First morning urine C. 24 hour urine specimen

B. Random urine specimen D. 48 hour urine specimen

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 NURSING PRACTICE III – SET B

SUBMIT THIS TEST BOOKLET TOGETHER WITH THE ANSWER SHEET TO

YOUR WATCHERS. BRINGING THE TEST BOOKLET OUT OF THE ROOM WILL
BE A GROUND FOR CANCELLATION OF YOUR EXAMINATION.

***END***

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