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MS 1
miscellaneous
| QUESTION | ANSWER |
|---|---|
| Radionuclide imaging | A tiny amount of radio active substance is injected into the vein. |
| PY test | The purpose of a PY test is to detect the presence of bacteria that can cause ulcers. |
| Enteroclysis | A special x-ray of the small intestine that looks at how a liquid contrast moves through the area. A tube is passes through from the nose or mouth through the stomach and into part of the small bowel. |
| Barium enema | Barium coats the organs so they will show up on the x-ray. Also called barium enema x-ray. |
| Colonoscopy | A test that allows for examination of the colon. |
| Panendoscopy | Panendoscopy allows the Gastroenterologist to comprehensively examine the oesophagus, stomach and duodenum using an endoscope equipped with a video camera. It also allows the Gastroenterologist to take tissue samples (biopsies) for pathology test |
| Esophagogastroduodenoscopy | Visualizes esophagus, stomach, and duodenum by means of a long, flexible scope. |
| Odynophagia | Painful swallowing |
| Gastroesophogeal reflux disease (GERD) | is caused by the abnormal backflow, or reflux, of stomach acid and juices into the esophagus, the tube that leads from the throat to the stomach |
| Esophagitis | Mild gastroesophageal reflux disease (GERD) may cause some irritation, inflammation, or wearing away (erosion) of the lining of the esophagus. This condition is called esophagitis. |
| Diverticulum | A small pouch in the colon. These pouches are not painful or harmful unless they become infected or irritated. |
| Pyloroplasty | An operation to widen the opening between the stomach and the small intestine. This allows stomach contents to pass more freely from the stomach. |
| Gastritis | Inflammation of the lining of the stomach. |
| Dyspepsia | Indigestion |
| Cimetidine | Cimetidine is used to treat and prevent ulcers in the stomach and intestines. It is also used to treat conditions in which the stomach produces too much acid and conditions in which acid comes up into the esophagus and causes heartburn, such as GERD |
| Dysphagia | Diffculty swallowing |
| Anorexia | Lack of appetite. |
| Parietal Cells | Cells in the stomach wall that make hydrochloric acid. |
| Hematemesis | Vomiting blood |
| Agents that dilates aorta and systemic circulation, decreases workload of the heart, which allows the heart to pump against less pressure. | Afterload reducing agents. |
| These agents causes venous pooling, why? | Afterload reducing agents because they decrease blood returning to the heart which allow less workload for the heart. |
| Studies indicate that Capoten/Captopril is superior to digitalis and diuretics by improving what in patients with mild to moderate CHF? | exercise tolerance |
| These drugs have a positive inotropic effect on the heart; increase contractility; increase the force of contraction and hopefully increase the cardiac output at the same time. | Digoxin and Digitoxin/ cardiac glycosides (digitalis) |
| What is the expected effect of digoxin/digitoxin? | Slow the heart rate and increase filling time of the ventricle and again increase the cardiac output. |
| Anorexia, nausea, vomiting, bradycardia, color vision-green halos are signs of what? | Digitalis Toxicity |
| Digiblind for profound digitalis toxicity is used when? | in life threatening situations |
| What is the normal digoxin level? | 2.0 |
| Before adm. digoxin, what must the nurse assess and document prior to giving? | Assess apical pulse for 1 full minute, document in med chart. |
| Decreases circulating blood volume; increase sodium excretion; diminishes preload. | Diuretics |
| Diuretics will decrease pulmonary and venous congestion, leading to decreasing___________. | edema |
| This condition may potentiate the digoxin and may induce digitalis toxicity during diuretic therapy. | Hypokalemia |
| Hydroduril, Lasix, Bumex | Diuretics |
| CHF clients are restricted sodium to? | 1-2 g/ day |
| A client with CHF are usually ordered potassium supplements why? | Some are on potassium wasting diuretics. |
| Fluid restrictions are ordered for which CHF client? | Severe CHF clients. |
| Oxygen therapy for a client with CHF is used for what reasons? | To maintain a PO2 within normal for client. and for comfort. |
| When measuring I &O and weight of a client, what do you need to remember as a nursing intervention? | Record I&O hourly in acute stage, weigh every day at the same time, scale, and amt. of clothing. And that 2.2 lbs or 1 kg = 1 liters of fluid. |
| A client with CHF in a high fowlers position, the feet that are dependent should be placed on a stool to decrease risk of____________. | Venous Thrombosis. |
| Why should you not elevate the feet while client is in high fowlers position? | It will increase blood return to heart too quickly and increases workload of the heart. |
| Rapid fluid shift of plasma of the blood into the interstitial spaces of the lungs, alveoli, and pleural space is known as_________________. | Acute Pulmonary Edema |
| Acute Pulmonary Edema is an acute exacerbation of which heart failure? | Left sided failure and is medical emergency. |
| What causes Acute Pulmonary Edema? | Not taking Lasix medications or increase salt intake. |
| Symptoms of Acute pulmonary edema include... | Pink frothy blood tinged sputum in large quantities, crackles in lower lungs progressing to all lungs, cyanosis, nose flaring, use of accessory muscles and profound dyspnea. |
| Vasoconstriction due to profound drop in cardiac output cause ___________. | Hypertension. |
| Daily pulse on a person with CHF, before arising from bed and before digoxin med, heart rate should be reported if pulse is____________. | <60 or >120. |
| When discharging a patient with CHF, it is important to teach them this about their medication. | Not to skip drug therapy. |
| What are some of the concerns when discharging an elderly person with CHF. | They have decreased renal excretion, increased risk for digitalis toxicity and inability to handle complex or multiple drug therapy modalities. |
| anal fistula is | abnormal opening between the perianal canal and the perianal skin |
| anal fissure | is a laceration of the anal canal and the perianal skin |
| anorectal abscess | infection in the tissue around the rectum |
| to reduce ingestion of infectious agents what is best to do | wash hands |
| tying off with a rubber band is | ligitation |
| hemmoroidectomy | removal of hemmorhoid |
| injection of an agent causing vessel to shrink and die | sclerotheraphy |
| polyps / complications? | small growths in the intestine , bleeding and abstruction |
| polyps are diagnosed | by barium enema exam or endoscopic exam |
| dilated veins in the rectum | hemorrhoids |
| pressure increased by constipation,pregnancy and prolonged sitting or standing are risk for | hemorrhoids |
| s/s of hemorrhoids | rectal pain and itching , bleeding may occur with defecation |
| small sac pouches up the intestinal wall | diverticula |
| s/s of diverticulitis | pain in left lower ab, related to irritating foods alcohol, constipationm persistent cough. |
| complications of diverticulitis | bleeding, obstruction, perforation |
| opiod should not be given especially morphine to diverticulitites because | they cause constipation and increase pressure in the sigmoid colon |
| inflammatory bowel disease | inflammation and ulceration of the bowel , chrons disease and ulcerative colitis |
| bulding portion of the intestine | hernia |
| avoid what for a hernia | lifting, straining, |
| irreducible hernia may become gangreous or incarcerated , and deprived of blood it is known as | strangulation |
| appendicitis | is inflammation of the appendix |
| appendix located where | R lower quad |
| a rupture appendix can lead to what | peritonitis |
| elevated what indicates infection | wbc 10,000-15,000 |
| can you use laxatives and heat applications for appendicitis | no never for any undiagnosed ab. pain, a cold pack and NPO |
| if appendix is inflamed heat can cause | rupture |
| peritonitis | inflammation of the peritoneum caused by chemical or bacterial contamination |
| complications of peritonitis include | abscess, adhesions, septicemia, hypovolemic shock, fever rachycardia, tachypnea, n&V |
| increased body wt. of 20 % higher than ideal | obesity |
| removal of adipose tissue through a suction cannula | liposuction |
| is a loss of tissue from the lining of the digestive tract | peptic ulcer |
| microrganism that causes peptic ulcers | helicobacter pylori |
| gastric ulcers produce pain after how many hours of eating | 1-2 hrs |
| duodenal ulcers experience pain after eating how long | 2-4 hrs |
| backward flow of gastric contents from the stomach to esophagus | gastroesophageal reflux disease GERD |
| s/s of GERD | painful burning goes up and sown after meals relieve by antiacids |
| inflammation of the lining of the stomach | gastritis |
| diet for gastritis | bland diet give 6 small feedings |
| queaziness feeling | nausea |
| gentle ejection of food or fluid without N&V | Regurgitation |
| s/s before vomiting | tachycardia & increased saliva |
| achalasia | difficulty swallowing , caused by failure of the esophageal muscles to relax |
| parotitis | inflammation of the parotid gland |
| inflammation of the gums | gingivitis |
| trench mouth | vincents infection |
| stomatiits | inflammation of the oral mucosa |
| s/s of malnutrition | glossitis, cracked lips, edema , jaundice muscular wasting |
| lack of appetite | anorexia |
| used for relief of or prevention of distension | GI decompression |
| intestinal PH | 6 or higher |
| gastric contents ph | 5 or less |
| hold barrel of feeding how high, | 12 inches |
| rapid feeding can lead to | dumping syndrome |
| cold, sweat , distension dizzy , weak, rapid pulse, nausea and diarrhea are s/s during feeding of what | dumping syndrome |
| confirm placement | x-ray best |
| grassy green, clear , ph less then 5 are | gastric contents |
| bolus is how many ml's | 200-300 over 30-45 min |
| Person responsible for transporting the patient from OR to RR? a)Nursing Aide b)Surgeon c)Circulator | Circulator |
| Priority in Blood Transfusion? a)Verify Dr's. Orders b)Verify with 2 nurses etc. | a)Verify Dr's. Orders |
| Needle use for close of the skin? a)Cutting b)Tapered | Cutting |
| Responsible for handling the surgical instruments in the operative field? a)Circulator b)O.R. Supervisor c)Surgical Tech | c)Surgical Tech (a.k.a. Scrub nurse) |
| Priority when patient enter the O.R.? a)Signed consent b)Pt. I.D. | b)Pt. I.D is the step 1 and then Signed consent is step 2. |
| Common complication of hysterectomy? a)Atelectasis b)Hemorrhage | b)Hemmorrhage |
| In Tonsilectomy, what is the food to give? a)Ice cream b)Gelatin | b)Gelatin, the ice cream is C/I because it will increase tenacity of secretion w/l to coughing and eventually to bleeding |
| Person responsible for handling of surgical specimen to the laboratory department? a)Scrub nurse b)N-Aide c)Circulator d)O.R. Head Nurse | c)Circulator |
| Removal of sutures in the face? a)3-5 days b)7-10 days | a)3-5 days, the other one 7-10 days is for extremities |
| Chest tube? You do this, except? a)Change dressing daily b)Turn patient every 2hrs | a)Change dressing daily is a wrong option |
| Patient with signs of wound infection? Which is correct? a)Persistent redness b)Serosanguinous drainage c)Separation of incision | a)Persistent redness, option B is normal and C is wound dehiscence |
| What is the sign of increase I.C.P. ? a)Kernig's sign b)Increase BP | b)Increase BP along with Widened pulse pressure, Bradycardia, Irregular Respiration, Increase Temperature and the A option is a meningial irritation |
| Drug to give in Hypothyroidism? a)Levophed b)Syntroyd | b)Syntroyd or Levothyroxine, option A is a drug for increasing BP in shock |
| Signs of Meningitis/Meningial irritation? a)Change in L.O.C. b)Photophobia | b)Photophobia, option A is a sign of INC. I.C.P. |
| Priority Diagnosis for Parkinson's Disease? a)High risk for aspiration b)High risk for injury | a)High risk for aspiration is step 1 and then option B is step 2 |
| Chest tube dislodgement, what do you do first? a)Clamp b)Cover with occlusive dressing c)Instruct patient to hold breath | c)Instruct patient to hold breath is step 1 and then cover it with occlusive dressing is step 2, option A is a wrong option |
| Person responsible for labeling the surgical specimen? a)Pathologists b)Circulator c)Scrub Nurse d)Surgeon | c)Scrub Nurse, the rule is kung sino nakakita, siya mang label. |
| Bupivacane, what type of anesthesia? a)General b)Spinal | b)Spinal |
| Position in bone marrow aspiration except? a)Side lying b)Sit up c)Lie on your abdomen | b)Sit up, because in bone marrow, dapat exposed ang buttocks |
| Priority in TPN? a)Prepare equipment b)Verify TPN order c)Handwashing | b)Verify TPN order is the step 1 followed by C and then A |
| Signs of Thrombophlebitis? a)Pain in the leg b)Redness & swelling c)Homan's Sign | a)Pain in the leg, next sign is option B and then the last classical sign is option C |
| Halothane? What type of anesthesia? a)General b)Spinal | a)General |
| Progesterone gel, what does it do? a)To dilate the cervix b)To efface the cervix | b)To efface the cervix and then next it will dilate it |
| Eyedrops, what to do except? a)Occlude the puncpa b)Apply from inner canthus to outer canthus | b)Apply from inner canthus to outer canthus is the answer because this is an OINTMENT procedure |
| Person responsible for transporting the patient from OR to RR? a)Nursing Aide b)Surgeon c)Circulator | Circulator |
| Priority in Blood Transfusion? a)Verify Dr's. Orders b)Verify with 2 nurses etc. | a)Verify Dr's. Orders |
| Needle use for close of the skin? a)Cutting b)Tapered | Cutting |
| Responsible for handling the surgical instruments in the operative field? a)Circulator b)O.R. Supervisor c)Surgical Tech | c)Surgical Tech (a.k.a. Scrub nurse) |
| Priority when patient enter the O.R.? a)Signed consent b)Pt. I.D. | b)Pt. I.D is the step 1 and then Signed consent is step 2. |
| Common complication of hysterectomy? a)Atelectasis b)Hemorrhage | b)Hemmorrhage |
| In Tonsilectomy, what is the food to give? a)Ice cream b)Gelatin | b)Gelatin, the ice cream is C/I because it will increase tenacity of secretion w/l to coughing and eventually to bleeding |
| Person responsible for handling of surgical specimen to the laboratory department? a)Scrub nurse b)N-Aide c)Circulator d)O.R. Head Nurse | c)Circulator |
| Removal of sutures in the face? a)3-5 days b)7-10 days | a)3-5 days, the other one 7-10 days is for extremities |
| Chest tube? You do this, except? a)Change dressing daily b)Turn patient every 2hrs | a)Change dressing daily is a wrong option |
| Patient with signs of wound infection? Which is correct? a)Persistent redness b)Serosanguinous drainage c)Separation of incision | a)Persistent redness, option B is normal and C is wound dehiscence |
| What is the sign of increase I.C.P. ? a)Kernig's sign b)Increase BP | b)Increase BP along with Widened pulse pressure, Bradycardia, Irregular Respiration, Increase Temperature and the A option is a meningial irritation |
| Drug to give in Hypothyroidism? a)Levophed b)Syntroyd | b)Syntroyd or Levothyroxine, option A is a drug for increasing BP in shock |
| Signs of Meningitis/Meningial irritation? a)Change in L.O.C. b)Photophobia | b)Photophobia, option A is a sign of INC. I.C.P. |
| Priority Diagnosis for Parkinson's Disease? a)High risk for aspiration b)High risk for injury | a)High risk for aspiration is step 1 and then option B is step 2 |
| Chest tube dislodgement, what do you do first? a)Clamp b)Cover with occlusive dressing c)Instruct patient to hold breath | c)Instruct patient to hold breath is step 1 and then cover it with occlusive dressing is step 2, option A is a wrong option |
| Person responsible for labeling the surgical specimen? a)Pathologists b)Circulator c)Scrub Nurse d)Surgeon | c)Scrub Nurse, the rule is kung sino nakakita, siya mang label. |
| Bupivacane, what type of anesthesia? a)General b)Spinal | b)Spinal |
| Position in bone marrow aspiration except? a)Side lying b)Sit up c)Lie on your abdomen | b)Sit up, because in bone marrow, dapat exposed ang buttocks |
| Priority in TPN? a)Prepare equipment b)Verify TPN order c)Handwashing | b)Verify TPN order is the step 1 followed by C and then A |
| Signs of Thrombophlebitis? a)Pain in the leg b)Redness & swelling c)Homan's Sign | a)Pain in the leg, next sign is option B and then the last classical sign is option C |
| Halothane? What type of anesthesia? a)General b)Spinal | a)General |
| Progesterone gel, what does it do? a)To dilate the cervix b)To efface the cervix | b)To efface the cervix and then next it will dilate it |
| Eyedrops, what to do except? a)Occlude the puncpa b)Apply from inner canthus to outer canthus | b)Apply from inner canthus to outer canthus is the answer because this is an OINTMENT procedure |
| Acute pyelonephritis cause? a)Frequent sore throat b)Ascending infection | b)Ascending infection, option A is for AGN question |
| Rheumatoid arthritis? a)Acute b)Chronic | b)Chronic, it is an inflammatory connective tissue disease |
| AGN, cause? a)Rheumatic heart disease b)Impetigo | b)Impetigo, because the first cause is Frequent sore throat, Streptococcal infection/ Pharyngitis and then lastly Impetigo |
| Minimum number of sponge count? a)2x b)3x c)As many as you can | b)3x |
| Patient with Meningitis room placement? a)Quiet brightly lit room b)Dimly lit room | b)Dimly lit room is the answer because of Photophobia of the patient |
| Aminophylline's side effect? a)Urinary retention b)Diuresis | b)Diuresis, because it is a Bronchodilator drug it will yield S/E like a coffee overdose like tremors and Diuresis |
| S/S of U.T.I on an elderly patient? a)Frequency & urgency b)Fever c)Confusion d)Dysuria | c)Confusion, when dealing with an elderly, look for S/S of neural status |
| Eyedrops, placement? a)Cornea b)Conjunctival sac | b)Conjunctival sac, option A is C/I because it will cause damage to the eye |
| BP taking except? a)Infection control b)Inflate the cuff around 50 mmHg above systolic baseline | b)Inflate the cuff around 50 mmHg above systolic baseline, it should be 20-30 mmHg only |
| Tracheostomy, avoid what? a)Mouthwash b)Carpentry | b)Carpentry because sawdust might enter the neck hole, so avoid anything that will introduce foreign objects to the lungs thru the neck hole |
| S1 heart sound best heard where? a)2nd I.C.S. Left P.S.L. b)5th I.C.S. Left M.C.L. c)3rd I.C.S. Left P.S.L. | b)5th I.C.S. Left M.C.L. , option A is S2 and then C is the Erb's Point |
| Nursing Assistant delegation? a)V.S. b)Bathing patient | b)Bathing patient, choose the less mind needing tasks option |
| POST-OP of eye surgery, Glaucoma, what is the correct? a)Bend from your knees b)Restrict fluids | a)Bend from your knees is ok, what is restricted is Bending from the Waist and Valsalva Maneuver |
| Acute pyelonephritis cause? a)Frequent sore throat b)Ascending infection | b)Ascending infection, option A is for AGN question |
| Rheumatoid arthritis? a)Acute b)Chronic | b)Chronic, it is an inflammatory connective tissue disease |
| AGN, cause? a)Rheumatic heart disease b)Impetigo | b)Impetigo, because the first cause is Frequent sore throat, Streptococcal infection/ Pharyngitis and then lastly Impetigo |
| Minimum number of sponge count? a)2x b)3x c)As many as you can | b)3x |
| Patient with Meningitis room placement? a)Quiet brightly lit room b)Dimly lit room | b)Dimly lit room is the answer because of Photophobia of the patient |
| Aminophylline's side effect? a)Urinary retention b)Diuresis | b)Diuresis, because it is a Bronchodilator drug it will yield S/E like a coffee overdose like tremors and Diuresis |
| S/S of U.T.I on an elderly patient? a)Frequency & urgency b)Fever c)Confusion d)Dysuria | c)Confusion, when dealing with an elderly, look for S/S of neural status |
| Eyedrops, placement? a)Cornea b)Conjunctival sac | b)Conjunctival sac, option A is C/I because it will cause damage to the eye |
| BP taking except? a)Infection control b)Inflate the cuff around 50 mmHg above systolic baseline | b)Inflate the cuff around 50 mmHg above systolic baseline, it should be 20-30 mmHg only |
| Tracheostomy, avoid what? a)Mouthwash b)Carpentry | b)Carpentry because sawdust might enter the neck hole, so avoid anything that will introduce foreign objects to the lungs thru the neck hole |
| S1 heart sound best heard where? a)2nd I.C.S. Left P.S.L. b)5th I.C.S. Left M.C.L. c)3rd I.C.S. Left P.S.L. | b)5th I.C.S. Left M.C.L. , option A is S2 and then C is the Erb's Point |
| Nursing Assistant delegation? a)V.S. b)Bathing patient | b)Bathing patient, choose the less mind needing tasks option |
| POST-OP of eye surgery, Glaucoma, what is the correct? a)Bend from your knees b)Restrict fluids | a)Bend from your knees is ok, what is restricted is Bending from the Waist and Valsalva Maneuver |
| Hyperthyroidism, s/s? a)Wt. gain b)Wt. loss | b)Wt. loss , option a)Wt. gain- is hypothyroidism |
| Drug given during seizure? a)Lorazepam b)Phenobarbital | a)Lorazepam - is short term drug b)Phenobarbital - is a long term drug |
| Collecting urine specimen, best way? a)Collect clean catch mid stream b)Obtain with sterile syringe from collection port of I.F.C. | b)Obtain with sterile syringe from collection port of I.F.C. - sterile a)Collect clean catch mid stream - clean |
| Incident report, except? a)Document b)Write an I.R. | a)Document - place in the chart is prohibited |
| Point of maximum impulse? a)4th ICS @ L MCL b)5th ICS @ L MCL | b)5th ICS @ L MCL |
| Nitroglycerin, except? a)Remove the patch at night b)Massage the ointment with the fingers | b)Massage the ointment with the fingers |
| Ileustomy, except? a)Irritation of the skin around the stoma b)Regular bowel pattern | b)Regular bowel pattern - this is a sigmoid colostomy option , option A is correct |
| To prevent electrolyte loss? a)Maintain electrolyte balance b)Limit immersion time < 30 mins | b)Limit immersion time < 30 mins - this is an action a)Maintain electrolyte balance - this is a goal |
| Hyperbaric oxygen treatment purpose? a)Promote respiratory function b)Promote wound healing | b)Promote wound healing - this will increase the WBC count |
| Confirmatory for wound infection? a)Purulent drainage b)Culture & Sensitivity | b)Culture & Sensitivity |
| Signs of infection in elderly? a)Fever b)Increase in WBC c)Lethargy | c)Lethargy - always look for a neurologic condition in elderly patients |
| Decrease oxygen in tissue? a)Hypoxemia b)Hypoxia | b)Hypoxia / Hypoxemia - in blood |
| Purpose of positioning the head neutral of midline after craneoctomy / increase in I.C.P. a)Maintain patent airway b)Increase venous drainage | b)Increase venous drainage |
| Hyperthyroidism, drugs? a)Levothyroxine b)Metimazole | b)Metimazole - and also for P.D.A. , a)Levothyroxine - hypothyroidism |
| Surgical timeout/surgical pause when to do this? a)Before anesthesia b)In the middle of the operation c)When surgeon orders it | a)Before anesthesia |
| Acute pyelonephritis, except? a)Regular physical checkup b)Restrict fluids | b)Restrict fluids - this is an AGN option |
| POST-OP, abdominal surgery complaining of severe abdominal pain, what to do? a)Give analgesics b)Call M.D. | b)Call M.D., this may lead to hemorrhage |
| Person responsible for proper working of the equipments & adequacy of the supplies in the O.R.? a)Surgical Tech b)Head Nurse c)Circulator d)Supervisor | c)Circulator |
| Diet, in burns? a)Regular b)High caloric c)High protein, low calories | b)High caloric |
| Needle use for closure of the intestine/soft tissue with minimal tissue injury? a)Tapered b)Cutting | a)Tapered , b)Cutting - this is for the skin |
| Hyperthyroidism, s/s? a)Wt. gain b)Wt. loss | b)Wt. loss , option a)Wt. gain- is hypothyroidism |
| Drug given during seizure? a)Lorazepam b)Phenobarbital | a)Lorazepam - is short term drug b)Phenobarbital - is a long term drug |
| Collecting urine specimen, best way? a)Collect clean catch mid stream b)Obtain with sterile syringe from collection port of I.F.C. | b)Obtain with sterile syringe from collection port of I.F.C. - sterile a)Collect clean catch mid stream - clean |
| Incident report, except? a)Document b)Write an I.R. | a)Document - place in the chart is prohibited |
| Point of maximum impulse? a)4th ICS @ L MCL b)5th ICS @ L MCL | b)5th ICS @ L MCL |
| Nitroglycerin, except? a)Remove the patch at night b)Massage the ointment with the fingers | b)Massage the ointment with the fingers |
| Ileustomy, except? a)Irritation of the skin around the stoma b)Regular bowel pattern | b)Regular bowel pattern - this is a sigmoid colostomy option , option A is correct |
| To prevent electrolyte loss? a)Maintain electrolyte balance b)Limit immersion time < 30 mins | b)Limit immersion time < 30 mins - this is an action a)Maintain electrolyte balance - this is a goal |
| Hyperbaric oxygen treatment purpose? a)Promote respiratory function b)Promote wound healing | b)Promote wound healing - this will increase the WBC count |
| Confirmatory for wound infection? a)Purulent drainage b)Culture & Sensitivity | b)Culture & Sensitivity |
| Signs of infection in elderly? a)Fever b)Increase in WBC c)Lethargy | c)Lethargy - always look for a neurologic condition in elderly patients |
| Decrease oxygen in tissue? a)Hypoxemia b)Hypoxia | b)Hypoxia / Hypoxemia - in blood |
| Purpose of positioning the head neutral of midline after craneoctomy / increase in I.C.P. a)Maintain patent airway b)Increase venous drainage | b)Increase venous drainage |
| Hyperthyroidism, drugs? a)Levothyroxine b)Metimazole | b)Metimazole - and also for P.D.A. , a)Levothyroxine - hypothyroidism |
| Surgical timeout/surgical pause when to do this? a)Before anesthesia b)In the middle of the operation c)When surgeon orders it | a)Before anesthesia |
| Acute pyelonephritis, except? a)Regular physical checkup b)Restrict fluids | b)Restrict fluids - this is an AGN option |
| POST-OP, abdominal surgery complaining of severe abdominal pain, what to do? a)Give analgesics b)Call M.D. | b)Call M.D., this may lead to hemorrhage |
| Person responsible for proper working of the equipments & adequacy of the supplies in the O.R.? a)Surgical Tech b)Head Nurse c)Circulator d)Supervisor | c)Circulator |
| Diet, in burns? a)Regular b)High caloric c)High protein, low calories | b)High caloric |
| Needle use for closure of the intestine/soft tissue with minimal tissue injury? a)Tapered b)Cutting | a)Tapered , b)Cutting - this is for the skin |
| Osteoarthritis? a)Fingers b)Hips & knees | b)Hips & knees - osteoarthritis is a weight bearing disorder a)Fingers - rheumatoid option |
| Diabetes Milletus, correct? a)Both type I & II can develop to D.K.A. b)DM type II is lack of insulin | a)Both type I & II can develop to D.K.A. while on (b) lack of insulin is a type I DM and type II DM is an insulin resistance kind |
| Myocardial Infarction, cause? a)Embolism b)Thrombos | b)Thrombos, while a)Embolism - stroke |
| Hyperthyroidism, nursing diagnosis? a)Fluid volume excess b)Activity intolerance | b)Activity intolerance - both hypothyroidism & hyperthyroidism means I TIRE EASILY |
| Assessment, Arteriovenous fistula would be except? a)Pulses, distal to the A.V. fistula b)Pulses, proximal to the A.V. fistula | b)Pulses, proximal to the A.V. fistula - this is the most important while a)Pulses, distal to the A.V. fistula - is for the sensation only |
| Pneumonectomy, what is the position POST-OP? a)Semi-fowler's turn towards unaffected side b)Same as A but on affected side c)Same as A but on either side | b)Semi-folwer's, turn towards affected side while option (c) is for Lobectomy |
| Hyperthyroidism? a)Warm room b)Cool room | b)Cool room - this person has heat intolerance |
| Hypernatremia, what I.V.F. to give? a)Isotonic - .9 NaCl b)Hypotonic - .3 NaCl | b)Hypotonic - .3 NaCl - because hypernatremia means an Increase in Serum Na so decrease it with hypotonic |
| Signs of increase I.C.P? a)Decrease temperature b)Vomiting c)Photophobia | b)Vomiting, a)Decrease temperature - it should be increase temperature, c)Photophobia - meningial irritation |
| Osteoarthritis? a)Fingers b)Hips & knees | b)Hips & knees - osteoarthritis is a weight bearing disorder a)Fingers - rheumatoid option |
| Diabetes Milletus, correct? a)Both type I & II can develop to D.K.A. b)DM type II is lack of insulin | a)Both type I & II can develop to D.K.A. while on (b) lack of insulin is a type I DM and type II DM is an insulin resistance kind |
| Myocardial Infarction, cause? a)Embolism b)Thrombos | b)Thrombos, while a)Embolism - stroke |
| Hyperthyroidism, nursing diagnosis? a)Fluid volume excess b)Activity intolerance | b)Activity intolerance - both hypothyroidism & hyperthyroidism means I TIRE EASILY |
| Assessment, Arteriovenous fistula would be except? a)Pulses, distal to the A.V. fistula b)Pulses, proximal to the A.V. fistula | b)Pulses, proximal to the A.V. fistula - this is the most important while a)Pulses, distal to the A.V. fistula - is for the sensation only |
| Pneumonectomy, what is the position POST-OP? a)Semi-fowler's turn towards unaffected side b)Same as A but on affected side c)Same as A but on either side | b)Semi-folwer's, turn towards affected side while option (c) is for Lobectomy |
| Hyperthyroidism? a)Warm room b)Cool room | b)Cool room - this person has heat intolerance |
| Hypernatremia, what I.V.F. to give? a)Isotonic - .9 NaCl b)Hypotonic - .3 NaCl | b)Hypotonic - .3 NaCl - because hypernatremia means an Increase in Serum Na so decrease it with hypotonic |
| Signs of increase I.C.P? a)Decrease temperature b)Vomiting c)Photophobia | b)Vomiting, a)Decrease temperature - it should be increase temperature, c)Photophobia - meningial irritation |
| In disaster, the group responsible for counseling staff members for stress management? a)C.I.S.T. b)C.I.S.M | b)Critical Incident Stress Management |
| You are a nurse and there is a shooting in the E.R. What should you do? a)Confront the shooter b)Call the Head Nurse c)Protect the patient d)Hide | d)Hide – if there is a life threatening situation, save yourself first |
| Ingestion of poison, induce vomiting only, except? a)Button battery b)NSAID | a)Button battery – it is non-corrosive / in NSAID – induce vomiting |
| Ingestion of poison, induce vomiting only, except? a)Kerosene b)Aspirin | a)Kerosene – don't induce in petroleum / in Aspirin – induce vomiting |
| Hyperventilation, increase respiratory rate results to? a)Respiratory Acidosis b)Respiratory Alkalosis | b)Respiratory Alkalosis, in hyperventilation, the body blows off CO2 making the body alkalotic |
| Injury prevention, except? a)Legislation b)Education c)Film showing d)Automatic protection | c)Film showing / Education -1 / Legislation -2 / Automatic protection -3 |
| This is an example of (Air Bag)? a)Legislation b)Education c)Automatic protection | c)Automatic protection |
| Carbon monoxide poisoning emergency - 1st step? a)Remove patient from the room b)Give O2 | a)Remove patient from the room – step1 / Give O2 – step2 |
| Removal of sutures over the palm, soles? a)7-10 days b)3-5 days c)10-14 days | c)10-14 days – palm sole / 3-5 days – face / 7-10 days – extremities |
| Correct home safety, injury prevention? a)Keep gun in a locked cabinet b)Keep medicines in a locked cabinet | b)Keep medicines in a locked cabinet |
| Pain that occurs in the burns during procedure? a)Breakthrough b)Procedural | b)Procedural / Breakthrough – is pain that occurs at the lowest level of analgesic |
| BP taking, correct? a)Make sure the cuff fits 1/3 of the arm b)Inflate 30mmHg above systolic pressure | b)Inflate 30mmHg above systolic pressure / a)Make sure the cuff fits 1/3 of the arm – it should be 2/3 |
| Left sided heart failure? a)Dyspnea b)Ascites | a)Dyspnea |
| POST-OP, monitoring? a)V.S. Q30mins x 1 hr b)V.S. Q15mins x 1 hr | b)V.S. Q15mins x 1 hr |
| Aminophylline, s/e? a)Tachycardia b)Bradycardia | a)Tachycardia |
| What is oxygen? a)Flammable b)Supports combustion | b)Supports combustion |
| Patient on TPN experiencing hypoglycemia, what to do? a)Stop the infusion b)Give prescribed bolus of glucose | b)Give prescribed bolus of glucose |
| Hypocalcemia, what to give? a)Milk b)Oral calcium supplements c)Dairy products d)Spinach | b)Oral calcium supplements / Milk and dairy products – both food, so not an answer / Spinach – wrong option |
| Addisson's disease, priority? a)Lung sounds b)BP | b)BP |
| Colostomy / stoma, clean with? a)Betadine b)Soap & water c)Hydrogen peroxide | b)Soap & water – in colostomy, clean it like its your PUWET |
| Disaster (L.T.I.), survivable with minimum intervention? a)Emergent b)Immediate | b)Immediate / Emergent – routine triage |
| Yellow tag in disaster? a)Urgent b)Delayed | b)Delayed / while Urgent is – routine triage |
| 1st patient to see? a)Respiratory infection b)Trauma | b)Trauma |
| Routine triage, 1st patient to see? a)Bronchial asthma with pursed lip breathing b)Close fracture of femur c)Pt. With head injury becomes unresponsive to stimuli d)Pt. With eczema | c)Pt. With head injury becomes unresponsive to stimuli / option (a) – stable / option (d) – stable |
| 1st pt to see in routine triage? a)C.O.P.D. b)Burns on the chest c)Burns on both legs d)DM blood sugar 220 md/dL | b)Burns on the chest – d/t airway |
| Last pt to see in routine triage? a)Open fracture femur b)Bronchial asthma with pursed lip breathing c)CHF, S.O.B with Edema d)M.I. Pt complaining of heaviness of chest, stable V.S. | b)Bronchial asthma with pursed lip breathing |
| Chest tube insertion, preferred location? a)2nd ICS – Midclavicular line b)4-5th ICS – Midaxillary line | b)4-5th ICS Midaxillary line – most common / 2nd ICS Midclavicular line – correct too |
| Chest tube, except? a)Clamp while transporting b)Report bubbling in the water seal chamber | a)Clamp while transporting – the word clamp is wrong, answer already in the board |
| Paracentesis, correct? a)Empty the bladder b)Signed consent c)V.S. d)Provide emotion support | b)Signed consent / step 1- pt & family understanding, 2- signed consent, 3 – void (empty bladder), 4 – positioning, 5 – V.S. |
| Priority, pt? a)Increase B.U.N. b)Decrease serum Na | b)Decrease serum Na – Na imbalance will lead to seizure, coma then death immediately, so prioritize this pt. |
| Total hip replacement for surgery, report? a)Ltd movement of the affected limb b)Absent pulse | b)Absent pulse |
| POST-OP, cataract pt complaining of severe eye pain, what to do? a)Give prescribed analgesics b)Report at once | b)Report at once – because severe eye pain is indicative of hemorrhage |
| Cleaning agent for blood spills? a)Ammonia b)Detergent c)Bleach | c)Bleach |
| Common complication of peritoneal dialysis? a)Abdominal distension b)Peritonitis | b)Peritonitis |
| Pleural effusion s/s, except? a)Dec breath sounds/absent b)Resonant on percussion c)Trachea deviated away | b)Resonant on percussion – it should be dullness because it fluid filled |
| Skin injury with irregular edges? a)Avulsion b)Laceration c)Abrasion | b)Laceration / avulsion is tearing |
| Ascites , correct? a)Measure abdominal girth b)Restrict salt | a)Measure abdominal girth – correct assessment / b)Restrict salt - correct intervention |
| Spinal bifida / neural tube defect, deficiency? a)Thiamine b)Folic acid | b)Folic acid / Thiamine – alcoholics i.e. Wernicks encephalopathy |
| Cleft lip repair, position? a)Prone b)Semi fowler's c)Supine | b)Semi fowlers - 1st / c)Supine - 2nd / a)Prone – cleft palate repair |
| Crutches, correct? a)Elbows flexed at 15 degrees b)Going up on unaffected leg 1st | b)Going up on unaffected leg 1st |
| Asthma attack, position? a)Sit up b)Sit up & lean forward | b)Sit up & lean forward – 1st choice / a)Sit up - 2nd choice |
| Antidote for narcotic overdose? a)Diazepam b)Nalaxzone (Narcan) | b)Nalaxzone (Narcan) |
| Patient with coffee ground emesis (gastric lavage) , correct? a)Warm NSS b)Cold NSS c)Room temperature, tap water | c)Room temperature, tap water – choice 1 / Cold NSS – choice 2 / Warm NSS – c/i because it w/l bleeding |
| Patient on TPN, report? a)Weight gain of 1Lb/day b)Blood sugar of 160 mg/dL | a)Weight gain of 1Lb/day – indicates fluid volume excess |
| Patient given erythropoietin, monitor? a)BP b)Pulse rate | a)BP – erythropoietin can cause hypertension |
| P.C.A. Pump, correct? a)Monitor for addiction b)Monitor for V.S. | b)Monitor for V.S. - P.C.A uses morphine narcotic drugs |
| Pyloric stenosis, s/s ? a)Non-projectile vomiting b)Peristalsis waves across the epigastreum | b)Peristalsis waves across the epigastreum / in pyloric stenosis, there should be Projectile vomiting not Non-Projectile |
| Peritoneal dialysis, report? a)Cloudy dialysae b)Blood tinged dialysae | a)Cloudy dialysae / report on a Grossly Bloody dialysae not Blood tinged |
| Patient on TPN? a)Monitor blood glucose b)Monitor B.U.N. | a)Monitor blood glucose – because TPN is about 60-80% glucose |
| Mixing insulin, correct? a)Withdraw NPH insulin last b)Inject air into regular insulin vial & withdraw regular insulin | b)Inject air into regular insulin vial & withdraw regular insulin |
| Mixing insulin, correct? a)Inject into NPH vial b)Inject air into the regular insulin vial and withdraw regular insulin 1st | a)Inject air into NPH vial |
| TPN with bounding pulse, increase BP, dyspnea, rales (crackles)? a)Air embolism b)Fluid overload | b)Fluid overload / Air embolism – sudden onset of dyspnea & chest pain |
| CBG, where to prick? a)Tip of the finger b)Side of the finger | b)Side of the finger – because this is painful |
| Pulse oximetry, except? a)Earlobe b)Thumb | b)Thumb – it is C/I to put here / Earlobe & fingers – ok for pulse oximetry |
| Pulse oximetry, correct? a)Reading is affected by temperature b)Reading is affected by light | b)Reading is affected by light – cover the probe, protect it from light |
| Ileostomy, what will it lead to? a)Metabolic acidosis b)Metabolic alkalosis | a)Metabolic acidosis |
| In disaster, the group responsible for counseling staff members for stress management? a)C.I.S.T. b)C.I.S.M | b)Critical Incident Stress Management |
| You are a nurse and there is a shooting in the E.R. What should you do? a)Confront the shooter b)Call the Head Nurse c)Protect the patient d)Hide | d)Hide – if there is a life threatening situation, save yourself first |
| Ingestion of poison, induce vomiting only, except? a)Button battery b)NSAID | a)Button battery – it is non-corrosive / in NSAID – induce vomiting |
| Ingestion of poison, induce vomiting only, except? a)Kerosene b)Aspirin | a)Kerosene – don't induce in petroleum / in Aspirin – induce vomiting |
| Hyperventilation, increase respiratory rate results to? a)Respiratory Acidosis b)Respiratory Alkalosis | b)Respiratory Alkalosis, in hyperventilation, the body blows off CO2 making the body alkalotic |
| Injury prevention, except? a)Legislation b)Education c)Film showing d)Automatic protection | c)Film showing / Education -1 / Legislation -2 / Automatic protection -3 |
| This is an example of (Air Bag)? a)Legislation b)Education c)Automatic protection | c)Automatic protection |
| Carbon monoxide poisoning emergency - 1st step? a)Remove patient from the room b)Give O2 | a)Remove patient from the room – step1 / Give O2 – step2 |
| Removal of sutures over the palm, soles? a)7-10 days b)3-5 days c)10-14 days | c)10-14 days – palm sole / 3-5 days – face / 7-10 days – extremities |
| Correct home safety, injury prevention? a)Keep gun in a locked cabinet b)Keep medicines in a locked cabinet | b)Keep medicines in a locked cabinet |
| Pain that occurs in the burns during procedure? a)Breakthrough b)Procedural | b)Procedural / Breakthrough – is pain that occurs at the lowest level of analgesic |
| BP taking, correct? a)Make sure the cuff fits 1/3 of the arm b)Inflate 30mmHg above systolic pressure | b)Inflate 30mmHg above systolic pressure / a)Make sure the cuff fits 1/3 of the arm – it should be 2/3 |
| Left sided heart failure? a)Dyspnea b)Ascites | a)Dyspnea |
| POST-OP, monitoring? a)V.S. Q30mins x 1 hr b)V.S. Q15mins x 1 hr | b)V.S. Q15mins x 1 hr |
| Aminophylline, s/e? a)Tachycardia b)Bradycardia | a)Tachycardia |
| What is oxygen? a)Flammable b)Supports combustion | b)Supports combustion |
| Patient on TPN experiencing hypoglycemia, what to do? a)Stop the infusion b)Give prescribed bolus of glucose | b)Give prescribed bolus of glucose |
| Hypocalcemia, what to give? a)Milk b)Oral calcium supplements c)Dairy products d)Spinach | b)Oral calcium supplements / Milk and dairy products – both food, so not an answer / Spinach – wrong option |
| Addisson's disease, priority? a)Lung sounds b)BP | b)BP |
| Colostomy / stoma, clean with? a)Betadine b)Soap & water c)Hydrogen peroxide | b)Soap & water – in colostomy, clean it like its your PUWET |
| Disaster (L.T.I.), survivable with minimum intervention? a)Emergent b)Immediate | b)Immediate / Emergent – routine triage |
| Yellow tag in disaster? a)Urgent b)Delayed | b)Delayed / while Urgent is – routine triage |
| 1st patient to see? a)Respiratory infection b)Trauma | b)Trauma |
| Routine triage, 1st patient to see? a)Bronchial asthma with pursed lip breathing b)Close fracture of femur c)Pt. With head injury becomes unresponsive to stimuli d)Pt. With eczema | c)Pt. With head injury becomes unresponsive to stimuli / option (a) – stable / option (d) – stable |
| 1st pt to see in routine triage? a)C.O.P.D. b)Burns on the chest c)Burns on both legs d)DM blood sugar 220 md/dL | b)Burns on the chest – d/t airway |
| Last pt to see in routine triage? a)Open fracture femur b)Bronchial asthma with pursed lip breathing c)CHF, S.O.B with Edema d)M.I. Pt complaining of heaviness of chest, stable V.S. | b)Bronchial asthma with pursed lip breathing |
| Chest tube insertion, preferred location? a)2nd ICS – Midclavicular line b)4-5th ICS – Midaxillary line | b)4-5th ICS Midaxillary line – most common / 2nd ICS Midclavicular line – correct too |
| Chest tube, except? a)Clamp while transporting b)Report bubbling in the water seal chamber | a)Clamp while transporting – the word clamp is wrong, answer already in the board |
| Paracentesis, correct? a)Empty the bladder b)Signed consent c)V.S. d)Provide emotion support | b)Signed consent / step 1- pt & family understanding, 2- signed consent, 3 – void (empty bladder), 4 – positioning, 5 – V.S. |
| Prioritiy, pt? a)Increase B.U.N. b)Decrease serum Na | b)Decrease serum Na – Na imbalance will lead to seizure, coma then death immediately, so prioritize this pt. |
| Total hip replacement for surgery, report? a)Ltd movement of the affected limb b)Absent pulse | b)Absent pulse |
| POST-OP, cataract pt complaining of severe eye pain, what to do? a)Give prescribed analgesics b)Report at once | b)Report at once – because severe eye pain is indicative of hemorrhage |
| Cleaning agent for blood spills? a)Ammonia b)Detergent c)Bleach | c)Bleach |
| Common complication of peritoneal dialysis? a)Abdominal distension b)Peritonitis | b)Peritonitis |
| Pleural effusion s/s, except? a)Dec breath sounds/absent b)Resonant on percussion c)Trachea deviated away | b)Resonant on percussion – it should be dullness because it fluid filled |
| Skin injury with irregular edges? a)Avulsion b)Laceration c)Abrasion | b)Laceration / avulsion is tearing |
| Ascites , correct? a)Measure abdominal girth b)Restrict salt | a)Measure abdominal girth – correct assessment / b)Restrict salt - correct intervention |
| Spinal bifida / neural tube defect, deficiency? a)Thiamine b)Folic acid | b)Folic acid / Thiamine – alcoholics i.e. Wernicks encephalopathy |
| Cleft lip repair, position? a)Prone b)Semi fowler's c)Supine | b)Semi fowlers - 1st / c)Supine - 2nd / a)Prone – cleft palate repair |
| Crutches, correct? a)Elbows flexed at 15 degrees b)Going up on unaffected leg 1st | b)Going up on unaffected leg 1st |
| Asthma attack, position? a)Sit up b)Sit up & lean forward | b)Sit up & lean forward – 1st choice / a)Sit up - 2nd choice |
| Antidote for narcotic overdose? a)Diazepam b)Nalaxzone (Narcan) | b)Nalaxzone (Narcan) |
| Patient with coffee ground emesis (gastric lavage) , correct? a)Warm NSS b)Cold NSS c)Room temperature, tap water | c)Room temperature, tap water – choice 1 / Cold NSS – choice 2 / Warm NSS – c/i because it w/l bleeding |
| Patient on TPN, report? a)Weight gain of 1Lb/day b)Blood sugar of 160 mg/dL | a)Weight gain of 1Lb/day – indicates fluid volume excess |
| Patient given erythropoietin, monitor? a)BP b)Pulse rate | a)BP – erythropoietin can cause hypertension |
| P.C.A. Pump, correct? a)Monitor for addiction b)Monitor for V.S. | b)Monitor for V.S. - P.C.A uses morphine narcotic drugs |
| Pyloric stenosis, s/s ? a)Non-projectile vomiting b)Peristalsis waves across the epigastreum | b)Peristalsis waves across the epigastreum / in pyloric stenosis, there should be Projectile vomiting not Non-Projectile |
| Peritoneal dialysis, report? a)Cloudy dialysae b)Blood tinged dialysae | a)Cloudy dialysae / report on a Grossly Bloody dialysae not Blood tinged |
| Patient on TPN? a)Monitor blood glucose b)Monitor B.U.N. | a)Monitor blood glucose – because TPN is about 60-80% glucose |
| Mixing insulin, correct? a)Withdraw NPH insulin last b)Inject air into regular insulin vial & withdraw regular insulin | b)Inject air into regular insulin vial & withdraw regular insulin |
| Mixing insulin, correct? a)Inject into NPH vial b)Inject air into the regular insulin vial and withdraw regular insulin 1st | a)Inject air into NPH vial |
| TPN with bounding pulse, increase BP, dyspnea, rales (crackles)? a)Air embolism b)Fluid overload | b)Fluid overload / Air embolism – sudden onset of dyspnea & chest pain |
| CBG, where to prick? a)Tip of the finger b)Side of the finger | b)Side of the finger – because this is painful |
| Pulse oximetry, except? a)Earlobe b)Thumb | b)Thumb – it is C/I to put here / Earlobe & fingers – ok for pulse oximetry |
| Pulse oximetry, correct? a)Reading is affected by temperature b)Reading is affected by light | b)Reading is affected by light – cover the probe, protect it from light |
| Ileostomy, what will it lead to? a)Metabolic acidosis b)Metabolic alkalosis | a)Metabolic acidosis |
| Rheumatoid arthritis? a)Knee b)Finger | b)Finger |
| Aspirin plus influenza / chicken pox ? a)Bleeding b)Reye's syndrome | b)Reye's syndrome – will lead to liver failure , increase I.C.P., cerebral edema |
| Myasthenia gravis, drug to give? a)Levodopa b)Mestinon | b)Mestinon |
| Bleeding, 1st action? a)Apply pressure b)Obtain V.S. | a)Apply pressure |
| Hearing aid, correct? a)Earmold is washed with soap & water b)Hearing aid is washed with water | a)Earmold is washed with soap & water |
| Spina Bifida, nursing diagnosis? a)High risk for infection b)Fluid volume excess | a)High risk for infection |
| Itchiness in a cast? a)Hair blower on a warm setting b)Hair blower in a cool setting | b)Hair blower in a cool setting |
| Huntington's disease? a)Infection b)Genetics | b)Genetics – autosomal |
| Asthma attack, correct? a)Call the M.D. b)Give O2 5L/min | b)Give O2 5L/min – step 2 / calling the M.D. - step 3 and step is ELEVATE or SIT UP |
| Dosimeter badge / radiation badge, correct? a)Prevent radiation exposure b)Measure radiation | b)Measure radiation exposure |
| Bowel preparation, give? a)Lactulose b)Neomycin | b)Neomycin – this will kill the bacteria in the intestine being an Antibiotic |
| Emergent phase of burns (Lab. Values) ? a)Increase serum K, decrease serum Na b)Decrease K & Na | a)Increase serum K, decrease serum Na – sequence 1 / b)Decrease K & Na – sequence 2 acute , remember emergent phase is 1st phase |
| Hemodialysis, patient complaints of vomiting, increase BP? a)Hypervolemia b)Disequilibrium syndrome | b)Disequilibrium syndrome |
| R/F for bladder cancer, except? a)Smoking b)Exposure to paint c)Exposure to rubber d)Bladder stone | d)Bladder stone – a sign of chronic UTI / Smoking – 1 / Exposure to paint & rubber – 2 |
| Kidney stone, strain urine with? a)Gauze b)Filter paper c)Tissue | a)Gauze |
| Priority after ET tube insertion? a)Tape securely b)Auscultate | b)Auscultate – 1st / a)Tape securely - 2nd |
| T.I.A., correct? a)Leads to permanent damage b)Warning sign | b)Warning sign – because there will be another heart attack |
| Most common location of M.I.? a)R ventricle b)L ventricle | b)L ventricle – just think of M.I.L.F. |
| To prevent hemorrhagic disease of the NB, give? a)Vit. C b)Vit. K | b)Vit. K – clotting |
| Ferrous sulfate, give? a)With milk b)Empty stomach | b)Empty stomach – for best absorption & give with Ascorbic acid |
| 1 0z is equal to? a)15 mL b)20 mL c)30 mL | c)30 mL |
| Postural drainage, what is important to know? a)Time of the last meal b)Comfort of the patient | a)Time of the last meal – because it should be done 2 hours after last meal to prevent aspiration |
| Tamoxifen in breast cancer? a)Blocks estrogen b)Blocks receptor sites | b)Blocks receptor sites |
| Over medication of mestinon? a)Mystenia crisis b)Cholinergic crisis | b)Cholenergic – Overmedication has an O, so look for chOlinergic crisis |
| Anti cholinergic s/e? a)Bradycardia, constipation b)Tachycardia, urinary retention | b)Tachycardia – Cholinergic s/e are – Can's Spit (drymouth), Shit (constipation), Pee (urinary retention), See (blur vision) & Tachycardia |
| Drug for glaucoma? a)Timolol b)Erythromycin | a)Timolol |
| Spinal Bifida, positioning? a)Side lying b)Prone | b)Prone – 1 / Side lying – 2 |
| The nurse commits medication error, liability? a)Nurse b)Doctor c)Hospital d)Nurse & Hospital | d)Nurse & Hospital – following the principle of Respondiet Superior |
| Cystitis, correct? a)Wipe from the front to the back b)Void as soon as you feel the urge | a)Wipe from the front to the back |
| R/F for UTI, except? a)Failure to empty the bladder completely b)Obstruction in urine flow like kidney stone structures etc c)Immunodeficiency d)DM | d)DM – 4 / a)Failure to empty the bladder completely – 2 b)Obstruction in urine flow like kidney stone structures etc - 1 c)Immunodeficiency – 3 |
| Common cause of E.S.R.I.? a)Hypertension b)Glomerulonephritis c)Infection | a)Hypertension – 1 / Glomerulonephritis – 2 / Infection – 3 |
| Survivors with minimal symptoms of radiation exposure? a)Probable b)Possible c)Improbable | a)Probable – minimal / Possible – persist for 24-48 hours / Improbable – acute onset |
| Survivors with acute onset of N & V? a)Probable b)Possible c)Improbable | c)Improbable – acute onset / Probable – minimal / Possible – persist for 24-48 hours |
| Cervical cancer with cervical implant, priority? a)Flush toilet 2x b)Maintain bed rest c)Lead container with tongs | b)Maintain bed rest – always correct |
| Pneumonia precaution? a)Airborn precaution b)Droplet precaution | b)Droplet precaution – Meningitis & Pneumonia / Airborn – PTB, Measles & Varicella (Chickenpox) |
| Total hip replacement, correct position? a)Abduction of the legs b)A deduction of the legs | a)Abduction of the legs / A deduction of the legs is C/I |
| R/F for colonic cancer, except? a)Polyps b)Adenoma c)High fat diet d)Immunodeficiency | d)Immunodeficiency / Polyps & Adenoma – 1 / High fat diet – 2 |
| Prostate cancer screening test? a)P.S.A. b)D.R.E. | b)D.R.E. - 1 / P.S.A. - 2 |
| Antidote for malignant hypernatremia? a)Naloxone b)Dantrolyn | b)Dantrolyn – muscle relaxant / Naloxone (Narcan) – narcotic overdose |
| Parkinson's, correct? a)Regularity of prescribed medications b)Regular ambulation & exercise | b)Regular ambulation & exercise / Priorities are 1- Aspiration , 2- Injury , 3 - Immobility |
| C.O.P.D., what do you hear? a)Increase breath sounds b)Decrease breath sounds | b)Decrease breath sounds – d/t increased secretions |
| I.V.P., priority? a)Assess for allergy to iodine b)Increase fluid intake | a)Assess for allergy to iodine – 1 / Inc. O.F.I. - 2 |
| Complication of continuous bladder irrigation / cystoclysis? a)Na imbalance b)K imbalance | a)Na imbalance – this is d/t use of Na Saline solution as an irrigation medium |
| Application of silvadine / silver sulfadiozine in burns? a)Oral b)Topical c)I.V. | b)Topical – silvadine /silversulfadiozine is a cream |
| Obtaining peak level of IV antibiotic? a)1 hour b)30 mins after injection c)15 mins before next dose | b)30 mins after injection / 15 mins before next dose – trough or lowest level |
| Burn patient with diarrhea suspected organism? a)Salmonella typhi b)Clostridium deficille c)Viral | b)Clostridium deficille |
| Osteoarthritis, correct? a)Regular walking b)Maintain ideal body weight | b)Maintain ideal body weight |
| Screening test, for colonic rectal cancer? a)Colonoscopy b)F.O.B.T. | b)F.O.B.T. - a.k.a. Guiaic test / D.R.E. - is the first test / colonoscopy – confirmatory |
| Continuous passive motion machine? a)Total hip replacement b)Total knee replacement | b)Total knee replacement |
| Breast cancer, s/s? a)Retraction b)Nipple discharge | a)Retraction – 2 signs / Nipple discharge – 3 sign / the first sign is Pau de orange – orange discoloration of the breast |
| Effects of cervical implant to the pelvis? a)Nausea & constipation b)Frequency & urgency | b)Frequency & urgency |
| R/F osteoporosis? a)Steroids b)Walking c)ACE inhibitors | a)Steroids – along with smoking / walking – is good for the bone |
| Cholinergic crisis in M.G s/s except? a)Constipation b)Diarrhea c)Bradycardia d)Abdominal cramping | a)Constipation |
| Diabetic ketoacidosis s/s? a)Warm moist mucous membrance b)Dry mucous membrane | b)Dry mucous membrane |
| Regular insulin, hypoglycemic peak occurs? a)30 mins – 1 hr b)2-4 hrs c)6-10 hrs | b)2-4 hrs – peak / 30 mins – 1 hr – onset / 6-10 hrs peak of NPH |
| Patient given insulin becomes diaphoretic? a)Give orange juice b)Obtain CBG | b)Obtain CBG – 1 / give orange juice – 2 |
| Hydrotherapy / whirlpool common disadvantage? a)Discomfort b)Electrolyte imbalance | a)Discomfort – correct / Electrolyte imbalance – correct also but it is a complication |
| Non plaster cast gets wet? a)Hair blower cool setting b)Cover with cloth | a)Hair blower cool setting |
| Casted leg, perform what? a)Isometric exercise b)Isotonic exercise | a)Isometric exercise |
| 80 yrs old elderly for surgery, insert? a)Gauge 22 IV b)Gauge 18 IV c)Gauge 20 butterfly | b)Gauge 18 IV |
| To prevent heat loss among elderly in the O.R.? a)Cap b)Socks | a)Cap |
| Ethambutol s/e? a)Reddish urine b)Visual blurring | b)Visual blurring / Reddish urine – rifampicin option |
| To prevent peripheral neuropathy? a)Vitamin B12 b)Vitamin B6 | b)Vitamin B6 – pyridoxine nerve vitamin |
| Cystitis, what to give, except? a)Grape fruit juice b)Cranberry juice | b)Cranberry juice |
| Patient with renal colic? a)UTI b)Kidney stones | b)Kidney stone – early / UTI – late sign & kidney stones will have pain radiating to the groin |
| Initial s/s of M.G.? a)Respiratory depression b)Ptosis | b)Ptosis |
| Decontamination, what is the first step? a)Remove clothing & jewelry & wash with water b)Thoroughly wash with soap & water | a)Remove clothing & jewelry & wash with water – 1st step/ thoroughly wash with soap & water - 2nd step |
| Rheumatoid arthritis? a)Knee b)Finger | b)Finger |
| Aspirin plus influenza / chicken pox ? a)Bleeding b)Reye's syndrome | b)Reye's syndrome – will lead to liver failure , increase I.C.P., cerebral edema |
| Myasthenia gravis, drug to give? a)Levodopa b)Mestinon | b)Mestinon |
| Bleeding, 1st action? a)Apply pressure b)Obtain V.S. | a)Apply pressure |
| Hearing aid, correct? a)Earmold is washed with soap & water b)Hearing aid is washed with water | a)Earmold is washed with soap & water |
| Spina Bifida, nursing diagnosis? a)High risk for infection b)Fluid volume excess | a)High risk for infection |
| Itchiness in a cast? a)Hair blower on a warm setting b)Hair blower in a cool setting | b)Hair blower in a cool setting |
| Huntington's disease? a)Infection b)Genetics | b)Genetics – autosomal |
| Asthma attack, correct? a)Call the M.D. b)Give O2 5L/min | b)Give O2 5L/min – step 2 / calling the M.D. - step 3 and step is ELEVATE or SIT UP |
| Dosimeter badge / radiation badge, correct? a)Prevent radiation exposure b)Measure radiation | b)Measure radiation exposure |
| Bowel preparation, give? a)Lactulose b)Neomycin | b)Neomycin – this will kill the bacteria in the intestine being an Antibiotic |
| Emergent phase of burns (Lab. Values) ? a)Increase serum K, decrease serum Na b)Decrease K & Na | a)Increase serum K, decrease serum Na – sequence 1 / b)Decrease K & Na – sequence 2 acute , remember emergent phase is 1st phase |
| Hemodialysis, patient complaints of vomiting, increase BP? a)Hypervolemia b)Disequilibrium syndrome | b)Disequilibrium syndrome |
| R/F for bladder cancer, except? a)Smoking b)Exposure to paint c)Exposure to rubber d)Bladder stone | d)Bladder stone – a sign of chronic UTI / Smoking – 1 / Exposure to paint & rubber – 2 |
| Kidney stone, strain urine with? a)Gauze b)Filter paper c)Tissue | a)Gauze |
| Priority after ET tube insertion? a)Tape securely b)Auscultate | b)Auscultate – 1st / a)Tape securely - 2nd |
| T.I.A., correct? a)Leads to permanent damage b)Warning sign | b)Warning sign – because there will be another heart attack |
| Most common location of M.I.? a)R ventricle b)L ventricle | b)L ventricle – just think of M.I.L.F. |
| To prevent hemorrhagic disease of the NB, give? a)Vit. C b)Vit. K | b)Vit. K – clotting |
| Ferrous sulfate, give? a)With milk b)Empty stomach | b)Empty stomach – for best absorption & give with Ascorbic acid |
| 1 0z is equal to? a)15 mL b)20 mL c)30 mL | c)30 mL |
| Postural drainage, what is important to know? a)Time of the last meal b)Comfort of the patient | a)Time of the last meal – because it should be done 2 hours after last meal to prevent aspiration |
| Tamoxifen in breast cancer? a)Blocks estrogen b)Blocks receptor sites | b)Blocks receptor sites |
| Over medication of mestinon? a)Mystenia crisis b)Cholinergic crisis | b)Cholenergic – Overmedication has an O, so look for chOlinergic crisis |
| Anti cholinergic s/e? a)Bradycardia, constipation b)Tachycardia, urinary retention | b)Tachycardia – Cholinergic s/e are – Can's Spit (drymouth), Shit (constipation), Pee (urinary retention), See (blur vision) & Tachycardia |
| Drug for glaucoma? a)Timolol b)Erythromycin | a)Timolol |
| Spinal Bifida, positioning? a)Side lying b)Prone | b)Prone – 1 / Side lying – 2 |
| The nurse commits medication error, liability? a)Nurse b)Doctor c)Hospital d)Nurse & Hospital | d)Nurse & Hospital – following the principle of Respondiet Superior |
| Cystitis, correct? a)Wipe from the front to the back b)Void as soon as you feel the urge | a)Wipe from the front to the back |
| R/F for UTI, except? a)Failure to empty the bladder completely b)Obstruction in urine flow like kidney stone structures etc c)Immunodeficiency d)DM | d)DM – 4 / a)Failure to empty the bladder completely – 2 b)Obstruction in urine flow like kidney stone structures etc - 1 c)Immunodeficiency – 3 |
| Common cause of E.S.R.I.? a)Hypertension b)Glomerulonephritis c)Infection | a)Hypertension – 1 / Glomerulonephritis – 2 / Infection – 3 |
| Survivors with minimal symptoms of radiation exposure? a)Probable b)Possible c)Improbable | a)Probable – minimal / Possible – persist for 24-48 hours / Improbable – acute onset |
| Survivors with acute onset of N & V? a)Probable b)Possible c)Improbable | c)Improbable – acute onset / Probable – minimal / Possible – persist for 24-48 hours |
| Cervical cancer with cervical implant, priority? a)Flush toilet 2x b)Maintain bed rest c)Lead container with tongs | b)Maintain bed rest – always correct |
| Pneumonia precaution? a)Airborn precaution b)Droplet precaution | b)Droplet precaution – Meningitis & Pneumonia / Airborn – PTB, Measles & Varicella (Chickenpox) |
| Total hip replacement, correct position? a)Abduction of the legs b)A deduction of the legs | a)Abduction of the legs / A deduction of the legs is C/I |
| R/F for colonic cancer, except? a)Polyps b)Adenoma c)High fat diet d)Immunodeficiency | d)Immunodeficiency / Polyps & Adenoma – 1 / High fat diet – 2 |
| Prostate cancer screening test? a)P.S.A. b)D.R.E. | b)D.R.E. - 1 / P.S.A. - 2 |
| Antidote for malignant hypernatremia? a)Naloxone b)Dantrolyn | b)Dantrolyn – muscle relaxant / Naloxone (Narcan) – narcotic overdose |
| Parkinson's, correct? a)Regularity of prescribed medications b)Regular ambulation & exercise | b)Regular ambulation & exercise / Priorities are 1- Aspiration , 2- Injury , 3 - Immobility |
| C.O.P.D., what do you hear? a)Increase breath sounds b)Decrease breath sounds | b)Decrease breath sounds – d/t increased secretions |
| I.V.P., priority? a)Assess for allergy to iodine b)Increase fluid intake | a)Assess for allergy to iodine – 1 / Inc. O.F.I. - 2 |
| Complication of continuous bladder irrigation / cystoclysis? a)Na imbalance b)K imbalance | a)Na imbalance – this is d/t use of Na Saline solution as an irrigation medium |
| Application of silvadine / silver sulfadiozine in burns? a)Oral b)Topical c)I.V. | b)Topical – silvadine /silversulfadiozine is a cream |
| Obtaining peak level of IV antibiotic? a)1 hour b)30 mins after injection c)15 mins before next dose | b)30 mins after injection / 15 mins before next dose – trough or lowest level |
| Burn patient with diarrhea suspected organism? a)Salmonella typhi b)Clostridium deficille c)Viral | b)Clostridium deficille |
| Osteoarthritis, correct? a)Regular walking b)Maintain ideal body weight | b)Maintain ideal body weight |
| Screening test, for colonic rectal cancer? a)Colonoscopy b)F.O.B.T. | b)F.O.B.T. - a.k.a. Guiaic test / D.R.E. - is the first test / colonoscopy – confirmatory |
| Continuous passive motion machine? a)Total hip replacement b)Total knee replacement | b)Total knee replacement |
| Breast cancer, s/s? a)Retraction b)Nipple discharge | a)Retraction – 2 signs / Nipple discharge – 3 sign / the first sign is Pau de orange – orange discoloration of the breast |
| Effects of cervical implant to the pelvis? a)Nausea & constipation b)Frequency & urgency | b)Frequency & urgency |
| R/F osteoporosis? a)Steroids b)Walking c)ACE inhibitors | a)Steroids – along with smoking / walking – is good for the bone |
| Cholinergic crisis in M.G s/s except? a)Constipation b)Diarrhea c)Bradycardia d)Abdominal cramping | a)Constipation |
| Diabetic ketoacidosis s/s? a)Warm moist mucous membrance b)Dry mucous membrane | b)Dry mucous membrane |
| Regular insulin, hypoglycemic peak occurs? a)30 mins – 1 hr b)2-4 hrs c)6-10 hrs | b)2-4 hrs – peak / 30 mins – 1 hr – onset / 6-10 hrs peak of NPH |
| Patient given insulin becomes diaphoretic? a)Give orange juice b)Obtain CBG | b)Obtain CBG – 1 / give orange juice – 2 |
| Hydrotherapy / whirlpool common disadvantage? a)Discomfort b)Electrolyte imbalance | a)Discomfort – correct / Electrolyte imbalance – correct also but it is a complication |
| Non plaster cast gets wet? a)Hair blower cool setting b)Cover with cloth | a)Hair blower cool setting |
| Casted leg, perform what? a)Isometric exercise b)Isotonic exercise | a)Isometric exercise |
| 80 yrs old elderly for surgery, insert? a)Gauge 22 IV b)Gauge 18 IV c)Gauge 20 butterfly | b)Gauge 18 IV |
| To prevent heat loss among elderly in the O.R.? a)Cap b)Socks | a)Cap |
| Ethambutol s/e? a)Reddish urine b)Visual blurring | b)Visual blurring / Reddish urine – rifampicin option |
| To prevent peripheral neuropathy? a)Vitamin B12 b)Vitamin B6 | b)Vitamin B6 – pyridoxine nerve vitamin |
| Cystitis, what to give, except? a)Grape fruit juice b)Cranberry juice | b)Cranberry juice |
| Patient with renal colic? a)UTI b)Kidney stones | b)Kidney stone – early / UTI – late sign & kidney stones will have pain radiating to the groin |
| Initial s/s of M.G.? a)Respiratory depression b)Ptosis | b)Ptosis |
| Decontamination, what is the first step? a)Remove clothing & jewelry & wash with water b)Thoroughly wash with soap & water | a)Remove clothing & jewelry & wash with water – 1st step/ thoroughly wash with soap & water - 2nd step |
| Spinal cord injury of T5-L1 level, what do you expect? a)Weakness of upper & lower extremities b)Distended bladder | b)Distended bladder |
| Fluid volume excess in end stage renal disease, s/s? a)Crackles at the base of the lung b)Increase hematocrit c)Edema of the hand only | a)Crackles at the base of the lung / Edema of the hand - it should include the feet as well |
| Tracheostomy tube, purpose? a)Prevent cholecystitis b)Promote patency of common bile duct | b)Promote patency of common bile duct - patency is the keyword |
| Position, POST-OP cataract surgery? a)Operative side b)Unoperative side | b)Unoperative side |
| Pancreatic enzyme replacement, give? a)2 hours before meals b)With meals | b)With meals - it should also include some snacks |
| Morphine 4mg now & then every 6 hrs prn, when is the 2nd dose? a)When the patient request for it b)6 hrs after the 1st dose, then administer | a)When the patient request for it - because it is PRN |
| Cleft palate repair, use? a)Straw b)Paper cup | b)Paper cup / Straw - C/I because it will damage the sutures |
| Russel traction, correct? a)Assess the heel of the foot b)Assess the popliteal area | b)Assess the popliteal area / Heel of the foot - for box extention option |
| Most reliable sign of cardiac arrest? a)Absence of respiration b)Absence of pulse | b)Absence of pulse |
| In CPR, in an infant you assess? a)Carotid artery b)Brachial artery | b)Brachial artery / Carotid artery - adult & child (1 yr & above) |
| Spinal cord injury of T5-L1 level, what do you expect? a)Weakness of upper & lower extremities b)Distended bladder | b)Distended bladder |
| Fluid volume excess in end stage renal disease, s/s? a)Crackles at the base of the lung b)Increase hematocrit c)Edema of the hand only | a)Crackles at the base of the lung / Edema of the hand - it should include the feet as well |
| Tracheostomy tube, purpose? a)Prevent cholecystitis b)Promote patency of common bile duct | b)Promote patency of common bile duct - patency is the keyword |
| Position, POST-OP cataract surgery? a)Operative side b)Unoperative side | b)Unoperative side |
| Pancreatic enzyme replacement, give? a)2 hours before meals b)With meals | b)With meals - it should also include some snacks |
| Morphine 4mg now & then every 6 hrs prn, when is the 2nd dose? a)When the patient request for it b)6 hrs after the 1st dose, then administer | a)When the patient request for it - because it is PRN |
| Cleft palate repair, use? a)Straw b)Paper cup | b)Paper cup / Straw - C/I because it will damage the sutures |
| Russel traction, correct? a)Assess the heel of the foot b)Assess the popliteal area | b)Assess the popliteal area / Heel of the foot - for box extention option |
| Most reliable sign of cardiac arrest? a)Absence of respiration b)Absence of pulse | b)Absence of pulse |
| In CPR, in an infant you assess? a)Carotid artery b)Brachial artery | b)Brachial artery / Carotid artery - adult & child (1 yr & above) |
| Drugs given after parathyroidectomy? a)KCL b)Calcium gluconate | b)Calcium gluconate – the parathyroid is removed, so wala ng calcium production |
| Deep vein thrombotis / thrombophlebitis, correct nursing care? a)Elevate leg with a pillow b)Measure calf circumference daily | b)Measure calf circumference daily |
| Polycythemia vera, nursing diagnosis? a)Impaired tissue perfusion b)Impaired gas exchange | a)Impaired tissue perfusion – polycythemia means increase RBC, so blood becomes thicker affecting tissue perfursion |
| Signs of cervical cancer? a)Mild vaginal bleeding b)Paralysis of lower legs | a)Mild vaginal bleeding |
| Lung cancer, s/s? a)Weight loss & hemoptysis b)Chronic cough | b)Chronic cough |
| Pneumonectomy, correct? a)Chest tube b)Ventilation | b)Ventilation – there is no chest tube in pneumonectomy |
| Diet of liver encephalopathy? a)Decrease protein b)Increase protein | a)Decrease protein – to decrease ammonia which is a byproduct of protein metabolism |
| Bed side, after thyroidectomy? a)KCL b)Calcium gluconate | b)Calcium gluconate - 2nd choice, the 1st one is the Tracheostomy |
| Pneumonectomy, priority? a)Asses for pain response b)Palpate the trachea for deviation | b)Palpate the trachea for deviation – to check for mediastinal shifting |
| Izoniazid, s/e? a)Orange urine b)Numbness of the fingers | b)Numbness of the fingers – peripheral neuropathy sign |
| Lack of iodine in children? a)Cretinism b)Goiter | a)Cretinism / b)Goiter – adult |
| Severe weight loss? a)Anorexia b)Cachexia | b)Cachexia |
| Give diuretics? a)In the morning b)Late afternoon | a)In the morning – so as not to disturb night sleep |
| Position of P.I.D.? a)Supine, flat & knees bend b)Semi-fowlers on bed rest | b)Semi-fowlers on bed rest – to facilitate pus drainage d/t gravity |
| Thoracentesis, essential or correct? a)Provide emotional support b)Assess for allergy to anesthesia c)Ascertain if Cx-Ray was ordered d)Signed consent | c)Ascertain if Cx-Ray was ordered – step 1 d)Signed consent – step 2 b)Assess for allergy to anesthesia – step 3 |
| Glaucoma, s/s? a)Halo vision b)Dilated pupils | a)Halo vision – correct / b)Dilated pupils – is also correct but choose Halo vision |
| Respiratory acidosis, correct nursing action? a)Coughs & D.B.E. b)Give O2 | a)Coughs & D.B.E. - in Respiratory Acidosis – you remove from the lungs the CO2 |
| Cytoxan (cyclophosphamide), a chemo therapuetic agent, monitor? a)BUN & Creatinine b)Serum K | a)BUN & Creatinine |
| Rheumatic heart disease / rheumatic fever, nursing diagnosis? a)Activity intolerance b)Fluid volume deficit | a)Activity intolerance |
| AGN, color of urine? a)Smoky b)Grossly turbid | a)Smoky – also tea colored with hypertension |
| After thyroidectomy, assess bleeding by? a)Inspect the dressing b)Palpate the back of the neck | b)Palpate the back of the neck |
| Permanent colostomy, correct understanding? a)I expect the stoma will become larger b)The stoma will become smaller / decrease in size | b)The stoma will become smaller / decrease in size |
| Changing the appliance in the ostomy? a)Feeling of pressure b)Feeling of leakage | a)Feeling of pressure |
| Intususception, late signs, except? a)Currant gelly stool b)Abdominal pain | b)Abdominal pain – look for the early sign here because the question is except |
| Drugs given after parathyroidectomy? a)KCL b)Calcium gluconate | b)Calcium gluconate – the parathyroid is removed, so wala ng calcium production |
| Deep vein thrombotis / thrombophlebitis, correct nursing care? a)Elevate leg with a pillow b)Measure calf circumference daily | b)Measure calf circumference daily |
| Polycythemia vera, nursing diagnosis? a)Impaired tissue perfusion b)Impaired gas exchange | a)Impaired tissue perfusion – polycythemia means increase RBC, so blood becomes thicker affecting tissue perfursion |
| Signs of cervical cancer? a)Mild vaginal bleeding b)Paralysis of lower legs | a)Mild vaginal bleeding |
| Lung cancer, s/s? a)Weight loss & hemoptysis b)Chronic cough | b)Chronic cough |
| Pneumonectomy, correct? a)Chest tube b)Ventilation | b)Ventilation – there is no chest tube in pneumonectomy |
| Diet of liver encephalopathy? a)Decrease protein b)Increase protein | a)Decrease protein – to decrease ammonia which is a byproduct of protein metabolism |
| Bed side, after thyroidectomy? a)KCL b)Calcium gluconate | b)Calcium gluconate - 2nd choice, the 1st one is the Tracheostomy |
| Pneumonectomy, priority? a)Asses for pain response b)Palpate the trachea for deviation | b)Palpate the trachea for deviation – to check for mediastinal shifting |
| Izoniazid, s/e? a)Orange urine b)Numbness of the fingers | b)Numbness of the fingers – peripheral neuropathy sign |
| Lack of iodine in children? a)Cretinism b)Goiter | a)Cretinism / b)Goiter – adult |
| Severe weight loss? a)Anorexia b)Cachexia | b)Cachexia |
| Give diuretics? a)In the morning b)Late afternoon | a)In the morning – so as not to disturb night sleep |
| Position of P.I.D.? a)Supine, flat & knees bend b)Semi-fowlers on bed rest | b)Semi-fowlers on bed rest – to facilitate pus drainage d/t gravity |
| Thoracentesis, essential or correct? a)Provide emotional support b)Assess for allergy to anesthesia c)Ascertain if Cx-Ray was ordered d)Signed consent | c)Ascertain if Cx-Ray was ordered – step 1 d)Signed consent – step 2 b)Assess for allergy to anesthesia – step 3 |
| Glaucoma, s/s? a)Halo vision b)Dilated pupils | a)Halo vision – correct / b)Dilated pupils – is also correct but choose Halo vision |
| Respiratory acidosis, correct nursing action? a)Coughs & D.B.E. b)Give O2 | a)Coughs & D.B.E. - in Respiratory Acidosis – you remove from the lungs the CO2 |
| Cytoxan (cyclophosphamide), a chemo therapuetic agent, monitor? a)BUN & Creatinine b)Serum K | a)BUN & Creatinine |
| Rheumatic heart disease / rheumatic fever, nursing diagnosis? a)Activity intolerance b)Fluid volume deficit | a)Activity intolerance |
| AGN, color of urine? a)Smoky b)Grossly turbid | a)Smoky – also tea colored with hypertension |
| After thyroidectomy, assess bleeding by? a)Inspect the dressing b)Palpate the back of the neck | b)Palpate the back of the neck |
| Permanent colostomy, correct understanding? a)I expect the stoma will become larger b)The stoma will become smaller / decrease in size | b)The stoma will become smaller / decrease in size |
| Changing the appliance in the ostomy? a)Feeling of pressure b)Feeling of leakage | a)Feeling of pressure |
| Intususception, late signs, except? a)Currant gelly stool b)Abdominal pain | b)Abdominal pain – look for the early sign here because the question is except |
| Pleural effusion, s/s? a)Increase breath sounds b)Decrease breath sounds | b)Decrease breath sounds – d/t fluid in the pleural cavity |
| Thyroid storm / thyro toxilosis s/s? a)Narrowed pulse pressure b)Tachycardia | b)Tachycardia – this is 1st sign followed by Increase BP and it should also a Widened pulse pressure |
| D.K.A., give what insulin? a)NPH b)Regular | b)Regular – cause its fast acting |
| Metronidazole (Flagyl), avoid? a)Coffee b)Mouthwash | b)Mouthwash- because it has alcohol content, it will induce vomiting if you take anything with alcohol |
| Levodopa, avoid? a)Food high in salt b)Food high in protein | b)Food high in protein – it inactivates the efficacy of levodopa |
| Dexamethazone, purpose in head injury? a)Decrease cerebral edema b)Promote venous drainage | a)Decrease cerebral edema / Venous drainage – positioning of head option |
| Aspirin in M.I., purpose? a)Analgesic b)Anti platelet | b)Anti platelet |
| Expressive aphasia / Brocha's aphasia, correct? a)Use gestures b)Limit use of hands | a)Use gestures |
| Streptomyci, s/e? a)Peripheral neuropathy b)Cranial nerve 8 damage | b)Cranial nerve 8 damage – vestibulocochlear nerve / Peripheral neuropathy – INH option |
| Acute renal failure, s/s? a)Decrease urine output b)BUN @ 12 mg | a)Decrease urine output |
| Doctor ordered Coumadin & Heparin in combination, will you follow the order? a)Yes b)No | a)Yes - because after 3 days, Coumadin will be stopped because slow acting drug |
| Purpose of IV / Vascular access device in burns? a)Route for antibiotics b)Fluid resuscitation | b)Fluid resuscitation |
| Thrombocytopenia, what to expect? a)Fatigue b)Hematuria | b)Hematuria |
| Pulse oximetry, the patient is exposed to the sunlight, what do you do? a)Relocate or reposition the probe to another area b)Cover the probe | b)Cover the probe – 1st action then 2nd transfer either to earlobe nose except the thumb |
| Patient on epidural anesthesia, most concern? a)Sedation b)V.S. - Respiratory rate | b)V.S. - Respiratory rate |
| Hepatitis G, how do you contract it? a)Fecal – Oral b)Parenteral or Blood | b)Parenteral or Blood – like Hepatitis B, C & D / Fecal – Oral is for Hepatitis A & E |
| Pyloric Stenosis, position? a)Upright turn to the left side b)Upright turn to your right side | b)Upright turn to your right side – to facilitate emptying of the stomach |
| Patient with Hodgskin's Lymphoma, assess? a)Inguinal lymph node b)Cervical lymph node | b)Cervical lymph node |
| Nitroglycerin, M.O.A., in Angina Pectoris? a)Dilates coronary arteries b)Reduces afterload | b)Reduce afterload – 1 , Vasodilator - 2, Dilates coronary arteries – 3 |
| Pleural effusion, s/s? a)Increase breath sounds b)Decrease breath sounds | b)Decrease breath sounds – d/t fluid in the pleural cavity |
| Thyroid storm / thyro toxilosis s/s? a)Narrowed pulse pressure b)Tachycardia | b)Tachycardia – this is 1st sign followed by Increase BP and it should also a Widened pulse pressure |
| D.K.A., give what insulin? a)NPH b)Regular | b)Regular – cause its fast acting |
| Metronidazole (Flagyl), avoid? a)Coffee b)Mouthwash | b)Mouthwash- because it has alcohol content, it will induce vomiting if you take anything with alcohol |
| Levodopa, avoid? a)Food high in salt b)Food high in protein | b)Food high in protein – it inactivates the efficacy of levodopa |
| Dexamethazone, purpose in head injury? a)Decrease cerebral edema b)Promote venous drainage | a)Decrease cerebral edema / Venous drainage – positioning of head option |
| Aspirin in M.I., purpose? a)Analgesic b)Anti platelet | b)Anti platelet |
| Expressive aphasia / Brocha's aphasia, correct? a)Use gestures b)Limit use of hands | a)Use gestures |
| Streptomyci, s/e? a)Peripheral neuropathy b)Cranial nerve 8 damage | b)Cranial nerve 8 damage – vestibulocochlear nerve / Peripheral neuropathy – INH option |
| Acute renal failure, s/s? a)Decrease urine output b)BUN @ 12 mg | a)Decrease urine output |
| Doctor ordered Coumadin & Heparin in combination, will you follow the order? a)Yes b)No | a)Yes - because after 3 days, Coumadin will be stopped because slow acting drug |
| Purpose of IV / Vascular access device in burns? a)Route for antibiotics b)Fluid resuscitation | b)Fluid resuscitation |
| Thrombocytopenia, what to expect? a)Fatigue b)Hematuria | b)Hematuria |
| Pulse oximetry, the patient is exposed to the sunlight, what do you do? a)Relocate or reposition the probe to another area b)Cover the probe | b)Cover the probe – 1st action then 2nd transfer either to earlobe nose except the thumb |
| Patient on epidural anesthesia, most concern? a)Sedation b)V.S. - Respiratory rate | b)V.S. - Respiratory rate |
| Hepatitis G, how do you contract it? a)Fecal – Oral b)Parenteral or Blood | b)Parenteral or Blood – like Hepatitis B, C & D / Fecal – Oral is for Hepatitis A & E |
| Pyloric Stenosis, position? a)Upright turn to the left side b)Upright turn to your right side | b)Upright turn to your right side – to facilitate emptying of the stomach |
| Patient with Hodgskin's Lymphoma, assess? a)Inguinal lymph node b)Cervical lymph node | b)Cervical lymph node |
| Nitroglycerin, M.O.A., in Angina Pectoris? a)Dilates coronary arteries b)Reduces afterload | b)Reduce afterload – 1 , Vasodilator - 2, Dilates coronary arteries – 3 |
| Effective question in eliciting information about pain? a)Point to me, where is the pain b)How severe c)Tell me how you feel | c)Tell me how you feel – open ended question |
| Patient seems anxious, correct response? a)Tell me what you will do b)What seems to be your concern | b)What seems to be your concern – the stem question tells the patient is anxious, so answer in a Concern manner |
| Urinary incontinence, correct? a)Perform Kegel's exercises b)Have a record of voiding | a)Perform Kegel's exercises |
| Fluid volume deficit, assessment of skin turgor on elderly? a)Forehead b)Hand c)Arms | a)Forehead –body part that is tight and taunt areas |
| Carcinoembryonic Antigen (CEA), purpose? a)Thyroid cancer b)Colonic cancer | b)Colonic cancer |
| Diet of cervical implant patient? a)High residue b)Low residue | b)Low residue – to constipate the patient and avoid radiation enteritis |
| Radiation therapy, external s/e on the skin? a)Erythema b)Desquamation c)Atrophy | a)Erythema – 1st, Desquamation 2nd, Atrophy 3rd |
| Lumbar puncture, C/I? a)Increase ICP b)Meningitis | a)Increase ICP |
| Complication of cholecystectomy? a)Atelectasis b)Thrombophlebitis | a)Atelectasis – the procedure is close to the lungs that is why Atelectasis is the complication |
| C.O.P.D., common cause? a)Smoking b)Genetics | a)Smoking |
| Position in postural drainage of the lower lobes? a)Sit up b)Trendelenburg | b)Trendelenburg – aim is to lower the head or elevate the LOBES |
| Atrial fibrilation, high risk for? a)M.I. b)Stroke | b)Stroke |
| Constant skin irritation? a)Ileostomy b)Sigmoid colostomy | a)Ileostomy |
| Prevention of rheumatic heart disease? a)Avoid smoking b)Treatment of streptococcal/respiratory infection | b)Treatment of streptococcal/respiratory infection |
| Aplastic anemia, s/s? a)Back pain b)Hypogastric pain | a)Back pain – plus fever & chills / Hypogastric pain – UTI |
| Blood transfusion, except? a)VS b)Signed consent c)Make sure the blood is not too cold d)Verify order | c)Make sure the blood is not too cold – not appropriate choice |
| Fresh plasma indication? a)Anemia b)Coagulation factor deficiency | b)Coagulation factor deficiency / Anemia – this is packed RBC |
| TPN, the bag is empty, while waiting for the next bag? a)Notify the DR. b)Hang a bag of D10 water | b)Hang a bag of D10 water |
| TPN, experiencing hyperglycemia, what to do? a)Administer regular insulin as prescribed b)Slow down the infusion | a)Administer regular insulin as prescribed |
| Sigmoid colostomy, what do you find? a)Semi mushy b)Solid feces | b)Solid feces – Sigmoid has a big S, so Solid feces |
| Liver cirrhosis, cause? a)Malnutrition b)Hepatitis-C c)Alcohol | c)Alcohol – 1st / Malnutrition & Hepatitis-C - 2nd |
| HIV, correct option? a)Perinatal transmission is 50-70% b)Most common route is sexual intercourse | b)Most common route is sexual intercourse / Perinatal transmission – 15-35% only |
| Common antibiotic in burns? a)Silver nitrate b)Sulfadiazine | b)Sulfadiazine – painless to apply |
| Hyperthyroidism, diet? a)Well balanced diet b)Frequent small meals | b)Frequent small meals – high caloric meal |
| KCL, priority checking? a)BP b)Urine output | b)Urine output |
| Cystoscopy, priority after procedure? a)Pain b)VS | b)VS – 1st , 2nd is Pain |
| Cancer of the stomach / gastric cancer, s/s? a)Diarrhea b)Weight loss | b)Weight loss |
| Neomycin, for bowel preparation purpose? a)Prevent paralytic ileos b)Kill bacteria | b)Kill bacteria – being an antibiotic |
| DM type I, r/f? a)Obesity b)Viral | b)Viral / Obesity – Type II DM |
| Anemia, s/s? a)Fatigue b)Decrease anxiety | a)Fatigue |
| Purpose of indwelling foley catheter in cervical implant? a)Empty the bladder b)Prevent exposure | a)Empty the bladder |
| To assess brachial plexus injury in NB? a)Assess moro reflex b)Assess rooting reflex | a)Assess moro reflex – shoulder movement / Rooting reflex – cheek |
| Pernicious anemia, lack of what? a)Extrinsic factor b)Intrinsic factor | b)Intrinsic factor |
| Patient is taking Haloperidol is experiencing tongue protrusion, muscle rigidity, give? a)Diphenhydramine 50mg IM b)Akinitone 2mg PO c)Cogentin 5mg Sublingual | a)Diphenhydramine 50mg IM – faster action than all other choices |
| Emergent & acute phase of burns, preferred route of analgesic? a)Rectal b)Oral c)IV d)IM | c)IV / the Oral route is C/I because gastric motility is impaired |
| Latex allergy, priority assessment? a)Rash b)Stridor | b)Stridor – latex allergy may lead to anaphylactic shock, laryngeal edema and then shock |
| Herpes zoster, where do you get it? a)Gloves & gown b)Gloves & masks | b)Gloves & masks |
| Trigeminal neuralgia, s/s? a)Inability to blink b)Facial pain | b)Facial pain – the word has -algia which means pain / Inability to blink – Bell's palsy |
| Blind patient, correct instruction? a)Nurse walks 1 step in front b)Patient is asked to hold the shoulder of the nurse | a)Nurse walks 1 step in front / the patient should hold the nurse's elbows not shoulder |
| Effective question in eliciting information about pain? a)Point to me, where is the pain b)How severe c)Tell me how you feel | c)Tell me how you feel – open ended question |
| Patient seems anxious, correct response? a)Tell me what you will do b)What seems to be your concern | b)What seems to be your concern – the stem question tells the patient is anxious, so answer in a Concern manner |
| Urinary incontinence, correct? a)Perform Kegel's exercises b)Have a record of voiding | a)Perform Kegel's exercises |
| Fluid volume deficit, assessment of skin turgor on elderly? a)Forehead b)Hand c)Arms | a)Forehead –body part that is tight and taunt areas |
| Carcinoembryonic Antigen (CEA), purpose? a)Thyroid cancer b)Colonic cancer | b)Colonic cancer |
| Diet of cervical implant patient? a)High residue b)Low residue | b)Low residue – to constipate the patient and avoid radiation enteritis |
| Radiation therapy, external s/e on the skin? a)Erythema b)Desquamation c)Atrophy | a)Erythema – 1st, Desquamation 2nd, Atrophy 3rd |
| Lumbar puncture, C/I? a)Increase ICP b)Meningitis | a)Increase ICP |
| Complication of cholecystectomy? a)Atelectasis b)Thrombophlebitis | a)Atelectasis – the procedure is close to the lungs that is why Atelectasis is the complication |
| C.O.P.D., common cause? a)Smoking b)Genetics | a)Smoking |
| Position in postural drainage of the lower lobes? a)Sit up b)Trendelenburg | b)Trendelenburg – aim is to lower the head or elevate the LOBES |
| Atrial fibrilation, high risk for? a)M.I. b)Stroke | b)Stroke |
| Constant skin irritation? a)Ileostomy b)Sigmoid colostomy | a)Ileostomy |
| Prevention of rheumatic heart disease? a)Avoid smoking b)Treatment of streptococcal/respiratory infection | b)Treatment of streptococcal/respiratory infection |
| Aplastic anemia, s/s? a)Back pain b)Hypogastric pain | a)Back pain – plus fever & chills / Hypogastric pain – UTI |
| Blood transfusion, except? a)VS b)Signed consent c)Make sure the blood is not too cold d)Verify order | c)Make sure the blood is not too cold – not appropriate choice |
| Fresh plasma indication? a)Anemia b)Coagulation factor deficiency | b)Coagulation factor deficiency / Anemia – this is packed RBC |
| TPN, the bag is empty, while waiting for the next bag? a)Notify the DR. b)Hang a bag of D10 water | b)Hang a bag of D10 water |
| TPN, experiencing hyperglycemia, what to do? a)Administer regular insulin as prescribed b)Slow down the infusion | a)Administer regular insulin as prescribed |
| Sigmoid colostomy, what do you find? a)Semi mushy b)Solid feces | b)Solid feces – Sigmoid has a big S, so Solid feces |
| Liver cirrhosis, cause? a)Malnutrition b)Hepatitis-C c)Alcohol | c)Alcohol – 1st / Malnutrition & Hepatitis-C - 2nd |
| HIV, correct option? a)Perinatal transmission is 50-70% b)Most common route is sexual intercourse | b)Most common route is sexual intercourse / Perinatal transmission – 15-35% only |
| Common antibiotic in burns? a)Silver nitrate b)Sulfadiazine | b)Sulfadiazine – painless to apply |
| Hyperthyroidism, diet? a)Well balanced diet b)Frequent small meals | b)Frequent small meals – high caloric meal |
| KCL, priority checking? a)BP b)Urine output | b)Urine output |
| Cystoscopy, priority after procedure? a)Pain b)VS | b)VS – 1st , 2nd is Pain |
| Cancer of the stomach / gastric cancer, s/s? a)Diarrhea b)Weight loss | b)Weight loss |
| Neomycin, for bowel preparation purpose? a)Prevent paralytic ileos b)Kill bacteria | b)Kill bacteria – being an antibiotic |
| DM type I, r/f? a)Obesity b)Viral | b)Viral / Obesity – Type II DM |
| Anemia, s/s? a)Fatigue b)Decrease anxiety | a)Fatigue |
| Purpose of indwelling foley catheter in cervical implant? a)Empty the bladder b)Prevent exposure | a)Empty the bladder |
| To assess brachial plexus injury in NB? a)Assess moro reflex b)Assess rooting reflex | a)Assess moro reflex – shoulder movement / Rooting reflex – cheek |
| Pernicious anemia, lack of what? a)Extrinsic factor b)Intrinsic factor | b)Intrinsic factor |
| Patient is taking Haloperidol is experiencing tongue protrusion, muscle rigidity, give? a)Diphenhydramine 50mg IM b)Akinitone 2mg PO c)Cogentin 5mg Sublingual | a)Diphenhydramine 50mg IM – faster action than all other choices |
| Emergent & acute phase of burns, preferred route of analgesic? a)Rectal b)Oral c)IV d)IM | c)IV / the Oral route is C/I because gastric motility is impaired |
| Latex allergy, priority assessment? a)Rash b)Stridor | b)Stridor – latex allergy may lead to anaphylactic shock, laryngeal edema and then shock |
| Herpes zoster, where do you get it? a)Gloves & gown b)Gloves & masks | b)Gloves & masks |
| Trigeminal neuralgia, s/s? a)Inability to blink b)Facial pain | b)Facial pain – the word has -algia which means pain / Inability to blink – Bell's palsy |
| Blind patient, correct instruction? a)Nurse walks 1 step in front b)Patient is asked to hold the shoulder of the nurse | a)Nurse walks 1 step in front / the patient should hold the nurse's elbows not shoulder |
| Anaphylactic reaction, give? a)Epinephrine b)Loratidine c)Diphenhydromine | a)Epinephrine |
| Right sided heart failure, assessment? a)Jogular vein distention b)Decrease urine output | a)Jogular vein distention – this is systemic / Decrease urine output – Left sided failure |
| Position in inserting CVP, TPN etc... ? a)Semi fowler b)Trendelenburg | b)Trendelenburg – keep the head down |
| Type I DM, correct prevention of complication? a)Report blood sugar of 250-300 & above b)Test urine for ketones daily | a)Report blood sugar of 250-300 & above |
| Location of M.I., determined by? a)Troponin b)CKMB c)EKG/ECG d)Chest X-ray | c)EKG/ECG / Troponin & CKMB – determines necrosis |
| Cocaine abuse, s/s? a)Perforated nasal septum b)Hypertension & Tachycardia | a)Perforated nasal septum – correct 1st sign / Hypertension & Tachycardia - 2nd sign |
| Myastinic crisis, s/s? a)Diarrhea b)Respiratory distress c)Bradycardia | b)Respiratory distress – present in myastinic & cholinergic crisis / Diarrhea & Bradycardia – cholinergic crisis |
| Bronchoscopy, not allowed to? a)To talk b)To eat c)To walk | b)To eat |
| Steroids, correct? a)Increases blood sugar b)Increases potassium | a)Increases blood sugar – steroids has sugar & salt / the potassium – should be decrease |
| Pyridium, purpose on UTI? a)To kill bacteria b)To decrease pain upon urination | b)To decrease pain upon urination – pyridium is urinary analgesic |
| Most common nosocomial infection? a)Pneumonia b)UTI | b)UTI – usually present after 48 hours of admission |
| Digoxin with vomiting & tremors, halo vision. What is the correct nursing action? a)Check serum eletrolytes [potassium] b)With hold the drug | b)With hold the drug - 1st step / Check serum electrolytes [potassium] - 2nd step |
| Blood transfusion with fever, back pain. After stopping the infusion, what is next thing to do? a)Maintain IV line patent with NSS b)Change the tubing c)Obtain VS d)Send blood specimen to the Lab | b)Change the tubing - 2nd / Stop the infusion - 1st / Maintain IV line patent with NSS - 3rd / Obtain VS - 4th / Send blood specimen to the Lab - 5th |
| Peritoneal dialysis, except? a)Clean equipment before use b)Monitor weight before & after | a)Clean equipment before use – it should be Sterile not just clean |
| Arteriovenous fistula, correct? a)Don't take BP on the affected arm b)Flush the fistula daily | a)Don't take BP on the affected arm |
| Total hip replacement, incorrect action? a)Sit up the patient b)Walk or ambulate | a)Sit up the patient |
| Appendicitis, report? a)Abdominal pain b)Rebound tenderness & muscle rigidity | b)Rebound tenderness & muscle rigidity – indidates peritonitis 2nd sign, the 1st sign is absence of pain – pumotok na |
| Total Laryngectomy, correct? a)With tracheostomy b)Without tracheostomy | a)With tracheostomy / Without tracheostomy – subtotal or partial Laryngectomy |
| The height of colostomy irrigation when sitting? a)18-24 inches b)30-36 inches | a)18-24 inches – shoulder high / 30-36 inches – too high |
| Ulcerative colitis, avoid? a)Low residue diet b)Celery | b)Celery |
| Spinal cord injury with neurogenic bladder? a)Pour alternate cold & warm water over the perineum b)Open the faucet c)Catheterize | c)Catheterize |
| Sign of impending respiratory arrest in status asthmaticus? a)Increase rales b)Absence of wheezing | b)Absence of wheezing |
| To prevent disequilibrium syndrome? a)Maintain electrolyte & fluid balance b)Limit the duration of the dialysis | b)Limit the duration of the dialysis – this is a specific action / Maintain electrolyte & fluid balance – is a goal |
| Anaphylactic reaction, give? a)Epinephrine b)Loratidine c)Diphenhydromine | a)Epinephrine |
| Right sided heart failure, assessment? a)Jogular vein distention b)Decrease urine output | a)Jogular vein distention – this is systemic / Decrease urine output – Left sided failure |
| Position in inserting CVP, TPN etc... ? a)Semi fowler b)Trendelenburg | b)Trendelenburg – keep the head down |
| Type I DM, correct prevention of complication? a)Report blood sugar of 250-300 & above b)Test urine for ketones daily | a)Report blood sugar of 250-300 & above |
| Location of M.I., determined by? a)Troponin b)CKMB c)EKG/ECG d)Chest X-ray | c)EKG/ECG / Troponin & CKMB – determines necrosis |
| Cocaine abuse, s/s? a)Perforated nasal septum b)Hypertension & Tachycardia | a)Perforated nasal septum – correct 1st sign / Hypertension & Tachycardia - 2nd sign |
| Myastinic crisis, s/s? a)Diarrhea b)Respiratory distress c)Bradycardia | b)Respiratory distress – present in myastinic & cholinergic crisis / Diarrhea & Bradycardia – cholinergic crisis |
| Bronchoscopy, not allowed to? a)To talk b)To eat c)To walk | b)To eat |
| Steroids, correct? a)Increases blood sugar b)Increases potassium | a)Increases blood sugar – steroids has sugar & salt / the potassium – should be decrease |
| Pyridium, purpose on UTI? a)To kill bacteria b)To decrease pain upon urination | b)To decrease pain upon urination – pyridium is urinary analgesic |
| Most common nosocomial infection? a)Pneumonia b)UTI | b)UTI – usually present after 48 hours of admission |
| Digoxin with vomiting & tremors, halo vision. What is the correct nursing action? a)Check serum eletrolytes [potassium] b)With hold the drug | b)With hold the drug - 1st step / Check serum electrolytes [potassium] - 2nd step |
| Blood transfusion with fever, back pain. After stopping the infusion, what is next thing to do? a)Maintain IV line patent with NSS b)Change the tubing c)Obtain VS d)Send blood specimen to the Lab | b)Change the tubing - 2nd / Stop the infusion - 1st / Maintain IV line patent with NSS - 3rd / Obtain VS - 4th / Send blood specimen to the Lab - 5th |
| Peritoneal dialysis, except? a)Clean equipment before use b)Monitor weight before & after | a)Clean equipment before use – it should be Sterile not just clean |
| Arteriovenous fistula, correct? a)Don't take BP on the affected arm b)Flush the fistula daily | a)Don't take BP on the affected arm |
| Total hip replacement, incorrect action? a)Sit up the patient b)Walk or ambulate | a)Sit up the patient |
| Appendicitis, report? a)Abdominal pain b)Rebound tenderness & muscle rigidity | b)Rebound tenderness & muscle rigidity – indidates peritonitis 2nd sign, the 1st sign is absence of pain – pumotok na |
| Total Laryngectomy, correct? a)With tracheostomy b)Without tracheostomy | a)With tracheostomy / Without tracheostomy – subtotal or partial Laryngectomy |
| The height of colostomy irrigation when sitting? a)18-24 inches b)30-36 inches | a)18-24 inches – shoulder high / 30-36 inches – too high |
| Ulcerative colitis, avoid? a)Low residue diet b)Celery | b)Celery |
| Spinal cord injury with neurogenic bladder? a)Pour alternate cold & warm water over the perineum b)Open the faucet c)Catheterize | c)Catheterize |
| Sign of impending respiratory arrest in status asthmaticus? a)Increase rales b)Absence of wheezing | b)Absence of wheezing |
| To prevent disequilibrium syndrome? a)Maintain electrolyte & fluid balance b)Limit the duration of the dialysis | b)Limit the duration of the dialysis – this is a specific action / Maintain electrolyte & fluid balance – is a goal |
| General anesthesia, causes? a)Analgesia, amnesia, unconsciousness, loss of abdominal tone b) Analgesia, amnesia, unconsciousness | a) Analgesia, amnesia, unconsciousness, loss of abdominal tone – complete selection |
| Example of inhalation type of General anesthesia? a)Avartin b)Isoflurane | b)Isoflurane / Avartin – rectal general anesthesia |
| Inhalation general anesthesia, route? a)Patent NGT firmly secured b)Endotracheal tube inserted into the trachea | b)Endotracheal tube inserted into the trachea |
| General anesthesia, inhalation type that is volatile liquid? a)Nitrous oxide b)Halothane | b)Halothane / Nitrous oxide – gas type |
| A General anesthesia that is administered intravenously? a)Thiopental b)Thiopental Na | b)Thiopental Na / Thiopental – rectal |
| In general adaptive syndrome, the body is restored to its pre-injury state? a)Stage of resistance b)Countershock | b)Countershock |
| Local adaptive syndrome (LAS), correct? a)Shock & disbelief b)Countershock c)Cut fingers, followed by bleeding then coagulation of blood | c)Cut fingers, followed by bleeding then coagulation of blood |
| Intracellular fluids, correct? a)Cl & K b)K & Na c)K & HCO3 d)K & HPO4 | d)K & HPO4 |
| Osmosis, correct? a)Water movement from lower to higher concentration b)Water movement from higher to lower concentration of particles | a)Water movement from lower to higher concentration / b)Water movement from higher to lower concentration of particles – diffusion |
| Fluid volume deficit s/s, except? a)Poor skin turgor b)Wet mucous membrane | b)Wet mucous membrance – it should be dry |
| Fluid volume excess s/s, except? a)Decrease CVP b)Increase CVP | b)Increase CVP / Decrease CVP – fluid volume deficit |
| Flui volume excess s/s, correct? a)Decrease hematocrit b)Increase hematocrit | a)Decrease hematocrit / Increase hematocrit – fluid volume deficit |
| Fluid volume deficit, correct? a)Increase HR & RR b)Increase BP & PULSE | a)Increase HR & RR /b)Increase BP & PULSE – fluid volume excess |
| Fluid volume deficit n/i, except? a)Correct cause b)Monitor I & O c)IVF LR, 0.9% NS d)Decrease urine specific gravity | d)Decrease urine specific gravity – should be increased not decreased |
| Fluid volume deficit s/s, except? a)Decrease in volume, smoky & odorous urine b)Decrease in volume, dark & odorous urine | a)Decrease in volume, smoky & odorous urine – it should be dark & odorous not SMOKY |
| Hypokalemia s/s, except? a)Burns b)Addison's disease c)Massive trauma d)Gastric suction | b)Addison's disease |
| Potassium sources, correct? a)Fruit & Veg. b)Peas c)Nuts & Veg. d)Nuts | c)Nuts & Veg / Peas – magnesium / Nuts – magnesium & potassium |
| Hypokalemia n/i, correct? a)Give fluids to increase urinary output b)Never give bolus injection IV or PO | b)Never give bolus injection IV or PO |
| Hyperkalemia drugs, correct? a)Kayexalate b)Lasix | a)Kayexalate / Lasix – ADH |
| Hypokalemia n/i, correct? a)Drink juices & bouillon b)Check renal function before giving medz | b)Check renal function before giving medz |
| Hyponatremia n/i, correct? a)Drink juices & bouillon b)Elderly clients to drink 8-10 glasses | a)Drink juices & bouillon / b)Elderly clients to drink 8-10 glasses – hypernatremia |
| Excessive exercise complication, correct? a)Resp. Acidosis b)Resp. Alkalosis c)Metabolic Acidosis d)Metabolic Alkalosis | c)Metabolic Acidosis |
| Metabolic alkalosis causes, except? a)Vomiting b)Gastric suction c)Starvation | c)Starvation – metabolic acidosis |
| Metabolic acidosis, correct? a)Bicarbonate deficit, increase in hydrogen ion concentration b)Bicarbonate deficit, decrease in hydrogen ion concentration | a)Bicarbonate deficit, increase in hydrogen ion concentration / Bicarbonate deficit, decrease in hydrogen ion concentration – metabolic alkalosis |
| Digoxin mode of action, correct? a)Slow acting & short term use b)Fast action & short term use c)Slow acting & long term use | a)Slow acting & short term use |
| General anesthesia, causes? a)Analgesia, amnesia, unconsciousness, loss of abdominal tone b) Analgesia, amnesia, unconsciousness | a) Analgesia, amnesia, unconsciousness, loss of abdominal tone – complete selection |
| Example of inhalation type of General anesthesia? a)Avartin b)Isoflurane | b)Isoflurane / Avartin – rectal general anesthesia |
| Inhalation general anesthesia, route? a)Patent NGT firmly secured b)Endotracheal tube inserted into the trachea | b)Endotracheal tube inserted into the trachea |
| General anesthesia, inhalation type that is volatile liquid? a)Nitrous oxide b)Halothane | b)Halothane / Nitrous oxide – gas type |
| A General anesthesia that is administered intravenously? a)Thiopental b)Thiopental Na | b)Thiopental Na / Thiopental – rectal |
| In general adaptive syndrome, the body is restored to its pre-injury state? a)Stage of resistance b)Countershock | b)Countershock |
| Local adaptive syndrome (LAS), correct? a)Shock & disbelief b)Countershock c)Cut fingers, followed by bleeding then coagulation of blood | c)Cut fingers, followed by bleeding then coagulation of blood |
| Intracellular fluids, correct? a)Cl & K b)K & Na c)K & HCO3 d)K & HPO4 | d)K & HPO4 |
| Osmosis, correct? a)Water movement from lower to higher concentration b)Water movement from higher to lower concentration of particles | a)Water movement from lower to higher concentration / b)Water movement from higher to lower concentration of particles – diffusion |
| Fluid volume deficit s/s, except? a)Poor skin turgor b)Wet mucous membrane | b)Wet mucous membrance – it should be dry |
| Fluid volume excess s/s, except? a)Decrease CVP b)Increase CVP | b)Increase CVP / Decrease CVP – fluid volume deficit |
| Flui volume excess s/s, correct? a)Decrease hematocrit b)Increase hematocrit | a)Decrease hematocrit / Increase hematocrit – fluid volume deficit |
| Fluid volume deficit, correct? a)Increase HR & RR b)Increase BP & PULSE | a)Increase HR & RR /b)Increase BP & PULSE – fluid volume excess |
| Fluid volume deficit n/i, except? a)Correct cause b)Monitor I & O c)IVF LR, 0.9% NS d)Decrease urine specific gravity | d)Decrease urine specific gravity – should be increased not decreased |
| Fluid volume deficit s/s, except? a)Decrease in volume, smoky & odorous urine b)Decrease in volume, dark & odorous urine | a)Decrease in volume, smoky & odorous urine – it should be dark & odorous not SMOKY |
| Hypokalemia s/s, except? a)Burns b)Addison's disease c)Massive trauma d)Gastric suction | b)Addison's disease |
| Potassium sources, correct? a)Fruit & Veg. b)Peas c)Nuts & Veg. d)Nuts | c)Nuts & Veg / Peas – magnesium / Nuts – magnesium & potassium |
| Hypokalemia n/i, correct? a)Give fluids to increase urinary output b)Never give bolus injection IV or PO | b)Never give bolus injection IV or PO |
| Hyperkalemia drugs, correct? a)Kayexalate b)Lasix | a)Kayexalate / Lasix – ADH |
| Hypokalemia n/i, correct? a)Drink juices & bouillon b)Check renal function before giving medz | b)Check renal function before giving medz |
| Hyponatremia n/i, correct? a)Drink juices & bouillon b)Elderly clients to drink 8-10 glasses | a)Drink juices & bouillon / b)Elderly clients to drink 8-10 glasses – hypernatremia |
| Excessive exercise complication, correct? a)Resp. Acidosis b)Resp. Alkalosis c)Metabolic Acidosis d)Metabolic Alkalosis | c)Metabolic Acidosis |
| Metabolic alkalosis causes, except? a)Vomiting b)Gastric suction c)Starvation | c)Starvation – metabolic acidosis |
| Metabolic acidosis, correct? a)Bicarbonate deficit, increase in hydrogen ion concentration b)Bicarbonate deficit, decrease in hydrogen ion concentration | a)Bicarbonate deficit, increase in hydrogen ion concentration / Bicarbonate deficit, decrease in hydrogen ion concentration – metabolic alkalosis |
| Digoxin mode of action, correct? a)Slow acting & short term use b)Fast action & short term use c)Slow acting & long term use | a)Slow acting & short term use |
| POST-OP Thoracentesis, except? a)Apply pressure to puncture site b)Monitor for shock, BP, respiratory arrest, subQ emphysema | c)Monitor for shock, BP, respiratory arrest, subQ emphysema |
| Thoracentesis, except? a)Aspiration of more than 1200ml b)Aspiration of 1000 ml | b)Aspiration of 1000 ml – this is below 1200 ml maximum volume to be removed |
| Pulmonary emphysema client teaching, correct? a)Report on 1st sign of URI b)Report on 1st sign of LRI | a)Report on 1st sign of URI |
| Bronchoscopy, correct? a)Wash with warm saline gargles b)Mouthwash | a)Wash with warm saline gargles |
| Pulmonary emphysema s/s, correct? a)Deep rapid respirations b)Shallow rapid respirations | b)Shallow rapid respirations |
| Excessive mucus secretions within the airways and recurrent cough? a)Chronic bronchitis b)Pulmonary emphysema | a)Chronic bronchitis |
| Chronic bronchitis s/s, correct? a)Wheezing b)Rales | b)Rales / wheezing – asthma |
| Asthma n/i, correct? a)Prevent or reduce exposure to irritants b)Promote breathing techniques c)Stay with the client | c)Stay with the client – emotional support, plus high fowler's position, promote hydration etc... |
| Respiratory alkalosis n/i, correct? a)Provide good expiratory exchange b)Breath into paper bag or cupped hands | b)Breath into paper bag or cupped hands / good expiratory exchange – respiratory acidosis n/i |
| Cor pulmonale n/i, correct? a)Avoid high O2 concentrations b)Promote bed rest | b)Promote bed rest / Avoiding high O2 concentrations – carbon dioxide narcosis n/i |
| Closed chest drainage, purpose? a)Re-establish normal negative pressure in the pleural space b)Re establish positive normal pressure in the pleural space | a)Re-establish normal negative pressure in the pleural space |
| Pneumothorax, 1st nursing intervention? a)Position in High fowler's b)Assess VS c)Remain with client and remain calm | c)Remain with client and remain calm - 1st / High fowler's - 2nd / VS - 3rd |
| In two bottle system, correct? a)Intermittent bubbling & fluctuation of fluid in water-seal bottle b)Continuous bubbling | a)Intermittent bubbling & fluctuation of fluid in water-seal bottle / Continuous bubbling – 3 bottle system |
| Continuous, rapid bubbling in water seal bottle, correct? a)Notify MD b)Locate leak and stop drainage c)Locate leak in the system, repair or replace | c)Locate leak in the system, repair or replace |
| No fluctuation in water seal bottle, except? a)Check for kinks b)Listen to breath sounds c)Milk tubing d)Monitor VS if unstable | d)Monitor VS if unstable / check for kinks -1 / Listen to breath sounds – 2 / Milk tubing – 3 |
| Broken bottle in chest tube, correct? a)Tell pt to hold his breath and plug with occlusive material b)Insert tubing into sterile water until the bottle can be replaced | b)Insert tubing into sterile water until the bottle can be replaced |
| Ethambutol, s/e? a)Skin rash & nausea b)Skin rash & Optic neuritis | b)Skin rash & Optic neuritis |
| Rifampicin, s/e? a)Cranial 8th nerve damage b)Orange color urine & feces | b)Orange color urine & feces / Cranial 8th nerve damage – Streptomycin s/e |
| Izoniazid, s/e except? a)Pruritus b)Peripheral neuropathy c)Hepatotoxicity | a)Pruritus |
| In Pulmonary Tuberculosis, correct? a)Person is noninfectious after 1 week of continuous drug therapy b)Person is noninfectious after 1-2 weeks of continuous drug therapy | b)Person is noninfectious after 1-2 weeks of continuous drug therapy |
| POST-OP Thoracentesis, except? a)Apply pressure to puncture site b)Monitor for shock, BP, respiratory arrest, subQ emphysema | c)Monitor for shock, BP, respiratory arrest, subQ emphysema |
| Thoracentesis, except? a)Aspiration of more than 1200ml b)Aspiration of 1000 ml | b)Aspiration of 1000 ml – this is below 1200 ml maximum volume to be removed |
| Pulmonary emphysema client teaching, correct? a)Report on 1st sign of URI b)Report on 1st sign of LRI | a)Report on 1st sign of URI |
| Bronchoscopy, correct? a)Wash with warm saline gargles b)Mouthwash | a)Wash with warm saline gargles |
| Pulmonary emphysema s/s, correct? a)Deep rapid respirations b)Shallow rapid respirations | b)Shallow rapid respirations |
| Excessive mucus secretions within the airways and recurrent cough? a)Chronic bronchitis b)Pulmonary emphysema | a)Chronic bronchitis |
| Chronic bronchitis s/s, correct? a)Wheezing b)Rales | b)Rales / wheezing – asthma |
| Asthma n/i, correct? a)Prevent or reduce exposure to irritants b)Promote breathing techniques c)Stay with the client | c)Stay with the client – emotional support, plus high fowler's position, promote hydration etc... |
| Respiratory alkalosis n/i, correct? a)Provide good expiratory exchange b)Breath into paper bag or cupped hands | b)Breath into paper bag or cupped hands / good expiratory exchange – respiratory acidosis n/i |
| Cor pulmonale n/i, correct? a)Avoid high O2 concentrations b)Promote bed rest | b)Promote bed rest / Avoiding high O2 concentrations – carbon dioxide narcosis n/i |
| Closed chest drainage, purpose? a)Re-establish normal negative pressure in the pleural space b)Re establish positive normal pressure in the pleural space | a)Re-establish normal negative pressure in the pleural space |
| Pneumothorax, 1st nursing intervention? a)Position in High fowler's b)Assess VS c)Remain with client and remain calm | c)Remain with client and remain calm - 1st / High fowler's - 2nd / VS - 3rd |
| In two bottle system, correct? a)Intermittent bubbling & fluctuation of fluid in water-seal bottle b)Continuous bubbling | a)Intermittent bubbling & fluctuation of fluid in water-seal bottle / Continuous bubbling – 3 bottle system |
| Continuous, rapid bubbling in water seal bottle, correct? a)Notify MD b)Locate leak and stop drainage c)Locate leak in the system, repair or replace | c)Locate leak in the system, repair or replace |
| No fluctuation in water seal bottle, except? a)Check for kinks b)Listen to breath sounds c)Milk tubing d)Monitor VS if unstable | d)Monitor VS if unstable / check for kinks -1 / Listen to breath sounds – 2 / Milk tubing – 3 |
| Broken bottle in chest tube, correct? a)Tell pt to hold his breath and plug with occlusive material b)Insert tubing into sterile water until the bottle can be replaced | b)Insert tubing into sterile water until the bottle can be replaced |
| Ethambutol, s/e? a)Skin rash & nausea b)Skin rash & Optic neuritis | b)Skin rash & Optic neuritis |
| Rifampicin, s/e? a)Cranial 8th nerve damage b)Orange color urine & feces | b)Orange color urine & feces / Cranial 8th nerve damage – Streptomycin s/e |
| Izoniazid, s/e except? a)Pruritus b)Peripheral neuropathy c)Hepatotoxicity | a)Pruritus |
| In Pulmonary Tuberculosis, correct? a)Person is noninfectious after 1 week of continuous drug therapy b)Person is noninfectious after 1-2 weeks of continuous drug therapy | b)Person is noninfectious after 1-2 weeks of continuous drug therapy |
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akosipidro
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