prepared to handle situations with ethico-

NLE Pre-board December legal and moral implications.

2007 Practice 4
CARE OF CLIENTS WITH PHYSIOLOGIC 6. You are on night duty in the surgical
AND PSYCHOSOCIAL ALTERATIONS ward. One of our patients Martin is
prisoner who sustained an abdominal
Situation 1 - Because of the serious gunshot wound. He is being guarded by
consequences of severe burns management policemen from the local police unit.
requires a multi disciplinary approach. You During your rounds you heard a
have important responsibilities as a nurse. commotion. You saw the policeman
trying to hit Martin. You asked why he
1. While Sergio was lighting a barbecue was trying to hurt Martin. He denied the
grill with a lighter fluid, his shirt burst matter. Which among the following
into flames. The most effective way to activities will you do first?
extinguish the flames with as little further
damage as possible is to: a. Write an incident report
b. Call security officer and report the incident
a. log roll on the grass/ground c. Call your nurse supervisor and report the
b. slap the flames with his hands incident :
c. remove the burning clothes d. Call the physician on duty
d. pour cold liquid over the flames
7. You are on morning duty in the medical
2. Once the flames are extinguished, it is ward. You have 10 patients assigned to
most important to: you. During your endorsement rounds,
you found out that one of your patients
a. cover Sergio with a warm blanket was not in bed. The patient next to him
b. give him sips of water informed you that he went home without
c. calculate the extent of his burns notifying the nurses. Which among the
d. assess the Sergio's breathing following will you do first?

3. Sergio is brought to the Emergency a. Make and incident report

Room after the barbecue grill accident. b. Call security to report the incident
Based on the assessment of the c. Wait for 2 hours before reporting
physician, Sergio sustained superficial d. Report the incident to your supervisor
partial thickness bums on his trunk, right
upper extremities ad right lower 8. You are on duty in the medical ward.
extremities. His wife asks what that You were asked to check the narcotics
means. Your most accurate response cabinet. You found out that what is on
would be: record does not tally with the drugs
used. Which among the following will
a. Structures beneath the skin are damaged you do first?
b. Dermis is partially damaged
c. Epidermis and dermis are both damaged a. Write an incident report and refer the
d. Epidermis is damaged matter to the nursing director
b. Keep your findings to yourself
4. During the first 24 hours after thermal c. Report the matter to your supervisor
injury, you should assess Sergio for d. Find out from the endorsement any
patient who might have been given narcotics
a. hypokalemia and hypernatremia
b. hypokalemia and hyponatremia 9. You are on duty in the medical ward.
c. hyperkalemia and hyponatremia The mother of your patient who is also a
d. hyperkalemia and hypernatremia nurse came running to the nurse station
and informed you that Fiolo went into
5. Teddy, who sustained deep partial cardiopulmonary arrest. Which among
thickness and full thickness burns of the the following will you do first?
face, whole anterior chest and both
upper extremities two days ago, begins a. Start basic life support measures
to exhibit extreme restlessness. You b. Call for the Code
recognize that this most likely indicates c. Bring the crush cart to the room
that Teddy is developing: d. Go to see Fiolo and assess for airway
patency and breathing problems
a. Cerebral hypoxia
b. Hypervolemia 10. You are admitting Jorge to the ward
c. Metabolic acidosis and you found out that he is positive for
d. Renal failure . HIV. Which among the following will you
do first?
Situation 2 - You are now working as a staff
nurse in a general hospital. You have to be a. Take note of it and plan to endorse this to
next shift
b. Keep this matter to your self 16. You plan to teach Fermin how to
c. Write an incident report irrigate the colostomy when:
d. Report the matter to your head nurse
a. The perineal wound heals and Fermin can
Situation 3 - Colorectal cancer can affect old sit comfortably on the commode
and younger people. Surgical procedures b. Fermin can lie on the side comfortably,
and other modes of treatment are done to about the 3rd postoperative day
ensure quality of life. You are assigned in c. The abdominal incision is close and
the Cancer institute to care of patients with contamination is no longer a danger
this type of cancer. d. The stool starts to become formed,
around the 7th postoperative day
11. Larry, 55 years old, who is suspected
of having colorectal cancer, is admitted 17. When preparing to teach Fermin how
to the CI. After taking the history and vital to irrigate his colostomy, you should plan
signs the physician does which test as a to do the procedure:
screening test for colorectal cancer.
a. When Fermin would have normal bowel
a. Barium enema movement
b. Carcinoembryonig antigen b. At least 2 hours before visiting hours
c. Annual digital rectal examination c. Prior to breakfast and morning care
d. Proctosigmoidoscopy d. After Fermin accepts alteration in body
image
12. To confirm his impression of
colorectal cancer, Larry will require 18. When observing a rectum
which diagnostic study? demonstration of colostomy irrigation,
you know that more teaching is required
a. carcinoembryonic antigen if Fermin:
b. proctosigmoidbscopy
c. stool hematologic test a. Lubricates the tip of the catheter prior to
d. abdominal computed tomography (CT) inserting into the stoma
test b. Hands the irrigating bag on the bathroom
door doth hook during fluid insertion
13. The following are risk factors for c. Discontinues the insertion of fluid after
colorectal cancer, EXCEPT: only 500 ml of fluid had been insertion
d. Clamps off the flow of fluid when feeling
a. inflammatory bowels uncomfortable
b. high fat, high fiver diet
c. smoking 19. You are aware that teaching about
d. genetic factors-familial adenomatous colostomy care is understood when
polyposis Fermin states, "I will contact my
physician and report:
14. Symptoms associated with cancer of
the colon include: a. If I have any difficulty inserting the
irrigating tub into the stoma.”
a. constipation, ascites and mucus in the b. If I notice a loss of sensation to touch in
stool the stoma tissue."
b. diarrhea, heartburn and eructation c. The expulsion of flatus while the irrigating
c. blood in the stools, anemia, and pencil- fluid is running out."
shaped, stools d. When mucus is passed from the stoma
d. anorexia, hematemesis, and increased between irrigation."
peristalsis
20. You would know after teaching.
15. Several days prior to bowel surgery, Fermin that dietary instruction for him is
Larry may be given sulfasuxidine and effective when he states, "It is important
neomycin primarily to: that I eat:

a. promote rest of the bowel by minimizing a. Soft foods that are easily digested and
peristalsis absorbed by my large intestine."
b. reduce the bacterial content of the colon b. Bland food so that my intestines do not
c. empty the bowel of solid waste become irritate."
d. soften the stool by retaining water in the c. Food low in fiber so that there is less
colon stool."
d. Everything that I ate before the operation,
Situation 4 - ENTEROSTOMAL THERAPY is while avoiding foods that cause gas."
now considered especially in nursing. You
are participating in the OSTOMY CARE Situation 5 - Ensuring safety is one of your
CLASS. most important responsibilities. You will
need to provide instructions and information anorexia and feeling tired, develops
to your clients to prevent complications. jaundice. After a workup he is diagnosed
of having Hepatitis A. His wife asks you
21. Randy has chest tubes attached to a about gamma globulin for herself and her
pleural drainage system. When caring for household help. Your most appropriate
him you should: response would be:

a. empty the drainage system at the end of a. "Don't worry your husband's type of
the shift hepatitis is no longer communicable"
b. clamp the chest tube when auctioning b. "Gamma globulin provides passive
c. palpate the surrounding areas for crepitus immunity for Hepatitis B"
d. change the dressing daily using aseptic c. "You should contact your physician
techniques immediately about getting gamma globulin."
d. "A vaccine has been developed for this
22. Fanny came in from PACU after pelvic type of hepatitis"
surgery. As Fanny's nurse you know that
the sign that would be indicative of a 27. Voltaire develops a nosocomial
developing thrombophlebitis would be: respiratory tract infection. He asks you
what that means.
a. a tender, painful area on the leg
b. a pitting edema of the ankle a. "You acquired the infection after you have
c. a reddened area at the ankle been admitted to the hospital."
d. pruritus on the calf and ankle b. "This is a highly contagious infection
requiring complete isolation."
23. To prevent recurrent attacks on Terry c. "The infection you had prior to
who has acute glumerulonephritis, you hospitalization flared up."
should instruct her to: d. "As a result of medical treatment, you
have acquired a secondary infection.''
a. seek early treatment for respiratory
infections 28. As a nurse you know that one of the
b. take showers instead of tub bath complications that you have to watch out
c. continue to take the same restrictions on for when caring for Omar who is
fluid intake receiving total parenteral nutrition is:
d. avoid situations that involve physical
activity a. stomatitis
b. hepatitis
24. Herbert has a laryngectomy and he is c. dysrhythmia
now for discharge. Re verbalized his d. infection
concern regarding his laryngectomy tube
being dislodged. What should you teach 29. A solution used to treat
him first? Pseudomonas would infection is:

a. Recognize that prompt closure of the a. Dakin's solution

tracheal opening may occur b. Half-strength hydrogen peroxide
b. Keep calm because there is no immediate b. Acetic acid
emergency d. Betadine
c. Reinsert another tubing immediately
d. Notify the physician at once 30. Which of the following is most
reliable in diagnosing a wound infection?
25. When caring for Larry after an
exploratory chest surgery and a. Culture and sensitivity
pneumonectomy, your priority would be b. Purulent drainage from a wound
to maintain: c. WBC count of 20,000/pL
d. Gram stain testing
a. supplementary oxygen
b. ventilation exchange Situation 7 - As a nurse you need to
c. chest tube drainage anticipate the occurrence of complications of
d. blood replacement stroke so that life threatening situations can
be prevented.
Situation 6 - Infection can cause debilitating
consequences when host resistance is 31. Wendy is admitted to the hospital
compromised and virulence of with signs and symptoms of stroke. Her
microorganisms and environmental factors Glasgow Coma Scale is 6 on admission.
are favorable. Infection control is one A central venous catheter was inserted
important responsibility of the nurse to and an I.V. infusion was started. As a
ensure quality of care. nurse assigned to Wendy what will he
your priority goal?
26. Honrad, who has been complaining of
a. Prevent skin breakdown d. Hyperventilation
b. Preserve muscle function
c. Promote urinary elimination 37. The older patient is at higher risk for
d. Maintain a patent airway in inconvenience because of:

32. Knowing that for a comatose patient a. dilated urethra

hearing is the best last sense to be lost, b. increased glomerular filtration rate
as Judy's nurse, what should you do? c. diuretic use
d. decreased bladder capacity
a. Tell her family that probably she can't hear
them 38. Merle, age 86, is complaining of
b. Talk loudly so that Wendy can hear you dizziness when she stands up. This may
c. Tell her family who are in the room not to indicate:
talk
d. Speak softly then hold her hands gently a. dementia
b. a visual problem
33. Which among the following c. functional decline
interventions should you consider as the d. drug toxicity
highest priority when caring for June
who has hemiparersis secondary to 39. Cardiac ischemia in an older patient
stroke? usually produces:

a. Place June on an upright lateral position a. ST-T wave changes

b. Perform range of motion exercises b. Very high creatinine kinase level
c. Apply antiembolic stocking c. chest pain radiating to the left arm
d. Use hand rolls or pillows for support d. acute confusion

34. Ivy, age 40, was admitted to the 40. The most dependable sign of
hospital with a severe headache, stiff infection in the older patient is:
neck and photophobia. She was
diagnosed with a subarachnoid a. change in mental status pain
hemorrhage secondary to ruptured b. fever
aneurysm. While waiting for surgery, you c. pain
can provide a therapeutic by doing which d. decreased breath sound with crackles
of the following?
Situation 9 - A "disaster" is a large-scale
a. honoring her request for a television emergency—even a small emergency left
b. placing her bed near the window unmanaged may turn into a disaster.
c. dimming the light in her room Disaster preparedness is crucial and is
d. allowing the family unrestricted visiting everybody's business. There are agencies
privileges that are in charge of ensuring prompt
response. Comprehensive Emergency
35. When performing a neurological Management (CEM) is an integrated
assessment on Walter, you find that his approach to the management of emergency
pupils are fixed and dilated. This program and activities for all four emergency
indicated that he: phases (mitigation, preparedness, response,
and recovery), for all type of emergencies
a. probably has meningitis and disasters (natural, man-made, and
b. is going to be blind because of trauma attack) and for all levels of government and
c. is permanently paralyzed the private sector.
d. has received a significant brain injury
41. Which of the four phases of
Situation 8 - With the improvement in life emergency management is defined as
expectancies and the emphasis in the "sustained action that reduces or
quality of life it is important to provide quality eliminates long-term risk to people and
care to our older patients. There are properly from natural hazards and the
frequently encountered situations and issues effect"?
relevant to the older, patients.
a. Recovery
36. Hypoxia may occur in the older b. Mitigation
patients because of which of the c. Response
following physiologic changer d. Preparedness
associated with aging.
42. You are a community health nurse
a Ineffective airway clearance collaborating with the Red Cross and
b. Decreased alveolar surface area working with disaster relief following a
c. Decreased anterior-posterior chest typhoon which flooded and devastated
diameter the whole province. Finding safe housing
for survivors, organizing support for the feedback during the meeting of the
family, organizing counseling debriefing committee there is an increased
sessions and securing physical care are incidence of pseudomonas infection in
the services you are involved with. To the Burn Unit (3 out of 10 patients had
which type of prevention are these positive blood and wound culture). What
activities included. is your priority activity?

a. Tertiary prevention a. Establish policies for surveillance and

b. Primary prevention monitoring
c. Aggregate care prevention b. Do data gathering about the possible
d. Secondary prevention sources of infection (observation, chart
review, interview)
43. During the disaster you see a victim c. Assign point persons who can implement
with a green tag, you know that the policies
person: d. Meet with the nursing group working in
the burn unit and discuss problem with them
a. has injuries that are significant and feel
require medical care but can wait hours will
threat to life or limb 48. Part of your responsibility as a
b. has injuries that are life threatening but member of the diabetes core group is to
survival is good with minimal intervention get referrals from the various wards
c. indicates injuries that are extensive and regarding diabetic patients needing
chances of survival are unlikely even with diabetes education. Prior to discharge
definitive care today 4 patients are referred to you. How
d. has injuries that are minor and treatment would you start prioritizing your
can be delayed from hours to days activities?

44. The term given to a category of triage a. Bring your diabetes teaching kit and start
that refers to life threatening or your session taking into consideration their
potentially life threatening injury or distance from your office
illness requiring immediate treatment: b. Contact the nurse-in-charge and find out
from her the reason for the referral
a. Immediate c. Determine their learning needs then
b. Emergent prioritize
c. Non-acute d. involve the whole family in the teaching
d. Urgent class

45. Which of the following terms refer to 49. You have been designated as a
a process by which the individual member of the task force to plan
receives education about recognition of activities for the Cancer Consciousness
stress reactions and management Week. Your committee has 4 months to
strategies for handling stress which may plan and implement the plan. You are
be instituted after a disaster? assigned to contact the various cancer
support groups in your hospital. What
a. Critical incident stress management will be your priority activity?
b. Follow-up
c. Defriefing a. Find out if there is a budget for this
d. Defusion activity
b. Clarify objectives of the activity with the
Situation 10 - As a member of the health and task force before contacting the support
nursing team you have a crucial role to play groups
in ensuring that all the members participate c. Determine the VIPs and Celebrities who
actively is the various tasks agreed upon, will be invited
d. Find out how many support groups there
46. While eating his meal, Matthew are in the hospital and get the contact
accidentally dislodges his IV line and number of their president
bleeds. Blood oozes on the surface of the
over-bed table. It is most appropriate that 50. You are invited to participate in the
you instruct the housekeeper to clean the medical mission activity of your alumni
table with: association. In the planning stage
everybody is expected to identify what
a. Acetone they can do during the medical mission
b. Alcohol and what resources are needed. You
c. Ammonia though it is also your chance to share
d. Bleach what you can do for others. What will be
your most important role where you can
47. You are a member of the infection demonstrate the impact of nursing
control team, of the hospital. Based on a health?
a. Conduct health education on healthy 55. Maria, 90 years old has planned
lifestyle ahead for her-death-philosophically,
b. Be a triage nurse socially, financially and emotionally. This
c. Take the initial history and document is recognized as:
findings
d. Act as a coordinator a. Acceptance that death is inevitable
b Avoidance of the true sedation
Situation 11 - One of the realities that we are c. Denial with planning for continued life
confronted with is'6w mortality. It is important d. Awareness that death will soon occur
for us nurses to be aware of how we view
suffering, pain, illness, and even our death Situation 12 - Brain tumor, whether
as well as its meaning. That way we can malignant or benign, has serious
help our patients cope with death and dying. management implications nurse, you should
be able to understand the consequences of
51. Irma is terminally ill she speaks to the disease and the treatment.
you in confidence. You now feel that
Irma's family could be helpful if they 56. You are caring for Conrad who has a
knew what Irma has told you. What brain tumor and increased intracranial
should you do first? Pressure (ICP). Which intervention
should you include in your plan to
a. Tell the physician who in turn could tell the reduce ICP?
family
b. Obtain Irma's permission to share the a. Administer bowel! Softener
information with the family b. Position Conrad with his head turned
c. Tell Irma that she has to tell her family toward the side of the tumor
what she told you c. Provide sensory stimulation
d. Make an appointment to discuss the d. Encourage coughing and deep breathing
situation with the family
57. Keeping Conrad's head and neck in
52. Ruby who has been told she has alignment results in:
terminal cancer turns away aha refuses
to respond to you. You can best help her a. increased intrathoracic pressure
by: b. increased venous outflow
c. decreased venous outflow
a. Coming back periodically and indicating d. increased intra abdominal pressure
your availability if she would like you to sit
with her 58. Which of the following activities may
b. Insisting that Ruby should talk with you increase intracranial pressure (ICP)?
because it is not good to Keep everything
inside a. Raising the head of the bed
c. Leaving her atone because she is b. Manual hyperventilation
uncooperative and unpleasant to be with c. Use of osmotic Diuretics
d. Encouraging her to be physically active as d. Valsava's maneuver
possible
59. After you assessed Conrad, you
53. Leo who is terminally ill and suspected increased ICP! Your most
recognizes that he is in the process of appropriate respiratory goal is to:
losing, everything and everybody he
loves, is depressed. Which of the a. maintain partial pressure of arterial 02
following would best help him during (PaO2) above 80 mmHg
depression? b. lower arterial pH
c. prevent respiratory alkalosis
a. Arrange for visitors who might cheer him d. promote CO2 elimination
b. Sit down and talk with him for a while
c. Encourage him to look at the brighter side 60. Conrad underwent craniotomy. As his
of things nurse; you know that drainage on a
d. Sit silently with him craniotomy dressing must be measured
and marked. Which findings should you
54. Which of the following statements report immediately to the surgeon?
would best indicate that Ruffy; who is
dying has accepted this impending a. Foul-smelling drainage
death? b. yellowish drainage
c. Greenish drainage
a. "I'm ready to do." d. Bloody drainage
b. "I have resigned myself to dying"
c. "What's the use"? Situation 13 -As a Nurse, you have specific
d: "I'm giving up" responsibilities as professional. You have to
demonstrate specific competencies. 66. Which one of the following nursing
interventions would be most helpful in
61. The essential components of preparing the patient for radiation
professional nursing practice are all the therapy?
following EXCEPT:
a. Offer tranquilizers and antiemetics
a. Culture b. Instruct the patient of the possibility of
b. Care radiation burn
c. Cure c. Emphasis on the therapeutic value of the
d. Coordination treatment
d. Map out the precise course of treatment
62. You are assigned to care for four (4)
patients. Which of the following patients 67. What side effects are most apt to
should you give first priority? occur to patient during radiation therapy
to the pelvis?
a. Grace, who is terminally ill with breast
cancer a. Urinary retention
b. Emy, who was previously lucid but is now b. Abnormal vaginal or perineal discharge
unarousable c. Paresthesia of the lower extremities
c. Aris, who is newly admitted and is d. Nausea and vomiting and diarrhea
scheduled for an executive check-up
d. Claire, who has cholelithiasis and is for 68. Which of the following can be used
operation on call on the irradiated skin during a course of
radiation therapy?
63. Brenda, the Nursing Supervisor of the
intensive care unit (ICU) is not on duty a. Adhesive tape
when a staff nurse committed a serious b. Mineral oil
medication error. Which statement c. Talcum powder
accurately reflects the accountability of d. Zinc oxide ointment
the nursing supervisor?
69. Earliest sign of skin reaction to
a. Brenda should be informed when she radiation therapy is:
goes back on duty
b. Although Brenda is not on duty, the a. desquamation
nursing supervisor on duty decides to call b. erythema
her if time permits c. atrophy
c. The nursing supervisor on duty will notify d. pigmentation
Brenda at home
d. Brenda is not duty therefore it is not 70. What is the purpose of wearing a film
necessary to inform her badge while caring for the patient who is
radioactive?
64. Which barrier should you avoid, to
manage your time wisely? a. Identify the nurse who is assigned to care
for such a patient
a. Practical planning b. Prevent radiation-induced sterility
b. Procrastination c. Protect the nurse from radiation effects
c. Setting limits d. Measure the amount of exposure to
d. Realistic personal expectation radiation

65. You are caring for Vincent who has Situation 15 - In a disaster there must be a
just been transferred to the private room. chain of command in place that defines the
He is anxious because he fears he won't roles of each member of the response team.
be monitored as closely as he was in the Within the health care group there are pre-
Coronary Care Unit. How can you allay assigned roles based on education,
his fear? experience and training on disaster.

a. Move his bed to a room far from nurse's 71. As a nurse to which of the following
station to reduce groups are you best prepared to join?
b. Assign the same nurse to him when
possible a. Treatment group
c. Allow Vincent uninterrupted period of time b. Triage group
d. Limit Vincent's visitors to coincide with c. Morgue management
CCU policies d. Transport group

Situation 14 - As a nurse in the Oncology 72. There are important principles that
Unit, you have to be prepared to provide should guide the triage team in disaster
efficient and effective care to your patients. management that you have to know if
you were to volunteer as part of the
triage team. The following principles performed due to cancer of the cervix,
should be observed in disaster triage, which of the following organs are
EXCEPT: moved?

a. any disaster plan should have resource a. the uterus, cervix, and one ovary
available to triage at each facility and at the b. the uterus, cervix, and two-thirds of the
disaster site if possible vagina
b. make the most efficient use of available c. the uterus, cervix, tubes and ovaries
resources d. the uterus and cervix
c. training on disaster is not important to the
response in the event of a real disaster 79. The primary modalities of treatment
because each disaster is unique in itself for Stage 1 and IIA cervical cancer
d. do the greatest good for the greatest include the following:
number of casualties
a. surgery, radiation therapy and hormone
73. Which of the following categories of therapy
conditions should be considered first b. surgery
priority in a disaster? c. radiation therapy
d. surgery and radiation therapy
a. Intracranial pressure and mental status
b. Lower gastrointestinal problems 80. A common complication of
c. Respiratory infection hysterectomy is:
d. Trauma
a. thrombophlebitis of the pelvic and thigh
74. A guideline that is utilized in vessels
determining priorities is to assess the b. diarrhea due to over stimulating
status of the following, EXCEPT? c. atelectasis
d. wound dehiscence
a. perfusion
b. locomotion Situation 17 - The body has regulatory
c. respiration mechanism to maintain the needed
d. mentation electrolytes. However there are
conditions/surgical interventions that could
75. The most important component of compromise life. You have to understand
neurologic assessment is: how management of these conditions are
done.
a. pupil reactivity
b. vital sign assessment 81. You are caring for Leda who is
c. cranial nerve assessment scheduled to undergo total
d. level of consciousness/responsiveness thyroidectomy because of a diagnosis of
thyroid cancer. Prior to total
Situation 16 - You are going to participate in thyroidectomy, you should instruct Leda
a Cancer Consciousness Week. You are to:
assigned to take charge of the women to
make them aware of cervical cancer. You a. Perform range and motion exercises on
reviewed its manifestations and the head and neck
management. b. Apply gentle pressure against the incision
when swallowing
76. The following are risk factors for c. Cough and deep breath every 2 hours
cervical Cancer EXCEPT: d. Support head with the hands when
changing position
a. immunisuppressive therapy
b. sex at an early age, multiple partners, 82. As Leda's nurse, you plan to set up
exposure to socially transmitted diseases, an emergency equipment at her beside
male partner's sexual habits following thyroidectomy. You should
c. viral agents like the Human Papilloma include:
Virus
d. smoking a An airway and rebreathing tube
b. A tracheostomy set and oxygen
77. Late signs and symptoms of cervical c. A crush cart .with bed board
cancer include the following EXCEPT: d. Two ampules of sodium bicarbonate

a. urinary/bowel changes 83. Which of the following nursing

b. pain in pelvis, leg of flank interventions is appropriate after a total
c. uterine bleeding thyroidectomy?
d. lymph edema of lower extremities
a. Place pillows under your patient's
78. When a panhysterectomy is shoulders
b. Raise the knee-gatch to 30 degrees c. Emerging infectious disease
c. Keep your patient in a high-fowler's d. Primary bloodstream infection
position
d. Support the patient's head and neck with 90. Which of the following guidelines is
pillows and sandbags not appropriate to helping family
members cope with sudden death?
84. If there is an accidental injury to the
parathyroid gland during a a. Obtain orders for sedation of family
thyroidectomy which of the following members
might Leda develops postoperative? b. Provide details of the factors attendant to
the sudden death
a. Cardiac arrest c. Show acceptance of the body by touching
b. Dyspnea it and giving the family permission to touch
c. Respiratory failure d. Inform the family that the patient has
d. Tetany passed on

85. After surgery Leda develops Situation 19 - As a nurse you are expected
peripheral numbness, tingling and to participate in initiating or participating in
muscle twitching and spasm. What would the conduct of research studies to improve
you anticipate to administer? nursing practice. You have to be updated on
the latest trends and issues affecting
a. Magnesium sulfate profession and the best practices arrived at
b. Calcium gluconate by the profession
c. Potassium iodine
d. Potassium chloride 91. You are interested to study the effects
of meditation and relaxation on the pain
Situation 18 - NURSES are involved in experienced by cancer patients. What
maintaining a safe and health environment. type of variable is pain?
This is part of quality care management.
a. Dependant
86. The first step in decontamination is: b. Correlational
c. Independent
a. to immediately apply a chemical d. Demographic
decontamination foam to the area of
contamination 92. You would like to compare the
b. a thorough soap and water was and rinse support system of patients with chronic
of the patient illness to those with acute illness. How
c. to immediately apply personal protective will you best state your problem?
equipment
d. removal of the patients clothing and a. A descriptive study to compare the
jewelry and then rinsing the patient with support system of patients with chronic
water illness and those with acute illness in terms
of demographic data and knowledge about
87. For a patient experiencing pruritus, interventions
you recommend which type of bath: b. The effect of the Type of Support system
of patients with chronic illness and those
a. Water with acute illness
b. colloidal (oatmeal) c. A comparative analysis of the support:
c. saline system of patients with chronic illness and
d. sodium bicarbonate those with acute illness
d. A study to compare the support system of
88. Induction of vomiting is indicated for patients with chronic illness and those with
the accidental poisoning patient who has acute illness
ingested.
93. You would like to compare the
a. rust remover support, system of patients with chronic
b. gasoline illness to those with acute illness. What
c. toilet bowl cleaner type of research it this?
d. aspirin
a. Correlational
89. Which of the following term most b. Descriptive
precisely refer to an infection acquired in c. Experimental
the hospital that was not present or d. Quasi-experimental
incubating at the time of hospital
admission? 94. You are shown a Likert Scale that will
be used in evaluating your performance
a. Secondary bloodstream infection in the clinical area. Which of the
b. Nosocomial infection following questions will you not use in
critiquing the Likert Scale? b. during the emergent phase
c. after hospital discharge
a. Are the techniques to complete and score d. during the cute phase
the scale provided?
b. Are the reliability and validity information
on the scale described? ANSWER KEY:
c. If the Likert Scale is to be used for a
study, was the development process 1. A
described? 2. D
d. Is the instrument clearly described? 3. D
4. B
95. In any research study where 5. D
individual persons are involves, it is 6. A
important that an informed consent for 7. B
the Study is obtained. The following are 8. A
essential information about the consent 9. D
that you should disclose to the 10. A
prospective subjects EXCEPT: 11. B
12. B
a. Consent to incomplete disclosure 13. B
b. Description of benefits, risks and 14. C
discomforts 15. B
c. Explanation of procedure 16. C
d. Assurance of anonymity and 17. C
confidentiality, 18. C
19. A
Situation 20 - Because severe burn can 20. C
affect the person's totality it is important that 21. C
you apply interventions focusing on the 22. A
various dimensions of man. You also have to 23. A
understand the rationale of the treatment. 24. D
25. A
96. What type of debribement involves 26. D
proteolytic enzymes? 27. A
28 D
a. Interventional 29. C
b. Mechanical 30. D
c. Surgical 31. D
d Chemical 32. D
33. B
97. Which topical antimicrobial is most 34. C
frequently used in burn wound care? 35. D
36. B
a. Neosporin 37. D
b. Silver nitrate 38. B
c. Silver sulfadiazine 39. C
d. Sulfamylon 40. C
41. B
98. Hypertrophic burns scars are caused 42. C
by: 43. D
44. D
a. exaggerated contraction 45. A
b. random layering of collagen 46. D
c. wound ischemia 47. A
d. delayed epithelialization 48. C
49. B
99. The major disadvantage of whirlpool 50. A
cleansing of burn wounds is: 51. C
52. A
a. patient hypothermia 53. D
b. cross contamination of wound 54. A
c. patient discomfort 55. D
d. excessive manpower requirement 56. A
57. B
100. Oral analgecis are most frequently 58. B
used to control burn injury pain: 59. D
60. A
a. upon patient request 61. A
62. B
63. A
64. B
65. B
66. C
67. A
68. D
69. B
70. C
71. B
72. C
73. D
74. B
75. D
76. A
77. B
78. C
79. D
80. A
81. C
82. B
83. C
84. D
85. B
86. C
87. B
88. D
89. B
90. A
91. A
92. C
93. A
94. A
95. A
96. D
97. B
98. A
99. A
100. C