Reference no: EM134029810

Question

1. Mr. X is scheduled for an ECG. He has never had this procedure done before. The best way to describe this test to him is:

a. "It won't hurt and just be very still."

b. "It should take about 30 minutes to complete the ECG tracing."

c. "The ECG tells the doctor what to do with your heart."

d. "The test is painless and will record the electrical activity of your heart."

2. Identify the blood sampling that may be required that indicates cardiac muscle damage in a client who just had a myocardial infarction (MI).

a. Blood culture

b. Liver function test

c. Creatine Kinase-MB (CK-MB)

d. Anti-streptolysin-O titre (ASO

3. Analyze and find the correct classification of pH imbalance based on Mr. John's Arterial Blood Gases (ABG) results:

i. pH = 7.30

ii. PCO2 = 60 mmHg

iii. PO2 = 80 mmHg

iv. H2CO3 = 22meq / L

a. metabolic acidosis

b. Metabolic alkalosis

c. Respiratory acidosis

d. Respiratory alkalosis

4. Mr. Manan is suffering from pneumonia with thick consolidation. Decide the nursing intervention you may need to use to expel secretions.

a. Maintain good ventilation and administer oxygen

b. Increase fluid intake and encourage deep breathing and coughing as tolerated

c. Change the position of the patient every 2 hours and tap on the back to help clear secretions

d. Teach the patient deep breathing exercises and encourage mobility

5. A hospitalized client had a tonic-clonic seizure while walking in the hall. What are the nursing priorities during the seizure? (Multiple options could be correct)

a. Hold the client's arms and legs firmly

b. Establish and maintain airway using nasopharyngeal airway

c. Place the client immediately on a soft surface

d. Protect the client's head from injury

e. Attempt to insert a tongue depressor between the client's teeth

6. The nurse is assessing a client and notes Brudzinski's sign and Kernig's sign. Assume the clinical condition in which these signs may be identified.

a. Cerebrovascular accident (CVA)

b. Meningitis

c. Seizure disorder

d. Parkinson's disease

7. Ms. Magi, 36-year-old, having a BMI of 38, is diagnosed with hemorrhoids. Which among the following is the possible etiology?

a. Age

b. Obesity

c. Varicose vein in the leg

d. Worked as a teacher

8. Mr. Ali had gastrointestinal bleeding. Which manifestations should be reported to the doctor immediately?

a. Flushing and palpitation.

b. Sweating and flushing.

c. Hypotension and thready pulse.

d. Hyperthermia and restlessness

9. Which of the following factors is linked to cancerous changes in the bladder?

a. Stress incontinence

b. Frequent intercourse

c. Sexual promiscuity

d. Cigarette smoking

10. A 56-year-old male client is being assessed for possible cancer of the urinary bladder. Identify the most significant sign of cancer of the urinary bladder.

a. Dysuria

b. Pyuria

c. Retention

d. Hematuria

11. To facilitate the care for a client of Aboriginal Torres Strait Islander background, whom would you like to prefer?

a. Nurse unit manager.

b. Doctor.

c. Aboriginal liaison officer.

d. Culturally diverse nurses.

12. The Congress of Aboriginal and Torres Strait Islander Nurses and Midwives (CATSINaM) honors ONE among the following approaches to achieve optimal health and wellbeing for Aboriginal and/or Torres Strait Islander Peoples and communities.

a. Holistic and spiritual

b. Cultural and emotional

c. Rights social

d. Holistic and culturally safe

13. What is an appropriate term to describe an environment where there is no denial or discrimination of identity for healthcare services in terms of health information and interventions?

a. Cultural awareness

b. Cultural safety

c. Cultural competence

d. Cultural environment

14. Before feeding a client via NGT, the nurse checks for residual and obtains a residual amount of 90ml. What is the appropriate action for the nurse to take?

a. Discard the residual amount.

b. Hold the due feeding.

c. Skip the feeding and administer the next feeding due in 4 hours.

d. Re-instill the amount and continue with administering the feeding

15. What should the nurse include in the plan of care and outcome for a client diagnosed with acute pancreatitis who likes to drink 6 beers a day?

a. Withhold all pain medication.

b. Check his urinary output.

c. Monitor him for symptoms of alcohol withdrawal.

d. Ask his physician if he can approve an order for his wife to bring beer for the patient.

16. The nurse is providing health teaching to a post-operative stapedectomy client. What should be included in this teaching?

a. Resume exercise in one week.

b. Work can be resumed the next day.

c. If needed, blow the nose gently one side at a time.

d. Gently sneeze or cough with the mouth closed.

17. Nurse K is caring for clients in the Operation Room. The nurse is aware that the last physiologic function that the client loses during the induction of anesthesia for surgery is...

a. Gag reflex.

b. Corneal reflex.

c. Consciousness.

d. Respiratory movement.

18. The nurse is about to insert a nasogastric tube for a client. To determine the accurate measurement of the length of the tube to be inserted, the nurse should:

a. Place the tube at the tip of the nose, and measure by extending the tube to the earlobe and then down to the top of the sternum.

b. Place the tube at the tip of the nose, and measure by extending the tube to the earlobe and then down to the xiphoid process.

c. Place the tube at the tip of the nose, and measure by extending the tube to the chin and then down to the top of the xiphoid process.

d. Place the tube at the tip of the nose, and measure by extending the tube to the earlobe and then down to the bottom of the sternum.

19. A client after an automobile accident is very anxious, dyspneic, and in severe pain. The left chest wall moves in during inspiration and balloons out when he exhales. What is the condition these symptoms refer to?

a. Flail chest

b. Atelectasis

c. Hemothorax

d. Pleural effusion

20. Mr. B's hematological report shows thrombocytopenia. Recognize the symptoms that the nurse might observe during the physical assessment.

a. Enlarged lymph nodes

b. Purpura and petechiae

c. Headache and hypertension

d. Ecchymosis and Hypertension

21. A nurse is providing instructions to a client after mastectomy who will be discharged with axillary drain in place. Choose the statements by the client that indicate a need for further instruction?

a. "I should keep my arm elevated when I sit or lie down.

"b. "I can massage the area with lotion once the incision has healed.

"c. "I may feel pain in the breast even though it has been removed.

"d. "I should begin full range of-motion (ROM) exercises to my upper arm as soon as I get home."

22. A nurse is reviewing the record of a client with a diagnosis of cervical cancer. Which of the following should the nurse expect to note in the client's record related to a risk factor associated with the type of cancer she experiences?

a. Single female, no children

b. Sexual contact with circumcised males

c. Sexual contact with a single sex partner

d. History of genital herpes virus infection

23. Which of the following situations would you prioritize to review first?

a. First pregnancy.

b. Failures follow up to clinic.

c. Mother experiences hyperemesis gravidarum.

d. Experiences high blood pressure during pregnancy

24. The client has recently returned from the operating theatre after having a thyroidectomy. Select the item that the nurse should keep at the bedside of the client?

a. An airway

b. A tracheotomy set

c. An endotracheal tube

d. A padded tongue blade

25. The nurse is taking care of diabetes mellitus clients. Select the most important health education aspect to consider for foot care.

a. Wear elastic stockings

b. Wash feet with antiseptic

c. Always wear shoes

d. Cut toenails curved