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5/30/2017 Prometric Practice Exam for Nurses Test 1

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Prometric Practice Exam for Nurses Test 16 Interesting Facts


About Nursing
1 Around the World
[Infographic]
Posted on May 14, 2013 by J.Mag, RN, USRN in Practice Test with 0 Comments
May 29, 2017

1.) Answer: D 3 Spinal Cord Injury


Nursing Care Plan
May 28, 2017
Dark green leafy vegetables are good sources of iron. Oranges are good sources of
vitamin C that enhances iron absorption in the small intestines.

2.) Answer: B 10 ways to Manage


Stress for Nurses and
Patients
Individuals with G6PD may exhibit hemolytic anemia when exposed to infection,
May 27, 2017
certain medications or chemicals. Salicylates such as Aspirin damages plasma
membranes of erythrocytes, leading to hemolytic anemia.

3.) Answer: B
More than Just a
Textbook
Lower GI ៯�uids are alkaline in nature and can be lost via ileostomy. Thus, loss of May 27, 2017
HCO3, results to metabolic acidosis.
Chest Physiotherapy
4.) Answer: C May 26, 2017

Initially, respiratory system will try to compensate metabolic acidosis. Patients with
metabolic acidosis have high respiratory rate. Appendicitis Nursing
Interventions
5.) Answer: A May 25, 2017

Normal phosphorus level is 2.5 – 4.5 mg/dL .The level re៯�ects hyperphosphatemia Nurse Practitioner or
which is inversely proportional to calcium. Client should be assessed for tetany Doctor of Nursing
which is a prominent symptom of hypocalcemia. Practice?
[Infographic]
6.) Answer: C May 24, 2017

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5/30/2017 Prometric Practice Exam for Nurses Test 1

Clinical manifestations of pyloric stenosis include projectile vomiting, irritability,


Buscopan (Hyoscine-
constipation, and signs of dehydration, including a decrease in urine output.
N-butylbromide) Drug
study
 7.) Answer: A, E, F, C, B, D May 23, 2017

In accordance with the new guidelines, remember AB-CABS. A-airway B-breathing


Metronidazole Drug
normally? − C-chest compression A-airway open B-breathing for patient S-serious
Study
bleeding, shock, spinal injury. The nurse should ៯�rst assess consciousness of the May 22, 2017
patient. Next, open patient’s airway to check for breathing. When there is no
breathing, immediately perform chest compression then give 2 breaths, do the
cycle of care over. Finally, check for serious bleeding, shock, and spinal injury. Being Well is Well
Being
8.) Answer: D May 21, 2017

Continuous bubbling seen in water-seal bottle/ chamber indicates an air leak or


loose connection, and air is sucked continuously into the closed chest drainage
system.

9.) Answer: C

Testicular cancer is most likely to a៛�ect males in late adolescence. Undescended


testis is also one major risk for testicular cancer.

10.) Answer: D

Hypocalcemia occurs when there is accidental removal or destruction of


parathyroid tissue during surgical removal of the thyroid gland.  Laryngospasm is
one of the clinical manifestations of tetany, an indicator of hypocalcemia.

11.) Answer: A

It’s normal for a toddler to have bowlegs and a protruding belly. The head still
appears somewhat large in proportion from the rest of the body.

12.) Answer: D

13.) Answer: B

There is 6-8 months activity restriction following a spinal fusion.  Sitting, lying,
standing, normal stair climbing, walking, and gentle swimming is allowed. Bending
and twisting at the waist should be avoided, along with lifting more than 10 lbs.

14.) Answer: D

Z-track technique is used to administer drugs especially irritating to the


subcutaneous tissue. This method promotes absorption of the drug by preventing
drug leakage into the subcutaneous layer.

15.) Answer: B

Establishing rapport is a way to gain trust that will lead for a patient to relax. You
can get more insights and information from a patient when rapport is established.

16.) Answer: A

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5/30/2017 Prometric Practice Exam for Nurses Test 1

Low magnesium (hypomagnesemia) produces clinical manifestations like increased


re៯�exes, tremors, and seizures. Magnesium Sulfate is the drug of choice to prevent
seizures in pre-eclampsia and eclampsia.

17.) Answer: C

Ear canal of children ages 3years and above can be straightened by pulling the
pinna up then backwards. For children below 3 years of age, the ear canal can be
straightened by pulling the pinna down then backwards.

18.) Answer: A

Infants are nose breathers. A gastric tube may be inserted to facilitate lung
expansion and stomach decompression, but not a nasogastric tube as it can
occlude the nare, thus, making breathing di៝�cult for the infant.

19.) Answer: B

20.) Answer: B

Blind ៯�nger sweeps are not recommended in all CPR cases especially for infants
and children because the foreign object may be pushed back into the airway.

21.) Answer: B

First step in cardiopulmonary resuscitation (CPR) is assessing responsiveness of the


patient.

22.) Answer: C

Priority nursing action is to administer oxygen to patients with chest pain.  Chest
pain is caused by insu៝�cient myocardial oxygenation.

23.) Answer: D

Pneumococcal Vaccine is a priority immunization for the elderly. Seniors, ages 65


years old and above, have higher risk for serious pneumococcal infection and likely
have low immunity. This is administered every 5 years.

24.) Answer: A

Burns on the face and neck can cause swelling of the respiratory mucosa that can
lead to airway obstruction manifested by hoarseness of voice and di៝�culty in
breathing. Maintaining an airway patency is the main concern.

25.) Answer: C

An in-line ៯�lter is required for blood transfusions.

26.) Answer: D

Negative outcome: Hemodialysis decreases red blood cell count which worsens
anemia, because RBCs are lost in dialysis from anticoagulation during the
procedure, and from residual blood that is left in the dialyzer.

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5/30/2017 Prometric Practice Exam for Nurses Test 1

27.) Answer: D

Decrease in level of consciousness and headache are early signs of increase in


intracranial pressure (ICP). Altered level of consciousness is the most common
symptom that indicates a de៯�cit in brain function.

28.) Answer: B

Recall the anatomy of the colon. The appropriate position is left lateral to facilitate
៯�ow of enema by gravity into the colon.

29.) Answer: D

Recall the 12 Rights of administration. Checking the patient’s name is critical for
client-safety.

30.) Answer: A , D

Crohn’s disease is a chronic in៯�ammation of the colon with symptoms of diarrhea,


abdominal pain, and weight loss. Corticosteroid is a treatment for Crohn’s disease.
Antidiarrheal can give relief to diarrheal episodes. Aspirin should be avoided as it
can worsen in៯�ammation. Those with Crohn’s disease are mostly lactose intolerant,
so choice no. (2) is incorrect.

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About J.Mag, RN, USRN


J.Mag is a registered nurse from the Philippines. J.Mag has worked
and volunteered in di៛�erent hospitals. J.Mag even passed a couple
of foreign nursing board exams including Prometric for the Kingdom
of Saudi Arabia and NCLEX for the state of Vermont, USA. When not
busy working for the Department of Health as a community health
team supervisor, and studying for other foreign exams, J.Mag is most
likely writing articles.

View all posts by J.Mag, RN, USRN →

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