35. A patient is recovering after having an appendectomy.

The patient is 48 hours

post-opt from surgery and is tolerating full liquids. The physician orders for the patient
to try solid foods. What types of foods should the patient incorporate in their diet?
1/1
A. Foods high in fiber
 
B. Foods low in fiber
C. Foods high in carbohydrates
D. Foods low in protein

 
17. A 79-year-old client is admitted with pneumonia. Which nursing diagnosis should
take priority?
0/1
1. Acute pain related to lung expansion secondary to lung infection
2. Risk for imbalanced fluid volume related to increased insensible fluid losses secondary to
fever.
 
3. Anxiety related to dyspnea and chest pain.
4. Ineffective airway clearance related to retained secretions.

Correct answer
4. Ineffective airway clearance related to retained secretions.

 
40. - it is transmitted not only by ordinary contact but requires direct inoculation of the
organism through a break on the skin or mucous membrane
1/1
infectious disease
 
habitat
communicable diseases

 
12. A client has a positive reaction to the PPD test. The nurse correctly interprets this
reaction to mean that the client has:
0/1
1. Active TB
 
2. Had contact with Mycobacterium tuberculosis
3. Developed a resistance to tubercle bacilli
4. Developed passive immunity to TB.
Correct answer
2. Had contact with Mycobacterium tuberculosis

 
57. The watcher of one of your patient in the medical ward calls you in the nursing
station saying that the patient is now complaining of sudden deep throbbing leg pain.
What is the appropriate FIRST action should you do?
0/1
a. Apply ice to the extremity
 
b. Suggest isometric exercises
c. Maintain the client on bed rest
d. Ambulate for several minutes

Correct answer
c. Maintain the client on bed rest

 
1. The nurse is monitoring a client admitted to the hospital with a diagnosis of
appendicitis who is scheduled for surgery in 2 hours. The client begins to complain of
increased abdominal pain and begins to vomit. On assessment, the nurse notes that
the abdomen is distended and bowel sounds are diminished. Which is the most
appropriate nursing intervention?
1/1
1. Notify the health care provider (HCP).
 
2. Administer the prescribed pain medication.
3. Call and ask the operating room team to perform surgery as soon as possible.
4. Reposition the client and apply a heating pad on the warm setting to the client’s abdomen.

 
46. In the medical ward, you are tasked in taking care of a patient with venous leg
stasis ulcer. As the nurse, you would expect the main characteristic of venous
ulceration is that it
0/1
1. Has a pale colored base
 
2. Is deep, with even edges
3. Has little granulation tissue
4. Has brown pigmentation around it.

Correct answer
4. Has brown pigmentation around it.

 
59. You are working with a newly hired nurse in the medical ward. This new RN is
preparing to administer packed red blood cells (PRBCs) to a client whose anemia was
caused by blood loss after surgery. Which action by the new RN requires that you, as
charge nurse, intervene immediately?
0/1
a. The new RN waits 20 minutes after obtaining the PRBCs before starting the infusion.
b. The new RN starts an intravenous line for the transfusion using a 22-gauge catheter.
c. The new RN primes the transfusion set using 5% dextrose in lactated Ringer’s solution.
 
d. The new RN tells the client that the PRBCs may cause a serious transfusion reaction.

Correct answer
b. The new RN starts an intravenous line for the transfusion using a 22-gauge catheter.

 
44. It is important for nurse to teach clients on the importance of preventing venous
thrombosis. Which among the list is the significant cause of venous thrombosis?
1/1
1. Altered blood coagulation
2. Stasis of blood
3. Vessel wall injury
4. All of the above
 
 
29. Chlamydial Infection incubation period?
1/1
7 to 14 days
 
14 days
7 days
none of the above

 
48. You have been discussing in class about the Virchow’s triad. Having known this,
you should know that having varicose veins can cause changes in what component of
Virchow’s triad?
1/1
1. Blood coagulability
2. Vessel walls
3. Blood flow
 
4. Blood viscosity

 
53. The nurse is planning care for a client during the acute phase of a sickle cell vaso-
occlusive crisis. Which of the following actions would be MOST appropriate?
1/1
a. Encourage increased caloric intake
b. Administer analgesic therapy as ordered
 
c. Ambulate in hallway four times a day
d. Fluid restriction 1000cc per day

 
6. Aclient has just had surgery to create an ileostomy.The nurse assesses the client in
the immediate postoperative period for which most frequent complication of this type
of surgery?
1/1
1. Folate deficiency
2. Malabsorption of fat
3. Intestinal obstruction
4. Fluid and electrolyte imbalance
 
Option 5
Option 6

 
4. Aclient is diagnosed with viral hepatitis, complaining of “no appetite” and “losing my
taste for food.”What instruction should the nurse give the client toprovide adequate
nutrition?
1/1
1. Select foods high in fat.
2. Increase intake of fluids, including juices.
 
3. Eat a good supper when anorexia is not as severe.
4. Eat less often, preferably only 3 large meals daily.

 
8. The nurse is providing care for a client with a recenttransverse colostomy. Which
observation requiresimmediate notification of the health careprovider?
1/1
1. Stoma is beefy red and shiny
2. Purple discoloration of the stoma
 
3. Skin excoriation around the stoma
4. Semi-formed stool noted in the ostomy pouch

 
43. A person with Buerger’s disease often manifests all of the following symptoms,
except:
0/1
1. Arterial thrombosis formation and occlusion
2. Lipid deposits in the arteries
3. Redness or cyanosis in the limb when it is dependent
 
4. Venous inflammation and occlusion

Correct answer
2. Lipid deposits in the arteries

 
20. Which of the following pathophysiological mechanisms that occurs in the lung
parenchyma allows pneumonia to develop?
1/1
1. Atelectasis
2. Bronchiectasis
3. Effusion
4. Inflammation
 
 
39. It is the venue where the organism gain entrance into the susceptible hostThe
infective microbes use the same avenues when they exit from the
0/1
portal of entry
portal of exit
reservoir
 
causative agent

Correct answer
portal of entry

 
37. . Select all the following options that are NOT causes of appendicitis:
1/1
A. Fecalith
B. Routine usage of NSAIDs
 
C. Infection due to Helicobacter pylori
 
D. Lymph node enlargement due to viral or bacterial infection
E. Diet low in fiber
 
 
47. Having been smoking for almost 30 years, one of your clients in the community
shared about the pain he feels on his leg. You would know that he might have deep
vein thrombosis if feels:
0/1
1. Dull ache
2. No pain
3. Sudden onset
4. Tingling
 
Correct answer
3. Sudden onset

 
55. . In the medical ward, you are caring for a client with acute disseminated
intravascular coagulation (DIC). Which clinical manifestations should you monitor for
in your client? Select all that apply:
0/1
Option 1
a. Oliguria
b. Dizziness
 
c. Elevated platelet count
 
d. Hypertension
e. Bleeding from the nose and mouth
 
f. Jaundiced sclera

Correct answer
a. Oliguria
b. Dizziness
e. Bleeding from the nose and mouth

 
60. As the senior nurse in your department, you are tasked to give room assignments
on various patients. A newly arrived client whose laboratory testing indicates
pancytopenia had just arrived in your department. All of these clients are already on
the nursing unit. Which one will be the best roommate for the new client?
1/1
a. The client with digoxin toxicity
 
b. The client with viral pneumonia
c. The client with shingles
d. The client with cellulitis

 
7. . A client had a new colostomy created 2 days earlierand is beginning to pass
malodorous flatus fromthe stoma. What is the correct interpretation bythe nurse?
1/1
1. This is a normal, expected event.
 
2. The client is experiencing early signs of ischemic bowel.
3. The client should not have the nasogastric tube removed.
4. This indicates inadequate preoperative bowel preparation.

 
9. The nurse is assessing a client 24 hours following acholecystectomy. The nurse
notes that the T-tubehas drained 750 mL of green-brown drainage sincethe surgery.
Which nursing intervention is mostappropriate?
1/1
1. Clamp the T-tube.
2. Irrigate the T-tube.
3. Document the findings.
 
4. Notify the health care provider.

 
10. The nurse is providing discharge teaching for aclient with newly diagnosed
Crohn’s diseaseabout dietary measures to implement duringexacerbation episodes.
Which statementmade by the client indicates a need for furtherinstruction?
1/1
1. “I should increase the fiber in my diet.”
 
2. “I will need to avoid caffeinated beverages.”
3. “I’m going to learn some stress reduction techniques.”
4. “I can have exacerbations and remissions with Crohns disease

 
3. The nurse is assessing a client who is experiencingan acute episode of
cholecystitis. Which of theseclinical manifestations support this diagnosis?Select all
that apply.
1/1
1. Fever
 
2. Positive Cullen’s sign
3. Complaints of indigestion
 
4. Palpable mass in the left upper quadrant
5. Pain in the upper right quadrant after a
 
fatty meal
6. Vague lower right quadrant abdominal discomfort

 
49. You are in the community doing a heath teaching on the senior citizens on how
chronic and unmanaged hypertension can lead to abdominal aortic aneurysm. In the
open forum portion, which statement made by the client indicates correct
understanding on other risk factors for AAA?
1/1
A) Taking ACE inhibitors or ARBS (angiotensin receptor blockers)
B) Being female
C) Genetic disorder
 
D) Straining while pooping

 
38. It's called swine flu because in the past, the people who caught it had direct
contact with pigs. That changed several years ago, when a new virus emerged that
spread among people who hadn't been near pigs.
1/1
H1N1
 
TWENTY ONE
AVIAN influenzae
none of the above

 
11. The public health nurse is providing follow-up care to a client with TB who does
not regularly take his medication. Which nursing action would be most appropriate for
this client?
1/1
1. Ask the client’s spouse to supervise the daily administration of the medications.
 
2. Visit the clinic weekly to ask him whether he is taking his medications regularly.
3. Notify the physician of the client’s non-compliance and request a different prescription.
4. Remind the client that TB can be fatal if not taken properly.

 
56. The client with O+ blood is in need of an emergency transfusion but the laboratory
does not have any O+ blood available. Which potential unit of blood could be given to
the client?
1/1
a. Any Rh+ unit.
b. The B+ unit.
c. The A+ unit.
d. The O– unit.
 
 
24. The nurse is assigned to care for a client with systemic lupus erythematosus
(SLE). The nurse plans care knowing that this disorder is:
1/1
A. A local rash that occurs as a result of allergy
B. A disease caused by overexposure to sunlight
C. An inflammatory disease of collagen contained in connective tissue
 
D. A disease caused by the continuous release of histamine in the body
 
52. As the in-coming nurse on duty, you are reviewing the nursing care plan of your
patient admitted for sickle cell crisis. Which client problem would be your least priority?
1/1
a. Inability to deal with the disease
 
b. Generalized pain
c. Signs of dehydration
d. Lack of perfusion to peripheral tissues

 
5. A client has developed hepatitis A after eating contaminated oysters. The nurse
assesses the client forwhich expected assessment finding?
1/1
1. Malaise
 
2. Dark stools
3. Weight gain
4. Left upper quadrant discomfort

 
51. A client with a hemolytic blood disorder presents to the outpatient department with
jaundice. The nurse explains to the client that the jaundice is most likely caused by
which of the following?
1/1
a. Increased bilirubin in plasma
 
b. Hepatitis infection
c. Increased haptoglobin in plasma
d. Loss of plasma proteins

 
23. A client is suspected of having systemic lupus erythematous. The nurse monitors
the client, knowing that which of the following is one of the initial characteristic sign of
systemic lupus erythematous?
1/1
A. Weight gain
B. Subnormal temperature
C. Elevated red blood cell count
D. Rash on the face across the bridge of the nose
 
 
18.Which of the following diagnostic tests is definitive for TB?
1/1
1. Chest x-ray
2. Mantoux test
3. Sputum culture
 
4. Tuberculin test

 
25.The nurse is assigned to care for a client admitted to the hospital with a diagnosis
of systemic lupus erythematosus (SLE). The nurse reviews the health care provider's
prescriptions. Which of the following medications would the nurse expect to be
prescribed?
1/1
A. Antibiotic
B. Antidiarrheal
C. Corticosteroid
 
D. Opioid analgesic

 
13. The nurse is teaching a client who has been diagnosed with TB how to avoid
spreading the disease to family members. Which statement(s) by the client indicate(s)
that he has understood the nurses instructions? Select all that apply.
1/1
1. “I will need to dispose of my old clothing when I return home.”
2. “I should always cover my mouth and nose when sneezing.”
 
3. “It is important that I isolate myself from family when possible.”
4. “I should use paper tissues to cough in and dispose of them properly.”
 
5. “I can use regular plate and utensils whenever I eat.”
 
 
58. The nurse is teaching a client about precautions with Coumadin. The nurse should
instruct the client to avoid foods with excessive amounts of?
1/1
Option 1
a. Vitamin E
b. Vitamin K
 
c. Calcium
d. Iron

 
33. pain on RLQ when right leg Is elevated and then
0/1
obturator signs
rovsing's sign
 
Psaos' sign
Option 4

Correct answer
obturator signs

 
26. o It is an acute chronic infection caused by spirochete and is acquired through
sexual contact also called morbusgallicus
1/1
syphilis
 
chlamydia
trichomoniasis
none of the above

 
31. its a confirmatory test for HIV/AIDS
0/1
ELISA
 
western blot test
both ELISA and western blot test
VDRL

Correct answer
western blot test

 
22.Following instruction for a patient with newly diagnosed systemic lupus
erythematosus (SLE), the nurse determines that teaching about the disease has been
effective when the patient says:
0/1
A. "I should expect to have a low fever all the time with this disease."
 
B. "I need to restrict my exposure to sunlight to prevent an acute onset of symptoms."
C. "I should try to ignore my symptoms as much as possible and have a positive outlook."
D. "I can expect a temporary improvement in my symptoms if I become pregnant."

Correct answer
B. "I need to restrict my exposure to sunlight to prevent an acute onset of symptoms."
Option 1

 
19. An elderly client with pneumonia may appear with which of the following symptoms
first?
0/1
1. Altered mental status and dehydration
2. Fever and chills
 
3. Hemoptysis and dyspnea
4. Pleuritic chest pain and cough

Correct answer
1. Altered mental status and dehydration

 
14. Which of the following family members exposed to TB would be at highest risk for
contracting the disease?
1/1
1. 45-year-old mother
2. 17-year-old daughter
3. 8-year-old son
4. 76-year-old grandmother
 
 
28 It is a treatment of choice for trichomoniasis
0/1
paracetamol
flagyl
ceftriaxone
none of the above
 
Correct answer
flagyl

 
21. A patient with systemic lupus erythematosus (SLE) who has a facial rash and
alopecia tells the nurse, "I hate the way I look! I never go anyplace except here to the
health clinic." An appropriate nursing diagnosis for the patient is:
0/1
A. Activity intolerance related to fatigue and inactivity.
B. Impaired skin integrity related to itching and skin sloughing.
 
C. Social isolation related to embarrassment about the effects of SLE.
D. Impaired social interaction related to lack of social skills.

Correct answer
C. Social isolation related to embarrassment about the effects of SLE.

 
16. A community health nurse is conducting an educational session with community
members regarding TB. The nurse tells the group that one of the first symptoms
associated with TB is:
0/1
1. A bloody, productive cough
 
2. A cough with the expectoration of mucoid sputum
3. Chest pain
4. Dyspnea

Correct answer
2. A cough with the expectoration of mucoid sputum

 
41. As a nursing student taking care of various patients in the medical ward, it is
important to know the basics of the peripheral vascular system. If asked by the doctor
on what is the most important factor in regulating the caliber of blood vessels which
determines resistance to flow, the correct answer is:
1/1
1. Hormonal secretion
2. Independent arterial wall activity.
3. The influence of circulating chemicals
4. The sympathetic nervous system
 
 
50. In the emergency department, a nurse would suspect a rupturing of abdominal
aortic aneurysm if the patient will manifest which of the following? Select all that apply:
0/1
A) Increased BP
 
B) Decreased Hct
C) Low Back Pain
 
D) Decreased BP
E) Intermittent abdominal pain
 
Correct answer
B) Decreased Hct
C) Low Back Pain
D) Decreased BP

 
27. it has a clinical manifestation of white or greenish –yellow odorous discharge;
vaginal itching and soreness, painful urination.
0/1
syphilis
 
chlamydia
trichomoniasis
none of the above

Correct answer
trichomoniasis

 
45. A 28-year old construction worker came in the OPD clinic complaining of
claudication in the arch of the foot. As the attending nurse, you also noted superficial
thrombophlebitis of the lower leg. You would next assess the client for:
0/1
1. Familial tendency toward peripheral vascular disease
 
2. Smoking history
3. Recent exposures to allergens
4. History of insect bites

Correct answer
2. Smoking history

 
34. A patient is scheduled for appendectomy at noon. While performing your morning
assessment, you note that the patient has a fever of 103.8 ‘F and rates abdominal
pain 9 on 1-10. In addition, the abdomen is distended and the patient states, “I was
feeling better last night but it seems the pain has become worst.” The patient is having
tachycardia and tachypnea. Based on the scenario, what do you suspect the patient is
experiencing?
1/1
A. Pulmonary embolism
B. Colon Fistulae
C. Peritonitis
 
D. Hemorrhage

 
42. For patients with peripheral arterial insufficiency, leg pain can be a usual
complaint. You can teach the client that during painful episodes during rest, pain can
be reduced by:
1/1
1. Elevating the limb above heart level
 
2. Lowering the limb so it is dependent
3. Massaging the limb after application of cold compresses
4. Placing the limb in a plane horizontal to the body

 
30. Incubation period of Gonorrhea
1/1
2 to 5 days
 
2 days
5 days
none of the above

 
15. The nurse obtains a sputum specimen from a client with suspected TB for
laboratory study. Which of the following laboratory techniques is most commonly used
to identify tubercle bacilli in sputum?
1/1
1. Acid-fast staining
 
2. Sensitivity testing
3. Agglutination testing
4. Dark-field illumination

 
2. A client admitted to the hospital with a suspected diagnosis of acute pancreatitis is
being assessed by the nurse. Which assessment findings would be consistent with
acute pancreatitis? Select all that apply.
1/1
1. Diarrhea
2. Black, tarry stools
3. Hyperactive bowel sounds
4. Gray-blue color at the flank
 
5. Abdominal guarding and tenderness
 
6. Left upper quadrant pain with radiation to the back
 
 
54. You are interviewing a client diagnosed with acute myeloid leukemia. During your
assessment, which data would support this diagnosis?
0/1
a. Fever and infections.
b. Excessive energy and high platelet counts.
c. Cervical lymph node enlargement and positive acid-fast bacillus.
d. Nausea and vomiting.
 
Correct answer
a. Fever and infections.

 
32. inflammation of the vermiform appendix
1/1
apendicitis
appendicitis
 
appendixitis
none of the above
 
36. An 18 year old patient is admitted with appendicitis. Which statement by the
patient requires immediate nursing intervention?
1/1
A. “The pain hurts so much it is making me nauseous.”
B. “I have no appetite.”
C. “The pain seems to be gone now.”
 
D. “If I position myself on my right side, it makes the pain less intense.”