The International Review Centers Network of

The Ray A. Gapuz System

Dr. Ray A. Gapuz, RN, USRN, MAN, MEd, PCT, DSc.,DMgt.
Author, ‘NCLEX RN in a Flash’ published by Jones and Bartlett, USA
Author, ‘The ABC of Passing the NCLEX RN’ published by Mosby-Elsevier
cum laude, (BSN), summa cum laude (MAN), UST
GPA of 4.00, (MEd), The Pennsylvania State University
NLE Board top-notcher (89.20)

YouTube Channel: Gapuz Mentors

NLE QUICKFIX 23-7

FAIR USE CLAUSE: The questions in this presentation are used by the speaker as examples for
comments and teaching purposes. Their use are therefore aligned with the provisions of the copyright
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research. The institution hosting this discussion is not directly involved in the preparation of the content
of this material. This material contains contributions of professionals from various sources.
DIRECTION: Choose the best answer.

Charles Mendoza, a 22-year-old college student, is admitted to the hospital. He is acutely ill with hepatitis
A (infectious hepatitis).

1. Hepatitis A requires:
A. Airborne precautions
B. Droplet precautions
C. Standard precautions
D. Contact precautions

2. The nurse would expect Mr. Mendoza to exhibit all of the following symptoms during the acute phase of
hepatitis except:
A. Loss of appetite.
B. Yellowing of the sclera.
C. Shortness of breath.
D. Dark frothy urine.

3. Which of the following precautions has the lowest priority in planning appropriate care for Mr. Mendoza?
A. Using disposable dishes.
B. Double-bagging and tagging his soiled linens.
C. Assigning him to a private room.
D. Wearing a gown and gloves when giving direct care.

4. The nurse prepares a nursing care plan for Mr. Mendoza. Nursing orders should reflect that the primary
treatment for Mr. Mendoza will be concerned with ensuring that he receives:
A. Adequate bed rest.
B. A generous fluid intake.
C. Regular antibiotic therapy.
D. Daily intravenous electrolyte therapy.

5. Which of the following test results would the nurse monitor to assess Mr. Mendoza's liver function?
A. Glucose tolerance.
B. Creatinine clearance.
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 C. Serum transaminase.
D. Serum electrolytes.

6. Which of the following diets is most likely to be prescribed for Mr. Mendoza?
A. A high-fat diet.
B. A high-protein diet.
C. A high-carbohydrate diet.
D. A well-balanced diet.

7. Mr. Mendoza's prescribed activity level is bed rest with bathroom privileges. The primary purpose of bed
rest for Mr. Mendoza is to:
A. Reduce the body's need for oxygen.
B. Reduce metabolic demands on the liver.
C. Control the spread of the disease.
D. Prevent the breakdown of stored fat.

8. Although it is present in other secretions, the virus causing hepatitis A will be excreted from Mr.
Mendoza's body primarily through his:
A. Skin.
B. Feces.
C. Urine.
D. Mucus.

9. Contaminated hands are often responsible for the transmission of hepatitis. In addition, the virus that
caused Mr. Mendoza’s hepatitis is very often spread by:
A. Infected insects.
B. Infected rodents and birds.
C. Contaminated food and liquids.
D. Contaminated clothing and eating utensils.

10. Mr. Mendoza expresses concern because he fears members of his fraternity may also acquire hepatitis.
Which of the following is most commonly used for prophylactic treatment of persons exposed to hepatitis
A?
A. Penicillin.
B. Sulfadiazine (Microsulfon).
C. Immune serum globulin.
D. Hepatitis A vaccine.

11. Mr. Mendoza's convalescence will continue at home for a number of weeks. A very typical symptom that
he is likely to experience during this period is:
A. Fatigue.
B. Insomnia.
C. Constipation.
D. A low-grade fever.

12. In preparing Mr. Mendoza for his extended convalescence, the nurse teaches him about problems that may
occur. The nurse knows that Mr. Mendoza has understood the teaching when he tells her that he is most
likely to have difficulty:
A. Controlling his pain.
B. Maintaining a regular bowel elimination pattern.
C. Preventing respiratory complications.
D. Maintaining a positive, optimistic outlook.

13. As a result of having had hepatitis A, Mr. Mendoza should be instructed never to:
A. Drink alcohol.
B. Donate blood.
C. Smoke.
D. Eat fatty foods.

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14. The nurses caring for Mr. Mendoza are concerned about the increasing incidence of both hepatitis A and
hepatitis B among hospitalized patients. Research shows that nurses are at highest risk for acquiring
hepatitis B in which patient care area?
A. Operating room.
B. Emergency department.
C. Intensive care units.
D. Kidney dialysis units.

15. Which of the following best explains the marked increase in the number of cases and carriers of hepatitis
B in the United States today?
A. Widespread use of marijuana.
B. Sexual permissiveness.
C. Low standards for testing blood donors.
D. Growing numbers of intravenous drug abusers.

16. Wearing the personal protective equipment. Arrange the sequence in order.
1. Mask
2. Gloves
3. Face shield
4. gown
5. hand hygiene

a. 5,4,1,3,2 c. 1,3,4,2,5
b. 5,1,3,4,2 d. 3,1,4,2,5

17. Removing the personal protective equipment. Arrange the sequence in order.
1. Mask
2. Gloves
3. Face shield
4. gown
5. hand hygiene

a. 2,3,4,1,5 c. 5,3,4,1,2
b. 2,4,3,1,5 d. 5,3,2,1,4

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18.Which of the following dose of tetanus toxoid is given to the mother to protect
her infant from neonatal tetanus and likewise provide 10 years protection for the
mother?
a. TT3 b. TT4 c. TT5 d. TT6

19.Which biological used in EPI is appropriately matched with one another?

1. BCG – 0.05 ml intradermal (ID)
2. DPT – 5 ml intramuscular (IM)
3. OPV – 2 drops per orem (PO)
4. Hep B – 0.05 ml intramuscular (IM)
5. Measles – 0.5 ml subcutaneous (Sub Q)

a. 1, 2 and 4 c. 1, 2 and 5
b. 1, 3 and 4 d. 1, 3 and 5

Column A Column B
20. TB A. Airborne
21. RSV B. Droplet
22. Bacterial Meningitis C. Contact
23. Hepatitis B D. Standard
24. Legionnaire’s Disease E. None