The nurse evaluating Ms.

Clayton's ABGs, a patient with ARDS,

correctly evaluates the ABG ph of 7.50 as indicating:*
A. Respiratory acidosis
B. Respiratory alkalosis
C. Metabolic acidosis
D. Metabolic alkalosis

A hospitalized client is being treated for tuberculosis (TB). When

administering medications, which medication on the client’s
medication administration record (MAR) should a nurse conclude is
used for the treatment of TB?*
Isoniazid (Nydrazid)
Fluconazole (Diflucan)
Azithromycin (Zithromax)
Acyclovir (Zovirax)

Janelle is a patient that was newly diagnosed with emphysema. In

discussing Janelle's condition with the nurse Anne, which of her
statements would indicate a need for further education?*
"I'll make sure that I rest between activities so I don't get so short of breath."
"I'll rest for 30 minutes before I eat my meal."
"If I have trouble breathing at night, I'll use two to three pillows to prop up."
"If I get short of breath, I'll turn up my oxygen level to 6 L/min."

SIGNS OF SUPERIOR VENA CAVA SYNDROME RELATED TO LUNG

CANCER:*
A. HEADACHE
B. PALLOR
C. WHEEZING
D. PEDAL EDEMA

A client has chronic kidney disease (CKD) that does not yet require
dialysis. Which client statement indicates the need for further
teaching?
I will reduce the sodium in my diet, and I can use salt substitutes to spice my food
The amount of fluid I can have every day depends on the amount of urine I put out
I will weigh myself on my bathroom scale every morning right after I have urinated
I should report a gain weight, trouble with my breathing, or increased leg swelling

Clear selection
A newly admitted patient with a neoplastic tumor was experiencing
shortness of breath. During percussion flat sound was observed. Chest
radiograph showed the presence of fluid in the pleural space.*
Plural Embolism
Plural effusion
ARDS
Hemothorax

Joshua, a 7-year-old boy is admitted to the pediatric unit with chills

and a fever of 39°C). What physiological process explains why Joshua
is at risk for developing dyspnea?*
Fever increases metabolic demands, requiring increased oxygen need.
Blood glucose stores are depleted, and the cells do not have energy to use oxygen.
Carbon dioxide production increases as result of hyperventilation.
Carbon dioxide production decreases as a result of hypoventilation.

Marisol, A female patient diagnosed with colon cancer was newly

placed with colostomy. Marisol shows the BEST adaptation with the
new colostomy if he shows which of the following?*
Participate with the nurse in his daily ostomy care
Look at the ostomy site
Ask for leaflets and contact numbers of ostomy support groups
Talk about his ostomy openly to the nurse and friends

The client with cancer is receiving chemotherapy and develops

thrombocytopenia. The nurse identifies which intervention is the
highest priority in the nursing plan of care?*
Monitoring temperature
Monitoring for pathological factors
Ambulation three times a day
Monitoring the platelet count

Patient Patrick has emphysema from smoking. During a respiratory

system assessment her nurse Michelle anticipates finding:*
Abnormal palpation signs in the upper thorax
Dull sounds on percussion
A depressed sternum on inspection
Moist breath sounds on auscultation

Nurse Isaiah had done her Glasgow Coma Scale monitoring and noted
that the patient’s lower extremities are paralyzed. This condition is
known as:
*
Paraplegia
Neuroplegia
Hemiplegia
Tetraplegia

30. Aldosterone is associated with an increase in?

Sodium in serum
Potassium in serum
Urine output
BP

Clear selection

STD infection symptoms EXCEPT:

a. an unusual discharge from the vagina, penis or anus.
b. pain when peeing.
c. lumps or skin growths around the genitals or bottom (anus)
d. Fever

Clear selection

Which of the following is the primary purpose of maintaining NPO for 6

to 8 hours before surgery?*
To prevent malnutrition.
To prevent electrolyte imbalance.
To prevent aspiration pneumonia..
To prevent intestinal obstruction.

In performing a physical assessment of a client with chronic kidney

disease (CKD), which finding should the nurse anticipate?
glycosuria
polyphagia
crackles auscultated in thr lungs
blood pressure of 98/58mmHg

Clear selection

As the immune system slowly collapse, an infected HIV- infected

person becomes susceptible to a host of :*
Active infections
Secondary infections
Opportunistic infections
Primary infections
The nurse teaching health maintenance strategies forthe client with
COPD should include which of the following items?*
Yearly influenza immunizations
Annual tuberculin skin test
Limitation of physical activity
Fluid restriction

You're providing education to your 28- year old female patient with
Systemic Lupus Erythematosus about preventing flares. Which
statement by your patient requires re-education about this topic?*
"Emotional stress and illness are triggers for a flare-up."
."I always wear large-brimmed hats and long sleeves when I'm outside."
"Exercise should be avoided due to the physical stress it causes on the body."
"I will make it priority to receive my yearly influenza vaccine.

Which patient is at highest risk for cervical cancer?*

A 21 year old who reports first sexual partner at the age of 14 and that she has had at least 10
sex partners.
A 60 year old with a history of syphillis and cigarette smoking.
A 32 year old in a monogamous relationship who declined the HPV vaccine.
None of the patients are at risk for cervical cancer.

A client with cancer is receiving chemotherapy and develops

thrombocytopenia. A nurse identifies which intervention as the highest
priority in the nursing plan of care?*
Ambulation three times a day
Monitoring temperature
Monitoring the platelet count

A construction worker wants to have a prescription for his allergies.

What medication is expected for him to take during the day?*
Diphenhydramine
Loratidine
Benadryl
NSAIDS

The nurse is caring for a client with heart failure. On assessment, the
nurse notes that the client is dyspneic, and crackles are audible on
auscultation. What additional manifestations would the nurse expect
to note in this client if excess fluid volume is present?
Weight gain and dry skin.
Flat neck and hand veins and increased urinary output.
An increased respirations and blood pressure
Weakness and decreased central venous pressure (CVP).

Clear selection

Symptoms of Urolithiasis EXCEPT:

a. Severe, sharp pain in the side and back, below the rib
b. Pain or burning sensation while urinating
c. Pain that radiates to the upper abdomen and groin
d. Red urine

Clear selection

Maritoni who is with chronic lymphocytic anemia is hospitalized for

treatment of severe hemolytic anemia. An appropriate nursing
intervention is to:*
Encourage increased intake of fluid and fiber in the diet
Provide a diet high with Vit K
Isolate patient from visitors
Plan care to alternate rest and activity

A community health nurse is instructing a group of female clients

about breast self-examination (BSE). The nurse would instruct the
clients to perform the examination:*
At the onset of menstruation
One week after menstruation begins
Every month during ovulation

All are symptoms of Tuberculosis EXCEPT

a. Coughing for three or more weeks.
b. Coughing up blood or mucus.
c. Chest pain, or pain with breathing or coughing.
d. Intentional weight loss.

Clear selection

A client with multiple injury following a vehicular accident is

transferred to the critical care unit. He begins to complain of
increased abdominal pain in the left upper quadrant. A ruptured spleen
is diagnosed and he is scheduled for emergency splenectomy. In
preparing the client for surgery, the nurse should emphasize in his
teaching plan the:*
Complete safety of the procedure
Expectation of postoperative bleeding
Risk of the procedure with his other injuries
Presence of abdominal drains for several days after surgery

Which of the following items on a client’s presurgery laboratory results

would indicate a need to contact the surgeon?*
Platelet count of 250,000/cu.mm
Total cholesterol of 325 mg/dl.
Blood urea nitrogen (BUN)) 17 mg/dl
Hemoglobin 9.5 mg/dl.

Patient Karla was was diagnosed with pneumonia. She had clinical
manifestations of decreased LOC, increased RR and increased pulse.
ABG result was 7.31pH, PaCO2 49mmHg, HCO3 27mEq/L is an
indication of:*
respiratory acidosis
metabolic alkalosis
respiratory alkalosis
metabolic acidosis

You are caring for patient Koji, who was started on IV antibiotics to
treat pneumonia. During infusion, he develops wheezing and starts to
scratch his face and arms. You suspect impending anaphylactic shock.
All of the following are priority interventions, except?*
Slow down the antibiotic infusion
Call a rapid response
Place the patient on oxygen
Prepare for the administration of Epinephrine

The nurse who is assisting the client with obstructive pulmonary

disease to learn effective breathing techniques would use which of the
following statements to explain why dyspnea occurs?*
"Decreased surfactant causes many of your alveoli to collapse."
"You have difficulty breathing in enough air."
"Your airways open wider on inspiration and trap air on expiration."
"Your lung compliance is decreased."

As an oncological nurse, what finding is correct regarding breast

cancer?*
Masses are usually felt in the upper outer quadrant beneath the nipple or axilla.
Women who've had a late menarche and early menopause are at risk for breast cancer.
Nipple retraction is never present.
The mass is typically painful and red.
What are the primary goals of chemotherapy? Select all that apply*
Control or manage the disease
Prophylaxis
Palliation
Achieve a complete cure

Nurse Ram anticipates that when the client with SLE demonstrating a
subtle changes in behavior patterns or cognitive ability. This indicates
that the system involved in this clinical manifestation is:*
CNS
Renal
Immune
Cardiac

The nurse is assessing a client with a suspected diagnosis of

hypocalcemia. Which clinical manifestations would the nurses expect
to note in the client?
Twitching
Hypoactive bowel sounds
Negative trousseau's sign
Hypoactive deep tendon reflexes

Clear selection

During the emergency insertion of a central venous line in a client

diagnosed with hepatitis B (HBV), a nurse suffers a needle-stick injury
from a blood-contaminated needle. The nurse goes directly to the
hospital’s occupational health service. Which immediate treatment
should the nurse anticipate receiving?*
Administration of hepatitis B immune globulin (HBIG) and initiation of the hepatitis vaccine if the
nurse has not been previously vaccinated
Administration of hepatitis B immune globulin (HBIG)
Blood tests for the presence of hepatitis B antigens and administration of HBIG 1 week later
Blood tests for the presence of hepatitis B antigens and treatment with HBIG if the tests are
positive

A condition in the immune system that can be acquired as the result of

infection or other stresses in the immune system such as
malnutrition.*
Severe combined immunodeficiency (SCID)
Agammaglobulinemia
Secondary immudeficiency
Selective IgA deficiency
A client with acquired immunodeficiency syndrome has a respiratory
infection from Pneumocystis jiroveci and a nursing diagnosis of
Impaired Gas Exchange written in the plan of care. Which of the
following is not an expected outcome?
The nurse auscultates clear lung fields
Client is free of complaints of shortness of breath
The nurse administers oral antibiotics
Client expectorates secretions easily

Clear selection

CLASSIC SIGN OF ACTIVE PTB:*

A. NIGHT SWEATS
B. HIGH FEVER
C. WHEEZING
D. WEIGHT GAIN

Cancerous cells are described as _______ neoplasms. They demonstrate

uncontrolled cell growth that follows no physiologic demand.*
Malignant
Neoplasia
Dysplasia
Anaplasia

To prevent complications of immobility, which activities would help

the nurse plan for the first postoperative day after a colon resection?*
Turn, cough, and deep breathe every 30 minutes around the clock.
Get the client out of bed and ambulate to a bedside chair.
Provide a passive range of motion three times a day.
It is not necessary to worry about complications of immobility on the first postoperative day.

Sir Ken, a clinical instructor is conducting a lecture about

chemotherapy. Which of the following statements is correct about the
rate of cell growth in relation to chemotherapy?*
Faster growing cells are more susceptible to chemotherapy
Faster growing cells are less susceptible to chemotherapy
Slower growing cells are more susceptible to chemotherapy
Non-dividing cells are more susceptible to chemotherapy

Before initiation of pulse therapy with the administration of

Methylprednisolone IV and Cyclophosphamide IV. Metoclopramide
10mg IV was ordered 30 minutes prior to the said treatment regimen.
The purpose of this medication is:*
Manage the pain
Prevent nausea and vomiting
Prevent hypersensitivity
None of the above

Ramon is a patient that has been diagnosed with severe iron

deficiency anemia. During physical assessment for which of the
following symptoms would nurse Anne assess to determine the
Ramon's oxygen status?*
A: Increased breathlessness but increased activity tolerance
B: Decreased breathlessness and decreased activity tolerance
C: Increased activity tolerance and decreased breathlessness
D: Decreased activity tolerance and increased breathlessness

A 30 year old female patient asks you when it is best to perform a self-
breast exam. Your response is:*
It is best to perform a self-breast exam 7 to 10 days after menses.
It is best to perform a self-breast exam every 6 months on the 1st day of bleeding.
It is best to perform a self-breast exam on the same time every month of the day.
It is best to perform a self-breast exam on the day after ovulation.

_____ is a disease process that begins when an abnormal cell is

transformed by the genetic mutation of the cellular DNA. This
abnormal cell forms a clone and begins to proliferate abnormally,
ignoring growth regulating signals in the environment surrounding the
cell.*
Metaplasia
Dysplasia
Cancer
Neoplasm

Drug of choice for the treatment of Ebola

a. Almazen
b. Inmazeb
c. Sultamicillin
d. Ceftriaxone

Clear selection

15. COMMON CAUSES OF RESPIRATORY ALKALOSIS EXCEPT:*

A. EARLY SALICYLATE POISONING
B. CHF
C. CNS DISORDERS
D. PNEUMONIA
Which of the following drugs is administered to minimize respiratory
secretions preoperatively?*
Valium (diazepam)
Phenergan (promethazine)
Atropine sulfate
Demerol (Meperidine)

What room is best suited for a patient with AIDS?

Semi-private room
A negative pressure private room
Ward
Reverse Isolation Room

Clear selection

A 48-year old patient came in to the ER with joint pains on his knees.
Upon observation by the ER nurse, he found out that both left and right
knees are inflamed and painful. Which diagnosis supports this
assessment?
Osteoarthritis
Age-related arthritis
Osteolysis
Rheumatoid Arthritis

Clear selection

Patient Nina presents to the clinic with a positive test for human
immunodeficiency virus (HIV) antibodies using an enzyme
immunoassay (EIA) test. What instructions should the you give to this
patient?*
"The EIA test will need to be repeated to verify the results."
"A viral culture will be done to determine the progression of the disease."
"It will probably be 10 or more years before you develop acquired immunodeficiency syndrome
(AIDS)."
"The Western blot test will be done to determine whether acquired immunodeficiency syndrome
(AIDS) has developed."

Identify and select the primary symptoms of Ebola EXCEPT:

a. Colds
b. Aches and pains
c. Weakness and fatigue.
d. Sore throat.
e. Loss of appetite
 Clear selection

For the client newly diagnosed with asthma who has infrequent acute
episodes, the nurse teaches the client that which medication is most
effective for providing quick relief in acute episodes?*
Corticosteroid via metered-dose inhaler as needed
Beta-agonist via metered-dose inhaler
Anti-inflammatory via metered-dose inhaler
Daily use of a bronchodilator inhaler

The patient is currently experiencing status asthmaticus after years of

suffering from asthma. Which is the best indication that the patient is
experiencing it?
Diminishing breathe sounds
Louder wheezing and stridor
Absence of breath sounds
Patient is coughing violently

Clear selection

The nurse who is explaining the pathophysiology of COPD to a client

includes that alveolar destruction results in which of the following?*
Decreased surface area for gas exchange
Increased dead space air
Pulmonary emboli
Chronic dilation of bronchioles

The nurse is preparing a client for surgery. What is the most effective
method for obtaining an accurate blood pressure reading from the
client?*
Obtain a cuff that covers the upper one-third of the client’s arm.
Position the cuff approximately 4 inches above the antecubital arm.
Use a cuff that is wide enough to cover the upper two-thirds of the client’s arm.
Identify the Korotkoff sounds, and take a systolic reading at 10 mmHg after the first sound.

When assisting with psychological issues for the client with lung
cancer, which epidemiological factor should the nurse keep in mind?*
Five-year survival rate for lung cancer is less than 15 percent.
Symptoms usually occur early during lung cancer progression.
Tumor growth usually begins in a bronchus, then migrates upward in the tissue.
Risk of lung cancer is associated with length of exposure to cigarette smoking.

People with multiple sclerosis may also develop the following EXCEPT:
a. Muscle stiffness or spasms
b. Paralysis, typically in the legs
c. Problems with the liver
d. Mental changes, such as forgetfulness or mood swings
e. Depression
f. Epilepsy

Clear selection

Anette, a patient admitted with the diagnosis of severe left-sided

heart failure. Nurse Belle expects to auscultate which adventitious
lung sounds?*
Sonorous wheezes in the left lower lung
Rhonchi mid-sternum
Crackles only in apex of lungs
Inspiratory crackles in lung bases

A cyanotic client with an unknown diagnosis is admitted to the

emergency room. In relation to oxygen, the first nursing action would
be to:
*
Wait until the client's lab work is done
Not administer oxygen unless ordered by the physician
Administer oxygen at 10 liters flow per minute and check the client's nail beds
Administer oxygen at 2 liters flow per minute

Hepatitis B is transmitted when blood, sperm, or other bodily fluids

from an infected person enter the body of an uninfected person. This
can occur through __________ EXCEPT
a. sexual contact
b. kissing
c. mother to baby during childbirth.
d. Sharing of needles

Clear selection

A client with chronic kidney disease has completed a hemodialysis

treatment. The nurse should use which standard indicators to evaluate
the client's status after dialysis?
vital signs and weight
potassium level and weight
vital signs ands BUN level
BUN and creatinine level
 Clear selection

A community nurse is conducting a health promotion program at a

local school and is discussing the risk factors associated with cancer.
Which of the following if identified by a student as a risk factor
indicates a need for further instructions?*
Viral factors
Stress
Low-fat and high fiber diets

You’re providing teaching to a patient who has been newly diagnosed

with Crohn’s Disease. Which statement by the patient’s spouse
requires re-education?*
“Crohn’s Disease can be scattered throughout the GI tract in patches with some areas
appearing healthy while others are diseased.”
“There is no cure for Crohn’s Disease.”
“Strictures are a common complication with Crohn’s Disease.”
“Crohn’s Disease can cause the haustra of the large intestine to lose its form.”

A client newly diagnosed with breast cancer is scheduled for lymph

node biopsy and asks the nurse why it is necessary when cancer has
already been diagnosed. The nurse’s response is based on which
purpose?*
It will determine what types of cancer cells are present
It is performed to determine if the cancer has metastasized
It is performed on all females with cancer
It is performed to determine what type of chemotherapy is indicated

The community nurse is facilitating an immunization in their barangay

health center. She knows that the immunity has two types. SELECT
ALL THAT APPLY*
Active Immunity
Specific Immunity
Passive Immunity
Non-Specific Immunity

The nurse has been making a care of plan for the client with SLE. She
knows that the goals of treatment of SLE are the following EXCEPT:*
preventing progressive loss of organ function
involvement of outdoor activities
reducing likelihood of acute disease
minimizing disease-related disabilities
Patient Stella is receiving antiretroviral therapy for HIV. She asks you
why a combination of medicines is used for her treatment. You
correctly respond with which of the following statements. Select all
that apply.*
The virus changes (mutates) rapidly
Each person responds to each medicine differently
Combining medicines triples their strength
Combining medicines increases resistance

Diagnosis and test for Tuberculosis EXCEPT:

a. AFB test
b. Chest Xray
c. Tuberculin skin testing
d. CBC

Clear selection

___________ is a bacterial infection spread through inhaling tiny droplets

from the coughs or sneezes of an infected person. It mainly affects the
lungs, but it can affect any part of the body, including the tummy
(abdomen), glands, bones and nervous system.
a. Pneumonia
b. Tuberculosis
c. Corona virus
d. MERS Cov

Clear selection

Which assessment data should the nurse assess in the client

diagnosed with Guillain-Barré syndrome?*
An exaggerated startle reflex and memory changes.
Cogwheel rigidity and inability to initiate voluntary movement.
Sudden severe unilateral facial pain and inability to chew.
Progressive ascending paralysis of the lower extremities and numbnes

A client who is an insulin-dependent diabetic is scheduled to have

surgery. The client has been NPO since midnight in preparation for the
surgery. In the morning before sending the client to the operating
room, the nurse notices that the client's daily insulin has not been
ordered. Which of the following interventions would be most
appropriate for the nurse at this time?*
Notify the recovery room staff to obtain an order for the insulin after surgery.
Contact the physician for further orders regarding insulin administration.
Give the client's usual morning dose of insulin.
Obtain the client's blood glucose values and evaluate the client's need for insulin.

A nurse is reviewing the laboratory results of a client diagnosed with

multiple myeloma. Which of the following would the nurse expect to
specifically note in this disorder?*
Decreased blood urea nitrogen (BUN)
Increased white blood cells
Decreased number of plasma cells in the bone marrow

A client who develops acute respiratory distress syndrome (ARDS) is

exhibiting hypoxemia unresponsive to oxygen therapy. In explaining
the client's condition to the family, the nurse would incorporate which
of the following concepts?*
Blood is shunted past alveoli with no ventilation.
The individual has difficulty expelling air trapped in the alveoli.
There is excess surfactant production by the alveoli.
Thick secretions block the airways.

MEDICATIONS THAT MAY CAUSE ASTHMA IN HYPERTENSIVE

CLIENTS:*
A. CARDIAC GLYCOSIDES
B. BETA BLOCKERS
C. CARBONIC ANHYDRASE INHIBITORS
D. SEROTONIN REUPTAKE INHIBITORS

A 68 year old male client with a long history of cardiovascular problem

including hypertension and angina is to be scheduled for cardiac
catheterization. During pre cardiac catheterization teaching, Nurse
Sarah Lecturio should inform the client that the primary purpose of the
procedure is…..*
To determine the existence of CHD
To visualize the disease process in the coronary arteries
To obtain the heart chambers pressure
To measure oxygen content of different heart chambers

If the client with lung cancer also has preexisting pulmonary disease,
which of the following statements best describes the extent of a
surgery that can be performed?*
It doesn’t affect it
It may require a whole lung to be removed
The entire tumor may not be able to be removed
It may prevent surgery if the client can’t tolerate lung tissue removal

The nurse is caring for a 55-year-old man patient with acute

pancreatitis resulting from gallstones. Which clinical manifestation
would the nurse expect the patient to exhibit?*
Hematochezia
Left upper abdominal pain
Ascites and peripheral edema
Temperature over 38.9o C

A client is scheduled for surgery in the morning. Preoperative orders

have been written. What is most important to do before surgery?*
Remove all jewelry or tape wedding ring.
Verify that all laboratory work is complete.
Inform family or next of kin.
Have all consent forms signed.

The nurse would question an order for ipratropium bromide (Atrovent)

ordered for a client with asthma if the client had a concurrent history
of which of the following?*
Glaucoma
Cushing's syndrome
Warfarin therapy
Fluid retention

Anthony, a patient admitted following a motor vehicle accident with

multiple fractured ribs. Respiratory assessment includes
signs/symptoms of secondary pneumothorax, which includes which of
the following?*
Sharp pleuritic pain that worsens on inspiration
Crackles over lung bases of affected lung
Tracheal deviation toward the affected lung
Increased diaphragmatic excursion on side of rib fractures

The patient is currently experiencing status asthmaticus. Which

intervention must be given immediately?
Preparing the patient for intubation / artificial airway
performing chest physiotherapy
administering of NSAIDS
giving the patient water to drink

Clear selection
Choose the correct meaning of Urolithiasis.
a. Is defined as the formation or presence of calculi within the urinary tract, including renal,
ureteral, and bladder stones.
b. Inflammation of ureter and bladder
c. Are hard deposits made of minerals and salts that form inside your kidneys
d. All of the above

Clear selection

Nurse Faber is facilitating a lecture to the newly nurse orientees who

will be assigned to the Oncology unit. He said that the following
functions of lymphatic system are: SELECT ALL THAT APPLY*
facilitating immune response
enhance immune response
transporting dietary fluids
draining interstitial fluid

A nurse is reviewing the laboratory results of a client receiving

chemotherapy. The platelet count is 10,000/mm3. On the basis of this
laboratory value, the priority nursing assessment is which of the
following?*
Assess level of consciousness
Assess temperature
Assess bowel sounds

A 3-year-old child is on mechanical ventilation, which has been

effective in treating oxygenation problems secondary to hypovolemic
shock. When developing the plan of care for this child, which nursing
diagnosis should the nurse consider a priority at this time?*
Impaired gas exchange
Fear
Risk for infection
Risk for impaired skin integrity

You’re providing education to a patient with an active Hepatitis B

infection. What will you include in their discharge instructions?
SELECT-ALL-THAT-APPLY*
“Do not share toothbrushes, razors, utensils, drinking cups, or any other type of personal
hygiene product.”
Take acetaminophen as needed for pain.”
“Eat large meals that are spread out through the day.”
“Follow a diet low in fat and high in carbs.”
“Perform aerobic exercises daily to maintain strength.
Causes of STD’s EXCEPT:
a. Gonorrhea
b. Syphilis
c. Chlamydia
d. Hepa B

Clear selection

A nurse is instructing a client in how to perform testicular self-

examination (TSE). The nurse tells the client:*
To examine the testicles while lying down
That the best time for examination is after a shower
To gently feel the testicle with one finger to feel for a growth

A student nurse is caring for a client with a Clostridium difficile

infection. Which observation made by a registered nurse indicates that
the student needs additional information about this disease?*
Wearing gloves during a physical assessment
Entering the room without first putting on a mask
Performing frequent hand hygiene with an alcohol based hand disinfectant
Wearing a gown while providing perineal care

Choose and select the symptoms of Acute Hepatitis B

a. Colds
b. Joint pains
c. Yellow urine
d. Abdominal pain

Clear selection

Common signs and symptoms of Systemic Lopus Erythematosus (SLE)

a. Fatigue.
b. Nausea and vomiting
c. Joint pain, stiffness and swelling.
d. Butterfly-shaped rash on the face that covers the cheeks and bridge of the nose or rashes
elsewhere on the body.
e. Skin lesions that appear or worsen with sun exposure.

Clear selection

On admitting client Adelle, nurse Benjo finds that there is a history of

myocardial ischemia. The most disconcerting dysrhythmia for
electrocardiography to reveal is:*
Sinus bradycardia
Paroxysmal supraventricular tachycardia
Ventricular tachycardia
Premature ventricular contractions

Blood is shunted past alveoli with no ventilation. The individual has

difficulty expelling air trapped in the alveoli. There is excess
surfactant production by the alveoli. Thick secretions block the
airways.*
Provide supplemental oxygen
Keep the head of the bed elevated
Teach the client coughing and deep breathing, and maintain hydration
Prepare the client for the possible insertion of a tracheostomy tube

The nurse knows that the ability of the body to defend itself against
specific invading agents such as bacteria, toxins, viruses and foreign
tissues is:*
Immunity
Immunocompetencies
Immune system
Immunocompromise

Nurse Tatchet is giving a health teachings regarding on the

immediate response of the body to an injury or cell death. Which of the
following conditions best describe?*
Inflammation
Immunity
Infection
Antibodies

A client is diagnosed with multiple myeloma. The client asks a nurse

about the diagnosis. The nurse bases the response on which of the
following descriptions of this disorder?*
Malignant exacerbation in the number of leukocytes
Altered red blood cell production
Malignant proliferation of plasma cells and tumors within the bone

A client with stomach cancer is admitted to the oncology unit after

vomiting for 3 days. Physical assessment findings include irregular
pulse, muscle twitching, and complaints of prickling sensations in the
fingers and hands. Laboratory results include a potassium level of 2.9
mEq/L, a pH of 7.46, and a bicarbonate level of 29 mEq/L. The client is
experiencing?*
Metabolic alkalosis
Respiratory acidosis
Metabolic acidosis
Respiratory alkalosis

What is the BEST preventive measure to take to help prevent ALL

types of viral Hepatitis?*
Vaccination
Proper disposal of needles
Hand hygiene
Blood and organ donation screening

The primary health care provider writes prescriptions for a client with
chronic kidney disease (CKD). Which prescription should the nurse
question?
Insert saline lock
obtain daily weight
provide high-protein diet
administer a calcium supplement with each meal

Clear selection

You are developing a plan of care for a patient with multiple myeloma.
What nursing intervention(s) would be included in their plan of care?*
Encourage at least 2 Liters of fluids per day and skeletal support during moving.
Discuss infertility issues with the patient.
Assist with coughing and deep breathing exercises.
Apply antiembolic stockings as prescribed.

In the recovery room, the postoperative client suddenly becomes

cyanotic. What is the most appropriate nursing action?*
Start administration of oxygen through a nasal cannula.
Call for assistance.
Reposition the head and determine patency of the airway.
Insert an oral airway and suction the nasopharynx.

Jonah, a client experiencing a myocardial infarction damaging her

right ventricle. Which of the following is a likely complication she
would experience?*
Jugular neck vein distention
Pulmonary congestion
Peripheral edema
Liver enlargement
The patient was diagnosed with AIDS, which statement from the
patient would indicate further intervention from the Nurse?
"I avoid family members with colds"
"I will not go to work anymore since this will take forever"
"I can continue on living normally"
"I can still practice safe sex."

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