You are on page 1of 53


Chressy BAYLON, Marigold BETITA, Eula CASTEJON, Sheri Pearl MARTIREZ, Christine Joy GARAYGAY, Junfel

TABAODAJA, Leordel CADIZ, Kelvin Marc BUENDIA, Mechelle SABAY, Sara PALOA, Ann Marie

BAYKING, Gedy Ann GALENO, Eureka

BOLIVAR, Elmer Rei

REOYAN, May Anne BAYONA, Romel Ray CIOCON, Mary Joy Celine SIROY, Cedric GAVILLANES, Nonito APPELIDO, Cris Oliver ALMODIEL, John Michael

A client reports gradual painless blurring of vision. On assessment, the nurse notes a cloudy opaque lens, the nurse suspects the client has:

A. glaucoma B. cataracts C. retinal detachment D. diabetic retinopathy

A nurse is admitting a client who reports vision loss; to determine if a client has glaucoma or a detached retina, the nurse understands that a client with glaucoma will report: A. seeing floating spots B. eye pain C. seeing flashing lights D. sudden loss of vision

An adult patient who is in pain is on long term aspirin therapy and experiencing tinnitus, the nurse best interprets this to mean:
A. the Aspirin is working correctly B. the client ingested more medicine that was recommended C. the client has an upper GI bleed D. the is experiencing a mild overdosage

During preoperative assessment, the nurse finds that the client has an irregular pulses, pedal edema, and cyanotic nail beds. These symptoms indicate an alteration in: A. pulmonary function B. renal function C. cardiovascular function D. liver function

A major advantage of regional anesthesia is that the client: A. retains all reflexes B. remains conscious C. has retroactive amnesia D. is in the OR for a short period of time

The most important action of Digitalis derivatives on the heart of a client in CHF is to: A. re- establish normal heart rhythm B. increase ventricular contractility C. decrease dysrhythmias D. decrease AV node refractory period

Boy Inggo 5 years old was diagnosed having (ADHD) Attention deficit hyperactivity disorder. Which of the following drugs is usually ordered for a child with this disorder: A. Methylphenidate (Ritalin) B. Chlorpromazine HCl (Thorazine) C. Diazepam (Valium) D. Imipremine HCl (Tofranil)

The desired outcome for the nursing care of client with Hypochondriasis is: A. Nurse will respond in an authoritative manner when client complains pain B. Client will seek 2nd opinion from healthcare providers C. Client will state the relationship between life events & physical symptoms D. Nurse will reinforce physical symptoms experienced by the client

When would the nurse best begin preparing for the termination of the relationship with a depressed client? A. at the first meeting B. during the working phase C. after rapport has been established D. when the discharge date is set

Your assessment of a patient with a diagnosis of catatonic schizophrenia will most likely reveal the following sets of behavior?
A. Aloofness, distrust, suspiciousness, grandiosity B. Regression, giggling, smiling, laughing C. Anxious, bizarre behavior, depression, elation D. Stupor, hallucinations, negativism and automatism

A client who has recently been prescribed chlorpromazine (Thorazine) complains of blurred vision and sensitivity to light. Nursing interventions should include
A. instructing the client to wear sunglasses. B. stopping the medication and notifying the physician. C. scheduling an eye exam for the client. D. documenting the clients somatic complaints.

If child abuse is suspected in a family, which of the following approaches would a nurse take when beginning to interview the child?
A. Speaking to the child by using specific, anatomically-correct terminology B. Expressing concern to the child that something like this could have happened C. Assuring the child that any information given will be kept confidential D. Providing a private place to talk with the child about the incident

The goal of rehabilitation of a Schizophrenic is to: A. learn effective coping B. involve the family in client care C. find employment for the client D. facilitate optimal functioning of patient

The basis for building a strong therapeutic nurse-client relationship begins with the nurses: A. sincere desire to help others B. acceptance of others C. self-awareness and understanding D. sound knowledge of Psychiatric Nursing

For a beginning nurse practitioner in a psychiatric-mental health setting, which behavior would be least effective in helping to achieve personal and professional growth?
A. Completing a task for a client instead of repeatedly prompting him to finish it B. Taking time to adjust to a slower pace C. Avoiding frustration when a client refuses to interact D. Use listening and observation skills

Your client has been roaming on the streets for several years. The client has delusions and frequently responds to auditory hallucinations. Which of the following client needs would be your priority?
A. Self-esteem B. Love and Belongingness C. Self-Actualization D. Physical safety

The Psychiatric nurses role in tertiary prevention is: A. Prevent the spread of disease B. Promote mental health through anticipatory guidance C. Case finding to limit severity of disease D. Prevent the crippling defects of illness through rehabilitation programs

A nurse who uses nurturing activities such as bathing or feeding the patient is assuming the role of a: A. Counselor B. Teacher C. Ward Manager D. Parent Surrogate

In the application of the nursing process, the nursing diagnoses are prioritized according to: A. the established goals of care B. the nurses priority of care C. life threatening potential D. focus on resolution of patients problems

The nurse has explained the use of neostigmine methylsulfate (Prostigmin) to a client with Myasthenia Gravis. Which comment by the client indicates the need for further instruction? A. I need to take the medication regularly even when I feel strong B. I should take the medication once daily at bedtime C. if I take too much medication, I can become weak and have breathing problems D. I may have difficulty swallowing my saliva if I take too much medication




The nurse is making a health teaching to the parents of the client. In teaching parents how to measure the area of induration in response to a PPD test, the nurse would be most accurate in advising the parents to measure: a. both the areas that look red and feel raised b. The entire area that feels itchy to the child c. Only the area that looks reddened d. Only the area that feels raised

A female client tells nurse Nikki that she has been working hard for the last 3 weeks to control her type 2 diabetes mellitus with diet and exercise. To determine the effectiveness of the client's efforts, the nurse should check:
a. urine glucose level. b. fasting blood glucose level. c. serum fructosamine level. d. glycosylated hemoglobin level.

A male client with type 1 diabetes is scheduled to receive 100 U of 60/40 insulin. There is no 60/40 insulin available. As a substitution, the nurse may give the client: a. 40 U regular insulin and 60 U NPH. b. 60 U regular insulin and 40 U NPH. c. 10 U regular insulin and 20 U NPH. d. 20 U regular insulin and 10 U NPH.

A mother of a 1 year old male client seeks medical evaluation for her sons fatigue, night sweats, and a 5-lb weight loss in 6 weeks. To confirm that the client has been infected with the human immunodeficiency virus (HIV), the nurse expects the physician to order: a. P24 Antigen. b. CD4 count. c. enzyme-linked immunosorbent assay (ELISA). d. Western blot test with ELISA.

A male client with emphysema becomes restless and confused. What step should nurse Jasmine take next? a. Encourage the client to perform pursed lip breathing. b. Check the clients temperature. c. Assess the clients potassium level. d. Increase the clients oxygen flow rate.

The nurse is caring for a client who is transferred from the operating room for subtotal pneumonectomy. The nurse knows that immediately following the procedure, the client should be in what position?

a. Supine on the unaffected side b. Low-Fowlers on the back c. Semi-Fowlers on the affected side d. Semi-Fowlers on the unaffected side

Nurse Tristan is caring for a male client in acute renal failure. The nurse should expect xanthine bronchodilator in the form of aminophylline to be used to treat:

a. hyperphosphatemia. b. hypernatremia. c. hyperkalemia. d. hypermagnesemia.

After cardiac surgery, a clients blood pressure measures 126/80 mm Hg. Nurse Katrina determines that mean arterial pressure (MAP) is which of the following?
a. 46 mm Hg b. 80 mm Hg c. 95 mm Hg d. 90 mm Hg

Timothys arterial blood gas (ABG) results are as follows; pH 7.16; Paco2 80 mm Hg; Pao2 46 mm Hg; HCO3- 33mEq/L; Sao2 81%. This ABG result represents which of the following conditions?

a. Fully Compensated Metabolic acidosis b. Partially Compensated Metabolic acidosis c. Fully Compensated Respiratory acidosis d. Partially Compensated Respiratory acidosis

The nurse is aware that the most relevant knowledge about the respiratory drive of a male client with COPD is:

a. Oxygen at 1-2L/min is given to maintain the hypoxic stimulus for breathing. b. Hypoxia stimulates the central chemoreceptors in the medulla that makes the client breath. c. Oxygen is administered best using a nonrebreathing mask d. Blood gases are monitored using a pulse oximeter.

Which instruction should be given to the client taking alendronate sodium (Fosamax)? A.Take the medication before arising. B.Force fluids while taking this medication. C.Remain upright for 30 minutes after taking this medication. D.Take the medication in conjunction with estrogen.

A client hospitalized with acute glomerulonephritis has a positive ASO titer. The nurse understands that the clients current illness is due to a:

A.History of uncontrolled hypertension B.Prior bacterial infection C.Prolonged elevation in blood glucose D.Drug reaction that led to muscle breakdown

The nurse is performing discharge teaching on a client with polycythemia vera. Which would be included in the teaching plan? A.Avoid large crowds. B.Keep the head of the bed elevated at night. C.Wear socks and gloves when going outside. D.Know the signs and symptoms of thrombosis.

A client wearing corrective lenses has a visual acuity of 20/200. The nurse recognizes that the client: A.Has proper correction for astigmatism B.Is legally blind C.Experiences age-related presbyopia D.Has low night vision related to loss of rods

Which client would be at greatest risk for a fat emboli following a fracture? A.A 50-year-old with a fractured fibula B.A 20-year-old female with a wrist fracture C.A 21-year-old male with a fractured femur D.An 8-year-old with a fractured arm

A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which laboratory finding is associated with HELLP syndrome?

A.Elevated blood glucose B.Elevated platelet count C.Elevated creatinine clearance D.Elevated hepatic enzymes

Assessment findings the nurse could expect to find in the infant with biliary atresia are: A.Excessive drooling that requires frequent suctioning B.Pale, frothy stools and poor weight gain C.Poor tissue turgor and weight loss D.Clay-colored stools and abdominal distention

Direct pressure to a deep laceration on the clients lower leg has failed to stop the bleeding. The nurses next action should be to: A.Place a tourniquet proximal to the laceration. B.Elevate the leg above the level of the heart. C.Cover the laceration and apply an ice compress. D.Apply pressure to the femoral artery.

The nurse is making assignments for the day. Which client should be assigned to the pregnant nurse?
A.The client receiving radium linear accelerator radiation therapy for cancer B.The client with a radium implant for vaginal cancer C.The client who has just been administered radioactive isotopes for cancer D.The client who returned from placement of iridium seeds for prostate cancer

In pediatric clients diagnosed with tetralogy of fallot (TOF), what are the 4 cardiac dysfunctions present?

What do you call the triad in patients with Cardiac Tamponade?

What is the antidote for paracetamol toxicity?

Blood in the stool is known as what in the IMCI strategy?