Pre Intensive 3
Pre Intensive 3
B. Pneumothorax
15. After teaching Mario, a patient suddenly C. Empyema
came into the ER with blood coming out of their D. Acute Respiratory Distress Syndrome
nose after a fight with another person. What
should not be done by Nurse Karen?
18. To prevent another occurrence of the
* emergency in the previous number, nurse KC
0/1 emphasizes its prevention.. Which among the
following is not included?
i.Active leg exercises Correct answer
D. Eat low calorie, low protein, and low fat diet to
ii.Early ambulation prevent further compression of lungs
19. She was preparing a patient who will 22. Nurse Sophie hooks a 1000 ml intravenous IV
undergo thoracic surgery. What is the treatment solution of D5Water as ordered by the physician
for bronchiectasis, bronchogenic carcinoma, at 9am to infuse 60 ml/hr. via macro drop
emphysematous blebs, and lung abscesses ?This infusion set (20gtts = 1ml). On the assessment of
usually involves removal of one lobe of the lung. the infusion at what would be the level of the
* remaining amount in the IV bag at 2pm?
1/1 *
A. Lobectomy 0/1
A. 500 mL
B. Pneumonectomy B. 300 mL
C. Lobotomy
D. Wedge resection
C. 600 mL
D. 700 mL
20. Picasso, a patient recently diagnosed with Correct answer
emphysema, asked how to manage his condition.
What statement made by Picasso indicates the D. 700 mL
need to repeat the health teaching?
* 23. The patient began receiving an intravenous
0/1 (IV) infusion of packed red blood cells 30
minutes ago. The patient complains of difficulty
A. Use of 3 or more pillows when laying on bed of breathing, itching and a tight sensation in the
B. Practice deep breathing exercises chest. Which is the IMMEDIATE action of the
C. Maintain high fluid intake nurse?
D. Eat low calorie, low protein, and low fat diet to
*
prevent further compression of lungs 1/1
A. Recheck the unit of blood for compatibility A. Granulocytes
B. Call the physician B. Serum
C. Check the patient’s temperature
D. Stop the infusion C. Urea
D. Hemoglobin
24. Nurse Sophie checks the gauge of the 27. In treating patients with iron-
patient’s intravenous catheter. Which is the deficiency, Nurse Noelle should be familiar as to
smallest gauge catheter that the nurse can use to the nature of the disease to plot out her health
administer blood? teaching. She aims to teach the predisposing
* factors of iron-deficiency anemia. Which
statement indicates further health teaching is
0/1 needed?
A. 22-gauge *
0/1
B. 18-gauge
C. 20-gauge A. “My pregnancy causes a permanent deficiency in
D. 16-gauge anemia due to the fetus’ usage of iron. I have to take
folic acid and iron supplements to combat this.”
Correct answer B. “The lack of green leafy vegetables in my diet led to
B. 18-gauge the inadequacy of dietary iron in my body.”
C. “Being an alcoholic led to decreased absorption of
nutrients in my body.”
25. What are efficient ways to prevent potential
complications and occurrence of sickle cell D. “When I am menstruating, I have to take iron
anemia crisis? supplements since I have an increased risk for iron-
deficiency anemia.”
*
1/1 Correct answer
37. A 56-yr-old female patient is admitted to the B. Acute renal failure is caused by sudden loss of
hospital with new-onset nephrotic syndrome. function
Which assessment data will the nurse expect? C. Acute renal failure is the progressive loss of kidney
function
* D. Acute renal failure has to undergo hemodialysis for
1/1 a lifetime
C. Vitamin K
D. Glucagon 52. You are on-response to a patient who was
reported to be suffering from multiple leg
Correct answer fractures in a highway after having been a victim
A. Deferoxamine of a car collision. What is your immediate
nursing action upon arrival to the scene?
*
49. Which is not a component of chest
physiotherapy? 0/1
* A. Immobilize the fracture
B. Open the airway and secure breathing
1/1
A. Postural drainage C. Attach electrodes for the AED
B. Percussion D. Move the patient away
C. Vibration
D. Suction Correct answer
D. Move the patient away
50. When is the worst time to conduct chest 53. As a disaster nurse, part of your
physiotherapy? interventions is to conduct fire and earthquake
* drills to the community to augment their
knowledge and skills should a disaster come.
1/1
What phase of disaster nursing are you acting
A. After meals upon?
*
B. Bedtime
C. Early morning 1/1
D. After Nebulization A. Prevention
B. Mitigation
Situation:
C. Preparedness
As part of the requirements for applying to the
hospital as a staff nurse, nurse Jake attends the
hospital’s in-service training regarding advanced D. Response
cardiac life support and disaster nurse competencies,
especially triage and first-aid.
54. What ethical principle is at use by the nurse
who prioritizes those who are tagged as color
51. Which among the following criteria is not green compared to those who are tagged as color
used to prioritize patients under START triage? red during disasters?
* *
0/1 0/1
55. In an emergency situation, the nurse will D. Compressions should be done at the lower half of
approach this patient the last: the sternum
*
0/1 58. Upon hooking the patient to the ECG, the
nurse knows that defibrillation can be given to
A. A 15-year old infant who has a sucking chest this patient if the rhythm is:
wound
B. A 70-year old male who has agonal breaths and *
penetrating head injury 0/1
C. A 25-year old pregnant woman who has leg
fracture A. Torsades de pointes
D. A 35-year old male who is frantically crying B. Ventricular tachycardia with pulse
looking for his family members
C. Asystole
D. Ventricular fibrillation
Correct answer
Correct answer
B. A 70-year old male who has agonal breaths and
penetrating head injury D. Ventricular fibrillation
56. While talking to a patient in the hallway, they 59. If the patient presents with supraventricular
suddenly became unconscious. Upon assessment, tachycardia, the nurse knows that the
the nurse determines the patient has no defibrillator should be set to cardioversion.
breathing and has no pulse rate. What immediate Before administering the shock, it is vital that the
nursing intervention should they administer? shock should be synchronized to which part of
* the ECG?
*
1/1
1/1
A. Activate the code and get the E-cart
B. Perform chest compressions A. P wave
B. PR interval
C. Open the airway and provide bag-valve mask C. QRS complex
ventilation
D. Administer epinephrine D. T wave
57. Which of the following is an appropriate 60. Which of the following manifestations of the
action by the nurse to the same patient who is 25 patient dictate that they have recovered?
years old? *
* 1/1
0/1
A. Conscious, HR of 60 bpm, and conversant
A. Compress at a rate of 15 compressions and 2
ventilations B. Conscious, bradycardic, and pale
B. The depth of compressions should be 1.5 inches C. Unconscious, and HR of 145 bpm
D. Conversant at times, HR of 90 bpm
Situation: Correct answer
Nurse Krane decided to specialize in geriatric nursing
C. Older women are found to be associated with a
care after passing the board exams. This requires
higher level of experiencing functional difficulties
them to be knowledgeable about the different
theories and principles that are specific to geriatric
patients as these patients require a different type of
64. Which of the following is not included in the
care compared to adult patients.
common difficulties of Filipino older aged
people?
61. Nurse Jane is planning to make an education *
program for her older aged clients. She knows
1/1
that the cut-off for defining older people in the
Philippines is what age? A. Vision
* B. Hearing
C. Walking or climbing stairs
1/1 D. Cooking food
A. 60 years old
Correct answer
75. A patient comes to you and mentions that
A. Having sex with a condom they believe they have been exposed to HIV last
night when they had sex. Backed up with your
knowledge in HIV transmission, what is your
72. Which of the following statements of a most appropriate advice regarding testing?
patient with HIV regarding the stages of HIV
infection necessitate further education? *
* 0/1
Correct answer
Correct answer
C. They will only be able to confirm their HIV status at
B. HIV stage I is where a person is exposed to HIV but most three months from now
is not contagious
Situation:
Nurse Theresa is assigned to the care of patients with
73. What is the considered count of CD4+ T cells immunological disorders. The following are vital
which is considered to be at the stage of AIDS? information they should know to provide proper care
for these patients.
*
1/1
76. Which of the following claims of a patient
A. Less than 1200 cells/mm3 most likely indicates that they have rheumatoid
B. Less than 500 cells/mm3
arthritis?
C. Less than 300 cells/mm3
D. Less than 200 cells/mm3 *
0/1
A. The first symptom I felt is extreme pain in the
74. Which of the following is true regarding the great toe of my left foot
protocol for HIV testing? B. Both my left and right elbows hurt in the morning
C. I can hear scratchy, grating sounds when I move
* my joints
1/1
D. My joints hurt when I wake up but it goes away
A. Enzyme immunosorbent assay detects HIV after 10 minutes
antigens and is the confirmatory test for HIV
B. Enzyme immunosorbent assay detects HIV Correct answer
antibodies and is the initial test for HIV
C. Western blot detects HIV antibody proteins and is B. Both my left and right elbows hurt in the morning
the initial test for HIV
D. Western blot detects HIV antibody proteins and is
the confirmatory test for HIV 77. Which of the following is not considered a
deformity associated with rheumatoid arthritis?
* touch joints. What is your appropriate
intervention?
1/1
*
A. Palpable joint hypertrophy in the distal and
0/1
proximal interphalangeal joints
A. Continue with the planned walking session as it
B. Metacarpophalangeal joints become swollen and will relieve the patient’s symptoms
bend abnormally towards the 5th or 6th digits
C. Flexion of the proximal interphalangeal joint and B. Allow the patient to rest and provide tepid sponge
hyperextension of the distal interphalangeal joint bath
D. Flexion of the base of the finger, extension of the C. Administer scheduled medications before the
proximal interphalangeal joint, and flexion of the activity
distal interphalangeal joint D. Contact the physician in-charge as this indicates a
complication
D. Schedule vigorous activities to enhance the 81. What is the dependent variable of the study?
physical health of the patient
*
Correct answer 1/1
A. Provide a diet high in protein
A. Patient satisfaction
79. Upon assessment of a patient with SLE, the B. Care received by patients
nurse knows that which medication increased C. Adult patients
their risk of getting the disease? D. Hospital admission
*
1/1 82. Which of the following is an EXTRANEOUS
variable of the study?
A. Diazepam
*
B. Digoxin
C. Isoniazid 1/1
A. Age of patients
D. Planning
Correct answer
B. Schedule
B. Operational
C. Personnel
D. Cash