Nursing Practice III – Nursing Care of Client with Physiological and Psychosocial Alteration
Medical and Surgical Nursing / Psychology
PART 2 Board Exam test questions 51 - 100
51. Cathy is giving bed bath to an assigned client. A nursing aide enters the patient’s room and informs her that another patient is in pain needs pain medication. The appropriate action of Cathy is:
a. ask the nursing aide to continue the bed bath after asking the permission of the patient so Cathy can attend to the other client
b. Cover the client, raise side rails, tell the client that Cathy has to administer the pain medication first, then will return as soon as possible
c. finish the bed bath, then administer the pain medication
d. ask the nursing aide to stay with the other client while Cathy finishes the bed bath
52. Which of the following health teachings by the nurse will be MOST appropriate in home medication administration?
a. determine the appropriate drug and dosage for the child’s age or weight
b. ask the mother to give the first dose of the drug to her child
c. demonstrate to the mother how to measure a dose
d. tell the mother the reason for giving the drug to the child
53. The patient’s medical record is the best evidence of the care that is given to the patient. It is the property of:
a. the patient owns the record
b. the physical property of the hospital
c. the health team property
d. the doctor owns the record
54. Edna classified the patient as having diarrhea with severe dehydration. Which of the following interventions would the nurse employ?
a. advise the mother regarding follow-up after 5 days
b. give a tetracycline tablet
c. refer urgently to the nearest hospital
d. give vitamin A
55. A physician has prescribed propylthiouracil for a client with hyperthyroidism. A nurse develops a plan of care for the client. A priority nursing assessment to be included in the plan regarding this medication is to assess for:
a. signs of renal toxicity
b. signs and symptoms of hyperglycemia
c. relief of pain
d. signs and symptoms of hypothyroidism
56. An external insulin pump is prescribed for a client with with diabetes mellitus. The client asks Eddie about the function of the pump. He bases the response on the information that the pump:
a. is surgically attached to the pancreas and infuses regular insulin into the pancreas, which in turn releases the insulin into the bloodstream.
b. is timed to release programmed doses of regular or NPH insulin into the bloodstream at specific intervals
c. continuously infuses small amounts of NPH insulin into the bloodstream while regularly monitoring blood glucose levels
d. gives a small continuous dose of regular insulin, and the client can self-bolus with an additional dosage from the pump prior to each meal.
57. In evaluating the care of Ms. O.P., a young female executive admitted with bleeding peptic ulcer, the nurse focuses on nursing interventions. A nursing intervention associated with this type of patient is:
a. frequently monitoring arterial blood levels
b. checking the patient’s low residue diet.
c. checking the blood pressure and pulse rates each shift
d. observing vomitus for color, consistency, and volume
58. During surgery, movement of personnel should be:
a. kept to a minimum c. monitored
b. restricted d. eliminated when possible
59. Ms. Dee is a 27-year-old housewife and mother of two children. She is being seen by the nurse at the health maintenance organization for signs of fatigue. She has the history of iron deficiency anemia. Which of the following data from the nursing history indicates that the anemia is NOT currently managed effectively?
a. pallor c. monitored
b. poor skin turgor d. respirations 18 and regular
60. Which of the following would be MOST effective in promoting adequate respiratory function in an unconscious client recently admitted to the PACU with no contraindications to movement?
a. extending client’s chin while on his side and pillow at the back
b. turning the client from side to side at 10-minute interval
c. placing the client prone to facilitate drainage of secretions
d. performing jaw thrust maneuver while client is supine
61. The patient has a right to information regarding the operation or other invasive procedure and potential effects. This right is achieved through:
a. informed consent c. charting
b. preoperative visit d. doctor’s rounds
62. Which statement about a person’s character is evident in the OR team?
a. it assists in the control of feelings, thoughts and emotions in the face of difficulty
b. it reflects the moral values and beliefs that are used as guides to personal behavior and actions
c. it encourages the constructive use of the pleasure of the senses
d. it refers to the quality of being righteous, correct, fair and impartial
63. Mrs. XP underwent D and C for dysfunctional bleeding. What is inserted vaginally to prevent postoperative bleeding?
a. perineal pad c. vaginal suppository
b. vaginal packing d. gelfoam
64. Reusable supplies/instruments are still widely used in the Philippine OR setting. A clear advantage of single-use items is:
a. transmission of infection during processing is avoided
b. convenience
c. guaranteed first class quality
d. integrity and functionality is assured.
65. It is important to teach the patient the warning signs for skin cancer. Which of the following is a warning sign of cancer?
a. smooth surface c. border irregularity
b. decreasing diameter d. mole symmetry
66. In teaching the patient with Parkinson’s disease, which response would indicate the need for further education?
a. “I should eat a diet high in fiber and roughage to decrease my constipation.”
b. “I need to be sitting straight up and my chin slightly tucked so I won’t choke when I eat or drink.”
c. “I need to exercise at least some everyday.”
d. “If I miss an occasional dose of the medication, it is not of much significance.”
67. It is MOST important to assess the adolescent with acne for:
a. change in weight c. suicide tendencies
b. low self esteem d. increase intake of fatty foods
68. Communication can take many forms. Each has its own limitations. Which is a deterrent factor in written communications?
a. e-mail c. suicide tendencies
b. fax d. use of non-universal abbreviation
69. Monica shared with the interviewer her most recent experiences about a restless pediatric patient whom she puts up the side rails of the bed to prevent accidental falls. Which of the following attributes is shown by Monica?
a. resourcefulness c. honesty
b. prudence d. reliability
70. As experimental research designs have their strengths, so does non-experimental researches. Which of the following statements is NOT one of the strengths of non-experimental designs?
a. can be completed in a short span of time
b. less expensive
c. useful for predictive purposes
d. easier to gain cooperation of study subjects
71. Mr. E.O. age 52 had a laryngectomy due to cancer of the larynx. Discharge instructions are given to Mr.F.O. and his family. Which response by written communication from Mr. F.O. or verbal response from the family, will be a signal to the nurse that the instructions need to be reclarified?
a. it is acceptable to take over-the-counter medications now that condition is stable
b. the suctioning at home must be a clean procedure, not sterile.
c. report swelling, pain or excessive drainage
d. cleans skin around stoma BID, use hydrogen peroxide and rinse with water, pat dry.
72. Dr. Tuazon scheduled Mrs. Poe for a right breast mass incision with frozen section and possible mastectomy on Monday, first case. As the nurse in-charge for scheduling you will collaborate with the following departments EXCEPT:
a. pathology c. anesthesia
b. dietary d. surgery
73. Charting should be legible and include only standard abbreviations. Which of the following is NOT a standard abbreviation?
a. PRN c. NNO
b. OD d. NPO
74. A mother who is pregnant and has ovarian cancer has to undergo surgery to treat the cancer. In the process the fetus died. The doctrine that justifies the death of the fetus is:
a. justice c. exception to the role
b. anatomy d. double effect
75. A nurse is waiting for a report to be sent by fax. The machine activates but instead of the report, the nurse received a sexually oriented photograph. The MOST appropriate nursing action is to:
a. call the nursing supervisor and report the incident
b. cut the photograph and throw it away.
c. call the police
d. call the unit who sent it and ask for the name of person who sent the photograph
76. Ms. F.X.. has been admitted with right upper quadrant pain and has been placed on a low fat diet. Which of the following trays would be acceptable for her?
a. liver, fried potatoes and avocado
b. whole milk, rice and pastry
c. ham, mashed potatoes, cream peas
d. skim milk, lean fish, tapioca pudding
77. Negligence in the practice of nursing can be a ground for:
a. revocation of license by the Ombudsman
b. revocation of license by the BON
c. revocation of license by the DOH
d. revocation of license by the Nursing Department
78. One way of verifying that the right message/doctor’s order was communicated effectively is by:
a. phrasing intelligently
b. repeating the order message
c. documenting
d. speaking distinctly using enough volume
79. Kelly identified five categories of followers in an organization: sheep, yes people, alienated, survivor and effective followers. If we choose to be successful nursing professionals, we have to become one these and influence other:
a. “YES” people c. effective followers
b. alienated d. sheep
80. A research on “Surgical Instrument Availability” will help the surgical team:
a. restructure OR scheduling system
b. streamline instrument inventory
c. improve instrument decontamination
d. ensure efficient completion of surgical instrument
81. Maria is administering a cleansing enema to a patient with fecal impaction. Before administering the enema, she should place the patient in which of the following positions?
a. on the right side of the body with the head of the bed elevated 45 degrees
b. left Sim’s position
c. on the left side of the body with the head of the bed elevated 45 degree
d. right Sim’s position
82. The functionality and integrity of instruments and medical devices used in surgical procedure, is the responsibility of the:
a. surgeon c. OR nurse
b. bio-med technician d. scrub nurse
83. Maria will be preparing a patient for thoracentesis. She should assist the patient to which of the following positions for the procedure?
a. prone with the head turned to the side and supported by a pillow
b. lying in bed on the affected side with the head of the bed elevated 45 degrees
c. Sim’s position with the head of the bed flat
d. Lying in bed on the unaffected side with the head of the bed elevated 45 degrees
84. When a patient comes to the clinic for an eye examination, the ophthalmologists administers phenylephrine 2.5% drops to:
a. dilate retinal blood vessels
b. anesthetize the cornea
c. dilate the pupil
d. removed any obstruction on the cornea
85. Which of the following statements by Ms. S.O. a chemotherapy patient with a low WBC count, a low platelet count and a hemoglobin measurement of 5.6 g would indicate the need for further teaching?
a. “My lips are dry an d cracking. I need some lubricant”
b. “My husband and I have been using vaginal lubrication before my intercourse”
c. “I check my mouth and teeth after each meal”
d. “I’ve been very constipated and need an enema”
86. Patients undergoing surgery display different levels of anxiety. This is researchable. At present, it has been found out that music can decreases anxiety. What other factors can reduce anxiety that is currently done among postoperative cases?
a. pre-anesthetic drugs c. shower prior to surgery
b. pre-operative visit d. presence of any members of the family
87. According to AORN recommended practices, surgical attire intended only for use within the surgical suite should be worn within the:
a. restricted semi-restricted and unrestricted areas
b. restricted area only
c. operating room only
d. restricted and semi-restricted areas
88. A heavily researched topic in infection control is about the single most important procedure for preventing hospital-acquired infections. What is this procedure called?
a. handwashing c. use of facemask
b. use of scrub suite d. brain washing
89. Surgical instruments are expensive and are a lifetime investment of the O.R. To ensure quality of these instruments, which criterion is evaluated?
a. shelf life c. cost
b. reusability d. integrity and functionality after each use and processing
90. Mr. Que, 61 years of age is suffering from rheumatoid arthritis. He asks if there is a cure for RA. The MOST appropriate response is:
a. “No, most patients with RA also develop osteoarthritis.”
b. “Yes, but the patient must take medication for at least 10 years.”
c. “Yes, new drugs being developed offer a cure.”
d. “No, but new drugs being developed can interfere with the body’s reaction to inflammation and better control the disease process.”
91. Rita is assigned to care for group of patients. On review of the patient’s medical record, she determines that which patient is at risk for fluid volume deficit?
a. A client with CHF
b. A client receiving frequent wound irrigations
c. A client with colostomy
d. A client with decreased kidney function
92. In providing general information and assessing the patients level of interest or reaction to surgery, which of the following nursing intervention will received priority?
a. tell the patient when the surgery is scheduled
b. let the patient know that the family will be kept in formed
c. explain details of perioperative preparation with a tour and viewing of area and equipments
d. offer general information about the surgery
93. In the event of a fire, OR staff are instructed to follow the international RACE. What does R stand for?
a. Rest b. Rescue c. respond d. run
94. In preparing the patient for endoscopic examinations of the upper GI tract, the patient’s pharynx is anesthesized with Xylocaine spray. Nursing interventions for post-endoscopic examination include:
a. keeping patient NPO until gag reflex returns
b. prohibiting smoking before the test
c. withholding anticholinergic medications
d. allowing fluids up to 4 hours before examination
95. Modern medicine has divided the human body into different systems/organs or the so called “specialty medicine practice”. Collaboration of the specialists will in effect treat the client as:
a. multiple specialty c. one whole human being
b. multi-organ d. compartmentalized body
96. Discharge teaching for the client with hypoparathyroidism should include which of the following instructions:
a. use OTC vitamin D preparation
b. avoid strenuous ex ercises
c. supplement calcium intake
d. avoid diuretics to minimize calcium loss
97. An important nursing intervention goal to establish for Mang Carlos who has iron-deficiency anemia is:
a. alternate periods of rest and activity to balance oxygen supply and demand
b. increase fluids to stimulate erythropoises
c. decrease fluids to prevent sickling of RBC’s
d. use birth control to avoid pregnancy
98. KN is monitoring the status of a postoperative patient. He would become MOST concerned with which of the following signs which could indicate an evolving complication?
a. a negative Homan’s sign
b. BP of 110/170 mmHg and a pulse of 80 beats per minute
c. increasing restlessness
d. hypoactive bowel sounds in all four quadrants
99. The Patient’s Bill of rights helps practitioners provide more effective patient care. Which of the following should NOT be included in the list?
a. be informed of administrative and policies and practices
b. considerate and respectful ca re
c. confidentiality of communications and records
d. relevant current and understandable information concerning diagnosis, treatment diagnosis, specific procedures treatment and risks involved.
100. Disposal of medical records in government hospitals/institutions must be done in close coordination with what agency?
a. DOH
b. Records Management and Archives Office (RMAO)
c. DILG
d. MMDA
CLICK HERE PART 1 (1 - 50) 'NP3 Nursing Board Exam December 2006 Answer Key 'Nursing Care of Client with Physiological and Psychosocial Alteration'
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