1 >>Which of the following is a primary nursing intervention necessary for all patients with a Foley Catheter in place? ?
- (A) Maintain the drainage tubing and collection bag level with the patient�s bladder
- (B) Irrigate the patient with 1% Neosporin solution three times a daily
- (C) Clamp the catheter for 1 hour every 4 hours to maintain the bladder�s elasticity
- (D) Maintain the drainage tubing and collection bag below bladder level to facilitate drainage by gravity
2 >>Clay colored stools indicate: ?
- (A) Upper GI bleeding
- (B) Impending constipation
- (C) An effect of medication
- (D) Bile obstruction
3 >>The purpose of increasing urine acidity through dietary means is to: ?
- (A) Decrease burning sensations
- (B) Change the urine’s color
- (C) Change the urine’s concentration
- (D) Inhibit the growth of microorganisms
4 >>Which of the following white blood cell (WBC) counts clearly indicates leukocytosis? ?
- (A) 4,500/mm³
- (B) 7,000/mm³
- (C) 10,000/mm³
- (D) 25,000/mm³
5 >>The appropriate needle gauge for intradermal injection is: ?
- (A) 20G
- (B) 22G
- (C) 25G
- (D) 26G
6 >>Which of the following patients is at greater risk for contracting an infection? ?
- (A) A patient with leukopenia
- (B) A patient receiving broad-spectrum antibiotics
- (C) A postoperative patient who has undergone orthopedic surgery
- (D) A newly diagnosed diabetic patient
7 >>When removing a contaminated gown, the nurse should be careful that the first thing she touches is the: ?
- (A) Waist tie and neck tie at the back of the gown
- (B) Waist tie in front of the gown
- (C) Cuffs of the gown
- (D) Inside of the gown
8 >>Effective hand washing requires the use of: ?
- (A) Soap or detergent to promote emulsification
- (B) Hot water to destroy bacteria
- (C) A disinfectant to increase surface tension
- (D) All of the above
9 >>Which of the following statements about chest X-ray is false?. ?
- (A) No contradictions exist for this test
- (B) Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist
- (C) Eating, drinking, and medications are allowed before this test
- (D) None
10 >>A clinical nurse specialist is a nurse who has: ?
- (A) Been certified by the National League for Nursing
- (B) Received credentials from the Philippine Nurses Association
- (C) Graduated from an associate degree program and is a registered professional nurse
- (D) Completed a master’s degree in the prescribed clinical area and is a registered professional nurse.
11 >>Which of the following nursing interventions is considered the most effective form or universal precautions? ?
- (A) Cap all used needles before removing them from their syringes
- (B) Discard all used uncapped needles and syringes in an impenetrable protective container
- (C) Wear gloves when administering IM injections
- (D) Follow enteric precautions
12 >>All of the following statement are true about donning sterile gloves except: ?
- (A) The first glove should be picked up by grasping the inside of the cuff.
- (B) The second glove should be picked up by inserting the gloved fingers under the cuff outside the glove.
- (C) The gloves should be adjusted by sliding the gloved fingers under the sterile cuff and pulling the glove over the wrist
- (D) The inside of the glove is considered sterile
13 >>Which element in the circular chain of infection can be eliminated by preserving skin integrity? ?
- (A) Host
- (B) Reservoir
- (C) Mode of transmission
- (D) Portal of entry
14 >>A patient with no known allergies is to receive penicillin every 6 hours. When administering the medication, the nurse observes a fine rash on thepatient�s skin. The most appropriate nursing action would be to: ?
- (A) Withhold the moderation and notify the physician
- (B) Administer the medication and notify the physician
- (C) Administer the medication with an antihistamine
- (D) Apply corn starch soaks to the rash
15 >>The nurse calculates a body mass index (BMI) of 18 for a young adult woman who comes to the physician’s office for a college physical. This patient is considered: ?
- (A) Obese
- (B) Overweight
- (C) Average
- (D) Underweight
16 >>The nurse should use the diaphragm of the stethoscope to auscultate which of the following? ?
- (A) Heart murmurs
- (B) Jugular venous hums
- (C) Bowel sounds
- (D) Carotid bruits
17 >>The nurse must examine a patient who is weak and unable to sit unaided or to get out of bed. How should she position the patient to begin and perform most of the physical examination? ?
- (A) Dorsal recumbent
- (B) Semi-Fowler’s
- (C) Lithotomy
- (D) Sims’
18 >>How should the nurse modify the examination for a 7-year-old child? ?
- (A) Ask the parents to leave the room before the examination.
- (B) Demonstrate equipment before using it.
- (C) Allow the child to help with the examination.
- (D) Perform invasive procedures (e.g., otoscopic) last.
19 >>The nurse is assessing a patient admitted to the hospital with rectal bleeding. The patient had a hip replacement 2 weeks ago. Which position should the nurse avoid when examining this patient’s rectal area? ?
- (A) Sims
- (B) Supine
- (C) Dorsal recumbent
- (D) Semi-Fowler’s
20 >>For all body systems except the abdomen, what is the preferred order for the nurse to perform the following examination techniques? A. Palpation B. Auscultation C. Inspection D. Percussion ?
- (A) D, B, A, C
- (B) C, A, D, B
- (C) B, C, D, A
- (D) A, B, C, D