Title DIAGNOSTIC EXAM - NP4 (SC) ✅

TOP RANK REVIEW ACADEMY, INC. Page 3 | (HAART), which patient information concerns you the most? A. the patient has been HIV positive for 8 years and has never taken any drug therapy for a. the HIV infection B. the patient tells you “I have never been faithful about taking medications” C. the patient is sexually active with multiple partners and says “I always use a condom” D. the patient has many question and concerns regarding the effectiveness and safety of the medications 29. A patient with chronic hepatitis C has been receiving interferon alfa-2a (Roferon-A) injections for the last month. Which information gathered during a home visit is more important to communicate to the physician? A. The patient has persistent nausea and vomiting B. The patient injects the medication into the thigh by the intramuscular route C. The patient’s temperature is 37.6 deg Celsius orally D. The patient reports chronic fatigue, muscle aches, and anorexia 30. An HIV positive patient who has been started on HAART is seen in the clinic for follow up. Which test will be most helpful in determining the response to the therapy? A. CD4 level B. Complete blood count C. Total lymphocyte percent D. Viral load Situation: Nurse Reine is an emergency nurse in Philippine General Hospital. An infant girl was rushed to the emergency department and is complaining of multiple burns in different parts of the body. The following questions apply. 31. The patient suffers superficial burns on the chest, posterior left leg, and anterior right thigh; deep partial burns on the whole head, posterior trunk, right and left forearm; and full thickness burns of the abdomen, and anterior left leg. How much is the TBSA of the patient that would be included in the parkland formula? A. 76.5% B. 54% C. 89.5% D. 70% 32. The patient weighs 30lbs. How much fluid would be given in the first 24 hours? A. 3,819mL B. 1,910mL C. 4,171mL D. 2,085mL 33. What would be the drops/minute in the first 8 hours given that the drop factor is 15 drops/ml? A. 119 drops/min B. 60 drops/min C. 130 drops/min D. 65 drops/min 34. What would be the priority of the patient’s condition in the emergent phase? A. fluid resuscitation B. risk for infection C. patent airway D. optimal functioning 35. Which of the following conditions would be the priority assessment in the given patient, at the acute phase? A. compartment syndrome B. risk for infection C. shock D. contractures Situation: Basic concepts on neuroanatomy and neurophysiology are important before one is able to intervene with abnormal occurrences. 36. Which among the following cranial nerves arise from the cerebral hemisphere? A. Optic nerve B. Trigeminal nerve C. Vagus nerve D. Trochlear nerve 37. Which among the following is not an occurrence with agonist stimulation of the muscarinic and cholinergic receptors? A. Bronchodilation B. Increased peristalsis C. Bradycardia D. Miosis 38. Performing Romberg’s test is what part of the neurologic examination? A. Sensory B. Cranial nerves C. Motor D. Reflexes 39. The umbilicus corresponds to which of the following dermatomal level? A. T4 B. T10 C. L4 D. S5 40. The gag reflex is tested in the assessment of which of the following cranial nerves? A. CN VII B. CN IX and X C. CN V D. CN XII SITUATION 4: Floro, a practicing registered nurse for 2 years in a private hospital has resigned because she realized that her salary cannot sustain the growing needs of her family anymore. She has recently been accepted as a staff nurse in a local government hospital. She was assigned to the Emergency Department (ED). 41. Nurse Floro received an unconscious client after being involved in a car crash. The client’s name is unknown and no identification card was found. An emergency exploratory laparotomy is required. Regarding informed consent for surgery, which of the following is his best action? A. Transport the victim to the operating room for surgery B. Request the police to find the client’s family C. Ask the physician to sign the consent D. Obtain a consent order for the surgery 42. A 16-year-old client was brought to emergency room for treatment of leg fracture. Assessment revealed that the client is married. Nurse Floro knows that who among the following can sign the consent for admission? A. Client’s mother B. Client’s husband C. Client herself D. Client’s significant others 43. Suppose the 16-year old client becomes unconscious due to blood loss, nurse Floro should obtain the consent for admission from? A. Client’s mother B. Client’s husband C. Client herself D. Client’s significant others 44. Nurse Floro has been granted a 30-minute break after managing his patients well. While on hisway to the canteen, he heard two nursing aides discussing his client’s condition. Which of the following should primarily be done by him? A. Approach them and have a more detailed discussion regarding the patient B. Report them to the nursing supervisor C. Ignore them since it would be improper to join in their discussion D. Approach them and tell them to stop their discussion 45. Meanwhile, nurse Floro is about to perform perineal assessment of a former beauty queenadmitted in the ER for possible rape trauma. The client refused but due to his intention to help, he proceeded with the assessment. Unfortunately, if the client will file for litigation, nurse Floro would be liable for? A. Assault B. Libel
TOP RANK REVIEW ACADEMY, INC. Page 4 | C. Invasion of privacy D. Battery Situation: Nurse Dindo is assigned with a patient diagnosed with osteosarcoma. The following questions apply. 46. Which among the following is not considered a risk factor for the development of osteosarcoma? A. Paget’s disease of the bone B. Irradiation C. >50 years old D. None of the above 47. The most common affected bone in osteosarcoma is the: A. Vertebrae B. Metacarpals C. Distal femur D. Scapulae 48. As the condition progresses, ECG findings show that the patient has shortened QT interval and ST segment, and bradycardia. Muscular weakness, constipation, and anorexia were noted. Which among the following is likely the complication that has occurred? A. Hyponatremia B. Hypomagnesemia C. Hypercalcemia D. Hyperkalemia 49. The patient underwent orthopedic surgery to excise the tumor. Which among the following nursing actions will help prevent constipation post-operatively? A. The affected extremity is maintained elevated above the heart. B. Promotion of early ambulation. C. Prophylactic administration of enoxaparin D. Intermittent catheter is inserted as prescribed 50. The neurovascular functioning of the extremity is monitored by the nurse 12 hours postoperatively. Which among the following findings will alert the nurse to notify the physician? A. Intact sensation to light touch and prick B. Cold, clammy skin C. Capillary refill time 2 seconds D. Mild edema Situation: Totoy was brought to the Emergency Department after he had seizures in his workplace. 51. Which of these observations would likely indicate the location of the seizure origin in the brain? A. Patient shouted immediately prior to the seizure B. Occurrence of an aura in previous seizure episodes as reported by the companion C. Blinking bright lights stimulated the seizures D. Sudden rhythmic jerking of the left arm 52. An electroencephalogram (EEG) was ordered for the patient. Which of these waves is expected in patients who are in busy and participating in mental activities? A. Alpha B. Beta C. Theta D. Delta 53. Which of these would characterize a patient having an absent seizure? A. Excessively irritated with poor recall of the seizure episode when it is done B. Prolonged blank stare with lip smacking C. Tonic-clonic contractions of upper extremities D. Sudden loss of consciousness with post-ictal amnesia 54. Which of these preoperative teachings should not be given to the patient for her EEG? A. Stimulants of any kind should not be taken before and after the EEG is finished. B. Portions of the head where the electrodes will be placed must be shaved. C. Refrain from applying cream the night before the procedure. D. Analgesics will be given during the procedure as it may cause some pain. 55. Which among the following antiseizure drugs is indicated only for absence seizures? A. Diazepam B. Phenytoin C. Ethosuximide D. Valproic acid Situation – You are caring for Selina, who is 58 years old with Chronic Renal Disease. Your significant assessment findings are: ● Vital signs: Temperature 37.2°C, BP 120/80, Respiratory rate-32 rapid vigorous. ● She is restless. ● Her urine pH is 4.5 and urine output is decreased. ● Selina has the following ABG results; pH-7.32, PaO2- 88mmHg, PaCO2-37 mmHg & HCO3-16 mEq/L. 56. Which of your assessment findings would indicate that Selina has acid-base imbalance? 1. Temperature – 37.2°C 2. Respiratory rate – 32/min, rapid, vigorous 3. Restlessness 4. Urine pH 4.5 and decreased urine output A. All except 1 B. All of these C. 3 and 4 D. 1 and 2 57. You would interpret Selina’s ABG results as: A. Metabolic acidosis. B. Respiratory alkalosis. C. Metabolic alkalosis. D. Respiratory acidosis. 58. Which of the following statements is a CORRECT rationale regarding Selina’s acid-base imbalance? A. Cellular catabolism and acid accumulation. B. Excessive loss of bicarbonate ions. C. Increased catabolism of fatty acids. D. Retention and buildup of nonvolatile acids. 59. As Selina’s nurse you know that the body compensates acid-base imbalance by the following mechanisms EXCEPT: A. Hepatic compensation. B. Excretion of Bicarbonate. C. Respiratory compensation. D. Buffering. 60. Knowing Selina’s condition, which collaborative intervention will you anticipate to be implemented FIRST? A. Oxygen at 2 to 4 L/min. B. IV Lorazepam (Ativan) 1 mg. C. IV 50% Dextrose 50 ml. D. IV Sodium Bicarbonate 50 mEq. Situation 13 – Dennis, 4 years old is admitted to the hospital because of marked ascites and edema. The physician’s diagnosis is Nephrotic Syndrome. 1. Marked ↑protein in urine – proteinuria 2. ↓ Albumin in blood – hypoalbuminuria 3. Edema 61. The nurse recognizes that nephrotic syndrome is an autoimmune response responsible for which of the following? A. Bacterial infection of the nephron. B. Decreased glomerular filtration. C. Extensive nephron destruction. D. Increased glomerular permeability. 62. The mother of Dennis asked the nurse, “Why is Dennis gaining so much weight?” Which of the following is the MOST appropriate response of the nurse? A. “Dennis has retained so much fluid in his body, thus his weight increased.” B. “Dennis has been losing protein because his kidneys could not control this” C. “He is not voiding enough urine because his kidneys are defective” D. “He should not be drinking too much water to avoid fluid to be retained” 63. The therapy of choice for Dennis is Prednisone. Which of the following is the CORRECT information given by the nurse to the mother of Dennis regarding purpose of therapy? A. Reduce inflammation of the nephron.