Title DIAGNOSTIC EXAMINATION - NP5 - STUDENT COPY ✅

A. He may catch cold if the water temperature is too low B. He may burn himself because of a lower pain sensitivity C. Has difficulty of discriminating between hot and cold D. He might have lower pain threshold 17. The nurse encouraged Lolo Teryo to attend early morning exercise. He becomes tired and short of breath. The nurse interprets this as A. Changes in the cardiovascular system B. Attributed to his sedentary lifestyle C. Effects of his depression on his stamina D. Medication the doctor might give him 18. According to studies and literature, which of the following is most important for Lolo Teryo to maintain a healthy, adaptive old age? A. To remain socially interactive B. To disengage slowly in preparation to last stage of life C. To move in with his son and family D. To maintain total independence and accept help Situation: Danny a 46 year old patient admitted to the coronary care unit (CCU) with an MI and frequent premature ventricular contractions (PVCs) has doctor orders for continuous amiodarone infusion, IV nitroglycerin infusion, and morphine sulfate 2 mg IV every 10 minutes until there is relief of pain. She is taken care by Leona a newly graduate nurse. 19. Because of Danny’s premature ventricular contraction, the nurse should monitor its effects on which of the following parameters? A. Electrolyte levels B. Apical radial heart rate C. Oxygen saturation D. Medications 20. In analyzing a patient’s electrocardiographic (ECG) rhythm strip, Leona uses the knowledge that the time of the conduction of an impulse through the Purkinje fibers is represented by A. PR interval B. QT interval C. QRS complex D. P wave 21. A considerable difference between the apical and radial pulse rate of Danny would indicate A. Stronger left than right ventricular muscles B. Numerous weak ineffectual cardiac contractions C. Thickened myocardium and large heart chambers D. Increased pressure in systemic arteries 22. As Danny is assessed he complains of being nauseated and very weak. The nurse should A. Perform nutritional assessment B. Alert staff for potential help C. Explore and discuss possible effect of stress D. Provide reassurance while focusing on pleasant topics 23. The Physician scheduled for an exercise electrocardiogram (stress test). What information should the nurse include when explaining the value of this test? Exercise stress testing is a: A. definitive method to diagnose the cause of chest pain B. diagnostic modality of minimal value in planning treatment of angina C. noninvasive means of assessing cardiovascular conduction and function D. minimally invasive manner of assessing a body’s reaction to increase in exercise SITUATION: You are caring for a married woman who underwent modified radical left mastectomy 24. On admission to Post-anesthesia Care Unit, you read the OR report which indicates that estimated blood loss during surgery was 1000mL. From the list below, select the MOST objective indicator for the nurse to monitor closely. A. Changes in vital signs B. Altered level of consciousness C. Soaked dressing D. Pupillary reaction to light 25. You assisted positioning the client. Her left arm should be placed in which of the following manner? A. Placed above the level of the heart B. Hyperextended away from the chest C. Placed at the level of the heart and the hand below the heart D. Adducted and flexed 26. When the patient woke up from anesthesia, she refuses to see her husband. She remarks that she is “not the same person, no longer a woman; much, much less a wife.” Which psychosocial nursing diagnosis would best describe this situation? A. Altered role performance r/t impaired physical function B. Anxiety r/t surgical removal of the breast C. Altered body image r/t perception of disfigurement and incapacity D. Self-esteem disturbance r/t changing ability to perform basic wife function 27. The client was obviously withdrawn although her recovery from the surgery was uneventful. How can the nurse be of best help during this period of recovery? A. Allowing the client to have more time to herself B. Encouragingthe client to have more time to verbalize concerns with her family C. Allowing the client to talk with other clients in the ward who had the same kind of surgery D. Allowing the patient more time to reflect about the effects of surgery 28. During the first 8 hours postoperative, the total drainage from the Jackson-Pratt drain attached to the wound totaled to 25 mL. What is your next best action? A. Do nothing as the drainage is expected B. Empty the Jackson-Pratt device C. Notify the surgeon stat D. Inform the client that her wound is draining well. Situation: Gerard 56 years old underwent partial gastrectomy with gastrojejunostomy. 29. The nurse identified iron deficiency anemia as a potential problem. Which of the following specifically would predispose the patient to this problem? A. Rapid gastric emptying due to gastrojejunostomy B. Inadequate intake of food rich in iron C. Excessive loss of blood during surgery D. Inability to eat large meals 30. The nurse understands that iron deficiency anemia results in decreased RBC which are: A. Abnormally crescent shaped B. Large and immature C. Microcytic and hypochromic D. Fragile and megaloblastic 31. The physician emphasized that Vitamin B12 levels will be routinely monitored. Which of the following mechanism correctly explains the possibility of the patient developing Vitamin B12 deficiency? A. Vitamin B12 is primarily absorbed in the duodenum B. Fast emptying of food from the stomach interfere with Vitamin B12 absorption C. Intrinsic factor is necessary for absorption of Vitamin B12 is inadequate D. Inadequate liver storage of Vitamin b12 due to decreased stomach size 32. Which of the following group of manifestations will the nurse expect in case Vitamin B12 deficiency develops in the patient? A. Pallor, weakness, spoon shaped nails, smooth sore tongue B. Progressive weakness, shortness of breath, palpitations, cheilosis C. Fatigue, irritability, pallor, painful swelling of hands D. Slight jaundice, fatigue, paresthesia, glossitis 33. Priority nursing diagnosis is identified by the nurse for Gerard is “Imbalanced nutrition related to patients’ inadequate intake of food.” Which of the following is an appropriate intervention? A. Based on list of patients choice of food, prepare diet plan B. Plan diet with family members in consultation with dietician C. Prepare a diet plan taking into consideration the patients preferred eating pattern D. Have physician order a specific diet for the patient TOP RANK REVIEW ACADEMY, INC. Page 2 | 6
Situation: The nurse at the Operating Room should be made aware of the functions and implications of being both a circulating and a scrub nurse. The following questions apply. 34. The nurse was not able to completely account for the sharps that were used during an exploratory laparotomy. The surgeon agreed to close the suture even if the situation was mentioned above. It was found out that one needle was still left at the peritoneum of the client. The surgeon was accused of malpractice because of what happened. Which among the following doctrines explains the scenario above? A. Res Ipsa Loquitur B. Force Majeure C. Respondeat Superior D. Subpoena ducestecum 35. Which among the following is considered as part of the intraoperative phase? A. Patient has decided to have a reconstructive surgery B. Induction of the anesthesia C. Patient having two CTT after a heart transplant D. A patient diagnosed to have a constrictive pericarditis 36. Which part of the anesthetic ladder is the patient noted to have increased autonomic activity? A. Analgesia Phase B. Delirium Phase C. Surgical Phase D. Danger Stage 37. Which among the following is NOT a principle of surgical asepsis? A. Always face the sterile field. B. Sterile articles unused and unopened are still considered sterile after the procedure. C. The sterile field is above the waist level and on top of the sterile field. D. Eliminate moisture that causes contamination. 38. Which among the following post-operative complications is characterized as the collapse of one lung segment or the whole lobe or a number of alveolar groups? A. Pneumoectasis B. Atelectasis C. Pulmonary embolism D. Pulmonary Shock Situation: Nurse Danj admitted a new patient to the Medicine Ward: Lianmuel, 30, complains of diarrhea for more than two weeks prior to consultation. The diagnosis made was Crohn’s Disease (CD). A plan of care was made for Lianmuel. 39. Which of these assessments does Nurse Danj expect to see in the patient’s records? i. Weight gain of 1kg/day ii. Arthralgia iii. 10-20 liquid, bloody stools per day iv. Tenesmus v. Anorexia vi. Crampy, intermittent pain A. i, ii, iii, iv, v, vi B. iii, iv, v, vi C. i, ii iii, iv v D. ii, iv, v, vi 40. Nurse Danj should include which of the following interventions for Lian? A. Increase physical activity to promote intestinal activity B. Instruct the patient to increase intake of raw fruits and vegetables C. Include high-fiber food choices following the acute phase of the condition D. Provide Sitz bath for the skin excoriation from bowel movements 41. What is Nurse Danj’s priority for Lian if the latter develops fistula from his CD? A. Fluid and electrolyte balance B. Pain management C. Self-esteem needs D. Skin protection 42. Which of the following signs and symptoms may suggest presence of megacolon from antidiarrheal drug use? A. Leukopenia B. Fever C. Bradypnea D. Hypothermia 43. If Lian were a geriatric client, which of these is the first indication of dehydration from fluid volume depletion? A. Tachycardia B. Altered mentation C. Hypotension D. Fever SITUATION: Nurse Mary is handling patients with psychological disorders. The following questions apply. 44. Which of the following sets of symptoms is characteristic of generalized anxiety disorder? A. Uncontrollable worrying, significant distress or impaired social functioning for at least 6 months. B. Intense fear and helplessness within 1 month after exposure to traumatic event that lasts 2 days to 4 weeks. C. Re-experiencing of an extremely traumatic event and numbing of responsiveness within 3 months to years after the event. D. Significant anxiety provoked by a specific feared object or situation. 45. Obsessive-compulsive disorder is characterized by recurrent, unwanted thoughts which lead to ritualistic and repetitive behaviors in an attempt to neutralize anxiety. Which of the following medications are appropriate for OCD? A. Tacrine (Cognex) B. Bupropion (Wellbutrin) C. Haloperidol (Haldol) D. Clomipramine (Anafranil) 46. Use of touch as part of nursing care for geriatric clients is generally considered as therapeutic. Which of the following is true about use of touch? A. It is calming for the elderly patient. B. Most elderly patients get angry when touched. C. Its effect is based on the individual preferences. D. Patient’s face is touched to communicate empathy most effectively. Situation: Nurse Geneve is handling various patients in Pomeranian Hospital. The following questions apply. 47. The emergency and disaster nurse knows that which among the following population groups have the greatest risk during a disaster? vii. Health care providers viii. Single parent families ix. Children x. Low income families A. i, ii B. i, ii, iii C. i, iv D. iii, iv 48. During burn therapy, morphine is primarily administered IV for pain management because this route: A. Delays absorption to provide continuous pain relief. B. Facilitates absorption because absorption from muscles is not dependable. C. Allows for discontinuance of the medication if respiratory depression develops D. Avoids causing additional pain from IM injections 49. This refers to the use of findings from a disciplined research in a practical application that is unrelated to the original research. It emphasizes on translating knowledge into real-world applications. A. Evidence-based practice B. Research utilization C. Research dissemination D. Cochrane Collaboration 50. This refers to the integration of research findings where the practical application is related to the original research. It starts with a clinical question rather than a research problem. A. Research utilization B. Research dissemination C. Evidence-based practice D. Cochrane Collaboration TOP RANK REVIEW ACADEMY, INC. Page 3 | 6