Title PRE-INTENSIVE - NP4 - SC ✅

the physician does which test as a screening test for colorectal cancer? A. barium enema B. carcinoembryonic antigen C. annual digital rectal examination D. proctosigmoidoscopy 12. To confirm his impression of colorectal cancer, Hans will require which diagnostic study? A. carcinoembryonic antigen B. stool hematologic test C. abdominal computed tomography (CT) test D. proctosigmoidoscopy 13. The following are risk factors for colorectal cancer, except: A. inflammatory bowels B. high fat, high fiber diet C. smoking D. genetic factors-familial adenomatous polyposis 14. Symptoms associated with cancer of the colon include: A. constipation, ascites and mucus in the stool B. blood in the stools, anemia and pencil-shaped stools C. diarrhea, heartburn and excruciating pain D. anorexia, hematemesis, and increased persitalsis 15. Several days prior to bowel surgery, Hans may be given sulfasuxidine and neomycin primarily to: A. reduce the bacterial content of the colon B. promote rest of the bowel by minimizing persitalsis C. soften the stool by retaining water in the colon D. empty the bowel of solid waste Situation: Infection can cause debilitating consequences when host resistance is compromised and virulence of microorganisms and environmental factors are favorable. Infection control is one important responsibility of the nurse to ensure the quality of care. 16. Tonnie, who has been complaining of anorexia and is always feeling tired, develops jaundice. After a work-up, he is diagnosed of having Hepatitis A. His wife asks you about gamma globulin for herself and her household help. Your most appropriate response would be: A. “Don’t worry, your husband’s type of hepatitis is no longer communicable.” B. “Gamma globulin provides passive immunity for Hepatitis B.” C. “You should contact your physician immediately about getting gamma globulin.” D. “A vaccine has been developed for this type of hepatitis.” 17. Greg develops a nosocomial respiratory tract infection. He asks you what that means. Your response would be: A. “You acquired infection after you have been admitted to the hospital.” B. “This is a highly contagious infection which requires complete isolation.” C. “You should contact your physician immediately about getting gamma globulin.” D. “this type of infection usually resolves on its own.” 18. As a nurse, you know that one of the complications that you have to watch out for when caring for Fritz who is receiving total parenteral nutrition is: A. stomatitis B. hepatitis C. infection D. dysrhythmia 19. A solution used to treat pseudomonas wound infection is: A. Dakin’s solution B. half strength hydrogen peroxide C. acetic acid D. betadine 20. Which of the following is most reliable in diagnosing wound infection? A. purulent drainage from a wound B. culture and sensitivity C. WBC count of 20,000/μL D. gram staining Situation: As a member of the health and nursing team, you have a crucial role to play on ensuring that all members participate actively on the various tasks agreed upon. 21. While eating his meal, Matt accidentally dislodges his IV line and bleeds. Blood oozes on the surface of the over bed table. It is most appropriate that you instruct the housekeeper to clean the table with: A. acetone B. alcohol C. ammonia D. bleach 22. You are a member of the infection control team of the hospital. Based on a feedback during a meeting of the committee there is an increased incidence of pseudomonas infection in the burn unit (3 out of 10 patients had positive blood and wound culture). What is your priority activity? A. Establish policies of surveillance and monitoring B. Assign point persons who can implement policies C. Do data gathering about the possible sources of infection (observation, chart review, interview) D. Meet with the nursing group working in the burn unit and discuss problem with them 23. Part of your responsibility as a member of the diabetes core group is to get referrals from the various wards regarding diabetic patients needing diabetes education. Prior to discharge today, 4 patients are referred to you. How would you start prioritizing your activities? A. Determine their learning needs then prioritize B. Bring your diabetes teaching kit and start your session taking into consideration their distance from your office C. Contact the nurse-in-charge and find out from her the reason for the referral D. Involve the whole family in the teaching class 24. You have been designated as a member of the task force to plan activities for the Cancer Consciousness week. Your committee has 4 months to plan and implement the plan. You are assigned to contact the various cancer support groups in your hospital. What will be your priority activity? A. clarify objectives of the activity with the task force before contacting the support groups B. find out if there is budget for this activity C. determine the VIPs and celebrities who will be invited D. Find out how many support groups there are in the hospital and get the contact numbers of their president 25. You are invited to participate in the medical mission activity of your alumni association. In the planning stage, everybody is expected to identify what they can do during the medical mission and what resources are needed. You thought it is also your chance to share what you can do to others. What will be your most important role where you can demonstrate the impact of nursing in health? A. conduct health education on healthy lifestyle B. take the initial history and document findings C. be a triage nurse D. act as a coordinator Situation: As a nurse in the Oncology Unit, you have to be prepared to provide safe, efficient and effective care to your patients. 26. Which one of the following nursing interventions would be most helpful in preparing the patient for radiation therapy? A. offer tranquilizers and antiemetics B. instruct the patient of the possibility of radiation burn C. emphasis on the therapeutic value of the treatment D. map out the precise course of treatment 27. What side effects are most apt to occur to patient during radiation therapy to the pelvis? A. urinary retention B. abdominal, vaginal, or perineal discharge C. paresthesia of the lower extremities D. nausea, vomiting, and diarrhea 28. Which of the following can be used on the irradiated skin during a course of radiation therapy? A. adhesive tape 2 | Page
B. mineral oil C. talcum powder D. Zinc oxide treatment 29. Earliest sign of skin reaction to radiation therapy is: A. desquamation B. erythema C. atrophy D. pigmentation 30. What is the purpose of wearing a film badge while caring for the patient who is radioactive? A. identify the nurse who is assigned to care for such patient B. prevent radiation-induced sterility C. protect the nurse from radiation effects D. measure the amount of exposure to radiation Situation: In a disaster, there must be a chain of command in place that defines the roles of each member of the response team. Within the health care group, there are pre-assigned roles based on education, experience, and training on disaster. 31. As a nurse, to which of the following groups are you best prepared to join? A. transport group B. treatment group C. triage group D. morgue department 32. There are important principles that should guide the triage team in disaster management that you have to know if you were to volunteer as part of the triage team. The following principles should be observed in disaster triage, except: A. any disaster plan should have resources available to triage at each facility and at the disaster site if possible B. do the greatest good for the greatest number of casualties C. make the most efficient use of available resources D. training on disaster is not important to the response in the event of a real disaster because each disaster is unique in itself 33. Which of the following categories of conditions should be considered first priority in a disaster? A. intracranial pressure and mental status B. lower gastrointestinal problems C. respiratory infection D. trauma 34. A guideline that is utilized in determining priorities is to assess the status of the following, except: A. perfusion B. locomotion C. respiration D. mentation 35. Induction of vomiting is indicated for the accidental poisoning patient who has ingested: A. aspirin B. rust remover C. gasoline D. toilet bowl cleaner Situation: Quality management is essential in nursing and has been a critical part of nursing administration. As nurses, it is important to know by heart the concepts related to such. 36. Which statement made by a nurse about the goal of total quality management or continuous quality improvement in a health care setting is correct? A. “It is to observe reactive service and product problem solving.” B. “Improvement of the processes in a proactive, preventive mode is paramount.” C. “A chart audits to find common errors in practice and outcomes associated with goals.” D. “A flow chart to organize daily tasks is critical to the initial stages.” 37. The nurse manager identifies that time spent by staff charting is excessive, requiring overtime for completion. The nurse manager states that “staff will form a task force to investigate and develop potential solutions to the problem, and report on this at the next staff meeting.” The nurse manager’s leadership style is best described as: A. participative B. laissez-faire C. autocratic D. group 38. The nurse manager informs the nursing staff at morning report that the clinical nurse specialist will be conducting a research study on staff attitudes toward client care. All staff are invited to participate in the study if they wish. This affirms the ethical principle of: A. participativeness B. autonomy C. anonymity D. justice 39. The hospital has sounded the call for a disaster drill on the evening shift. Which of these clients would the nurse put first on the list to be discharged in order to make a room available for new admission? A. A middle-aged client with a history of being ventilator dependent for over 7 years and admitted with bacterial pneumonia five days ago B. An elderly client with a history of hypertension, hypercholesterolemia and lupus, and was admitted with Steven-Johnson Syndrome that morning C. A young adult with diabetes mellitus type 2 for over 10 years and admitted with antibiotic-induced diarrhea 24 hours ago D. An adolescent with a positive HIV test and admitted for acute cellulites of the lower leg 48 hours ago 40. A triage nurse has these 4 clients who arrived in the emergency department within 15 minutes. Which client should the triage nurse send back to be seen first? A. A teenager who got a singed beard while camping B. A middle-aged client with intermittent pain behind right scapula C. A 2 month old infant with a history of rolling off the bed and has bulging fontanels with crying D. An elderly client with complaints of frequent liquid brown-colored stools Situation: Manolo, a registered nurse, witnessed an old woman hit by a motorcycle while crossing a train railway. The old woman fell at the railway. Monolo rushed at the scene. (ortho) 41.As a registered nurse, Manolo knew that the first thing that he will do at the scene is: A. Stay with the person and encourage her to remain still and immobilize the leg while waiting for the ambulance B. Leave the person for a few moments to call for help C. Reduce the fracture manually D. Move the person to a safer place 42. Manolo suspects a hip fracture when he noticed that the old woman’s leg is: A. Lengthened, abducted and internally rotated B. Shortened, abducted and externally rotated C. Shortened, adducted and internally rotated D. Shortened, adducted and externally rotated 43. The old woman complains of pain. Agua noticed that the knee is reddened, warm to touch and swollen. Manolo interprets that this signs and symptoms are likely related to: A. Infection B. Inflammation C. Thrombophlebitis D. Degenerative disease 44. Barbara, the old woman was now immobilized and brought to the emergency room. The x-ray shows a fractured femur and pelvis. The ER nurse would carefully monitor Barbara for which of the following sign and symptoms? A. Tachycardia and hypotension B. Fever and bradycardia C. Bradycardia and hypertension D. Fever and hypertension 45. Which of the following serious complications can occur with long bone fractures? A. Bone emboli B. Fat emboli 3 | Page