DIAGNOSTIC EXAM - NP3 QUESTIONS
WITH ANSWERS 100% CORRECT
Situation - As a staff nurse in a government hospital, you have been
exposed to varied cases of clients with endocrine problems. Your nursing
responsibility starts from admission to discharge which is a domain of your
competencies.
1. Which of the following questions should you ask during an admission
interview for a client with a diagnosis of pheochromocytoma?
A. Do you always feel like you are suffocating, you want to rest and sleep
B. Do you suddenly feel warm and flushed when you get out of bed
C. Do you notice an increase in your heart beat?
D. Do you have an increase in urination lately? - ANSWER C. Do you
notice an increase in your heart beat?
2. When the sympathetic nervous system is stimulated in the case of
pheochromocytoma, you expect which of the following signs?
i. Hypertension
ii. Headache
iii. Hyperhidrosis
iv. Hypermetabolism
A. 3 and 4
B. 1 only
C. 1, 2, 3, and 4
D. 2 and 3 - ANSWER C. 1, 2, 3, and 4
3. Which of the following drugs can induce hypertensive crisis in
Pheochromocytoma?
,A. Tricyclic antidepressant
B. Corticosteroid
C. Respiratory stimulant
D. Radioiodine therapy - ANSWER A. Tricyclic antidepressant
4. In the presence of pheochromocytoma, the diagnostic test which is
expected to be elevated is ___________.
A. Serum thyroid hormone levels
B. Albumin globulin test
C. Urine cyclic adenosine monophosphate
D. 24 hours urine collection for vanillylmandelic acid (VMA) - ANSWER D.
24 hours urine collection for vanillylmandelic acid (VMA)
5. Palpation, as a modality for physical examination is AVOIDED when
diagnosed with pheochromocytoma because of this
action_______________.
A. Will cause sudden release of norepinephrine and severe hypotension
B. Will cause a sudden release of cathecolamines and severe hypertension
C. Will displace the location of the tumor
D. Will cause sudden release of epinephrine and severe palpitation -
ANSWER 5
Situation - Janine is the Nurse on duty in the medical ward and many of
Her patients are suffering from problems with oxygenation.
6. The following are relevant data to be documented when taking the health
history of a client with anemia EXCEPT:
A. Alcohol intake
B. Fatigue and weakness
C. Dietary intake
D. Episodes of bleeding - ANSWER D. Episodes of bleeding
7. A client with congenital heart disease is suffering from thickening of the
skin under his fingers due to chronic hemoglobin desaturation. Which of the
following specific terms should Ime use to accurately describe MOST the
client's condition in the chart?
, A. Peripheral cyanosis
B. Pallor of the fingertips
C. Peripheral neuropathy
D. Clubbing of the fingers - ANSWER D. Clubbing of the fingers
8. When the Nurse is assessing a client with Congestive Heart failure with
pitting edema, the Nurse's documentation will include which of the
following:
A. Degree of pitting edema
B. Time of indention recovery
C. Depth of edema
D. All of the options - ANSWER D. All of the options
9. Mr. Gabby has left sided heart failure. Janine's documentation of her
assessment findings will include the following, EXCEPT:
A. Dependent edema
B. Pulmonary crackles
C. Difficulty of breathing
D. Cough - ANSWER A. Dependent edema
10. A client is on diuretic therapy. Expected entry in patient's chart should
include the following information, EXCEPT:
A. Serum electrolytes monitored
B. Intake and output recorded
C. Lasix administered at 8 0'clock in the evening
D. Weight is taken before drug is given - ANSWER C. Lasix administered
at 8 o'clock in the evening
Situation — The TQM nurse reported to their director that there are a lot of
medication errors committed by nurses and doctors in the hospital for the
past 3 months. They made a decision to conduct a review of all the cases
with these errors. A clinical enhancement on drug administration was
strongly
recommended by going back to the basics. The following questions apply:
WITH ANSWERS 100% CORRECT
Situation - As a staff nurse in a government hospital, you have been
exposed to varied cases of clients with endocrine problems. Your nursing
responsibility starts from admission to discharge which is a domain of your
competencies.
1. Which of the following questions should you ask during an admission
interview for a client with a diagnosis of pheochromocytoma?
A. Do you always feel like you are suffocating, you want to rest and sleep
B. Do you suddenly feel warm and flushed when you get out of bed
C. Do you notice an increase in your heart beat?
D. Do you have an increase in urination lately? - ANSWER C. Do you
notice an increase in your heart beat?
2. When the sympathetic nervous system is stimulated in the case of
pheochromocytoma, you expect which of the following signs?
i. Hypertension
ii. Headache
iii. Hyperhidrosis
iv. Hypermetabolism
A. 3 and 4
B. 1 only
C. 1, 2, 3, and 4
D. 2 and 3 - ANSWER C. 1, 2, 3, and 4
3. Which of the following drugs can induce hypertensive crisis in
Pheochromocytoma?
,A. Tricyclic antidepressant
B. Corticosteroid
C. Respiratory stimulant
D. Radioiodine therapy - ANSWER A. Tricyclic antidepressant
4. In the presence of pheochromocytoma, the diagnostic test which is
expected to be elevated is ___________.
A. Serum thyroid hormone levels
B. Albumin globulin test
C. Urine cyclic adenosine monophosphate
D. 24 hours urine collection for vanillylmandelic acid (VMA) - ANSWER D.
24 hours urine collection for vanillylmandelic acid (VMA)
5. Palpation, as a modality for physical examination is AVOIDED when
diagnosed with pheochromocytoma because of this
action_______________.
A. Will cause sudden release of norepinephrine and severe hypotension
B. Will cause a sudden release of cathecolamines and severe hypertension
C. Will displace the location of the tumor
D. Will cause sudden release of epinephrine and severe palpitation -
ANSWER 5
Situation - Janine is the Nurse on duty in the medical ward and many of
Her patients are suffering from problems with oxygenation.
6. The following are relevant data to be documented when taking the health
history of a client with anemia EXCEPT:
A. Alcohol intake
B. Fatigue and weakness
C. Dietary intake
D. Episodes of bleeding - ANSWER D. Episodes of bleeding
7. A client with congenital heart disease is suffering from thickening of the
skin under his fingers due to chronic hemoglobin desaturation. Which of the
following specific terms should Ime use to accurately describe MOST the
client's condition in the chart?
, A. Peripheral cyanosis
B. Pallor of the fingertips
C. Peripheral neuropathy
D. Clubbing of the fingers - ANSWER D. Clubbing of the fingers
8. When the Nurse is assessing a client with Congestive Heart failure with
pitting edema, the Nurse's documentation will include which of the
following:
A. Degree of pitting edema
B. Time of indention recovery
C. Depth of edema
D. All of the options - ANSWER D. All of the options
9. Mr. Gabby has left sided heart failure. Janine's documentation of her
assessment findings will include the following, EXCEPT:
A. Dependent edema
B. Pulmonary crackles
C. Difficulty of breathing
D. Cough - ANSWER A. Dependent edema
10. A client is on diuretic therapy. Expected entry in patient's chart should
include the following information, EXCEPT:
A. Serum electrolytes monitored
B. Intake and output recorded
C. Lasix administered at 8 0'clock in the evening
D. Weight is taken before drug is given - ANSWER C. Lasix administered
at 8 o'clock in the evening
Situation — The TQM nurse reported to their director that there are a lot of
medication errors committed by nurses and doctors in the hospital for the
past 3 months. They made a decision to conduct a review of all the cases
with these errors. A clinical enhancement on drug administration was
strongly
recommended by going back to the basics. The following questions apply:
