NURSING PRACTICE III – CARE OF THE CLIENT WITH PHYSIOLOGIC AND PSYCHOSOCIAL ALTERATIONS
Situation I: Leo lives in the squatter area. He goes to nearby school. He helps his mother gather molasses after school. One day, he was absent because of
fever, malaise, anorexia, and abdominal discomfort.
1. Upon assessment, Leo was diagnosed to have hepatitis A. Which mode of transmission has the infection agent taken?
a. Fecal oral
b. Droplet
c. Airborne
d. Sexual contact
2. Which of the following is concurrent disinfection in the case of Leo?
a. Investigation of contact
b. Sanitary disposal of feces, urine and blood
c. Quarantine of the sick individual
d. Removing all detachable objects in the room, cleaning lighting and air duct surfaces in the ceiling and cleaning everything downward to the
floor
3. Which of the following must be emphasized during mother’s class to Leo’s mother?
a. Administration of immunoglobulin to families
b. Thorough had washing before and after eating and toileting
c. Use of attenuated vaccines
d. Boiling of food especially meat
4. Disaster control should be undertaken when there are 3 or more hepatitis A cases. Which of these measures is a priority?
a. Eliminate fecal contamination from foods
b. Mass vaccination of uninfected individuals
c. Health promotion and education to families and opportunities about the disease, its cause and transmission
d. Mass administration of Immunoglobulin
5. What is the average incubation period of Hepatitis A?
a. 30 days
b. 60 days
c. 50 days
d. 14 days
Situation 2: As a nurse researcher, you must have a very good understanding of the common terms of concept used in research.
6. The information that an investigator collects from the subjects or participants in a research study is usually called
a. Hypothesis
b. Data
c. Variable
d. Concept
7. Which of the following usually refers to the independent variables in doing research?
a. Result
b. Cause
c. Output
d. Effect
8. The recipients of experimental treatment is an experimental design or the individuals to be observed in a non-experimental design are called
a. Setting
b. Subjects
c. Treatment
d. Sample
9. The device or techniques an investigator employs to collect data is called
a. Sample
b. Instrument
c. Hypothesis
d. Concept
10. The use of another person’s ideas or workings without giving appropriate credit results from inaccurate or incomplete attribution of materials to its
sources. Which of the following is referred to when another person’s idea is inappropriately credited as one’s own?
a. Plagiarism
b. Quotation
c. Assumption
d. Paraphrase
Situation 3: Mrs Pichay is admitted to your ward. The MD ordered “prepare for thoracentesis this pm to remove excess air from the pleural cavity.”
, 11. Which of the following nursing responsibilities is essential in Mrs. Pichay who will undergo thracentesis?
a. Support and reassure client during the procedure
b. Ensure that informed consent has been signed
c. Determine if client has allergic reaction to local anesthesia
d. Ascertain if chest x-rays and other tests have been prescribed and completed
12. Mrs. Pichay who is for thoracentesis is assigned by the nurse to which of the following positions?
a. Trendelenburg position
b. Supine position
c. Dorsal recumbent position
d. Orthopneic position
13. During thoracentesis, which of the following nursing intervention will be most crucial?
a. Place patient in a quiet and cool room
b. Maintain strict aseptic technique
c. Advise patient to sit perfectly still during needle insertion until it has been withdrawn from the chest
d. Apply pressure over the puncture site as soon as the needle is withdrawn
14. To prevent leakage of fluid in the thoracic cavity, how will you position the client after thoracentesis?
a. Place flat in bed
b. Turn on the unaffected side
c. Turn on the affected side
d. On bed rest
15. Chest x-ray was ordered after thoracentesis. When your client asks what is the reason for another chest x-ray, you will explain
a. To rule out pneumothorax
b. To rule out any possible perforation
c. To decongest
d. To rule out any foreign body
Situation 4: A computer analyst, Mr. Ricardo J. Santos, 25, was brought to the hospital for diagnostic workup after he had experienced seizure in his office.
16. Just as the nurse was entering the room, the patient who was sitting on his chair begins to have a seizure. Which of the following must the nurse do
first?
a. Ease the patient to the floor
b. Lift the patient and put him on the bed
c. Insert a padded tongue depressor between his jaws
d. Restrain patient’s body movement
17. Mr. Santos is scheduled for CT Scan for the next day, noon time. Which of the following is the correct preparation as instructed by the nurse?
a. Shampoo hair thoroughly to remove oil and dirt
b. No special preparation is needed. Instruct the patient to keep his head still and steady
c. Give a cleansing enema and give fluids until 8AM
d. Shave scalp and securely attach electrodes to it
18. Mr. Santos is placed on seizure precaution. Which of the following would be contraindicated?
a. Obtain his oral temperature
b. Encourage to perform his own personal hygiene
c. Allow him to wear his own clothing
d. Encourage him to be out of bed
19. Usually, how does the patient behave after his seizure has subsided?
a. Most comfortable walking and moving about
b. Becomes restless and agitated
c. Sleeps for a period of time
d. Say he is thirsty and hungry
20. Before, during and after seizure, the nurse knows that the patient is ALWAYS placed in what position?
a. Low fowler’s
b. Modified trendelenburg
c. Side lying
d. Supine
Situation 5: Mrs. Damian, an immediate post-op cholecystectomy and choledocholithotomy patient, complained of severe pain at the wound site.
21. Choledocholithotomy is
a. The removal of the gallbladder
b. The removal of the stones in the gallbladder
c. The removal of the stones in the common bile duct
d. The removal of the stones in the kidney
Situation I: Leo lives in the squatter area. He goes to nearby school. He helps his mother gather molasses after school. One day, he was absent because of
fever, malaise, anorexia, and abdominal discomfort.
1. Upon assessment, Leo was diagnosed to have hepatitis A. Which mode of transmission has the infection agent taken?
a. Fecal oral
b. Droplet
c. Airborne
d. Sexual contact
2. Which of the following is concurrent disinfection in the case of Leo?
a. Investigation of contact
b. Sanitary disposal of feces, urine and blood
c. Quarantine of the sick individual
d. Removing all detachable objects in the room, cleaning lighting and air duct surfaces in the ceiling and cleaning everything downward to the
floor
3. Which of the following must be emphasized during mother’s class to Leo’s mother?
a. Administration of immunoglobulin to families
b. Thorough had washing before and after eating and toileting
c. Use of attenuated vaccines
d. Boiling of food especially meat
4. Disaster control should be undertaken when there are 3 or more hepatitis A cases. Which of these measures is a priority?
a. Eliminate fecal contamination from foods
b. Mass vaccination of uninfected individuals
c. Health promotion and education to families and opportunities about the disease, its cause and transmission
d. Mass administration of Immunoglobulin
5. What is the average incubation period of Hepatitis A?
a. 30 days
b. 60 days
c. 50 days
d. 14 days
Situation 2: As a nurse researcher, you must have a very good understanding of the common terms of concept used in research.
6. The information that an investigator collects from the subjects or participants in a research study is usually called
a. Hypothesis
b. Data
c. Variable
d. Concept
7. Which of the following usually refers to the independent variables in doing research?
a. Result
b. Cause
c. Output
d. Effect
8. The recipients of experimental treatment is an experimental design or the individuals to be observed in a non-experimental design are called
a. Setting
b. Subjects
c. Treatment
d. Sample
9. The device or techniques an investigator employs to collect data is called
a. Sample
b. Instrument
c. Hypothesis
d. Concept
10. The use of another person’s ideas or workings without giving appropriate credit results from inaccurate or incomplete attribution of materials to its
sources. Which of the following is referred to when another person’s idea is inappropriately credited as one’s own?
a. Plagiarism
b. Quotation
c. Assumption
d. Paraphrase
Situation 3: Mrs Pichay is admitted to your ward. The MD ordered “prepare for thoracentesis this pm to remove excess air from the pleural cavity.”
, 11. Which of the following nursing responsibilities is essential in Mrs. Pichay who will undergo thracentesis?
a. Support and reassure client during the procedure
b. Ensure that informed consent has been signed
c. Determine if client has allergic reaction to local anesthesia
d. Ascertain if chest x-rays and other tests have been prescribed and completed
12. Mrs. Pichay who is for thoracentesis is assigned by the nurse to which of the following positions?
a. Trendelenburg position
b. Supine position
c. Dorsal recumbent position
d. Orthopneic position
13. During thoracentesis, which of the following nursing intervention will be most crucial?
a. Place patient in a quiet and cool room
b. Maintain strict aseptic technique
c. Advise patient to sit perfectly still during needle insertion until it has been withdrawn from the chest
d. Apply pressure over the puncture site as soon as the needle is withdrawn
14. To prevent leakage of fluid in the thoracic cavity, how will you position the client after thoracentesis?
a. Place flat in bed
b. Turn on the unaffected side
c. Turn on the affected side
d. On bed rest
15. Chest x-ray was ordered after thoracentesis. When your client asks what is the reason for another chest x-ray, you will explain
a. To rule out pneumothorax
b. To rule out any possible perforation
c. To decongest
d. To rule out any foreign body
Situation 4: A computer analyst, Mr. Ricardo J. Santos, 25, was brought to the hospital for diagnostic workup after he had experienced seizure in his office.
16. Just as the nurse was entering the room, the patient who was sitting on his chair begins to have a seizure. Which of the following must the nurse do
first?
a. Ease the patient to the floor
b. Lift the patient and put him on the bed
c. Insert a padded tongue depressor between his jaws
d. Restrain patient’s body movement
17. Mr. Santos is scheduled for CT Scan for the next day, noon time. Which of the following is the correct preparation as instructed by the nurse?
a. Shampoo hair thoroughly to remove oil and dirt
b. No special preparation is needed. Instruct the patient to keep his head still and steady
c. Give a cleansing enema and give fluids until 8AM
d. Shave scalp and securely attach electrodes to it
18. Mr. Santos is placed on seizure precaution. Which of the following would be contraindicated?
a. Obtain his oral temperature
b. Encourage to perform his own personal hygiene
c. Allow him to wear his own clothing
d. Encourage him to be out of bed
19. Usually, how does the patient behave after his seizure has subsided?
a. Most comfortable walking and moving about
b. Becomes restless and agitated
c. Sleeps for a period of time
d. Say he is thirsty and hungry
20. Before, during and after seizure, the nurse knows that the patient is ALWAYS placed in what position?
a. Low fowler’s
b. Modified trendelenburg
c. Side lying
d. Supine
Situation 5: Mrs. Damian, an immediate post-op cholecystectomy and choledocholithotomy patient, complained of severe pain at the wound site.
21. Choledocholithotomy is
a. The removal of the gallbladder
b. The removal of the stones in the gallbladder
c. The removal of the stones in the common bile duct
d. The removal of the stones in the kidney
