NURSING PRACTICE III - CARE OF CLIENTS
(PART A) questions with correct answers
Situation 1- Rica, a Pediatric Cardiovascular Nurse is assigned to take
care of 3 children in her unit. She just admitted a 12-year-old female
patient suffering from Rheumatic Fever (RF)
1. When doing as assestment, which ONE of the following condition is
NOT present based on the Jones Criteria?
A. Erythema Marginatum
B. Subcutaneous nodules
c. Chorea
D. Bronchopneumonia Correct Answer-D. Bronchopneumonia
2. In Rheumatic Fever, the factor contributory to the
development of this disease process is brought about by _____
A. Auto-immune reaction to streptococcal infection
B. Auto-immune reaction to collagen diseases
C. Parents had rheumatic heart disease
D. Exposure to colds and droplet infection Correct Answer-A. Auto-
immune reaction to streptococcal infection
3. Leny, 6 years old, is receiving digitalis for having patentductus
arteriosus with heart failure. Prior to the administrationof the medicines,
which of the following nursing action should be done by nurse Rica?
,A. Take the carotid pulse rate for one full minute
B. Take the heart rate for one full minute.
C. Take the respiratory rate.
D. Take the blood pressure. Correct Answer-B. Take the heart rate for
one full minute.
4. While nurse Rica was doing her regular rounds, one of the mother
approached her saying that her child who a Tetralogy of Fallot. Prepared
to squat on bed rather than assuming a supine position. THE BEST
action of the nurse is ______.
A. let the mother continue the position of her child is she feels
comfortable with it.
B. divert the child's attention by letting her join the nurses' rounds
C. put her on bed and start to administer oxygeb inhalation
D. discourage the child and let her lie o Correct Answer-A. let the
mother continue the position of her child is she feels comfortable with it.
5. Another patient in the unit is Letty, 8 years old, waiting to be
scheduled for surgery because of a Coartation of the Aorta. With this
disorder, Letty will manifest which one of the
following symptoms?
A. murmur and bruit of the lungs.
, B. Central and peripheral edema.
C. Hypertension and diminished pulses in the extremities.
D. hepatomegaly and shortnedd of breathing Correct Answer-C.
Hypertension and diminished pulses in the extremities.
Situation 2 - Mr. Joeis 55 year old, ,married , a car dealer has consulted
the ER because of on and fever, indigestion, weight loss, right
abdominal pain, body malaise, and itchiness of the skin. Based on the
health history of the patient has been a chain smoker and drinks
alcoholic beverages almost every day especially when he has client to
entertain. His physical examination showed he has a suspected liver
cirrhosis. He was advised for admission for further work-up and
treatment.
6. You are Correct Answer-A. Gonadal atropy
7. Which of the following statements is TRUE of liver cirrhosis?
1. Nutritional deficiency with decreased protein intake
contributes to liver damage
2. Cirrhosis can happen to people with alcohol intake
3. Women are the greater risk for development of
alcohol-induced liver disease.
4. Most patients affected by liver cirrhosis are between 40 to
60 years of age.
(PART A) questions with correct answers
Situation 1- Rica, a Pediatric Cardiovascular Nurse is assigned to take
care of 3 children in her unit. She just admitted a 12-year-old female
patient suffering from Rheumatic Fever (RF)
1. When doing as assestment, which ONE of the following condition is
NOT present based on the Jones Criteria?
A. Erythema Marginatum
B. Subcutaneous nodules
c. Chorea
D. Bronchopneumonia Correct Answer-D. Bronchopneumonia
2. In Rheumatic Fever, the factor contributory to the
development of this disease process is brought about by _____
A. Auto-immune reaction to streptococcal infection
B. Auto-immune reaction to collagen diseases
C. Parents had rheumatic heart disease
D. Exposure to colds and droplet infection Correct Answer-A. Auto-
immune reaction to streptococcal infection
3. Leny, 6 years old, is receiving digitalis for having patentductus
arteriosus with heart failure. Prior to the administrationof the medicines,
which of the following nursing action should be done by nurse Rica?
,A. Take the carotid pulse rate for one full minute
B. Take the heart rate for one full minute.
C. Take the respiratory rate.
D. Take the blood pressure. Correct Answer-B. Take the heart rate for
one full minute.
4. While nurse Rica was doing her regular rounds, one of the mother
approached her saying that her child who a Tetralogy of Fallot. Prepared
to squat on bed rather than assuming a supine position. THE BEST
action of the nurse is ______.
A. let the mother continue the position of her child is she feels
comfortable with it.
B. divert the child's attention by letting her join the nurses' rounds
C. put her on bed and start to administer oxygeb inhalation
D. discourage the child and let her lie o Correct Answer-A. let the
mother continue the position of her child is she feels comfortable with it.
5. Another patient in the unit is Letty, 8 years old, waiting to be
scheduled for surgery because of a Coartation of the Aorta. With this
disorder, Letty will manifest which one of the
following symptoms?
A. murmur and bruit of the lungs.
, B. Central and peripheral edema.
C. Hypertension and diminished pulses in the extremities.
D. hepatomegaly and shortnedd of breathing Correct Answer-C.
Hypertension and diminished pulses in the extremities.
Situation 2 - Mr. Joeis 55 year old, ,married , a car dealer has consulted
the ER because of on and fever, indigestion, weight loss, right
abdominal pain, body malaise, and itchiness of the skin. Based on the
health history of the patient has been a chain smoker and drinks
alcoholic beverages almost every day especially when he has client to
entertain. His physical examination showed he has a suspected liver
cirrhosis. He was advised for admission for further work-up and
treatment.
6. You are Correct Answer-A. Gonadal atropy
7. Which of the following statements is TRUE of liver cirrhosis?
1. Nutritional deficiency with decreased protein intake
contributes to liver damage
2. Cirrhosis can happen to people with alcohol intake
3. Women are the greater risk for development of
alcohol-induced liver disease.
4. Most patients affected by liver cirrhosis are between 40 to
60 years of age.
