NURSING PRACTICE IV – Care of Clients with Physiologic and
Psychosocial Alterations (Part B)
MULTIPLE CHOICE
Situation 1 – Because of the serious consequences of severe burns, management requires a
multidisciplinary approach. You have important responsibilities as a nurse.
1. While Sergio was lighting a barbecue grill with a lighter fluid, his shirt burns into flames.
The most effective way to extinguish the flames with as little further damage as possible
is to:
A. log roll on the grass/ground
B. slap the flames with his hands
C. remove the burning clothes
D. pour cold liquid over the flames
2. Once the flames are extinguished, it is most important to:
A. cover Sergio with a warm blanket
B. give him sips of water
C. calculate the extent of his burns
D. assess the Sergio’s breathing
3. Sergio is brought to Emergency Room after the barbecue grill accident. Based on the
assessment of the physician, Sergio sustained superficial partial thickness burns on his
trunk, right upper extremities and right lower extremities. His wife asks what that means?
Your most accurate response would be:
A. Structures beneath the skin are damage
B. Dermis is partially damaged
C. Epidermis and dermis are both damaged
D. Epidermis is damaged
4. During the first 24 hours after the thermal injury, you should asses Sergio for:
A. hypokalemia and hypernatremia
B. hypokalemia and hyponatremia
C. hyperkalemia and hyponatremia
D. hyperkalemia and hypernatremia
5. Teddy, who sustained deep partial thickness and full thickness burns of the face, whole
anterior chest and both upper extremities two days ago begins to exhibit extreme
restlessness. You recognize that this most likely indicates that Teddy is developing:
A. Cerebral hypoxia C. metabolic acidosis
B. Hypervolemia D. Renal failure
,Situation 2 – You are now working as a staff nurse in a general hospital. You have to be
prepared to handle situations with ethico-legal and moral implifications.
6. You are in night duty in surgical ward. One of your patients Martin is a prisoner who
sustained an abdominal gunshot wound. He is being guarded by policeman from the local
police unit. During your rounds you heard a commotion. You saw the policeman trying to
hit Martin. You asked why he was trying to hit Martin. He denied the matter. Which
among the following activities will you do first?
A. Write an accident report
B. Call security officer and report the incident
C. Call your nurse supervisor and report the incident
D. Call the physician on duty
7. You are on morning duty in the medical ward. You have 10 patients assigned to you.
During your endorsement rounds, you found out that one of your patients was not in
bed. The patient next to him informed you that he went home without notifying the
nurses. Which among the following will you do first?
A. Make an incident report
B. Call security to report the incident
C. Wait for 2 hours before reporting
D. Report the incident to your supervisor
8. You are on duty in the medical ward. You were asked to check the narcotics cabinet. You
found out that what is on record does not tally with the drugs used. Which among the
following will you do first?
A. Write an incident report and refer the matter to the nursing director
B. Keep your findings to yourself
C. Report the matter to your supervisor
D. Find out from the endorsement any patient who might have been given narcotics
9. You are on duty in the medical ward. The mother of your patient who is also a nurse,
came running to the nurses station and informed you that Fiolo went into
cardiopulmonary arrest.
A. Start basic life support measures
B. Call for the Code
C. Bring the crash cart to the room
D. Go to see Fiolo and assess for airway patency and breathing problems
10. You are admitting Jorge to the ward and you found out that he is positive for HIV. Which
among the following will you do first?
, A. Take note of it and plan to endorse this to next shift
B. Keep this matter to yourself
C. Write an incident report
D. Report the matter to your head nurse
Situation 3 - Colorectal cancer can affect old and younger people. Surgical procedures
and other modes of treatment are done to ensure quality of life. You are
assigned in the cancer institute to care of patients with this type of cancer.
11. Larry, 55 years old, who is suspected of having colorectal cancer, is admitted to the CI.
After taking the history and vital signs 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, Larry will require which diagnostic
study?
A. Carcinoembryonic antigen
B. Proctosigmoidoscopy
C. Stool hematologic test
D. Abdominal computed tomography (CT) test
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. diarrhea, heart burn and eructation
C. blood in the stools, anemia, and “pencil shaped” stools
D. anorexia, hematemesis, and increased peristalasis
15. Several days prior to bowel surgery, Larry may be given sulfasuxidine and neomycin
primarily to:
A. promote rest of the bowel by minimizing peristalsis
B. reduce the bacterial content of the colon
C. empty the bowel of solid waste
D. soften the stool by retaining water in the colon
Psychosocial Alterations (Part B)
MULTIPLE CHOICE
Situation 1 – Because of the serious consequences of severe burns, management requires a
multidisciplinary approach. You have important responsibilities as a nurse.
1. While Sergio was lighting a barbecue grill with a lighter fluid, his shirt burns into flames.
The most effective way to extinguish the flames with as little further damage as possible
is to:
A. log roll on the grass/ground
B. slap the flames with his hands
C. remove the burning clothes
D. pour cold liquid over the flames
2. Once the flames are extinguished, it is most important to:
A. cover Sergio with a warm blanket
B. give him sips of water
C. calculate the extent of his burns
D. assess the Sergio’s breathing
3. Sergio is brought to Emergency Room after the barbecue grill accident. Based on the
assessment of the physician, Sergio sustained superficial partial thickness burns on his
trunk, right upper extremities and right lower extremities. His wife asks what that means?
Your most accurate response would be:
A. Structures beneath the skin are damage
B. Dermis is partially damaged
C. Epidermis and dermis are both damaged
D. Epidermis is damaged
4. During the first 24 hours after the thermal injury, you should asses Sergio for:
A. hypokalemia and hypernatremia
B. hypokalemia and hyponatremia
C. hyperkalemia and hyponatremia
D. hyperkalemia and hypernatremia
5. Teddy, who sustained deep partial thickness and full thickness burns of the face, whole
anterior chest and both upper extremities two days ago begins to exhibit extreme
restlessness. You recognize that this most likely indicates that Teddy is developing:
A. Cerebral hypoxia C. metabolic acidosis
B. Hypervolemia D. Renal failure
,Situation 2 – You are now working as a staff nurse in a general hospital. You have to be
prepared to handle situations with ethico-legal and moral implifications.
6. You are in night duty in surgical ward. One of your patients Martin is a prisoner who
sustained an abdominal gunshot wound. He is being guarded by policeman from the local
police unit. During your rounds you heard a commotion. You saw the policeman trying to
hit Martin. You asked why he was trying to hit Martin. He denied the matter. Which
among the following activities will you do first?
A. Write an accident report
B. Call security officer and report the incident
C. Call your nurse supervisor and report the incident
D. Call the physician on duty
7. You are on morning duty in the medical ward. You have 10 patients assigned to you.
During your endorsement rounds, you found out that one of your patients was not in
bed. The patient next to him informed you that he went home without notifying the
nurses. Which among the following will you do first?
A. Make an incident report
B. Call security to report the incident
C. Wait for 2 hours before reporting
D. Report the incident to your supervisor
8. You are on duty in the medical ward. You were asked to check the narcotics cabinet. You
found out that what is on record does not tally with the drugs used. Which among the
following will you do first?
A. Write an incident report and refer the matter to the nursing director
B. Keep your findings to yourself
C. Report the matter to your supervisor
D. Find out from the endorsement any patient who might have been given narcotics
9. You are on duty in the medical ward. The mother of your patient who is also a nurse,
came running to the nurses station and informed you that Fiolo went into
cardiopulmonary arrest.
A. Start basic life support measures
B. Call for the Code
C. Bring the crash cart to the room
D. Go to see Fiolo and assess for airway patency and breathing problems
10. You are admitting Jorge to the ward and you found out that he is positive for HIV. Which
among the following will you do first?
, A. Take note of it and plan to endorse this to next shift
B. Keep this matter to yourself
C. Write an incident report
D. Report the matter to your head nurse
Situation 3 - Colorectal cancer can affect old and younger people. Surgical procedures
and other modes of treatment are done to ensure quality of life. You are
assigned in the cancer institute to care of patients with this type of cancer.
11. Larry, 55 years old, who is suspected of having colorectal cancer, is admitted to the CI.
After taking the history and vital signs 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, Larry will require which diagnostic
study?
A. Carcinoembryonic antigen
B. Proctosigmoidoscopy
C. Stool hematologic test
D. Abdominal computed tomography (CT) test
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. diarrhea, heart burn and eructation
C. blood in the stools, anemia, and “pencil shaped” stools
D. anorexia, hematemesis, and increased peristalasis
15. Several days prior to bowel surgery, Larry may be given sulfasuxidine and neomycin
primarily to:
A. promote rest of the bowel by minimizing peristalsis
B. reduce the bacterial content of the colon
C. empty the bowel of solid waste
D. soften the stool by retaining water in the colon
