Medical Surgical Nursing Test (Exam Mode) By Rnpedia.Com

25 Questions | Total Attempts: 1884

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Medical Surgical Nursing Test (Exam Mode) By Rnpedia.Com

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Questions and Answers
  • 1. 
    SITUATION : Arthur, A registered nurse, witnessed an old woman hit by a motorcycle while crossing a train railway. The old woman fell at the railway. Arthur rushed at the scene.1. As a registered nurse, Arthur knew that the first thing that he will do at the scene is 
    • A. 

      Stay with the person, Encourage her to remain still and Immobilize the leg while 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.

  • 2. 
    3. The old woman complains of pain. John noticed that the knee is reddened, warm to touch and swollen. John interprets that this signs and symptoms are likely related to
    • A. 

      Infection

    • B. 

      Thrombophlebitis

    • C. 

      Inflammation

    • D. 

      Degenerative disease

  • 3. 
    SITUATION: Mr. D. Rojas, An obese 35 year old MS Professor of OLFU Lagro is admitted due to pain in his weight bearing joint. The diagnosis was Osteoarthritis.7. You also told Mr. Rojas to hold the cane
    • A. 

      1 Inches in front of the foot.

    • B. 

      3 Inches at the lateral side of the foot.

    • C. 

      6 Inches at the lateral side of the foot.

    • D. 

      12 Inches at the lateral side of the foot.

  • 4. 
    SITUATION : Arthur, A registered nurse, witnessed an old woman hit by a motorcycle while crossing a train railway. The old woman fell at the railway. Arthur rushed at the scene.Arthur 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.

  • 5. 
    The old woman told John that she has osteoporosis; Arthur knew that all of the following factors would contribute to osteoporosis except  
    • A. 

      Hypothyroidism

    • B. 

      End stage renal disease

    • C. 

      Cushing’s Disease

    • D. 

      Taking Furosemide and Phenytoin.

  • 6. 
    Martha, 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 Martha for which of the following sign and symptoms? 
    • A. 

      Tachycardia and Hypotension

    • B. 

      Fever and Bradycardia

    • C. 

      Bradycardia and Hypertension

    • D. 

      Fever and Hypertension

  • 7. 
    SITUATION: Mr. D. Rojas, An obese 35 year old MS Professor of OLFU Lagro is admitted due to pain in his weight bearing joint. The diagnosis was Osteoarthritis.As a nurse, you instructed Mr. Rojas how to use a cane. Mr. Rojas has a weakness on his right leg due to self immobilization and guarding. You plan to teach Mr. Rojas to hold the cane 
    • A. 

      On his left hand, because his right side is weak.

    • B. 

      On his left hand, because of reciprocal motion.

    • C. 

      On his right hand, to support the right leg.

    • D. 

      On his right hand, because only his right leg is weak.

  • 8. 
    SITUATION: Mr. D. Rojas, An obese 35 year old MS Professor of OLFU Lagro is admitted due to pain in his weight bearing joint. The diagnosis was Osteoarthritis. Mr. Rojas was discharged and 6 months later, he came back to the emergency room of the hospital because he suffered a mild stroke. The right side of the brain was affected. At the rehabilitative phase of your nursing care, you observe Mr. Rojas use a cane and you intervene if you see him 
    • A. 

      Moves the cane when the right leg is moved.

    • B. 

      Leans on the cane when the right leg swings through.

    • C. 

      Keeps the cane 6 Inches out to the side of the right foot.

    • D. 

      Holds the cane on the right side.

  • 9. 
    SITUATION: Alfred, a 40 year old construction worker developed cough, night sweats and fever. He was brought to the nursing unit for diagnostic studies. He told the nurse he did not receive a BCG vaccine during childhoodThe nurse performs a Mantoux Test. The nurse knows that Mantoux Test is also known as  
    • A. 

      PPD

    • B. 

      PDP

    • C. 

      PDD

    • D. 

      DPP

  • 10. 
    SITUATION: Alfred, a 40 year old construction worker developed cough, night sweats and fever. He was brought to the nursing unit for diagnostic studies. He told the nurse he did not receive a BCG vaccine during childhood The nurse would inject the solution in what route? 
    • A. 

      IM

    • B. 

      IV

    • C. 

      ID

    • D. 

      SC

  • 11. 
    SITUATION: Alfred, a 40 year old construction worker developed cough, night sweats and fever. He was brought to the nursing unit for diagnostic studies. He told the nurse he did not receive a BCG vaccine during childhoodThe nurse notes that a positive result for Alfred is 
    • A. 

      5 mm wheal

    • B. 

      5 mm Induration

    • C. 

      10 mm Wheal

    • D. 

      10 mm Induration

  • 12. 
    SITUATION: Alfred, a 40 year old construction worker developed cough, night sweats and fever. He was brought to the nursing unit for diagnostic studies. He told the nurse he did not receive a BCG vaccine during childhoodThe nurse told Alfred to come back after 
    • A. 

      A week

    • B. 

      48 hours

    • C. 

      1 day

    • D. 

      4 days

  • 13. 
    SITUATION: Alfred, a 40 year old construction worker developed cough, night sweats and fever. He was brought to the nursing unit for diagnostic studies. He told the nurse he did not receive a BCG vaccine during childhoodMang Alfred returns after the Mantoux Test. The test result read POSITIVE. What should be the nurse’s next action? 
    • A. 

      Call the Physician

    • B. 

      Notify the radiology dept. for CXR evaluation

    • C. 

      Isolate the patient

    • D. 

      Order for a sputum exam

  • 14. 
    SITUATION: Alfred, a 40 year old construction worker developed cough, night sweats and fever. He was brought to the nursing unit for diagnostic studies. He told the nurse he did not receive a BCG vaccine during childhoodWhy is Mantoux test not routinely done in the Philippines? 
    • A. 

      It requires a highly skilled nurse to perform a Mantoux test

    • B. 

      The sputum culture is the gold standard of PTB Diagnosis and it will definitively determine the extent of the cavitary lesions

    • C. 

      Chest X Ray Can diagnose the specific microorganism responsible for the lesions

    • D. 

      Almost all Filipinos will test positive for Mantoux Test

  • 15. 
    SITUATION: Alfred, a 40 year old construction worker developed cough, night sweats and fever. He was brought to the nursing unit for diagnostic studies. He told the nurse he did not receive a BCG vaccine during childhoodMang Alfred is now a new TB patient with an active disease. What is his category according to the DOH? 
    • A. 

      I

    • B. 

      II

    • C. 

      III

    • D. 

      IV

  • 16. 
    SITUATION: Alfred, a 40 year old construction worker developed cough, night sweats and fever. He was brought to the nursing unit for diagnostic studies. He told the nurse he did not receive a BCG vaccine during childhoodHow long is the duration of the maintenance phase of his treatment? 
    • A. 

      2 months

    • B. 

      3 months

    • C. 

      4 months

    • D. 

      5 months

  • 17. 
    SITUATION: Alfred, a 40 year old construction worker developed cough, night sweats and fever. He was brought to the nursing unit for diagnostic studies. He told the nurse he did not receive a BCG vaccine during childhoodAccording to the DOH, the most hazardous period for development of clinical disease is during the first 
    • A. 

      6-12 months after

    • B. 

      3-6 months after

    • C. 

      1-2 months after

    • D. 

      2-4 weeks after

  • 18. 
    SITUATION: Alfred, a 40 year old construction worker developed cough, night sweats and fever. He was brought to the nursing unit for diagnostic studies. He told the nurse he did not receive a BCG vaccine during childhoodThis is the name of the program of the DOH to control TB in the country  
    • A. 

      DOTS

    • B. 

      National Tuberculosis Control Program

    • C. 

      Short Coursed Chemotherapy

    • D. 

      Expanded Program for Immunization

  • 19. 
    SITUATION: Alfred, a 40 year old construction worker developed cough, night sweats and fever. He was brought to the nursing unit for diagnostic studies. He told the nurse he did not receive a BCG vaccine during childhoodSusceptibility for the disease [ TB ] is increased markedly in those with the following condition except 
    • A. 

      23 Year old athlete with diabetes insipidus

    • B. 

      23 Year old athlete taking long term Decadron therapy and anabolic steroids

    • C. 

      23 Year old athlete taking illegal drugs and abusing substances

    • D. 

      Undernourished and Underweight individual who undergone gastrectomy

  • 20. 
    SITUATION: Alfred, a 40 year old construction worker developed cough, night sweats and fever. He was brought to the nursing unit for diagnostic studies. He told the nurse he did not receive a BCG vaccine during childhoodDirect sputum examination and Chest X ray of TB symptomatic is in what level of prevention? 
    • A. 

      Primary

    • B. 

      Secondary

    • C. 

      Tertiary

    • D. 

      Quarterly

  • 21. 
    SITUATION: Michiel, A male patient diagnosed with colon cancer was newly put in colostomy.Michiel shows the BEST adaptation with the new colostomy if he shows which of the following? 
    • A. 

      Look at the ostomy site

    • B. 

      Participate with the nurse in his daily ostomy care

    • C. 

      Ask for leaflets and contact numbers of ostomy support groups

    • D. 

      Talk about his ostomy openly to the nurse and friends

  • 22. 
    SITUATION: Michiel, A male patient diagnosed with colon cancer was newly put in colostomy. The nurse plans to teach Michiel about colostomy irrigation. As the nurse prepares the materials needed, which of the following item indicates that the nurse needs further instruction? 
    • A. 

      Plain NSS / Normal Saline

    • B. 

      K-Y Jelly

    • C. 

      Tap water

    • D. 

      Irrigation sleeve

  • 23. 
    SITUATION: Michiel, A male patient diagnosed with colon cancer was newly put in colostomy.The nurse should insert the colostomy tube for irrigation at approximately 
    • A. 

      1-2 inches

    • B. 

      3-4 inches

    • C. 

      6-8 inches

    • D. 

      12-18 inches

  • 24. 
    SITUATION: Michiel, A male patient diagnosed with colon cancer was newly put in colostomy.The maximum height of irrigation solution for colostomy is
    • A. 

      5 inches

    • B. 

      12 inches

    • C. 

      18 inches

    • D. 

      24 inches

  • 25. 
    SITUATION: Michiel, A male patient diagnosed with colon cancer was newly put in colostomy.Which of the following behavior of the client indicates the best initial step in learning to care for his colostomy? 
    • A. 

      Ask to defer colostomy care to another individual

    • B. 

      Promises he will begin to listen the next day

    • C. 

      Agrees to look at the colostomy

    • D. 

      States that colostomy care is the function of the nurse while he is in the hospital