Diabetes KETOACIDOSIS breathsound (kussmauls sound)- shallow and slow "OS" - left eye mechanism of drug action: absortion,

n, distribution, metabolism, e xcretion ---> pharmakokinetic function of cerebellum- balance saturated fats, avoid. I.beef II.nuts III.olive oil a. I b. I & II c. II & III d. I, II, III to decrease potassium level - kayexalate management after cataract operation cranial nerve # 1...review na din yung the rest..:) TOF, except, a. SVD? b. pulmonary stenosis. c. transposition of great aorta HIV and aids Research, quantitative, experimental, quasi experimental, yan mga yan congestive heart failure..tricky ng mga tanong nila!tsk CVA DEPRESSION, 1st management. a SSRI B. ECT ASTHMA EMPHYSEMA health promotion- meaning anemia. diff types of anemia RACE OVER CULTURE - meaning status epilepticus - mgt. a. provide airway, b. put o2..haha.. 80 yr old woman walking into the toilet, suddenly have grand mal seizure, 1st priority? a. put pillow under the head b. clear furniture etc. madami NSG DIAGNOSIS. Prioritization lang. Why do you give 2 lts of o2 in copd pt.? prevent o2 toxicity centre of respiration..hahah...kala ko medulla oblongata..lols..a. oxygen, b. carbon dioxide, c. carbon monoxide........ in case of fire.
Here are sample questions contributed by different takers... ECT is used to mainly treat: 1. 1. Depression 2. Chronic Schizophrenia CASE: ACUTE PANCREATITIS What are the signs? 1.

1. Edema on the periumbilical area 2. Discoloration on the abdominal/flank Which of the following can be seen in his laboratory results? 1. High amylase 2. decrease lipase 3. increase WBC Post-herpetic neuralgia - Drug given: Amitriptyline You should understand that this medication 1. 1. It helps in mood elevation to alleviate pain 2. Give a lower those before increasing 3. ... Side effect: Which Beta Blocker has an antiarryhythmic effect and a negative inotropic effect 1. 1. Verapamil 2. Norvasc 3. Isorbid In an End Stage Renal Failure, which of the following laboratory result is seen? 1. 1. High Creatinine Clearance 2. High BUN 3. High Blood pH 4. Hyperkalemia ( or Hypercalcemia I can't remember) Reason for inserting NGT on a post hemicolectomy 1. 1. Relieve abdominal distention 2. Administer medication 3. Empty stomach contents Evidence of Anorexia Nervosa 1. 1. Amenorrhea You observed an old woman having a redness on the sacral but disappeared after bathing. On the next day, you observed that the redness is there again and after morning care it did not disappear. You will note that this is a case of: 1. 1. Stage I Pressure Ulcer 2. Pruritus 3. Dermatitis How will you perform oral care to an unconscious client? 1. 1. Lateral position with head at the side 2. Prone 3. Elevate the head of the bed 4. Supine position with the head at the side Which is a sign of a significant electrolyte imbalance?

1. 1. (+) Trousseau sign 2. (+) Murphy's sign 3. Absent Babinski reflex Transmission- Based Precaution: The door must be always close in an hospital setting in a case of: I. Airborne II. Contact III. Droplet 1. 1. I only 2. I and II 3. I and III 4. I, II, and III Pre-operative teaching for a patient going for Total Hip Replacement 1. 1. Isometric exercises with quadriceps muscle 2. Turning position from supine to prone 3. Log Rolling to the affected side 4. ..... and trapeze for using bedpan Definition of HEALTH according to WHO Purpose of Evidence Based Practice The patient is avoiding foods rich in tyramine. Which of the following will he avoid EXCEPT: 1. 1. Aged cheese 2. Red Meat 3. Processed Meat 4. Soy Sauce Foods rich in albumin 1. 1. (cant remember) 2. Fruits 3. Grain 4. Meat and beans A physician ordered Vancomycin 450 mg every 6 hours for a child. The nurse verified the order since the child weighs 4.5 kgs and the physician said that is correct. What is the nurse next action? 1. 1. Inform your supervisor 2. Administer the medication as prescribed. 3. Ask another physician to check. 4. Lower the dose How will you assess a child for pain? 1. 1. Numeric Scale 2. WongBaker Scale 3. Visual Scale Mononucleosis 1. 1. It is caused by paravirus.

2. The early signs are sore throat, fever, __ 3. Affects only the adults. 4. The children must be vaccinated. ABCD in Cancer. Which is wrong? 1. 1. Asymmetry 2. Border irregularity 3. Color is not the same 4. Diameter is greater than 6mm How would you position of a patient during a kidney biopsy 1. 1. Lateral side on the unaffected side 2. Prone with a pillow under the abdomen 3. Feet elevated A construction worker was admitted due to dizziness and fatigue. He said he did not drink any fluids throughout the day. His blood results came back: K=5.8, Na=135. (Hindi completo ung details pero yan ung main). Which is the diagnosis? 1. 1. Dehydration 2. Renal failure What is your PRIORITY during this stage? 1. 1. Infuse rapid replacement 2. Ensuring the correct solution for the type of dehydration Which is a health promotion strategy? 1. 1. First aid in the school 2. Do a weekly BP monitoring in a shopping mall 3. Anti-smoking campaign for adults Decrease WBC is seen in which case? 1. 1. Lymphoma 2. Lymphatic leukemia Signs of pernicious anemia EXCEPT: 1. 1. glossitis 2. paresthesia 3. pruritus 4. jaundice Which type of anemia is caused by the lack of intrinsic factor? 1. 1. pernicious 2. sickle A patient returned and tells you that she does not understand why is she having a repeat laparoscopy? What will be your appropriate nursing action? 1. 1. A second laparoscopy will confirm the diagnosis.

2. Most of the time patients have a second laparoscopy. 3. Tell the doctor regarding the client's concern and ask him to come to the ward and explain. In a spontaneous delivery, the child is positioned in a 1. 1. longitudinal 2. transverse 3. oblique 4. breach A post operative patient is always asking for pain medicine every 6 to 8 hours. The patient shows signs of pain. The nurse should: 1. 1. Tell the patient that she has an over seeking problem. 2. Increase the dose 3. Call the doctor and ask to order a give analgesic routinely. ER - which will you prioritize? 1. 1. Chemical burn which was flushed in the accident 2. Electrical burn caused by a high voltage source 3. Facial burn at the right side of the face and the shoulder 4. Full thickness burn, 15% of the body What is your nursing intervention for Meneire's disease? 1. 1. Provide a quiet, darkened room 2. Stay in a more stimulating room You observed a depressed patient talks, walks, and acts slowly. What will be your appropriate nursing care? 1. 1. Try to slow down the activities for the day. 2. Encourage to participate in social activities. 3. Let him stay in a more stimulating room. Which of the following is true about CATARACT? 1. 1. Increase in intraocular pressure 2. A crystallization of the lens during birth, eye trauma, and aging 3. ... 4. A ...visual and lights floating as seen across the visual field. In a patient with type 2 diabetes, what are the signs of hypoglycemia? Early signs of hypoxia A patient is having peritoneal dialysis. His catheter was changed with a new one. The nurse must report immediately if the urine is:

1. 1. Straw-tinged 2. Pink-tinged 3. Cloudy 4. Colorless In keeping privacy, the nurse must be vigilant. What does "privacy" in relation to maintaining records, papers, treatment of a patients information mean? 1. 1. Right of the patient on how and when is his documents used. 2. Obligation of the nurse to protect the patient's information. 3. Obligation of the patient to protect the health records. 4. Right of the patient to restrict his health information. When can you use a transparent adhesive film? 1. 1. Draining wound 2. Stage III Pressure ulcer 3. Second Degree Burns 4. Full Burns A school age was diagnosed with congestive artery disease. Which room is more suitable for him? 1. 1. Multiroom with other children 2. Semiprivate room with an adult 3. Isolation When removing a wound dressing, you should 1. 1. Assess for discharges and discard in the patient's waste bin. 2. Collect the dressing in a wound set and discard in the treatment room. 3. Remove the dressing and throw in the utility room When you are participating in a community service that has a learning objectives and reflective activities, it is considered as: 1. 1. Continuing education 2. In-service education 3. Service learning 4. Lifelong learning You have assigned another nurse to take the vital signs of the patient while you check the medications of the patient. This is an example of: 1. Team Nursing 2. Case Nursing 3. ... 4. .... ...abruptio placenta... ...placenta previa.. IT IS A MUST THAT YOU MASTER THE MECHANISM OF DIABETES MELLITUS!!!

IV and adult DRUG computations are so easy. BUT I had no idea how to compute pediatric dosages (4 questions wasted) The other questions on nursing skills are easy. I think so haha... Like how to instill ear drops blah blah.. From other takers... NormalCVP=? set the suction meter if your pt.is on trach how to validate statement of mother that he daughter is anorexic: sees fat when obvious shes thin drug of choice for pyloric stenosis position when doing postural drainage findings in children with congenital heart anomalies: clubbing diet for diverticulosis,diverticulitis avoidance when using maois, haldol(dosage risk), dm vs dm 2 research:primary source delegation vs assignment computations sobrang dali lng as in: d/s x q then drop factor cva, rehab, mag sulfate toxicity purpose ng morphine to pt with acute pancreatitis dangerous complication of hernia: nalito ako d2 intestinal obstruction or intestinal hemorrhage ung hemo sinagot ko haha suicidal nursing dx at kalahati ng mga tanong ganito me pipiliin ka na 1,2,3 tapos ang choices ganito 1 only, 2 only, both, none. tumbling ka. purpose ng pca diet for pt with tof drugs for cva, preterm contraction? lasix haldol pt is on per.dialysis 1- Patient is on digoxin. What is the drug of choice? - Lasix 3- patient with Digoxin with Hyperkalemia, what do you expect the ECG rythm? -Peaked or tall T wave for HYPER -inverted T Wave or U wave for HYPO 4- a woman with dysmennorhea, how can the RN know that she is pregnant without any investigations? 5- A patient with diabetic foot, during the discharge plan, how can the nurse know that the patient understands the correct way to take care of his feet? - Ill check my foot every day (inspect) 6- when foleys is inserted, hoe does it fixed? - inflation of the balloon. - rotate the cathter and fix it by tape. 7- patient with acute renal failure, after investigation (Blood and urine) what do you expect to have? - creatinine is high. 8- how can you assess the severity of CVA (Cerebrovascular Accident) - the affected area in the brain - block of the artery - Nerves affected 9- What the suitable position for CVA patient, during doing oral cavity care. - Supine

- lateral - prone 10- During NGT (Nasogastric Tube) insertion, the nurse noticed a resistance, what is the suitable Nursing intervention? - remove the NGT. - apply more power - Rotate the tube 11- During NGT insertion the patient become cyanosed, Nsg intervention? - remove the NG and monitor. - Give O2. 12- During NG feeding, why it suppose to be slowly feeding (by gravity)? - because the patient may develop Diarrhea - because may develop abdominal destination. 13- what is the ideal way when you make suctioning to a patient on Mechanical Ventilator? - Hyperventilation (by Ampobag) pre and post suctioning. 14- How the RN assess that the Chest tube s are working proberly? - fluctuation (oxalating) 15- How to assess an emphysema with palpitation? - When crackles sensation under the skin is felt (palpated) 16- the most common risk factors of developing a pneumonia? - pts on Mechanical Ventilator. 17- Pneumonic Patient , has purulent mucous, how the nurse can assist the excretion of this mucous? - by percussion. 18- patient is planned for discharge on diuretics, how the nurse can know the patient understood the care plan ? - will measure and document the intake/ output - Ill weigh my self daily 19- Renal Failure patient for discharge, health education?? - avoid food with high K (potassium), Banana,etc 20- Patient with Hyperkalemia, which is the best way to decrease the K (potassium) level in the blood? - insulin, lasix pumps - kay oxalate 21- the Description of good granulation tissue formation? - pink, soft and may bleed when being touched 22- patient on diuretic, what the RN must keep in mind to monitor. - Pulse. - Potassium level. - Blood Pressure. 23- Patient with GI (Gastrointestinal) (GI Bleeding), stool color? - Dark (Upper GI Bleeding), (Bright Lower GI B.) + bed odor (Melena) 24- the purpose of let the patient with esophagus Varices having cold water ? - cold water makes Vasoconstriction, prevent bleeding. 25- the Evidence that the patient may have Anorexia nervosa? - Anemia 26- During Dealing with a Geriatric Patient , what the nurse should expect? - difficulty swallowing - Speaking slowly 27- .patient with CVA, how the nurse can assist to enhance the facial movement? - encourage chewing and smiling.

28- patient with an amputated leg above the knee, complaing of pain in the his amputated knee, what is the appropriate Nsg intervention? - tell the pt that this a fake feeling. - I understand what you feel, bla bla. The nurse have to realize the fantom Pain). 29- post op patient had a thyroidectomy, how can the nurse realize that the pt developed a parathyroid injury? - muscle twitching. 30- the most dangerous arrhythmia? - V-tach (Ventricular tachycardia. VF (Ventricular fibrillation) - braycaria 31- a pediatric patient with VSD (VentricularSeptal Defect), the nurse must know that this disease is? - may or may not need surgical repair. 32- during assessing the understanding of health education for a patient about elastic stocking, the patient states? - I will wear them during the day, and take them of before sleeping. 33- the most common risk factor after thigh open fracture injury is? Pulmonary empolism.(fat embolism) - Bleeding. - Severe pain. 34- ICP (IntraCranial pressure) normal value is? - 10-20 cm h2o. 35- how is the appropriate nursing care for a diabetic (DM) patients nails? - cut straight, then file. 36- Health Education for a diabetic patient, before having a bath the patient must mesure the water temperature by? - put his elbow in the water. - use a thermometer. 37- Physician order give 10 IU mixtard (mixed) with 5 IU actrapid (clear) insulin ..) , the nurse should? - withdraw actrapid then Mixtard. - withdraw mix then actrapid. 38- During medication preparation, the nurse noticed unclear label, or unclear expiary date of a medication, what the appropriate nsg intervention? - return to the pharmacy to be replaced. 39-When a nurse write an incident report about an error he/she does, it is an example of? - confidentiality - accountability 40- when the RN delegates a PN to do a procedure, in case of any mistakes who will be responsible? - RN - PN - Supervisor - Physician. 41- Patient on Warfarin (Anti coagulation), how the nurse know that the pt understood his health education, all are correct expcept? - I will shave by raser instead of shaving set. - I check (inspect) my body daily of bruises. - Continuously lab check especially INR level. - its normal to have dark urine 42- usually pts on warfarin, they must regularly check.. - bleeding time - INR or PT - ESR (Estimated sedemintation rate). - PTT

43 usually pts on Heparin, the nurse must regularly check.. - bleeding time - INRor PT - ESR (Estimated sedemintation rate). PTT 44- Bed ridden patients hoe have low weight (slim), with poor nutrition, immobilized, are at high risk to develop.. - Bed Sores - DVT (Deep Vein Thrimbosis) 45- when changing the position for a patient with skin traction (with fractured leg), the appropriate nsg intervention? - Hold the weight (the traction) before changing the position. 46- the protective infection precaution equipment when dealing with a meningitis case is? - surgical face mask (droplet) - Gloves. 47- to have the best effectiveness when using a skin traction is? - free hanging. 48- when the nurse deals with a psycho patient with severe depression, the nurse needs toilet, the appropriate nsg intervention is? - tell the patient that he will come back in 5 minutes, and instruct him not to move until he come. - make any other nurse to cover (replacement). 49- in an Acute Bacterial Meningitis, the CSF (CerebriSpinal Fluid) investigation will be: - low glucose level. - high glucose level - high protein level. - low protein level 50- in PACU (Post Anesthesia care Unit), the nurse priority during monitoring the pt is? - Blood pressure (BP) (in case you have an airways and o2 saturation in the choices not the BP that will be the correct answer) 51- the drug of choice for bradycardia Atropine. - Digoxin. - epinephrine (Adrenaline) - norepinephrine. 52- for terminal stages pts who complaining of pain, asking (Morphine) - give when they complain pain. 53- the best position during having a kidney biopsy is? - Prone with sand bag support behind the Rt- Lt abdominal area. - lateral 54- the most complication may the patient have after the liver biopsy procedure is? - severe Pain. - Bleeding (Bile) 55- Nsg intervention for an amputated leg with a biological patch is? - Elevation above pillow to prevent contractures. 56- severe dehydrated baby, which of the following the nurse must expect as a sign: - crying without tears. 57- Apgar score: - 0-3 severe distress - 4-6 Need observation - 7-10 No problem 57- In Renal calculi case, urine analysis will appear: - high WBC (white Blood Cells)

- High creatinine. - high RBC (Red Blood cells) 58- when you are speaking (communicating) to a CVA patient: - give the patient enough time to speak (because he/she speaking moving slowly) - Encourage the patient to speak faster. - act as you understand what he was speaking then ignore. 59- A patient with high ICP (Intracranial Pressure), What do you expect the patient to develop: - coma - Seizure - Blindness 60- How to assess the pediatric tissue perfusion/ Breathing - Capillary refill to be < 2 seconds. 61- a patient who recently lost his mother, after being informed he said No she is coming today to visit me, this patient considered in which stage of grieving process? - Acceptance. - Denial - Depression - Stress 62- Before giving Digoxin, what Must the nurse do? - Assess the BP - Assess the RR - Assess the HR - assess the O2 saturation 63- signs of Bipolar: - hyperactivity 64- Health Education for a patient who had total Knee replacement? - not to cross the legs 65- First choice for feeding a patient with Dysphagia and stroke: - NG tube. - PEG - TPN 66- Heavy smoker are at high risk to have: - Hypertension - CAD (Coronary Artery Diseases) - stroke (CVA) 67- which of the following considered as (Plasma Expander)? - Mannitol - RBCS - Albumin - Perfalgan 68- why its contraindication to give high flow O2 to a COPD (Chronic Obstructive Pulmonary Disease) patients? - because it may cause O2 toxicity. - to maintain breathing stimulation which initiated by the CO2 69- Picc line , when be used for the first time, what you expect from the physician to do? - withdraw to check if you have food blood flow before using. - CXR (Chest X-Ray) - good and firm dressing. 70- which of the following is correct regarding Chest drainage system Discontinue? - slowly remove the tube suture- dressing - clamp- instruct of inhalation then hold onremove tie the wound- dressing 71- post Bronchoscopy patient, the nurse should observe before starting feeding: - Gag reflex - wait bowel movement - NPO (Nothing Per Oss) for 6 hrs then feed.

72- to irrigate a colostomy stoma, the nurse should use: - Tepid water - normal Saline - Ringer lactate - Distilled water 73- Nursing diagnosis as priority for a patient with Renal calcholie: - Fluid volume deficit - Pain - risk for bleeding - risk for oligurea 74- what should the nurse advice a Dm patient regarding insulin use? - Small meal Exercise- insulin - insulin sleep- exercise - sleep- exercise insulin 75- a patient with pancreatitis clinical investigation markers are all except: -Amailaise - Lipase - low serum Ca level - high serum glucose level - hypernatremia 76- B-Blocker acts as anti arrhythmic agent is? - isoptine - lidocain - Norvasc - Tenormin 77- signs of duodenal ulcer: - continuous pain - intermittent pain. - pain relieved by meals - pain increased by meals 78- one of the following is correct regarding Dehydration signs (pediatric) - high HR - low skin turgor - crying with no tears 79- Adult patient admitted the ICU, at night he became agitated, what do you expect this patient have: - schizophrenia - depression - Hospital (ICU) psychosis - Stress or anxiety 80- post laparatomy patient, your advice when he wants to cough is: - to support the abdomen by his hand before coughing 81- with pre-exlampsia , the nurse expect: (check the textbook) - high Na (hypernatremia), low K (Hypokalemia) 82- Nsg diagnosis for a patient with Gestationl DM? (check the textbook) - CVA - Low BP - Placenta Previa - Poly Hydro minus 83- Type of Anemia, why..? (check the textbook) - Low folic acid - . 84- DM insepidus, with old patient , you expect : (check the textbook) - Hyponatremia - Hypoglycemia - high crealtinine urine analysis - .. 85- Most Priority Nsg action post Electroconvulsion Therapy is? - Put the pt on lateral position

change position every 15 min - ask how doe the pt feel. 86- When the RN prepare a dose of 75mg of pethidine, what must the nure do with the residual amount in the 100 mg pethidine ampule? - Discard it 87- Nursing meaning for the pts principle of Autonomy? - pt has the right to be informed about results and procedures. - the nurse respects the patients principles of freedom, choices, self determination and privacy. - pt has the right for high quality of nsg care and international standards. 88- Effectiveness of O2 therapy for a pt with COPD ? - HB - PH and O2 sat - CBC, ABGs, O2 Sat. 89- with duretics administration, the nurse must be aware of: - high BP - weak pulse - muscle twitching 90- first priority Nsg interventions purpose with Alzhaimer pts is: - to cure the disease - giving medicaton to minimize the Signs and symptoms of Alzhaimer. 91- first priority when dealing with unconscious traumatic pt received in the ER? - jaw thrust maneuver. - maintain airways and breathing and O2 therapy - assess level of consciousness. 92- Rectal tube insertion procedure, all of the following steps are correct except: - Lubricate the rectal tube. - insert 4-6 inches - assess for abdominal distention before and after insertion. - leave the tube for 40 minutes. 93- if the pt complains of pain when inflation of the balloon during the foleys catheter insertion procedure, the proper nsg action is? - Aspirate the fluid and remove. withdraw the fluid and insert more in then re inflate. - put lower amount of fluid inside the balloon 94- Diagnosis markers of thalassemia? (check the textbook) - HB, Electrolytes - CBC - PTT,PT 95- Which of the following regarding the Nsg diagnosis? - Medical Pathology - Treatment - Actual problem - Lab result 100- Health Education how to make wound care, the nurse knows that the pt understands by: - states the steps of sterile techniques while dealing with his wound. 101- to prevent lipo dystrophy with DM patient? - Rotate injection sites. - deep injection - use 25 gauge syringe. 102- Meningitis therapy (Nursing Care) includes: - ventilate the room - Allow frequent visitore. - use low lighting system. (light sensitivity)

103- the purpose of giving Anti D for a pregnant woman? - to prevent the RBCs destruction for the next baby 104- a pregnant woman 2nd-3rd trimester, planned for C/S, the nsg priority is? - Assess pain - start IV fluids 105- Post normal vaginal Delivery, the pt developed vaginal bleeding, uterus is soft, what is the most appropriate Nsg intervention? - Uterus message to make the uterus rigid and decrease bleeding. 106- The most suitable diet for a woman with preexlampsia is? - high protein, low salt diet 107- the reason of gum bleeding for a pregnant woman? - high estrogen level 108- 20 weeks pregnant woman, first fatal movement called? - Quacking. 109- when you let the patient suddenly down, the normal newborns reflex is called? (revise reflexes) - Moro reflex - Babiniski reflex - rotating (sucking) reflex - grasping 110- to prevent uterus laceration during delivery - Episeotomy 111- Marker diagnostic investigation for Breast CA (Cancer) is? - ERP test - CD and T 112- the priority, pt with facial and chest burn is? - maintain airways and breathing. (laryngeal edema) 113- Post ETT (Endotracheal Intubation), patients breathing with gargling, this gargling is evidence that the tube is located in: - Bronchioles - Trachea - Carina - Esophagous 114- the drug of choice for Supra ventricular tachycardia is - D/C shock - Atropine - Adrenaline - Adenosine 115- the In charge nurse prepared a medication and asked the RN to give it to patient in room 4, the appropriate RN intervention: - refuse giving this medication ( who prepared will give, no deligation) - give it, and sign instead of the in charge. 116- the first priority regarding medication administration ? - chceck pts name - check the expiry date - check physician order - check medication name 117- preparation for thoracentesis? - give pre medication - keep pt NPO for 8 hrs. - keep the pt on upright position and mark the site. 118- the ideal way to remove the eye lenses? - apply a pressure