Prepared by .

Donald S Escano

1. Radiation Therapy is one of treatment modalities of Ca, it affect cancer cell by destroying its DNA.
Nurse Bo Gum is carrying a patient with Cervical Ca who is currently having Teletheraphy, which among
the the following interventions should not be done.

a. The Skin Mark should not be remove.

b. Advise the patient to avoid direct sunlight

c. Instruct the patient to avoid lotion and ointment

d. Wear lead apron when doing nursing care.

Answer.D

2. Sealed Radiaton was prescribed to a patient who is newly diagnosed with Colorectal Ca. The following
principles in nursing care with this type of patient is correct except?

a. Maintain 6 ft Distance

b. Wearing lead apron is a must

c. A total of 30 minutes per 8 hours of nurse and client interventions

d. The nurse should in charge with 2 patient per shift.

Answer.D

3. Implanted Radiation was dislodged the next intervention is?

a. Use long handled forcep and discard to orange container

b. Use long handled forcep and discard to lead container

c. Use double rubber gloves and discard to orange container

d. Use double rubber gloves and discard to lead container

Answer.B
4. Nurse Park SeoJun is discussing the sign and symptoms of breast ca. Which of the following is not
included.

1. Grape like mass

2. Bean shaped mass

3. Early Menstruation

4. Clear Nipple Discharge

5. Breast Skin Dimpling

6. Breas Skin ulceration

a. 1 and 4

b. 1 and 5

c. 1 and 6

d. 1 and 3

Answer. D

5. The client with Breast Ca had removal of breast tissue, nipple only. This type of mastectomy is:

a. Lumpectomy

b. Total Mastectomy

c. Modified Radical Mastectomy

d. Radical Mastectomy.

Answer. B

6. The common complication of Mastectomy is lymph edema. To prevent this complication for the
patient who undergone left mastectomy the nursing intervention is done except:

a. Position the client on right side.

b. Elevate the right arm above the level of the heart

c. Reinforce the use of arm pressure sleeve

d. None of the above

Answer.B

7. The client with Gastric problem is scheduled for Barium swallow. To prepare the patient for this
procedure Nurse Jose should expect the following intervention except:

a. To drink Barium Sulfate

b. NPO midnight before the procedure

c Notify the Doctor when White Chalky stool after the procedure is noted this is indication of bowel
perforation

d. Increase oral fluid intake after the procedure

Answer.C

8. Nurse Jose should expect the doctor’s to prescribe what drug after barrium Swallow?

a. Antiemetic

b. Diuretic

c. Antacid

d. Laxative

Answer.D

9. Patient Tram asked the Nurse What causes his diagnosis of Gastroesophageal Reflux Disease that results
into reflux?

a. Relaxation of Pyloric Sphincter

b. Incompetency of Cardiac Sphincter

c. Hypertrophy of Stomach

d Delayed Gastric Emptying

answer. B
10. Patient Tram will undergo surgery because of severe sign and symptoms of GERD, the nurse
understands that this surgery is :

a. Fundoplication

b. Gastrectomy

c. Billroth I

d. Billroth II

Answer. A

11. To prevent the exacerbation of GERD the nurse will implement which nursing action?

a. Elevate the foot of the bed

b. Do not eat or drink 2 hours before bed time

c. Dried and fried foods are encouraged

d. Alcohol is not permitted, 1 cup of coffee per day only.

Answer. B

12. Nurse Arlene is working as an ICU nurse for 3 years now, occasionally she experiencing abdominal pain
and diagnosed of Duodenal Ulcer, which among the sign and symptoms will support the diagnosis of
Duodenal Ulcer?

a. Hemoptysis

b. Abdominal pain 1 hour after meal

C. Abdominal pain 3 hours after meal

d. Pain at left side of abdomen

Answer.C

13. Sucralfate is prescribed for the client with Gastric Ulcer, which is the following correct statement
about this drug?

a. Administer the drug 30 minutes after meal

b. Administer the drug 1 hour before meal

c. Chew the medication with 1 glass of water afterwards

d. This drug inhibit the production of gastric acid.

Answer. B

14. Patient Kaye had billroth 1 surgery 1 month ago, to prevent the complication related to gastric
emptying the nurse should instruct the client to.

a. Lie after meal

b. Drink water 1 hour before meal

c. Soup foods is encouraged

d. Walk slowly after meal

answer. A

15. The Diet for Dumping Syndrome is?

a. High Fat, Low Carbohydrate diet

b. Low fat, Low Carbohydrate diet

c. High Fiber, High Calorie diet

d. High Fiber, Low fat diet

Answer. A

16. The Acalculous cholecystitis is related to ?

a. Cholelithiasis

b. Fibrotic Galbladder

c. Bacterial Invasion

d. Gall Stone

Answer. C

17. Which among patient complain would support the diagnosis of cholecystitis?

a. Right upper quadrant pain

b. Left upper quadrant pain

c. Right lower quadrant pain

d. Left lower quadrant pain

Answer. A
18. The nurse is doing an assessment for the client who is suspected for cholecystitis, the nurse press the
hepatic margin in upward motion and she ask the patient to take a deep breath but the patient cannot to
do so and complaining further pain, this is known as?

a. Psoa's Sign

b. Turner’s Sign

c. Cullen’s Sign

d. Murphy’s Sign

Answer. D

19. The student nurse asked you if what type of hepatitis is considered Waterborne Virus?

a. Hepatitis A

b. Hepatitis E

c. Hepatitis B

d. Hepatitis G

Answer . B

20. The client with hepatitis is now presenting dark tea colored urine, clay colored stool and Jaundice.
This is under what phase of viral hepatitis?

a. Pre -Icteric

b. Icteric

c. Post -Icteric

d Severe Icteric

Answer. B

21. The client with liver cirrhosis admitted that he is alcohol drinker, base from this assessment the patient
have what type of liver cirrhosis?

a. Cardiac Cirrhosis

b. Post Necrotic Cirrhosis

c. Billiary Cirrhosis

d. Laennec Cirrhosis

Answer.D

22. Ascites is one of the complication of liver Cirrhosis because of congestion of hepatic capillaries, the
client is scheduled to undergo paracentesis, what intervention should be done before the procedure?

a. Place the client in 8 hours NPO before the procedure

b. Give urinal to patient and ask to empty his bladder

c. Ask the client to take laxative

d. All of the above

Answer. B

23. The client with liver Cirrhosis is risk to develop Portal Systemic Encephalopathy as complication? How
would the nurse identify if the client is developing PSE?

a. Decreasing LOC

b. Having Asterexis

c. Having Diarrhea

d A and B only

Answer. D

24. The World Health Organization released a surgical safety checklist, which of the the following is not
included on checklist?

a. sign in

b. time out

c. sign out

d. sign off

Answer D

25. According to WHO surgical safety checklist the sign in should be done when?
a. Before the induction of anesthesia

b. Before skin incision

c. Before transferring the client to PACU

d. Before signing infirmed consent

Answer. A

26. What is not the duty of the nurse regarding informed consent?

a. witnessed

b. Obtain

c. Patient advocate

d. Document

Answer. Obtain

27. Identifying patient is very important to prevent wrong patient and wrong procedure during surgery.
According to Joint Commission International accreditation what is the patient identifiers?

a. Parient full name and Age

b. Patient full name and birthday

c. Patient full name and sex

d. Patient full name and address

Answer : B

28. Surgical attire inside the O.R theater helps to maintain sterility. If you are inside the semi- restricted
area you should wearing?

a. Scrub, shoe cover, cap and mask

b. Scrub and Cap

c. Scrub

d. Street clothes

Answer. B

30. The O.R nurse will assist the patient that will be having colostomy with TNM staging of T2,N1,M1. The
nurse understands that this is:

a. Medium tumor, with nodal involvement and metastasis

b. Small tumor, with nodal involvement and metastasis

c. Large tumor, with without nodal involvement and without metastasis

d. None of the above

Answer. A

31. The client had colostomy at sigmoid area the nurse expects that the stool characteristic is?

a. watery

b. mushy

c. semi formed

d. formed

32. What statement of Nurse Akim is not correct about patient who have colostomy?

a. The patient may continue swimming

b. You can irritate the colon using strictly sterile water

c. Normal stoma color is pinkish to reddish

d. Empty the colostomy when it is ½ full

answer. B

33. Nurse K.D is is reviewing the three types of Arthritis, he learned that a patient with Arthritis who have
deterioration in articular cartilages is ?

a. Osteo arthritis

b.Rheumatoid Arthritis

c. Gouty Arthritis

d. None of the above

Answer. A

34. The client with Gouty Arthritis has developed podagra and complaining excruciating pain, the nurse is
aware that the patient sign and symptoms is under what stage of the gout?

a. Asymptomatic

b. Acute
c. intermittent

d. chronic

Answer. B

35. Proper measurement of crutches is important to avoid Brachial Plexus Nerve Damage that may result
into:

a. Arm Paralysis

b. Further leg paralysis

c. Blindness

d. All of the above

36. The correct measurement of crutches should reflect to patient while using the crutches, which of the
following is not included?

a. 2-3 finger width space from axillae to the head of crutches

b. 20-30 degrees angle of the shoulder when handling the hand bar of crutches

c. 6-10 inches at side of the foot when walking

d. None of the above

answer.C

37. The client with fracture is having a plaster of paris to immobilize the fracture and realign the bone,
everything is done by the nurse except.

a. Petalling to prevent skin irritation

b. Instruct the patient that drying may take up to 24 to 72 hours.

c. Handle the wet cast with fingers and not the palm

d. Instruct the client not to wet the cast

e. A and C only.

Answer. E

38. The client will undergo blood transfusion of Granulocyte, which among the following is incorrect
information about this blood?

a. Blood transfusion may take 2-4 hours

b. This is commonly prescribe for the patients who is unresponsive to antibiotic therapy

c. Patient with septicemia may use this BT

d. None of the above

Answer. A

39. The nurse should remember the following intervention in doing PRBC BT to Ana, she learns that this
is the first time that Ana will do B.T, which intervention should not be done

a. Two nurses should do crossmatching

b. Check vital signs

c. The nurse should stay within first 15 minutes with patient ana

d. Regulate according to doctors especially within first 15 minutes

answer. D

40. The nurse is will administer Digoxin to a patient with heart failure . Which among the following is
incorrect about digoxin?

a. Watch out because it may cause bradycardia

b. It improve myocardial contractility

c. It increases A.V node conduction

d. Watch out nausea, vomiting and diarrhea as this may sign of toxicity.

Answer. C