ROTATION 6-CMZ WARD A Shifting Exam Name: ______________________________ Yr.

& Section: ______________ Date: ______________________ Encircle the letter of the best answer. 1. Nurse Blair is caring for patient Chuck who is diagnosed with acute appendicitis. During the observation phase, which of the following interventions are most appropriate for Nurse Blair to do? a. b. c. d. administer analgesics for relief of pain apply warm compress to relieve pain position patient in the semi-fowlers position with knees flexed administer laxative to relieve patients constipation

2. All but one of the following is a clinical manifestation of appendicitis a. b. c. d. Low grade fever Nausea and vomiting Rebound tenderness Dysuria

3. Patient Chuck is immediately scheduled for an emergency appendectomy. The patient asks Nurse Blair why immediate surgery is needed. The most appropriate response by the nurse is: a. The surgery will relieve the pain you are feeling, you will feel better afterwards b. The surgery is needed to prevent the perforation of your appendix, which will prevent further complication c. The surgery is done to perforate your appendix and evacuate the toxins, thereby relieving the pain. d. Please ask your doctor sir, it is his job, not mine to explain. 4. Nurse Alison is caring for Patient Aria, 42 years old, who has been diagnosed with Cholelithiasis. Nurse Alison knows that cholelithiasis can cause biliary obstruction. Which of the following findings are indicative of biliary obstruction? a. b. c. d. Jaundice, yellow urine, greenish-yellow feces Jaundice, pinkish urine, foul-smelling feces Jaundice, frothy urine, currant-like feces Jaundice, dark amber urine, clay colored feces

5. After giving discharge teaching for Patient Aria, Nurse Alison knows that the patient needs further instruction when she verbalizes that a. b. c. d. I need to decrease my intake of fatty foods I need to observe for signs of bleeding I should not take in supplements of Vitamins A, D, E and K I should increase my intake of foods rich in Vitamin K

6. Patient Angelina suffers from 3rd Degree burns on both lower extremities. A 3rd degree burn is a type of burn that a. affects both dermis and epidermis and underlying structures, appears deep red, white or black

b. affects both dermis and epidermis, appears wet and shiny c. affects entire epidermis, appears pink and red d. affects dermis and underlying structures, appears white and black 7. Nurse Brad is to classify the burn according to its size, based on the Total Body Surface Area covered. Which of the following methods can be used for this? a. b. c. d. Rule of Nine, Lund and Browder Method Rule of Nine, Hirschprung Method Rule of Nine, Leopolds Maneuver Rule of Nine, Creutzfeldt-Jakob Maneuver

8. Benign Prostatic Hyperplasia (BPH) refers to the enlargement of the prostate. It causes urinary dysfunction for the reason that a. The prostate bladder is the organ responsible for storing urine and when it is enlarged, urine output is increased as well b. When the prostate is enlarged, it encroaches the orifice of the urethra and can cause obstruction of urinary outflow c. The prostate is the organ that transports urine from the bladder to the urethra, as it enlarges, the flow urine will be blocked d. The prostate is the organ responsible for micturition. 9. Patient Stefan, 54 years old, is diagnosed with BPH and has undergone Transurethral Resection of the Prostate (TURP). Post-operatively, the patient asks Nurse Elena why it is necessary to constantly irrigate the bladder via 3-way catheter. The nurses best response is a. b. c. d. Irrigating your bladder will shrink your prostate Irrigation helps prevent obstruction and facilitates drainage Irrigating the bladder will facilitate measurement of the prostatic growth Irrigation is the medium for medication

10. A fracture is a break in the continuity of the bone. Which of the following is the initial action done to a patient suffering from a fracture? a. b. c. d. Apply hot and cold compress alternately on the affected site. Ask patient to perform ROM exercises on affected area to assess muscle movement. Administer analgesic for pain. Immobilize the affected area using a splint.

11. Fractures may either be closed or open. All of the following is a closed fracture, except a. Compound b. Greenstick c. Oblique d. Comminuted 12. Patient Serena, who suffers from a fractured left humerus, is to undergo a surgical procedure. This procedure refers to the restoration of the fractured fragments to anatomical alignment and rotation. a. b. c. d. Immobilization Reduction Centralization Segmentation

13. It is one of the complications of fracture healing that results from increased pressure on the affected area, thereby impeding blood flow and results to tissue perfusion in the muscles that is less than that required for tissue viability a. b. c. d. Compartment Syndrome Fat Embolism Delayed Union and Nonunion Contractures

14. A wound is a break in the continuity of a tissue in the body. It may either be open or closed. Which of the following is an example of a closed wound? a. b. c. d. Laceration Avulsion Contusion Puncture

15. Wound Infections are the 2nd most common nosocomial infections. All but one of the following are signs that the nurse should look out for a. b. c. d. foul smelling discharge from wound localized swelling, redness and heat discolored and purulent discharge itchiness of the wound

Prepared by Maria Esperanza Almonte WMSU SN IV-B