Dashboard / My courses / RMC CAP 2 / PRELIM / MEDICAL SURGICAL NURSING 4 POST TEST 2
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                                                                           ONCOLOGIC NURSING
                                                              LADDERIZED CONCEPT FOCUS-APPROACH
                                                         PREPARED BY : SIR GREYLANDO A HISU RN BSE MAN
                                     Question 1      26. The nurse is caring for a client with radium implant for the
                                     Answer saved    treatment of cervical cancer. When caring for the client with a
                                     Marked out of   radioactive implant, the nurse should:
                                     1.00
                                                     Select one:
                                                        a. Provide emotional support by spending additional time
                                                        with the client.
                                                         b. Stand at the floor of the bed when talking to the client.
                                                         c. Avoid handling items used by the client.
                                                         d. Wear a dosimeter bandage to monitor the amount of time
                                                        spent in the clients room.
                                                         Clear my choice
                                     Question 2      27. The patient had an external radiation of his chest, Which of
                                     Answer saved    the following is an incorrect statement of the patient?
                                     Marked out of
                                     1.00            Select one:
                                                         a. “ I will avoid washing and applying lotion to the areas
                                                        subjected with radiation.”
                                                        b. ‘ I will tell my pregnant daughter not to visit me during the
                                                        entire period of my treatment.”
                                                         c. “ I will avoid exposure of my chest to the sunshine.”
                                                         d. “I will have adequate rest after each treatment.”
                                                         Clear my choice
Question 3      28. Radiation therapy is use to treat colon cancer before surgery
Answer saved    for which of the following reasons?
Marked out of
1.00            Select one:
                    a. Reducing the size of tumor.
                    b. Curing the cancer
                    c. Eliminating the malignant cells.
                    d. Helping heal the bowel before surgery
                    Clear my choice
Question 4      29. Which of the following is the correct action by the nurse, if
Answer saved    the patient’s intracavity implant was dislodge?
Marked out of
1.00            Select one:
                    a. Wear gloves before picking up the implant.
                    b. Call some personnel to pick up the implant.
                    c. Call for help.
                    d. Use long forceps to pick up the implant and put it in the
                   lead container.
                    Clear my choice
Question 5      30. The patient has been diagnosed to have cancer of the cervix.
Answer saved    She has cobalt implant in place. Which of the following statement
Marked out of   is most incorrect?
1.00
                Select one:
                    a. “ I will turn by back towards the door when I’m in bed.
                    b. “ I will have a urinary catheter in place.
                    c. I am allowed to walk and go to the bathroom.”
                    d. “ I need to remain in bed during the treatment.
                    Clear my choice
Question 6      31. During external radiation therapy, the nurse should teach the
Answer saved    client that:
Marked out of
1.00            Select one:
                    a. She can apply lotion or powder on the radiated area.
                    b. Pregnant client is allowed to visit after the procedure.
                    c. Give antiemetics prior to treatment.
                    d. Lock the door to confined the radiation after therapy.
                    Clear my choice
Question 7      32. In patient who undergone chemotherapy the nurse
Answer saved    understand the treatment when he instruct the patient with
Marked out of   alopecia to wear the wig:
1.00
                Select one:
                    a. After alopecia to know the extent of hair loss.
                    b. Before alopecia has occur.
                    c. Wig should be replace on area having hair loss.
                    d. Hair loss would not occurs since hair grows automatically.
                    Clear my choice
Question 8      33. The nurse knows that the common site of bone marrow
Answer saved    aspiration in pediatric patient should be:
Marked out of
1.00            Select one:
                    a. Clavicle
                    b. Iliac crest
                    c. Tibia
                    d. Palanges
                    Clear my choice
Question 9      34. Which of the following statements made by the client who is
Answer saved    being administered Adriamycin would indicate further
Marked out of   instruction?
1.00
                Select one:
                    a. “ My hair is going to fall out.”
                    b. . “ I can expect some constipation.”
                    c. ” My urine will turn red.”
                    d. “ I may develop irregular heartbeat.”
                    Clear my choice
Question 10     35. The male patient has platelet count of 100,000/cu mm. Which
Answer saved    of the following should be avoided in patient teaching?
Marked out of
1.00            Select one:
                    a. Use soft-bristled toothbrush.
                    b. Include green leafy vegetable in the diet.
                    c. Use electric razor.
                    d. Avoid plants in the room.
                    Clear my choice
Question 11     36. In the event of fire, OR staff are instructed to follow the
Answer saved    international RACE. What does R stand for?
Marked out of
1.00            Select one:
                    a. Rest
                    b. Rescue
                    c. Respond
                    d. Run
                    Clear my choice
Question 12     37. Once flames are extinguished, it is important to:
Not yet
answered
                Select one:
Marked out of
                    a. Cover Sergio with a warm blanket
1.00
                    b. Calculate the extent of his burns
                    c. Give him sips of water
                    d. Assess Sergio’s breathing
                    Clear my choice
Question 13     38. Mang Raul a 42 years old balut vendor roaming around the
Answer saved    barangay to sell balut. He is about to enter one of the houses in
Marked out of   the community when he was suddenly attacked and bitten by a
1.00            stray dog. He submit his self to the nearest clinic for proper
                wound care and treatment, punctured wounds was noted in the
                different parts if his body. Which of the following part of the body
                is the most fatal for dog bite?
                Select one:
                    a. Legs
                    b. Arms
                    c. Head
                    d. Trunk
                    Clear my choice
Question 14     39. When performing cardiac compression to an adult client, the
Answer saved    nurse is aware that it is essential to exert a vertical downward
Marked out of   pressure, which depresses the lower sternum at least:
1.00
                Select one:
                    a. 1.3 to 2 cm (1/2 to 3/4 inch)
                    b. 2 to 2.5 cm ( ¾ to 1 inch)
                    c. 2.5 to 4 cm ( 1 to 1 ½ inches)
                    d. 4 to 5 cm ( 1 ½ to 2 inches)
                    Clear my choice
Question 15     40 In an emergency triage setting, which of the following patients
Answer saved    should be given highest priority by the nurse
Marked out of
1.00            Select one:
                    a. A client with fixed, dilated pupils.
                    b. A very anxious patient.
                    c. A patient with spinal; cord injury with fever of 101.5 F.
                    d. A patient with fracture of the arm.
                    Clear my choice
Question 16     41. A client was rushed to the ER were you are a triage nurse. A
Answer saved    patient was in a massive hemorrhagic shock. This patient’s code
Marked out of   is:
1.00
                Select one:
                    a. Red
                    b. Green
                    c. Yellow
                    d. Black
                    Clear my choice
Question 17     42. The nurse is responding as a rescuer in a disaster
Answer saved    area. Which of the following victims should the nurse see first?
Marked out of
1.00            Select one:
                    a. The patient who has bleeding from the leg.
                    b. The patient with laceration of the scalp.
                    c. The patient with chest injury with decrease breath sounds.
                    d. The patient with fractured of the wrist.
                    Clear my choice
Question 18     43. Triage refers to the classification of injury severity during a
Answer saved    disaster. Which of the following clients should receive priority
Marked out of   during triage?
1.00
                Select one:
                    a. Open fracture of the tibia and fibula.
                    b. Burns of the head and neck.
                    c. Crushing injury of the arm.
                   d. Contusion and lacerations of the head without loss of
                   consciousness and disorientation.
                    Clear my choice
Question 19     44. In the case of an earthquake, the triage nurse should give
Answer saved    priority to which type of patient?
Marked out of
1.00            Select one:
                    a. An unconscious patient who is in cardiac arrest.
                    b. A young adult who is confused.
                    c. A 45 year old woman with multiple fractures.
                    d. Dead clients covered with block and concretes.
                    Clear my choice
Question 20     45. During the disaster you see a victim with a green tag, you
Answer saved    know that the person:
Marked out of
1.00            Select one:
                    a. Has injuries that are significant and require medical care
                   but can wait hours with threat to life or limb.
                    b. Has injuries that are life-threatening but survival is good
                   with minimal intervention.
                    c. Indicates injuries that are extensive and chances of
                   survival are unlikely even with definite care.
                    d. Has injuries that are minor and treatment can be delayed
                   from hours to days.
                    Clear my choice
Question 21     SITUATION: Emergency nurses care for critically ill or injured
Answer saved    patients, conduct research, and provide education to the public.
Marked out of   46. Which of these phrases best describes an emergency within
1.00            the context of health care?
                Select one:
                   a. A sudden disruption in normal functioning with serious
                   consequences
                   b. A disturbance in homeostasis that prevents normal body
                   activity
                    c. A medical condition requiring immediate intervention
                   d. A health care crisis occurring when normal care
                   procedures cannot be carried out
                    Clear my choice
Question 22     47. A client who is a victim of a penetrating trauma has bowel
Answer saved    loops protruding through the abdominal wall. Which of these
Marked out of   actions should the nurse take first?
1.00
                Select one:
                    a. Administer narcotics if indicated by pain level expressed
                   by the client.
                    b. Cover the exposed intestine with saline-soaked gauze.
                    c. Insert a large-bore intravenous (IV) access.
                    d. Prepare the client for a peritoneal lavage procedure.
                    Clear my choice
Question 23     48. Nurse Mayo is giving discharge teaching to a patient who is
Answer saved    severely allergic to insect stings. She would advise the patient to:
Marked out of
1.00            Select one:
                    a. Wear brightly-colored dress
                    b. Dress in sleeveless, easily removable garments.
                    c. Apply liberal amount of perfume to repel insects
                    d. Obtain an emergency treatment kit
                    Clear my choice
Question 24      49. A public utility jeep loses control and fell into a flyover. A man
Answer saved     walking below is pinned down from waist below. There is no
Marked out of    visible bleeding. He is rushed to the ER an hour later. This man
1.00             will be observed for the following:
                 I. Hypovolemic shock
                 II. Renal dysfunction
                 III. Paralysis of a body part
                 IV. Erythema and blistering of the skin
                 Select one:
                       a. All except I
                       b. All except IV
                       c. Both I and II
                       d. All of the above
                       Clear my choice
Question 25      50. Nurse Gelay is caring for a patient who suffered near-
Answer saved     drowning from salt water. The patient is monitored for which of
Marked out of    the following complications?
1.00
                 Select one:
                       a. Collapsed lungs
                       b. Respiratory Alkalosis
                       c. Pulmonary edema
                       d. Hyponatremia
                       Clear my choice
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                                                  -END-
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