NURSING PRACTICE IV 6.

A client has an indwelling urinary catheter and she

Situation: After an abdominal surgery, the circulating and is suspected of having urinary infection. How should
scrub nurses have critical responsibility about sponge and you collect a urine specimen for culture and
instrument count. sensitivity?
1. Counting is performed thrice: during the pre- a. Clamp tubing for 60 minutes and insert a
incision phase, the operative phase and closing sterile needle into the tubing above the
phase. Who counts the sponges, needles and clamp to aspirate urine
instruments? b. Drain urine from the drainage bag into the
a. The scrub nurse only sterile container
b. The circulating nurse only c. Disconnect the tubing from the urinary
c. The surgeon and the assistant surgeon catheter and let urine flow into a sterile
d. The scrub nurse and the circulating nurse container
2. The layer of the abdomen is divided into 5. Arrange d. Wipe the self-sealing aspiration port with
the following from the first layer going to the antiseptic solution and insert a sterile
deepest layer: needle into the self-sealing port
1)Fascia 7. To obtain specimen for sputum culture and
2)Muscle sensitivity, which of the following instruction is
3)Peritoneum best?
4)Subcutaneously a. Upon waking up, cough deeply and
5)Skin expectorate into container
a. 5,4,3,2,1 b. Cough after pursed lip breathing
b. 5,4,1,3,2 c. Save sputum for two days in covered
c. 5,4,2,1,3 container
d. 5,4,1,2,3 d. After respiratory treatment, expectorate
3. When is the first sponge/instrument count into a container
reported? 8. The best time for collecting the sputum specimen
a. Before closing the subcutaneous layer for culture and sensitivity is:
b. Before peritoneum is closed a. Before retiring at night
c. Before closing the skin b. Anytime of the day
d. Before the fascia is sutured c. Upon waking up in the morning
4. Like any nursing interventions, counts should be d. Before meal
documented. To whom does the scrub nurse report 9. When suctioning the endotracheal tube, the nurse
any discrepancy of counts so that immediate and should:
appropriate action is instituted? a. Explain procedure to patient; insert
a. Anesthesiologists catheter gently applying suction.
b. Surgeon Withdrawn using twisting motion
c. OR nurse supervisor b. Insert catheter until resistance is met and
d. Circulating nurse then withdraw slightly, applying suction
5. Which of the following are 2 interventions of the intermittently as catheter is withdrawn
surgical team when an instrument was confirmed c. Hyper oxygenate client insert catheter using
missing? back forth motion
a. MRI and Incidence report d. Insert suction catheter four inches into the
b. CT Scan, MRI, incidence report tube, suction 30 seconds using twirling
c. X-RAY and Incidence report motion as catheter is withdrawn
d. CT Scan and Incidence report 10. The purpose of NGT IMMEDIATELY after an
Situation: An entry level nurse should be able to apply operation is:
theoretical knowledge in the performance of the basic a. For feeding or gavage
nursing skills. b. For gastric decompression
 c. For lavage, or the cleansing of the Stomach 16. Immediately after surgery, what would you expect
content his urine to be?
d. For the rapid return of peristalsis a. Light yellow
Situation: Mr. Santos, 50, is to undergo cystoscopy due to b. Bright red
multiple problems like scantly urination, hematuria and c. Amber
dysuria. d. Pinkish to red
11. You are the nurse in charge in Mr. Santos. When 17. The purpose of the continuous bladder irrigation is
asked are the organs to be examined during to:
cystoscopy, you will enumerate as follows: a. Allow continuous monitoring of the fluid
a. Urethra, kidney, bladder, urethra output status
b. Urethra, bladder wall, trigone, urethral b. Provide continuous flushing of clots and
opening debris from the bladder
c. Bladder wall, uterine wall and urethral c. Allow for proper exchange of electrolytes
opening and fluid
d. Urethral opening, ureteral opening bladder d. Ensure accurate monitoring of intake and
12. In the OR, you will position Mr. Santos who is output
cystoscopy in: 18. Mang Felix informs you that he feels some
a. Supine discomfort on the hypogastric area and he has to
b. Lithotomy void. What will be your most appropriate action?
c. Semi-fowler a. Remove his catheter then allow him to
d. Trendelenburg avoid on his own
13. After cystoscopy, Mr. Santos asked you to explain b. Irrigate his catheter
why there is no incision of any kind. What do you c. Tell him to “Go ahead and void. You have an
call him? indwelling catheter.”
a. “Cystoscopy is direct visualization and d. Assess color and rate of outflow, if there
examination by urologist”. are changes refer to urologist for possible
b. “Cystoscopy is done by x-ray visualization of irrigation.
the urinary tract”. 19. You decided to check on Mang Felix’s IV fluid
c. “Cystoscopy is done by using laser on the infusion. You noted a change in flow rate, pallor and
urinary tract”. coldness around the insertion site. What is your
d. “Cystoscopy is an endoscopic procedure of assessment finding?
the urinary tract”. a. Phlebitis
14. Within 24-48 hours post cystoscopy, it is normal to b. Infiltration to subcutaneous tissue
observe one of the following: c. Pyrogenic reaction
a. Pink-tinged urine d. Air embolism
b. Distended bladder 20. Knowing that proper documentation of assessment
c. Signs of infection findings and interventions are important
d. Prolonged hematuria responsibilities of the nurse during first post-
15. Leg cramps are NOT uncommon post cystoscopy. operative day, which of the following is the LEAST
Nursing intervention includes: relevant to document in the case of Mang Felix?
a. Bed rest a. Chest pain and vital signs
b. Warm moist soak b. Intravenous infusion rate
c. Early ambulation c. Amount, color, and consistency of bladder
d. Hot sits bath irrigation drainage
Situation: Mang Felix, a 79-year-old man who is brought to d. Activities of daily living started
the Surgical Unit from PACU after a transurethral resection. Situation: Melamine contamination in milk has brought
You are assigned to receive him. You noted that he has a 3- worldwide crisis both in the milk production sector as well
way indwelling urinary catheter for continuous fast drip as the health and economy. Being aware of the current
bladder irrigation which is connected to a straight drainage. events is one quality that a nurse should possess to prove
that nursing is a dynamic profession that will adapt 27. Whereas acute nonlymphoid leukemia has a
depending on the patient’s need. survival rate of:
21. Melamine is a synthetic resin used for whiteboards, a. 25%
hard plastics and jewelry box covers due to its fire- b. 40%
retardant properties. Milk and food manufacturers c. 75%
add melamine in order to: d. 95%
a. It has a bacteriostatic property leading to 28. The three main consequence of leukemia that cause
increase food and milk life as a way of the most danger is:
preserving foods a. Neutropenia causing infection, anemia
b. Gives a glazy and more edible look on foods causing impaired oxygenation and
c. Make milks tastier and creamier thrombocytopenia leading to bleeding
d. Create an illusion of a high protein content tendencies
on their production b. Central nervous system infiltration, anemia
22. Most of the milk contaminated by melamine came causing impaired oxygenation and
from which country? thrombocytopenia leading to bleeding
a. India tendencies
b. China c. Splenomegaly, hepatomegaly, fractures
c. Philippines d. Invasion by the leukemic cells to the bone
d. Korea causing severe bone pain
23. Which government agency is responsible for testing 29. Gold standard in the diagnostic of leukemia is by
the melamine content of foods and food products? which of the following
a. DOH a. Blood culture and sensitivity
b. MMDA b. Bone marrow biopsy
c. NBI c. Blood biopsy
d. BFAD d. CSF aspiration and examination
24. Infants are the most vulnerable to melamine 30. Adriamycin, Vincristine, Prednisone, and L
poisoning. Which of the following is NOT a sign of asparaginase are given to the client for long term
melamine poisoning? therapy. One common side effect Especially of
a. Irritability, back ache, Urolithiasis Adriamycin is alopecia. The child asks: “Will I get my
b. High blood pressure, fever hair back once again? “The nurse best respond is by
c. Anuria, Oliguria or Hematuria saying:
d. Fever, Irritability and a large output of a. “Don’t be silly, of course you will get your
diluted urine hair back
25. What kind of renal failure will melamine poisoning b. “We are not sure, let’s hope it’ll grow
cause? c. “This side effect is usually permanent. But I
a. Chronic, Prerenal will get the doctor to discuss it for you”
b. Chronic, Intrarenal d. “Your hair will regrow in 3 to 6 months but
c. Acute, Postrenal of different color, usual y darker and of
d. Acute, Prerenal different texture
Situation: Leukemia is the most common type of childhood Situation: Breast cancer is the 2nd most common type of
cancer. Acute lymphoid leukemia is the cause of almost 1/3 cancer after lung cancer and 99% of which, occurs in
of all cancer that occurs in children under age 15. woman. Survival rate is 98% if this is detected early and
26. The survival rate for Acute Lymphoid Leukemia is treated promptly. Carmen is a 53-year-old patient in the
approximately: high-risk group for break cancer was recently diagnosed
a. 25% with Breast cancer.
b. 40% 31. All of the following are factors that said to
c. 75% contribute to the development of breast cancer
d. 95% except:
 a. Prolonged exposure to estrogen such as an a. A monthly breast self-examination (BSE)
early menarche or late menopause, and an annual health worker breast
nulliparity and childbirth after age 30 examination (HWBE)
b. Genetics b. An annual hormone receptor assay
c. Increasing age c. An annual mammogram
d. Prolonged intake of Tamoxifen (Nolvadex) d. A physician conducts a breast clinical
32. Protective factors for the development of breast examination every 2 years
cancer includes which of the following except: 37. The purpose of performing the breast self-
a. Exercise examination (BSE) regularly is to discover:
b. Breast feeding a. Fibrocystic masses
c. Prophylactic Tamoxifen b. Area of thickness or fullness
d. Alcohol intake c. Cancerous lumps
33. A patient diagnosed with breast cancer has been d. Changes from previous BSE
offered the treatment choices of breast 38. If you are to instruct a postmenopausal woman
conservation surgery with radiation or a modified about BSE, when would you tell her to do BSE:
radical mastectomy. When questioned by the a. On the same day of each month
patient about these options, the nurse informs the b. On the first day of her menstruation
patient that the lumpectomy with radiation: c. Right after the menstrual period
a. Reduces the fear and anxiety that d. On the last day of her menstruation
accompany the diagnosis and treatment of 39. During breast self- examination, the purpose of
cancer standing in front of the mirror is to observe the
b. Has about the same 10-year-survival rate as breast for:
the modified radical mastectomy a. Thickening of the tissue
c. Provides a shorter treatment period with a b. Lumps in the breast tissue
few long-term complications c. Axillary lymph nodes
d. Preserves the normal appearance and d. Change in size and color
Sensitivity of the breast. 40. When preparing to examine the left breast in a
34. Carmen, who is asking the nurse the most reclining position, the purpose of placing a small
appropriate time of the month to do her self- folded towel under the clients left shoulder is to:
examination of the breast. The MOST appropriate a. Bring the breast closer to the examiner’s
reply by the nurse would be: right hand
th
a. The 26 day of the menstrual cycle b. Tense the pectoral muscle
b. 7 to 8 days after conclusion of the c. Balance the breast tissue more evenly on
menstrual period the chest wall
c. During the menstruation d. Facilitate lateral positioning of the breast
d. The same day each month Situation: Radiation therapy is another modality of cancer
35. Carmen being treated with radiation therapy. What management. With emphasis on multidisciplinary
should be included in the in the plan of care to management you have important responsibilities as nurse.
minimize skin damage from the radiation therapy? 41. Albert is receiving external radiation therapy and he
a. Cover the areas with thick clothing complains of fatigue and malaise. Which of the
materials following nursing interventions would be most
b. Apply a heating pad to the size helpful to Albert?
c. Wash skin with water after the therapy a. Tell him that sometimes these feelings can
d. Avoid applying creams and powders to the be psychogenic
area b. Refer him to the physician
36. Based on the DOH and World Health Organization c. Reassure him that these feelings are normal
(WHO) guidelines, the mainstay for early detection d. Help him plan his activities
method for breast cancer that is recommended for 42. Immediately following the radiation teletherapy,
developing counties is: Albert is
 a. Considered radioactive for 24 hours 49. During the acute phase of the burn injury, which of
b. Given a complete bath the following is a priority?
c. Placed on isolation for 6 hours a. Wound healing
d. Free from radiation b. Emotional support
43. Albert is admitted with a radiation induced c. Reconstructive surgery
thrombocytopenia. As a nurse you should observe d. Fluid resuscitation
the following symptoms: 50. While in the emergent phase, the nurse knows that
a. Petechiae, ecchymosis, epistaxis the priority is to:
b. Weakness, easy fatigability, pallor a. Prevent infection
c. Headache, dizziness, blurred vision b. Prevent deformities and contractures
d. Severe sore throat, bacteremia, c. Control pain
hepatomegaly d. return the hemodynamic stability fluid
44. What nursing diagnosis should be of highest resuscitation
priority? 51. The MOST effective method of delivering pain
a. Knowledge deficit regarding medication during the emergent phase is:
thrombocytopenia precautions a. intramuscularly
b. Activity intolerance b. orally
c. Impaired tissue integrity c. subcutaneously
d. Ineffective tissue perfusion, peripheral, d. intravenously
cerebral, cardiovascular, gastrointestinal, 52. When a client accidentally splashes chemicals to his
renal eyes, the initial priority care following the chemical
45. What intervention should you include in your care burn is to:
plan? a. irrigates with normal saline for 1-15
a. Inspect his skin for petechiae, bruising, GI minutes
bleeding regularly b. transport to a physician immediately
b. Place albert on stick isolation precaution c. irrigate with water for 15 minutes or
c. Provide rest in between activities longer
d. Administer antipyretics if his temperature d. cover the eyes with sterile gauze
exceeds 38°C 53. Which of the following can be a fatal complication
Situation: Burn are cause by transfer of heat source to the of upper airway burns?
body. It can be thermal, electrical, radiation, or chemical a. stress ulcers
46. A burn characterized by pale white appearance, b. shock
charred or with fat exposed and painlessness is: c. hemorrhage
a. Superficial partial thickness burn d. laryngeal spasms and swelling
b. Deep partial thickness burn 54. When a client rush towards you and he has burning
c. Full thickness burn clothes on, it is your priority to do which of the
d. Deep full thickness burn following first?
47. Which of the following BEST describe superficial a. log roll on the grass/ground
partial thickness burn or first-degree burn? b. slap the flames with his hands
a. Structures beneath the skin are damage c. try to remove the burning clothes
b. Dermis is partially damaged d. splash the client with 1 bucket of cool water
c. Epidermis and dermis are both damaged 55. Once the flames are extinguished, it is most
d. Epidermis is damaged important to:
48. A burn that said to be “weeping’s” classified as: a. cover client with warm blanket
a. Superficial partial thickness burn b. give him sips of water
b. Deep partial thickness burn c. calculate the extent of his burns
c. Full thickness burn d. assess the Sergio’s breathing
d. Deep full thickness burn 56. During the first 24 hours after the thermal injury,
you should assess Sergio for:
 a. hypokalemia and hypernatremia 61. You plan to teach Fermin how to irrigate the
b. hypokalemia and hyponatremia colostomy when:
c. hyperkalemia and hyponatremia a. The perineal wound heals and Fermin can
d. hyperkalemia and hypernatremia sit comfortably on the commode
57. A client was sustained deep partial thickness and b. ‘fermin can lie on the side comfortably,
full thickness burns of the face, whole anterior about the 3rd postoperative day
chest and both upper extremities two days ago c. The abdominal incision is closed and
begins to exhibit extreme restlessness. You Contamination is no longer a danger
recognize that this most likely indicates that the d. The stools start to become formed, around
client is developing: the 7th postoperative day
a. Cerebral hypoxia 62. When preparing to teach Fermin how to irrigate
b. Metabolic acidosis colostomy, you should plan to do the procedure:
c. Hypervolemia a. When Fermin would have normal bowel
d. Renal failure movement
58. 1 165 lbs. trauma client was rushed to the b. At least 2 hours before visiting hours
emergency room with full thickness burns on whole c. Prior to breakfast and monitoring care
face, right and left arm, and at the anterior upper d. After Fermin accepts alteration in body
chest sparing the abdominal area. He also has image
superficial partial thickness burn at the posterior 63. When observing a return demonstration of a
trunk and at the half upper portion of the left leg. colostomy irrigation, you know that more teaching
He is at the emergency phase of burn. Using the is required if Fermin:
parkland’s formula, you know that during the first 8 a. Lubricates the tip of the catheter prior to
hours of burn, the amount of fluid will be given is: inserting into the stoma
a. 5,400 ml b. Hangs the irrigating bag on the bathroom
b. 9,450 ml door cloth hook during fluid insertion
c. 10,800 ml c. Discontinues the insertion of fluid after 500
d. 6,750 ml ml of fluid has been instilled
59. The doctor incorporated insulin on the client’s fluid d. Clamps of the flow of fluid when felling
during the emergency phase. The nurse knows that uncomfortable.
insulin is given because: 64. You are aware that teaching about colostomy care
a. Client with burn also develops metabolic is understood when Fermin states “I will contact my
acidosis physician and report:
b. Client with burn also develops a. If I have any difficulty inserting the
hyperglycemia irrigating tub into the stoma.”
c. Insulin is needed for additional energy and b. If I noticed a loss sensation to touch in the
glucose burning after the stressful incidence stoma tissue.”
to hasten wound healing, regain of c. The expulsion of flatus while the irrigating
consciousness and rapid return of fluid is running out.”
hemodynamic stability d. When mucus is passed from the stoma
d. For hyperkalemia between the irrigations.”
60. The IV fluid of choice for burn as well as 65. You would know after teaching Fermin that dietary
dehydration is: instruction for him is effective when he states “It is
a. 0.45% NaCI important that I eat:
b. Sterile water a. Soft food that is easily digested and
c. NSS absorbed by my large intestines.”
d. D5LR b. Bland food so that my intestines do not
Situation: ENTEROSTOMAL THERAPY is now considered become irritated.”
specialty in nursing. You are participating in the OSTOMY c. Food low in fiber so that there are fewer
CARE CLASS. stools.”
 d. Everything that I ate before the operation b. Tapazole (Methimazole)
while avoiding foods that cause gas.” c. Cytomel (Liothyronine)
Situation: Based on studies of nurses working in special d. Synthroid (Levothyroxine)
units like intensive care unit and coronary care unit It is 73. The nurse knows that Tapazole has which of the
important for nurses to gather as much information to be following side effect that will warrant immediate
able to address their needs for nursing care. withholding of the medication?
66. Critically ill patients frequently complain about a. Death
which of the following when hospitalized? b. Hyperthermia
a. Hospital food c. Sore throat
b. Lack of privacy d. Thrombocytosis
c. Lack of blankets 74. You asked questions as soon as she regained
d. Inadequate nursing staff consciousness from thyroidectomy primarily to
67. Who of the following is at greatest risk of assess the evidence of:
developing sensory problem? a. Thyroid storm
a. Female patient b. Damage to the laryngeal nerve
b. Transplant patient c. Mediastinal shift
c. Adolescent d. Hypocalcemia tetany
d. Unresponsive patient 75. Should you check for hemorrhage, you will?
68. Which of the following factors may inhibit learning a. Slip your hand under the nape of her neck
in critically ill patients? b. Check for hypotension
a. Gender c. Apply neck collar to prevent hemorrhage
b. Educational level d. Observe the dressing if it is soaked with
c. Medication blood
d. Previous knowledge of illness 76. Basal metabolic rate is assessed on Johnny to
69. Which of the following statements does not apply determine his metabolic rate. In assessing the BMR
to critically ill patients? using the standard procedure, you need to tell
a. Majority need extensive rehabilitation Johnny that:
b. All have been hospitalized previously a. Obstructing his vision
c. Are physically unstable b. Restraining his upper and lower extremities
d. Most have chronic illness c. Obstructing his hearing
70. Families of critically ill patients desire which of the d. Obstructing his nostrils with a clamp
following needs to be met first by the nurse? 77. The BMR is based on the measurement that:
a. Provision of comfortable space a. Rate of respiration under different
b. Emotional support condition of activities and rest
c. Updated information on client’s status b. Amount of oxygen consumption under
d. Spiritual counselling resting condition over a measured period
Situation: Johnny, sought consultation to the hospital of time
because of fatigability, irritability, jittery and he has been c. Amount of oxygen consumption under
experiencing this sign and symptoms for the past 5 months. stressed condition over a measured period
71. His diagnosis was hyperthyroidism, the following of time
are expected symptoms except: d. Ratio of respiration to pulse rate over a
a. Anorexia measured period of time
b. Fine tremors of the hand 78. Her Physician ordered Lugol’s solution in order to:
c. Palpitation a. Decrease the vascularity and size of the
d. Hyper alertness thyroid gland
72. She has to take drugs to treat her hyperthyroidism. b. Decrease the size of the thyroid gland only
Which of the following will you NOT expect that the c. Increase the vascularity and size of the
doctor will prescribe? thyroid gland
a. Colace (Docusate) d. Increase the size of the thyroid gland only
 79. Which of the following is a side effect of Lugol’s c. Sterile
solution? d. Alcoholized
a. Hypokalemia 86. You are caring for Johnny who is scheduled to
b. Enlargement of the thyroid gland undergo total thyroidectomy because of a diagnosis
c. Nystagmus of thyroid cancer, prior to total thyroidectomy, you
d. Excessive salivation should instruct Johnny to:
80. In administering Lugol’s solution, the precautionary a. Perform range and motion exercise on the
measure should include: head and neck
a. Administer with glass only b. Apply gentle pressure against the incision
b. Dilute with juice and administer with a when swallowing
straw c. Cough and deep breathe every 2 hours
c. Administer it with milk and dink it d. Support head with the hands when
d. Follow it with milk magnesia changing position
Situation: Pharmacological treatment was not effective for 87. As Johnny’s nurse, you plan to set up emergency
Johnny’s hyperthyroidism and now, he is scheduled for equipment at her bedside following thyroidectomy,
thyroidectomy. you should include:
81. Instrument in the surgical suite for surgery is a. An airway and rebreathing tube
classified as either CRITICAL, SEMI CRITICAL, and b. A tracheostomy set and oxygen
NON-CRITICAL. If the instruments are introduced c. A crush cart with bed board
directly into the blood stream or into any normally d. Two ampoules of sodium bicarbonate.
sterile cavity or area of the body it is classified as: 88. Which of the following nursing interventions is
a. Critical appropriate after a total thyroidectomy?
b. Non-Critical a. Place pillows under your patient’s shoulder
c. Semi Critical b. Raise the knee-gatch to 30 degrees
d. Ultra-critical c. Keep you patient in a high-fowler’s position
82. Instruments that do not touch the patient or have d. Support the patient’s head and neck with
contact only to intact skin is classified as: pillows and sandbags
a. Critical 89. If there is an accidental injury to the parathyroid
b. Non-critical gland during a thyroidectomy which of the following
c. Semi critical might Leda develops postoperatively?
d. Ultra-critical a. Cardiac arrest
83. If an instrument is classified as Semi Critical, an b. Respiratory failure
acceptable method of making the instrument ready c. Dyspnea
for surgery is through: d. Tetany
a. Sterilization 90. After surgery Johnny develops peripheral
b. Disinfection numbness, tingling and muscle twitching and
c. Decontamination spasm. What would you anticipate to administer?
d. Cleaning a. Magnesium sulphate
84. While critical items and should be: b. Potassium iodide
a. Clean c. Calcium gluconate
b. Sterilized d. Potassium chloride
c. Decontaminated Situation: Budgeting is an important part of a nurse
d. Disinfected Managerial activity. The correct allocation and distribution
85. As a nurse, you know that intact skin acts as an of resources is vital in the harmonious operation of the
effective barrier to most microorganisms. financial balance of the agency.
Therefore, items that come in contact with the 91. Which of the following best defines Budget?
intact skin or mucus membranes should be: a. Plan for the allocation of resources for
a. Disinfected future use
b. Clean
 b. The process of allocating resources for 95. Which of the following accurately describes
future use Variable Cost in budgeting?
c. Estimate cost of expenses a. These are related to long term planning and
d. Continuous process in seeing that the goals include major replacement or expansion of
and objective of the agency is met the plant, major equipment and inventories
92. Which of the following is best defines Capital b. These are expenses that changes in
Budget? proportion to the activity of a business
a. Budget to estimate the cost of direct c. These are expenses that are not dependent
labour, number of staffs to be hired and on the level of production or sales. They
necessary number of workers to meet the tend to be time-related, such as rent
general patient needs d. This is the summation of the Variable Cost
b. Includes the monthly and daily expenses and the Fixed Cost
and expected revenue and expenses Situation: Andrea is admitted to the ER following an assault
c. These are related to long term planning where she was hit in the face and head. She was brought to
and includes major replacement or the ER by a police woman. Emergency measures were
expansion of the plant, major equipment started.
and inventories 96. Andrea’s respiration is described as waxing and
d. These are expenses that are not dependent waning. You know that this rhythm of respiration is
on the level of production or sales, they defined as waxing and waning. You know that this
tend to be time-related, such as salaries nor rhythm of respiration is defined as:
rents being paid per month a. Biot’s
93. Which of the following best described Operational b. Cheyne Strokes
Budget? c. Kussmaul’s
a. Budget to estimate the cost of direct d. Eupnea
labour, number of staffs to be hired and 97. What do you call the triad of sign and symptoms
necessary number of workers to meet the seen in a client with increasing ICP?
general patient needs a. Virchow’s Triad
b. Includes the monthly and daily expenses b. Nursing triad
and expected revenue and expenses c. The Chinese Triad
c. these are related to long term planning and d. Charcot’s Triad
includes major replacement or expansion of 98. Which of the following is true with the Triad seen in
the plant, major equipment and head injuries?
inventories. a. Narrowing of Pulse pressure, Cheyne stokes
d. These are expenses that are not dependent respiration, Tachycardia
on the level of production or sales. They b. Widening Pulse pressure, Irregular
tend to be time- related, such as rent respiration, Bradycardia
94. Which of the following accurately describes a Fixed c. Hypertension, Kussmaul’s respiration,
Cost in budgeting? Tachycardia
a. There are usually the raw materials and d. Hypotension, Irregular respiration,
labour salaries that depend on the Bradycardia
production or sales 99. In a client with a Cheyne stokes respiration, which
b. These are expenses that change in of the following is the most appropriate nursing
proportion to the activity of a business diagnosis
c. These are expenses that are not a. Ineffective airway clearance
dependent on the level of production or b. Impaired gas exchange
sales. They tend to be time-related, such as c. Ineffective breathing pattern
rent d. Activity Intolerance
d. This is the summation of the Variable Cost 100. You know the apnea is seen in client’s with
and the Fixed Cost Cheyne stokes respiration, APNEA is defined as:
a. Inability to breathe in a supine position so
the patient sits up in the bed to breathe
b. The patient is dead, the breathing stops
c. There is an absence of breathing for a
period of time, usual y 15 seconds or more
d. A period of hypercapnia and hypoxia due to
the cessation of respiratory effort in spite of
normal respiratory functioning