HAAD BULLETS

1. Patient who is receiving Methotrexate and Vincristine. What lab works to checkout? – CBC
2. Jaundice occurs within 24 hours of birth? - ABO incompatibility / Pathologic jaundice
3. Symptoms of alcohol withdrawal syndrome? - Diaphoresis, tremors
4. If ICP is 12 mmHg? - Normal
5. When does quickening occurs? - 20 weeks
6. Signs of ICP? - Tachycardia, Tachypnea, Increase RR
7. In pregnant woman with epistaxis and bleeding gum on her 21th week of pregnancy. Which hormone is
responsible?- Progesterone
8. How to check Moro reflex?
9. Rooting reflex?
10. Definitive test for AIDS? - CD4 + T-CELLS >300
11. What to observe for patients on their first hour post tonsillectomy? - Bleeding, frequent swallowing
12. Pulmonary edema symptoms? - Crackles, pink frothy sputum
13. Parkinson disease signs and symptoms? - Pill rolling, involuntary jerky movements, mask-like face, drooling
14. What you will do for wrong documentation? – Draw a straight line and sign
15. Duodenal ulcer symptoms? – Pain 2-3 hours after eating, relief after eating
16. In giving mouth care to unconscious patients what not to do? – Do not put your finger inside patients mouth
17. An unconscious patient came to AU. What is the priority? – Assess LOC if NO head trauma. Do head tilt chin lift – if
with suspected trauma – jaw thrust
18. Patient in seizure child or adult always maintain safety? – Padding sider rails, Removing sharp objects
19. In DM patients’ foot care is done? – Everyday
20. An elderly patient is prone to UTI due to? – Decrease muscle tone
21. What is an outcome goal after giving an albumin? – Increase albumin
22. In asthma? – There is narrowing of airway
23. In COPD? – CO2 retention
24. In Thalassemia why give Deferoxime? – To relief toxic effect of iron overload
25. Parkinson disease meaning? – Dopamine depletion
26. Parathyroid removal. – Shows signs of Tetany
27. Why empty urine bag 6-8 hours? – To prevent bacterial contamination / prevent reflux
28. NGT inserted and patient became cyanotic, what to do? – Remove and assess
29. While ET tube is inserted you heard a gurgling sound. – ET tube is in the ESOPHAGUS
30. You are about to give medication and the medication label is not clear? – Call the pharmacist and ask to give
clear label medicine
31. Patient with angina pectoris came to ER with headache, dizziness, palpitation. What to suspect? – Nitroglycerin
overdose
32. If a junior nurse commit mistake in medicating and procedure, who is responsible? – Senior nurse
33. What drug has inotropic effect?
34. What is the defense mechanism usually exhibits by rape victims? – Suppression
35. Patient on warfarin. What lab works need to be check? – PT/INR
36. Warfarin is not safe for pregnant woman. – Heparin is safe
37. Large BP cuffs give a false low BP reading. – Small BP cuffs gives a high false BP reading
38. Patient is to repeat Laparoscopy is anxious and asking why to repeat the surgery? – Call the attending physician
and let him explain the need for the repeat surgery
39. Patient on diuretics. – Monitor daily weight / potassium
40. Apgar scoring? – 0-3 Resuscitation, 4-6 Monitoring, 7-10 Normal
41. Gestational diabetes observe baby for? – Hypoglycemia
42. You are collecting 24 hours urine the then doctor ordered for UA. What to do? – collect UA after 24 hours urine
collection
43. Urine for analysis collected at 1000 hour should be in lab? – Not more than 30 minutes, if no personnel in lab,
refrigerate the urine
44. Diet for pregnancy induced hypertension? – Well- balanced diet
45. Pre-op patient with BP 117/68 mmHg, on admission BP 125/72mmHg. Now 112/70mmHg. What is the next action? –
Inform the anesthetist patient condition
46. Priority care for patient undergoing surgery? – Assess patient stress level
47. Symptoms of anemia? – Dizziness, easy fatigability, low Hct/Hgb
48. Morphine 2.5 mg ordered. In hand 1000mcg/ml. how much to give? – 2.5 ml
49. What part of NCP when mistaken all other steps are affected? – Assessment
50. NCP are? – Assessment, diagnosis, planning, intervention, evaluation
51. Nursing care plan. – Done according to priority and urgency
52. Patient is post casting of lower extremity and complains a severe pain, nursing action? – Administer analgesic as
ordered
53. Patient with burn on face, mouth and neck complains for difficulty breathing? – Prepare for intubation
54. Patient receiving INH which medication is given with it? – Vitamin B-6 (Pyridoxin)
55. Correct way to give insulin? – Aspirate regular insulin first, check with another nurse, then aspirate Humulin-N
56. Beta-blocker causing arrhythmia? – Propranolol
57. Post amputation should keep elevated within 24hrs BUT prevent AFTER 24hrs to prevent hip contracture
58. Patient post amputation feels pain on amputated leg? – Phantom pain
59. Abruption placenta. – Risk for DIC
60. Placenta previa. – Contraindicated vaginal examination
61. Patient is neutropenic. What is to monitor? – CBC
62. How to collect urine for UA and CS? – Ask patient to clean the perineum from front to back, void and collect
midstream then discarded last void
63. For Alzheimer’s disease what is the collaborative treatment? – Enhance of skills and prevention of the disease
progression
64. Glucagon is given to? – Increase sugar for hypoglycemic patient
65. Assessment for DVT shows? – Pain on calf on dorsiflexion of the foot
66. To prevent DVT? – Ambulation and leg exercise/compression stockings
67. Patient post extubation signs of respiratory failure? – Stridor
68. Nurses is prone to what when frequently changing diapers? – Hepatitis-A
69. Early deceleration in active labor is due to? – Head compression on pelvis
70. Ear irrigation done to patient abnormal sign when patient is not exhibiting? – Nystagmus
71. After ear medication? – Pinna pulled upward and maintain upward position for 2 minutes
72. Post-partum patient with uterus relax and shifted to the right? – Check bladder / empty the bladder
73. Senior nurse and the doctor talking about the case of the patient in front of some visitors. What you will do? – Let
them finish the conversation and converse to your senior later when you are alone
74. Patient told the nurse not to tell parents and relatives about her condition. What you will do? – Document in the
nurses notes and endorse to all staff / PATIENT CONFIDENTIALITY
75. What is the importance of incident report? – To know what happened and prevent recurrence
76. MGso4 2gms is ordered pharmacy prepared 4gms in 250 ml. how much you will give? – 125 ml
77. Patient with upper GI bleeding? – Black tarry stool
78. Gallbladder obstruction? – Clay colored stool
79. The purpose of NGT post cholecystectomy patient? – To relieve abdominal distention
80. Signs of pace maker failure? – Frequent HIICUPS
81. Water seal bottle of patient with CTT is oscillating? – Normal
82. Bubbling of water seal bottle when in intermittent suction? – Normal
83. Flapping in the water seal drainage system? – Check for leakage
84. Patient on 25% albumin, how to find out the desired effect? – Serum albumin level
85. Pt. with cerebral edema. What is the immediate nursing action? – Elevate head of bed
86. Post craniotomy position? – Elevate head 30-45 degrees
87. Obsessive compulsive disorder goal. – establish defense mechanism to decrease the symptom
88. Which is unlikely to reduce K+? – Giving NACL
89. How to secure Foley catheter in the bladder? – Inflate the balloon
90. Thalassemia confirmation test? – Hemoglobin erythropoiesis
91. Pt. on warfarin understand teaching except? – My urine will be DARK in color
92. IV site is swelling, red, no back flow. What is your nursing action? – Stop the IVT and remove the catheter
93. What is the respiratory drive? – CO2
94. In preventing lipodystrophy? – ROTATE sites of injection
95. Action of digoxin? – Cardiac glycoside, increase the contractility of the heart
96. Patient taking Fefol? – Causes GI upset
97. Liquid iron preparation. – Causes teeth staining
98. Breastfeeding contraindicated. – Hepatitis-C/AIDS
99. Therapeutic level of Lithium. – 0.5-3.2meq/L
100. Pain. – Subjective
101. Depress patient. – Encourage to join group therapy
102. Patient who syas – I gave up. I’m just a burden. – Suicidal tendency
103. OS – Left eye, OD – right eye, OU – Both eye
104. Patient in acute Meniere’s disease attack, nursing action?
105. Common in CPR and BLS. – Maintenance in airway
106. Patient 3 yrs. old grimacing in pain. What scale to use? – Wong Baker face scale
107. Pt. says pain score is 8 but your observation is <8. What you will do? – Give the pain medication
108. Purpose of hydrogel dressing? – To hydrate necrotic tissue
109. Ventricular Septal Defect. – Harsh heart murmur
110. Pt. with Alzheimer’s disease is agitated and wants to go home. – Provide diversional activity
111. Pt. with leukemia. – Limit visitors
112. Which pt. will alert for care? – Pt. with 25ml/hr UO
113. For passive exercise of hand and wrist. – Use soft squeeze ball
114. Signs and symptoms of perforated ulcer. – Tender, rigid abdomen
115. In pt. with COPD. – Increases air residual volume and decreased forced expiratory volume
116. Position of pt. post ORIF tibia. – Elevated
117. Pt. is 3 days post hip replacement complaint of dyspnea and petechiae. – Suspect fat embolism
118. Pt. with suicidal attempt admitted again to hospital. – Ask pt. clearly if he has any intention to commit suicide
119. Colostomy irrigation. – Use luke warm tap water
120. Lumbar puncture position. – Semi-recumbent position
121. Pt. with CVA with difficulty to swallow. How to give nutritional supplement? – Nasogastric tube
122. Pt. with CTT when transferred? – Keep tube below chest
123. For comatose pt. RN and assistant doing morning care which practice the RN will interfere? – Answering phone with
glove hand
124. After mastectomy, what positions will you put the pt.? elevate the arm with pillow above heart level
125. A senior nurse prepared a medication and ask the junior nurse to administer the medicine. – Don’t give medicines
which you did not prepare
126. Pt. on diabetic acidosis. What insulin to give? – Regular insulin IV
127. Doctor ordered digoxin 126mcg/qod. How much will you give? – 0.125mg once a day
128. Normal pH: 7.35-7.45, PCO2: 35-45, HCO3: 22-28
129. Pt. with potassium level of 2.9, Dr. ordered to give 40mcg of KCL in 100 ml D5 water over 4 hrs. How many ml/hr will
you give? – 50ml/hr
130. Treatment for ventricular fibrillation. – Defibrillation
131. Purpose for rehabilitation for elder pt. – To live independently
132. Prior to tonsillectomy. What lab work to do? – Coagulation profile
133. Why Tetracycline contraindicated for children? – Staining of teeth occur
134. For burn pt., how to assess fluid volume deficit? – OU <30ml/hr
135. Burn pt. risk for fluid and electrolytes imbalance first 24hrs of burn
136. Burn pt. risk for infection after 24hrs of burn
137. Daonil is given to pt. with type 2 DM, why? – The pancreas is able to produce some insulin
138. While collecting subjective data with pt. with HTN. Which one of the data is a modifiable factor? – Hyperlipidemia
and sedentary lifestyle
139. Female pt. admitted for chemotherapy. What education you will give? – After successful treatment pt. can be
active like before
140. Pt. is taking Propranolol. What is the adverse effect? – wheezes present on expiration
141. All suicidal pt. room should be. – Free of SHARP objects
142. Pt. had a bee bite. As a nurse, what will you observe? – ANAPHYLACTIC SHOCK/REACTION
143. A pt. with MI for 4 days, after that he is saying that the reason for his disease is just an indigestion. What defense
mechanism he is using? – DENIAL
144. Nurse taking care of a pt. with J-PRATT drain. In the 1st post op day bed is full of serous fluid. What will you do? – Take
all accessories, put gloves, empty, monitor drain and decompress
145. For pancreatitis pt. NGT place for decompression but last for 4hrs there is no output. What is the nursing action? –
Check for any kink in the NGT
146. Pt. with esophageal varices. Why cold saline is used in iriigating via NGT? – Vasoconstriction and reduce bleeding
147. Pt. for bronchoscopy the next day, but he is worried about the procedure. What you will do as a nurse? – Reassure
pt. and explore the feelings
148. Pt. with hypertensive crisis, the Dr. ordered hydralazine 20mg/IV/STAT for BP more than 210/100 mmHg. What is the
nursing action? – Immediately give the dose, ONCE only
149. Manic pt., what is nursing diagnosis? – Risk for injury D/T hyperactive behavior
150. Pt. with diarrhea. During observation found with dry mucus membrane, low UO, hypotensive. What is the nursing
diagnosis? – Fluid volume deficit
151. Pt. with nephritic syndrome. How to detect pt. is improving? – Daily weighing
152. For VSD correct statement. – It may or may not need surgery
153. In pre-eclampsia, how PIH occurs? – RENIN ANGIOTENSIN 2
154. You saw a pt. having difficulty breathing, holding her neck. What is the priority action? – Assess, ask the pt. are you
choking?
155. You are to transfer an obese pt. What is your nursing action? – ASK assistance to shift the pt.
156. A mother of 3 children ask the nurse about how to prevent infection from child having gastroenteritis to another? –
Advised frequent hand washing
157. Nurse working in neonatal unit who is changing diaper frequently is prone to? – Hepatitis-A
158. Pt. complains of pruritus, jaundice and clay colored stool suspect for? – Gallbladder obstruction
159. Assessment of alcoholic pt. who came to ER D/T accident. What to ask? – When was the last time he take the
alcohol?
160. ORIF means? – fixation with screw plate
161. Pt. with pneumonia with thick purulent sputum. What to do? – Postural drainage
162. Doctor told the nurse to assist him in the procedure she doesn’t know. What to do? – Observed experience nurse
how she is doing.
163. Pt. admitted to ER, as a nurse you will? – Assess pt. for priority/triage
164. TRIAGE PRIORITY. – Child and elderly
165. Pt. with bacterial meningitis has. – Low glucose level in CSF
166. Meningitis – Droplet precaution, wear surgical mask
167. PTB – Airborne precaution, wear N95 particulate mask, keep door always closed
168. To prevent pressure sore? – Removed soiled linens
169. Five weeks pregnant woman, what to advised? – Avoid strenuous activities
170. Thoracentesis – Removal of air/fluid in the pleural cavity
171. To avoid hypoxemia with pt. on ventilator. How will you suction? – Hyperventilate or give 100% oxygen before and
after suctioning
172. Care of meningitis pt. who is agitated. – Keep on quiet environment
173. Child who is lying on the crib suddenly have seizure. First action would be? – Keep environment safe
174. To give 1 gm of antibiotics 4 x a day, stock is 500mg/cap. How many cap to give each dose? – Give 2 caps per
dose
175. Post renal biopsy position. – Lie on the affected site / supine
176. Naegel’s rule – LMP – minus 3 months - + 7 days ex. LMP 14 Feb 2010, EDC 21 NOV 2010
177. In collecting urine for UA with pt. on Foley catheter. – Aspirate from the port
178. Morphine sulfate 7mg/ml ordered. Stock is 10mg/ml vial. What will you do with the remaining dose? – Discard the
remaining dose and have it witnessed by another nurse
179. Doctor’s order is illegible as received by the nurse, what to do? – Call the doctor and verify
180. Atropine sulfate administered pre-op to? – Decrease bronchial secretion
181. Action of bronchodilator. – Relax the muscles of the airway/ vasodilator
182. Chyne stokes breathing. – Fast irregular periods of apnea
183. Pt. had burn and blisters noted. What stage of burn? – Stage 2 burn
184. Congestive heart failure. – Monitor daily weight
185. Caused of perforated appendix. – Inflammation surrounding the appendix
186. How to collect linens in the ward? – Keep away from the uniform
187. How to assess flexion with pt. on cast? – Ask to move his fingers
188. Rheumatic fever is cause by? – Beta-hemolytic streptococcal infection
189. Severely dehydrated child on assessment? – Crying without tears
190. In ER pt. had car accident with bleeding. What is the immediate action? – Assess ABC
191. To avoid Dumping syndrome. – Avoid drinking water with meals and take in between meals only before eating.
And after entire feeding finished, avoid semi-fowlers, it should be supine
192. Muslim beliefs. How to bury the dead? – Before sunset
193. Diabetic insipidus. – Diluted urine, concentrated serum
194. Pt. is febrile on the 1st post-op day. – Encourage deep breathing exercise
195. 1000ml of IV fluids using microset to run for 12hrs, how many drop/min to give? – 83 drops/min
196. Signs of increase ICP in child. – Bulging fontanels, high pitched cry
197. A child in oncology ward develops neutropenia. – Limit visitors
198. A school age child admitted to r/o cardiac problem, what is proper room placement. – Multibed with school age
group pt. not isolation cause he is only to be r/o
199. Doctor ordered for metidine you think it’s too high dose. What to do? – inform dr. and discuss
200. Who is responsible for the renewal of the nurse license? – The nurse
201. Early signs of increased ICP. – Restlessness, decreased LOC, seizure, vomiting, lethargy
202. Signs and symptoms of Pulmonary Edema. – Pink frothy sputum, diaphoresis, dyspnea, confusion, tachypnea,
tachycardia
203. Antidote for hyperkalemia. – kayexelate
204. Position of defibrillation pad. – Right clavicular area and left below nipple area
205. Signs and symptoms of ICP. – Bradycardia, Hypertension, hyperthermia
206. Pt. is AFB positive. To confirm diagnosis for TB,do? – Chest X-ray
207. Position after ECT? – Lateral position
208. Doctor ordered medicine you are not sure about the dose. – Check with pharmacist
209. What to advised pt. post hip surgery? – Avoid sitting with cross legs
210. Therapeutic effect of warfarin. – Increased PT – 1 ½ 10 2 times the baseline PT
211. Prior to paracentesis? – Empty bladder to prevent injury
212. Proper BF position. – Hold baby at nipple level with faced turn to breast
213. Child to prevent otitis media. – Feed the child on upright position
214. Baby with gastroenteritis. – Ask mother to wear gloves when changing diaper
215. Pt. under suicidal precaution. – Close monitor
216. Drug should be avoided in Leukemia. – Stool softener
217. If pt. is on skin traction. – Make sure weight is hanging freely
218. Which is best for plasma expander? – Albumin
219. Pt. is 2nd day hemicolectomy. What to observe? – Gastric drainage
220. Obsessive compulsive pt. – Provide recreational activity
221. In nephritic syndrome, mother ask why to weigh diaper? – To check for water retention
222. ABG in asthma. – Increased PC02, Respiratory acidosis
223. After collecting blood from the blood bank, before starting infusion, what to do? – Check VS
224. Child with CHF. What is the priority of care? – Small frequent feeding
225. What are the good markers to check in COPD? - ABG and SP02
226. Pt. came with edema of ankle, what is your nursing action? – Elevate the leg
227. DVT pt. developed dyspnea, tachycardia. What is the first intervention? – Elevate the bed
228. Burn pt. complaint of constipation. – Increased fluid intake 3L/day
229. 70 yrs. Old pt. obese with small pressure ulcer. What is the nursing diagnosis? – Altered in skin integrity r/t immobility
230. After removal of pt. dressing. What to do? – Check for discharge and throw in soiled dressing bin
231. Pt. with infection. What is seen in lab result? – Increased WBC
232. Child CPR ratio 15:2, Adult 30:2
233. Fractured humerus, how to assess for neuromuscular involvement? – Decreasing sensation
234. Quickening means? – First fetal movement
235. Pt. is for surgery, what to check? – Informed consent
236. Pt. is to receive 750,000 units, available stock is 1 mega million units/ml. how much you will give to the pt.? - 0.75 ml
237. Importance of exercise in DM pt.? – Lower sugar count
238. Doctor ordered to give tab Acitane 45mg and aspirin 550mg. available stock in Acitane 15mg and tab aspirin
325mg. how many tabs each you will give? – Acitane 3 tabs, aspirin 2 tabs
239. Doctor ordered to give digoxin 0.25mg. Available stock is 0.50mg/2ml. how many milliliter you will give? – 1ml
240. Doctor ordered 15mmol of KCL. Available stock is 40mmol in 20ml. how many you will give? – 9ml
241. Doctor ordered injection morphine 2.5 mg. available stock is 1000mcg/ml. how many you will give? – 2.5ml
242. Doctor ordered to give 3 gm medication. Available stock is 100mcg. How many tabs you will give? – 3 tabs
243. Nursing diagnosis depends on? – Actual/potential problem
244. Accidental injury to parathyroid. – decreased calcium/ chevostek sign
245. Rheumatic fever child needs to rest in order to? – Decrease workload of the heart
246. Post-op pt. complaint of abdominal cramping and pain. – Early ambulation
247. What causes redness in ileostomy site? – Gastric juices leakage
248. Diabetic mother delivered. What to observe on her baby? – Tremors and jitters
249. Apgar score 6. – Needs attention
250. Post leg amputation. Elevate leg on first 24hrs, after 24hrs DON’T elevate to prevent hip contracture
251. While preparing pt. for surgery? – Check stress level
252. IVF 1000ml to run 10hrs in microdrip. How many ml/hr to deliver? – 100ml/hr
253. 10 weeks pregnant having morning sickness, what is the nurse advice? – Take dry crackers before getting up in the
morning
254. A doctor bringing a new evidence based practice would you implement this in your unit? – If it is validated against
better pt. outcome
255. 14 weeks pregnant with hyperemesis gravidarum. What is the complication? – Electrolyte imbalance
256. If hospital do not have guidelines of policy about a certain procedure. What guideline should the nurse follow? –
Look up in an evidence based material and discuss it with other staff
257. COPD pt. smoking 30 cigarettes a day, for PFT. What is the result? – Reduced functional residual volume
258. Pursed lip breathing encouraged to COPD pt. for what purpose? – Excrete CO2
259. Venture mask given to pt. to deliver. – Precise O2
260. A depressed pt. talks, walks at a slow pace. What is the plan of care? – Encourage pt. to SOCIALIZE
261. Post tonsillectomy position? – Side lying/Lateral
262. Oncology pt. under treatment and vomited. What should be given? Anti-emetic 1hr prior Tx
263. Post thyroidectomy pt. had tetany. – Give Calcium Gluconate 10%
264. How should rectal suppository be given? – Insert above the muscle of sphincter
265. A diagnosis of fluid electrolytes imbalance is for pt.? – pt. with colostomy
266. Diabetic pt. complaint to diet if? – keeps diary of food taken
267. Colostomy irrigation being done & the pt. complaint of abdominal cramps. – Slow down the flow of irrigation
268. 3% solution- 60mg/ml stock- how much to give? – 2ml
269. Child is 18kgs. Gentamycin to be given 6mg/kg/body wt. how much will you give? 1.8 mg
270. Parent ask what is the importance of immunization to her child. – Immunization prevents occurrence of disease as
long as it is taken on scheduled time.
271. A solution for dressing is with unclear label, what should she do? – Return to pharmacy & ask pharmacist to label it
clear
272. A post-op pt. had undergone screw fixation of fractured tibia. – Elevate leg to prevent venous stasis
273. A manic pt. says that a satellite is controlling him. DELUSION – reply should be : I understand your fear but that is not
true
274. Pt. complaint of sleeplessness. What is plan of care? – Allow to do exercise at daytime
275. Most elder pt. with substance abuse, use what? – Alcohol and opiates
276. Pt. admitted for heroin abuse. His friends visited him then after they left he become euphoric, what should the nurse
do? – Look inside the room for hidden drugs
277. Which of the pt. can undergo for a test? – Pt. for MRI who has a biological mitral valve replacement
278. What deficiency can affect absorption of calcium? – Vitamin D
279. Fefol better absorbed with? – Vitamin C
280. The nurse would be alerted with what UO? – 20ml/hr
281. A pt. is on 02 inhalation with mucus secretion drying up. What should the nurse do? – Put humidifier
282. IVF of 50ml/hr to run for 30 minutes. How many ml/hr to give?
283. An elderly pt. with pressure ulcer. What is the priority nursing diagnosis? – Altered skin integrity
284. Dr. ordered for penicillin & the pt. has an allergy to it. – Call pharmacist for any substitute
285. Ph 7.48 PCO2 20 PO2 30 – Respiratory alkalosis
286. Nitroglycerin is given every 4hrs. How many times you give? – 6x a day
287. After delivery. Pt. brought back to the ward. Nurse saw tracing of history during delivery. What should the nurse do?
– Put it inside the pt. file for future references
288. Meningitis pt. room should not be near the nurse’s station. – noisy
289. Nursing priority for pt. on active labor? – Assess for labor interval
290. 4gms of MGso4 diluted in 50ml of D5water. Stock is 2gms/ml. how much ml you give? – 2.5 ml
291. Nurse found a fire inside the room. What to do? – RACE
292. Phenylketonuria – Pt. with mental retardation
293. Effectiveness of iron supplement. – Black-tarry stool
294. Nephritic syndrome s/s. – Proteinuria, albuminuria
295. Pt. post ESWT (Electric shock wave therapy) what is nursing action? – Encourage pr. To increase fluid intake & strain
all urine
296. Pt. with hearing impairment. – Approach with simple sentence
297. Pt. with visual impairment – Inform pt. before entering the room and after leaving the room
298. Pt. obese 4 days post-op cough and vomits is at risk to? – Dehiscence
299. Pt. on heatstroke after exposure to extreme heat, what to do? – Apply ice pack over axilla & groin area
300. Pt. with femur surgical Tx. What to expect? – Pin & plate
301. Blood investigation for M.I. – CK-CKMB/TROPONIN
302. Pt. w/ comminuted fracture undergone surgery, the next day there is oozing blood from the dressing. What is your
nursing action? – Mark the dressing and inform the physician
303. Hepatic encephalopathy pt. was ordered to give enema. For what purpose? – decrease protein & ammonia
304. What is the intervention to prevent odor from colostomy? – Dietary restriction
305. Safety before doing defibrillation? – Do not touch the bed/pt.
306. If NGT is running/feeding too fast? – Abdominal distention
307. Pt. w/ peripheral neuropathy, what will you instruct? – Check the temperature of the warm water w. thermometer
before bathing
308. You are doing research in your area. What will you consider first? – Previous results done by somebody else
309. Disease happened to glomerular membrane will result in what? – Proteinuria
310. Pt. received in PACU, immediately after receiving the pt. became agitated & restless. What is the nursing action? –
CHECK LOC & last pain medication received
311. How will you diagnose type 2 DM? – FBS >12omg/dl
312. How will you maintain infection control in post-partum pt.? – Wash hands before & after changing the sanitary
napkin
313. Which pulses are easily accessible? – Radial & carotid
314. In chlamydial infection, what will you expect? – Cervicitis
315. Pt. came to hospital w/ infection, at night he became confuse, agitated & disoriented. What could be the reason?
– DELIRIUM
316. Colostomy pt. encouraged what food? – Crackers, toast, yogurt (low fiber)
317. Orinase (Tolbutamide), what is the contraindication? – MAO inhibitor
318. How to secure swab from fungal infection? – Use a DACRON tipped swab
319. Glaucoma. – Loss of peripheral vision
320. Post cataract surgery. – Patch eyes during night
321. Action of Salbutamol in asthma pt.? – Relax bronchi muscles
322. Dietary modification for DM pt. take into consideration? – Pt. reference of food
323. Where can you best heard the apical pulse? – 5th ICS mid-clavicular area
324. To prevent pressure ulcer. – Reposition pt. Q 2hrs
325. Bulimia d/o. – Controlling behavior
326. What position indicated for pt. after surgery of perforated appendix w/ localized peritonitis? – Semi-fowlers position
327. Which of the disease needs airborne precaution? – Measles & Varicella
328. Pt. w/ fluid in the chest, what sound? – Crackles
329. In breast CA pt., ERP (Estrogen reactive Protein) is positive. What does indicate? – DNA bonding
330. Drug that will increase blood sugar? – Stool softener
331. When a pt. is w/ urinary retention, how will you assess? – Palpation
332. When the pt. is unresponsive, in a standard cardio-pulmonary arrest Tx., what is the immediate intervention? – Call
the emergency response team
333. To preserve communication ability for Parkinsonism pt., what is the nurse action? – Teach to do facial exercise such
as smiling & frowning
334. Purpose of NGT w/ intestinal obstruction? – To decompress air & fluid from the stomach
335. HIV pt., what precaution to take? – Prevent opportunistic infection
336. A senior nurse who is mentoring a junior nurse, ask the junior nurse to insert NGT w/c she will be doing the first time.
Who will be responsible? – Senior nurse
337. For pt. w/ temporary pacemaker who is going for surgery, w/c equipment to accompany in OR? – ECG monitor
338. A pt. tells she feels dizzy while the nurse is passing in the hallway. What will be your nursing action? – Make the pt. sit
& do not leave the pt.
339. Which food is rich in iron? – Lettuce
340. Based on pt. history & assessment. What causes pt. to have microcytic hypochromic anemia? – Decrease in iron
intake/iron deficiency
341. Give 50ml of 0.9NacL to run for 30 minutes w/ microdrip. The rate set to run in ml/hr is how much? – 100ml/hr
342. Pt. w/ depression. What is the assessment for him? – Hopelessness & helplessness
343. When you will consider pt. w/ TB on Tx improved? – Sputum AFB negative
344. Insulin (Mixtard/NPH) taken from the fridge, what you will do before preparing? – Rotate b/n your hand
345. Streptokinase contraindication. – Hypertension
346. Kidney biopsy position. – Prone post-supine
347. Pt. receiving warfarin & INR is 3, what to do? – Give the warfarin
348. Pt. on warfarin w/ PT of 35, nursing action? – Give Vitamin K
349. For violent pt. – Assign room near nurse’s station
350. In diabetes insipidus pt. is given Desmopressin/Vasopressin, why? – To decreased UO
351. For hip replacement pt. what to provide? – High toilet seat
352. Before pre-medication, the pt. claimed the procedure not clear to her, what to do? – Hold the meds & inform the
dr.
353. Nursing action after giving pre-medication? – Raise side rails up/safety
354. Side effects of corticosteroids. – Hypoglycemia, orthostatic hypotension
355. Ultimate aim of Alzheimer’s disease is? – Maximize functional ability, improve quality of life, mood & behavior
356. Peculiar symptoms of anorexia nervosa. – Fear of wt. gain
357. Bulimia – Compulsive eating w/ self-induced vomiting
358. After head trauma pt. spent long time in hospital, the nurse should teach moral support to the family because? –
The family became dysfunctional/they have role in the Tx cycle to the pt.
359. When extubating the pt., how you will know that she is not fit? – No breathe sound, DOB, (+) secretion
360. When giving medication to the right pt.? – Check name band if photo ID in the file is not present
361. In w/c case you will see increased Na+? – Vomiting & diarrhea
362. In elderly why pupils become small? –
363. Psycho-behavioral therapy for pain – advantage?
364. Pt. is to take 2mg/kg/hr, his wt. is 70kgs. How many mgs she will take? – 140mgs
365. When you have high precautions? – Use gloves when touching bodily fluids
366. There is new article about dressing. What is nursing intervention? – Inform the charge nurse & discuss in the meeting
w/ staff
367. Narcotics are lock. – To avoid MISUSE
368. Premature babies appearance. – Thin wasted appearance
369. After cholecystectomy nursing diagnosis. – Acute pain
370. Time management means? – It is a technique designed to assist in completing task in a definitive period
371. Pt. on morphine but still complains of pain. – Assess characteristics & type of pain
372. Cardiac problem in children. – Activity intolerance
373. Sickle cell crisis. – Contact sports (soccer) should be avoided
374. Pt. w/ ileostomy. – Chew food well
375. Dr. ordered 500mg dopamine in 500ml, available stock is 200mg/ml. how many ml/hr to give? – 40ml/hr
376. Action of Inderal. – Anti-dysrhythmia
377. Action of digoxin/dopamine. – Increase myocardial contractility
378. Action of beta-blocker. – Vasodilation/decrease BP
379. Diltiazem – CA channel blocker
380. 80 yr. old admitted to ward. What is the priority of care for safety? – Teach how to use the call bell
381. Acute pancreatitis – LUQ pain
382. Pt. on Aldactone is prone to? – Hyperkalemia
383. Color & odor of wounds indicate? – Phases of wound healing
384. PPD test – For TB
385. Insulin given by tuberculine syringe 20 units, give? – 0.2 ml
386. What is IHD (Ischemic Heart Disease) describe as? – Deposits of lipid containing plaques
387. What is the use of draw sheet w/ pt. on skeletal traction? – Prevent shearing of the skin/breakdown
388. After laminectomy. – Check lower extremities for pulse
389. Cellulitis/edema on leg – Elevate the legs
390. Digoxin was ordered 25mcg QID. Stock is .250mcg/tab. How much you will give? – ½ tab 4x
391. 40000 U of heparin in 1L. pt. need 1000U. How many ml you will give? - 25ml
392. NPH given at 8am. What time is the peak of action? –
393. Regular insulin peak time? – 2-4hrs
394. Hyperemesis gravidarum – Metabolic alkalosis
395. Fracture of acetabulum, w/c part of the femur is affected? – Head
396. Pt. for CT-scan – Ask allergy to seafood
397. Homan’s sign – DVT (calf pain on dorsiflexion of the foot)
398. DM 2 affects – Middle-aged people
399. Before preparing & administering drugs. – Check physician’s order
400. Oxygen is considered dangerous because? – It is explosive
401. After renal biopsy, what should not be done? – Avoid strenuous activity
402. Pt. w/ terminal stage CA, he says that “I want to die today, I don’t want to live anymore”, what is the coping
mechanism? – EXPECTED coping mechanism
403. Pt. receiving gentamycin complication. – Ototoxicity/hearing problem
404. After giving IM injection – if bleeding occurs. – Apply gentle pressure for sometime
405. A nurse was seen taking medicine from the cabinet, what is your nursing action? – Talk to the nurse, tell her to return
the medicine or you will inform the supervisor
406. Emphysema – Destruction of the alveolar wall
407. Bedridden pt. long term to determine beginning bedsore, check for? – Redness in the skin
408. Nursing diagnosis should be – Precise & clear
409. Needle stick injury – inform supervisor
410. Needle stick injury, what you will do first? – wash w/ soap & water
411. Cholecystitis – RUQ pain
412. Causes of pyelonephritis – E. coli
413. Responds of body to hypoglycemia – Increase secretion of glucagon
414. Normal CVP – 5-12mmHg
415. Cystic fibrosis – Dermis alpha
416. Consent – If Emergent – signed by MD & anesth
417. Contraindicated to appendicitis – Enema
418. Drug for pancreatitis – Meperidne (Demerol)- NO morphine
419. Tracheostomy cause – Tube obstruction & dislodgement
420. Position for Pulmonary edema – High-fowlers
421. Following catheterization – position the bed not >30 degrees
422. Position for enema – Left sims position
423. ABG for COPD – Respiratory acidosis
424. GBS pt. – Kusher meal all wrap
425. ECG that leads to M.I. – A. Fibrillation
426. Sickle cell anemia – Give morphine for pain
427. Hodgkin disease – Painless, firm & immovable
428. Lumbar puncture position – Lateral recumbent
429. Digoxin toxicity – NAVDA
430. Pacemaker rejection – SOB & prolonged hiccups
431. Insertion of cardiac cath – Right femoral vein to inferior vena cava
432. DOC for digoxin toxicity – Digibind
433. Ferrous sulfate – Causes constipation
434. What to check for warfarin? – PT
435. Isoniazid causes peripheral neuropathy – Give Vitamin B6
436. Before tonsillectomy – check blood works – PT/INR
437. Burn mouth/airway – Prepare for intubation
438. Mouth care for conscious pt. use. – Soft bristle brush/oral swab
439. Cause of HTN – Neuropathy & retinopathy
440. NGT decrease output for 24hrs – Check for kinks
441. How to drain Jackson Pratt – Remove fluid & squeeze
442. Pacemaker use – To regulate heart rate
443. Arterial disease – Cold, bluish
444. Venous disease – Red warm
445. During removal of thoracentesis – inhale, exhale then hold or exhale while mouth is close
446. Heat stroke – immediately bathe w/ cold water
447. Glomerulonephritis – decrease CHON
448. Nephritic syndrome – Increase CHON
449. Defense mechanism of paranoid pt. – Projection
450. Female pt. on chemotherapy – Advise birth control use
451. O2 cannula – Give 1-6 liters max.
452. ESRD – Causes anemia
453. Avoid before EEG – caffeine & tea
454. Cushing disease s/s –
455. Defense mechanism of rape victim – Suppression
456. VSD – Harsh murmur – closes in first day of life
457. In rheumatic heart disease – Increase ASO titer
458. Lead poisoning – ages under 10 & adult 20
459. Cephalosporin allergy – also allergic to penicillin
460. Common SE to antipsychotic drugs – Drowsiness
461. Position for back spasm – Side lying/fetal position
462. Review delirium VS dementia
463. Airborne – Measles & varicella
464. Nerve affected in difficulty swallowing – Glossopharyngeal (CN IX)
465. Report to MD if there is a drainage of above 1000ml in CTT
466. Pneumothorax – Dx by chest x-ray
467. Normal amount of drainage for colostomy – 500-1000ml
468. Glargine – long acting insulin
469. Clorazepam – For anxiety, panic attack & seizure
470. Abnormal curvature of thorax – Kyphosis
471. In hemophilia – Normal PT/Plt
472. Antidepressant drugs – Causes urinary retention – TCA
473. Presbyopia – loss of the elasticity of lens
474. How to administer eardrops to children? – Below 3, pull pinna down & back
475. In Meniere’s disease – Decrease fluid intake, avoid tanning containing foods
476. Dehiscence – Separation / tearing apart of an operated wound
477. Normal color for stoma - Pink, edematous
478. For OC pt. – Help pt. find an effective coping
479. Pernicious anemia – lack of intrinsic factor/Vitamin B6
480. Post hemicolectomy – nurse should drain the output
481. Intussusception – on & off pain
482. Acute renal disease – increase in BUN, K, Crea
483. ESRD – Anemia, uremic frost, osteodystrophy
484. What is adverse effect – undesirable effect
485. Decrease albumin – increase CHON in diet
486. Normal wt. gain for pregnant woman – 25-35 lbs
487. TOF – what are the defects –
488. In cataracts pt. – Avoid oral hypoglycemic agents/corticosteroids
489. Pt. w/ meningitis – Altered consciousness/ restlessness
490. DKA – Kaussmauls breathing/deep rapid breathing
491. Post cataract surgery – Avoid lifting object >7kgs
492. Difference b/m RACE & CULTURE – CULTURE more in customs & traditions, RACE more in physical characteristics
493. Heartburn in pregnancy – Hormonal changes
494. Mode of communication in stroke pt. w/ aphasia – Give pen & paper
495. Hot spots in cast – Indicate infection
496. Post lumbar puncture position – Prone w/ sandbag
497. Iliac crest – Site for bone marrow aspiration
498. To avoid static pneumonia – DBE
499. Which is true to Hepa vaccine? – 3rd dose is necessary for longer immunity
500. Hospital psychosis – experience in ICU – pt. is agitated
501. Pons – part of the brain responsible for breathing
502. Medulla – part of the brain responsible for heart rate, vomiting
503. Causes diarrhea in children – Rotavirus
504. Pilonidal sinus – affected tract under the skin of the buttocks/base of the spine
505. ERP – test for breast CA
506. Combs test – For autoimmune hemolytic anemia/ test for determining RBC destruction
507. Indirect combs test – Use for prenatal testing/test prior to BT
508. Intervention for CROUP (Laryngotracheobronchitis)
509. SWEAT chloride test – use in cystic fibrosis
510. For injured arms – Pressure, elevation, ice compression
511. Pt. vomiting & diarrhea for 3 days – Hypokalemia & cardiac dysrhythmia
512. Old pt. has thick purulent sputum – Do postural drainage
513. Given to trained nurse – look for Cytoxan in the choice
514. If you see Piperacillin in the question – answer will be Steven Johnson
515. Post-op pt. has dyspnea flaring – Suspect pulmonary embolism
516. F&E imbalance – Ileostomy
517. Enema temperature in children – 100F
518. Myasthenia gravis – meaning
519. Pregnant w/ difficulty sleeping. What position? – Recumbent
520. Risk for orthostatic hypotension – pt. on Tx for essential HTN
521. Primary goal for heart failure & Pulmonary embolism – Increase cardiac output
522. Inflating an IFC balloon, pt. complains pain –
523. A nurse doing tracheostomy care, tube suddenly dislodged. Nursing intervention – She covered the stoma &
prepares ambubag covering the mouth
524. ICP of 10-15mmHg – Normal
525. Following head injury, when will you expect the pt. w/ cerebral edema most at risk for increase ICP? – 24-48hrs
526. GSC checking except –
527. Heparin – don’t aspirate & massage
528. Urine collection in Foley cath. – clamp 30mins then alcohol swab then aspirate
529. Which of the following should the door be closed – contact, airborne, droplet precaution
530. Pt. w/ acute lymphoblastic leukemia (ALL) w/ neutropenia – increase production of immature WBC is prone to
infection
531. Thrombophlebitis – warm & tender
532. Drug that causes increase in blood sugar – ACE inhibitor, stool softener
533. Cushing disease characteristics except – wt. loss
534. Post-surgery of retinal detachment priority – prevent IOP
535. Glaucoma – darker pupils
536. Pt. w/ cast, what is normal – pain relieved by analgesic
537. What to prepare for pulseless V-tach – Defibrillation
538. Pregnant w/ appendicitis alpha-feto protein truth – if normal amniocentesis is done, synthesized in the liver
539. Why morphine is given to CHF – to decrease respiration
540. Pelvic replacement priority – Isometric exercise
541. Craniotomy w/ drain priority – infection/increase ICP/cerebral edema
542. Burn Tx priority – Hydration
543. Esophagogastroduodenoscopy priority – return of gag reflex before giving fluids/feeding
544. Dumping syndrome – Avoid water w/ meals
545. Pt. febrile first post-op day – EDBE
546. Symptoms of electrolyte imbalance – Trousseau
547. Child w/ cardiac anomaly where to place? – private isolated with other children
548. Hearing aide pt. cannot hear & say is not working, what to do? - Initially: check if turned on, check volume is
adequate, check battery
549. Esophageal varices – seen in liver cirrhosis
550. Barium swallow purpose –
551. Elderly needs vitamin – Vitamin A, C, D
552. ECT for major depression
553. Cluster headache
554. Acute migraine attack
555. Proper steps in extinguishing fire
556. Cataract – crystallization of lens birth eye aging trauma
557. Peritoneal dialysis what to report? – Cloudy output
558. Most common abdominal obstruction in 3 yr. old & less – Intussusception
559. Early sign of increase ICP – Decrease LOC