PB2-NP3.docx

PREBOARD EXAMINATION 2Nursing Practice III: Care of Clients with Physiologic and

Psychosocial Alterations (Part A)GENERAL INSTRUCTIONS: 1. This test questionnaire contains 100 test questions2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalid your answer.3. AVOID ERASURES.4. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set.5. Write the subject title “NURSING PRACTICE III” on the box provided.

Situation: Nurse Katrina is assigned in the Post-Anesthesia Care Unit of San Ildefonso Hospital. She receives an average of 10 patients per shift of different cases and operations.

1. One of Katrina’s patients developed deep vein thrombosis (DVT). Which of these would she not include in her plan of care for the patient?a. Adequate hydration postoperativelyb. Frequent assessment of the distal peripheral

pulsesc. Use of knee gatch on the affected legd. Avoiding rubbing or massaging of the

affected leg2. Which of these would Nurse Katrina expect as a

normal amount of drainage postoperatively?a. 1000mL/day of gastric contents in a

nasogastric tubeb. 1000mL/day of bile in a T-tubec. 1,500mL/day for the first day from a Foley

catheter attached to a urine bagd. 1L in the first 24 hours of ileostomy

3. A patient who underwent intestinal surgery tells Nurse Kat, “Something suddenly gave way in my operative wound.” Which of these should Nurse Kat perform?a. Instruct the patient to bend the knees with

the head of bed in Trendelenburg positionb. Keep the patient on absolute bed restc. Encourage pursed-lip breathingd. Cover exposed wound with sterile dressings

moistened with alcohol4. As Nurse Kat was monitoring the vital signs of

Patient Rina post-thyroidectomy, she noticed that the patient’s pulse pressure was narrowed. This would alarm the Nurse Kat for possible:a. Increased intracranial pressureb. Hypertensive crisisc. Shockd. Infection

5. The complication Patient Rina might experience could be due to which of the following events intraoperatively?a. Severe blood lossb. Failure to give antibioticsc. Intravenous fluid overloadd. Poor aseptic handling of instruments

Situation: A 17-year-old patient comes into the Emergency Department complaining of swelling of one of her cervical lymph nodes. After several workups, she was diagnosed with Lymphoma (HL). You are assigned to this patient.

6. Pain, if present, on the site of tumor is usually

associated with which of these activities?a. Bed rest c. Alcohol intakeb. High-fat diet d. Physical activity

7. You note that the patient is developing the “B symptoms” from the condition. These symptoms include the following except:a. Fever c. Night sweatsb. Weight loss d. Syncope

8. Your patient was ordered to undergo radiotherapy for her condition. With your knowledge, you know that radiotherapy is most effective during which stage of the cell cycle?a. G1 c. Late Sb. M d. All of the above

9. In ensuring that you are protected from the radiation during therapy, you should consider all of these but one:a. Duration of exposureb. Distance from the radioactive sourcec. Shield from radiation exposured. Positioning of a patient who has a

radioactive source10. In giving instructions to your client on radiation

therapy, which of these should you not include in your teaching?a. “You may wash the irradiated area each day

with warm water.”b. “Make sure to wear soft clothing over the

skin at the radiation site”c. “Never use your hand to wash the affected

area.”d. “Use only patting motions in drying the area

with a soft cloth”

Situation: Cardiovascular diseases are the leading cause of mortality among Filipinos. You note the increasing incidence of these kinds of diseases in the ICU. Your supervisor expects you to have extensive knowledge on the different diagnostic procedures on cardiovascular conditions.

11. While auscultating the apical pulse of your patient, you noticed a physiologic S2 split. You know that this is usually observed during:a. Ventricular contractionb. Expirationc. Atrial relaxationd. Inspiration

12. One of your patients are under intra-arterial blood pressure monitoring to continually assess the arterial perfusion to the major organs. Which parameter is being assessed for this perfusion pressure?a. Pulse pressure

NURSING PRACTICE III: Care of Clients with Physiologic and Psychosocial Alterations (Part A)TOPRANK REVIEW ACADEMY, Inc.Page 1 of 7

* NLE * NCLEX * HAAD * PROMETRICS * DHA * MIDWIFERY * LET * RAD TECH * CRIMINOLOGY * DENTISTRY * PHARMACY * MED TECH

b. Mean arterial pressurec. Pulmonary wedge pressured. Cardiac index

13. A patient is to be inserted with a catheter in the subclavian vein for central venous pressure monitoring. Which nursing intervention should you consider?a. Using chlorhexidine gluconate as part of

preparation of site of insertionb. Placing the patient in a high-fowler’s position

during insertion.c. Instructing the patient to exhale fully and

hold her breath immediately before insertiond. Ensuring that the tip of the catheter is

placed at the level of the right atrium14. How should a nurse position a patient who will

undergo transesophageal echocardiography?a. Lithotomy positionb. Semi-Fowler’sc. Left lateral decubitusd. Prone

15. While you are reviewing a patient’s chart, his ECG tracing was noted to have “sinus rhythm”. Which of these does not correspond to the said finding?a. Regular R-R and P-P intervalb. Presence of P wave for every QRS complexc. QRS complex of <0.12secd. PR interval 0.12 – 0.20 second

Situation: Gerry, 49, is admitted to the medical ward for Left Ventricular Failure. He claims to have dyspnea and tachycardia even with just minimal activity. However, these symptoms subside during his rest periods. He is assigned under your care.

16. Using the patient’s history, which classification of heart failure does Gerry’s condition fall under?a. I c. IIIb. II d. IV

17. Which of these signs do you expect to assess in Gerry?a. Increased pulmonary artery pressureb. Increased central venous pressurec. Hepatomegalyd. Jugular venous distention

18. The patient was prescribed with Digoxin. Which of the following complaints related to Digoxin toxicity will alert you to notify the physician?a. Hypotension c. Hypokalemiab. Vision changes d. Bradycardia

19. Part of your care is focused on the comfort and emotional support of the patient. Which of these would you not include in your care?a. Bed rest with activity gradually increasing as

toleratedb. Elevating extremities to increase venous

returnc. Elevating head of bed for maximal lung

expansiond. Turning the patient every two hours to

prevent skin breakdown20. Fluid management is also part of your care for

your patient with heart failure. Which of these is an important nursing intervention for fluid management?a. Administering diureticsb. Promoting bed restc. Elevating dependent extremities above heart

leveld. Obtaining daily weights

Situation: Aries, 23 years old, is brought to the Emergency Department after a drug overdose. The patient was restless and dyspneic upon arrival. Initial

vital signs were: HR 128 bpm, RR 23, BP 130/70, Temp 37.5, SpO2 75%. The diagnosis made was acute respiratory failure. Aries was later on hooked to mechanical ventilator via an endotracheal tube.

21. As Aries’ nurse, you know that Acute Respiratory Failure differs from Chronic Respiratory Failure in that the latter may be manifested with:a. Hypoxemiab. Hypercapniac. Bicarbonate retentiond. Rapid occurrence of symptoms

22. What should you primarily obtain in patients suspected to have or with respiratory failure?a. Urine outputb. FEV1/FVC ratioc. Arterial blood gas levelsd. Chest x-ray

23. The mechanical ventilator was set to Assist/Control mode. This mode has the following feature:a. Provides a set number and volume of

breaths/minute and does not respond to the patient’s own inspiratory efforts

b. Allows patient to breathe at his own rate and volume spontaneously while a mandatory breath is delivered periodically, in synchrony with the patient’s inspiratory effort

c. Has a preset volume and rate which delivers breaths when the patient does not initiate a spontaneous breath, or breathe so weakly

d. Positive pressure is applied during spontaneous breaths, with the rate and tidal volume controlled by the patient

24. Ventilator-associated pneumonia (VAP) is a common complication of mechanical ventilation. As Aries’ nurse, which of these would you not include in your plan of care on preventing VAP?a. Change the ventilatory circuits routinelyb. Elevate the head of bed to 30 degrees or

higherc. Use an endotracheal tube with continuous

suction above the cuffd. None of the above

25. What should be at the bedside during extubation?a. T-piece c. Resuscitation bagb. Mosquito d. Scissors

Situation: Mang Bert, 56 years old, goes to the hospital for a consultation after a really long time. He claims to be a frequent alcohol drinker and had episodes of epistaxis 1 ½ months prior to consultation. He was admitted for treatment for possible cirrhosis.

26. Mang Bert will have to undergo liver biopsy. In your preoperative care, which of these will you instruct the patient?a. NPO should be observed within 4 hours prior

to procedureb. Hold the breath for 10 seconds as the needle

is being insertedc. Antibiotic prophylaxis should be taken at

least an hour prior to needle insertiond. Low fat, low salt diet for 2 days before the

procedure27. Which of these is likely the type of cirrhosis

Mang Bert developed?a. Laennec’s c. Post-necroticb. Biliary d. Cholestatic

28. Collateral circulation from portal to gastrointestinal circulations in cirrhosis will be manifested as which of the following?a. Caput medusaeb. Facial edemac. Thrombocytopenia


d. Encephalopathy29. Which of these assessment findings would alert

you that Mang Bert is already developing severe complications?a. Hematemesis c. Enlarged liverb. Vascular spiders d. Jaundice

30. Because of the decreased production of fat-soluble vitamins from the liver damage, the extrinsic coagulation is compromised. Which of these parameters would be affected?a. Platelet count c. aPTTb. PT d. RBC

Situation: You are a perioperative nurse handling patients of different conditions and cases. With the broad considerations that are comprised in perioperative nursing care, it is imperative for you to have as broad knowledge to promote patient safety and wellness.

31. Sabrina, 32, will undergo cholecystectomy to address her cholelithiasis. Which among these will likely be the site of incision?a. Right subcostalb. Right paramedianc. McBurneyd. Pfannenstein

32. Dom’s doctor ordered his thorax to be shaved prior to his surgery. According to Centers for Disease Control and Prevention, when should shaving, as a preoperative intervention, be done?a. Night before surgeryb. One hour before surgeryc. Immediately before surgeryd. At least 24 hours prior to surgery

33. What is the role of the perioperative nurse in an informed consent?a. Witness to the fact that the patient is

informedb. Providing detailed information regarding the

surgeryc. Confirms that the patient’s signature is

authenticd. A & C

34. Diarrhea from Clostridium difficile infection related to antibiotic use prior to surgery has been found in researches. With this, the best time to administer antibiotics pre-operatively is:a. One hour prior to incisionb. 30 minutes prior to induction of anesthesiac. One hour before transfer to OR suited. One hour prior to skin preparation

35. During which stage of general anesthesia are major surgeries started?a. Stage I c. Stage IVb. Stage III d. Stage II

Situation: One of your long-staying patients developed cor pulmonale. His latest vital signs were PR 98 bpm, RR 25 cycles/min, T 37.4C.

36. In your understanding of the condition, which among these probably caused the cor pulmonale?a. Emphysemab. Liver cirrhosisc. Stroked. Peripheral venous disease

37. Which among these do you not expect in patients who developed cor pulmonale?a. Flat jugular veinsb. Right ventricular hypertrophyc. Bibasilar cracklesd. S2 split

38. Among the nursing interventions you planned for

the patient, which would necessitate your supervisor to intervene?a. Use continuous low-flow oxygen for

reduction of pulmonary bed pressureb. Instruct the patient to decrease sodium

intakec. Administer lorazepam to calm the patient

and reduce metabolic activityd. Instruct the patient to avoid strenuous

physical activities until improvement is seen39. If the patient’s cor pulmonale was secondary to

an obstructive lung condition, what is expected in his FEV1/FVC ratio?a. Increased c. Decreasedb. Normal d. Unable to predict

40. What is a probable manifestation that is primarily caused by hypercapnia in cor pulmonale?a. Hepatomegalyb. Bibasilar cracklesc. Somnolenced. Distended jugular veins

Situation: Nurse Danj admitted a new patient to the Medicine Ward: Lianmuel, 35, complains of diarrhea for more than two weeks prior to consultation. The diagnosis made was Crohn’s Disease (CD). A plan of care was made for Lianmuel.

41. Which of these assessments does Nurse Danj expect to see in the patient’s records?i. Weight gain of 1kg/dayii. Arthralgiaiii. 10-20 liquid, bloody stools per dayiv. Tenesmusv. Anorexiavi. Crampy, intermittent pain

a. i, ii, iii, iv, v, vib. iii, iv, v, vic. i, ii, iii, iv, vd. ii, iv, v, vi

42. All of the following laboratory results are manifested by the patient, except:a. Increased ESRb. Increased albuminc. Decreased RBCsd. No exception

43. Nurse Danj should include which of the following interventions for Lian?a. Increase physical activity to promote

intestinal activityb. Instruct the patient to increase intake of raw

fruits and vegetablesc. Include high-fiber food choices following the

acute phase of the conditiond. Provide Sitz bath for the skin excoriation

from bowel movements44. Which of the following signs and symptoms may

suggest presence of megacolon from antidiarrheal drug use?a. Leukopenia c. Bradypneab. Fever d. Hypothermia

45. If Lian were a geriatric client, which of these is the first indication of dehydration from fluid volume depletion?a. Tachycardiab. Altered mentationc. Decreased blood pressured. Fever

Situation: Glenda was brought to Capitol Hospital because of observed changes in mental status. After Nurse Ian conducted nursing history and physical examination, he notes problems in the voiding pattern


and fluid status of the patient.46. Suspecting diabetes insipidus (DI), what is the

expected characteristic of Glenda’s urine or voiding pattern?a. Tea-colored urineb. Urine specific gravity 1.5c. Anuriad. Urine osmolality 50 mOsm/kg

47. Which hormone is affected in diabetes insipidus?a. Insulin c. Vasopressinb. PTH d. Aldosterone

48. Chlorpropamide was prescribed by the physician. Which of these should Nurse Ian include in his instructions to the patient?a. “Have a candy ready in your pocket at all

times.”b. “It is common to have a persistent headache

while taking the drug.”c. “We expect a rapid increase in weight gain

to say that the drug is therapeutically effective”

d. “You may take this drug as an inhalant.”49. Most drugs addressing diabetes insipidus cause

water retention and fluid overload. Which should you teach your patients to monitor to best monitor for this?a. Heart rate c. Weightb. Blood pressure d. SaO2

50. Which type of diabetes insipidus (DI) involves poor water reabsorption with production of the hormone in normal quantities?a. Primary DI c. Secondary DIb. Nephrogenic DI d. Idiopathic DI

Situation: Fred is a patient endorsed to you for your afternoon shift. Newly admitted, Fred is diagnosed with hypothyroidism and is manifesting signs and symptoms of its complications.

51. Increase in which hormone causes goiter among patients with primary hypothyroidism?a. PTH c. T4b. T3 d. TSH

52. Synthetic T4 was prescribed to Fred. Which these should you assess for at the initiation of therapy?a. Oliguria c. Weight lossb. Dyspnea d. Altered LOC

53. Which of these statements made by Fred, who is on thyroid hormone therapy, indicates that further teaching is required?a. “I should not switch brands of synthetic

levothyronine because I may have unexpected responses to different brands.”

b. “I have to consult my doctor first if I want to change the schedule of my hormone therapy.

c. “I will have to take sedatives at night before retreating to bed to prevent accidents during daytime.”

d. “I should not discontinue my replacement hormone unless it is prescribed by my doctor.”

54. A 60-second ECG rhythm strip was ordered. Which of these is expected in patients with hypothyroidism?a. ST segment elevationb. Sinus tachycardiac. Peaked T wavesd. Low-voltage QRS

55. Which of these manifestations indicate that the patient might be receiving underdosage of the hormone replacement therapy?a. Difficulty sleeping c. Jitteringb. Fatigue d. Palpitations

Situation: A number of changes happen to the body as one ages; and for people, these changes present themselves at varying times and ages. However, it remains to be an important point for nurses to be able to assess and differentiate well the normal findings in an adult from those in aging and older people.

56. According to the United Nations as cited by the World Health Organization, what is the definitive age for geriatric clients?a. 65 years old and aboveb. 55 years old and abovec. 60 years old and aboved. 60 years old and above for males, 65 years

old and above for females57. The age according to birth date/birth years is

referred to as:a. Biological ageb. Chronological agec. Functional aged. Psychological age

58. Which among these can a nurse use to assess the functional ability of a geriatric patient?a. Barthel Indexb. Folstein’s Testc. Geriatric depression scaled. Mini-Cog examination

59. Which of these tools can be used for screening for dementia among the geriatric clients?a. Barthel Index c. Katz Indexb. Folstein’s Test d. Tineti Gait

60. Which among these is not a normal change in pulmonary function in aging?a. Decreased total lung capacityb. Decreased clearance of mucus and foreign

bodiesc. Increased residual volumed. Increased functional residual capacity

Situation: While caring for Chris in the ward post-op, Yana noticed the patient’s SpO2 decreasing. Chris is having dyspnea and was put on oxygen therapy. He is suspected to have pulmonary embolism.

61. Which of the following factors is not related to the triad that contribute to thrombogenesis?a. Increased venous blood flow velocityb. Increased retrograde pressure in the venous

systemc. Use of oral contraceptivesd. Dehydration

62. The nurse knows that the dyspnea of the patient is DIRECTLY related to which pathophysiologic event of pulmonary embolism?a. Blood stasis in the iliofemoral veinb. Dislodged embolus in the pulmonary bedc. Decreased SvO2d. Constriction of the vena cavae

63. ABG analyses taken at different times will reveal different results. What result will a nurse expect if the patient’s systemic organs rely on anaerobic respiration related to long-standing hypoxia?a. Respiratory alkalosisb. Respiratory acidosisc. Metabolic alkalosisd. Metabolic acidosis

64. In caring for the patient, which of these actions of the staff nurse needs further teaching from the supervisor?a. Monitoring changes in the VS q1hb. Placing the patient in high-Fowlers positionc. Reassuring the patient that the correct

measures are being takend. Administering prescribed Enoxaparin IM


65. What is the antidote for alteplase?a. Protamine sulfate c. Vitamin Kb. Aminocaproate d. Heparin

Situation: Arterial blood gases (ABG) are frequently monitored in critically-ill patients. Proper understanding and interpretation are important competencies expected of a nurse to be able to provide the correct management to the acid-base problem.

66. A 6-foot, 6-inch tall 38-year-old man is being mechanically ventilated at a tidal volume of 500 mL and a respiratory rate of 16 breaths per minute. His most recent arterial blood gas results are: pH = 7.33; PaO2 = 85 mmHg; PaCO2 = 55 mmHg. What is the nurse’s interpretation of these results?a. There is adequate ventilation to maintain

oxygenationb. There is excessive ventilation resulting to

respiratory alkalosisc. There is inadequate ventilation resulting to

respiratory acidosisd. Ventilation status cannot be determined

from the information presented67. A patient’s ABG results are endorsed to you with

the following values: pH = 7.49; PaO2 = 90 mmHg; PaCO2 = 32 mmHg; HCO3 = 24 mEq/L. What will be the correct ABG interpretation?a. Respiratory acidosisb. Respiratory alkalosisc. Metabolic acidosisd. Metabolic alkalosis

68. Patients with COPD experience which kind of the following acid-base imbalance?a. Respiratory acidosis related to actual acid

excessb. Relative respiratory acidosisc. Relative respiratory alkalosisd. Metabolic acidosis related to H+ ion

underelimination69. A patient with ABG results of pH = 7.32; PaO2 =

80 mmHg; PaCO2 = 54 mmHg; HCO3 = 29 mEq/L will likely have which ECG tracing?a. Flattened T wavesb. Shortened PR intervalc. Widened QRS complexd. U wave

70. A patient with respiratory acidosis from chronic CO2 retention is under your care. Which of these observations will necessitate further actions?a. O2 via nasal cannula at 10L/minb. RR 11 breaths/minc. Wheezes not heardd. Decreased respiratory effort

Ginny is a nurse in the Cardiovascular Unit in Magsaysay Hospital. She receives a patient with dilated cardiomyopathy (DCM). Ginny reviews the essentials about the pathology, assessment, and interventions for the condition.

71. Which of these is observed as a consequence of the dilated ventricles in the patient’s cardiomyopathy?a. Decreased end-systolic volumeb. Increased cardiac outputc. Decreased ejection fractiond. All of the above

72. All of these manifestations indicate that DCM has progressed except:a. Hepatomegalyb. Pitting edema on legsc. Diastolic murmursd. Crackles

73. To determine the structural problem in the heart,

what diagnostic procedure will Ginny expect the doctor to order?a. Electrocardiogramb. Coronary angiogramc. 2-D Echocardiogramd. Cardiac catheterization

74. Which of these enzymes has high cardiac specificity?a. CK-MB c. Myoglobinb. CK d. Troponin I

75. How will Ginny position the client to reduce the preload?a. Flat in bedb. Sitting with legs downc. Left lateral decubitusd. Modified Trendelenburg

Belle is a student nurse who is currently rotating in different areas of Metropolitan Hospital. This week, she learned that she will be having her duty in the ECG (Electrocardiogram) clinic. She reinforces her knowledge on the different concepts of ECG.

76. The doctor orders for a 60-second rhythm strip. Belle gives the correct strip if she provides readings in which ECG lead?a. II c. aVFb. V1 d. I

77. The negative electrode of the rhythm strip is located at which extremity?a. Left arm c. Right armb. Left leg d. Right leg

78. Which limb electrode serves as the ground electrode?a. Left arm c. Right armb. Left leg d. Right leg

79. In placing the electrodes, which among these would be incorrect?a. Rubbing alcohol on the site of placement

before putting on the electrodeb. Applying KY jelly on the electrode for better

reading of the conductionc. Placing V2 on 5th ICS left parasternal borderd. Placing V8 on the posterior chest

80. Which of these measures time during which a depolarization wave travels from the atria to the ventricles?a. PR interval c. QT intervalb. ST segmentd. P wave

Frida comes in to the clinic and tells you of her plans for rhytidectomy (facelift). She says she is too conscious of her aging features so she was recommended to undergo the operation. Her medical history shows she is a smoker and a hypertensive and is currently on anti-hypertensive medications. You answer her questions regarding the procedural care.

81. In general, what is the most important pre-operative nursing action for patients who will undergo surgeries?a. Instructing them about the different signs

and symptoms of the complications of surgeries

b. Obtaining an informed consentc. Teaching them what to do before and after

the surgeryd. Assessing their knowledge on the surgery

82. Frida is afraid that her surgery might be deferred. Which among these must she observe to avoid it?a. Switch to nicotine patches from cigarette

sticks prior to surgeryb. Maintain compliance to anti-hypertensive


medicationc. Avoid applying face creams before the

surgeryd. Avoid taking NSAIDs for several weeks

before the procedure83. Which instruction from the physician would you

expect in preparing Frida for rhytidectomy?a. Wash the hair with anti-bacterial soap

repeatedlyb. Standing up is a contraindication after

surgeryc. Apply face cream prior to surgeryd. Because it is only the face involved, activity

restriction post-operatively is unnecessary84. To reduce edema, how you would you position

Frida post-operatively?a. Semi-Fowler’s c. Trendelenburgb. Litothomy d. Lateral Sim’s

85. What will you not instruct Frida to do post-operatively?a. Increase facial movements to increase

circulationb. Maintain an upright positionc. Avoid Valsalva maneuverd. Bending over and blowing the nose will have

to be prevented

Tim is a 45-year-old patient was brought to the hospital from a serious accident. The patient was having severe hemorrhage and myocardial infarction from the blood clots formed. You are assigned to care for the patient.

86. Which among these shock complications would likely be caused by the patient’s recent myocardial infarction?a. Hypovolemic shockb. Cardiogenic shockc. Neurogenic shockd. Septic shock

87. Because of severe hemorrhage, the patient is developing shock. Fluid replacement is ordered. Which of these would you expect to administer to the patient?a. Dextran c. Lactated Ringersb. D5NSS d. 0.45 NaCl

88. Which among these would be the earliest manifestation of shock?a. Tachycardiab. Decreased urine outputc. Bradypnead. Somnolence

89. After giving the treatment for the hypovelmic shock, which among these would indicate that the therapy is effective?a. Increased jugular venous pressureb. Edemac. Markedly distended jugular veinsd. Diastolic murmurs

90. A patient with cardiogenic shock with history of MI is complaining of severe chest pain. Which of these will best address the problem?a. Place the patient in Trendelenburg.b. Give morphine as ordered.c. Obtain arterial access for hemodynamic

monitoring.d. Reassure the patient.

Situation: A student nurse was assigned to Alden who has thromboangiitis obliterans. Because it was a relatively new case for her, her buddy staff nurse assists her in caring for the patient.

91. What will the student nurse find in the patient’s history that is a possible cause of the condition?a. Illicit drug use

b. Smokingc. Alcoholismd. Early intercourse

92. Which among these would be the first manifestation of thromboangiitis obliterans?a. Varicose veinsb. Claudicationc. Cyanosis of the upper extremityd. Tachycardia

93. What is the characteristic of pain that patients with early-stage thrombonagiitis obliterans experience?a. Unilateral, relieved by restb. Bilateral, assymetrical painc. Symmetric, bilateral pain unrelieved by

restingd. Bilateral pain with focal lesions

94. In positioning the patient with thromboangiitis obliterans, which of these will only enhance pain in the affected extremity?a. Elevating above the level of the heartb. Placing it in parallel to the heartc. Placing in dependent positiond. Dangling both extremities at the side of the

bed95. Post-endarterectomy, which of these would alert

you to notify the physician?a. Absent pulse distal to the graftb. Edemac. Capillary refill time 2 secondsd. Absence of poikolithermia

Situation: Hypertension is a common morbidity among Filipinos, and is currently one of the major causes of cardiovascular conditions. As a nurse, you are expected to know how hypertension is detected, how it affects the functioning of other body systems, and its management.

96. Which among these BP findings would indicate pre-hypertension?a. 110/70b. 120/80c. 145/90d. 160/110

97. Which of these are determinants of blood pressure?i. Systemic vascular resistanceii. Stroke volumeiii. Heart rate

a. i, iiib. i, iic. ii, iiid. i, ii, iii

98. Which among these is not part of the recommendations in managing hypertension by the Joint National Committee 8?a. Maintain normal BMI.b. Reduce sodium intake to no more than

10g/dayc. Engage in aerobic physical activity for

30mins/day in most days of the weekd. Limit consumption to no more than 2 drinks

in most men.99. Which of these anti-hypertensive medications

have high alpha-receptor affinity?a. Metoprololb. Terazosinc. Atenolold. Acebutolol

100. In Beer’s Criteria, which among these anti-hypertensive drugs would produce significant adverse effects to geriatric clients?a. Clonidine


b. Metoprololc. Nicardipine

d. Captopril


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