1. SITUATION: A 65 year old woman was admitted for Parkinson’s Disease.

The
charge nurse is going to make an initial assessment. One day, the patient
complained of difficulty in walking. Your response would be:
a. You will need a cane for support
2. SITUATION: Michiel, A male patient diagnosed with colon cancer was newly
put in colostomy. The nurse will start to teach Michiel about the techniques for
colostomy irrigation. Which of the following should be included in the nurse’s
teaching plan?
a. Suspend the irrigant 45 cm above the stoma
3. Martha, The old woman was now Immobilized and brought to the emergency
room. The X-ray shows a fractured femur and pelvis. The ER Nurse would
carefully monitor Martha for which of the following sign and symptoms?
a. Tachycardia and Hypotension
4. SITUATION : a 20 year old college student was rushed to the ER of PGH after
he fainted during their ROTC drill. Complained of severe right iliac pain. Upon
palpation of his abdomen, Ernie jerks even on slight pressure. Blood test was
ordered. Diagnosis is acute appendicitis. Pre-anesthetic med of Demerol and
atrophine sulfate were ordered to :
a. Allay anxiety and apprehension
5. SITUATION: Michiel, A male patient diagnosed with colon cancer was newly
put in colostomy. Michiel shows the BEST adaptation with the new colostomy
if he shows which of the following?
a. Participate with the nurse in his daily ostomy care
6. SITUATION: Michiel, A male patient diagnosed with colon cancer was newly
put in colostomy. Which of the following behavior of the client indicates the
best initial step in learning to care for his colostomy?
a. Agrees to look at the colostomy
7. SITUATION: James, A 27 basketball player sustained inhalation burn that
required him to have tracheostomy due to massive upper airway edema. If a
Wall unit is used, What should be the suctioning pressure required by James?
a. 100-120 mmHg
8. Following an ear surgery, which statement if heard by Nurse Oca from the
patient indicates a correct understanding of the post operative instructions?
a. I should avoid air travel for a while
9. SITUATION: Mr. Dela Isla, a client with early Dementia exhibits thought
process disturbances. The nurse is aware that in communicating with an elderly
client, the nurse will
a. Use a medium-pitched voice
10. Situation: Amanda is suffering from chronic arteriosclerosis Brain syndrome
she fell while getting out of the bed one morning and was brought to the
hospital, and she was diagnosed to have cerebrovascular thrombosis thus
transferred to a nursing home. Which behavior results from organic psychoses?
a. Disorientation
11. Which of the following drugs is UNLIKELY given to Mang Alfred during the
maintenance phase?
 a. Ethambutol
12. SITUATION: Michiel, A male patient diagnosed with colon cancer was newly
put in colostomy. The nurse knew that the normal color of Michiel’s stoma
should be
a. Brick Red
13. SITUATION: Mr. Dela Isla, a client with early Dementia exhibits thought
process disturbances. The nurse will assess a loss of ability in which of the
following areas?
a. Judgment
14. Alingmyrna has Menieres disease. What typical dietary prescription would
nurse Oca expect the doctor to prescribe?
a. low sodium and restricted fluid intake
15. SITUATION : Juan Miguel Lopez Zobel Ayala de Batumbakal was diagnosed
with Acute Close Angle Glaucoma. He is being seen by Nurse Jet. Nurse Jet
knows that Aqueous Humor is produce where?
a. In the Ciliary Body
16. Situation:
Amanda is suffering from chronic arteriosclerosis Brain syndrome
she fell while getting out of the bed one morning and was brought to the
hospital, and she was diagnosed to have cerebrovascular thrombosis thus
transferred to a nursing home. The main difference between chronic and
organic brain syndrome is that the former
a. tends to be progressive and irreversible
17. SITUATION : Mr. Franco, 70 years old, suddenly could not lift his spoons nor
speak at breakfast. He was rushed to the hospital unconscious. His diagnosis
was CVA. Considering Mr. Franco’s conditions, which of the following is most
important to include in preparing Franco’s bedside equipment?
a. Footboard and splint
18. SITUATION: Alfred, a 40 year old construction worker developed cough,
night sweats and fever. He was brought to the nursing unit for diagnostic
studies. He told the nurse he did not receive a BCG vaccine during
childhood Direct sputum examination and Chest X ray of TB symptomatic is in
what level of prevention?
a. Secondary
19. SITUATION : Arthur, A registered nurse, witnessed an old woman hit by a
motorcycle while crossing a train railway. The old woman fell at the railway.
Arthur rushed at the scene. Arthur suspects a hip fracture when he noticed that
the old woman’s leg is
a. Shortened, Adducted and Externally Rotated.
20. SITUATION: James, A 27 basketball player sustained inhalation burn that
required him to have tracheostomy due to massive upper airway edema. Which
of the following method if used by Wilma will best assure that the
tracheostomy ties are not too tightly placed?
a. Wilma places 2 fingers between the tie and neck
21. SITUATION : Knowledge of the drug PROPANTHELINE BROMIDE
[Probanthine] Is necessary in treatment of various disorders. What is the
action of this drug?
a. Reduces secretion of the glandular organ of the body
22. Peachy was rushed by his father, Steven into the hospital admission. Peachy is
complaining of something buzzing into her ears. Nurse Joemar assessed peachy
and found out It was an insect. What should be the first thing that Nurse Joemar
should try to remove the insect out from peachy’s ear?
a. Use a flashlight to coax the insect out of peachy’s ear
23. SITUATION: Michiel, A male patient diagnosed with colon cancer was newly
put in colostomy. The maximum height of irrigation solution for colostomy is
a. 18 inches
24. SITUATION: Alfred, a 40 year old construction worker developed cough,
night sweats and fever. He was brought to the nursing unit for diagnostic
studies. He told the nurse he did not receive a BCG vaccine during
childhood Susceptibility for the disease [ TB ] is increased markedly in those
with the following condition except
a. 23 Year old athlete with diabetes insipidus
25. SITUATION: Mr. D. Rojas, An obese 35 year old MS Professor of OLFU
Lagro is admitted due to pain in his weight bearing joint. The diagnosis was
Osteoarthritis. As a nurse, you instructed Mr. Rojas how to use a cane. Mr.
Rojas has a weakness on his right leg due to self immobilization and guarding.
You plan to teach Mr. Rojas to hold the cane
a. On his left hand, because of reciprocal motion.
26. SITUATION: James, A 27 basketball player sustained inhalation burn that
required him to have tracheostomy due to massive upper airway edema. Wilma
is using a portable suction unit at home, What is the amount of suction required
by James using this unit?
a. 10-15 mmHg
27. SITUATION: Mr. D. Rojas, An obese 35 year old MS Professor of OLFU
Lagro is admitted due to pain in his weight bearing joint. The diagnosis was
Osteoarthritis. Mr. Rojas was discharged and 6 months later, he came back to
the emergency room of the hospital because he suffered a mild stroke. The right
side of the brain was affected. At the rehabilitative phase of your nursing care,
you observe Mr. Rojas use a cane and you intervene if you see him
a. Moves the cane when the right leg is moved.
28. SITUATION: Alfred, a 40 year old construction worker developed cough,
night sweats and fever. He was brought to the nursing unit for diagnostic
studies. He told the nurse he did not receive a BCG vaccine during
childhood The nurse performs a Mantoux Test. The nurse knows that Mantoux
Test is also known as
a. PPD
29. SITUATION: Alfred, a 40 year old construction worker developed cough,
night sweats and fever. He was brought to the nursing unit for diagnostic
studies. He told the nurse he did not receive a BCG vaccine during
 childhood Mang Alfred is now a new TB patient with an active disease. What
is his category according to the DOH?
a. I
30. SITUATION : [ From DEC 1991 NLE ] A 45 year old male construction
worker was admitted to a tertiary hospital for incessant vomiting. Assessment
disclosed: weak rapid pulse, acute weight loss of .5kg, furrows in his tongue,
slow flattening of the skin was noted when the nurse released her
pinch. Temperature: 35.8 C , BUN Creatinine ratio : 10 : 1, He also complains
for postural hypotension. There was no infection. Postural Hypotension is
a. A drop in systolic pressure greater than 10 mmHg when patient changes
position from lying to sitting
31. SITUATION: Alfred, a 40 year old construction worker developed cough,
night sweats and fever. He was brought to the nursing unit for diagnostic
studies. He told the nurse he did not receive a BCG vaccine during
childhood Why is Mantoux test not routinely done in the Philippines?
a. Almost all Filipinos will test positive for Mantoux Test
32. Nurse Joseph is performing a WEBERS TEST. He placed the tuning fork in the
patients forehead after tapping it onto his knee. The client states that the fork is
louder in the LEFT EAR. Which of the following is a correct conclusion for
nurse Josph to make?
a. He might have a sensory hearing loss in the right hear, and/or a
conductive hearing loss in the left ear.
33. SITUATION: A 65 year old woman was admitted for Parkinson’s Disease. The
charge nurse is going to make an initial assessment. The onset of Parkinson’s
disease is between 50-60 years old. This disorder is caused by
a. Impairment of dopamine producing cells in the brain
34. The old woman complains of pain. John noticed that the knee is reddened,
warm to touch and swollen. John interprets that this signs and symptoms are
likely related to
a. Inflammation
35. SITUATION : a 20 year old college student was rushed to the ER of PGH after
he fainted during their ROTC drill. Complained of severe right iliac pain. Upon
palpation of his abdomen, Ernie jerks even on slight pressure. Blood test was
ordered. Diagnosis is acute appendicitis. Peritonitis may occur in ruptured
appendix and may cause serious problems which are
a. Hypovolemia, electrolyte imbalance
b. Elevated temperature, weakness and diaphoresis
c. Nausea and vomiting, rigidity of the abdominal wall
d. Pallor and eventually shock
36. SITUATION : [ From DEC 1991 NLE ] A 45 year old male construction
worker was admitted to a tertiary hospital for incessant vomiting. Assessment
disclosed: weak rapid pulse, acute weight loss of .5kg, furrows in his tongue,
slow flattening of the skin was noted when the nurse released her
pinch. Temperature: 35.8 C , BUN Creatinine ratio : 10 : 1, He also complains
for postural hypotension. There was no infection. Approximately how much
fluid is lost in acute weight loss of .5kg?
 a. 500 ml
37. SITUATION : Mr. Franco, 70 years old, suddenly could not lift his spoons nor
speak at breakfast. He was rushed to the hospital unconscious. His diagnosis
was CVA. If Mr. Franco’s Right side is weak, What should be the most accurate
analysis by the nurse?
a. Expressive aphasia is prominent on clients with right sided weakness
38. SITUATION : [ From DEC 1991 NLE ] A 45 year old male construction
worker was admitted to a tertiary hospital for incessant vomiting. Assessment
disclosed: weak rapid pulse, acute weight loss of .5kg, furrows in his tongue,
slow flattening of the skin was noted when the nurse released her
pinch. Temperature: 35.8 C , BUN Creatinine ratio : 10 : 1, He also complains
for postural hypotension. There was no infection. After nursing intervention,
you will expect the patient to have
a. 2,3,4
i. Maintain body temperature at 36.5 C
ii. Exhibit return of BP and Pulse to normal
iii. Manifest normal skin turgor of skin and tongue
iv. Drinks fluids as prescribed
39. SITUATION : Juan Miguel Lopez Zobel Ayala de Batumbakal was diagnosed
with Acute Close Angle Glaucoma. He is being seen by Nurse Jet. The Nurse
notices that Mr. Batumbakal cannot anymore determine RED from BLUE. The
nurse knew that which part of the eye is affected by this change?
a. CONES [RETINA]
40. SITUATION : a 20 year old college student was rushed to the ER of PGH after
he fainted during their ROTC drill. Complained of severe right iliac pain. Upon
palpation of his abdomen, Ernie jerks even on slight pressure. Blood test was
ordered. Diagnosis is acute appendicitis. NGT was connected to suction. In
caring for the patient with NGT, the nurse must
a. Irrigate the tube with saline as ordered
41. SITUATION: James, A 27 basketball player sustained inhalation burn that
required him to have tracheostomy due to massive upper airway
edema. Wilma, His sister and a nurse is suctioning the tracheostomy tube of
James. Which of the following, if made by Wilma indicates that she is
committing an error?
a. Suction the client every hour
42. Aclient with Cataract is about to undergo surgery. Nurse Oca is preparing plan
of care. Which of the following nursing diagnosis is most appropriate to
address the long term need of this type of patient?
a. Sensory perceptual alteration R/T Lens extraction and replacement
43. The physician orders the following for the client with Menieres disease. Which
of the following should the nurse question?
a. Out of bed activities and ambulation
44. SITUATION : Juan Miguel Lopez Zobel Ayala de Batumbakal was diagnosed
with Acute Close Angle Glaucoma. He is being seen by Nurse Jet. Nurse Jet
knows that the normal IOP is
a. 8-21 mmHg
45. SITUATION : [ From DEC 1991 NLE ] A 45 year old male construction
worker was admitted to a tertiary hospital for incessant vomiting. Assessment
disclosed: weak rapid pulse, acute weight loss of .5kg, furrows in his tongue,
slow flattening of the skin was noted when the nurse released her
pinch. Temperature: 35.8 C , BUN Creatinine ratio : 10 : 1, He also complains
for postural hypotension. There was no infection. Which of the following
measures will not help correct the patient’s condition
a. Offer large amount of oral fluid intake to replace fluid lost
46. SITUATION : Arthur, A registered nurse, witnessed an old woman hit by a
motorcycle while crossing a train railway. The old woman fell at the railway.
Arthur rushed at the scene. As a registered nurse, Arthur knew that the first
thing that he will do at the scene is
a. Move the person to a safer place.
47. SITUATION : Juan Miguel Lopez Zobel Ayala de Batumbakal was diagnosed
with Acute Close Angle Glaucoma. He is being seen by Nurse Jet. Mr.
Batumbakal has undergone eye angiography using an Intravenous dye and
fluoroscopy. What activity is contraindicated immediately after procedure?
a. Reading newsprint
48. SITUATION: A 65 year old woman was admitted for Parkinson’s Disease. The
charge nurse is going to make an initial assessment. Which of the following is
a characteristic of a patient with advanced Parkinson’s disease?
a. Mask like facial expression
49. SITUATION: Alfred, a 40 year old construction worker developed cough,
night sweats and fever. He was brought to the nursing unit for diagnostic
studies. He told the nurse he did not receive a BCG vaccine during
childhood The nurse would inject the solution in what route?
a. ID
50. SITUATION: Alfred, a 40 year old construction worker developed cough,
night sweats and fever. He was brought to the nursing unit for diagnostic
studies. He told the nurse he did not receive a BCG vaccine during
childhood How long is the duration of the maintenance phase of his treatment?
a. 4 months
51. SITUATION: Mr. Dela Isla, a client with early Dementia exhibits thought
process disturbances. Mr. Dela Isla said he cannot comprehend what the nurse
was saying. He suffers from:
a. Aphasia
52. SITUATION : Juan Miguel Lopez Zobel Ayala de Batumbakal was diagnosed
with Acute Close Angle Glaucoma. He is being seen by Nurse Jet. When caring
for Mr. Batumbakal, Jet teaches the client to avoid
a. Bending at the waist
53. SITUATION : Juan Miguel Lopez Zobel Ayala de Batumbakal was diagnosed
with Acute Close Angle Glaucoma. He is being seen by Nurse Jet. Nurse jet
knew that Acute close angle glaucoma is caused by
a. Sudden blockage of the anterior angle by the base of the iris
54. SITUATION : a 20 year old college student was rushed to the ER of PGH after
he fainted during their ROTC drill. Complained of severe right iliac pain. Upon
palpation of his abdomen, Ernie jerks even on slight pressure. Blood test was
ordered. Diagnosis is acute appendicitis. Common anesthesia for
appendectomy is
a. Spinal
55. SITUATION : a 20 year old college student was rushed to the ER of PGH after
he fainted during their ROTC drill. Complained of severe right iliac pain. Upon
palpation of his abdomen, Ernie jerks even on slight pressure. Blood test was
ordered. Diagnosis is acute appendicitis. Post op care for appendectomy
include the following except
a. Diet as tolerated after fully conscious
56. SITUATION : Juan Miguel Lopez Zobel Ayala de Batumbakal was diagnosed
with Acute Close Angle Glaucoma. He is being seen by Nurse Jet. Nurse jet
performed a TONOMETRY test to Mr. Batumbakal. What does this test
measures
a. Measures the Intra Ocular Pressure
57. SITUATION : Mr. Franco, 70 years old, suddenly could not lift his spoons nor
speak at breakfast. He was rushed to the hospital unconscious. His diagnosis
was CVA. What is the rationale for giving Mr. Franco frequent mouth care?
a. Mouth breathing is used by comatose patient and it’ll cause oral mucosa
dying and cracking.
58. SITUATION : Juan Miguel Lopez Zobel Ayala de Batumbakal was diagnosed
with Acute Close Angle Glaucoma. He is being seen by Nurse Jet. The Doctor
orders pilocarpine. Nurse jet knows that the action of this drug is to
a. Contract the Ciliary muscle
59. SITUATION: Alfred, a 40 year old construction worker developed cough,
night sweats and fever. He was brought to the nursing unit for diagnostic
studies. He told the nurse he did not receive a BCG vaccine during
childhood This is the name of the program of the DOH to control TB in the
country
a. National Tuberculosis Control Program
60. SITUATION: Alfred, a 40 year old construction worker developed cough,
night sweats and fever. He was brought to the nursing unit for diagnostic
studies. He told the nurse he did not receive a BCG vaccine during
childhood According to the DOH, the most hazardous period for development
of clinical disease is during the first
a. 6-12 months after
61. SITUATION: Mr. Dela Isla, a client with early Dementia exhibits thought
process disturbances. Which of the following is most important discharge
teaching for Mr. Dela Isla
a. Drug Compliance
62. SITUATION: Alfred, a 40 year old construction worker developed cough,
night sweats and fever. He was brought to the nursing unit for diagnostic
 studies. He told the nurse he did not receive a BCG vaccine during
childhood The nurse notes that a positive result for Alfred is
a. 10 mm Induration
63. SITUATION : Mr. Franco, 70 years old, suddenly could not lift his spoons nor
speak at breakfast. He was rushed to the hospital unconscious. His diagnosis
was CVA. One of the complications of prolonged bed rest is decubitus ulcer.
Which of the following can best prevent its occurrence?
a. Turn frequently every 2 hours
64. SITUATION : a 20 year old college student was rushed to the ER of PGH after
he fainted during their ROTC drill. Complained of severe right iliac pain. Upon
palpation of his abdomen, Ernie jerks even on slight pressure. Blood test was
ordered. Diagnosis is acute appendicitis. If after surgery the patient’s abdomen
becomes distended and no bowel sounds appreciated, what would be the most
suspected complication?
a. Paralytic Ileus
65. SITUATION : Knowledge of the drug PROPANTHELINE BROMIDE
[Probanthine] Is necessary in treatment of various disorders. What should the
nurse tell clients when taking Probanthine?
a. Avoid hot weathers to prevent heat strokes
66. Eardrops are prescribed to an infant, The most appropriate method to
administer the ear drops is
a. Pull the pinna down and back and direct the solution onto the wall of the
canal
67. SITUATION : Juan Miguel Lopez Zobel Ayala de Batumbakal was diagnosed
with Acute Close Angle Glaucoma. He is being seen by Nurse Jet. The doctor
orders timolol [timoptic]. Nurse jet knows that the action of this drug is
a. Reduce production of Aquesous Humor
68. SITUATION : Mr. Franco, 70 years old, suddenly could not lift his spoons nor
speak at breakfast. He was rushed to the hospital unconscious. His diagnosis
was CVA. Which of the following is the most important assessment during the
acute stage of an unconscious patient like Mr. Franco?
a. Patency of airway and adequacy of respiration
69. SITUATION: Michiel, A male patient diagnosed with colon cancer was newly
put in colostomy. The next day, the nurse will assess Michiel’s stoma. The
nurse noticed that a prolapsed stoma is evident if she sees which of the
following?
a. Protruding stoma with swollen appearance
70. SITUATION : Juan Miguel Lopez Zobel Ayala de Batumbakal was diagnosed
with Acute Close Angle Glaucoma. He is being seen by Nurse Jet. What
specific manifestation would nurse Jet see in Acute close angle glaucoma that
she would not see in an open angle glaucoma?
a. Pain
71. SITUATION: James, A 27 basketball player sustained inhalation burn that
required him to have tracheostomy due to massive upper airway edema. Wilma
was shocked to see that the Tracheostomy was dislodged. Both the inner and
 outer cannulas was removed and left hanging on James’ neck. What are the 2
equipment’s at james’ bedside that could help Wilma deal with this situation?
a. Obturator and Kelly clamp
72. SITUATION: James, A 27 basketball player sustained inhalation burn that
required him to have tracheostomy due to massive upper airway edema. Wilma
knew that James have an adequate respiratory condition if she notices that
a. James’ respiratory rate is 18
73. SITUATION: Alfred, a 40 year old construction worker developed cough,
night sweats and fever. He was brought to the nursing unit for diagnostic
studies. He told the nurse he did not receive a BCG vaccine during
childhood Mang Alfred returns after the Mantoux Test. The test result read
POSITIVE. What should be the nurse’s next action?
a. Call the Physician
74. SITUATION: James, A 27 basketball player sustained inhalation burn that
required him to have tracheostomy due to massive upper airway edema. What
size of suction catheter would Wilma use for James, who is 6 feet 5 inches in
height and weighing approximately 145 lbs?
a. Fr. 18
75. SITUATION: Alfred, a 40 year old construction worker developed cough,
night sweats and fever. He was brought to the nursing unit for diagnostic
studies. He told the nurse he did not receive a BCG vaccine during
childhood The nurse told Alfred to come back after
a. 48 hours
76. SITUATION : [ From DEC 1991 NLE ] A 45 year old male construction
worker was admitted to a tertiary hospital for incessant vomiting. Assessment
disclosed: weak rapid pulse, acute weight loss of .5kg, furrows in his tongue,
slow flattening of the skin was noted when the nurse released her
pinch. Temperature: 35.8 C , BUN Creatinine ratio : 10 : 1, He also complains
for postural hypotension. There was no infection. Which of the following is the
appropriate nursing diagnosis?
a. Fluid volume deficit R/T uncontrolled vomiting
77. SITUATION : Knowledge of the drug PROPANTHELINE BROMIDE
[Probanthine] Is necessary in treatment of various disorders. Which of the
following disease would Probanthine exert the much needed action for control
or treatment of the disorder?
a. Peptic Ulcer Disease
78. Aftermastoidectomy, Nurse John should be aware that the cranial nerve that is
usually damage after this procedure is
a. CN VII
79. Nurse Jenny is developing a plan of care for a patient with Menieres disease.
What is the priority nursing intervention in the plan of care for this particular
patient?
a. Safety
80. SITUATION: Michiel, A male patient diagnosed with colon cancer was newly
put in colostomy. While irrigating the client’s colostomy, Michiel suddenly
complains of severe cramping. Initially, the nurse would
a. Stop the irrigation by clamping the tube
81. SITUATION : a 20 year old college student was rushed to the ER of PGH after
he fainted during their ROTC drill. Complained of severe right iliac pain. Upon
palpation of his abdomen, Ernie jerks even on slight pressure. Blood test was
ordered. Diagnosis is acute appendicitis. Which result of the lab test will be
significant to the diagnosis?
a. WBC : 12,000 to 13,000/cu.mm
82. SITUATION : Juan Miguel Lopez Zobel Ayala de Batumbakal was diagnosed
with Acute Close Angle Glaucoma. He is being seen by Nurse Jet. Nurse Jet
wants to measure Mr. Batumbakal’s CN II Function. What test would Nurse Jet
implement to measure CN II’s Acuity?
a. Snellen’s Chart
83. SITUATION: Michiel, A male patient diagnosed with colon cancer was newly
put in colostomy. The nurse plans to teach Michiel about colostomy irrigation.
As the nurse prepares the materials needed, which of the following item
indicates that the nurse needs further instruction?
a. Plain NSS / Normal Saline
84. Situation:
Amanda is suffering from chronic arteriosclerosis Brain syndrome
she fell while getting out of the bed one morning and was brought to the
hospital, and she was diagnosed to have cerebrovascular thrombosis thus
transferred to a nursing home. What do you call a STROKE that manifests a
bizarre behavior?
a. Organic Psychoses
85. SITUATION : Wide knowledge about the human ear, it’s parts and it’s
functions will help a nurse assess and analyze changes in the adult client’s
health. Nurse Anna is doing a caloric testing to his patient, Aida, a 55 year old
university professor who recently went into coma after being mauled by her
disgruntled 3rd year nursing students whom she gave a failing mark. After
instilling a warm water in the ear, Anna noticed a rotary nystagmus towards the
irrigated ear. What does this means?
a. Normal
86. SITUATION : Knowledge of the drug PROPANTHELINE BROMIDE
[Probanthine] Is necessary in treatment of various disorders. Which of the
following drugs are not compatible when taking Probanthine?
a. Alcohol
87. SITUATION : Juan Miguel Lopez Zobel Ayala de Batumbakal was diagnosed
with Acute Close Angle Glaucoma. He is being seen by Nurse Jet. If Mr.
Batumbakal is receiving pilocarpine, what drug should always be available in
any case systemic toxicity occurs?
a. Atropine Sulfate
88. SITUATION : Knowledge of the drug PROPANTHELINE BROMIDE
[Probanthine] Is necessary in treatment of various disorders. What should the
nurse caution the client when using this medication
a. Avoid hazardous activities like driving, operating machineries etc.
89. SITUATION : a 20 year old college student was rushed to the ER of PGH after
he fainted during their ROTC drill. Complained of severe right iliac pain. Upon
palpation of his abdomen, Ernie jerks even on slight pressure. Blood test was
ordered. Diagnosis is acute appendicitis. Stat appendectomy was indicated. Pre
op care would include all of the following except?
a. Enema STAT
90. Nurse Anna is giving dietary instruction to a client with Menieres disease.
Which statement if made by the client indicates that the teaching has been
successful?
a. I will try to eat foods that are low in sodium and limit my fluid intake
91. SITUATION: Michiel, A male patient diagnosed with colon cancer was newly
put in colostomy. The nurse should insert the colostomy tube for irrigation at
approximately
a. 3-4 inches
92. Nurse Oca will do a caloric testing to a client who sustained a blunt injury in
the head. He instilled a cold water in the client’s right ear and he noticed that
nystagmus occurred towards the left ear. What does this finding indicates?
a. This indicates an intact and working vestibular branch of CN VIII
93. SITUATION: James, A 27 basketball player sustained inhalation burn that
required him to have tracheostomy due to massive upper airway edema. Wilma
knew that the maximum time when suctioning James is
a. 10 seconds
94. SITUATION: A 65 year old woman was admitted for Parkinson’s Disease. The
charge nurse is going to make an initial assessment. The patient was prescribed
with levodopa. What is the action of this drug?
a. Increase dopamine availability
95. The old woman told John that she has osteoporosis; Arthur knew that all of the
following factors would contribute to osteoporosis except
a. Hypothyroidism
96. SITUATION: Mr. Dela Isla, a client with early Dementia exhibits thought
process disturbances. As the nurse talks to the daughter of Mr. Dela Isla, which
of the following statement of the daughter will require the nurse to give further
teaching?
a. I told her she is wrong and I explained to her what is right
97. SITUATION: Mr. D. Rojas, An obese 35 year old MS Professor of OLFU
Lagro is admitted due to pain in his weight bearing joint. The diagnosis was
Osteoarthritis. You also told Mr. Rojas to hold the cane
a. 6 Inches at the lateral side of the foot.
98. SITUATION: A 65 year old woman was admitted for Parkinson’s Disease. The
charge nurse is going to make an initial assessment. You are discussing with
the dietician what food to avoid with patients taking levodopa?
 a. Vitamin B6 rich food
99. SITUATION : a 20 year old college student was rushed to the ER of PGH after
he fainted during their ROTC drill. Complained of severe right iliac pain. Upon
palpation of his abdomen, Ernie jerks even on slight pressure. Blood test was
ordered. Diagnosis is acute appendicitis. When do you think the NGT tube be
removed?
a. Abdomen is soft and flatus has been expelled
100. SITUATION: Michiel, A male patient diagnosed with colon cancer was
newly put in colostomy. Michiel asked the nurse, what foods will help lessen
the odor of his colostomy. The nurse best response would be
a. Eat beet greens and parsley