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FON Practice Exam for Oxygenation and Nutrition (PM)
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Question 1
The hormone secreted by the Small intestine that stimulates the production of pancreatic juice which primarily aids in buffering the acidic bolus passed by the Stomach
A
Enterogastrone
B
Enterokinase
C
Pancreozymin
D
Cholecystokinin
Question 2
Which of the following is considered as the main muscle of respiration?
A
Intercostal Muscles
B
Lungs
C
Pectoralis major
D
Diaphragm
Question 3
The normal L:S Ratio to consider the newborn baby viable is
A
2:1
B
1:3
C
3:1
D
1:2
Question 4
The most threatening complication of vomiting in client’s with stroke is
A
Malnutrition
B
Aspiration
C
Dehydration
D
Fluid and electrolyte imbalance
Question 5
Which of the following is true about an individual’s caloric needs?
A
Females in general have higher BMR and therefore, require more calories
B
All individual have the same caloric needs
C
Dinner should be the heaviest meal of the day
D
During cold weather, people need more calories due to increase BMR
Question 6
A client taking Coumadin is to be educated on his diet. As a nurse, which of the following food should you instruct the client to avoid?
A
Spinach, Green leafy vegetables, Cabbage, Liver
B
Banana, Yeast, Wheat germ, Chicken
C
Butter, Egg yolk, breakfast cereals
D
Salmon, Sardines, Tuna
Question 7
The end product of protein digestion or the “Building blocks of Protein” is what we call
A
Glucose
B
Amino Acids
C
Fatty acids
D
Nucleotides
Question 8
Which finding is consistent with PERNICIOUS ANEMIA?
A
Pale [ HYPOCHROMIC ] RBC
B
Strawberry tongue
C
Currant Jelly stool
D
Beefy red tongue
Question 9
Among the following foods, which food should you emphasize giving on an Alcoholic client?
A
Pork liver and organ meats, Pork
B
Green leafy vegetables, Yellow vegetables, Cantaloupe and Dairy products
C
Chicken, Peanuts, Bananas, Wheat germs and yeasts
D
Red meat, Eggs and Dairy products
Question 10
Casssandra, A 22 year old grade Agnostic, Asked you, how many spikes of bones are there in my ribs? Your best response is which of the following?
A
Humans have 8 pairs of ribs. 4 of which are floating
B
We have 13 pairs of ribs Cassandra
C
We have 12 pairs of ribs Cassandra
D
Humans have 16 pairs of ribs, and that was noted by Vesalius in 1543
Question 11
Which of the following is NOT TRUE in steam inhalation?
A
It is a dependent nursing action
B
Cover the client’s eye with wash cloth to prevent irritation
C
Spout is put 12-18 inches away from the nose
D
Render steam inhalation for atleast 60 minutes
Question 12
When the duodenal enzyme sucrase acts on SUCROSE, which 2 monosaccharides are formed?
A
Glucose + Galactose
B
Fructose + Fructose
C
Galactose + Galactose
D
Glucose + Fructose
Question 13
Ernest Arnold Hamilton, a 60 year old American client was mobbed by teen gangsters near New york, Cubao. He was rushed to John John Hopio Medical Center and was Unconscious. You are his nurse and you are to suction his secretions. In which position should you place Mr. Hamilton?
A
Side lying
B
Semi fowlers
C
High fowlers
D
Prone
Question 14
Which of the following is included in a full liquid diet?
A
Pureed vegetable meat
B
Mashed potato
C
Popsicles
D
Pineapple juice with pulps
Question 15
Jose Miguel is a little bit nauseous. Among the following beverages, Which could help relieve JM’s nausea?
A
Coke
B
Orange Juice or Lemon Juice
C
Mirinda
D
Sprite
Question 16
Among the following foods, which has the highest amount of potassium per area of their meat?
A
Avocado
B
Cantaloupe
C
Raisin
D
Banana
Question 17
A client has HEMOSIDEROSIS. Which of the following drug would you expect to be given to the client?
A
Acetazolamide
B
Calcium EDTA
C
Deferoxamine
D
Activated charcoal
Question 18
Which Vitamin is not given in conjunction with the intake of LEVODOPA in cases of Parkinson’s Disease due to the fact that levodopa increases its level in the body?
A
Vitamin B2
B
Vitamin B6
C
Vitamin B1
D
Vitamin B3
Question 19
Which method of oxygenation least likely produces anxiety and apprehension?
A
Nasal Cannula
B
Partial Rebreather mask
C
Non Rebreather mask
D
Simple Face mask
Question 20
A client is scheduled for NGT Feeding. Checking the residual volume, you determined that he has 40 cc residual from the last feeding. You reinstill the 40 cc of residual volume and added the 250 cc of feeding ordered by the doctor. You then instill 60 cc of water to clear the lumen and the tube. How much will you put in the client’s chart as input?
A
290 cc
B
250 cc
C
350 cc
D
310 cc
Question 21
Deficiency of this mineral results in tetany, osteomalacia, osteoporosis and rickets.
A
Calcium
B
Vitamin D
C
Iron
D
Sodium
Question 22
The vomiting center is found in the
A
Hypothalamus
B
Cerebellum
C
Pons
D
Medulla Oblongata
Question 23
Which of the following is NOT an enzyme secreted by the small intestine?
A
Enterokinase
B
Amylase
C
Sucrase
D
Enterokinase
Question 24
When should a nurse suction a client?
A
Every 1 hour
B
As desired
C
As needed
D
Every 4 hours
Question 25
Which among this food is the richest source of Iron?
A
Broccoli
B
Malunggay leaves
C
Ampalaya
D
Mongo
Question 26
What Specific gravity lab result is compatible with a dehydrated client?
A
1.039
B
1.007
C
1.029
D
1.020
Question 27
Incident of prostate cancer is found to have been reduced on a population exposed in tolerable amount of sunlight. Which vitamin is associated with this phenomenon?
A
Vitamin A
B
Vitamin B
C
Vitamin D
D
Vitamin C
Question 28
A client with TPN suddenly develops tremors, dizziness, weakness and diaphoresis. The client said “I feel weak” You saw that his TPN is already empty and another TPN is scheduled to replace the previous one but its provision is already 3 hours late. Which of the following is the probable complication being experienced by the client?
A
Hypoglycemia
B
Hyperglycemia
C
Fluid overload
D
Infection
Question 29
Which of the following is the best source of Vitamin E?
A
Fortified Milk
B
Green leafy vegetables
C
Vegetable oil
D
Fish liver oil
Question 30
Miguelito de balboa, An OFW presents at the admission with an A:P Diameter ratio of 2:1, Which of the following associated finding should the nurse expect?
A
Anemia
B
Fingers are Club-like
C
Hematocrit of client is decreased
D
Pancytopenia
Question 31
Gene De Vonne Katrouchuacheulujiki wants to change her surname to something shorter, The court denied her request which depresses her and find herself binge eating. She accidentally aspirate a large piece of nut and it passes the carina. Probabilty wise, Where will the nut go?
A
Be dislodged in between the carina
B
Be blocked by the closed epiglottis
C
Right main stem bronchus
D
Left main stem bronchus
Question 32
Which of the following is TRUE in postural drainage?
A
An independent nursing action
B
Patient assumes position for 10 to 15 minutes
C
Should last only for 60 minutes
D
Done best P.C
Question 33
This is the amount of heat required to raise the temperature of 1 kg water to 1 degree Celsius
A
Metabolism
B
Calorie
C
Basal metabolic rate
D
Joules
Question 34
Which hematocrit value is expected in a dehydrated male client?
A
50%
B
45%
C
67%
D
36%
Question 35
Enzyme secreted by the small intestine after it detects a bolus of fatty food. This will contract the gallbladder to secrete bile and relax the sphincter of Oddi to aid in the emulsification of fats and its digestion.
A
Pancreozymin
B
Lipase
C
Amylase
D
Cholecystokinin
Question 36
Micronutrients are those nutrients needed by the body in a very minute amount. Which of the following vitamin is considered as a MICRONUTRIENT
A
Sodium
B
Phosphorous
C
Iron
D
Calcium
Question 37
Which of the following oxygen delivery method can deliver 100% Oxygen at 15 LPM?
A
Nasal Cannula
B
Simple Face mask
C
Partial Rebreather mask
D
Non Rebreather mask
Question 38
Which food is included in a BLAND DIET?
A
Creamed potato
B
Sweet potato
C
Spinach in garlic
D
Steamed broccoli
Question 39
Which of the following is the BEST method in assessing for the correct placement of the NGT?
A
X-Ray
B
Immerse tip of the tube in water to check for bubbles produced
C
Instilling air in the NGT and listening for a gurgling sound at the epigastric area
D
Aspirating gastric content to check if the content is acidic
Question 40
Which of the following is TRUE in colostomy feeding?
A
A Pink stoma means that circulation towards the stoma is all well
B
Insert the ostomy feeding tube 1 inch towards the stoma
C
Hold the syringe 18 inches above the stoma and administer the feeding slowly
D
Pour 30 ml of water before and after feeding administration
Question 41
Which of the following is not an anti-emetic?
A
Marinol
B
Dramamine
C
Alevaire
D
Benadryl
Question 42
All but one of the following is a purpose of steam inhalation
A
Warm and humidify air
B
Promote bronchoconstriction
C
Administer medications
D
Mucolytic
Question 43
Which paranasal sinus is found over the eyebrow?
A
Ehtmoid
B
Sphenoid
C
Maxillary
D
Frontal
Question 44
To assess the adequacy of food intake, which of the following assessment parameters is best used?
A
Food likes and dislikes
B
Regularity of meal times
C
3 day diet recall
D
Eating style and habits
Question 45
Roberto San Andres, A new nurse in the hospital is about to administer oxygen on patient with Respiratory distress. As his senior nurse, you should intervene if Roberto will:
A
Uses venture mask in oxygen administration
B
Use a partial rebreather mask to deliver oxygen
C
Put a non rebreather mask in the patient before opening the oxygen source
D
Check for the doctor’s order for Oxygen administration
Question 46
Which food group should you emphasize giving on a pregnant mother in first trimester to prevent neural tube defects?
The length of which is half of the length of Inspiration
C
A passive process
D
Requires energy to be carried out
Question 48
A terminally ill cancer patient is scheduled for an NGT feeding today. How should you position the patient?
A
Slightly elevated right side lying position
B
Bring the client into a chair
C
Supine in bed
D
Semi fowlers in bed
Question 49
Which of the following provides the richest source of Iron per area of their meat?
A
Pork meat
B
Green mongo
C
Pork liver
D
Lean read meat
Question 50
Which is not a clear liquid diet?
A
Coffee with Coffee mate
B
Bouillon
C
Gelatin
D
Hard candy
Question 51
Which of the following is true about nutrition?
A
It is the study of nutrients and the process in which they are use by the body
B
It is the process in which food are broken down, for the body to use in growth and development
C
It is a process in which digested proteins, fats, minerals, vitamins and carbohydrates are transported into the circulation
D
It is a chemical process that occurs in the cell that allows for energy production, energy use, growth and tissue repair
Question 52
Refers to the extra air that can be inhaled beyond the normal tidal volume
A
Functional residual capacity
B
Inspiratory reserve volume
C
Expiratory reserve volume
D
Residual volume
Question 53
Which of the following if done by the nurse, is correct during NGT Insertion?
A
Measure the amount of the tube to be inserted from the Tip of the nose, to the earlobe, to the xiphoid process
B
Check the placement of the tube by introducing 10 cc of sterile water and auscultating for bubbling sound
C
Soak the NGT in a basin of ice water to facilitate easy insertion
D
Use an oil based lubricant
Question 54
What is the BMI Of Budek, weighing 120 lbs and has a height of 5 feet 7 inches.
A
25
B
20
C
19
D
15
Question 55
This is the amount of air remained in the lungs after a forceful expiration
A
Residual volume
B
Expiratory reserve volume
C
Functional residual capacity
D
Inspiratory reserve volume
Question 56
Which of the following is not true about OXYGEN?
A
Excessive oxygen administration results in respiratory acidosis
B
Oxygen supports combustion
C
Oxygen can irritate mucus membrane
D
Oxygen is odorless, tasteless and colorless gas.
Question 57
Which cell secretes mucus that help protect the lungs by trapping debris in the respiratory tract?
A
Adipose cells
B
Type I pneumocytes
C
Type II pneumocytes
D
Goblet cells
Question 58
Which of the following is a good source of Vitamin A?
A
Peanuts
B
Liver
C
Egg yolk
D
Fish
Question 59
Among the following people, who requires the greatest caloric intake?
A
An adolescent with a BMI of 25
B
An individual in a long state of gluconeogenesis
C
An individual in a long state of glycogenolysis
D
A pregnant individual
Question 60
The best method of oxygen administration for client with COPD uses:
A
Venturi mask
B
Cannula
C
Non rebreather mask
D
Simple Face mask
Question 61
What is the most common problem in TUBE FEEDING?
A
Diarrhea
B
Hyperglycemia
C
Vomiting
D
Infection
Question 62
Protein and Fat digestion begins where?
A
Stomach
B
Esophagus
C
Small intestine
D
Mouth
Question 63
There is a continuous bubbling in the water sealed drainage system with suction. And oscillation is observed. As a nurse, what should you do?
A
Consider this as normal findings
B
Prepare a petrolatum gauze dressing
C
Notify the physician
D
Check for tube leak
Question 64
This is the paranasal sinus found between the eyes and the nose that extends backward into the skull
A
Frontal
B
Sphenoid
C
Ehtmoid
D
Maxillary
Question 65
The wall unit is not functioning; You then try to use the portable suction equipment available. How much pressure of suction equipment is needed to prevent trauma to mucus membrane and air ways in case of portable suction units?
A
2-5 mmHg
B
15-25 mmHg
C
10-15 mmHg
D
5-10 mmHg
Question 66
How many lobes are there in the RIGHT LUNG?
A
Three
B
Four
C
One
D
Two
Question 67
This is the enzyme secreted by the pancrease that completes the protein digestion
A
Enterokinase
B
Enterogastrone
C
Trypsin
D
Amylase
Question 68
The majority of the digestion processes take place in the
A
Stomach
B
Large intestine
C
Mouth
D
Small intestine
Question 69
Cassandra asked you : How many air is there in the oxygen and how many does human requires? Which of the following is the best response :
A
God is good, Man requires 21% of oxygen and we have 21% available in our air
B
Man requires 10% of oxygen and we have 50% available in our air
C
Human requires 21% of oxygen and we have 21% available in our air
D
Man requires 16% of oxygen and we have 35% available in our air
Question 70
The inflammation of the Lips, Palate and Tongue is associated in the deficiency of this vitamin
A
Vitamin B2
B
Vitamin B6
C
Vitamin B1
D
Vitamin B3
Question 71
Which of the following is not true about the Large Intestine?
A
It absorbs around 1 L of water making the feces around 75% water and 25% solid
B
It is called large intestine because it is longer than the small intestine
C
It is a sterile body cavity
D
The stool formed in the transverse colon is not yet well formed
Question 72
Which of the following foods lowers the cardiac sphincter pressure?
A
Coffee with coffee mate, Bacon and Egg
B
Orange juice, Non fat milk, Dry crackers
C
Roast beef, Steamed cauliflower and Rice
D
Decaffeinated coffee, Sky flakes crackers, Suman
Question 73
Jose Miguel, a 50 year old business man is 6’0 Tall and weights 179 lbs. As a nurse, you know that Jose Miguel is :
A
Overweight
B
Obese
C
Underweight
D
Normal
Question 74
Which of the following will alert the nurse as an early sign of hypoxia?
A
Client is tired and dyspneic
B
The client’s heart rate is 50 BPM
C
Client is frequently turning from side to side
D
The client is coughing out blood
Question 75
Where does the digestion of carbohydrates start?
A
Stomach
B
Esophagus
C
Mouth
D
Small intestine
Question 76
Which of the following is the first sign of dehydration?
A
Restlessness
B
Tachycardia
C
Thirst
D
Poor skin turgor
Question 77
The presence of the liver causes which anatomical difference of the Kidneys and the Lungs?
A
Right kidney lower, Right lung shorter
B
Left kidney slightly higher, Left lung slightly shorter
C
Right kidney higher, Right lung shorter
D
Left kidney slightly lower, Left lung slightly shorter
Question 78
Which nutrient deficiency is associated with the development of Pellagra, Dermatitis and Diarrhea?
A
Vitamin B2
B
Vitamin B3
C
Vitamin B6
D
Vitamin B1
Question 79
Assuming a cup of rice provides 50 grams of carbohydrates. How many calories are there in that cup of rice?
A
200 calories
B
400 calories
C
250 calories
D
150 calories
Question 80
You are about to set the suction pressure to be used to Mr. Hamilton. You are using a Wall unit suction machine. How much pressure should you set the valve before suctioning Mr. Hamilton?
A
10-15 mmHg
B
200-350 mmHg
C
50-95 mmHg
D
100-120 mmHg
Question 81
All but one is true about digestion that occurs in the Stomach
A
HCl converts pepsinogen to pepsin, which starts the complex process of protein digestion
B
HCl inhibits absorption of Calcium in the gastric mucosa
C
Fat is the slowest to be digested, in about 5 hours
D
Carbohydrates are the fastest to be digested, in about an hour
Question 82
Which of the following, if done by the nurse, indicates incompetence during suctioning an unconscious client?
A
The maximum time of suctioning should not exceed 15 seconds
B
Use KY Jelly if suctioning nasopharyngeal secretion
C
Measure the length of the suction catheter to be inserted by measuring from the tip of the nose, to the earlobe, to the xiphoid process
D
Allow 30 seconds interval between suctioning
Question 83
Which of the following is the initial sign of hypoxemia in an adult client?
Tachypnea
Tachycardia
Cyanosis
Pallor
Irritability
Flaring of Nares
A
2,5
B
1,2
C
3,4
D
2,6
Question 84
Which of the following is considered the best indicator of nutritional status of an individual?
A
Height
B
BMI
C
Weight
D
Arm muscle circumference
Question 85
The primary advantage of gastrostomy feeding is
A
It prevents aspiration
B
Maintains Gastro esophageal sphincter integrity
C
Minimizes fluid-electrolyte imbalance
D
Ensures adequate nutrition
Question 86
Surfactant is produced by what cells in the alveoli?
A
Type I pneumocytes
B
Type II pneumocytes
C
Adipose cells
D
Goblet cells
Question 87
Which of the following if done by a nurse indicates deviation from the standards of NGT feeding?
A
Clamp the NGT before all of the water is instilled to prevent air entry in the stomach
B
Ask the client to position in supine position immediately after feeding to prevent dumping syndrome
C
Do not give the feeding and notify the doctor of residual of the last feeding is greater than or equal to 50 ml
D
Height of the feeding should be 12 inches about the tube point of insertion to allow slow introduction of feeding
Question 88
Where will the CTT be inserted if we are to drain fluids accumulated in Mang dagul’s pleura?
A
4th ICS
B
8th ICS
C
2nd ICS
D
5th ICS
Question 89
An average adult filipino requires how many calories in a day?
A
1,000 calories
B
2,000 calories
C
1,500 calories
D
2,500 calories
Question 90
A vitamin taken in conjunction with ISONIAZID to prevent peripheral neuritis
A
Vitamin B3
B
Vitamin B6
C
Vitamin B1
D
Vitamin B2
Question 91
Beri beri is caused by the deficiency of which Vitamin?
A
Vitamin C
B
Vitamin B3
C
Vitamin B2
D
Vitamin B1
Question 92
It is the hair the lines the vestibule which function as a filtering mechanism for foreign objects
A
Vibrissae
B
Cilia
C
Nares
D
Carina
Question 93
The most important nursing action before gastrostomy feeding is
A
Check the placement of the tube
B
Measure residual feeding
C
Check V/S
D
Assess for patency of the tube
Question 94
Vitamin E plus this mineral works as one of the best anti oxidant in the body according to the latest research. They are combined with 5 Alpha reductase inhibitor to reduce the risk of acquiring prostate cancer
A
Zinc
B
Selenium
C
Iron
D
Vanadium
Question 95
Which of the following statement by a client with prolonged vomiting indicates the initial onset of hypokalemia?
A
My arm feels so weak
B
My face muscle is twitching
C
I felt my heart beat just right now
D
Nurse, help! My legs are cramping
Question 96
The nurse is browsing the chart of the patient and notes a normal serum lipase level. Which of the following is a normal serum lipase value?
A
100 U/L
B
10 U/L
C
350 U/L
D
200 U/L
Question 97
Mang dagul, a 50 year old chronic smoker was brought to the E.R because of difficulty in breathing. Pleural effusion was the diagnosis and CTT was ordered. What does C.T.T Stands for?
A
Closed tube thoracostmy
B
Chest tube thoracostomy
C
Chest tube thoracotomy
D
Closed tube thoracotomy
Question 98
All of the following is true about digestion that occurs in the Mouth except
A
Deglutition occurs after food is broken down into small pieces and well mixed with saliva
B
It is where the digestion process starts
C
The action of ptyalin or the salivary tyrpsin breaks down starches into maltose
D
Mechanical digestion is brought about by mastication
Question 99
There are four catheter sizes available for use, which one of these should you use for Mr. Hamilton?
A
Fr. 12
B
Fr, 5
C
Fr. 18
D
Fr. 10
Question 100
Which one of the following is NOT a function of the Upper airway?
A
For clearance mechanism such as coughing
B
Protect the lower airway from foreign mater
C
Transport gases to the lower airways
D
Warming, Filtration and Humidification of inspired air
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FON Practice Exam for Oxygenation and Nutrition (EM)
Choose the letter of the correct answer. You got 1 hour and 40 minutes to finish the exam .Good luck!
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Congratulations - you have completed FON Practice Exam for Oxygenation and Nutrition (EM).
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Question 1
Which of the following is not an anti-emetic?
A
Alevaire
B
Dramamine
C
Marinol
D
Benadryl
Question 2
The vomiting center is found in the
A
Cerebellum
B
Medulla Oblongata
C
Hypothalamus
D
Pons
Question 3
Vitamin E plus this mineral works as one of the best anti oxidant in the body according to the latest research. They are combined with 5 Alpha reductase inhibitor to reduce the risk of acquiring prostate cancer
A
Iron
B
Vanadium
C
Selenium
D
Zinc
Question 4
Which is not a clear liquid diet?
A
Gelatin
B
Hard candy
C
Bouillon
D
Coffee with Coffee mate
Question 5
This is the amount of heat required to raise the temperature of 1 kg water to 1 degree Celsius
A
Basal metabolic rate
B
Metabolism
C
Joules
D
Calorie
Question 6
Which of the following is NOT an enzyme secreted by the small intestine?
A
Amylase
B
Sucrase
C
Enterokinase
D
Enterokinase
Question 7
Beri beri is caused by the deficiency of which Vitamin?
A
Vitamin B1
B
Vitamin C
C
Vitamin B3
D
Vitamin B2
Question 8
Which food group should you emphasize giving on a pregnant mother in first trimester to prevent neural tube defects?
All but one of the following is a purpose of steam inhalation
A
Administer medications
B
Promote bronchoconstriction
C
Warm and humidify air
D
Mucolytic
Question 10
Mang dagul, a 50 year old chronic smoker was brought to the E.R because of difficulty in breathing. Pleural effusion was the diagnosis and CTT was ordered. What does C.T.T Stands for?
A
Chest tube thoracotomy
B
Closed tube thoracostmy
C
Chest tube thoracostomy
D
Closed tube thoracotomy
Question 11
The normal L:S Ratio to consider the newborn baby viable is
A
1:3
B
2:1
C
1:2
D
3:1
Question 12
Which of the following is included in a full liquid diet?
A
Pineapple juice with pulps
B
Mashed potato
C
Popsicles
D
Pureed vegetable meat
Question 13
Where does the digestion of carbohydrates start?
A
Small intestine
B
Stomach
C
Mouth
D
Esophagus
Question 14
Which of the following if done by the nurse, is correct during NGT Insertion?
A
Soak the NGT in a basin of ice water to facilitate easy insertion
B
Use an oil based lubricant
C
Measure the amount of the tube to be inserted from the Tip of the nose, to the earlobe, to the xiphoid process
D
Check the placement of the tube by introducing 10 cc of sterile water and auscultating for bubbling sound
Question 15
There are four catheter sizes available for use, which one of these should you use for Mr. Hamilton?
A
Fr, 5
B
Fr. 10
C
Fr. 12
D
Fr. 18
Question 16
Which of the following is the BEST method in assessing for the correct placement of the NGT?
A
Instilling air in the NGT and listening for a gurgling sound at the epigastric area
B
Immerse tip of the tube in water to check for bubbles produced
C
Aspirating gastric content to check if the content is acidic
D
X-Ray
Question 17
Casssandra, A 22 year old grade Agnostic, Asked you, how many spikes of bones are there in my ribs? Your best response is which of the following?
A
Humans have 8 pairs of ribs. 4 of which are floating
B
Humans have 16 pairs of ribs, and that was noted by Vesalius in 1543
C
We have 12 pairs of ribs Cassandra
D
We have 13 pairs of ribs Cassandra
Question 18
Among the following foods, which has the highest amount of potassium per area of their meat?
A
Raisin
B
Cantaloupe
C
Banana
D
Avocado
Question 19
Surfactant is produced by what cells in the alveoli?
A
Type II pneumocytes
B
Type I pneumocytes
C
Goblet cells
D
Adipose cells
Question 20
Which among this food is the richest source of Iron?
A
Ampalaya
B
Broccoli
C
Mongo
D
Malunggay leaves
Question 21
Which one of the following is NOT a function of the Upper airway?
A
Transport gases to the lower airways
B
For clearance mechanism such as coughing
C
Warming, Filtration and Humidification of inspired air
D
Protect the lower airway from foreign mater
Question 22
The most threatening complication of vomiting in client’s with stroke is
A
Malnutrition
B
Aspiration
C
Fluid and electrolyte imbalance
D
Dehydration
Question 23
Which of the following is TRUE in colostomy feeding?
A
Hold the syringe 18 inches above the stoma and administer the feeding slowly
B
Insert the ostomy feeding tube 1 inch towards the stoma
C
Pour 30 ml of water before and after feeding administration
D
A Pink stoma means that circulation towards the stoma is all well
Question 24
When should a nurse suction a client?
A
As needed
B
Every 1 hour
C
As desired
D
Every 4 hours
Question 25
Among the following foods, which food should you emphasize giving on an Alcoholic client?
A
Green leafy vegetables, Yellow vegetables, Cantaloupe and Dairy products
B
Pork liver and organ meats, Pork
C
Chicken, Peanuts, Bananas, Wheat germs and yeasts
D
Red meat, Eggs and Dairy products
Question 26
This is the enzyme secreted by the pancrease that completes the protein digestion
A
Enterogastrone
B
Enterokinase
C
Amylase
D
Trypsin
Question 27
Roberto San Andres, A new nurse in the hospital is about to administer oxygen on patient with Respiratory distress. As his senior nurse, you should intervene if Roberto will:
A
Check for the doctor’s order for Oxygen administration
B
Put a non rebreather mask in the patient before opening the oxygen source
C
Uses venture mask in oxygen administration
D
Use a partial rebreather mask to deliver oxygen
Question 28
The majority of the digestion processes take place in the
A
Large intestine
B
Mouth
C
Small intestine
D
Stomach
Question 29
Which of the following statement by a client with prolonged vomiting indicates the initial onset of hypokalemia?
A
Nurse, help! My legs are cramping
B
I felt my heart beat just right now
C
My arm feels so weak
D
My face muscle is twitching
Question 30
Which of the following foods lowers the cardiac sphincter pressure?
A
Orange juice, Non fat milk, Dry crackers
B
Coffee with coffee mate, Bacon and Egg
C
Roast beef, Steamed cauliflower and Rice
D
Decaffeinated coffee, Sky flakes crackers, Suman
Question 31
When the duodenal enzyme sucrase acts on SUCROSE, which 2 monosaccharides are formed?
A
Galactose + Galactose
B
Fructose + Fructose
C
Glucose + Galactose
D
Glucose + Fructose
Question 32
A terminally ill cancer patient is scheduled for an NGT feeding today. How should you position the patient?
A
Semi fowlers in bed
B
Bring the client into a chair
C
Supine in bed
D
Slightly elevated right side lying position
Question 33
The most important nursing action before gastrostomy feeding is
A
Check V/S
B
Assess for patency of the tube
C
Check the placement of the tube
D
Measure residual feeding
Question 34
What Specific gravity lab result is compatible with a dehydrated client?
A
1.039
B
1.020
C
1.007
D
1.029
Question 35
Which of the following is not true about OXYGEN?
A
Excessive oxygen administration results in respiratory acidosis
B
Oxygen supports combustion
C
Oxygen can irritate mucus membrane
D
Oxygen is odorless, tasteless and colorless gas.
Question 36
A client is scheduled for NGT Feeding. Checking the residual volume, you determined that he has 40 cc residual from the last feeding. You reinstill the 40 cc of residual volume and added the 250 cc of feeding ordered by the doctor. You then instill 60 cc of water to clear the lumen and the tube. How much will you put in the client’s chart as input?
A
310 cc
B
350 cc
C
250 cc
D
290 cc
Question 37
How many lobes are there in the RIGHT LUNG?
A
Two
B
Three
C
Four
D
One
Question 38
Which of the following is the initial sign of hypoxemia in an adult client?
Tachypnea
Tachycardia
Cyanosis
Pallor
Irritability
Flaring of Nares
A
1,2
B
2,5
C
2,6
D
3,4
Question 39
Assuming a cup of rice provides 50 grams of carbohydrates. How many calories are there in that cup of rice?
A
400 calories
B
250 calories
C
200 calories
D
150 calories
Question 40
Which of the following is a good source of Vitamin A?
A
Liver
B
Peanuts
C
Egg yolk
D
Fish
Question 41
Which cell secretes mucus that help protect the lungs by trapping debris in the respiratory tract?
A
Adipose cells
B
Type II pneumocytes
C
Type I pneumocytes
D
Goblet cells
Question 42
There is a continuous bubbling in the water sealed drainage system with suction. And oscillation is observed. As a nurse, what should you do?
A
Prepare a petrolatum gauze dressing
B
Consider this as normal findings
C
Notify the physician
D
Check for tube leak
Question 43
Jose Miguel, a 50 year old business man is 6’0 Tall and weights 179 lbs. As a nurse, you know that Jose Miguel is :
A
Normal
B
Underweight
C
Obese
D
Overweight
Question 44
Which of the following is considered the best indicator of nutritional status of an individual?
A
Height
B
Weight
C
BMI
D
Arm muscle circumference
Question 45
A client taking Coumadin is to be educated on his diet. As a nurse, which of the following food should you instruct the client to avoid?
A
Butter, Egg yolk, breakfast cereals
B
Spinach, Green leafy vegetables, Cabbage, Liver
C
Banana, Yeast, Wheat germ, Chicken
D
Salmon, Sardines, Tuna
Question 46
Which paranasal sinus is found over the eyebrow?
A
Maxillary
B
Ehtmoid
C
Sphenoid
D
Frontal
Question 47
Miguelito de balboa, An OFW presents at the admission with an A:P Diameter ratio of 2:1, Which of the following associated finding should the nurse expect?
A
Fingers are Club-like
B
Pancytopenia
C
Anemia
D
Hematocrit of client is decreased
Question 48
Which of the following is true about an individual’s caloric needs?
A
During cold weather, people need more calories due to increase BMR
B
Dinner should be the heaviest meal of the day
C
All individual have the same caloric needs
D
Females in general have higher BMR and therefore, require more calories
Question 49
Which of the following is the best source of Vitamin E?
A
Fish liver oil
B
Fortified Milk
C
Vegetable oil
D
Green leafy vegetables
Question 50
Which of the following will alert the nurse as an early sign of hypoxia?
A
The client is coughing out blood
B
Client is tired and dyspneic
C
The client’s heart rate is 50 BPM
D
Client is frequently turning from side to side
Question 51
The hormone secreted by the Small intestine that stimulates the production of pancreatic juice which primarily aids in buffering the acidic bolus passed by the Stomach
A
Cholecystokinin
B
Pancreozymin
C
Enterogastrone
D
Enterokinase
Question 52
Which food is included in a BLAND DIET?
A
Steamed broccoli
B
Sweet potato
C
Creamed potato
D
Spinach in garlic
Question 53
Which of the following is NOT TRUE in steam inhalation?
A
It is a dependent nursing action
B
Render steam inhalation for atleast 60 minutes
C
Cover the client’s eye with wash cloth to prevent irritation
D
Spout is put 12-18 inches away from the nose
Question 54
The end product of protein digestion or the “Building blocks of Protein” is what we call
A
Fatty acids
B
Nucleotides
C
Amino Acids
D
Glucose
Question 55
Which of the following oxygen delivery method can deliver 100% Oxygen at 15 LPM?
A
Partial Rebreather mask
B
Non Rebreather mask
C
Nasal Cannula
D
Simple Face mask
Question 56
Which nutrient deficiency is associated with the development of Pellagra, Dermatitis and Diarrhea?
A
Vitamin B6
B
Vitamin B1
C
Vitamin B2
D
Vitamin B3
Question 57
A client with TPN suddenly develops tremors, dizziness, weakness and diaphoresis. The client said “I feel weak” You saw that his TPN is already empty and another TPN is scheduled to replace the previous one but its provision is already 3 hours late. Which of the following is the probable complication being experienced by the client?
A
Fluid overload
B
Hypoglycemia
C
Infection
D
Hyperglycemia
Question 58
All but one is true about digestion that occurs in the Stomach
A
HCl inhibits absorption of Calcium in the gastric mucosa
B
Carbohydrates are the fastest to be digested, in about an hour
C
HCl converts pepsinogen to pepsin, which starts the complex process of protein digestion
D
Fat is the slowest to be digested, in about 5 hours
Question 59
Gene De Vonne Katrouchuacheulujiki wants to change her surname to something shorter, The court denied her request which depresses her and find herself binge eating. She accidentally aspirate a large piece of nut and it passes the carina. Probabilty wise, Where will the nut go?
A
Be dislodged in between the carina
B
Left main stem bronchus
C
Right main stem bronchus
D
Be blocked by the closed epiglottis
Question 60
Which of the following provides the richest source of Iron per area of their meat?
A
Green mongo
B
Pork liver
C
Lean read meat
D
Pork meat
Question 61
The inflammation of the Lips, Palate and Tongue is associated in the deficiency of this vitamin
A
Vitamin B3
B
Vitamin B6
C
Vitamin B2
D
Vitamin B1
Question 62
Which of the following is not true about the Large Intestine?
A
It is called large intestine because it is longer than the small intestine
B
It is a sterile body cavity
C
The stool formed in the transverse colon is not yet well formed
D
It absorbs around 1 L of water making the feces around 75% water and 25% solid
Question 63
Protein and Fat digestion begins where?
A
Mouth
B
Small intestine
C
Stomach
D
Esophagus
Question 64
Among the following people, who requires the greatest caloric intake?
A
An individual in a long state of gluconeogenesis
B
A pregnant individual
C
An adolescent with a BMI of 25
D
An individual in a long state of glycogenolysis
Question 65
The primary advantage of gastrostomy feeding is
A
Ensures adequate nutrition
B
Maintains Gastro esophageal sphincter integrity
C
Minimizes fluid-electrolyte imbalance
D
It prevents aspiration
Question 66
A vitamin taken in conjunction with ISONIAZID to prevent peripheral neuritis
A
Vitamin B1
B
Vitamin B6
C
Vitamin B2
D
Vitamin B3
Question 67
Enzyme secreted by the small intestine after it detects a bolus of fatty food. This will contract the gallbladder to secrete bile and relax the sphincter of Oddi to aid in the emulsification of fats and its digestion.
A
Amylase
B
Cholecystokinin
C
Pancreozymin
D
Lipase
Question 68
The wall unit is not functioning; You then try to use the portable suction equipment available. How much pressure of suction equipment is needed to prevent trauma to mucus membrane and air ways in case of portable suction units?
A
10-15 mmHg
B
15-25 mmHg
C
5-10 mmHg
D
2-5 mmHg
Question 69
Which of the following is TRUE in postural drainage?
A
Should last only for 60 minutes
B
An independent nursing action
C
Patient assumes position for 10 to 15 minutes
D
Done best P.C
Question 70
You are about to set the suction pressure to be used to Mr. Hamilton. You are using a Wall unit suction machine. How much pressure should you set the valve before suctioning Mr. Hamilton?
A
10-15 mmHg
B
200-350 mmHg
C
100-120 mmHg
D
50-95 mmHg
Question 71
The presence of the liver causes which anatomical difference of the Kidneys and the Lungs?
A
Right kidney higher, Right lung shorter
B
Left kidney slightly higher, Left lung slightly shorter
C
Left kidney slightly lower, Left lung slightly shorter
D
Right kidney lower, Right lung shorter
Question 72
Deficiency of this mineral results in tetany, osteomalacia, osteoporosis and rickets.
A
Sodium
B
Iron
C
Vitamin D
D
Calcium
Question 73
Which of the following is considered as the main muscle of respiration?
A
Intercostal Muscles
B
Pectoralis major
C
Diaphragm
D
Lungs
Question 74
Which finding is consistent with PERNICIOUS ANEMIA?
A
Beefy red tongue
B
Strawberry tongue
C
Pale [ HYPOCHROMIC ] RBC
D
Currant Jelly stool
Question 75
Which of the following is TRUE about Expiration?
A
A passive process
B
Requires energy to be carried out
C
The length of which is half of the length of Inspiration
D
Stridor is commonly heard during expiration
Question 76
This is the amount of air remained in the lungs after a forceful expiration
A
Functional residual capacity
B
Residual volume
C
Inspiratory reserve volume
D
Expiratory reserve volume
Question 77
It is the hair the lines the vestibule which function as a filtering mechanism for foreign objects
A
Cilia
B
Nares
C
Vibrissae
D
Carina
Question 78
Where will the CTT be inserted if we are to drain fluids accumulated in Mang dagul’s pleura?
A
2nd ICS
B
5th ICS
C
8th ICS
D
4th ICS
Question 79
Which method of oxygenation least likely produces anxiety and apprehension?
A
Non Rebreather mask
B
Simple Face mask
C
Nasal Cannula
D
Partial Rebreather mask
Question 80
Micronutrients are those nutrients needed by the body in a very minute amount. Which of the following vitamin is considered as a MICRONUTRIENT
A
Phosphorous
B
Sodium
C
Iron
D
Calcium
Question 81
Which of the following, if done by the nurse, indicates incompetence during suctioning an unconscious client?
A
The maximum time of suctioning should not exceed 15 seconds
B
Use KY Jelly if suctioning nasopharyngeal secretion
C
Measure the length of the suction catheter to be inserted by measuring from the tip of the nose, to the earlobe, to the xiphoid process
D
Allow 30 seconds interval between suctioning
Question 82
The nurse is browsing the chart of the patient and notes a normal serum lipase level. Which of the following is a normal serum lipase value?
A
100 U/L
B
350 U/L
C
10 U/L
D
200 U/L
Question 83
Refers to the extra air that can be inhaled beyond the normal tidal volume
A
Functional residual capacity
B
Residual volume
C
Inspiratory reserve volume
D
Expiratory reserve volume
Question 84
Incident of prostate cancer is found to have been reduced on a population exposed in tolerable amount of sunlight. Which vitamin is associated with this phenomenon?
A
Vitamin A
B
Vitamin C
C
Vitamin B
D
Vitamin D
Question 85
Which of the following if done by a nurse indicates deviation from the standards of NGT feeding?
A
Height of the feeding should be 12 inches about the tube point of insertion to allow slow introduction of feeding
B
Ask the client to position in supine position immediately after feeding to prevent dumping syndrome
C
Clamp the NGT before all of the water is instilled to prevent air entry in the stomach
D
Do not give the feeding and notify the doctor of residual of the last feeding is greater than or equal to 50 ml
Question 86
A client has HEMOSIDEROSIS. Which of the following drug would you expect to be given to the client?
A
Activated charcoal
B
Deferoxamine
C
Calcium EDTA
D
Acetazolamide
Question 87
Which Vitamin is not given in conjunction with the intake of LEVODOPA in cases of Parkinson’s Disease due to the fact that levodopa increases its level in the body?
A
Vitamin B1
B
Vitamin B6
C
Vitamin B2
D
Vitamin B3
Question 88
Jose Miguel is a little bit nauseous. Among the following beverages, Which could help relieve JM’s nausea?
A
Mirinda
B
Orange Juice or Lemon Juice
C
Sprite
D
Coke
Question 89
All of the following is true about digestion that occurs in the Mouth except
A
The action of ptyalin or the salivary tyrpsin breaks down starches into maltose
B
Deglutition occurs after food is broken down into small pieces and well mixed with saliva
C
It is where the digestion process starts
D
Mechanical digestion is brought about by mastication
Question 90
Which hematocrit value is expected in a dehydrated male client?
A
50%
B
45%
C
36%
D
67%
Question 91
What is the BMI Of Budek, weighing 120 lbs and has a height of 5 feet 7 inches.
A
20
B
25
C
19
D
15
Question 92
The best method of oxygen administration for client with COPD uses:
A
Cannula
B
Venturi mask
C
Simple Face mask
D
Non rebreather mask
Question 93
Ernest Arnold Hamilton, a 60 year old American client was mobbed by teen gangsters near New york, Cubao. He was rushed to John John Hopio Medical Center and was Unconscious. You are his nurse and you are to suction his secretions. In which position should you place Mr. Hamilton?
A
High fowlers
B
Prone
C
Side lying
D
Semi fowlers
Question 94
Which of the following is true about nutrition?
A
It is the study of nutrients and the process in which they are use by the body
B
It is a process in which digested proteins, fats, minerals, vitamins and carbohydrates are transported into the circulation
C
It is a chemical process that occurs in the cell that allows for energy production, energy use, growth and tissue repair
D
It is the process in which food are broken down, for the body to use in growth and development
Question 95
This is the paranasal sinus found between the eyes and the nose that extends backward into the skull
A
Ehtmoid
B
Sphenoid
C
Maxillary
D
Frontal
Question 96
To assess the adequacy of food intake, which of the following assessment parameters is best used?
A
Eating style and habits
B
3 day diet recall
C
Food likes and dislikes
D
Regularity of meal times
Question 97
An average adult filipino requires how many calories in a day?
A
2,000 calories
B
2,500 calories
C
1,500 calories
D
1,000 calories
Question 98
What is the most common problem in TUBE FEEDING?
A
Infection
B
Vomiting
C
Diarrhea
D
Hyperglycemia
Question 99
Cassandra asked you : How many air is there in the oxygen and how many does human requires? Which of the following is the best response :
A
Man requires 10% of oxygen and we have 50% available in our air
B
Human requires 21% of oxygen and we have 21% available in our air
C
God is good, Man requires 21% of oxygen and we have 21% available in our air
D
Man requires 16% of oxygen and we have 35% available in our air
Question 100
Which of the following is the first sign of dehydration?
A
Thirst
B
Poor skin turgor
C
Tachycardia
D
Restlessness
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1. Which one of the following is NOT a function of the Upper airway?
For clearance mechanism such as coughing
Transport gases to the lower airways
Warming, Filtration and Humidification of inspired air
Protect the lower airway from foreign mater
2. It is the hair the lines the vestibule which function as a filtering mechanism for foreign objects
Cilia
Nares
Carina
Vibrissae
3. This is the paranasal sinus found between the eyes and the nose that extends backward into the skull
Ehtmoid
Sphenoid
Maxillary
Frontal
4. Which paranasal sinus is found over the eyebrow?
Ehtmoid
Sphenoid
Maxillary
Frontal
5. Gene De Vonne Katrouchuacheulujiki wants to change her surname to something shorter, The court denied her request which depresses her and find herself binge eating. She accidentally aspirate a large piece of nut and it passes the carina. Probabilty wise, Where will the nut go?
Right main stem bronchus
Left main stem bronchus
Be dislodged in between the carina
Be blocked by the closed epiglottis
6. Which cell secretes mucus that help protect the lungs by trapping debris in the respiratory tract?
Type I pneumocytes
Type II pneumocytes
Goblet cells
Adipose cells
7. How many lobes are there in the RIGHT LUNG?
One
Two
Three
Four
8. The presence of the liver causes which anatomical difference of the Kidneys and the Lungs?
Left kidney slightly lower, Left lung slightly shorter
Left kidney slightly higher, Left lung slightly shorter
Right kidney lower, Right lung shorter
Right kidney higher, Right lung shorter
9. Surfactant is produced by what cells in the alveoli?
Type I pneumocytes
Type II pneumocytes
Goblet cells
Adipose cells
10. The normal L:S Ratio to consider the newborn baby viable is
1:2
2:1
3:1
1:3
11. Refers to the extra air that can be inhaled beyond the normal tidal volume
Inspiratory reserve volume
Expiratory reserve volume
Functional residual capacity
Residual volume
12. This is the amount of air remained in the lungs after a forceful expiration
Inspiratory reserve volume
Expiratory reserve volume
Functional residual capacity
Residual volume
13. Casssandra, A 22 year old grade Agnostic, Asked you, how many spikes of bones are there in my ribs? Your best response is which of the following?
We have 13 pairs of ribs Cassandra
We have 12 pairs of ribs Cassandra
Humans have 16 pairs of ribs, and that was noted by Vesalius in 1543
Humans have 8 pairs of ribs. 4 of which are floating
14. Which of the following is considered as the main muscle of respiration?
Lungs
Intercostal Muscles
Diaphragm
Pectoralis major
15. Cassandra asked you : How many air is there in the oxygen and how many does human requires? Which of the following is the best response :
God is good, Man requires 21% of oxygen and we have 21% available in our air
Man requires 16% of oxygen and we have 35% available in our air
Man requires 10% of oxygen and we have 50% available in our air
Human requires 21% of oxygen and we have 21% available in our air
16. Which of the following is TRUE about Expiration?
A passive process
The length of which is half of the length of Inspiration
Stridor is commonly heard during expiration
Requires energy to be carried out
17. Which of the following is TRUE in postural drainage?
Patient assumes position for 10 to 15 minutes
Should last only for 60 minutes
Done best P.C
An independent nursing action
18. All but one of the following is a purpose of steam inhalation
Mucolytic
Warm and humidify air
Administer medications
Promote bronchoconstriction
19. Which of the following is NOT TRUE in steam inhalation?
It is a dependent nursing action
Spout is put 12-18 inches away from the nose
Render steam inhalation for atleast 60 minutes
Cover the client’s eye with wash cloth to prevent irritation
20. When should a nurse suction a client?
As desired
As needed
Every 1 hour
Every 4 hours
21. Ernest Arnold Hamilton, a 60 year old American client was mobbed by teen gangsters near New york, Cubao. He was rushed to John John Hopio Medical Center and was Unconscious. You are his nurse and you are to suction his secretions. In which position should you place Mr. Hamilton?
High fowlers
Semi fowlers
Prone
Side lying
22. You are about to set the suction pressure to be used to Mr. Hamilton. You are using a Wall unit suction machine. How much pressure should you set the valve before suctioning Mr. Hamilton?
50-95 mmHg
200-350 mmHg
100-120 mmHg
10-15 mmHg
23. The wall unit is not functioning; You then try to use the portable suction equipment available. How much pressure of suction equipment is needed to prevent trauma to mucus membrane and air ways in case of portable suction units?
2-5 mmHg
5-10 mmHg
10-15 mmHg
15-25 mmHg
24. There are four catheter sizes available for use, which one of these should you use for Mr. Hamilton?
Fr. 18
Fr. 12
Fr. 10
Fr, 5
25. Which of the following, if done by the nurse, indicates incompetence during suctioning an unconscious client?
Measure the length of the suction catheter to be inserted by measuring from the tip of the nose, to the earlobe, to the xiphoid process
Use KY Jelly if suctioning nasopharyngeal secretion
The maximum time of suctioning should not exceed 15 seconds
Allow 30 seconds interval between suctioning
26. Which of the following is the initial sign of hypoxemia in an adult client?
Tachypnea
Tachycardia
Cyanosis
Pallor
Irritability
Flaring of NaresA. 1,2
B. 2,5
C. 2,6
D. 3,4
27. Which method of oxygenation least likely produces anxiety and apprehension?
Nasal Cannula
Simple Face mask
Non Rebreather mask
Partial Rebreather mask
28. Which of the following oxygen delivery method can deliver 100% Oxygen at 15 LPM?
Nasal Cannula
Simple Face mask
Non Rebreather mask
Partial Rebreather mask
29. Which of the following is not true about OXYGEN?
Oxygen is odorless, tasteless and colorless gas.
Oxygen can irritate mucus membrane
Oxygen supports combustion
Excessive oxygen administration results in respiratory acidosis
30. Roberto San Andres, A new nurse in the hospital is about to administer oxygen on patient with Respiratory distress. As his senior nurse, you should intervene if Roberto will:
Uses venture mask in oxygen administration
Put a non rebreather mask in the patient before opening the oxygen source
Use a partial rebreather mask to deliver oxygen
Check for the doctor’s order for Oxygen administration
31. Which of the following will alert the nurse as an early sign of hypoxia?
Client is tired and dyspneic
The client is coughing out blood
The client’s heart rate is 50 BPM
Client is frequently turning from side to side
32. Miguelito de balboa, An OFW presents at the admission with an A:P Diameter ratio of 2:1, Which of the following associated finding should the nurse expect?
Pancytopenia
Anemia
Fingers are Club-like
Hematocrit of client is decreased
33. The best method of oxygen administration for client with COPD uses:
Cannula
Simple Face mask
Non rebreather mask
Venturi mask
34. Mang dagul, a 50 year old chronic smoker was brought to the E.R because of difficulty in breathing. Pleural effusion was the diagnosis and CTT was ordered. What does C.T.T Stands for?
Chest tube thoracotomy
Chest tube thoracostomy
Closed tube thoracotomy
Closed tube thoracostmy
35. Where will the CTT be inserted if we are to drain fluids accumulated in Mang dagul’s pleura?
2nd ICS
4th ICS
5th ICS
8th ICS
36. There is a continuous bubbling in the water sealed drainage system with suction. And oscillation is observed. As a nurse, what should you do?
Consider this as normal findings
Notify the physician
Check for tube leak
Prepare a petrolatum gauze dressing
37. Which of the following is true about nutrition?
It is the process in which food are broken down, for the body to use in growth and development
It is a process in which digested proteins, fats, minerals, vitamins and carbohydrates are transported into the circulation
It is a chemical process that occurs in the cell that allows for energy production, energy use, growth and tissue repair
It is the study of nutrients and the process in which they are use by the body
38. The majority of the digestion processes take place in the
Mouth
Small intestine
Large intestine
Stomach
39. All of the following is true about digestion that occurs in the Mouth except
It is where the digestion process starts
Mechanical digestion is brought about by mastication
The action of ptyalin or the salivary tyrpsin breaks down starches into maltose
Deglutition occurs after food is broken down into small pieces and well mixed with saliva
40. Which of the following foods lowers the cardiac sphincter pressure?
Roast beef, Steamed cauliflower and Rice
Orange juice, Non fat milk, Dry crackers
Decaffeinated coffee, Sky flakes crackers, Suman
Coffee with coffee mate, Bacon and Egg
41. Where does the digestion of carbohydrates start?
Mouth
Esophagus
Small intestine
Stomach
42. Protein and Fat digestion begins where?
Mouth
Esophagus
Small intestine
Stomach
43. All but one is true about digestion that occurs in the Stomach
Carbohydrates are the fastest to be digested, in about an hour
Fat is the slowest to be digested, in about 5 hours
HCl inhibits absorption of Calcium in the gastric mucosa
HCl converts pepsinogen to pepsin, which starts the complex process of protein digestion
44. Which of the following is NOT an enzyme secreted by the small intestine?
Sucrase
Enterokinase
Amylase
Enterokinase
45. The hormone secreted by the Small intestine that stimulates the production of pancreatic juice which primarily aids in buffering the acidic bolus passed by the Stomach
Enterogastrone
Cholecystokinin
Pancreozymin
Enterokinase
46. When the duodenal enzyme sucrase acts on SUCROSE, which 2 monosaccharides are formed?
Galactose + Galactose
Glucose + Fructose
Glucose + Galactose
Fructose + Fructose
47. This is the enzyme secreted by the pancrease that completes the protein digestion
Trypsin
Enterokinase
Enterogastrone
Amylase
48. The end product of protein digestion or the “Building blocks of Protein” is what we call
Nucleotides
Fatty acids
Glucose
Amino Acids
49. Enzyme secreted by the small intestine after it detects a bolus of fatty food. This will contract the gallbladder to secrete bile and relax the sphincter of Oddi to aid in the emulsification of fats and its digestion.
Lipase
Amylase
Cholecystokinin
Pancreozymin
50. Which of the following is not true about the Large Intestine?
It absorbs around 1 L of water making the feces around 75% water and 25% solid
The stool formed in the transverse colon is not yet well formed
It is a sterile body cavity
It is called large intestine because it is longer than the small intestine
51. This is the amount of heat required to raise the temperature of 1 kg water to 1 degree Celsius
Calorie
Joules
Metabolism
Basal metabolic rate
52. Assuming a cup of rice provides 50 grams of carbohydrates. How many calories are there in that cup of rice?
150 calories
200 calories
250 calories
400 calories
53. An average adult filipino requires how many calories in a day?
1,000 calories
1,500 calories
2,000 calories
2,500 calories
54. Which of the following is true about an individual’s caloric needs?
All individual have the same caloric needs
Females in general have higher BMR and therefore, require more calories
During cold weather, people need more calories due to increase BMR
Dinner should be the heaviest meal of the day
55. Among the following people, who requires the greatest caloric intake?
An individual in a long state of gluconeogenesis
An individual in a long state of glycogenolysis
A pregnant individual
An adolescent with a BMI of 25
56. Which nutrient deficiency is associated with the development of Pellagra, Dermatitis and Diarrhea?
Vitamin B1
Vitamin B2
Vitamin B3
Vitamin B6
57. Which Vitamin is not given in conjunction with the intake of LEVODOPA in cases of Parkinson’s Disease due to the fact that levodopa increases its level in the body?
Vitamin B1
Vitamin B2
Vitamin B3
Vitamin B6
58. A vitamin taken in conjunction with ISONIAZID to prevent peripheral neuritis
Vitamin B1
Vitamin B2
Vitamin B3
Vitamin B6
59. The inflammation of the Lips, Palate and Tongue is associated in the deficiency of this vitamin
Vitamin B1
Vitamin B2
Vitamin B3
Vitamin B6
60. Beri beri is caused by the deficiency of which Vitamin?
Vitamin B1
Vitamin B2
Vitamin B3
Vitamin C
61. Which of the following is the best source of Vitamin E?
Green leafy vegetables
Vegetable oil
Fortified Milk
Fish liver oil
62. Among the following foods, which food should you emphasize giving on an Alcoholic client?
Pork liver and organ meats, Pork
Red meat, Eggs and Dairy products
Green leafy vegetables, Yellow vegetables, Cantaloupe and Dairy products
Chicken, Peanuts, Bananas, Wheat germs and yeasts
63. Which food group should you emphasize giving on a pregnant mother in first trimester to prevent neural tube defects?
64. A client taking Coumadin is to be educated on his diet. As a nurse, which of the following food should you instruct the client to avoid?
Spinach, Green leafy vegetables, Cabbage, Liver
Salmon, Sardines, Tuna
Butter, Egg yolk, breakfast cereals
Banana, Yeast, Wheat germ, Chicken
65. Vitamin E plus this mineral works as one of the best anti oxidant in the body according to the latest research. They are combined with 5 Alpha reductase inhibitor to reduce the risk of acquiring prostate cancer
Zinc
Iron
Selenium
Vanadium
66. Incident of prostate cancer is found to have been reduced on a population exposed in tolerable amount of sunlight. Which vitamin is associated with this phenomenon?
Vitamin A
Vitamin B
Vitamin C
Vitamin D
67. Micronutrients are those nutrients needed by the body in a very minute amount. Which of the following vitamin is considered as a MICRONUTRIENT
Phosphorous
Iron
Calcium
Sodium
68. Deficiency of this mineral results in tetany, osteomalacia, osteoporosis and rickets.
Vitamin D
Iron
Calcium
Sodium
69. Among the following foods, which has the highest amount of potassium per area of their meat?
Cantaloupe
Avocado
Raisin
Banana
70. A client has HEMOSIDEROSIS. Which of the following drug would you expect to be given to the client?
Acetazolamide
Deferoxamine
Calcium EDTA
Activated charcoal
71. Which of the following provides the richest source of Iron per area of their meat?
Pork meat
Lean read meat
Pork liver
Green mongo
72. Which of the following is considered the best indicator of nutritional status of an individual?
Height
Weight
Arm muscle circumference
BMI
73. Jose Miguel, a 50 year old business man is 6’0 Tall and weights 179 lbs. As a nurse, you know that Jose Miguel is :
Overweight
Underweight
Normal
Obese
74. Jose Miguel is a little bit nauseous. Among the following beverages, Which could help relieve JM’s nausea?
Coke
Sprite
Mirinda
Orange Juice or Lemon Juice
75. Which of the following is the first sign of dehydration?
Tachycardia
Restlessness
Thirst
Poor skin turgor
76. What Specific gravity lab result is compatible with a dehydrated client?
1.007
1.020
1.039
1.029
77. Which hematocrit value is expected in a dehydrated male client?
67%
50%
36%
45%
78. Which of the following statement by a client with prolonged vomiting indicates the initial onset of hypokalemia?
My arm feels so weak
I felt my heart beat just right now
My face muscle is twitching
Nurse, help! My legs are cramping
79. Which of the following is not an anti-emetic?
Marinol
Dramamine
Benadryl
Alevaire
80. Which is not a clear liquid diet?
Hard candy
Gelatin
Coffee with Coffee mate
Bouillon
81. Which of the following is included in a full liquid diet?
Popsicles
Pureed vegetable meat
Pineapple juice with pulps
Mashed potato
82. Which food is included in a BLAND DIET?
Steamed broccoli
Creamed potato
Spinach in garlic
Sweet potato
83. Which of the following if done by the nurse, is correct during NGT Insertion?
Use an oil based lubricant
Measure the amount of the tube to be inserted from the Tip of the nose, to the earlobe, to the xiphoid process
Soak the NGT in a basin of ice water to facilitate easy insertion
Check the placement of the tube by introducing 10 cc of sterile water and auscultating for bubbling sound
84. Which of the following is the BEST method in assessing for the correct placement of the NGT?
X-Ray
Immerse tip of the tube in water to check for bubbles produced
Aspirating gastric content to check if the content is acidic
Instilling air in the NGT and listening for a gurgling sound at the epigastric area
85. A terminally ill cancer patient is scheduled for an NGT feeding today. How should you position the patient?
Semi fowlers in bed
Bring the client into a chair
Slightly elevated right side lying position
Supine in bed
86. A client is scheduled for NGT Feeding. Checking the residual volume, you determined that he has 40 cc residual from the last feeding. You reinstill the 40 cc of residual volume and added the 250 cc of feeding ordered by the doctor. You then instill 60 cc of water to clear the lumen and the tube. How much will you put in the client’s chart as input?
250 cc
290 cc
350 cc
310 cc
87. Which of the following if done by a nurse indicates deviation from the standards of NGT feeding?
Do not give the feeding and notify the doctor of residual of the last feeding is greater than or equal to 50 ml
Height of the feeding should be 12 inches about the tube point of insertion to allow slow introduction of feeding
Ask the client to position in supine position immediately after feeding to prevent dumping syndrome
Clamp the NGT before all of the water is instilled to prevent air entry in the stomach
88. What is the most common problem in TUBE FEEDING?
Diarrhea
Infection
Hyperglycemia
Vomiting
89. Which of the following is TRUE in colostomy feeding?
Hold the syringe 18 inches above the stoma and administer the feeding slowly
Pour 30 ml of water before and after feeding administration
Insert the ostomy feeding tube 1 inch towards the stoma
A Pink stoma means that circulation towards the stoma is all well
90. A client with TPN suddenly develops tremors, dizziness, weakness and diaphoresis. The client said “I feel weak” You saw that his TPN is already empty and another TPN is scheduled to replace the previous one but its provision is already 3 hours late. Which of the following is the probable complication being experienced by the client?
Hyperglycemia
Hypoglycemia
Infection
Fluid overload
91. To assess the adequacy of food intake, which of the following assessment parameters is best used?
Food likes and dislikes
Regularity of meal times
3 day diet recall
Eating style and habits
92. The vomiting center is found in the
Medulla Oblongata
Pons
Hypothalamus
Cerebellum
93. The most threatening complication of vomiting in client’s with stroke is
Aspiration
Dehydration
Fluid and electrolyte imbalance
Malnutrition
94. Which among this food is the richest source of Iron?
Ampalaya
Broccoli
Mongo
Malunggay leaves
95. Which of the following is a good source of Vitamin A?
Egg yolk
Liver
Fish
Peanuts
96. The most important nursing action before gastrostomy feeding is
Check V/S
Assess for patency of the tube
Measure residual feeding
Check the placement of the tube
97. The primary advantage of gastrostomy feeding is
Ensures adequate nutrition
It prevents aspiration
Maintains Gastro esophageal sphincter integrity
Minimizes fluid-electrolyte imbalance
98. What is the BMI Of Budek, weighing 120 lbs and has a height of 5 feet 7 inches.
20
19
15
25
99. Which finding is consistent with PERNICIOUS ANEMIA?
Strawberry tongue
Currant Jelly stool
Beefy red tongue
Pale [ HYPOCHROMIC ] RBC
100. The nurse is browsing the chart of the patient and notes a normal serum lipase level. Which of the following is a normal serum lipase value?
10 U/L
100 U/L
200 U/L
350 U/L
Answers
A. For clearance mechanism such as coughing
D. Vibrissae
A. Ehtmoid
D. Frontal
A. Right main stem bronchus
C. Goblet cells
C. Three
C. Right kidney lower, Right lung shorter
B. Type II pneumocytes
B. 2:1
A. Inspiratory reserve volume
D. Residual volume
B. We have 12 pairs of ribs Cassandra
C. Diaphragm
D. Human requires 21% of oxygen and we have 21% available in our air
A. A passive process
A. Patient assumes position for 10 to 15 minutes
D. Promote bronchoconstriction
C. Render steam inhalation for atleast 60 minutes
B. As needed
D. Side lying
C. 100-120 mmHg
C. 10-15 mmHg
A. Fr. 18
A. Measure the length of the suction catheter to be inserted by measuring from the tip of the nose, to the earlobe, to the xiphoid process
B. 2,5
A. Nasal Cannula
C. Non Rebreather mask
D. Excessive oxygen administration results in respiratory acidosis
B. Put a non rebreather mask in the patient before opening the oxygen source
D. Client is frequently turning from side to side
C. Fingers are Club-like
A. Cannula
C. Closed tube thoracotomy
D. 8th ICS
A. Consider this as normal findings
D. It is the study of nutrients and the process in which they are use by the body
B. Small intestine
C. The action of ptyalin or the salivary tyrpsin breaks down starches into maltose
D. Coffee with coffee mate, Bacon and Egg
A. Mouth
D. Stomach
C. HCl inhibits absorption of Calcium in the gastric mucosa
C. Amylase
C. Pancreozymin
B. Glucose + Fructose
A. Trypsin
D. Amino Acids
C. Cholecystokinin
C. It is a sterile body cavity
A. Calorie
B. 200 calories
C. 2,000 calories
C. During cold weather, people need more calories due to increase BMR
A. An individual in a long state of gluconeogenesis
C. Vitamin B3
D. Vitamin B6
D. Vitamin B6
B. Vitamin B2
A. Vitamin B1
B. Vegetable oil
A. Pork liver and organ meats, Pork
D. Organ meats, Green leafy vegetables, Liver, Eggs
A. Spinach, Green leafy vegetables, Cabbage, Liver
C. Selenium
D. Vitamin D
B. Iron
C. Calcium
A. Cantaloupe
B. Deferoxamine
C. Pork liver
B. Weight
C. Normal
A. Coke
C. Thirst
C. 1.039
A. 67%
D. Nurse, help! My legs are cramping
D. Alevaire
C. Coffee with Coffee mate
A. Popsicles
B. Creamed potato
B. Measure the amount of the tube to be inserted from the Tip of the nose, to the earlobe, to the xiphoid process
A. X-Ray
B. Bring the client into a chair
D. 310 cc
C. Ask the client to position in supine position immediately after feeding to prevent dumping syndrome
A. Diarrhea
B. Pour 30 ml of water before and after feeding administration
B. Hypoglycemia
C. 3 day diet recall
A. Medulla Oblongata
A. Aspiration
C. Mongo
B. Liver
B. Assess for patency of the tube
C. Maintains Gastro esophageal sphincter integrity