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High pitched squeaky musical sound Multipule Questions

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QUIZ 1 (25/25)
1. You are the nurse assigned to Duncan, a client with
asthma.You are doing his initial assessment for your
shift. Since you have knowledge about this disease,
you expect to find wheezing which would be
described as:
a) Shrill harsh sound
b) Grating or rubbing sound
c) Fine, medium, coarse crackling sound
d) High pitched squeaky musical sound
2. Mang Tintay’s habit caused him to develop
emphysema and be hospitalized. His initial
management included oxygen therapy of 2 liters
per minute via nasal cannula. His daughter asked
you why he needs low levels of oxygen unlike the
other clients who have higher levels. Your best
response would be, hypoxemia:
a) Suppresses the drive of the client to
breathe
b) Stimulates the respiration of the client.
c) Establishes normal breathing pattern.
d) Maintains the carbon dioxide level in
equilibrium.
3. Mang Tintay can now be discharged. You are
teaching him and his family home care instructions
including postural drainage. They ask why postural
drainage should be done. You explain to them that
it is done to:
a) Improve drainage of secretions after it has
been loosened by percussion.
b) Move secretions from lower to the upper
segment of the lungs.
c) Enhance breathing by clearing the alveoli.
d) Aid in keeping the lungs clear by draining all
the lung segments.
4. You are taking care of Johanna, a 59-year-old
female admitted due to acute blood loss. The
attending physician ordered two units of packed
RBC. After starting the blood transfusion, you
stayed with your client for the first 15 minutes to
monitor for any untoward reactions then you left
Johanna to do rounds to your other patients. When
you returned, you observed that the transfusion has
stopped. What will be your next action?
a) Gently swirl the blood bag back and forth
b) Flush the line with normal saline and
discontinue the transfusion
c) Open the flow clamp to the maximum
d) Discontinue the transfusion
5. Tetay, another patient who is for blood transfusion,
is also under your care. A few minutes after the
initiation of the first unit of packed RBC, Tetay
showed signs of dyspnea, tachycardia, sudden
anxiety and neck vein distension. Your most
appropriate intervention would be:
a) Administer IV Benadryl as ordered
b) Collect the first post transfusion urine
c) Position Tetay in an upright position, with
the feet dependent
d) Maintain the patency of the transfusion
tubing
6. You are assigned to take care of Sonny, a 44-year-
old male diagnosed with TB meningitis. He has a
nasogastric tube (NGT) for feeding. Before giving his
Osterized feeding, you first confirm tube placement.
Your best action would be:
a) Reinsert a new nasogastric tube.
b) Place the tube lower than the nose, allow
gravity to drain the secretions and assess
c) Introduce 10 to 15 ml of air and auscultate
abdominal area to listen to the gurgling
sound
d) Aspirate gastric content, use litmus paper
and note pH level
7. Laudimer, a 47-year-old male is diagnosed with
CVA. He has weakness on the left side of his body
which makes him at risk for aspiration during
feeding. You prevent this when you:
a) Use straw for feeding.
b) Place the food on the unaffected side of
the mouth.
c) Assist the client to semi Fowler’s position
when feeding.
d) Give client clear liquid diet.
8. Cleansing enema is prescribed for Lance, a client
who is to undergo pelvic surgery. You delegated this
task to Vina, a nursing aide. You instructed her to
do cleansing enema until the return flow is clear.
You know that Vina understood your direction
when she says, I will:
a) “Be using 1 liter of tap water to have a clear
return flow”
b) “Help the client assume left Sims’s position
to attain the desired return flow.
c) “Inform you when the return flow is
clear.”
d) “Discontinue the procedure only if there are
no more formed fecal returns.”

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9. Owen, a 27-year-old male, is brought to the
emergency department of your hospital with
admitting diagnosis of Traumatic Brain Injury. You
know that Glasgow Coma Scale score is interpreted
as: the lower the score, the more serious the brain
injury. Mr. Owen opens his eyes upon pain
infliction, has no verbal response, and is in flexion.
You correctly assess his GCS score when you give:
a) 7
b) 6
c) 5
d) 4
10. Nurse Sandy is assigned in the Pediatric Intensive
Care Unit (PICU). She is preparing the medication of
her client who weighs 52.8lbs. The doctor ordered
Amoxicillin 125 mg QID. Her drug guide states that
the safe range for the drug is 20-40mg/kg/day.
She computed the correct minimum safe dose if she
obtained:
a) 1056 mg/day
b) 960 mg/day
c) 500 mg/day
d) 480 mg/day
11. Nurse Sandy is assigned in the Pediatric Intensive
Care Unit (PICU). She is preparing the medication of
her client who weighs 52.8lbs. The doctor ordered
Amoxicillin 125 mg QID. Her drug guide states that
the safe range for the drug is 20-40mg/kg/day.
She knows that what the doctor ordered is a safe
dose since the total daily dose is:
a) 1056 mg/day
b) 960 mg/day
c) 500 mg/day
d) 480 mg/day
12. Marty, a 5 year old boy, diagnosed with Vitamin B
deficiency, is to be given 30 ml/hr of D5LR. Nurse Zy
will be using an infusion set calibrated at 60gtts/ml.
How many gtts/min would the nurse regulate the
IV.
a) 30 gttsmin
b) 15 gtts/min
c) 10 gtts/min
d) 7.5gtts/min
13. You will be guiding a student nurse in administering
a drug to your client using the Z track method. You
inform her the following guidelines except:
a) This method requires that medication be
administered slowly to allow time for tissue
to expand and begin absorption of
medication.
b) In this technique, use the ulnar side of the
nondominant hand to pull the skin to the
side and pierce the skin quickly and
smoothly at a 45 degree angle.
c) This technique leaves a zigzag path which
prevents the seepage of the medication
into the SQ tissues and subsequent
discomfort.
d) This technique is used for IM drugs that are
irritating to the tissue or drugs that cause
discoloration such as iron.
14. IV therapy has long been part of the responsibilities
of nurses. Nurse Jacklyn is to administer Ampicillin
via SIVP to a client with heparin lock. She would be
doing the medication administration correctly when
she injects the solutions in which order?
a) NSS, Heparin, NSS, Antibiotics
b) Heparin, NSS, Antibiotics, NSS
c) Antibiotics, NSS, Heparin, Antibiotics
d) Correct!
e) NSS, Antibiotics, NSS, Heparin
15. You are taking care of Lou, 23 year old psychiatric
client. While talking to her, she suddenly told you,
“Gusto ko nang mamatay.” ( I want to die).You
would conduct which type of assessment?
a) Ongoing assessment
b) Problem-focused assessment
c) Initial assessment
d) Emergency assessment
16. Interviewing a client is a part of the routine
assessment done by the nurses. Who among the
following nurses conduct an interview incorrectly?
a) Nurse Bebe who stands beside the client’s
bed and looks down towards the client
when asking questions.
b) Nurse Rico who is maintaining 2-3 feet
distance while interviewing the client.
c) Nurse Vladimir who conducts the interview
in a well lighted and well ventilated place.
d) Nurse Lyza who translates medical
terminologies into layman’s terms so that
the client could understand what the topic
is.
17. Diagnosing is the second phase of the nursing
process. There are several formats of nursing
diagnoses. Which of the following is an incorrect
nursing diagnosis?

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QUIZ 1 (25/25) 1. You are the nurse assigned to Duncan, a client with asthma.You are doing his initial assessment for your shift. Since you have knowledge about this disease, you expect to find wheezing which would be described as: a) b) c) d) Shrill harsh sound Grating or rubbing sound Fine, medium, coarse crackling sound High pitched squeaky musical sound 2. Mang Tintay’s habit caused him to develop emphysema and be hospitalized. His initial management included oxygen therapy of 2 liters per minute via nasal cannula. His daughter asked you why he needs low levels of oxygen unlike the other clients who have higher levels. Your best response would be, hypoxemia: a) Suppresses the drive of the client to breathe b) Stimulates the respiration of the client. c) Establishes normal breathing pattern. d) Maintains the carbon dioxide level in equilibrium. 3. Mang Tintay can now be discharged. You are teaching him and his family home care instructions including postural drainage. They ask why postural drainage should be done. You explain to them that it is done to: a) Improve drainage of secretions after it has been loosened by percussion. b) Move secretions from lower to the upper segment of the lungs. c) Enhance breathing by clearing the alveoli. d) Aid in keeping the lungs clear by draining all the lung segments. 4. You are taking care of Johanna, a 59-year-old female admitted due to acute blood loss. The attending physician ordered two units of packed RBC. After starting the b ...
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Anonymous
Awesome! Perfect study aid.

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