EASY QUESTIONS: NCM 100: 1.

This nursing theory refers to a nurse who utilize the necessary milieu to facilitate the needs and safety of the patient is called? a. Environment Theory b. Nursing Process Theory c. Stress Belief Model d. Definition of Nursing 2. This entails the manner of the nurse to utilizes the direct inspection and physical check up to render information to the patient is called? a. Assessment b. Intervention c. Evaluation d. Diagnosis 3. The proper way of diagnosing the patient should include the following parameters: The physical assessment, Laboratory Data and __________. a. Medical History b. Relational Taking c. Subjective & Objective Data d. Doctors Order 4. The most important determinant to establish correct and specific diagnoses is to understand pathophysiology and treatment standards, which among the following should the clinician must bear in mind? a. Must understand the course of the disease and its target treatment consensus of the health care team. b. Must based on the physical symptoms and render direct treatment. c. Must based on the physical and emotional aspects only. d. Must based on the doctors point of view and follow its orders. 5. The nurse saw the patient unconscious lying on the floor, and she said hey! Are you okay? is what part of the nursing process? a. Assessment b. Intervention c. Evaluation d. Diagnosis 6. The balance of the intenal-milieu that maintains the favourable healthy living is called? a. Homeostasis b. Homeobalance c. Homeostatic d. Neutrality

7. The stage that determines the grief process that describes arguments, and violent reaction to others is called? a. Anger b. Denial c. Acceptance d. None of the Above NCM 101: 1. We have a 17 year old female patient who visits the ER, complaining severe abdominal pains but with favourable vital signs. The nurse expects that the physician will order the following diagnostic procedures except? a. HCG Urine Test b. Urinalysis c. Abdominal Ultrasound d. CBC 2. A 16 year old female with a complaint of abdominal pains was given HCG- Urine Test. The nurse must always bears in mind that abdominal pains of any reproductive age groups must be suspected with? a. Sexual Contact b. Pregnancy c. UTI d. Renal Failure 3. The most important diagnostic procedure if the patient finds out she is having missed periods of menstruation and with history of sexual intercourse. The nurse must advice the patient to visit the physician right away and expect to do? a. HCG-Urine Test and Transvaginal Ultrasound b. HCG-Urine Test and Urinalysis c. HCG-Urine Test and CBC d. HCG-Urine Test and Chest X-ray 4. The one of the earliest mitotic activity that happens in the embryogenesis is formation of the ectodermal constituents. This gives the nurse that the first body system forms in the body is? a. Nervous b. Skin c. Muscular d. Cardiovascular

5. In any form of the cells in body that contains cell membrane. The area that has a direct contact to the water environment and considered hydrophilic in nature is called? a. Phospholipid b. Free fatty Acids c. Glycoproteins d. Receptor 6. The space that provides the separation of presynaptic membrane and postsynaptic membrane is called? a. synaptic space b. synaptic integration c. synaptic point d. synaptic release 7. What is the importance of calcium molecule for inducing synaptic activity? a. Calcium prevents bleeding for the near by nerves thus creating favourable action potential b. Calcium makes the osteoid substance to become sturdy and favourable enamel. c. Calcium enters in the voltage gated channels that facilitates the neurotransmitter release. d. Calcium will help the body to maintain homeostasis. 8. What are the two electrolytes responsible that affects the synaptic transmission or action potential? a. Na and K b. Ca and Mg c. Fe and Sulfur d. Any of these 9. The endogenous opiod responsible for the analgesic effect during the peak of stress is called? a. Dynorphins b. Enkephalin c. Beta Endorphins d. Morphine 10. In the pituitary gland secretes ACTH responsible for stimulating the target organs like the adrenals. The substance that is released responsible for analgesia in times of stress is called? a. POMC b. Morphine c. Dynorphins d. ADH

11. Oxygen is very important for cellular reactions such Energy production. What is the role of CO2? 1. Stimulatory to the Medulla to induce respiration and ventilation or 2. Acid buffer to form more hydrogen ions

N102 1. Bacteriostatic antibiotics are beneficial to what specific patient? a. A patient diagnosed HIV for 12 years b. A patient with diabetes mellitus c. A patient with Asthma d. A patient with recent kidney transplant for 6 days Give the reason why? 2. Penicillin is a antibiotic that kills susceptible bacterial agents specifically gram + strains. What specific target does this act to? a. Inhibits cell wall synthesis b. Inhibits mitochondrial synthesis c. Impairs DNA synthesis 30s d. Apoptotic induction to cell 3. One of the reason behind that the elderly sometimes anorexic and complains about the palatability of food stuffs because, EXCEPT? a. Degeneration of (retronasal/orthonasal routes) or olfactory receptors b. Degeneration of Taste cells in the tongue that contains fibro-fatty tissues c. Loss of Long term memory for retreval of odor names d. Psychological changes like loneliness 4. Hypokinesia or decreased motor changes in is one of the evident in elderly because? a. There is a decrease in Dopaminergic transmission, and dopamine release that decreases the excitatory transmission b. The GABA neurotransmitter that mediates inhibition is so high levels c. The body muscles increase in size or hypertrophy d. The body neurotransmission with Acetyl Choline is high 5. Which among the following explains why elderly people is prone to diarrhea and infectious enteritis. a. Its because the Ig A fails to migrate from the payers patches to the damaged/fibrosed mucosal surfaces of the intestine b. Decline in B cell synthesis related to decline T cell responses specifically CD4 c. The thymic hormone production declines d. All of the above

6. One of the reason why elderly has also an impaired glucose tolerance or abnormal absorption of glucose that could lead to disorder simply because EXCEPT? a. The pancreas is destroyed unable to produce insulin anymore b. The cell membrane insulin receptors for glucose is diminished c. Decrease in rate of insulin release d. The sensitivity for glucose decreased leading to insulin resistance 7. A elderly patient complains of difficulty of swallowing (dysphagia), one of the reason behind this is usually neoplastic or by cancer. Which of the following could be another reason? a. Secondary to anorexia related to low self esteem b. Secondary to psychological loneliness c. Secondary to decrease esophageal motility/peristalsis Anxiety MODERATE: 1. Metastasis is the process that allows the tumor emboli to transfer its contents to a target pontential site. Which of the following parameter is a requisite to induce metastasis? a. Neovasculariztion or Angioenesis b. Regeneration c. Stress d. Nutrition 2. DNA damage to a target cells necessitates repair by the topoisomerases to establish correct reading for base paring and amino acid composition. What is the term dictates if the reading is incorrect or if there is base pairing malposition? a. Mutation b. Altered Response c. Cancer d. Apoptosis 3. How many high energy phosphate does an ATP has? a. 1 b. 2 c. 3 d. 4 4. What is being used by the cells if oxygen intake is inadequate? a. Lactic Acid b. Lysosome c. Glucose d. Sucrose

5. Histamine is chemoattractant mediator that induces the stimulation of the H1 or H2 receptors. What is the action of the Histamin in the Bronchial Smooth Muscle? Broncho-constriction 6. The reason why patients with chronic stress suffers immunosupression or decreased lymphocytic activity due to the release of 2 neurohormones called? Epinephrine Cortisol 7. The neurotransmitter for pain is called Glutamate 8. Morphine is an agonist, that facilitates analgesia but it can also induce Skin allergy because: It can facilitate release in mast cell the histamine. 9. Oresol is very important for correction of electrolyte losses secondary to dehydration states like diahrrhea and heat exhaustion. What is the importance of the salt and glucose contents of this regimen? On the mucosal membranes of the intestinal wall contains Naglucose channel that facilitates the opening of this channel that allows in the latter the entry of water. 10. The nurse handles a penlight to the physician in-charge while examining a patient waiting to expire. The nurse noticed a dilated pupil, this indicates that? a. The pupils should contract upon light perceived by optic nerve meaning there is a damage in the lens. b. The occulomotor pathway is already damaged indicating neuronal infarction. c. The patient is malingering d. The light fails to penetrate the lens because its opaque

11. The nurse knows the molecular basis why morphine can initiate anesthetic effect by? a. Binds agonistically to the mu receptors causes the inhibition of K ions to be secreted in the neuronal membrane that prevents the calcium entry. b. The morphine can cause analgesia by blocking the brain cells. c. The morphine will cause antagonistic effect in the release of K that leads to calcium entry. d. None of the above. Difficult Question: 1. Discuss the mechanism why a patient who has PCO2 = 55, pH = <7.0 shows signs of tachypneic symptoms (RR= >28). 2. What is the relevance diagnostically of an elevated serum Troponin I to a patient with Myocardial Infarction? 3. There are two individuals visit the ER and complains with dizziness, and blurring of vision. Diagnostically it was found out that the two patients have hyperglycaemic episodes and later diagnosed to have Diabetes Mellitus. Discuss the mechanism why individuals with DM will show poor healing states. 4. A patient who was eating suddenly experienced shortness of breath and hyperacidity reaction. The blood pressure was plunging. Later she was diagnosed to have anaphylaxis. The nurse expects by these symptoms caused by chemical mediator called histamine release in the mast cells. Discuss the treatment choice and its action. 5. A 75 year old patient diagnosed to be Diabetic for 10 years, noncompliant to medications suddenly experienced severe abdominal pains accompanied with dizziness. The patient went to nearest hospital and was diagnosed to have intramural myocardial infarction. Discuss why does the patient exhibits abdominal pains and not chest pains. 6. Discuss why calcium channel blocker is not recommended as an antihypertensive agent and unloaders for the heart for patients with a history of myocardial infarction. 7. A 25 year old patient had a history of right knee pain after he performed 2 hr aerobic exercise. The patient took aspirin 80 mg/tablet P.O for the first time from an advice by an arthritic patient. Based on the occurrence of complaint, after 30 minutes, the patient experienced with difficulty of breathing and hyperacidity reactions. He was diagnosed having Bronchial Asthma attack. Discuss how Aspirin Triggers the Asthma attack.