CAGAYAN DE ORO COLLEGE - PHINMA

COLLEGE OF NURSING
FUNDAMENTALS OF NURSING (RLE)
2ND PERIODICAL EXAMINATION
Name:
Instructor :
Date:
Semester SY
Test I. Multiple Choice. Circle the letter corresponding to the appropriate answer.
1. Nurse Carlo makes sure the patient can expectorate the sputum directly into
the sputum. This is to
a. Prevents the spread of microorganisms
b. Promotes cooperation
c. Removes any unpleasant taste
d. Provide privacy
2. When assessing the patient after sputum collection, Nurse Moncay noticed
that the patients skin is cyanotic
a. Indicates electrolyte imbalances
b. Indicates change in mental status
c. Indicates intoxication
d. Indicates impaired blood oxygenation
3. Nurse Garcia knows that she has to complete the label on the container after
sputum collection. The rationale of this
a. Provides accurate documentation of the procedure
b. Labelling ensures proper identification of the specimen
c. Provides accurate results
d. Protects the nurse from acquiring infection
4. Patient Dionesia is on oxygen therapy. The nurse place NO Smoking sign on
the door.
a. Not safe
b. Interferes with patients breathing
c. Oxygen supports combustion
d. All of the above
5. Provide a barrier between the nurses hands and the objects he contacts
a. Clean gloves
b. Sterile gloves
c. Ice cap
d. Hot water bag
6. Nurse Umpar attached a urine collector to an infant. She knows that she have
to check the collector every:
a. 15-20 minutes
b. 10-15 minutes
c. 5-10 minutes
d. 20-25 minutes

7. NurseMariano removed the paper backing from the adhesive on the urine
collector and attach it to the female infants perineum by;
a. Placing childs penis through the opening of the collection
b. Placing the opening of the urine collector over the infants
urinary meatus
c. Placing the urine collector over the perineum
d. None of the above
8. The following are the purposes of ice cap application except:
a. To lower body temperature
b. To increase metabolism
c. To reduce inflammation
d. To provide topical anesthesia
9. To be effective, the ice bag should be applied for ______ hour with an interval
of approximately 1 hour.
a. 30 minutes
b. I hour
c. to 1 hour
d. 30 minutes to 2 hours
10.Cold application cause vasoconstriction with reduced blood flow to the skin,
therefore the skin becomes. Select all that apply.
a. Pale
b. Mottled
c. Cool to touch
d. Numb
11.Nurse Villanueva will apply ice cap on the injection site before giving the
injection to her client. She knows that pressing the air out of the bag and
tighten the screw will
a. Provide for absorption of the moisture
b. Air is poor conductor of heat which will interfere with the removal
of heat from the body surface
c. Contaminate the surroundings and cause discomfort to the patient
d. Facilitates cooperation of the patient
12.In application of ice cap, you need to fill the ice bag with small pieces of ice
approximately
a. full
b. full
c. 2/3 full
d. full
13.Cold application are either of the following except:
a. Local
b. General
c. Moist or dry
d. Hot
14.Nurse Usher will fill the basin with water to sponge her patient with
temperature of 38.6*C, making sure that the water is at appropriate
temperature of about
a. 25.8*C to 29*C
b. 29.5*c to 32*C
c. 32*C to 34*C

d. 29*C to 30*C
15.Nurse Mancilla will sponge and massage the body area in rotation and
sequence as:
a. Arms, neck, back and legs
b. Back, arms, legs and neck
c. Neck, arms, legs and back
d. Legs, arm, neck and back
16.When desired temperature is reached, you will discontinue bath usually
lasting for
a. 20 to 30 minutes
b. 15 to 20 minutes
c. 10 to 20 minutes
d. 20 to 39 minutes
17.The following are general instructions for cleansing bed bath except:
a. Bed should be screened to ensure privacy
b. Always have everything ready before giving the bath
c. Patients must be observed for subjective signs
d. Unnecessary exposure or chilling must be avoided
18.The following are equipments use for cleansing bed bath except:
a. Bath blanket
b. Bath towels
c. Washcloths
d. Clean gloves
19.In cleansing bed bath, the nurse may usually work quickly but it should be in
a quite soothing and unhurried fashion. Strokes should be _________ and ends
of the wash cloth should not be allowed to dangle
a. Long and smooth strokes
b. Long and firm strokes
c. Smooth and firm strokes
d. All of the above
20.To ensure proper identification, the nurse will
a. Ask the attending physician
b. Ask the other nurse
c. Identify correct child by checking ID band
d. Ask the mother
21.The following are abnormal findings of stool exam except:
a. Entamoeba histolytica
b. Cyst of Giardia lambia
c. Helminth larvae
d. Candida albicans
22.The following are equipments use for stool specimen collection except:
a. Sterile collection container for the container
b. A completed label container
c. Patients chart
d. Working gloves
23.In stool specimen collection, the specimen should be of the following except:
a. Fresh, warm, formed stools
b. The first stool in the morning is usually preferred
c. Collection cup should be filled in an upright position

d. Stool must be delivered to the laboratory in 30 minutes or less after

defecation
24.Nurse Saidali ask the patient to void first before collection of stool specimen
and clean out urine from the bedpan. This is to
a. Facilitate ample time for elimination
b. Promotes safety
c. Mixture of stool with urine alters the lab results
d. Prevent contamination
25.In obtaining a small portion of fecal materials, Nurse John will use
a. Sterile cotton applicator
b. Tongue depressor
c. Cotton buds
d. Sterile test tube
26.If the stool specimen is for parasites, you should
a. Collect the specimen with a sterile cotton application and place it in sterile
test tube and keep it covered.
b. Kept the specimen warm and must be send immediately to the lab
c. Observe first the specimen
d. All of the above
27.After stool collection, Nurse Sherry label the container and fill out the
laboratory request accurately. Send the specimen to lab immediately. As part
of documentation, she will record the following except:
a. Time the specimen was collected and sent to lab
b. Description of stool
c. Condition of perineal area
d. Physicians name
28. The following are equipments use for monitoring fluid intake and output
except:
a. Calibrated glass or cup
b. Calibrated water pitcher
c. Bedpan/urinal
d. Urobag
29.The following are samples of oral intakes that you need to measure except:
a. Juice
b. Beverage
c. Gastric tube feeding
d. Soup
30.The following are purposes of collecting sputum specimen except:
a. For culture and sensitivity test
b. To identify cancer in the lung ant its specific cell type
c. To identify parasites
d. To assess the effectiveness of drug therapy
31.To measure the amount of urine output accurately, you will do the following
except:
a. Empty urinal/bedpan into calibrated container
b. If the client is in indwelling catheter, measure the contents of the urine
bag and discard its contents after each measurement
c. Empty urinal/bedpan into calibrated pitcher
d. Record the time and amount of output in bedside I & O record

32.Nurse Carel is on night duty, she knows that she will have to compute 24hour intake and output record by adding all 3 shifts for total intake. This is to
a. To provide for date analysis of clients fluid balance status
b. To provide consistent data for analysis of clients fluid status over
24 hour period
c. To ensure accurate documentation
d. To maintain complete intake measurement
33.Nurse Rhea check the physicians order in order to know the type of oxygen
therapy. For nasal cannula, she will do the following except:
a. Place mask over the clients nose and mouth
b. Place the elastic band around the head or behind the ears
c. Adjust the straps
d. apply pads to straps under the ears to avoid irritation
34.Nurse Torch will apply ice cap to reduce inflammation on the patients knee.
And cover the bag or case with towel, bring to the bedside and apply to the
area. The rationale for this
a. Removal of heat from the body surface
b. Facilitates cooperation of the patient
c. A cover should be use to provide for absorption of moisture which
condenses the outside of the bag
d. Provides accurate treatment
35.During cleansing bed bath, the patient must be observed for
a. Subjective signs
b. Objective signs
c. Signs of infection
d. None of the above
36.Before identifying the child for urine collection, you will carry out the
following at the beginning of the procedure except:
a. Make necessary assessment
b. Gather equipments/materials needed
c. Wash hands
d. Don gloves
37.As part of patients preparation for stool specimen collection, you assess the
following except:
a. Check whether the patient has received mineral oil
b. Check whether the patient has received a waxy suppository
c. A barium x-ray within 4 days before the test
d. A barium x-ray within 2 days before the test
38.The following are equipments use for collecting a sputum specimen except:
a. Sterile container with cover
b. Disinfectant and cotton balls to cleanse the outside of the container
c. Tongue depressor
d. A complete label for the container
39.During collecting a sputum specimen. You ask the patient to sit and to
breathe deeply _______ the cough out.
a. Twice
b. Once
c. Thrice
d. Hold breath

40.Together with the laboratory requisition slip, send the sputum specimen to
the laboratory within ______
a. 10 minutes
b. 15 minutes
c. 20 minutes
d. 30 minutes
41.Place the completed label on the sputum container with the following
information except:
a. Room no.
b. Purpose
c. Physicians name
d. Patients name
42.Documentation of the collection of the sputum specimen on the patients
chart will include the following except:
a. Color
b. Consistency
c. Amount and odor
d. Physicians name
43.After care of the ice bag are the following except:
a. Empty ice bag
b. Soap and rinse under running water
c. Turn inside down to dry
d. When dry, deflate with air and screw cover in place
44.You need to cover the hot water bag with a cloth or towel before placing it in
contact with the skin and inspect the skin every _____ minutes
a. 2 minutes
b. 3 minutes
c. 5 minutes
d. 10 minutes
45.During cleansing bed bath, Nurse Hainie must give special attention to the
following regions.
Select all that apply.
a. Ears
b. Axillae
c. Umbilicus
d. Pubis

Test II. Enumeration.

1-5
5-10
11-14
15-16
17-18
19-20

Purposes of cleansing bed bath

Equipments for cleansing bed bath
Uses of Cold Application
General Instructions for cleansing bed bath
Purpose of monitoring fluid intake and output
Purpose for collecting a sputum specimen