Questionnaire 1. A mans clothing was caught on fire while trying to escape from a burning building. Which must he do first?

a. Drop on the ground b. Log-roll in the grass c. Put out the flames with water d. Remove his clothes 2. Firefighters found a conscious but weak adult male. He was suspected of carbon monoxide poisoning. Which clinical manifestation indicates early CO poisoning? a. Tachypnea b. Headache c. Impaired visual acuity d. Dizziness 3. In the emergency room, a burn victim was to be given tetanus immunization. Protocol states that he must also receive a booster dose if: a. He has not been given the dose for the past 3 years. b. He has not been given the dose for the past 5 years. c. He has not been given the dose for the past 7 years. d. He has not been given the dose for the past 9 years. 4. A nurse rushes to the patients private room. She sees the client with his hand stuck on the power outlet and jerking convulsively. The nurse should first take which of the following actions? a. Attempt to detach the client from the electric source b. Call for help c. Shut off the power source d. Ring the fire alarm 5. The mother of a newborn summons the nurse and worriedly said I think something is wrong with my baby girl. Theres blood on her privates. Which response is appropriate for the nurse to state? a. This is a positive sign of hemophilia. Ill notify the physician. b. The reddish discharge is normal for female neonates. We will observe her further. c. Bleeding in the urinary tract indicates a pathologic condition in the urinary tract. I prep her for immediate surgery. d. If whitish discharge in the nipple is also present, your child might be suffering from hypoglycemia. 6. Nurse Mai-Mai performs newborn care. Which of the following indicates a deviation from normal physiology of a neonate? a. White/ yellow pinpoint papules over nose, cheeks, chin and forehead b. Grayish blue patch over the buttocks c. A protruding, fluid-filled on the umbilical cord d. Two arteries and one vein 7. The staff nurse supervises student nurses in the delivery room. She would correct which practice when performed by a student nurse? a. Giving of 0.1 cc of Vitamin K, IM, Vastus Lateralis

b. Cuts the umbilical cord twice; first cut (8-9 inches from the neonate) and second cut (1-2 inches from the baby) c. Delays Credes prophylaxis for an hour or two d. Milks the umbilical cord to help conserve maternal nutrients 8. What is the first sign of respiratory distress? a. See-saw pattern chest movement b. Grunting c. Xiphoid retractions d. Nasal Flaring 9. Which infant is most likely turn out to be polydactyl? a. Infant whose mother is polydactyl b. Infant whose mother has bone cancer c. Infant whose mother has osteogenesis imperfecta d. Infant whose mother has Addisons disease 10. The client rescued from a burning house had severe trauma to the chest. Which is the earliest manifestation of respiratory distress? a. Singed nasal hair b. Frothy sputum c. Increased respiratory rate d. Crackles upon auscultation 11. Nurse Kakai performs assessment on a newly admitted a 16 year old client. The nurse noted a colorless nailplate with an angle of approximately 180 degrees between the nail and the nailbed. What disease is most likely experienced by the client? a. Cyanosis b. Iron deficiency anemia c. Zinc deficiency anemia d. Protein deficiency anemia 12. A 62 year old female client visits an ophthalmologist. She was diagnosed with senile cataract. Which statement is correct about vision changes related to aging? a. Visual acuity increases as the lens of the eye ages and becomes more opaque and loses elasticity b. Arcus senilis appears around part or all of the iris c. Accommodation to far objects often improves but accommodation to near objects decrease d. Peripheral vision increases 13. Nurse Rhey of the Emergency room department tenders her resignation letter to the nursing administrative office. Advance notice of how long is required for a staff nurse position? a. One month b. Two months c. Two weeks d. Six months 14. According to the Philippine Nursing Act of 2002, RA 9173, which body has the power to revoke or suspend the certificate of registration / professional license of a nurse? a. BON/ PRC

b. PNA c. ANSAP d. ADCNP 15. After the lungs, the kidneys work to maintain body pH. The best explanation of how the kidneys accomplish regulation of pH is that they a. Secrete hydrogen ions and sodium. b. Secrete ammonia. c. Exchange hydrogen and sodium in the kidney tubules. d. Decrease sodium ions, hold on to hydrogen ions, and then secrete sodium bicarbonate. 16. A 54-year-old client was put in Quinidine (a drug that decreases myocardial excitability) to prevent atrial fibrillation. He also has kidney disease. The nurse is aware that this drug, when given to a client with kidney disease, may; a. Cause cardiac arrest b. Cause hypotension c. Produce mild bradycardia d. Be very toxic even in small doses 17. The physician has ordered a 24-hour urine specimen. After explaining the procedure to the client, the nurse collects the first specimen. This specimen is then a. Discarded, then the collection begins b. Saved as part of the 24-hour collection c. Tested, then discarded d. Placed in a separate container and later added to the collection 18. Of the following blood gas values, the one the nurse would expect to see in the client with acute renal failure is a. pH 7.49, HCO3 24, PCO2 46 b. pH 7.49, HCO3 14, PCO2 30 c. pH 7.26, HCO3 24, PCO2 46 d. pH 7.26, HCO3 14, PCO2 30 19. A client being treated for esophageal varices has a Sengstaken-Blakemore tube inserted to control the bleeding. The most important assessment is for the nurse to a. Check that a hemostat is at the bedside b. Monitor IV fluids for the shift c. Regularly assess respiratory status d. Check that the balloon is deflated on a regular basis 20. A client in acute renal failure receives an IV infusion of 10% dextrose in water with 20 units of regular insulin. The nurse understands that the rationale for this therapy is to a. Correct the hyperglycemia that occurs with acute renal failure b. Facilitate the intracellular movement of potassium c. Provide calories to prevent tissue catabolism and azotemia d. Force potassium into the cells to prevent arrhythmias 21. For a client who has ataxia, which of the following tests would be performed to assess the ability to ambulate? a. Kernig's b. Romberg's

c. Riley-Day's d. Hoffmann's 22. A client admitted to a surgical unit for possible bleeding in the cerebrum has vital signs taken every hour to monitor to neurological status. Which of the following neurological checks will give the nurse the best information about the extent of bleeding? a. Pupillary checks b. Spinal tap c. Deep tendon reflexes d. Evaluation of extrapyramidal motor system 23.