Manila Adventist College

School of Nursing
Online Assignment
Name: ___________________

Instruction: Answer the following questions by CHANGING THE FONT COLOR TO RED and provide
REFERENCE for your answers. Best if you will use your book reference.

Example
Maslow’s hierarchy of need is useful to nurses who continually prioritize a client’s nursing care needs.
The most basic or first-level needs include;
A. Esteem and self-esteem needs C. Love and belonging
B. Self-actualization D. Air, water, and food
Reference: Maslow suggested that the first and most basic need people have is the need for survival:
their physiological requirements for food, water to drink, and a place to call home before they can think
about anything else.
-D Martin and K. Joomis, Building Teachers: A Constructivist Approach to Introducing Education,
(Belmont, CA: Wadsworth, 2007)pp.72-75

1. A client has been admitted with symptoms of urinary burning and urgency. Which of the
following diagnostic test can the nurse anticipate will be ordered to diagnose the possibility of
UTI?
a. Clean catch urine c. intravenous pyelography
b. Catheterized urine d. random urines specimen
Reference:

2. A client is scheduled for bone marrow aspiration to assist with the diagnosis of multiple
myeloma. Prior to bone marrow aspiration, the most important communication from the nurse
to the client is which of the following?
a. The client must be still during the procedure.
b. This test will help diagnosed multiple myeloma.
c. You will feel sharp pain for a few minute.
d. You will receive a sedative, so you will be asleep
Reference:

3. The nurse should monitor the results of which of the following laboratory tests to determine the
status of the client with heparin therapy?
a. Platelet count
b. Lee-White coagulation time
c. Partial thromboplastin time(PTT)
d. Prothrombin time(PT)
Reference:

4. A medication order reads: “Digoxin, 0.125 mg PO qod”. The nurse correctly gives this drug;
a. Daily before bedtime
 b. By mouth every other day
c. Twice a day by an oral route
d. Once a week after recording apical rate.
Reference:

5. You are to administer a medication to Mr. Reyes. In addition to checking his identification
bracelet, you can correctly verify his identity by:
a. Asking the patient name
b. Reading the patient’s name on the sign over his bed
c. Asking the patient’s roommate to verify his name
d. Asking, “are you Mr. Reyes?”
Reference:

6. You are to administer a medication using nasogastric tube. Before giving the medication, you
should:
a. Crush the enteric coated pill for mixing in a liquid.
b. Flush open the tube with 60 ml of very warm water
c. Check for proper placement of the nasogastric tube
d. Check the patient’s vital sign
Reference:

7. The nurse manager on your unit prepared the medication to Mr. Cruz. She is called to the phone
and ask you to give his medications. Which is the best response to this request;
a. Give Mr. Cruz the medication and record it in his chart.
b. Tell the manager that you don’t have time and ask her to get someone else.
c. Tell that you did not pour the medication, you cannot administer it
d. Give the medication to Mr. Cruz, but have the manager chart it.
Reference:

8. Why the intravenous method of medication is called the “most dangerous route of
administration”?
a. The vein can only take a small amount of fluid at a time.
b. The vein may harden and become non-functional
c. Blood clot may become a serious problem
d. The drug is placed directly into the blood stream, and it’ action is immediate.
Reference:

9. Mr. Lopez is receiving heparin subcutaneously, which of the following demonstrate a correct
technique for this procedure?
a. Aspirate before giving and gently massage after the injection.
b. Do not aspirate, massage the site for 1 minute.
c. Do not aspirate before or massage after the injection
d. Massage the site of the injection, aspirate is not necessary, but will do no harm.
Reference:

10. Mrs. Aquino refuses to take her noon medication, saying that she did not need it. Which of the
following would be the best response?
a. Tell her that she must take the medication because the doctor orders it.
 b. Tell her that you went through a lot of preparation to get her medication ready, and it is at
least she can do.
c. Tell her that you don’t care if she takes the medication or not
d. Tell that you will return the medication to the cart, but would like to discuss her reasons for
refusing to take medications.
Reference:

11. Nurse Liza discovers she has made a medication error. Which of the following would be the best
response?
a. Record the error on the medication sheet.
b. Notify the physician regarding course of action
c. Check the patient’s condition to note any possible effect of the error.
d. Complete the incident report, explaining how mistake was made.
Reference:

12. The nurse takes an 8 am medication to the patient and properly identifies her. The patient asks
the nurse to leave the medication on the bedside table and states that she will take it with
breakfast when it comes. What is best response to this request?
a. Leave the medication and return later to make sure it was taken.
b. Tell he it is against the rules, and take the medication with you
c. Tell her that you cannot leave the medication, but will return with it when breakfast arrives.
d. Take the drug from the room and record it as refuse.
Reference:

13. Mr. Guanzon requires surgery for treatment of a ruptured spleen as the result of an automobile
accident. This type of surgery belongs with which of the following categories?
a. Minor, diagnostic
b. Minor, elective
c. Major, emergency
d. Major, palliative
Reference:

14. A general anesthetics is given for specific purposes during a surgical procedure. Which one of
the following purposes is not included?
a. Loss of consciousness c. reduction of reflex action
b. Relaxation of the skeletal muscles d. localized loss of sensation
Reference:

15. You have been asked to witness a patient signature on an informed consent from the surgery.
You recognized that the document is valid for which of the following?
a. A 92 year old patient who is severely confused
b. A 45 year old patient who is oriented and alert
c. A 10 year old patient who is oriented and alert
d. A 36 year old patient who has had narcotic premedication
Reference:
 16. Mrs. Esteban is scheduled for surgery. Although she may be taking any number of medications
before surgery, which of the following categories of drugs would be most likely increase surgical
risks?
a. Anti-coagulant c. laxatives
b. Antacids d. sedatives
Reference:

17. Mr. Moreno has had a surgical procedure that necessitates a thoracic incision. You anticipate
that he will be a higher risk for preoperative complications involving which body system?
a. Respiratory system c. digestive system
b. Circulatory system d. nervous system
Reference:

18. Mrs. Angeles tells you that he is having pain in her right lower leg. You assess the presence of
thromphlebitis by;
a. Palpating the skin over the tibia and fibula
b. Measuring and documenting calf circumference daily
c. Taking and recording vital signs four time a day
d. Noting difficulty in ambulation
Reference:

19. Gas pains are common postoperative discomfort. Which of the following nursing actions
implemented in the plan of care would be most likely to relieve gas pain?
a. Coughing and deep breathing every 2 hours.
b. Maintain NPO status for 48 hours
c. Encourage frequent ambulation
d. Take vital signs every 4 hours.
Reference:

20. Which of the following surgical patient is at greater risk for alterations in body image?
a. Female, age 19 years old, large facial alteration
b. Female, age 42 year old, gall bladder surgery
c. Male, 14 years old, fracture clavicle
d. Male, 52 year old, hernia repair
Reference:

21. The rationale for the use of leg exercises after surgery, is that exercises:
a. Promote respiratory function
b. Maintain functional stability
c. Provide diversional activities
d. Increase venous return
Reference:

22. Which intervention would be appropriate to include in the plan of care for a patient wearing
anti embolism stockings?
a. Measuring the legs before applying stockings to ensure proper fit.
b. Apply stockings while patient is sitting in a chair
c. Massage the legs while the stocking are removed
 d. Leaving stocking in place for 1 week interval
Reference:

23. During the bath, the nurse observes that the patient has dry skin. Which action would be best?
a. Bathe the client more frequently
b. Use an emollient on the dry skin
c. Massage the skin with alcohol
d. Encourage fluid intake
Reference:

24. Which recommendation by the nurse to an adolescent patient with acne would be most
appropriate?
a. Wash the skin frequently with soap
b. Use cosmetics liberally to cover black heads
c. Use emollient on the area
d. Squeeze blackheads as they appear
Reference:

25. Which action would be the priority when administering using an oral care to a dependent
patient?
a. Assisting the patient to the dorsal recumbent position
b. Wearing disposable gloves
c. Using a firm toothbrush to cleanse the teeth and gums
d. Irrigating forcefully with hydrogen peroxide
Reference:

Part II- Case study

DIAGNOSIS: HIRSCHSPRUNG’S DISEASE

ACTIVITY:
1. Review the anatomy and physiology of gastrointestinal system
2. Based on the signs and symptoms presented, make a simple pathophysiology
3. Discuss the surgical/medical interventions can be done for this case
4. Formulate 2 nursing care plan based on the signs and symptoms presented

Note: Please provide reference books for your answer

God bless