PCLU – College of NursingAgoo, La Union

2nd SEM SY ______

NCM 100 – LECTUREFINAL EXAMINATION

Name: ___________________________________ Year/Course: _________________Date: ________ Score/Rating: ________

_____ 1. A physician orders 1000ml of normal saline to infuse over 12 hours. The drop factor is 15 drops per 1 ml. A nurse prepares to set the flow rate at how many drops per minute?

a. 15 gtts b. 17 gtts c. 21 gtts d. 23 gtts_____ 2. A physician orders an intravenous dose of 400,000 units of penicillin G. Benzathine. The label on the 10ml ampule

sent from pharmacy reads penicillin G-Benzathine 300,000 “u” per milliliter. The nurse prepares how much medication to administer the correct dose?

a. 1.3ml b. 1.5ml c. 10ml d. 13ml_____ 3. A physician’s order reads phenytoin 0.2g PO bid. The medication label states 100mg capsule. A nurse prepares how

many capsules to administer one dose?a. 1 capsule b. 2 capsule c. 3 capsule d. 4 capsule

_____ 4. The physician orders 1000ml of ½ normal saline to infuse over 8 hours. The drop factor is 15 drops per 1 ml. The nurse sets the flow rate at how many drops per minute?

a. 20 gtts b. 22 gtts c. 28 gtts d. 31 gtts_____ 5. A physician orders 3000ml of 5% dextrose in water (D5W) to infuse over a 24 period. The drop factor is 10 drops per

1ml. A nurse sets the flow rate at how many drops per minute?a. 15 gtts b. 17 gtts c. 21 gtts d. 24 gtts

_____ 6. A physician’s order reads levothyroxine (Synthroid) 150mcg PO daily the medication label reads synthroid 0.1mg per tablet. A nurse administers how many tablets to the client?

a. 1 tab b. 1.5 tab c. 2 tab d. 2.5 tab_____ 7. A physician orders 1000ml D5W to infuse at a rate of 125ml per hour. A nurse determines that it will take how many

hours for 1 liter to infuse?a. 8 hours b. 10 hours c. 12 hours d. 15 hours

_____ 8. A physician orders 3000ml of D5W to be administered over a 24 hour period. A nurse determines that how many milliliters per hour will be administered to the client?

a. 50ml per hour b. 75ml per hour c. 100ml per hour d. 125ml per hour_____ 9. The nurse administers an intradermal injection to a client. Proper techniques has been used if the injection site

demonstrates which of the following?a. minimal leakage b. no swelling c. tissue pallor d. evidence of a bleb

_____10. The nurse is preparing to give an intramuscular injection. Which one of the following sites has the least amount of blood vessels and major nerves located in the area?

a. Deltoid b. dorsogluteal c. vastus lateralis d. triceps_____11. The nurse is preparing to administer an intramuscular injection to a client and chooses the vastus lateralis for the

injection site. Into which part of the thigh would the nurse choose to correctly administer the injection?a. middle third of the thigh c. upper third of the thighb. lower third of the thigh d. wherever the thigh is the largest

_____12. The nurse is developing a plan of care for the client experiencing anxiety following the loss of a job. The client is verbalizing concerns regarding the ability to meet role expectations and financial obligations. The most appropriate nursing diagnosis for this client is.a. Dysfunctional family process c. Risk for anxietyb. Disturbed thought process d. Ineffective coping

_____13. A patient is o receive 90ml of an Iv antibiotic within 20 minutes using a drop factor of 15/ml. How many drops would it run per minute?

a. 38 gtts b. 50 gtts c. 68 gtts d. 80 gtts_____14. The active, organized, cognitive process used to carefully examine ones thinking and the thinking of others?

a. Decision Making b. Critical Thinking c. Analysis d. Problem Solving _____15. It involves use of the mind in forming conclusions, making decisions, drawing inferences and reflecting.

a. Decision Making b. Critical Thinking c. Analysis d. Problem Solving _____16. Obtaining information and using information to reach acceptable solutions when there is a gap between what is

occurring and what should be occurring.a. Decision Making b. Critical Thinking c. Analysis d. Problem Solving

_____17. The end point of critical thinking that leads to problem resolution.a. Decision Making b. Critical Thinking c. Analysis d. Problem Solving

_____18. This is used to identify, diagnose and treat human responses to health and illnessa. Nursing Process b. Assessment c. Diagnosis d. Planning

_____19. This is a statement that describes the client’s actual or potential response to a health problem that the nurse is licensed and competent to treat.

a. Assessment b. Medical Diagnosis c. Nursing Diagnosis d. Planning_____20. It predominately-identifies a specific disease state. It focuses on the diagnosis and treatment of the disease.

a. Implementation b. Medical Diagnosis c. Nursing Diagnosis d. Planning_____21. Which of the following is not a subjective data:

a. Anxiety b. Abdominal c. dizziness d. BP140/90mmHg

_____22. When measuring the blood pressure, the following are nursing consideration except:a. Ensure that the client is rested c. Inflate and deflate BP cuff 2-3 mmHg/secb. Use appropriate size of BP cuff d. Read upper meniscus of mercury

_____23. The systematic manner of collecting data about the client by listening to body sounds with the use of stethoscope is:a. Inspection b. Percussion c. palpation d. auscultation

_____24. The following are contraindications to oral temperature taking except:a. Dyspnea b. Diarrhea c. nasal packing d. nausea and vomiting

_____25. What is the statement specifying what is to be done regarding the patients problem, who is to do it, how to do it and when is to be done.

a. Planning b. Intervention c. Evaluation d. Nursing diagnosis_____26. The following are specific activities during evaluation except:

a. Collecting data c. Measuring goal attainmentb. Performing nursing interventions d. Revising or modifying the care plan

_____27. The primary source of data during assessment is the:a. The patients chart c. The relatives/significant othersb. The patient d. The doctor

_____28. Therapeutic communication begins with:a. Giving initial care c. Interacting with patientb. Showing empathy d. knowing your patient

_____29. Mrs. Marimar has been diagnosed to have anemia, you advised her to eat food rich in iron, which of the following is the richest source of iron?

a. Mongo b. Ampalaya c. malungay leaves d. pechay_____30. Sofia Apacible is on her 1st trimester of pregnancy and is sometimes nauseous and vomiting in early morning. The

following may be given to her to trelieve nausea and vomiting except:a. Dry toast b. Coca cola beverage c. milk d. ice hips

_____31. The following are signs and symptoms of dehydration except:a. Weight loss b. Elevated body temperature c. decrease urine output d. increase urine output

_____32. The following are independent nursing interventions for a febrile patient except:a. Administer Paracetamol 500mg. tab every 4 hrs. PRN for temp. 38.5Cb. Advice to Increase fluid intakec. Promote bed restd. Keep the patient’s clothing’s clean and dry

_____33. The measles vaccine is given thru:a. Intramuscularly b. Subcutaneously c. Intravenouslyd. Intradermal

_____34. When discarding used needle and syringes which of the following is the appropriate nursing action:a. Remove needle from the syringe and discard them in separate containers.b. Recap needle, the discard the needles still attached to the syringe into a containerc. Discard the uncapped needle and syringe into a containerd. Break the needle, then discard syringe into a container

_____35. What is the statement that describes the health care needs of the client?a. Nursing Diagnosis b. Planning c. Evaluation d. Intervention

_____36. A patient is to receive 100,000 Units of an oral suspension of Penicillin QID. A bottle containing 300,000 Units of Penicillin in 5ml solution is on hand. How many cc should be given to the patient?

a. 2 ml b. 2.3 ml c. 1.6 ml d. 1.5 ml_____37. The Doctor orders 2 grams of Ampicillin, you have on hand 500mg/2cc of Ampicillin vial. How many vials should be

given?a. 4 cc. b. 3 vials c. 10 cc. d. 4 vials

_____38. A patient is to receive 5% Dextrose and LR 1 liter IV in 24 hours. The drop factor of the mini dropper is 60, the nurse should regulate the IV to run at:

a. 51 gtts b. 42 gtts c. 24 gtts d. 32 gtts._____39. What is the conversion of 38.7 Celsius into Fahrenheit?

a. 98 F b. 101.3 F c. 99F d. 101.66F_____40. The doctor ordered 50mg. of Gentamycin every 6hrs IV, the stock on hand is 80 mg. in a 2ml. ampule. How many cc

should be given?a. 1.25 cc. b. 1.30 cc. c. 1.40 cc. d. 1.45 cc.

_____41. It is an abnormal elevation of the body temperature.a. Hypertension b. Fever c. Dyspnea d. Tachycardia

_____42. A site of Intramuscular injection wherein the nurse determines the site by palpating the acromion process of the shoulder and imagining an inverted triangle 3 fingerbreadths down form the acromion process.

a. Ventrogluteal b. Deltoid c. Vastus lateralis d. Rectus femoris_____43. Refers to the oral intake of a harmful substance that, even in small amount, can damage tissues, disturb body

functions, and possibly cause death.a. Tachypnea b. Hyperthermia c. Hypertension c. Poisoning

_____44. A disease of vascular regulation wherein the blood pressure is elevated when there is increased cardiac output and increased peripheral vascular resistance.

a. Hypertension c. Chronic Obstructive Pulmonary Diseaseb. Myocardial Infraction d. Valvular Disease

_____45. Giving tepid sponge bath to a patient experiencing fever is what kind of nursing responsibility?a. Dependent b. Independent c. Collaborative d. Interdependent

_____46. Stating your long term and short term goal is what step of the nursing process?a. Assessment b. Evaluation c. Planning d. Diagnosis

_____47. A male patient has been diagnosed with tuberculosis. He has not been feeling well for the past several weeks and sought medical attention when he began expectorating bloody secretions. Which of the following symptoms are common in patient’s with active tuberculosis?

a. Weight loss c. Dyspnea on exertionb. Increased appetite d. Mental Status changes

_____48. The nurse should teach the patient that the most common route of transmitting tubercle bacilli from person to person is through contaminated.

a. Dust particles b. Droplet nuclei c. Water d. Eating utensils_____49. The single most effective way to decrease the spread of microorganisms is

a. Frequent handwashingb. Having separate personal care items for each personc. Using disposable equipment whenever possibled. Isolation

_____50. In teaching the patient about self care at home, the nurse will include all the following measures which measure would have the highest priority?

a. Getting adequate rest c. Taking medications as prescribedb. Eating a nourishing diet d. Living in an area with clean air

_____51. A normal health infant is brought to the clinic for the first immunization against polio. The nurse should administer the vaccine by what route?

a. Oral route c. Subcutaneous routeb. Intramuscular route d. Intradermal route

_____52. A patient with hypothyroidism is to receive sytroid 75mcg by IV push. The medication available is labeled 200 mcg/10ml. which of the following doses is the correct amount?

a. 5 ml b. 3.75 ml c. 4.75 ml d. 2.5 ml_____53. A child is to receive 15 ml of antibiotic solution intravenously during 20 minute period. The apparatus delivers 60

gtts per ml. To administer the medication within the prescribed time period, the child should receive how many gtts per minute?

a. 15 b. 30 c. 45 d. 60_____54. Which of the following statements is the most appropriate for a nurse to make when initiating a painful procedure on a

four year old boy?a. You are a big boy. I know you can handle thisb. You can have your mom hold your handc. You are not a baby. I know you won’t cryd. You will get a treat if you are good

_____55. An 8 year old child who weighs 63 lbs is postoperative after an appendectomy and has an order for intravenous hydration. The child is to receive 1640 ml of solution in 24 hours. When using an administration set that delivers 15 gtts per ml, how many gtts per minute should a nurse administer?

a. 17 b. 45 c. 51 d. 68_____56. An 11 month old infant is admitted to the hospital with severe diarrhea. Which of the following nursing diagnoses

would be appropriate for the nurse to identify as a priority.a. Pain c. Altered health maintenanceb. Altered bowel elimination d. Altered urinary elimination

_____57. The physician orders 250 ml of IV fluid every 4 hours. What rate should be set on the infusion pump.a. 10 ml per hour c. 42 ml per hourb. 25 ml per hour d. 63 ml per hour

_____58. A 4 year old child is admitted to the pediatric unit for a tonsillectomy. The child asked the nurse if will hurt to have tonsils out. Which of the following response would be best for the nurse to make

a. It won’t hurt because we put you to sleepb. It won’t hurt because you are so bigc. It will hurt because of the incision made in the throatd. It will hurt but we have medicine to help you better

_____59. Paracetamol is administered to a patient experiencing fever because of itsa. Antipyretic action c. Antiplatelet actionb. Antibacterial action d. Antithrombotic action

_____60. The most important long-term goal for a client with hypertension would be toa. Learn how to avoid stress c. Make commitment to long-term therapyb. Explore a job change d. Control high blood pressure

Prepared by:

MRS. TERESITA B. LAURIAN Nursing Faculty