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Midterm Exam (Nucama130 & 12i) 2013-2014
Midterm Exam (Nucama130 & 12i) 2013-2014
Midterm Exam (Nucama130 & 12i) 2013-2014
Bacolod City
GENERAL INSTRUCTIONS:
1. Read the questions carefully. Choose the best answer. Write your answer in a capital
letter.
2. Leave a space in every 5 numbers.
3. Avoid erasures.
1. What can be found in the skin outer layer that are converted to Vit. D by ultraviolet
rays?
A. Keratin
B. Modified cholesterol
C. Sebum
D. All of the above
2. Layer of the skin that contains the blood vessels, hair follicles, oil glands, sweat
glands/
A. Epidermis
B. Dermis
C. Hypodermis
D. Adipose tissue
7. An inflammatory condition of the skin which occurs in and around the sebaceous
glands.
A. Abrasions C. Acne
B. Dryness of the skin D. Patch
8. Superficial layers of the skin are scraped or rubbed away?
A. Abrasions C. Acne
B. Dryness of the skin D. Patch
9. Refers to redness of the skin which maybe associated with rashes and exposure
to cold.?
A. Abrasions C. Acne
B. Dryness of the skin D. Erythema
13. When developing a plan care for an older patient, the nurse pays special
attention to the patient’s skin based on an understanding of which of the
following?
A. Amount of subcutaneous fat increase C. Skin becomes increasingly dry.
B. Skin thickens B. Sebaceous glands secrete more
Oil
14. During a bath, the nurse observes that a client has dry skin. Which action would
do best?
A. Bathe the client more frequently C, Massage the skin with alcohol
B. Use lotion on dry skin D. Discourage fluid intake
15. Which recommendations by the nurse to an adolescent patient with acne would
be most appropriate?
A. Wash the skin frequently using soap C. Use mineral oil on the area
B. Squeeze the pimples as they appear D. Use strong cosmetics to cover
blackheads
16. A nurse is caring for an 80 y.o. client who requires total assistance with his
personal and oral hygiene. He is thin, weak and got tired easily and prefers to
remain on bed in a semi-setting position. Which nursing diagnosis would the
nurse identify as the priority?
A. Risk for impaired Skin integrity related to immobility.
B. Hygiene Self- care Deficit related to decreased strength and endurance
C. Social isolation related to lack of significant others
D. Activity intolerance related to body weakness
17. An older client with unsteady gait request the nurse for a tub bath. Which of the
following actions would be most appropriate?
A. Add oil to water to prevent dry skin
B. Allow client to lock the door to guarantee privacy
C. Assist client in and out of the tub to prevent falling
D. Keep the water temperature very warm because client chills easily
18. During morning care , the client ask the nurse to shave him with disposable
razor. Before shaving the client, the nurse should:
A. Have him sign a waiver
B. Check to see if the client is taking antibiotics
C. Tell him that only a family member may shave the client
D. Explain the procedure to the patient
19. Which of the following interventions would the nurse include in the plan of care
when providing foot care to an elderly client?
A. Trimming nails as very short as possible
B. Use an alcohol if the feet are dry
C. Trim the nails straight across
D. Bathe the feet twice a day
21. The glands which secrete sweat that may become unpleasant in odor when
acted upon by microorganisms:
A. Eccrine glands C. Sebaceous glands
B. Apocrine glands D. Meibomian glands
22. The most effective nursing measure to relieve dryness of the skin is:
A. Increase fluid intake C. Bathe the client daily
B. Apply cream on the skin D. Apply alcohol on the skin
23. The following are the appropriate nursing measures to manage acne EXCEPT:
A. Take a bath daily C. Adequate rest and sleep
B. Adequate exposure to sunlight D. Take foods rich in carbohydrates
25. The initial nursing action when providing bed bath is:
A. Close the door and windows of the client’s room
B. Inform and explain the procedure
C. Remove client’s clothing
D. Place the bed in flat position
26. The position for female client during perineal care is:
A. Supine C. Lateral position
B. Dorsal recumbent D. Semi-fowlers position
27. Which of the following is inappropriate nursing action when performing genital
care to a male client?
A. Wear clean gloves
B. Use circular motion from penile shaft towards the glans penis
C. Retract prepuce or foreskin if uncircumcised
D. Use moist wash cloth with soap.
28. Which of the following should not be included when teaching client on foot care?
A. Wash feet daily and pat dry C. Do not go barefooted
B. Cut corns and calluses D. Use warm water for foot soak
29. A foot disorder caused by fungus, characterized by scaling and cracking of the
skin in the interdigital spaces of the toes is:
A. Tinea pedis C. Corns
B. Callus D. Unguis incarnates
31. Which of the following hygienic measures should be included when providing
teaching on client?
A. Remove cerumen from the ear using cotton-tipped applicator
B. Do not rub the eyes
C. Apply alcohol on the skin for disinfection
D. Trim the nails regularly
32. A flat circumscribed area of color, no elevation of its surface, less than 1 c, in
size:
A. Macule C. Bulla
B. Papule D. Pustule
33. A skin lesion which is fluid filled , less than 1 cm. in size is:
A. Macule C. Bulla
B. Papule D. Pustule
34. When performing nursing assessment of the skin, the following should be
included EXCEPT:
A. Assess the skin color C. Assess the texture
B. Assess the turgor D. Skin is cold to touch
36. Rashes of the skin caused by a very high body temperature is called?
A. Petechiae C. Vesicle
B. Erythema D. Macule
46. The following statements are true for skin care EXCEPT:
A. Intact skin is the body first line of defense
B. Skin sensitivity to irritation varies among individuals
C. Moisture in contact with the skin can result to hinders bacterial growth
D. Cleanliness is the best deodorant.
49. The following statements are true in maintaining Foot care EXCEPT:
A. Change socks daily C. Use cream to moisten the skin
B. Exercise the feet D. Use constricting clothing/ garters to improve
circulation
50. Refers to keratosis caused by friction and pressure from the shoe, affects the 4 th
and 5th toe.
A. Callus C. Tinea pedis
B. Plantar warts D. Corns
55. Which of the following is the diagnostic test to rule out TINEA PEDIS?
A. Ultasound C. X-ray
B. Culture and sensitivity test D. All of the above
56. The following are the alternative names of Pediculosis pubis EXCEPT:
A. Pthiriasis C. Crab lice
B. Pubic louse D. Itch mite
59. Crab lice are difficult to remove, so the shampoo maybe applied and left for how
many hours?
A. 10-15 HOURS C. 5-10 HOURS
B. 12-24 HOURS D. 2-3 HOURS
61. The following statement are correct about Ear care EXCEPT
A. Clean the pinna with moist wash cloth
B. Remove the cerumen by retracting the pinna upward.
C. Do not use toothpick tp remove the cerumen
D. Irrigate the ears as ordered.
73. Teeth maybe be darkened in color and painful, this refers to?
A. Periodontal C. Sordes
B. Cheilosis D. Dental caries
76. Refers to localize perspiration which can be found in the face, hands and axilla.
A. Primary Hyperhidrosis C. Bromhidrosis
B. Secondary Hyperhidrosis D. Vitiligo
78. Refers to invisible soft film of bacteria, saliva, epithelial cells, leukocytes that
adheres to the enamel surface of the teeth?
A. Plaque C. Periodontal disease
B. Tartar D. Dental caries
83. Refers to group of disease that affects the tissues of the gums:
A. Stomatitis C. Periodontal disease
B. Parotitis D. Dental caries
***************************END OF EXAMINATION*****************************
Prepared by:
NUCAMA130
nd
2 Semester, A.Y.2013-2014
KEY ANSWERS
1.B 38.C 75.C
2.B 39.B 76.A
3.B 40.C 77.A
4.C 41.A 78.A
5.B 42.B 79.B
16.B 53.B
17.D 54.D
18.D 55.BONUS
19.C 56.A
20.D 57.C
21.A 58.A
22.A 59.BONUS
23.B 60.C
24.C 61,C
25.B 62.A
26.B 63.A
27.B 64.D
28,B 65.C
29.A 66.B
30.C 67.A
31.C 68.A
32.A 69.B
33.B 70.A
34.D 71.C
35.D 72.B
36.A 73.D
37.B 74.C
Prepared by:
GENERAL INSTRUCTIONS:
1. Read the questions carefully. Choose the best answer. Write your answer in a capital
letter.
2. Leave a space in every 5 numbers.
3. Avoid erasures.
3. What is the rationale of applying flannel or towel over the Hot water bag before
applying on the skin?
A. Acts as insulator to prevent burning C. To reduce blood viscosity
B. For aesthetic purposes D. None of the above
5. The ff: are at risk associated with the application of Heat except:
A. Burns C. Edema
B. Bleeding D. Pain
(ASSISTING IN IV INSERTION)
11. The ff; are the objectives of Intravenous therapy EXCEPT?
A. Maintenance of hydration C. Provide route for Administration
B. To replenish blood volume D. To maintain the client’s status
12. The nurse should check and examine the IV Solution for the ff: EXCEPT?
A. Expiration date C. Signs of contamination
B. Cracks or leaks D. Manufacturer’s no.
15. Needle gauge use for Adult for surgery and blood transfusion?
A. G 26
B. G23
C. G20
D. G18
16. Nurse Hingel is aware that the ff: are the signs of phlebitis EXCEPT:
A. Redness
B. Swelling
C. Skin is cold to touch
D. Pain
17. The ff: are the assessment of Assisting in Intravenous Insertion Except:
A. Determine physician’s order for IV Therapy
B. Assess the level of understanding of the client
C. Assess clients need for psychological support
D. Assess the brand of the needle to be used
19. Which of the ff: is the rationale of closing the control clamp or regulator of the IV
tubing?
A. To keep the tip sterile
B. To eliminate air bubbles that may cause air emboli in the circulation
C. To maintain sterility
D. All of the above
20. The ff: are important instructions about IVF, when to call or inform the nurse
immediately except:
A. Site is bulging
B. Pain on the site
C. Solution is almost consumed
D. Consistent in the flow rate
#s 21-30 . Identify the type of IVF Solution:
21. D5LR
22. D5NM
23. D10W
24. D5W
25. PLR
26. PNSS
27. .45% NaCl
28. .33% NaCl
38. IVF are usually ordered for how many hrs. period indicating how long each liter of
fluid should run?
A. 8H
B.24H
C.12H
D.10H
Situation C: Nelly was rushed to the emergency room with burns. D5LR 1L. was started
at 100cc/hr.( 3 pts each)
49. Solve for cc/hr
50. Solve for gtts/min.
51. Calibrate the IVF given on Situation A and label the bottle below.(7pts.)
71. After removing the cannula from the vein, it is important to apply pressure over the
site. Which of the ff. is the rationale?
A. Prevent damage to the vein
B. To control bleeding
C. To protect self from contact with blood
D. None of the above
72. Before the nurse will follow up the IVF, the nurse should check the IV bottle for the
signs of deterioration EXCEPT:
A. Expiration date C. Cloudiness of fluids
B. Gauze of needle D. Size of the needle
73. Before starting an IVF, the priority of the nurse is to check the:
A. Doctor’s order C. Need for psychological support
B. Type of IVF D. Size of the needle
75. Before you follow up an IVF, which of the ff: is the correct way to identify the right
client?
A. Check the name tag
B. Asking client to state his/her name
C. Check wrist band
D. All of the above
76. In changing the patient’s gown with an IVF the first thing that you are going to do is
to:
A. Count the rate of flow of the infusion
B. Remove the gown from the arm without infusion
C. Inspect the IV site and arm
D. None of the above
77. Equipments needed in changing the patient’s gown with an IVF are the ff: EXCEPT:
A. Clean hospital gown
B. Clean bed linens
C. Basin of water
D. Bed protector
78. In removing the soiled gown of the client the IV Bottle should passed from:
A. Outside sleeve going inside
B. Inside sleeve going outside
C. Any direction
D. All of the above.
80. Which of the ff: is the rationale of maintaining the position of the IVF by holding it
above the client’s arm?
A. To provide comfort for the client
B. Prevent backflow of the blood from the vein into the tubing.
C. Avoid kinks on the tubing
D. To maintain sterility
***************************************GOOD LUCK*****************************************
Prepared by:
KEY ANSWERS
1. A
2. D
3. A
4. B
5. D
6. D
7. A
8. A
9. D
10. B
11. D
12. D
13. B
14. A
15. D
16. C
17. D
18. B
19. B
20. D
21. Hypertonic
22. Hypertonic
23. Hypertonic
24. Hypotonic
25. Hypotonic
26. Isotonic
27. Isotonic
28. Isotonic
36. B
37. D
38. B
39. A
40. Alcohol swab
41. tourniquet
42. plaster
43. IV solution
44.Pentel pen
45. splint
46. -70. COMPUTATION OF IVF & CALIBRATION
71. B
72. D
73. A
74. D
75. D
76. A
77. D
78. B
79. B
80. B
Prepared by: