1. PROBLEM WITH MAGNESIUM- TREMORS
PERICARDIAL PERFUSSION,
2. NIXIE ADMITTED 5 MONTHS AGO, DUE TO BRAIN
TUMOR
(CALCIUM PROBLEM, PHOSPHORUS, AND FLUIDS)
FACTORS ASSOCIATED WITH CALCIUM DECLINE IS
IMMOBILITY
3. ECG MEASURES THE CLINICAL ACTIVITY OF THE HEART;
MAGNESIUM LEVEL IS 1 MEQ/L (MAGNESIUM IS
ALWAYS POSITIVE DEPLETION) SIGNIFICANT CHANGES
IN MAGNESIUM IS DEPRESSED ST SEGMENT
4. NURSING IS AN ENCREDIBLE REWARDING JOB, YOU
ARE CARING FOR A POST THYROIDECTOMY PX IS AT
RISK OF CALCIUM DEFICIT, WHAT ASSESSMENT TO DO?
OBSERVED MUSCLE TWITCHING, NUMBNESS,
TINGLING OF THE FEET
5. YOU ARE A COMM. HEALTH NURSE CONDUCTING A
DRIVE, WHICH OF THE FF. CAN JEOPARDIZE FLUID
DEFICIT (ELDERLY AND INFANT ARE VOTILR
INDIVIDUALS) INFANT SUNKIN FONTANELS
6. SHEENA NEWLY ADM. PATIENT AT OLIGURIC STATE,
(RENAL IMPAIRMENT) AUSCULTATE FOR CRACKLE
SOUNDS) NURSE ORDERED FLUID CHALLENGED TEST
100-200 ML OF 0.9 SODIUM CHLORIDE FOR 15 MINS.
(DETERMINE THE ABILITY OF RENAL PERFUSSION TO
CONSERVE AND ELIMINATE) THE NURSE KNOWS THAT
THIS INTERVENTION WOULD HELP: DISTINGUISH
RENAL PERFUSSION
7. REFERAL DESCRIBE AS……. WHICH LAB SHOULD U
REFER IMMEDIATELY? YELLOWISH WITH UREA OF 30
8. WHICH OF THE FOLLOWING IS A GOOOD SOURCE OF
SODIUM? EGGPLANT, JELLO, CURED HAM, GUMMY
BEAR
9. YOU ARE GIVING HEALTH TEACH. TO ARA WITH
SODIUM LEVEL OF 16, WHAT FOOD TO AVOID AS PART
OF DISCHARGED PLAN. SARDINES, PUMPKIN, POTATO
10. HORMONES PRODUCE AND RELEASED BY GLANDS
(ENDOCRINE SYSTEM) SUBSTANCE THAT HELPS BODY
TO DEVELOPMET AND MEGABOLISM, ALTER THE
WELLBEING. HORMONE THAT REGULATES THE
OSMOTIC PRESSURE? CALCITONINE, VASO PRECINE,
ADENO CORTITROPIC, ANGIOTENSIN
11. ADMITTING A 35-YEAR-OLD LABORER, SUSPECTED
WITH FLUID IMBALANCE (DESPERITY) WHAT ARE THE
BEST INDICATORS FOR FLUID LOSS? SERUM POTT.
LEVEL, MEASURE THE I/O( ASS. W/ RENAL
PERFUSSION), DAILY WEIGHT, URINE OUTPUT
12. ALL EXCEPT ONE IS MANIFESTATION OF FLUID
VOLUME EXCESS.
URINE OUTPUT OF 70 ML PER/H IN 24 HRS (STATE OF
ANORIA) 30-60 PER HOUR IS NORMAL GRADE 1
PITTING EDEMA ON LOWER EXGTR. DNV ON SITTING
POSITON,
13. U ARE ASSIGNED TO……THE PX RECORDS, WHICH OF
THE FOLLOWING IS VULNERABLE OF FLUID VOL.
DEFICIT? (ELDERLY, INFANT)
MARY OLSOROTIVE CHOLITIS PRONE TO DEHYDRATION
DUE TO VOMITING AND DIARR.
14. CARING FOR LOUE W.
DYSPNIC, CRACKLES ARE AUDIBLE, WHERE TO PLACE
STET WHEN DETERM. CRACKLING SOUNDS?
(SEGMENTAL LOBE) WHAT ADD. SIGNS U SHOULD
EXPECT TO KNOW.
DECLINE WEIGHT LOSS 5 KG, LESS VEINS, BP 165/90
(PRE-HYPERTENSIVE PHASE) CVP OF 5 MM PER
MERCURY
15. U ARE A NURSE SUPERV. OBSERVING A NEWLY REF.
NURSE GIVING POTT. CHLORIDE (NOT GIVEN IN
BOLOS) WITH A POTT. LEVEL OF 2 , U WOULD
DETERMINE THAT THE NEW NURSE IS UNPREPARED IF
THE NURSE STATES:
A. OBTAIN IV IN FUSION PUMP (PREVENT GIVING
MED. BOLOS, PREVENT PHLEBITIS
B. DELUTING IN NORMAL SALINE SOLUTION
C. MONITOR THE OUTPUT DURING THE
ADMINISTRATION
D. PREPARE MEDICATION FOR BOLOS
ADMINISTRATION ( NEVER GIVE POTT. IN BOLOS
IT COULD CAUSE CARDIAC CONTRILITY)
16. GERRY 18 Y.O W/ VOMITING DIARRHEA FOR 24 HRS.
WHICH FINDING SHOWS THAT GERRY IS DEHYDRATED?
A. URINE SPECIFIC GRAV OF 1
B. 1.011
C. 1.040
D. 1.022
17. WHICH DOCTORS ORDER SHOULD U QUESTION FOR
NEWLY ADMIT. PX WITH HIGH BLOOD GLUCOSE LEVEL
(HYPERGLYCEMIA)
A. D5 WATER IN 125 ML/H
B. KCL OF 10 MX…..????
C. STAT ABG ADM. OF SODIUM BICARBONATE AT
LESS THAN 7 (DOCTORS ORDER)
D. REG. INSULIN PER PROTOCOL ADJUSTING
DOSE AT HGP RESULTS.
18. PT WTH ANEMIA IS RECEIVING BLOOD TRANSFUSION,
THE NURSE ANTECIPATES ORDERD AN IV FLUID FROM PHYSICIAN,
WHICH OF THE FOLLOWING IS WOULD BE ASSOCIATED TYPE OF
FLUIDS WHEN GIVING BLOOD TRANSFU, THAT WILL NOT SWELL
THE
A. D5, 0.45 NORMAL SA
B. 5% DEXTROSE IN WATER (NEVER GIVE IN BT)
Commented [EL1]:
C. LACTATED RINGER
Commented [EL2]:
D. 0.9 NSS
19. U ARE INSTRUCTING NENNA WITH SODIUM LEVEL OF 154
AND ADVICE HER FOR DIETARY MODIFICATION, WHAT FOOD
SHOULD NENA AVOID?
FRESH ARE NOT HIGH IN SODIUM AND POTASSIUMBUT GOOD
SOURCE IN POTASSIUM (BANANA, AVOCADO) (MANGO,
PINEAPPLE)
PROCESSED OAT CERAL ( HIGH IN SODIUM)
20. WHICH OF THE FF PATIENT PARTICIPATION OF IMPROVEMENT
IN LIMITING EXCESS IN FLUID VOLUME
PT. READS THE FOOD LEVEL BEFORE PURCHASING IT
21. U ARE CARING FOR BECKY W HEART FAILURE AND TAKING
SPIROLACTONE 25 MG BID (TWICE A DAY) TO CONTROL HER
HYPERTENSION, SERUM POTT. IS 6. (HIGH, HEART IS INVOLVED)
VS TEMP IS 37, HH IS 26 PR IS 21 O2 LEVEL IS 94.
PERFORM ECG BECAUSE THE POTT IS VERY HIGH
22. CARING FOR BONG, 54 Y.O CIVIL ENGINEER WITH
HYPERTENSION FOR 15 YEARS RECEIVING CARDIAC DIURETICS 20
MG ONCE A DAY. WHAT SIGNIFICANT LAB VALUES INDICATES
THAT BONG EXPERIENCED ADVERSE EFFECT FROM THE
MEDICATION?
POTTASIUM LEVEL OF 3 (SIGNIFICANT DECLINE IN POTT)
ALTHOUGH NORMAL PAUBOS GIHAPON SIYA
23. WHICH ASS. IS NOTEWORTHY CONDUCTING A FLUID
CHALLENGED TEST …… LAB RESULTS BUN IS 26,……….. SODIUM
LEVEL IS 130. (POTASSIUM IS HEART) (FLUID AND RENAL IS
SODIUM)
PRESENCE OF COARSE CRACKLES UPON AUSCULTATION
24. WHICH ARTERIAL BLOOD VALUES SHOULD U ANTICIPATE IN
ROXANNE, PARACETAMOL OVERDOSE PLACE IN TUBES …..
CONTINOUS SUCTIONING.
PH OF 7.45 CO2 38 BICRBONATE 30
25. DANNY BOY 39 YO AT BPI W/ DM BLOOD GLUCOSE OF 667
INTERPRET THAT DANNY BOY IS DEVELOPING WHICH TYPE OF
ACID IMBALANCE?
METABOLIC ACIDOSIS ALWAYS IN DM
26. BABY ANNE 11 YO INFANT ADMITT WITH TEMP OF 38. 8
HISTORY OF VOM AND DIARRHEA, WHAT MANIFESTATIONS
RELATE TO IMBALANCE OF FLUID (LOOK FOR FLUID VOL DEF)
A. WEIGHT LOSS DILUTED URINE
GRADE 2 PITTING EDEMA
B. DRY SKIN, RADIAL PULSE , DNV,
C. SUNKIN EYES, LETHARGY, DRY TOUNGE
D. BULGING FONTANELS, TEARLESS CRY, DECREASE URINE
OUTPUT
27. WHICH OF THE FF OBSERVATION ARE DEFINITIVE SIGNS OF
PLAN WITH JANJAN W ….. FLUID VOLUME EXCESS
A. BOUNDING PERIPHERAL PULSE
B. HANDS BEING EMPTY FOR LONGER 20 SEC. (DELAYED
CAPILLARY REFILL)
C. S3 CLEARLY EDIBLE HEART SOUNDS
D. FLAT NECK, HEAD OF THE BED IS ELEVATED
ANS. IS COL PULMONARY
28. PROBLEM W PHOSPHORUS
VANESSA VERBALIZES SAKIT AKONG DUGHAN
21 Y.0 KATOL AKONG TIBOOK LAWAS
CINDY 26 YO PONGA AKO PAMATI (SOB)
DANIELA 20 YO LAIN AKONG PANGLASA (METALLIC TASTE)
22. WHICH OF THE FF TREATMENT OF CHOICE WILL GIVE U THE
BEST FITTING FOR ALDREN LAB RESULTS: POTT OF 3 MEQS \/ L
SODIUM 145 PCO2 35 URINE SG OF 1.015 02 SAT OR 99
BEST TREATMENT OF CHOICE:
ADMISITER ORAL KCL
MONITOR BUN SERUM CREA, DETERMIN RENAL FUNCT
CONTINUE MONITOR FOODS HIGH IN POTASSIUM
ADVICE THE USE OF SALT SUBST. IN DIET
23. THE RENAL ANGIOTENSINS HELPS BALANCE FLUID… WHICH
FUNCTION OF RUST;
RUST HELPS MAINTAIN A HEALTHY VOLUME
24. IF THE PX BLOOD LOSS IS 800 CC IN 1 HOUR DUE TO
VEHICULAR ACC. WHAT MANIFESTATION U SHOULD EXPECT TO
KNOW;
PULSE RATE INCREASES
PX IS COLD AND CLAMMY
PX DOESN’T URINATE ANYMORE
PX APPEARS TO BE MILDLY ANXIOUS
25. WHICH OF THE FF IS AT RISK OF DEPLETION OF CALCIUM
A. CHARLOT 3 YO WITH VOLEMIA NERVOSA
B. CHEMOTERAPHY CANCER
C. 30 YO STAGE 4 KIDNEY DISEASE
D. CHACHA 3O YO HAVING PYRATHYROIDECTOMY TOMMOROW
26. ELECTRICAL ACT OF HEART IS CAPTURED ON ECG PART OF…
TEST. TO KEEP TRACT OF HEART.., T OR P? WAVE REPRESENTS
WHAT?
27.
MAGNESIUM IS AN ABSCENT OF PATELLA REFLEX
28.WHICH OF THE FF DOCTORS ORDER SHOUD U QUESTION WITH
SEVERE HYPONATREMIA
IBUPROFEN CAUSES SIGNIFICANT DECLINE OF POTASSIUM
29. THE NURSE ANALYZES ABG OF 7.50 INDICATES NORMAL PH,
NORMOSIVE (NORMAL BP)

ALKALOSIS

30. PAT. A IS RECEIVING IV OF KCL WHICH NURSING ACTION IS

REQUIRED. PATIENT IS CATHETHERED. SELECT ALL THAT APPLY

A. ADMINISTER DOSE IV PUSH OVER 3 HRS

B. MONITOR THE INJECTION SITE FOR SIGNS OF REDNESS

(PHLEBITIS)

C. USE AN INFUSION PUMP

D. MONITOR THE I/O

E. ADD ANOTHER DOSE OF

31. 6 PACK OF PACKED RBC IS TRANSFUSED TO THE PX. WHICH FF

ORDER OF THE PHYSICIAN WOULD U ANTICIPATE? WHICH WILL
COMBAT HYPOCALCEMIA, ARE U GOING TO GIVE:

3-4 BAGS ANTICIPATE ORDER OF CALCIUM GLUCONATE (PART OF

IT IS LASIX TO PREVENT CONGESTION)

32. WHEN ESTIMATING FLUID LOSS THE NURSE KNOWS… SEVER

BURNS OCCUR THROUGH THE SKIN AND WHERE FLUID SHIFTING
HAPPENED.

FLUID SHIFTING AND EVAPORATION (CAUSES EDEMA)

33. OLIVIA W POTT LEVEL OF 2.5 MEQ NURSE MUST ASSESS

CAREFULLY WHICH OF THE FOLLOWING?

PARALITIC ILIUS

34. U ARE CLOSELY MONITORING PX WITH DIABETIC KETO-

ACIDOSIS WHICH OF THE FF WOULD U EXPECT AS AN IMBALANCE
TO DKA?

METABOLIC ACIDOSIS

RESPI ACIDOSIS

METABOLIC ALKALOSIS

RESPI ALKALOSIS

RESPIRATORY

1. WHAT IS THE RESULT WHEN THERE IS COPDD

DECREASED THE AIR SURFACE OF GAS EXCHANGE

2. MANG BERTING WITH ARDS EXHIBTING HYPOXEMIA

(ASSESS ABG)