D.

Iron 75 mg/100 ml

65. Which of the following laboratory test result indicate presence of an infectious process?
A. Erythrocyte sedimentation rate (ESR) 12 mm/hr
B. White blood cells (WBC) 18,000/mm3
C. Iron 90 g/100ml
D. Neutrophils 67%

Situation 12: Pleural effusion is the accumulation of fluid in the pleural space. Question to 66 to 70 refer
to this?

66. Which of the following is a finding that the nurse will be able to assess in a client with pleural
effusion?
A. Reduced or absent breath sound at the base of the lungs, dyspnea, tachypnea and shortness of
breath.
B. Hypoxemia
C. Noisy respiration, crackles, stridor and wheezing
D. Tracheal deviation towards the affected side, increased fremitus and loud breath sounds

67. Thoracentesis is performed to the client with effusion. The nurse knows that he removal of fluid
should be slow. Rapid removal of fluid in thoracentesis might cause:
A. Pneumothorax
B. Pleurisy or Pleuritis
C. Cardiovascular collapse
D. Hypertension

68. 3 Days after thoracentesis, the client again exhibited respiratory distress. The nurse will know that
the pleural effusion has reoccurred when she noticed a sharp stabbing pain during inspiration. The
physician ordered a closed tube thoracotomy for the client. The nurse knows that the primary function
of the chest tube is to:
A. Restore positive intrathoracic pressure
B. Restore negative intrathoracic pressure
C. To visualize the intrathoracic content
D. As a method of air administration

69. The chest tube is functioning properly if:

A. There is an oscillation
B. There is no bubbling in the drainage bottle
C. There is a continuous bubbling in the water seal.
D. The suction control bottle has a continuous bubbling

70. In a client with pleural effusion, the nurse is instructing a appropriate breathing technique. Which of
the following is included in the teaching?
A. Breath normally
B. Hold the breath after each inspiration for 1 full minute
C. Practice abdominal breathing
D. Inhale slowly and hold the breath for 3-5 seconds after each inhalation.
Situation 13: Health care delivery system affects the health status of every Filipino. As a Nurse,
Knowledge of this system  is expected to ensure  quality of life.

71. When should rehabilitation commence?

A. The day before discharge
B. When the patient desires
C. Upon admission
D. 24hours after discharge

72. What exemplified the preventive and promotive programs in the hospital?
A. Hospitals as a center to prevent and control infection
B. Program for smokers
C. Program for alcoholics and drug addicts
D. Wellness Center

73. Which makes nursing dynamic?

A. Every patient is a unique physical, emotional, social and spiritual being
B. The patient participate in the over all nursing care plan
C. Nursing practice is expanding in the light of modern development that takes place
D. The health status of the patient is constantly changing and the nurse must be cognizant and
responsive to these changes.

74. Prevention is an important responsibility of the nurse in:

A. Hospitals
B. Community
C. Workplace
D. All of the above

75. This form of Health Insurance provides comprehensive prepaid health services to enrollees for a
periodic payment.
A. Health Maintenance Organization
B. Medicare
C. Philippine Health Insurance Act
D. Hospital Maintenance Organization

91. Health care reports have different purposes. The availability of patients record to all health ream
members demonstrates which of the following purposes:
A. Legal documentation
B. Education
C. Research
D. Vehicle for communication

92. When a nurse commits medication error she should accurately document client’s response and her
corresponding action. This is very important for which of the following purposes:
A. Research
B. Nursing Audit
C. Legal documentation
D. Vehicle for communication