Test reviewer
Newborn Bathing/Anesthesia
 A 28 year old G1P0 came into the ER in
an active labor and is 4cm dilated. The
patient verbalized her anxiety and fear
of the pain of delivery. The ROD
referred the patient to her OB-Gyne
and Anesthesiologist. Her OB-Gyne
ordered her to be admitted straight to
the labor room for trial labor and labor
watch. The anesthesiologist, on the
other hand was currently at the
delivery room that time. The patient
was assessed and explained that she
can still have a normal spontaneous
delivery, but she will not feel the labor
pain thru epidural anesthesia. What
would she expect during the induction
of anesthesia?
ANSWER: There will be a needle
inserted in her lower back or lumbar
region between the vertebrae of the
spinal column into the epidural space
around her spine.
 Anesthesia doesn’t hold the record of
not having any unwanted effects that
are caused by many factors. A 34 year
old mother after giving birth under
Low Transverse Cesarean Section
(LTCS), died. Her records showed that
she was on her maintenance
medication for hypertension, as was a
chronic alcoholic and having 1 pack of
cigarette per day before she got
pregnant. The said factors became an
anesthesia-related problems under
which factor?
ANSWER: Patient-related factor
 Prior to induction of anesthesia, the
patient becomes anxious and starts to
cry. It is the responsibility of the nurse
to?
ANSWER: Remain at bedside of the
patient and answer any questions
 A 56 year old, female patient was about
to undergo a procedure under general
anesthesia. Her anesthesiologist
explained to her that she will be in a
state of unconsciousness thru
halothane. What should she expect
upon the induction of anesthesia?
ANSWER: She will have a face mask
and a gas will be administered thru it
 Patient A is scheduled to have her
Colonoscopy under Dr. Lopez at 8am
tomorrow. Her BP is 130/80 with a HR
of 90 and exhibits anxiety towards the
procedure since it is her first time to
undergo a procedure. The nurse noted
her findings and refer to her attending
physician right away. The
anesthesiologist acknowledged the
referral and said that the patient will
be placed under what type of
anesthesia?
ANSWER: Monitored anesthesia care
 Type of bath wherein a tub is used to
bath a baby
ANSWER: TUB BATH
 The WHO recommends delaying baby’s
first bath until what hour
ANSWER: 24 HOURS
 the baby should not be bathed when?
ANSWER: D. within 1 hour after
feeding
 How often should a baby be bath?
ANSWER: C. 3 times a week
 The following are the objectives of
newborn bathing except:
ANSWER: D. Doctor’s order
 TRUE or FALSE: It is important to
explain the procedure to the mother to
encourage her participation
ANSWER: True
 TRUE or FALSE: When wiping the
eyes, start from the outer canthus to
inner canthus
ANSWER: False
 All are contraindications in newborn
bathing except:
 ANSWER: Before 2nd feeding
 Temperature of water is important in
newborn bathing to prevent?
ANSWER: Hypothermia or Scalding

 Which local anesthesia is
injected around the nerve block in the
upper thigh/groin area to numb the leg
from the knee to the hip?
ANSWER: Femoral Nerve Block
 Patient Y is admitted because of labor
pain. When the physician made rounds,
patient Y requested to have epidural
anesthesia. All are true about epidural
anesthesia, except. Select all that
apply.
- Administered in the lower
back/lumbar region using a special
needle that is inserted between the
vertebrae of the spinal column into
the subdural space around the
spine.
- The procedure usually takes 20 to
30 minutes.
 Patient XYZ had a surgery under
spinal anesthesia. The PACU nurse
transferred the patient to your care. As
the nurse on duty, the following are
your nursing responsibilities. Select all
that apply.
- Keep the patient on flat on bed for
6-8 hours.
- Monitor the urine output hourly.
 The following are intravenous
anesthesia except:
ANSWER: Bupivicaine
 Tooth extraction often use what
method of local anesthesia?
C. Infiltration
Catheterization & Pediatric NutDiet
 Only trained staff should empty urine
drainage bags and rinse/store urine
collection containers.
ANSWER: TRUE
 Type of catheter used to drain the
bladder for shorter periods (5-10mins).
ANSWER: Intermittent Urethral
Catheters
 The first cereal introduced is usually
________, because fewer children are
allergic to some cereal products.
ANSWER: Rice Cereal
 If infants are being fed powdered or
concentrated formula, they may receive
a substantial amount of lead from tap
water which increases the risk for
ANSWER: lead poisoning
 It is a baby’s reflex manifested by the
pushing of the solid foods using the
tongue to protect himself from the new
taste of food.
ANSWER: Extrusion Reflex
 Unmodified whole cow’s milk, low-fat
cow’s milk, skim milk, other animal’s
milk are not acceptable major source of
nutrition because of _____________.
ANSWER: poor digestibility
 Position of client during
catheterization procedure
ANSWER: Dorsal recumbent position
 This food is usually introduced at the
age of 9 months
ANSWER: Meat
 What is the difference between a male
and a female catheter?
ANSWER: b) Male catheters are longer
than female catheters.
 It is good practice to disinfect the
drainage bag sampling port before
obtaining a urine sample.
ANSWER: TRUE
 The term for the first milk ejected by
the mother’s breast during lactation
period
ANSWER: Colostrum
 Specific age of the baby ideal for
exclusive breastfeeding.
ANSWER: First 6 months
 It is a baby’s reflex manifested by the
pushing of the solid foods using the
tongue to protect himself from the new
taste of food.
ANSWER: EXTRUSION
 Production of abnormally large
amounts of urine by the kidneys, often
 several litters more than the client’s
usual daily output.
ANSWER: Polyuria
 Elimination system reaches maturity
during the period of?
ANSWER: School-Age Children
 Involuntary urination in children
beyond the age when voluntary bladder
control is normally acquired, usually 4
0r 5 years of age.
ANSWER: Enuresis
 Lack or absence of urine production
ANSWER: Anuria
 Is the introduction of a catheter (tube)
through the urethra into the bladder
for the purpose of withdrawing urine.
ANSWER: Urinary Catheterization
NEBULIZATION/TOCOMETER
 The beginning to end of contraction:
ANSWER: Duration
 True Labor signs are the following
EXCEPT:
ANSWER: Intermittent pain
 The strength of contraction:
ANSWER:Intensity
 On completion of the treatment,
encourage the patient to cough after
several deep breaths. Nurse Pau must
perform back tapping or
physiotherapy. Physiotherapy aids:
ANSWER: The medication may dilate
airways facilitating expectoration of
secretions.
 In giving nebulization, patient Venice
was instructed to take slow, deep
breaths through the mouth then pause
after inspiration. Then slow and
complete exhalation with some resting
breaths before another deep inhalation.
This is necessary for the reason of:
ANSWER: To enable deep penetration
into the tracheobronchial tree
 Nurse Jen will give medication via
inhalation. She must position the
patient on high fowler’s position
because:
ANSWER: Diaphragmatic excursion
and lung compliance are greater in this
position.
 In giving medication through
inhalation, Nurse Mhey Anne should
know it is contraindicated for patients
with:
ANSWER: Unstable blood pressure,
presence cardiac irritability, Tachycardia (All
of the above)
 In relation to number 2 answer, this
procedure is done due to the following
medical condition EXCEPT:
ANSWER: Adenocarcinoma
 The beginning to beginning of next
contraction:
ANSWER: frequency
 The process of dispersing a liquid
(medication) into microscopic particles
and delivering into the lungs as the
patient inhales through a nebulizer.
ANSWER: Nebulization
 A device use for medication via
inhalation
ANSWER: Nebulizer
 For the Active phase are the following
(Frequency: q 3-5 mins, Duration: 30-
60 sec., Intensity: moderate) EXCEPT:
ANSWER: Dilatations: 3-6 cm
 The following instructions must be
provided by Nurse Mich to the patient
for nebulization, (To take slow, deep
breaths through the mouth, Pause
after inspiration, Slow and complete
exhalation) EXCEPT:
ANSWER: Continuous inhale exhale
through nose while procedure is
ongoing.
 The process to liquefy and remove
retained secretions from the
respiratory tract
 ANSWER: Nebulization Therapy ANSWER: False
 In relation to answer in number 11, the  It is important to review the monitoring
cervix is: trends and alarms every_______.
ANSWER: Dilated ANSWER: shift
 The end to beginning of next  In electrophysiology, the release (discharge)
contraction: of an electrical stimulus is:
ANSWER: Interval ANSWER: Depolarization
 In relation to phases in Labor, the  Stages of a single heart beat are:
following are the descriptions, Atrial depolarization
EXCEPT: Ventricular depolarization
ANSWER: Frequency: 2-3 secs Atrial and ventricular repolarization
ANSWER: All of the above
 The first stage of Labor has three
phases. The following are the Latent  Proper placement of electrodes:
ANSWER: chest, wrists, and ankles.
phase EXCEPT:
 Do not use cables that are broken, frayed, or
ANSWER: Dilatations: 3-4 cm
bare.
 Before giving medication via
ANSWER: A. True
inhalation, Nurse Arlenn should:
 The following are the main purposes of ECG
ANSWER: Verify physician’s order
EXCEPT:
 The process of full-term fetus/ baby leaving
ANSWER: To treat any cardiac illnesses and
the uterus.
diseases
ANSWER: labor
 Impulse conduction of the heart:
ANSWER: SA-AV-Bundle of His-Bundle of
ECG/ CARDIAC MONITORING
Branches-Purkinje Fibers
 Double-check color codes and lead markings
 Reassess the patient for signs of
to be sure connectors match.
hemodynamic compromise with:
A. True
Noticeable respiratory changes
 According to precautionary measures in
Any significant changes in cardiac rate or
doing ECG placement and obtaining, the
rhythm
recording equipment and other nearby
sudden elevation in blood pressure
electrical equipment should be properly
ANSWER: All of the above
grounded to prevent electrical interference.
 Unexpected changes in the cardiac rate,
A.True
rhythm or clinical status must be reported
 Is a non-invasive procedure that displays the
immediately to attending physician.
electrical activity of the heart; these electrical
ANSWER: True
impulses are picked by the surface electrodes
 Electrodes are to be changed every ____ and
and are transported and then recorded in the
selects an appropriate lead in which to
ECG.
monitor the patient.
ANSWER: Cardiac Monitor
ANSWER: 24 hours
 Patients under cardiac assessment and
 Purpose of monitoring cardiac activity are the
monitoring are the following EXCEPT:
following EXCEPT:
ANSWER: Child’s heart rhythm post-
ANSWER: Early diagnosis of carcinoma.
surgery.
 All cardiac monitors use lead-system to
 Before using cardiac monitor, few
record the electrical activity generated:
precautions to follow with regards to usage of
ANSWER: by cardiac tissue
machine:
ANSWER: Check cables and lead wires for  ECG paints a complete picture of the heart's
fraying, broken wires or discoloration. electrical activity by recording information
through___ different perspectives.
 Life threatening cardiac arrhythmias is
ANSWER: 12
manageable by independent nursing
intervention:
  ECG is the records of ________by means of  Identify the non shockable rhythm.
metal electrodes placed on the surface of the d. Asystole
body.  The nurse noticed the ECG tracing.
ANSWER:cardiac electrical currents Identify the rhythm.

BLS/ACLS
 When should the rescuer initially
ensure that the scene is safe?
b. When the rescuer first sees a
c. Normal Sinus Rhythm
potential victim
 Acronym EMS means? Write the
 Based on 2015 AHA Guidelines for
answer in capital letter.
CPR and ECC, recommen that to
EMERGENCY MEDICAL SERVICE
identify cardiac arrest in an
 Bag valve mask is the only equipment
unresponsive victim with no breathing,
used in managing airway in ACLS.
a healthcare provider should check a
b. False
pulse for no more than?
 First line medication given in asystole
a. 10 secs.
in ACLS
 Where is the brachial pulse located?
Epinephrine
c. Inside the upper arm
 Give 1 nursing consideration in oxygen
 What is the compression - ventilation
administration
ratio for 1 rescue infant CPR?
MONITOR OXYGEN SATURATION
a. 30 – 2
 Acronym PALS means
 You find an unresponsive victim
Pediatric Advance Life Support
without a pulse. You do not have a
After performing chest compressions
mask. What is the next step for an
the nurse identifies the rhythm as
untrained lay responder?
c. Begin CPR and perform mouth-to-
mouth and nose resuscitation.
 Where thus the infant's pulse assessed?
b. Brachial b. Asystole
 Choose the proper order of the infant  The shockable rhythms are the
chain of survival: following:
c. Recognition, Call EMS, CPR, b. Ventricular Tachycardia and
Defibrillate, Post-Cardiac Arrest Care Ventricular Fibrillation
 For infants, the depth of compression  ACLS is used by medical practitioners
is? in the hospital settings.
b. 1 1/2 inches TRUE
 Draw an imaginary line from nipple to
sternum and place your middle and Preparing Sterile Field, Major and
index finger, and perform Minor Instruments
compressions.
b. False  The nurse has created a sterile field
 If the casualty resumes normal with sterile dressings in preparation
breathing, carry or place him/her on for a client's wound care. While getting
lateral position and wait for ready to apply a dressing, the client
paramedics to arrive. moves his arm and touches the sterile
a. True (On recovery phase, the patient field. Which action by the nurse would
should be place on their left side or in be most appropriate?
lateral position to prevent aspiration.) ANSWER: Set up an entirely new
sterile field.
 When preparing a sterile field, which
action would be appropriate for the
nurse to take first?
ANSWER: Check the packages for
expiration date.
 It is used to clamp small blood vessels.
ANSWER: Mosquito
 A type of scissor used to allow deeper
penetration into the wound and often
used in cutting fascia.
ANSWER: Curve mayo scissor
 When setting up a sterile field, the
nurse opens a sterile package prepared
by the facility. Which action would the
nurse take first?
ANSWER: Unfold the top flap away
from the body.
 Which of the following structures is a
Hegar’s dilator used?
ANSWER: Cervix
 Which of the following is the use of
trocar and trocar cannula?
ANSWER: Port of entry to telescope
and other instruments
 The nurse has gathered several
individually packaged dressings for a
sterile dressing change. When adding
these dressings to the sterile field,
which action would the nurse take?
ANSWER: Peel the edges apart with
both hands
 This instrument is used for retracting
bladder during abdominal operations
like LSCS, abdominal hysterectomy ,
and laparotomy.
ANSWER: Doyens retractor
 When adding sterile items to a sterile
field, the nurse would drop the sterile
items from which height?
ANSWER: 6 in (15 cm)
 The nurse is opening a package
containing a sterile drape to establish a
sterile field. Which occurrence would
indicate that the nurse had
contaminated the sterile drape?
The nurse allows the drape to touch his
or her body.
 This instrument is used for grasping
the cervix (usually anterior tip of the
cervix is grasped). It is a long
instrument with gentle curve so that
the line of vision is not obstructed.
Tenaculum
 Which of the following procedures is
Ayre’s spatula used?
Pap smear
 The nurse is observing a sterile field
that was prepared by another staff
member. Which, if present, would
indicate that the sterile field is
contaminated?
Sterile drape positioned with the
moisture-proof side facing up
 Which of the following scalpels would
be used to cut skin?
 Which of the following instrument
classifications would Cusco speculum
fall?
Retracting and exposing
 Which of the following is the use of
Babcock?
Used for grasping tough structures like
Rectus sheath or fascia in operations
like tubectomy, LSCS and abdominal
hysterectomy.
 A rapidly absorbable suture (absorbed
in 7 days), yellow in color, used
sometimes for approximation of
subcutaneous fat.
Plain catgut
 A nurse is preparing a sterile field for a
dressing change using surgical aseptic
technique. The nurse gathers supplies
to prepare the sterile field using a
packaged drape. Which option correctly
describes how the nurse should set up
the field?
Avoid dropping sterile supplies close to
the 1-inch border around the drape.
 This is used for holding pedicles in
hysterectomy. Tips of the blades have teeth
so that the tissue does not slip. Blades can
either be straight or curved.
Ochsner or Kocher