Question

SITUATION: Nurse Christan preparing the entire employee of SMMPH for their Annual Physical E Assesment.

1. When assessing abdomen, Nurse Christian should place the patient in which of the following position?

1. Supine
2. Supine with knees flexed
3. Side rail
4. Sims

2. Nurse Christian recognizes that physical inspections should be completed in what order?

1. Inspection, palpation, percussion, and auscultation.
2. Inspection, ausculataion, percussion, and palpation.
3. Auscultation, inspection, palpation, and percussion.
4. Percussion, auscultation, inspection, and palpation.

3. Which of these methods should Nurse Christian use to test gag reflex?

1. Request the patient to speak.
2. Have the patient stick out his tongue and move it from side to side.
3. Touch the back of the throat with a cotton- tipped applicator.
4. Instruct the patient to drink a small amount of water.

4. Nurse Christian knows that the equipment to gather data about the ear and hearing include:

1. A tuning fork and an otoscope.
2. A tonometer and an opthalmoscope.
3. An otoscope and a sphygmomanometer.
4. A percussion hammer and a stethoscope.

5. Nurse Christian knows that the average pulse range for an adult is:

1. 40- 60 bpm.
2. 60- 80 bpm.
3. 60- 100 bpm.
4. 70- 110 bpm.

SITUATION: AJ 47- years- old is admitted with a disgnosis of possible gastric ulcer.

6. Mr. AJ undergoes gastric endoscopy. When may food and fluids be given following this assesment?

1. Upon clients request
2. Within 30 minutes after the test
3. When the gag reflex returns
4. As soon as the client returns to the ward

7. The physician order guiac tests of all stools tpo determine the presence of:

1. Hydrochloric acid
2. Undigested food
3. Occult blood
4. Inflammatory cells

8. When Mr. AJ requests a cigarette, the best response of the nurse would be which of the following:

1. One cigarette a day is all that is permitted
2. Nicotine increases gastric acid and lessen stomach activity
3. Nicotine increases gastric acid and stomach activity
4. Cigar are less harmful than cigarettes

9. Drug of choice for Gastric ulcer:

1. Paracetamol Biogesic
2. Ceftazidime (Fortum)
3. Ranitidine (Zantac)
4. Meropenem (Meronem)

10. Mr. AJ is advised by Dr. Charles Ian not to drink coffee. The nurse explains that coffee:

1. Increases mental stress
2. Increases smooth muscle tone
3. Stimulates gastric acid secretions
4. Elevates systolic BP

Answer 1

answers for the following questions are

Question 1 - answer is a. supine position

Question 2 - answer is b.

The physical examination techniques is as follows (Inspect – Palpation – Percussion - Auscultation) except for the abdomen which is Inspect – Auscultation – Percuss – Palpate. here nurse is inspecting abdomen hence answer is b

Question 3 - answer is c. Touch the back of the throat with a cotton- tipped applicator.

Question 4 - answer is a. A tuning fork and an otoscope.

Question 5 - answer is c. 60- 100 bpm

Question 6 - answer is c - When the gag reflex returns

Question 7 - answer is c - Occult blood

Question 8 - answer is c - Nicotine increases gastric acid and stomach activity

Question 9 - answer is c - Ranitidine (Zantac)

Question 10 - answer is c - Stimulates gastric acid secretions