Caregiving Exam

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C. 0.5 inches D. 1.

5 centimeters

5. Which of the following statements about Fever is not true?


A. Fever is a sign of illness
B. It is the same as pyrexia or hyperthermia
C. It is reflected through an increase of body temperature
D. It does not do anything to defend the body

COMPREHENSIVE EXAMINATION
6. A finding of 140/90 mmHg is indicative of:
NAME: A. Normal BP
SECTION: B. Hypertensive BP
C. Post Hypertensive BP
I. Multiple Choice. Put the letter of the correct answer before the D. Borderline Hypertensive BP
number.
7. To ensure the best reception of sound, the earpieces of the stethoscope should
1. The most appropriate definition of Vital Signs: follow the contour of the ear canal, pointing where?
A. Signs and symptoms of a disease A. Away from your face when the stethoscope is in place
B. An indication of basic body functioning B. Towards your face when the stethoscope is in place
C. A part of human composition C. Parallel to the temporal lobe of the head
D. Physiology and anatomy D. Perpendicular to the occiput

8. Not included in the parts of the sphygmomanometer.


2. Regulator of body temperature
A. Bell B. Cuff
A. Medulla B. Sebaceous glands
C. Bladder D. Bulb
C. Hypothalamus D. Wernicke's area
9. Acute pain and anxiety increase pulse rates because of what reason?
3. Considered the 5th vital sign:
A. Sympathetic nerves are suppressed
A. Height and weight B. Respiration
B. Parasympathetic nerves are suppressed.
C. Body mass index D. Pain
C. Parasympathetic nerves are stimulated
D. Sympathetic nerves are stimulated
4. When measuring the rectal temperature of an adult, how deep would the
thermometer probe be inserted into the rectum?
A. 1.5 inches B. 2.5 inches 10. Volume of pulse:

COMPREHENSIVE EXAMINATION – St. Augustine College of Nursing


A. Refers to amount of blood pushing against the artery of the On examination he was back to normal. The cardiovascular and neurological
wall with each beat examination were normal. Bloods and a 12-lead ECG were normal. What treatment
B. Amount of beats that the heart exerts every time we should be offered before discharge from hospital?
breath A. Carbemazepine B. Clonazepam
C. Amount of lubs and dubs that we hear every time we C. Leveteracitam D. Sodium valproate
expire and inspire
15. A 50-year-old businessman was admitted following several ‘out of body
D. Amount of blood that circulates through the cardio-
experiences’ that had concerned him enough to attend the Emergency Department.
pulmonary system He described several episodes of feeling not really there, during which he could not
speak and felt as if he was leaving his own body and observing the room from the
11. Endometrial Cancer is a type of CA that begins in the: outside. His wife noticed he went blank during these episodes. She also said that he
A. Uterus B. Endometrium had been under considerable stress with his work since a cycling accident one year
C. Ovaries D. Fallopian Tube ago during which he sustained a head injury. He had made a full physical recovery
but suffered from low mood. He did not take any regular medication.
12. The nature of Cancer is:
A. Iatrogenic B. Nosocomial On examination he was back to normal. The cardiovascular and neurological
C. Idiopathic D. NOTA examination was normal. Bloods and a 12-lead ECG were normal. A CT of the head
performed in the Emergency Department was unchanged from previous, showing
13. All but one are the signs and symptoms of Endometrial Cancer: an abnormality consistent with a previous contusion in the right temporoparietal
A. Bleeding between menstruations area. What is the most appropriate treatment?
B. Pelvic pain A. Carbemazepine B. Citalopram
C. Endometrial tenderness C. Counselling D. Leveteracitam
D. Vaginal bleeding after menopause
16. Which statement by a ptient who is scheduled for a needle biopsy of prostate
14. An 18-year-old University student was admitted to the Acute Medical Unit after indicates that the patient understands the purpose of a biopsy?
a tonic-clonic seizure that was witnessed by his girlfriend. While making breakfast in A. “the biopsy will tell the doctor whether the cancer has spread to my other
the kitchen, he was observed to let out a cry and then fall rigid to the ground, organs.”
followed by 30 seconds of jerking of the limbs. He bit the side of his tongue. He was B. “the biopsy will help the doctor decide what treatment is to be used for my
unresponsive for several minutes afterwards. His girlfriend called an ambulance. He enlarged prostate.”
had not had a seizure before, but she had noticed his right arm and head tended to C. “the biopsy will determine how much longer I have to live.”
twitch in the mornings, especially when he was tired. He had no past medical or D. The biopsy will indicate the effect of the cancer on my life.”
family history and was not taking any medication.
17. Hemiplegia is defined as:
A. Paralysis of both legs
B. Paralysis of one side of the body
COMPREHENSIVE EXAMINATION – St. Augustine College of Nursing
C. Paralysis of both arms
D. paralysis of the four limbs 22. What is the volume of milk formula to be consumed in one day?
A. 28.4 oz C. 26.4 oz
18. Which of the following blood tests is most indicative of cardiac damage? B. 32.4 oz D. 27.4 oz
A. Lactate dehydrogenase
B. Complete blood count (CBC) 23. Feeding bottles are usually calibrated in milliliters. Convert the infant’s volume
C. Troponin I of milk to be consumed in one day from oz to ml.
D. Creatine kinase (CK) A. 822 ml C. 820 ml
B. 821 ml D. 719 ml
19. What is the primary reason for administering morphine to a client with
myocardial infarction? 24. Infants should be fed 5 times a day. What is the infant’s approximate volume of
A. To sedate the client milk per feeding time?
B. To decrease the client's pain A. 5.3 oz C. 6.3 oz
C. To decrease the client's anxiety B. 5.5 oz D. 6.6 oz
D. To decrease oxygen demand on the client's heart
25. What is the infant’s approximate volume of milk per feeding time in milliliters?
20. A finding of 140/90 mmHg is indicative of: A. 156 ml C. 154 ml
A. Normal BP B. 165 ml D. 164 ml
B. Hypertensive BP
C. Post Hypertensive BP 26. Appropriate for full-term and pre-term infants having no special nutritional
requirements.
A. Soy-Based Milk
Dietary Requirements of Infants B. Milk Based Formula
According to Ricci and Kyle, infants from 1 to 6 months old need C. Standard Milk-Based Formula
approximately 108 kilocalories per kilogram of body weight. From 6 months to 1 D. Formula for Premature Infants
year old, they need approximately 98 kilocalories per kilogram of body weight. Fluid
requirement is at 100 ml/kg/day for first 10 kg, then 50 ml/kg/day for the next 10 27. Contains heat-treated cow’s milk protein (at reduced concentrations), lactose
kg. Moreover, standard infant formula based on cow’s milk provide 20 kcal/ounce. and minerals from cow’s milk, vegetable oils, minerals and vitamins.
Compute for the Dietary Requirements of each infant for Bottle Feeding. A. Soy-Based Milk
B. Milk Based Formula
I. Infant Weight: 5.6 – Infant Age: 4 months C. Standard Milk-Based Formula
D. Formula for Premature Infants
21. What is the caloric need of the infant for one day?
A. 549 Kcal C. 547 Kcal 28. Whole milk from which 60% of water content is removed so it has to be diluted
B. 548 Kcal D. 546 Kcal in equal amounts of water before using to restore the water removed in its
COMPREHENSIVE EXAMINATION – St. Augustine College of Nursing
processing, Because of the removal of water, it is concentrated, containing two
times more calories and protein than whole milk. 35. A structure of pituitary gland that is actually not a glandular tissue at all, but
A. Condensed Milk C. Skimmed Milk nervous tissue instead
B. Evaporated Milk D. Goat’s Milk A. Parathyroid Gland B. Adrenal gland
C. Hypothalamus D. Digestive
29. A whole milk or skimmed milk from which the water is completely evaporated. E. Posterior Pituitary F. Anterior Pituitary
Most infant formulas nowadays come in powdered forms
A. Cow’s Milk C. Goat’s Milk 36. It is the true glandular part of the pituitary gland
B. Evaporated Milk D. Dried Milk A. Parathyroid Gland B. Adrenal gland
C. Hypothalamus D. Digestive
30. An evaporated milk to which sugar has been added, it contains about 100 E. Posterior Pituitary F. Anterior Pituitary
calories per ounce.
A. Dried Milk C. Condensed Milk 37. Hormone that prevents water loss in the body by increasing the uptake of water
B. Powdered Milk D. Lactose-Free Milk in the kidneys and reducing blood flow to sweat glands
A. Oxytoxin B. ADH C. TSH
31. Small rounded mass, attached to posterior surface of thyroid gland D. ACTH E. FSH
A. Parathyroid Gland B. Adrenal gland
C. Hypothalamus D. Digestive 38. Cranial nerve number 5
E. Posterior Pituitary F. Anterior Pituitary A. Optic B. Occulomotor
C. Trochlear D. Trigeminal
32. These are pair of roughly triangular glands found immediately superior to the
kidneys 39. Part of the brainstem that controls respiration, HR, swallowing & vomiting
A. Parathyroid Gland B. Adrenal gland A. Midbrain B. Pons
C. Hypothalamus D. Digestive C. Medulla Oblongata D. Cerebellum
E. Posterior Pituitary F. Anterior Pituitary
40. Part of the renal system that the function is to separate urea, mineral salts,
33. Its function is control center and attached to roof of third ventricle,thalamus toxins and other waste products from the blood
A. Parathyroid Gland B. Adrenal gland A. Bowman’s Capsule B. Loop of Henle
C. Hypothalamus D. Digestive C. Renal Vein D. Renal Artery E. Kidneys
E. Posterior Pituitary F. Anterior Pituitary
41. Which of the following is NOT part of the tertralogy of Fallot?
34. Cholecystokinin, secretin, and gastrin are all produced by what system? A. Pulmonary infundibular stenosis
A. Parathyroid Gland B. Adrenal gland B. interventricular septal defect
C. Hypothalamus D. Digestive C. aorta arising from both ventricular cavities (dextroposition of the aorta)
E. Posterior Pituitary F. Anterior Pituitary D. hypertrophy of the right ventricular wall
COMPREHENSIVE EXAMINATION – St. Augustine College of Nursing
E. interatrial septal defect

42. The caregiver explained how to position an infant with tetralogy of Fallot if the
infant suddenly becomes cyanotic. The caregiver can determine the father
understood the instructions when he states "If the baby turns blue, I will
Increased mucus secretions
A. hold him against my shoulder with his knees bent up toward his chest."
produced by 47._________
B. lay him down on a firm surface with his head lower than the rest of his body."
C. immediately put the baby upright in an infant seat."
D. put the baby in supine position with his head elevated.

Inspiration: Expiration: bronchus


48._________ closes which increases
PATHOPHYSIOLOGY OF BRONCHIAL ASTHMA: Choose the letter of the correct slightly expands Intrathoracic Pressure –
answer from the box below the diagram. Produces: 49.__________
sound.

Antigen – Antibody
Reaction
If left untreated w/in 24 hrs or patient is
unresponsive to Treatment can lead to
Destruction of 50._____________________
43._____________

HYPOXIA then eventually may lead


44._________ to RESPIRATORY ARREST
goes out and
spreads inside
the body

Release of Chemical mediators :


45._________ - potent vasoconstrictor
46._________ - responsible for pain
More histamine
COMPREHENSIVE EXAMINATION – St. Augustine College of Nursing
54. Explosion, animal bites, mishandling of tools.
A. Puncture B. Abrasion C. Laceration
a. Prostaglandin
D. Avulsion E. Incision
b. Cardiac Cells 55. Sharp bladed instruments such as blades, razor.
c. Popping Sound A. Puncture B. Abrasion C. Laceration
d. Whistling D. Avulsion E. Incision
e. Schwann’s Cells 56. Deep and narrow, serious or slight bleeding
f. Status Asthmaticus A. Puncture B. Abrasion C. Laceration
g. Glial Cells D. Avulsion E. Incision
h. Bronchus 57. Shallow, wide, oozing of blood, dirty.
i. Progesterone A. Puncture B. Abrasion C. Laceration
j. Status Epilepticus D. Avulsion E. Incision
k. Respiratory Distress 58. Torn with irregular edges, serious or slight bleeding.
l. Goblet Cells A. Puncture B. Abrasion C. Laceration
m. Mast Cells D. Avulsion E. Incision
n. Lungs 59. Tissue forcefully separated from the body
o. Crackle Sound A. Puncture B. Abrasion C. Laceration
p. Rales D. Avulsion E. Incision
q. Leukotriene 60. Clean cut, deep, severe bleeding, wound is clean.
r. Wheezing A. Puncture B. Abrasion C. Laceration
s. Alveoli D. Avulsion E. Incision
t. Antigen

TRUE OR FALSE: Write TRUE if the statement is correct, and FALSE if


51. Penetrating pointed instruments such as nails, ice picks. the statement is wrong.
A. Puncture B. Abrasion C. Laceration
D. Avulsion E. Incision ________61. When it’s cold, your body tries to conserve heat. One way it does
52. Scrapping or rubbing against rough surfaces. that is by slowing down the flow of the blood to the farthest parts. That is when
A. Puncture B. Abrasion C. Laceration Emphysema happens.
D. Avulsion E. Incision
53. Blunt instruments such as sharpnel's rock, broken glasses. ________62. Secondary Raynaud’s is also called Raynaud’s Phenomenon.
A. Puncture B. Abrasion C. Laceration
D. Avulsion E. Incision ________63. Good leg goes to heaven, bad leg goes to hell.
COMPREHENSIVE EXAMINATION – St. Augustine College of Nursing
one-handed techniques, although limitations of range of motion and make it
________64. Carpal Tunnel Syndrome is a condition that involves pressure on a difficult to put the arms though sleeves or slip clothing of usual design over the
major nerve on the hand. feet.

________65. If Buerger’s disease worsens, blood flow to the arms and legs ________75. Use of assistive devices such as buttonhooks, long-handled
increases. reachers, and shoehorns often disable patients to dress themselves
independently
________66. COPD. Includes Diagnostic procedures such as: CHEST XRAY, CT
SCAN, ABG ANALYSIS, and Complete Blood Count ________76. Aside from mobility, the activities that must be performed to
achieve functional independence include hygiene, eating, dressing, and bowel
________67. 3 point gait is the most stable gait. and bladder control.

________68. 4 point gait is the fastest gait. ________77. Place wheelchair on Head of Bed with the footrest of the chair
faces the foot part of the bed.
________69. Functional Independence – capability of an individual of serving
the purpose for which he was designed – freedom of control, influence and ________78. For a patient who has lower extremity paraplegia, transfer to and
support his daily activities. from the bed by use of a wheelchair is convenient.

________70. Bed Mobility – the handicapped patients should be trained to shift ________79. For patients with hemiplegia or generalized weakness who has
about in bed, turn in both directions, sit erect in the long and short sitting head and trunk balance, the pivot transfer can be performed independently or
positions, and reach objects on the bedside table. with assistance of one person or with little effort.

________71. To improve the ability to transfer, exercises are directed ________80. Adaptations should enhance function without interfering with
particularly to the bones for shoulder depression, elbow extension, handgrip, independence.
hip extension and knee extension.
81. A type of very hard rock which feels cold when you touch it and shines when it is
________72. Physically disabled patients may be unable to feed themselves cut and polished.
adequately because of loss of grasp, range of motion, or coordination. A. Vinyl Flooring B. Marble
C. Terrazo D. Asphalt
________73. Bathing in the tub or shower requires the ability to transfer. A
stool in the tub or shower may make independent transfer easier, and it should 82. A kind of floor made out of PVC
have a nonskid mats or adhesive on the bottom for safety. A. Vinyl Flooring B. Marble
C. Terrazo D. Asphalt
________74. Clients should be evaluated for their ability to put on and take off
the usual type of clothing. No instances of dressing can be accomplished using 83. A metamorphic rock composed of recrystallized carbonate minerals
COMPREHENSIVE EXAMINATION – St. Augustine College of Nursing
A. Vinyl Flooring B. Marble
C. Terrazo D. Asphalt 91. It resembles acetate, but it is less sensitive to heat: this allows it to be
creased and crispy pleated, it is often used in jersey, textured knits and taffeta.
84. Made of marble chips and other fine aggregates on the surface of finished A. Rayon B. Modacrylic
concrete C. Triacetate D. Fiberglass
A. Vinyl Flooring B. Marble
C. Terrazo D. Asphalt 92. Is a strong, absorbent fabric, but it tends to lose strength when it is wet.
85. These tiles are particularly well suited for application to concrete floors on A. Spandex B. Rayon C. Cotton
grade, as they not affected by moisture. D. Wool
A. Asphalt B. Ceramic C. Wood
D. Linoleum E. Rubber 93. This fabric is wrinkle free and soil resistant, but they have poor resistant to
abrasion.
86. A tile made from clay that has been permanently hardened by heat, often having A. Fiberglass B. Nylon C. Acrylic
a decorative glaze. D. Silk
A. Asphalt B. Ceramic C. Wood
D. Linoleum E. Rubber 94. This fabric is extremely strong, lightweight, smooth and lustrous. They are
also non absorbent and have excellent wrinkle resistance.
87. Any product manufactured from timber that is designed for use as flooring, A. Modacrylic B. Wool C. Nylon
either structural or aesthetic. D. Acetate
A. Asphalt B. Ceramic C. Wood
D. Linoleum E. Rubber 95. Is made from cellulose and has silk-like appearance.
A. Acetate B. Cotton C. Wool
88. Floor covering made from renewable materials such as linoxyn, pine rosin, D. Nylon
ground cork dust, wood flour, and mineral fillers such as calcium carbonate.
A. Asphalt B. Ceramic C. Wood 96. Is a delight to wear, but requires special care. Most of these garments are
D. Linoleum E. Rubber marked “Dry- Clean only”.
A. Linen B. Acetate C. Rayon
89. Incredibly durable, soft to the touch and warm underfoot, making it the perfect D. Silk
choice for any home or commercial space.
A. Asphalt B. Ceramic C. Wood 97. Is strong, long wearing and absorbent. It will shrink and wrinkle unless it is
D. Linoleum E. Rubber given special treatment.
A. Spandex B. Cotton C. Linen
90. Have anti static property that makes it ideal for a computer shop. D. Wool
A. Asphalt B. Ceramic C. Wood
D. Linoleum E. Rubber
COMPREHENSIVE EXAMINATION – St. Augustine College of Nursing
98. Is highly resilient, absorbent, and shed wrinkles well but it will shrink and
mat if exposed to heat and rubbing.
A. Acetate B. Wool C. Acrylic D. Polyester 107. Food that prevent or heal Ulcers
A. Tomatoes B. Peppermint C. Mayonnaise D. Raw Honey
99. Is a fabric that is strong, resilient, wrinkle-resistant, colourfast, crisp and
hold pleats and creases well. 108. Food to Avoid if you have stomach ulcer
A. Polyester B. Acrylic C. Modacrylic A. Avocado B. Cabbage C. Brussels Sprouts D. Milk
D. Nylon
109. Ulcers that occur on the inside of the stomach.
100. Is a lightweight fibre that resembles rubber in durability. A. Gastric B. Duodenal C. Esophageal D. Mouth
A. Cotton B. Rayon C. Spandex
D. Polyester 110. May form if there is too much bilirubin.
A. Gallstones B. DM
101. Means the body does not make enough insulin to function. C. Acalculous Cholecystitis D. Acute Cholesystitis
A. Type 4 B. Type 3 C. Type 2
D. Type 1 TRUE OR FALSE: Write TRUE if the statement is correct, and FALSE if the statement
is wrong.
102. Happens when a person’s body does not respond well to insulin.
A. Type 1 B. Type 3 C. Type 2
D. Type 4 ________111. In positioning the client in bed, adjust the head of the bed to a
flat position, or as low as the patient can tolerate.
103. Also called End Stage Renal Disease
A. Liver Cirrhosis B. kidney failure ________112. Lock the wheels on the bed. Do not raise the side rails on the side
C. Heart Attack D. DM of the bed opposite you.

104. What food should we avoid in Kidney Problem Patients ________113. For bathing the patients in bed, remove the client’s gown while
A. High Fat B. High Calcium keeping the client covered with the bath blanket.
C. High Sugar D. High Oxalate
________114. Wash the face. Wash, rinse, and dry the client’s face, ears, and
105. Which of the following is NOT a warning Sign of Diabetes neck.
A. Fatigue B. Weight Gain
C. Frequent Urination D. Excessive Thirst ________115. Wash the arms and hands. Place a towel crosswise under the
arm away from you.
106. Foods should be heated until they reach and maintain ____C or above
A. 70 B. 80 C. 90 D. 100
COMPREHENSIVE EXAMINATION – St. Augustine College of Nursing
________116. Wash the chest and abdomen. After rinsing the chest and
abdomen, replace the bath blanket towards when the areas are wet.

________117. Perineal/Genital Care. For Females, Cover her body and face
with the bath blanket.

________118. Perineal/Genital Care. For Males, position the male client in a


dorsal recumbent position with knees flexed and hips externally rotated.

________119. Oral Care. For unconscious patients, use a cotton-tipped


applicator moistened in water based mouthwash. “The greatest glory in living rises not in never
________120. Shampooing. Apply shampoo to the scalp. Make a harsh lather
falling. But in rising every time we fall.”
with the shampoo while intensely massaging the scalp to eliminate germs.
-Nelson Mandela

COMPREHENSIVE EXAMINATION – St. Augustine College of Nursing

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