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1.

Which of the following drugs should be discontinued in vomiting due to gastric irritation
a. Antacids
b. Omeprazole

c. NSAID
d. Metoclopramide

2. Drugs to be used with caution in suspected bowel obstruction


a. Prokinetic drugs
b. Hyoscine butyl bromide

c. Dexamethasone
d. Octreotide

3. Laxatives should routinely be prescribed while starting a strong opioid


a. True
b. False

c. Tralse
d. Only God knows

4. In complete bowel obstruction, prokinetic drugs should be given


a. True
b. False

c. Tralse
d. Only God knows

5. All are signs of delirium, except:


a. Acute onset
b. Decreased level of consciousness

c. No decrease in level of consciousness


d. None of the above

6. Which of the following is not mandatory to diagnose delirium?


a. Agitation
b. Drowsiness

c. Disturbance in comprehension
d. Decreased attention

7. All of the following statements about palliative care are true except:
a. Palliative care is patient care that optimizes quality of life by anticipating, preventing, and
treating suffering.
b. Palliative care only addresses the needs of the patient and does not address the family's needs.
c. The goal of palliative care is not necessarily to cure disease.
d. Palliative care can be delivered throughout the continuum of the illness, and not only at the endstage of life.
8. When prescribing drugs for pain management, one should follow the following aspects, except:
a. Should be given round the clock
b. Should preferably be given orally
c. Should be given when needed
d. Should increase type of pain medication when pain is worse
9. Madge is an 88 year-old with end stage colon cancer who is imminently dying. She has been
unresponsive for the past six hours, but is restless at times. She is still swallowing her secretions,
and sucks on the oral sponge when mouth care is provided. Prior to her change in status, she was
receiving Oxycontin 40 mg po q12 hr. In light of Madge's change in level of consciousness, what
changes should be made to her pain management regimen?
a. Convert to IV infusion
b. Convert to subcutaneous infusion

c. Convert to liquid dosing orally


d. Convert to intramuscular injection

10. Dina complains about nausea and vomiting. What non-pharmacological treatment may help?
a. Withhold all nutrition until the symptoms subside
b. Offer small sips of liquids and crackers.
c. Encourage the patient to try to continue to eat
d. Suggest that intravenous therapy may be necessary.
11. Which non-pharmacologic option may improve a patients appetite?
a. Small frequent meals
b. Mouth care prior to eating

c. Proper fitting dentures


d. All of the above

12. A patients caregiver reports that the patient has diarrhea. The caregiver also reports that it has been a week
since the patients last bowel movement. The nurse should consider which of the following potential causes?
a. Impaction
b. Obstruction

c. Food poisoning
d. Food intolerance

13. A patient has constipation secondary to narcotics. Treatment should include which of the following?
a. Oral bowel stimulants
b. Stool softener

c. Daily enemas
d. antiemetic

14. Patient has been using steroids for nausea. He complains of a sore tongue and on assessment, you
noted white patches on his tongue. Which drug will you anticipate to give for this patient as a result
of the side effect of steroids?
a. Antibiotic
b. Antiviral

c. Antifungal
d. Antihistamine

15. A patient with ascites is complaining of increasing shortness of breath. Which of the following may decrease the
ascites and ease the shortness of breath?
a. Paracentesis
b. Diuretic administration
c. IV fluids

d. Elevating the head of bead


e. A,B,D

16. A benefit of using a pain assessment tool (e.g., pain scale) in the palliative care patient is the ability
to:
a. Observe a trend in the patient's response to analgesic therapy
b. Treat the adverse effects of pain medications
c. Detect symptoms of drug withdrawal
d. Differentiate true pain from drug-seeking behavior
17. Principles of palliative care are:
a. Providing adequate analgesic, disease management, and place to die
b. Psychosocial care, symptom control, & disease management
c. Religious/spiritual support and psycho social care
d. Disease management, intensive care, & symptom control
18. Which among the following nursing diagnosis is appropriate for a patient with lymphedema?
a. Fluid volume deficit
b. Fluid volume excess

c. Decreased cardiac output


d. None of the above

19. When assessing a patient for edema. You noted that his skin had an indentation of 6mm which
disappeared in a minute, you score this as:
a. +3
b. +4

c. +2
d. +1

20. Which of the following diuretics will you anticipate to give to a patient suffering from congestive
heart failure?
a. Lasix
b. Loop diuretics

c. Spironolactone
d. None of the above

21. After giving diuretics, which is the most important nursing intervention you should observe?
a. Straining the urine
b. Monitor cardiac rate

c. Monitor respiratory rate


d. Monitor urine output

22. It is the accumulation of fluid within the abdominal cavity

a. Lymphedema
b. Ascites

c. Edema
d. Orthostatic hypotension

23. When using compressive stockings, when is the best time your patient should wear them?
a. Early morning just after getting up on
bed
b. At night before going to sleep

c. In the morning before getting up on


bed
d. Every after eating

24. It is characterized by weight loss and catabolism of adipose tissue and skeletal muscles
a. Cachexia
b. Anorexia
c. Cancer associated Anorexia/Cachexia Syndrome
d. Overnutrition
25. What should you watch out for in patients taking in progestational agents for anorexia?
a. Hypercalcemia
b. Congestive heart failure

c. Thromboembolic complication
d. None of the above

26. Which of the following measures can be tried in the management of opioid induced delirium?
a. Reduction of dose of morphine
b. Adding haloperidol

c. Adding midazolam
d. All of the above

27. Assessment of patients pain should be done objectively


a. True
b. False

c. Tralse
d. Only God knows

28. Antibiotics has no role in the control of pain as an adjuvant


a. True
b. False

c. Tralse
d. Only God knows

29. The following should be avoided in arm affected with lymphedema


a. Injection
b. BP checking

c. None of the above


d. All of the above

30. Compression bandages promote lymph flow


a. True
b. False

c. Tralse
d. Only God knows

31. Use of compression bandages should be avoided when patient has


a. Edema
b. Cellulitis

c. Lymphedema
d. None of the above

32. Which of the following is an appropriate intervention for edema?


a. Restrict sodium especially for patients with cardiac overload
b. Place patient in sitting or high Fowlers at all times
c. Instruct client to use compression stockings immediately after getting out of bed
d. None of the above
33. The client tells you he has not had any bowel movement in a week. When you auscultated his
abdomen, you noted absence of bowel sounds on the left upper quadrant. You suspect:
a. Partial obstruction
b. Complete obstruction

c. Diarrhea
d. All of the above

34. Which of the following medications will the nurse expect to give to a patient with bowel obstruction
inorder to control nausea and vomiting?
a. Dexamethasone
b. Metoclopramide

c. Haloperidol
d. Octreotide

35. The patient suspected with bowel obstruction reported vomiting few minutes after eating his lunch.
You suspect which of the following kinds of bowel obstruction?
a. Gastric outlet obstruction
b. Small bowel obstruction

c. Large bowel obstruction


d. Constipation

36. When bowel obstruction is caused by fecal impaction, which drug is best given to address the
problem?
a. Enemas and oral laxatives
b. Haloperidol

c. Buscopan
d. None of the above

37. It is a cognitive impairment with a sudden onset and fluctuating level of consciousness.
a. Dementia
b. Alzheimers disease

c. Delusion
d. Delirium

e.
38. No treatment is required in hypoactive hypoalert delirium so long as the onset is not sudden and
causes are ruled out.
a. True
b. False

c. Tralse
d. Only God knows

39. Delirium has an acute onset


a. True
b. False

c. Tralse
d. Only God knows

40. All of the following are interventions when dealing with patients with delirium except:
a. Providing a quiet, well-lit room, night light and visible clock and calendar
b. When patient becomes agitated, re-orient client
c. Provide structure and simple explanations
d. None of the above
41. Which of the following is the recommended diet for patients suffering from diarrhea
a. Apple, raspberry, rye, banana
b. Toast, pineapple, rice, banana

c. Banana, rice, apple, toast


d. None of the above

42. Enemas or any other rectal procedure are contraindicated in patients with:
a. Leokothrombocytopenia
b. Rectal tumors

c. Heart problems
d. All of the above

43. After undergoing flat plate of the abdomen, impacted stool is found in the ascending colon of the
patient, which intervention will you anticipate to do?
a. Administration of large volume enema
b. Administer methylnaltrexone

c. Administer sodium phosphate enema


d. Administer magnesium citrate

44. A client reports constipation after not having been able to move due to his terminal illness. He is
also unable to drink plenty of fluids due to his lack of appetite. Which among the interventions is
not correct in addressing clients constipation?

a. Offer fiber such as thick soup and


puree
b. Administer bulk laxatives such as
Metamucil

c. Encourage physical activity as


tolerated
d. None of the above

45. Constipation caused by continuous opioid use is classified as:


a. Primary
b. Secondary

c. Tertiary
d. Complicated

46. Which among the following is the best nursing consideration after giving sodium phosphate enema
in a constipated hemiplegic patient?
a. Weigh daily
b. Check electrolyte levels

c. Restrict fluids for 8 hours then resume


after
d. None of the above

47. A score of 7 in the abdominal flat plate assessment is indicative of moderate constipation.
a. True
b. False

c. Tralse
d. Only God knows

48. Nausea is an objective symptom involving an unpleasant feeling experienced at the back of the
throat or the stomach.
a. True

b. False

49. It is the rhythmic, labored, spasmodic movement of the diaphragm and abdominal muscle usually in
the presence of nausea.
a. Retching
b. Regurgitation

c. Nausea
d. Vomiting

50. Hypercalcemia can nausea and vomiting.


a. True

b. False

c.

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