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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
PART IX
REVIEW BULLETS
MS SIGNS AND SYMPTOMS
Which symptom is related to loss of fluid due to profuse
diarrhea?
Flushed dry skin Common sign of cardiac valvular disease:
Nocturnal dyspnea Common sign of hypoxia:
Restlessness Early sign of thyroid crisis after a thyroidectomy:
Tachycardia
Most common complain of patients with Crohn’s
disease:
Crampy abdominal pain Manifestation of duodenal ulcer:
Pain relieved after eating Common manifestation of BPH:
Nocturia In liver cirrhosis, there is a deficiency of vitamin K, which
symptom is related to this deficiency:
Ecchymosis
Typical symptom of pernicious anemia
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The ABC’s of PASSING FOREIGN NURSING EXAMS……………...As prepared by R.A. Gapuz
Beefy red tongue In patients with elevated serum ammonia, the nurse will
note:
Flapping tremors In patients with chest trauma there is:
Mediastinal shift CVP that is continuously elevated, the nurse should
observe for :
Distended jugular vein Manifestation of mastitis:
Pain and fever Manifestation of meningitis:
Resistance to neck flexion (+) brudzinski’s sign Manifestation on Coarctation of aorta:
Lower blood pressure in the lower extremities and high blood pressure in the upper extremities
Manifestation of cholelithiasis:
Yellowish sclera Manifestation of laryngeal edema:
Inspiratory stridor Early sign of hepatic encephalopathy:
Personality changes Manifestation of shaken baby syndrome:
Retinal hemorrhage Manifestation of Iron deficiency anemia:
Pallor of the mucus membrane
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
Manifestation of pyloric stenosis:
Projectile vomiting Sign of increased ICP:
Widening pulse pressure Manifestation of bleeding post tonsillectomy:
Frequent swallowing Manifestation of DKA:
Fruity breath odor Sign of hyperthyroidism:
Loss of weight Manifestation of meniere’s disease:
Vertigo- described as “the room is spinning” Sign of myasthenia gravis:
Ptosis Sign of dehydration in one month old, infant:
Sunken eyeballs Sign of cataract:
Blurring of vision Sign of cancer of the esophagus:
Dysphagia Sign of end stage renal disease:
Nausea and vomiting Sign of salmonella food poisoning:
Diarrhea
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The ABC’s of PASSING FOREIGN NURSING EXAMS……………...As prepared by R.A. Gapuz
THERAPEUTIC DIETS A patient is given instruction about his bland diet,
additional health teaching would be needed if the patient
tolerated which of the following foods:
Lettuce and tomato salad Which of the following is highest in protein content:
Baked custard Which of the following has the least sodium content:
Apple juice An adolescent on a regular diet refused to eat her
breakfast, she tells the nurse that she wants the pizza
brought by her parents last night, what should the nurse
do:
Let her eat the pizza In a patient with cystic fibrosis, the appropriate diet is:
High sodium, high calorie, low fat Low sodium diet is indicated for a patient with congestive
heart failure. What should the nurse assess during
admission:
Diet history In cirrhosis of the liver, the appropriate diet is:
Low protein In patient with hyperthyroidism which diet is indicated:
High calorie
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
In a patient receiving Lasix, the appropriate nursing
intervention is to serve food which are high in:
Potassium
In a patient with peptic ulcer, which statement indicates
that he understood the instruction:
“I will have small frequent meals during the day.” Patient was diagnosed with diverticulitis, which
statement indicates needs for further assessment:
“I love vegetable salad as my dessert.” A patient with renal failure should not be given which of
the following:
Canned vegetables For a patient with hypertension which type of diet is
appropriate:
Low sodium, low cholesterol diet For a patient with Meniere’s disease which is the
appropriate diet
Low sodium In a manic patient which of the following can be given:
Meat sandwiches High fat low cholesterol dry is indicated for:
Dumping syndrome
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The ABC’s of PASSING FOREIGN NURSING EXAMS……………...As prepared by R.A. Gapuz
POSITIONING Right side lying position:
Indicated for right pneumonectomy Post supratentorial craniotomy patient should be
positioned in:
Low fowler’s How should the patient with rales at the left lower lobe of
the lungs be positioned for chest drainage:
Right side with hips slightly higher than the head When inserting a central venous catheter, the patient
should be placed in which position:
Trendelenburg How should the nurse position a patient who is
suspected to be in hypovolemic shock:
Flat with legs slightly elevated Immediately after supratentorial craniotomy, in what
position should the patient be placed:
Semi-Fowler’s After surgery for hip dislocation, a patient is discharged
from the hospital, which statement made by the patient
would indicate a need for further instructions:
“I will make sure to separate my legs when I bend to tie my shoelaces.”
A patient should be positioned after cataract extraction,
on the unoperative side, in order to:
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
minimize edema Trendelenburg is the position of choice for cardiac
catheterization in order to:
Prevent air embolism How should the nurse position a patient who is to
undergo thoracentesis:
Sitting with his arms resting on the overbed table Which position is contraindicated in a patient after
femoro-popliteal bypass:
Side-lying After liver biopsy was done, which of the following
should be included in the patients’ care plan:
Turn the patient on his abdomen with small pillow under the sub-coastal area
PHARMACOLOGY
Accutane causes:
Birth defects A common adverse effect of allopurinol is:
Agranulocytosis The therapeutic level of Aminophylline is:
10 -20 mg/dl Amphogel is given to a patient with renal failure in order
to:
Facilitate the excretion of phosphorus
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The ABC’s of PASSING FOREIGN NURSING EXAMS……………...As prepared by R.A. Gapuz
Antabuse acts to cause an unpleasant reaction when
combined with:
Alcohol The desired effect of aspirin in a patient with rheumatic
fever is:
Anti-inflammatory Atrophine sulfate causes facial flushing because of:
Dilation of peripheral blood vessels Treatment with AZT begins when CD4 cell count is:
Below 300 In a preterm delivery Celestone, is administered how
many hours before delivery:
48 hours, to promote fetal lung maturity In a patient taking Coumadin, the nurse should monitor
the patient’s:
Prothrombin time A patient who is taking Dalmane (anti-anxiety) should:
Avoid alcohol and caffeine Diabinase acts to stimulate the pancreas to:
Secrete insulin The purpose of giving Diamox in a patient with glaucoma
is to:
Decrease IOP The antidote of Lanoxin is:
Digibind
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
A common side effect of Dilantin is:
Gingivitis Elavil causes:
Tachycardia Epogen is administered in a patient with renal failure in
order to:
Increase RBC production Ferrous sulfate is best taken with:
Orange juice Gentamicin causes:
Ototoxicity, nephrotoxicity and neurotoxicity Haldol decreases:
Hallucinations Heparin prolongs:
Partial thromboplastin time INH is given with vitamin B6 in order to prevent:
Peripheral neuritis Kwell is administered for how many times:
Not more than twice in a week Lasix causes:
Hypokalemia The therapeutic level of lithium is:
.5 – 1.5 mEq/L The antidote of magnesium sulfate is:
Calcium gluconate
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The ABC’s of PASSING FOREIGN NURSING EXAMS……………...As prepared by R.A. Gapuz
Mannitol is given to a patient with cerebral edema in
order to:
Decrease IOP Mestinon is the drug of choice for:
Myasthenia gravis Morphine is not given to a patient with pancreatitis
because:
It increases the spasms of the sphincter of Odi thereby aggravating pain
Nardil causes:
Hypertensive crisis Neomycin sulfate is administered before bowel surgery
in order to:
Decrease bacterial flora in the intestine Burning sensation under the tongue after sublingual
nitroglycerine indicates:
Potency of the drug Pancreatin is best given with:
Each meal Probenecid is given in gouty arthritis in order to
Promote excretion of uric acid PTU causes:
Agranulocytosis Rhogam is administered when a baby is :
Rh+ Coombs (-)
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
Ritalin causes:
Growth suppression Robaxin is given post-spinal fusion in order to:
Decrease muscle spasm Streptomycin causes:
Ototoxicity, nephrotoxicity and neurotoxicity For how long should a patient take synthroid?
Lifetime Tagamet is best taken:
With meals Timolol maleate (Timoptic) is administered in the:
Lower conjunctival sac Tofranil causes:
Tachycardia / palpitation MMR is not given to a child who has an:
Allergy to eggs Valium should always be given separately because it is:
Incompatible with any drug Vancomycin is the drug of choice for:
MRSA (Methicillin Resistant Staphylococcus Aureus)
Yutopar is given to treat:
Preterm labor In a patient taking synthroid, which of the following
symptoms needs to be reported to the doctor?
Change in energy level.
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The ABC’s of PASSING FOREIGN NURSING EXAMS……………...As prepared by R.A. Gapuz
A nursing diagnosis for a patient on a long term steroid
therapy?
Risk for injury. The best site to administer vitamin K is the:
Vastus lateralis muscle. Eye ointment is applied at the:
Lower conjunctival sac. Analgesics should be given around the clock in patients
with:
Cancer To prevent the loss of calcium in the bones of a patient
with hyperparathyroidism, the nurse will anticipate the
doctor will order:
CALCITONIN
Decreased tolerance to narcotics is usually common
among:
The elderly. The appropriate nursing action when a doctor orders
enteric coated medication in a patient with gastrostomy
is to:
Request for a change in form. To facilitate the removal of potassium from the large
intestines, the nurse would anticipate the doctor to order:
Kayexalate.
When a patient with Parkinson’s disease who is taking
levodopa losses his appetite, the nurse should:
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
Report the symptom to the doctor. Which statement of a parent is indicative of digoxin
toxicity in her child?
“My daughter does not seem to be hungry most of the time.”
In a burn patient the best way to administer the correct
dosage of narcotic is thru a:
Pump. Which of the following drugs is contraindicated in a
patient with shock:
Propanolol. A common sign of gonorrhea is:
Pain on voiding. Oxytocin infusion is terminated in a patient in labor if:
The patient’s contraction lasts 100 seconds or more. Pancrease is given to a patient with cystic fibrosis in
order to:
Increase absorption of nutrients.
PROCEDURES
Which indicates arterial occlusion in the lower
extremities?
Lack of hair in the legs.
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The ABC’s of PASSING FOREIGN NURSING EXAMS……………...As prepared by R.A. Gapuz
Which of the following findings needs re-evaluation in a
patient with water seal drainage system?
The third rod in the third bottle is immersed in 25 cm of water.
Itching experienced by a patient during intravenous
pyelogram indicates:
Anaphylaxis Which statement indicate an understanding of the
instruction when preparing a patient for thoracentesis?
I will sit on the side of the bed with my arm resting on an overbed table.
To check if the lungs of the patient with a three bottle
chest drainage system has re-expanded, the nurse will
anticipate that the doctor will order:
Chest x-ray. ECT is indicated in major depression to:
Decrease the symptoms of depression. When dislodge of the chest tube of a patient with a chest
drainage system occurs, the nurse should initially:
Cover the chest wound with a vaselinized gauze. When a patients’ nasogastric tube is suctioned, there is
a risk for:
Metabolic alkalosis. Oxygen therapy is effective:
O2 saturation is 96%.
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
Which patient statement indicates understanding of the
procedure involved in the use if an incentive spirometer:
“I will take a slow deep breath into the mouthpiece of the spirometer then exhale.”
The best time to perform a postural drainage is:
Before meals. A male patient understands the procedures involved in
cystoscopy if he says:
A tube will be passed through the penis into the bladder to visualize the interior wall of the bladder.
INTEGRATED
A patient with diabetes mellitus should be referred to an:
Opthalmologist. The mother of a hospitalized two-year-old child tells the
nurse, that she will go home for a while. What should the
nurse ask the child?
“Did you tell the child that you are going home?” Which statement made by a patient child is diagnosed
with PKU, indicates an understanding of the disease:
“I’m glad that we live in a community having a program about mentally retarded children.”
To promote drying of a cast, the nurse should:
Turn the patient frequently.
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The ABC’s of PASSING FOREIGN NURSING EXAMS……………...As prepared by R.A. Gapuz
To check if an adolescent has scoliosis, instruct the
nurse to:
Observe the patients back as she bends over. To increase the self esteem of a patient with anorexia,
the nurse should refer the patient for:
A one on one counseling. Which intervention is appropriate when a child is
suffering from lead poisoning:
“Assess the child’s development every month.” A depressed patient who is slow moving doesn’t want to
eat his meal. Which response is appropriate for the
nurse to say:
“It’s lunchtime, I’ll accompany you to the dining room.”
A depressed patient tells the nurse that she can’t walk
because her legs are too weak. What should the nurse
do initially?
Determine the cause of the patient’s complaint. A common sign of leukemia is:
Fever. To prevent suicide in a depressed patient, the nurse
should:
Visit in addition to the scheduled activities of care. Herbal antidepressant, which is contraindicated in
pregnancy?
St. John’s wort.
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
When Asians nod, it means:
They understand instructions. A 14-year-old pregnant patient is prone to develop:
Iron deficiency anemia. Simean crease in a neonate could be indicative of:
Congenital heart defect. In a patient with manifestations of hypovolemic shock,
the best position is:
Supine with the legs elevated. Which statement of a staff nurse is indicative of a
positive outcome of conflict resolution?
“I am willing to hear feedback from my head nurse without taking it personally.”
Cushing’s syndrome can cause:
Metabolic alkalosis. Diabetes mellitus can cause:
Metabolic acidosis. Collection of fluids in the pleural space leads to:
Pleural effusion. The best room for a manic patient is:
A room with subdued lighting and neutral colon. When a depressed patient gave away her wedding ring
to another patient, the nurse should:
Report it to the doctor. Excessive facial hair is indicative of:
Cushing’s syndrome.
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The ABC’s of PASSING FOREIGN NURSING EXAMS……………...As prepared by R.A. Gapuz
In a patient with multiple myeloma. The priority nursing
diagnosis is:
Risk for injury. Buck’s traction is applied to a patient with fracture in
order to:
Decrease muscle spasm. A late sign of lead poisoning is:
SEIZURE. Cancer of the larynx is usually associated with:
Alcoholism. Which statement of a patient with ulcerative colitis
reflects a need for further instruction?
“I’m not expecting for a possibility of future surgery.”
If the environmental temperature is 26 °C and an old
man wears a suit and a topcoat, this indicates:
Impaired judgment. When a patient attempts to give $100 to a nurse, the
best response of the nurse is:
“Thank you, but I can not accept it.” The appropriate diet for a patient with Hepatitis A is:
High protein, high calorie. Example of a high protein diet:
Fruit salad and yogurt. In a patient admitted for overdose of pills, which question
should the nurse ask the patient?
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
What makes you feel that you want to take your life? A possible complication of thoracic surgery is:
Mediastinal shift. To prevent easy transfer of infection, the nurse should
perform:
Handwashing. In a patient with mitral valve disease. The appropriate
nursing diagnoses is:
Fluid volume excess. The development of peptic ulcer disease is related to:
Helicobacter pylori infection. Which statement made by a patient post cataract
extraction indicates an understanding of the surgical
intervention?
“The surgery will allow light rays to enter my eyes.” Which statement made by a patient with cystitis
indicates correct understanding of the health teachings
for prevention of recurrence?
“I will take a bath in a shower rather than in a bath tub.”
Post open heart surgery, the priority for the patient is:
Oxygenation. Which question is appropriate to ask a patient who is
admitted with alcoholism.
“When was your last drink.”
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The ABC’s of PASSING FOREIGN NURSING EXAMS……………...As prepared by R.A. Gapuz
After abdominal surgery, the patient passes out flatus,
which activity is appropriate for the nurse to implement?
Ambulate the patient. A statement of a patient with anxiety that indicates panic
is:
“I feel like I’m losing control.” An elevated BP in a patient post liver transplant is
indicative of:
Transplant rejection. To prevent escalation of anxiety of an obsessive-
compulsive patient, the nurse should:
Allow the patient to perform the ritual. What is the purpose of the hot sitz bath in a patient with
herpes zoster?
To promote comfort. A systemic disorder affecting the connective tissues of
the joint is:
Rheumatoid arthritis. A common complication of endometriosis is:
Infertility. In a patient with anorectal fistula, the goal of care is to:
Maintain body weight. When admitting a patient with history of suicide, the
nurse should initially:
Make a safety contract.
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
Therapeutic interventions for a patient with hiatal hernia
is effective, when the patient says:
“I don’t have heartburn anymore.” A common sign of esophageal varices is:
Hematemesis. A psychiatric patient says, “I don’t want to take pills, you
are poisoning me.” The most appropriate response of
the nurse is:
“It seems very frightening when you think someone is trying to hurt you?”
The treatment goal for a patient with conduct disorder is
to:
Increase the patient’s internal locus of control. A common sign of alcohol withdrawal is:
Tachycardia and agitation. A common finding in the history of a patient with mitral
valve disease is:
Sore throat. When providing health teaching to a patient regarding
colostomy irrigation, the nurse should consider:
The patient’s previous elimination pattern. Which statement if made by a patient with diabetes
mellitus reflects a need for further instructions:
“I will increase my insulin before exercise.” Tardive dyskinesia is manifested by:
Lip grimacing and tongue protrusion.
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The ABC’s of PASSING FOREIGN NURSING EXAMS……………...As prepared by R.A. Gapuz
A common sign of end stage renal disease is:
Vomiting. An appropriate solution to use when performing oral care
is:
Hydrogen peroxide. Common cause of mortality in twins:
Prematurity. Which manifestation is abnormal in a 7-month-old child:
Head lag. Which statement of a pediatric patient indicates
understanding of instruction related to cast care?
“I will tell mother if my toes tingle.” The pain experienced by a patient with ectopic
pregnancy is:
Intermittent stabbing knife like abdominal pain. A three-month-old child with 45 cm. Head circumference
and bulging fontanel is suspected to be suffering from:
Increased intracranial pressure. An 18-month-old child who is still bottle fed is prone to
develop:
Iron deficiency anemia. Newborns from diabetic mothers will usually exhibit:
Tremors. In a 10-month-old child with head injury, the appropriate
position for the patient is:
Semi-sitting.
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The ABC’s of PASSING FOREIGN NURSING EXAMS…………...…As prepared by R.A. Gapuz
An 8-year-old with white specks on the shaft of her hair is a
suspected case of:
Pediculosis. During admission assessment a nurse finds that a child has
welts and bruises at the back and the shoulder’s. The nurse
should:
Report the case to the child abuse authority. A child should use the child seatbelt at the back center seat
until there is:
Head control. To prevent the development of dental caries in children, the
nurse should instruct the mother to:
Avoid giving juices while the child is bottle fed at night. An appropriate play material for a 1-month-old child:
Large picture books. Dark spots near the buttocks of an African-American patient is
considered:
Normal. A common finding in an 8-month-old child is:
Ability to sit without support. An 8-month-old child was admitted due to projectile vomiting,
which other symptoms supports a diagnosis of pyloric
stenosis?
Possible gastric peristaltic waves. The mother of a child with PKU makes the following
statements, which one indicates a need for further instruction:
“My child loves to drink milkshake.”
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