Smu Funda Funda 6

7/17/2019 Smu Funda Funda 6

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1. Oxygenation2. Nutrition

1. Which one of the following is NOT a function of the Upper airway?

A. For clearance mechanism such as coughing. Transport gases to the lower airways!. Warming" Filtration an# $umi#ification of inspire# air %. &rotect the lower airway from foreign mater

2. 't is the hair the lines the (esti)ule which function as a filtering mechanism for foreign o)*ects

A. !ilia. Nares!. !arina%. +i)rissae

,. This is the paranasal sinus foun# )etween the eyes an# the nose that exten#s )ac-war# into the s-ull

A. htmoi#. /phenoi#!. 0axillary%. Frontal

. Which paranasal sinus is foun# o(er the eye)row?

A. htmoi#. /phenoi#!. 0axillary%. Frontal

. 3ene %e +onne 4atrouchuacheulu*i-i wants to change her surname to something shorter" The court #enie# herre5uest which #epresses her an# fin# herself )inge eating. /he acci#entally aspirate a large piece of nut an# it passesthe carina. &ro)a)ilty wise" Where will the nut go?

A. 6ight main stem )ronchus. 7eft main stem )ronchus!. e #islo#ge# in )etween the carina

%. e )loc-e# )y the close# epiglottis

8. Which cell secretes mucus that help protect the lungs )y trapping #e)ris in the respiratory tract?

A. Type ' pneumocytes. Type '' pneumocytes!. 3o)let cells%. A#ipose cells

9. $ow many lo)es are there in the 6'3$T 7UN3?

A. One. Two!. Three%. Four

:. The presence of the li(er causes which anatomical #ifference of the 4i#neys an# the 7ungs?

A. 7eft -i#ney slightly lower" 7eft lung slightly shorter . 7eft -i#ney slightly higher" 7eft lung slightly shorter !. 6ight -i#ney lower" 6ight lung shorter %. 6ight -i#ney higher" 6ight lung shorter

;. /urfactant is pro#uce# )y what cells in the al(eoli?

A. Type ' pneumocytes. Type '' pneumocytes!. 3o)let cells



%. A#ipose cells

1<. The normal 7=/ 6atio to consi#er the new)orn )a)y (ia)le is

A. 1=2. 2=1!. ,=1%. 1=,

11. 6efers to the extra air that can )e inhale# )eyon# the normal ti#al (olume

A. 'nspiratory reser(e (olume. xpiratory reser(e (olume!. Functional resi#ual capacity%. 6esi#ual (olume

12. This is the amount of air remaine# in the lungs after a forceful expiration

A. 'nspiratory reser(e (olume. xpiratory reser(e (olume!. Functional resi#ual capacity%. 6esi#ual (olume

1,. !asssan#ra" A 22 year ol# gra#e Agnostic" As-e# you" how many spi-es of )ones are there in my ri)s? >our )est

response is which of the following?

A. We ha(e 1, pairs of ri)s !assan#ra. We ha(e 12 pairs of ri)s !assan#ra!. $umans ha(e 18 pairs of ri)s" an# that was note# )y +esalius in 1,%. $umans ha(e : pairs of ri)s. of which are floating

1. Which of the following is consi#ere# as the main muscle of respiration?

A. 7ungs. 'ntercostal 0uscles!. %iaphragm%. &ectoralis ma*or

1. !assan#ra as-e# you = $ow many air is there in the oxygen an# how many #oes human re5uires? Which of thefollowing is the )est response =

A. 3o# is goo#" 0an re5uires 21 of oxygen an# we ha(e 21 a(aila)le in our air . 0an re5uires 18 of oxygen an# we ha(e , a(aila)le in our air !. 0an re5uires 1< of oxygen an# we ha(e < a(aila)le in our air %. $uman re5uires 21 of oxygen an# we ha(e 21 a(aila)le in our air

18. Which of the following is T6U a)out xpiration?

A. A passi(e process. The length of which is half of the length of 'nspiration!. /tri#or is commonly hear# #uring expiration%. 6e5uires energy to )e carrie# out

19. Which of the following is T6U in postural #rainage?

A. &atient assumes position for 1< to 1 minutes. /houl# last only for 8< minutes!. %one )est &.!%. An in#epen#ent nursing action

1:. All )ut one of the following is a purpose of steam inhalation

A. 0ucolytic. Warm an# humi#ify air !. A#minister me#ications%. &romote )ronchoconstriction

1;. Which of the following is NOT T6U in steam inhalation?



A. 't is a #epen#ent nursing action. /pout is put 12@1: inches away from the nose!. 6en#er steam inhalation for atleast 8< minutes%. !o(er the clients eye with wash cloth to pre(ent irritation

2<. When shoul# a nurse suction a client?

A. As #esire#. As nee#e#!. (ery 1 hour %. (ery hours

21. rnest Arnol# $amilton" a 8< year ol# American client was mo))e# )y teen gangsters near New yor-" !u)ao. $ewas rushe# to Bohn Bohn $opio 0e#ical !enter an# was Unconscious. >ou are his nurse an# you are to suction hissecretions. 'n which position shoul# you place 0r. $amilton?

A. $igh fowlers. /emi fowlers!. &rone%. /i#e lying

22. >ou are a)out to set the suction pressure to )e use# to 0r. $amilton. >ou are using a Wall unit suction machine.$ow much pressure shoul# you set the (al(e )efore suctioning 0r. $amilton?

A. <@; mm$g. 2<<@,< mm$g!. 1<<@12< mm$g%. 1<@1 mm$g

2,. The wall unit is not functioningC >ou then try to use the porta)le suction e5uipment a(aila)le. $ow much pressure ofsuction e5uipment is nee#e# to pre(ent trauma to mucus mem)rane an# air ways in case of porta)le suction units?

A. 2@ mm$g. @1< mm$g!. 1<@1 mm$g%. 1@2 mm$g

2. There are four catheter siDes a(aila)le for use" which one of these shoul# you use for 0r. $amilton?

A. Fr. 1:. Fr. 12!. Fr. 1<%. Fr"

2. Which of the following" if #one )y the nurse" in#icates incompetence #uring suctioning an unconscious client?

A. 0easure the length of the suction catheter to )e inserte# )y measuring from the tip of the nose" to the earlo)e" to thexiphoi# process. Use 4> Belly if suctioning nasopharyngeal secretion!. The maximum time of suctioning shoul# not excee# 1 secon#s%. Allow ,< secon#s inter(al )etween suctioning

28. Which of the following is the initial sign of hypoxemia in an a#ult client?

1. Tachypnea2. Tachycar#ia,. !yanosis. &allor . 'rrita)ility8. Flaring of Nares

A. 1"2. 2"!. 2"8%. ,"

29. Which metho# of oxygenation least li-ely pro#uces anxiety an# apprehension?



A. Nasal !annula. /imple Face mas-!. Non 6e)reather mas-%. &artial 6e)reather mas-

2:. Which of the following oxygen #eli(ery metho# can #eli(er 1<< Oxygen at 1 7&0?

A. Nasal !annula. /imple Face mas-!. Non 6e)reather mas-%. &artial 6e)reather mas-

2;. Which of the following is not true a)out OE>3N?

A. Oxygen is o#orless" tasteless an# colorless gas.. Oxygen can irritate mucus mem)rane!. Oxygen supports com)ustion%. xcessi(e oxygen a#ministration results in respiratory aci#osis

,<. 6o)erto /an An#res" A new nurse in the hospital is a)out to a#minister oxygen on patient with 6espiratory #istress. As his senior nurse" you shoul# inter(ene if 6o)erto will=

A. Uses (enture mas- in oxygen a#ministration

. &ut a non re)reather mas- in the patient )efore opening the oxygen source!. Use a partial re)reather mas- to #eli(er oxygen%. !hec- for the #octors or#er for Oxygen a#ministration

,1. Which of the following will alert the nurse as an early sign of hypoxia?

A. !lient is tire# an# #yspneic. The client is coughing out )loo#!. The clients heart rate is < &0%. !lient is fre5uently turning from si#e to si#e

,2. 0iguelito #e )al)oa" An OFW presents at the a#mission with an A=& %iameter ratio of 2=1" Which of the followingassociate# fin#ing shoul# the nurse expect?

A. &ancytopenia. Anemia

!. Fingers are !lu)@li-e%. $ematocrit of client is #ecrease#

,,. The )est metho# of oxygen a#ministration for client with !O&% uses=

A. !annula. /imple Face mas-!. Non re)reather mas-%. +enturi mas-

,. 0ang #agul" a < year ol# chronic smo-er was )rought to the .6 )ecause of #ifficulty in )reathing. &leural effusionwas the #iagnosis an# !TT was or#ere#. What #oes !.T.T /tan#s for?

A. !hest tu)e thoracotomy. !hest tu)e thoracostomy!. !lose# tu)e thoracotomy%. !lose# tu)e thoracostmy

,. Where will the !TT )e inserte# if we are to #rain flui#s accumulate# in 0ang #aguls pleura?

A. 2n# '!/. th '!/!. th '!/%. :th '!/

,8. There is a continuous )u))ling in the water seale# #rainage system with suction. An# oscillation is o)ser(e#. As anurse" what shoul# you #o?



A. !onsi#er this as normal fin#ings. Notify the physician!. !hec- for tu)e lea-%. &repare a petrolatum gauDe #ressing

,9. Which of the following is true a)out nutrition?

A. 't is the process in which foo# are )ro-en #own" for the )o#y to use in growth an# #e(elopment. 't is a process in which #igeste# proteins" fats" minerals" (itamins an# car)ohy#rates are transporte# into thecirculation!. 't is a chemical process that occurs in the cell that allows for energy pro#uction" energy use" growth an# tissue repair %. 't is the stu#y of nutrients an# the process in which they are use )y the )o#y

,:. The ma*ority of the #igestion processes ta-e place in the

A. 0outh. /mall intestine!. 7arge intestine%. /tomach

,;. All of the following is true a)out #igestion that occurs in the 0outh except

A. 't is where the #igestion process starts. 0echanical #igestion is )rought a)out )y mastication

!. The action of ptyalin or the sali(ary tyrpsin )rea-s #own starches into maltose%. %eglutition occurs after foo# is )ro-en #own into small pieces an# well mixe# with sali(a

<. Which of the following foo#s lowers the car#iac sphincter pressure?

A. 6oast )eef" /teame# cauliflower an# 6ice. Orange *uice" Non fat mil-" %ry crac-ers!. %ecaffeinate# coffee" /-y fla-es crac-ers" /uman%. !offee with coffee mate" acon an# gg

1. Where #oes the #igestion of car)ohy#rates start?

A. 0outh. sophagus!. /mall intestine%. /tomach

2. &rotein an# Fat #igestion )egins where?

A. 0outh. sophagus!. /mall intestine%. /tomach

,. All )ut one is true a)out #igestion that occurs in the /tomach

A. !ar)ohy#rates are the fastest to )e #igeste#" in a)out an hour . Fat is the slowest to )e #igeste#" in a)out hours!. $!l inhi)its a)sorption of !alcium in the gastric mucosa%. $!l con(erts pepsinogen to pepsin" which starts the complex process of protein #igestion

. Which of the following is NOT an enDyme secrete# )y the small intestine?

A. /ucrase. ntero-inase!. Amylase%. ntero-inase

. The hormone secrete# )y the /mall intestine that stimulates the pro#uction of pancreatic *uice which primarily ai#s in)uffering the aci#ic )olus passe# )y the /tomach

A. nterogastrone. !holecysto-inin!. &ancreoDymin



%. ntero-inase

8. When the #uo#enal enDyme sucrase acts on /U!6O/" which 2 monosacchari#es are forme#?

A. 3alactose 3alactose. 3lucose Fructose!. 3lucose 3alactose%. Fructose Fructose

9. This is the enDyme secrete# )y the pancrease that completes the protein #igestion

A. Trypsin. ntero-inase!. nterogastrone%. Amylase

:. The en# pro#uct of protein #igestion or the Guil#ing )loc-s of &roteinH is what we call

A. Nucleoti#es. Fatty aci#s!. 3lucose%. Amino Aci#s

;. nDyme secrete# )y the small intestine after it #etects a )olus of fatty foo#. This will contract the gall)la##er to

secrete )ile an# relax the sphincter of O##i to ai# in the emulsification of fats an# its #igestion.

A. 7ipase. Amylase!. !holecysto-inin%. &ancreoDymin

<. Which of the following is not true a)out the 7arge 'ntestine?

A. 't a)sor)s aroun# 1 7 of water ma-ing the feces aroun# 9 water an# 2 soli#. The stool forme# in the trans(erse colon is not yet well forme#!. 't is a sterile )o#y ca(ity%. 't is calle# large intestine )ecause it is longer than the small intestine

1. This is the amount of heat re5uire# to raise the temperature of 1 -g water to 1 #egree !elsius

A. !alorie. Boules!. 0eta)olism%. asal meta)olic rate

2. Assuming a cup of rice pro(i#es < grams of car)ohy#rates. $ow many calories are there in that cup of rice?

A. 1< calories. 2<< calories!. 2< calories%. << calories

,. An a(erage a#ult filipino re5uires how many calories in a #ay?

A. 1"<<< calories. 1"<< calories!. 2"<<< calories%. 2"<< calories

. Which of the following is true a)out an in#i(i#uals caloric nee#s?

A. All in#i(i#ual ha(e the same caloric nee#s. Females in general ha(e higher 06 an# therefore" re5uire more calories!. %uring col# weather" people nee# more calories #ue to increase 06%. %inner shoul# )e the hea(iest meal of the #ay

. Among the following people" who re5uires the greatest caloric inta-e?



A. An in#i(i#ual in a long state of gluconeogenesis. An in#i(i#ual in a long state of glycogenolysis!. A pregnant in#i(i#ual%. An a#olescent with a 0' of 2

8. Which nutrient #eficiency is associate# with the #e(elopment of &ellagra" %ermatitis an# %iarrhea?

A. +itamin 1. +itamin 2!. +itamin ,%. +itamin 8

9. Which +itamin is not gi(en in con*unction with the inta-e of 7+O%O&A in cases of &ar-insons %isease #ue to thefact that le(o#opa increases its le(el in the )o#y?


:. A (itamin ta-en in con*unction with '/ON'AI'% to pre(ent peripheral neuritis

A. +itamin 1. +itamin 2

!. +itamin ,%. +itamin 8

;. The inflammation of the 7ips" &alate an# Tongue is associate# in the #eficiency of this (itamin


8<. eri )eri is cause# )y the #eficiency of which +itamin?

A. +itamin 1. +itamin 2!. +itamin ,%. +itamin !

81. Which of the following is the )est source of +itamin ?

A. 3reen leafy (egeta)les. +egeta)le oil!. Fortifie# 0il-%. Fish li(er oil

82. Among the following foo#s" which foo# shoul# you emphasiDe gi(ing on an Alcoholic client?

A. &or- li(er an# organ meats" &or-. 6e# meat" ggs an# %airy pro#ucts!. 3reen leafy (egeta)les" >ellow (egeta)les" !antaloupe an# %airy pro#ucts%. !hic-en" &eanuts" ananas" Wheat germs an# yeasts

8,. Which foo# group shoul# you emphasiDe gi(ing on a pregnant mother in first trimester to pre(ent neural tu)e#efects?

A. roccoli" 3ua(a" !itrus fruits" Tomatoes. utter" /ar#ines" Tuna" /almon" gg yol-!. Wheat germ" +egeta)le Oil" soy)eans" corn" peanuts%. Organ meats" 3reen leafy (egeta)les" 7i(er" ggs

8. A client ta-ing !ouma#in is to )e e#ucate# on his #iet. As a nurse" which of the following foo# shoul# you instruct theclient to a(oi#?

A. /pinach" 3reen leafy (egeta)les" !a))age" 7i(er . /almon" /ar#ines" Tuna



!. utter" gg yol-" )rea-fast cereals%. anana" >east" Wheat germ" !hic-en

8. +itamin plus this mineral wor-s as one of the )est anti oxi#ant in the )o#y accor#ing to the latest research. Theyare com)ine# with Alpha re#uctase inhi)itor to re#uce the ris- of ac5uiring prostate cancer

A. Iinc. 'ron!. /elenium%. +ana#ium

88. 'nci#ent of prostate cancer is foun# to ha(e )een re#uce# on a population expose# in tolera)le amount of sunlight.Which (itamin is associate# with this phenomenon?

A. +itamin A. +itamin !. +itamin !%. +itamin %

89. 0icronutrients are those nutrients nee#e# )y the )o#y in a (ery minute amount. Which of the following (itamin isconsi#ere# as a 0'!6ONUT6'NT

A. &hosphorous. 'ron

!. !alcium%. /o#ium

8:. %eficiency of this mineral results in tetany" osteomalacia" osteoporosis an# ric-ets.

A. +itamin %. 'ron!. !alcium%. /o#ium

8;. Among the following foo#s" which has the highest amount of potassium per area of their meat?

A. !antaloupe. A(oca#o!. 6aisin%. anana

9<. A client has $0O/'%6O/'/. Which of the following #rug woul# you expect to )e gi(en to the client?

A. AcetaDolami#e. %eferoxamine!. !alcium %TA%. Acti(ate# charcoal

91. Which of the following pro(i#es the richest source of 'ron per area of their meat?

A. &or- meat. 7ean rea# meat!. &or- li(er %. 3reen mongo

92. Which of the following is consi#ere# the )est in#icator of nutritional status of an in#i(i#ual?

A. $eight. Weight!. Arm muscle circumference%. 0'

9,. Bose 0iguel" a < year ol# )usiness man is 8< Tall an# weights 19; l)s. As a nurse" you -now that Bose 0iguel is =

A. O(erweight. Un#erweight!. Normal%. O)ese



9. Bose 0iguel is a little )it nauseous. Among the following )e(erages" Which coul# help relie(e B0s nausea?

A. !o-e. /prite!. 0irin#a%. Orange Buice or 7emon Buice

9. Which of the following is the first sign of #ehy#ration?

A. Tachycar#ia. 6estlessness!. Thirst%. &oor s-in turgor

98. What /pecific gra(ity la) result is compati)le with a #ehy#rate# client?

A. 1.<<9. 1.<2<!. 1.<,;%. 1.<2;

99. Which hematocrit (alue is expecte# in a #ehy#rate# male client?

A. 89. <!. ,8%.

9:. Which of the following statement )y a client with prolonge# (omiting in#icates the initial onset of hypo-alemia?

A. 0y arm feels so wea-. ' felt my heart )eat *ust right now!. 0y face muscle is twitching%. Nurse" helpJ 0y legs are cramping

9;. Which of the following is not an anti@emetic?

A. 0arinol. %ramamine

!. ena#ryl%. Ale(aire

:<. Which is not a clear li5ui# #iet?

A. $ar# can#y. 3elatin!. !offee with !offee mate%. ouillon

:1. Which of the following is inclu#e# in a full li5ui# #iet?

A. &opsicles. &uree# (egeta)le meat!. &ineapple *uice with pulps%. 0ashe# potato

:2. Which foo# is inclu#e# in a 7AN% %'T?

A. /teame# )roccoli. !reame# potato!. /pinach in garlic%. /weet potato

:,. Which of the following if #one )y the nurse" is correct #uring N3T 'nsertion?

A. Use an oil )ase# lu)ricant. 0easure the amount of the tu)e to )e inserte# from the Tip of the nose" to the earlo)e" to the xiphoi# process



!. /oa- the N3T in a )asin of ice water to facilitate easy insertion%. !hec- the placement of the tu)e )y intro#ucing 1< cc of sterile water an# auscultating for )u))ling soun#

:. Which of the following is the /T metho# in assessing for the correct placement of the N3T?

A. E@6ay. 'mmerse tip of the tu)e in water to chec- for )u))les pro#uce#!. Aspirating gastric content to chec- if the content is aci#ic%. 'nstilling air in the N3T an# listening for a gurgling soun# at the epigastric area

:. A terminally ill cancer patient is sche#ule# for an N3T fee#ing to#ay. $ow shoul# you position the patient?

A. /emi fowlers in )e#. ring the client into a chair !. /lightly ele(ate# right si#e lying position%. /upine in )e#

:8. A client is sche#ule# for N3T Fee#ing. !hec-ing the resi#ual (olume" you #etermine# that he has < cc resi#ualfrom the last fee#ing. >ou reinstill the < cc of resi#ual (olume an# a##e# the 2< cc of fee#ing or#ere# )y the #octor.>ou then instill 8< cc of water to clear the lumen an# the tu)e. $ow much will you put in the clients chart as input?

A. 2< cc. 2;< cc!. ,< cc

%. ,1< cc

:9. Which of the following if #one )y a nurse in#icates #e(iation from the stan#ar#s of N3T fee#ing?

A. %o not gi(e the fee#ing an# notify the #octor of resi#ual of the last fee#ing is greater than or e5ual to < ml. $eight of the fee#ing shoul# )e 12 inches a)out the tu)e point of insertion to allow slow intro#uction of fee#ing!. As- the client to position in supine position imme#iately after fee#ing to pre(ent #umping syn#rome%. !lamp the N3T )efore all of the water is instille# to pre(ent air entry in the stomach

::. What is the most common pro)lem in TU F%'N3?

A. %iarrhea. 'nfection!. $yperglycemia%. +omiting

:;. Which of the following is T6U in colostomy fee#ing?

A. $ol# the syringe 1: inches a)o(e the stoma an# a#minister the fee#ing slowly. &our ,< ml of water )efore an# after fee#ing a#ministration!. 'nsert the ostomy fee#ing tu)e 1 inch towar#s the stoma%. A &in- stoma means that circulation towar#s the stoma is all well

;<. A client with T&N su##enly #e(elops tremors" #iDDiness" wea-ness an# #iaphoresis. The client sai# G' feel wea-H >ousaw that his T&N is alrea#y empty an# another T&N is sche#ule# to replace the pre(ious one )ut its pro(ision is alrea#y, hours late. Which of the following is the pro)a)le complication )eing experience# )y the client?

A. $yperglycemia. $ypoglycemia!. 'nfection%. Flui# o(erloa#

;1. To assess the a#e5uacy of foo# inta-e" which of the following assessment parameters is )est use#?

A. Foo# li-es an# #isli-es. 6egularity of meal times!. , #ay #iet recall%. ating style an# ha)its

;2. The (omiting center is foun# in the

A. 0e#ulla O)longata. &ons!. $ypothalamus



%. !ere)ellum

;,. The most threatening complication of (omiting in clients with stro-e is

A. Aspiration. %ehy#ration!. Flui# an# electrolyte im)alance%. 0alnutrition

;. Which among this foo# is the richest source of 'ron?

A. Ampalaya. roccoli!. 0ongo%. 0alunggay lea(es

;. Which of the following is a goo# source of +itamin A?

A. gg yol-. 7i(er !. Fish%. &eanuts

;8. The most important nursing action )efore gastrostomy fee#ing is

A. !hec- +K/. Assess for patency of the tu)e!. 0easure resi#ual fee#ing%. !hec- the placement of the tu)e

;9. The primary a#(antage of gastrostomy fee#ing is

A. nsures a#e5uate nutrition. 't pre(ents aspiration!. 0aintains 3astro esophageal sphincter integrity%. 0inimiDes flui#@electrolyte im)alance

;:. What is the 0' Of u#e-" weighing 12< l)s an# has a height of feet 9 inches.

A. 2<

. 1;!. 1%. 2

;;. Which fin#ing is consistent with &6N'!'OU/ AN0'A?

A. /traw)erry tongue. !urrant Belly stool!. eefy re# tongue%. &ale L $>&O!$6O0'! M 6!

1<<. The nurse is )rowsing the chart of the patient an# notes a normal serum lipase le(el. Which of the following is anormal serum lipase (alue?

A. 1< UK7. 1<< UK7!. 2<< UK7%. ,< UK7

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