PNLE : Medical Surgical Nursing Exam 1 SITUATION: Mr. D.

Rojas, An obese 35 year old MS

Professor of OLFU Lagro is admitted due to pain in his
SITUATION : Arthur, A registered nurse, witnessed an weight bearing joint. The diagnosis was Osteoarthritis.
old woman hit by a motorcycle while crossing a train
railway. The old woman fell at the railway. Arthur 6. As a nurse, you instructed Mr. Rojas how to use a
rushed at the scene. cane. Mr. Rojas has a weakness on his right leg due to
self immobilization and guarding. You plan to teach Mr.
1. As a registered nurse, Arthur knew that the first thing Rojas to hold the cane
that he will do at the scene is
A. On his left hand, because his right side is weak.
A. Stay with the person, Encourage her to remain B. On his left hand, because of reciprocal motion.
still and Immobilize the leg while While waiting for C. On his right hand, to support the right leg.
the ambulance. D. On his right hand, because only his right leg is
B. Leave the person for a few moments to call for weak.
help.
C. Reduce the fracture manually. 7. You also told Mr. Rojas to hold the cane
D. Move the person to a safer place.
A. 1 Inches in front of the foot.
2. Arthur suspects a hip fracture when he noticed that B. 3 Inches at the lateral side of the foot.
the old woman’s leg is C. 6 Inches at the lateral side of the foot.
D. 12 Inches at the lateral side of the foot.
A. A. Lengthened, Abducted and Internally
Rotated. 8. Mr. Rojas was discharged and 6 months later, he
B. Shortened, Abducted and Externally Rotated. came back to the emergency room of the hospital
C. Shortened, Adducted and Internally Rotated. because he suffered a mild stroke. The right side of the
D. Shortened, Adducted and Externally Rotated. brain was affected. At the rehabilitative phase of your
nursing care, you observe Mr. Rojas use a cane and you
3. The old woman complains of pain. John noticed that intervene if you see him
the knee is reddened, warm to touch and swollen. John
interprets that this signs and symptoms are likely related A. Moves the cane when the right leg is moved.
to B. Leans on the cane when the right leg swings
through.
A. Infection C. keeps the cane 6 Inches out to the side of the
B. Thrombophlebitis right foot.
C. Inflammation D. Holds the cane on the right side.
D. Degenerative disease
4. The old woman told John that she has osteoporosis; SITUATION: Alfred, a 40 year old construction worker
Arthur knew that all of the following factors would developed cough, night sweats and fever. He was
contribute to osteoporosis except brought to the nursing unit for diagnostic studies. He
told the nurse he did not receive a BCG vaccine during
A. Hypothyroidism childhood
B. End stage renal disease
C. Cushing’s Disease 9. The nurse performs a Mantoux Test. The nurse knows
D. Taking Furosemide and Phenytoin. that Mantoux Test is also known as

5. Martha, The old woman was now Immobilized and A. PPD

brought to the emergency room. The X-ray shows a B. PDP
fractured femur and pelvis. The ER Nurse would C. PDD
carefully monitor Martha for which of the following D. DPP
sign and symptoms?
10. The nurse would inject the solution in what route?
A. Tachycardia and Hypotension
B. Fever and Bradycardia A. IM
C. Bradycardia and Hypertension B. IV
D. Fever and Hypertension C. ID
D. SC
11. The nurse notes that a positive result for Alfred is 17. Which of the following drugs is UNLIKELY given
to Mang Alfred during the maintenance phase?
A. 5 mm wheal
B. 5 mm Induration A. Rifampicin
C. 10 mm Wheal B. Isoniazid
D. 10 mm Induration C. Ethambutol
D. Pyridoxine
12. The nurse told Alfred to come back after
18. According to the DOH, the most hazardous period
A. a week for development of clinical disease is during the first
B. 48 hours
C. 1 day A. 6-12 months after
D. 4 days B. 3-6 months after
C. 1-2 months after
13. Mang Alfred returns after the Mantoux Test. The test D. 2-4 weeks after
result read POSITIVE. What should be the nurse’s next
action? 19. This is the name of the program of the DOH to
control TB in the country
A. Call the Physician
B. Notify the radiology dept. for CXR evaluation A. DOTS
C. Isolate the patient B. National Tuberculosis Control Program
D. Order for a sputum exam C. Short Coursed Chemotherapy
D. Expanded Program for Immunization
14. Why is Mantoux test not routinely done in the
Philippines? 20. Susceptibility for the disease [ TB ] is increased
markedly in those with the following condition except
A. It requires a highly skilled nurse to perform a
Mantoux test A. 23 Year old athlete with diabetes insipidus
B. The sputum culture is the gold standard of PTB B. 23 Year old athlete taking long term Decadron
Diagnosis and it will definitively determine the therapy and anabolic steroids
extent of the cavitary lesions C. 23 Year old athlete taking illegal drugs and
C. Chest X Ray Can diagnose the specific abusing substances
microorganism responsible for the lesions D. Undernourished and Underweight individual
D. Almost all Filipinos will test positive for who undergone gastrectomy
Mantoux Test
21. Direct sputum examination and Chest X ray of TB
symptomatic is in what level of prevention?
15. Mang Alfred is now a new TB patient with an active
disease. What is his category according to the DOH? A. Primary
B. Secondary
A. I C. Tertiary
B. II D. Quarterly
C. III
D. IV SITUATION: Michiel, A male patient diagnosed with
colon cancer was newly put in colostomy.
16. How long is the duration of the maintenance phase
of his treatment? 22. Michiel shows the BEST adaptation with the new
colostomy if he shows which of the following?
A. 2 months
B. 3 months A. Look at the ostomy site
C. 4 months B. Participate with the nurse in his daily ostomy
D. 5 months care
C. Ask for leaflets and contact numbers of ostomy
support groups
D. Talk about his ostomy openly to the nurse and
friends
23. The nurse plans to teach Michiel about colostomy 29. Michiel asked the nurse, what foods will help lessen
irrigation. As the nurse prepares the materials needed, the odor of his colostomy. The nurse best response
which of the following item indicates that the nurse would be
needs further instruction?
A. Eat eggs
A. Plain NSS / Normal Saline B. Eat cucumbers
B. K-Y Jelly C. Eat beet greens and parsley
C. Tap water D. Eat broccoli and spinach
D. Irrigation sleeve
30. The nurse will start to teach Michiel about the
24. The nurse should insert the colostomy tube for techniques for colostomy irrigation. Which of the
irrigation at approximately following should be included in the nurse’s teaching
plan?
A. 1-2 inches
B. 3-4 inches A. Use 500 ml to 1,000 ml NSS
C. 6-8 inches B. Suspend the irrigant 45 cm above the stoma
D. 12-18 inches C. Insert the cone 4 cm in the stoma
D. If cramping occurs, slow the irrigation
25. The maximum height of irrigation solution for
colostomy is 31. The nurse knew that the normal color of Michiel’s
stoma should be
A. 5 inches
B. 12 inches A. Brick Red
C. 18 inches B. Gray
D. 24 inches C. Blue
D. Pale Pink
26. Which of the following behavior of the client
indicates the best initial step in learning to care for his SITUATION: James, A 27 basketball player sustained
colostomy? inhalation burn that required him to have tracheostomy
due to massive upper airway edema.
A. Ask to defer colostomy care to another
individual 32. Wilma, His sister and a nurse is suctioning the
B. Promises he will begin to listen the next day tracheostomy tube of James. Which of the following, if
C. Agrees to look at the colostomy made by Wilma indicates that she is committing an
D. States that colostomy care is the function of the error?
nurse while he is in the hospital
A. Hyperventilating James with 100% oxygen
27. While irrigating the client’s colostomy, Michiel before and after suctioning
suddenly complains of severe cramping. Initially, the B. Instilling 3 to 5 ml normal saline to loosen up
nurse would secretion
C. Applying suction during catheter withdrawal
A. Stop the irrigation by clamping the tube D. Suction the client every hour
B. Slow down the irrigation
C. Tell the client that cramping will subside and is 33. What size of suction catheter would Wilma use for
normal James, who is 6 feet 5 inches in height and weighing
D. Notify the physician approximately 145 lbs?

28. The next day, the nurse will assess Michiel’s stoma. A. Fr. 5
The nurse noticed that a prolapsed stoma is evident if B. Fr. 10
she sees which of the following? C. Fr. 12
D. Fr. 18
A. A sunken and hidden stoma
B. A dusky and bluish stoma 34. Wilma is using a portable suction unit at home,
C. A narrow and flattened stoma What is the amount of suction required by James using
D. Protruding stoma with swollen appearance this unit?

A. 2-5 mmHg
B. 5-10 mmHg
C. 10-15 mmHg A. Loss of peripheral vision
D. 20-25 mmHg B. Irreversible vision loss
C. There is an increase in IOP
35. If a Wall unit is used, What should be the suctioning D. Pain
pressure required by James?
41. Nurse jet knew that Acute close angle glaucoma is
A. 50-95 mmHg caused by
B. 95-110 mmHg
C. 100-120 mmHg A. Sudden blockage of the anterior angle by the
D. 155-175 mmHg base of the iris
B. Obstruction in trabecular meshwork
36. Wilma was shocked to see that the Tracheostomy C. Gradual increase of IOP
was dislodged. Both the inner and outer cannulas was D. An abrupt rise in IOP from 8 to 15 mmHg
removed and left hanging on James’ neck. What are the
2 equipment’s at james’ bedside that could help Wilma 42. Nurse jet performed a TONOMETRY test to Mr.
deal with this situation? Batumbakal. What does this test measures

A. New set of tracheostomy tubes and Oxygen tank A. It measures the peripheral vision remaining on
B. Theophylline and Epinephrine the client
C. Obturator and Kelly clamp B. Measures the Intra Ocular Pressure
D. Sterile saline dressing C. Measures the Client’s Visual Acuity
D. Determines the Tone of the eye in response to
37. Which of the following method if used by Wilma the sudden increase in IOP.
will best assure that the tracheostomy ties are not too
tightly placed? 43. The Nurse notices that Mr. Batumbakal cannot
anymore determine RED from BLUE. The nurse knew
A. Wilma places 2 fingers between the tie and neck that which part of the eye is affected by this change?
B. The tracheotomy can be pulled slightly away
from the neck A. IRIS
C. James’ neck veins are not engorged B. PUPIL
D. Wilma measures the tie from the nose to the tip C. RODS [RETINA]
of the earlobe and to the xiphoid process. D. CONES [RETINA]

38. Wilma knew that James have an adequate respiratory 44. Nurse Jet knows that Aqueous Humor is produce
condition if she notices that where?

A. James’ respiratory rate is 18 A. In the sub arachnoid space of the meninges

B. James’ Oxygen saturation is 91% B. In the Lateral ventricles
C. There are frank blood suction from the tube C. In the Choroids
D. There are moderate amount of tracheobronchial D. In the Ciliary Body
secretions
45. Nurse Jet knows that the normal IOP is
39. Wilma knew that the maximum time when
suctioning James is A. 8-21 mmHg
B. 2-7 mmHg
A. 10 seconds C. 31-35 mmHg
B. 20 seconds D. 15-30 mmHg
C. 30 seconds
D. 45 seconds 46. Nurse Jet wants to measure Mr. Batumbakal’s CN II
Function. What test would Nurse Jet implement to
SITUATION : Juan Miguel Lopez Zobel Ayala de measure CN II’s Acuity?
Batumbakal was diagnosed with Acute Close Angle
Glaucoma. He is being seen by Nurse Jet. A. Slit lamp
B. Snellen’s Chart
40. What specific manifestation would nurse Jet see in C. Wood’s light
Acute close angle glaucoma that she would not see in an D. Gonioscopy
open angle glaucoma?
47. The Doctor orders pilocarpine. Nurse jet knows that 53. Ear drops are prescribed to an infant, The most
the action of this drug is to appropriate method to administer the ear drops is

A. Contract the Ciliary muscle A. Pull the pinna up and back and direct the
B. Relax the Ciliary muscle solution towards the eardrum
C. Dilate the pupils B. Pull the pinna down and back and direct the
D. Decrease production of Aqueous Humor solution onto the wall of the canal
C. Pull the pinna down and back and direct the
48. The doctor orders timolol [timoptic]. Nurse jet solution towards the eardrum
knows that the action of this drug is D. Pull the pinna up and back and direct the
solution onto the wall of the canal
A. Reduce production of CSF
B. Reduce production of Aqueous Humor 54. Nurse Jenny is developing a plan of care for a
C. Constrict the pupil patient with Menieres disease. What is the priority
D. Relaxes the Ciliary muscle nursing intervention in the plan of care for this particular
patient?
49. When caring for Mr. Batumbakal, Jet teaches the
client to avoid A. Air, Breathing, Circulation
B. Love and Belongingness
A. Watching large screen TVs C. Food, Diet and Nutrition
B. Bending at the waist D. Safety
C. Reading books
D. Going out in the sun 55. After mastoidectomy, Nurse John should be aware
that the cranial nerve that is usually damage after this
50. Mr. Batumbakal has undergone eye angiography procedure is
using an Intravenous dye and fluoroscopy. What activity
is contraindicated immediately after procedure? A. CN I
B. CN II
A. Reading newsprint C. CN VII
B. Lying down D. CN VI
C. Watching TV
D. Listening to the music 56. The physician orders the following for the client
with Menieres disease. Which of the following should
51. If Mr. Batumbakal is receiving pilocarpine, what the nurse question?
drug should always be available in any case systemic
toxicity occurs? A. Dipenhydramine [Benadryl]
B. Atropine sulfate
A. Atropine Sulfate C. Out of bed activities and ambulation
B. Pindolol [Visken] D. Diazepam [Valium]
C. Naloxone Hydrochloride [Narcan]
D. Mesoridazine Besylate [Serentil] 57. Nurse Anna is giving dietary instruction to a client
with Menieres disease. Which statement if made by the
SITUATION : Wide knowledge about the human ear, client indicates that the teaching has been successful?
it’s parts and it’s functions will help a nurse assess and
analyze changes in the adult client’s health. A. I will try to eat foods that are low in sodium and
limit my fluid intake
52. Nurse Anna is doing a caloric testing to his patient, B. I must drink atleast 3,000 ml of fluids per day
Aida, a 55 year old university professor who recently C. I will try to follow a 50% carbohydrate, 30% fat
went into coma after being mauled by her disgruntled and 20% protein diet
3rd year nursing students whom she gave a failing mark. D. I will not eat turnips, red meat and raddish
After instilling a warm water in the ear, Anna noticed a
rotary nystagmus towards the irrigated ear. What does 58. Peachy was rushed by his father, Steven into the
this means? hospital admission. Peachy is complaining of something
buzzing into her ears. Nurse Joemar assessed peachy and
A. Indicates a CN VIII Dysfunction found out It was an insect. What should be the first thing
B. Abnormal that Nurse Joemar should try to remove the insect out
C. Normal from peachy’s ear?
D. Inconclusive
A. Use a flashlight to coax the insect out of D. He might have a conductive hearing loss in the
peachy’s ear right ear, and/or a sensory hearing loss in the left
B. Instill an antibiotic ear drops ear.
C. Irrigate the ear
D. Pick out the insect using a sterile clean forceps 63. Aling myrna has Menieres disease. What typical
dietary prescription would nurse Oca expect the doctor
59. Following an ear surgery, which statement if heard to prescribe?
by Nurse Oca from the patient indicates a correct
understanding of the post operative instructions? A. A low sodium , high fluid intake
B. A high calorie, high protein dietary intake
A. Activities are resumed within 5 days C. low fat, low sodium and high calorie intake
B. I will make sure that I will clean my hair and D. low sodium and restricted fluid intake
face to prevent infection
C. I will use straw for drinking SITUATION : [ From DEC 1991 NLE ] A 45 year old
D. I should avoid air travel for a while male construction worker was admitted to a tertiary
hospital for incessant vomiting. Assessment disclosed:
60. Nurse Oca will do a caloric testing to a client who weak rapid pulse, acute weight loss of .5kg, furrows in
sustained a blunt injury in the head. He instilled a cold his tongue, slow flattening of the skin was noted when
water in the client’s right ear and he noticed that the nurse released her pinch.
nystagmus occurred towards the left ear. What does this Temperature: 35.8 C , BUN Creatinine ratio : 10 : 1, He
finding indicates? also complains for postural hypotension. There was no
infection.
A. Indicating a Cranial Nerve VIII Dysfunction
B. The test should be repeated again because the 64. Which of the following is the appropriate nursing
result is vague diagnosis?
C. This is Grossly abnormal and should be reported
to the neurosurgeon A. Fluid volume deficit R/T furrow tongue
D. This indicates an intact and working vestibular B. Fluid volume deficit R/T uncontrolled vomiting
branch of CN VIII C. Dehydration R/T subnormal body temperature
D. Dehydration R/T incessant vomiting
61. A client with Cataract is about to undergo surgery.
Nurse Oca is preparing plan of care. Which of the 65. Approximately how much fluid is lost in acute
following nursing diagnosis is most appropriate to weight loss of .5kg?
address the long term need of this type of patient?
A. 50 ml
A. Anxiety R/T to the operation and its outcome B. 750 ml
B. Sensory perceptual alteration R/T Lens C. 500 ml
extraction and replacement D. 75 ml
C. Knowledge deficit R/T the pre operative and
post operative self care 66. Postural Hypotension is
D. Body Image disturbance R/T the eye packing
after surgery A. A drop in systolic pressure less than 10 mmHg
when patient changes position from lying to sitting.
62. Nurse Joseph is performing a WEBERS TEST. He B. A drop in systolic pressure greater than 10
placed the tuning fork in the patients forehead after mmHg when patient changes position from lying to
tapping it onto his knee. The client states that the fork is sitting
louder in the LEFT EAR. Which of the following is a C. A drop in diastolic pressure less than 10 mmHg
correct conclusion for nurse Josph to make? when patient changes position from lying to sitting
D. A drop in diastolic pressure greater than 10
A. He might have a sensory hearing loss in the left mmHg when patient changes position from lying to
ear sitting
B. Conductive hearing loss is possible in the right
ear 67. Which of the following measures will not help
C. He might have a sensory hearing loss in the correct the patient’s condition
right hear, and/or a conductive hearing loss in the
left ear. A. Offer large amount of oral fluid intake to
replace fluid lost
B. Give enteral or parenteral fluid
C. Frequent oral care B. Walk erect with eyes on horizon
D. Give small volumes of fluid at frequent interval C. I’ll get you a wheelchair
D. Don’t force yourself to walk
68. After nursing intervention, you will expect the
patient to have SITUATION: Mr. Dela Isla, a client with early
Dementia exhibits thought process disturbances.
1. Maintain body temperature at 36.5 C
2. Exhibit return of BP and Pulse to normal 74. The nurse will assess a loss of ability in which of the
3. Manifest normal skin turgor of skin and tongue following areas?
4. Drinks fluids as prescribed
A. 1,3 A. Balance
B. 2,4 B. Judgment
C. 1,3,4 C. Speech
D. 2,3,4 D. Endurance

SITUATION: A 65 year old woman was admitted for 75. Mr. Dela Isla said he cannot comprehend what the
Parkinson’s Disease. The charge nurse is going to make nurse was saying. He suffers from:
an initial assessment.

A. Insomnia
69. Which of the following is a characteristic of a patient B. Aphraxia
with advanced Parkinson’s disease? C. Agnosia
D. Aphasia
A. Disturbed vision
B. Forgetfulness 76. The nurse is aware that in communicating with an
C. Mask like facial expression elderly client, the nurse will
D. Muscle atrophy
A. Lean and shout at the ear of the client
70. The onset of Parkinson’s disease is between 50-60 B. Open mouth wide while talking to the client
years old. This disorder is caused by C. Use a low-pitched voice
D. Use a medium-pitched voice
A. Injurious chemical substances
B. Hereditary factors 77. As the nurse talks to the daughter of Mr. Dela Isla,
C. Death of brain cells due to old age which of the following statement of the daughter will
D. Impairment of dopamine producing cells in the require the nurse to give further teaching?
brain
A. I know the hallucinations are parts of the disease
71. The patient was prescribed with levodopa. What is B. I told her she is wrong and I explained to her
the action of this drug? what is right
C. I help her do some tasks he cannot do for
A. Increase dopamine availability himself
B. Activates dopaminergic receptors in the basal D. Ill turn off the TV when we go to another room
ganglia
C. Decrease acetylcholine availability 78. Which of the following is most important discharge
D. Release dopamine and other catecholamine from teaching for Mr. Dela Isla
neurological storage sites
A. Emergency Numbers
72. You are discussing with the dietician what food to B. Drug Compliance
avoid with patients taking levodopa? C. Relaxation technique
D. Dietary prescription
A. Vitamin C rich food
B. Vitamin E rich food
C. Thiamine rich food
D. Vitamin B6 rich food

73. One day, the patient complained of difficulty in

walking. Your response would be

A. You will need a cane for support

SITUATION : Knowledge of the drug SITUATION : Mr. Franco, 70 years old, suddenly could
PROPANTHELINE BROMIDE [Probanthine] Is not lift his spoons nor speak at breakfast. He was rushed
necessary in treatment of various disorders. to the hospital unconscious. His diagnosis was CVA.

79. What is the action of this drug? 84. Which of the following is the most important
assessment during the acute stage of an unconscious
A. Increases glandular secretion for clients affected patient like Mr. Franco?
with cystic fibrosis
B. Dissolve blockage of the urinary tract due to A. Level of awareness and response to pain
obstruction of cystine stones B. Papillary reflexes and response to sensory
C. Reduces secretion of the glandular organ of the stimuli
body C. Coherence and sense of hearing
D. Stimulate peristalsis for treatment of D. Patency of airway and adequacy of respiration
constipation and obstruction
85. Considering Mr. Franco’s conditions, which of the
80. What should the nurse caution the client when using following is most important to include in preparing
this medication Franco’s bedside equipment?

A. Avoid hazardous activities like driving, A. Hand bell and extra bed linen
operating machineries etc. B. Sandbag and trochanter rolls
B. Take the drug on empty stomach C. Footboard and splint
C. Take with a full glass of water in treatment of D. Suction machine and gloves
Ulcerative colitis
D. I must take double dose if I missed the previous 86. What is the rationale for giving Mr. Franco frequent
dose mouth care?

81. Which of the following drugs are not compatible A. He will be thirsty considering that he is doesn’t
when taking Probanthine? drink enough fluids
B. To remove dried blood when tongue is bitten
A. Caffeine during a seizure
B. NSAID C. The tactile stimulation during mouth care will
C. Acetaminophen hasten return to consciousness
D. Alcohol D. Mouth breathing is used by comatose patient
and it’ll cause oral mucosa dying and cracking.
82. What should the nurse tell clients when taking
Probanthine? 87. One of the complications of prolonged bed rest is
decubitus ulcer. Which of the following can best prevent
A. Avoid hot weathers to prevent heat strokes its occurrence?
B. Never swim on a chlorinated pool
C. Make sure you limit your fluid intake to 1L a A. Massage reddened areas with lotion or oils
day B. Turn frequently every 2 hours
D. Avoid cold weathers to prevent hypothermia C. Use special water mattress
D. Keep skin clean and dry
83. Which of the following disease would Probanthine
exert the much needed action for control or treatment of 88. If Mr. Franco’s Right side is weak, What should be
the disorder? the most accurate analysis by the nurse?

A. Urinary retention A. Expressive aphasia is prominent on clients with

B. Peptic Ulcer Disease right sided weakness
C. Ulcerative Colitis B. The affected lobe in the patient is the Right lobe
D. Glaucoma C. The client will have problems in judging
distance and proprioception
D. Clients orientation to time and space will be
much affected
SITUATION : a 20 year old college student was rushed 95. If after surgery the patient’s abdomen becomes
to the ER of PGH after he fainted during their ROTC distended and no bowel sounds appreciated, what would
drill. Complained of severe right iliac pain. Upon be the most suspected complication?
palpation of his abdomen, Ernie jerks even on slight
pressure. Blood test was ordered. Diagnosis is acute A. Intussusception
appendicitis. B. Paralytic Ileus
C. Hemorrhage
89. Which result of the lab test will be significant to the D. Ruptured colon
diagnosis?
96. NGT was connected to suction. In caring for the
A. RBC : 4.5 TO 5 Million / cu. mm. patient with NGT, the nurse must
B. Hgb : 13 to 14 gm/dl.
C. Platelets : 250,000 to 500,000 cu.mm. A. Irrigate the tube with saline as ordered
D. WBC : 12,000 to 13,000/cu.mm B. Use sterile technique in irrigating the tube
C. advance the tube every hour to avoid kinks
90. Stat appendectomy was indicated. Pre op care would D. Offer some ice chips to wet lips
include all of the following except?
97. When do you think the NGT tube be removed?
A. Consent signed by the father
B. Enema STAT A. When patient requests for it
C. Skin prep of the area including the pubis B. Abdomen is soft and patient asks for water
D. Remove the jewelries C. Abdomen is soft and flatus has been expelled
D. B and C only
91. Pre-anesthetic med of Demerol and atrophine sulfate
were ordered to : Situation: Amanda is suffering from chronic
arteriosclerosis Brain syndrome she fell while getting
A. Allay anxiety and apprehension out of the bed one morning and was brought to the
B. Reduce pain hospital, and she was diagnosed to have
C. Prevent vomiting cerebrovascular thrombosis thus transferred to a
D. Relax abdominal muscle nursing home.

92. Common anesthesia for appendectomy is 98. What do you call a STROKE that manifests a bizarre
behavior?
A. Spinal
B. General A. Inorganic Stroke
C. Caudal B. Inorganic Psychoses
D. Hypnosis C. Organic Stroke
D. Organic Psychoses
93. Post op care for appendectomy include the following
except 99. The main difference between chronic and organic
brain syndrome is that the former
A. Early ambulation
B. Diet as tolerated after fully conscious A. Occurs suddenly and reversible
C. Nasogastric tube connect to suction B. Is progressive and reversible
D. Deep breathing and leg exercise C. tends to be progressive and irreversible
D. Occurs suddenly and irreversible
94. Peritonitis may occur in ruptured appendix and may
cause serious problems which are 100. Which behavior results from organic psychoses?

1. Hypovolemia, electrolyte imbalance A. Memory deficit

2. Elevated temperature, weakness and diaphoresis B. Disorientation
3. Nausea and vomiting, rigidity of the abdominal C. Impaired Judgement
wall D. Inappropriate affect
4. Pallor and eventually shock
A. 1 and 2
B. 2 and 3
C. 1,2,3
D. All of the above