BSN 4 RLE
P1 EXAMINATION
(ALL AREAS OF ASSIGNMENT)
1. The nurse is knowledgeable that the Cyclo-oxygenase enzyme converts arachidonic acid to Prostaglandins
promoting pain and inflammation during tissue injury or infection. Which enzyme promotes protection of the
stomach lining, decreases feve...
BSN 4 RLE
P1 EXAMINATION
(ALL AREAS OF ASSIGNMENT)
1.
The
nurse
is
knowledgeable
that
the
Cyclo-oxygenase
enzyme
converts
arachidonic
acid
to
Prostaglandins
promoting
pain
and
inflammation
during
tissue
injury
or
infection.
Which
enzyme
promotes
protection
of
the
stomach lining, decreases fever and promotes platelet aggregation?
a.
Cox - 1 enzyme
b.
Substance P
c.
Cox - 2 enzyme
d.
Substantia gelatinosa
2. The normal phases of wound healing occur only with?
a.
Primary Union
b.
Granulation
c.
Delayed Primary Closure
d.
Fourth Intention
3.
In
what
intention
of
wound
healing
when
the
wound
is
left
open
to
heal.
After
4
to
6
days,
the
granulation
tissue covers the surface of the wound?
a.
Primary Union
b.
Delayed Primary Closure
c.
Granulation
d.
Dehiscence
4. It is the partial or total separation of the wound.
a.
Wound Evisceration
b.
incisional Hernias
c.
Wound dehiscence
d.
Fistulas
Rationale:
Dehiscence
is
a
partial
or
total
separation
of
previously
approximated
wound
edges,
due
to
a
failure
of
proper
wound
healing.
This
scenario
typically
occurs
5
to
8
days
following
surgery
when
healing
is
still
in
the
early stages.
5. At what age should women be taught about breast self-examination (BSE)? a.
20 years old
b.
15 years old
c.
19 years old
d.
12 years old
6.
The
nurse
assessing
the
fetal
heart
rate
reading
of
the
woman
indicates
late
decelerations.
This
indicates
what
a.
Normal finding
b. Cord compression
c.
Uteroplacental insufficiency
d.
Fetal head compression
Rationale:
Late
decelerations
are
associated
with
u t e r o p l a c e n t a l
i n s u f f i c i e n c y
and
are
provoked
by
uterine
contractions.
Any
decrease
in
uterine
blood
flow
or
placental
dysfunction
can
cause
late
decelerations.
Maternal hypotension and uterine hyperstimulation may decrease uterine blood flow. 7. What is the normal fetal heart rate?
a. 110-160
c 100-120
b. 60-100
d 160-180
Rationale:
The
average
fetal
heart
rate
is
between
110
and
160
beats
per
minute.
It
can
vary
by
5
to
25
beats
per minute. The fetal heart rate may change as your baby responds to conditions in your uterus.
8. In performing Leopold's maneuver what do you assess on the second maneuver?
a.
Symphysis pubis
b.
Fetal back
c.
Fetal presentation
d.
Fetal extension
Rationale:
Second
maneuver:
lateral
grip
After
the
upper
abdomen
has
been
palpated
and
the
form
that
is
found is identified, the individual performing the maneuver attempts to determine the location of the fetal back.
9. Maternal and Child Health nursing cares for.
a.
Pregnant woman
b.
Child
c.
Family
d.
All of the above
10. How long do you scrub your hands in handwashing?
a.
10 seconds
b.
15 seconds
c.
30 seconds
d.
40 - 60 seconds
11.
It
is
the
inflammation
of
the
alveoli
caused
by
infection,
toxins
or
irritants
causing
inflammatory
process
immobility and impaired ventilation results in atelectasis and promotes growth of pathogens.
* Pneumonia
* Atelectasis
* Hemorrhage
* Tuberculosis
12. What is the normal findings in measuring the thorax in anteroposterior to transverse diameter ratio?
a. 1:1
b. 1-2
c. 2:1
d. 2.2
Rationale:
Chest
movement
should
be
symmetrical
on
inspiration
and
expiration.
Observe
the
anterior-posterior
diameter
of
the
patient's
chest
and
compare
to
the
transverse
diameter.
The
expected
anteroposterior-transverse ratio should be 1:2.
13. It is an inadequate circulatory blood volume either caused by fluid deficit or hemorrhage
a. Pulmonary embolism
B. Hypovolemia
c. Thrombus d bleeding
14
Assessing
the
peripheral
vascular
system:
In
a
capillary
refill
test.
The
nurse
should
expect
a
normal
peripheral perfusion assessment if the color of the nail after pressing returns in? a.
22 seconds
b.
3- 4 seconds
c.
2-3 seconds
d.
35 seconds
15 What are the steps in assessing the thorax? a.
Inspection, Palpation, Percussion, Auscultation
b.
Inspection. Auscultation, Percussion. Palpation
c.
Inspection, Percussion, Palpation, Auscultation
d.
Percussion, Auscultation, Percussion, Inspection
Rationale:
Thorough
evaluation
of
the
thorax
and
lungs
is
an
essential
component
of
a
complete
physical
examination.
The
traditional
systematic
approach
involves
inspection,
followed
by
palpation,
percussion
and
then auscultation of both the anterior, lateral, and posterior thorax.
16: Acts of bioterrorism or natural disasters, such as earthquakes, will often have more casualties because
a.
they cause the most widespread destruction.
b.
victims have little time to make evacuation preparations
c.
those with chronic conditions cannot escape in time
d. the early warning systems are not effective.
Rationale:
The
use
of
weapons
of
mass
destruction
or
natural
disasters,
such
as
earthquakes,
will
often
have
more casualties because victims have little time to make evacuation preparations. The other answers are false.
17. A nurse responds to a natural disaster. Which of the following is the nurse most likely responding to?
a.
Transportation accident
b.
Pollution c
c.
Communicable disease epidemic
d.
Fire
Rationale:
A
communicable
disease
epidemic
would
be
considered
a
natural
disaster.
Transportations
accidents, pollution, and fire are considered human-made disasters.
18.
A
nurse
is
working
with
an
older
person
following
a
disaster.
Which
of
the
following
emotions
of
the
client
should be anticipated by the nurse? a.
Anger b.
Fear of loss of independence c.
Violence
d.
Regression
Rationale:
A
common
reaction
of
older
persons
experiencing
disaster
may
be
fear
of
loss
of
independence.
Young
children
may
respond
with
regression.
The
community
in
general
may
respond
will
feelings
of
anger,
sorrow,
guilt,
and
perceived
blame
for
the
disaster
or
the
outcomes
of
the
disaster.
Violence
should
not
be
anticipated with any of the populations discussed in the text.
19. Which of the following best demonstrates the concept of followership?
a.
Completing
the
tasks
associated
with
your
patient
assignment
without
deviation
with
the
intent
of
receiving praise from your manager
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