(EENT 1st )
The clinic nurse notes that following several eye examinations, the physicians has
documented a diagnosis of legal blindness in the client’s chart. The nurse reviews the results
of snellen’s chart test expecting to note which of the following?
a.
b.
c.
d.
20/100
20/50
20/200
20/20
The aqueous humor is located in the:
a.
b.
c.
d.
e.
Anterior chamber of the eye
Occip
ital lobe of the brain
Upper outer quadrant of the eyelids
Posterior vitreous body
The process of automatic adjustment of retina sensitivity when a person move from light to
dark
a.
b.
c.
d.
Dark adaptation
Dark accommodation
Light accommodation
Light adaptation
Which part of the eyes where images are inverted
a.
b.
c.
d.
Iris
Lens
Retina
Cornea
The macula is an oval-shaped pigmented area and:
a.
b.
c.
d.
Lines the inner surface of the eyelids
The second major humor of the eyes
The exit of the optic nerves
Highly sensitive structure in the central portion of the retina
Cranial nerves_____moves the eyeballs.
a. l,ll,lll
b. lll,lV,Vl
c. ll,V,lX
d. lll,V,X
The cones in the retina are responsible for:
a.
b.
c.
d.
Function during dim vision
Ability to bend light rays as they pass from one medium to another
Function in bright light and produce color vision
Responsible for producing vitreous humor
The clinic nurse is preparing to test the visual acuity of a client using a snellen chart. Which
of the following identifies the accurate procedure for the visual acuity test?
a. The right eye is tested followed by the left eye, and then both eyes are test
b. Both eyes are assessed together, followed by the assessment of the right and then
the left eye
c. The client is asked to stand at a distance of 40ft, from the chart and is asked to read
the largest line on the chart
d. The client is asked to stand at a distance of 40t from the chart and to read the line
that can be read 200ft away by an individual; with unimpaired vision
The rod in the retina allows:
a.
b.
c.
d.
Function during dark vision
Function in bright light and produce color vision
Responsible for producing vitreous humor
Ability to bend light rays as they pass from one medium to another
When a person cries heavily, many times their nose begins to “run”. This is due to the fact
that tears from the eyes will pass through the_____and enter into the nasal cavity
a.
b.
c.
d.
Trabecular meshwork
Scleral sinus
Bulbar conjunctiva
Naso lacrimal duct
The light sensitive pigmented layer of tissue in the eyes is?
a.
b.
c.
d.
Lens
Iris
Cornea
Retina
Which of the following structure alters the size of the pupil?
a.
b.
c.
d.
Iris
Cornea
Ciliary muscle
Lens
Acuity means:
a.
b.
c.
d.
Ability to read
Ability to bend light as they pass from one medium to another
Clearness or sharpness of a sensory function
Substance that does not allow the passage of light
The oculomotor nerve is called a cranial nerve?
a.
b.
c.
d.
lV
ll
lll
lX
MUSCULOSKELETAL (QUIZ)
Scoliosis is mostly diagnosed at what age group?
a.
b.
c.
d.
Toddle
Adolescent
Infant
Seniors
How will you institute passive exercise to enhance the muscle strength in your client:
a. Apply an opposing force when the individual when your client apply flexion and
extension to a joints
b. Flexion and extension exercise being directed by the nurse in each joints
c. Observe for contraction and relaxation during lifting of heavy object
d. Do flexion and extension of joints by the nurse for the patient
The bones in your body make up the skeletal system. Which is a function of the skeletal
system?
a. Protect your internal organs
b. Carries impulses to your brain
c. Transports glucose from digested food
d. Sends chemical messages in your blood
What should you assess for a client who will undergo magnetic resonance imaging (MRI)?
a.
b.
c.
d.
Assess for fracture
Ask if the client voided
Check for metallic implants
Check for laboratory exams
Which joints allows no movement?
a.
b.
c.
d.
Ball and socket
Pivot
Hinges
Fixed
What are the bones that makes the articulation of the elbow joint?
a.
b.
c.
d.
Fibula, femur, tibia
Fibula, femur, tibia
Patellar, femur, fibula
Patella, femur, tibia
What is the structure that prevents the bones from rubbing against each other?
a.
b.
c.
d.
Cartilage
Muscle
Joint
Ligament
The role of ligaments is the skeletal system is to:
a.
b.
c.
d.
Produce red blood cell
Convert cartilage into bone
Connect bones together
Attach muscles to bone
What type of controllable muscles do you use when you climb stairs?
a.
b.
c.
d.
Involuntary
Cardiac
Skeletal
smooth
What Is the strong, stretchy tissue that connects one bone to another bone?
a.
b.
c.
d.
Ligaments
Cartilage
Tendons
Skeletal muscle
The reason for arthrocentesis done is to:
a.
b.
c.
d.
Obtain synovial fluid from a joint
Evaluate bone mineral density
Perform surgery and diagnose diseases of the patella
Obtain synovial fluid from a muscle
Tendons, ligaments, and cartilage are all examples of:
a.
b.
c.
d.
Connective
Tendons
Muscles
Epithelial
The client underwent arthroscopy, as a nurse your immediate responsibility is to:
a.
b.
c.
d.
Apply ice to the area
Teach client to avoid excessive use of the joint for 2 to 3 days
Assess for bleeding and swelling
Apply warmth compress to area if prescribed
What is the thick band of tissue that attaches muscle to bone?
a.
b.
c.
d.
Ligament
Tendon
Phalanges
Cartilage
Which diagnostic test involve injecting radiopaque contrast medium into a joint and taking an
xray?
a.
b.
c.
d.
Arthrodesis
Arthrogram
Arthrocentesis
arthroplasty
(Endocrine Quiz)
How many hormones are secreted by the anterior pituitary glands?
a.
b.
c.
d.
5
9
7
3
Which of the following cell types not found in the pancreas?
a.
b.
c.
d.
Alpha cell
Kappa cell
Beta cell
Acinar cell
Which gland is responsible for calcium regulation?
a.
b.
c.
d.
Pituitary gland
Adrenal gland
Parathyroid glands
Thyroid glands
Which of the following hormones are produced and secreted by the adrenal medulla?
a.
b.
c.
d.
Insulin and glucagon
T4(thyroxine) and T3(triiodothyronine)
Adrenaline and noradrenaline
Calcitonin and parathyroid hormones (PTH)
How do hormones differ from the nervous system?
a.
b.
c.
d.
Hormones are slower
Hormones are faster
Hormones are secreted by one specific type of cell
Hormones travel farther
Which hormone is primarily responsible for uptake of glucose from blood by cell?
a.
b.
c.
d.
Angiotensin
Leptin
Renin
Insulin
The exocrine cells of the pancreas produce:
a.
b.
c.
d.
Adrenaline
Cortisol
Digestive juices
Insulin
Our body has two levels of coordination; what are they?
a.
b.
c.
d.
Nervous and chemicals
Nervous and chemicals
Chemicals and mental
Nervous and cellular
Which types of signalling occurs when neurons release chemical signal molecules which
influence the activity and behaviour of neighbouring neurons?
a.
b.
c.
d.
Autocrine
Paracrine
Endocrine
Synaptic
Which hormones from the anterior pituitary gland regulates the release of the corticosteroid
hormones from the adrenal cortex?
a.
b.
c.
d.
FSH
TSH
LH
ACTH
Which hormones is produced in the hours of darkness and encourages sleep?
a.
b.
c.
d.
Renin
Insulin
Angiotensin
Melatonin
Most hormones travel from the gland where they were produced to the tissue and cell which
they act upon:
a.
b.
c.
d.
Along nerve fibres
Via synapses
In ducts
In the bloodstream
Which gland may be enlarged due to an iodine deficiency?
a.
b.
c.
d.
Adrenal
Thyroid
Pituitary
Parathyroid
Hormones are:
a.
b.
c.
d.
Etheric messengers
Electrical signals
Chemicals messenger
Hydrological signals
The gland that secretes the hormones that determines the basal rate of the metabolism and
normal growth is located:
a.
b.
c.
d.
In bones
In the brain
In front of the trachea
In the pelvis
What two hormones are formed by the pancreas?
a.
b.
c.
d.
Parathromones and vasopressin
Epinephrine and norepinephrine
Insulin and glucagon
T3 and T4
The family of steroid hormones are chemically derived from cholesterol and include:
a. T4(thyroxine) and T3 (triiodothyronine)
b. Gonadotropin-releasing hormones(GnRH), growth hormone-releasing
hormone(GHRH) and thyrotropin releasing hormones(TRH)
c. Corticosteroids, sex hormones and vitamin D
d. Growth hormones (GH) and adrenocorticotropic hormones(ACTH)
Which of these is a steroid hormone?
a.
b.
c.
d.
Insulin
Adrenaline
Androgens
Leptin
Which gland is responsible for the flight and fight response?
a.
b.
c.
d.
Pituitary gland
Adrenal gland
Parathyroid gland
Thyroid gland
The posterior pituitary gland is sometimes called the neurohypophysis and it secretes which
neurohormones?
a.
b.
c.
d.
Calcitonin and parathyroid hormones(PTH)
Antidiuretic hormones (ADH) and oxytocin
Adrenaline and cortisol
Insulin and glucagon
(Gastrointestinal Tract (Quiz)
Nurse carly is preparing to remove a NGT from a client. The nurse would instruct the client
to do which of the following just before the nurse removes the tube
a.
b.
c.
d.
To take and hold a deep breath
To exhale
To perform valsalva’s maneuver
To inhale and exhale quickly
A male client with a peptic ulcer is scheduled for vagotomy and the client asks the nurse
about the purpose of this procedure. Which response by the nurse best describes the
purpose of vagotomy
a.
b.
c.
d.
Reduce the stimulus to acid secretion
Decreases food absorption in the stomach
Halts stress reaction
Heals the gastric mucosa
The nurse is performing an abdominal assessment and inspects the skin of the abdomen.
The nurse performs which assessment technique next?
a.
b.
c.
d.
Palpates the liver at the right rib margin
Listening to bowel sound in all four quadrant
Palpates the abdomen for size
Percusses the right lower abdominal quadrant
The nurse is providing discharge instructions to a male client following gastrectomy and
instructs the client to take which measure to assist in preventing dumping syndrome?
a.
b.
c.
d.
Eating high carbohydrates food
Limiting fluid taken with meals
Ambulates following a meals
Sit in a high-fowler’s position during meals
Bryan who is diagnosed with acute pancreatitis. Which intervention should the nurse include
in the care plan for the client
a. Maintenance of the nothing-by-mouth status and insertion of nasogastric (NG) tube
with low intermittent suction
b. Preparation for a paracentesis and administration of diuretics
c. Administration of vasopressin and insertion of a balloon tamponade
d. Dietary plan of a low-fat diet and increased fluid intake to 2,000 ml/day
Mr. jordan who is taking antacids, which instruction would be included in the teaching plan?
a.
b.
c.
d.
“Take the antacids with 8 oz of water. ”
“Continue taking antacids even when pain subside.”
“Weigh yourself daily when taking this medication.”
“Avoid taking other medications within 2 hours of this one.”
The nurse is caring for a female client following a billroth ll procedure. Which postoperative
order should the nurse question and verify?
a.
b.
c.
d.
Irrigating the nasogastric tube
Early ambulation
Leg exercise
Coughing and deep-breathing exercises
The nurse is reviewing the record of the client with a diagnosis of cirrhosis and notes that
there is documentation of presence of asterixis. How should the nurse assess for its
presence
a.
b.
c.
d.
Measure the abdominal girth
Ask the client to extend the arm
Dorsiflex the client’s foot
Instruct the client to lean forward
The nurse is planning to teach a client with gastroesophageal reflux disease about
substances to avoid. Which item should the nurse include on the list
a.
b.
c.
d.
Non-fat milk
Fried chicken
Cookies
Bread
The hospital administrator had undergone percutaneous transhepatic cholangiography.
Which assessment finding indicates complication after the operation?
a.
b.
c.
d.
Bradycardia
Nausea and diarrhea
Fever and chills
Hypertension
The nurse is assessing for stoma prolapse in a client with a colostomy. What should the
nurse observe if stoma prolapse occurs?
a.
b.
c.
d.
Dark and bluish colored stoma
Sunken and hidden stoma
Protruding stoma
Narrowed and flattened stoma
Nurse mellisa is inserting a NGT in an adult client. During the procedure, the client begins to
cough and has difficulty breathing. Which of the following is the most appropriate nursing
action
a.
b.
c.
d.
Quickly insert the tube
Remove the tube and reinsert when the respiratory distress subside
Pull back on the tube and wait until the respiratory distress subsides
Notify the doctor immediately
Polyethylene glycol-electrolyte solution (GoLYTELY) is prescribed for the female client
scheduled for a colonoscopy. The client begins to experience diarrhea following the
administration of the solution. What action by the nurse is appropriate
a.
b.
c.
d.
Start an IV infusion
Explain that diarrhea is expected
Cancel the diagnostic test
Administer an enema
The nurse is monitoring a female client for the early signs and symptoms of dumping
syndrome. Which of the following indicate this occurrence?
a.
b.
c.
d.
Abdominal cramping and pain
Double vision and chest pain
Sweating and pallor
Bradycardia and indigestion
Nurse sophia is caring for a hospitalized female client with a diagnosis of ulcerative colitis.
Which finding, if noted on assessment of the client, would the nurse sophia report to the
physician?
a.
b.
c.
d.
A hemoglobin level of 12 mg/dL
Hypotension
Bloody diarrhea
Rebound tenderness
The nurse is monitoring a female client with a diagnosis of peptic ulcer. Which assessment
finding would most likely indicate perforation of the ulcer?
a.
b.
c.
d.
Nausea and vomiting
Bradycardia
Numbness in the legs
A rigid, board-like abdomen
Mrs. Tobias, a 51-year-old woman, is diagnosed with cholecystitis. Which diet, when
selected by the client, indicates that the nurse’s teaching has been successful?
a.
b.
c.
d.
High-fat, high-carbohydrates meals
4-6 small meals of low-carbohydrates food daily
High-fat, low protein meals
Low-fat, high carbohydrates meals
The nurse is caring for a male client with a diagnosis of chronic gastritis. The nurse monitors
the client knowing that this client is at risk for which vitamin deficiency?
a. Vitamin B12
b. Vitamin E
c. Vitamin C
d. Vitamin A
The nurse is reviewing the prescription of the client admitted to the hospital with a diagnosis
of acute pancreatitis. Which intervention would the nurse expect to be prescribed for the
client?
a.
b.
c.
d.
Encourage heavy exercise
Give meperidine(Demerol) as prescribed for pain
Maintain the client in a supine and flat position
Give small, frequent high- calorie feeding
When teaching a client about pancreatic function, the nurse understands that pancreatic
lipase performs which function?
a.
b.
c.
d.
Transports fatty acids into the brush border
Break down protein into dipeptides and amino acids
Breaks down fat into fatty acids and glycerol
Triggers cholecystokinin to contract the gallbladder
The nurse is assessing a male client 24 hours following a cholecystectomy. The nurse noted
that the T-tube has drained 750 ml of green-brown drainage since the surgery. Which
nursing intervention is appropriate?
a.
b.
c.
d.
Notify the physician
Clamp the T-tube
Irrigate the T-tube
Document the findings
A female client being seen in a physician’s office has just been scheduled for a barium
swallow the next day. The nurse writes down which instruction for the client to follow before
the test?
a.
b.
c.
d.
Monitor own bowel movement pattern for constipation
Fast for 8 hours before the test
Continue to take all oral medications as scheduled
Eat a regular supper and breakfast
Registered nurse Nicole is observing a new orienteer who is inserting a NGT in an adult
client. The new orienteer is determining the length of tube insertion. Which of the following
observations indicates accurate measurement of the length of the tube to be inserted?
a. Tip of the nose and measures by extending to the earlobe then down to the top of the
sternum
b. Marks the tube at 10 inches
c. Tip of the nose and measure by extending to the earlobes then down to the xiphoid
process
d. Marks the tube at 32 inches
For a client in hepatic coma, which outcome would be the most appropriate?
a.
b.
c.
d.
The client exhibits increased serum albumin level
The client is oriented to time, place, and person
The client exhibits no ecchymotic areas
The client increases oral intake to 2,000 calories/ day
Which clinical manifestation would nurse libbie expect to a client diagnosed with acute
cholecystitis to exhibit?
a.
b.
c.
d.
Nausea, vomiting, and anorexia
Jaundice, dark urine, and steatorrhea
Acute right lower quadrant (RLQ) pain, diarrhea, and dehydration
Ecchymosis petechiae, and coffee-ground emesis
Nurse Rowena is reviewing the record of a female client with Crohn's disease. Which stool
characteristics should she expect to note documented in the client’s record?
a.
b.
c.
d.
Diarrhea
Chronic constipation
Stools constantly oozing from rectum
Constipation altering with diarrhea
Nurse Rosemarie is assigned to a 41-year-old client who has a diagnosis of chronic
pancreatitis. The nurse reviews the laboratory result, anticipating a laboratory report that
indicates a serum amylase level of:
a.
b.
c.
d.
45 units/L
500 units/L
300 units/L
100 units/L
(GIT and Endo)Finals
The nurse caring for a patient who is hospitalized for an exacerbation of ulcerative colitis
should take which of the following as the priority during the first days of hospitalization?
a.
b.
c.
d.
Managing diarrhea
Promoting rest and comfort
Maintaining adequate nutrition
Promoting self-care and independence
Martin has had a series of gastrointestinal (GI) diagnostic tests, including an upper GI series
and endoscopies. The nurse assigned to him is aware that she is to assess which of the
following first after the procedures?
a.
b.
c.
d.
Comfort level
Activity tolerance
Level of consciousness
Hydration and nutrition status