1. Which of the following is not a sign of heart failure in infants

Tachycardia

Cardiomegaly

Spleenomegaly

Gallop rhythm

2. Not among the 5Fs of abdominal distension

Fat

Fluid

Fetus

Flora

3. Retinal hemorrhage is a sign of

Nystagmus

Shaken baby syndrome

Battered baby syndrome

Rickets

5. Not part of natal history

Type of delivery

Birth weight

Breastfeeding

Apgar scoring

6. Causes of spleenomegaly

Neuroblastoma

Wilms tumour

Thellasemia

Hepatocellular carcinoma

7. Shifting dullness indicates

Chest pain

Ascites

Renal coliac

None of the above

8. Red currant stool is an indication of

Pyloric stenosis

Intussusception

Nephroblastoma

Amoebiasis

9. Define a very low birth weight baby

Baby weighing less than 3500g

Baby weighing less than 2500

Baby weighing less than 1500g

Baby weighing above 3.5kg

10. Define newborn resuscitation

Oxygen deprivation to the baby’s brain

Immediate intervention after birth to help the baby breathe

Attempts to improve circulation

All of the above

11. Not a feature of an normal newborn

Measures around 50cm length

Does not require resuscitation at birth

Weighs 2.5kg-4kg

Born after 42weeks gestation

12. Which of the ff. statements by the client to the nurse indicates a risk factor for CAD?

“I exercise every other day.”

“My father died of Myasthenia Gravis.”

“My cholesterol is 180.”

“I smoke 1 1/2 packs of cigarettes per day.”

13. The nurse is conducting an education session for a group of smokers in a “stop smoking” class. Which finding would the nurse state as a common symptom of lung cancer?

Dyspnea on exertion

Foamy, blood-tinged sputum

Wheezing sound on inspiration

Cough or change in a chronic cough

14. A client receiving heparin sodium asks the nurse how the drug works. Which of the following points would the nurse include in the explanation to the client?

It dissolves existing thrombi.

It prevents conversion of factors that are needed in the formation of clots.

It inactivates thrombin that forms and dissolves existing thrombi.

It interferes with vitamin K absorption.

15. A patient with angina pectoris is being discharged home with nitroglycerine tablets. Which of the following instructions does the nurse include in the teaching?

“When your chest pain begins, lie down, and place one tablet under your tongue.

“Place one tablet under your tongue. If the pain is not relieved in 15 minutes, go to the hospital.”

“Continue your activity, and if the pain does not go away in 10 minutes, begin taking the nitro tabl

“Place one Nitroglycerine tablet under the tongue every five minutes for three doses. Go to the hospital

16.  Mr. Braga was ordered Digoxin 0.25 mg. OD. Which is poor knowledge regarding this drug?

It has positive inotropic and negative chronotropic effects

The positive inotropic effect will decrease urine output

Toxixity can occur more easily in the presence of hypokalemia, liver and renal problems

Do not give the drug if the apical rate is less than 60 beats per minute.

17.  Valsalva maneuver can result in bradycardia. Which of the following activities will not stimulate Valsalva’s maneuver?

Use of stool softeners.

Enema administration

Gagging while toothbrushing.

Lifting heavy objects

18. A student nurse is assigned to a client who has a diagnosis of thrombophlebitis. Which action by this team member is most appropriate?

Apply a heating pad to the involved site.

Elevate the client’s legs 90 degrees.

Instruct the client about the need for bed rest.

Provide active range-of-motion exercises to both legs at least twice every shift.

19. The nurse is teaching the patient regarding his permanent artificial pacemaker. Which information given by the nurse shows her knowledge deficit about the artificial cardiac pacemaker?

take the pulse rate once a day, in the morning upon awakening

may be allowed to use electrical appliances

have regular follow up care

may engage in contact sports

19. A client with chronic heart failure has been placed on a diet restricted to 2000mg. of sodium per day. The client demonstrates adequate knowledge if behaviors are evident such as not salting food and avoidance of which food?

Whole milk

Canned sardines

Plain nuts

Eggs

20. Which is the most relevant knowledge about oxygen administration to a client with COPD?

Oxygen at 1-2L/min is given to maintain the hypoxic stimulus for breathing.

Hypoxia stimulates the central chemoreceptors in the medulla that makes the client breath.

Oxygen is administered best using a non-rebreathing mask

Blood gases are monitored using a pulse oximeter