7/31/2019 SEO- Revision 0905
1/77
REVISION
SEO
(SHORT MEQ)
7/31/2019 SEO- Revision 0905
2/77
1. Miss Lina, a 16-year-old client is admitted for
seizure monitoring.
a. State FOUR (4) types of generalized seizures.
b. Explain SIX (6) nursing interventions for clientafter a seizure episode.
c. State FOUR (4) complications of seizures
7/31/2019 SEO- Revision 0905
3/77
2. Madam Timah, a 56- year-old clerk is diagnosed with
diabetes mellitus type 2 and admitted to the ward forblood sugar monitoring.
a. State SIX (6) clinical manifestations that are
expected to be reported by Madam Timah.
b. Explain FIVE (5) aspects of health education youwould give to Madam Timah prior discharge to preventcomplications of diabetes mellitus.
c. State FOUR (4) common complications of diabetesmellitus.
7/31/2019 SEO- Revision 0905
4/77
3. Mr. Imran is a 35 years old man admitted to the Accident andEmergency department with the diagnosis of spinal cord injurydue to motor vehicle accident. The doctor confirmed him to
have total loss of motor and sensory function below level ofinjury.
a. State the type of classification of the spinal cord injury of
the above mentioned client.
b. State TWO ( 2 ) diagnostic tests for a client with spinal cordinjury
c. Write FIVE ( 5 ) Nursing Interventions for each nursingdiagnosis given below
i. Impaired physical mobility related to paralysisii. Alteration in bowel elimination related to immobility
iii. Risk for skin integrity related to lack of mobility
7/31/2019 SEO- Revision 0905
5/77
4. Mrs. Ram is 40 years old came to the clinic with thecomplains of dyspnea, loss appetite, weight gain, dry skin and
constipation. The doctor records the final diagnosis asHypothyroidism.
a. State THREE ( 3 ) disorders in hypothyroidism
b. State TWO ( 2 ) risk factors for hypothyroidism
c. Write FOUR ( 4 ) Nursing Interventions for each nursingdiagnosis given below
i. Activity intolerance related to fatigueii. Imbalanced nutrition, more than requirements
related to decreased metabolic rate
7/31/2019 SEO- Revision 0905
6/77
5. Mr Kevin was admitted to medical ward suspected to havemeningitis. The doctor schedule him for lumber puncture.
a. State TWO (2) purposes of Lumber puncture
b. Name TWO (2) puncture site of lumber puncture
c. Explain your nursing responsibilities before and after lumber
puncture.
7/31/2019 SEO- Revision 0905
7/77
6. Mariam was admitted to the ward and scheduled forthyroidectomy.
a. Define thyroidectomy
b. List TWO (2) preoperative nursing care for Mariamc. List TWO (2) post operative care for mariam
Post-thyroidectomy , mariam complains of pain at op site.
d. Give SIX (6) nursing interventions for
7/31/2019 SEO- Revision 0905
8/77
7. Calvin, 10 years old boy is admitted to the ward
and diagnosed recurrent tonsislitis. He is
scheduled for tonsilectomy after theinflammation is reduced.
a) State 2 clinical manifestation that may be
exhibited by Calvin.b) Calvin has just came back from OT for
tonsilectomy. Explain 3 post op care for Calvin
c) State 1 nursing diagnosis for post optonsilectomy
d) Exlpain 4 nursing intervention for the above
nursing diagnosis
7/31/2019 SEO- Revision 0905
9/77
MCQ
7/31/2019 SEO- Revision 0905
10/77
1. Which of the followings is the MOST
common cause of the dementia indegenerative conditions of the brain?
A. Encephalitis
B. Multiple sclerosis
C. Parkinsons diseases
D.Alzheimers diseases
7/31/2019 SEO- Revision 0905
11/77
2. Mr Ma has recently been diagnosed withParkinsons disease. Which important topic
should the nurse include in the teaching planfor him?
A. Enhancing the immune system
B. Engaging in diversional activity
C. Maintaining a safe environment
D. Maintaining a balance nutritional diet
7/31/2019 SEO- Revision 0905
12/77
3. What should the nurse do FIRST when aclient with head injury begins to have clear
drainage from his nose?
A. Insert nasal pack
B. Tilt the head back
C. Apply pressure on the nasal bridge
D. Collect the fluid in the specimen bottle
7/31/2019 SEO- Revision 0905
13/77
4. Mr Tan accidently hit his head with the bar
metal and developed bruises on hisforehead. This mechanism of injury is knownas
A. penetrating.
B. acceleration.
C. deformation.
D. deceleration.
7/31/2019 SEO- Revision 0905
14/77
Discussion
Acceleration - Head stuck by moving object
Deformation - Force deforms and disrupts
body integrity
Deceleration - Head hits stationary object
7/31/2019 SEO- Revision 0905
15/77
5. The nurse is assessing the motor functionof an unconscious client. Which test should
be performed to assess the clientsperipheral response to pain?
A. Apply pressure on the nail bed
B. Rub the upper part of the sternum
C. Apply pressure on the orbital ridge
D. Pinch the sternocleidomastoid muscle
7/31/2019 SEO- Revision 0905
16/77
6. Bells palsy is the most common type ofperipheral facial paralysis and it affects the_________ cranial nerve.
A. Fourth
B. Fifth
C. Sixth
D. Seventh
7/31/2019 SEO- Revision 0905
17/77
Bell's palsy is a form of facial paralysis resulting from adysfunction of the cranialnerve VII (the facial nerve)that results in the inability to control facial muscles on theaffected side.
7/31/2019 SEO- Revision 0905
18/77
7. The 5
th
cranial nerve function is tested using
A. a stetchoscope.
B. coffee and vanilla.C. a cotton ball and a pin.
D. a measuring tape and a pencil.
7/31/2019 SEO- Revision 0905
19/77
OOOTTAFVGHVA
OOOToTouchAndFeelVaginalGirlHaeVAn
http://iahealth.net/wp-content/uploads/2008/12/cranial-nerves.pnghttp://www.nature.com/nrn/journal/v2/n9/images/nrn0901_611a_t2.gif7/31/2019 SEO- Revision 0905
20/77
http://www.nature.com/nrn/journal/v2/n9/images/nrn0901_611a_t2.gif7/31/2019 SEO- Revision 0905
21/77
8. The client with a stroke has residual dysphagia.
When a diet order is initiated, the nurse should AVOID
doing which of the following?
A. Giving the client thin liquids.
B. Placing food on the unaffected side of the mouth.
C. Allowing plenty of time for chewing and swallowing.
D. Giving thickened liquids to the consistency of
oatmeal.
7/31/2019 SEO- Revision 0905
22/77
9. Ms Mariam is diagnosed with bacterial
meningitis. The assessment of flexing theclients neck causes flexion of the hipsand knees is called
A. decebrate
B. decorticate
C. Kernigs signD. Brudzinskis sign
7/31/2019 SEO- Revision 0905
23/77
DISCUSSION
7/31/2019 SEO- Revision 0905
24/77
10. A client, aged 22, is admitted with bacterial
meningitis. Which hospital room would be the bestchoice for this client?
A. An isolation in front of the nurses station.
B. A private room downs the hall from the nursesstation.C. A two-bed room with a client who previously hadbacterial meningitis.
D. A semiprivate room with a 32-year-old client whohas viral meningitis.
7/31/2019 SEO- Revision 0905
25/77
11. An adult client has a medical diagnosis ofincreased intracranial pressure and is being
cared for in the neurology unit. The care planincludes elevating the head of the bed andpositioning the clients head in proper
alignment. The nurse recognizes that these
actions are effective because they act by
A. reducing pain.
B. promoting venous drainage.
C. preventing a valsalva maneuver.
D. making it easier for the client to breathe.
7/31/2019 SEO- Revision 0905
26/77
12. Which of the following describe acongenital condition where a baby is bornwithout the brain and cranial vault?
A. Anencephaly
B. Microcephaly
C. HydrocephalyD. Cerebral Palsy
7/31/2019 SEO- Revision 0905
27/77
13. A child is diagnosed with hydrocephalus. Sheis scheduled for insertion of ventriculoperitonealshunt. This surgery will be performed to drainexcess cerebrospinal fluid from the ventricle of
the brain into the
A. peritoneal cavity of the abdomen
B. right atrium of the heartC. lungs
D. kidney
7/31/2019 SEO- Revision 0905
28/77
DISCUSSION
VENTRICULOPERITONEAL SHUNT
7/31/2019 SEO- Revision 0905
29/77
14. Which of the following will the nurseobserve in the client with the initial phase of
generalized tonic-clonic seizures?
A. Vacant staring and abruptly ceasing allactivity
B. Facial grimaces, patting motions and lipsmacking
C. Jerking in one exremity that spread gradually
to adjacent areaD. Loss of consiousness, body stiffening andviolent muscle contraction
7/31/2019 SEO- Revision 0905
30/77
Question 14
Discussion
Types of seizures
7/31/2019 SEO- Revision 0905
31/77
Types of seizures
Seizures
Partial Generalized
Neurologicabnormality limitedto a specific part orfocus of the brain
Neurologic abnormalityinvolves the both
cerebral hemisphere ofthe brain
7/31/2019 SEO- Revision 0905
32/77
Types of seizures- Cont
Seizures
Partial Generalized
1. Simple
partial
2. Complex
partial1. Absence
3. Tonic4. Clonic
2.
Mycolonic
5. Tonic-Clonic
7/31/2019 SEO- Revision 0905
33/77
7/31/2019 SEO- Revision 0905
34/77
Signs & Symptoms
3. Tonic seizurecont
Abrupt increase in muscular tone and
muscular contraction.
Body become rigid, respirations are interrupted
for temporary
Patient may cyanotic, jaw fixed and hands are
clenched, eye opened wide, pupils are fixed
and dilated
Last from 30 seconds to several minutes
7/31/2019 SEO- Revision 0905
35/77
Signs & Symptoms
4. Clonic seizure
Rhythmatic muscular contraction and
relaxation.
Excessive saliva, incontinent, may bite the lips
and tongue
Lasting several minutes
7/31/2019 SEO- Revision 0905
36/77
15. Mr. Joy is a 18 years old student admitted in
the medical ward. He is diagnosed as having
actual seizure. What is the first nursing action?
A. Provide privacy to the patient
B. Pad the bed side rails
C. Maintain the patients airway
D. Assess the level of consciousness.
7/31/2019 SEO- Revision 0905
37/77
16. A male client is having a tonic-clonic seizure.
What should the nurse do first?
A. Elevate the head of the bed.B. Take precautions to prevent injury.
C. Restrain the clients arms and legs.
D. Place a tongue blade in the clients mouth.
7/31/2019 SEO- Revision 0905
38/77
17. The following are the purposes of lumber
puncture EXCEPT to
A. Rule out brain injury
B. Diagnose brain neoplasm
C. Rule out infection of the brain
D. Diagnose autoimmune disease of theCNS
DISCUSSION
7/31/2019 SEO- Revision 0905
39/77
INDICATIONS FOR LUMBAR PUNCTURE
Diagnostic indications:
1. Measuring of CSF pressure
2. Obtaining CSF for laboratory analysis
3. Injecting oxygen or a radiopaque substance for radiographicvisualization of the structures of the nervous system of the spinalcanal and meninges and brain.
Therapeutic indications:
1. Removing blood or pus from the subarachnoid space,
2. Injecting drugs
3. withdrawing CSF to reduce intracranial pressure,
4. Introducing a local anesthetic to induce spinal anesthesia,
5. Placing a small amount of the patient's blood in the subarachnoidspace to form a clot to patch a hole in the dura to prevent leak ofCSF into the epidural space.
DISCUSSION
7/31/2019 SEO- Revision 0905
40/77
18. Madam Anna is suspected to havemeningitis and was scheduled for lumbarpuncture. In which position should the nurseplace her during the procedure?
A. Lateral with a pillow under the hip
B. Prone with trendelenburgs postion
C. Prone with a pillow under the abdomenD. Lateral with knee chest and head bent
down unto chest
7/31/2019 SEO- Revision 0905
41/77
DISCUSSION
Position of client during Lumbar puncture
7/31/2019 SEO- Revision 0905
42/77
19. The nurse is preparing the client for EEG(Electro Encephalogram) tomorrow. Whatspecific instruction the nurse must give tothe client?
A. Encourage client to eat and sleep well
B. Advice the client to avoid crowded area
C. Avoid applying any oil and gel after shampoo
D. Instruct client to do deep breathing exerciseto reduce anxiety
DISCUSSION
7/31/2019 SEO- Revision 0905
43/77
INDICATIONS:
1. To evaluate seizures disorder2. To localize tumors
Other used / A secondary clinical use
of EEG:-is in the diagnosis of coma,
encephalopathies, and brain death,
tumors and stroke
DISCUSSION
http://en.wikipedia.org/wiki/File:EEG_cap.jpg7/31/2019 SEO- Revision 0905
44/77
20. A client has just undergone transsphenoidal
resection of a pituitary adenoma. The nurse
includes which of the following in the plan care?
A. Remove the nasal packing in 12 hours
B. Administer acetylsalicylic acid (aspirin) for asevere headache
C. Observe the client for frequent swallowing
D. Remind the client to cough and breathe
deeply
7/31/2019 SEO- Revision 0905
45/77
21. The nurse is caring for a client who
underwent surgical hypophysectomy. Which of
the following assessments is MOST essential for
the nurse to perform immediately?
A. Heart rate.
B. Respiration.
C. Blood pressure.
D. Serum calcium levels.
7/31/2019 SEO- Revision 0905
46/77
22. A male client with a history of hypertension
is diagnosed with primary hyperaldosteronism.
This diagnosis indicates that the clientshypertension is caused by excessive hormone
secretion from which of the following glands?
A. Pancreas.
B. Parathyroid.
C. Adrenal cortex.D. Adrenal medulla.
7/31/2019 SEO- Revision 0905
47/77
23. Nurse Riya is aware that the MOST
appropriate nursing diagnosis for a client with
Addisons disease is
A. hypothermia.
B. urinary retention.
C. risk for infection.
D. excessive fluid volume.
7/31/2019 SEO- Revision 0905
48/77
23. Nurse Riya is aware that the MOST
appropriate nursing diagnosis for a client with
Addisons disease is
A. hypothermia.
B. urinary retention.
C. risk for infection.
D. excessive fluid volume.
7/31/2019 SEO- Revision 0905
49/77
24. Which of these signs suggest that a male
client with the syndrome of inappropriate
antidiuretic hormone (SIADH) secretion is
experiencing complications?
A. Polyuria.
B. Weight loss.
C. Neck vein distention.
D. Tetanic contractions.
7/31/2019 SEO- Revision 0905
50/77
7/31/2019 SEO- Revision 0905
51/77
26. Nurse Oliver should expect a client with
hypothyroidism to report which health
concerns?
A. Thyroid gland swelling.
B. Nervousness and tremors.
C. Puffiness of the face and hands.D. Increased appetite and weight loss.
7/31/2019 SEO- Revision 0905
52/77
27. A nurse is assisting to prepare a plan of care
for a client with hyperthyroidism and is
instructing the client regarding dietarymeasures. Which of the following foods are
included in the plan of care?
A. Those high in bulk and fiber
B. Those high in calories
C. Those low in carbohydrates
D. Those low in calories
7/31/2019 SEO- Revision 0905
53/77
28. An adult is currently being treated at the
clinic for Graves disease. It is essential for the
nurse to assess for which of the following signs
immediately?
A. Goiter.
B. Tachycardia.
C. Constipation.
D. Hypothermia.
7/31/2019 SEO- Revision 0905
54/77
7/31/2019 SEO- Revision 0905
55/77
30. When instructing the female client
diagnosed with hyperparathyroidism about diet,
nurse Gina should stress the importance ofwhich of the following?
A. Restrict fluids.B. Increase fluids.
C. Restrict sodium.
D. Restrict potassium.
7/31/2019 SEO- Revision 0905
56/77
31. A nurse is monitoring a client withhypoparathyroidism for signs of hypocalcemia.
The nurse wraps a blood pressure (BP) cuffaround the clients arm, fills the cuff, andmonitors for spasms of the wrist and the hand.The nurse documents the findings, knowing that
this technique checks for the presence of whichof the following?
A. Kernigs sign
B. Babinskis signC. Chvosteks sign
D. Trousseaus sign
DISCUSSION
7/31/2019 SEO- Revision 0905
57/77
DISCUSSION
Trousseaus sign
Chvosteks sign
7/31/2019 SEO- Revision 0905
58/77
32. Nurse Ruth is assessing a client after a
thyroidectomy. The assessment reveals muscletwitching and tingling, along with numbness inthe fingers, toes, and mouth area. The nurse
should suspect which complication?
A. Tetany.
B. Thyroid storm.C. Haemorrhage.
D. Laryngeal nerve damage.
7/31/2019 SEO- Revision 0905
59/77
33. The nurse is preparing a room to receive
post-thyroidectomy client from operationtheatre. The nurse should ensure that which ofthe following equipment is available at the
bedside.
A. Nasogastric tray.
B. Tracheostomy tray.C. Lumbar puncture tray.
D. Central venous tray set-up.
7/31/2019 SEO- Revision 0905
60/77
34. The nurse is doing discharge teaching with a clientwho has had a bilateral adrenalectomy. What should
be included in the teaching plan?
A. Telling her that after 1-2 years she will likely notneed to take medication.
B. Explaining that she will need to take corticosteroidsfor the rest of her life.C. Reinforcing that steroid should be slowly tapered if
she decides to stop taking them.D. Teaching her urine and blood testing to help in theregulation of steroid dosages.
7/31/2019 SEO- Revision 0905
61/77
35. Two day after a left eye cataractextraction, a client complains of nausea,
vomiting and seeing halo around thelights. What is the indication of this signs?
A. Dislocated lens
B. Detached retina
C. Corneal abrasion
D. Increase intraocular pressure
DISCUSSION
7/31/2019 SEO- Revision 0905
62/77
Possible complications of cataract surgery
1. Haemorrhagehyphaema (bleeding into ant.
chamber)
2. Infection this is probably one of the most serious
complications but is quite rare and usuallyhappens within the first week or two after surgery
3. Retinal detachment
4. Glaucoma develop as a result to adhesions formingbetween the iris and the cornea, blocking the filtrationangle and secondary to a hyphaema
DISCUSSION
DISCUSSION
7/31/2019 SEO- Revision 0905
63/77
Characteristic of Glaucoma
1. Pain
2. Nausea and vomiting
3. Halos or rainbows around artificial lights
4. Blurring of vision
5. Pupil dilated & fixed (via examination)
6. Cornea edematous (Via examination)
SCUSS O
7/31/2019 SEO- Revision 0905
64/77
36. A nurse is assessing a client admitted
with photophobia and decreased vision.Which of the following is an abnormalintraocular pressure?
A. 6-8 mmHg
B. 10-14 mmHg
C. 12-18 mmHgD. 18-20 mmHg
7/31/2019 SEO- Revision 0905
65/77
37 A i i t id i t ti t
7/31/2019 SEO- Revision 0905
66/77
37. A nurse is preparing to provide instruction to
a client with glaucoma about prescribed
treatment measures for the disorder. The nurseunderstands that the goal of treatment is:
A. Producing mydriasis in the eyeB. Promoting dilatation of the pupil of the eyes
C. Maintain intraocular pressure at reduced level
D. Increasing the formation of aqueous humor
7/31/2019 SEO- Revision 0905
67/77
38. A client is admitted with a detached retina of
the left eye. The nurse covered both eyes with
eye pad. What is the rationale for this
intervention?
A. To prevent infection
B. To decrease eye movement
C. To prevent photophobia
D. To prevent nystagmus
7/31/2019 SEO- Revision 0905
68/77
39. When obtaining the health history from a male
client with retinal detachment, the nurse expectsthe client to report
A. frequent episodes of double vision.
B. light flashes and floaters in front of the eye.
C. headaches, nausea, and redness of the eyes.
D. a recent driving accident while changing lanes.
.
7/31/2019 SEO- Revision 0905
69/77
40. In planning the pre-operative care for a client
with a retinal detachment, the nurse should include
which of the following in the plan of care?
A. Restrict ambulation.
B. Maintain flat bed rest.
C. Apply eye pad on the affected eye.
D. Have client wear dark glasses for reading.
7/31/2019 SEO- Revision 0905
70/77
41. Which of the followings refractive disorders
can be corrected by using convex lenses?
A. Myopia.
B. Hyperopia.
C. Presbyopia.
D. Astigmatism.
7/31/2019 SEO- Revision 0905
71/77
42. Which of the following is used to perform
visual acuity test?
A. Penlight.
B. Visual field.
C. Snellen chart.
D. Opthalmoscope.
7/31/2019 SEO- Revision 0905
72/77
43. A 9-year-old girl complains of difficulty
seeing at dusk. What could be the possible cause
for her condition?
A. Vitamin A deficiency.
B. Vitamin K deficiency.
C. Vitamin C deficiency.D. Vitamin D deficiency.
7/31/2019 SEO- Revision 0905
73/77
44. The nurse observes that the right eye ofan unconscious client does not closecompletely. Which nursing intervention isMOST appropriate?
A. Irrigate the eye every shift
B. Instill artificial tears 8 hourly
C. Lightly tape the eyelid to close
D. Put on dark eyeglasses at all times
7/31/2019 SEO- Revision 0905
74/77
45. Which of the following is the BEST way for the
nurse to assist a blind client in ambulation?
A. Push the client in a wheelchair when necessary.
B. Allow client to walk down the hall with his or her
hand along the wall.C. Allow client to walk beside the nurse with thenurses hand on the clients back.
D. Allow client to take nurses arm with the nursewalking slightly ahead of the client.
l h h f
7/31/2019 SEO- Revision 0905
75/77
46. A client aged 36 years has a history of
Chronic otitis media. The most common surgical
intervention for otitis media is
A. ossiculoplasty
B. mastoidectomy
B. tympanoplasty
D. myringotomy
7/31/2019 SEO- Revision 0905
76/77
47. A nurse is suctioning the airway of a client
with a tracheostomy. To safely perform the
procedure, the nurse should to which of thefollowing?
A. Turn on wall suction to 190 mm Hg
B. Withdraw the catheter while suctioning
C. Insert the catheter until resistance is felt
D. Renter the catheter into tracheotomy after
suctioning the mouth
7/31/2019 SEO- Revision 0905
77/77
48. A client who just underwent tonsillectomy
has become restless. The nurse notes anincreasing pulse rate, slight pallor, and frequentswallowing. The nurse interprets that:
A. The clients need medication
B. This is an expected post operative finding
C. The client may have post operative bleedingD. The client most likely has some mild postoperative edema