Documentos de Académico
Documentos de Profesional
Documentos de Cultura
POST TEST
By: Rodrigo T. Clemente, RMT, AMT, MD, RN, USRN, USMD
Neurologic System
1. If a client experienced a stroke that damaged the hypothalamus, the nurse would anticipate that the client has
problems with:
a. body temperature control.
b. balance and equilibrium.
c. visual acuity.
d. thinking and reasoning.
2. During recovery from a stroke, a client is given nothing by mouth to help prevent aspiration. To determine when the
client is ready for a liquid diet, the nurse assesses the client's swallowing ability once per shift. This assessment
evaluates:
a. cranial nerves I and II.
b. cranial nerves III and V.
c. cranial nerves VI and VIII.
d. cranial nerves IX and X.
3. A client has suffered damage to Broca’s area of the brain. The nurse providing care for this client that the client will
experience difficulty with which of the following?
a. Hearing
b. Speech
c. Balance
d. Level of consciousness
4. A client has a cerebellar lesion. The nurse determines that the client is adapting successfully to this problem if the client
demonstrates proper use of which of the following items?
a. Adaptive eating utensils
b. Walker
c. Raised toilet seat
d. Slider board
5. During the neurologic examination, the client responds to painful stimuli with decerebrate posturing.
This finding indicates damage to which part of the brain?
a. Diencephalon
b. Medulla
c. Midbrain
d. Cortex
6. Which of the following structures provides a protective covering for the eye?
a. Iris
b. Lens
c. Cornea
d. Conjunctiva
7. A client’s physical examination record state that the client’s eye moved normally through the six cardinal fields of gaze.
The nurse interprets this to mean that the client has normal:
a. Peripheral vision
b. Central vision
c. Ocular movements
d. Corneal reflexes
8. Part of the eye that is responsible for the production of aqueous humor is the:
a. Anterior chamber
b. Posterior chamber
c. Ciliary body
d. Trabecular meshwork
9. The nurse asks the student to identify the structures in the uveal tract. The student responds correctly by stating that
which of the following is unassociated with the uveal tract?
a. Iris
b. Ciliary body
c. Choroid
d. Lens
10. A mountain climber asks the nurse, “why is it that when I climbed in a high altitude area, I felt a fullness in my ear and
when I yawn or swallow, it disappear”? As a nurse, you know that which of the following is the best response to the client?
a. “You ear canal is connected to the eustachian tube, it opens when you yawn and swallows when you’re in a high place”.
b. “There is a pathway between your middle and your throat that opens when you’re in high places.”
c. “Tell me more why is it that your concern about this matter?”
d. “There’s nothing to worry about.”
Endocrine System
11. The adrenal cortex is responsible for producing which substances?
a. Glucocorticoids and androgens
b. Catecholamines and epinephrine
c. Mineralocorticoids and catecholamines
d. Norepinephrine and epinephrine
14. All of the following factors can increase growth hormone secretion except:
a. Stress
b. Exercise
c. Low blood glucose level
d. Alteration in the homeostasis
Gastrointestinal System
16. During the esophageal peristalsis, the lower esophageal sphincter will:
a. Contract as a result of peristaltic wave by the esophagus
b. Push the food to the upper layer of the esophagus
c. Relax due to esophageal presitaltic wave
d. Close to prevent aspiration
18. When colon is inflamed and ulcerated, what will be the effect?
a. Loose watery stool
b. Clay-colored stool
c. Fat in the stool
d. Altered absorption of nutrients
19. After taking an antacid, the client asks the nurse where antacids act in the body. How should the nurse respond?
a. Large intestine
b. Esophagus
c. Small intestine
d. Stomach
20. The nurse is teaching a client with malabsorption syndrome about the disorder and its treatment. The client asks
which part of the GI tract absorbs food. The nurse tells the client that products of digestion are absorbed mainly in
the:
a. stomach.
b. small intestine.
c. large intestine.
d. rectum.
Hepato-Biliary System
21. While palpating a client's right upper quadrant (RUQ), the nurse would expect to find which of the following
structures?
a. Sigmoid colon
b. Appendix
c. Spleen
d. Liver
22. The physician asks the nurse about protein metabolism of the liver. Which of the following is included in the protein
metabolism except:
a. Albumin
b. Blood clotting factors
c. Alpha globulins
d. Gamma globulins
24. The nurse is feeding up information to a patient with stone in the common bile duct about his condition. The nurse
knows that which of the following statement indicates clear understanding about his condition?
a. “It may cause me to bleed and to have eye problem if this condition doesn’t correct”.
b. “I can eat more fat when I want”.
c. “The color of my stool will be brown if this condition doesn’t correct immediately”.
d. “I can’t eat protein because it can be harmful to my brain”.
Respiratory System
26. Protects the lower airway from foreign substances and facilitates coughing:
a. Larynx
b. Trachea
c. Pharynx
d. Carinii
27. Where would a shelled peanut aspirated by an adult be most likely to lodge?
a. Anterior pharynx
b. Posterior pharynx
c. Left mainstem bronchus
d. Right mainstem bronchus
30. Propels mucus and foreign substance away from the lungs toward the pharynx?
a. Nostril
b. Larynx
c. Cilia
d. Bronchus
Cardiovascular and Hematologic System
31. What is the blood vessel that supplies oxygenated blood to the myocardium?
a. Descending aorta
b. Inferior vena cava
c. Coronary arteries
d. Pulmonary vein
32. Which of the following is a correct statement about the blood circulation?
a. The right atrium receives oxygenated blood
b. The blood from the right atrium will flow from the right atrium, passing the mitral valve into the right ventricle
c. The blood goes upward from the left ventricle to the left atrium
d. Backflow during ventricular contraction is prevented by the AV valves
34. What layer lines the inside of the heart and valves?
a. Parietal pleura
b. Pericardium
c. Myocardium
d. Endocardium
37. Which among the following is the correct sequence pertaining to the electrical pathway of the heart?
a. SA node AV node Bundle of His Purkinje fibers
b. AV node SA node Purkinje fibers Bundle of His
c. Purkinje fibers Bundle of His AV node SA node
d. SA node Bundle of His Purkinje fibers AV node
40. A client has had a recent myocardial infarction. Why is damage to the myocardium problematic for this client?
a. Damage to this area causes plaque to build up on the heart valves.
b. Damage to this layer can decrease the contractile force of the heart.
c. Damage to this layer can lead to excessive cortisol and endorphin release.
d. Damage to this area causes striated heart muscle fibers to release damaging high-density lipoproteins.
41.A client brought to the ER following a myocardial infarction is found to be hypotensive. What effect from baroreceptor
stimulation on this client’s heart rate would be expected?
a. The heart rate would increase.
b. The heart rate would decrease.
c. There would be no effect on heart rate.
d. The heart rate would vacillate between accelerations and deceleration.
42. This layer of the vessel wall responsible for constriction and dilation of the blood vessel?
a. Tunica intima
b. Tunica adventitia
c. Arteriole
d. Tunica media
44. Which hematologic problem would the nurse expect the client with liver failure to have?
a. Prolonged bleeding after IM injections
b. Elevated blood pressure from hypercellularity
c. Increased formation of thromboses in deep veins
d. Spontaneous bleeding from the gums and mucous membranes
45. Vitamin B12 and folic acid deficiencies are characterized by the production of abnormally large erythrocyte called:
a. Megakaryocyte
b. Lymphoblast
c. Megaloblast
d. Granulocytoblast
Genitourinary System
46. All of the following are functions of the kidney except:
a. Fluid balance
b. RBC production
c. Synthesis of Vitamin E
d. Acid base balance
48. A client with suspected renal insufficiency is scheduled for a comprehensive diagnostic workup. After the nurse
explains the diagnostic tests, the client asks which part of the kidney "does the work." Which answer is correct?
a. The glomerulus
b. Bowman's capsule
c. The nephron
d. The tubular system
49. In the electrolyte regulation of the kidney, the regulation of sodium volume excreted depend on:
a. ADH secretion
b. Cortisol secretion
c. Aldosterone secretion
d. Glucagon secretion
50. Which laboratory test is the most accurate indicator of a client's renal function?
a. Blood urea nitrogen
b. Creatinine clearance
c. Serum creatinine
d. Urinalysis