Title RECALLS 11- NP3 - SC ✅

3 | Page D. Quality of pain Situation: Nurses should demonstrate management skills while on duty to promote safe and quality health care delivery. 26. Nurse Michelle was waiting for her turn to use the Comfort room (CR) of the Nurses Station, when a nursing attendant Lili came out drying her face with sterile gauze dressing. Nurse Michelle immediately called her attention to: A. Bring their own personal toiletries B. Use hospital supplies like dressings, judiciously C. Conserve water as there is not enough for everyone D. Limit the use of the nurse’s station comfort room for the staff on duty 27. A nurse is preparing to start an intravenous infusion of D5% Lactated Ringer’s solution with 40 mEq Kcl on a postoperative client with an infusion pump. When she attempted to plug the pump cord into the wall socket, the pump did not seem to work. Which of the following is MOST appropriate nursing action? A. Initiate the intravenous line without using the pump B. Use an extension cord from the corridor to plug the pump C. Contact the electrical maintenance for assistance D. Plug the pump cord in the available plug above the room sink 28. A nurse is going to change the soiled beddings of the client with ulcerative colitis. When personal protective equipment (PPE) should be worn by the nurse? A. Gown and gloves B. Gloves C. Goggles and gloves D. Gloves and mask 29. Nurse Michelle has four clients. After the endorsement rounds, she plans to do assessment of her four clients. Which client would she attend FIRST? A. Client on oxygen inhalation who bad difficulty of breathing last night B. Client for chest x-ray C. A preoperative client for cardio pulmonary clearance D. The post vagotomy client who is for discharged 30. Nurse Michelle observed that during meal hours, there are no orderlies present in the unit. Which nursing management strategy must be done? A. Plan a schedule of meal so that every staff will have a fix time to take lunch for 30 minutes. B. Any orderly who leaves the unit should ask permission from the head nurse C. When the orderly leaves for lunch, she/he should log in and out D. Allow a mid A.M. break of 15 minutes Situation: 9 – A G4 P5 client who is in labor pains is transferred from the delivery room to the Operating Room for emergency Cesarean section (CS). 31. As you reviewed the client’s chart, you found out that the reason for the emergency CS is “fetal distress”. Which of the following assessment findings would confirm the indication of emergency CS? A. Fetal heart rate of 180 beats per minute B. Multiple pregnancy C. Non-progressing labor D. A 6 to 6.7 lbs baby 32. The circulation nurse prepares the client to which of the following positions? A. Supine with wedge support under the right hip B. Supine with pillows for head support C. Lithotomy with padded stirrups D. Semi -Fowler’s position with one pillow under the knees 33. As soon as the baby is out, the scrub nurse must focus FIRST on which of the following nursing action? A. Slap the newborn to induce crying B. Wipe the mouth, nose and eyes with a sterile operating sponge (OS) C. Attach the name tag D. Suction the mouth and nose of the newborn 34. Prior to the closure of the endometrium, the scrub and circulating nurses should perform which of the MOST critical nursing intervention? A. Change drapes B. Have a large basin to contain the placenta C. Report sponge count status to the surgeon D. Prepare chronic cut gut suture for the endometrium 35. One week after surgery, the mother developed high fever and was found out that the cause of infection was a sponge left inside her body. The health care professional most liable for this case is: A. Anesthesiologist B. Surgeon C. Scrub Nurse D. Circulating Nurse Situation: Communication is one of the best tools in patient -nurse interaction towards safe delivery cure. 36. Mrs. Richards told the nurse that she was concerned about her husband. Which of the following responses of the nurse would encourage Mrs. Richards to open the discussion A. “Would you like to talk about the reason for your visit?” B. “Would it help to discuss your feelings? C. “What brought you to the hospital?” D. “Does it concern you on what happen to your husband?” 37. While Listening to your patient about his near death experience during his last surgery, you crossed your arms on your chest. What message is the nurse conveying to the client? A. Trying to end the conversation with your client B. Conveying that you have ample time to listen to the client C. Pretending to listen to what the client is narrating D. Uninterested to hear what the client has to say 38. Another client told you that he was not looking forward to having this hemorrhoids removed. Which statement of the nurse would MOST likely stir up an expression of fear to the client? A. “are you implying that surgery is frightening?” B. “why don’t you just look forward to your surgery to relieve you of the present discomfort?” C. “don’t you think your surgeon is competent enough?” D. “have you ever bad surgery before?” 39. You are assessing a 60 year old client who lives alone by herself and with permanent colostomy. Which of the following statements of the client indicate that she has fully accepted her-present condition? A. “My children no longer visit me. I’m just waiting for my Creator to take me” B. “My life is slowly deteriorating each day” C. “I was a good O.R. nurse when I was younger. Now I’m just client” D. “I had a good life and I intend to enjoy it” 40. Mrs. Richards, a post hysterectomy client with 7 children, made no comment about the recent death of her 13 year old daughter in a tragic car accident. She shifted topics quickly when asked about how her other children were adjusting to the loss of their sister. Which of the following interpretation of her actuation should receive your PRIORITY nursing intervention for Mrs. Richards? A. Need of support system B. Changing life roles C. Avoiding a painful subject D. Resolved grief
4 | Page SITUATION: Peptic Ulcer Disease prevalence in urban- based hospitals is 15-30%. The following questions are related to PUD. 41. Kiara presents to the hospital stating she his having gastric ulcer. Which of the following assessment data supports the diagnosis? A. The client is experiencing blood in his stool for the past month B. After eating a heavy fatty meal, the patient experiences upper abdominal pain. C. The patient reports wave-like burning sensation D. After ingesting food, the patient complains epigastric pain 30 to 60 minutes. 42. The nurses performs physical examination to the client. The nurse is knowledgeable when she implements which among the following first? A. Examine the abdominal area for tenderness using fingertips B. Listening to each of the quadrants using a stethoscope C. Use plexor and pleximeter in assessing the abdominal borders to identify organs D. Assess the tender area from progressing to nontender 43. Kiara was referred to a gastrointestinal doctor and was informed that she should undergo diagnostic test. What tests confirms the diagnosis? A. MRI B. CTSCAN C. FOBT D. EGD 44. Which physiological complications is expected for the nurse to consider in creating plan of care for patient diagnosed with PUD? A. Knowledge deficit in the causes of ulcers B. Inability to cope in bowel elimination C. Potential for alteration in gastric emptying D. Alteration in bowel elimination patterns. 45. Kiara was discharged and was given home instructions. Which among the following statements means that Kiara learned the expected outcome? A. She should not present any signs and symptoms of hemoptysis B. She should take antacids with each meal to prevent excessive gastric acid. C. She controls her pain by taking NSAIDs D. She maintains modifications in her lifestyle SITUATION: Anemia in the Philippines is prevalent and needs an intervention. There are different types of anemia and the following questions are about it. 46. The nurse is admitting Roy, a 26-year-old male. In gathering his past medical history, he stated that he undergone a gastric bypass surgery for his obesity 3 years ago. The following assessment findings includes height 5’7’’, weight 81kg, P112, R26, BP110/70, pale mucous membranes and dyspnea on exertion. Upon assessment, the nurse suspects that the client is having what type of anemia? A. Folic Acid Deficiency B. Vitamin B12 Deficiency C. Sickle cell anemia D. Iron deficiency Anemia 47. The client with a diagnosis of IDA is prescribe FeSO4 orally. The patient should be educated about: A. Taking laxative for diarrhea B. Exercise being limited until tolerance to the supplement is achieved C. Red meats and organ meats are the only foods that should be consumed to increase the level of iron in the body D. The stools may appear dark green-black which may mask blood 48. The anemia of the patient diagnosed with CHF became so severe that requires the HCP to order two units of PRBCs to transfuse. The unit has 250 mL of RBC plus 45mL of additive. The nurse set the IV pump at what rate to infuse each unit of PRBC? A. 74ml/hr B. 62-63ml/hr C. 147ml/hr D. 125ml/hr 49. You are the charge nurse assigned in the ward. Patients with different types of anemia was admitted. As a charge nurse, you assigned which among the patient to the most experienced nurse? A. client with IDA taking supplements B. client with Vitamin B12 deficiency requiring intramuscular administration C. client with Renal problem with deficiency of erythropoietin D. client with aplastic anemia which developed pancytopenia. 50. The client diagnosed with anemia was discharged. Which among the health education given by the nurse is correct? A. Take the prescribed iron until it is consumed B. Checking the vital signs specially pulse and BP at botika weekly C. Performing exercises at least three times a week D. Have a regular blood workup for CBC at HCP’s office. Situation: A woman who underwent hysterectomy 2 days ago is under your care. 51. Which nursing observations would MOST likely predispose the client to develop venous thrombosis in the lower extremity? A. Drinking coffee at least 3 to 5 cups in a day B. Refusing to get out of bed C. Taking soft diet only D. Requesting for analgesics frequently 52. The following are true regarding antiemboli stockings except: A. Too small stockings may cause skin breakdown. B. Apply stockings in the morning. C. The patient who has been ambulating should wait for 1 hour before applying the stockings. D. Antiemboli stockings can prevent edema of the legs and feet. 53. The nurse assesses the client for Homan’s sign. Which of the following is the CORRECT instruction of the nurse? A. Have the client push each foot hard against the mattress B. Tell the client to sit on bed and point to her toes C. Ask the client to contract her tight muscles D. Instruct the client to extent her legs and flex each foot toward the head 54. Which client’s response suggest a positive Homan’s sign? A. Inability of the client to bend her knees B. Sudden numbness while extending the foot C. Tingling sensation throughout the affected leg D. Sharp, immediate calf pain in the legs 55. Based on the findings, the client has been diagnosed with deep vein thrombophlebitis. Which of the following nursing action must be AVOIDED? A. Elevating the client’s leg B. Massaging the affected leg C. Applying warm compress to the affected leg D. Crossing the legs when seated Situation: After a head injury, Samantha, 36 years old begun to manifest signs and symptoms of Diabetes Insipidus. 56. The nurse in charge understands that Diabetes Insipidus (DI) is caused by an ADH deficiency resulting to which problem in metabolism?.