Title RECALLS 12 - NP4 - SC ✅

4 | Page 51. In obtaining the informed consent, the explanation of the surgery, possible risks and complications, as well as alternatives is the responsibility of whom in the healthcare team?  A. Anesthesiologist B. Attending physician C. Surgeon D. Registered nurse Situation: You are reviewing the basic nursing procedures with your buddy student nurse. 52. Through the nursing process, the nurse plans and delivers patient care by: A. Planning nursing interventions and assigning necessary staff B. Assessment, diagnosis, planning, implementation and evaluation C. Collecting data and writing nursing diagnoses D. Developing a rigid, unchangeable care plan 53. Which statement describes what a nursing diagnosis does? A. It provides a systematic, rational method of planning and providing nursing care. B. It facilitates comprehensive nursing care by identifying health problems and validating the contributing factor. C. It Includes assessment, diagnosis, planning, implementation, and evaluation. D. It provides a framework for nurse's accountability and responsibility. 54. Based on a physician's order for oxygen by nasal catheter at 3 liters/ minute, an appropriate nursing order would be: A. Cover the tip of the catheter with a water- soluble lubricant before insertion. B. Measure the length of the catheter from the tip of the patient's nose to the tip of the earlobe before insertion C. Add sterile distilled water to the humidification container, as needed. D. All of the above 55. The evaluation phase of the nursing process: A. Changes continually B. Is a stable, systematic method of developing nursing care plans. C. Is not always necessary. D. Directs the expected outcomes. 56. The four main concepts common to nursing that appear in each of the current conceptual models are: A. Person, nursing, environment, medicine B. Person, health, nursing, support systems C. Person, health psychology, nursing D. Person, environment, health, nursing Situation: Theoretical foundation in nursing 57. When the theory describes a conceptual model based on the belief that all persons strive to achieve self-care, which of the following nursing theorist developed this?  A. Sister Callista Roy B. Ida Jean Orlando C. Dorothea Orem D. Martha Rogers 58. Which of the following nursing theorists is credited with developing a conceptual model specific to nursing, with man as the central focus? A. Martha Rogers B. Dorothea Orem C. Dorothy Johnson D. Sister Callista Roy 59. Based on Maslow’s hierarchy of physiologic needs, the greatest priority for human need is which of the following?  A. Oxygen B. Nutrition C. Elimination D. Love 60. A nurse’s initial priority in creating a therapeutic environment for a patient should be: A. Accepting his individuality B. Promoting his independence C. Providing for his safety D. Explaining all procedures 61. In primary nurse care, one of the advantages is that:  A. The nurse can work and plan a nursing care plan B. It is easily managed by inexperienced nurses C. It increases nurses' accountability and independence D. The nurse does not have to deal with patient's families Situation: Assessment and immediate intervention 62. In the emergency room, a patient came with complaints of (+) nausea, vomiting, diarrhea, and severe abdominal pain. Which of the following tests/actions would immediately alert the nurse that the patient has (+) bleeding from the gastrointestinal tract?  A. Abdominal girth B. Vital signs C. Guaiac test D. Complete blood count 63. A patient is ordered by the physician to adhere to fluid restriction. The best way to measure whether a patient is complying with the order is through which of the following? A. Urine specific gravity B. Urine pH C. Fluid intake and output record D. Weight 64. During assessment, you heard (+) high-pitched gurgles over the RIGHT lower quadrant is. You interpret it as:  A. A sign of abdominal cramping B. Normal bowel sounds C. A sign of decreased bowel motility D. A sign of increased bowel motility 65. The student nurse is correct when he demonstrates the usual sequence of bowel assessment:  A. Rectum, pancreas, stomach, and liver B. Right hypochondriac, left hypochondriac, and umbilical regions C. Right lower lobe, right upper lobe, left upper lobe, left lower lobe D. Right lower quadrant, right upper quadrant, left upper quadrant, left lower quadrant 66. Which of the following statements about bowel sounds is accurate and correct? A. Peristalsis causes bowel sounds. B. Rapid, high-pitched, hyperactive bowel sounds indicate increased peristalsis C. Decreased bowel sounds can be a symptom of paralytic ileus D. All of the above Situation: You are a buddy nurse of a student nurse reviewing about physical assessment. 67. Nurse Aiah is performing initial assessments of different patients in the ER. You know that the initial assessment for abdominal distention due to flatulence is best done through:  A. Observe the patient for passage of gas B. Inspect the abdomen for movement of flatus C. Palpate the abdomen for movement of gas D. Auscultating the abdomen for bowel sounds 68. A post-operative patient was ordered to do coughing and deep breathing exercises daily, the best method to know whether the exercises have been effective is to? A. Auscultate the lung B. Measure the amount of sputum expectoration C. Percuss the lung field D. Measure his temperature 69. During assessment, which of the following will Nurse Aiah report promptly when observed on pediatric patient with croup?  A. Emesis of undigested food B. Substernal retraction C. Restlessness followed by extreme fatigue D. Flaring nostril with each aspiration 70. A 70-year-old male patient, Lolo Marco, has been assigned to your care. The patient is being assessed for urinary continence; Nurse Aiah should do which of the following?  A. Let the patient wear an adult diaper