Title RECALLS 13 - NP3 - KEY (2nd) ✅

D. Acalculus 62. Patient Mae, was ordered by the physician to undergo several diagnostic tests. You expect that patient will have an elevation of ________. A. Bromsulphalein excretion B. Lactate dehydrogenase C. Serum gamma glutamyltranspeptidase D. Alkaline phosphatase 63. Nurse Mags provides important instructions to Ms. Mae on the prevention of Cholelithiasis. Select all that apply. 1. Maintain ideal weight 2. Adapt low fat diet 3. Regular exercise 4. Prevent pregnancy A. 2, 3 ,4 B. 1, 3, 4 C. 1, 2, 3 D. 1, 2, 4 64. Ms. Mae is prepared for surgery. Nurse Mags provides comfort measures to relieve pain with the following nursing intervention, EXCEPT _______. A. Quiet environment B. Positioning C. Administering analgesic D. Back rub 65. Immediate postoperative care of Nurse Mags includes providing careful instructions to Ms. Mae. Which of the following interventions should be delegated to the caregiver? A. Administration of intravenous therapy B. Reinforce information on exercise C. T-tube care and changing D. Instructions for the reduction of pain 66-70. Situation. Dave, 40 years old, came to the hospital for a diagnostic work-up for a cholelithiasis prior to surgery. 66. Which of the following clinical manifestations would you MOST likely to observe when a patient is suffering from Cholelithiasis? A. Indigestion, pain on the right upper quadrant radiating pain to the shoulder B. Vague left upper quadrant pain radiating to the scapula C. Feeling of abdominal tenderness after waking-up in the morning D. Feeling of abdominal fullness after taking meals 67. Which ONE of the following vitamins is interfered when there is obstruction of the bile flow in cholecystitis? A. Vitamin C B. Vitamin B C. Vitamin B12 D. Vitamin K 68. The patient was ordered Endoscopic Retrograde Cholangiopancreatography (ERCP). He was put on a mild sedation. As a Nurse, what should you check as a PRIORITY action when he returns to the ward? A. Irritation of oropharynx B. Nausea and vomiting C. cough and gag reflex D. Signs of bleeding 69. Which of the following conditions is NOT a side effect of anticholinergic drugs? A. Constipation B. Blurred vision C. Dryness of the mouth D. Increased blood pressure 70. When a client has a nasogastric tube (NGT) due to abdominal distention post surgery. Which of the following nursing responsibilities should you do? 1. Measure gastric secretion every shift 2. Observe and record color, viscosity of secretions 3. Ensure that the gastric tube is patent 4. Assist patient to assume a comfortable position A. 1, 2, 3 and 4 B. 1, 2 and 3 C. 1 and 2 D. 2, 3, and 4 71-75. Situation. The hospital director of a tertiary hospital is alarmed with the recent report of the head Human Resource Department Office (HRDO) that there is so much conflict going on among the health care professionals which is affecting quality patient care. 71. Which of the following is a form of dispute resolution and considered a legal technique which is outside the court? A. Suppression B. Arbitration C. Bribe D. Negotiation 72. Change is defined “as making something different from what it was”. If you become a unit manager in the future, which of the following is your FIRST step as an agent in promoting successful change in your health care setting? A. Revisit Institutional Vision-Mission and adhere to its commitment B. Obtain majority agreements when issues are presented C. Include obsessed people as part of your Task force for change D. Ignore organizational conflict as possible 2 | Page
73. Decision-making in an organizational structure comes at many levels. The level which is considered empowering to staff-member is when the unit manager does which one of the following? A. Makes a decision when she reads the reported concerns B. Ask direct report from personnel to decide on a solution C. Makes a decision after convening a core group to analyze the concerned issues D. Makes a decision by herself and assumes responsibility for her action 74. The nurse manager is receiving some feedback that one of her staff-nurses has been observed to be always irritated, “bossy”, and indifferent to her patients and some co-workers. Which of the following PRIORITY nursing actions should the manager implement? A. Conduct a joint meeting of both parties involved B. Request the concerned patients and co-workers to submit an Incident report C. Call the nurse concerned and talk to her privately about the observations D. Give a memo to the nurse involved 75. A team building session was conducted by the HRDO task force to come up with strategies for conflict resolution. Which of the following is a WIN-WIN approach in conflict management. A. Each party involved agree to respond to majority vote B. Each participants agree to resolve conflicts by adhering to the Institutional Vision and Mission C. Each participants will give way to 60-40% of their agreements D. Disagreements are settled with respective compromises on issues presented 76-80. Situation. Juvy, a retired Barangay Health Worker, came to the OPD for her check-up for her diabetes mellitus. She had been diabetic since she was 37 years old. She has been taking her maintenance medications which she sometimes does not comply with. 76. There are metabolic abnormalities in the development of type 2 Diabetes. Which of the following is NOT included in these abnormalities? A. Inappropriate production of the liver B. Increased ability of the pancreas to produce insulin C. Insulin resistance D. Altered production of hormones by adipose tissues 77. Ms. Juvy was admitted to the hospital for further check-up. Which of the following diagnostic tests do you expect to be ordered by the diabetologist as an indicator that the patient is compliant to her prescribed diet? A. Oral glucose tolerance test B. Glycosylated hemoglobin level (hgb, Alc) C. Finger glucose findings for one day D. Fasting blood glucose level 78. While Nurse Ellen was completing her assessment, she discovered the following findings. Which of the following should she refer immediately to the physician? A. Tingling sensation of the hands and feet B. Changes in the peripheral vision C. Beginning ulceration of the left big toe D. Fruity odor breath 79. Nurse Ellen, the nurse in charge of patient Juvy, informed her physician that her serum glucose level is 38mmol/L and quite unresponsive to verbal questioning. The nurse suspects that she is starting to develop Diabetes Ketoacidosis (DKA). Which of the following manifestations is UNIQUE to this condition? A. Shallow slow respirations B. Increased serum potassium C. Rapid deep respirations D. Decreased serum albumin 80. Nurse Ellen’s counseling role includes lifestyle changes as well as pharmacologic regimen. Juvy’s family were interested to know information regarding insulin. She differentiated an intermediate acting insulin from that of short-acting which is _________. A. Regular onset is 2 hrs. Peak is 3 1⁄2 hr., duration -7 hrs., administered 20-30 min. before meal B. Regular onset is 2-4 hr., peak is 4-12 hr., duration is 8 hr., administered 20-30 min. after meal C. Regular, onset is 1 1⁄2 hr, peak is 3-4 hrs, duration is 6 hrs. administered 20-30 min after meal D. Regular onset is 1 1⁄2 - 1hr, peak is 2-3 hr., 4-6hr duration administered 20-30 min. before 81-85. Situation. Nurse Mich admitted Aileen, 38 years old, who was diagnosed by her physician with Type I Diabetes Mellitus. She complains of easy fatigability and increased tiredness. Nurse Mich, during the assessment, noted the presence of a foot ulcer which Aileen was trying to hide. 81. Nurse Mich holds the hands of Aileen while doing her assessment. Her hands were cold and clammy, she suspected that the patient was having hypoglycemia. To relieve her condition, an immediate action is to offer her _________. A. Candy B. Full meal C. Sandwich D. Fruits 82. Nurse Mich watches Ms. Aileen while sleeping. An EXCELLENT guideline to differentiate if a patient is just sleeping or experiencing hypoglycemic reaction is when one is observed to be _______. A. With dyspnea B. Snoring C. With diaphoresis D. Grunting his teeth 83. Nurse Mich practiced surgical asepsis during foot care. Which of the following techniques has to be observed? A. Opening container of sterile water after putting gloves on. B. Changing the sterile field after sterile water spilled on it C. Placing sterile dressing 2 cm from the edge of the sterile field. D. Cleaning the wound in circular motion from outer towards the ulcer site 84. Nurse Mich after foot care encourages Patient Aileen to do which of the following APPROPRIATE measures? A. Apply lanolin generously between the toes B. Cut toenails rounded at the edges and close to the skin 3 | Page