Title RECALLS 4 (NP4) - STUDENT COPY ✅

2 | Page Prepared by: GARCIA, RHYAN P. ROMAN, HANNAH GISELLA D. Take a hot shower before getting out of bed 17. A patient with acute lymphocytic leukemia is at risk for infection. Which intervention should the nurse prioritize? A. Encourage frequent handwashing B. Provide high-protein meals C. Restrict fluid intake D. Administer analgesics as prescribed 18. Which finding indicates a complication in a patient after a total knee arthroplasty? A. Pain at the surgical site B. Slight swelling and redness C. Calf pain and warmth D. Decreased appetite 19. A patient with multiple myeloma reports bone pain. What is the most appropriate nursing intervention? A. Apply cold compresses B. Encourage weight-bearing exercises C. Provide scheduled analgesics D. Restrict fluid intake 20. A patient is recovering from a corneal transplant. Which activity should be avoided? A. Watching television B. Reading for long periods C. Bending over to tie shoes D. Sleeping on the non-operative side SITUATION: Nurse Brady is continuing his 12-hour shift as a medical-surgical nurse. He’s currently checking on a group of patients suffering from different complications. 21. A nurse is caring for a client with aplastic anemia. Which lab result is most concerning? A. Hemoglobin 12 g/dL B. Platelet count 150,000/mm³ C. White blood cell count 2,000/mm³ D. Hematocrit 35% 22. A client with osteoporosis asks about preventing further bone loss. What is the nurse's best response? A. “You should avoid any physical activity to prevent fractures.” B. “Increase your intake of carbonated beverages for calcium.” C. “Engage in weight-bearing exercises like walking.” D. “Sleep more to allow your bones to recover.” 23. A patient with hearing loss is fitted with hearing aids. What instruction should the nurse give? A. “Store the hearing aids in a damp place to keep them moist.” B. “Adjust the volume to the highest setting at first.” C. “Remove the hearing aids when using hair spray.” D. “Clean the hearing aids with water daily.” 24. A patient with sickle cell anemia is prescribed hydroxyurea. What is the purpose of this medication? A. To decrease pain episodes B. To prevent infection C. To promote red blood cell sickling D. To increase white blood cell production 25. A nurse is assessing a patient with rheumatoid arthritis (RA). Which symptom is characteristic of RA? A. Joint stiffness that improves with rest B. Asymmetrical joint involvement C. Morning stiffness lasting more than 30 minutes D. Non-inflammatory joint changes 26. A patient with glaucoma is prescribed latanoprost eye drops. Which side effect should the nurse discuss? A. Lightening of the iris color B. Increased eyelash growth C. Redness and irritation of the eye D. Darkening of the iris color 27. Which intervention is most appropriate for a patient with thrombocytopenia? A. Use a firm-bristled toothbrush B. Apply firm pressure after venipuncture C. Encourage activities that increase circulation D. Administer aspirin for pain 28. A patient with macular degeneration is experiencing central vision loss. What should the nurse suggest? A. Use bright overhead lighting B. Focus on objects directly in front C. Use peripheral vision to compensate D. Wear dark sunglasses indoors 29. A client with osteomyelitis is prescribed long-term IV antibiotics. Which lab should the nurse monitor? A. Serum calcium B. Hemoglobin A1c C. White blood cell count D. Potassium level 30. A patient with hemophilia A is scheduled for surgery. What preoperative intervention is essential? A. Administering factor VIII concentrate B. Giving aspirin for pain control C. Encouraging fluid intake D. Restricting mobility to prevent injury SITUATION: Annie, an on-call nurse was hurriedly asked for assistance. The team needed her help in moving patients from other wards to the medical- surgical ward. As such, she talked to the doctor about the patients needing to be moved to other specialized areas of the hospital. 31. A patient with cataracts is scheduled for surgery. Which statement indicates the need for further teaching? A. “I will need to wear an eye shield at night after surgery.” B. “I can expect my vision to improve immediately after surgery.” C. “I should avoid lifting heavy objects after the procedure.” D. “I will need to use prescribed eye drops after surgery.” 32. Which symptom indicates a potential complication in a patient with a cast on the lower leg? A. Slight swelling of toes B. Cool toes with diminished pulses C. Itching under the cast D. Ability to wiggle toes freely 33. A patient with Hodgkin’s lymphoma is receiving chemotherapy. Which side effect should be reported immediately? A. Nausea and vomiting B. Hair loss C. Fever and chills D. Fatigue 34. A patient with vertigo from Meniere’s disease asks how to reduce symptoms. What should the nurse recommend? A. Increase sodium intake B. Avoid sudden head movements C. Lie flat on your back during episodes D. Use earplugs to block out noise 35. A patient with a hip fracture is in Buck's traction. What is the purpose of this traction? A. To reduce muscle spasms B. To immobilize the cervical spine C. To increase range of motion D. To prevent formation of embolus 36. A nurse is caring for a patient with multiple sclerosis (MS) who reports blurred vision. What is the most appropriate intervention? A. Encourage the use of sunglasses indoors B. Suggest alternating eye patches C. Administer prescribed corticosteroids D. Increase fluid intake 37. Which dietary choice is best for a patient with iron deficiency anemia? A. Milk and dairy products B. Lean red meat and leafy greens C. White bread and pasta D. Chicken breast and applesauce 38. A patient with retinal detachment should be instructed to: A. Avoid head movements B. Increase fluid intake C. Use bright lights to improve vision D. Apply warm compresses to the eye 39. A nurse is teaching a patient about using a cane after a hip replacement. What instruction is correct? A. Hold the cane on the affected side
3 | Page Prepared by: GARCIA, RHYAN P. ROMAN, HANNAH GISELLA B. Move the cane forward with the affected leg C. Keep the cane 2 inches from the body D. Use the cane only when going downstairs SITUATION: The hospital is overflowing with medical- surgical patients. Nurse Mirella, together with Dr. Rivera, is tasked with taking care of the patients and quickly figuring out their needs. 40. A patient with sickle cell anemia reports severe joint pain. What is the priority nursing action? A. Apply cold compresses B. Administer prescribed opioids C. Encourage deep breathing exercises D. Limit fluid intake 41. A patient with a femur fracture suddenly becomes short of breath and restless. Which complication should the nurse suspect? A. Hypovolemic shock B. Fat embolism syndrome C. Pulmonary edema D. Acute respiratory distress syndrome (ARDS) 42. Which finding in a patient with leukemia requires immediate intervention? A. Hematocrit of 36% B. Platelet count of 140,000/mm³ C. White blood cell count of 1,500/mm³ with a fever D. Hemoglobin of 11 g/dL 43. A nurse is assessing a patient with osteoarthritis. Which symptom is most characteristic of OA? A. Symmetrical joint inflammation B. Morning stiffness lasting more than an hour C. Joint pain relieved by rest D. Systemic symptoms like fever and fatigue 44. A patient with glaucoma is prescribed pilocarpine eye drops. What is the purpose of this medication? A. To decrease intraocular pressure B. To dilate the pupil C. To prevent infection D. To lubricate the eye 45. A patient with hemophilia A experiences spontaneous bleeding into the joints. Which term describes this complication? A. Hemarthrosis B. Hemoptysis C. Hematemesis D. Hematoma 46. A patient with osteoporosis is prescribed alendronate. Which instruction is most important for the nurse to provide? A. Take the medication with a glass of milk B. Lie down for 30 minutes after taking the medication C. Take the medication with a full glass of water and remain upright for 30 minutes D. Crush the tablet if you have difficulty swallowing 47. A patient with retinal detachment is scheduled for surgery. Which preoperative instruction is appropriate? A. “You can continue with your regular activities until surgery.” B. “Keep your head in the prescribed position to prevent further detachment.” C. “Use both eyes equally to avoid strain.” D. “Avoid all oral fluids 48 hours before surgery.” 48. A patient with Hodgkin’s lymphoma is receiving radiation therapy. Which side effect should the nurse monitor for? A. Extravasation and phlebitis B. Skin irritation at the radiation site C. Hyperpigmentation of the hands D. Increased white blood cell count 49. A patient is recovering from a total hip replacement. Which activity should be avoided during the first few weeks postoperatively? A. Using an elevated toilet seat B. Crossing the legs while sitting C. Using an abduction pillow while sleeping D. Performing light walking exercises 50. A patient with iron-deficiency anemia is prescribed ferrous sulfate. Which instruction should the nurse include in the teaching? A. Take the medication with milk to improve absorption B. Expect black, tarry stools as a normal side effect C. Take the iron supplement on a full stomach to reduce irritation D. Avoid taking vitamin C with the supplement SITUATION: Nurse Kalilah is a critical care nurse. She is currently undergoing a continuing nursing education program to improve her quality of practice. 51. A client is prescribed furosemide for heart failure. Which electrolyte imbalance should Nurse Kalilah monitor for? A. Hyperkalemia B. Hypokalemia C. Hypernatremia D. Hypercalcemia 52. A client receiving morphine postoperatively reports dizziness when standing. What should Nurse Kalilah do first? A. Document the finding B. Encourage fluid intake C. Assist the client back to bed D. Administer naloxone 53. Which of the following is an appropriate action when Nurse Kalilah makes a documentation error? A. Erase the mistake and write the correct information B. Use correction fluid to cover the error C. Draw a single line through the error, initial, and date it D. Leave the error and make a new note 54. Nurse Kalilah is caring for a client with COPD who is prescribed oxygen therapy. Which oxygen delivery system is most appropriate? A. Non-rebreather mask B. Venturi mask C. Nasal cannula at 6 L/min D. Simple face mask at 10 L/min 55. A client is prescribed warfarin. Which lab value indicates effective therapy? A. INR of 1.0 B. INR of 1.5 C. INR of 2.5 D. INR of 5.0 56. Nurse Kalilah notes that a client’s potassium level is 2.8 mEq/L. Which medication should be questioned? A. Spironolactone B. Lisinopril C. Furosemide D. Potassium chloride 57. A client develops urticaria after receiving an antibiotic. What is the priority action? A. Document the reaction B. Notify the healthcare provider C. Administer diphenhydramine D. Stop the infusion immediately 58. Nurse Kalilah is administering insulin to a diabetic client. Which action requires a correction from her supervisor? A. Rotating injection sites B. Mixing NPH and regular insulin in one syringe C. Holding insulin if the client is NPO D. Shaking the NPH insulin vial before drawing 59. Which of the following should Nurse Kalilah report immediately when caring for a client with a chest tube? A. Continuous bubbling in the water seal chamber B. Intermittent bubbling in the suction control chamber C. Serosanguinous drainage of 50 mL/hour D. Slight crepitus around the insertion site 60. A client prescribed digoxin reports nausea and blurred vision. What should Nurse Kalilah do next? A. Administer the next dose as scheduled B. Check the client’s digoxin level C. Encourage the client to eat D. Monitor the client’s blood pressure SITUATION: Nurse Mallow is a newly hired registered nurse. Currently, she is assigned to the ward. During her time at the bedside, she is careful in assessing clients while performing nursing care. 61. Which assessment finding indicates fluid overload in a client receiving IV fluids? A. Flat neck veins B. Decreased blood pressure