Title RECALLS 11 - NP4 - SC ✅

3 | Page 28. As his nurse, you plan to control urinary retention and incontinence through which of the following strategies? 1. Avoid alcohol 2. Encourage fluid intake 3. Follow a timed voiding schedule 4. Administer antihistamines, as prescribed. A. 1 and 2 B. 1, 2 and 3 C. 1,2,3 and 4 D. All except 2 29. While reviewing his records, you remember the procedure “transurethral resection of the prostate.” Which of the following is true about TURP? A. Uses scope into the ureter to excise prostatic tissue. B. Bleeding is common following TURP C. A and B D. None of the above 30. You understand that urinary tract infection can occur due to retention of urine in the bladder and subsequent backup or reflux into the ureters and kidneys. Thus, you plan to teach Ferdinand and his family signs and symptoms of urinary tract infection which include the following EXCEPT. A. Hematuria B. Cloudy urine C. Sweet smelling urine D. Fever Situation: Alex Karev, a 30-year-old computer engineer, went to the emergency department with complaints of gnawing pain and burning sensation in the midepigastrium. The physician’s initial diagnosis is peptic ulcer disease. 31. As a nurse, you know that there are few things that differentiate gastric ulcers from duodenal ulcers. Which among the choices correctly differentiates the two? A. Pain in gastric ulcer is aggravated by eating, while pain in duodenal ulcer is relieved by eating. B. Gastric ulcer is known as the executive ulcer. C. Pain in gastric ulcer usually radiates in the right side of the abdomen. D. Melena is more common in gastric ulcers. 32. Which among the following can detect H. pylori infection? 1. Biopsy 2. Stool antigen test 3. Urea breath test 4. Endoscopy A. 1 only B. 1 and 2 C. 1, 2 and 3 D. 1, 2, 3 and 4 33. Which among the following can detect H. pylori infection? 1.Biopsy 2.Stool antigen test 3. Urea breath test 4. Endoscopy A. 1 only B. 1 and 2 C. 1, 2 and 3 D. 1, 2, 3 and 4 34. Alex tested positive for H. pylori infection. The physician prescribed Metronidazole. What is the most important health teaching that the nurse can provide Alex? A. Administer with meals. B. Administer before meals. C. Avoid drinking alcohol. D. Drink adequate amount of fluids to avoid constipation. 35. The most life-threatening complication of PUD is: A. Hemorrhage B. Severe weight loss C. Septic shock D. Heart attack Situation: Fatima, reports to the infectious unit of a hospital during the morning shift. Five clients were assigned to her. 36. A 12 year old male was admitted to the unit during the previous shift because of dengue hemorrhagic fever graded 2 by the attending physician. History of epistaxis few hours prior to admission was noted. When Fatima received endorsement form the outgoing nurse, if was specified in the diet to avoid dark colored foods. Fatima would relate this prescription to which of the following? A. History of allergies of the client B. Food choices of the client C. Monitoring melena D. Effects of food on the gastric mucosa 37. Fatima admits a 24 year old female with manifestation of Hepatitis A. Which of the following data will the nurse obtain from the client to support the physician’s diagnosis? A. History of intake of narcotic drugs B. Incidence of needlestick injury during the past two months C. Contact with contaminated water and food D. Direct contact with friends positive hepatitis A 38. To prevent transmission of virus, the client diagnosed with varicella was isolated in single room. Fatima explains to the nurse working with her that the period of communicability of varicella A. Is variable depending upon the age of the client B. Extends up to the time crusts have formed C. Is 14 days from the time lesions appeared D. Is indefinite 39. A client diagnosed with pertussis is closely observed. Which of the following interventions will Fatima implement? A. Institute airborne, droplet, and contact precautions. B. Limit fluid intake. C. Administer antiviral therapy, as prescribed. D. Isolate child during the incubation period. 40. Fatima admitted an 80 year old male foe evaluation and treatment of skin lesions on his right upper arm. Physician confirmed diagnosis of herpes Zoster. Valaciclovir (Valtrex) 500 mg 2 tablets PO TID was prescribed an started. Which of the following is the action of this drug? A. Destruction of bacteria B. Suppression of allergic reaction C. Antifungal D. Prevents replication of the virus Situation: Nurse Jasmine is assigned at the TB-DOTS Clinic of Comembo, Makati. A couple of patients went to the clinic one Friday morning. 41. How would Nurse Jasmine understand Patient Lara's statement "I experience numbness and tingling in my arms and legs" given that she has been taking Isoniazid (INH) for the past two months already? A. Raynaud’s disease B. Hypercalcemia C. Peripheral neuritis D. Impaired peripheral circulation 42. Nurse Jasmine should educate the patient who will be taking Isoniazid all of the following EXCEPT: A. Avoid taking alcohol. B. Report immediately to the physician any signs of jaundice C. Increase intake of Swiss cheese for good absorption of Isoniazid D. Increase intake of pyridoxine. 43. Nurse Jasmine should intervene when the student nurse tells the patient taking rifampin (Rifadin) that: A. It can cause orange discoloration of secretions B. Antacids can be taken at least 1 hour before medication, if prescribed. C. The medication can be administered on an empty stomach. D. The patient can double dose if one dose is forgotten. 44. Nurse Jasmine knows that all of the listed patients below, except for one, have characteristics that increase their risk of noncompliance with the TB medication regimen: A. Patient A, 25-year-old male, who is diagnosed with schizophrenia B. Patient B, 50-year-old female, a government employee
4 | Page C. Patient C, 44-year-old male, wheelchair-bound for three years after having both legs amputated D. Patient D, a 30-year-old female, who admits to be a PCP user 45. A Nurse Jasmine is aware that the only antituberculosis medication that is bacteriostatic is: A. INH B. Rifampicin C. Pyrazinamide D. Ethambutol Situation: Emerlinda, 65 years old pass total thyroidectomy with modified neck dissection has been scheduled for radioactive iodine therapy a month and a half after her surgery. 46. The physician explained to the client that the radioactive iodine therapy is intended the following reason? A. Lessens activity of the thyroid gland B. Enhances the production of thyroid hormone C. Provides scanning of cancer cells in nonthyroid tissues D. Destroys remaining thyroid tissue 47. Emerlinda ask the nurse to explain again how the radioactive iodine therapy will be administered. Which of the following is the correct response of the nurse? “radioactive iodine will be administered __________. A. Via and external radiation equipment” B. Topically on defected site” C. Intravenously incorporated in a normal saline solution” D. Orally in tablet form” 48. Emerlinda, after receiving radioactive iodine, is informed of the following except: A. Avoid sexual contact B. Avoid sharing utensils and cups C. Avoid sleeping in the same bed with other persons D. Avoid drinking water. 49. Low iodine diet has been prescribed to be started two weeks before the radioactive iodine therapy. Since all dairy products are avoided due to their high iodine content, which of the following will be the nurse considered as a PRIORITY in her teaching plan? A. Provision of a list of allowed and not allowed foods B. Preparation of a well balanced diet C. A sample menu plan for the client to follow D. Nutritional strategies to supplement calcium intake 50. While the nurse was teaching the client on foods which are allowed and not allowed, the client asks if she can eat restaurant foods. Which of the following responses of the nurse will ensure that the client will not take foods containing iodine? A. Maybe once, but not twice, because the restaurant may not have a way not to put iodized salt on your food B. You may, provided that you tell them not to put iodized salt on your food C. It is the best that you do not take restaurant foods because there is no way to determine if iodized salt was used D. Just careful that the food you order are not in the list of disallowed foods Situation: Rebecca is assigned in a unit where most clients are with HIV/AIDS 51. Having fully grasped the pathophysiology of acquired immunodeficiency syndrome Rebecca understands that in the HIV infectious process, the first stage is: A. Reverse transcriptase converts viral RNA to viral DNA which is same as the human DNA B. Enzyme integrase allows viral DNA to be inserted into the host cell DNA C. Virus attaches itself to receptors on the surface of a CD4 cell D. The virus envelope and the CD4 cell membrane fuse. 52. Which of the following statements regarding HIV or AIDS will Rebecca not accept to be the true? A. Without HIV treatment, people with AIDS typically survive about 5 years. B. Everyone who has aids has HIV infection; however, not everyone who has HIV infection has aids C. HIV is a retrovirus with a single stranded genetic material called RNA D. Some people have no symptoms at all. 53. Rebecca, through our review of related literature read and documented evidence which show that parenteral exposure through needlestick injury among healthcare workers possess a 0.3% risk of becoming HIV-positive. Rebecca interprets that from a population of: A. 100 healthcare workers, 3 are at risk of parenteral exposure through needlestick injury B. 1,000 healthcare workers with needle stick injury, three are at risk of becoming HIV positive C. 3000 healthcare workers, ten are at risk of needle stick injury from an infected client D. 1,000 healthcare worker, 30 with history of needlestick injury are at risk of becoming HIV positive 54. Rebecca also read a study where the researcher found out that willingness to care for aids patients by 220 registered nurses in 8 hospitals was positively correlated with spiritually and perceived social support and was negatively correlated with death anxiety. Which of the following is correct interpretation by Rebecca of the study's findings? A. Nurses who were willing to care for aids patients had high scores in spiritually in social support; while nurses whose death anxiety level was high had low level of willingness to care for aids patients B. The willingness to care for each patients by the registered nurses is influenced by a spiritually, social support and their level of death anxiety C. The registered nurses' willingness to care for aids patients is affected by their spiritually ands social support and not affected by their level of anxiety D. The nurses were willing to care for each patient when they are provided with spiritual and social support, and when the patient is dying, their willingness to care is affect. 55. A patient of Rebecca was considered as a participant in a clinical trial of a new mode of treatment for aids patients using the double blind experiment. During the disclosure of the research procedure, the researcher explained that with the experimental design which they have selected: A. The participant and the one who will administer the treatment would not know who is in the experimental or the control group B. The participants will be randomly assigned to the experimental or control group but would not know to which group they were assigned C. The one who administers the treatment has no knowledge of the experiment that administers the treatment to the experimental or control group D. After participants are randomly assigned to the experimental or control group, treatments are administered during a time not known to them Situation: During an in-service staff development training the training coordinator considered analysis of legal situations. Group discussion of legal concerns and experience was conducted among the staff nurses with six years experience. 56. Furosemide which was intended for a patient with congestive heart failure was administered intravenously to other patient. Which of the following elements in this incident is not necessary to make claim of malpractice? A. It is the duty of the nurse to administer the right medication to the right patient B. The nurse failed to administer the drug to the patient who is supposed to receive the drugs as prescribed C. The nurse did not identify correctly the patient who is supposed to receive the correct medication D. The patient who received the wrong medication develop diuresis resulting to dehydration 57. A nurse manager administered Lanoxin parenterally to a 3 years old child contrary to the order of administering Lanoxin and orally. The nurse was named a defendant in a malpractice suit filed by the mother of the child because the child died. if