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A. Physician B. Barangay health worker C. Nurse D. Midwife 12. Upon assessment, the patient was referred immediately to a 25-bed-capacity hospital, which does not have any capacity to do intensive diagnostic examinations. You are a nurse in this hospital, which you know is a LEVEL _________. A. 3 B. 1 C. 4 D. 2 13. In the tertiary hospital where the patient was again referred, he was considered an emergency case. The nurse immediately called for a specialist who is ________. A. Neurologist B. Urologist C. Phlebotomist D. Nephrologist 14. After a thorough assessment by the physician-specialist, an order for an immediate stonogramwas made. The nurse was instructed to call which of the following section of the hospital? A. Operation Room B. Laboratory C. Intervention D. CT scan 15. After the procedure the patient was ordered for Lithotripsy, under spinal anesthesia. The nurse has to call the department of ________. A. Internal medicine B. Anesthesia C. Surgery D. Imagery Situation: An alert 67 year-old woman with diabetes mellitus is discharged from the hospital. A referral is made to a community nursingagency. You are asked to reinforce the teaching program startedin the hospital. The patient is using sulfonylurea compound tolbutamide (Orinase). 16. When the patient turned 69 years old. Orinase was discontinued and NPHinsulin is prescribed for her. After several months, she is determinedto be suffering from the Somogyi effect. Which of the following conditions will most likely result when the patient is receiving too much insulin? A. Developing an elevation of the blood glucose level B. Producing even more insulin C. Becoming resistant to insulin D. Conserving excessive amount of fluid 17. A few days later, the patient comes into the emergency department via ambulance stretcher and reveals a work-up of a blood sugar level at 800mg/dl, ketones are absent in the urine, she is dehydrated, and has an altered mental status. Based on the data, the patient is most likely suffering from what specific medical condition? A. Hyperosmolar nonketotic coma (HNKC) B. Diabetic retinopathy C. Acute renal failure D. Diabetic ketoacidosis (DKA) 18. Upon interview, the patient reported that she often felt nauseated,restless, perspired a lot, felt fatigued, and was often hungry when shewas younger. What do these signs indicate? A. Diabetic nephropathy B. Hyperglycemia C. Hypoglycemia D. Diabetic retinopathy 19. Upon further assessment, you noticed that she had many scratches on her right ankle, a resulting infection and cellulitis. When you ask her about the scratchesthe patient states. "Oh, my cat must have been using my leg as a scratching post again and I did not even feel it”. Which diabetic complications suspect the patient to have? A. Neuropathy B. Macroangiopathy C. Retinopathy D. Ephropathy 20. You should check the patient for suspect disturbed thought processes related to depressed metabolism and altered cardiovascular and respiratory status. What is the rationale for orienting the patient to time, place, date, and events? A. Shows improved cognitive functioning B. Provides reality orientation to patient C. Permits evaluation of the effectiveness of treatment D. Lets the patient identify the time, place, date and eventscorrectly Situation: Nurse Pat is a newly hired Registered Nurse together with 5 licensed graduate nurses coming from different regions. It is their first day of orientation in a big health facility. The continuing nurse educator started the session by projecting the organizational structure of the medical center. 21. Which of the following is the MAJOR PURPOSE of an organizational structure? It is a ______. A. blueprint representing committees for delegation of rolesand functions B. flow chart that shows interaction among members of major and minor groups C. framework of relationship of units, departments and channels of communication D. design that identifies roles, collaboration, interdependence between functions of people 22. Line and staff functions are identified in the presented Organizational Chart. What does line authority mean? A. Staff relationship in the organization is advisory in nature B. Staff mix of personnel reporting to the "Boss". C. Decisions are made from bottom to top in an organization. D. A direct responsibility over a subordinate within anorganization. 23. Which of the following statements is CORRECT of nursing service system in health care? A. Informed leaders are more effective than formal leaders in an organization. B. A shared governance tends to be controlling and with less autonomy. C. Institutional policies are more powerful tool in nursing practice than laws and regulations. D. A situational leadership style provides effective means in achieving patient outcomes. 24. The mode of nursing service delivery system is being revisited in respond to patient's outcome. Which of the following is NOT TRUE of themanager's role in the health care delivery system? A. Provides direct nursing care when needed. B. Manages resource utilization. C. Act as a liaison in litigation cases in court. D. Collaborates with members of the health. 25. Budgeting is an important aspect of financial management. When a unitmanager allocates expenses for unit supplies, stocks and medical-surgical supplies. This is considered _________. A. cash budget B. operational budget C. capital budget D. flexible budget. Situation: Mely, 68 -year-old, was admitted to the hospital because of decreased appetite, easy fatigability, dehydration and weight loss of about 15 lbs for the past weeks. She was examined by the physician and advised to be admitted. You are the nurse assigned to take care of her. 26. The physician ordered to start Ms. Mely on Total Parenteral Nutrition(TPN). What Is your INITIAL step to be undertaken PRIOR to thisintervention? A. Determine if the family can afford the whole treatment. B. Evaluate the tolerance of the patient to glucose. C. Identify allergies of patient to the supplemental nutrition. D. Assess the basic understanding of the patient regarding TPN 27. Choose from the following the primary goals of TPN? I. promote weight gain II. improve nutritional status 2 | Page

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