Title RECALLS 12 - NP3 - SC ✅

2 | Page C. 3,4,5 D. 4,5,6 11. A nurse is assessing the client with left-sided heart failure. The client states that he needs to use three pillows under the head and chest at night to be able to breathe comfortably while sleeping. The nurse documents that the client is experiencing: A. Dyspnea on exertion B. Dyspnea at rest C. Orthopnea D. Paroxysmal nocturnal dyspnea 12. Jhana, a client with congestive heart failure, has digoxin (Lanoxin) ordered every day. Prior to giving the medication, the nurse assesses that the digoxin level is 12mg/mL and auscultates a one-minute apical pulse rate of 62. The nurse should: A. Withhold the digoxin B. Withhold the dose and request an order for a potassium level C. Notify the physician D. Give the digoxin as ordered 13. Iyaz, another client hospitalized for heart failure, is receiving digoxin (Lanoxin) IV push. The nurse obtains the following data on the client. Place the data in order from that of highest concern to least concern to the nurse. 1. Potassium (K+-) level is 3.2 mEq/L 2. Apical pulse is 53 beats per minute 3. Client has been taking Furosemide (Lasix) 20mg 4 Client enjoys orange juice with breakfast A. 1,2,3,4 B. 1,3,4,2 C. 2,1,3,4 D. 2,3,4,1 Situation: Nurse Angie is caring for multiple patients assigned in their ward with a diagnosis of Buerger’s disease. 14. Nurse Angie has been assigned to Mr. Reyes; a client diagnosed with Thromboangiitis Obliterans. Which of the following anatomic areas are most often affected by this vascular condition? A. Hands and fingers. B. Lower legs and feet. C. Head and neck. D. Lower back. 15. Mr. Corpuz, a 30-year-old male client, is admitted with Buerger’s disease. Which of the following factors has increased the client's risk for development of Burger's disease? A. History of cigarette smoking. B. Occupational exposure to radiation. C. Age and gender. D. History of hypertension. 16. The primary goal for Mr. Corpuz, the client with Buerger's disease, is to prevent A. Embolus formation. B. Fat embolus formation. C. Thrombus formation. D. Thrombophlebitis. 17. Mr. Corpuz, a client with Buerger's disease, smokes two packs of cigarettes a day. Smoking cessation is critical or the client may lose the affected extremity. When helping a client change behavior it is important to know the client's A. Ability to attend support groups. B. Goals of the treatment. C. Perception of the behavior. D. Motivation 18. Mr. Corpuz’s disease experiences which of the following signs or symptoms? A. A Thickening of the intima and media of the artery. B. Inflammation and fibrosis of arteries, veins, and nerves C. Vasospasm lasting several minutes. D. Pain, pallor, and pulselessness. Situation: According to World Health Organization, Cardiovascular diseases (CVDs) are the leading cause of death globally, taking an estimated 17.9 million lives each year. CVDs are a group of disorders of the heart and blood vessels and include coronary heart disease, cerebrovascular disease, rheumatic heart disease and other conditions. 19. A client with cardiac disease is on a monitor and Nurse Van observes ventricular tachycardia at a rate of 160 beats/mm. The client is awake and coherent, and oxygen is being administered at rate of 6 L/ min via a nasal cannula, what is the first nursing action? A. Immediately defibrillate. B. Administer Lidocaine IV push as ordered. C. Begin cardiopulmonary resuscitation. D. Obtain arterial blood gas values 20. Nurse Van is taking the history from a client with Congestive Heart Failure caused by hypertension. The nurse identifies what data as supportive of the client's medical diagnosis? A. Dyspnea after walking one block. B. Weight loss of 15 pounds over last 3 months. C. Lower extremity edema in the evenings. D. Dizziness and fainting when rising too quickly. 21. Nurse Van is preparing another patient scheduled for CABG. What is the primary pathophysiological reason for performing coronary artery bypass surgery? A. Decrease oxygen overload to the cardiac muscle. B. Increase oxygen supply to the heart muscle C. Reduce plaque build-up in the carotid artery. D. Reduce overall contractility of the heart muscle. 22. Nurse Van is administering nitroglycerin intravenously to relieve chest pain. What is the therapeutic action of this medication? A. Increases diuresis and glomerular filtration, which results in decreased venous return. B. Increases the force of contraction of the myocardium, thereby increasing oxygen delivery. C. Produces an immediate analgesic effect and relieves chest pain. D. Increases the coronary blood supply and decreases the afterload. 23. In discharge planning for the client with Congestive Heart Failure, Nurse Van discusses the importance of adequate rest. What information is most important? A. A warm, quiet room is necessary. B. Bad rest promotes venous return. C. A hospital bed is necessary. D. Adequate rest decreases cardiac workload Situation: Tomorrow, you will be assigned to the Medical Step-down Unit, where you anticipate encountering many patients with acid-base imbalances. To ensure you are well-prepared as a professional nurse, you decide to review relevant information on managing patients with different types of acid-base imbalances. 24. As a nurse you were taught how to evaluate arterial blood gas (ABG) values. Which of the following steps would you do FIRST? A. Evaluate HCO3 B. Evaluate pH C. Determine acid base status D. Evaluate PaCO2 25. Which of the following conditions may cause metabolic acidosis due to a decrease in bicarbonate (HC03) level? 1. Loss of gastric fluids from vomiting or nasogastric suction 2. Loss of body fluids from drains below the umbilicus 3. Gastrointestinal fistulas 4. Aspirin ingestion

4 | Page A. Dry skin B. Hepatomegaly C. Peripheral edema D. Pruritus SITUATION: Vivian is assigned in the medical unit and was assigned to 6 patients. 43. While Vivian was preparing to administer medication, the patient complained of dyspnea, and appeared to be severely cyanotic. Which of the following interventions will Vivian do FIRST? A. Assess vital signs. B. Administer supplemental oxygen. C. Reposition the patient. D. Administer the medication. 44. Vivian evaluated the patient's complaints and performed a head-to-toe assessment. WhenN the physician came, he suspected pulmonary embolism. Which of the following data about the client would have least predisposed her? A. Post Cholecystectomy B. On-going intravenous infusion C. Strict bed rest D. Obesity 45. To confirm his diagnosis of pulmonary embolism, which of the following diagnostic tests will Nurse Vivian expect the physician to order?  A. Chest X-ray. B. Arterial blood gases. C. Cardiac catheterization. D. Computed tomography scan (CT scan) 46. Another patient of Nurse Vivian called and asked for assistance. When Nurse Vivian entered the room of the patient, the thoracostomy tube was disconnected from the closed drainage system and patient was about to walk to the bathroom. Which of the following will Vivian do FIRST? A. Clamp the thoracostomy tube and reconnect to the closed drainage. B. Reconnect to the closed drainage and put patient back to bed. C. Put the patient back to bed and reconnect to the closed drainage. D. Clamp the thoracostomy tube and refer to physician for evaluation. 47. While Nurse Vivian was in the nurses' station, which of the following should she attend to FIRST? A. A relative asks Vivian to check on gastrostomy tube because it leaks. B. Nursing student informs Vivian the IV infusion of a patient has only 100ml left in the bottle C. Nursing Aide reports that the siderails of the bed of the patient could not be moved down. D. An ambulatory patient approaches Vivian in the nurses' station and asks for a glass of water. Situation: Misyel, a 45-year-old is admitted to the hospital with a diagnosis of renal calculi. She is experiencing severe flank pain, nauseated and with a temperature of 39 C.   48. Given the above assessment data, the most immediate goal of the nurse to Misyel would be which of the following? A. Prevent complication B. Maintain fluid and electrolytes C. Alleviate pain D. Alleviating nausea 49. Which of the following menu is appropriate for one with low sodium diet? A. Instant noodles, fresh fruits and iced tea B. Ham and cheese sandwich fresh fruits and vegetables C. White chicken sandwich vegetables salad and tea D. Canned soup, potato and salad and diet soda 50. Which of the following indicates the type(s) of acute renal failure? A. Four Types: Hemorrhagic with and without clotting and non-Hemorrhagic with and without clotting B. One type: Acute C. Three Types: Pre-renal, Intra-renal and post-renal D. Two Types: Acute and Sub-acute Situation: Cardiovascular diseases are a prevalent health issue in the Philippines, affecting a significant portion of the population. This widespread problem is influenced by factors such as lifestyle, diet, and genetics, making it a major public health concern. 51. Which of the following clinical manifestations would Nurse Colet expect to identify when assessing a patient who has atrial fibrillation? A. Pounding headache B. Visual disturbances C. Irregular radial pulse D. Elevated bird pressure 52. Nurse Colet would expect a patient to describe the symptoms of arterial insufficiency in the lower extremities in which of the following ways? A. "My leg feels weak when I get up to walk." B. "My legs hurt when I walk, but they feel better when I sit down." C. "My feet and ankles become swollen after walking." D. "My feet burn If I walk on a hard surface." 53.  Which nursing intervention would be most suitable for managing a patient with peripheral venous insufficiency? A. Elevating the legs B. Increasing the fluid Intake C. Liming the activity level D. Massaging the extremities 54. For a client admitted with thrombophlebitis who has been prescribed heparin, what type of administration method should be used? A. Buretrol B. Infusion controller C. Intravenous filter D. Three way stop cock. 55. The physician has ordered nitroglycerin buccal tablets for a client with stable angina. The nurse knows that nitroglycerin affects the heart by: A. Slowing contractions of the heart B. Dilating coronary blood vessels C. Increasing the ventricular fill time D. Strengthening contractions of the heart Situation: Disturbances in the gastrointestinal tract, such as nausea or cramps, can disrupt digestion and cause discomfort. These issues often require attention to diet and sometimes medical treatment to restore normal function.   56. Razell, who had a total gastrectomy, is given instructions on measure to prevent the developing of dumping syndrome. Which of the following statements, if made by the patient, would indicate a correct understanding of the instructions? A. "I will have a bedtime snack." B. "I will rest one hour before each meal." C. "I will avoid concentrated sugar." D. “I will include high-carbohydrate foods in my diet” 57. Which of the following laboratory values should Nurse Razell expect to be elevated in a patient who has pancreatitis? A. Red blood cell count B. Blood urea nitrogen C. Glycosylated hemoglobin D. Serum amylase 58. Which of the following statements, if made by Jam who has had a cholecystectomy, would indicate a correct understanding of dietary instructions? A. "I should limit my intake of citrus products.” B. "I must avoid carbonated beverages.” C. "I will Increase high-fiber foods in my diet" D. "I can eat whatever I can tolerate”