Title RECALLS 2 - NP4 - SC ✅

3. Taking economic risks as a health care provider. 4. Providing adequate or appropriate care minimize risk of expensive utilization. A. 1 and 2 B. 3 and 4 C. 1 and 4 D. 2 and 3 12. Which of the following statement is TRUE regarding health care economics? A. Contemporary health care is characterized as a business struggling to balance cost and quality. B. Profit in health care is synonymous with billing privileges. C. Health care economics is a new concept in nursing. D. Health care is becoming affordable and clients are demanding quality care. 13. You understand that a key factor that influence client care is the cost involved in the delivery of health services. Which of the following resources is NOT required to support the services delivered by nurses? A. Time B. Client’s environment C. People D. Equipment 14. You are aware that there is a need for you to understand how to manage the cost of client care as it relates to clinical practice. Which of the following are nurses accountable for? A. Decision regarding cost effective practices. B. The Client’s hospital charges C. Distribution and consumption of resources such as time, supplies, drugs, staff and personnel. D. Financial viability of nursing department. 15. While touring the department where you are assigned, you noticed that the supply room is stacked with medical supplies and equipment. Which of the following is the BEST action you will take? A. Create a task force to assess the situation and report the findings. B. Take an inventory of the supplies and equipment. C. Request maintenance to sort out the supplies and check the medical equipment to determine if they are still functional. D. Call for a staff meeting and discuss how best to utilize the available resources. Situation 4 – A 34 year old female client complains of experiencing double vision and frequent headaches. The client claims to be forgetful and has mood swings. A diagnosis of right frontal lobe lesion was made and the client was admitted for craniotomy. 16. The client claims to have a diagnostics work up in the outpatient unit before she was admitted. The admitting nurse prepares the client for which of the procedure that will MOST likely confirm the presence of brain tumor? A. Myelogram B. CT Scan C. Lumbar puncture D. Skull x-ray 17. While the client is being interviewed, she had a seizure. The initial intervention of the nurse must be directed towards: A. Protecting the client B. Controlling the Seizure C. Reducing circulation to the brain D. Restraining the client 18. After surgery, it is important for the nurse to position the head of the client properly to: A. Facilitate venous drainage B. Prevent hemorrhage on the suture line. C. Provide for client comfort D. Maintain patent airway 19. The Nurse is aware that one of the measures listed below is contraindicated in post-operative pulmonary toilet. A. Suctioning B. Deep Breathing C. Turning D. Coughing 20. The surgeon orders glucocorticoid Dexamethasone (Decadron) to be given following craniotomy. The nurse recognizes that this drug: A. Creates a feeling of euphoria, which is beneficial in the early post-operative period. B. Promotes excretion of water which aids in reducing ICP. C. Enhances venous return and thus reduce ICP D. Reduces cerebral edema thus reducing ICP. Situation 5 – A Nurse in the intensive care unit attends to a 20 – year old female who was involved in a vehicular accident three days prior to admission. The prognosis is very poor. No brain activity was detected after two electroencephalograms (EEGs) were taken. 21. The family decides to wean the patient from the ventilator support. The family talks to the nurse about their decision to get the nurses’ support. Which of the following actions is NOT appropriate? The Nurse ___________. a. Checks the physician’s orders for sedation and analgesia and make sure that the anticipated death is comfortable and dignified. b. Explains to the family what will happen each phase of the weaning and offer support. c. Tells the family that death will occur almost immediately after the patient is removed from the ventilator support. d. Participates in the decision-making process by offering the family information 22. Two hours after the ventilator support was discontinued, the patient dies. The nurse discusses with the family the possibility of donating the deceased person’s organs. The following are guidelines in organ or tissue donation. 1. Religious beliefs in organ donation and transplantation must be respected. 2. Donors must be free of infectious disease and cancer. 3. Consent or written orders by the physician are necessary for referral to an organ procurement organization. 4. The family of the deceased should be offered an opportunity to speak with a knowledge organ procurement coordinator. 5. The person requesting for organ donation does not have to believe in the benefits of organ donation but should support the process with a positive attitude. Which of the guidelines should the nurse observe? A. 1, 2, 3, 4, 5 B. 1, 2, 4 C. 2, 3, 4 D. 1, 3, 5 23. The legal definition of death that facilitate organ donation is the cessation of ________ : A. Function of the entire brain B. Pulse C. Circulatory and respiratory functions D. Respiration 24. The patient is pronounced dead by the physician. Which of the following nursing actions VIOLATES the standards of care for a dead person? A. Removing soiled dressing and tubes. B. Keeping the dead person in a sitting position until the family has arrived and said their goodbyes. C. Placing identification tags on both the shroud and ankle. D. Preparing to transfer the body to the morgue. 25. The family goes through the stages of grieving. What are the stages in the grieving process? 1. Acceptance 2. Depression 3. Denial 4. Bargaining 5. Anger A. 3, 5, 1, 4, 2 B. 3, 5, 4, 2, 1 C. 1, 5, 3, 4, 2 D. 1, 2, 5, 4, 3 Situation 6- A male teenager was wheeled in the Emergency Department (ED) for injured. 26. The nurse assesses the patient for complications. Which are the MOST COMMON complications? 2 | Page
1. Urinary leakage 2. Delayed bleeding from damage Abscess formation 3. Paralytic 4. ileus Renal failure A. 4 & 5 B. 3 & 4 C. 1 & 2 D. 2 & 3 27. The nurses knows that with renal trauma, further complications may occur such as: . 1. Secondary hemorrhage usually due to infection 2. Renal artery stenosis 3. Renal atrophy 4. Hypotension 5. Hydronephrosis Which are the POSSIBLE complications? A. 2, 3, 4, 5 B. 1, 2, 3, 4, 5 C. 1, 2, 3, 5 D. 1, 3, 4, 5 28. The nurse assesses the patient to determine the extent of injury. Which of the following signs is a CARDINAL sign of renal trauma? A. Shock B. Lumbar pain C. Abdominal pain D. Hematuria 29. The nurse writes a nursing diagnosis for the patient with a stab wound. The MOST appropriate nursing diagnosis is ____________. A. Nutrition imbalance, less than body requirements, related to nausea from renal trauma B. Deficient fluid volume related to blood in the urine C. Acute pain in the abdominal area related to renal trauma D. Acute pain in the lumbar area related to renal trauma 30. The physician prescribes Magnetic Resonance Imaging (MRI) of both kidneys to confirm clinical suspicion and determine the severity of the injury. Which of the following activities is a PRIMARY nursing consideration in preparing the patient for MRI? A. Administer all medications scheduled before the test. B. Report findings of metal screening ; sedate the patient before sending him for MRI. C. Coordinate the MRI with other patient care activities and inform the patient about the test. D. Ensure the patient is on NPO and hold all medications until test is completed. Situation 7- Nurse Ashley is a staff nurse in the oncology unit of a tertiary hospital. She reads literature on antineoplastic medications. 31. Nurse Ashley understands the importance of continuing professional development. Which of the following is the MAIN purpose of continuing professional development? To ____________. A. Update one’s professional knowledge and competence B. Acquire a certificate of attendance to add to one’s curriculum vitae C. Establish networking within the nursing profession D. Fulfill requirements for an advanced degree in nursing 32. Nurse Ashley reads that the drug Cyclophosphamide ( Cytoxan ) is given to patients with breast cancer. Nurse Ashley understand that this drug is ______: A. Cell cycle phase-non-specific B. A hormonal medication C. An antimetabolite D. Cell cycle phase-specific 33. Nurse Ashley reads in the literature that a patient with breast cancer taking Cytoxan should observe the following. Given a case what should nurse Ashley instruct a patient to do? A. Decrease sodium intake while on medication. B. Take the medication with food. C. Increase potassium intake while on medication. D. Increase fluid intake 2000 to 3000 mL daily. 34. Nurse Ashley understands that patients receiving antineoplastic medications should do which of the following? 1. Drinks beverages containing alcohol in moderate amounts. 2. Consult with the physician before receiving immunizations. 3. Be sure to receive flu and pneumonia immunizations. 4. Take aspirin (Acetylsalicylic Acid, ASA) as for headache. A. 2 only B. 3 & 4 C. All of the options D. 1 & 2 35. An incident was described in the literature where a patient developed stomatitis after receiving a course od antineoplastic medications. Which of the following actions would be BEST for a nurse to do? A. Swab the mouth daily with lemon and glycerine. B. Avoid foods and fluids for the next 24 hours. C. Brush the teeth and use waxed dental floss 3x a day. D. Rinse the mouth with diluted baking soda or saline. Situation 8- The head nurse of a trauma unit introduce changes to improve the quality of care of trauma patients. 36. The head nurse presented a set of goals to the staff nurses. Which of the following goals is NOT relevant to improving quality of care? No_______: A. Legal suits. B. Needless deaths. C. Waste of resources. D. Needless pain or suffering. 37. The head nurse reviews reports on nurse staffing. The following findings result to better patient outcomes EXCEPT: A higher _______: A. Nurse to patient ratio shortens lengths of patient stay in the hospital. B. Nurse to patient ratio results to reduced patient mortality. C. Number of nurses, infection rates fall. D. Nurse to patient ratio increases costs. 38. The head nurse determines to reduce medication errors in the trauma unit. She recognizes that medication errors often occur in relation to the following EXCEPT: A. Preparing the wrong concentration and administering the medication via the correct route. B. Failure to question unclear medication errors. C. Lack of knowledge about medication. D. Failure to identify non-therapeutic client responses. 39. The head nurse suggests that to reduce medication errors, several measures will be instituted. Which of the following is MOST appropriate? A. Use point-of-care technology to access drug reference information. B. Use of drug index C. Nurses must help educate patients and their families regarding proper medication administration. D. Patients must become more involved in managing their care. 40. The head nurse is aware that managing and improving quality care in the trauma unit requires which of the following? A. Personalized attention to patient’s needs and their families. B. A blame – free environment. C. All of the choices. D. A clean and orderly trauma unit. Situation 9- Nurse Mirasol is the attending nurse of a 40-year old female admitted in the medical unit with a probable diagnosis of Scleroderma. 41. The patient complains of pain in her fingertips and pallor followed by blanching of the extremities and redness. Nurse Mirasol knows that these symptoms are characteristic of which of the following disorders? A. Swan-neck deformity B. Raynaud’s phenomenon C. Joint swelling and effusion D. Symmetric Polyarthritis 3 | Page
42. Nurse Mirasol assesses the skin of the patient. Which phase of skin changes occur FIRST and are usually painless and symmetrical? A. Indurative B. Primary C. Curative D. Edematous 43. Nurse Mirasol writes a nursing diagnosis for the patient. Which of the following is a PRIORITY nursing diagnosis? A. Social isolation B. Impaired skin integrity C. Disturbed body image D. Low self-esteem 44. Nurse Mirasol assists the patient in coping with the disorder. During the early stages of a chronic disease, patients tend to focus on which of the following behaviors? A. Understanding the disease process B. Impact on lifestyle changes C. Interpretations of symptoms D. Schedule of medications 45. Nurse Mirasol prepares a discharge plan of care for the patient. Which of the following objectives are MOST appropriate? The patient should _______________. 1. Try to prevent breakdown of the skin and ulceration 2. Avoid activities that trigger pain 3. Modify diet to include legumes 4. Avoid exposure to extreme cold temperature A. 1, 2, 3, 4 B. 1, 2, 3 C. 1, 2, 4 D. 2, 3, 4 Situation 10- Nurse Bessie is a nurse manager of trauma unit. She supervises the staff nurses and regularly holds conferences with them and other unit personnel. In one meeting she reorients the staff nurses on their various functions. She cites clinical situations related to a nurses dependent, interdependent, and collaborative functions. 46. An interdependent function of nurse is when the nurse _______: A. Irrigates a feeding tube that appears obstructed. B. Gives ice chips to a client who has an order of NPO. C. Applies a dry sterile dressing to an abdominal incision. D. Helps a client choose foods rich in protein from an ordered diet. 47. A nurse decides to give a partial bath to a client instead of a complete bath. The nurse is working __________: A. Independently B. Interdependently C. Dependently D. Collaboratively 48. A nurse works with a skin care team. The nurse is functioning _________: A. Dependently B. Interdependently C. Collaboratively D. Independently 49. A nurse initiates a visit from member of the clergy for a terminally ill client. The nurse is functioning ___________: A. Interdependently B. Collegially C. Independently D. Dependently 50. When a nurse uses a straight catheter to obtain a urine specimen for laboratory test, the nurse is functioning ________: A. Dependently B. Interdependently C. Independently D. Collegially Situation 11- Marie, an oncology nurse assists in the care of patients with cancer. 51. One of her patients is a 50-year old female named Marcela is in the terminal stage of breast cancer. She tells Nurse Marie. “I have given responses of Nurse Marie is MOST therapeutic? A. “You have given up hope?” B. “You should talk to your physician about your fears of dying.” C. “You should talk about dying with your spiritual adviser.” D. “You should not give up hope. There are research studies being done to cure cancer.” 52. Marcela says to Nurse Marie. “ I don’t like to spend my final days on earth in a hospital.” The BEST response of Nurse Marie would be : A. “Can you please tell me more how you are feeling right now?” B. “I know how you feel. It must be hard to know that you are dying.” C. “If I were in your place, I should have refused being admitted to the hospital knowing that I will die soon. D. “What is it that you don’t like being in the hospital?” 53. Marcela tells Nurse Marie that her younger sister was recently diagnosed with cancer. She is concerned because she is aware that breast cancer “ runs in the family” but she could not recall any family member diagnosed with bone or lung cancer. Nurse Marie’s BEST response would be: A. “ I am sorry to hear about your sister. I think you should meet with all of your family members and share with them their increased risk for developing lung and bone cancer.” B. “ Apparently your sister is so unfortunate . it is rare to have three such unrelated cancers at one time.” C. “ I think it is important for you to be tested for lung cancer as soon as possible , because it has hereditary link.” D. “ I am sorry to hear about your sister’s recant diagnosis. Most probably your sister has a breast cancer that has metastasized or spread to the bone and lungs.” 54. Nurse Marie has another patient, Cena who was recently diagnosed with ductal cell carcinoma of the breast. Her oncologist described Cena’s cancer as T2, N1, Mx. Cena asked Nurse Marie to repeat to her what “ all those letters and numbers mean.” Nurse Marie replies that it means the following: A. Two tumours present, one lymph node involved, and many sites of metastasis. B. One large tumour present, nodal involvement in one region, and metastasis was present. C. Two tumours present, one lymph node involved and metastasis was present. D. One tumor present, which is larger than 2.5 centimeters, nodal involvement in one region, and metastasis was unable to be determined. 55. Patient Cena tells Nurse Marie “How did I acquire breast cancer?” Nurse Marie explains that there are risk factors that may have contributed to her condition. Which of the following statements is TRUE concerning the risk factors for breast cancer? A. Hormones are not a risk factor for breast cancer. B. Other types of cancer history have no correlation with breast cancer. C. Ethnicity is a risk factor. D. Environment is not a risk factor for breast cancer. Situation 12 – A 35-year old female client presents herself in the outpatient Department with complaints of rashes particularly on the face, across the bridge of the nose and on the cheeks. The client is suspected of having systematic lupus erythematous (SLE). She is admitted to the female medical unit. 56. The nurse writes a care plan for the client. The Nurse is aware that this disorder is a/an ________. A. disease caused by over exposure to sunlight B. Local rash that occurs as a result of allergy. C. inflammatory disease of collagen contained in connective tissues. D. disease caused by the continuous release of histamine in the body. 4 | Page