Title RECALLS 3 (NP4) - STUDENT COPY ✅

C. Call the health-care practitioner and ask for a sedative order. D. Tell the client that gathering data about his current condition will promote effective timely treatment of his health concerns. 10. You are caring for Conis, a patient admitted in your unit who is diagnosed with Crohn’s disease. She has undergone a barium enema that demonstrated the presence of strictures in her ileum. Based on this finding, you should monitor the client closely for signs of: A. peritonitis. B. obstruction. C. malabsorption. D. fluid imbalance. SITUATION: You are caring for patients in your unit with alterations in their fluid and electrolytes. As a knowledgeable nurse, you apply the concepts of fluid and electrolytes in your nursing practice. 11. As an experienced nurse, you know that client incidence of hypermagnesemia is rare in comparison with hypomagnesemia. A student nurse approached you and asked how hypermagnesemia develops. You answer her correctly by saying that hypermagnesemia generally occurs secondary to: A. Cardiac contractility. B. Hypokalemia. C. Liver failure. D. Renal insufficiency. 12. You are assigned to care for Ace, a patient diagnosed to have hypokalemia. As a knowledgeable nurse, you know that the electrolyte that must be corrected in this scenario is: A. Calcium. B. Magnesium. C. Manganese. D. Zinc. 13. You are caring for a group of patients in the ward. While reviewing each of the patient’s charts, you determine which of the following patients is most likely at risk for fluid volume deficit? A. A client with an ileostomy B. A client with heart failure C. A client on long-term corticosteroid therapy D. A client receiving frequent wound irrigations 14. You are refreshing your knowledge on sodium imbalances. As a knowledgeable nurse, you know that which of the following patients in the ward is most likely to develop a sodium level at 130 mEq/L (130 mmol/L)? A. The client who is taking diuretics B. The client with hyperaldosteronism C. The client with Cushing’s syndrome D. The client who is taking corticosteroids 15. You are reviewing one of your patient’s progress notes. You read that the physician has documented “insensible fluid loss of approximately 800mL daily”. As a knowledgeable nurse, you make a notation that insensible fluid loss occurs through which of the following types of excretion? A. Urinary output B. Wound drainage C. Integumentary output D. The gastrointestinal tract SITUATION: You are a new nurse assigned to take care of patients with various eye disorders. You use your knowledge to help these patients with their condition. 16. One of the patients in your unit, Pagaya, is diagnosed with glaucoma. Which of the following symptoms should you expect the client to report during your initial assessment with him? A. Loss of peripheral vision. B. Floating spots in the vision. C. A yellow haze around everything. D. A curtain coming across vision. 17. Pagaya has now been prescribed a miotic cholinergic medication for his glaucoma. Which of the following data indicates that the medication has been effective on Pagaya? A. No redness or irritation of the eyes B. A decrease in intraocular pressure C. The pupil reacts briskly to light D. The client denies any type of floaters 18. You are caring for Gan Fall, a postoperative patient, after his retinal detachment surgery. Gas tamponade was used to flatten the patient’s retina during the procedure. Which of the following interventions should you implement first? A. Teach the signs of increased intraocular pressure. B. Position the client as prescribed by the surgeon. C. Assess the eye for signs/symptoms of complications. D. Explain the importance of follow-up visits. 19. You are caring for Conis, a patient with severe myopia. She is scheduled for a laser assisted in situ keratomileusis (LASIK) surgery. Which of the following instructions should you discuss with Conis prior to her discharge from the surgery? A. Wear bilateral eye patches for three (3) days. B. Wear corrective lenses until the follow-up visit. C. Do not read any material for at least one (1) week. D. Teach the client how to instill corticosteroid ophthalmic drops. 20. Eneru, a 65 year old male client is complaining of blurred vision, but denies having any type of pain. He reports to you, “I feel like I need to clean my glasses all the time”. Which of the following eye disorders should you suspect that Eneru has? A. Corneal dystrophy B. Conjunctivitis C. Diabetic retinopathy D. Cataracts Situation – Ms. Gina is a staff nurse in a medical unit of x hospital. She collaborate with other members of the health team to provide safe and quality patient care. 21. Which of the following statements BEST explains the role of the nurse in collaborating with others to plan for the patient’s care? The nurse _____________. A. collaborates with colleagues and the patient’s family to provide combined expertise in planning care. B. works independently to plan and deliver care and does not depend on other staff for assistance. C. consults the physician for direction in establishing goals for clients. D. depends on the latest literature to complete an excellent plan of care. 22. Nurse Gina is aware that collaborative interventions are therapies that require the following: Which of the collaborative interventions is the MOST therapeutic? A. Nurse and patient intervention B. Multiple health care professionals C. Physician and nurse intervention D. Patient and physician intervention 23. To initiate an intervention in collaboration with the health team, Nurse Gina must be competent in which of the following areas? A. Leadership, autonomy, and skills B. Experience, advanced education, and skills C. Knowledge, function, and specific skills D. Leadership, finances, and skills 24. Nurse Gina is aware that there are nursing activities that may be delegated to other health care team members. Which principle should guide the nurse in delegating tasks? A. Delegation occurs only upon a physician’s order. B. The delegated personnel is accountable for the care. C. Delegation may reduce the patient’s cost of care. D. The nurse has the primary responsibility for the quality of patient care. 25. Nurse Gina is a potential team leader of the health team. Which of the following skills should she develop? A. Collaborative skills B. Management C. Supervisory skills D. Patient advocacy SITUATION: You are a nurse assigned to care for and educate patients in the cancer unit of the hospital you are working on. You apply the concepts you’ve learned regarding cancer to ensure a safe nursing practice. 26. You are reviewing your notes on cancer. After much reading, you know that cancer prevalence is defined as? A. The likelihood cancer will occur in a lifetime. 2 | Page

activity, has a heart rate of 110 bpm, and has generalized edema. Which of the following actions would be most appropriate for this patient? A. Administer high-flow oxygen B. Encourage the client to rest more C. Continue to monitor the client’s heart rhythm D. Compare the client’s admission weight with the client’s current weight 43. You are caring for patient Whitebeard immediately following an insertion of a permanent pacemaker via his right subclavian vein. As a skilled nurse, you know that the action that can best prevent pacemaker lead dislodgement is: A. inspecting the incision site dressing for bleeding and the incision for approximation B. limiting the client’s right arm activity and preventing the client reaching above shoulder level C. assisting the client with getting out of bed and ambulating with a walker D. ordering a stat chest x-ray following return from the implant procedure 44. You are increasing activity for patient Bon with an admitting diagnosis of acute coronary syndrome. Which of the following symptoms experienced by patient Bon best supports the nursing diagnosis of activity intolerance? A. Pulse rate increased by 15 beats per minute during activity B. Blood pressure (BP) 130/86 mm Hg before activity; BP 108/66 mm Hg during activity C. Increased dyspnea and diaphoresis relieved when sitting in a chair D. A mean arterial pressure (MAP) of 80 following activity 45. Cobra is a patient who suffered an inferior septal wall myocardial infarction. Which of the following complications would you suspect in Cobra when you note on your assessment a jugular venous distention and ascites? A. Left-sided heart failure B. Pulmonic valve malfunction C. Right-sided heart failure D. Ruptured septum Situation – 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. 46. 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. 47. The nurse includes in the care plan dietary instructions. Which of the food items should the nurse instruct the client to AVOID? A. steak B. broccoli C. legumes D. fish 48. The nurse is aware that fatigue is experienced by patients with SLE. Which of the following activities should be a component in the care plan for the client to manage fatigue? To ________. 1. sit whenever possible 2. take a hot shower in the morning 3. avoid long periods of rest 4. engage in moderate low impact exercise when not fatigued 5. maintain a balance diet A. 2, 3, 5 B. 1, 2, 3 C. 1, 2, 3, 4, 5 D. 1, 4, 5 49. The physician schedules the client for plasmapheresis. The client asks the nurse what is plasmapheresis. The nurse explains that it is a method that will __________. A. prevent foreign antibodies from damaging various body tissues B. decrease the damage to organs caused by attacking T-lymphocytes C. eliminate eosinophils and basophils from the blood D. remove antibody-antigen complexes from circulation 50. The nurse monitors the client undergoing plasmapheresis. Which of the following reactions should the nurse observe? A. shortness of breath B. numbness and tingling C. transfusion reactions D. high blood pressure Situation – The nurse assists in the care of clients with chronic obstructi pulmonary disease (COPD). 51. The nurse is aware that clients with COPD are at risk for ineffective respirations EXCEPT which of the following _________? A. Clients undergoing thoracic or abdominal surgery B. Clients with rib fractures and kyphosis C. Clients with neuromuscular disorders such as Guillain-Barre’ syndrome D. Clients with fluid volume deficit 52. Nursing interventions for clients with respiratory acidosis include the following EXCEPT to __________. A. monitor arterial blood gases (ABGs), pH, PCO2, and HCO3 B. administer oxygen and medication as ordered C. monitor hourly vital signs and respiratory status D. administer sedation as ordered by the physician to relax the client 53. The nurse understands that excess acid in the body acts as CNS depressant. Clients with acidosis may exhibit which of the following symptoms: 1. reduced level of consciousness 2. confusion 3. lethargy 4. coma A. all of the options B. 1, 3, & 4 C. 1, 2, 3 D. 1 & 3 54. The goal for treatment for respiratory acidosis is to improve ventilation. Which of the following measures is appropriate for clients with COPD experiencing respiratory acidosis? A. Bronchodilators B. Administer medications as ordered C. Ambulation D. Spirometers 55. The nurse understands that respiratory acidosis occurs when __________: A. the body retains too much carbon dioxide B. the client is unable to exhale carbon dioxide C. the client hyperventilates D. there is loss of acid or retention of base in the body Situation – Nurse Mark is assigned in the oncology unit of a tertiary hospital. He is aware of the increase in the number of colorectal cancer patients in his unit. He and a colleague plan to conduct a study of the incidence of colorectal cancer in the Philippines. 56. Nurse Mark formulates a possible title for the study. Which of the following is the MOST appropriate title? A. “Incidence of Colorectal Cancer in the Philippines” B. “Perceptions of the Filipinos on Colorectal Cancer” C. “Colorectal Cancer in the Philippines: It’s Risk Factors and Interventions” D. “A Comparative Study of Gastrointestinal Cancer Cases among Filipinos” 57. What research design is the MOST suitable to gather data for the study? A. Quasi Experimental B. Correlational Study 4 | Page