Title RECALLS 9 (NP4) SC ✅

3 | Page B. Insulin waning C. Dawn phenomenon D. Sunset phenomenon 29. Nurse Mauie is preparing a patient for paracentesis to remove ascitic fluid. Which position is most appropriate for the patient during the procedure? A. Supine B. Sitting upright on the edge of the bed with feet supported C. Lying prone D. Trendelenburg position 30. Nurse Tala is preparing a patient for a percutaneous liver biopsy. Which is the most appropriate position for the patient during the procedure? A. Supine with right arm behind the head B. Prone with pillow under the abdomen C. Left lateral with knees flexed D. Trendelenburg Situation: A newly registered nurse must be knowledgeable about nursing leadership and management and apply it in the practice. 31. While reviewing Grey’s Medical Center’s guiding documents, Nurse Yang finds the statement: “By December 2027, Grey’s Medical Center aims to reach a 95% patient satisfaction rate in patient-centered care by implementing hourly rounds and bedside shift reports.” This statement most likely represents which of the following? A. Mission B. Vision C. Goal D. Objectives 32. Nurse Manager Tom highlights the need to promote a healthy and positive culture in the nursing unit. Which of the following behaviors would suggest that the team has successfully achieved this goal? A. Exhibiting dominant and confrontational behavior B. Remaining compliant and passive C. Demonstrating proactive and supportive interactions D. Encouraging a highly competitive and perfection- driven mindset 33. Which task is most appropriate to delegate to a nursing assistant (NA)? A. Administering oral medications B. Measuring and recording vital signs C. Teaching a patient how to use an incentive spirometer D. Performing initial patient assessment 34. After delegating tasks, the nurse is accountable for which of the following? A. Only the tasks personally performed B. Ensuring all delegated tasks are completed correctly and patient outcomes are safe C. Only supervising if a complication occurs D. Allowing staff to handle independently 35. During a shift, the nursing manager transitions the unit from individual patient assignments to a team-based care approach. One nursing assistant shows resistance and is reluctant to participate in supporting the new process. Which approach should the nurse manager take to address this behavior? A. Ignore the resistance B. Apply pressure or force compliance C. Offer positive incentives to encourage participation D. Engage the nursing assistant in a discussion to express feelings about the change Situation: A 60-year-old male was brought to the emergency room with complaints of slurred speech and right-sided weakness. 36. Which nursing intervention is priority? A. Contact the speech-language pathologist for an urgent evaluation B. Talk with the patient about the events that triggered the symptoms C. Get ready to give recombinant tissue plasminogen activator (rtPA) D. Arrange an immediate CT scan of the head 37. Nurse Jaja is assessing the patient’s level of consciousness. The nurse notes that the patient opens his eyes when spoken to, is confused when answering questions, and localizes pain when a painful stimulus is applied. What is the patient’s GCS score? A. 10 B. 11 C. 12 D. 13 38. A CT scan confirms an ischemic stroke, and the physician has prescribed tissue plasminogen activator (tPA). What is the most important action the nurse must take before administering tPA? A. Ask the patient about current medications B. Perform a comprehensive health history and physical assessment C. Determine the time the stroke symptoms began D. Check whether the patient has any upcoming surgical procedures 39. A patient is experiencing expressive aphasia following a neurologic injury. Which nursing strategy would be most effective in helping the patient communicate? A. Raising the voice and slowing speech B. Providing a picture or symbol board for the patient to indicate needs C. Giving written instructions for the patient to read D. Communicating using brief, simple sentences 40. A patient has homonymous hemianopia. Which behavior is the nurse most likely to observe during mealtime? A. The patient reports seeing double B. The patient cannot recall the names of foods C. The patient eats only from one side of the plate D. The patient has difficulty swallowing Situation: Nurse Jan is assigned to care for patients with neurologic trauma, peripheral, cranial nerve and spinal cord disorders. The nurse is responsible for monitoring neurologic status, assisting with mobility, preventing complications, providing patient education, and supporting respiratory and autonomic function. 41. An unconscious patient is brought to the emergency department following a motor-vehicle accident. The patient’s cervical spine has been stabilized. What should the nurse do next? A. Carefully remove the patient from the stretcher B. Assess the patient’s pupils for reaction C. Assess the patient’s airway D. Attempt to wake the patient by shaking 42. A patient with a T6 spinal cord injury is at risk for autonomic dysreflexia. Which action should the nurse take first if the patient reports a severe headache and flushed face? A. Administer pain medication B. Check for bladder distention and remove the cause of stimulation C. Apply warm compresses D. Encourage ambulation 43. Nurse Jan is caring for a patient with trigeminal neuralgia. Which instruction is most important for the patient to prevent trigeminal neuralgia attacks? A. Use wet cotton pads when washing face B. Eat food on affected side C. Use hot water when washing face D. Sleep on the affected side 44. A patient has been brought to the emergency department after sustaining a fall at work. What assessment findings supports basilar skull fracture? A. Periorbital edema B. Bruising over mastoid C. Epistaxis D. Unilateral facial numbness 45. Which instruction is most important for the patient with Bell’s Palsy? A. Avoid facial exercises