Title RECALLS 13 - NP3 - KEY (2nd) ✅

51-55. Situation. Nurse Charm admits Mr. De Guzman, 31 year-old, who was brought to the Emergency room by his co-worker because of severe abdominal pain. He was observed to be very anxious; holding his abdomen with his right hand while bending towards his right side. The Emergency Room doctor made his initial assessment and referred the patient to the Surgical doctor on duty for further assessment. 51. To describe a sensation of severe pain felt for ruptured appendicitis, Nurse Charm applies deep pressure of her finger into the abdomen at a point away from the pain and then releases. This maneuver is termed as __________. A. Perforation B. McBurney’s Point C. Rovsing’s sign D. Rebound tenderness 52. Mr. De Guzman was diagnosed with ruptured appendicitis. When the appendix is suspected ruptured, a generalized abdominal pain is felt and becomes ____________. A. Merely a discomfort and steady rather that intermittent B. Intense and the patient guards the area by living room C. Rigid, stiff and board like feeling D. Tender and focused on the umbilical cord region 53. Immediate surgery was done on Mr. De Guzman. Which of the following measures for pain control is NOT advisable to be done by Nurse Charm while patient De Guzman is having post-op pain? A. Coughing exercises B. Deep breathing C. High-fowler’s position D. Semi-fowler’s position 54. After operation, a nasogastric tube (NGT) was inserted to Patient De Guzman. The rationale for this surgical measure is to _________. A. Prevent use of antibiotics B. Decrease hospitalization to two days C. Decrease pain after the operation D. Avoid the use of analgesics 55. Nurse Charm assesses the pain intensity of Mr. De Guzman. The pain assessment tool APPROPRIATE to be used for Mr. De Guzman is _____________. A. Faces Pain Rating scale B. Visual Rating Scale C. World Rating Scale D. Numeric Rating Scale 56-60. Situation. You are the nurse on night duty in the medical ward. You were assigned by Ms. Felipe, the Charge Nurse of the unit to monitor the status of a 9 year old boy with bronchial asthma. 56. Which of the following manifestations of the child would cause you to be alarmed? A. Excessive sweating B. Choking sensation C. Cough with phlegm D. Generalized chest tightness 57. You would like the child to be comfortable in bed. Which position should you put the child to ease his discomfort? A. Lying on his side B. Prone position C. High Fowler’s Position D. Supine position 58. The Pediatrician ordered theophylline by IV route. The effect(s) of this drug is __________. A. Decrease gastric acid secretion B. Causes coronary vasoconstriction C. Relaxes the smooth muscle of the bronchial tree D. Stimulation of the peripheral nervous system 59. What APPROPRIATE activity should you advise the child while in the hospital? A. Talk on the phone with his classmates B. Finish his assignments in school C. Watch cartoon movies on TV D. Play with his teddy bear 60. The patient is ready to go home. What health teachings can you give to him and to his mother? 1. Prevent the child from exposure to dust and pollutants 2. Avoid exposure to extreme hot or cold weather 3. Increase fluid intake 4. Avoid hyper-allergenic food A. 1 and 2 B. 2, 3, 4 C. 1, 2, 3, 4 D. 1 only 61-65. Situation. Mae, 65 year-old cook, restless and obese was brought to the Emergency Room due to right abdominal pain, nausea and vomiting for a week. She frequently changes her position to a more comfortable one due to intense pain. You are the nurse in charge who admitted the patient after the attending doctor diagnosed her with Acute Cholelithiasis. 61. Patient Mae’s vomiting can be treated with a nasogastric tube insertion with a suction attachment. This measure will remove the gastric juice stimulating painful contractions of the gallbladder which is __________. A. Cholecystokinin B. Ecchymosis C. Lithotripsy 1 | Page


C. Apply alcohol after cleansing feet to improve infection D. Wear a shoe-type slipper at home 85. Ms. Aileen was administered NPH insulin at 8 am. At what time would Nurse Mich expect the patient to be at risk for hypoglycemic reaction. A. 11 am B. Noon C. 6 pm D. 4 pm 86-90. Situation. A 6-year old boy is suffering from pain on his right inguinal region. His mother brought him to the hospital and was diagnosed to have incarcerated hernia. He had a scheduled herniotomy. 86. What will be your FIRST pre-operative nursing measure? A. Get informed consent from the mother. B. Change the boy’s street clothes to surgical gown C. Shave the operative site D. Call the OR nurse for scheduling 87. The boy is transferred to the operating room. What is the BEST mode to be used in transferring the patient? A. Nurses’ carry B. Stretcher C. mother’s carry D. wheelchair 88. The nurse must prepare the OR environment to be safe and comfortable for the child by reducing the air conditioning temperature so as to prevent ___________. A. Hypoventilation B. Hyperventilation C. Hypothermia D. Hyperthermia 89. The scrub nurse has to prepare for a pediatric herniotomy. Which of the following should be ready? A. Subcuticular 3/0 round, absorbable B. Subcuticular 3/0 cutting, absorbable C. Monofilament 3/0 cutting, absorbable D. Monofilament 3/0 round, absorbable 90. The mother was afraid to submit the child for surgery. What is the BEST response to the Nurse in this situation? A. “It is alright to feel that way but you cannot do anything now.” B. “It is the doctor's order; you’ll have to accept the situation.” C. “Your child’s condition is an emergency case. If he is not operated on, he will die.” D. “I understand your feelings, but your child needs to be operated on.” 91-95. Situation. There are extensive legal aspects that guide the Filipino nurses in terms of regulation in practice of her profession. 91. The Professional Regulation Commission, Board of Nursing (PRC– BoN) as a regulatory board has the legal functions and responsibilities EXCEPT in ONE of the following ___________. A. Ensure the quality nursing education by jointly monitoring with the Commission on Higher Education (CHED) adherence to its guidelines, policies and standards B. Monitor and enforce quality standards and nursing practice in the Philippines to ensure efficient, ethical, moral, technical professional standards C. Issue, suspend or revoke certificates of registration for the practice of nursing D. Recognize specialty organizations in coordination with the accredited professional organization and collect fees to upgrade the conditions of Nurses 92. You are a nurse in Las Pinas Doctors Hospital and have just completed a 2 year experience in the surgical unit. One day, your supervisor ordered you to go on a float to the Intensive Care Unit (ICU) as two of the nurses called “on sick” in the said unit. What is the MOST important action you should do in this situation? A. Explain to your supervisor that you might not be able to perform safely your duty as a nurse in the unit B. File a leave instead and call your husband to fetch you in the hospital C. Refuse the order and tell your supervisor your don’t want to put your license in jeopardy D. Report to the surgical ward of your assignment and request one of your nurses to replace you instead as floater in the ICU. 93. Janna, a 35-year old, married to an insurance agent, was diagnosed with colon cancer only a month ago. The couple have very limited information about this condition. One day, you saw the husband in the room reading the chart which was inadvertently left by a medical intern. What PRIORITY Nursing actions should you do in this situation? A. Get the chart from the husband so he will not be able to read the diagnosis of his wife B. Explain to the husband as per policy, relatives are not allowed to read the chart C. Report immediately to the supervisor on duty and submit an incident report D. Ask the husband what information he would like to ask from the health care professional regarding medical plan and diagnosis 94. Nurse Nicole, is assisting Mr. Caca who just came from the Recovery unit for a thoracic surgery. She noted that the dressings are saturated with blood, but the Surgeon just reassured the Nurse to reinforce the dressings and monitor him closely. After an hour, Mr. Caca went into shock and died. The family filed charges against the Doctor and the Nurse. What is the lawsuit involved in this case? A. Murder B. Assault C. Battery D. Malpractice 95. What is the MOST important Nursing measure that Nurse Nicole should have done to avoid this situation? 1. Monitor and record closely the vital signs until stable 2. Report to the surgeon the vital signs and degree of bleeding from operative site 3. Call the supervisor on duty to assist you in referring the patient to the surgeon 4. Ask the family members to call the surgeon to see the patient A. 2 & 3 4 | Page