Title PB1 - NP 2 - STUDENT COPY ✅

3 | Page A. Allergies, especially for antibiotics and anesthetics B. Informed consent C. Secured funds for payment D. MRI of the affected breast 27. During the surgery, the anesthesiologist asked for an arm board to be placed on the operative side of the bed. As a nurse, you know that you will place the arm at what angle? A. 30 degrees B. 45 degrees C. 90 degrees D. Extended above the head, exposing the axilla 28. After the surgery, you are taking care of the patient at the recovery area. Upon looking at the chart, the patient underwent mastectomy with breast reconstruction. Which of the following would be the best arm placement of the affected side? A. You should not lift your arm above shoulder level until cleared by your plastic surgeon B. Perform shoulder range of motion as tolerated, even while the drains are in C. Do not move the affected side of the arm as much as possible. D. No arm restrictions. 29. For patients who underwent breast surgery with an axillary node dissection, which of the following is the best placement of the affected arm post-surgery during the night? A. Any shoulder/arm movement and placement. B. Pillow to elevate the arm, putting it between your arm and your side. C. Any arm movement but do not move the shoulder on the surgical side. D. Folded arm of the surgical side, putting it in an arm cast. 30. In other cases, some breast surgeries require arm and shoulder exercises. Which of the following is not included among the post-operative exercises of breast surgery for the first following days? A. Shoulder rolls B. Arm saw C. Back scratch D. Lifting light weights Situation: Your nursing role does not end with maternal labor and delivery but extends to the care of newborn. 31. In the assessment of the newborn, which of the following would need a follow-up assessment once measured by the nurse? A. Head circumference of 34 cm B. Chest circumference of 35 cm C. Heart rate of 135 bpm D. Weight of 3.0 kg 32. The temperature of a newborn is about 37.2 C at birth, however, body temperature quickly falls below normal due to heat loss and immature temperature-regulating mechanisms. What happens if heat is loss when the newborn is placed on a cold base of a warming unit? A. Radiation B. Conduction C. Evaporation D. Convection 33. During the first week of life, newborns are at risk for bleeding disorders because of their sterile GI tract at birth. You are tasked to administer vitamin K to a newborn, which of the following is correct? A. 1.5 mg of Vit K, Subcutaneous B. 1.0 to 1.5 mg of Vit K, Intramuscular C. 0.5 to 1.0 mg of Vit K, Subcutaneous D. 0.5 to 1.0 mg of Vit K, Intramuscular 34. APGAR scoring are as follows during the first minute: HR at 75, irregular cry, flaccid, grimace in response to slap to sole of foot, and blue extremities with normal body pigment. What is the score? A. 3 B. 4 C. 5 D. 2 35. Which of the following is the highest priority assessment in newborn care? A. Heart rate B. Respiratory function C. Temperature regulating mechanisms D. All of the above Situation: In the pediatric ward, for us to provide appropriate interventions, we must be knowledgeable about the common congenital anomalies. 36. One of the pediatric patients is observed to have abnormally tight frenulum. The parents are worried about the child’s condition, which of the following is incorrect to include in the health teaching? A. Surgical procedures to release the tongue tie is required to be done before the child exceeds the age of learning to speak. B. This is called as Ankyloglossia which is an abnormal restriction of the tongue. C. As the anterior portion of the tongue grows the frenulum should be located farther back in normal cases. D. This condition rarely causes speech difficulty or destructive pressure on gingival tissue. 37. Once a cleft lip is diagnosed upon birth, the necessary interventions and therapeutic management are started to minimize the complications and problems from the condition. Which of the following is the priority intervention for the first days of a child with cleft lip? A. Surgery to repair a cleft lip B. Speech assessment C. Feeding assistance D. Orthodontic treatment 38. Before the surgery of cleft lip or palate, which of the following will you consider as the top priority nursing diagnosis? A. Risk for ineffective airway clearance related to oral surgery B. Risk for impaired parenting related to the birth of an infant who is physically challenged C. Risk for situational low self-esteem D. Risk for imbalanced nutrition, less than body requirements, related to feeding problem caused by cleft lip or palate 39. Upon assessment of one of the infants, Leslie, you noticed enlarged fontanelles, separated suture lines, prominent scalp veins, lethargy, and increased head circumference. Which of the following will you most likely assess in the patient’s vital signs? A. Decreased pulses, decreased RR, increased BP B. Increased pulses, decreased RR, decreased BP C. Decreased pulses, increased RR, increased BP D. Fever, decreased pulses, increased RR, decreased BP 40. A ventriculoperitoneal shunt insertion was advised by the physician for Leslie’s treatment. Which of the following is not accurate in explaining the treatment? A. Ventriculoperitoneal shunt removes excessive cerebrospinal fluid from the ventricles and shunts it to the peritoneum B. Ventriculoperitoneal shunt is a two-way valve is present in the tubing behind the ear. C. Ventriculoperitoneal shunt is replaced as the child grows. D. After a shunt is inserted, the infant’s bed is usually left flat or raised only about 30 degrees. Situation: Poor nutrition, especially a diet low in folic acid, appears to be a major contributing factor in the formation of neural tube disorders in utero. 41. In one of the prenatal check-ups, it was confirmed that the baby has anencephaly. During the consultation, the mother asked whether she would see her baby alive or not after the delivery. Your response would depend on which rationale? A. No, due to absence of cerebral hemispheres. B. Yes, for only a few days because the respiratory and cardiac centers are in the intact medulla. C. No, due to absence of cerebral function.