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