Title RECALLS 3(NP2) SC ✅

D. Vomiting 14. What is the nursing diagnosis for a child with severe edema caused from nephrotic syndrome? It is risk for_________. A. Impaired skin integrity B. Constipation C. Ineffective thermoregulation D. Imbalanced nutrition more than body requirements 15. What will be the APPROPRIATE recommend diet for Tonton? A. High iron, no protein B. High calorie, high protein C. High sodium, high protein D. Low sodium, moderate protein Situation 4- Nurse Even works in the research unit of the Prinsesa Urduja Women’s Clinic. In the close monitoring of their patients using oral contraceptives (OC), she noted several cases of myocardial infarction (MI). 16. To establish the relationship between MI and OC, Nurse Even should make a research proposal for which of the following STUDY design? A. Retrospective B. Prospective cohort C. Incidence D. Cross- sectional 17. Since OCs are categorized into 1st, 2nd and 3rd generations, Nurse Even decided to study not only the relationship of MI and OC but also which of the three generations of OCs will have the highest risk for MI. Hence, which of the following groups will she include in her study? A. Those who do not take oc, and those who take oc from 1st, 2nd, ad 3rd ocs. B. All those who take oc and those who do not. C. Those who take 1st oc 2nd oc and 3rd oc. D. Those with mi and those with no mi. 18. Statistical analyses revealed odds ratio for MI among women who used any type of OC, as compared with non-users, was .99. What does this mean? A. Accept the null hypothesis; there is no significant relationship between mi and oc. B. The study focused on the three groups: 1st oc users with mi, 2nd oc users with mi and 3rd oc users with mi. C. There is a relationship between mi and oc and the risk of mi among users of any type of oral contraceptive is twice that of non users. D. The odds of getting mi among oc users and those who are not users is 1:2 19. Which of the following is the independent variable of the study? A. Highest risk B. Three generation of OC C. OC D. MI 20. Identify the groups in the study that will validate the occurrence of the MI among OC users. A. Old cases of MI B. Prevalence of MI C. Old and new cases of MI D. Incidence of MI Situation 5- Sugar, G2 P3, is a Type I diabetes mellitus (DM) since she was 10 years old. She is in her first trimester of pregnancy. Insu Ling is her nurse. 21. What could be the MOST possible effect of DM to Sugar? She can have ______. A. Ketoacidosis B. Hyperinsulinism C. Hyperglycemia D. Hypoglycemia 22. Which of the following would require an increased dose of medication once Sugar is in the second half of pregnancy? A. Insulin B. Pancreatic enzymes C. Estrogenic hormone D. Antihypertensives 23. What is the route of administration for insulin during pregnancy? A. Intravenous B. Subcutaneous C. Oral D. Shot with flex pen 24. Considering Sugar’s condition, Nurse Insu Ling will anticipate what effect to the fetus? The condition will be_______. A. Large for gestational age B. Macrosomia C. Intrauterine growth retardation (iugr) D. Meningomyelocele 25. On the first postpartum day, which of the following requirements for insulin will be anticipated by the nurse to be ordered by the physician? A. Remain unchanged B. Decrease sharply and suddenly C. Increase rapidly D. Decrease slowly and steady Situation 6- Mrs. Pugita, gravida 3 para 3003, is admitted to the postpartal unit after an uncomplicated labor and vaginal delivery. She opted to breastfeed her baby. Nurse Jasmin is around to take care of her. 26. The first day after delivery, Mr. Pugita tells the nurse that his wife has been talking constantly about her recent delivery experience. He asks if this is a sign of postpartal blues. What should be the BEST response of the nurse? A. “Do you feel uncomfortable about her talking on her delivery experience?” B. “Yes, it’s clear sign of post-partum blues. She may need a psychiatric evalution.” C. “This is a normal reaction. It allows her to accept the reality of the birth of your baby.” D. “No, you should divert her attention away from her delivery.” 27. Later that day, Mrs. Pugita tells Nurse Jasmin that she has urinated four times within the last hour but only in small amounts. What should be the INITIAL ACTION of the nurse? A. Explain that this is normal during the first 24 hours after delivery. B. Palpate mrs.alim’s fundus to assess uterine consistency and location. C. Catheterize mrs.alim immediately to expel any retained urine. D. Begin measuring and recording and recording Mrs.Alim’s intake and output. 28. Which assessment finding is MOST indicative that Mrs. Pugita is developing puerperal infection? A. Increased pulse rate B. Foul- smelling lochia C. Elevated body temperature D. A white blood cell count of 25,000/mcg 29. Mrs. Pugita asks Nurse Jasmin when her menstrual period will return. The nurse answers that a breastfeeding patient typically resumes menstruating in about____________. A. 8 to 12 weeks B. 3 to 6 months C. 4 to 6 months D. 4 to 6 weeks 30. Mrs. Pugita complains of pain due to breast engorgement. What will the nurse do to encourage her to continue breastfeeding? A. Let her continue breastfeeding on schedule. B. Put hot compress over the breast for 15 minutes before breastfeeding. C. Put cold compress over the breast for 15 minutes before breastfeeding. D. Let her continue breastfeeding on demand. Situation 7- Nurse Jubel is collecting data from a newly admitted patient, Mrs. Jaclyn, who is pregnant with twins. She has a healthy 3-year-old child who was delivered at 38 weeks. 2 | Page

C. “Do you want to take this pretty red medicine?” D. This is your medicine and you must take it all right now.” Situation 10- Hani, a 5- year- old child, is admitted to the hospital for abdominal pain. The mother reports that the child has been pale, tires easily and has hematomas in the arms and legs. On physical examination, lymphadenopathy and hepatosplenomegaly are noted. Diagnostic studies are being performed on the child because acute lymphocytic leukemia is suspected. 46. Which of the following procedures will confirm this diagnosis? A. A lumbar puncture B. A platelet count C. Bone marrow biopsy D. White blood cell count 47. Based on the instructions of the nurse, which of the following activities should NOT be done by the parents in monitoring possible infection on Hani? A. Taking the rectal temperature daily B. Inspecting the skin daily for redness C. Inspecting the mouth daily for lesions D. Performing proper hand washing techniques 48. What is the PRIMARY effect of leukemia on the bone marrow? A. A selective reduction in the number of neutrophils B. Leucopenia, thrombocytopenia, and anemia C. The crowding out of normal cells on the site D. Proliferation of cells producing blood components 49. The patient’s parents asked why her child has hematomas and anemia. Which of the following should be the explanation of Nurse Jean Ralffio? A. “Hematomas and anemia are related to the child’s inactivity.” B. “All blood cells are made in the bone marrow. Hematomas and anemia are due to decreased RBC and platelet count.” C. “Hematomas and anemia are indicative that the end is near.” D. “the anemia is because the child hasn’t been eating well; the hematomas are from the multiple needle sticks.” 50. Patients Hani is not expected to survive. Hani says to her mother, “Will you take care of me when I am dead the way you do now?” the child’s mother asks Nurse Jean Ralffio how to answer her child. The nurse’s response should be based on which of the following understanding of the child’s behaviour. A. “Children of this age do not understand the finality of death.” B. “The child is denying that he has a terminal illness.” C. “Most 5-year-old children have a great fear of mutilation.” D. “the child may be having visual and auditory hallucinations.” Situation 11- a 13-year-old- girl named Zelda tells the nurse at the pediatric clinic that she took a pregnancy test and it was positive. She tells the nurse that her grandfather, with whom she, her younger siblings, and her mother live, has repeatedly molested her for the past 3 years. When the nurse asks the girl if she has told this to anyone, she replies: “Yes, my mother.” 51. As the nurse’s legal responsibility, which is the APPROPRIATE agency should she notify FIRST? A. City health office to do a vaginal examination to confirm the pregnancy B. DSWD for notifying the girl’s mother about the pregnancy test positive result. C. Board members of child protective services for proper intervention D. Philippine national police concerning a possible sex crime 52. If Zelda is really a victim of incest and the agency opts that she be admitted in the hospital, where should she be placed? A. With an older friendly child B. In a room near the nurse’s station C. With another 5 year old D. In a private room 53. The abusive parent usually manifests one of the following characteristics EXCEPT________ A. History of severe mental illness B. History of drug abuse C. Belongs to low-income group D. Low tolerance for frustration 54. When a patient, who allegedly has been sexually abused, the nurse should be aware that legal proceedings may be necessary. Because of this possibility, which of the following actions is MOST important to be done by the nurse? A. Determining if there are other injuries such as bruises and hematomas. B. Asking the parents for their approval for diagnostic examinations for the child. C. Assessing the child’s physical, intellectual and emotional developmental levels. D. Documenting physical findings and interactions during admission. 55. What typical assessment findings are observed to a patient who is a victim of sexual abuse A. Recurrent uti B. Fracture and bruises C. Enuresis D. Failure to thrive syndrome Situation 12- Nurse Von is assigned at the Under Five Clinic. Mostly of her patients are infants, so she took the opportunity to have a mother’s class on the care of infants. 56. Which of the following will Nurse Von EMPHASIZE regarding the importance of play during infancy? Play enhances _______ development. A. Cognitive B. Emotional C. Physical D. Social 57. Which among the infants would show signs that he/she is experiencing maternal deprivation? A. Hyperactive B. Overweight C. Prone to illness D. Responsive to stimuli 58. What should Nurse Von include in the accident prevention teaching plan for a mother with 4-month-old infant? A. Keep crib rails up to the highest position. B. Cover electric outlets with safety plugs. C. Remove poisonous substances from low areas. D. Remove small objects from the floor. 59. When teaching a mother how to prevent accidents while caring for her 6-month-old infant, Nurse Von should emphasize that at this age, the infant can already do which of the following developmental milestone? A. Stand while holding on to furniture. B. Crawl short distances. C. Roll over from back to abdomen. D. Sit up without assistance. 60. Nurse Von assesses the oral cavity of a 6-month-old child and finds out that the tooth that buds first is the __________. A. Upper molars B. Lower central incisor C. Canines D. Lower molars Situation 13- Nurse Karl is caring for a mother- infant dyad. The mother has just given birth to a baby boy two days ago. Today, the charge nurse us doing a chart audit to determine whether the nursing process was properly done from prenatal to postnatal periods. The laboratory results of the mother and baby boy are shown below. 4 | Page