Title RECALLS 1 - NP4 - SC ✅

A. Via a transport stretcher, pushed from the feet end so the patient’s feet go first B. Via a transport stretcher, pushed from the head end so the patient’s head go first C. Via a transport stretcher, pushed from the feet end so the patient’s head go first D. Via a transport stretcher, pushed from the head end so the patient’s feet go first 13. Nurse July knows that as a scrub person, he should drape the unsterile table under the following techniques EXCEPT: A. Unfolding towards the far side first to make sure the whole table will be covered. B. Placing the drape over the unsterile surface nearest himself first and carefully completing the coverage of the far side. C. Unfolding toward self first to protect the gown when working with a folded drape. D. The scrub person stands back from the unsterile table when draping it to avoid leaning over an unsterile area. 14. Before the closure of the incision, the first closing count is performed which consists of three areas. This specific area is done together by the scrub person and the circulating nurse in which they count all items on the Mayo stand and instrument table. The surgeon and assistant may be suturing the wound while this count is in process. A. Field Count B. Table Count C. Floor Count D. Mayo Count 15. Nurse July knows that the ideal position for a client who has had laparotomy is A. Low fowler’s B. Right side lying C. Left side lying D. Flat on bed Situation: Gordon, a 60 year old cook was admitted in the Emergency Department (ED) because of burn wounds sustained when the kitchen where he is working burned down due to a gas tank explosion. 16. The physician diagnosed deep partial thickness on the anterior head and neck, whole anterior truck and anterior upper right and left limbs. If the physician will use the rile of Nine, which of the following is the correct estimate of the surface area burned of the patient’s trunk? A. 18% B. 36%? C. 4.5% D. 9.0% 17. The best describes the characteristics of Gordon’s burn wounds, which of the following will the admitting nurse NOT consider? A. The wound appears pale and waxy with blisters looking like flat dry tissue paper B. The burn wounds may be less painful than the partial thickness burn wound C. Wound will not heal by re-epithelialization D. Skin blanches with pressure 18. Considering the burn wounds on the face, which of the following will the nurse expect to be done immediately on Gordon to maintain alveolar oxygen exchange? A. Oral Suctioning B. Tracheostomy C. Intubation D. Fluid resuscitation 19. Which nursing actions should the nurse do for the client? I. Assess airway patency. II. Administer oxygen, as prescribed. III. Keep the patient warm. IV. Place a cooling blanket. V. Prepare to give oral pain medication, as prescribed. A. I, II, III, V B. I, II, IV C. I, II, III D. I, II, III, IV, V 20. Complete blood count results showed an elevated hematocrit. Then nurse understand that this is the result of ________? A. Increase fluid volume in the interstitial compartment B. Massive destruction of erythrocytes C. Increased microvascular permeability D. Fluids shifts from the intravascular compartment Situation: Diego, 5 years old, was admitted because of persistent low grade fever, pallor, fatigue, petechiae and bleeding from the oral mucous membrane. The attending physician suspects acute Lymphocytic Leukemia. 21. Diego was scheduled for bone marrow aspiration. As his nurse, you are aware that in children the site preferred is the iliac crest because it_______: A. Can easily be penetrated B. Is less painful C. Yields more bone marrow D. Heals faster 22. Diego is for bone marrow aspiration. The physician said he will aspirate bone marrow through the iliac crest posterior. Which of the following position is MOST appropriate? A. Sim’s B. Supine C. Lateral D. Prone 23. To confirm the diagnosis of the physician, which of the following will establish an Acute Lymphocytic Leukemia diagnosis? A. Presence of immature thrombocytes B. Over production of granulocytes C. Presence of more than 25% blast cells D. A WBC count of 50,00 cells/mm 24. During the first hour post bone marrow aspiration, which of the following is a PRIORITY activity? A. Apply pressure dressing B. Monitor body temperature C. Maintain on complete bed rest D. Observe the dressing for bleeding 25. Diego received blood transfusion because of severe anemia, immediately after the strat of transfusion, he cried and complained of headache. Which of the following is your PRIORITY action? A. Refer to the physician B. Take vital signs C. Discontinue the transfusion D. Assess for dyspnea Situation: Gantt, 67 years old business man with symptoms of post-void urinary dribbling, decreased forced of urinary stream, inability to empty the bladder completely, and difficulty in initiating urination. After a series of diagnostic tests, he was diagnosed of benign Prostatic Hypertrophy. 26. While you were taking his history, Gantt asks you what could be the cause of these embarrassing symptoms. Your BEST response would be “the symptoms you are experiencing can be due to_______”. A. Urinary tract infection” B. Stones in your urinary bladder” C. Pressure of your prostate on your bladder and around your urethra: D. Strictures in your ureters and urethra” 27. The physician ordered a number of diagnostic tests for Gantt. Which of the following tests is capable of determining the size of the prostate and differentiate benign prostatic hypertrophy (BHP) from prostate cancer? A. Intravenous pyelography B. Transrectal ultrasound C. Cystouroscopy D. Prostate specific antigen 28. As his nurse, you plan to control urinary retention and incontinence through which of the following strategies? 1. Avoid alcohol 2. Encourage fluid intake 3. Follow a timed voiding schedule 4. Administer antihistamines, as prescribed. 2 | Page

D. Patient D, a 30-year-old female, who admits to be a PCP user 45. A Nurse Mina is aware that the only antituberculosis medication that is bacteriostatic is: A. INH B. Rifampicin C. Pyrazinamide D. Ethambutol Situation: Lena, reports to the infectious unit of a hospital during the morning shift. Five clients were assigned to her. 46. A 12 year old male was admitted to the unit during the previous shift because of dengue hemorrhagic fever graded 2 by the attending physician. History of epistaxis a few hours prior to admission was noted. When Lena received endorsement form the outgoing nurse, if was specified in the diet to avoid dark colored foods. Lena would relate this prescription to which of the following? A. History of allergies of the client B. Food choices of the client C. Monitoring melena D. Effects of food on the gastric mucosa 47. Lena admits a 24 year old female with manifestation of Hepatitis A. Which of the following data will the nurse obtain from the client to support the physician’s diagnosis? A. History of intake of narcotic drugs B. Incidence of needlestick injury during the past two months C. Contact with contaminated water and food D. Direct contact with friends positive hepatitis A 48. To prevent transmission of virus, the client diagnosed with varicella was isolated in single room. Lena explains to the nurse working with her that the period of communicability of varicella A. Is variable depending upon the age of the client B. Extends up to the time crusts have formed C. Is 14 days from the time lesions appeared D. Is indefinite 49. A client diagnosed with pertussis is closely observed. Which of the following interventions will Lena implement? A. Institute airborne, droplet, and contact precautions. B. Limit fluid intake. C. Administer antiviral therapy, as prescribed. D. Isolate child during the incubation period. 50. Lena admitted an 80 year old male for evaluation and treatment of skin lesions on his right upper arm. Physician confirmed diagnosis of herpes Zoster. Valaciclovir (Valtrex) 500 mg 2 tablets PO TID was prescribed an started. Which of the following is the action of this drug? A. Destruction of bacteria B. Suppression of allergic reaction C. Antifungal D. Prevents replication of the virus Situation: Linda, 65 years old pass total thyroidectomy with modified neck dissection has been scheduled for radioactive iodine therapy a month and a half after her surgery. 51. The physician explained to the client that the radioactive iodine therapy is intended the following reason? A. Lessens activity of the thyroid gland B. Enhances the production of thyroid hormone C. Provides scanning of cancer cells in nonthyroid tissues D. Destroys remaining thyroid tissue 52. Linda ask the nurse to explain again how the radioactive iodine therapy will be administered. Which of the following is the correct response of the nurse? “radioactive iodine will be administered __________. A. Via and external radiation equipment” B. Topically on defected site” C. Intravenously incorporated in a normal saline solution” D. Orally in tablet form” 53. Linda, after receiving radioactive iodine, is informed of the following except: A. Avoid sexual contact B. Avoid sharing utensils and cups C. Avoid sleeping in the same bed with other persons D. Avoid drinking water. 54. Low iodine diet has been prescribed to be started two weeks before the radioactive iodine therapy. Since all dairy products are avoided due to their high iodine content, which of the following will be the nurse considered as a PRIORITY in her teaching plan? A. Provision of a list of allowed and not allowed foods B. Preparation of a well balanced diet C. A sample menu plan for the client to follow D. Nutritional strategies to supplement calcium intake 55. While the nurse was teaching the client on foods which are allowed and not allowed, the client asks if she can eat restaurant foods. Which of the following responses of the nurse will ensure that the client will not take foods containing iodine? A. Maybe once, but not twice, because the restaurant may not have a way not to put iodized salt on your food B. You may, provided that you tell them not to put iodized salt on your food C. It is the best that you do not take restaurant foods because there is no way to determine if iodized salt was used D. Just careful that the food you order are not in the list of disallowed foods Situation: During an in-service staff development training the training coordinator considered analysis of legal situations. Group discussion of legal concerns and experience was conducted among the staff nurses with six years experience. 56. Furosemide which was intended for a patient with congestive heart failure was administered intravenously to other patient. Which of the following elements in this incident is not necessary to make claim of malpractice? A. It is the duty of the nurse to administer the right medication to the right patient B. The nurse failed to administer the drug to the patient who is supposed to receive the drugs as prescribed C. The nurse did not identify correctly the patient who is supposed to receive the correct medication D. The patient who received the wrong medication develop diuresis resulting to dehydration 57. A nurse manager administered Lanoxin parenterally to a 3 years old child contrary to the order of administering Lanoxin and orally. The nurse was named a defendant in a malpractice suit filed by the mother of the child because the child died. if you were the nurse manager, as a defendant your action will be compared with: A. Responsibilities expected of the nurse who administers medications per hospital protocol B. A professional nurse who has the same experience as the nurse manager C. Reasonable professional nurse in a similar circumstance D. The expectation of the physician who prescribed the medication 58. A male nurse assigned in the emergency department broke hospital rule when he moved an adult patient alone from the sketcher to the bed. Should this nurse be reprimanded? A. Yes because hospital rules are written to be followed and not violated B. No because hospital rules may not be followed sometimes depending upon the situation C. Yes because working outside of the hospital policy may cause harm to the patient D. No because moving the patient alone does not pose any risk to the patient but to the nurse 59. In the emergency department when a patient with hypersensitivity reactions turned to his side on the stretcher he fell when the side rails were released. He sustained head injuries resulting to paralysis the court held the nurse and the hospital liable under the principle of res ipsa Loquitor because: A. Hospital is the employer of the nurse B. The injuries sustained by the patient speaks for itself C. Head injuries were sustained due to fall D. The plaintiff did not contribute at all to injuries sustained 4 | Page