Title RECALLS 6 (NP5) - STUDENT COPY ✅

A. Betaxolol B. Acetazolamide C. Erythromycin D. Atropine sulfate 14. Pilocarpine eye drop is included in Kathleen's prescription. Before administering the medication, she asks about its purpose and expected effects. Which of the following explanations given by the nurse would not require correction? A. “The medication will help dilate the eye to prevent pressure from occurring.” B. “The medication will relax the muscles of the eyes and prevent blurred vision.” C. “The medication causes the pupil to constrict and will lower the pressure in the eye.” D. “The medication will help block the responses that are sent to the muscles in the eye.” 15. After purchasing the medication, the nurse saw Kathleen taking it orally. How should the nurse initially respond? A. Obtain a prescription for tonometry so that her intraocular pressure can be checked. B. Try to determine the frequency and the amount that she has been ingesting. C. Ask her how she decided to take the drops orally instead of instilling them as eyedrops. D. Call the Poison Control Center and be prepared to describe untoward side effects. 16. The nurse then provided Kathleen with health education on proper administration of the eyedrop medication. Which of the following instruction should the nurse say? A. Expose the lower conjunctival sac and holding the medication in the dominant hand, squeeze it. B. Expose the lower conjunctival sac and holding the medication in the non-dominant hand, squeeze it. C. Instruct the client to look down and squeeze the medication. D. Instruct the client to look up, and squeeze the medication from inner canthus to outer canthus of the eye. 17. Kathleen expressed her gratitude, believing that there will come a time when she will no longer need medication and will be fully healed. How should the nurse best respond? A. You have a great attitude. This will likely shorten the amount of time that you need medications. B. Glaucoma usually requires lifelong treatment with medications. C. Most people are treated until their intraocular pressure goes below 50 mm Hg. D. You can likely expect a minimum of 6 months of treatment. SITUATION: Nursing management of patients with hearing and balance disorders. 18. The school nurse is conducting routine health checkups for students in the school clinic. Which findings from the physical assessment would warrant a referral to a healthcare provider? A. Pearly gray or pink tympanic membrane B. Dense whitish ring at the circumference of the tympanum C. Bulging red or blue tympanic membrane D. Cone of light at the innermost part of the tympanum 19. The clinic is busy with several patients undergoing routine follow-ups. The nurse reviews the medication lists of the following patients. Which combination of drugs from the medication lists would be most concerning if a patient reports tinnitus or other hearing problems? A. A 25 year-old patient taking gentamycin and ethacrynic acid B. A 56 year-old man taking furosemide and metoprolol C. A 32 year-old patient taking vancomycin and nitroglycerin patch D. A 40 year-old patient taking aspirin and calcium supplement 20. During the shift, the nurse encounters several patients reporting symptoms related to vertigo. Each patient describes their symptoms in different ways. Which of the following descriptions would be of greatest concern? A. Dizziness with hearing loss B. Episodic vertigo C. Vertigo without hearing loss D. “Merry-go-round”vertigo 21. In the ENT clinic, the nurse is assessing several patients with ear-related issues. Which of the following patients would warrant the most urgent attention? A. Has discomfort of the ear preceded by a viral infection; the tympanic membrane is erythematous B. Has been treated with antibiotics for recurrent acute otitis media four times within the past 6 months C. Reports rapid onset ear pain with pruritus and a sensation of fullness that started after cleaning the ear canal with a finger D. Reports progressive severe otic pain with purulent discharge 22. In the same clinic, a patient taking Meclizine is coming in for a follow-up checkup. What questions should the nurse ask to assess the effectiveness of the medication? A. Has the medication helped to relieve the pain in the ear canal? B. Are you still experiencing the whirling and turning sensations? C. Have you been able to hear better since you started the medication? D. Are you still having itching and discomfort in the outer ear? 23. Pepe had stapedectomy surgery 3 days ago to manage his otosclerosis and is now at his follow-up appointment. Which statement would show that he did not understand the discharge instructions? A. “I re-scheduled my swimming lessons for next month.” B. “I will be needing to book an overseas flight two weeks from now for my business.” C. “I’m so happy I was able to get back to my regular weightlifting class immediately.” D. “I have been coughing a lot with my mouth open.” 24. Before prescribing amoxicillin for a child with acute otitis media, which detail is crucial for the health care provider to know? A. The child has completed a course of amoxicillin for a different condition few months ago. B. The child has a history of both personal and family penicillin allergies C. The child is also experiencing symptoms of allergic rhinitis D. The child is 18 months old, attends daycare, and is exposed to secondhand smoke 25. A 68 year-old patient, Mrs. Rosa is experiencing significant hearing loss. To ensure effective communication, which of the following should a nurse do? A. Sit or stand in front of the Mrs. Rosa when speaking. B. Use exaggerated lip and mouth movements when talking to Mrs. Rosa. C. Stand in front of a light or window when speaking to Mrs. Rosa. D. Say Mrs. Rosa’s name loudly before starting to talk. SITUATION: In psychiatric nursing, understanding legal aspects is crucial for ensuring the safety and rights of patients while providing appropriate care. 26. After being diagnosed with depression, Joy is admitted to treatment on a voluntary basis. While in the hospital, Joy makes several comments about wanting to end it all. Unexpectedly, she decides to leave against medical advice. Which of the following would be the most appropriate action by a nurse? A. Calling security and asking them to detain Joy B. Allowing Joy to leave with community resources for follow-up care C. Contacting the psychiatrist for initiation of commitment proceedings D. Contacting the Joy 's family to request they convince the client to stay 27. Miguel, an 18 year old manic patient is being disruptive and argumentative on the unit. The nurse warns him, "If you keep arguing, you will have to restrained for the rest of the day." The nurse’s approach is: A. inappropriate; room restriction is not treatment in the least restrictive environment. 2 | Page

43. The nurse asked a client who had been a hostage about their experience. What communication skill is the nurse employing? A. Encouraging expression B. Encouraging description of perceptions C. Exploring D. Requesting an explanation 44. Nurse Benggay is speaking with patient Chinggay who is anxious about an upcoming surgical procedure. Chinggay expresses concerns about the potential risks and recovery process. Nurse Benggay responded and started talking about the hospital's new cafeteria menu. “Which menu are you interested to eat after your recovery?” A. Changing the subject B. Offering advice C. Challenging D. Disapproving 45. During the admission interview, the nurse asks the client what led to his hospitalization. The client responds, “Nagsinungaling sila sakin. Sabi nila ako pumatay kay Rigor. Kayo ang tunay na mamamatay tao! Pinatay niyo lahat si Rigor ko!” The best initial response by the nurse would be, A. “Kakakita ko lang kay Rigor, kasama niya si Lena.” B. “Mayroon kang mga napakabigat at nakakatakot na mga iniisip." C. “Dadalhin ka muna naming sa private room at doon ka muna hanggang sa kumalma ka.” D. “Kung pinatay naming si Rigor, edi sana nasa kulungan kami ngayon.” 46. The patient says to the nurse, “Ako si Senior Abilat at ako ang Diyos. Kaya kong pakantahin ang mga ibon, kaya kong patilain ang mga ulan.” The nurse's best response would be: A. “Mukhang ayos yan Senior, ano pa ang kaya mong gawin?” B. "Medyo kakaiba yata para sa sinuman ang magkaroon ng ganitong uri ng kapangyarihan." C. “Hindi mo kayang pakantahin ang mga ibon, walang may kaya niyan.” D. “Sample! Sample!” 47. Lynell is sitting alone in the lobby area, slouched with eyes closed. The nurse approaches and notices Lynell’s posture and demeanor. To encourage her to open up, the nurse should say: A. “If you are sleepy, would you like me to help you back to your room?” B. “You look like you are deep in thought.” C. “Is something wrong?” D. “Why are you sitting with your eyes closed?” 48. A patient tells the nurse, "I was feeling fine until recently. Everything was going well at work, my relationship with my partner was strong, and we had just celebrated our anniversary." The nurse responds, "You mentioned that your relationship was strong. Can you share more about what made it feel that way?" A. Encouraging comparison B. General lead C. Restating D. Exploring 49. Aljur looks deeply troubled after the nurse asks, "How does it feel after your wife left you following the affair?" Aljur lowers his gaze and remains silent for several moments. Which action by the nurse is most therapeutic? A. Change the subject to something the patient will discuss B. Insist the patient to express any unpleasant feelings C. Apologize for asking such a personal question D. Sit quietly until the patient responds 50. Daniel has been making inappropriate sexual comments during conversations with nurse Rose. Rose wants to address the issue while respecting the Daniel’s right to privacy. The most appropriate setting for this discussion would be: A. In the patient's room when the patient's roommate is present and 3 feet away B. At the nurse's station when other clients and visitors are less than 4 feet away C. In the stock room of the unit with the nurse 1 foot away from the patient D. In a quiet corner of the dayroom at least 4 feet away from others SITUATION: Three days after receiving a cancer diagnosis, patient Ferdie shows persistent signs of anxiety. Nurse Faith observes Ferdie's agitation and decides to have a private conversation to address his emotional concerns and provide support. 51. Given Ferdie’s anxiety, which of the following symptoms would be least likely to occur? A. Dilation of pupils B. Constipation C. Constriction of blood vessels D. Bladder contraction 52. Faith is teaching Ferdie about effective lifestyle modifications amidst his anxiety. Which of the following characteristics would be most beneficial to Ferdie? A. Focusing only on immediate task B. Faster rate of speech C. Narrowed perceptual field D. Heightened focus 53. Four hours later, a new shift nurse enters Ferdie's room to obtain a routine assessment. Ferdie, who has been pacing the floor, sees the nurse and shouts, "Pwede ba, umalis ka dito. Layas!" How would the nurse best respond? A. Approach Ferdie and ask, “Anong problema?” B. Call for help and say, “Ferdie, kumalma ka.” C. Turn and walk away from the room without saying anything. D. Stand at the doorway and say, “Mukhang nagagalit ka.” 54. He responded while trembling, “I don’t know what to do. How do I tell my family? I feel like I might pass out just thinking about it.” What is Ferdie’s current level of anxiety? A. Mild B. Moderate C. Severe D. Panic 55. He is now beginning to learn how to cope with anxiety and stress. The expected outcome is that Ferdie will: A. change reactions to stressors. B. ignore situations that cause stress. C. eliminate major stressors in his or her life. D. avoid anxiety at all costs. 56. Ferdie asks the nurse, “The doctor told me that I have to go to counseling. Why can't I just take medications?” How would the nurse respond? A. “Both therapies are effective. You can eventually choose one or the other.” B. “You cannot get the full effect of your medications without cognitive therapy as well.” C. “As soon as your medications reach therapeutic level, you can omit the therapy.” D. “Medications combined with therapy help you change how well you function.” SITUATION: Aldrin is a dedicated teenager who works tirelessly day and night to support his family. His parents are in poor health, both diagnosed with schizophrenia and confined to a small, isolated "bahay kubo" at the back of their house to prevent disrupting the community. The intense stress of his circumstances has begun to take a toll on Aldrin, causing him to slowly develop symptoms of psychosis himself. 57. Aldrin was admitted to a mental health facility following a series of concerning outbursts at home. Inside, he became convinced that the nurses attending to him were former aliens who planned to take him to Pluto. Which of the following positive symptoms is Aldrin displaying? A. Hallucinations B. Delusions C. Illusion D. Ideas of reference 58. He attempted to communicate with the nurses to clarify his thoughts but suddenly stopped mid-sentence. Aldrin is experiencing which type of thought disruption? A. Thought withdrawal B. Thought insertion C. Thought blocking D. Thought broadcasting 59. After a minute of silence, Aldrin tilts his head as if he is listening to someone. What is the best initial response by the nurse? 4 | Page