Title RECALLS 4 - NP3 - SC ✅

C. 1:30 pm to 3:30 pm D. 3:30 pm to 5:30 pm 30. Nurse Kate provides teaching to the client about proper insulin administration. Which of the following client statements indicates a need for further teaching? A. “I can store my unused or unopened insulin in the refrigerator” B. “There’s no need for me to aspirate the needle before injecting the insulin” C. “I should aspirate the needle first before injecting the insulin to ensure proper placement to subcutaneous” D. “I can inject my insulin into my abdomen” Situation: Nurse Clara is assigned to care for clients with thyroid disorders in a medical-surgical unit. 31. Dos is diagnosed with hypothyroidism. Which signs/symptoms should Nurse Clara expect the client to exhibit, except? A. Weight gain B. dry, sparse hair C. slow speech D. diarrhea 32. As the nurse, you should anticipate to administer which of the following medications to Dos who is diagnosed to be suffering from hypothyroidism? A. Levothyroxine B. Lidocaine C. Propylthiouracil D. Methimazole 33. The client is diagnosed with hyperthyroidism. Which signs/symptoms should the nurse expect the client to exhibit? 1. bradycardia 2. moist hair 3. heat intolerance 4. constipation 5. hyperlipidemia 6. hypertension A. 1,3,5 B. 2,3,6 C. 1,2,5 D. 4,5,6 34. Which laboratory finding is most indicative of hyperthyroidism? A. Elevated TSH levels B. Low T3 and T4 levels C. Elevated T3 and T4 levels D. Normal T3 and T4 levels 35. Tapazole (Methimazole) is prescribed to a client with hyperthyroidism to inhibit the synthesis of thyroid hormones. Which of the following health teachings should the nurse include? A. “Report sore throat or fever immediately.” B. “You may stop the medication once symptoms improve.” C. “Administer the medication without meals for better absorption” D. “Weight loss indicates effectiveness of the medication” Situation: Shine is a graduating student nurse who aspires to top the boards. As a preparation, she decided to go over her notes on Fundamentals of Nursing and review the most salient concepts. 36. The nurse uses a stethoscope to auscultate a male patient’s chest. Which stamen about stethoscope with a bell and diaphragm is true? A. The bell detects high pitched sound best B. The diaphragm detects high pitched sounds best C. The bell detects thrills best D. The diaphragm detects low pitched sounds best 37. Which of the following white blood cell (WBC) counts clearly indicates leukocytosis? A. 4,500/mm3 B. 7,000/mm3 C. 10,000/mm3 D. 25,000/mm3 38. After 5 days of diuretic therapy with 20mg of furosemide (Lasix) daily, a patient begins to exhibit fatigue, muscle cramping and muscle weakness. These symptoms probably indicate that the patient is experiencing: A. Hypokalemia B. Hyperkalemia C. Anorexia D. Dysphagia 39. Which of the following statements about chest X-ray is false? A. No contradictions exist for this test B. Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist C. A signed consent is not required D. Eating, drinking, and medications are allowed before this test 40. The nurse wants to test the skin temperature of her client. Which part of the hand is best to be use by the nurse? A. Finger pads B. Ulnar part of the hand C. Dorsal part of the hand D. palm of the hand 41. The four main concepts to nursing that appear in each of the current conceptual models are: A. Person, nursing environment, medicine B. Person, health, nursing, support systems C. Person, health, psychology, nursing D. Person, environment, health, nursing 42. An emergency department nurse prepares to plan care for a child diagnosed with acetaminophen overdose. The nurse reviews the primary health care provider’ s prescriptions and prepares to administer which medication? A. Succimer B. Vitamin K C. Acetylcysteine D. Protamine sulfate 43. What action should the nurse take to assess the pharyngeal reflex on a child? A. Ask the client to swallow . B. Pull down on the lower eyelid. C. Shine a light toward the bridge of the nose. D. Stimulate the back of the throat with a tongue depressor. 44. A low dose of ondansetron is prescribed for a client receiving chemotherapy. The nurse anticipates that the primary health care provider will prescribe the medication by which route? A. Oral B. Intranasal C. Intravenous D. Subcutaneous 45. When performing an admission assessment on a newly admitted patient, the nurse percusses resonance. The nurse knows that resonance heard on percussion is most commonly heard over which organ? A. thigh B. liver C. intestine D. lung 46. A nurse is assigned to perform postmortem care. Upon touching the client's body, she notes that it feels cool to the touch. The physician declared the time of death 2 hours ago. Which postmortem change is the nurse observing? A. Rigor mortis B. Livor mortis C. Algor mortis D. Pallor mortis 47. During a forensic case, the nurse observes purplish discoloration on the dependent areas of a deceased client. What is the most likely stage of mortis present? A. Rigor mortis B. Livor mortis C. Algor mortis D. Pallor mortis 48. A client was pronounced dead at 6:00 AM. At 11:00 AM, the nurse notes that the body is stiff and hard to manipulate during postmortem care. Which stage of mortis is most likely being observed? A. Rigor mortis 3 | Page
B. Livor mortis C. Algor mortis D. Pallor mortis 49. The nurse is preparing to perform postmortem care for a deceased client. To maintain the body’s appearance and prevent discoloration, what is the most appropriate position for the nurse to place the body? A. Supine with head flat and arms at the side B. Prone with arms at the side C. Side-lying with knees bent D. Supine with the head slightly elevated and arms at the side 50. Which of the following is appropriate nursing intervention for a client who is grieving over the death of her child? A. Tell her not to cry and it will be better. B. Provide opportunity to the client to tell their story. C. Encourage her to accept or to replace the lost person. D. Discourage the client in expressing her emotions. Situation: Mr. Alcovendas, a 70-year-old male patient, presents to the emergency department with severe, persistent back pain radiating to the lower abdomen. He reports feeling a pulsating mass in his abdomen for the past few months but dismissed it. His blood pressure is 80/50 mmHg, and his heart rate is 120 bpm. Physical examination reveals a tender, pulsatile abdominal mass. A CT scan confirms a ruptured abdominal aortic aneurysm (AAA). 51. Which of the following is the most likely cause of this patient's low blood pressure and tachycardia? A. Severe dehydration B. Acute myocardial infarction C. Intra-abdominal hemorrhage D. Pulmonary embolism 52. Which of the following nursing interventions is priority in managing this patient's immediate condition? A. Administer intravenous fluids B. Obtain a 12-lead electrocardiogram (ECG) C. Prepare the patient for surgery D. Administer pain medication 53. Which of the following diagnostic tests confirm the diagnosis of a ruptured AAA? A. Abdominal ultrasound B. Chest X-ray C. Computed tomography (CT) scan D. Magnetic resonance imaging (MRI) 54. Which of the following preoperative nursing assessments is crucial for a patient with a ruptured AAA scheduled for emergency surgery? A. Assessing the patient's understanding of the procedure B. Monitoring the patient's fluid balance C. Assessing the patient's pain level D. Monitoring the patient's vital signs and oxygen saturation 55. What is the most important postoperative instruction to provide to a patient recovering from an AAA repair regarding activity and mobility? A. Avoid all physical activity for at least six weeks. B. Gradually increase activity as tolerated, avoiding strenuous activities. C. Maintain strict bed rest for at least three weeks. D. Resume normal activities immediately after discharge. Situation: Princess Carahey, a 28-year-old female patient, presents to the clinic complaining of episodic numbness, tingling, and blanching of her fingertips, particularly during cold weather. She denies any history of connective tissue disease or trauma. The symptoms resolve spontaneously after warming her hands. 56. Considering the patient's symptoms and history, which condition is most appropriate? A. Secondary Raynaud's phenomenon B. Acrocyanosis C. Primary Raynaud's phenomenon D. Peripheral artery disease 57. Which of the following is a key differentiating factor between Raynaud's phenomenon and acrocyanosis? A. Presence of hyperhidrosis B. Bilateral and symmetrical involvement C. Paroxysmal pallor of the digits D. Aggravation by cold temperatures 58. The nurse should advise the patient to avoid which of the following to minimize the frequency of her symptoms? A. Regular exercise B. Situations that may be stressful C. Nicotine use in any form D. Both b and c 59. The nurse is educating the patient on self-management strategies for her condition. Which of the following instructions is least important to emphasize? A. Avoid exposure to cold temperatures. B. Wear warm clothing, including gloves and hats, during cold weather. C. Immediately discontinue all nicotine use, including nicotine replacement therapy. D. Regularly perform range-of-motion exercises to improve circulation. 60. Which of the following patient statements indicates a need for further teaching regarding self-management of Raynaud's phenomenon? A. "I'll wear gloves when I handle frozen food." B. "I'll try to manage my stress levels." C. "I'll use a heating pad on my hands for long periods to keep them warm." D. "I'll avoid smoking and nicotine products." Situation: Mr. Balay, a 60-year-old male patient, is admitted to the hospital following a prolonged flight, complaining of right leg pain, swelling, and warmth. A physical examination reveals unilateral edema of the right lower extremity, with tenderness to palpation along the posterior calf. A Doppler ultrasound confirms a deep vein thrombosis (DVT) in the right popliteal vein. 61. Which of the following is the most significant risk factor for this patient's DVT? A. Age B. Gender C. Prolonged immobility during the flight D. Tenderness to palpation 62. Which of the following nursing actions is the highest priority during the initial care of a patient with suspected deep vein thrombosis (DVT)? A. Applying warm compresses to the affected leg. B. Encouraging active range-of-motion exercises. C. Elevating the affected leg. D. Massaging the affected leg to improve circulation. 63. The primary goal of medical management in this patient is to: A. Immediately dissolve the existing thrombus. B. Prevent further thrombus extension and embolization. C. Reduce leg pain and swelling. D. Improve blood flow to the affected leg. 64. Which of the following medications is commonly indicated for this patient’s condition? A. Aspirin B. Heparin C. Warfarin D. Clopidogrel 65. Which nursing intervention plays a vital role in preventing complications related to this patient’s deep vein thrombosis (DVT)? A. Applying warm compresses to the affected leg. B. Encouraging bed rest to minimize pain. C. Promoting early ambulation and leg exercises. D. Measuring leg circumference daily to monitor swelling. Situation: Mrs. Panis, a 45-year-old female patient, presents to the emergency department with sudden onset of shortness of breath, sharp chest pain worsened by deep breaths, and tachycardia. She reports a recent history of deep vein thrombosis in her left leg. Initial assessment reveals tachypnea, hypoxemia (SpO2 88% on room air), and a slightly elevated D-dimer. A multidetector computed tomography 4 | Page