Title RECALLS 2 - NP5 - SC ✅

d. High carbohydrate, low protein, low potassium 30. Jennylyn was on Ibuprofen which has been stopped when the steroid therapy was started. Which was the main reason for stopping the Ibuprofen once the steroid therapy was started? a. The two drugs taken together increase the risk of GI bleeding b. The Ibuprofen would interfere with the action of the steroid c. The Ibuprofen was not needed with the steroid d. The two drugs together would cause severe liver damage Situation 7- You are a staff nurse in the Musculo-skeletal Unit of the hospital. You are taking care of the patients with varied musculo-skeletal conditions. 31. Which of the following inflammatory conditions commonly occurs in the shoulder? 1) Bursitis 2) Carpal Tunnel Syndrome 3) Tendonitis 4) Dupuytrens a. 1 and 2 b. 2 and 3 c. 3 and 4 d. 1 and 3 32. Which of the following is NOT considered a conservative treatment for inflammatory conditions of the shoulder? a. Non-steroid Anti-inflammatory Drugs b. Intermittent ice and heat application to the joint c. Laser photo-therapy d. Resting of the extremity 33. Impaired movement of the rotator cuff of the shoulder is generally termed as Impingement Syndrome. Edema, which is an early manifestation of this syndrome, is due to ________. a. acute trauma of the shoulder b. muscle spasm c. hemorrhage of the structures involved d. atrophy due to disuse 34. For persistent shoulder pain and weakness, this usual treatment modality performed is _______. a. Pulse-magnetic field b. Laser photo-therapy c. Radio-frequency ablation d. Arthroscopic Synovectomy 35. One of the most common foot problems is Callus. This condition precedes the formation of a Callus _____. a. External pressure on the foot b. Faulty foot mechanics c. Flexion deformity of the interphalangeal joint d. Penetrating nail plate in the surrounding skin of the foot Situation 8- You are a staff nurse working in a hospital and encounter situations with ethico-moral implications. 36. Which of the following nursing actions will you do if the patient is unconscious and unable to make decisions? This fact should be: a. reported to the nurse supervisor b. reported to the attending physician c. documented in the patient’s chart d. reported to the police 37. A patient came in from prison for emergency treatment. Which of the following precautionary measures will you institute to ensure the safety of the hospital staff and the other patients? a. Provide the same assessment and care to the client b. Use restraints c. Lock the ER door against entry if security is in question d. Never release the hand or ankle restraint 38. In using restraints to patients, which of the following guidelines will you follow? a. Apply restraints because the patient needs it b. Apply restraints according to the hospital policy c. Restraint is the most effective nursing intervention to minimize aggressive behavior d. Maintain respect for the client when applying restraints 39. You have observed that a group of students are implementing their research project on the effect of hot and cold application to febrile patients without informing the participants properly. What ethical principle was violated by the students? a. Nonmaleficence b. Autonomy c. Justice d. Respect for person 40. A researcher should pay particular attention in protecting the rights of certain vulnerable groups. Which of the following is NOT considered vulnerable? a. Prisoners b. Children c. Mentally-challenged persons d. Postpartum mother with normal delivery Situation 9- You are a staff nurse in the Neurologic Unit of the Pediatric Department. Several problems have been reported in relation to ventriculo-peritoneal shunt for hydrocephalus patients. The initial investigation on the care of patient with this shunt revealed that majority of the staff nurses have little experience on caring for such patients. It was decided to look into their level of knowledge and skills to serve as baseline data for improving the nursing care of hydrocephalic patients on ventriculo-peritoneal shunt. The following questions refer to this situation. 41. a four-year old hydrocephalic preschooler is scheduled to have a ventriculo-peritoneal shunt at the right side of the head. Which of the following positions should the child be placed immediately after surgery? a. Supine, with the head of the bed flat b. On the left side with the head of the flat c. Prone, with the head of the bed elevated d. On the right side, with the foot of the bed elevated 42. What nursing action should the nurse do when providing post-operative nursing care to a child after insertion of a ventriculo-peritoneal shunt? a. Monitoring for the increased temperature b. Check the urine for glucose and protein c. Administer narcotics for pain control d. Test cerebrospinal fluid leakage for protein 43. An infant who has hydrocephalus is irritable, lethargic, and difficult to feed before the ventriculo-peritoneal shunt is placed. To maintain the infant’s nutritional status, which of the following nursing action is the MOST APPROPRIATE? a. Feeding the infant just before doing any procedures b. Giving the infant small, frequent feedings c. Scheduling the feeding every six hours d. Feeding the infant in a horizontal position 44. The parent of a school-age child with ventriculo-peritoneal shunt were given discharge teaching. Which of the following signs of a blocked shunt would the parents be able to identify that the discharge teaching is successful? a. Irritability and increase difficulty with eating b. Elevated temperature and reddened incisional site c. Decreased urine output with stable intake d. Tensed fontanel and increased head circumference 45. After a six-year old child underwent placement of ventriculo-peritoneal shunt, he was put on I.V. medication. The head nurse observed that many of the staff nurses are disconnecting the flush syringe first and then clamping the intermittent infusion device. The staff nurse seem not to understand the benefits of positive pressure techniques. Which of the following strategies would be the MOST EFFECTIVE way to improve the staff nurses technique in giving I.V. medication? a. Post an evidence-based article on the topic in the unit b. Create a poster presentation on the topic with a required post test c. Send a memorandum on the importance of clamping the device first d. Ask each nurse if they are aware that their practice is not current 46. In providing tracheostomy care which of the following is the nurse’s PRIORITY nursing action? The nurse _____. 3 | Page
a. cut the dressing using sterile scissors b. cleans the incision with iodine-based antiseptic c. secure clean ties before removing soiled ones d. used clean technique 47. which of the following nursing actions should the nurse TEACH the patient’s care giver regarding tracheostomy care? a. Remove the tracheostomy tube if obstruction occurs b. Leave the tracheostomy ties in place until the physician change them c. Remove and clean the inner cannula daily d. Never put a covering over the tracheostomy stoma 48. After a tracheostomy procedure, the nurse documents important observations made during the procedures such as _______. a. response of the patient after the procedure b. vital signs of the patient during the procedure c. amount, color, and consistency of sputum and appearance of the incision d. behavior of the patient during the procedure 49. What is the purpose of a tracheostomy? To _____. a. establish an airway b. establish a pathway for nutrition c. monitor respiratory functions d. maintain the patency of the airway 50. which of the following can be a MAJOR PROBLEM for a patient with tracheostomy? a. Breathing b. Ambulating c. Swallowing d. Singing situation 11- You are staff nurse in the Psychiatric Unit of a private hospital. Lorena, a 20-year old stage actress was admitted with the chief complaints of getting angry easily and inability to tolerate being alone. She claimed that she has also the tendency to manipulate people and feels unhappy most of the time. She was diagnosed to be suffering from Borderline Personality Disorder (BPD). 51. You have observed that Lorena is manifesting “spitting”. This characteristic of BPD is BEST defined as ______. a. viewing people and objects as parts, either good or bad b. having two personalities c. talking about other people behind their back d. literally spitting in other people’s face 52. When assessing a patient with BPD which of the following information would you focus on? a. Ability to get people on his/her side b. Disruption in some aspect of his/her life c. desire for intimate relationship d. Increase acceptance from other people 53. Lorena revealed she has a tendency to manipulate others. What would be the MOST APPROPRIATE short-term goal for her? For Lorena to _____. a. have an intimate relationship b. acknowledge her own behavior c, stop arguing with other people d. express her feelings verbally 54. Patient with BPD manifest transient psychotic symptoms. What is the drug of choice to treat these symptoms? a. Mood stabilizer b. Benzodiazepines c. Lithium d. Antipsychotics 55. Lorena has a history of alcohol abuse so she was started on Antabuse. Which of the following is a COMMON side effect of this drug? a. Hypertension b. Bradycardia c. Depression d. Elation Situation 12- Angela, a 40-year old, single mom of two preschool children, aged two (2) and five (5) years old respectively was admitted to the Psychiatric Unit for attempting to kill her two children. 56. Angela says “My dead mother ordered me to kill my two children before the devil could get them”. What behavior is being manifested by Angela? a. Auditory hallucination b. Visual hallucination c. Tactile stimulation d. Olfactory hallucination 57. You ask Angela to touch a 25-centavo coin and a one-peso coin. You have observed that Angels was having difficulty differentiating one coin from the other. This is manifestation of _____. a. astereognosis b. kinesthetic c. agraphestesia d. cenesthetic 58. You have observed that Angela is manifesting persistent hallucination. What is the MOST EFFECTIVE therapy in treating patient with a condition like that of Angela’s? a. Cognitive-behavior therapy b. Crisis intervention c. Psycho-pharmacologic treatment d. Anti-psychotic drug 59. Which of the following is the GOAL of nursing intervention for a patient who is hallucination. a. To help the patient to have an increased awareness that in symptoms she is experiencing is not real b. To help the patient to identify what triggers her hallucination c. To encourage the patient to verbalized her fear, anxiety, and anger d. To help the patient to go back to her real world 60. What communication technique would be Most effective to achieve the nursing goal for patient with hallucination? a. Listening b. Facilitative communication c. One-on-one discussion d. Social interaction Situation 13- Charting is part of the professional nurse’s responsibility related to record management. The following questions refer to this statement. 61. One of the characteristics of charting is brevity. Which of the following example of charting shows this characteristics? a. Nurse brought the patient to OR via stretcher at 10:15 b. Patient left for surgery via stretcher at 10:15 am c. To surgery via stretcher at 10:15 d. patient brought by the nurse to OR via stretcher at 10:15 accompanied by the “bantay” 62.Which of the following is NOT a requirement for a late entry in charting? a. nurse’s initials above the time b. may be made if something has been forgotten c. circle it and write “late entry” d. reason for the late entry 63. There is a black space after your last entry in your charting. You will ______. a. draw a double line after your last entry b. sign your full name after your last entry c. draw a horizontal line through the center of an empty line d. draw a perpendicular line across the empty space 64. Which of the following should the nurse’s notes focus on? a. Immediate past and the present b. The present only c. The future d. The recent past 65. Which of the following sample charting would show the characteristic of ACCURACY? a. intake from 700-1000 ml: 80 ml of coffee; 240 ml of orange juice; 500ml of water b. Patient on forced fluid but refused to take it most of the time c. Patient on forced fluids observed d. Given fluid at frequent intervals but takes only a few sips Situation 14- During summer season incidence of heat stroke rises. As a community health nurse you should disseminate information on this as part of your role as a health educator. 4 | Page