Tiêu đề RECALLS 13 - NP3 - KEY (2nd) ✅

51-55. Situation. Nurse Charm admits Mr. De Guzman, 31 year-old, who was brought to the Emergency room by his co-worker because of severe abdominal pain. He was observed to be very anxious; holding his abdomen with his right hand while bending towards his right side. The Emergency Room doctor made his initial assessment and referred the patient to the Surgical doctor on duty for further assessment. 51. To describe a sensation of severe pain felt for ruptured appendicitis, Nurse Charm applies deep pressure of her finger into the abdomen at a point away from the pain and then releases. This maneuver is termed as __________. A. Perforation B. McBurney’s Point C. Rovsing’s sign D. Rebound tenderness 52. Mr. De Guzman was diagnosed with ruptured appendicitis. When the appendix is suspected ruptured, a generalized abdominal pain is felt and becomes ____________. A. Merely a discomfort and steady rather that intermittent B. Intense and the patient guards the area by living room C. Rigid, stiff and board like feeling D. Tender and focused on the umbilical cord region 53. Immediate surgery was done on Mr. De Guzman. Which of the following measures for pain control is NOT advisable to be done by Nurse Charm while patient De Guzman is having post-op pain? A. Coughing exercises B. Deep breathing C. High-fowler’s position D. Semi-fowler’s position 54. After operation, a nasogastric tube (NGT) was inserted to Patient De Guzman. The rationale for this surgical measure is to _________. A. Prevent use of antibiotics B. Decrease hospitalization to two days C. Decrease pain after the operation D. Avoid the use of analgesics 55. Nurse Charm assesses the pain intensity of Mr. De Guzman. The pain assessment tool APPROPRIATE to be used for Mr. De Guzman is _____________. A. Faces Pain Rating scale B. Visual Rating Scale C. World Rating Scale D. Numeric Rating Scale 56-60. Situation. You are the nurse on night duty in the medical ward. You were assigned by Ms. Felipe, the Charge Nurse of the unit to monitor the status of a 9 year old boy with bronchial asthma. 56. Which of the following manifestations of the child would cause you to be alarmed? A. Excessive sweating B. Choking sensation C. Cough with phlegm D. Generalized chest tightness 57. You would like the child to be comfortable in bed. Which position should you put the child to ease his discomfort? A. Lying on his side B. Prone position C. High Fowler’s Position D. Supine position 58. The Pediatrician ordered theophylline by IV route. The effect(s) of this drug is __________. A. Decrease gastric acid secretion B. Causes coronary vasoconstriction C. Relaxes the smooth muscle of the bronchial tree D. Stimulation of the peripheral nervous system 59. What APPROPRIATE activity should you advise the child while in the hospital? A. Talk on the phone with his classmates B. Finish his assignments in school C. Watch cartoon movies on TV D. Play with his teddy bear 60. The patient is ready to go home. What health teachings can you give to him and to his mother? 1. Prevent the child from exposure to dust and pollutants 2. Avoid exposure to extreme hot or cold weather 3. Increase fluid intake 4. Avoid hyper-allergenic food A. 1 and 2 B. 2, 3, 4 C. 1, 2, 3, 4 D. 1 only 61-65. Situation. Mae, 65 year-old cook, restless and obese was brought to the Emergency Room due to right abdominal pain, nausea and vomiting for a week. She frequently changes her position to a more comfortable one due to intense pain. You are the nurse in charge who admitted the patient after the attending doctor diagnosed her with Acute Cholelithiasis. 61. Patient Mae’s vomiting can be treated with a nasogastric tube insertion with a suction attachment. This measure will remove the gastric juice stimulating painful contractions of the gallbladder which is __________. A. Cholecystokinin B. Ecchymosis C. Lithotripsy 1 | Page
D. Acalculus 62. Patient Mae, was ordered by the physician to undergo several diagnostic tests. You expect that patient will have an elevation of ________. A. Bromsulphalein excretion B. Lactate dehydrogenase C. Serum gamma glutamyltranspeptidase D. Alkaline phosphatase 63. Nurse Mags provides important instructions to Ms. Mae on the prevention of Cholelithiasis. Select all that apply. 1. Maintain ideal weight 2. Adapt low fat diet 3. Regular exercise 4. Prevent pregnancy A. 2, 3 ,4 B. 1, 3, 4 C. 1, 2, 3 D. 1, 2, 4 64. Ms. Mae is prepared for surgery. Nurse Mags provides comfort measures to relieve pain with the following nursing intervention, EXCEPT _______. A. Quiet environment B. Positioning C. Administering analgesic D. Back rub 65. Immediate postoperative care of Nurse Mags includes providing careful instructions to Ms. Mae. Which of the following interventions should be delegated to the caregiver? A. Administration of intravenous therapy B. Reinforce information on exercise C. T-tube care and changing D. Instructions for the reduction of pain 66-70. Situation. Dave, 40 years old, came to the hospital for a diagnostic work-up for a cholelithiasis prior to surgery. 66. Which of the following clinical manifestations would you MOST likely to observe when a patient is suffering from Cholelithiasis? A. Indigestion, pain on the right upper quadrant radiating pain to the shoulder B. Vague left upper quadrant pain radiating to the scapula C. Feeling of abdominal tenderness after waking-up in the morning D. Feeling of abdominal fullness after taking meals 67. Which ONE of the following vitamins is interfered when there is obstruction of the bile flow in cholecystitis? A. Vitamin C B. Vitamin B C. Vitamin B12 D. Vitamin K 68. The patient was ordered Endoscopic Retrograde Cholangiopancreatography (ERCP). He was put on a mild sedation. As a Nurse, what should you check as a PRIORITY action when he returns to the ward? A. Irritation of oropharynx B. Nausea and vomiting C. cough and gag reflex D. Signs of bleeding 69. Which of the following conditions is NOT a side effect of anticholinergic drugs? A. Constipation B. Blurred vision C. Dryness of the mouth D. Increased blood pressure 70. When a client has a nasogastric tube (NGT) due to abdominal distention post surgery. Which of the following nursing responsibilities should you do? 1. Measure gastric secretion every shift 2. Observe and record color, viscosity of secretions 3. Ensure that the gastric tube is patent 4. Assist patient to assume a comfortable position A. 1, 2, 3 and 4 B. 1, 2 and 3 C. 1 and 2 D. 2, 3, and 4 71-75. Situation. The hospital director of a tertiary hospital is alarmed with the recent report of the head Human Resource Department Office (HRDO) that there is so much conflict going on among the health care professionals which is affecting quality patient care. 71. Which of the following is a form of dispute resolution and considered a legal technique which is outside the court? A. Suppression B. Arbitration C. Bribe D. Negotiation 72. Change is defined “as making something different from what it was”. If you become a unit manager in the future, which of the following is your FIRST step as an agent in promoting successful change in your health care setting? A. Revisit Institutional Vision-Mission and adhere to its commitment B. Obtain majority agreements when issues are presented C. Include obsessed people as part of your Task force for change D. Ignore organizational conflict as possible 2 | Page