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Nội dung text RECALLS 3 - NP2 - SC


2 | Page B. Include a significant other in helping the patient understand the need for rest. C. Instruct the patient that the baby's health is more important than her studies at this time. D. Ask her why she is not complying with the prescription of bed rest. 12. Patient Sienna who seems to be irritated with the nurse said "I don't want to talk with you because you're only a nurse. I will wait for my doctor." Which of the following should the nurse say in response to the patient? A. Your doctor prescribed this for us to do nursing care. B. I understand. I should call your doctor. C. I'm angry with the way you dismiss me. D. So then you would prefer to speak with your doctor? 13. Nurse Mauve is now on ethical dilemma. This occurs when ______. A. a decision had to be made quickly under stressful situation B. choices are unclear C. there is a conflict between the nurse's decision and that of his/her superior D. there is a conflict of two or more ethical principles 14. Despite the reaction of the patient, which of the ethical' principles that the nurse is responsible of providing all patients with caring attention and information? A. Beneficence. B. Nonmaleficence. C. Veracity D. Advocacy 15. Nurse Mauve should plan to initiate which action to provide a safe environment? A. Take the patient's vital signs every 4 hours. B. Encourage visits from family and friends for psychosocial support. C. Maintain fluid and sodium restrictions. D. Take off the room lights and draw the window shades. Situation: Nurse Nanie is admitting five-year-old Krini due to cough, respiratory distress, anxiety and signs of dehydration. The working diagnosis is pneumonia. 16. Nurse Nanie is aware that history taking and physical exam are critical to the diagnostic process and often provide more information than can gained by broad testing strategies. History taking includes the following, EXCEPT ____________. A. History of present illness. B. Religious Affiliation C. Social & Family history D. Past medical history 17. The objective of taking the history of present illness is to illicit chronologic description and duration of the chief complaint. Which of the following questions would try to answer what Nurse Nanie wishes to illicit? 1. History of immunizations. 2. Aggravating and alleviating factors 3. Duration of disease onset 4. Any treatment and response to treatment A. 1, 2 & 3 B. 2,3 & 4 C. 1, 2, 3 & 4 D. 1, 2 & 3 18. Past medical history section of Krini contains the following, but NOT ___________. A. Prenatal history. B. Child hood illness C. Current history D. Birth history 19. Which of the following statements is TRUE? A. History taking must be long regardless if the child appears to be well. B. No proper history can be obtained without observation of child and the mother. C. Nurse Nanie should refrain from asking about the illness of other members of the family. D. An example of what can be elicited from a social history is how the disease started. 20. In order not to frighten small children, it is best to examine things that are uncomfortable or frightening to them last so as not to lose their cooperation. This means the LAST thing do child which of the following, EXCEPT _________. A. Inspection of the throat with a throat stick. B. Inspection of the ears with an otoscope C. Auscultation of the heart D. Undressing the child Situation: Ximena a Christian 29-year-old pregnant woman was admitted to the hospital with a complaint of moderate hypogastric pain. She intends to visit the clinic for her first prenatal check-up and informs nurse Parker that she did not realize she's pregnant until a week ago. As a result, she has been on a diet, weightlifting at the health gym. 21. Patient Ximena was seen by the physician and was ordered for a medication that is larger than the standard dose. What should the nurse do? A. Give the drug as prescribed. B. Inform the supervisor. C. Give the average dose of the medication. D. Discuss the prescription with the physician. 22. The patient refuses to take the medication because it causes diarrhea. Nurse Parker explains the action of the drug but the patient vehemently refuses the medication. What should be the INITIAL action of the nurse? A. Discuss with a family member the need for the patient to take the medication. B. Document the patient's refusal to take the medication. C. Notify the physician of the patient's refusal to take the medication. D. Explain again to the patient the consequences of refusing to take the medication. 23. As a strong believer of her faith and the need for spiritual guidance, patient Ximena requests that she wants that clergy will visit her. How did nurse Parker function when she initiated the visit? A. Dependently B. Collegially C. Interdependently D. Independently 24. Patient Ximena sought referral to an abortion clinic from the nurse. She reasons out that her pregnancy a burden to her work and daily routines. What should be the BEST RESPONSE of the nurse? A. It will cause discrimination from friends and relatives. B. Inform her that abortion is morally and legally wrong by virtue of the law. C. It will cause infection. D. It is against any religion. 25. The incoming nurse on duty reported, the nurse is administering a medication, the patient says, "This pill looks different from the one I had taken before." What is the APPROPRIATE action of the nurse? A. Explain the purpose of the medication. B. Encourage the patient to take the medication. C. Check the original medication prescription. D. Ask what the other pill looked like. Situation: A newly hired nurse is assigned in the OB ward. She was supervised by a senior nurse. 26. She was asked by the nurse supervisor about her concern and what are the considered ideal fetal positions for a healthy delivery? A. Right occipitoposterior with no flexion. B. Right occipitoposterior with full flexion. C. Left transverse anterior in moderate flexion D. Left sacroanterior with full flexion 27. The physician ordered sonography. The nurse informs the ultrasound unit in charge and prepares the patient for the procedure. The patient asks the importance of the procedure, the nurse's CORRECT response is A. to determine diameters of the fetal skull B. increase sensitivity for common bile duct of the fetus C. useful to a visualized cystic duct of the fetus D. to assess fetus’ well-being 28. The newly hired nurse asks for advice from the supervisor. The supervisor notices that the newly hired nurse felt uneasy

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