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

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

C. Apply alcohol after cleansing feet to improve infection D. Wear a shoe-type slipper at home 85. Ms. Aileen was administered NPH insulin at 8 am. At what time would Nurse Mich expect the patient to be at risk for hypoglycemic reaction. A. 11 am B. Noon C. 6 pm D. 4 pm 86-90. Situation. A 6-year old boy is suffering from pain on his right inguinal region. His mother brought him to the hospital and was diagnosed to have incarcerated hernia. He had a scheduled herniotomy. 86. What will be your FIRST pre-operative nursing measure? A. Get informed consent from the mother. B. Change the boy’s street clothes to surgical gown C. Shave the operative site D. Call the OR nurse for scheduling 87. The boy is transferred to the operating room. What is the BEST mode to be used in transferring the patient? A. Nurses’ carry B. Stretcher C. mother’s carry D. wheelchair 88. The nurse must prepare the OR environment to be safe and comfortable for the child by reducing the air conditioning temperature so as to prevent ___________. A. Hypoventilation B. Hyperventilation C. Hypothermia D. Hyperthermia 89. The scrub nurse has to prepare for a pediatric herniotomy. Which of the following should be ready? A. Subcuticular 3/0 round, absorbable B. Subcuticular 3/0 cutting, absorbable C. Monofilament 3/0 cutting, absorbable D. Monofilament 3/0 round, absorbable 90. The mother was afraid to submit the child for surgery. What is the BEST response to the Nurse in this situation? A. “It is alright to feel that way but you cannot do anything now.” B. “It is the doctor's order; you’ll have to accept the situation.” C. “Your child’s condition is an emergency case. If he is not operated on, he will die.” D. “I understand your feelings, but your child needs to be operated on.” 91-95. Situation. There are extensive legal aspects that guide the Filipino nurses in terms of regulation in practice of her profession. 91. The Professional Regulation Commission, Board of Nursing (PRC– BoN) as a regulatory board has the legal functions and responsibilities EXCEPT in ONE of the following ___________. A. Ensure the quality nursing education by jointly monitoring with the Commission on Higher Education (CHED) adherence to its guidelines, policies and standards B. Monitor and enforce quality standards and nursing practice in the Philippines to ensure efficient, ethical, moral, technical professional standards C. Issue, suspend or revoke certificates of registration for the practice of nursing D. Recognize specialty organizations in coordination with the accredited professional organization and collect fees to upgrade the conditions of Nurses 92. You are a nurse in Las Pinas Doctors Hospital and have just completed a 2 year experience in the surgical unit. One day, your supervisor ordered you to go on a float to the Intensive Care Unit (ICU) as two of the nurses called “on sick” in the said unit. What is the MOST important action you should do in this situation? A. Explain to your supervisor that you might not be able to perform safely your duty as a nurse in the unit B. File a leave instead and call your husband to fetch you in the hospital C. Refuse the order and tell your supervisor your don’t want to put your license in jeopardy D. Report to the surgical ward of your assignment and request one of your nurses to replace you instead as floater in the ICU. 93. Janna, a 35-year old, married to an insurance agent, was diagnosed with colon cancer only a month ago. The couple have very limited information about this condition. One day, you saw the husband in the room reading the chart which was inadvertently left by a medical intern. What PRIORITY Nursing actions should you do in this situation? A. Get the chart from the husband so he will not be able to read the diagnosis of his wife B. Explain to the husband as per policy, relatives are not allowed to read the chart C. Report immediately to the supervisor on duty and submit an incident report D. Ask the husband what information he would like to ask from the health care professional regarding medical plan and diagnosis 94. Nurse Nicole, is assisting Mr. Caca who just came from the Recovery unit for a thoracic surgery. She noted that the dressings are saturated with blood, but the Surgeon just reassured the Nurse to reinforce the dressings and monitor him closely. After an hour, Mr. Caca went into shock and died. The family filed charges against the Doctor and the Nurse. What is the lawsuit involved in this case? A. Murder B. Assault C. Battery D. Malpractice 95. What is the MOST important Nursing measure that Nurse Nicole should have done to avoid this situation? 1. Monitor and record closely the vital signs until stable 2. Report to the surgeon the vital signs and degree of bleeding from operative site 3. Call the supervisor on duty to assist you in referring the patient to the surgeon 4. Ask the family members to call the surgeon to see the patient A. 2 & 3 4 | Page