Tiêu đề RECALLS 9 - NP3 - SC ✅

D. 2 and 3 13. Which of the following drugs can induce hypertensive crisis in Pheochromocytoma? A. Tricyclic antidepressant B. Corticosteroid C. Respiratory stimulant D. Radio iodine therapy 14. In the presence of pheochromocytoma, the diagnostic test which is expected to be elevated is ___________. A. Serum thyroid hormone levels B. Albumin globulin test C. Urine cyclic adenosine mono phosphate D. 24 hours urine collection for vanillylmandelic acid (VMA) 15. Palpation, as a modality for physical examination is AVOIDED when diagnosed with pheochromocytoma because this action_______________. A. Will cause sudden release of norepinephrine and severe hypotension B. Will cause a sudden release of cathecolamines and severe hypertension C. Will displace the location of the tumor D. Will cause sudden release of epinephrine and severe palpitation Situation – Mr. Con is being prepared for a major surgery. Legal preparation for surgery consists of checking all the required forms for the operation. Equally important is to make sure that the patient is physically, psychologically, and emotionally ready for the procedure. 16. Informed consent is a process that gives the patient opportunity involved in his or her care. As patient advocate, the nurse ensures the following three conditions are present to make consent valid, EXCEPT: A. Adequate disclosure of the diagnosis by the physician B. Comprehension of information by the patient before the operation C. Patient voluntarily giving consent D. Forms signed by any close relative or watcher 17. The patient asks you, “What do you think of my surgeon?” You answered “hmmmmm... he is not really the best one and he seems not to care for patient...” As a result, the patient switches to another surgeon. The latter may have grounds to sue you for _____________. A. Slander B. Invasion of privacy C. Malpractice D. Libel 18. One of your patient’s visitors whisper to you, “I hope you will not try to revive my dear friend if her heart stops as she has already suffered a lot.” The correct response is ___________. A. “That decision is up to the physician” B. “We are all trained in cardiopulmonary resuscitation” C. “There is a ‘ Do not resuscitate’ order in her chart” D. “ I understand your concern, but I can’t discuss this matter with you” 19. According to the Joint Commission, the most frequently cited factor in sentinel (unanticipated) events that leads to a patient’s serious physical or psychological injury is ______________________. A. Confusion within the health team B. Miscommunication among health team members C. Incompetence by a team member D. Policy changes are not followed by adequate and consistent staff education Situation – Conducting Research is one of the major roles of the nurses both in hospital and community settings. To be able to develop such competencies, the nurse has to undergo an actual conduct of the research process. 20. Which of the following statements BEST described a researchable problem? A. Responses of parents toward having children with congenital heart diseases. B. The relationship between relaxation technique and relief of pain of post CABG patients in the surgical coronary care unit. C. Incidence of medication errors and reporting practices of Health Care Professional in a teaching hospital D. To what extent do pre-operative teaching affect the length of hospitalization of patients going for surgery 21. Nurse Joan has to undergo literature search for her study. She can avail of this from the following EXCEPT_____________. A. A summary of research articles that are relevant to the study B. A written document published by the investigator herself C. Any retrieval from website that will help her search for the subject on investigation D. A description of the scientific study from an information provided by a faculty member teaching research 22. Weight is taken as a baseline measurement of obese female adolescents as study subjects for a weight reduction program. This is repeated to note any changes. This pre-test is done to___________________. A. Determine whether the instrument is defective B. Assess if research design is appropriate to the problem identified C. Evaluate whether the instrument is defective D. Obtain preliminary data before a treatment is conducted by the researcher 23. A Nurse researcher is using ACCU-CHEK a monitoring kit to test presence of Diabetes Mellitus among her study subject. How do you classify this type of measurement? A. Microbial B. Cytological C. Physiological D. Chemical 24. Nurse Joan, wanted to conduct a study using quasi-experimental design. This design will need a __________. A. Retrospective evaluation B. Field setting for the study C. Comparable group D. Manipulation of the dependent variable Situation – Kian, 16 year old, a foreigner was admitted in the medical ward due to abdominal pain, nausea and vomiting by Nurse Tessie. 25. In initiating care for patient Kian, which of the following would be an APPROPRIATE question to be asked by Nurse Tessie in her assessment? A. Since this is doctor’s order, you have to drink ice water, instead of hot tea. B. Do you have any books I could read about people of your culture? C. Do you need to set aside your cultural practices, and comply with hospital rules and regulations? D. Is there anything I am doing that is not acceptable to your culture? 26. Nurse Tessie respects cultural practices integration in her nursing care plan. Which of the following nursing action is MOST represented of the culturally competent nurse? A. Help patient Kian to learn and understand the language B. Explain and validate health knowledge and beliefs of Patient Kian with that of the hospital C. Help Patient Kian identify ways to relate more to the culture where they now resides D. Ask patient Kian to help Nurse Tessie in knowing more the culture of his origin 27. The family of Patient Kian request utilization of warm compress with banana leaves to Patient Kian. Which of the following is the MOST appropriate response of Nurse Tessie? Alternative therapies_________. A. Cost less than traditional therapies B. Are use when traditional therapies are not effective C. Utilized natural products while traditional therapies do not D. Can be effective as traditional therapies for some conditions 28. Patient Kian’s family requests time for spiritual healing process in the hospital. This is allowed by Nurse Tessie and hospital because it______________________. A. Gives fulfillment and meaning to the patient and 2 | Page
family B. Demonstrate people being responsible for their life patterns C. Is non-denominated community service D. Formalizes a religious dogma 29. Positive Practice Environment (PPE) influences healing process. Which of the following ways can help Nurse Tessie create a healing environment? A. Ensure that relatives and friends visit the patient B. Empower clients to make healthy decisions for themselves C. Place television in each room of the hospital D. Ensure that staff nurses does not experience burnout Situation –Julie, 28 years old, has been diagnosed with Diabetes Mellitus. She was advised by her family physician to be admitted to undergo preservation for insulin therapy. Her blood sugar ranges from 200 to 210 mg/dL. At 6 am, Nurse Cynthia administered her insulin injection. After 2 hours, the patient complained of cold clammy perspiration, chilly sensation and abdominal discomfort. 30. Which of the following PRIORITY nursing actions should the nurse perform? A. Give her biscuit to eat B. Do urine testing for sugar C. Provide her warm blanket D. Take blood pressure and put her on bed rest 31. Patient Julia has been classified to have a type II Diabetes Mellitus. Which of the following is NOT a typical manifestation of individuals with this condition? A. Frequency of urination B. Increased craving for food C. Increased thirst D. Weight loss Situation – Mr Dencio, 58 years old is admitted to the pay ward because of respiratory problem. The nurse initiated oxygen treatment by mask but the client refuses despite the encouragement by the wife. The client is aware of the benefits of the treatment. 32. Which of the following should be given priority? A. Ask the opinion of the wife B. Conduct consensus building C. Let the attending physician decide on the necessity of the treatment D. Respect the decision of the client 33. You are taking care of Mr Dencio who is on the last cycle of radiation therapy for his lung cancer. You should instruct Mr Dencio to A. Brush teeth and gums vigorously after meals B. Wait one hour after treatment before eating C. Use mouthwash containing alcohol every 2 hours D. Avoid drinking hot fluids Situation – Ime is the Nurse on duty in the medical ward and many of her patients are suffering from problems of oxygenation. 34. The following are relevant data to be documented when taking the health history of a client with anemia EXCEPT: A. Alcohol intake B. Fatigue and weakness C. Dietary intake D. Episodes of bleeding 35. A client with congenital heart disease is suffering from thickening of the skin under his fingers due to chronic hemoglobin desaturation. Which of the following specific term should Ime use to accurately describe MOST the client’s condition in the chart? A. Peripheral cyanosis B. Pallor of the finger tips C. Peripheral neuropathy D. Clubbing of the fingers 36. When the Nurse is assessing a client with Congestive Heart failure with pitting edema, the Nurse’s documentation will include which of the following: A. Degree of pitting edema B. Time of indention recovery C. Depth of edema D. All of the options 37. Mr. Gabby is with left sided heart failure. Ime’s documentation of her assessment findings will include the following, EXCEPT______________. A. Dependent edema B. Pulmonary crackles C. Difficulty of breathing D. Cough 38. A client is on a diuretic therapy. Expected entry in patient’s chart should include the following information, EXCEPT: A. Serum electrolytes monitored B. Intake and output recorded C. Lasix administered at 8 o’clock in the evening D. Weight is taken before drug is given Situation 10 – Maya, a 42 year old teacher with cardiac ailment, nervously informs the doctor that her goiter is getting bigger and distracts her while swallowing food. The physician who examined her instructed the nurse to admit Maya and to prepare her for surgery after medical clearance. 39. While interviewing Patient Maya, she claims that she is anxious for the coming surgery. You expect the following signs and symptoms when one is under stress, EXCEPT___________ A. Blood loss and weakness B. Increases respiration rate C. Decreased mobility D. Pain due to tissue damage 40. Based on your knowledge, Patient Maya, who has a history of cardiac illness, should not be given an enema before surgery. Which of the following reasons inhibits the order of enema for Patient Maya? Enema____________ A. Paralyzes the peristalsis movement and increases abdominal pain B. Produces vagal stimulation that is dangerous to cardiac patient C. Causes constipation and fecal impaction after the surgery D. Enema results to increased water absorption in the bowels Situation 11 – Mr. S came to the ER because of sharp troubling pain. After his surgery, he claimed pain is felt even he is asleep. 41. At what stage of pain mechanism do you classify this pain? A. Perception B. Modulation C. Transmission D. Transduction 42. When a client complains of pain less than 6 months, it is called_____________. A. Chronic pain B. Persistent pain C. Acute pain D. Intermittent pain 43. In order for the nurse to recall the location of pain, he has to_______________. A. Asks for onset and duration B. Mark the painful area in a body diagram C. Asks for facial expression D. Asks verbal description using pain intensity scale 44. As example of a drug therapy to relieve moderate pain is_____________. A. Codeine B. Demerol C. Methadone D. Morphine sulphate 45. When a client is on prolonged pain therapy, the nurse should watch for____________. A. Tolerance to drug B. Allergic reaction to drug C. Drug resistance D. Addiction to drug Situation: Donny a 46 year old patient admitted to the coronary care unit (CCU) with an MI and frequent premature ventricular contractions (PVCs) has doctor orders for continuous amiodarone infusion, IV nitroglycerin infusion, and morphine sulfate 2 mg IV every 10 minutes until there is relief of pain. She is taken care by Leona a newly graduate nurse. 3 | Page