Tiêu đề RECALLS 10 (NP2) - STUDENT COPY ✅

2 | Page 11. Which of the following should be the PRIMARY consideration by the nurse when charting the Chief Complaint? The ___________. A. Number of significant accompanying symptoms B. Objective symptom presented C. Subjective symptom presented D. Significant reason for the child’s hospitalization 12. Using the FDAR (Focus Data Action and Response) Charting, which of the following presenting data would be PRIMARY “Focus” A. Vomiting in small amount B. Watery stools 4x in 30 minutes C. Generalized abdominal pain D. Temperature of 38.1 centigrade 13. When getting the data on the subjective symptom of the abdominal pain, which of the following should the nurse RELY on? A. Mother’s verbal complaint B. Result of the abdominal percussion C. Patient’s verbal complaint D. Result of auscultation of the abdomen 14. The “response” should be based from which of the following categories of the FDAR? A. Intervention made B. Laboratory Findings C. Focus D. Assessment 15. Which of the following can be the LEAST source of data for this case? A. Vital signs B. Laboratory Findings C. Intake and output D. Immunization record Situation - Sugar, G2 P3, is a Type I diabetes mellitus (DM) since she was 10 years old. She is in her first trimester of pregnancy. Insu Ling is her nurse. 16. What could be the MOST possible effect of DM to Sugar? She can have ______. A. Ketoacidosis B. Hyperinsulinism C. Hyperglycemia D. Hypoglycemia 17. Which of the following would require an increased dose of medication once Sugar is in the second half of pregnancy? A. Insulin B. Pancreatic enzymes C. estrogenic hormone D. antihypertensives 18. What is the route of administration for insulin during pregnancy? A. Intravenous B. Subcutaneous C. oral D. shot with flex pen 19. Considering Sugar’s condition, Nurse Insu Ling will anticipate what effect to the fetus? The condition will be_______. A. Large for gestational age B. Macrosomia C. Intrauterine growth retardation (IUGR) D. Meningomyelocele 20. On the first postpartum day, which of the following requirements for insulin will be anticipated by the nurse to be ordered by the physician? A. Remain unchanged B. Decrease sharply and suddenly C. Increase rapidly D. Decrease slowly and steady Situation - Nurses are guided by bio-ethical principles as they practice their chosen profession. 21. What bio- ethical principle guides the nurses when taking care and being responsible for patients? A. Solidarity B. Fidelity C. Totality D. Stewardship 22. Each person has a responsibility to take care of his/her body. In case a part is defective, it can be removed for the benefit of the remaining parts. What bio- ethical principle is this? A. Totality B. Stewardship C. Solidarity D. Fidelity 23. As member of the health team, nurses are expected to collaborate with other health care professionals for unity and cooperation. What bio- ethical principle is this? A. Fidelity B. Stewardship C. Solidarity D. Totality 24. When another person or entity intrudes in the affairs of the patient to promote justice and welfare, what bio- ethical principle does he/she promotes A. Welfare B. Stewardship C. Justice D. Paternalism 25. As a means to solve any crisis or scarcity in any health care systems, providing an equitable distribution of resources is based on what bio- ethical principle? A. Paternalism B. Justice C. Fidelity D. Stewardship Situation - Nurse Jubel is collecting data from a newly admitted patient, Mrs. Jaclyn, who is pregnant with twins. She has a healthy 3-year-old child who was delivered at 38 weeks. She also revealed that she does not have a history of abortion nor fetal demise. Her last menstrual period began February 7, 2017 and ended February 12, 2017. 26. What is the GTPAL for Mrs. Jaclyn? A. G = 1, T = 1 , P = 1, A = 0, L = 1 B. G = 2, T = 0 , P = 0, A = 0, L = 1 C. G = 3, T = 2 , P = 0, A = 0, L = 1 D. G = 2, T = 1 , P = 0, A = 0, L = 1 27. What is the expected change in the hemotologic system that occurs during the END of the first trimester of pregnancy that Nurse Jubel should recognize? A. An increase in hematocrit B. A decrease in WBC’s C. An increase in blood volume D. A decrease in sedimentation rate 28 .Mrs. Jaclyn asks about the functions of placenta. Which of the following items should Nurse Jubel include in the teaching plan? 1) The placenta filters the fetal urine. 2) Fetal and maternal blood mix in the placenta to exchange nutrients. 3) The placenta filters the alcohol from the mother’s blood. 4) Substances are exchanged by the placenta without mixing the maternal and fetal blood. 5) Fetal respiration, nutrition and excretion are carried out by the placenta. A. 1, 2, 3 B. 4, 5 C. 3, 4, 5 D. 1, 2 29. Mrs. Jaclyn asks “When will be my expected date of delivery (EDD)?” Based on her knowledge of Naegeles’ Rule, which should be the CORRECT answer of Nurse Margie? A. November 14, 2017 B. October 14, 2017 C. October 19, 2017 D. November 19, 2017 30. Nurse Jubel Explained the chronological order of the growth and development of the fetus as it occurs in pregnancy which is the following __________. A. Ovum, zygote, morula, embryo, fetus, infant B. Morula, zygote, ovum, fetus, embryo, infant C. Morula, ovum, embryo, zygote, fetus, infant D. Zygote, ovum, morula, embryo, fetus, infant
3 | Page Situation - Nurse Korinna attends to Patient Cha Hin who is three months pregnant when a pelvic sonogram was conducted on her revealing the fetus’ weak cardiac pulsation. Nurse Korinna advised the patient to have a follow up visit to their clinic after a week but it was only after two weeks that the patient returned when she started to suffer from severe abdominal pains. Upon examination, the doctor found out that there was a dead fetus in her womb. The patient underwent hysterectomy and as a result, she had no more chance to bear a child. 31. Cha Hin filed legal charges against all people concerned regarding the outcome of the procedure done to redress the damages caused by the procedure. Who among the following will be accountable to the patient? A. None, all members of the health care team performed their professional duties on the patient. B. Only Dr. A but not the nurse because the latter was just following orders from the physician. C. Dr. A and the nurse because of their failure to perform their perspective duties with diligence and care. D. Dr. A and the hospital administrator because of command responsibilities on the treatment and care to the patient. 32. Under the situation, if the physician and the nurse are liable over the consequence of the treatment and care of the patient, what applicable legal doctrine will this be? A. Respondeat Superior B. Captain of Ship Doctrine C. Patient’s Proximate Negligence D. Res Ipsa Loquitor 33. If the nurse is called to testify on the alleged surgical procedure performed to the patient to determine whether there was lack of necessary care and diligence, the nurse should testify only on matters which are ________. A. Within her personal knowledge B. Documented in the chart C. Advised by her lawyer D. Being asked by the court 34. Medical records have legal implications. In as much as the nurse failed to chart the discharge instructions, what principle in records management was violated? A. “If it was not documented, it was not done.” B. “Completion of chart should be within 48 hours.” C. “No document, no discharge.” D. “Not all documented data are true.” 35. Hospital A practices clinical pharmacy. Physician writes the order of medications, pharmacist prepares it and the nurse administers it. Who then will be liable for any drug overdose administered intravenously by the nurse? A. Pharmacist B. Nurse and Physician C. Nurse D. nurse and pharmacist Situation - Nurse Vincent assists in the in-service training of nurses in St. James Hospital. Based from the needs assessment, the nurses need to be trained on patient’s safety. The first lecture was on medication administration. Nurse Vincent gave the following problems for the nurse to solve. 36. An eight-year-old- patient is to receive Aminophylline 3 mg/kg TID. If the girl weights 25 kg, how much Aminophylline should she receive daily? A. 125 mg B. 225 mg C. 200 mg D. 100 mg 37. Mrs. Delos Santos is to receive Digoxin 0.325 mg p.o. because of her heart ailment. The stock is 0.250 mg per tablet. How many TABLETS should the nurse request for 7 days supply for the patient? A. 9 B. 7 C. 10 D. 8 38. In giving insulin to an OB diabetic patient, the nurse must use an APPROPRIATE needle size and length, which among the following will this be? A. 23 G, 3/8 B. 22 G, 2/8 C. 24 G, 4/8 D. 25 G, 5/8 39. Nurse Vincent emphasized that patient safety is___________. A. Preventing errors and adverse reactions to patients associated with health care B. Being careful in caring for patients at all times C. Providing treatment and care to patients and documenting the same D. Being mindful of the needs of others at all times 40. Nurse Vincent has provided instructions that all care provided by nurses must be documented, as one of their legal responsibilities. In case errors occur, which is the correct way of documenting it? A. Wrong medicine given to wrong patient. Physician notified. Patient observed B. Medication inadvertently omitted. Supervisor notified. C. Medication given to patient A instead to patient B. Patient advised. D. Wrong dose of medicine administered to patient. Sorry. Situation - Joseph, 3 years old, who underwent ventricular septal defect repair, is placed on a maintenance dosage of digoxin (Lanoxin) elixir. Nurse Hannah, complete with the knowledge of the disease, is assigned to him. 41. The dosage is 0.07 mg/kg/day, and the client’s weight is 7.2 kg. The physician orders the Digoxin to be given twice daily. How much Digoxin should Nurse Hannah prepare to administer at each dose? A. 2.5 mg B. 0.5 mg C. 0.37 mg D. 0.25 mg 42. Nurse Rita provides home care instructions to the parents of Joseph regarding the procedure for the administration of digoxin (Lanoxin). Which statement, if made by the parent, indicated the need for further instructions? A. If the child vomits after medication administration, I will repeat the dose.” B. “If more than one dose is missed, I will call the physician.” C. “I will take the child’s pulse before administering the medication.” D. “I will not mix the medication with any food and drinks.” 43. Which of the following instructions about ORAL pediatric medications is TRUE as these interfere with milk and milk products or food eaten by young children? Oral medication should be given_____________. A. With meals always B. On an empty stomach C. ½ hour after meals D. With the night time formula 44. Joseph has a blood pressure of 92/78; resting pulse of 60; respirations 28 and a potassium level of 4.8 mEg/L. He is irritable and has vomited twice since the morning dose of digoxin. Which finding is most indicative of digoxin toxicity? A. Vomiting B. Lethargy C. Bradycardia D. Irritability 45. Considering Joseph’s age, which of the following is the BEST approach by the nurse when administering medication? A. “You will feel better if you take your medication.” B. “Would you like to take your medicine from a spoon or a cup?” C. “Do you want to take this pretty red medicine?” D. This is your medicine and you must take it all right now.”