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Nội dung text DIAGNOSTIC EXAMINATION - NP3 - STUDENT COPY


18. You are a nurse caring for a lesbian patient. Which of the following statements by the patient demonstrates the need for further information? A. I have lesser risk factors to STI. B. I have lesser risk factors to breast cancer. C. I should have Pap smears. D. I have increased risk factors to cardiac diseases. Situation: Confusion and lethargy are experienced by a patient taking diuretics. 19. What is the most common electrolyte imbalance which causes hospitalization of patients? A. Hyponatremia B. Hypokalemia C. Hypercalcemia D. Hypomagnesemia 20. Which of the following must the nurse consider as priority in assessment of a client in the above situation? A. Urine output B. Thirst C. Mental status D. Pulse grade 21. Which of the following is true about hospitalized patients with hyponatremia? A. Decreased urine output leads to higher concentrations of serum sodium. B. Drinking excessive amounts of water dilutes the urine. C. The IV fluid regulator was adjusted by the client, increasing infusion rate. D. Large quantities of urine are excreted due to furosemide administration. 22. Considering the patient’s status, which of the following is the most appropriate nursing diagnosis? A. Fluid volume excess B. Fluid volume deficit C. Disturbed thought processes D. Ineffective tissue perfusion 23. You noticed a runner in a marathon looks pale, confused, fatigued, sweating and having tremors. Which of the following will you give the patient? A. A full meal B. Sandwich C. Candies D. Fruits 24. A patient is experiencing knife-like chest pain with increasing intensity upon inspiration. Which of the following is most likely its origin? A. Respiratory B. Cardiac C. Gastrointestinal D. Musculoskeletal 25. Which of the following conflict resolution strategies lead to a win-win situation? A. Compromise B. Accommodating C. Collaborating D. Competing 26. The nurse supervisor is creating a budget plan for salary of staff and equipment costs. Staff salary and equipment are considered what type of costs? A. Direct cost B. Indirect cost C. Direct and indirect cost D. Fixed cost 27. A nurse is showing a caring attitude for the patient in a surgical ward.The nurse also encourages her to take care of her body using her own efforts. Which of the following bioethical principles is demonstrated in this situation? A. Solidarity B. Stewardship C. Fidelity D. Totality 28. The patient opts to have her infected diabetic foot amputated so that the affected part will not spread to the other parts of the body. What bioethical principle is demonstrated? A. Solidarity B. Stewardship C. Fidelity D. Totality 29. The whole health care team is united in caring for a patient with cardiac disease. Interprofessional collaboration is present with the goal of improving patient outcomes. Which of the following bioethical principle is reflected? A. Solidarity B. Stewardship C. Fidelity D. Totality 30. The nurse in the labor room monitors a patient in her active phase for frequency of contractions. She measures this: A. From the beginning of one to the beginning of the next contraction. B. From the start of a contraction to the end of the same contraction. C. From the end of a contraction to the beginning of the next contraction. D. From the beginning of one contraction to the end of the next contraction. 31. The mother reports that no milk comes out of her breasts to feed her infant. Which of the following statements by the nurse is most helpful to the client? A. Apply hot compresses for 15 minutes each breast. B. Inspect the breasts and nipples for unusual changes in structure and if there is discharge. C. Apply cold compresses for 20 minutes per breast. D. Encourage mother to just continue breastfeeding. 32. Breast tumor is commonly found at what location of the breast? A. Lower inner quadrant B. Upper outer quadrant C. Lower outer quadrant D. Upper inner quadrant 33. Which of the following should be delegated to an experienced nursing assistant? A. Discuss about insulin therapy. B. Wound care on diabetic foot. C. Administration of metformin. D. Teaching on diabetic foot care. 34. A nurse is slowly and carefully administering furosemide via bolus to a patient with heart failure. She performs this action knowing that rapid administration may cause: A. Catheter site irritation B. Acute kidney injury C. Hearing loss D. Hypovolemic shock 35. The surgeon is about to close the fascia after herniotomy. Which of the following surgical equipment must the scrub nurse prepare? A. Monofilament, round B. Subcuticular, round C. Monofilament, cutting D. Subcuticular, cutting 36. What is the type of hypersensitivity reaction in which the patient is allergic to certain food or medications? A. Anaphylactic (Type I) B. Cytotoxic (Type II) C. Immune-complex (Type III) D. Delayed-Type (Type IV) 37. What are the risk factors of Peripheral Arterial Disease? i. Diabetes mellitus ii. Hypertension iii. Alcohol intake iv. Smoking A. i, ii, iii B. i, ii, iv C. i, ii, iii, iv D. ii, iiii, iv 38. A patient was sent to the ER due to rigid, board-like abdomen and fever. Which of the following is another sign of appendicitis in which pain is felt on the right abdomen as the left abdomen is palpated? A. Rovsing’s sign B. Mcburney’s point C. Rebound tenderness D. Psoas sign TOP RANK REVIEW ACADEMY, INC. Page 2 | 6

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