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

73. Decision-making in an organizational structure comes at many levels. The level which is considered empowering to staff-member is when the unit manager does which one of the following? A. Makes a decision when she reads the reported concerns B. Ask direct report from personnel to decide on a solution C. Makes a decision after convening a core group to analyze the concerned issues D. Makes a decision by herself and assumes responsibility for her action 74. The nurse manager is receiving some feedback that one of her staff-nurses has been observed to be always irritated, “bossy”, and indifferent to her patients and some co-workers. Which of the following PRIORITY nursing actions should the manager implement? A. Conduct a joint meeting of both parties involved B. Request the concerned patients and co-workers to submit an Incident report C. Call the nurse concerned and talk to her privately about the observations D. Give a memo to the nurse involved 75. A team building session was conducted by the HRDO task force to come up with strategies for conflict resolution. Which of the following is a WIN-WIN approach in conflict management. A. Each party involved agree to respond to majority vote B. Each participants agree to resolve conflicts by adhering to the Institutional Vision and Mission C. Each participants will give way to 60-40% of their agreements D. Disagreements are settled with respective compromises on issues presented 76-80. Situation. Juvy, a retired Barangay Health Worker, came to the OPD for her check-up for her diabetes mellitus. She had been diabetic since she was 37 years old. She has been taking her maintenance medications which she sometimes does not comply with. 76. There are metabolic abnormalities in the development of type 2 Diabetes. Which of the following is NOT included in these abnormalities? A. Inappropriate production of the liver B. Increased ability of the pancreas to produce insulin C. Insulin resistance D. Altered production of hormones by adipose tissues 77. Ms. Juvy was admitted to the hospital for further check-up. Which of the following diagnostic tests do you expect to be ordered by the diabetologist as an indicator that the patient is compliant to her prescribed diet? A. Oral glucose tolerance test B. Glycosylated hemoglobin level (hgb, Alc) C. Finger glucose findings for one day D. Fasting blood glucose level 78. While Nurse Ellen was completing her assessment, she discovered the following findings. Which of the following should she refer immediately to the physician? A. Tingling sensation of the hands and feet B. Changes in the peripheral vision C. Beginning ulceration of the left big toe D. Fruity odor breath 79. Nurse Ellen, the nurse in charge of patient Juvy, informed her physician that her serum glucose level is 38mmol/L and quite unresponsive to verbal questioning. The nurse suspects that she is starting to develop Diabetes Ketoacidosis (DKA). Which of the following manifestations is UNIQUE to this condition? A. Shallow slow respirations B. Increased serum potassium C. Rapid deep respirations D. Decreased serum albumin 80. Nurse Ellen’s counseling role includes lifestyle changes as well as pharmacologic regimen. Juvy’s family were interested to know information regarding insulin. She differentiated an intermediate acting insulin from that of short-acting which is _________. A. Regular onset is 2 hrs. Peak is 3 1⁄2 hr., duration -7 hrs., administered 20-30 min. before meal B. Regular onset is 2-4 hr., peak is 4-12 hr., duration is 8 hr., administered 20-30 min. after meal C. Regular, onset is 1 1⁄2 hr, peak is 3-4 hrs, duration is 6 hrs. administered 20-30 min after meal D. Regular onset is 1 1⁄2 - 1hr, peak is 2-3 hr., 4-6hr duration administered 20-30 min. before 81-85. Situation. Nurse Mich admitted Aileen, 38 years old, who was diagnosed by her physician with Type I Diabetes Mellitus. She complains of easy fatigability and increased tiredness. Nurse Mich, during the assessment, noted the presence of a foot ulcer which Aileen was trying to hide. 81. Nurse Mich holds the hands of Aileen while doing her assessment. Her hands were cold and clammy, she suspected that the patient was having hypoglycemia. To relieve her condition, an immediate action is to offer her _________. A. Candy B. Full meal C. Sandwich D. Fruits 82. Nurse Mich watches Ms. Aileen while sleeping. An EXCELLENT guideline to differentiate if a patient is just sleeping or experiencing hypoglycemic reaction is when one is observed to be _______. A. With dyspnea B. Snoring C. With diaphoresis D. Grunting his teeth 83. Nurse Mich practiced surgical asepsis during foot care. Which of the following techniques has to be observed? A. Opening container of sterile water after putting gloves on. B. Changing the sterile field after sterile water spilled on it C. Placing sterile dressing 2 cm from the edge of the sterile field. D. Cleaning the wound in circular motion from outer towards the ulcer site 84. Nurse Mich after foot care encourages Patient Aileen to do which of the following APPROPRIATE measures? A. Apply lanolin generously between the toes B. Cut toenails rounded at the edges and close to the skin 3 | 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