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B. On admission when the relatives are around C. A day before the surgery D. Before any pre-op medications are administered 12. Which of the following nursing goals are achieved when early ambulation is done by post-surgery patients? 1. Improved circulation 2. Improved respiratory functions 3. Prevent venous stasis 4. Prevent emboli formation A. 3 and 4 B. 1, 2, 3,4 C. 1, 3, 4 D. 1 and 2 13. Which of the following patients is MOST at risk during the induction of anesthesia? A. 6-year-old with history of allergy B. 65 year old diabetic woman C. 35 year old TB case D. 25 year old Polio Case 14. As a circulating nurse, which of the following is your PRIORITY nursing action to promote safety of your patient? A. Prevent peri-operative position injury B. Provide adequate lighting during the procedure C. Optimize surgeon’s access to surgical site D. Maintain surgical aseptic technique during the procedure 15. Being the nurse in the Post-Anesthesia Care Unit, which of the following is your PRIORITY concern after surgery? A. Monitor vital signs B. Observe surgical site for bleeding C. Validate doctor’s orders D. Check level of consciousness 16. There are several factors contributory to the development of these conditions. Which of the following are the PRIORITY causative factors that should be emphasized by Nurse Lydia in her health teaching? A. Cigarette smoking B. Aging process and alcohol intake C. Stress and overacidity D. Sedentary life and obesity 17. Mr. Jesse is admitted due to congestive heart failure. Nurse Brilliantina would expect that if the failure is on the right side of the heart, the patient will manifest which of the following. A. Juguar vein distention B. Crackles on auscultation C. Dry productive cough D. Improved bowel elimination 18. The patient has been receiving, Digoxin 0.25 mg per day to regulate his heart rate. Which of the following outcomes would indicate that his medication is achieving its desired effects? A. Improved appetite B. Increased pedal edema C. Increased urine elimination D. Improved bowel elimination 19. The other patient of Nurse Brilliantina is suffering from Buerger’s disease. He has been complaining of intermittent claudication of the lower extremities which has been giving him so much discomfort. What is the Best nursing action she should perform to address the patient’s complaint? A. Allow the patient to lie flat on bed B. Teach him foot care and leg exercises. C. Place affected extremities in a dependent position D. Apply hot water bag to the affected extremities 20. Which of the following information is NOT True of Buerger’s disease? A. Small and medium arteries and veins are mostly affected. B. Smoking is a major cause of Buerger’s disease. C. Incidence of Buerger’s disease is high in men than women. D. A strong relationship exists between diabetes and Buerger’s disease. Situation 5 – Gloria, 58 years old, beautician has undergone bowel obstruction surgery. During his first day post-op. she vomited clear liquids about three times during your shift. Her vital signs include: temp-37.9 degree C. 138/84 PR-78/min and RR- 26/min. her surgical incision is intact, slight bleeding, swilling and tenderness with slight pain. 21. Which of the following manifestations would indicate the development of wound infection? A. Presence of elevated red blood cells count. B. Profuse and increasing perspiration. C. Increased blood pressure, respiratory rate and pulse rate. D. Increasing pain on the surgical incision. 22. If the wound draining is serosanguineous, it means that the secretion is colored ______. A. Yellow-tinged B. Pinkish-red C. Green-tinged D. Bright-red 23. Later during the day, Gloria became confused, started to pull out her IV fluids as well as her wound dressings. Complained of severe pain over the wound area. The PRIORITY action of the NURSE is to ________. A. Apply sterile dressings over the surgical wound B. Call the surgeon at once for the health status of the patient C. Administer the pain medication at once D. Restrain the hands of the patient 24. The drug of choice of pain relief to patient Gloria considering score of 8 which was assessed by the nurse based on the rating scale of 0-10 (0-lowest, 10 is the highest) is ________. A. Morphines S04 B. Ibuprofen C. Demerol D. Paracetamol 25. When patient is receiving opioid medication, the nurse should observe complications from the side effects by ______. A. Checking for the presence of loose bowel movement B. Observing signs and symptoms of addiction C. Assessing changes of circulatory status D. Assessing wakefulness of the patient at least every 2 hours 26. Situation 6 – Mr Rodney, a post- operative, was given Amoxycillin at 12 midnight by the nurse on duty (NOD). The physician asked the patient during his rounds if he has receive the drug, the patient answered “NO”. The physician clarified the claim from the chart and from the chart and from the NOD. When the physician clarifies the process of Drug Administration, this Quality Improvement Process is known as A. System analysis B. Root cause Analysis C. Problem identification D. Pareto Chart 27. Which of the following is the primary reason why the physician wanted to clarify the process? A. Measures the turnaround time of medication B. Better communication with patient and result C. Identify gap in the medication administration D. Improve care management in drug administration 28. While the medical director is conducting his rounds he observed the presence of scattered supplies and equipment along the corridor as well as 02 tank not properly secured. The Quality Circle (QC) team was informed about this observation. Which of the following is the BEST strategies to be adopted by the team with this concern? A. Adopt the 5 S audit. B. Identify and prioritize the problem C. Select Alternative Solution. D. Enhance Continuous quality improvement. 29. The approach adopted by quality circle team was presented to top management. Which of the following tools is APPROPRIATE to be utilized as a guide for their time management? A. Pre chart B. Radar chart C. Process of flow chart D. Gantt chart 30. In order to determine if the implementation of the activity is successful, the First step to be done by the team is ______________. 2 | Page