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A. 1, 2 B. 1, 4 C. 3, 4 D. 2, 3 40. How will Nurse Meg arrange the patients in the ward? Put the ______________. A. Primary Care in between the Ambulatory Care patients. B. Primary Care and Ambulatory Care patients together and Total Care at the corner of the room. C. Total Care patients near the nurses and the Ambulatory farthest D. Ambulatory Care patients near the Total Care ones. Situation 9 – Mr. Nelson, 62 year old, an Executive of a shoe company was brought to the hospital after having vomited bright red blood immediately after supper. He claimed he had drinking session with his former classmates in college. He was already advised by their family physician not to drink alcohol due to a suspected fatty liver. You are the nurse-on-duty when he was admitted. 41. Based on your assessment and history taking for Mr. Nelson which PRIORITY FINDINGS should you document and report to the physician? A. Use of anti-inflammatory drugs. B. Vital signs bp- 140/90, pr- 88/min.pr24/min. C. Abdominal pain (3 in a scale of 10) D. Tense, rigid abdomen 42. You have formulated your Nursing Diagnosis for the patient and wrote in the nursing care plan. Which ONE of the following? A. Deficient Fluid Volume R/T vomiting of blood and gastric secretion. B. Non-compliance R/T alcohol and medication intake. C. Fear of death R/T unknown cause of bleeding. D. Risk for Aspiration R/T active bleeding. 43. The physician orders insertion of nasogastric tube with lavage to Mr. Nelson. What kind of solution will you expect to be written in the doctor’s order when a patient will undergo a lavage? A. Normal Saline Solution B. Distilled Water C. Tap warm water D. Dextrose 5% in water 44. When a patient has a gastro-intestinal bleeding and there is a presence of hematemesis, how should you describe this in your documentation? A. Bloody vomitus appearing as fresh, bright red or “Coffee-ground” in appearance. B. Brownish vomitus appearing as “Chocolate” in appearance from a previous Food Intake. C. Black, tarry stools in appearance often foul smelling, from a previous food intake. D. Small amounts of fresh blood observed either through gastric secretions or stools. 45. The following are the practice guidelines in documentation. Which ONE of these is NOT recommended to be written in your charting? A. Had urine output of 600 cc during the whole shift. B. Appears to be comfortable with good night rest and sleep C. Refused to eat her dinner as she feels nauseated at meal time D. Slept from 11 PM to 6 AM after Valium 5mg. was given. Situation 10 – The following situations are related to ethical practices in the workplace. 46. Jillian a registered nurse has signed a contract for two years in a medical center. A recruitment agency has offered her a “fat” salary for foreign employment. If you are in the position of Jillian, what should you do? A. Discuss your plans with your parents B. Accept the recruitment offer and go Absence without official leave. C. Write a letter of resignation to your employer 30 days before leaving. D. Accept recruiter’s offer and give an excuse to employer on behalf her “sick” mother. 47. Karylle is a BSN graduate but did not take the National Licensure exams. She is in dire need of money so she applied and was accepted in a health facility. As a nurse she submitted a fake PRC license in order to be given a job. Riza is liable to be charged of ___________. A. False statement B. Misrepresentation C. Fraud and deceit D. Malpractice 48. Ms. Kendall an R.N was invited as a resource person in a nursing conference. The curriculum vitae she submitted to the PRC Continuing Professional Development Council reflects the word Masters of Arts in Nursing (MAN) after her name. She only completed academic requirements but not her thesis writing. Which of the following did Ms. Paras violate? A. RA 9173 of Nursing Law B. Code of Professional Ethics for Teachers C. Magna Carta for Health Workers D. Code of Ethics for Registered Nurse 49. It is a hospital policy for nurses in a health facility that reporting time is 15 minutes before the official designated time. Nurse Khloe reported 30 minutes late and requested her co-staff to sign in for her. This is an example of __________. A. Dishonesty B. Falsification of document C. Unprofessional conduct D. All of the options 50. What ethical justification is observed when administering Opioids despite the possibility of hastening death. A. Rule of double effect B. Rule of single effect C. Maleficence D. Justice 51. Which component of chest physiotherapy involves rhythmic clapping with cupped hands on the chest wall over the area being drained? A. Postural drainage B. Percussion C. Nebulization D. Vibration 52. Which among these would indicate that coughing was ineffective? A. Decreased normal breath sounds B. Clearing of adventitious breath sounds C. Sputum expectoration D. Patient’s report of swallowed sputum 53. Postural drainage improves clearance and drainage of secretions by which principle? A. Entropy B. Enthalpy C. Gravity D. Motion 54. A goal for a post-operative patient using an incentive spirometry is: A. Decrease pulmonary ventilation B. Expand collapsed alveoli C. Potentiate effects of general anesthesia 4 | Page

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