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

51-55. Situation. Nurse Charm admits Mr. De Guzman, 31 year-old, who was brought to the Emergency room by his co-worker because of severe abdominal pain. He was observed to be very anxious; holding his abdomen with his right hand while bending towards his right side. The Emergency Room doctor made his initial assessment and referred the patient to the Surgical doctor on duty for further assessment. 51. To describe a sensation of severe pain felt for ruptured appendicitis, Nurse Charm applies deep pressure of her finger into the abdomen at a point away from the pain and then releases. This maneuver is termed as __________. A. Perforation B. McBurney’s Point C. Rovsing’s sign D. Rebound tenderness 52. Mr. De Guzman was diagnosed with ruptured appendicitis. When the appendix is suspected ruptured, a generalized abdominal pain is felt and becomes ____________. A. Merely a discomfort and steady rather that intermittent B. Intense and the patient guards the area by living room C. Rigid, stiff and board like feeling D. Tender and focused on the umbilical cord region 53. Immediate surgery was done on Mr. De Guzman. Which of the following measures for pain control is NOT advisable to be done by Nurse Charm while patient De Guzman is having post-op pain? A. Coughing exercises B. Deep breathing C. High-fowler’s position D. Semi-fowler’s position 54. After operation, a nasogastric tube (NGT) was inserted to Patient De Guzman. The rationale for this surgical measure is to _________. A. Prevent use of antibiotics B. Decrease hospitalization to two days C. Decrease pain after the operation D. Avoid the use of analgesics 55. Nurse Charm assesses the pain intensity of Mr. De Guzman. The pain assessment tool APPROPRIATE to be used for Mr. De Guzman is _____________. A. Faces Pain Rating scale B. Visual Rating Scale C. World Rating Scale D. Numeric Rating Scale 56-60. Situation. You are the nurse on night duty in the medical ward. You were assigned by Ms. Felipe, the Charge Nurse of the unit to monitor the status of a 9 year old boy with bronchial asthma. 56. Which of the following manifestations of the child would cause you to be alarmed? A. Excessive sweating B. Choking sensation C. Cough with phlegm D. Generalized chest tightness 57. You would like the child to be comfortable in bed. Which position should you put the child to ease his discomfort? A. Lying on his side B. Prone position C. High Fowler’s Position D. Supine position 58. The Pediatrician ordered theophylline by IV route. The effect(s) of this drug is __________. A. Decrease gastric acid secretion B. Causes coronary vasoconstriction C. Relaxes the smooth muscle of the bronchial tree D. Stimulation of the peripheral nervous system 59. What APPROPRIATE activity should you advise the child while in the hospital? A. Talk on the phone with his classmates B. Finish his assignments in school C. Watch cartoon movies on TV D. Play with his teddy bear 60. The patient is ready to go home. What health teachings can you give to him and to his mother? 1. Prevent the child from exposure to dust and pollutants 2. Avoid exposure to extreme hot or cold weather 3. Increase fluid intake 4. Avoid hyper-allergenic food A. 1 and 2 B. 2, 3, 4 C. 1, 2, 3, 4 D. 1 only 61-65. Situation. Mae, 65 year-old cook, restless and obese was brought to the Emergency Room due to right abdominal pain, nausea and vomiting for a week. She frequently changes her position to a more comfortable one due to intense pain. You are the nurse in charge who admitted the patient after the attending doctor diagnosed her with Acute Cholelithiasis. 61. Patient Mae’s vomiting can be treated with a nasogastric tube insertion with a suction attachment. This measure will remove the gastric juice stimulating painful contractions of the gallbladder which is __________. A. Cholecystokinin B. Ecchymosis C. Lithotripsy 1 | Page

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