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Nội dung text DIAGNOSTIC EXAMINATION - NP5 - ANSWER KEY



B. Plan diet with family members in consultation with dietician C. Prepare a diet plan taking into consideration the patients preferred eating pattern D. Have physician order a specific diet for the patient Situation: The nurse at the Operating Room should be made aware of the functions and implications of being both a circulating and a scrub nurse. The following questions apply. 34. The nurse was not able to completely account for the sharps that were used during an exploratory laparotomy. The surgeon agreed to close the suture even if the situation was mentioned above. It was found out that one needle was still left at the peritoneum of the client. The surgeon was accused of malpractice because of what happened. Which among the following doctrines explains the scenario above? A. Res Ipsa Loquitur B. Force Majeure C. Respondeat Superior D. Subpoena ducestecum 35. Which among the following is considered as part of the intraoperative phase? A. Patient has decided to have a reconstructive surgery B. Induction of the anesthesia C. Patient having two CTT after a heart transplant D. A patient diagnosed to have a constrictive pericarditis 36. Which part of the anesthetic ladder is the patient noted to have increased autonomic activity? A. Analgesia Phase B. Delirium Phase C. Surgical Phase D. Danger Stage 37. Which among the following is NOT a principle of surgical asepsis? A. Always face the sterile field. B. Sterile articles unused and unopened are still considered sterile after the procedure. C. The sterile field is above the waist level and on top of the sterile field. D. Eliminate moisture that causes contamination. 38. Which among the following post-operative complications is characterized as the collapse of one lung segment or the whole lobe or a number of alveolar groups? A. Pneumoectasis B. Atelectasis C. Pulmonary embolism D. Pulmonary Shock Situation: Nurse Danj admitted a new patient to the Medicine Ward: Lianmuel, 30, complains of diarrhea for more than two weeks prior to consultation. The diagnosis made was Crohn’s Disease (CD). A plan of care was made for Lianmuel. 39. Which of these assessments does Nurse Danj expect to see in the patient’s records? i. Weight gain of 1kg/day ii. Arthralgia iii. 10-20 liquid, bloody stools per day iv. Tenesmus v. Anorexia vi. Crampy, intermittent pain A. i, ii, iii, iv, v, vi B. iii, iv, v, vi C. i, ii iii, iv v D. ii, iv, v, vi 40. Nurse Danj should include which of the following interventions for Lian? A. Increase physical activity to promote intestinal activity B. Instruct the patient to increase intake of raw fruits and vegetables C. Include high-fiber food choices following the acute phase of the condition D. Provide Sitz bath for the skin excoriation from bowel movements 41. What is Nurse Danj’s priority for Lian if the latter develops fistula from his CD? A. Fluid and electrolyte balance B. Pain management C. Self-esteem needs D. Skin protection 42. Which of the following signs and symptoms may suggest presence of megacolon from antidiarrheal drug use? A. Leukopenia B. Fever C. Bradypnea D. Hypothermia 43. If Lian were a geriatric client, which of these is the first indication of dehydration from fluid volume depletion? A. Tachycardia B. Altered mentation C. Hypotension D. Fever SITUATION: Nurse Mary is handling patients with psychological disorders. The following questions apply. 44. Which of the following sets of symptoms is characteristic of generalized anxiety disorder? A. Uncontrollable worrying, significant distress or impaired social functioning for at least 6 months. B. Intense fear and helplessness within 1 month after exposure to traumatic event that lasts 2 days to 4 weeks. C. Re-experiencing of an extremely traumatic event and numbing of responsiveness within 3 months to years after the event. D. Significant anxiety provoked by a specific feared object or situation. 45. Obsessive-compulsive disorder is characterized by recurrent, unwanted thoughts which lead to ritualistic and repetitive behaviors in an attempt to neutralize anxiety. Which of the following medications are appropriate for OCD? A. Tacrine (Cognex) B. Bupropion (Wellbutrin) C. Haloperidol (Haldol) D. Clomipramine (Anafranil) 46. Use of touch as part of nursing care for geriatric clients is generally considered as therapeutic. Which of the following is true about use of touch? A. It is calming for the elderly patient. B. Most elderly patients get angry when touched. C. Its effect is based on the individual preferences. D. Patient’s face is touched to communicate empathy most effectively. Situation: Nurse Geneve is handling various patients in Pomeranian Hospital. The following questions apply. 47. The emergency and disaster nurse knows that which among the following population groups have the greatest risk during a disaster? vii. Health care providers viii. Single parent families ix. Children x. Low income families A. i, ii B. i, ii, iii C. i, iv D. iii, iv 48. During burn therapy, morphine is primarily administered IV for pain management because this route: A. Delays absorption to provide continuous pain relief. B. Facilitates absorption because absorption from muscles is not dependable. C. Allows for discontinuance of the medication if respiratory depression develops D. Avoids causing additional pain from IM injections 49. This refers to the use of findings from a disciplined research in a practical application that is unrelated to the original research. It emphasizes on translating knowledge into real-world applications. A. Evidence-based practice B. Research utilization C. Research dissemination TOP RANK REVIEW ACADEMY, INC. Page 3 | 6

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