Recalls 5 NP4

The care plan for the client includes family support. Which of the following is MOST appropriate for the family to establish a relationship with the health care team? Nurse Yolan should ___________:*

A. Give permission to the family to take time to maintain friendship with the health care team.

B. Discuss the roles of the family members to the health care team.

C. Explain the roles of all members of the interdisciplinary team.

D. Provide a brief explanation to the family member about the care being delivered to the client.

Based on information gathered, the nurse writes a nursing diagnosis. Which of the following diagnoses is MOST appropriate?*

A. Deficient knowledge related to self-care and risk prevention.

B. Fear secondary to the diagnosis of cancer.

 

C. Risk for urinary infection

D. Risk for impaired urinary elimination

The patient asks for treatment option for his condition. The Nurse explains that treatment options are based on which of the following:*

A. gender

B. ability of the patient to manage physical and emotional implications of incontinence

C. Socio-economic status

D. grade and stage of the disease

Which of the following statement is TRUE regarding health care economics?*

A. Contemporary health care is characterized as a business struggling to balance cost and quality.

 

B. Profit in health care is synonymous with billing privileges.

C. Health care economics is a new concept in nursing.

D. Health care is becoming affordable and clients are demanding quality care.

While touring the department where you are assigned, you noticed that the supply room is stacked with medical supplies and equipment. Which of the following is the BEST action you will take?*

A. Create a task force to assess the situation and report the findings.

B. Take an inventory of the supplies and equipment.

C. Request maintenance to sort out the supplies and check the medical equipment to determine if they are still functional.

 

D. Call for a staff meeting and discuss how best to utilize the available resources.

The Nurse is aware that one of the measures listed below is contraindicated in post-operative pulmonary toilet.*

A. Suctioning

B. Deep Breathing

C. Turning

D. Coughing

The nurses knows that with renal trauma, further complications may occur such as: .
1.    Secondary hemorrhage usually due to infection
2.    Renal artery stenosis
3.    Renal atrophy
4.    Hypotension
5.    Hydronephrosis

Which are the POSSIBLE complications?

A. 2, 3, 4, 5

B. 1, 2, 3, 4, 5

 

C. 1, 2, 3, 5

D. 1, 3, 4, 5

Nurse Ashley reads that the drug Cyclophosphamide ( Cytoxan ) is given to patients with breast cancer. Nurse Ashley understand that this drug is ______:

A. Cell cycle phase-non-specific

B. A hormonal medication

C. An antimetabolite

D. Cell cycle phase-specific

Nurse Ashley reads in the literature that a patient with breast cancer taking Cytoxan should observe the following. Given a case what should nurse Ashley instruct a patient to do?

A. Decrease sodium intake while on medication.

B. Take the medication with food.

 

C. Increase potassium intake while on medication.

D. Increase fluid intake 2000 to 3000 mL daily.

The head nurse determines to reduce medication errors in the trauma unit. She recognizes that medication errors often occur in relation to the following EXCEPT:

A. Preparing the wrong concentration and administering the medication via the correct route.

 

B. Failure to question unclear medication errors.

C. Lack of knowledge about medication.

D. Failure to identify non-therapeutic client responses.

Nurse Mirasol assesses the skin of the patient. Which phase of skin changes occur FIRST and are usually painless and symmetrical?

A. Indurative

B. Primary

 

C. Curative

D. Edematous

Nurse Mirasol assists the patient in coping with the disorder. During the early stages of a chronic disease, patients tend to focus on which of the following behaviors?

A. Understanding the disease process

 

B. Impact on lifestyle changes

C. Interpretations of symptoms

D. Schedule of medications

Nurse Mirasol prepares a discharge plan of care for the patient. Which of the following objectives are MOST appropriate? The patient should _______________.
1.    Try to prevent breakdown of the skin and ulceration
2.    Avoid activities that trigger pain
3.    Modify diet to include legumes
4.    Avoid exposure to extreme cold temperature
*

0/1

A. 1, 2, 3, 4

 

B. 1, 2, 3

C. 1, 2, 4

D. 2, 3, 4

Nurse Bessie is a nurse manager of trauma unit. She supervises the staff nurses and regularly holds conferences with them and other unit personnel. In one meeting she reorients the staff nurses on their various functions. She cites clinical situations related to a nurses dependent, interdependent, and collaborative functions.

 

An interdependent function of nurse is when the nurse _______:

A. Irrigates a feeding tube that appears obstructed.

B. Gives ice chips to a client who has an order of NPO.

C. Applies a dry sterile dressing to an abdominal incision.

D. Helps a client choose foods rich in protein from an ordered diet.

A nurse decides to give a partial bath to a client instead of a complete bath. The nurse is working __________:

A. Independently

B. Interdependently

C. Dependently

 

D. Collaboratively

A nurse initiates a visit from member of the clergy for a terminally ill client. The nurse is functioning ___________:

A. Interdependently

B. Collegially

C. Independently

D. Dependently

When a nurse uses a straight catheter to obtain a urine specimen for laboratory test, the nurse is functioning ________:

A. Dependently

B. Interdependently

 

C. Independently

D. Collegially

Marcela tells Nurse Marie that her younger sister was recently diagnosed with cancer. She is concerned because she is aware that breast cancer “ runs in the family” but she could not recall any family member diagnosed with bone or lung cancer. Nurse Marie’s BEST response would be:

A. “ I am sorry to hear about your sister. I think you should meet with all of your family members and share with them their increased risk for developing lung and bone cancer.”

 

B. “ Apparently your sister is so unfortunate . it is rare to have three such unrelated cancers at one time.”

C. “ I think it is important for you to be tested for lung cancer as soon as possible , because it has hereditary link.”

D. “ I am sorry to hear about your sister’s recant diagnosis. Most probably your sister has a breast cancer that has metastasized or spread to the bone and lungs.”

Nurse Marie has another patient, Cena who was recently diagnosed with ductal cell carcinoma of the breast. Her oncologist described Cena’s cancer as T2, N1, Mx. Cena asked Nurse Marie to repeat to her what “ all those letters and numbers mean.” Nurse Marie replies that it means the following:

A. Two tumours present, one lymph node involved, and many sites of metastasis.

B. One large tumour present, nodal involvement in one region, and metastasis was present.

C. Two tumours present, one lymph node involved and metastasis was present.

D. One tumor present, which is larger than 2.5 centimeters, nodal involvement in one region, and metastasis was unable to be determined.

The nurse monitors the client undergoing plasmapheresis. Which of the following reactions should the nurse observe?

A. shortness of breath

B. numbness and tingling

C. transfusion reactions

 

D. high blood pressure

The nurse is aware that clients with COPD are at risk for ineffective respirations EXCEPT which of the following _________?

A. Clients undergoing thoracic or abdominal surgery

 

B. Clients with rib fractures and kyphosis

C. Clients with neuromuscular disorders such as Guillain-Barre’ syndrome

D. Clients with fluid volume deficit

 The nurse understands that excess acid in the body acts as CNS depressant. Clients with acidosis may exhibit which of the following symptoms:
1. reduced level of consciousness
2. confusion
3. lethargy
4. coma

A. all of the options

B. 1, 3, & 4

C. 1, 2, 3

 

D. 1 & 3

The nurse understands that respiratory acidosis occurs when __________:

A. the body retains too much carbon dioxide

 

B. the client is unable to exhale carbon dioxide

C. the client hyperventilates

D. there is loss of acid or retention of base in the body

Nurse Mark formulates an assumption for the study. Which of the following is MOST acceptable?*

A. Liver cancer cases have decreased in 2017 due to intensive public awareness

B. More Filipinos regardless of gender are diagnosed with colorectal cancer.

C. Male Filipinos are prone to colorectal cancer than liver cancer.

D. The leading cause of colorectal cancer among Filipinos is high consumption of alcohol.

Nurse Mark is assigned in the oncology unit of a tertiary hospital.  He is aware of the increase in number of colorectal cancer patient in his unit. He and a colleague plan to conduct a study of the incidence of colorectal cancer in the Philippines.

Which of the following is the MOST appropriate recommendation Nurse Mark should propose?*

A. Warning signs of the effects of alcohol should be printed on bottles and cans of alcoholic beverages.

 

B. Health professionals should educate the public on the risk factors of CRC.

C. DOH only should intensify its campaign on colorectal cancer awareness.

D. Congress should pass a bill banning all cancer-producing foods and beverages.

The nurses cares for a 30 year old patient who is admitted for severe vomiting. The diagnosis of the patient is hypernatremia.

 

The nurse reads the laboratory results. Which of the following values indicate that the patient is experiencing hypernatremia?

A. Potassium level of 5.5mEg/L

B. Urine specific gravity below 1.0008

 

C. Serum osmolality below 280mOsm/kg

D. Serum osmolality above 295mOsm/kg

 To initiate an intervention in collaboration with the health team, Nurse Gina must be competent in which of the following areas?

A. Leadership, autonomy, and skills

B. Experience, advanced education, and skills

C. Knowledge, function, and specific skills

 

D. Leadership, finances, and skills

Nurse Gina is a potential team leader of the health team. Which of the following skills should she develop?*

A. Collaborative skills

B. Management

C. Supervisory skills

 

D. Patient advocacy

 Four victims are brought to the ED after a motor vehicle crash. Who among the following victims require the HIGHEST priority for the treatment?

A. 21 year-old male with fracture of the face jaw.

 

B. 20 year-old female with misaligned right leg.

C. 35 year-old male complaining of abdominal pain.

D. 62 year-old female with palpitation and chest pain.

The nurse writes a care plan for the client. Included in the care plan is to provide health teachings. Before the nurse performs any teaching, what should the nurse do FIRST?

A. Evaluate the client’s existing level of knowledge about HIV infection.

B. Assess the client’s immediate clinical status.

 

C. Assess the emotional status of the client.

D. Focus on potential problems the client may encounter during the illness.

To determine whether the client is infected with HIV, the physician writes an order for HIV antibody testing. What test would confirm a positive ELISA test?*

A. CD4 cell count

B. Easter Blot test

C. HIV antigen test

 

D. Western Blot test

The client is being treated for thrush. The patient asks if there are any side effects of the medication she is receiving for thrush. Which of the following should the nurse include in her teaching?*

A. “There are few side effects associated with the medications to treat thrush”

B. “Hepatitis can develop as a side effect.”

C. “Nausea, vomiting, and diarrhea are common side effects.”

 

D. “Skin discoloration is a common side effect.”

 The client complains of increasing pain in her feet and legs. The nurse realizes that the client is demonstrating a/an _________:

A. nervous system manifestation of the disease

B. reaction to a medication

C. opportunistic infection

 

D. secondary cancer

 The nurse recalls specific anatomic sites for aneurysm. The most common sites are the aortic arch, thoracic aorta and abdominal aorta. Which of the following areas is an AAA most commonly located?*

A. Proximal to the renal arteries

B. Distal to the iliac arteries

C. Distal to the renal arteries

D. Adjacent to the aortic arch

The nurse is aware that rupture of the aneurysm is a life-threatening emergency. Which of the following groups of symptoms indicates a ruptured AAA?

A. Intermittent lower back pain, decreased blood pressure, decreased RBC count, increased WBC count.

 

B. Severe back pain, decreased blood pressure, decreased RBC count, increased WBC count.

C. Lower back pain, increased blood pressure, decreased RBC count, increased WBC count.

D. Severe lower back pain, decreased blood pressure, decreased RBC count, increased WBC count.