Professional Documents
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Recalls 1 - Np4
Recalls 1 - Np4
Recalls 1 - Np4
SITUATION 1
Nurse Kim cares for a 40-year-old male with electrolyte imbalance. On
assessment, the nurse observes the client to be confused, restless and
lethargic.
1. Nurse Kim carries out the order for the client to have a diagnostic test. Which * 1/1
of the following values indicate hyponatremia? A sodium level _____
2. Nurse Kim is aware that the MOST common electrolyte abnormality in * 1/1
hospitalized patient is ______
A. Hyperkalemia
B. Hyponatremia
C. Hypernatremia
D. Hypokalemia
3. Nurse Kim writes a nursing diagnosis. Which of the following diagnoses is * 0/1
MOST appropriate for the client?
Correct answer
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4. The physician prescribes intravenous solutions for the client. Which of the * 0/1
following solutions is appropriate?
D. Dextrose 5 % in water
Correct answer
5. An appropriate nursing intervention for the client is for Nurse Kim to________ * 1/1
SITUATION 2
The nurse cares for a group of clients with
allergies.
6. The nurse assesses the client who says he is highly allergic to many food items * 0/1
and medications. Which of the following hypersensitivity reactions would be
responsible for this type of clinical manifestation?
Correct answer
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7. The nurse assesses an atopic client who had serious Type 1 hypersensitivity * 1/1
reactions. The nurse is aware that the most severe form of a Type 1
hypersensitivity reaction is which of the following conditions?
A. Cell-mediated sensitivity
B. Dermatitis
C. Anaphylaxis
D. Bronchial asthma
9. The nurse develops a care plan for a client with a past history of anaphylaxis. * 1/1
Which drug should the nurse instruct the client to always have it readily available
to treat possible allergic reaction?
A. Diphenhydramine
B. Acetaminophen
C. Epinephrine
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A. 5 – 15 minutes
B. 30 – 40 minutes
C. 60 minutes
D. 15 – 25 minutes
Correct answer
A. 5 – 15 minutes
SITUATION 3
Nurse Em cares for a 30 year old male who
suffered a spinal cord injury sustained in a sporting accident which resulted
in paraplegia. The following questions relate to the care of a client with a
paraplegia.
11.The client is fortunate that the level of his injury did not affect his respiratory * 1/1
function. The nurse understands that the cord segments involved in maintaining
respiratory function are:
A. C1-2
B. C3-4
C. C5
D. C6
12. Nurse Em understands that the LEAST effective method of preventing * 1/1
contractures of the joints of the lower extremities would be to:
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13. Nurse Em plans care for the client which includes turning the client every two * 0/1
hours. This nursing measure is necessary to:
Correct answer
14. Nurse Em recognizes that an early major problem of the client with paraplegia * 1/1
is:
A. Client education.
B. Bladder control.
D. Quadriceps setting
15. Nurse Em is aware that a complication the client with paraplegia may * 0/1
experience is formation of urinary calculi. The factor that contributes to this
condition is:
Correct answer
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SITUATION 4
A 63-year-old male arrives at the Out-Patient
Department complaining of numbness and tingling sensation of the lower
extremities and pain in the legs upon exercising. The nurse suspects the client
may have Peripheral Arterial Disease (PAD).
16. The nurse asks the client the following questions. Which of the questions * 0/1
would determine the risk factors of PAD?
A. 2, 3, & 4
B. 1, 2, 3, 4, & 5
C. 1, 4, & 5
D. 1, 2, & 3
Correct answer
D. 1, 2, & 3
17. The client asks the nurse what the doctor meant when he heard him say that * 0/1
the client has intermittent claudication. The nurses’ BEST response is, Intermittent
claudication is_______
Correct answer
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18. The nurse writes a nursing diagnosis of Ineffective Tissue Perfusion for the * 1/1
client. Which of the following interventions is MOST appropriate for this nursing
diagnosis?
19. The nurse writes another nursing diagnosis of Risk for Impaired Skin Integrity * 0/1
related to decreased peripheral circulation. Which of the following interventions is
MOST appropriate for the nurse to instruct the client?
A. Monitor the extremities for color, motion and sensation, and pulses.
C. Avoid risk factors that may increase problems with Peripheral Arterial Disease.
D. Protect the legs from injury because the tissues are fragile.
Correct answer
20. Which of the following outcomes indicate that there is increased arterial blood * 0/1
supply to the extremity of the client with peripheral arterial disease?
C. Increased rubor
Correct answer
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SITUATION 5
Nurse Rose is a newly registered nurse. She is
assigned to the surgical unit of X hospital. She is aware of the legal
responsibilities when performing patient care. The following are situations she
encountered in the surgical unit with legal significance.
21. A patient is scheduled for abdominal surgery. Which of the following * 1/1
statements is a responsibility of Nurse Rose in obtaining a consent form?
1. Ensure that the consent form has been signed and is attached to the chart of the
patient before the operation.
3. Provide a detailed description of the operation before asking the patient to sign
the consent form
4. Answer questions that the patient may ask before the patient signs the consent
form.
A. 3 & 4
B. 1, 2 & 3
C. 1, 2 & 4
D. 1 & 3
22. Which of the following health care professionals is legally responsible for * 1/1
obtaining informed consent for an invasive procedure? The ____
A. Surgeon
C. Medical director
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23. Nurse Rose documents her observation on a patient for abdominal surgery. * 1/1
Which of the following statements is legally appropriate notation?
A. “The charge nurse spoke with the patient about the surgery”
C. “Patient says he will sue the surgeon and the hospital if the operation turns out to be
a failure.”
D. “Patient says he feels sharp and stabbing pain in the abdominal area.”
24. The attending physician writes an order of Do Not Resuscitate (DNR) on a * 0/1
patient who is seriously ill. Which of the following is a responsibility of Nurse
Rose? Nurse Rose should ________
1) Carry out the order in the event the patient experiences sudden need for CPR
2) Determine if there is a living will on the medical record of the patient
3) Consult the policies and procedures of the Institution if she feels such DNR
order is contrary to the patient’s or family’s wishes.
4) Refer to the Ethics Committee of the Institution the DNR order to determine
appropriateness of the order.
A. 2 & 3
B. 1 & 3
C. 3 & 4
D. 1 & 2
Correct answer
A. 2 & 3
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25. The physician orders a dose of medication to be given to a patient before * 0/1
undergoing surgery. Nurse Rose is aware that the dose is too high for the patient.
She tries to locate the physician to check the order but the physician is not
available. Which of the following is the MOST appropriate action Nurse Rose will
take to ensure the safety of the patient?
Correct answer
SITUATION 6
The charge nurse in the Emergency Department
calls for a crisis meeting to review principles in mass casualty to enhance
preparedness and improve emergency quality care.
26. Which of the following statements is NOT TRUE about emergency * 0/1
preparedness?
A. Hospitals should have an emergency preparedness plan that is tested through drills
or actual participation.
Correct answer
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27. The charge nurse explains that mass casualty incidents are due to events such * 1/1
as the following EXCEPT:
A. Earthquakes
C. Lightning strikes.
D. Transportation disasters.
28. The charge nurse reiterates the importance of using a disaster triage tag system. * 1/1
Clients that have been “green-tagged” are those ________.
29. The term NBC means nuclear, biological and chemical weapons of mass * 1/1
destruction. Which of the following is an example of biologic terrorism agents?
A. Vaccine
C. Anthrax
D. Neoplastic agents
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30. The charge nurse emphasizes the overall goal in a disaster situation which is * 0/1
___.
B. Using a disaster triage system that categorizes triage priority by color and
number.
C. Calling all emergency medical service providers from the hospital to attend the
needs of the victims.
Correct answer
SITUATION 7
The nurse in the emergency department performs
initial assessment on clients brought to the department. The following questions
pertain to assessment and nursing interventions
31. The nurse assesses a trauma client in pain who refuses pain medication. Which * 1/1
of the following alternative methods to manage pain can the nurse use or
recommend?
1) Positioning/Splinting
5) Humor
A. 1, 2, 3 & 5
B. 2, 4 & 5
C. 1, 2, 3, 4 & 5
D. 1, 2 & 5
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32. The nurse assesses circulation of an adult trauma victim by palpating a central * 1/1
pulse. Which of the arteries will the nurse palpate?
A. Apical artery
B. Brachial artery
C. Femoral artery
D. Popliteal artery
33. The nurse performs complete spinal immobilization. The procedure includes * 1/1
the following actions EXCEPT _____.
34. In inspecting a client’s airway, the nurse should observe the following, * 0/1
EXCEPT:
Correct answer
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35. The correct sequence of the primary assessment of trauma clients is ____. * 0/1
1) Open and inspect the client's airway while initiating or maintaining cervical
spine protection.
A. 2, 5, 1, 3 & 4
B. 1, 2, 3, 4 & 5
C. 1, 3, 2 & 5
D. 1, 5, 2, 3 & 4
Correct answer
D. 1, 5, 2, 3 & 4
SITUATION 8
A 38 year old female trauma victim is brought to
the emergency department of X hospital.
36. The trauma client has a blood type of AB+. Which type of blood will the client * 0/1
need?
A. AB-
B. AB+
C. Any type
D. O+ only
Correct answer
C. Any type
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37. Nurse Pau continues to monitor the condition of the trauma client. The client is * 1/1
in hypovolemic shock. Which of the following types of blood products should
Nurse Pau prepare?
A. Platelets
C. Plasma
D. Whole blood
38. Nurse Pau admits the client. What factors will assist the nurse in determining * 0/1
the classification of a trauma client?
A. 2 & 4
B. 1, 2, 3, & 4
C. 1 & 3
D. 1, 2 & 4
Correct answer
B. 1, 2, 3, & 4
39. The trauma client manifests a deviated trachea, jugular vein distention, and * 1/1
cyanosis. Nurse Pau realizes that the trauma client is MOST likely demonstrating?
A. Tension pneumothorax
D. Acceleration-deceleration injury
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40. The physician assesses the trauma client using the Champion Revised Scoring * 0/1
System. Nurse Pau understands that the elements of this scoring system are which
of the following:
A. 2, 4 & 5
B. 2, 3, 4 & 5
C. 1, 3 & 5
D. 1, 2, 3, 4 & 5
Correct answer
A. 2, 4 & 5
SITUATION 9
The nurse assists in the care of a 20-year old
male client needing blood transfusion. The attending physician writes an order
of blood transfusion of 250 cc of packed red cells after blood cross matching.
41. Before infusing the blood, the nurse assesses the client’s ________. * 1/1
A. Vital signs
B. Mental state
C. Skin color
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42. The nurse takes the temperature of the client. The temperature registers 39⁰C. * 0/1
Based on this finding, the nurse should:
D. Give tepid sponge bath and wait for the temperature to go down then transfuse
the blood.
Correct answer
43. Which of the following nursing interventions should have the HIGHEST * 0/1
priority when caring for a client receiving blood transfusion?
B. Instruct the client to notify the nurse if the client experiences itchiness, headache or
difficulty of breathing.
C. Document the blood type, time transfusion started, and vital signs taken.
D. Inform the client that the transfusion may last for one and a half to two hours.
Correct answer
B. Instruct the client to notify the nurse if the client experiences itchiness, headache or difficulty of
breathing.
44. The nurse administers the blood and starts the transfusion at 20 – 25 drops per * 1/1
minute. The nurse observes for a transfusion reaction which usually occurs during
the _____ minutes after transfusion.
A. 15 minutes
B. 45 minutes
C. 5 minutes
D. 30 minutes
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45. The client receiving blood transfusion begins to wheeze on respiration, itch * 0/1
and observes that his skin becomes flushed with hives. The nurse recognizes these
signs as characteristic of what type of reaction?
A. Bacterial
B. Hemolytic
C. Allergic
D. Systemic
Correct answer
C. Allergic
SITUATION 10
Nurse Olan works the day shift in the female
medical unit. Nurse Olan is aware that when caring for clients, the nursing
process can be an effective tool for communication.
46. Nurse Olan understands that the MOST important aspect of communication is * 1/1
to_____
47. Which of the following activities will Olan consider to validate effectiveness of * 1/1
a nurse-client communication?
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48. Nurse Olan formulates nursing diagnoses for her clients. She knows that a * 1/1
nursing diagnosis represents the:
49. Nurse Olan collects data and begins to develop a trust relationship with her * 1/1
clients. This activity is what aspect of the nursing process?
A. Evaluation
B. Implementation
C. Planning
D. Assessment
50. Nurse Olan understands that the nursing process is a scientific method and a * 1/1
proven form for:
A. Problem solving
B. Health education
C. Oral communication
D. Cost containment
SITUATION 11
Mr. M. E, 37 year old was
accompanied by his wife and teen age daughter to the out patient department for
complaints of fever, fatiuge, malaise and painful swollen joints. The physician
ordered that the Mr. M.E be admitted to the hospital for observation and
treatment. You are the admitting nurse in the OPD. You found out during the
interview that Mr. M. E does not have a regular job. His wife works as laundry
woman.
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51. Before admitting the client, you should FIRST make sure that: * 1/1
b. The consenr for admission is signed by the wife and witnessed by the daughter.
52. Mr. M.E id brough to the medical ward. The next day, he wants to know about * 1/1
his illness. The nurse on duty replied, “You don’t need to know your diagnosis”.
Which of following rights of the patient is violated? Right to ______.
53. After five days of hospitalization, the physician said Mr. M.E can be * 1/1
discharged. He ordered medications to be taken at home. The client is still weak
and symptomatic. Which of the following rights could be violated in this case?
Right to ____.
b. Privacy
c. Refuse treatment
d. Continuity of care
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54. Because Mr. M.E cannot pay for his medical bills, he is referred to the social * 1/1
worker. Which of the following rights is applicable on this case? The right to ___.
c. Examine and receive an explanation of his medical bills regardless of the source of
payment
d. Know what hospital rules and regulation apply to his conduct as a client.
55. The nurse discusses and shares the medical records of Mr. M.E to a group of * 0/1
visiting members of a medical mission team. Which of the following rights could
be violated? The right to ___:
a. Expect that all communications and records pertaining to his care should be
treated as confidential.
b. Obtain information regarding any relationship of the hospital to another health care
and educational institution in so far as his care is concerned.
c. Informed consent
d. Privacy
Correct answer
d. Privacy
SITUATION 12
Ms. Jenny is a charge nurse
of an oncology unit. She prepares a unit plan to improve the delivery of
patient care and maximizing all human and material resources of the unit.
56. Ms. Jenny implements a change in the nursing delivery system from functional * 1/1
to team nursing. This type of nursing model of practice is:
c. Managed care concepts and tools are used in providing patient care.
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57. In implementing the change, Ms. Jenny has the consensus of the staff and * 1/1
other personnel involved in the care of patients. The main purpose of achieving a
consensus when making a decision within a group is to ___.
58. Ms. Jenny is aware that there are nursing and other personnel who may be * 0/1
resistant to the change and are not taking an active part in facilitating the process of
change. To overcome resistance to change, the MOST important action by Ms.
Jenny would be to ___.
Correct answer
59. To ensure efficiency when organizing daily workload, Ms. Jenny reminds her * 0/1
staff that they should do which of the following:
Correct answer
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60. Which of the following is the MOST effective resource in helping a staff nurse * 1/1
identify a solution to a clinical problem?
SITUATION 13
A 55 year old male is admitted for complaints
of joint pains, weakness, muscle spasm and stiffness when waking up in the
morning. He was diagnosed with Rheumatoid Arthritis (RA).
61. Nurse Ray is aware that RA is a debilitating chronic auto-immune disease. The * 1/1
patient asks the nurse why his joints are becoming increasingly painful. Which of
the following statements is TRUE about RA? Rheumatoid Arthritis ____.
62. The patient further complains that he gets tired easily when helping his wife in * 1/1
household chores. He further complains that whenever he walks, his knee hurts.
Based on this information, Nurse Ray writes a nursing diagnosis. Which of the
following nursing diagnoses is MOST appropriate?
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63. Nurse Ray develops a care plan for positioning the patient. Nurse Ray instructs * 1/1
the patient to assume a position that would ___:
64. Nurse Ray writes a nursing diagnosis of activity intolerance related to lack of * 1/1
energy conservation. Which of the following activities would Nurse Ray likely to
choose to implement in response to the diagnosis?
a. Encourage the patient to perform all tasks planned for the day.
b. Instruct the patient not to perform daily hygienic care until activity intolerance
improves.
d. Encourage the patient to alternate periods of rest and activity throughout the
day.
65. The patient is ready for discharge. He tell Nurse Ray, “I know it is important to * 1/1
exercise my joints, so I won’t lose mobility. But my joints are so stiff and painful
that exercise is difficult. “Which of the following responses by Nurse Ray is
MOST appropriate?
a. “Talk to your physician and tell him how you feel. Maybe he can increase the
dosage of your pain medication”.
b. “Take a warm bath before exercising. This may relieve some of your
discomfort.”
c. “You are probably exercising too much. Decrease your exercise to every other
day”.
d. “Stiffness and pain are part of your ailment. You can learn to cope by focusing on
activities you enjoy”.
SITUATION 14
The nurse cares for
several clients with acid- based imbalances.
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66. The nurse is aware that a client who has experienced cardiac arrest is MOST at * 1/1
risk for which of the following imbalances?
a. Metabolic Alkalosis
b. Respiratory Alkalosis
c. Metabolic Acidosis
d. Respiratory Acidosis
67. The nurse assists in the care of a 30 year old male post surgical client * 0/1
undergoing nasogastric suctioning. The nurse understands that clients with
nasogastrics suction is MOST at risk with what imbalances?
a. Respiratory Acidosis
b. Metabolic Alkalosis
c. Metabolic Acidosis
d. Respiratory Acidosis
Correct answer
b. Metabolic Alkalosis
68. The nurse assesses a 32 year old female client who appears very anxious, * 1/1
restless and irritable. The client has marked increase rate and depth of respirations.
Based on the information gathered, the client is experiencing which of the
following imbalances?
a. Respiratory Alkalosis
b. Metabolic Acidosis
c. Metabolic Alkalosis
d. Respiratory Acidosis
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69. The female client who is very anxious and fidgety is blowing off to much * 1/1
carbon dioxide develops tingling sensation of the lips andfingers and is not able to
control her respirations. The most appropriate nursing intervention for the client is
to ___:
a. Instrust the client to blow her nose and take deep breaths
b. Administer oxygen
70. The nurse obtains a sample of a client’s arterial blood gas (ABGs). Which of * 0/1
the following statements is NOT true about ABGs?
a. Interpretation of the client’s ABGs involves evaluation of pH, PCO2 and HCO3;
components of the ABGs.
b. ABGs assess the client’s oxygenation status and acid- base status.
Correct answer
SITUATION 15
Mila, a 35 year old female
was brought in the Emergency Unit complaining of cold, clammy skin,
disorientation, restlessness and confusion. The nurse suspects the patient is
developing cardiogenic shock.
71. Nurse Victor who admitted patient mila is aware that a decrease in cardiac * 1/1
output results in a decrease in cerebral blood flow. Which of the following
symptoms is one of the earliest sign of cardiogenic shock?
a. Tachycardia
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72. Nurse Victor assesses patient Mila. Decrease of which of the following factors * 0/1
would help detect that the patient is at risk in developing cardiogenic shock?
a. Heart Rate
c. Cardiac Index
d. Blood Pressure
Correct answer
c. Cardiac Index
73. Nurse Victor reviews the medical history of patient Mila. Which of the * 1/1
following conditions is the MOST common cause of cardiogenic shock?
b. Hypotension
74. Which of the following procedure would be most helpful to nurse victor to * 0/1
confirm the underlying cause of cardiogenic shock?
Correct answer
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75. The physician prescribes a treatment plan for patient Mila. Nurse victor * 1/1
understands that the initial treatment goal is which of the following?
a. Prevent infection
c. Correct hypoxia
SITUATION 16
Ms. Dong-a 35 year old
and a mother of two sought consultation at the OPD. She claims that she felt a
lump on her breast while doing a self- breast examination. On further
examination, nurse Matilde confirmed that the lump was felt in the upper outer
quadrant of the right breast.
76. The nurse evaluates Ms. Dong-a for breast cancer. Which of the following is a * 0/1
risk factor for developing breast cancer?
Correct answer
77. The nurse recalls that there are other known risk factors for breast cancer such * 1/1
as family history, environmental and dietary factors. Which of the following is a
best established dietary factor breast cancer?
b. Alcohol intake
d. Caffeine Consumption
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78. The nurse is aware that for breast cancer patients, the single and most * 1/1
important predictor of outcome is the ___:
79. Ms. Dong-a appears to be worried and anxious. She asks the nurse what the * 0/1
doctor meant when told that she has stage II cancer. The nurse explains that
staging is based on the size of the primary tumor. In Stage II, the tumor is ____:
Correct answer
80. Based on further assessment, biopsy result, Ms. Dong-a may have to undergo * ···/1
mastectomy. The nurse recognizes that mastectomy is the treatment of choice
when which of the following condition apply?
a. 1,2 and 3
b. 2,3 and 4
c. 1,3 and 4
d. 1,2,3 and 4
No correct answers
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SITUATION 17
Nurse Carol participated in
a study the purpose of the which is to determine the extent to which gender,
age, weight and height predict selected physiologic outcome, namely: forced
expiratory volume in one second, hemoglobin concentration, food intake, serum
glucose concentration, total serum cholesterol concentration and cancer related
weigh change.
81. The independent variable of this study are the following, EXCEPT: * 1/1
b. Age
c. Gender
d. Educational Attainment
82. The dependent variables of this study are which of the following: * 1/1
a. Cancer
b. Physical Charcteristics
d. Physiologic outcomes
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83. Nurse carol formulates the problem statement for the study. She understands * 0/1
that a good problem has which of the following characteristics: The problem
_____.
a. 1,3 and 4
b. 1 and 3
d. 2 and 4
Correct answer
84. Nurse Carol determines the participants in the study. The sample of the study * 0/1
will be every 5th person in the oncology unit. A table of random numbers will be
used to select the beginning of the sampling with in the first sampling interval.
This is an example of which sampling method?
b. Quota sampling
d. Systematic sampling
Correct answer
d. Systematic sampling
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85. Nurse Carol plans to use a method of data collection that use technical * 1/1
instruments to collect data the client’s physical, chemical, microbiological and
anatomical status. Which of the following is a method appropriate for the study?
a. Psychological
b. Physiological
c. Instrumentation
d. Pharmacological
SITUATION 18
You and your friends are
enjoying a quiet meal in a restaurant. Suddenly you noticed that an adult male
customer was holding his throat and apparently choking on his food.
86. You approach the person who is apparently choking. What should you do * 0/1
first?
Correct answer
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87. You prepare to perform the Heimlich Maneuver on the conscious adult male. * 1/1
What are the step to be followed? Arrange the procedure in sequence.
1. Place the thumb side of the fist just above the umbilicus and well below the
xiphoid process.
5. Perform five quick in and up thrusts (between the umbilicus and xiphoid
process)
a. 2,5,3,4,1
b. 1,2,3,4,5
c. 4,3,1,2,5
d. 3,4,2,1,5
1. Place the heel of one hand on top of the bottom the umbilicus and xiphoid
process.
3. Give five thrusts in and up with heel of the bottom hand.
a. 1,2,3
b. 1,2,3,4
c. 2,1,3
d. 2,4,1,3
Correct answer
d. 2,4,1,3
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89. When you perform abdominal thrusts during the heimlich maneuver, you are * 0/1
trying to __.
Correct answer
90. If the victim is pregnant or obese, which modification of the heimlich * 1/1
maneuver would be appropriate for this person?
a. Thrust against the middle of the sternum rather than between the umbilicus and
xiphoid process.
b. Perform thrusts gently, rather than forcefully and discontinue the thrusts after 6 tries,
if unsucessful
c. Place the fist with the pinkie finger, rather than the thumb against the person’s body.
d. Perform the thrusts with the person in the supine, rather than standing position.
SITUATION 19
The nurse cares for a 4o
year old female admitted with a diagnosis of chronic ulcerative colitis. The
nurse tries to communicate therapeutically with the client.
91. The nurse recalls that this client is her third admission in the last 8 months. The * 1/1
client is familiar with the nurse. Which of the following remarks by the nurse
would be most beneficial to the client?
b. “I don’t have to explain things to you. You have been here before anyway”.
c. “It’s been 3 months since you were last here. How do you feel about being back
in the hospital?”
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92. The physician assessess the client and recommends a partial bowel resection * 1/1
and an ileostomy. The client tells the nurse, “My doctor likes to play smart. T’m
sure the more he operates, the better he likes it”. Which pf the following responses
by the nurse would ne most appropriate?
a. ” Are you not being hard on your doctors? He is trying to help you”.
c. “You sound upset. We can talk about it, if you would like to.”
d. “Is your remarks in any way have something to do with your operation?”
93. The client becomes increasingly irritable thinking about her operation. She is * 1/1
unpleasant to her visitors and refuses her medication and treatments. Which of the
followingnursing interventions would be therapeutics?
b. Continue performing assigned tasks and duties as though nothing has happened.
d. Offer the client positive reinforcement everytime she cooperates with her
medications and treatments.
94. The client refuses to eat her lunch and angrily tells the nurse to get out of her * 1/1
room. What would be the nurses’ best respnse?
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95. The nurse made arrangement for a former client who underwent ileostomy to * 1/1
talk with client. The reason for the which is to ___:
b. Let the client know that she is not the only one who experienced the operation
c. Provide support for the plan of the physician regarding therapy of the client.
d. Convince the client that she will not be disfigured and can still lead quality life.
SITUATION 20
Ms. Ada is a nurse working
in the surgical unit. She is aware of her legal responsibilities as she assists
in the care of post operative pateints.
96. Which principle is applicable in a situation where a sponge was left inside the * 0/1
abdomen of a patient who had an exploratory laparotomy?
Correct answer
97. Under the doctrine of respondeat superior, who among the following is liable if * 0/1
the patient who had exploratory previously was reopened and a piece of gauze
was found in the abdominal cabity? The ___:
a. Instrument Nurse
b. Surgeon
d. Assistant Surgeon
Correct answer
b. Surgeon
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99. Performing an act which a resonable and prudent nurse would not do or the * 0/1
failure to perform an act which a reasonble and prudent nurse would have done
under similar situations is construed as___.
a. Misdemenor
b. Malfeasance
c. Malpratice
d. Negligence
Correct answer
d. Negligence
100. Ms. Ada learned of a nurse in the orthopedic ward who applied hot water * 1/1
bottle over a paralyzed leg which consequently go burned. This is an example:
a. Malfeasance
b. Misdemeanor
c. Malpractice
d. Negligence
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