Q42. A staff nurse was entering patient’s clinical notes in the computer, and had to leave to attend an immediate call without completion of recording. Another nurse used the account of the previous nurse to enter her notes.
Which of the following BEST describes the ethical issue that was committed?

Q43. Which of the following is the appropriate nursing action in the termination phase of the home visit?

Q44. A nursing instructor provides a session to a group of nursing students about the importance of anion gap in an acid base imbalance.
Which of the following statements if made by the nursing student would indicate the understanding of the teaching?

Q45. The doctor heard a staff nurse saying “That doctor is incompetent”.
The doctor can file a complaint against the staff nurse for:

Q46. A nurse visited a postpartum mother who delivered a baby boy 3 days ago. During assessment, the nurse suspects that the mother is having postpartum depression.
Which behavior suggests the condition in the mother?

Q47. A client with schizophrenia is placed on chlorpromazine 50 mg PO bid, and Benztropine 2 mg PO bid PRN.
Which of the following nursing assessment findings would indicate a need to administer Benztropine?

Q48. A nurse caring for a 52-year-old patient who is scheduled for cardiac surgery understands that this patient would be experiencing which of the following type of stressors?

Q49. The nurse cares for a 60-year-old patient who is post renal transplant and on Sandimmune (Cyclosporine).
While assessing the patient the nurse observed signs of septic shock.
Which of the following is a risk factor that predisposes the patient for septic shock?

Q50. The following term refers to the type of abortion in which the fetus dies in the uterus but is not expelled:

Q51. A nurse is caring for a patient with HIV who manifest chronic diarrhea, anorexia, a history of oral candidiasis, and weight loss.
Which dietary instruction would be included in the teaching plan?

Q52. A mother of a newborn is diagnosed with breast cancer, the surgeon recommended to carry out an emergency operation.
According to Freud’s theory, which stage of newborn development is being affected?

Q53. Which of the following is an appropriate role of the parents in the teenage-stage of family developmental tasks?

Q54. Which of the following is the MOST common cause of aortic dissection is:

Q55. A nurse is providing health instructions for a patient who is being treated for streptococcal pharyngitis.
Which of the following statements by the patient indicates the need for further education?

Q56. A nurse aims to establish a respectful therapeutic relationship with a patient.
Which of the following actions is MOST appropriate to achieve this?

Q57. A nurse is caring for a patient with bacterial meningitis who develops high-grade fever and nasal discharge.
Which of the following is the FIRST nursing intervention for this patient?

Q58. A nursing director wishes to improve the job performance of a group of medical orderlies who are ineffective in their job.
Using Herzberg’s theory of motivation, what would be the most appropriate motivator?

Q59. A 50-year-old multi-para woman complains of a soft bulge of tissue in her vagina. It is uncomfortable to her and is protruding through her vaginal orifice. The woman expresses her anxiety regarding her situation.
What is the IMMEDIATE action of the nurse?