Comprehensive Exam 1
a. Rehabilitation department
Situation 1 - Concerted work efforts among b. Laboratory department
members of the surgical team is essential to c. Maintenance department
the success of the surgical procedure. d. Radiology department
1. The sterile nurse or sterile personnel 4. Minimally invasive surgery is
very much
touch only sterile supplies and into technology. Aside from the usual
instruments. When there is a need for surgical team who else to be present
sterile supply which is not in the sterile when a client undergoes laparoscopic
field, who hands out these items by surgery?
opening its outer cover?
a. Information technician
a. Circulatingnurse b. Biomedical technician
b. Anesthesiologist c. Electrician
c. Surgeon d. Laboratory technicial
d. Nursing aide
5. In massive blood loss,prompt
2. The OR team performs distinct roles for replacement of compatible blood is crucial.
one surgical procedure to be accomplished What department needs to be alerted to
within a prescribed time frame and deliver coordinate closely with the patient's family
a standard patient outcome. White the for immediate blood component therapy?
surgeon performs the surgical procedure,
who monitors the status of the client like
urine output, blood loss?
a. Scrub nurse
b. Surgeon
c. Anesthesiologist
d. Circulating nurse
3. Surgery schedules are communicated to
the OR usually a day prior to the procedure
by the nurse of the floor or ward where the
patient is confined. For orthopedic cases,
what department is usually informed to be
present in the OR?
, adaptation to pain. Which of the following
a. Security Division behaviors-indicate appropriate
b. Chaplaincy adaptation?
c. Social Service Section
d. Pathology department a. The client reports pain reduction and
decreased activity
Situation 2 - You are assigned in the b. The client denies existence of pain
Orthopedic Ward where clients are c. The client can distract himself during pain
complaining of pain in varying degrees episodes
upon movement of body parts. d. The client reports independence from
watchers
6. Troy isa one day post open reduction
and internal fixation (ORIF) of the left hip 9. Pain inOrtho cases may not be mainly
and is in pain. Which of the following due to the surgery. There might be other
observation would prompt you to call the factors such as cultural or psychological
doctor? that influence pain. How can you alter
these factors as the nurse?
a. Dressing is intact but partially soiled
b. Left foot is cold to touch and pedal pulse is a. Explain all thepossible interventions
absent that may cause the client to worry.
c. Left leg in limited functional anatomic b. Establish trusting relationship by giving his
position medication on time
d. BP 114/78, pulse of 82 beats/minute c. Stay with the client during pain episodes
d. Promote client's sense of control and
7. There is
an order of Demerol 50 mg participation in pain control by listening to
I.M. now and every 6 hours p r n. You his concerns
injected Demerol at 5 pm. The next dose
of Demerol 50 mg I.M. is given: 10. In some hip surgeries, an epidural
catheter for
a. When the client asks for the next dose
b. When the patient is in severe pain
c. At 11pm
d. At 12pm
8. You continuously evaluate the client's
214
,
, Fentanyl epidural analgesia is given. d. Depart of Health (DOH)
What is your nursing priority care in
such a case? 13. In the hospital,
when you need-the
medical record of a discharged patient for
a. Instruct client
to observe strict bed rest research, you will request permission
b. Check for epidural catheter drainage through:
c. Administer analgesia through epidural
catheter as prescribed a. Doctor in charge
d. Assess respiratory rate carefully b. The hospital director
c. The nursing Service
Situation 3 - Records are vital tools in any d. Medical records section
institution and should be properly
maintained for specific use and time. 14. You readmitted a client who was in
another department a month ago. Since
11. The patient's
medical record can work you will need the previous chart, from
as a double- edged swords. When can the whom do you request the old chart?
medical record become the doctor's/nurse
worst enemy? a. Central supply section
b. Previous doctor's clinic
a. When the record is voluminous c. Department where the patient was
b. When a medical record is subpoenaed in previously admitted
court d. Medical records section
c. When it is missing
d. When the medical record is inaccurate, 15. Records Management and Archives
incomplete, and inadequate Offices of the DOH is responsible for
implementing its policies on
12. Disposal of medical records in
government hospitals/institutions
must be done in close coordination
with what agency?
a. Department of Interior and Local
Government (DILG)
b. Metro Manila Development Authority
(MMDA)
c. Records Management Archives Office
(RMAO)
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