NP 1

Question 1

SITUATION: Nursing is a profession. The nurse should
have a background on the theories and foundation of
nursing as it influenced what is nursing today.
1. Nursing is the protection, promotion and
optimization of health and abilities, prevention
of illness and injury, alleviation of suffering
through the diagnosis and treatment of human
response and advocacy in the care of the
individuals, families, communities and the
population. This is the most accepted definition
of nursing as defined by the:
a. PNA
b. ANA
c. Nightingale
d. Henderson

Answer 1

B. ANA

Question 2

2. Advancement in Nursing leads to the
   development of the Expanded Career Roles.
   Which of the following is NOT an expanded
   career role for nurses?
   a. Nurse practitioner
   b. Nurse Researcher
   c. Clinical nurse specialist
   d. Nurse anaesthesiologist

Answer 2

D. Nurse anaesthesiologis

Question 3

The Board of Nursing regulated the Nursing
profession in the Philippines and is responsible
for the maintenance of the quality of nursing in
the country. Powers and duties of the board of
nursing are the following, EXCEPT:
a. Issue, suspend, revoke certificates of
registration
b. Issue subpoena duces tecum, ad
testificandum
c. Open and close colleges of nursing
d. Supervise and regulate the practice of
nursing

Answer 3

c. Open and close colleges of nursing

Question 4

A nursing student or a beginning staff nurse who
has not yet experienced enough real situations
to make judgments about them is in what stage
of Nursing Expertise?
a. Novice
b. Newbie
c. Advanced Beginner
d. Competent

Answer 4

b. Newbie

Question 5

Benner’s “Proficient” nurse level is different
from the other levels in nursing expertise in the
context of having:
a. the ability to organize and plan activities
b. having attained an advanced level of
education
c. a holistic understanding and perception
of the client
d. intuitive and analytic ability in new
situations

Answer 5

c. a holistic understanding and perception
of the client

Question 6

SITUATION: The nurse has been asked to administer an
injection via Z TRACK technique. Questions 6 to 10 refer
to this.
6. The nurse prepares an IM injection for an adult
client using the Z track technique. 4 ml of
medication is to be administered to the client.
Which of the following site will you choose?
a. Deltoid
b. Rectus femoris
c. Ventrogluteal
d. Vastus lateralis

Answer 6

c. Ventrogluteal

Question 7

7. In infants 1 year old and below, which of the
   following is the site of choice for intramuscular
   Injection?
   a. Deltoid
   b. Rectus femoris
   c. Ventrogluteal
   d. Vastus lateralis

Answer 7

d. Vastus lateralis

Question 8

In order to decrease discomfort in Z track
administration, which of the following is
applicable?
a. Pierce the skin quickly and smoothly at
a 90 degree angle
b. Inject the medication steadily at around
10 minutes per millilitre
c. Pull back the plunger and aspirate for 1
minute to make sure that the needle did
not hit a blood vessel
d. Pierce the skin slowly and carefully at a
90 degree angle

Answer 8

a. Pierce the skin quickly and smoothly at
a 90 degree angle

Question 9

After injection using the Z track technique, the
nurse should know that she needs to wait for a
few seconds before withdrawing the needle and
this is to allow the medication to disperse into
the muscle tissue, thus decreasing the client’s
discomfort. How many seconds should the nurse
wait before withdrawing the needle?
a. 2 seconds
b. 5 seconds
c. 10 seconds
d. 15 seconds

Answer 9

c. 10 seconds

Question 10

The rationale in using the Z track technique in an
intramuscular injection is:
a. It decreases the leakage of discolouring
and irritating medication into the
subcutaneous tissues
b. It will allow a faster absorption of the
medication
c. The Z track technique prevent irritation
of the muscle
d. It is much more convenient for the nurse

Answer 10

a. It decreases the leakage of discolouring
and irritating medication into the
subcutaneous tissues

Question 11

SITUATION: A Client was rushed to the emergency room
and you are his attending nurse. You are performing a
vital sign assessment.
11. All of the following are correct methods in
assessment of the blood pressure EXCEPT:
a. Take the blood pressure reading on both
arms for comparison
b. Listen to and identify the phases of
Korotkoff’s sound
c. Pump the cuff to around 50 mmHg
above the point where the pulse is
obliterated
d. Observe procedures for infection control

Answer 11

c. Pump the cuff to around 50 mmHg
above the point where the pulse is
obliterated

Question 12

You attached a pulse oximeter to the client. You
know that the purpose is to:
a. Determine if the client’s hemoglobin
level is low and if he needs blood
transfusion
b. Check level of client’s tissue perfusion
c. Measure the efficacy of the client’s antihypertensive
medications
d. Detect oxygen saturation of arterial
blood before symptoms of hypoxemia
develops

Answer 12

d. Detect oxygen saturation of arterial
blood before symptoms of hypoxemia
develops

Question 13

13. After a few hours in the Emergency Room, The
    client is admitted to the ward with an order of
    hourly monitoring of blood pressure. The nurse
    finds that the cuff is too narrow and this will
    cause the blood pressure reading to be:
    a. inconsistent
    b. low systolic and high diastolic
    c. higher than what the reading should be
    d. lower than what the reading should be

Answer 13

c. higher than what the reading should be

Question 14

14. Through the client’s health history, you gather that the patient smokes and drinks coffee. When
    taking the blood pressure of a client who
    recently smoked or drank coffee, how long
    should the nurse wait before taking the client’s
    blood pressure for accurate reading?
    a. 15 minutes
    b. 30 minutes
    c. 1 hour
    d. 5 minutes

Answer 14

b. 30 minutes

Question 15

While the client has pulse oximeter on his
fingertip, you notice that the sunlight is shining
on the area where the oximeter is. Your action
will be to:
a. Set and turn on the alarm of the
oximeter
b. Do nothing since there is no identified
problem
c. Cover the fingertip sensor with a towel
or bedsheet
d. Change the location of the sensor every
four hours

Answer 15

c. Cover the fingertip sensor with a towel
or bedsheet

Question 16

The nurse finds it necessary to recheck the blood
pressure reading. In case of such re assessment,
the nurse should wait for a period of:
a. 15 seconds
b. 1 to 2 minutes
c. 30 minutes
d. 15 minutes

Answer 16

b. 1 to 2 minutes

Question 17

17. If the arm is said to be elevated when taking the
    blood pressure, it will create a:
    a. False high reading
    b. False low reading
    c. True false reading
    d. Indeterminate

Answer 17

b. False low reading

Question 18

18. You are to assessed the temperature of the
    client the next morning and found out that he
    ate ice cream. How many minutes should you
    wait before assessing the client’s oral
    temperature?
    a. 10 minutes
    b. 20 minutes
    c. 30 minutes
    d. 15 minutes

Answer 18

c. 30 minutes

Question 19

19. When auscultating the client’s blood pressure
    the nurse hears the following: From 150 mmHg
    to 130 mmHg: Silence, Then: a thumping sound
    continuing down to 100 mmHg; muffled sound
    continuing down to 80 mmHg and then silence.
    What is the client’s blood pressure?
    a. 130/80
    b. 150/100
    c. 100/80
    d. 150/100

Answer 19

a. 130/80
b

Question 20

20. In a client with a previous blood pressure of
    130/80 4 hours ago, how long will it take to
    release the blood pressure cuff to obtain an
    accurate reading?
    a. 10-20 seconds
    b. 30-45 seconds
    c. 1-1.5 minutes
    d. 3-3.5 minutes

Answer 20

b. 30-45 seconds

Question 21

Situation: Oral care is an important part of hygienic
practices and promoting client comfort.
21. An elderly client, 84 years old, is unconscious.
Assessment of the mouth reveals excessive
dryness and presence of sores. Which of the
following is BEST to use for oral care?
a. lemon glycerine
b. Mineral oil
c. hydrogen peroxide
d. Normal saline solution

Answer 21

d. Normal saline solution

Question 22

22. When performing oral care to an unconscious
    client, which of the following is a special
    consideration to prevent aspiration of fluids into
    the lungs?
    a. Put the client on a sidelying position
    with head of bed lowered
    b. Keep the client dry by placing towel
    under the chin
    c. Wash hands and observes appropriate
    infection control
    d. Clean mouth with oral swabs in a careful
    and an orderly progression

Answer 22

a. Put the client on a sidelying position
with head of bed lowered

Question 23

23. The advantages of oral care for a client include
    all of the following, EXCEPT:
    a. decreases bacteria in the mouth and
    teeth
    b. reduces need to use commercial
    mouthwash which irritate the buccal
    mucosa
    c. improves client’s appearance and selfconfidence
    d. improves appetite and taste of food

Answer 23

b. reduces need to use commercial
mouthwash which irritate the buccal
mucosa

Question 24

A possible problem while providing oral care to
unconscious clients is the risk of fluid aspiration to lungs. This can be avoided by:
a. Cleaning teeth and mouth with cotton
swabs soaked with mouthwash to avoid
rinsing the buccal cavity
b. swabbing the inside of the cheeks and
lips, tongue and gums with dry cotton
swabs
c. use fingers wrapped with wet cotton
washcloth to rub inside the cheeks,
tongue, lips and ums
d. suctioning as needed while cleaning the
buccal cavity

Answer 24

d. suctioning as needed while cleaning the
buccal cavity

Question 25

25. Your client has difficulty of breathing and is
    mouth breathing most of the time. This causes
    dryness of the mouth with unpleasant odor. Oral
    hygiene is recommended for the client and in
    addition, you will keep the mouth moistened by
    using:
    a. salt solution
    b. petroleum jelly
    c. water
    d. mentholated ointment

Answer 25

b. petroleum jelly

Question 26

Situation – Ensuring safety before, during and after a
diagnostic procedure is an important responsibility of
the nurse.
26. To help Fernan better tolerate the
bronchoscopy, you should instruct him to
practice which of the following prior to the
procedure?
a. Clenching his fist every 2 minutes
b. Breathing in and out through the nose
with his mouth open
c. Tensing the shoulder muscles while lying
on his back
d. Holding his breath periodically for 30
seconds

Answer 26

b. Breathing in and out through the nose
with his mouth open

Question 27

27. Following a bronchoscopy, which of the
    following complains to Fernan should be noted
    as a possible complication:
    a. Nausea and vomiting
    b. Shortness of breath and laryngeal
    stridor
    c. Blood tinged sputum and coughing
    d. Sore throat and hoarseness

Answer 27

b. Shortness of breath and laryngeal
stridor

Question 28

28. Immediately after bronchoscopy, you instructed
    Fernan to:
    a. Exercise the neck muscles
    b. Refrain from coughing and talking
    c. Breathe deeply
    d. Clear his throat

Answer 28

c. Breathe deeply

Question 29

29. Thoracentesis may be performed for cytologic
    study of pleural fluid. As a nurse your most
    important function during the procedure is to:
    a. Keep the sterile equipment from
    contamination
    b. Assist the physician
    c. Open and close the three-way stopcock
    d. Observe the patient’s vital signs

Answer 29

d. Observe the patient’s vital signs

Question 30

30. Right after thoracentesis, which of the following
    is most appropriate intervention?
    a. Instruct the patient not to cough or deep
    breathe for two hours
    b. Observe for symptoms of tightness of
    chest or bleeding
    c. Place an ice pack to the puncture site
    d. Remove the dressing to check for
    bleeding

Answer 30

b. Observe for symptoms of tightness of
chest or bleeding

Question 31

Situation: Knowledge of the acid-base disturbance and
the functions of the electrolytes is necessary to
determine appropriate intervention and nursing actions.
31. A client with diabetes milletus has a blood
glucose level of 644 mg/dL. The nurse interprets
that this client is at most risk for the
development of which type of acid-base
imbalance?
a. Respiratory acidosis
b. Respiratory alkalosis
c. Metabolic acidosis
d. Metabolic alkalosis

Answer 31

c. Metabolic acidosis

Question 32

In a client in the health care clinic, arterial blood
gas analysis gives the following results: pH 7.48,
PCO2 32 mmHg, PO2 94 mmHg, HCO3 24 mEq/L.
The nurse interprets that the client has which
acid base disturbance?
a. Respiratory acidosis
b. Metabolic acidosis
c. Respiratory alkalosis
d. Metabolic alkalosis

Answer 32

c. Respiratory alkalosis

Question 33

A client has an order for ABG analysis on radial
artery specimens. The nurse ensures that which
of the following has been performed or tested
before the ABG specimens are drawn?
a. Guthrie test
b. Romberg’s test
c. Allen’s test
d. Weber’s test

Answer 33

c. Allen’s test

Question 34

34. A nurse is reviewing the arterial blood gas values
    of a client and notes that the ph is 7.31, Pco2 is
    50 mmHg, and the bicarbonate is 27 mEq/L. The
    nurse concludes that which acid base
    disturbance is present in this client?
    a. Respiratory acidosis
    b. Metabolic acidosis
    c. Respiratory alkalosis
    d. Metabolic alkalosis

Answer 34

c. Respiratory alkalosis

Question 35

35. Allen’s test checks the patency of the:
    a. Ulnar artery
    b. Carotid artery
    c. Radial artery
    d. Brachial artery

Answer 35

a. Ulnar artery

Question 36

Situation 6: Eileen, 45 years old is admitted to the
hospital with a diagnosis of renal calculi. She is
experiencing severe flank pain, nauseated and with a
temperature of 39 0C.
36. Given the above assessment data, the most
immediate goal of the nurse would be which of
the following?
a. Prevent urinary complication
b. maintains fluid and electrolytes
c. Alleviate pain
d. Alleviating nausea

Answer 36

c. Alleviate pain

Question 37

After IVP a renal stone was confirmed, a left
nephrectomy was done. Her post-operative
order includes “daily urine specimen to be sent
to the laboratory”. Eileen has a foley catheter
attached to a urinary drainage system. How will
you collect the urine specimen?
a. remove urine from drainage tube with
sterile needle and syringe and empty
urine from the syringe into the
specimen container
b. empty a sample urine from the
collecting bag into the specimen
container
c. Disconnect the drainage tube from the
indwelling catheter and allow urine to
flow from catheter into the specimen
container.
d. Disconnect the drainage from the
collecting bag and allow the urine to
flow from the catheter into the
specimen container.

Answer 37

a. remove urine from drainage tube with
sterile needle and syringe and empty
urine from the syringe into the
specimen container

Question 38

38. Where would the nurse tape Eileen’s indwelling
    catheter in order to reduce urethral irritation?
    a. to the patient’s inner thigh
    b. to the patient’ buttocks
    c. to the patient’s lower thigh
    d. to the patient lower abdomen

Answer 38

a. to the patient’s inner thigh

Question 39

Which of the following menu is appropriate for
one with low sodium diet?
a. instant noodles, fresh fruits and ice tea
b. ham and cheese sandwich, fresh fruits
and vegetables
c. white chicken sandwich, vegetable
salad and tea
d. canned soup, potato salad, and diet soda

Answer 39

C. white chicken sandwich, vegetable
salad and tea

Question 40

40. How will you prevent ascending infection to
    Eileen who has an indwelling catheter?
    a. see to it that the drainage tubing
    touches the level of the urine
    b. change he catheter every eight hours
    c. see to it that the drainage tubing does
    not touch the level of the urine
    d. clean catheter may be used since
    urethral meatus is not a sterile area

Answer 40

c. see to it that the drainage tubing does
not touch the level of the urine

Question 41

Situation: Hormones are secreted by the various glands
in the body. Basic knowledge of the endocrine system is
necessary.
41. Somatocrinin or the Growth hormone releasing
hormone is secreted by the:
a. Hypothalamus
b. Posterior pituitary gland
c. Anterior pituitary gland
d. Thyroid gland

Answer 41

a. Hypothalamus

Question 42

All of the following are secreted by the anterior
pituitary gland except:
a. Somatotropin/Growth hormone
b. Thyroid stimulating hormone
c. Follicle stimulating hormone
d. Gonadotropin hormone releasing
hormone

Answer 42

d. Gonadotropin hormone releasing
hormone

Question 43

All of the following hormones are hormones
secreted by the Posterior pituitary gland except:
a. Vasopressin
b. Anti-diuretic hormone
c. Oxytocin
d. Growth hormone

Answer 43

d. Growth hormone

Question 44

All of the following hormones are hormones
secreted by the Posterior pituitary gland except:
a. Vasopressin
b. Anti-diuretic hormone
c. Oxytocin
d. Growth hormone

Answer 44

d. Growth hormone

Question 45

Calcitonin, a hormone necessary for calcium regulation is secreted in the:
a. Thyroid gland
b. Parathyroid gland
c. Hypothalamus
d. Anterior pituitary gland

Answer 45

a. Thyroid gland

Question 46

45. While Parathormone, a hormone that negates
    the effect of calcitonin is secreted by the:
    a. Thyroid gland
    b. Parathyroid gland
    c. Hypothalamus
    d. Anterior pituitary gland

Answer 46

b. Parathyroid gland

Question 47

Situation: The staff nurse supervisor requests all the staff
nurses to “brainstorm” and learn ways to instruct
diabetic clients on self-administration of insulin. She
wants to ensure that there are nurses available daily to
do health education classes.
46. The plan of the nurse supervisor is an example of
a. in service education process
b. efficient management of human
resources
c. increasing human resources
d. primary prevention

Answer 47

b. efficient management of human
resources

Question 48

When Mrs. Guevarra, a nurse, delegates aspects
of the clients care to the nurse-aide who is an
unlicensed staff, Mrs. Guevarra
a. makes the assignment to teach the staff
member
b. is assigning the responsibility to the
aide but not the accountability for
those tasks
c. does not have to supervise or evaluate
the aide
d. most know how to perform task
delegated

Answer 48

b. is assigning the responsibility to the
aide but not the accountability for
those tasks

Question 49

48. Connie, the new nurse, appears tired and
    sluggish and lacks the enthusiasm she had six
    weeks ago when she started the job. The nurse
    supervisor should
    a. empathize with the nurse and listen to
    her
    b. tell her to take the day off
    c. discuss how she is adjusting to her new
    job
    d. ask about her family life

Answer 49

c. discuss how she is adjusting to her new
job

Question 50

Process of formal negotiations of working
conditions between a group of registered nurses
and employer is
a. grievance
b. arbitration
c. collective bargaining
d. strike

Answer 50

c. collective bargaining

Question 51

50. You are attending a certification on
    cardiopulmonary resuscitation (CPR) offered and
    required by the hospital employing you. This is
    a. professional course towards credits
    b. in-service education
    c. advance training
    d. continuing education

Answer 51

b. in-service education

Question 52

51. Which of the following is not a legally binding
    document but nevertheless very important in
    the care of all patients in any health care
    setting?
    a. Bill of rights as provided in the Philippine
    constitution
    b. Scope of nursing practice as defined by
    RA 9173
    c. Board of nursing resolution adopting the
    code of ethics
    d. Patient’s bill of rights

Answer 52

d. Patient’s bill of rights

Question 53

52. A nurse gives a wrong medication to the client.
    Another nurse employed by the same hospital as
    a risk manager will expect to receive which of
    the following communication?
    a. Incident report
    b. Nursing kardex
    c. Oral report
    d. Complain report

Answer 53

a. Incident report

Question 54

Performing a procedure on a client in the
absence of an informed consent can lead to
which of the following charges?
a. Fraud
b. Harassment
c. Assault and battery
d. Breach of confidentiality

Answer 54

c. Assault and battery

Question 55

54. Which of the following is the essence of
    informed consent?
    a. It should have a durable power of
    attorney
    b. It should have coverage from an
    insurance company
    c. It should respect the client’s freedom
    from coercion

Answer 55

c. It should respect the client’s freedom
from coercion

Question 56

55. Delegation is the process of assigning tasks that
    can be performed by a subordinate. The RN
    should always be accountable and should not
    lose his accountability. Which of the following is
    a role included in delegation?
    a. The RN must supervise all delegated
    tasks
    b. After a task has been delegated, it is no
    longer a responsibility of the RN
    c. The RN is responsible and accountable
    for the delegated task in adjunct with
    the delegate
    d. Follow up with a delegated task is
    necessary only if the assistive personnel
    is not trustworthy

Answer 56

c. The RN is responsible and accountable
for the delegated task in adjunct with
the delegate

Question 57

Situation: When creating your lesson plan for
cerebrovascular disease or STROKE. It is important to
include the risk factors of stroke.
56. The most important risk factor is:
a. Cigarette smoking
b. binge drinking
c. Hypertension
d. heredity

Answer 57

c. Hypertension

Question 58

57. Part of your lesson plan is to talk about etiology
    or cause of stroke. The types of stroke based on
    cause are the following EXCEPT:
    a. Embolic stroke
    b. diabetic stroke
    c. Hemorrhagic stroke
    d. thrombotic stroke

Answer 58

b. diabetic stroke

Question 59

58. Hemmorhagic stroke occurs suddenly usually
    when the person is active. All are causes of
    hemorrhage, EXCEPT:
    a. phlebitis
    b. damage to blood vessel
    c. trauma
    d. aneurysm

Answer 59

a. phlebitis

Question 60

59. The nurse emphasizes that intravenous drug
    abuse carries a high risk of stroke. Which drug is
    closely linked to this?
    a. Amphetamines
    b. shabu
    c. Cocaine
    d. Demerol

Answer 60

c. Cocaine

Question 61

60. A participant in the STROKE class asks what is a
    risk factor of stroke. Your best response is:
    a. “More red blood cells thicken blood
    and make clots more possible.”
    b. “Increased RBC count is linked to high
    cholesterol.”
    c. “More red blood cell increases
    hemoglobin content.”
    d. “High RBC count increases blood
    pressure.”

Answer 61

a. “More red blood cells thicken blood
and make clots more possible.”

Question 62

Situation: Recognition of normal values is vital in
assessment of clients with various disorders.
61. A nurse is reviewing the laboratory test results
for a client with a diagnosis of severe
dehydration. The nurse would expect the
hematocrit level for this client to be which of the
following?
a. 60%
b. 47%
c. 45%
d. 32%

Answer 62

a. 60%

Question 63

62. A nurse is reviewing the electrolyte results of an
    assigned client and notes that the potassium
    level is 5.6 mEq/L. Which of the following would
    the nurse expect to note on the ECG as a result
    of this laboratory value?
    a. ST depression
    b. Prominent U wave
    c. Inverted T wave
    d. Tall peaked T waves

Answer 63

d. Tall peaked T waves

Question 64

63. A nurse is reviewing the electrolyte results of an
    assigned client and notes that the potassium
    level is 3.2 mEq/L. Which of the following would
    the nurse expect to note on the ECG as a result
    of this laboratory value?
    a. U waves
    b. Elevated T waves
    c. Absent P waves
    d. Elevated ST Segment

Answer 64

a. U waves

Question 65

64. Dorothy underwent diagnostic test and the
    result of the blood examination are back. On
    reviewing the result the nurse notices which of
    the following as abnormal finding?
    a. Neutrophils 60%
    b. White blood cells (WBC) 9000/mm
    c. Erythrocyte sedimentation rate (ESR) is
    39 mm/hr
    d. Iron 75 mg/100

Answer 65

c. Erythrocyte sedimentation rate (ESR) is
39 mm/hr

Question 66

Situation: Pleural effusion is the accumulation of fluid in
the pleural space. Questions 66 to 70 refer to this.
66. Which of the following is a finding that the nurse
will be able to assess in a client with Pleural
effusion?
a. Reduced or absent breath sound at the
base of the lungs, dyspnea, tachpynea
and shortness of breath
b. Hypoxemia, hypercapnea and
respiratory acidosis
c. Noisy respiration, crackles, stridor and
wheezing
d. Tracheal deviation towards the affected
side, increased fremitus and loud breath
sounds

Answer 66

a. Reduced or absent breath sound at the
base of the lungs, dyspnea, tachpynea
and shortness of breath

Question 67

67. Thoracentesis is performed to the client with
    effusion. The nurse knows that the removal of
    fluid should be slow. Rapid removal of fluid in
    thoracentesis might cause:
    a. Pneumothorax
    b. Cardiovascular collapse
    c. Pleurisy or Pleuritis
    d. Hypertension

Answer 67

b. Cardiovascular collapse

Question 68

68. 3 Days after thoracentesis, the client again
    exhibited respiratory distress. The nurse will
    know that pleural effusion has reoccurred when
    she noticed a sharp stabbing pain during
    inspiration. The physician ordered a closed tube
    thoracotomy for the client. The nurse knows
    that the primary function of the chest tube is to:
    a. Restore positive intrathoracic pressure
    b. Restore negative intrathoracic pressure
    c. To visualize the intrathoracic content
    d. As a method of air administration via
    ventilator

Answer 68

b. Restore negative intrathoracic pressure

Question 69

69. The chest tube is functioning properly if:
    a. There is an oscillation
    b. There is no bubbling in the drainage
    bottle
    c. There is a continuous bubbling in the
    waterseal
    d. The suction control bottle has a
    continuous bubbling

Answer 69

a. There is an oscillation

Question 70

70. In a client with pleural effusion, the nurse is
    instructing appropriate breathing technique.
    Which of the following is included in the
    teaching?
    a. Breath normally
    b. Hold the breath after each inspiration
    for 1 full minute
    c. Practice abdominal breathing
    d. Inhale slowly and hold the breath for 3
    to 5 seconds after each inhalation

Answer 70

d. Inhale slowly and hold the breath for 3
to 5 seconds after each inhalation

Question 71

SITUATION: Health care delivery system affects the
health status of every filipino. As a Nurse, Knowledge of
this system is expected to ensure quality of life.
71. When should rehabilitation commence?
a. The day before discharge
b. When the patient desires
c. Upon admission
d. 24 hours after discharge

Answer 71

c. Upon admission

Question 72

72. What exemplified the preventive and promotive
    programs in the hospital?
    a. Hospital as a center to prevent and
    control infection
    b. Program for smokers
    c. Program for alcoholics and drug addicts
    d. Hospital Wellness Center

Answer 72

d. Hospital Wellness Center

Question 73

73. Which makes nursing dynamic?
    a. Every patient is a unique physical,
    emotional, social and spiritual being
    b. The patient participate in the overall
    nursing care plan
    c. Nursing practice is expanding in the light
    of modern developments that takes
    place
    d. The health status of the patient is
    constantly changing and the nurse must
    be cognizant and responsive to these
    changes

Answer 73

d. The health status of the patient is
constantly changing and the nurse must
be cognizant and responsive to these
changes

Question 74

74. Prevention is an important responsibility of the
    nurse in:
    a. Hospitals
    b. Community
    c. Workplace
    d. All of the above

Answer 74

d. All of the above

Question 75

75. This form of Health Insurance provides
    comprehensive prepaid health services to
    enrollees for a fixed periodic payment.
    a. Health Maintenance Organization
    b. Medicare
    c. Philippine Health Insurance Act
    d. Hospital Maintenance Organization

Answer 75

a. Health Maintenance Organization

Question 76

Situation: Nursing ethics is an important part of the
nursing profession. As the ethical situation arises, so is
the need to have an accurate and ethical decision
making.
76. The purpose of having a nurses’ code of ethics is:
a. Delineate the scope and areas of nursing
practice
b. identify nursing action recommended for
specific health care situations
c. To help the public understand
professional conduct expected of
nurses
d. To define the roles and functions of the
health care givers, nurses, clients

Answer 76

c. To help the public understand
professional conduct expected of
nurses

Question 77

The principles that govern right and proper
conduct of a person regarding life, biology and
the health professionals is referred to as:
a. Morality
b. Religion
c. Values
d. Bioethics

Answer 77

d. Bioethics

Question 78

78. A subjective feeling about what is right or wrong
    is said to be:
    a. Morality
    b. Religion
    c. Values
    d. Bioethics

Answer 78

a. Morality

Question 79

79. Values are said to be the enduring believe about
    a worth of a person, ideas and belief. If Values
    are going to be a part of a research, this is
    categorized under:
    a. Qualitative
    b. Experimental
    c. Quantitative
    d. Non Experimental

Answer 79

a. Qualitative

Question 80

80. The most important nursing responsibility where
    ethical situations emerge in patient care is to:
    a. Act only when advised that the action is
    ethically sound
    b. Not takes sides, remain neutral and fair
    c. Assume that ethical questions are the
    responsibility of the health team
    d. Be accountable for his or her own
    actions

Answer 80

d. Be accountable for his or her own
actions

Question 81

81. Why is there an ethical dilemma?
    a. the choices involved do not appear to be
    clearly right or wrong
    b. a client’s legal right co-exist with the
    nurse’s professional obligation
    c. decisions has to be made based on
    societal norms.
    d. decisions has to be mad quickly, often
    under stressful conditions

Answer 81

b. a client’s legal right co-exist with the
nurse’s professional obligation

Question 82

82. According to the code of ethics, which of the
    following is the primary responsibility of the
    nurse?
    a. Assist towards peaceful death
    b. Health is a fundamental right
    c. Promotion of health, prevention of
    illness, alleviation of suffering and
    restoration of health
    d. Preservation of health at all cost

Answer 82

d. Preservation of health at all cost

Question 83

83. Which of the following is TRUE about the Code
    of Ethics of Filipino Nurses, except:
    a. The Philippine Nurses Association for
    being the accredited professional
    organization was given the privilege to
    formulate a Code of Ethics for Nurses
    which the Board of Nursing
    promulgated
    b. Code for Nurses was first formulated in
    1982 published in the Proceedings of the
    Third Annual Convention of the PNA
    House of Delegates
    c. The present code utilized the Code of
    Good Governance for the Professions in
    the Philippines
    d. Certificates of Registration of registered
    nurses may be revoked or suspended for
    violations of any provisions of the Code
    of Ethics.

Answer 83

a. The Philippine Nurses Association for
being the accredited professional
organization was given the privilege to
formulate a Code of Ethics for Nurses
which the Board of Nursing
promulgated

Question 84

84. Violation of the code of ethics might equate to
    the revocation of the nursing license. Who
    revokes the license?
    a. PRC
    b. PNA
    c. DOH
    d84. Violation of the code of ethics might equate to
    the revocation of the nursing license. Who
    revokes the license?
    a. PRC
    b. PNA
    c. DOH
    d. BON.

Answer 84

d. BON

Question 85

85. Based on the Code of Ethics for Filipino Nurses,
    what is regarded as the hallmark of nursing
    responsibility and accountability?
    a. Human rights of clients, regardless of
    creed and gender
    b. The privilege of being a registered
    professional nurse
    c. Health, being a fundamental right of
    every individual
    d. Accurate documentation of actions and
    outcomes

Answer 85

d. Accurate documentation of actions and
outcomes

Question 86

Situation: As a profession, nursing is dynamic and its
practice is directed by various theoretical models. To
demonstrate caring behaviour, the nurse applies various
nursing models in providing quality nursing care.
86. When you clean the bedside unit and regularly
attend to the personal hygiene of the patient as
well as in washing your hands before and after a
procedure and in between patients, you indent
to facilitate the body’s reparative processes.
Which of the following nursing theory are you
applying in the above nursing action?
a. Hildegard Peplau
b. Dorothea Orem
c. Virginia Henderson
d. Florence Nightingale

Answer 86

d. Florence Nightingale

Question 87

87. A communication skill is one of the important
    competencies expected of a nurse. Interpersonal
    process is viewed as human to human
    relationship. This statement is an application of
    whose nursing model?
    a. Joyce Travelbee
    b. Martha Rogers
    c. Callista Roy
    d. Imogene King

Answer 87

a. Joyce Travelbee

Question 88

88. The statement “the health status of an individual
    is constantly changing and the nurse must be
    cognizant and responsive to these changes” best
    explains which of the following facts about
    nursing?
    a. Dynamic
    b. Client centred
    c. Holistic
    d. Art

Answer 88

a. Dynamic

Question 89

89. Virginia Henderson professes that the goal of
    nursing is to work interdependently with other
    health care working in assisting the patient to gain independence as quickly as possible. Which
    of the following nursing actions best
    demonstrates this theory in taking care of a 94
    year old client with dementia who is totally
    immobile?
    a. Feeds the patient, brushes his teeth,
    gives the sponge bath
    b. Supervise the watcher in rendering
    patient his morning care
    c. Put the patient in semi fowler’s position,
    set the over bed table so the patient can
    eat by himself, brush his teeth and
    sponge himself
    d. Assist the patient to turn to his sides and
    allow him to brush and feed himself only
    when he feels ready

Answer 89

a. Feeds the patient, brushes his teeth,
gives the sponge bath

Question 90

90. In the self-care deficit theory by Dorothea Orem,
    nursing care becomes necessary when a patient
    is unable to fulfil his physiological, psychological
    and social needs. A pregnant client needing
    prenatal check-up is classified as:
    a. Wholly compensatory
    b. Supportive Educative
    c. Partially compensatory
    d. Non compensatory

Answer 90

b. Supportive Educative

Question 91

Situation: Documentation and reporting are just as
important as providing patient care, As such, the nurse
must be factual and accurate to ensure quality
documentation and reporting.
91. Health care reports have different purposes. The
availability of patients’ record to all health team
members demonstrates which of the following
purposes:
a. Legal documentation
b. Research
c. Education
d. Vehicle for communication

Answer 91

d. Vehicle for communication

Question 92

92. When a nurse commits medication error, she
    should accurately document client’s response
    and her corresponding action. This is very
    important for which of the following purposes:
    a. Research
    b. Legal documentation
    c. Nursing Audit
    d. Vehicle for communication

Answer 92

b. Legal documentation

Question 93

POMR has been widely used in many teaching
hospitals. One of its unique features is SOAPIE
charting. The P in SOAPIE charting should include:
a. Prescription of the doctor to the
patient’s illness
b. Plan of care for patient
c. Patient’s perception of one’s illness
d. Nursing problem and Nursing diagnosis

Answer 93

b. Plan of care for patient

Question 94

94. The medical records that are organized into
    separate section from doctors or nurses has
    more disadvantages than advantages. This is
    classified as what type of recording?
    a. POMR
    b. Modified POMR
    c. SOAPIE
    d. SOMR

Answer 94

d. SOMR

Question 95

95. Which of the following is the advantage of SOMR
    or Traditional recording?
    a. Increases efficiency in data gathering
    b. Reinforces the use of the nursing
    process
    c. The caregiver can easily locate proper
    section for making charting entries
    d. Enhances effective communication
    among health care team members

Answer 95

c. The caregiver can easily locate proper
section for making charting entries

Question 96

Situation: June is a 24 year old client with symptoms of
dyspnea, absent breath sounds on the right lung and
chest x ray revealed pleural effusion. The physician will
perform thoracentesis.
96. Thoracentesis is useful in treating all of the
following pulmonary disorders except:
a. Hemothorax
b. Hydrothorax
c. Tuberculosis
d. Empyema

Answer 96

c. Tuberculosis

Question 97

97. Which of the following psychological preparation
    is not relevant for him?
    a. Telling him that the gauge of the needle
    and anesthesia to be used
    b. Telling him to keep still during the
    procedure to facilitate the insertion of
    the needle in the correct place
    c. Allow June to express his feelings and
    concerns
    d. Physician’s explanation on the purpose
    of the procedure and how it will be done

Answer 97

a. Telling him that the gauge of the needle
and anesthesia to be used

Question 98

98. Before thoracentesis, the legal consideration you
    must check is:
    a. Consent is signed by the client
    b. Medicine preparation is correct
    c. Position of the client is correct
    d. Consent is signed by relative and
    physician

Answer 98

a. Consent is signed by the client

Question 99

99. As a nurse, you know that the position for June
    before thoracentesis is:
    a. Orthopneic
    b. Low fowlers
    c. Knee-chest
    d. Sidelying position on the affected side

Answer 99

a. Orthopneic

Question 100

100. Which of the following anaesthetics drug is used
     for thoracentesis?
     a. Procaine 2%
     b. Demerol 75 mg
     c. Valium 250 mg
     d. Phenobartbital 50 mg

Answer 100

a. Procaine 2%