NP 3

Question 1

Situation: Leo lives in the squatter area. He goes to
nearby school. He helps his mother gather molasses
after school. One day, he was absent because of fever,
malaise, anorexia and abdominal discomfort.
1. Upon assessment, Leo was diagnosed to have
hepatitis A. Which mode of transmission has the
infection agent taken?
a. Fecal-oral
b. Droplet
c. Airborne
d. Sexual contact

Answer 1

a. Fecal-oral

Question 2

2. Which of the following is concurrent disinfection
   in the case of Leo?
   a. Investigation of contact
   b. Sanitary disposal of faeces, urine and
   blood
   c. Quarantine of the sick individual
   d. removing all detachable objects in the
   room, cleaning lighting and air duct
   surfaces in the ceiling, and cleaning
   everything downward to the floor

Answer 2

b. Sanitary disposal of faeces, urine and
blood

Question 3

3. Which of the following must be emphasized
   during mother’s class to Leo’s mother?
   a. Administration of Immunoglobulin to
   families
   b. Thorough hand washing before and
   after eating and toileting
   c. Use of attenuated vaccines
   d. Boiling of food especially meat

Answer 3

b. Thorough hand washing before and
after eating and toileting

Question 4

4. Disaster control should be undertaken when
   there are 3 or more hepatitis A cases. Which of
   these measures is a priority?
   a. Eliminate faecal contamination from
   foods
   b. Mass vaccination of uninfected
   individuals
   c. Health promotion and education to
   families and communities about the
   disease it’s cause and transmission
   d. Mass administration of Immunoglobulin

Answer 4

c. Health promotion and education to
families and communities about the
disease it’s cause and transmission

Question 5

5. What is the average incubation period of
   Hepatitis A?
   a. 30 days
   b. 60 days
   c. 50 days
   d. 14 days

Answer 5

A. 30 days

Question 6

Situation: As a nurse researcher you must have a very
good understanding of the common terms of concept
used in research.
6. The information that an investigator collects
from the subjects or participants in a research
study is usually called;
a. Hypothesis
b. Variable
c. Data
d. Concept
Situation: As a nurse researcher you must have a very
good understanding of the common terms of concept
used in research.
6. The information that an investigator collects
from the subjects or participants in a research
study is usually called;
a. Hypothesis
b. Variable
c. Data
d. Concept

Answer 6

c. Data

Question 7

7. Which of the following usually refers to the
   independent variables in doing research
   a. Result
   b. output
   c. Cause
   d. Effect

Answer 7

c. Cause

Question 8

8. The recipients of experimental treatment is an
   experimental design or the individuals to be
   observed in a non experimental design are
   called;
   a. Setting
   b. Treatment
   c. Subjects
   d. Sample

Answer 8

c. Subjects

Question 9

9. The device or techniques an investigator
   employs to collect data is called;
   a. Sample
   b. hypothesis
   c. Instrument
   d. Concept

Answer 9

c. Instrument

Question 10

10. The use of another person’s ideas or wordings
    without giving appropriate credit results from
    inaccurate or incomplete attribution of materials
    to its sources. Which of the following is referred
    to when another person’s idea is inappropriate
    credited as one’s own;
    a. Plagiarism
    b. assumption
    c. Quotation
    d. Paraphrase

Answer 10

a. Plagiarism

Question 11

Situation – Mrs. Pichay is admitted to your ward. The
MD ordered “Prepare for thoracentesis this pm to
remove excess air from the pleural cavity.
11. Which of the following nursing responsibilities is
essential in Mrs. Pichay who will undergo
thoracentesis?
a. Support and reassure client during the
procedure
b. Ensure that informed consent has been
signed
c. Determine if client has allergic reaction
to local anesthesia
d. Ascertain if chest x-rays and other tests
have been prescribed and completed

Answer 11

d. Ascertain if chest x-rays and other tests
have been prescribed and completed

Question 12

12. Mrs. Pichay who is for thoracentesis is assigned
    by the nurse to which of the following positions?
    a. Trendelenburg position
    b. Supine position
    c. Dorsal Recumbent position
    d. Orthopneic position

Answer 12

d. Orthopneic position

Question 13

13. During thoracentesis, which of the following
    nursing intervention will be most crucial?
    a. Place patient in a quiet and cool room
    b. Maintain strict aseptic technique
    c. Advice patient to sit perfectly still
    during needle insertion until it has been
    withdrawn from the chest
    d. Apply pressure over the puncture site as
    soon as the needle is withdrawn

Answer 13

c. Advice patient to sit perfectly still
during needle insertion until it has been
withdrawn from the chest

Question 14

15. Chest x-ray was ordered after thoracentesis.
    When your client asks what is the reason for
    another chest x-ray, you will explain:
    a. To rule out pneumothorax
    b. To rule out any possible perforation
    c. To decongest
    d. To rule out any foreign body

Answer 14

a. To rule out pneumothorax

Question 15

Situation: A computer analyst, Mr. Ricardo J. Santos, 25
was brought to the hospital for diagnostic workup after
he had experienced seizure in his office.
16. Just as the nurse was entering the room, the
patient who was sitting on his chair begins to
have a seizure. Which of the following must the
nurse do first?

a. Ease the patient to the floor
b. Lift the patient and put him on the bed
c. Insert a padded tongue depressor
between his jaws
d. Restraint patient’s body movement

Answer 15

a. Ease the patient to the floor

Question 16

14. To prevent leakage of fluid in the thoracic cavity,
    how will you position the client after
    thoracentesis?
    a. Place flat in bed
    b. Turn on the unaffected side
    c. Turn on the affected side
    d. On bed rest

Answer 16

b. Turn on the unaffected side

Question 17

17. Mr Santos is scheduled for CT SCAN for the next
    day, noon time. Which of the following is the
    correct preparation as instructed by the nurse?
    a. Shampoo hair thoroughly to remove oil
    and dirt
    b. No special preparation is needed.
    Instruct the patient to keep his head
    still and stead
    c. Give a cleansing enema and give fluids
    until 8 AM
    d. Shave scalp and securely attach
    electrodes to it

Answer 17

b. No special preparation is needed.
Instruct the patient to keep his head
still and stead

Question 18

18. Mr Santos is placed on seizure precaution.
    Which of the following would be
    contraindicated?
    a. Obtain his oral temperature
    b. Encourage to perform his own personal
    hygiene
    c. Allow him to wear his own clothing
    d. Encourage him to be out of bed

Answer 18

a. Obtain his oral temperature

Question 19

19. Usually, how does the patient behave after his
    seizure has subsided?
    a. Most comfortable walking and moving
    about
    b. Becomes restless and agitated
    c. Sleeps for a period of time
    d. Say he is thirsty and hungry

Answer 19

c. Sleeps for a period of time

Question 20

20. Before, during and after seizure. The nurse
    knows that the patient is ALWAYS placed in what
    position?
    a. Low fowler’s
    b. Side lying
    c. Modified trendelenburg
    d. Supine

Answer 20

b. Side lying

Question 21

Situation: Mrs. Damian an immediate post op
cholecystectomy and choledocholithotomy patient,
complained of severe pain at the wound site.
21. Choledocholithotomy is:
a. The removal of the gallbladder
b. The removal of the stones in the
gallbladder
c. The removal of the stones in the common bile duct
d. The removal of the stones in the kidney

Answer 21

c. The removal of the stones in the common bile duct

Question 22

22. The simplest pain relieving technique is:
    a. Distraction
    b. Deep breathing exercise
    c. Taking aspirin
    d. Positioning

Answer 22

d. Positioning

Question 23

23. Which of the following statement on pain is
    TRUE?
    a. Culture and pain are not associated
    b. Pain accompanies acute illness
    c. Patient’s reaction to pain Varies
    d. Pain produces the same reaction such as
    groaning and moaning

Answer 23

c. Patient’s reaction to pain Varies

Question 24

24. In pain assessment, which of the following
    condition is a more reliable indicator?
    a. Pain rating scale of 1 to 10
    b. Facial expression and gestures
    c. Physiological responses
    d. Patients description of the pain
    sensation

Answer 24

d. Patients description of the pain
sensation

Question 25

25. When a client complains of pain, your initial
    response is:
    a. Record the description of pain
    b. Verbally acknowledge the pain
    c. Refer the complaint to the doctor
    d. Change to a more comfortable position

Answer 25

b. Verbally acknowledge the pain

Question 26

Situation: You are assigned at the surgical ward and
clients have been complaining of post pain at varying
degrees. Pain as you know, is very subjective.
26. A one-day postoperative abdominal surgery
client has been complaining of severe throbbing
abdominal pain described as 9 in a 1-10 pain
rating. Your assessment reveals bowel sounds on
all quadrants and the dressing is dry and intact.
What nursing intervention would you take?
a. Medicate client as prescribed
b. Encourage client to do imagery
c. Encourage deep breathing and turning
d. Call surgeon stat

Answer 26

a. Medicate client as prescribed

Question 27

27. Pentoxidone 5 mg IV every 8 hours was
    prescribed for post abdominal pain. Which will
    be your priority nursing action?
    a. Check abdominal dressing for possible
    swelling
    b. Explain the proper use of PCA to alleviate anxiety
    c. Avoid overdosing to prevent
    dependence/tolerance
    d. Monitor VS, more importantly RR

Answer 27

d. Monitor VS, more importantly RR

Question 28

28. The client complained of abdominal distention
    and pain. Your nursing intervention that can
    alleviate pain is:
    a. Instruct client to go to sleep and relax
    b. Advice the client to close the lips and
    avoid deep breathing and talking
    c. Offer hot and clear soup
    d. Turn to sides frequently and avoid too
    much talking

Answer 28

d. Turn to sides frequently and avoid too
much talking

Question 29

29. Surgical pain might be minimized by which
    nursing action in the O.R.
    a. Skill of surgical team and lesser
    manipulation
    b. Appropriate preparation for the
    scheduled procedure
    c. Use of modern technology in closing the
    wound
    d. Proper positioning and draping of clients

Answer 29

b. Appropriate preparation for the
scheduled procedure

Question 30

30. Inadequate anesthesia is said to be one of the
    common cause of pain both in intra and post op
    patients. If General anesthesia is desired, it will
    involve loss of consciousness. Which of the
    following are the 2 general types of GA?
    a. Epidural and Spinal
    b. Subarachnoid block and Intravenous
    c. Inhalation and Regional
    d. Intravenous and Inhalation

Answer 30

d. Intravenous and Inhalation

Question 31

Situation: Nurse’s attitudes toward the pain influence
the way they perceive and interact with clients in pain.
31. Nurses should be aware that older adults are at
risk of underrated pain. Nursing assessment and
management of pain should address the
following beliefs EXCEPT:
a. Older patients seldom tend to report
pain than the younger ones
b. Pain is a sign of weakness
c. Older patients do not believe in
analgesics, they are tolerant
d. Complaining of pain will lead to being
labeled a ‘bad’ patient

Answer 31

d. Complaining of pain will lead to being
labeled a ‘bad’ patient

Question 32

32. Nurses should understand that when a client
    responds favorably to a placebo, it is known as
    the ‘placebo effect’. Placebos do not indicate whether or not a client has:
    a. Conscience
    b. Disease
    c. Real pain
    d. Drug tolerance

Answer 32

c. Real pain

Question 33

33. You are the nurse in the pain clinic where you
    have client who has difficulty specifying the
    location of pain. How can you assist such client?
    a. The pain is vague
    b. By charting-it hurts all over
    c. Identify the absence and presence of
    pain
    d. As the client to point to the painful are
    by just one finger

Answer 33

d. As the client to point to the painful are
by just one finger

Question 34

34. What symptom, more distressing than pain,
    should the nurse monitor when giving opioids
    especially among elderly clients who are in pain?
    a. Forgetfulness
    b. Drowsiness
    c. Constipation
    d. Allergic reactions like pruritis

Answer 34

d. Allergic reactions like pruritis

Question 35

35. Physical dependence occurs in anyone who
    takes opiods over a period of time. What do you
    tell a mother of a ‘dependent’ when asked for
    advice?
    a. Start another drug and slowly lessen the
    opioid dosage
    b. Indulge in recreational outdoor activities
    c. Isolate opioid dependent to a restful
    resort
    d. Instruct slow tapering of the drug
    dosage and alleviate physical
    withdrawal symptoms

Answer 35

d. Instruct slow tapering of the drug
dosage and alleviate physical
withdrawal symptoms

Question 36

Situation: The nurse is performing health education
activities for Janevi Segovia, a 30 year old Dentist with
Insulin dependent diabetes Miletus.
36. Janevi is preparing a mixed dose of insulin. The
nurse is satisfied with her performance when
she:
a. Draw insulin from the vial of clear
insulin first
b. Draw insulin from the vial of the
intermediate acting insulin first
c. Fill both syringes with the prescribed
insulin dosage then shake the bottle
vigorously
d. Withdraw the intermediate acting
insulin first before withdrawing the short acting insulin first

Answer 36

a. Draw insulin from the vial of clear
insulin first
acting insulin first

Question 37

37. Janevi complains of nausea, vomiting,
    diaphoresis and headache. Which of the
    following nursing intervention are you going to
    carry out first?
    a. Withhold the client’s next insulin
    injection
    b. Test the client’s blood glucose level
    c. Administer Tylenol as ordered
    d. Offer fruit juice, gelatine and chicken
    bouillon

Answer 37

b. Test the client’s blood glucose level

Question 38

38. Janevi administered regular insulin at 7 A.M and
    the nurse should instruct Jane to avoid
    exercising at around:
    a. 9 to 11 A.M
    b. Between 8 A.M to 9 A.M
    c. After 8 hours
    d. In the afternoon, after taking lunch

Answer 38

a. 9 to 11 A.M

Question 39

39. Janevi was brought at the emergency room after
    four month because she fainted in her clinic. The
    nurse should monitor which of the following test
    to evaluate the overall therapeutic compliance
    of a diabetic patient?
    a. Glycosylated hemoglobin
    b. Ketone levels
    c. Fasting blood glucose
    d. Urine glucose level

Answer 39

a. Glycosylated hemoglobin

Question 40

40. Upon the assessment of Hba1c of Mrs. Segovia,
    The nurse has been informed of a 9% Hba1c
    result. In this case, she will teach the patient to:
    a. Avoid infection
    b. Prevent and recognize hyperglycaemia
    c. Take adequate food and nutrition
    d. Prevent and recognize hypoglycaemia

Answer 40

b. Prevent and recognize hyperglycaemia

Question 41

41. The nurse is teaching plan of care for Jane with
    regards to proper foot care. Which of the
    following should be included in the plan?
    a. Soak feet in hot water
    b. Avoid using mild soap on the feet
    c. Apply a moisturizing lotion to dry feet
    but not between the toes
    d. Always have a podiatrist to cut your toe
    nails; never cut them yourself

Answer 41

c. Apply a moisturizing lotion to dry feet
but not between the toes

Question 42

42. Another patient was brought to the emergency
    room in an unresponsive state and a diagnosis of
    hyperglycaemic hyperosmolar nonketotic
    syndrome is made. The nurse immediately

Answer 42

prepares to initiate which of the following
anticipated physician’s order?
a. Endotracheal intubation
b. 100 unites of NPH insulin
c. Intravenous infusion of normal saline
d. Intravenous infusion of sodium
bicarbonate

Question 43

43. Jane eventually developed DKA and is being
    treated in the emergency room. Which finding
    would the nurse expect to note as confirming
    this diagnosis?
    a. Comatose state
    b. Decreased urine output
    c. Increased respiration and an increase in
    pH
    d. Elevated blood glucose level and low
    plasma bicarbonate level

Answer 43

d. Elevated blood glucose level and low
plasma bicarbonate level

Question 44

44. The nurse teaches Jane to know the difference
    between hypoglycaemia and ketoacidosis. Jane
    demonstrates understanding of the teaching by
    stating that glucose will be taken if which of the
    following symptoms develops?
    a. Polyuria
    b. Shakiness
    c. Blurred Vision
    d. Fruity breath odour

Answer 44

b. Shakiness

Question 45

45. Jane has been scheduled to have a FBS taken in
    the morning. The nurse tells Jane not to eat or
    drink after midnight. Prior to taking the blood
    specimen, the nurse noticed that Jane is holding
    a bottle of distilled water. The nurse asked Jane
    if she drink any, and she said “yes.” Which of the
    following is the best nursing action?
    a. Administer syrup of ipecac to remove
    the distilled water from the stomach
    b. Suction the stomach content using NGT
    prior to specimen collection
    c. Advice to physician to reschedule to
    diagnostic examination next day
    d. Continue as usual and have the FBS
    analysis performed and specimen be
    taken

Answer 45

d. Continue as usual and have the FBS
analysis performed and specimen be
taken

Question 46

Situation: Elderly clients usually produce unusual signs
when it comes to different diseases. The ageing process
is a complicated process and the nurse should
understand that it is an inevitable fact and she must be
prepared to care for the growing elderly population.
46. Hypoxia may occur in the older patients because of which of the following physiologic changes
associated with aging.
a. Ineffective airway clearance
b. Decreased alveolar surfaced area
c. Decreased anterior-posterior chest
diameter
d. Hyperventilation

Answer 46

c. Decreased anterior-posterior chest
diameter

Question 47

47. The older patient is at higher risk for
    incontinence because of:
    a. Dilated urethra
    b. Increased glomerular filtration rate
    c. Diuretic use
    d. Decreased bladder capacity

Answer 47

d. Decreased bladder capacity

Question 48

48. Merle, age 86, is complaining of dizziness when
    she stands up. This may indicate:
    a. Dementia
    b. Functional decline
    c. A visual problem
    d. Drug toxicity

Answer 48

b. Functional decline

Question 49

49. Cardiac ischemia in an older patient usually
    produces:
    a. ST-T wave changes
    b. Chest pain radiating to the left arm
    c. Very high creatinine kinase level
    d. Acute confusion

Answer 49

d. Acute confusion

Question 50

50. The most dependable sign of infection in the
    older patient is:
    a. Change in mental status
    b. Fever
    c. Pain
    d. Decreased breath sounds with crackles

Answer 50

a. Change in mental status

Question 51

Situation – In the OR, there are safety protocols that
should be followed. The OR nurse should be well versed
with all these to safeguard the safety and quality of
patient delivery outcome.
51. Which of the following should be given highest
priority when receiving patient in the OR?
a. Assess level of consciousness
b. Verify patient identification and
informed consent
c. Assess vital signs
d. Check for jewelry, gown, manicure, and
dentures

Answer 51

b. Verify patient identification and
informed consent

Question 52

52. Surgeries like I and D (incision and drainage) and
    debridement are relatively short procedures but
    considered ‘dirty cases’. When are these procedures best scheduled?
    a. Last case
    b. In between cases
    c. According to availability of
    anaesthesiologist
    d. According to the surgeon’s preference

Answer 52

a. Last case

Question 53

53. OR nurses should be aware that maintaining the
    client’s safety is the overall goal of nursing care
    during the intraoperative phase. As the
    circulating nurse, you make certain that
    throughout the procedure…
    a. the surgeon greets his client before
    induction of anesthesia
    b. the surgeon and anesthesiologist are in
    tandem
    c. strap made of strong non-abrasive
    materials are fastened securely around
    the joints of the knees and ankles and
    around the 2 hands around an arm
    board.
    d. Client is monitored throughout the
    surgery by the assistant anesthesiologist

Answer 53

c. strap made of strong non-abrasive
materials are fastened securely around
the joints of the knees and ankles and
around the 2 hands around an arm
board.

Question 54

54. Another nursing check that should not be missed
    before the induction of general anesthesia is:
    a. check for presence underwear
    b. check for presence dentures
    c. check patient’s ID
    d. check baseline vital signs

Answer 54

d. check baseline vital signs

Question 55

55. Some lifetime habits and hobbies affect
    postoperative respiratory function. If your client
    smokes 3 packs of cigarettes a day for the past
    10 years, you will anticipate increased risk for:
    a. perioperative anxiety and stress
    b. delayed coagulation time
    c. delayed wound healing
    d. postoperative respiratory infection

Answer 55

d. postoperative respiratory infection

Question 56

Situation: Sterilization is the process of removing ALL
living microorganism. To be free of ALL living
microorganism is sterility.
56. There are 3 general types of sterilization use in
the hospital, which one is not included?
a. Steam sterilization
b. Physical sterilization
c. Chemical sterilization
d. Sterilization by boiling

Answer 56

d. Sterilization by boiling

Question 57

57. Autoclave or steam under pressure is the most
    common method of sterilization in the hospital. The nurse knows that the temperature and time is set to the optimum level to destroy not only
    the microorganism, but also the spores. Which
    of the following is the ideal setting of the
    autoclave machine?
    a. 10,000 degree Celsius for 1 hour
    b. 5,000 degree Celsius for 30 minutes
    c. 37 degree Celsius for 15 minutes
    d. 121 degree Celsius for 15 minutes

Answer 57

d. 121 degree Celsius for 15 minutes

Question 58

58. It is important that before a nurse prepares the
    material to be sterilized, a chemical indicator
    strip should be placed above the package,
    preferably, Muslin sheet. What is the color of
    the striped produced after autoclaving?
    a. Black
    b. Blue
    c. Gray
    d. Purple

Answer 58

a. Black

Question 59

59. Chemical indicators communicate that:
    a. The items are sterile
    b. That the items had undergone
    sterilization process but not necessarily
    sterile
    c. The items are disinfected
    d. That the items had undergone
    disinfection process but not necessarily
    disinfected

Answer 59

b. That the items had undergone
sterilization process but not necessarily
sterile

Question 60

60. If a nurse will sterilize a heat and moisture labile
    instruments, It is according to AORN
    recommendation to use which of the following
    method of sterilization?
    a. Ethylene oxide gas
    b. Autoclaving
    c. Flash sterilizer
    d. Alcohol immersion

Answer 60

a. Ethylene oxide gas

Question 61

Situation 5 – Nurses hold a variety of roles when
providing care to a perioperative patient.
61. Which of the following role would be the
responsibility of the scrub nurse?
a. Assess the readiness of the client prior
to surgery
b. Ensure that the airway is adequate
c. Account for the number of sponges,
needles, supplies, used during the
surgical procedure.
d. Evaluate the type of anesthesia
appropriate for the surgical clientSituation 5 – Nurses hold a variety of roles when
providing care to a perioperative patient.
61. Which of the following role would be the
responsibility of the scrub nurse?
a. Assess the readiness of the client prior
to surgery
b. Ensure that the airway is adequate
c. Account for the number of sponges,
needles, supplies, used during the
surgical procedure.
d. Evaluate the type of anesthesia
appropriate for the surgical client

Answer 61

c. Account for the number of sponges,
needles, supplies, used during the
surgical procedure.

Question 62

62. As a perioperative nurse, how can you best meet
    the safety need of the client after administering
    preoperative narcotic?
    a. Put side rails up and ask the client not
    to get out of bed
    b. Send the client to OR with the family
    c. Allow client to get up to go to the
    comfort room
    d. Obtain consent form

Answer 62

a. Put side rails up and ask the client not
to get out of bed

Question 63

63. It is the responsibility of the pre-op nurse to do
    skin prep for patients undergoing surgery. If hair
    at the operative site is not shaved, what should
    be done to make suturing easy and lessen
    chance of incision infection?
    a. Draped
    b. Pulled
    c. Clipped
    d. Shampooed

Answer 63

c. Clipped

Question 64

64. It is also the nurse’s function to determine when
    infection is developing in the surgical incision.
    The perioperative nurse should observe for what
    signs of impending infection?
    a. Localized heat and redness
    b. Serosanguinous exudates and skin
    blanching
    c. Separation of the incision
    d. Blood clots and scar tissue are visible

Answer 64

a. Localized heat and redness

Question 65

65. Which of the following nursing interventions is
    done when examining the incision wound and
    changing the dressing?
    a. Observe the dressing and type and odor
    of drainage if any
    b. Get patient’s consent
    c. Wash hands
    d. Request the client to expose the incision
    wound

Answer 65

a. Observe the dressing and type and odor
of drainage if any

Question 66

Situation – The preoperative nurse collaborates with the
client significant others, and healthcare providers.
66. To control environmental hazards in the OR, the
nurse collaborates with the following
departments EXCEPT:
a. Biomedical division
b. Infection control committee
c. Chaplaincy services
d. Pathology department

Answer 66

c. Chaplaincy services

Question 67

An air crash occurred near the hospital leading
to a surge of trauma patient. One of the last patients will need surgical amputation but there
are no sterile surgical equipments. In this case,
which of the following will the nurse expect?
a. Equipments needed for surgery need not
be sterilized if this is an emergency
necessitating life saving measures
b. Forwarding the trauma client to the
nearest hospital that has available sterile
equipments is appropriate
c. The nurse will need to sterilize the item
before using it to the client using the
regular sterilization setting at 121
degree Celsius in 15 minutes
d. In such cases, flash sterlizer will be use
at 132 degree Celsius in 3 minutes

Answer 67

d. In such cases, flash sterlizer will be use
at 132 degree Celsius in 3 minutes

Question 68

68. Tess, the PACU nurse, discovered that Malou,
    who weighs 110 lbs prior to surgery, is in severe
    pain 3 hrs after cholecystectomy. Upon checking
    the chart, Malou found out that she has an order
    of Demerol 100 mg I.M. prn for pain. Tess should
    verify the order with:
    a. Nurse Supervisor
    b. Surgeon
    c. Anesthesiologist
    d. Intern on duty

Answer 68

b. Surgeon

Question 69

69. Rosie, 57, who is diabetic is for debridement if
    incision wound. When the circulating nurse
    checked the present IV fluid, she found out that
    there is no insulin incorporated as ordered.
    What should the circulating nurse do?
    a. Double check the doctor’s order and
    call the attending MD
    b. Communicate with the ward nurse to
    verify if insulin was incorporated or not
    c. Communicate with the client to verify if
    insulin was incorporated
    d. Incorporate insulin as ordered.

Answer 69

a. Double check the doctor’s order and
call the attending MD

Question 70

70. The documentation of all nursing activities
    performed is legally and professionally vital.
    Which of the following should NOT be included
    in the patient’s chart?
    a. Presence of prosthetoid devices such as
    dentures, artificial limbs hearing aid, etc.
    b. Baseline physical, emotional, and
    psychosocial data
    c. Arguments between nurses and
    residents regarding treatments
    d. Observed untoward signs and symptoms
    and interventions including contaminant
    intervening factors

Answer 70

c. Arguments between nurses and
residents regarding treatments

Question 71

Situation – Team efforts is best demonstrated in the OR.
71. If you are the nurse in charge for scheduling
surgical cases, what important information do
you need to ask the surgeon?
a. Who is your internist
b. Who is your assistant and
anaesthesiologist, and what is your
preferred time and type of surgery?
c. Who are your anaesthesiologist,
internist, and assistant
d. Who is your anaesthesiologist

Answer 71

b. Who is your assistant and
anaesthesiologist, and what is your
preferred time and type of surgery?

Question 72

In the OR, the nursing tandem for every surgery
is:
a. Instrument technician and circulating
nurse
b. Nurse anaesthetist, nurse assistant, and
instrument technician
c. Scrub nurse and nurse anaesthetist
d. Scrub and circulating nurses

Answer 72

d. Scrub and circulating nurses

Question 73

73. While team effort is needed in the OR for
    efficient and quality patient care delivery, we
    should limit the number of people in the room
    for infection control. Who comprise this team?
    a. Surgeon, anaesthesiologist, scrub nurse,
    radiologist, orderly
    b. Surgeon, assistants, scrub nurse,
    circulating nurse, anaesthesiologist
    c. Surgeon, assistant surgeon,
    anaesthesiologist, scrub nurse,
    pathologist
    d. Surgeon, assistant surgeon,
    anaesthesiologist, intern, scrub nurse

Answer 73

b. Surgeon, assistants, scrub nurse,
circulating nurse, anaesthesiologist

Question 74

74. Who usually act as an important part of the OR
    personnel by getting the wheelchair or stretcher,
    and pushing/pulling them towards the operating
    room?
    a. Orderly/clerk
    b. Nurse Supervisor
    c. Circulating Nurse
    d. Anaesthesiologist

Answer 74

a. Orderly/clerk

Question 75

75. The breakdown in teamwork is often times a
    failure in:
    a. Electricity
    b. Inadequate supply
    c. Leg work
    d. Communication

Answer 75

d. Communication

Question 76

Situation: Basic knowledge on Intravenous solutions is
necessary for care of clients with problems with fluids
and electrolytes.
76. A client involved in a motor vehicle crash
presents to the emergency department with
severe internal bleeding. The client is severely
hypotensive and unresponsive. The nurse
anticipates which of the following intravenous
solutions will most likely be prescribed to
increase intravascular volume, replace
immediate blood loss and increase blood
pressure?
a. 0.45% sodium chloride
b. 0.33% sodium chloride
c. Normal saline solution
d. Lactated ringer’s solution

Answer 76

d. Lactated ringer’s solution

Question 77

77. The physician orders the nurse to prepare an
    isotonic solution. Which of the following IV
    solution would the nurse expect the intern to
    prescribe?
    a. 5% dextrose in water
    b. 0.45% sodium chloride
    c. 10% dextrose in water
    d. 5% dextrose in 0.9% sodium chloride

Answer 77

a. 5% dextrose in water

Question 78

80. One patient had a ‘runaway’ IV of 50% dextrose.
    To prevent temporary excess of insulin or
    transient hyperinsulin reaction what solution
    you prepare in anticipation of the doctor’s order?
    a. Any IV solution available to KVO
    b. Isotonic solution
    c. Hypertonic solution
    d. Hypotonic solution

Answer 78

c. Hypertonic solution

Question 79

78. The nurse is making initial rounds on the nursing
    unit to assess the condition of assigned clients.
    The nurse notes that the client’s IV Site is cool,
    pale and swollen and the solution is not infusing.
    The nurse concludes that which of the following
    complications has been experienced by the
    client?
    a. Infection
    b. Phlebitis
    c. Infiltration
    d. Thrombophelibitis

Answer 79

c. Infiltration

Question 80

79. A nurse reviews the client’s electrolyte
    laboratory report and notes that the potassium
    level is 3.2 mEq/L. Which of the following would
    the nurse note on the electrocardiogram as a
    result of the laboratory value?
    a. U waves
    b. Absend P waves
    c. Elevated T waves
    d. Elevated ST segment

Answer 80

a. U waves

Question 81

An informed consent is required for:
a. closed reduction of a fracture
b. irrigation of the external ear canal
c. insertion of intravenous catheter
d. urethral catheterization

Answer 81

a. closed reduction of a fracture

Question 82

82. Which of the following is not true with regards
    to the informed consent?
    a. It should describe different treatment
    alternatives
    b. It should contain a thorough and
    detailed explanation of the procedure
    to be done
    c. It should describe the client’s diagnosis
    d. It should give an explanation of the
    client’s prognosis

Answer 82

b. It should contain a thorough and
detailed explanation of the procedure
to be done

Question 83

83. You know that the hallmark of nursing
    accountability is the:
    a. accurate documentation and reporting
    b. admitting your mistakes
    c. filing an incidence report
    d. reporting a medication error

Answer 83

a. accurate documentation and reporting

Question 84

84. A nurse is assigned to care for a group of clients.
    On review of the client’s medical records, the
    nurse determines that which client is at risk for
    excess fluid volume?
    a. The client taking diuretics
    b. The client with renal failure
    c. The client with an ileostomy
    d. The client who requires gastrointestinal
    suctioning

Answer 84

b. The client with renal failure

Question 85

85. A nurse is assigned to care for a group of clients.
    On review of the client’s medical records, the
    nurse determines that which client is at risk for
    deficient fluid volume?
    a. A client with colostomy
    b. A client with congestive heart failure
    c. A client with decreased kidney function
    d. A client receiving frequent wound
    irrigation

Answer 85

a. A client with colostomy

Question 86

Before you use a disinfected instrument it is
essential that you:
a. Rinse with tap water followed by alcohol
b. Wrap the instrument with sterile water
c. Dry the instrument thoroughly
d. Rinse with sterile water

Answer 86

d. Rinse with sterile water

Question 87

Situation: As a perioperative nurse, you are aware of the
correct processing methods for preparing instruments
and other devices for patient use to prevent infection.
86. As an OR nurse, what are your foremost
considerations for selecting chemical agents for
disinfection?
a. Material compatibility and efficiency
b. Odor and availability
c. Cost and duration of disinfection process
d. Duration of disinfection and efficiency

Answer 87

a. Material compatibility and efficiency

Question 88

88. You have a critical heat labile instrument to
    sterilize and are considering to use high level
    disinfectant. What should you do?
    a. Cover the soaking vessel to contain the
    vapor
    b. Double the amount of high level
    disinfectant
    c. Test the potency of the high level
    disinfectant
    d. Prolong the exposure time according to
    manufacturer’s direction

Answer 88

d. Prolong the exposure time according to
manufacturer’s direction

Question 89

89. To achieve sterilization using disinfectants,
    which of the following is used?
    a. Low level disinfectants immersion in 24
    hours
    b. Intermediate level disinfectants
    immersion in 12 hours
    c. High level disinfectants immersion in 1
    hour
    d. High level disinfectant immersion in 10
    hours

Answer 89

d. High level disinfectant immersion in 10
hours

Question 90

90. Bronchoscope, Thermometer, Endoscope, ET
    tube, Cytoscope are all BEST sterilized using
    which of the following?
    a. Autoclaving at 121 degree Celsius in 15
    minutes
    b. Flash sterilizer at 132 degree Celsius in 3
    minutes
    c. Ethylene Oxide gas aeration for 20 hours
    d. 2% Glutaraldehyde immersion for 10
    hours

Answer 90

d. 2% Glutaraldehyde immersion for 10
hours

Question 91

Situation: The OR is divided into three zones to control
traffic flow and contamination What OR attires are worn in the restricted area?
a. Scrub suit, OR shoes, head cap
b. Head cap, scrub suit, mask, OR shoes
c. Mask, OR shoes, scrub suit
d. Cap, mask, gloves, shoes

Answer 91

b. Head cap, scrub suit, mask, OR shoes

Question 92

92. Nursing intervention for a patient on low dose IV
    insulin therapy includes the following, EXCEPT:
    a. Elevation of serum ketones to monitor
    ketosis
    b. Vital signs including BP
    c. Estimate serum potassium
    d. Elevation of blood glucose levels

Answer 92

a. Elevation of serum ketones to monitor
ketosis

Question 93

The doctor ordered to incorporate 1000”u”
insulin to the remaining on-going IV. The
strength is 500 /ml. How much should you
incorporate into the IV solution?
a. 10 ml
b. 0.5 ml
c. 2 ml
d. 5 ml

Answer 93

C. 2 ml

Question 94

94. Multiple vial-dose-insulin when in use should be
    a. Kept at room temperature
    b. Kept in narcotic cabinet
    c. Kept in the refrigerator
    d. Store in the freezer

Answer 94

c. Kept in the refrigerator

Question 95

95. Insulins using insulin syringe are given using how
    many degrees of needle insertion?
    a. 45
    b. 180
    c. 90
    d. 15

Answer 95

c. 90

Question 96

Situation: Maintenance of sterility is an important
function a nurse should perform in any OR setting.
96. Which of the following is true with regards to
sterility?
a. Sterility is time related, items are not
considered sterile after a period of 30
days of being not use.
b. for 9 months, sterile items are
considered sterile as long as they are
covered with sterile muslin cover and
stored in a dust proof covers.
c. Sterility is event related, not time
related
d. For 3 weeks, items double covered with
muslin are considered sterile as long as
they have undergone the sterilization

Answer 96

c. Sterility is event related, not time
related

Question 97

97. 2 organizations endorsed that sterility are
    affected by factors other than the time itself,
    these are:
    a. The PNA and the PRC
    b. AORN and JCAHO
    c. ORNAP and MCNAP
    d. MMDA and DILG

Answer 97

b. AORN and JCAHO

Question 98

98. All of these factors affect the sterility of the OR
    equipments, these are the following except:
    a. The material used for packaging
    b. The handling of the materials as well as
    its transport
    c. Storage
    d. The chemical or process used in
    sterililzing the material

Answer 98

d. The chemical or process used in
sterililzing the material

Question 99

99. When you say sterile, it means:
    a. The material is clean
    b. The material as well as the equipments
    are sterilized and had undergone a
    rigorous sterilization process
    c. There is a black stripe on the paper
    indicator
    d. The material has no microorganism nor
    spores present that might cause an
    infection

Answer 99

d. The material has no microorganism nor
spores present that might cause an
infection

Question 100

100. In using liquid sterilizer versus autoclave
     machine, which of the following is true?
     a. Autoclave is better in sterilizing OR
     supplies versus liquid sterilizer
     b. They are both capable of sterilizing the
     equipments, however, it is necessary to
     soak supplies in the liquid sterilizer for
     a longer period of time
     c. Sharps are sterilized using autoclave and
     not cidex
     d. If liquid sterilizer is used, rinsing it
     before using is not necessary

Answer 100

b. They are both capable of sterilizing the
equipments, however, it is necessary to
soak supplies in the liquid sterilizer for
a longer period of time