d.

She is aware of the possibility of the injury

1. Which of the following situations would possibly cause to the patient
a nurse to be sued due to negligence?
a. Nurse gave a client wrong medication and an hour 7. According to the doctrine of Res Ipsa Loquitour, three
later, complained of dyspnea conditions are required to establish a defendant’s
b. While preparing a medication, the nurse notices negligence without proving such: which of the
that instead of 1 tablet, she put two tablets into the following is not:
client’s medicine cup a. The injury was caused by the defendant
c. As the nurse was about to administer medication, which in turn is within his/her control
the client questioned why the medication is still b. The injury would not occur unless there was
given when in fact the physician discontinued it a negligent act
d. Nurse administered 2 tablets of analgesic instead c. The plaintiff did not engage in the activity
of 1 tablet as prescribed. Patient noticed the error that caused him to get injured
and complained d. There is a direct participation of the patient
2. If review of a patient’s record revealed that this post in the act that brought harm.
operative patient had never consented to the eye 8. This law primarily applies in the operating room and
surgery, of which intentional tort might the surgeon imposes liability on the surgeon for the acts of any of
have been guilty of? the people working in the room.
A. Assault C. Invasion of privacy a. Captain of the Ship
B. Battery D. False imprisonment b. Res Ipsa Loquitor
c. Respondeat Superior
d. Chain of command
3. Improper or unskillful care of a patient by a nurse and
stepping beyond one’s authority with serious
consequences is termed as:
A. Malpractice C. Liability 9. Cardo was assigned to teach of Lolo Boy, an elderly
B. Tort D. Negligence client who sustained fractured femur due to falls to use
crutches while walking. Lolo Boy fell on the floor and
4. The Nurse caring for an older adult tears the skin of the sustained further injury due to defective crutches, who
client while removing a piece of tape. The skin is should be held liable?
attached to the upper arm and to the tape. The Nurse A. Cardo, the nurse only.
cuts the attached part of the skin with scissors in order B. The hospital and the nurse
to remove the tape. The Nurse fails to understand that if C. The hospital only
harm comes to the client during the act of cutting the D. The head nurse and Cardo.
skin with scissors which of the ff. could the Nurse be
charged with? 10. A nurse calls the physician of a client scheduled for a
A. Assault C. Malpractice cardiac catheterization because the client has numerous
B. Acceptable practice D. Negligence questions regarding the procedure and has requested to
speak to the physician. The physician is very upset and
5. Which of the following situations would possibly cause arrives at the unit to visit the client after being
a nurse to be sued due to negligence? prompted by the Nurse. The nurse is outside of the
i. Nurse gave a client wrong client’s room and hears the physician tells the client in
medication and an hour later,
derogatory manner that the Nurse “doesn’t know
complained of dyspnea
ii. While preparing a medication, anything.” Which legal tort has the physician violated?
the nurse notices that instead of 1 A. Negligence C. Assault
tablet, she put two tablets into the B. Libel D. Slander
client’s medicine cup 11. The Philippine Nursing Act of 1991 (RA 7164) has
iii. As the nurse was about to been repealed by the Philippine Nursing Act of 2002
administer medication, the client
(RA 9173). A person shall be deemed to be practicing
questioned why the medication is
still given when in fact the nursing within the meaning of this Act. It shall be the
physician discontinued it duty of the nurse, except:
iv. Nurse administered 2 tablets of 1) Executing health care techniques and procedures
analgesic instead of 1 tablet as 2) Health teachings
prescribed. Patient noticed the 3) Establish linkages with community resources
error and complained 4) Guiding Student nurse in the absence of clinical
instructor
6. Which of the following conditions would prevent
5) Providing written medicine prescription for treatment
Pamela from a malpractice suit?
6) Internal examination during labor
7) Performing Suture of laceration even without
a. She performs her duty as prescribed in her
training
job description
b. Her action resulted to an injury resulted a. 1, 2 and 3 c.3, 4, and 5
from non-compliance to the standard of care b. 2, 3 and 4 d. 5, 6, and 7
c. The participation of the child’s parents 12. Nurse Angie was asked by her neighbor to insert an IV
resulted to an injury to the child. needle and start an IV infusion for her mother who is
 experiencing dehydration. Nurse Angie has never had sign a DNR form. What ethical principle did Sherlyn
the proper IV therapy training and declined to do the and her family utilize as basis for their decision to sign
procedure. Which ethical principle was applied by a DNR?
Nurse Angie in this situation? A. Beneficence
A. Beneficence B. Advocacy
B. Fidelity C. Autonomy
C. Nonmaleficence D. Justice
D. Autonomy 21. Catherine, a staff nurse working in a cancer unit is
considered a role model not only by her colleagues but
13. Beneficence is an ethical principle that best describes also by her patients. She goes out of her way to help
which of the following nursing action? others. She is very active in their professional
A. Observing the social workers classification of clients organization and she practices what she teaches. What
B. Providing care that maximizes health ethical principles is she practicing?
C. Providing care according to patient’s private room rate A. Justice
D. Following the patient’s preference B. Advocacy
14. A group discussion regarding an ethical problem was C. Autonomy
initiated. Julio, a member of the group decided to use D. Beneficence
the Act Utilitarianism theory to justify his opinion. 22. You are communiting to work riding the MRT. An
Which of the following reflects this theory? older person collapsed and nobody seems to notice her.
A. Given circumstances, most humanistic action is The security guard tried to make her sit down but she
considered. remained unconscious. With your help, you brought
B. Decision is based on what brings greatest happiness. the patient to the nearest hospital. You learned that the
C. Determine the good and the bad consequences of the woman is diabetic. Before reaching the clinic to
action. measure her blood sugar, she developed hypoglycemia.
D. An existing obligation prevails You were able to save her life. What principle was
applied?
15. The attending physician prescribes one tablet and the A. Beneficence
nurse accidentally administers two. The nurse closely B. Advocacy
monitors the client for adverse effects and finds none. C. Autonomy
When analyzing the potential for civil liability, the D. Justice
nurse knows that which of the following statements is 23. A client brought to the emergency room after a serious
correct? accident is unconscious and bleeding profusely. Surgery
A. The nurse is liable for breach of duty
is required immediately in order to save the client’s life.
B. The nurse is liable for negligence
C. The nurse is not liable for negligence With regards to informed consent for the surgical
D. The nurse and the physician are both liable procedure, which of the ff. is the best nursing action?
16. The physician instructed the nurses in the unit not to tell A. Call the nursing supervisor to initiate a court order
the patient of his condition since the patient is in a for the surgical procedure
medically fragile condition. The nurse follows the B. Transport the client to the operating room and
physician’s orders. The action of the nurses employed immediately as required by the physician without
all of the following ethical principles,
obtaining an informed consent
A. Non-maleficence C. Beneficence
B. Veracity D. Paternalism C. Try to obtain the spouse’s telephone number and
call the spouse to obtain telephone consent before the
surgical procedure
17. The nurse performs a careful safety assessment of the D. Ask a friend that accompanied the client to the
home of a frail elderly patient to prevent harm to the emergency room to sign the consent form
patient is acting in accord with which of the following
principles?
A. Autonomy C. Justice 24. Which statement is true regarding informed
B. Beneficence D. Nonmaleficence consent?
18. A nurse supports a patient and family’s need to make A. The client must be fully informed
decisions that is right for them is practicing which of
regarding treatments, test, surgery and
the following principles?
A. Autonomy C. Truthfulness the risk and benefits prior to giving
B. Confidentiality D. Justice informed consent
19. Lina who is admitted to the hospital with autoimmune B. Minors are permitted to give informed
thrombocytopenia and a platelet count of 21,000
develops epistaxis and melena. Treatment with consent
corticosteroids and immunoglobulin has not been C. The professional nurse and physician
successful. Md suggested splenectomy. Lina states: "I may both obtain informed consent
don’t need surgery. This will go away on its own"
D. Mentally competent and incompetent
A. Justice
B. Advocacy clients can legally give informed consent
C. Beneficence
D. D. Autonomy 25. The hospital research team consisted of
20. Sherlyn is terminally ill and is experiencing severe pain.
She has bone and liver metastasis. She had been on physical therapist offered Juana the
morphine for several months now. Sherlyn is aware opportunity to participate in research on a
that they are having financial problems. She decides to
 new therapy. The researcher asks the Nurse
to obtain Juana’s consent. What is the most
appropriate action for the Nurse to take? 30. The nurse has obligation to tell the truth. When she
A. Refuse to be the one to obtain the admits mistakes promptly, she manifests____.
consent.
A. Fidelity
B. Read the consent form to Juana and give
her an opportunity to ask questions. B. Veracity
C. Be sure Juana understands the project C. Respect
before she signs the consent form.
D. Give the form to Juana and tell her to D. Autonomy
read it carefully before she signs it.
26. The essential elements of informed consent 31. The cancer patient has been frequently complaining of
are the following except:
1. explanation of condition of patient pain and demands that the pain reliever be administered
2. The alternative treatment and even before the due time. The nurse prepares to inject
procedures
NSS as a placebo. Which principle will she transgress?
3. The benefits of treatment
4. The consequences if left untreated A. Respect
A. 1 only C. 4only B. Veracity
B. 1, 3,4 D. None of the
C. Justice
above
D. Fidelity

27. When Nurse Hitachi is providing care to his patient, she 32. The nurse knows that ethical dilemmas may be referred
must remember that her duty is bound not to do any
to the hospital ethics committee that has the PRIMARY
action that will cause the patient harm. This is the
meaning of the bioethical principle: role to___
A. Non-maleficence C. Justice
A. Prevent that the physician from making the wrong decision
B. Beneficence D. Confidentiality
B. Decide what must be done under the circumstances

C. Prevent ethical dilemmas from occurring

28. In which circumstance may the Nurse legally and
ethically disclose confidential information about a D. Provide guidance for healthcare teams and family of patients.
client?
A. HIV-status of a single male client to his family
members. 33. Nurse were overhead talking about the patient and his
B. The diagnosis of an uncontrolled seizure disorder of
a taxi driver to the concerned government unit. prognosis. What ethical principle was violated?
C. The client is 32 weeks pregnant with twins and is A. Autonomy
legally separated.
D. The diagnosis of a pancreatic CA to the client’s B. Confidentiality
significant other. C. Non-maleficence

D. Beneficence
SITUATION 16- The nurse when practicing the profession must

adhere to ethical principles. Situation: JC will be conducting a study entitled “The effect of
Music Therapy in Decreasing Pain among patient with Chronic
29. When the nurse treats the patient in the air-conditioned
Pain”
rooms favorably compared to those in the charity wing,
34. What research design is best for this study?
she violate which of the following ethical principles? A. Correlational C. Comparative
A. Veracity B. Descriptive D. Experimental

B. Justice
Situation 6 – A team of researchers is conducting a study on the
C. Fidelity
effect of high dose corticosteroids in improving the motor and
D. Distributive justice sensory outcomes of patients with spinal cord injuries within 6
weeks if administered within 8 hours after injury. The study covers 7yr-old children and asked their mothers on mode of feeding
a three month period. during the 1st year of child’s life.

35. On the basis of the nature of the investigation, which

one of the designs listed below would allow the 42. Which of the following is the MOST appropriate
researchers to have the most confidence that the research design?
corticosteroids is effective in improving the motor and a. A. Prospective C. Experimental
sensory outcomes of patients with spinal cord injury: b. B. Retrospective D. Longitudinal

A. Quasi or semi-experimental design 43. Which of the following is not done in this study?
B. Non-experimental design a. develop conceptual framework
C. Experimental design b. Manipulate the Independent variable
D. Retrospective-prospective study c. Subject data to statistical treatment
36. Which of the following is present in conducting the d. Define the term operationally
above study?
A. Experimental group 44. What is the independent variable in the study?
B. Subjects a. IQ level
C. Variables b. 7year old children
D. Control group c. Mode of feeding during the 1st year of life
37. In the above study, the researchers manipulate the d. respective mothers
variable under study. Which of the following variables
is sufficient for the effect to occur?
A. Clients with spinal cord injury 45. Vitamins and minerals as supplement given to the
B. Injection of corticosteroids within 8 hours after children during their childhood is believed to affect also
injury their IQ Level, and it is considered as what kind of
C. Research methodology variable?
D. motor and sensory outcomes patients with spinal a. Independent Variable
cord injuries b. Extraneous Variable
38. The manipulated variable to the experimental group is c. Dependent Variable
the: d. Comparative Variable
A. Improved recovery and lessen hospitalization Situation: You are a nurse-researcher of a non-government
period organization. Your research team is assigned to conduct several
B. Questionnaire in gathering pertinent data qualitative researches.
C. Improved motor and sensory outcomes 46. You are working on a research article entitled
D. Injection of corticosteroids within 8 hours post “Becoming a Father”. Which research design would
probably be the most appropriate to study the
spinal cord injury
phenomenon of interest?
Situation : Research is essential to the development of any A. [Link]
profession. Through research, knowledge can be validated and B. [Link] Theory
defined, and new knowledge can be generated. A team of C. Phenomenology
researchers proposed a study on the individual effect of D. Action Research
preoperative teaching on the early ambulation of women who have
47. What type of sampling procedure is generally used in
undergone abdominal hysterectomy. Target populations are
qualitative reseach design?
women admitted on the same day for total abdominal
[Link] C. Simple Random
hysterectomy.
B. Convenience D. Purposive
39. The independent variable that is manipulated is 48. Which of the following is a qualitative research design
A. Women C. Health outcomes where lived experiences of individuals are examined in
B. Abdominal surgery D. Preoperative teachings their “life world”?
A. Ethnographic C. Descriptive Studies
40. In the proposed study, the researchers defined the
B. Grounded Theory D. Phenomenological
selected groups and ask what sample size should be
used. Since there are many qualifiers that to some 49. Which type of Data collection allows the researcher to
extent samples must be specific to the study, the general obtain information not just for a single event but
rule in the sample size is to collection happens for a long period of time?
A. Determine the duration of the study A. A. RetrospectiveC. Cross-Sectional
B. Establish the number of variables B. B. Prospective D. Longitudinal
C. Consider the type of the study Situation: You are a nurse conducting statistical analysis of a study
D. Make the sample as large as possible entitled, “The Effect of Gingko Biloba on Memory Retention of
Nursing Students preparing for the upcoming board exam”.
41. In the proposed hypothesis, “There is an direct
relationship between pre op teaching and early 50. Which of the following is the independent variable?
ambulation of patient.” This kind of hypothesis belongs A. The effect of Gingko Biloba
to which of the following category: B. Memory Retention
A. Null, Non-directional C. Administration of Gingko Biloba
B. Research, Null D. Enhancing Memory Retention
C. Research, Directional 51. Which of the following is the dependent variable?
D. Research, Non-directional A. The effect of Gingko Biloba
Situation: A nurse researcher is interested in studying the B. Memory Retention
relationship of length of exclusive breastfeeding on the IQ level of C. Administration of Gingko Biloba
a child at 7years old. She decided to determine the IQ level of 300 D. Enhancing Memory Retention
Situation: Nurse Manuel, is part of the research team of a tertiary 59. Carmenzita wants to do a study on this topic, "Effects
hospital. He is commissioned to lead the team in conducting a of massage and meditation on stress and pain." The type of
study which aims to determine if there is difference in the muscle research that best suits this topic is:
strength of paraplegics who receive pool therapy and those who do A. Applied research C. Basic research
not. B. Qualitative research D. Quantitative research
52. Which is the dependent variable in the study? 60. The type of research design that does not manipulate
A. Muscle strength independent variable is:
B. Pool therapy A. Experimental design
C. Use or non use of pool therapy B. Quasi-experimental design
D. None of the above C. Non-experimental design
53. It is hypothesized that paraplegics who receive pool D. Quantitative design
therapy will perform better on tests of muscle strength 61. Which of the following is TRUE in an experimental
that those who do not. The type of hypothesis study?
formulated is A. The control group receives the therapy being studied
A. simple, directional B. Conditions affecting the subjects are left uncontrolled to
B. simple, non-directional allow generalization of findings
C. complex, directional C. Subjects are randomly assigned to both experimental and
D. complex, non-directional controlled groups
54. Nurse Manuel with the research team tested the muscle D. Clients are likely to perform the best are assigned to the
strength of the participants after administering pool experimental group
therapy to one of the study groups. The team is 62. As a researcher, you know that the difference of an
conducting which phase of the research process? experimental research to a quasi-experimental research
A. Conceptual is that, quasi-experimental research lacks which of the
B. Design and Planning following component of an experimental research?
C. Empirical A. a. Manipulation C. Either b or d
D. Analytic B. b. Randomization D. Control

Situation: Experiments can be done through different ways or

method, the following question will fall under different types of Situation: Qualitative studies are used to investigate on a certain
experiments. phenomenon in a more inductive approach, it can find depth and
meaning into the different experiences of the respondents
55. An experimental study on the effect of Flip Charts on
clients adherence to DOTS which made use of 2 groups 61. When a researcher wants to know the experiences of
which lacks random assignment however utilized a pre High School students who are bullied during their
and a post-test measurement can be classified as: elementary years. This proposed topic can be
A. Pre-experiment investigated using which approach?
B. Non- experimental A. Grounded Theory
C. Quasi- experimental B. Phenomenological
D. True experiment C. Survey
56. If a researcher proposes to use only one group, D. Ethnographic
manipulation and a pre-test and post-test, this study can 62. If a researcher will investigate on how the Dumagat
be categorized as a: tribesmen of Cordillera survived and adapted on the
A. Non- experimental changing times in the city of San Jose Del Monte
B. Quasi- experimental Bulacan, this can be investigated using which
C. True experiment approach?
D. Pre-experiment A. Survey
57. If a researcher made use of only one group and gathered B. Grounded Theory
data at 2 separate occasions prior to an intervention and C. Ethnographic
then gathered data twice again after , this is categorized D. Phenomenological
as: 63. A common question in doing qualitative research is
A. Pre-experiment when to discontinue the data collection, the researcher
B. Non- experimental knows that he can discontinue data collection if:
C. Quasi- experimental A. When Sloven’s formula has been satisfied
D. True experiment B. When other similar researches agreed with your
58. A TRUE experiment must meet the following criterion: sample size
A. Control, Manipulation and Intervention C. There is no new information gathered over time
B. Manipulation, Inclusion criteria and convenience D. You had collected at least 10 informants
sampling
C. Administration of intervention, Control and
Random assignment
D. Manipulation, randomization and Correlation Situation: Lester a budding researcher is investigating on the lived
experiences if military nurses in the nursing corps and he is
SITUATION: The use of massage and meditation to help decrease determining activities that might affect his data collection and
stress and pain have been strongly recommended based on would want to establish his research rigors.
documented testimonials.
 64. In doing qualitative research all but one of the assistant burned it. The assistant is
following are concerns of Lester in data collection: considered as:
A. Building rapport with the informant A. Accomplice C. Principal
B. Ensuring research hypothesis reliability B. Accessory D. Co-principal
C. Handling emotionality
D. Data collection may take a lot of time
65. Recommendation for the utilization of the findings of 72. The Nurse-Lawyer provides an
the study are directed to: education session to the nursing staff
A. Education C. research regarding client rights. A Staff Nurse
B. Practice D. All of the above
66. The most common threat to every qualitative studies
asks the lawyer to describe an example
which includes longitudinal type of data collection is: might relate to invasion of client
A. Mortality C. Hawthorne Effect privacy. Which of the ff. indicates a
B. Instrumentation change D. None
67. Random sampling ensures that each subject has:
violation of this right?
A. An equal chance of being selected A. Threatening to place a client in
B. Been selected systematically restraints
C. selected based on criteria
D. Gathers another subject thru key informant B. Telling the client that he or she
68. A research group studied the trend in junk food cannot leave the hospital
consumption if a group of female over a 10year period C. Taking photographs of the client
using data they collected biannually. This is an example
of a/an:
without consent
A. Ethnographic D. Performing a surgical procedure
B. Time-series, quasi-experimental without consent
C. Longitudinal study
D. Cross-sectional study 73. Two Nurses are in the cafeteria having
lunch in a quite secluded area. A
physical therapist from the physical
SITUATION: Juana is three months Pregnant. Her therapy department joins the Nurses.
parents do not know this. Juana informed her friend During lunch, the Nurses discuss a client
about the problem and wants to commit abortion. Her
friend referred Juana to an abortionist. Juana had an who was physically abused. After lunch
abortion. the physical therapist provides therapy
69. If those involved will be charged legally, who
as prescribed to this physically abused
is considered as the principal by direction? client and asks the client questions about
A. Juana B. Her friend the physical abuse. The client discovers
C. The abortionist D. None of them that the Nurses told the therapist about
70. Juana is interviewing a prisoner at San
the abuse situation and is emotionally
Miguel Correctional, for the completion of her
data gathering. During the interview Juana
harmed. The ramifications associated
was struck by what the prisoner has told her with the Nurses discussion about the
that, “I should not be the only one in jail”. client are most appropriately associated
Juana knew that there was a conspiracy in a with which of the ff.?
committed crime exists when two or more
A. They can be charged with slander
persons agree to commit a felony and decide
to do it. An individual who cooperates in the B. They can be charged with libel
execution of the offense by previous or C. None, because the physical
simultaneous acts is called? therapist is involve in the client’s care
A. Accomplice D. None, because the discussion took
B. Principal by indispensable cooperation
C. Principal by induction
place in a quite secluded area
D. Accessories 74. The Nurse is eating lunch in a nursing
71. If during the investigation the pieces of home cafeteria. Two nurse aides can be
evidence were not found because the heard at the next table talking about a
 resident by name. Which of the ff. is the population into 4 groups for comparison: freshmen,
sophomores, juniors and seniors. She then takes a
priority nursing action? random sample from each subgroup. Which sampling
A. Report them to their supervisor design did the nurse utilized?
A. Simple C. Stratified
B. Tell the nurse aides that they are
B. Systematic D. Snowball
being overhead and should talk quietly 78. Initially the researcher wanted to gather data on 5
C. Tell the nurse aides that they are randomly selected sections in the first year level in the
breaching confidentiality college of nursing, this kind of sampling is categorized
as:
D. Talk to the nurse aides privately later A. Cluster sampling
about this inappropriate behavior B. Stratified sampling
C. Network sampling
75. An elderly woman is brought to the
D. Systematic sampling
emergency room. On physical 79. Upon consultation with his adviser, they decided the
assessment, the Nurse notes old and new findings would be more representative of the sample,
when he will include data collection among 1st year
ecchymotic areas on both arms and
students comprising of 50 respondents from male 16
buttocks. The Nurse asks the client how y/o, male 17 y/o, female 16 y/o and female 17 y/o.
the bruises were sustained. The client, A. Cluster sampling
B. Systematic sampling
although reluctant, tells the Nurse in C. Stratified sampling
confidence that her daughter frequently D. Snowball sampling
hits her if she gets in the way. Which of 80. A nurse researcher is conducting a lecture to nursing
students about different sampling method when one of the
the ff. is the most appropriate nursing students asks what random sampling is. The nurse researcher is
response? correct when she stated that random sampling assures that each
subject has:
A. “I promise I will not tell anyone but a. Been selected based on criteria
b. Been systematically selected
let’s see what we can do about this.” c. Characteristics that match other samples
B. “I have the legal obligation to d. An equal chance of selection
report this type of abuse.” 81. Among the sampling methods, the nurse researcher
knows which of the following methods is the weakest form of
C. “This should not be happening and if sample selection and should be avoided?
a. Quota b. Purposive c. Snowball
it happens again you must call the d. Convenience
emergency
82. Which sampling method allows the use of any group of
department.” research subject?
E. “Let’s talk about the ways that will a. Quota b. Purposive c. Snowball d.
Convenience
prevent your daughter for hitting
you.” 83. The nurse researcher utilized the snowball sampling, in
which he can easily get a sample through the help of the seeds.
76. A Japanese client who is a SARS Seeds in snowball sampling refer to:
a. Samples from population strata.
suspect is advised to be confined in a b. Sample selected by the researcher with set of criteria.
negative pressure room with strict c. Early sample members who can refer other people who
meet eligibility criteria.
protective gadgets of the health workers d. Subjects purposely selected and believed to be
taking care of him. He vehemently knowledgeable about the issues under the study.
84. You decided to include all barangays in the
resented being confined in that room. municipality and chose a sampling method that would get a
Moreover, he was not allowed to accept representative sample from each barangay. The appropriate
method would be:
visitors, he threatened to sue the a. Cluster sampling c. Systematic sampling
hospital. Which case will he file most b. Stratified sampling d. Random sampling
likely?
85. The nurse researcher chose to use systematic sampling
A. Battery C. Incompetence in obtaining 600 needed participants in his studies to be
B. Illegal detention D. Defamation conducted at Brgy. Masigla. In his population list, he learned
that the population of the barangay is 40, 000. He has chosen
77. The school nurse is interested in studying marijuana the 74th individual in the list. What would be the next number
usage among high school students. The school of the participant?
 a. 82nd b. 78th c. 141st D. Cause and effect relationship.
d. 158th

86. As a researcher, you know the different types of SITUATION: Floaters are another concept that we should be
sampling method. One study had applied a type of familiar with. In delegating patients and cases to a floater what are
sampling that uses a technique whereby they subdivided the things that we need to consider. Which of the following cases
the population into areas or section and then took a should be delegated to a nurse from a different area.
random sample from each section. The researcher chose 93. A nurse from Psychiatric unit floated to emergency
which type of sampling method? department
A. Client with multiple fractures of the arm and screaming
a. Purposive sampling c. Systematic sampling because of severe pain
B. Client with chest pain and is restless
b. Cluster sampling d. Stratified sampling C. Client who is suspected to be physically abuse and is
unconscious
D. Confused client intoxicated with alcohol
94. A nurse from Ob unit nurse floated to oncology unit
Situation: Nurse Manuel, is part of the research team of a tertiary
A. Post-hysterectomy client for discharge this morning
hospital. He is commissioned to lead the team in conducting a
B. Client with ovarian cancer receiving chemotherapy
study which aims to determine if there is difference in the muscle
C. Client with breast cancer experiencing dyspnea due to
strength of paraplegics who receive pool therapy and those who do
pleural effusion
not.
D. Client with lung cancer receiving pain medication with
PCA pump.
87. Which is the dependent variable in the study?
E. Muscle strength 95. A nurse from OB nurse floated to ICU
F. Pool therapy A. Client with diabetic ketoacidosis
G. Use or non use of pool therapy B. Client receiving blood transfusion
H. None of the above C. Client receiving medications through PICC line
D. Client who had undergone colon surgery, having
88. The data is collected to answer the research question. dysrrhythmias
The data that will be collected will be at what level of
measurement? 96. A nurse from Medical- surgical unit nurse floated to
A. Nominal emergency department
B. Ordinal A. Client with acute abdominal pain due to appendicitis
C. Interval B. Client with congestive heart failure with crackles and
D. Ratio severe pedal edema
C. Clients with ARDS in respiratory distress
D. Client in cardiac arrest due to massive MI
89. In the study title “The use of massage and meditation to 97. A nurse from Pediatric Unit nurse floated to OB
help decrease stress and pain”, Pain is an example of Department
what measurement: A. Postpartum client who needs teaching on breastfeeding
A. Nominal B. Postpartum client who has DVT
B. Ordinal C. Postpartum client who had CS and is in pain
C. Interval D. Postpartum client who delivered 4 hours ago with
D. Ratio distended bladder.
90. In the study title “the effect of crossing of a leg at the 98. A client is confined in your unit. He says that he has
knee during blood pressure measurement on the client’s difficulty sleeping because of the noises in the hallway.
blood pressure”, blood pressure is an example of what When evaluating the effect the setting has on the quality
measurement: of care provided to the client evaluation being done is
A. [Link] called:
B. Ordinal A. Quality assurance C. Structure Evaluation
C. Interval B. Quality improvement D. Outcome Evaluation
D. Ratio 99. The client is given a sponge bath, vital signs are
checked, and medications are given on time. The
91. In the study title “the effect of crossing of leg at the evaluation care provided to him by the nurse is referred
knee during blood pressure measurement on the client’s to as:
blood pressure”, what is the dependent variable? A. Nursing audit C. Outcome
a. Crossing the leg evaluation
C. Blood pressure B. Process evaluation D. Quality improvement
b. Knee
D. Hypertensive
100. Which pattern of nursing care involves the
92. team of researchers conducted a study on the care given by a group of paraprofessional workers led
relationship of the completed surgical cases and the by a professional nurse who take care of patients with
extent of performance of standard competencies among the same disease conditions and are located
Level 3 nursing students assigned in the Operating geographically near each other?
Room. In correlational study, the researcher examines A. Case method C. Nursing case management
the: B. Modular nursing D. Team nursing
A. Questionnaire used to collect data from large samples. 101. The staffs of an outpatient clinic have
B. Difference between two correlated groups. formed a task force to develop new procedures for
C. Relationship between or among two or more variables. swift, safe evacuation of the unit. The new procedures
 haven’t been reviewed, approved or shared with all procedure related to the prevention of ventilator
personnel. When the nurse-manager receives word of a associated pneumonia among ICU patients. A team
bomb threat, the task force members push for leader was selected by the group. Which of the
evacuating the unit using the new procedures. Which following will the team leader do FIRST?
action should the nurse-manager take? A. Tell the group to state their objectives
A. Determine that the procedures currently in place must be B. Formulate a list of desired outcomes
followed and direct staff to follow them without C. Set a target
question. D. State actions to be done by each member of the
B. Tell staff members to use whatever procedures they feel group
are best 109. The team leader organized the group. Which
C. Ask staff members to quickly meet among themselves of the following actions of the team leader reflect
and decide what procedures to follow organization? The team leader:
D. Tell staff members to assemble in the staff lounge; there A. Assigned tasks to each member
the nurse-manager will quickly gather opinions about B. Eliminated non-performing members of the
evacuation procedures before deciding what to do. group
102. Functional nursing has some advantages, C. Checked the assignments of each member of the
which one is an EXCEPTION? group
A. Psychological and sociological needs are emphasized. D. Determined which actions will be done first
B. Great control of work activities. Situation: A professional nurse is assumed to update herself about
C. Most economical way of delivering nursing services. the profession to maintain competence in practice. The nursing
D. Workers feel secure in dependent role management process is a topic for both staff and head nurses.
103. When Harry uses team nursing as a care 110. This major function of the management
delivery system, he and his team need to assess the process establishes formal authority. It defines
priority of care for a group of patients, which of the qualifications and also includes staffing:
following should be a priority? A. Planning
A. Each patient as listed on the worksheet B. Organizing
B. Patients who needs least care C. Directing
C. Medications and treatments required for all patients D. Controlling
D. Patients who need the most care 111. On the other hand, this major function of the
104. The nurse manager prepares the process management process actuates efforts towards the
standards. Which of the ff. is NOT a process standard? accomplishment of goals. It includes updating policies
A. Initial assessment shall be done to all patients within and procedures:
24 hours upon admission A. Planning
B. Informed consent shall be secured prior to any B. Organizing
C. Directing
invasive procedure
D. Controlling
C. Patient shall fill up the customer’s feedback prior to
112. She noticed that policies and standard
discharge operating procedures (SOP’s) are strictly implemented
D. Patient education about illness and treatment shall in the hospital. What management function is this?
be provide for all patients and their A. Planning
Families B. Organizing
105. One of the patients asked the nurse if she C. Controlling
D. Directing
will be available to take care of her from the time of
113. When giving responsibilities to the staff
admission and even after discharge. This refers to what
members she should consider the following:
type of system of nursing care delivery? A. Job description
A. Primary Nursing B. Abilities of the staff
B. Team Nursing C. Preference of the staff
C. Nursing case management D. Her own decision
D. Case Method
106. Mr. Musngi, a management instructor, met SITUATION 18- At present the public knows their right in health
his students to clarify some unclear concepts to them. care. The Community health nurse should be confident and safe in
One of the students asked about staffing. Mr. Roberto the practice of her profession.
explained that staffing is an essential part of what
management function?
A. Organizing
114. Nurse has a complaint from a parent for
administering wrong dose of vaccine to the child. This
B. Controlling
act is a form of___.
C. Directing
A. Battery
D. Planning
B. Assault
C. Negligence
107. Which of the ff. articles is an example of D. Malpractice
operational budgets?
A. Fee for the Internet Service Provider
115. When Nurse Ace submitted a report to the
B. Purchase of an operating room table
physician that she committed an error in medication.
C. Additional room for minor surgery
This is an example of____.
D. New anesthesia machine
A. Responsibility
108. The nurse manager assigned a group to B. Accountability
develop a project intended to improve the existing C. Commitment
D. Delegation
C. Use the sticky side of the plastic tape to erase the error.
116. Who among the following is the BEST to D. Use a rubber eraser to erase an error.
sign an informed consent during a surgical procedure of
a child at the health center?
A. A 26 year old brother who is a drug addict
B. A father who is 40 years old and illiterate 122. If a medicine is unavailable and therefore
C. A sister, 21 years old but undergoing dialysis
D. A mother, 35 years old with on and off seizure not given to the patient, how is it charted?

A. Leave it blank.
117. A nurse administer an extra dose of vaccine
to a child and the patient developed adverse reaction B. Sign and make an explanation in the nurses Notes.
and died. She can be sued for____.
A. Negligence C. With an asterisk or mark, as per hospital protocol.
B. Malpractice
D. Write the letter
C. Tort
D. Battery
118. A patient was for transfer to a tertiary
hospital because of severe asthma, but the nurse does 123. If the patient referred to another consultant
not prepare the patient right away and the patient dies.
Which of the following the nurse is liable? and the latter has made an order already, what can the
A. Malpractice Nurse CORRECTLY chart?
B. Assault
C. Murder A. The attending physician has not yet read the order.
D. Battery
B. Only one order has been left to be carried out.

C. She has carried out the orders of the consultant.

SITUATION 12- Proper recording is the vital task that the nurse is
D. That the consultant has seen the patient with new orders.
trained to do properly in nursing school and expected to practice as

a professional.

119. Nurse are taught as student that the ideal and

124. . After the attending physician checked the
PROPER time for recording vital signs and notes on the
patient in the middle of the night and is about to leave
patient is____ the ward suddenly remembers that he forgot to write the
new order for pain medication, he verbally tells you to
A. to wait for lunch break to do the recording document it on the physician’s order sheet. As the
nurse, your best response is:
B. after all the task are done, in order to conserve time i. “Thank you so much!!!”
ii. Get a second nurse to listen to the order, and after writing
C. as soon as they obtain the sign or observations on the patient
the order on the physician order sheet, have both nurse
D. to wait the lunch break to do the recording sign
iii. “I am sorry but verbal orders can only be given in an
emergency situation. I’ll get the chart and we can do this
quickly”.
120. Right after endorsement and during the iv. Try calling another resident for the order or wait until the
next shift
rounds, the incoming nurse, observes that the IV fluid is
125. Steve, 40 year old male, American citizen
at 800 cc level and not 400cc, as endorsed. What is the who is on short stay in the Philippines, was admitted
due to chest pain. His girlfriend showed the nurse a
CORRECT information that she will chart? health care proxy designating her as the surrogate
decision maker for Steve. The nurse knows that:
A. Anything goes, nobody reads the charting anyway. a. From Steve’s admission, the girlfriend shall be Steve’s
decision-maker
B. Record the 400cc
b. Health care proxies cannot be honored in the Philippines
C. Chart that she received 800 c. The health care proxy has to be sent to the US Embassy
first
D. Refer to the head Nurse on what to do d. Health care proxies are implemented only when the patient
is incapacitated
126. A document which specifies the desired
121. Which is the APPROPRIATE way to correct types of medical treatment is called:
1. A living will c. A last will
an error in the nurses Notes? 2. A holographic will d. A good will
127. The patient’s medical record can work as a
A. Take the whole page out and replace with a fresh one double edged sword. When can the medical record
B. Draw a single line across the error and initial it. become the doctor’s/ nurse’s worst enemy?
a. When a medical record is subpoenaed in court
 b. When it is missing liability, the nurse knows that which of the following
c. When the record is voluminous statements is correct?
d. When the medical record is inaccurate, incomplete and A. The nurse is liable for breach of duty
inadequate B. The nurse is liable for negligence
128. female client in the terminal stage of cancer C. The nurse is not liable for negligence
is admitted to the hospital in severe pain. The client D. The nurse and the physician are both liable
refuses medication for the pain because it puts her to 136. Pamela is at risk lawsuits. Which of the
sleep and she wants to be awake. One day, despite the following actions will shield her from
client's objection, a nurse administers the pain possible lawsuits?
medication saying. "You know that this will make you 1. Knowledge and implementation of standards/protocol of
more comfortable." The nurse in this situation could be care
charged with: 2. Documentation of actions accurately and concisely
A. Battery [Link] of privacy 3. Document outcomes of care
B. Assault [Link] of informed 4. Following all doctors orders that are legal and in writing
consent A. 1, 2, 4 B. 2 & 3 C. 1, 2 & 3 D. 2, 3 & 4
137. Another client who is for discharge
129. Jeson’s chart contains confidential informed you that he took the remote control, as their
information crucial for his plan of care. Which of the souvenir. The appropriate thing for you to do is to:
following situations allows the use of the chart in court A. Implement hospital policy accordingly
proceedings? B. Ignore the situation
A. A written court order was issued by the judge C. Call the security to deal with the case
B. The client’s family requests for the chart to be used in D. Instruct the client to pay the item the cashier
court
C. The client refuses to have the chart used in court 138. The ff. are duties and power of the
D. The doctor has requested for the chart to be used as
Board of Nursing except:
evidence
130. A 72 year old, female client was admitted to A. Has the authority to open and close
the emergency department. The nurse on duty made a colleges of nursing and/or nursing
quick assessment and suspected the patient is a victim education programs
of physical abuse. The nurse priority action is focused
B. Conduct the licensure examination for
toward.
[Link] abusive family member for psychiatric treatment nurses
[Link] to the mandatory abuse reporting laws C. Monitor and enforce quality standards of
[Link] the client to file charges against the abuser nursing practice in the Philippines
[Link] the client from any immediate danger
D. Issue. Suspend or revoke certificates of
131. When conflict arises regarding management registration for the practice of nursing
of patient care, which of the following should be
upheld? 139. The nurse is holding the IV pole of a
A. Physician’s orders C. Patient’s rights
B. Preference of the family D. Institutional policy client while accompanying him to the toilet,
132. A lawsuit is filed for a negligent act sudden onset of earthquake occurs that lasts
performed by a nurse. The employer of the nurse is also for 6secs. The IV pole hit the patient’s head
included in the lawsuit. Which of the following at the event and sustained an extensive
principles pertain to this?
A. Epikia C. Double Effect injury. Which of the following parties should
B. Res Ipsa Loquitor D. Respondeat be held liable:
Superior i. The nurse
133. A patient refuses to take his antibiotic ii. C. Nurse and Supervisor
because he believes that it’s not giving him any good.
Which of the following actions of the nurse is MOST iii. The hospital and nurse
appropriate? iv. none of the above
[Link] to the patient that he needs the medications for his Situation – In an effort to maintain the
recovery.
[Link] in the chart that the patient refuses to take his medication. quality of health care provided to
[Link] to the attending physician about his refusal. clients, evaluation is needed. This
[Link] the patient to sign the waiver of responsibility
134. A nurse wrote in the nurse’s notes that a evaluation may be limited to the
client required emergency abdominal surgery due to the performance of one nurse or by the
fault of a very incompetent doctor. The nurse can be
legally charged with:
whole agency. This is done by looking
A. Slander B. Libel into the structure, process and
C. Insubordination D. Invasion of privacy outcome of care provided.
135. The attending physician prescribes one
tablet and the nurse accidentally administers two. The 140. This process of evaluation is
nurse closely monitors the client for adverse effects and called:
finds none. When analyzing the potential for civil
A. Process evaluation C. Nursing audit
 B. Quality insurance D. Quality
assurance
141. A client is confined in your Situation: Jun is the new supervisor of the medical-surgical unit
unit. He says that he has difficulty with 40 bed capacity.
sleeping because of the “ambience” in 146. A critical component of the supervisory
process is delegation. Which of the following is the
the unit. When evaluating the effect most empowering to the staff?
the setting has on the quality of care A. Delegation starts at top management
B. Delegation frees the manager to do other task
provided to the client, the evaluation C. Effective delegation requires the nurse manager to
being done is called: determine the abilities of the staff
D. Delegation enables the staff to improve competence
A. Quality assurance C. Quality and confidence
improvement 147. Nurse Jun has been delegating routine tasks
B. Structure evaluation D. Outcome to her subordinates. The purpose of delegating is for
evaluation her:
A. To avoid doing the task herself and to give others
142. The client is given a sponge opportunities to develop their abilities
bath, vital signs are checked, and B. To solve more problems that require a higher level
medications are given on time. The of expertise
evaluation of the care provided to him C. To give others something
D. To do nothing
by the nurse is referred to as:
A. Nursing audit C. Process evaluation
B. Outcome evaluation D. Quality
improvement 148. Nurse Gyle is guided that the initial step of
143. As a result of the comfort delegation is ___
measure done and medications
A. Demonstrate the task and let the staff continue the next
administered to the client, some activities
demonstrable changes are observed. B. Assess the capability of staff , change him if not
These changes in the client’s condition performing
when evaluated is referred to as: C. Determine the competency level of staff for the task
being given-
A. Outcome identification C. Nursing D. Explain the task to be done with the accompanying job
evaluation description
B. Quality improvement D. Outcome
evaluation 149. Nurses usually complain they have no
personal life because of rotating shifts. The following
144. The nurse wishes to evaluate are three major ways to create personal time
the length of time clients must wait for EXCEPT___
the nurse to respond to the client need A. Delegate work to other
reported over the intercom system on B. Fill every moment with task or chores
C. eliminate task that add no value
each of the different shifts. Which type D. Hire someone else to do the work
of quality assessment does this reflect? 150. Which of the following task would be
A. Structure evaluation C. Outcome APPROPRIATE for the nurse to delegate to nursing
identification Aide?
B. Process evaluation D. Audit A. Assist a new postoperative patient to the bathroom
B. Teach a patient how to administer discharge
medications.
145. The hospital has an ongoing quality C. Change a central line dressing.
assurance program. Which of the following indicates D. Assist the patient during meal time.
implementation of process standards except?
A. The nurse checks client’s identification band before
giving medications
B. The nurse reports adverse reaction to drugs
C. Average waiting time for medication administration is
measured
D. The unit has well ventilated medication room