COPYRIGHT: JONAS MARVIN ANAQUE, RM, RN

EXLCUSIVE FOR ASTIGNURSE BABIES ONLY!!!

NURSING BOARD CRAMSHEET

(BAWAL ISHARE SA IBA KAHIT PA PAG PUMASA KA NA)

Go
Situation - Roy, 65 years old, came to the outpatient clinic due to dyspnea, fever and on and off
C
productive cough. He smokes one pack of cigarette per day for the last 30 years. The doctor ordered
sputum examination, chest x-ray and blood culture. OPD

1. In collecting sputum specimen, the nurse should instruct Roy to _____.

A. breathe slowly, cough and expectorate into the specimen container
B. breathe deeply and cough, expectorate into the sputum container,
C. cough and expectorate saliva into the specimen container.
D. cough and expectorate into the specimen container.

2. The patient's diagnostic tests revealed he was positive for bacterial pneumonia. The MOST
likely causative organism of this type of pneumonia is ______.

A. legionella pneumoniae B. mycoplasma

pneumoniae C. streptococcus pneumoniae D.

hemophilus pneumoniae

3. The nurse did an admission procedure. The best position to be assumed by Roy is _____.
A. left lateral position with the affected side inferior.
B. semi-fowler position at least 30 degrees.
C. dorsal position with pillows under the chest.
D. lying on his side, the affected side of the lungs should be superior.

4. When a patient is diagnosed to have pneumonia, the breath sounds detected by the nurse
on auscultation of the affected area would be ______.

A. wheezing sounds B. stridor

C. fine crackles D. deep and low-pitched breath sounds

5. When there is respiratory depression resulting from drug overdose, the nurse have to
watch for which of the following?
 A. Hyperventilation B. Tachypnea

C. Biot's respiration D. Bradypnea ↓

Situation - Ms. Nilda is a new graduate with a Bachelor of Science degree which she acquired from a
university. She is determined to pass the National Licensure Examination (NLE) to be administered by the
Board of Nursing.

6. The 1icensure examination which is administered by the Professional Regulation

Commission, Board of Nursing is given to ______.

A. apply the theory earned from classroom to practice settings

B. protect the public from incompetent practitioners
C. apply the scope of nursing practice
D. demonstrate expected competency standards

7. The PRC-Board of Nursing (PR-BON) has the power to regulate Nursing Practice
6
in the Philippines. The regulatory functions include the following except
-

-
-
A. enforce and monitor quality standards of nursing practice in the county -
-
B. issue, suspend revoke or reissue certification of registered nurses
C. ensure proper conduct. Or &nurses 1icensure in the county

&
D. issue permit for the opening of nursing programs in the country
X

8. Ms., Sanchez is a new nursing graduate and in dire need for the hospitalization of
her ailing mother She is being offered to endorse a detergent product on TV Commercial
wearing a mini skirt and a plunging neckline shirt. In doing this performance Ms. Sanchez is
violating the ________.

A. oath of professional for new nurses B. nursing practice act 7164

C. code of ethics for nurses D. core competency standards

9. Nurse Rey with the members of the team. from a tertiary hospital is going for their annual
outreach program Operation TULI". There were 3000 patients who came in the morning
with only 4 doctors, 3 nurses and 1 pharmacist. Due to the volume of patients, Nurse
Rey, was asked to participate in per forming circumcision with the rest of the doctors. Nurse
Rey can be 1iable of committing

A. assault B. invasion of privacy

 C. tort D. malpractice

10. Which of the following actions is likely to constitute GROSS Negligence?

A. Complied with the request of a bedridden patient not to be turned because of pain.
B. A nasogastric feeding not given on time because patient is feeling nauseated
C. A patient suffering from bleeding due to post-operative wound and the Nurse
failed to report to the attending physician.
D. Urine output that has not been measured because of an emergency admission.

Situation - Nurse Carmi made a study on domestic violence against women in certain province in Luzon

11. Since she wanted to capture the essence and emotion of the victims she chose to use
the qualitative design. Which among the statements below is CORRECT about qualitative
design?

A. It commences study at present but consummates at any future time

B. It allows estimation of relationship between studied variables
C. It provides insights into attitudes, beliefs, motivates and behaviours of target
population
D. It tests results through numerical data and subjects them to statistical analysis

12. Nurse Carmi plans to gather 6 participants who are victims of domestic violence where
she will base her questionnaires. What technique in qualitative research is applicable to this
plan?

A. Data triangulation B. Focus group discussion

C. Interview D. Case study

13. To have a better analysis and interpretation of the findings, Nurse Carmi reviewed and
compared them with other findings of previous researches on the same topic. This is done
MAINLY by going back to which part of the study? The _____________.

A. Statement of the problem B. Related literature and studies

C. Conceptual framework of the studies D. Theoretical framework of the

study

14. Nurse Carmi finally decided to make an indepth study of ONLY ONE SUBJECT of
 domestic violence. What design will she use?

A. Causality Design B. Predictive Correlational Design

C. Descriptive Correlational Design D. Descriptive Case Study Design

15. In as much as the research may have some risks on the part of the subject who is 21
years old, Nurse Carmi must assure the subject of her anonymity, confidentiality and
respect for her human rights. ONE ABSOLUTE WAY is to get an informed and written
consent from whom?

A. Parents B. Guardians

C. Husband D. Subject herself

Situation - Nurse Vergel is newly assigned in the Pediatric Ward in San Isidro Medical Center. Since he
will be taking care of pediatric patients, there is a need for Nurse Vergel to be abreast with the legal
aspects of pediatric nursing care.

16. Which of the following regulates the practice of the nursing profession?

A. Department of Health B. Professional Regulation Commission

C. Civil Service Commision D. Professional Regulatory Board of Nursing

17. &
One of Nurse Vergel's patients needs to undergo invasive procedure. Based on the
-
Patient's Bill of Rights, sequencethe persons from whom Nurse Vergel could obtain
consent?

--
1. Parents 2. Legal guardian

-
3. Next of kin -4. Physician

A. 1, 2, 4 and 3 B. 1, 4, 2 and 3

C. 1, 2, 3 and 4 D. 1, 3, 2 and 4

-
18. Based on the Right to Privacy and Confidentiality under the Patient's Bill of Rights, the
patient has the right to demand on the following, but NOT _______ pertaining to his care as
confidential.

A. Information B. Communication

C. Records D. Financial status

 19. The Right to Information does not include _________.
A. Any change in the plan of care before the change is made
B. Extent to which payment maybe expected from Philhealth
C. Discount for the professional fee of the attending doctor(s)
D. Result of the evaluation of the nature and extent of his/her disease

20. A patient has the right to leave the hospital regardless if his physical condition provided
s/she is informed of which of the following? Select all that apply.

1. Is informed of the medical consequences of his/her decision

2. Releases those involved in his/her care from any obligation relative to the
consequences of his decision
3. His/her decision will not prejudice public health and safety

4. Appropriate arrangement has been made to settle the unpaid bill

A. 1 and 2 C. 3 and 4

B. 1, 2 and 4 D. 1, 2, 3 and 4

Situation - Patient Ellie, a 28-year-old primigravida, is admitted to a birthing center. She has been in labor
with an interval of 5 minutes apart for 10 hours now. Hypotonic contractions are observed by Nurse Nora.
She feels more pain in her back than in her abdomen, sonogram shows her fetus is "borderline" large for
gestation and in occipito-posterior position.

21. Nurse Nora observes that the Ellie's

-
uterine contractions are irregular in frequency and
short in duration. Ellie screams in pain during contractions. Which of the following actions is
---
considered BEST for the nurse to perform?

YOUR NOT A DOCTOR

A. Try to divert attention from pain.
↑
B. Administer pain reliever as ordered.
C. Stay with the patient and offer her a back rub
D. Document and report frequency and duration of contractions.

22. The physician is considering augmenting her labor with oxytocin. What would make
-
Nurse Nora question the use of oxytocin for Patient Ellie?

A. She had an amniocentesis performed during pregnancy

B Her fetus is large for gestational age by a sonogram
C. Her membrane ruptured after only 1 hour of labor
D. Her blood pressure is slightly elevated above normal
 23. Nurse Nora notices patient's uterine contractions are 70 seconds long and occur every
90 seconds when assessing the frequency of her contractions after she receives oxytocin.
what would be the nurse's FIRST action?

A. Give an emergency bolus of oxytocin to relaxed the uterus To seconGo

ds sends
B. Discontinue the administration of the oxytocin infusion
C. Increase the rate of client's IV infusion
D. Ask client to turn to her left side and breathe deeply

24. Nurse Nora monitors the patient, knowing that which finding indicates an adequate
contraction pattern?

A. Three to 5 contractions in a 10-minute period, with resultant cervical dilatation

B. Four contractions every 5 minutes, without resultant cervical dilatation
C. one contraction every 10 minutes, without resultant cervical
D. One contraction per minute, with resultant cervical dilatation

25. Which of the following nursing measures would the nurse LEAST CONSIDERS to Patient
Ellie with oxytocin drip?

A. Know, how to recognize potential adverse reactions:

B. Administer oxytocin drug with caution
C. Monitor patient closely when infusing oxytocin
D. Inform patient about potential complications.

Situation- Nurse Rona recognizes the importance of the application of Epidemiology in community health
setting.

26. Her priority in managing community health needs is through knowing in-depth the
PREVALENCE of diseases because it indicates the ______.

A. risks to health problems C. Priority needs of the people.

B. presence of health problems D. magnitude of health problems

27. Nurse Rona and her team has been utilizing the EEPIDEMIOLOGIC TRIAD model -
identifying causative factors of diseases. Which of the following is not relevant this, model?

A. External agent C. Treatment Regimen

B. Susceptible host D. Environment
 28. There is an outbreak of measles in some areas of the community where Nurse Rona is
assigned. Which of the following-steps of an outbreak investigation should Nurse Rona and
her team begin?

A. Identify and count cases. C. Define and identify cases.

B. Verify diagnosis D. Prepare for field work.

29. Nurse Rosa is able to know the patterns of occurrence and distribution of diseases in the
community. Per record she found out there had been cases of rabies at irregular intervals
scattered in particular places. This occurrence rates to ______.

A. Endemic C. Pandemic

B. Epidemic D. Sporadic

30. As an epidemiology nurse, Nurse Rona's PRIMARY function and responsibility is to

_____.

A. Assist the epidemiologist in making reports

B. Implement public health surveillance
C. Render nursing care to sick residents
D. Follow up cases and contacts

Situation. - Nurse Henie uses the Family coping index in assessing family health needs and problems of
particularly of families who are vulnerable to illness.

31. Which of the following is an evidence of a poor family coping Index related to healthcare
attitudes?

A. A parents who washes the wound of the child with running water
B. The family who observes the habit of cleaning surroundings.
C. A young mother who introduced solid food to her three-month-old baby.
D. A mother who brings her child to be vaccinated for measles,

32. Which of the following is the BEST evidence of a family whose family coping index on
therapeutic competence is rated as coping well?

A. Shows positive interpersonal relationship

B. Participates in the weekly clean and green program of the community
C. Maintain clean and organized household ambiance
D. Visits the clinic frequently well or sick.

33. Which of the following tools used by nurses in the community setting for assessing health
 needs and problems of families that is similar to family coping index

A. Nursing theories
B. Vitals statistics
C. Case study
D. Nursing diagnosis

34. In utilizing family coping index nurses should be knowledgeable that the focus of this tool
is identifying the family's ________.

A. strategies to deal with stressful situations

B. Manner of interaction
C. Ways of managing health needs and challenges
D. Patterns of health habits

35. Nurse Myrna is taking care of a family chose their young children are sick with
malnutrition particularly protein deficiency, which of the following behaviors is indicative of
the family's positive coping index

A. Observing erratic mealtime due to work schedule of parents

B. Bringing children to health enter for consult only when needed.
C. Serving foods that children like but with high in carbohydrates
D. Cooking foods in variety that include meat, dairy products and beans.

SITUATION- Health education is the process whereby knowledge, attitudes, and practices are changed to
improve individual, family and community health.

36. The goals of health education include the following:

1. Client participation on health decision making.

2. Increased potential to comply with health recommendations
3. Reliance on health care system
4. Adoption of healthier lifestyle
5. Provide clients with as many options on health care as possible

A. 1, 2 and 4 C. 2, 3 and 5

B. 2, 4 and 5 D. 1, 3 and 4
 37. The nurse is designing a health education program for the community. Show the
CORRECT sequence of the process that the nurse would have to undertake.

1. Write the specific outcomes

2. Assess the community
3. Prioritize learning needs
4. Select teaching strategies

A. 1, 4, 2, 3 C. 2, 3, 1, 4

B. 3, 1, 4, 2 D. 1, 2, 4, 3

38. The BEST example of how the nurse can create a climate in which clients do not feel
threatened is by teaching on a topic about:

A. Stress, where the nurse plays pop music throughout the first session
B. Good nutrition, while the nurse provides a meal
C. Exercise, where the nurse begins to share her difficulties she sometimes finds in
trying to exercise

D. Diabetes, where the nurse asks diabetics to talk to the class during the first session

39. The nurse is working in a clinic that is designed to provide health education and
immunization. As such, the clinic aims to provide_______________

A. diagnosis and treatment C. Secondary prevention

B. Primary prevention D. Tertiary prevention

40. Clients who are taught a variety of skills such as measuring blood glucose, taking blood
pressure, changing dressings, and bathing infants belong to which domain of learning?
 A. Psychomotor domain C. Cognitive domain

B. Social domain D. Affective domain

Situation- As a public health nurse, you may encounter barriers or challenges in communication. Thus, it
is important that you maintain your professional demeanor.

41. During a support group meeting, Nurse Donato, in a teasing manner, has made several
provocative remarks about your appearance and behavior as a group leader. Select your
MOST appropriate response.

A. "Donato, see me after this meeting"

B. "Donato, you are excused from the group"
C. "What do you think Donato is trying to tell us?"
D. "Donato, what are you saying is inappropriate”

42. "The dress code in this facility does not include wearing blue jeans while on duty". This
statement is an example of using which step in giving constructive criticism?

A. Expressing empathy C. Stating expectation

B. Describing the behavior D. Listing consequences

43. Which of the following is an example of a barrier to successful negotiation?

A. Avoiding phrases that are coercive C. Becoming emotional

B. Viewing negotiation as collaborative D. Understanding others' perspectives

44. In one of your meetings, you reminded the health center staff that there are quite a
number of members in the community who have not reached primary school. Which of the
following is the BEST communication intervention for a client who is illiterate?

A. Use of symbols and images C. Personalize speech by using first name

 B. Use touch with speech D. Speak loudly and clearly

45. You also emphasized that, "Communication must be culturally competent to be effective".
Which of the following BEST reflects these statements?

A. Listen actively to what is said

B. Reflect on the meaning of the message
C. Use simple, direct words
D. Provide an appropriate environment
Situation 5 - Nurse Keena is alarmed with the rising number of re-emerging cases of pulmonary
tuberculosis (PTB) in the Philippines.

46. Case finding for PTB n the community requires that the nurse should Identify persons
having sputum characterized as ________.

A. Rusty, frothy C. Blood stained

B. Yellowish D. Greenish

47. In the care of patients with communicable diseases, Nurse Keena should know that
feces, urine, blood and other body fluids are considered as ______.

A. Portal of entry C. Reservoir of agent

B. Vehicles of transmission D. Portal of exit

48. With the onset of the rainy season, the nurses are closely monitoring the increase of
dengue cases. They should focus their health teachings on ways to prevent dengue by
______.

A Destroying breeding places of the vector

B. Using repellent lotion
C. Burning of dried leaves
D. Wearing of protective Clothing

49. Outbreak of cases of typhoid fever occurs in the community. Nurse Keena should inform
the residents that the transmission of the disease is through _______.

TYPHAD FEER
A. A vector C. Blood and body fluids FOOD RUCER
B. Food and water D. Air
 50. There are several cases of Rabies in the community. Which of the following preventive
measure should Nurse Keena teach the families?

A. Impound all dogs

B. Impose," No pets allowed"rule
C. Have the dogs vaccinated
D Report to the authorities’ households with dogs

Situation - Nurse Bea engages in both formal and informal learning activities to enhance her knowledge
about Nursing Theories and other concepts in Nursing.

51. Nurse Bea recall the theory or Nursing as caring by ______.

A. Orem C. Kings

B. Watson D. Benners

52. Which of the following is the central theme of Sr. Calista Roys theory?

A. Self care deficit C. Nursing as caring

B. Adaptation D. Transcultural

53. This theory categorizes professionals as Novice to experts is by ______.

A. Benner C. Pender

B. Abdellah D. Kings

54. Nurse Bea reviewed the elements of nursing as a profession. Which of the following is an
IMPORTANT element that characterizes Nursing as a profession?

A. Has members
B. Possess body of knowledge
C. Service oriented
D. A calling

55. Nurse bea wants to pursue higher education in Nursing for her career advancement.
Aside from enrolling in graduate school, which of the following she could enhance her
career?

A. Participates in professional organization

 B. Attends seminars.
C. Conduct research
D. Attends symposium

Situation - Nurse Levy reviews all pertinent laws that affect public health nursing

56. RA 9173 is otherwise known as the Philippine Nursing act of 2002. which is the primary
aim of this law?

A. To enhance the competence of professional nurses

B. To regulate practice of professional nursing in the country
C. To facilitate mobility of nurses to other countries
D. To promote well-being of health workers

57. The nurse closely monitors the work she delegated to the barangay health worker. She is
legally guided by this principle

A. Respondent superior
B. The good Samaritan
C. Res ipsa loquitor
D. Jurisprudence

58. This law promotes the well being and living conditions of health workers especially those
from the government managed facilities

A. Continuing professional development

B. Magna Carta for health workers
C. Philippine qualifications framework
D. Local government code

59. It mandates the compulsory Immunization of children below 8 years

A. PD 996

n
B. RA 11223
C. RA 9173
D. RA 10912

60. This law allows every Filipino to avail of affordable medicines

A. Local Government Code
B. Primary Health Care
C. Universal Health Care
D. Generic Drug Act
Situation – Nurse Vera made a home visit to a newly married couple whom the wife is a
primigravida and three months pregnant. That would be mother asked questions about pregnancy and
prenatal care.

61. In the assessing the health condition of the preganant patient, Nurse Vera should focus
on the _________.

A. last menstrual period

B. number of days of menstruation

C. age of patient during menarche

D. amount of menstrual flow

62. The patient asked Nurse Vera when is the best time to visit the clinic for her 1st prenatal
care. Which should be the APPROPRIATE answer of the nurse?

A. Second trimester C. Third trimester

B. Before delivery D. First trimester

63. The patient seems indecisive whether to breastfeed her baby or not. Which is the desired
nursing action of Nurse Vera to help the pregnant patient make a decision on
breastfeeding?

A. Give pamphlets and books to read.

B. Provide ample time for the patient to decide.

C. Refer the patient to the nutrionist.

D. Assist to identify breastfeeding goal and plan.

64. The patient asks Nurse Vera, when could you hear the fetal heart of my baby? Which of
the following should be the BEST answer of Nurse Vera?

A. Nintth month C. Third month

C. Fifth month D. First month

 65. Nurse Vera informs the patient she should be screened for pre-eclmapsia during this term
of pregnancy_______.

A. first C. Third

B. second D. Before delivery

SITUATION – Nurse Jenny is in-charge of record keeping in the health center.

66. Which of the following is NOT a step of record keeping?

A. Structuring C. Securing

B. Storing D. Easy Disposal

67. In the community setting which is ESSENTIAL record about the patient?

A. Treating record C. Chart

B. Tally sheet D. Kardex

68. WHICH OF THE FOLLOWING IS THE PURPOSE OF RECORD KEEPING?

A. Quantify medication usage

B. Historical background

C. Archive

D. Quality health care

69. Records are IMPORTANT in health care for

A. counting hospital bills

B. evidence of health care

C. Quantifying services provided

D. For the physician to read

70. What is the ultimate purpose of record keeping

 A. Safeguard information C. History

B. Archive D. Store information

SITUATION – Nurse Mely considers teamwork and collaboration as important components of community
HEALTH NURSING.

71. Which of the following is the PRIMARY goal of collaboration

A. Less numbebr of people is needed

B. Camaraderie

C. ACOMPLISH GOALS

D. Work is faster

72. Which are KEY ELEMENTS of collaboration

1. Shared vision

2. Partnership

3. Working together

4. Unity

A. 1,2,3 C. 1,2

B. 3,4 D. 1,2,3,4

73. Which of the following is the MOST imporatnat purpose of teamwork?

1. Work is faster

2. Promotes trust

3. Sense of security

4. Unity

A. 1,2 C. 3,4

B. 1,2,3,4 D. 1,2,3
 74. Which of the following BEST describe a strong team?

A. cohesive C. driven

B. shared goal D. Sense of mission

75. Collaboration and teamwork are essential in public health to improve

A. Staff performance C. Equity in services

B. Proper use of resources D. Quality healthcare

SITUATION 9 – When prioritizing problems in the community, the problems are categorized as health
status, health resource or health related.

76. Nurse Maris is correct in identifying whinch of the following is a health resource problem?

A. Increase in number of deaths fromm Pneumonia

B. Feud between Midwife andHead of t he Sanitation Committee

C. Absence of midwife in the communtiy to render health services

D. High Maternal Mortality Rate

77. There are five criteria in prioritizing community health problems. If Nurse Maris is
estimating the proportion of the population affected by the problem, she is using what
criterion in prrioritization?

A. Social concern

B. Nature of the problem

C. Magnitude of the problem

D. Modifiability of the problem

78. Nurse Maris oftentimes encounter barriers. Select a barrier to goal setting between the
nurse and the family.

A. Eeducational attainment

B. Nature of employment

C. Failure of family to perceive existence of problem

 D. Socio economic status

79. Which is the MOST appropriate intervention should the nurse do to help family perform
the health tasks?

A. Allow family to decide to use health resources

B. Help the family recognize the problem

C. Leave the family what action take on their problem

D. Refer family to barangay offficials for guidance

80. Choose the step of nursing process that identiffies the famiilyy health seeking behavior.

A. Assesment C. Planning

B. Implementation D. Evaluation

Situation- Ms. Nena will be involved in an interdisciplinary research to conduct by the City Health Office
to address health problems of the population covered. To prepare for this task, she reviews her
knowledge on the research to process and research designs.

81. Which of the following study designs that uses information on current health status,
personal characteristics, and potential risk factors will be appropriate?

A. Case-control C. Cohort

B. Ecological D. Cross-sectional

82. The type of epidemiologic study that is used to describe a group of persons enrolled in a
study who share some characteristic of interest and who are followed over a period of time
to observe some health outcome is a/an:

A. Cross-sectional study C. Cohort study

B. Experimental study D. Case control study

83. The research team will use summary indicators of health as method to depict health
status. What is this approach called?

A. Analytic C. Descriptive
 B. Holistic D. Evaluative

84. Ms. Nena is specifically assigned to talk individually with community leaders like the
primary grade teacher and the barangay official in charge of the health committee. Which
data collection method will the nurse use?

A. Key informant interview C. Participant observer

B. Community mapping D. Social survey

85. Ms. Nena suggested to use an analytic approach in their research. Which of the following
statements BEST describes the analytic approach?

A. Focuses on the community's health problems and issues

B. Utilizes health indicators to define population health
C. Views factors that influence health and by which interventions to improve health
are directed

D. Addresses the social determines of health to solve community's problems.

SITUATION – In the community where Nurse Noli is assigned there are many obese individuals who are
suffering from different heart ailment.

86. Which initiative should Nurse Noli introduce in order to decrease incidence of risk factors
especially Obesity.

A.. Wellness and fitness program

B. Obesity is natural body response

C. Tell them to go to gym

D. They have to undergo strict dietary regimen

87. Which should be emhpasize by the nurse in her health teachings

A. Jogging a mile a day C. Vigourous exercise

B. No need to diet D. Weight reduction

88. Nurse Noli should advice t he patients the following except:

 A. Cut down on salt intake

B. More fruits and vegetables

C. Eat regular meals

D. Eat more saturated fats

89. To prevent complications from their heart disease the nurse recommends to the patient
regular monitoring of their blood

A. Cholesterol C. Type

B. Nitrogen D. Oxygenation

90. Nurse Noli should include in his teachings the following EXCEPT:

A. Less saturated fat

B. Weight within normal limits

C. Exercise regularly

D. More fats in the diet

SITUATION – Nurse Mae is a new supervisor of t he health center. Her prrogram thrusts include excellent
and quality provision of services and performance of the staff.

91. To ensure that the staff adheres to their job responsibilities which should be the
appropriate toool should Nurse Mae utilize in evaluating staff performance?

A. Memorandum C. Incident report

B. Performance evaluation D. Anecdotal report

92. As a nurse manager, which nursing action should do to let the staff imbibe the culture of
quality at the health center?

A. Become a role model

B. Reprimand every now and then

C. Frequent meetings

D. Allow them to read books

 93. Which measure will be used in the unit to ensure patient satisfaction of the delivery of
health services?

A. Encourage to use social media

B. Provide means to evaluate services

C. Verbal feedback

D. Ask the local officials

94. Which is the simple meaning of standards of nursing care?

A. What protects the nurse

B. How the nurse will behave

C. How much work is done

D. Ask the local offficials

95. Which is the BEST strategy that Nurse should employ to give feedback on patients
evaluation of health services?

A. Put the evaluation at supervisors office

B. Send letter to all

C. Conduct staff meeting

D. Through bulletin board

SITUATION – With the onset of rainy seasons, Nurse Nena and her team are on alert for increase in
cases of Dengue Fever.

96. Identify the causative agent of dengue fever.

A. Fomite C. Bacteria

B. Vector D. Virus

97. Which of the following strategies would prove effective in preventing more incidence of
dengue infection?
 A. Healthy nutritious food

B. Burning of leaves and garbage

C. Destruction of breeding place of vectors

D. Adequate rest and sleep

98. Bleeding is the most serious complication of Dengue infection. When is the patient be
watched for symptoms of bleeding?

th
A. 4 to 7 days C. 2nd to 3rd day

B. At the onset of symptoms D. 1St day

99. Which information about the nature of dengue fever the nurse should relay to the
community?

A. It is always life threatening

B. It could be deadly but preventable

C. It could responds well to antibiotics

D. The incubation period is variable

100. Which diagnostic test could be useful in confirming the diagnosis of Dengue Fever?

A. Rumpell – Leede C. Elisa

B. Mantoux D. Widal

SITUATION 15 – Nurse Rica finds effective communication as tthe key to successful community health
nursing.

101. When writting a memorandum, which of the following is the MOST important guideline

A. Purpose is included C. Friendly tone

B. Content clear D. One topic at a time

102. Which of the following is an INDICATOR of effective communication?

A. Receiver C. Sender
 B. Feedback D. Non verbal communication

103. Nurse Rica, would like to start a conversation, which comunication technique she should
use?

A. Clarifying C. Challenging

B. Restating D. Broad opening

104. The patient told her something about her treatment to make understood the patient which
communication technique shouuld be used by the nurse?

A. Clarifying C. Validating

B. Focusing D. Restating

105. Non verbal communication is as strong in conveying information because the nurse can
_________.

A. Observe gestures

B. Body language could be observed

C. Sender less effort

D. Action speaks louder than words

SITUATION 16 – Nurse Lyn plans to enhance her personal professional development

106. Choose an indicator that models personal and professional behavior and values.

A. Utilizes communication and social media responsibly

B. Attends conferences

C. Enrolls in school

D. Joins civic organization

107. Nurses should have knowledge about professional organization. Which of t he following is the
accredited professional organization of nurses?

A. Maternal Child Nursing

 B. Philippine Nurses Association, Inc.

C. National leaguue of Government Nurses of the Philippines

D. Association Nursing Service Administrators of the Phiilippines

108. A profession is characterized by the following except:

A. Body of knowledge

B. Code of ethics

C. member of professional organization

D. Engages in research

109. Which of the following is an example of self directed learning activity?

A. Research at work

B. Attends webinars

C. Attendance to graduate school

D. Resource person

110. Aside from atttending seminars which of the following informal continuing education programss
should the nurse engaged herself EXCEPT:

A. Attendding professional conventions

B. Webinars

C. Symposium

D. Doing reseach as academic requirement

SITUATION – Health educataion isi one of the essential services at the community setting. Nurse Nena is
in charge of health education activities of the rural health unit.
111. Which of the ff is TRUE about health education in public health?

A. It only done by professionals like nurses

B. It is every health worker responsibility

C. It remains constant

D. It is seldom use in public health setting

112. The BEST result of health education process is

A. It influences and changes behavior

B. It provides new input

C. Update others

D. Information transfer

113. Which of the following explains health education is creative process?

1. It could emploty a variety of strategies

2. It can be done anywhere

3. It could perform by any member of the healthh team

4. It is a valuable health service

A. 1,2,3 C. 3,4

B. 1,2 D. 1,2,3,4

114. To families and individual in the community, which is the MOST important goal of health
education?

A. To study their life history

B. To identify their weeknesses

C. To totally change their lifestyle

D. To motivate them to develop skills and literacy in healtth

 115. As a whole health education in public helath aims the __________.

A. Transfers information

B. Make life changes

C. Better health opportunities

D. Change personality

SITUATION – Nurse Mary is assigned to mange the Non Communicable Disease Prevention and Control.
She is alar by the increase number of residents who are having Hypertension.

116. Which assessment findings is INDICATIVE of the diagnosis of hypertension?

A. Family members with high blood pressure

B. Elevation of blood cholesterol level

C. Stressful work environment

D. Consistent evaluation of blood pressure

117. Identify the MOST appropriate diagnostic examination that confirms the iincidence of
hypertension amongg residents.

A. Chest xray C. Ultrasound

B. Electrocardiogram D. BP monitoring

118. Which medication will be prescribed to control and maintain the blood pressue of patients at
normal level?

A. Lidocaine C. Amlodipine

B. Epinephrine D. Furosemide
 119. Nurse Mary had observedthat most patients with hypertension stop taking their
medications and heard them saying "I feel good already" Which is the APPROPRIATE
nursing diagnosis?

A. Impaired gas exchange C. Knowledge deficit

B. Anxiety D. Ineffective coping

120. During the conduct of his health teachings to the patients, which should the nurse emphasize
to maintain blood pressure at normal level?

1. Smoke in moderation

2. Exercise regularly

3. Consume less salt

[Link] normal weight

[Link] stress

A. 2,3,4,5 C. [Link]

B. 1,2,3,4 D. 1,3,4,

Situation – Risk factors include genetic and physiological factors, age, physical environment and
lifestyle.

121. The presence of any of these risk factors means that ______.
[Link] modification will have no effect on disease prevention
[Link] chances of getting the disease are increased
C.A person with risk factors can get the disease
[Link] disease is guaranteed not to get disease

122. A nurse involves well-being in her definition of health. What will the primary concern or focus
of the nurse when she provides care to a family confronting the imminent death of a family
member?
 [Link] the need for the whole family to adapt to the impending death.
[Link] the nurse’s knowledge on the client’s symptoms of grief
[Link] the perceived meaning of life with the family
[Link] pain medication so that the client can be kept comfortable

123. In the care of families, crisis intervention is an important part of _____.

[Link] prevention C. Primary prevention

[Link] prevention D. Health promotion

124. The Nurse asks Baste, who is being admitted in a district hospital with uncontrolled diabetes
mellitus, about his employment status. She knows that _____.

A.A person’s compliance is affected by one’s affected economic status

[Link]'s employment will cause complication to his diabetes
[Link] variables have little effected on compliance
[Link] mellitus will affect his client’s work condition

125. During a home visit, a member of the family you’re visiting who has been using marijuana for
three years tells theyou that he wants to be “detoxified.” It is important for the nurse to ____.

[Link] the patient to change his lifestyle C. Identify the patient’s stage of change

[Link] the patient that relapses are not tolerated D. Realize that the patient is ready for
change

Situation- The public health nurse must have an understanding of demography which should support
health care plan.

126. Demography is concerned with the study of population. Which of the following are included in
demographic profile?

[Link], composition, health status, and environment.

[Link] in population, distribution, and health status
[Link], distribution, composition, and change in population.
[Link], distribution, and composition.

127. Based on the 2017 demography report (July 2016 estimate), the Philippine population has
reached:

A.140 million C. 102 million

 B.120 million D. 85 million

128. There are three demographic variables in population growth. Which one is NOT
included?

[Link] C. Morbidity

[Link] D. Mortality

129. Population structure is a diagram of population typically presented in a pyramid-like style

format based on ___________.

[Link] and educational attainment C. Age and civil status

[Link] and fertility D. Age and sex

130. An aging population refers to a phenomenon in which the median age of the population in a
country rises significantly compared to the total population in a country rises significantly compared
to the total population. This is caused by any or combination of the following:

1.A declining birth rate. 4. Increased child survival.

[Link] life expectancy. 5. Better health.

[Link] fertility.

A.1, 2, 3 and 4. C. 1, 2 and 3.

B.1, 2, 4 and 5. D. 1, 2, 3, 4 and 5.

Situation - Nurse Pedrito makes several home visits to patients who were discharged from a district
hospital.

131. As Nurse Pedrito prepares for the day's visits, which of the following patients should be seen
FIRST? A client with ________.

[Link]'s disease with imbalance gait. C. A thoracostomy six months ago.

B.A history of congestive heart failure with dyspnea. D. A stroke with nasogastric tube (NGT).

132. Mang Emilio refuses to take his daily medication for hypertension. Which of the following
actions should Nurse Pedrito take at this time?

[Link] MangEmilio that he will suffer from stroke.

 [Link] the reason for the client's refusal to take the medication.
[Link] the medication by injection.
[Link] help from relatives in administering the medication.

133. Nurse Pedrito sees a 65 year-old male, who is recovering from stroke. He noticed that Mang
Jose exhibits signs of unilateral neglect. Which behavior is suggestive of this unilateral neglect?
Mang Jose is _________.

[Link] to carry out cognitive and motor activity at the same time.
[Link] shaving only one side of his face.
[Link] to complete a range of vision without turning his head side to side.
[Link] to distinguish between two tactile stimuli.

134. Nurse Pedrito is teaching a client with Parkinson's disease on ways to prevent curvatures of
the spine associated with the disease. To prevent spinal flexion, the nurse should tell the client to
_________.

[Link] in supine position with his head elevated.

[Link] only in dorsal recumbent position.
[Link] lie in prone position without a neck pillow.
[Link] on either side, but keep his back straight.

135. A client with congestive heart failure has been receiving digoxin (lanoxin). Which finding
indicates that the medication is having a desired effect?

[Link] weight C. Increased urinary output

[Link] appetite D. Increased pedal edema

Situation - Public Health Nurse Gabriela is tasked for the day to administer vaccination to pediatric
clients in the barangays she covers. She, along with the team of midwives, should be knowledgeable on
how to provide with the most effective, necessary and safest vaccination.

136. The foundation of medication administration is the application for the "Rights of Medication
Administration." which of the following is NOT included in these rights?

[Link] route C. Right dosage

[Link] patient D. Right price.

 137. When conducting Parents Education on immunization, which of the following
considerations should Nurse Gabriela include?

[Link] and greets child and family.

[Link] the vaccines to be administered.
[Link] entry to those who came late.
[Link] attendees about the procedures to be done.
[Link] parents time to ask questions.
[Link] from answering questions from parents.

A.2, 4, 5, 6 C. 1, 2, 4, 5

B.2, 3, 5, 6 D. 1, 3, 4, 6

138. When handling vaccines, the FIRST step Nurse Gabriela should do is to ________.

[Link] the correct needle size. C. Check the content prior to drawing up.

[Link] using diluent supplied. D. Check the vial for expiration date..

139. If more than one vaccine is given, the following guidelines should be observed, EXCEPT.
[Link] not give more than one dose of the same vaccine in one session.
[Link] not use the same arm or leg for more than one injection.
[Link] doses of the same vaccine at the correct intervals.
[Link] the same syringe and needle in administering two vaccines.

140. When documenting the procedures done, which of the following should NOT be recorded?

[Link] C. Manufacturer

[Link] number D. Needle gauge

Situation- Public Health nurses participate in health screenings which help in the early detection of a
disease of identify those who are at risk for a particular disease or condition. Early detection, followed by
treatment and management of the condition cam result in better outcomes, and lower the risk of serious
complications.

141. Nurse Filomena organized a health fair in one of the communities she covers, which was well
attended, with several SCREENING TESTS being given simultaneously. What would Nurse
Filomena consider the purpose of the health fair?
 [Link] service C. Community bonding

[Link] screening D. Case finding

142. What must be stressed to all participants attending a health fair?

A.A screening program is not a substitute for ongoing health supervision from a health
care provider.
[Link] test results are only tentative, and so participants who receive negative test results may
nonetheless be suffering from a disease.
[Link] are true today, but disease can develop any time, so participants should attend any
future health fairs as well.
[Link] are many other diseases that may be attacking participants that the health fair did not
screen for, and so continued vigilance is necessary.

143. As nursing students were setting up a health screening at a local community center, they
reviewed the need to screen for heart disease and cancer. One student asked, "But colon cancer
is prevalent: why aren't we setting up for sigmoidoscopy?" How would Nurse Filomena reply?

A."Can find adequate privacy for a sigmoidoscopy?”

B."A sigmoidoscopy is expensive to perform and invasive".
C."Would you like to perform that test for the screening?".
D."What a great idea. Would you like to help arrange it?".

144. Sensitivity is the ability of a screening test to accurately identify what aspect of the screening?
[Link] with symptoms of the disease. C. Persons who have the disease.
[Link] who do not have the disease. D. Persons who now have a diagnosis of disease.

145. The ability of a screening test to distinguish correctly between persons with and without a
disease is knows as _________.

[Link] C. Validity

[Link] D. Specificity

146. Some common examples of screening tests are the following, EXCEPT ________.
[Link] smears for cervical cancer screening in women.
 [Link] levels in heart disease screening.
[Link] levels for prostate CA in men.
[Link] for male and female clients.

Situation - Public health nurses use their nursing skills in the application of public health functions and
provisions of social assistance to their clients.

147. Which of the following statements BEST describes Public Health Nursing?
[Link] are best implemented only in far flung and hard-to-reach areas.
[Link] are rendersfree of charge to people in the catchment area.
[Link] home care to sick people who cannot be confined in the hospital.
[Link] puts emphasis on health promotive and preventive services.

148. The current emphasis for public health practice is ___________.

[Link] environmental sanitation C. Preventing communicable disease. .
[Link] epidemic diseases. D. Advocating for social justice.

149. The public health nurse must participate in the essential services that are relevant and
accessible to the family and the community. These include:

[Link] in enforcing laws to regulate health and ensure safety.

[Link] and investigating health problems of the country.
[Link], educating, and empowering the people about health.
[Link] health status and completing a community assessment.

150. Collecting data and monitoring the health status of the population defines which of the
core public health functions?

[Link] assurance C. Policy development

[Link] D. Health promotion

151. Public health services are provided by government facilities. What is the most appropriate
response of a public health nurse to the statement: The government should give these
health services free of charge to people?

A."Yes and for that reason, we should choose our government officials wisely during elections".
B."Yes, I agree. But right now, the government does not have enough resources to do that".
C."That is an ideal situation that our government does not have enough resources to do that".
D."Many of the health services are given free, but we people pay for them just the same
through our taxes".
152. The team 1eader, decided to ask Nurse Trining the meaning of informed consent. After
being able to define what the term means further asked the
reasons for its use. Nurse Trining’s answer should be which of the following?

[Link] fully understand what the research is all about and what will happen should
the participants to involve themselves in the research study
2. To get assurance that participants have the right to withdraw from participating in the
research at any given time.
3. To get a compete and Full information as to the objective of the study, procedures to
be implemented, data collection, benefit and has and options in the method at treatment.

4. To get assurance how anonymity and confidentiality will be maintained.

A23&3 C. 1,2,3,4

B.2only D. 3 only

153. As to the observance of respecting privacy, nurse Trining explained about___________.

A. breach of contract C. Ethical dilemma

B. anonymity D. Confidentiality

154. In nursing, Nurse Trining explained that the MAIN goal of conducting research is
to______.

A. Justify the role of nurses as health care provider

B. establish a credit body of evidence to support and improve the delivery of care.

C. identify research priorities that will justify the Oversupply of nurses

D. develop a body of knowledge to address non-nursing problems

155. In conducting a study on sleep, Nurse Trining was asked which of the types of research
will be used should it involve collecting numerical data which is most often
under considerable control. Her answer should be _________.

A. Ichnographic [Link]
 B. Phenomenological D. Quantitative

156. Should a 24-hour period clinical observations and activities be considered in conducting
the research on sleep, the type of study that study will be conducting is

[Link] C. Phenomenological

[Link] D. Exploratory

Situation – Presley enters the labor and delivery unit in probable preterm labor at 36 weeks ' gestation.
The patient was informed that the fetus is in breech presentation. She has. a Catheterized
urine specimen ordered.

157. Patient Presley asks the nurse why such a diagnostic procedure is required. What is the
MOST APPROPRIATE answer can the nurse give?

A. Urinary tract infections are strongly associated with the occurrence of preterm labor

B. Reduced sensation to urinate usually occur during preterm labor

C. Preterm 1abor treatment usually causes women a bladder infection because of restricted
fluid intake

D. Catheterized urine is usually ordered for any woman admitted to the labor and
delivery unit

158. Betamethasone (Celestone) is prescribed to be administered and the patient asks nurse
Hope about the purpose of this medication?

A. Promote fetal lung maturity.

B. Prevent the premature closure of the ductus arteriosus.

C. Delay delivery for at 1east 48 hours.

D. Stop the premature uterine contractions.

159. Patient Presley who is ordered for diagnostic pelvic ultrasound asks what preparation
she' 11 take. Appropriate preparations for this procedure include_________.

A. explanation of the procedure

B. NPO 6 hours before

C. informed consent

D. voiding
 160. Pelvic ultrasound can detect, which of the following?

A. Congenital defects in the structure, fetal gender, H-mole

B. Fetal DM, multiple pregnancies, fetal age of gestation

C. Fetal sex, number, and lung maturity

D. Fetal congenital defects, placenta previa, fetal lung maturity

161. The labor progress and the physician performed amniotomy. Nurse Hope should FIRST
assess tor _______.

A. bladder distention

B. maternal blood pressure

C. cervical dilatation

D. fetal heart rate (FHR) pattern

Situation -Sienna, a patient with severe preeclampsia is admitted to the hospital. She is a
student from one of the local universities and insists on continuing her studies while in the hospital,
despite being instructed to rest. The patient studies approximately 10 hours a day and has numerous
Visits from fellow students, family and friends

162. Which intervention should the nurse use to promote rest?

A. Develop a routine with the patient to balance her studies and her rest needs.

B. Include a significant other in helping the patient understand the need for. rest.

C. Instruct the patient that the: baby 's health is more important than her studies at this time,

D. Ask her why she is not complying with the prescription of bed rest.

163. Patient Sienna who seems to be irritated with the nurse said "I don't want to talk with you
because you're only a nurse. I will wait for my doctor. " Which of the following should the
 nurse say I'm response to the patient?

A. Your doctor prescribed this for us to do nursing care.

B. I understand. I should call your doctor.

C. I' m angry with the way you dismiss me.

D. So then you would prefer to speak with your doctor?

164. Nurse Mauve is now on ethical dilemma. This occurs when _______.

A. a decision had to be made quickly under stress full situation

B. choices are unclear

C. there is a conflict between the nurse 's decision and that of his/her superior

D. there is a conflict of two or more ethical principles

165. Despite the reaction of the patient, which of the ethical principle that the nurse is
responsible of providing all patients with caring attention and information?

A. Beneficence C. Veracity

B. Nonmaleficence D. Advocacy

166. Nurse Mauve should plan to initiate which action to provide a safe environment?
A. Take the patient's vital signs every 4 hours.

B. Encourage visits from family and friends for psychosocial support.

C. Maintain fluid and sodium restrictions.

D. Take off the room lights and draw the window shades.

Situation- Nurse Nanie is admitting five-year-old Krini due to cough, respiratory distress, anxiety and
signs of dehydration. The working diagnosis is pneumonia.

167. Nurse Nanie is aware that history taking and physical exam are critical to the diagnostic
process and often provide more information than can be gained broad testing
strategies. History taking includes the by following, EXCEPT _______.

A. History of present illness

B. Religious Affiliation

C. Social & Family history

D. Past medical history

168. The objective of taking the history of present illness is to illicit the chronologic description
and duration of the chief complaint. Which of the following questions would try to answer
what Nurse Nanie wishes to illicit?

[Link] of immunizations

[Link] and alleviating factors

[Link] of disease onset

[Link] treatment and response to treatment

A. 1,2,3 C.1,2,3 & 4

B. 2,3 &4 D. 1,2 &3

169. Past medical history section of Krini contains. the following, but NOT______

A. Prenatal history C. Current history

B. Child hood illness D. Birth history

170. Which of the following statements is TRUE?

A. History taking must be long regardless if the child appears to be well

B. No proper history can be obtained without observation of the child and the mother.

C. Nurse Nanie should refrain from asking about the illness of other members of the family.

D. An example of what can be elicited from a social history is how the disease started.
 171. In order not to frighten small children, it is best to examine things that are uncomfortable
or frightening to them last so as not to lose their cooperation. This means the LAST thing to
do in a child is, which of the following, EXCEPT________.

A. Inspection of the throat with a throat stick.

B. Inspection of the ears with an otoscope

C. Auscultation of the heart

D. Undressing the child

Situation 5 - Ximena a Chrisan 29-year-oid pregnant woman was admitted to the hospital with a
complaint of moderate hypogastric pain. She intends to visit the clinic for her first prenatal check-up
and informs nurse Parker that she did not realize she's pregnant until a week ago. As a result, she has
been on a diet, weightlifting at the health gym.

172. Patient Ximena was seen by the physician and was ordered for a medication that is
larger than the standard dose. What should the nurse do?

A. Give the drug as prescribed.

B. Inform the supervisor.

C. Give the average dose of the medication

D. Discuss the prescription with the physician.

173. The patient refuses to take the medication because it causes diarrhea. Nurse Parker
explains the action of the drug but the patient vehemently refuses the medication. What
should be the INITIAL action of the nurse?

A. Discuss with a family member the need for the patient to take the medication.
 B. Document the patient 's refusal to take the medication.

C. Notify the physician of the patient 's refusal to take the medication.

D. Explain again to the patient the consequences of refusing to take the medication.

174. As a strong believer of her faith and the need for spiritual guidance, patient Ximena
requests that she wants that clergy will visit her. How did nurse Parker function when she
initiated the visit?

A. Dependently C. Interdependently

B. Collegially D. Independently

175. Patient Ximena sought referral to an abort ion clinic from the nurse. She reasons out that
her pregnancy a burden to her work and daily routines. What should be the BEST
RESPONSE of the nurse?

A. It will cause discrimination from friends and relatives.

B. Inform her that abortion is morally and legally wrong by virtue of the law.

C. It will cause infection.

D. It is against any religion.

176. The incoming nurse on duty reported, the nurse is administering a medication, the patient
says, "This pill looks different from the one I had taken before. " What is the
APPROPRIATE action of the nurse?

A. Explain the purpose of the medication.

B. Encourage the patient to take the medication.

C. Check the original medication pre scription.

D. Ask what the other pill looked 1ike.

Situation -A newly hired nurse is assigned in the OB Ward. She was Supervised by a senior nurse.

177. She was asked by the nurse supervisor about her concern and what are the considered
ideal fetal positions for a healthy delivery?

A. Right occipitoposterior with no flexion

B. Right occipitoposterior with full flexion

C. Left transverse anterior in moderate flexion

D. Left Sacroanterior with full flexion

178. The physician ordered sonography. The nurse informs the ultrasound unit in charge and
prepares the patient for the procedure. The patient asks the importance of the procedure,
the nurse CORRECT response is________.

A. to determine diameters of the fetal skull

B. increase sensitivity for common bile duct of the fetus

C. useful to a visualized cystic duct of the fetus

D. to assess fetus' well-being

179. The newly hired nurse asks for advice from the supervisor. supervisor notices that the
newly hired nurse felt uneasy upon learning that the fetus is on breech presentation. Which
of the following is the BEST RESPONSE by the supervisor?

A. "I understand how you feel. Tell me more."

B. Is this your first time to witness a breech presentation"

C. Are you afraid to assist the case"

D. "Don' t worry. There's always a first time"

180. After the successful vaginal1 delivery, medication was ordered to be given immediately.
The supervisor reassured the newly hired nurse that everything will be fine because the
medication will.

A. promote vasoconstriction of uterine muscles

B. hasten uterine contractility and control bleeding

C. facilitate the return of pre-pregnancy vital signs

D. promote vasodilation of uterine muscles

181. The newly-hired nurse oriented the caregiver hired by the couple. Which of the following
should the nurse encourage the parents to do?

A. Relate to each twin individually to, enhance the attachment process.

B. Avoid assistance from other family members and support groups.

C. Bottle-feed the twins to prevent maternal exhaustion.

 D. Plan for each parent to spend equal amounts of time with each twin.

Situation - Lillian, 2-week postpartum mother is seen in the health center. On further assessment, Nurse
Addison noted -a localized area of redness on the left breast, and the mother is diagnosed with mastitis.

182. Which additional finding confirms the diagnosis that the patient has mastitis?

A. Enlarged glands in the axilla

B. Normal temperature

C. Engorged both breasts

D. Hard mass and reddened area

183. Lillian asks the nurse the cause of this ailment. Which of the following would the nurse
explain as predisposing factors of mastitis? (Select all that apply)

I. Milk stasis

II. Nipple trauma

III. Using alcohol in cleaning nipples

IV. Baby 's sitting position

A. II and IV C. I and II

B. I and IV D. II and III

184. Lillian complains of unbearable pain. Which of the following characteristics axe
EMPHASIZED in a culturally sensitive nursing Care? (Select all that apply)

I. The expression of pain is affected by learned behavior

II. Physiologically, all individuals experience pain in a similar manner,
III. Some Asian people has high response to pain medications
IV. Patients should be assessed for pain regardless of overt symptomatology.

A. III and IV C. I and III

B. I and II D. II and III

185. Nurse Addison provides instructions about measures to prevent postpartum mastitis
 who is breast feeding her newborn. Which of the following would indicate that the mother
needs further instruction? "I Should _______.”

A. wash my hands wel1 before breastfeeding

B. breastfeed every 2-3 hours

C. change the breast pads frequently

D. wash my nipples with s0ap and water prior to feeding 3 hours

186. Considering her level of knowledge and the anxiety of her condition, Patient Lillian
raised questions on possible ways of relieving her breast discomfort. Which of the
statements NEEDS further instructions?

A. "I have to stop breastfeeding until this Condition

B."I can take. antibiotics, and should begin to feel better in resolves. 24 to 48 hours,"

C. I can use analgesics to assist in alleviating some of these discomforts, "

D. "I have to wear a supportive bra to relieve the discomfort."

Situation 8 - Nurse Lyca is assigned in the Nursery. She is performing newborn assessment on Baby Boy
Pratts born at 40 Weeks gestation.

187. Using APCAR Score, Nurse Lyca should bear in mind that this method of evaluating a
newborn 's Condition is used at how many minutes after birth?

A. 1 to 10 C. 1 to 7

B. 1 to 3 D. 1 to 5

188. Nurse Lyca is aware that testing of vision in infants and children has been treated
separately from the testing of adult. which of the statement is NOT true?

A. Infants and children often cannot be tested with the same materials and
techniques as adults.

B. Special techniques often must be used, especially to test infants and preschoolers, that

cannot be held to the same standards that apply to tests for adults

C. Some infants who appear visually impaired early in life wil1 not Show normal visual

responses several weeks or months later

D. Course of visual and cognitive development must be taken into account

in evaluating infants and children's visual abilities
 189. The false statement about physiologic jaundice in the statements below is _____

A. Caused by impairment in the removal of bilirubin deficiency in the production

of glucuronide transferase.

B. Begins to decrease by the 6th or 7th day.

C. Is visible in skin and sclera.

D. Begins after 48 hours of 1ife.

190. Neonatal jaundice FIRST becomes visible in which of the following parts? (Select all
that apply.)

[Link]

[Link]

[Link]

[Link]

A.3 & 4 C.1&4

B.1 & 2 D.2 & 3

191. When caring for patients with hyperbilirubinemia, the nursing care plan should focus on
the following, EXCEPT_________.

A. informing appropriately the significant others

B. preventing injury

C. maintaining physiological homeostasis with bilirubin levels increasing

D. preventing complications

Situation- Lily, 23-year-old pregnant woman, 37th week 's gestation, is admitted in the intensive care unit
due to paroxysmal ventricular tachycardia. The patient is conscious; cervix is open so they decided to
induce 1abor.
 192. When the patient was informed about induction, she asks Nurse Aurora what it is all
about. which of the following statement by the nurse is correct? Induction is a

A. local anesthesia used for blocking pain during episiotomy

B. deliberate initiation of uterine contractions that stimulates labor

C. medication injected into the subarachnoid space and has a rapid onset of action

D. procedure per formed by artificial rupture of the membranes

193. Which of the following statement is NOT an indication for any uterine stimulants
(Oxytocin)?

A. Pre inducting cervical ripening

B. Controlling postpartum bleeding

C. Inducing or augmenting labor

D. Manages an incomplete abortion

194. Oxytocin drip was started to induce labor. Which assessment findings should cause the
nurse to IMMEDIATELY discontinue the oxytocin infusion? (Select all that apply)

I. Fatigue and drowsiness

II. Early decelerations, of the total heart rate

III. Uterine hyperstimulation

IV. Late decelerations of the fetal heart rate

A. III and IV C. I and III

B. II and III D. I and II

195. Simultaneous with the oxytocin drip left arm) is the prescribed intravenous (IV) lidocaine
(Xylocaine). Nurse Aurora should dilute the concentrated solution of 1idocaine (right arm)
with which solution?

A.5 percent Dextrose in water

B. Normal saline 0.99 percent
C. Normal saline 0.45 percent
D. Lactated Ringer' s
 196. Take home medications given to Patient Lily includes digitalis therapy which was given
to patient since she was pregnant. Which of the following would the nurse anticipate with
patient's drug therapy?

A. Switching to a more potent drug.

B. Continuation of the same dosage.

C. Need for change in medication.

D. Addition of diuretic to the regimen.

Situation -The indication of tracheostomy in children has changed substantially in the last two decades.
Nurse Robert is taking care of admitted to the Pediatric Ward due to pneumonia. The child is hooked to
a tracheostomy tube. Nurse Robert is quite anxious in taking care of Patient Irma, an eight-year-old
female child, who was this patient being her first day o£ duty in the Pediatric Ward.

197. When preparing the patient for suctioning, what is the FIRST step?

A. Perform hand hygiene

B. Gather equipment

C. Assess lung sounds, heart rate and rhythm

D. Check physician's order and patient care plan

198. Patient Irma will be placed in which of the following position? Select all that apply-

1. Fowler

2. Semi-Fowler

[Link]

4. Sim

A. 1, 2& 3 C.1&2

B. 2 only D.1 only

199. Usually the common indication (s) for the tracheostomy in Patient Irrna' s condition is
which of the following? (Select all that apply.)

[Link] intubation

2. Sepsis
 [Link] associated with neurologic disorders

4. Severe Sleep Obstructive Apnea Syndrome (SOAS)

A.2 only C. 1, 2, 3 & 4

B.1 & 2 D.1 only

200. The PRIORITY nursing objective when caring a patient with a

tracheostomy is _________.

A. To increase tissue oxygenation

B. To provide patent airway

C. To decrease tissue oxygenation

D. To improve ventilation

201. The TOP nursing expected outcome when performing suctioning is _______.

A. Lessened amount of secretions leading to decreased frequency of suctioning.

B. Secretions removed without complication.

C. Tube-fed patient does not aspirate feeding

D. Prevention of Occurrence of hypoxemia and bradycardia

Situation -Sonny, 11 years old, is admitted due to bronchitis. Upon admission, he manifested the
following signs and symptoms: Cough, production of mucus (Sputum), yellowish in color,
fatigue, shortness of breath, slight fever and chills and chest
discomfort. The physician Orders 4L/min oxygenation

202. The first standard step in oxygen therapy that the nurse should do is________.

A. assess client's condition

B. gather all the equipment and supplies

C. prepare the client for the oxygen treatment

 D. check the chart for ordered flow rate and oxygen delivery method

203. In planning for Sonny's oxygen therapy, the nurse should consider which of
the following, EXCEPT

A. need for a humidifier.

B. length of tubing.

C. determine the age of Excel.

D. manner of administering oxygen, continuous or intermittent.

204. Which of the following is the PRIORITY action of the nurse for Sonny who is on Oxygen
therapy?

A. Check the flow.

B. Connect the flow meter to the pipe in oxygen outlet

C. Turn on the oxygen.

D. Attach the humidifier and connecting tubing to the oxygen delivery device.

205. What PRIORITY precautionary measure should be done by the nurse during the oxygen
therapy?

A. Humidifier's water should be checked regularly.

B. No Smoking sign.

C. Oxygen tank should have belt.

D. Limit visitors.

206. One evening, Sonny complained of dyspnea despite continuous oxygen therapy. What
should be the FIRST action of the nurse?
 A. Reassess the client.

B. Give PRN medication.

C. Assess the patency of the tubing.

D. Refer client to the physician.

Situation - The senior nurse Reese, 1s planning to revisit and implement a change in the management
system for the 0bstetric unit. This would be a pilot unit as planned by the administration. Many problems
have occurred one of which is the present documentation system, and the charge nurse determines that
a change is required.

207. What should be the INITIAL STEP in the process of change for the senior nurse

A. set goals and priorities regarding the change process.

B. Plan strategies to implement the change.

C. Identify potential solutions and strategies for the change.

[Link] the inefficiency that needs improvement or correction

208. Nurse Reese is preparing the patient assignment t for the day and needs to assign
patients to a midwife and nursing assistant. Which patient should the nurse assign to the
midwife because of patient needs that cannot be met by the nursing assistant? A
patient requiring________.

A. dressing change of post caesarian Surgery

B. Collecting of urine specimen for urinalysis testing

C. performing range-of-motion exercises twice a day

D. taking of vital signs measurement every hour

209. Because of the scarcity of nurses in the hospital settings, different service delivery
models were proposed. Which Situation represents the primary nursing care delivery
model?

A. The nursing aide is assigned to make beds and other errands while the nurse is to give

medications.

B. The nurse develops a plan of care for patients and collaborates with other team members.

C. The nurse performs all tasks needed by the individual patient to optimize health.

D. The nurse provides care to 4 patients while the nursing aide is to care for 2 patients.
 210. One of the post-caesarian patients has a private duty nurse and is responsible for
providing holistic care to her patient during the shift. What modality of nursing care is
implemented?

A. Primary C. Total care

B. Team D. Functional

211. At which stage of Lewin ' s planned change indicates the nurse identifying, planning, and
implementing appropriate strategies ensuring that driving forces exceed restraining forces?

A. refreezing C. movement

B. unfreezing D. in activism

Situation - Raman, 6 years old, has been recently diagnosed to have Acute Lymphocytic Leukemia. The
child has undergone chemotherapy. However, the father is witnessing before his very eyes his
first child dying. The father is very much depressed.

212. In what way wil1 the nurse handles the situation?

A. Tell her to trust on God's love and mercy.

B. Te1l her that death is a reality.

C. Encourage her to keep calm because the health care team I doing their best to help Ramon

recover

D. Encourage the mother to express more about her thoughts and feelings

213. The APPROPRIATE nursing diagnosis to protect the patient from further injury is, which
of the following?

A. Altered mucous membrane related to chemotherapy.

B. Interrupted family processes related to life threatening i1lness of a family member.

C. Fatigue related to disease process.

 D. Risk for injury related to thrombocytopenia

214. Mouth sores have developed in the child's mouth. The father asked the nurse the
reasons for this. The MOST APPROPRIATE response of the nurse is _________

A. "The child 's oral hygiene needs to be improved. "

B."There s no need to worry as all kids receiving chemotherapy tend to have them. "

C. "He is allergic to the drug so I will report this to the doctor and suggest à change of drug."

D. "Mouth sores result because the cells of the mouth are sensitive to chemotherapy. "

215. Ramon died at 10:00 PM. His father cried much and refused to move Ramon 's body.
What is the APPROPRIATE approach of the nurse?

A. Talk about the reality of death.

B. Leave the mother and the child for the last time.

C. Silence to allow the mother to grieve.

D. Cry with the mother as you remember your own experience of death in family.

216. The nurse's MAIN responsibility in preparing Ramon 's discharge is, which of the
following?

A. Assist the mother to pay the hospital bill

B. Prepare Ramon 's cadaver

C. Prepare the death certificate.

D. Extend condolences to the bereaved family.

Situation - Asst Chief for Education & Training, Nurse Mendoza, is planning to conduct an in-
service training program on intravenous therapy for the staff nurses.

217. To be able to justify the conduct of any in service training program in any hospital, which
of the following should be the bases for the implementation of the program?

[Link] assessment

2. Needs analysis

[Link] recommendation by the Chief Nurse

 [Link] Reports

A. 1, 2 &4 C. 1 only

B. 1, 3 &4 D. 1, 2, 3 & 4

218. The BEST rationale for the conduct of the program is which of the following?

A. Ensure safe practice in the hospital

B. Improve nursing practice in general

C. Provide knowledge and skills to all nursing staff in IV Therapy

D. De1iver safe and quality nursing care to patients on intravenous therapy

219. One of the lecturers discussed the complications that patients may have while on IV
therapy. Which of the following is the most common Complication that IV patients may
contract while on IV therapy?

A. Embolism C. Phlebitis

B. Cardiac Overload D. Aneurysm

220. The participants may avail of Continuing Professional Development (CPD) units if Nurse
Mendoza had filed the program to be CPD accredited to which of the following?

A. Professional Regulatory Board of Nursing

B. Professional Regulation Commission

[Link] Professional Development

D. Commission on Higher Education

221. The participants should know the way by which they may obtain CPD units
aside from attending in service training programs, which are, EXCEPT _______.

A. Professional seminar and conferences

B. graduate studies

[Link] course training for specialization

D. Joining nursing service committees

Situation -The concept of Reproductive Health is introduced as early as Primary and
secondary levels with different degrees of concentration. Students, interested to continue
health courses were asking questions on human sexuality.

222. Nurse Hailey discusses the 2020 National Health Goals. Which of the
following statements is an EXCEPTION in planning sexual health programs.

A. Make sexual education programs voluntary.

B. increase the proportion of adolescents who have never engaged in sexual intercourse.

[Link] deaths from cancer resulting from uterine myomas

D. Reduce deaths from cancer of the uterine cervix.

223. Maternal and child Nursing is a concept under the National Goals. Which objective
should Nurse Pailey emphasize to support the program?

A. Avoid having misdirected children and become street children.

B. Promote the well-being of the mother 's family 1ife and family planning.

[Link] that every child has love, security, and a better future.

D. Avoid complications of pregnancy and promote vaginal deliveries

224. Which of the following topics should the patient feel MORE comfortable when
reproductive anatomy and physiology is discussed with the nurse?

A. Sexual health education [Link] sexual positions

B. Gender reassignment D. Gender identity

225. When can the patient tell all information to the nurse?

A. All diagnostic laboratory tests performed had been completed

B. Once the feeling of security is established in the nurse-patient relationship

C. A change in physical appearance occurs

D. The nurse knows the genogram of the patient

226. Which nursing diagnosis is NOT RELEVANT to sexual health?

A. Anxiety-related inability to conceive after six months.
 B. Health-seeking behaviors related to reproductive functioning

C. Sexual dysfunction related to an unknown cause.

D. Risk for infection related to high-risk. sexual behaviors.

Situation - Ruby, a pregnant patient 37 weeks' gestation is admitted due to fever, painful swelling of
hands, feet, joints. and in labor pain who has a diagnosis of sickle cell anemia?

227. Nurse Sophie administers oxygen to patient Ruby and implements additional measures
to prevent a sickling crisis from occurring?

A Maintain strict asepsis.

B. Maintain s adequate hydration.

C. Monitors the temperature.

D. Reassures the patient.

228. Nurse Sophie hooks a 1000 mL intravenous (IV) Solution of D5 Water as Ordered by the
physician at 9 am to infuse 80 ml/hr. Via macro drop nruslon set (20 qtts = 1 ml). On
the assessment of the infusion at what would be the level of the remaining amount in the
TV bag at 2 pm?

A. 500 C. 400

B. 200 D. 300

229. The patient began receiving an intravenous (IV) infusion of packed red blood cells 30
minutes ago. The patient complains of difficulty of breathing, itching and a tight sensation in
the chest. Which is the IMMEDIATE action of the nurse?

A. Recheck the unit of blood for compatibility.

B. Call the physician.

C. Check the patient 's temperature.

D. Stop the infusion.

230. Norse Sophie checks the gauge of the patient ' s intravenous catheter. Which is the
smallest gauge catheter that the nurse can use to administer blood?

A. 22-Gauge C. 20-Gauge

B. 18-Gauge D. 12-Gauge
 231. The nurse reviews the patient 's plan of care. Which of the
following nursing diagnose will be the PRIORITY?

A. Fluid volume, deficit

B. Risk for pain, acute

C. Coping, ineffective

D. Body image, disturbed

Situation - Nurse Nilda is a beginning nurse assigned in the Pediatrics Unit in a government hospital. The
Unit has pediatric patients of different ages. Since she will be dealing with patients of varied ages, she
thought it best to review her notes on human growth and development, specifically Erikson 's
psychosocial theory.

232. The BEST reason why Nurse Nilda opted to review Erikson's psychosocial theory is,
which of the following statements?

A. Completion of task results in a sense of competence and a healthy personality.

B. Failure to master these tasks leads to feelings of inadequacy

C. Helps children grow into successful, contributing members of society.

D. We are motivated by the need to achieve competence in certain areas of our 1ives.

233. Nurse Nilda immediately responds to any cry from her pediatric patients because it is,
which of the following reasons?

A. to attend to her patients who cannot communicate verbally

B. to check if the child is hungry or wet

C. to lessen the noise overload in the Unit

D. a powerful influence over that individual's interactions with others for the remainder of

his/her life

234. Nurse Nilda is attending to a two-year-old Neneng who was admitted

due to chronic bronchitis. Neneng sports a long hair that extends up to her shoulder. As
part of the morning care, Neneng's hair into a pony tail. However, Neneng vehemently
resisted her hair being tied by a rubber band. The BEST thing that Nurse Nilda should do
is, which of the following?

A. Nurse Nilda decided to style

 B. Assert her authority.

[Link] Neneng's preference that a pony tail would make Neneng's more beautiful.

D. Allow Neneng ' preference.

235. Joji, l7 years old, is admitted in a private room due to influenza. In one of Nurse
Nilda's conversations with Joji, the patient expressed is unhappiness with the program he is
taking up in college. This is not his choice but rather the choice of his parents. In which of
Erikson 's stage of development does this case fall?

A. Autonomy versus shame/ doubt

B. Integrity versus despair

C. Identity versus role Confusion

D. Trust versus distrust

236. When a 3-year-old patient of Nurse Nilda asserts to choose the pants and shirt to wear
to include food preference. Based on Erikson 's developmental tasks, the child' s such
behavior is attributed to them which of the following?

1. struggling to acquire a sense of autonomy

2 discovering they have a will of their own

3. awareness that they cannot control others

4. learning which behavior gains approval

A. 1,2 & 3 C. 1,2, 3& 4.

B. 2, 3 & 4 D. 1,2& 4

Situation - Gwen a unit manager is assigned to evaluate applicants for the position in the OB unit. During
the interview, the applicant was asked 5 questions.

237. When a patient is admitted to the OB ward with complains of dizziness and body
weakness, this is an example of______.

A. secondary source C. objective data

B. primary source D. Subjective data

238. What are the possible cases that need informed consent?
 A. Administering skin testing

B. Subjecting the patient to an invasive procedure

C. Hair shampooing of patient

D. Performing a laboratory procedure

239. The applicant was further asked about an incident report. Which of the following is a
PRIORITY Case for an incident report be accomplished?

A. Patient fell from the bed.

B. Refusal to go to the physical therapy session.

C. A visitor encourages a patient on bed rest to ambulate.

D. Nurse left before his duty ends.

240. On which occasion would a nurse can be charged with negligence?

A. Giving the patient the wrong medication.

B. Giving competent care.

C. Following standards of care.

D. Communicating with another health team.

241. What tasks can be delegated to his nursing assistant during his tour of duty.

A. Changing wound dressings.

B. Administering analgesic drug.

C. Performing a physical assessment.

D. Taking vital sign

Situation- A patient with hyperthyroidism is admitted to your unit. She asks the nurse about the endocrine
functions.

242. To begin your discussion, you explain to her that the endocrine glands include, which of
the following?

A. Pituitary, thyroid, parathyroid, adrenals, pancreaticislets, and hypothalamus

B. Pituitary, thyroid, parathyroid, pancreatic islets, ovaries, and testes
 C. Pituitary, thyroid, parathyroid, adrenals and pancreatic islets
D. Pituitary, thyroid, parathyroid, adrenals, pancreatic islets, ovaries and testes

243. The __________ is link between the nervous system and the endocrine system

A. Spinal cord C. Pituitary gland

B. Hypothalamus D. Thyroid gland

244. This endocrine disorder is a severe form of hypothyroidism characterized by an

accumulation of mucopolysaccharide in subcutaneous and other interstitial tissues

A. Myxedema C. Cushing`s syndrome

B. Thyrotoxicosis D. Hashimoto`s disease

245. The patient asks you about goiter. You describe this disorder as ___________-.

A. A condition produced by excessive endogenous or exogenous thyroid hormone

B. The enlargement of the thyroid gland and usually caused by an iodine-deficient
diet

C. None of the choices

D. Inflammation of the thyroid gland that may lead to chronic hypothyroidism

246. The patient asks what is a normal thyroid state? The best response is __________.

A. Euthyroid C. Hyperthyroid

B. Parathyroid D. Panthroid

Situation - Marlene, a kasambahay, is admitted for leukemia in exacerbation. She appears shy and
seldom talks to hospital staff, except with the watcher who is her sister.

247. Nurse Myra wants to draw the patient out of her shell, so she would be better able to
elicit the patient's cooperation. which of the following actions is MOST helpful?

A Just ask Marlene straight the questions that need to be asked.

B. Smile at the patient and allow her to express her concerns.

 C. Talk to the sister instead to get more information.

D. Be a professional in every way in dealing with her.

248. Friendly but professional overtures have finally made Marlene open up her
circumstances to the nurse, including their financial difficulty. What has been established at
this time?

A. Beginning of a friendship

B. Trusting relationship with the nurse

C. A lifelong commitment

D. A dire need for financial help

249. One morning during rounds, Nurse Myra noticed that Marlene was unduly sad. The
nurse 's BEST way of communicating her concern is _______.

A. whatever it is, you lift it up to God

B. saying you are sad again, that is bad for your health

C. telling Marlene to stop worrying, everything will be okay

D. placing her hand over Marlene 's shoulder and asking why the sad face

250. The day of discharge came and Marlene 's face becomes all the more
sad. When asked why, she answered she has no money to pay the bill. The BEST way of
communicating her piece of advice is stating which of the following?

A. You can go to the cashier for to find out what she can advise you

B. The government has agencies for those who need financial assistance. I will give you the

list.

C. You can always pay in staggered amounts to be given every 15 days

D. Ask help from generous relatives so you can have additional for down payment.

251. Leukemia is a chronic illness and it is expected that the patient will be in and out of
the hospital. To maintain communication, the nurse will _________.

A. ask the patient to call the hospital number listed in the yellow pages

B. ask for the phone number where the patient can be easily contacted

C. read the information sheet of the patient in the chart

 D. tell patient to write the number in a piece of paper and give it to the ward clerk

Situation - You are a staff burse in the Eye Unit of the hospital. In the regular Quality Circle meeting one
of the matters discussed was the increasing complaints of patients who underwent eye surgery in
relation to instillation of eye drops. The case of Claudia who had cataract surgery was presented as
a frame of reference in reviewing the procedure on eye drops instillation.

252. Which of the following is the RATIONALE for instilling eye drops to patients who had
eye surgery?

A. To help control the intra-ocular pressure C. To treat an eye infection

B. To dilate the patient’s pupils D. To constrict the patient’s pupils

253. You have observed presence of drainage in Claudia’s eyes. Which of the following eye
solution would you use in cleaning her eyes?

A. Hydrochloric acid C. Mineral water

B. Normal saline solution D. Soapsuds solution

254. In instilling the eye drops you have to tilt the back slightly Claudia’s head. Which of the
following is the RATIONALE for this nursing action?

A. To prevent any spill from the eye during the procedure

B. To keep any debris away from the lacrimal duct
C. To facilitate the procedure
D. To reach the conjunctival sac easily

255. You accidentally touch Claudia’s eyelid during eye drop instillation causing her to blink.
What should have you done to prevent this from occurring?

A. Touch the inner side of the medicine cap

B. Tilt back Claudia’s head slightly
C. Hold the dropper close to the eye but do not allow the medication to fall into the
cornea

D. Have Claudia look up and focus on something

 256. You cannot open Claudia’s eyes due to dried crust. Which of the following actions
would you do?

A. Apply the eye drops the next day

B. Apply eye ointment to soften the crust
C. Instill eye drops
D. Place a warm wet wash cloth over her eyes for at least three minutes

SITUATION – A manager of an accounting firm is admitted to the hospital due to an acute abdominal
pain and passing out of bloody stools. After several diagnostic and laboratory examinations the physician
ordered him for exploratory laparotomy. You are the nrse duty that day.

257. While performing the assessment your are guided that the organs found in the epigastrium
include which of the following?

A. Protion of duodenum & jejunum, left kidney, appendix & ovary

B. Duodenum, pancreas, portion of the liver and pyloric end of the stomach.

C. Stomach, spleen, tail of pancreas and adrenal gland

D. Gallblader, duodenum, gallbladder and portion of the right kidney.

258. When conducting a nursing history on the Health Perception, Health Management pattern
of functioning what is the APPROPRIATE question to be asked pre-operatively?

A. Do you experience your wound to heal quickly?

B. Do you have shortness of breath when exercising?

C. Are you aware of risk factors for your disease?

D. Have you experience weight changes in the past?

259. Patient was visited by the anesthesiologist and explained the anesthesia for his
surgery. Which of the following type of anesthesia would you expect to be ordered?
 A. Spinal C. Local

B. Caudal D. General

260. There are pre operative medications given to the patient. Which of the following druugs
are given in order to decrease intra-operative anesthetic requirements and pain?

A. Celebrex (celecoxib) C. Acetaminaphen (tylenol)

B. Ibuprofen (motrin) D. Demerol (meperidine HCl)

261. The goals for patient's safety in the operating room is imperative for all members of the
surgical team. Which of the following Universal Safety Protocol are adopted and validated
PRIOR to surgery?

I. Patient's Identity

II. Surgical procedure

III. Surgical Site

IV. Surgical equipment

A. II & III C. I, II, & IV

B I & II D. I,II & III

SITUATION 6 - Mely, 68 -year -old, was admitted to the hospital because of decreased appetite, easy
fatigability, dehydration and weight loss of about 15 lbs. for the past weeks. She was examined by
the physician and advised to be admitted. You are the nurse assigned to take care of her.

262. The physician ordered to start Ms. Mely on Total Parenteral Nutrition (TPN). What Is your
INITIAL step to be undertaken PRIOR to this intervention?

A. Determine if the family can afford the whole treatment,

B. Evaluate the tolerance of the patient to glucose.

C. Identify allergies of patient to the supplemental nutrition.

D. Assess the basic understanding of the patient regarding TPN

263. Choose from the following the primary goals of TPN?

I. promote weight gain

II. improve nutritional status

 III. maintain muscle mass

IV. establish nitrogen balance!

V. enhance healing process

A. I, II, & III C. I, & II,

B. I, II, III, & IV D. I, II, III, IV & V

264. When a patient is undergoing TPN, you have to monitor closely for the ___________.

[Link] creatinine level Ç. serum glucose level

B. potassium level D. sodium level

265. While Mrs. Mely is on TPN she suddenly complained of slight chest pain, dyspnea and
appears cyanotic. You suspect that she is experiencing what possible IMMEDIATE
complication?

A. Sepsis due to IV 1ine C. Hyperglycemia.

B. Air embolism [Link] reaction to TPN

266. What PRIORITY nursing action should you do with the presenting clinical manifestations of
the patient?

A. Report to the physician status of the patient at once.

B. Take Blood pressure and respiratory rate.

C. Stop temporarily the Total Parenteral Nutrition

D. Administer Oxygen inhalation.

Situation 11 - Nurse Rachel is assigned in the medical unit of a tertiary hospital where most of the
patient's admitted are Suffering from Endocrine disorders. She is currently assigned to
Patients: Claire, 54-year-old, married with hyperthyroidism Aster, 66 yr. old has an impression of
(Cushing Syndrome while Sonia, 48-year-old is suffering from hypothyroidism.

267. While you are doing your physical assessment to patent Aster, she has been exhibiting a
UNIQUE clinical manifestation different from patients Claire and Sonia which is characterized
by________.
 A. Cyanosis, increasing growth of hands and feet
B. anemia, weight 1oss and presence of
C. moon facies, purple striae on trunk and buffalo hump
D. moon facies, easy fatigability and peripheral edema

268. Which one of the following diagnostic tests do you expect NOT to be ordered by Dr. Lim to
patient Aster who is suspected to have Cushing Syndrome?

A. 24-hour urine cortisol level

B. D-C reactive Protein level

Ç. ACTH Serum concentration

D. Computerized tomography of the brain, chest and abdomen

269. Which clinical manifestation should Nurse Rachel watch for patient Claire if she is suffering
from hyperthyroidism?

A. Cold extremities C. Decreased bowel movement

B. Fine motor tremor D. Increased weight

270. Patient Sonia, who bas hypothyroidism is given which ONE of the following
drug therapies?

A. Propranolol C. Iron pills

B. Iodine D. Levothyroxine

271. Which of the following should be AVOIDED by patient Sonia while she is being treated for
hypothyroidism?

A. Use of warm blankets C. Taking foods low in fiber

B. Light activities done at home D. Exposure to cold temperature

Situation 13 - Mr. Reynaldo is tasked to conduct a study to determine the level of patient satisfaction on
the care they received from the hospital. In doing so, he plans to include: all adult patients admitted from
May-October, first admission, with an average length of hospital confinement of 4-5 days, and with no
complications.

272. Which of the following is an EXTRANEOUS variable of the study?

A. Age of patients. C. Length of stay 4-5 days.

B. Absence of complications. D. Date of admission January-March.

273. Which of the following variables will he likely EXCLUDE in his study?

A. Salary of nurses C. Responsiveness of staff

B. Caring attitude of nurses D. Competence of nurses

274. He plans to use a Likert Scale to determine:

A. compliance to expected standards C. level of satisfaction

B. degree of agreement and disagreement D. degree of acceptance

275. Which criterion refers-to the ability of the instrument to detect fine differences among
the subjects being studied?

A. Reliability C. objectivity

B. Sensitivity D. Validity

276. This technique refers to the use of multiple referents to draw conclusions about what
constitutes the truth.

A. Delphi technique C. Triangulation

B. Meta-analysis D. Experiment
Situation 14 - Nurse Tarly, the research coordinator of a Tertiary hospital where there was a growing
concern of patients and family complaints that Nurses are "rude and cranky". In response to this, she
organized a core group to conduct a study on the "Caring behavior of Staff-Nurses and
Satisfaction of Women with Ostomy.

277. Based on the research statement, what is the 'independent variable in the study?

A. Staff-nurses C Women with ostomy

в. Caring behavior D. Satisfaction

278. What is the dependent variable in the study?

A. staff-nurse. C degree of satisfaction

B. ostomy D. caring behavior

279. What are the relevant related literatures that Nurse Tarly and her groupmates can
utilize in this study?

1. Caring behaviour.

2. Ostomy pathogenesis.

3. Contentment and satisfaction.

4. Concept of body image.

A. III and IV C. 1 and II

B. 1, II and III D. 1, II, III and IV

280. If Nurse Tarly and her core group decide to formulate a directional hypothesis it will be
________.

A. There is an increase relationship between the caring staff nurses and degree of
satisfaction of ostomized patients.

B. The caring behaviors of the staff nurses is related to increased satisfaction

of ostomized patients.

C. The staff nurses' behaviors have an effect on the patient's satisfaction

with osomized patients.

D. A significant relationship exists between the caring behaviors of the staff-nurses and degree
 of satisfaction of ostomized patients.

281. Based on the research problem, what is the Research design of the study?

A. Quasi-experimental C. Expost-facto

B. Descriptive D. Experimental

Situation 15 - Nurse Virgo admits Benito,61 yea-old, due to severe abdominal and back pain and
vomiting after attending a party. He had positive alcohol breath and was tentatively diagnosed
with pancreatitis He was scheduled for diagnostic laparotomy to further confirm the diagnosis.

282. Nurse Virgo gathers more appropriate data Erom Patient Benito. Which of the following
APPROPRIATE questions should Nurse Virgo ask?

1. "Can you describe your pain?"

2. "Is your urine yellow?"

3. "IS your stool clay colored?

4. Do you drink alcohol often?"

A. 2 and 4 C. 1, 2 and 4

B. 1 and 3 D. 1, 2. and 3.

283. Patient Benito ask5 Nurse Virgo, "Why can't the surgeon just take out my pancreas?" The
BEST response of Nurse Virgo is
 A. "your body needs to function well with your pancreas "

B. "your attack will soon be overcome when you are at rest"

C. "if your pancreas is removed, you can never eat fat and fried foods again"

D. "antibiotic wil1 relieve signs of infection"

284. Before Surgery, Patient Benito is on nothing per orem status (NPO). She tells Nurse Virgo
that he is thirsty and hungry. Which of the following is the BEST response of Nurse Virgo?

A. "You can sip only this amount of water to moisten your mouth"

B."An NGT will be inserted to remove gastric secretions and alleviate your thirst"

C. "I will give you ice chips to relieve your thirst"

D. "Oral and fluid intake stimulates pancreatic enzymes and pain"

285. Nurse Virgo asks Patient Beni to now can he help to reduce pain while waiting for his
operation. Which is the MOST appropriate question of Nurse Virgo?

A."Are you ready for the operation? The pain will soon be over.”

B."After operation, everything will be alright."

C."Is your present position reducing pain?"

D."Does exercise reduce your pain?"

286. Which of the statements of Patient Benito will convince Nurse Virgo that his instructions for
the prevention of pancreatitis were understood by the patient? I wil1 _______.

A. “Increase my intake of high protein products"

B "try to stop drinking alcohol”

C. "follow a high fat diet faithfully"

D. "be careful of exposing myself to infection"

Situation– Ella, a 10-year old grade four pupil in a private school has just lost her best friend, lory, who
died of leukemia. her mother brought her to the emergency room who reported that Ella has been gloomy
and often expresses feeling of joining lory in heaven.

287. Which of the following is precipitating factor for Ella`s feeling of wanting to die?
 A. The death of lory C. Her authoritative mother

B. Her age D. Her fear of death

288. Ella’s feeling of joining lory in heaven is a manifestation of:

A. Suicidal intent C. Paranoia

B. Suicidal threat D. Suicidal ideation

289. Ella states “I will hang my self “this is a manifestation of:

A. Denial C. Suicidal intent

B. Suicidal threat D. Paranoia.

290. Which of the following is the best predictor of adolescents attempting suicide?

A. Depressed mood C. Feeling of euphoria

B. Joyful mood D. Feeling of hopelessness

291. Ella’s states “I wish I were dead. I cannot stand anymore not having lory around.”; your
most appropriate Nursing action would be:

A. Do nothing because Ella will not do it C. Stay with Ella

B. Refer Ella to your supervisor D. Explore Ella’s feelings

Situation - Ms. C, 15 years old, 100 lbs, 5 ft. Tall, admitted to your unit for diagnostic evaluation and
nutritional support. She is moderately dehydrated with potassium level 2.3 mEq/L. She has experienced
weight loss of more than 15 percent within the past 3 months.

292. What is the primary collaborative goal treatment for Ms. C?

A. Resolve possible dysfunctional family roles as an adolescent

B. Increase strong desire to eat
C. Restore normal nutrition and weight
D. Assist her to increase feelings of control over eating

293. For Ms. C, which route for delivery of nutrition and fluid will be health care team try FIRST?
 A. Gastrostomy tube C. Nasogastric route

B. Oral route D. Intravenous route

294. In caring for this patient suffering from anorexia nervous, which task can be delegated to
the nursing assistant?

A. Obtaining special food for the patient when she requests it

B. Sitting with the patient during meals and for about an hour after meals
C. Weighing the patient daily and reinforcing that she is underweight
D. Observing for reporting ritualistic behaviors related to food

295. You find Ms. C in her room running and trotting around for about the last 30 minutes. What
is the BEST response to give her at this time?

A. "Tell me why you are running and trotting around the room?"
B. "Stop running right now, otherwise, we will change your exercise program"
C. "We have talked about exercise and agreed to reach your weight goal first"
D. "If you continue to exercise like this, you are going to eat more"

296. Ms. C is at risk for refeeding syndrome that is caused by rapid feeding. What should be the
priority action of the health care team to prevent complications associated with this syndrome?

A. Assess for signs of pallor of the extremities and sluggish capillary refill
B. Monitor for decreased bowel sounds, nausea, bloating, and abdominal distention
C. Observe for signs of secret purging and ingestion of water to increase weight
D. Monitor for peripheral edema, crackles in the lungs, and jugular vein distention

297. Ms. C (an adolescent admitted for diagnostic evaluation and nutritional support related to
anorexia nervosa)'s self-esteem and weight have gradually improved, but she continues to
refer to herself as "fatty." She is able to appropriately verbalize an appropriate diet and
exercise plan. What is the priority nursing diagnosis?

A. Imbalanced Nutrition: less than body requires C. Risk for situational low self-esteem
 B. Disturbed body image D. Ineffective health maintenance

Situation - Nurse Lailanie takes care of her 80-year oldmother and 85 years old father. She noticed her
parents to be forgetting the names of their long-time house help and repeatedly ask the same questions
several times.

298. This condition has difficulty in progressing stimuli and new information. Alzheimer`s is the
most common form of which of these?

A. Fatigue C. Malnutrition

B. Psychosis D. Dementia

299. Physiologically, what happens to the brain as Alzheimer progresses?

A. Brain stem atrophies C. Fluids collect

B. Cells die D. tissues swells

300. No drugs cure this condition. Emphasis is put on delaying the onset of severe symptoms.
Which of the following does NOT help improve Alzheimer's?

A. Smoking C. Social connections and mental activity

B. Eat balanced diet D. Exercise

301. Which of these measures will help stabilize mentally the parents of Nurse Lailanie?

A. Establish a regular routine C. Repaint or buy a new furniture

B. Move to small apartment D. Correct bad behaviors gently

302. Her parents usually become anxious and confused during late in the afternoon and after
dark. What do you call this phenomenon?

A. Agitation C. Sundowning

B. Dark retreat D. Dark reaction

Situation- Quality documentation is an essential component of the nurse’s role in the Health facilities.
Nurse Gladys is assigned in the Female medical ward where most of her patients have cardiac and
vascular disorders.

303. Nurse Gladys is conducting an assessment of Mrs. Carpio who has edema of the lower
extremities due to congestive heart failure. If edema is graded on a scale of +1 (no visible
edema in the leg) to 4+ (leg very swollen), what will Nurse Gladys document in her chart if her
assessment findings of the edema is SLIGHTLY swollen?

A. +4 C. +2

B. +1 D. +3

304. What specific term should Nurse Gladys write in her charting when a patient is suffering
from a change in the angle between the nail base greater than 180 degrees due to congenital
heart disease?

A. Peripheral neuropathy C. Inflammation of the fingers

B. Peripheral cyanosis D. Clubbing of the fingers

305. Mrs. Carpio has an order of Thiazide diuretics for her edema. The following is the entry that
you expect to be written in her progress report EXCEPT ______.

A. Serum electrolyte monitored everyday C. Intake and output done every

shift

B. Weight taken before drug is administered D. Drug is administered at

8o'clock in the evening

306. Which of the following is NOT APPROPRIATE description and written in the Nurses
notes when a patient has a pitting edema?

A. Degree of edema C. Duration of indentation

B. Degree of temperature D. Depth of edema

307. Ms. Ruby 28-year-old also a patient of Nurse Gladys is suffering from Rheumatic fever due
to a previous streptococcal infection. In monitoring patient's status, the nurse should document