Download NURSING EXAM QUESTIONS ANSWERS WITH VERIFIED ANSWERS 100% CORRECT and more Exams Nursing in PDF only on Docsity! TEST DRILLS: ANSWERS Nursing Practice 1 Situation: Nurse Vince is assigned as the team leader of newly hired community health nurses of the component city in the province. He oriented them about primary health care. 1. Which of the following are some elements of primary health care except? A. Use of appropriate technology B. Safe water supply C. Free medicines D. Maternal and child care 2. Nurse Vince is going to refer patient to secondary health facility. Which of the following is an example of secondary health facility? A. A District Hospital B. Puericulture Center C. Rural health unit D. Barangay Health Station 3. Which of the following herbal medicines is recommended for cough? A. Sambong B. Guava C. Bawang D. Lagundi 4. Guava leaves are recommended by the department of health to A. Dissolve kidney stones B. Lower blood pressure C. Remedy for cough D. Wash wound 5. This global program aims to end poverty and protect the planet? A. Center for Disease Control B. Sustainable development goal C. Millennium development goals D. World health organization Situation: In the community where Nurse Noli is assigned there are many obese individuals who are suffering from different heart ailment. 6. Which initiative should Nurse Noli introduce in order to decrease incidence of risk factors especially Obesity. A. A Wellness and fitness program B. Obesity is natural body response C. Tell them to go the gym D. They have to undergo strict dietary regimen 7. Which should be emphasize by the nurse in her health teachings A. Jogging a mile a day B. No need to diet C. Vigorous exercise D. Weight reduction 8. Nurse Noli should advice the patients the following except: A. cut down on salt intake B. More fruits and vegetable C. Eat regular meals D. Eat more saturated fats 9. To prevent complications from their heart diseases the nurse recommends to the patient regular monitoring of their blood A. Cholesterol B. Nitrogen C. Type D. Oxygenation 10.Nurse Noli should include in his health teaching 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 the health center. Her program thrusts include excellent and quality provision of services and performance of the staff. 11.To ensure that the staff adheres to their job responsibilities which should be the APRROPRIATE tool should Nurse Mae utilize in evaluating staff performance? A. Memorandum B. Performance evaluation. C. Incident report D. Anecdotal report 12.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. 13.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 14.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. What to do 15.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 season, Nurse Nena and her team are on alert for increase in cases of Dengue Fever. 16. Identify the causative agent of dengue favor? A. Fomite B. Vector C. Bacteria D. Virus 17.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 Situation: At present the public knows their rights in health care, The Community Health Nurse should be confident and safe in the practice of her profession 36.Nurse has a complaint from a parent for administering wrong dose of vaccine to the child. This act is a form of A. Battery B. Assault C. Negligence D. Malpractice 37.When Nurse Ace submitted a report to the physician that she committed an error in medication. This is an example of . A. Responsibility B. Accountability C. Commitment D. Delegation 38.Who among the following is the BEST to sign an informed consent during surgical procedure of a child at the health center? A. A 26 year old brother who is a drug addict. B. A father who is 40 years old and illiterate. C. A sister, 21 years old but undergoing dialysis. D. A mother, 35 years old with on and off seizure. 39.A nurse administer an extra dose of vaccine to a child and the patient developed adverse reaction and died. She can be sued for . A. Negligence B. Malpractice C. Tort D. Battery 40.A patient was for transfer to a tertiary hospital because of severe astma, but the nurse do not prepare the patient right away and the patient dies. Which of the following the nurse is liable? A. Malpractice B. Assault C. Murder D. Battery Situation: Health education is one of the essential services at the community setting. Nurse Nena is in charge of health education activities of the rural health unit. 41.Which of the following 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 42.The BEST result of health-education process is A. It influences and changes behavior B. It provides new inputs C. Update others D. Information transfer 43.Which of the of the following explains health education is creative process? 1. It could employ a variety of strategies 2. It is can be done anywhere. 3. It could perform by any member of the health team 4. It is a valuable health service A. 1,2,3 B. 1,2 C. 3,4 D. 1,2,3,4 44.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 weaknesses C. To totally change their lifestyle D. To motivate them to develop skills and literacy in health. 45.As a whole health education in public health aims to . A. Transfers information B. Make life changes C. Better health opportunities D. Change personality Situation: Nurse Mary is assigned to manage the Non Communicable Disease Prevention and Control. She is alarm by the increase number of residents who are having Hypertension. 46.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 elevation of blood pressure 47. Identify the MOST appropriate diagnostic examination that confirms the incidence of hypertension among residents. A. Chest Xray B. Electrocardiogram C. Ultrasound D. BP monitoring 48.Which medication will be prescribed to control and maintain the blood pressure of patients at normal level? A. Lidocaine B. Epinephrine C. Amlodipine D. Furosemide 49.Nurse Mary had observed that most patients with hypertension stop taking their medications and heard them saying “I feel good already”. Which the APPROPRIATE nursing diagnosis? A. Impaired gas exchange B. Anxiety C. Knowledge deficit D. Ineffective coping 50.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 4. Maintain normal weight 5. 5.Less stress A. 2,3,4,5 B. 1,2,3,4 C. c. 1,2,4,5 D. 1,3,4,5 Nursing Practice 2 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. 1. 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 2. 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. 3. Which of the following is the PRIORITY action of the nurse for Sonny who in 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. 4. 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. 5. 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, is planning to revisit and implement a change in the management system for the Obstetric 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. 6. 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. D. Identify the inefficiency that needs improvement or correction. 7. Nurse Reese is preparing the patient assignment 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 hours 8. 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. Tell her that death is a reality. C. Encourage her to keep calm because the health care team is doing their best to help Ramon recover. D. Encourage the mother to express more about her thoughts and feelings. 22. 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 illness of a family member. C. Fatigue related to disease process. D. Risk for injury related to thrombocytopenia. 23. Mouth sores have developed in the child's mouth. The father aske nurse the reasons for this. The MOST APPROPRIATE response of the is . A. "The child's oral hygiene needs to be improved." B. "There is 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 a change of drug." D. "Mouth sores result because the cells of the mouth are sensitive to chemotherapy." 24. 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 death in family. 25. 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 to conduct an in-service training program on intravenous therapy for the staff nurses. 26. To be able to justify the conduct of any in-service training program in a hospital, which of the following should be the bases for the implementation of the program? 1. Needs assessment 2. Needs analysis 3. Per recommendation by the Chief Nurse 4. Incident Reports A. 1, 2 & 4 B. 1, 2 & 4 C. 1 only D. 1, 2, 3 & 4 27. 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. Deliver safe and quality nursing care to patients on intravenous therapy 28. One of the lecturers discussed the complications that patients while on IV therapy. Which of the following is the most common complication that IV patients. may contract while on IV therapy? A. Embolism B. Cardiac overload C. Phlebitis D. Aneurysm 29. 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 C. Continuing Professional Development Council for Nursing D. Commission on Higher Education 30. 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 seminars and conferences B. graduate studies C. short course training for specialization D. joining nursing service committees Situation: The concept of Reproductive Health is introduced as early primary and secondary levels with different degrees of concentration. Students, interested to continue health courses were asking questions on human sexuality. 31.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. C. Reduce deaths from cancer resulting from uterine myomas. D. Reduce deaths from cancer of the uterine cervix. 32.Maternal and child Nursing is a concept under the National Goals. Which objective should Nurse Bailey emphasize to support the program? A. Avoid having misdirected children and become street children. B. Promote the well-being of the mother's family life and family planning. C. Consider that every child has love, security, and a better future. D. Avoid complications of pregnancy and promote vaginal deliveries. 33.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. B. Gender reassignment C. Varied sexual positions D. Gender identity 34.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 35.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. 36.Nurse Sophie administers oxygen to patient Ruby and implements additional measures to prevent a sickling crisis from occurring? A. Maintain strict asepsis. B. Maintains adequate hydration. C. Monitors the temperature. D. Reassures the patient. 37.Nurse Sophie hooks a 1000 mL intravenous (IV) solution of D5Water as ordered by the physician at 9 am to infuse 80 ml/hr via macro drop infusion set (20 gtts = 1 ml). On the assessment of the infusion at what would be the level of the remaining amount in the IV bag at 2 pm? A. 500 B. 200 C. 400 D. 300 E. None of the above 38. 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. 39. Nurse 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 B. 18-Gauge C. 20-Gauge D. 12-Gauge 40. The nurse reviews the patient's plan of care. Which of the following nursing diagnoses 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. 41. 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 lives. 42. 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 6. Which of the following can Nurse Eileen adopt to visualize her future? A. Flow chart B. Decision tree C. Gantt chart D. Decision grid 7. She started to create her personal and professional portfolio as a preparation for her application to a university medical center in Metro Manila. Which of the following is NOT a major purpose of keeping a portfolio? A. Keep on ongoing records of skills development. B. Create a system for documenting accomplishments. C. Set career and educational goals. D. Set system for a possible shift to another job. 8. One area of the professional portfolio is to indicate one's philosophy of life. Which of the following work place values should Nurse Eileen consider as NOT favorable to be written in her portfolio? A. Customer service based on acceptance, empathy and selfless duty. B. Time and compensation limiting her pursuit of excellence in her job. C. Commitment to continual life long and self-directed learning. D. Challenges which can lead to growth, responsibility and accountability. 9. In order for Nurse Eileen to be active as a bedside nurse, she has to comply with the renewal of PRC ID by undertaking continuing professional development (CPD) as mandated by the CPD law. The purposes of which are . I. promote and upgrade the practice of the profession II. improve the competence of the professional III. international alignment of competence IV. develop quality assurance for accreditation A. II & III B. I, II, & III C. I, II, III, & IV D. I& II 10. Nurse Eileen is aware that in her personal and professional portfolio has to include and keep up to date the following EXCEPT . A. certificate of CPD attended B. letters of reference C. photographs D. confidential information from past employers Situation: 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. 11.Which of the following is an EXTRANEOUS of the study? A. Age of patients. B. Absence of complications. C. Length of stay 4-5 days. D. Date of admission January-March. 12.Which of the following variables will he likely EXCLUDE in his study? A. Salary of nurses B. Caring attitude of nurses C. Responsiveness of staff D. Competence of nurses 13. He plans to use a Likert scale to determine: A. compliance to expected standards B. degree of agreement and disagreement C. level of satisfaction D. degree of acceptance 14. Which criterion refers to the ability of the instrument to detect fine differences among the subjects being studied? A. Reliability B. Sensitivity C. Objectivity D. Validity 15. This technique refers to the use of multiple referents to draw conclusions about what constitutes the truth. A. Delphi technique B. Meta-analysis C. Triangulation D. Experiment Situation: 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 behaviour of Staff-Nurses and Satisfaction of Women with Ostomy. 16. Based on the research statement, what is the independent variable in the study? A. Staff nurses B. Caring behavior C. Women with ostomy D. satisfaction 17. What is the dependent variable in the study? A. staff-nurse B. ostomy C. degree of satisfaction D. caring behavior 18. 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 B. I, II and III C. I and II D. I, II, III and IV 19. 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 has an effect on the patients' satisfaction with ostomized patients. D. A significant relationship exists between the caring behaviors of the staff-nurses and degree of satisfaction of ostomized patients. 20.Based on the research problem, what is the Research design of the study? A. Quasi-experimental B. Descriptive C. Expost-facto D. Experimental Situation: Nurse Virgo admits Benito, 67 year-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. 21. Nurse Virgo gathers more appropriate data from Patient Benito. Which of the following APPROPRIATE questions should Nurse Virgo asks? 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 B. 1 and 4 C. 1, 2 and 4 D. 1, 2 and 3 22. Patient Benito asks 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 will relieve signs of infection" 23. 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 alleviate your thirst" C. "I will give you ice chips to relive your thirst" D. "Oral and fluid intake stimulates pancreatic enzymes and pain" 24. Nurse Virgo asks Patient Benito how 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?" 25. 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 will . 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: The Department of Health (DOH) is an agency that set standards for safe and quality health care together with Philippine Health Insurance which takes care of accreditation and reimbursement of cost of health care service. A. Assault B. Invasion of privacy C. Tort D. Malpractice 40.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: Documentation is a basic competency expected of a graduate nurse when performing her role in the clinical setting. 41.Mr. Rey had his insulin therapy on the day of his admission. On second day he developed allergic reactions after 2 hours of the administration. What clinical manifestations do you expect the nurse write in her documentation as a reaction to this drug? 1. Redness 2. Swelling 3. Tenderness 4. Induration A. 1, 2, & 3 B. 2 & 4 C. 1, 2, 3, & 4 D. 1 & 2 42. Mr. Rey has been anxious regarding his diagnosis as well as the reaction to the insulin therapy. As a nurse, the PRIORITY nursing actions to overcome this anxiety behavior is to . A. conduct a family conference for the concern of the patient B. refer to the physician for an order of tranquilizer C. express your empathy and respect for his feelings D. take time to explain his disease process and effects ofinsulin 43. When a patient is suffering from Ketoacidosis, you expect that the entry of Nurse assessment findings in the chart will include the following clinical manifestations EXCEPT . A. kussmaul respiration B. cheyne stokes breathing C. lethargy. D. acetone breath odor 44. Nurse Gladys who is on morning shift was making her rounds when observed Mr. Joe, who is suffering from Congestive heart failure is complaining of heaviness of his legs. She observed the patient an edema of his lower extremities. If the edema is 3+, what do expect the nurse to write in her assessment findings? a. Deeper pit, rebounds in 30 seconds. b. Barely the pit is not perceptible. c. Deeper pit, rebounds in only few seconds. d. Deep pit, rebounds in 10-20 seconds. 45. When auscultating the breadth sounds of patients with respiratory disorder they are instructed to breath thru their mouth. A possible complaint the nurse has to watch and be written in her documentation when performing this procedure is which of the following? A. Palpitation B. Dizziness C. Tachycardia D. Bradycardia Situation: Mary, a hairstylist is experiencing peri-umbilical pain, feeling feverish and nauseated while at work. She was rushed to the hospital as the pain is becoming intense at the right lower quadrant of the abdomen. She was advised by the ER physician to be admitted for further work-up, 46. Nurse Ella admitted the patient and started to do her assessment. What sign is elicited by the nurse when a deep palpation of the left iliac fossa is done and causes pain on the right iliac fossa of the patient? A. Obturator sign B. Blumberg sign C. Psoas sign D. Rovsing sign 47. After a thorough physical examination, laboratory and diagnostic test the physician ordered an emergency open appendectomy due to as unspected ruptured appendicitis. This is done to prevent which of the following MAJOR complication? A. A Thrombosis B. Sepsis C. Perforation D. Bleeding 48. The nurse prepares the patient for surgery. The overall goals by the surgical team for the patient going for operation include which of the following? I. Relief of pain II. Preventing fluid volume deficit III. Reducing anxiety reaction IV. Eliminating infection A. I, II, III, & IV B. I, II, & III C. II & IV D. I &II 49. As a safety alert, which of the following nursing measures should AVOIDED by the nurse prior to appendectomy? A. Observe nothing by mouth B. Administration of enema. C. Removal of nail polish D. Instruct to urinate. 50. In wound care management, the nurse is aware NOT to perform which of the following intervention? A. Allow the wound to drain freely. B. Maintenance of an acidic or neutral PH C. Application of cold pack solutions. D. Maintenance for a moist wound environment. Nursing Practice 4 Situation: Barack, 52 years old has been a cigarette smoker since age 17. has nagging cough and hoarseness of voice and dyspnea. Based on the physical and laboratory findings, the physician suspected him of having lung cancer. 1. Which of the following is NOT a known predisposing factor to lung cancer? A. House is near a banana plantation. B. Works as a sprayer of vegetables and fruit trees. C. Lives in a suburban area. D. Living with mother who is a tobacco smoker. 2. Upon history-taking, the nurse notes that the cough of a patient with lung cancer usually STARTS off to be . A. blood-tinged B. productive C. dark yellow sputum D. dry and persistent 3. Which diagnostic procedure is commonly used to establish the diagnosis of lung cancer which provides a detailed description of the tracheobronchial tree and allows for biopsies of suspicious areas? A. Computerized Tomography (CT) scan B. Bronchoscopy C. Sputum cytology D. Positron Emission Tomography (PET) 4. To help the patient with his breathing difficulty, the nurse places him in which position? A. Prone B. Fowler's C. Sim's lateral D. Supine 5. Barack is diagnosed with small cell lung cancer (SCLC), a rapidly growing type of cancer. He and his family were shocked when told by the doctor that the patient will just undergo palliative treatment. Which nursing action is MOST APPROPRIATE? A. Providing relief from symptoms. B. Reducing fatigue C. Providing psychological support D. Advising treatment options Situation: Proper recording is a vital task that the nurse is trained to do properly in nursing school and expected to practice as a professional. 6. Nurses are taught as students that the ideal and PROPER time for recording vital signs and notes on the patient is . A. during the next vital signs taking for comparison B. after all the tasks are done, in order to conserve time C. as soon as they obtain the signs or observations on the patient D. to wait for lunch break to do the recording 7. Right after endorsement and during the rounds, the incoming nurse observes that the IV fluid is at 700 cc level and not 500cc, as endorsed. What is the CORRECT information that she will chart? A. Anything goes, nobody reads the charting anyway. B. Record the 500 cc. C. Chart that she received 700 D. Refer to the Head Nurse on what to do. 8. Which is the APPROPRIATE way to correct an error in the Nurses Notes? A. Take the whole page out and replace with a fresh one B. Draw a single line across the error and initial it C. Draw a single line across and write “Error” D. Use a rubber eraser to erase an error. 9. Ifa medicine is unavailable and therefore not given to the patient, how is it charted? A. Leave it blank. B. Sign and make an explanation in the Nurses Notes. C. With an asterisk or mark, as per hospital protocol. D. Write the letter. 10. If the patient is referred to another consultant and the latter has made an order already, what can the nurse CORRECTLY chart? A. The attending physician has not yet read the order. II. Stockpiles of equipment III.Numerous medications IV. Trained staff A. I, II, and III B. II, III and IV C. I, II, III, and IV D. I, III, and IV Situation: The nurse when practicing the profession must adhere to ethic principles. 26. When the nurse treats the patients in the air-conditioned rooms favorably compared to those in the charity wing, she violates which of the following ethical principles? A. Veracity B. Justice C. Fidelity D. Distributive justice 27. The nurse has an obligation to tell the truth. When she admits mistake promptly, she manifests A. Fidelity B. Veracity C. Respect D. Autonomy 28. The cancer patient has been frequently complaining of pain and demand that the pain reliever be administered even before the due time. The nurse prepares to inject NSS as a placebo. Which principle will she transgress? A. Respect B. Veracity C. Justice D. Fidelity 29. The nurse knows that ethical dilemmas may be referred to the Hospital Ethics Committee. This committee has the PRIMARY role to . A. Prevent the physician from making the wrong decision B. Decide what must be done under the circumstances C. Prevent ethical dilemmas from occurring D. Provide guidance for healthcare teams and family of patients 30. Nurses were overheard talking about the patient and his prognosis. What ethical principle was violated? A. Autonomy B. Confidentiality C. Non-maleficence D. Beneficence Situation: Nurses must continually grow as a person and as a professional. 31. An a newly licensed nurse employed in a tertiary hospital, you are required to attend Continuing Professional Development (CPD) program. When the training program is for the enrichment of nurses in thehospital, it is called . A. informal training program B. formal education program C. self-directed D. In-service training program 32. The professional development ways, such as of a nurse can be achieved through various ways, such as . A. Participating in political rallies B. Attendance in socio-civic activities C. Attending demonstration of baking D. Engaging in CPD programs 33. When nurses are projected in a television advertisement as sex symbols, what APPROPRIATE action is expected from a concerned nurse? A. Keep your silence, it is the television station's prerogative. B. Go to the street to manifest displeasure of the nurses' portrayal. C. Make a position paper to denounce the advertisement D. Condemn the issue in the radio program. 34. To grow as a person, the student nurse can attend lecture-demonstration on which of the following procedures? A. Bathing the newborn B. Proper bandaging C. Doing first aid D. Doing makeup 35. Nurse Merry's application to Canada has finally been approved and she was advised to depart in three months. But, she is also enrolled in the graduate school and ambivalent to go because of this engagement plus the fact that her mother has just been discharged from the hospital. Which of the following actions is BEST? A. Tell family that the money spent in graduate school can be easily earned in Canada. B. Inform the agency that she could go anytime as they wish C. Tell the recruiter to give her more time to settle her personal affairs. D. Share to friends this is her escape from her sad life with her family. Situation: Darla, 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. 36. Nurse Tina 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 Darla 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. 37. Friendly but professional overtures have finally made Darla 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 38. One morning during rounds, Nurse Tina noticed that Darla 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 Darla's shoulder and asking why the sad face 39. The day of discharge came and Darla'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 every15 days. D. Ask help from generous relatives so you can have additional for down payment. 40. 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 the Quality Improvement office of the Hospital Z. To achieve safe and quality outcomes, necessary protocols must be in place and every error or adverse event investigated to find the root cause and thereafter apply the necessary improvement. 41. A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury to a patient. As the QI officer, what is your INITIAL STEP following a sentinel event? A. Reporting to the Department of Health B. Immediate investigation C. Corrective action on the personnel. D. Reporting to the Chief Executive Officer 42. In one of the Board meetings, the QI Officer will report the results of Quality Improvement efforts in the hospital. The report will be presented much BETTER by using which of the following? (Select all that apply) I. diagrams II. charts III. graphs IV. flow charts A. I, II, III, and IV B. 1, III, and IV C. II, III, and IV D. I, II, and III 43. The WHO Surgical Safety Checklist aims to increase the safety of patients undergoing surgery. This is being adopted by the Hospital's Quality Department. Based on the Checklist, you are aware that surgeon, nurse, and anesthetist should be present during the recapitulation and reassurance of correct patient identity, correct site, and correct procedure, which occur right before skin incision. In what phase should the above take place? A. Debriefing B. Sign Out C. Sign in. D. Time Out 44. As the QI officer, you have strongly recommended to the Surgery Department the adoption of the WHO Surgical Safety Checklist to prevent a "wrong site" surgery? A. Debriefing B. Briefing C. Time out B. Physical therapist C. Speech therapist D. Nutritionist 9. The nurse manager has implemented a change in the method of the nursing delivery system from functional to team nursing. A nursing is resistant to the change and is not taking an active part in facilitating the process of change. Which is the BEST approach in dealing with the nurse? A. Exert coercion on the nurse B. Provide a positive reward system for the nurse C. Talk and encourage verbalizing feelings of the change. D. Ignore the resistance of the nurse 10. Which among the members of the multidisciplinary team that the nursewould be BEST to collaborate with when the patient can benefit the use of leg prosthesis? A. Occupational therapist B. Physical therapist C. Podiatrist D. Pharmacist Situation: Karen in seventeen years old, grade twelve, active in gymnastics. She is five feet and seven inches tall, weighs eighty five pounds. Her family doctor diagnosed her with anorexia nervosa. 11.Which of the following statements should Nurse Cora consider as TRUE with anorexia nervosa? A. Thinness is equated with vanity among peers. B. Eating disorders are not major health problems C. Cultures linking beauty to thinness increase risk of the illness. D. Anorexia nervosa is not considered as a mental disorder. 12.Karen is being assessed for eating disorder. Which option is suggestive of anorexia nervosa? A. Lack of knowledge about food and nutrition B. Guilt and shame about eating patterns C. Refusal to talk about food-related topics D. Unrealistic perception of body size 13.Nurse Cora is working with Karen. Even though Karen has been eating all her meals and snacks, her weight has remained unchanged for a week. Which nursing intervention in APPROPRIATE for Karen? A. Supervise Karen closely for 2 hears after meals and snacks. B. Supervise Karen closely 2 hours before and after meals. C. Increase the daily caloric intake from 1500 to 2000 calories. D. Increase the daily caloric intake from 1800 to 3000 calories . 14. One morning, as Nurse Cora entered Karen's room, she noticed that patient was engaging in a rigorous push-ups. Which nursing action MOST APPROPRIATE? A. Allow her to complete her exercise program. B. Tell her that she is not allowed to exercise rigorously. C. Interrupt her and offer to take her for a walk. D. Interrupt her and explain that exercise is not needed. 15. Which of the following is the INITIAL goal for treating the severely malnourished patient with anorexia nervosa? A. Nutritional rehabilitation B. Correction of body image disturbance C. Weight restoration D. Correction of electrolyte imbalances Situation: Annie is a 38-year-old-woman with three children. She has a history of otosclerosis. She is admitted for ear surgery. 16. While taking nursing history on Annie, what will be the response of the patient that indicates her present condition? A. She frequent experience vertigo, nausea and nystagmus when sitting. B. She has ear pain and discharge from the left ear when travelling. C. She has had impaired hearing since birth. D. Her hearing loss has become worse with each succeeding pregnancy. 17. Annie states. "I'm afraid to let my children out of my sight now that I can't hear them. What is the nurse's BEST response? A. “Tell me about your fears of losing contact with your children now that you can’t hear them.” B. “Children need some freedom, and the mother has to learn to trust them”. C. “Do the children usually misbehave when they cannot be seen or heard by you?” D. “What can the children do the make you feel more comfortable?” 18. What should be APPRORIATE the nursing care plan for Annie having otosclerosis? A. Substitute meaningful sensory input by the use of other senses. B. Orient Annie to the staff, the unit and all treatments C. Give nursing care that will meet her psychological needs. D. Make frequent calls to prevent isolation and loneliness. 19. The day after surgery, Annie expresses concern that hearing is not good as it was before admission. What is the BEST nurse action? A. Encourage Annie to divert her attention by reading B. Encourage Annie to blow more her nose to clear the eustachian tubes. C. Reassure Annie that it is temporary loss due to post op edema and ear packing D. Check the external ear for blood clots and remove them 20.What post-operative teaching will the patient strictly follow? A. Reinforce that fact that airplane travel is no longer permitted. B. Show patient how to gently irrigate the external auditory canal C. Inform physician any dizziness that develops after she is discharged. D. Stress that hair washing should be avoided immediately after surgery. Situation: Sandy, a 58-year-old teacher had a left total hip replacement due to osteoarthritis. 21.Sandy should be placed in which of these positions for meals? A. Supine B. Trendelenburg's C. Semi-fowlers D. Sim's Lateral 22.The nurse did preoperative teaching to Sandy who's admitted for hip replacement surgery. Which statement of Sandy indicates the need for further preoperative teaching? A. “I’ll rest in bed for 2 to 3 hours after surgery." B. “I'll begin gait training within 48 hours." C. “I should do muscle strengthening exercises in both legs." D. "I need to turn, cough. and breathe deeply every 2 hours." 23. The physical therapist orders exercises of Sandy's left hip, knee and foot to gradually increase range of motion to the left hip. The nurse cab BEST assist Sandy by . A. Observing Sandy's ability to perform the exercises B. performing the exercises for Sandy C. administering an analgesic before the exercises D. stopping the exercises if Sandy experiences pain 24. Sandy should be instructed to avoid . A. assuming prone position B. abducting her left leg C. putting any weight on her left leg D. adducting her left leg 25. Sandy asks the nurse if her new joint will function normally. The nursecan BEST answer this by saying that the . A. doctor will be able to assess your limitations in 6 weeksand then explain them to you B. new joint will function almost as well as a normal joint, if you perform your exercises faithfully C. now joint will be stronger than the old one if youwellexercise D. new joint won't function as well as the new joint, but willbe better than the arthritic joint Situation: When nurses are considering issues on control, shame and stigma surrounding the subject of mental illness, one of the primary considerations should be nurse's own sensitivity in recognizing signs of mental health problem. Ethics pervades good practice. The following situations apply. 26. A patient is brought to the hospital by his officemates because he kept on blaming his immediate superior of getting him fired from his job.Ethical problems may arise when diagnosing psychiatric patients because of . A. inadequate staffing B. lack of Exercise C. subjectivity D. inappropriate diagnostic procedures 27. The nurse is administering psychotropic medication to the patient. The patient refused to take the medication. Which of the following situations would guide the nurse where a patient refuses medication? A. Cannot refuse his medication regardless of his medical diagnosis B. Need a court order to allow the patient to refuse his medication C. Can refuse this medication if he has not been deemed incompetent by formal legal procedures D. May refuse the medications only if his attending physician agrees 28. Which of the following is a basic safeguard to ethical practice by the nurse in providing care to patients with borderline personality disorders who are extremely provocative and manipulative? A. Observing human to human relationship. B. Seeking clinical expert opinion C. Practicing self-awareness constantly D. Applying person centered approach 29. The patient verbalizes to the nurse about thought of “threatening to kill his wife”. The nurse is in dilemma whether to tell the wife about this conversation. Given this situation which of the following is the appropriate action of the nurse? A. Alert immediately the proper authorities regarding the threat to safeguard the safety of the wife. B. Tell the wife to be very extra careful as her life is in danger. C. Weigh carefully the situation by viewing it as dilemma between disclosing confidential information or warning appropriate authorities. D. Keep the information to herself and be vigilant on the action of the patient to protect the wife. 30. The psychiatric diagnosing of patients is a morally charged issue and the assigning of diagnosis may be an ethical issue. The role of the nurse in diagnosing psychiatric patient is important because nurses are . A. Collaborators in the diagnostic process