NURSING PRACTICE 1 – Foundation of PROFESSIONAL Nursing Practice
1.Nurse Suzie is administering 12:00 PM medication in Ward 4. Two patients have toreceive Lanoxin. What should Nurse Suzie do when one of the clients does NOT have areadable identification band?A.Ask the client if she is Mrs. SantosB.Ask the client his nameC.Ask the room mate if the client is Mrs. SantosD.Compare the ID band with the bed bag2.Lizette, a head nurse in surgical unit, hears one of the staff nurses say that she does nottouch any client assigned to her unless she performs nursing procedures or conducts physical assessment. To guide the staff nurse in the use of touch, which of the followingwould be the BEST response of Lizette?A.“Use touch when the situation calls for it”B.“Touch serves as a connection between the nurse and the patient”C.“Use touch with discretion”D.“Touch is used in physical assessment”3.You are asked to teach the client, Mr. Lapuz, who has right sided weakness the use of acane. Which observation will indicate that Mr. Lapuz is using the cane correctly?A.The cane and one foot or both feet are on the floor at all linesB.He advances the cane followed by the left legC.Client keeps the cane on the right side along the weak legD.Client leans to the left side which stronger 4.George, a 43 year old executive, is scheduled for cardiac bypass surgery. While being prepared for surgery, he says to the nurse “I am not going to have the surgery. I may die because of the risk”. Which response by the nurse is most appropriate?A.“Without the surgery you will most likely die sooner”B.“There are always risks involved with surgery.”C.“There is a client in the other room who had successful surgery and you can talk to him”D.“This must be very frightening for you. Tell me how you feel about the surgery”5.A client is ordered to take Lasix, a diuretic, to be taken orally daily. Which of thefollowing is an appropriate instruction b the nurse?A.Report to the physician the effects of the medication or urinationB.Take the medicine early in the morningC.Take a full glass of water with the medicineD.Measure frequency of urination in 24 hours
6.Nurse Glenda gets a call from a neighbor who tells her that his 3 years old daughter has been vomiting and has fever and asks for advice. Which of the following is the mostappropriate action of the nurse?A.Observe the child for an hour. If the child does not improve, refer to the physicianin the neighborhoodB.Recommend to bring the child immediately to the hospitalC.Assess the child, recommend observation and administer acetaminophen. If symptoms continue, bring to the hospitalD.Tell the neighbor to observe the child and give plenty of fluids. If the child doesnot improve. Bring the child to the hospital7.Wilfred, 30 years old male, was brought to the hospital due to injuries sustained from avehicular accident. While being transported to the X-ray department, the strapsaccidentally broke and the client to the floor hitting his head. In this situation, the nurseis:A.Not responsible because of the doctrine of respondent superior B.Free from any negligence that caused harm to the patientC.Liable along with the employer for the use of a defective equipment that harmsthe clientD.Totally responsible for the negligence8.While going on evening round, Nurse Edna saw Mrs. Pascual meditating and afterwardsstarted singing prayerful hymns. What is the BEST response of Edna?A.Ignore the incidenceB.Report the incidence to the head nurseC.Respect the client’s actions as this provides structure and support to the clientD.Call her attention so she can go to sleep9.A client asks for advice on low cholesterol food. You advise the client to eat thefollowing:A.Chicken liver, cow liver, eggsB.Lean beef and pork, egg white, fishC.Balut, salted eggs, duck and chicken eggD.Pork liempo, cow brain, lungs and kidney10.The code of ethics for nurses has an interpretative statement that provides:A.Continuity of care for the improvement of the clientB.Guide for carrying out nursing responsibilities that the provide quality care andfor the ethical obligation of the professionC.Standards of care in carrying out nursing responsibilitiesD.Identical care to all clients in any setting11.Which of the following situations would possibly cause a nurse to be sued due tonegligence?
A.Nurse gave a client wrong medication and an hour later, client complained of dyspneaB.While preparing a medication, the nurse notices that instead of 1 tablet, she puttwo tablets into the client’s medicine cupC.As the nurse was about to administer edication, the client questioned why themedication is still given when in fact the physician discontinued itD.Nurse administered 2 tablets of analgesic instead of 1 tablet as prescribed. Patientnoticed the error and complained
12.Your nurse supervisor asks you who among the following clients is most susceptibleto getting infection if admitted to the hospital?A.Diabetic client type 2B.Client with chronic obstructive pulmonary disease (COPD)\C.Client wit second degree burnsD.Client with psoriasis
13.Mr. Chris Martinez has been confined for three days. His wife helped take care of himand he has observed her to be “too involved” in his care. He complained to the head nurseabout this. Which of the following would be the BEST response of the nurse?A.“Don’t worry. I will call the attention of your wife”B.“Your wife is just trying to help because she is worried about you”C.“What are your thoughts about your wife’s involvement in your care”?D.“Your wife can assist you well in your care and recovery:14.The nurse is in the hospital canteen and hears who staff nurses talking about the clientconfined in Room 612. They mentioned his name and discussed details of his condition.Which of the following actions should the nurse take?A.Approach the two nurses and tell them their actions are inappropriate especially ina public placeB.Wait till nurses finish the discussion ad report the situation to the supervisor C.Sa nothing to avoid embarrassing the staff nursesD.Remain quiet and ignore the discussion15.
The son Mr. Rosario, a 76 year old man, reports to the nursing the communityhealth center that his father has been getting out of bed at night and walks aroundthe house in the early hours of the morning causing him to fall and injure himself.Which instruction will you give?A. Apply restrains during the night hours onlyB. Advise hospitalization to prevent future accidentsC. Keep a radio or TV for company and to orient the clientD. Have some check on the client frequently at nightSITUATIONAL
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Dec 2007 nursing board
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where is the answer key?
do have the answers of this?? can u send me eiramael_22@yahoo.com..tnx
can i have the answer pls...this is my email add: chi_tine_17@yahoo.com..kindly send the answers at my email..tnx a lot..god bless..:)
helo.. asan pu ung answers nito? i have a copy of diz but i cant find ung answers ng iba.. cnu pu sainu may answer key?
san poh answer key??? Thank u
elow po,,i'm not a nursing student pero guzto ko po sna ibigay to sa kuya q na nagte take this year ng nursing board exam as a gift,,,mtgal n kxe cya nghahanap ng nursing board exam,plzzzzzzz...send me at my email add ..donaevill@yahoo.com...may GOD BLESS YOU..
looking for answers. please send! at thebamboopages@hotmail.com thanks
please send me a copy of the answers pease... kung pede may rationale... thank you po... dotasquad@yahoo.com
justin wala pa akong answers