1. The nurse knows which of the following 10.
10. The nurse is caring for a client whose
indicates protein deficiency?
a. Hypoalbuminemia and pot belly
b. Koionychia (spoon-shaped nails)
c. Beefy red tongued.
d. Bleeding gums
2. Before administering a tube feeding the
nurse knows to perform which of the following
assessments?
a. The GI tract including bowel sound, last BM
and distention
b. The clients neurologic status, especially gag
reflex
c. The amount of air in the stomach
d. The formula used directly from the
refrigerator
3. An adult is being taught about a healthy diet.
The nurse can offer:
a. Milk
b. Jello
c. Freshly squeezed orange juice
d. Ice cream
5. An adult has received an injection of
immunoglobulin. The nurse knows that the
client will develop which of the following types
of immunity:
a. Active natural immunity
b. Active artificial immunity
c. Passive natural immunity
d. Passive artificial immunity
6. BON Resolution No 432 S 2003 is:
a. Guidelines for the implementation of Board
Resolution No. 14 S 1999
b. Implementing Rules and Regulations of RA
9173
c. Special training on intravenous injection for
nurses
d. Adoption of a Guide to Evaluate Compliance
with Standard for Safe Nursing Practice.
7. Its a type of non-probability sampling
wherein the researcher identifies population
strata and determines how many participants
are needed for each stratum
a. Quota Sampling
b. Purposive Sampling
c. Convenience sampling
d. Simple stratified sampling
8. All but one are concepts of informed consent.
a. It must be voluntary-without coercion or
force
b. Patient must be competent
c. Knowledgeable information should be
provided
d. It must be signed right after administration
of pre-ops meds.
9. The following concepts of liability negligence
are true, except?
a. Deviation from standard of care is
established.
b. Duty is owed to the nurse
c. Financial, physical and emotional harm is
establish
d. Direct cause for failure to meet standard of
care clearly established.
the following reasons?
arterial blood gases indicate metabolic
acidosis. The nurse knows that of the following,
the least likely to cause metabolic acidosis is:
a. cardiac arrest
b. Diabetic ketoacidosis
c. decreased serum potassium level
d. renal failure
11. The nurse is caring for a client who is
receiving IV fluids, Which observation the
nurse makes best indicates that the IV has
infiltrated?
a. Pain at the site
b. A change in flow rate
c. Coldness around the insertion site
d. Redness around the insertion site
12. A 27 y.o adult is admitted for treatment of
Crohn's disease. Which information is most
significant when the nurse assesses
nurtritional health?
a. Anthropometric measurements
b. bleeding gums
c. dry skin
d. facial rubor
13. ASA (aspirin) is being administered to a
client. The nurse understands that the most
common mechanism of action for nonnarcotic
analgesic is their ability to:
a. Inhibit prostaglandin systhesis
b. After pain perception in the cerebellum
c. Directly affect the central nervous system
d. Target the pain-producing effect of kinins
14. The nurse caring for an adult client who is
receiving TPN will need to be monitored for
which of the following metabolic
complications?
a. Hypoglycemia and Hypercalcemia
b. Hyperglycemia and Hypokalemia
c. Hyperglycemia and Kyperkalemia
d. Hyperkalemia and Hypercalcemia
15. Total parenteral nutrition is ordered for an
adult. Which nutrient is not likely to be in the
solution?
a. Dextrose 10%
b. Trace minerals
c. Amino acids
d. Non of the above
16. A man has sprained his ankle. The
physician would order cold applied to the
injured area to.
a. Reduce the body's temperature
b. Increase circulation to the area
c. Aid in absorbing the edema
d. Relieve pain and control bleeding.
17. An adult is to have a tepid sponge bath to
lower his fever. What temperature should the
nurse make the water?
a. 65 F
b. 90 F
c. 110 F
d. 105 F
18. An adult has chronic lower back pain and
receives hot pack three times a week. The nurse
knows that the treatment is given for which of
a. To help remove debris from the wound
b. To keep the client warm and raise his
temperature
c. To improve the client's general circulation
d. To relieve muscle spasm and promote muscle
relaxation
19. An insane man got hold of a knife and
stabbed a pregnant woman. His liability will be
determined by virtue of :
a. Justifying circumstances
b. Exempting circumstances
c. Mitigating circumstances
d. Aggravating circumstances
20. A crime in which all the elements necessary
for its execution and accomplishment are
present.
a. Heinous crime
b. frustrated crime
c. consummated crime
d. attempted crime
21. Once criterion to assess the quality of a
study is triangulation. This means.
a. accuracy and consistency of information
b. soundness of evidence
c. use of multiple sources for conclusions
d. consistency and stability of evidence over
time
22. It is thought to be the most recent method
or system in providing nursing care
a. Case System method
b. primary nursing method
c. functional nursing method
d. team nursing method
23. A patient classification system where
patients minimal theraphy and less frequent
observation
a. minimal care (category 1)
b. moderate care (category 2)
c. maximum care (category 3)
d. intensive care (category 4)
24. The nurse is to apply a dressing to a stage II
pressure ulcer. Which of the following dressing
is best?
a. Dry gauze dressing
b. wet gauze dressing
c. wet to dry dressing
d. moisture vapor permeable dressing
25. The client has been placed in the
trendelenburg position. The nurse knows the
effects of this position to the client include
which of the following.
a. increase blood flow to the feet
b. decrease blood pressure
c. increase pressure on the diaphragm
d. decrease intracranial pressure
26. A man who has been in an MVA is going
into shock. Before placing the client in a
modified trendelenburg position, the nurse
should assess the client for:
a. long bone fracture
b. air embolus
c. head injury
d. thrombophlebitis

27. The nurse enter a room and finds a fire.
Which is the best initial action?
a. Evacuate any people in the room, beginning
with the most ambultory and ending with the
least mobile
b. activating the fire alarm or call the operator,
depending on the institutions system
c. get a fire extinguisher and put out the fire
d. close all the windows and doors and turn off
any oxygen or electricity appliance.
28. A member of the board of nursing may be
removed and/or suspended on the following
grounds except:
a. Toleration of irregularities in the licensure
examination
b Violation of the Philippine Nursing Act
c. Neglect of duty or incompetence
d. Immoral unprofessional or dishonorable
conduct
29. A tendency of the evaluator to inaacurately
rate a group because of the belief that he/she
has a very good cooperative group.
a. hawthorne effect
b. sunflower effect
c. horn's effect
d. halo effect
30. A type of probability sampling where the
researcher selects random samples,
successively from a larger to smaller units by
either simple or stratified methods.
a. Multi-stage sampling
b. Systematic sampling
c. purposive sampling
d. snowballing sampling
31. The nurse is to open a sterile package from
central supply. Which is the correct direction to
open the first lap?
a. Toward the nurse
b. Away from the nurse
c. To the nurse's left or right hand
d. It does not matter as long as the nurse
touches only the outside edge
32. The nurse knows which of the following is
the proper technique for medical asepsis?
a. gloving for all the client contact
b. changing hospital linens weekly
c. using your hands to turn off the faucet after
handwashing
d. gowning to care for a 1 year old child w/
infections diarrhea
33. An adult ha a left, above the knee
amputation two weeks ago. The nurse places
him in a prone position tree times a day
because
a. Prevents pressure ulcer on the sacrum
b. helps the prosthesis to fit correctly
c. prevents flexion constractures
d. allow better blood flow to the heart
34. A woman is to have a pelvic exam. Which of
the following should the nurse have the client
do first?
a. Remove all her clothes and her socks and
shoes
b. go to the bahtroom and void saving a sample
c. assume a lithotomy position on the exam
table
d. assemble all the equipments needed for the
examination
35. An adult is supine. Which of the ff. can the
nurse to to prevent external rotation of the
legs?
a. put a pillow under the clients lower legs
b. place a pillow directly under the client knee
c. use a trochanter rool alongside the client's
upper thighs
d. lower the client's legs so that they ae below
hips.
36. The following are elements of felony
except?
a. There must be an act of ommision
b. such act or omission must be done
voluntarily
c. such act maybe done with or without intent
d. such act or omission is punisable by law
37. To qualify as a dean of the college of
nursing the applicants must have?
a. At least 5 years of teaching and supervision
b. At least 10 years of clinical practive
c. At least 3 years of being a clinical
coordinator
d. At least 2 years management units.
38. A research design where there is
manipulation of independent variable but no
random or control group
a. longitudinal design
b. quasi-experimental
c. experimental
d. cross-sectional
39. Four clients have signaled with the call
bells for the nurse. Who should you see first?
a. A client who needs to use the toilet
b. A client who does not have his glasses or
hearing aide
c. A client who has just been given morphine
d. A client in a chair with a restraint vest on.
40. Which of the ff. should the nurse observe
first?
a. A client who has just returned from the OR
b. A client whose call light is not working
c. A client with Alzheimer's disease
d. A clietn who is receiving a heating pad
treatment
41. Which of the ff. should the nurse deal first?
a. A client who need her dressing changed
b. A client who needs to be suctioned
c. A client needs to be medicated for
postoperative pain
d. A client who is incontinent and needs to be
cleaned
42. One of the major ethical princles in
research is beneficence that includes:
a. Right to protection of protection from
physical and psychological harm
b. Right to full-disclosure
c. Right to performance of sources good
d. Right to protection of participants form
explotation.
43. He described humans as "wanting
organism" that satisfly their basic needs in a
specific sequence?
a. Frederick Herzberg
b. Abraham Maslow
c. BF Skinner
d. Victor Vroom
50. A client has been receiving an IV solution.
What is an appropriate expected outcome for
this client?
a. Monitor fluid intake and output every 4
hours
b. The client remains free of signs and
symptoms of phelibits
c. edema and warmth over the IV site
d. Excess fluid volumn evidenced by weight
gain
51. This theorist of management developed the
14 principles of management based on his
experience.
a. Mary Follett
b. Max Weber
c. Henry Fayol
d. Kurt Lewin
52. The nurse prepares to palpate a clients
maxillary sinues. For this procedure, where
should the nurse place the hands?
a. On the bridge of the nose
b. below the eyebrows
c. below the cheekbones
d. over the temporal area
53. A client who receives general anesthesia
returns from surgery. Postoperatively, which
nursing diagnosis takes highest priority for this
client?
a. Pain related to the surgery
b. Fluid volume deficit related to fluid and
blood loss from surgery
c. Impared physical mobility related to surgery
d. Risk for aspiration related to anesthesia
54. After a client receives an IM injection, he
complains of a burning pain in the injection
site. Which nursing action whould be best to
take at this time?
a. apply a cold compress to decrease swelling
b. apply a warm compress to dilate the blood
vessels
c. Massage the area to promote absorption of
the drug
d. Instruct the client to tighten his gluteal
muscles to enhance absorption of the drug
55. These are mitigating circumstances that
lessen the penalty, except:
a. Under 18 and over 70
b. No intention to commit so grave
c. There wa sufficent provocation
d. in contempt of authority
56. The nurse is monitoring options of
effectiveness of drug theraphy, when should the
nurse obtain a measurement of the blood
sample through level.
a. 1 hour before administering the next dose
b. immediately before administering the next
dose
c. immediately after administering the next
dose
d. 30 mins. after administering the next dose
57. Which od the following options servers a
framework for nursing education and clinical
practice?
a. Scientific breakthrough
b. technological advances
c. theoretical models
d. medical practices
58. Nursing care for a client includes removing
elastic stocking once per day. What is the
rationale for this interventions?
a. TO increase blood flow to the heart
b. to observe the lower extremities
c. to allow the leg muscles to stretch and relax
d. To permit veins in the legs to fill with blood.
59. Hyperactive bowel sounds can result from
all the following except.
a. Paralytic ileus
b. hunger
c. intestinal obstruction
d. diarrhea
60. The following characteristics speak of a
leader except:
a. Do the right thing
b. focus on people
c. develops visions and strategies
d. have a short-term views
61. This theory of management suggest that an
employees work motivation is controlled by
conditions in the external environment rather
than by internal needs and desires.
a. vroom's expectancy theory
b. skinner's operant theory
c. adam's equity theory
d. white competence theory
62. In Lydia Hall's theory, which of the ff.
represents "core"?
a. Nurturance and factors that are exclusive to
nursing
b. Therapeutic use of self
c. Focuses on nursing related to physicians
order
d. All of the above.
63. A research that seeks to describe an
existing problem situation and examine the
underlying factors that contributes to the
emergence of the problem:
a. Explanatory research
b. Quantitative research
c. Exploratory research
d. Quantitative research
64. During blood transfusion, the patient
manifest tacycardia, distended neck vein and
increase CVP reading, the nurse should
a. Obtain vital signs
b. Call the physician
c. Stop the infusion
d. Decrease the rate of infusion.
65. A nurse who is maintainin a private clinic
in the community and renders service on
materials and child health amont the
neighborhood for a fee is
a. primary care nurse
b. an independent nurse practioner
c. nurse-midwife
d. a nurse specialist
66. A client comes to the clinic for a diagnostic
allergy testing. Why is intradermal injections
used for such tsting.
a. intradermal injection is less painful
b. intradermal drugs are easier to administer
c. intradermal drug diffuse more rapidly
d. intradermal drugs diffuse more slowly
67. A client is placed in isolation. Client
isolation techniques attempt to break the chain
of infection by interfering with the
a. Agent
b. susceptible host
c. transmission mode
d. portal of entry
68. A research hypothesis that proposes that
there is association or significant relationship
between variables is called.
a. null hypothesis
b. directional hypothesis
c. alternative hypothesis
d. non-directional hypothesis
69. Which of the ff. laboratory test results is
themost impt. indicator of malnutrition in a
client with a wound?
a. serum potassium level
b. albumin level
c. lymphocyte count
d. differential count
70. Which detail of a clients drug theraphy is
the nurse legally responsible for documenting?
a. Peak concentration time of drug
b. Safe ranges of the drug
c. Clients socioeconomic data
d. client's reaction to the drug
71. Which of the ff. statements about these
nursing practice acts are true?
a. These acts are not effective in the
supervision or revocation of licensure of erring
nurses
b. These acts have been authorized by the
accredited national nurses organization
c. These acts usually define the scope of nursing
practice
d. These acts describe the diffences between a
registered nurse and a practice nurse
72. The following are true on a manager
except?
a. Are interested in efficiency
b. emphasize tactics, structure and system
c. motivate people to comply with standards
d. use person to person influence
73. The nurse is assessing tactile fremitus in a
client with pneumonia. For this examination,
the nurse hould use the:
a. fingertips
b. ulnar surface of the hand
c. dorsal surface of the hand
d. finger pads
74. The ff. activities belong to the design phase
in the research process, except?
a. developing a time table
b. selecting the study design
c. determining sampling plan
d. conducting a pilot study
75. When inspecting a client's skin, the nurse
finds a vesicle on the client's arm. Which
description appliest to a vesicle?
a. flat, nonpalpable and colored
b. solid, elevated and cicumscribed
c. circumscribed, elevated, and filled with
serous fluid
d. elevated, pus-filled and circumscribed
76. Which nursing action is essential when
providing continuous enteral feeding?
a. elevating the head of the bed
b. positioning the client on the left side
c. warming the formula before administering it
d. hanging a full day's worth of formula at one
time
77. After initial assessment of a client, findings
reveals a body temp of 38.5 C, Consequently the
clients blood pressure can be expected to
a. Fluctuates
b. Remain the Same
c. Increase
d. Decrease
78. The nurse assesses the skin turgor of an
elderly client. When evaluating skin turgon, the
nurse should remember that:
a. Over hydration causes the skin to tent
b. Dehydration causes the skin to appear
edematous and spongy
c. Inelastic turgor is a normal part of aging
d. Normal skin turgon is moist and boggy.
79. Which of the ff. does not govern the
practice of nursing?
a. RA 7164
b. RA 9173
c. BON Resolution for Code of Ethics
d. Board Resolution Scope of Nursing Practice
80. A client with sever chest pain is brought to
the emergency department. He tells the nurse,
"I just have a little indigestion." Which of the
following mechanisms is the client exhibiting?
a. Denial
b. Anxiety
c. Repression
d. Confusion
81. These are "in-between factors" present in
research environment that threaten the
internal and external validity of a research
study.
a. Dependent variable
b. Independent variables
c. Intervening variables
d. Criterion variable
82. The ff. are motivational factors according
to Herzberg, except:
a. Challenging aspects of the work itself
b. Added responsibility
c. Oppurtunities for personal growth
d. Quality of supervision
83. The nurse measures the client's
temperature at 102 F. What is the equivalent
centigrade temp?
a. 39.1 C
b. 47.2 C
c. 38.9 C
d. 40.1 C
84. A client is placed on a low-sodium
(500mg/day) diet. Which client statement
indicates that the nurse's nutrition teaching
plan has been effective?
a. "I can eat a ham-and-cheese sandwich w/
potato chips for lunch"
b. "I choose broiled chiken whith a baked
potato for dinner"
c. "I choose a tossed salad w/ sardines and oil
and vinegar dressing for lunch"
d. "Im glad i can still have chicken bouillon
soup"
85. Why should an infant be quiet and seated
upright when the nurse assess his fontaanels?
a. The mother will have less trouble holding a
quiet upright infant
b. Lying down can cause the fontanels to
recede, making assessment more difficult.
c. The infant can breath more easily when
sitting up
d. Lying down and crying can cause the
fontanels to buldge
86. Communicating and using the research
findings is under what phase of the research
process?
a. Implementation phase
b. Dissemination phase
c. Analysis and interpretation phase
d. Design phase
87. To give a Z-tract injection, the nuse
measures the correct medication dose and
draws a small amount of air into the syringe.
What is the rationale for this action?
a. Adding air decreases pain caused by the
injection
b. Adding air prevents the drug from flowing
back into the needle tract
c. Adding air prevens the solution from
entering a blood vessel
d. Adding air ensures that client receives the
entire dose.
88. Which of the ff. is true of Care System
method?
a. Autonomy and authority for the care of four
to siz patients on a 24-h basis
b. Assigning nurses to give total nursing care to
a single patient
c. Divison of labor which nurses are assigned to
perform secific tasks
d. Assigning a team to give total care to a
selected group of clients
89. Which of the ff. best describes the action of
the nurse who documents her nursing
diagnosis?
a. She documents and charts it whenever
necessary
b. She can be accused of malpractice d. 27
c. She does it reguarly as an impt. responsibility
d. She starts it only when the pt. is acutely ill 98. Which of the following provides the
material and human resources and building
90. To help assess a clients cerabral function, the structure to care out the activities of the
the nurse should ask: organization?
a. Have you noticed a change in your memory? a. Planning
b. Have you noticed a chnge in your muscle b. Organizing
strength? c. Command
c. Have you had any coodination problem? d. Control
d. Have you had any problems with your eyes?
99. A client is scheduled to receive a blood
91. The nurse is evaulating a postoperative transfusion. During the transfusion, the nurse
client for infection. Which sign of sympton should observer for which sign or symptoms of
would be most indicative for infection? a transfusion reaction?
a. The presence of an indwelling urinary a. Dizziness
catheter b. Chills
b. Rectal temperature of 100F c. Hypothermia
c. Red, warm , tender incision d. Hyperreflexia
d. WVC count of 8,000/UI
100. The client has an abdominal
92. A patient classification system where hysterectomy, 10 hours ago. Which position
patients need close attention and complete should the nurse teach the client to avoid?
care in most activities and requires frequent a. High Fowlers
and complex treatments and medications b. lateral recumbent
a. Minimal Care (category 1) c. Supine
b. Moderate Care (category 2) d. Side lying
c. Maximum Care (category 3)
d. Intensive Care (category 4)
93. What nursing diagnosis is commonly used
to develop a plan of care for managing client's
drug regimen?
a. Noncomplience
b. Altered coping mechanism
c. Anxiety
d. Altered home maintenance
94. Which of the ff. provides that nurses be
members of the national nurse organization?
a. RA 877
b. 1987 Code of Ethics approved by the house of
delegates PNA
c. Board Resolution No 1955 promulgated by
the Board of Nursing
d. RA 7164
95. The ff. are good sources of research
problems except?
a. Literature
b. Clininal experience
c. Daily news reports
d. existing theories
96. What is the common goal of discharge
planning in all care settings?
a. prolonging hospitalization until the client
can function independently
b. Teaching client how to perform self-care
activities
c. Providing the financial resources needed to
ensure proper care
d. Preventing the need for medical follow-up
care.
97. The physician prescribe as IV infucion of
1000 ml D5W every 12 hours for a client. The
IV setup delivers 15 gtt/ml. Approx. how many
drops should be administered each minute?
a. 18
b. 21
c. 24