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fundamentals of nursing exam

fundamentals of nursing exam

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Situation 1 – Mr. Ibarra is assigned to the triage area and while on duty, he assesses the condition of Mrs.

Simon who came in with asthma. She has difficulty breathing and her respiratory rate is 40 per minute. Mr. Ibarra is asked to inject the client epinephrine 0.3mg subcutaneously 1. The indication for epinephrine injection for Mrs Simon is to: a. Reduce anaphylaxis b. Relieve hypersensitivity to allergen c. Relieve respirator distress due to bronchial spasm d. Restore client’s cardiac rhythm 2. When preparing the epinephrine injection from an ampule, the nurse initially: a. Taps the ampule at the top to allow fluid to flow to the base of the ampule b. Checks expiration date of the medication ampule c. Removes needle cap of syringe and pulls plunger to expel air d. Breaks the neck of the ampule with a gauze wrapped around it 3. Mrs. Simon is obese. When administering a subcutaneous injection to an obese patient, it is best for the nurse to: a Inject needle at a 15 degree angle’ over the stretched skin of the clien t b. Pinch skin at the Injection site and use airlock technique c. Pull skin of patient down to administer the drug in a Z track d. Spread skin or pinch at the injection site and inject needle at a 45-90 degree angle 4. When preparing for a subcutaneous injection, the proper size of syringe and needle would be: a. Syringe 3-5ml and needle gauge 21 to 23 b. Tuberculin syringe 1 mi with needle gauge 26 or 27 c. Syringe 2ml and needle gauge 22 d. Syringe 1-3ml and needle gauge 25 to 27 5. The rationale for giving medications through the subcutaneous route is; a. There are many alternative sites for subcutaneous injection b. Absorption time of the medicine is slower

There are less pain receptors in this area d. The medication can be injected while the client is in any position Situation 2 – The use of massage and meditation to help decrease stress and pain have been strongly recommended based on documented testimonials. Regalado. Mario prepares Richard for postural drainage and percussion. to identify if problem can be replicated d. 11. Amount of food and fluid taken during the last meal before treatment b. Mr. Martha wants to do a study on. Client’s rights should be protected when doing research using human subjects. Doctor’s order regarding position restriction and client’s tolerance for lying flat 14. gathering data about what is already known or unknown c.c. . is admitted to the private ward for observation. experimental design b. Client lying on his right then left side on Trendelenburg position 12. Amount of fluid intake of client before and after the procedure d. Mario listens to Richard’s bilateral sounds and finds that congestion is in the upper lobes of the lungs. The purpose of chest percussion and vibration is to loosen secretions in the lungs. quasi-experimental design c. In both percussion and vibration the hands are on top of each other and hand action is in tune with client’s breath rhythm d. quantitative design 8. the best way for you to identify the client’s priority problem is to: a. Part of Nurse Mario’s nursing care plan is to loosen and remove excessive secretions in the airway. Respiratory rate of 16 to 20 per minute b. 16. Client lying on his back then flat on his abdomen on Trendelenburg position b. answering the research question 10.” The type of research that best suits this topic is: a. right not to be harmed Situation 3 – Richard has a nursing diagnosis of ineffective airway clearance related to excessive secretions and is at risk for infection because of retained secretions. right of self-determination b. a. Client has no signs of infection d. When documenting outcome of Richard’s treatment Mario should include the following in his recording EXCEPT: a. Teaching the client’s relatives to perform ‘the procedure d. after complaints of severe chest pain. qualitative research c. The type of research design that does not manipulate independent variable is: a. The difference between the procedure is. breath sounds and location of congestion c. Color. Client seated upright in bed or on a chair then leaning forward in sitting position then flat on his back and on his abdomen c. Client can tolerate sitting and lying position c. You are assigned to take care of the client. Character of breath sounds and respirator/rate before and after procedure c. applied research b. Percussion delivers cushioned blows to the chest with cupped palms while gently shakes secretion loose on the exhalation cycle c. Martha identifies these rights as follows EXCEPT: a. Significant changes in vital signs 13. right of privacy d. This research topic has the potential to contribute to nursing because it seeks to: a. clarify an ambiguous modality of care d. basic research d. Time of fast food and fluid intake of the client 15. Which of the flowing is a special consideration when doing the procedure? a. 6. amount and consistent of sputum b. right to compensation c. Percussion slaps the chest to loosen secretions while vibration shakes the secretions along with the inhalation of air Situation 4 – A 61 year old man. The appropriate position to drain the anterior and posterior apical segments of the lungs when Mario does percussion would be: a. When doing an initial assessment. determine statistical treatment of data research b. Client lying flat on his back and then flat on his abdomen d. quantitative research 7. “Effects of massage and meditation on stress and pain. Percussion uses only one hand white vibration uses both hands b. include new modalities of care b. Respiratory rate. non-experimental design d. enhance client care 9. When assessing Richard for chest percussion or chest vibration and postural drainage Mario would focus on the following EXCEPT: a. Martha does review of related literature for the purpose of: a. this topic. resolve a clinical problem c.

Walking the client to the hospital exit to ensure his safety d. The nurse visits Nancy and prods her to eat her food. This is a necessary part of the nurse -client relationship process b. Elevate lower extremities for postural drainage d. The nurse’s best response would be: a. had a mammogram and was told that she has breast cysts and that she may need surgery. Advise the nurse to “be strong and learn to control her feelings” b. Mr.” c. Regalado. she now refuses to pray or go to church stating that God has abandoned her. the next nursing approach would be to: a. The nurse understands that Nancy is grieving for her self and is in the stage of: a. Mr. Take his vital signs for a baseline assessment d. mother of 2 young kids. Seva. introduce the client to the ward staff to put the client and family at ease b. He has pitting pedal edema. Regalado says he has “trouble going to sleep”. She is easily provoked to tears and wants to be left alone. Giving her clear but brief information at the level of her understanding 22. The nurse feels sad about Nancy’s illness and tells her head nurse during the end of shift endorsement that “it’s unfair for Nancy to have cancer when she is still so young and with two kinds. The nurse is a role model for the client and should be strong C. A religious person before. Ask the other nurses what they feel about the patient to find out if they share the same feelings 25. 32 years old. Talk to the relatives to gather data about history of illness c. Regalado will be discharged from your unit within the hour. 21. Giving her activities to divert her attention b. Establish priority needs and implement appropriate interventions 18. a. “The doctor ordered full diet for you so that you will be strong for surgery. Considering her level of anxiety. anger d. Proper recording of pertinent data Situation 5 – Nancy. Making a final physical assessment before client leaves the hospital b. Nancy replies “what’s the use? My time is running out. the nurse Seams that being selfaware is a conscious process that she should do in any situation like this because: a. doctor how you feel? Are you changing your mind) about surgery?” d. denial c.” b. “You sound like you are giving up. “I understand how you fee! but you have 1o try for your children’s sake. which of the following intervention would be the most appropriate immediate nursing approach. refusing to eat or talk to her family. sweating and feelings of tension. Giving detailed explanations about the treatments she will undergo c. Regalado’s nursing needs. Upon establishing Mr. Do a physical examination white asking the client relevant questions 17. Giving instructions about his medication regimen c. bargaining b. . a. 26. Mr. This causes her anxiety as shown by increase in her pulse and respiratory rate. Observe his sleeping patterns in the next few days b. When taking care of Mr.Interview the client for chief complaints and other symptoms b. Reassure the nurse that the client has hope if she goes through all statements prescribed for her c. Realizing that she feels angry about Nancy’s condition. Check his physical environment to decrease noise level d. acceptance 23. How the nurse thinks and feels affect her actions towards her client and her work d. Preparing her and her family in case surgery is not successful d. Give client and relatives a brief tour of the physical set up the unit c. Regalado’s lower extremities are swollen and shiny. asks you about possible problems regarding her elimination now that she is in the menopausal stage. Ask him what he means by this statement c. The nurse has to be therapeutic at all times and should not be affected Situation 6 – Mrs. the nurse can best assist Nancy by: a. “Have you told your.” 24. In order to plan your nursing intervention you will. 36 years old. Moisturize lower extremities to prevent skin irritation b. Assign the nurse to another client to avoid sympathy for the client c. Nursing actions when preparing a client for discharge include all EXCEPT: a. Nancy blames God for her situation. Take his blood pressure before sleeping and upon waking up 19. Provide the client a list of food low in sodium 20. The best response of the head nurse would be: a. Do auscultation to check for chest congestion d. Measure fluid intake and output to decrease edema c.

Hypoxia c. Dyspnea d. them the areas. prolonged use of laxatives 29. large enough to wrap around upper arm of the adult client 1 cm above brachial artery d. If burning sensation is experienced while voiding. Abad. Drying the skin with baby powder to prevent or mask the smell of ammonia c. This condition is called: a. tip of the nose to the base of the .instruction would be to: a. inflated to 30 mmHg above the estimated systolic BP based on palpation of radial or bronchial artery 37. Using thick diapers to absorb urine well b. Because she is aging. Seva talks about rear of being incontinent due to a prior experience of dribbling urine when laughing or sneezing and when she has a full bladder. ask the client to bring change of underwear “just in case” d. 36. Seva also tells the nurse that she is often constipated. Hold urine. effectively and comfortably. Diabetes which include all EXCEPT: a. no regular tine for defecation daily d. Your most appropriate . asthma d. wipe from anal area up towards the pubis d. You will nasopharyngeal suctioning Mr. bronchitis c. Tachypnea Situation 8 – You are assigned to screen for hypertension: Your task is to take blood pressure readings and you are informed about avoiding the common mistakes in BP taking that lead to ‘false or inaccurate blood pressure readings. Your instruction would focus on prevention of skin irritation and breakdown by a. Seva asked for instructions for skin care for her mother who has urinary incontinence and is almost always in bed. Hypoxemia d. Thorough washing. Mrs. what physical changes predispose her to constipation? a. Mrs. When taking blood pressure reading the cuff should be: a. the distance from the tip of the nose to the middle of the cheek c. After urination. Orthopnea c. Abad. tell client to drink less fluids to avoid accidents b. Using gloves to prevent introduction of pathogens to the respiratory system c. Myrna has difficulty breathing when on her back and must sit upright in bed to breath. While doing nasopharyngeal suctioning on . Carol with a tumor in the brain b. Breathing and Circulation are the physiological needs vital to life. Which would you include? a. Apnea b.neck b. Your guide for the length of insertion of the tubing for an adult would be: a. the nurse can avoid trauma to the area by: a. Airway. excessive exercise b. Chronic Obstructive Pulmonary Disease (COPD) in one of the leading causes of death worldwide and is a preventable disease. Making sure that linen are smooth and dry at all times Situation 7 – Using Maslow’s need theory. eight to ten inches 34. cigarette smoking 38. drink pineapple-juice c. Cyanosis b. the distance from the tip of the nose to the tip of the ear lobe d. The primary cause of COPD is: a. rising and during of skin area that get wet with urine d. Theresa with anemia c. Which of these clients has a problem with the transport of oxygen from the lungs to the tissues: a. decreased ability to absorb fluids in the lower intestines 28.Instruction on health promotion regarding urinary elimination is important. Santos that he has reduced oxygen in the blood. high fiber diet c. as long as she can before emptying the bladder to strengthen her sphincters muscles b. weakness of sphincter muscles of the anus c. inhibition of the parasympathetic reflex b. deflated fully then immediately start second reading for same client b deflated quickly after inflating up to 180 mmHg c. The nurse documents this condition as: a. for control . The nurse’s knowledge and ability to identify and immediately intervene to meet these needs is important to save lives. In your health education class for clients with diabetes you teach. Mrs. You noted from the lab exams in the chart of Mr. tobacco hack b. Rotating catheter as it is inserted with gentle suction 35. . Apply suction for at least 20-30 seconds each time to ensure that all secretions are removed b. 31. teach client pelvic exercise to strengthen perineal muscles 30. The nurse understands that one of these factors contributes to constipation: a. instruct client to start wearing thin adult diapers c. Anemia 33.Mr. Brigette with diarrhea 32. Sonny Boy with a fracture in the femur d. Jell client to empty the bladder at each voiding 27. loss of tone of the smooth muscles of the color d. Applying no suction while inserting the catheter d.

reduce bleeding of the wound d. Type II (IDDM) is characterized by abnormal immune response 40. Understand her lifestyle. Instruct her to attend classes in nutrition to find food rich in complex . You teach your clients the difference between. Reduce the need to change dressing frequently b. Type I (IDDM) and Type II (NDDM) Diabetes. while assessing the extent of the wound the nurse observes that the wound is now starting to bleed profusely. Control and. While interviewing Geline. genetics d. Noel who has lacerations on the arms with mild-bleeding c. outpatient clinic for follow up care b. Which of the following is true? a. Promote hemostasis 45. Client complained of intermittent abdominal pain an hour after drinking coffee d. Clean the wound vigorously of contaminants c. 41. Geline tells you that she drinks black coffee frequently within the day to “have energy and be wide awake” and she eats nothing for breakfast and eats strictly vegetable salads for lunch and dinner to lose weight. Providing instructions regarding wound care Situation 10 – While working in the clinic. Geline. Type I (IDDM) is characterized by fasting hyperglycemia d. As the clinic nurse. Assess damage to property b. low carbohydrate diet for her considering her favorite food c. Assist in the police investigation since she is a witness c. is pate and with difficulty of breathing c. Nurse Rivera is assigned to attend to the client with . Your responsibilities when the client is to be discharged include the following EXCEPT: a. the client is sent home and asked to come back for follow-up care.regular physical activity b. Protect the wound from micro organisms in the air d. health needs and possible problems to develop a plan of care d. She decides to get involved and help the victims of the accident. both types diabetes mellitus clients are all prone to developing ketosis b. The nurse purpose of your initial nursing interview is to: a. a new client. Andy whose left ankle swelled and has some abrasions 43. Linda who shows severe anxiety due to trauma of the accident b. of the accident 42. The nurse applies pressure dressing on the bleeding site. Her priority nursing action would be to: a. These are the following except a. Accurate recording. you will: a. proper nutrition 39. diet. Record pertinent information in the client chart for health team to read b Assist the client find solutions to her health concerns c. After the treatment. thorough knowledge of foot care c. Lifestyle-related diseases in general share areas common risk factors. You will record this as follows: a. you are to assist the client fiil up forms. Report the incident immediately to the local police authorities d. Encouraging the client to go to the. In the emergency room. prevention nutrition d. Ryan who has chest injury. She tells you that this pain occurs about an hour after taking black coffee without breakfast for a few weeks now. This intervention is done to: a. Priority attention should be given to which of these clients? a. Instructing the client to see you after discharge for further assistance d. physical activity b. Type II (NIDDM) is more common and is also preventable compared to Type I (IDDM) diabetes which is genetic in etiology c. gather data and make an assessment. Claims to have abdominal pains after intake of coffee unrelieved by analgesics b. diet and drink plenty of fluids b. 35 years old. Client reported abdominal pain an hour after drinking black coffee for three weeks now 48. smoking c. nutrition Situation 9 – Nurse Rivera witnesses a vehicular accident near the hospital where she works. Assess the extent of injuries incurred by the victims. the client experienced severe abdominal pain c. arrives for her doctor’s appointment. Start her off with a cleansing diet to free her body of toxins then change to a vegetarian. she starts to moan and doubles up in pain. in planning a healthy balanced diet with Geline. The most immediate nursing action would be to: a. Make nursing diagnoses for identified health problems 47. Plan a high protein.lacerations on the arms. Allow the pus to surface faster c. Apply antiseptic to prevent infection b. She has lost weight during the past two weeks. 46. of treatment done and instructions given to client c. Bandage the wound and elevate the arm 44. After drinking coffee.

Inconsistent b. Cover the fingertip sensor with a . When taking the blood pressure of a client who recently smoked or drank coffee. lower than what the reading should be 59. 30 minutes c. Detect oxygen saturation of arterial blood before symptoms of hypoxemia develops 58. Your action will be to: a. A pulse oximeter is attached to Mr. You are to measure the client’s initial blood pressure reading by doing all of the following EXCEPT: a. Take the blood pressure reading on both arms for comparison b. Managerial leadership 53. you notice that the sunlight is shining on .Emergency Room for complaint of hypertension flushed face. you gather that Mr. Discuss with her the importance of eating a variety of food from the major food groups with plenty of fluids 49. severe headache. Autocracy Situation 12 – Mr. Diabetes Mellitus d. Your health education plan for Geline stresses proper diet for a pregnant woman and the prevention of non-communicable diseases that are influenced by her lifestyle these include of the following EXCEPT: a. higher than what the reading should be d. You are demonstrating: a. An example of a management function of a nurse is: a. Cancer c.the area where the oximeter is. Directing and evaluating the staff nurses 52. Autocratic leadership d. Malnutrition and its possible effects on growth and development problems in the unborn fetus c. You are doing the initial assessment of vital signs. Dizon’s finger to: a. Caffeine causes a stimulant effect on both the mother and the baby d. You warn or caution her about which of the following? a. After a few hours in the Emergency Room. While the client has the pulse oximeter on his fingertip. 15 minutes b. Irrigation of a nasogastric tube d. Dizon smokes and drinks coffee. Transfer a client from bed to chair b. Studies show conclusively that caffeine causes mental retardation 50. Authority d. Your head nurse in the unit believes that the staff nurses are not capable of decision making so she makes the decisions for everyone without consulting anybody. Do nothing since there is no identified problem c. 51. Teaching patient do breathing and coughing exercises b. Accountability c. Laissez faire leadership b. She also smokes up to a pack of cigarettes daily. Mr. Accountability d. When the head nurse in your ward plots and approves your work schedules and directs your work. Pump the cuff up to around 50 mmHg above the point where the pulse is obliterated d. Cardiovascular diseases b. Caffeine products affect the central nervous system and may cause the mother to have a “nervous breakdown” b. Check level of client’s tissue perfusion c. is brought to the . The nurse finds that the cuff is too narrow and this will cause the blood pressure reading to be: a. 56.carbohydrates to maintain daily high energy level d. she is demonstrating: a. This type of leadership is: a. Delegation c. Change IV infusions c. how long should be the nurse wait before taking the client’s blood pressure for accurate reading? a. Listen to and identify the phases of Korotkoff’s sounds c. Preparing for a surprise party for a client c. Responsibility b. Determine if the client’s hemoglobin level is low and if he needs blood transfusion b. Through the client’s health history. and nausea. You made a mistake in giving the medicine to the wrong client You notify the client’s doctor and write an incident report. Geline tells you that she drinks 4-5 cups of black coffee and diet cola drinks. Dizon is admitted to the ward with an order of hourly monitoring of blood pressure. Performing nursing procedures for clients d. Observe procedures for infection control 57. Authority 54. Democratic leadership c. Set and turn on the alarm of the oximeter b. Osteoporosis Situation 11 – Management of nurse practitioners is done by qualified nursing leaders who have had clinical experience and management experience. 84 years old. Measure the efficacy of the client’s anti hypertensive medications d. Dizon. Take vital signs 55. 1 hour d. Responsibility b. 5 minutes 60. She confesses that she is in her 2nd month of pregnancy but she does not want to become fat that is why she limits her food intake. low systolic and high diastolic pressure c. The following tasks can be safely delegated’ by a nurse to a non-nurse health worker EXCEPT: a.

family spokesperson. family and doctor sign the order d. Be accountable for his or her own actions 64. Doctor’s order for restraints should be signed within 24 hours b. nurse supervisor and doctor sign b. To ensure the client safety before starting blood transfusion the following are needed before the procedure can be done EXCEPT: a. Right to consent to or decline to participate in research studies or experiments c. 68. The principles that . have two nurses verify client identification. Delineate the scope and areas of nursing practice b. Which of the following statements is NOT true? a. Mr. nurses. It refers to the scope of nursing as defined in Republic Act 9173 c. Remove and reapply restraints every two hours c. As a staff nurse in that hospital you know that this entails quality assurance programs. 5 gms per day or 1 tsp of table salt/day c. Mr. Bruno is: a. These are statements that describe the maximum or highest level of acceptable performance in nursing practice. expected of nurses d. Peer review clinical records of care of client c. Values d. Your best response to Mr. 1 tsp of salt/day but not patis or toyo 72. The following mechanisms can be utilized as part of the quality assessment program of your hospital EXCEPT: a. 61. Not take sides remain neutral and fair c. You are taking care of critically ill client and the doctor in charge calls to order a DNR (do not resuscitate) for the client. Morality b. Offer food and toileting every two hours Situation 15 – During the NUTRITION EDUCATION class discussion a 58 year old man. The nurse of the Standards of Nursing Practice is important in the hospital. 67.govern right and proper conducts of a person regarding life. Bruno asks what the “normal” allowable salt intake is. Bioethics 62. Identify nursing action recommended for specific healthcare situations c. 66. 1 tbsp of salt/day with some patis and toyo d. The most important nursing responsibility where ethical situations emerge in patient care is to: a. Check client’s pulse. Which of the following statements best describes what it is? a. The purpose of having nurses’ code of ethics is: a. d. To help the public understand professional conduct. Assume that ethical questions are the responsibility: of the health team d. unit number and expiration date of blood d. 71. The Standards of care includes the various steps of the nursing process and the standards of professional performance. Your instructions to reduce or limit . It is a license issued by the Professional Regulation Commission to protect the public from substandard nursing practice. The principle states that a person has unconditional worth and has the capacity to determine his own destiny.towel or bedsheet d. Which of the following is the appropriate action when getting DNR order over the phone? a. Change the location of the sensor every four hours Situation 13 – The nurse’s understanding of ethico-legal responsibilities will guide his/her nursing practice. blood pressure and circulation every four hours d. blood type. c. both nurses sign the order and the doctor should sign his order within 24 hours. Bioethics b. Justice c. get a consent signed for blood transfusion 70. take baseline vital signs b. Right to expect that the records about his care will be treated as confidential 65. b. RO of the Nursing Intervention Classification d. Patient satisfaction surveys provided b. Have the registered nurse. Right to expect reasonable continuity of care b. Have 1 nurse take the order and sign it and have the doctor sign it within 24 hours 69. Have two nurses validate the phone order. 1 tsp of salt/day with iodine and sprinkle of MSG b. Have the registered nurse. clients 63. Autonomy Situation 14 – Your director of nursing wants to improve the quality of health care offered in the hospital. Right to obtain information about another patient d. To define the roles and functions of the health care giver. blood should be warmed to room temperature for 30 minutes before blood transfusion is administered c. Fidelity d. Bruno shows increased interest. biology and the health professions is referred to as: a. You inform the patient about his rights which include the following EXCEPT: a. a. Religion c. Part of standards of care has to do with the use of restraints. Act only when advised that the action is ethically sound b.

When Mrs. 81. appears tired and sluggish and lacks the enthusiasms she give six weeks ago when she started the job. hold the tube above the conjunctival sac do not let tip touch the conjuctiva Situation 17 – The staff nurse supervisor request all the staff nurses to “brainstorm” and learn ways to instruct diabetic clients on self-administration of insulin. 90 ml/hour 77. 76. limit intake of preserved or processed food 73. does not have to supervise or evaluate the aide d. Your presentation for a group of young mothers would be best if you focus on: a. 150 ml/hour d. How much fluid should he receive at 11am? a. At what rate should the IV fluid be flowing hourly? a. ask about her family life 84. She wants to ensure that there are nurses available daily to do health education classess. The plan of the nurse supervisor is an example of a. Connie. 210 ml/hour c. early detection and prompt treatment 75. a nurse. empathize with the nurse and listen to her b. arbitration c. Change application and site regularly to prevent irritation of the skin d. Between 8am to 10am. focus on smoking cessation projects d. 275 ml/hour c. is assigning the responsibility to the aide but not the accountability for those tasks c. Cancer cure is dependent on a. eat natural food with little or no salt added b. Guevarra. Process of formal negotiations of working conditions between a group of registered nurses and employer is: a. 400 ml/hour d. diets limited in salt and fat b. strike 85. 36 years old is to be given 2700ml of D5RL to infuse for 18 hours starting at 8am. use of alternative methods of healing b. Mr. squeeze about 2 cm of ointment and gently close but not squeeze eye b. Atienza has lost 250ml of gastric fluid. cooking demonstration and meal planning 74. The endorsement includes the IV infusion and medications for these clients. Wear gloves to avoid any medication of your hand 79. You are to apply a transdermal patch of nitroglycerin to your client. Patches may be applied to distal part of the extremities like forearm c. Atienza is to receive 150mg/hour of D5W IV infusion for 12 hours for a total of 1800ml. use herbs and spices d. the-new nurse. proficiency in doing breast self-examination d. After checking all the necessary information and cleaning the affected eyelid and eyelashes you administer the ophthalmic drops by instilling the eye drops. pressing on the lacrimal duct c. most know how to perform task delegated 83. 100 ml/hour b. from the inner canthus going towards the side of the eye 80. When applying eye ointment. tell her to take the day off c. 200 ml/hour 78. Mr. Teaching strategies and approaches when giving nutrition education is influenced by age. report incidence of non-communicable disease to community health center b. in service education process b. harmful effect on drugs and alcohol intake c. efficient management of human resources c. discuss how she is adjusting to her new job d. Mr. collective bargaining d. increasing human resources d. a. Apply to hairlines clean are of the skin not subject to much wrinkling b. The following important guidelines to observe EXCEPT: a. You will be applying eye drops to Miss Romualdez. watching out for warning signs of cancer c. primary prevention 82. The nurse supervisor should: a. monitor clients with hypertension Situation 16 – You are assigned to take care of 10 patients during the morning shift. apply ointment from the inner canthus going outward of the affected eye c. 350 ml/hour b. Felipe. a. the following guidelines apply EXCEPT: a. discard the first bead of the eye ointment before application because the tube likely to expel more than desired amount of ointment d. limit use of table salt and use condiments instead c. sex and immediate concerns of the group. makes the assignment to teach the staff member b. educate as many people about warning signs of non-communicable diseases c. The role of the health worker in health education is to: a. You are . directly onto the cornea b.salt intake include all the following EXCEPT: a. grievance b. into the outer third of the lower conjunctival sac d. delegates aspects of the clients care to the nurse-aide who is an unlicensed staff. Guevarra. He is also losing gastric fluid which must be replaced every two hours. Mrs. commercial preparation of dishes d.

Nurse Beatrice is providing tertiary prevention to Mrs. Prone B. tertiary prevention b. Sim’s C. Lithotomy 97. “You seem to be concerned about being in a cast. high pitch and thudding C. you notice how anxious he looks.” b. Short. professional course towards credits b. When Danica states she need to improve her nutritional status this means: a. a. An instrument used for auscultation is: A. 91. Moderately loud with musical quality D. Range of motion C. An example of tertiary provestion is: a. The provision of health information in the rural areas nationwide through television and radio programs and video conferencing is referred to as: a. Use a small gauge needle B. Sphygmomanometer 95. Auscultation C. The nurse asked the client to read the Snellen chart. continuing education Situation 18 – There are various developments in health education that the nurse should know about. secondary prevention c. primary prevention Situation: 19 – Ronnie has a vehicular accident where he sustained injury to his left ankle. Genu-pectoral C. Another name for knee-chest position is: A. A nearby community provides blood pressure screening. Drum-like 96. Telehealth program c. Percussion 94. A technique in physical examination that is use to assess the movement of air through the tracheobronchial tree: A. This is. wellness center 88. Do inspection and palpation to check extent of his injuries 92. Sounds created by air filled lungs B. Which of the following is tested: A. Ronnie asks you “Do I have a fracture? I don’t want to have a cast. Marriage counseling b. Resonance is best describe as: A. De Villa. Mrs. Gait B. Knee-chest D. 86. Genu-dorsal B. barangay health center d. Poison. hospital extension program c. This is an example of: a. “Why do you. Lithotomy D. in-service education c. Goals and intervention developed by nurse and client should be approved by the doctor c. The nurse prepare IM injection that is irritating to the subcutaneous tissue. Inspection D.attending a certification program on cardiopulmonary resuscitation (CPR) offered and required by the hospital employing you. Wellness program d.” d. You establish rapport with him and to reduce his anxiety you initially a. Talk to the physician for an order of Valium d. sound so scared? It is just a cast and it’s not painful” c. height and weight measurement smoking cessation classes and aerobics class services. Flexion and extension D. Use the Z-track technique . Olfactory C. Apply ice on the injection site C. Troclear 99. Identify yourself and state your purpose in being with the client c. Sim’s 100. Self-examination for breast cancer c. Take him to the radiology. outreach program b.” 93. She has a strong family history of cervical cancer. Hopping 98. health screening d. interventions needed to meet client goals d. “Based on my assessment. Goals and interventions to be followed by client are based on nurse’s priorities b. Which of the following is the best action in order to prevent tracking of the medication A. This type of program is referred to as: a. The best position for examining the rectum is: A. It refers to the manner of walking A. Client will decide the goals and interventions required to meet her goals 89. In the Emergency Room.” The most appropriate nursing response would be: a. there doesn’t seem to be a fracture. Audiometer C. Red cross program 87. While doing your assessment. Part of teaching client in health promotion is responsibility for one’s health. Nurse will decide goals and. Percussion-hammer B. Community health program b. Palpation B. advance training d. Identifying complication of diabetes d. Administer at a 45° angle D. Optic B. Oculomotor D. section for X-ray of affected extremity b. Stethoscope D. control 90. “You have to have an X-ray first to know if you have a fracture. Ostrea has a schedule for Pap Smear.

A 16. C 13. C 84. A 98. D 15. B 87. B 56. C 14. B76. B 80. C 90. C 53. D 89. C 34.com/preboard-exam-a-test-1-fundamentals-of-nursing/2/ . C 46. C 93. B 86. B 91. C 18. A 20. B 60. D 62. C 85. B 92. A 17. C 95. D 49. D 22. B 40. D 66. B 10. D 4. D 29. C 35. D 75. B 12.78. D 44. D 45. B 100. D 70. D 37. B 3. B 72. B 11. C 63. C 28. C 47. D 24. D 58. C 41. C 31. A 68. C 97. C 65. C 21. B 19. D 42. C 82. C 77. D 30. C 61. A 88. B 36. B 6. B 7. B 50. B 79. B 73. C 33. B 32. A 96. D 64. C 2. D Read more at Nurseslabs. C 71.com Preboard Exam A — Test 1: Fundamentals of Nursing http://nurseslabs. B 55. D 48. A 99. D 74. . D 27. D 9. B 83. C 81.ANSWERS: 1. C 8. D 69. C 59. C 57. D 67. B 39. D 25. D 38. B 43. D 5. C26. D 52. D 54. B 94. C 23. D51.

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