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Situation 1: Kathleen s a nurse researcher assigned in a tertiary hospital. She is assigned to

collect data about
the incidence of infection among admitted patients. Questions 1-9 refer to this situation.
1. Kathleen’s job includes collecting secretions from the surgical site of one of the patients. If the
patient refuses and
Kathleen still continue to do it she could be liable for:
A. Slander
B. Assault
C. Battery
D. Invasion of privacy
2. She overheard the security guard discussing the case of SARS suspect with another guard.
The two are involved in
screening patients entering the hospital. Which of the following actions of Kathleen would be
appropriate?
A. Advise that it is not right to discuss the case.
B. Ask the two if there us something they need to be clarified about.
C. Inform the supervisor about what she heard.
D. Ignore the two as this is not against hospital rules.
3. One of the patients confided that his companion is not the legal wife. What liability will
Kathleen be exposed when she
divulge the information to others?
A. Slander
B. Libel
C. Breech of confidentiality
D. Assault
4. Two janitors were having a heated argument as to who shall dispose the infectious waste of a
patient with typhoid
fever. The first one calling the second one with names like “lazybones”, “incompetent” and “pain
in the neck” within the
hearing distance of the rest of the nurses. If the latter decides to file a case against him, what
kind f case would he
likely to file?
A. Libel
B. Incompetence
C. Slander
D. Negligence
5. Should the accusations be written in the newsletter of the hospital, such liability is a:
A. Malpractice
B. Assault
C. Libel
D. slander
6. Mr. Simpkins, a German who is a SARS suspect is advised to be confined in a negative
pressure room with strict
protective gadgets of the health workers taking care of him. He vehemently resented being
confined in that room.
Moreover, he was denied visitors. He threatened to sue the hospital. Which case will he file
most likely?
A. Illegal detention
B. Defamation
C. Incompetence
D. Battery
7. Which action of the nurse will save the hospital from lawsuit in #6?
A. Explains to him that his isolation is beneficial for him and his family
B. Enforce the protocol on SARS admission
C. Informs him of the DOH directive in handling SARS cases
D. Tells him that the police will bodily restrain him if he refuses.
8. Kathleen refers to the infection control nurse about the proper disposal of infectious waste.
Which of the following
laws refer to the Code of Sanitation?
A. P.D. 825
B. P.D. 856
C. P.D. 965
D. P.D. 791
9. Kathleen knows that as a researcher she needs to follow the provisions of R.A. 6713,
otherwise known as:
A. Generics Act of 1998
B. Sanitation Code
C. Code of Conduct and Ethical Standards of Public Officials and Employees
D. Salary Standardization of Government Employees
Situation 2: Patrick is a new graduate of Bachelor of Science in Nursing and intends to practice
his profession in
the country upon acquiring his professional license. Questions 10-19 refer to this situation.
10. He understands that the duty and power to regulate the practice of nursing in the Philippines
is vested on what
agency?
A. Philippine Nurses Association
B. Board of Nursing
C. Technical Committee on Nursing Education
D. Association of Nursing Service Administrators of the Philippines
11. Which of the following reports of his rating would grant him license to practice nursing?
A. General rating of 70 and a rating of 65 in Preventive Test
B. General rating of 75 and a rating of 60 in Curative B Test
C. General rating of 80 and a rating of 59 in Rehabilitative Test
D. General rating of 75 and a rating of 55 in Promotive Test
12. His friend Justine failed to pass the examination for three consecutive attempts. Which of
the following actions can he
take?
A. Take the examination for the fourth time
B. Enroll in a refresher course
C. Shift to another profession that suits his level of competence
D. Apply as a nursing assistant in a hospital.
13. His classmate Adrian passed the examination but was not allowed to be registered. The
following are groups for such,
which one is unlikely?
A. He is 18 years of age
B. He was convicted by final judgment of criminal act involving moral turpitude
C. Unsound mind
D. Guilty of immoral or dishonorable conduct.
14. Patrick is certain that Adrian can be legally liable if he commits the following acts:
i. Appends R.N. to his name even without being registered as one
ii. Abets or assist Mr. Wang in offering CPE without the approval of the BON.
iii. Uses the registration number of Patrick as his own.
iv. Poses or advertises as a registered nurse that tends to create an impression that he is
indeed a registered
nurse.
A. 1,2,3
B. 1,3,4
C. 2,3,4
D. 1,2,3,4
15. Patrick sets his eyes to be in the nurse manager of the Clinical Care Department someday.
Which of the following
requirement is NOT a legal requirement in order to qualify for position?
A. Membership in the accredited professional organization
B. Has at least 2 years experience in general nursing administration
C. Nine units in administration and management in the graduate level.
D. Masters degree in nursing
16. On a long term basis he dreams of becoming a director of nursing of Asian hospital
someday. Which of the following
does he need to posses in order to qualify for the position?
i. Passed the written comprehensive examination for the master’s degree
ii. Five years of experience in supervisory or managerial position in nursing
iii. Masters degree in Nursing
iv. Member of good standing of the accredited professional organization
v. Be a registered nurse in the Philippines
A. 1,2,4,5
B. 2,3,4
C. 2,3,4,5
D. 1,3,4,5
17. Patrick pursues continuing professional education, in emergency care order to be certified
as a nurse specialist in
critical care. Which of the following agencies are mandated by law to formulate and develop the
comprehensive
specialty program?
i. Board of Nursing
ii. Accredited Professional Organization
iii. Department of Health
iv. Specialty organizations
A. 1,2,3
B. 1,2,4
C. 1,3,4
D. 1,2,3,4
18. After two years in hospital nursing, Patrick decides to change career to military nursing. He
knows that the chief nurse
in the military hospital is not yet qualified if he does NOT have
A. Masters Degree in Nursing
B. General Staff Course
C. At least 9 units in Management and Administration courses at the graduate level
D. Masters degree in Nursing and General Staff Course
19. Up to what year does the chief nurse have within which to qualify for the position?
A. 2006
B. 2007
C. 2008
D. 2009
Situation 3: Sandra is a nurse assigned at the Women and Child unit. A 16 year-old primigravida
was admitted for
primary CS due to cephalopelvic disproportion (CPD). Questions 20-24 refer to this situation.
20. Sandra prepares the consent for surgery. Who among the following is legally responsible for
securing the consent for
the contemplated procedure?
A. Dr. Rivera, the obstetrician of the patient
B. Mrs. Castro, the head nurse of the unit
C. Dr. Cortez, the anesthesiologist
D. Ms. Josue, the nurse assigned to take care of the patient in the unit
21. She knows that the patient and her husband are both emancipated. When securing for an
informed consent, Sandra
remember that:
A. Either the husband or the patient can sign the consent
B. The consent should be signed by the parents of the patient because she is a minor.
C. If the patient signed that consent herself, there is no need for a witness.
D. It is her duty to obtain the informed consent
22. Sandra was pulled out from the unit and was asked to assist in the OR. The anesthesiologist
asked her to inject
Penthotanal Na by IV. Which of the following actions should be done by Sandra?
A. Follow the anesthesiologist since he is around to supervise her.
B. Explain to the doctor that it is not permissible by law.
C. If the order is written she can administer the drug.
D. If the manager of the department allows it, she would follow the order.
23. To protect her from legal suit, Sandra should see to it that orders of Penthotal Na and some
related drugs should be
made by:
A. Narcotic licensed physicians
B. Any resident physicians
C. Anesthesiologists
D. Interns
24. After the procedure, the patient was brought back to the ward. Sandra noticed that the
post-op orders were written by
the surgical intern who assisted during the procedure. Which of the following actions is most
appropriate for Sandra to
do?
A. Call the attention of an intern and ask him to secure the signature of the surgeon.
B. Refer the matter to head nurse.
C. Ignore the order because it is not legal.
D. Remind the surgeon about the policy on doctor’s order.
Situation 4. Mrs. Campos is a terminally-ill cancer patient. She requested that she will not be
resuscitated once
she goes into cardiac arrest. The nurse prepares the “Do Not Resuscitate” (DNR) form.
Questions 25-29 refer
to this situation.
25. Which of the following should be done by the nurse to ensure that she would not face any
legal entanglements?
A. Ask the patient’s relative to sign the DNR form.
B. Inform the physician what will this entail and secure the consent by letting her sign the DNR
form
C. Refer to the attending physician so he could write a DNR order.
D. Document the request in the progress notes.
26. Which of the following treatments will no longer be given once Mrs. Campos is on DNR
order?
A. Mechanical ventilation
B. Osteorized feedings
C. Pain medications
D. Intravenous fluids
27. The attending physician called up to disconnect the mechanical ventilator. Which of the
following is the most
appropriate action of the nurse?
A. Tell the doctor to relay his order to the resident on duty.
B. Follow the doctor’s order once the DNR form is signed.
C. Write the telephone order and indicate the name of the doctor, the date and time such order
was made.
D. Read back the order after writing it in the doctor’s order sheet.
28. Which term refers to Mrs. Campos if she dies and her properties are transmitted to
succession whether or not she left
a will?
A. Decedent
B. Heir
C. Testatrix
D. Administrator
29. If Mrs. Campos opts to leave a will that is written, dated and signed by her, this type of will is
a:
A. Holographic
B. Nuncupative
C. Invalid
D. Statutory
Situation 5: Jacob is a staff nurse in a community hospital. HE is assigned at the Emergency
Department of the
hospital.
30. Which of the following actions of Jacob needs a special training prior to its performance?
A. Administration of intravenous therapy
B. Health education
C. Suture perineal lacerations
D. Internal vaginal examination
31. While in the practice of nursing, Jacob is mandated by law to observe the following except:
A. Code of Ethics
B. Code of technical standard for nurses
C. Maintain Competence through CPE
D. Be a member of good standing of the accredited professional organization
32. He knows that the chief nurse of the hospital is mandated by law to be a graduate of a
master’s degree in:
A. Public Health/ Community Health Nursing
B. Nursing Administration
C. Public Administration
D. Hospital Administration
33. As a public health nurse, Jacob enjoys the privileges of the following laws, which include the
following, except:
A. R. A. 7305
B. R. A. 7392
C. R. A. 1080
D. R. A. 2382
34. Which of the following laws refer to Comprehensive Dangerous Drug Act of 2002?
A. R.A. 6425
B. R.A. 9165
C. R.A. 6675
D. R.A. 7875
35. Mrs. Castro his patient who is a 64 year-old government retiree is covered by RA 7432.
Which of the following is a
provision of this law?
A. 20% discount on hospital bills
B. Medicines are prescribed in Generics
C. National Health Insurance Act
D. Code of Good Governance
36. As a health professional, Jacob is exposed to legal risks. Which of the following does NOT
constitute malpractice?
A. Using another nurse’s license as his own
B. Any reasonable lack of skill or fidelity in the performance of fiduciary duties
C. Stepping beyond one’s authority with serious consequences
D. Objectionable practice or contrary to established rules
37. When a case is filed against him in court for an injury to a patient, Jacob is referred to as:
A. Respondent
B. Complainant
C. Accomplice
D. Accessory
38. Jacob was asked to appear in court to testify. Which of the following terms refer to this legal
order?
A. Subpoena duces tecum
B. Subpoena ad testificandum
C. Arraignment
D. Summon
39. Jacob received a notice ordering him to appear before the Board at a specified time and
date to answer a complaint
made against him. Which of the following legal order refer to this?
A. Subpoena duces tecum
B. Injunction
C. Summons
D. Subpoena ad testificandum
Situation 6: Nurse Pamela is newly appointed by the local government to lead the program on
Integrated
Management of Childhood Illness in the municipality of Sto. Tomas. She knows that as a young
and
inexperienced nurse, she needs to update her competence in the legal aspect of professional
practice. Questions
40-49 refer to this situation:
40. As a registered nurse, Pamela knows that to practice her profession, she has certain
liabilities to consider. Which of
the following terms refer to a liability?
i. Obligation
ii. Being held accountable by law
iii. Commitment to one’s duty
iv. Adherence to standards
A. 1 & 2
B. 2 & 3
C. 2 only
D. All except 4
41. As a nurse, she should be guided by the nursing law in the country. Which is not a provision
of this law?
A. Increases the competition of the board from five to seven representing nursing education,
service and
community health nursing.
B. Requires those nurses who have been away from practice to undergo one month of didactic
training and five months of practicum before returning to the workforce
C. Recognition of nursing specifically organizations in coordination with the accredited
professional
organization.
D. Provides for incentives and benefits system for nurses and their dependents
42. Two of the following statements are true about the new nursing law, which TWO are NOT?
1.It guarantees the delivery of quality basic health services through an adequate nursing
personnel system
throughout the country.
2.Requires the member of the board to resign from any employment both in the government and
private
institutions
3.Requires the chairman of the Board to be a holder of a doctorate degree
4.Amends the Philippine Nursing Act of 1991
A. 1 & 2
B. 2 & 3
C. 3 & 4
D. 2 & 4
43. Pamela is certain that only competent nurses are allowed to practice nursing in the country.
Which of the following
warrants that this strictly adhered to?
A. Competency assessment
B. Licensure and registration
C. Continuing competency program
D. Specialty certification program
44. As a lead person in the IMCI program, Pamela is at risk for lawsuits. Which of the following
actions will shield her from
possible lawsuits?
i. Knowledge and implementation of standards/ protocol of care
ii. Documentation of actions accurately and concisely
iii. Document outcome of care
iv. Following all doctor’s orders that are legal and in writing
A. 1,2,4
B. 2 & 3
C. 1,2 & 3
D. 2,3 & 4
45. She assessed a three-year old boy for fever, but the boy would not want to go near her.
Which of the following
remarks of Pamela would constitute an assault?
A. “You don’t want to have your temperature taken? I will call the guard to hold you and give you
an
injection instead!”
B. “Alright just tell me when you are ready to have your temperature taken.”
C. “This will not hurt you; just put it under your tongue.”
D. “If you will let me take your temperature your fever will be gone.”
46. One of the midwives in the health center injected Cotrimoxazole to a five year-old patient
without the consent of the
parents. Which of the following cases can the midwife be possibly accused of?
A. Malpractice
B. Battery
C. Negligence
D. Assault
47. A 4-year old patient assessed to have severe dehydration need an intravenous infusion of
D5NSS. Pamela has not
attended training in IV therapy yet and she believes that she is not competent to handle such.
Which of the following
actions of Pamela will expose her to legal risk?
A. Start the IV with the goal of saving the patient from further injury
B. Refer the case to the doctor who can come in less than one hour.
C. Refer the patient to the nearest hospital facility, which can be reached in 30 minutes
D. Give ORESOL while waiting for help.
48. Which of the following conditions would prevent Pamela from a malpractice suit?
A. She performs her duty as prescribed in her job description
B. Her action resulted to an injury resulted from non-compliance to the standard of care
C. The participation of child’s parents resulted to an injury to the child
D. She is aware of the possibility of the injury to the patient
49. If Pamela divulges the information that she is caring for the child of a patient with sexually
transmitted disease, she
can be liable for unprofessional conduct specifically:
A. Libel
B. Slander
C. Breech of confidentiality
D. Invasion of privacy
Situation 7: Ms. Erin Gomez is a newly appointed manager of a primary hospital in Sta. Maria,
Zamboanga City.
As a new manager, she deems it appropriate that she gains competence in the professional
responsibilities.
Questions 50-60 refer to this situation.
50. Erin knows that the fundamental responsibility is fourfold. What is the most basic of these
responsibilities?
A. Promote health
B. Prevention of illness
C. Restoration of health
D. Alleviation of suffering
51. Which of the following demonstrates the responsibility of Erin towards her profession?
i. Participates in the development and implementation of standards of nursing practice I her
department.
ii. Ensures that the core competencies of the staff are enhanced
iii. Participates in the activities of the local chapter of the PNA and ANSAP.
iv. Lobbies for the implementation of the incentives and benefit system for nurses and
dependents as stipulated
in the law.
A. 1, 2 & 3
B. 2,3 & 4
C. 3 & 4
D. 1, 2, 3 & 4
52. When Erin is certain that Paula, a new nurse us not competent in taking care of a critically ill
patient, she would not be
ethical if she:
A. Discusses the concern with Paula herself
B. Assigns another nurse to the patient
C. Explains to Paula the nature of the condition of the patient and the need for a competent
nurse to handle the
increased demand for care
D. Discusses to the new nurse that Paula is new and lacking in skills for the needs of the
patient.
53. Which of the following is considered the primary responsibility of Erin?
A. Assist the doctors in making their rounds
B. Attend to the call for help from a patient, who needs total care
C. Answer the e-mail of the Director of Nursing who instructed Erin to report about an incident in
the unit.
D. Attend to a complaint of a relative about the lack of water supply in their room.
54. A patient refuses to take his antibiotic because he believes that it’s not giving him any good.
Which of the following
actions of the nurse is most appropriate?
A. Explains to the patient that he needs the medication for his recovery
B. Writes in the chart that the patient refuses to take his medication
C. Refer to the attending physician about his refusal
D. Ask the patient to sign the waiver of responsibility.