P1 & P2

Mastery Examination Reviewer

➢ Correct Answer

➢ Incorrect along with correct answer below

What is a nursing diagnosis?

Identifies nursing problems.
Is not changed during the course of a patient’s hospitalization
Is derived from the physician’s history and physical examination
Is a statement of a patient response to a health problem that requires nursing intervention

What is the second part of the nursing diagnosis statement?

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Is usually stated as a medical diagnosis
Identifies the expected outcomes of nursing care
Identifies the probable cause of the patient problem

Is connected to the first part of the statement with the phrase “related to”

Correct answer
Is connected to the first part of the statement with the phrase “related to”

What is the description of the interviewing technique of paraphrasing?

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Asking the patient to repeat what was just said
Condensing a discussion into an organized review
Restating what the patient has said using similar words
Asking goal-directed questions concentrating on key concerns

The nurse can best evaluate that the patient is learning by:
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his ability to repeat what was taught
a desired change in his behavior
verbal acknowledgements that he understands
his ability to get a good score from a questionnaire

Correct answers
a desired change in his behavior
verbal acknowledgements that he understands

An 84 year old patient named Julius Babao is suffering from liver cancer and is
already in terminal stage. The Cancer cells have metastasized already and Julius
Babao is only waiting for his death. What focus of health care delivery system would
the nurse implement for this kind of patient?
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Preventive & Primary Health Care
Secondary & Tertiary Care
Restorative Care
Continuing Care

The nurse provides care for an older adult client who appears fully alert and oriented.
As it gets later in the day, the nurse notices the client becoming increasingly confused
and agitated. It would be most appropriate for the nurse to take which of these
actions?

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Reorient the client, and then turn on the lights and television to distract the client from his
confusion.

Encourage the client’s alert roommate to talk with the client.

Tell the client he is at home in his own bed to get him to settle down and go to sleep.
Reorient the client, pull the shades down, shut the lights and television off, and promote a quiet
environment.

Correct answer
Reorient the client, pull the shades down, shut the lights and television off, and promote a quiet
environment.

Caring is a universal phenomenon that involves

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Being disconnected
Excluding outside phenomena in favor of family relationships.
Focusing only on human relationships with one another
What matters to a person

The most important aspect of nursing as a profession. 1. Caring for the sick and well
2. Caring for the young and old 3. Caring for the dying 4. Caring for the sick only

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1 only
1 and 2
1, 2 and 3
4 only

Which of the following is an example of primary care activity?

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Antibiotic treatment of a suspected urinary tract infection
Occupational therapy to assist a client in adapting his or her home environment following a
stroke
Nutrition counselling for young adult with a strong family history of high cholesterol

Removal of tonsils for a client with recurrent tonsillitis.

In what phase of helping relationship when a nurse and patient work together to solve
problems and work together. *
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Pre-orientation phase
Orientation phase
Working phase

Termination phase

What is the interview technique which is most effective in strengthening the nurse–
patient relationship by demonstrating the nurse’s willingness to hear the patient’s
thoughts?
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Direct question
Problem solving
Problem seeking
Open-ended question
 Mrs. Amparo promotes what is best for the client, ensuring that the client’s needs are
met and protecting the client’s right. With the action of Mrs. Amparo, you already know
that she is doing what role/responsibility of a nurse?

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Advocate

Teacher
Change Agent
Counselor

A nurse is completing a home-care visit with an elderly client who is ready to be

discharged from home- care services. This is the nurse’s last visit. Each time that the
nurse attempts to leave, the client offers a new subject and attempts to delay the
nurse’s departure. Which is the best action by the nurse?
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Abruptly tell the client that the session has ended and that the nurse must leave

Set up an appointment for an additional home-care visit

Plan to meet the client for coffee the following Sunday
Be firm and clear about the termination of the relationship and solicit feedback from the client

Correct answer
Be firm and clear about the termination of the relationship and solicit feedback from th e client

Completing nursing actions necessary for accomplishing a care plan is an example of

which component of the nursing process?
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Assessment
Nursing Diagnosis
Planning
Implementation

A nurse reported for duty was assigned to take care a bedridden patient. Upon
assessment, the patient’s back started to develop a non-blanchable redness. Which of
the following nursing action that the nurse will demonstrate?

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Applying lotion to the patient’s back

Massaging the affected part

Repositioning the patient every 2 hours (left, right and flat)
Leaving it as is because it is normal

Correct answer
Repositioning the patient every 2 hours (left, right and flat)

The student nurse is following a preceptor on the assigned clinical shift. Which
behavior of the nurse would the student interpret as caring?
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Using aseptic technique when performing a dressing change
Making sure that all medications and treatments are done on time
Advising the physician that the client wants to speak to him or her prior to a procedure
Explaining an invasive procedure to the client, then asking if it is all right to begin the procedure

The nurse is conducting an assessment on a client who has limited English speaking
skills. The client asks the nurse to speak slowly so the client can better understand
the nurse's questions. Which intervention is also appropriate for the nurse to include
in this client's plan of care?

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Using technical medical terms
Speaking directly to the client

Asking the family to interpret words the client does not understand
Using words in the client's jargon

Correct answer
Using words in the client's jargon

A professional person displayed characteristics and attributes expected of them from

the society they serve. Specifically, a professional is one who is:
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Concerned with quantity of service
Accountable and responsible for one’s actions

Dedicated to economic progress

Has vague moral judgements

With respect to the concept of caring, most nursing theories:

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Embrace the disease oriented to health care as Watson does.
Recognize Leininger's theory and reject culture as a caring force.
Identify caring as highly relational involving patient and nurse.

Stress the universality of the express of caring.

The nurse reviews the doctor’s order prior giving antibiotic medication to the 4 year
oldpatient. Upon reading the order, she noticed that the dose ordered (500mg) is high
forthis pediatric patient. What is the nursing action of the nurse to correct the order?
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Review the doctor’s order
Check the previous medication administration record and follow it
Inform the charge nurse and let the her settle it
Approach the attending physician and verify his order

The nurse is caring for a 6-year-old child who is about to undergo surgery. Which
communication technique is most appropriate to alleviate the child's fear regarding
surgery?

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Explaining the procedure to the child
Soothing, nonverbal communication
Talking to the parents in front of the child
Using pictures and dolls to explain what will happen

A male patient is told by his physician that he has metastatic lung cancer and he is
seriously ill. After the physician leaves the room, the patient has a severe episode of
coughing and shortness of breath and says, “This is just a cold, I’ll be fine once I get
over it.” The nurse’s best response is:

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The doctor talked to you about having a serious illness.”
“The doctor had some bad news for you today.”
Tell me more about your illness.”

“This is not a cold, it’s lung cancer.”

Correct answer
The doctor talked to you about having a serious illness.”

Which of the following principles must be given consideration by the nurse when
giving patient teaching to an elderly client?
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use audio-visual aids to facilitate learning

provide opportunity for independence to learn

provide lecture for at least 2 hours
proceed from complex to simple material

Caring is central to nursing practice, but technological advances for rapid diagnosis
and treatment should lead the nurse to realize that:
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Technology has replaced caring as nurses' primary focus.
Technology and caring cannot coexist when related to patient care.

Technology becomes a powerful tool when it works with caring.

Caring is the essence of nursing and is isolated from technology.

Correct answer
Technology becomes a powerful tool when it works with caring.

A nurse is setting up supplies to complete a dressing change at 8:00 am on a client’s

stump following a below-the-knee amputation of the right leg. The client looks away
and angrily says, “I don’t want to look at that thing. Can’t you come back later?” Which
is the best action by the nurse?
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Putting the supplies away and reattempt the dressing change in 1 hour
Completing the dressing change because it is ordered for 8:00 am
Asking the client, “Why don’t you want your dressing changed?”
Restating to the client, “You don’t want to look at your leg?” and allow time for a response

Ms. Angelica Te, a clinical instructor handling 12 students in the hospital ward was
accepting a task to give an Intramuscular Injection to an old patient. She approached
her student name Miaka to do the injection with her assistance. The nursing student
then as she knows is in what level of proficiency? *

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Stage I, Novice

Stage II, Advanced Beginner

Stage III, Competent
Stage IV, Proficient
An example of a nurse caring behavior that families of acutely ill patients perceive as
important to patients' well-being is:
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Making health care decisions for patients.

Having family members provide a patient's total personal hygiene.

Injecting the nurse's perceptions about the level of care provided.
Asking permission before performing a procedure on the patient.

Correct answer
Asking permission before performing a procedure on the patient.

The nurse educator is teaching a group of students about the importance of strong
communication skills. The educator asks the group why strong communication skills
are required in the nursing profession. Which student response is most accurate?
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Strong communication skills are required by the Nurse Practice Act."
"Strong communication skills are needed to perform certain highly technical tasks."
"Strong communication skills help to facilitate client discharge."
"Strong communication skills are needed to deliver high quality client care."

According to Roach, which are included in the six C's of caring in nursing? (Select all
that apply.)

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Compassion

Commitment

Competence

Courtesy
Comportment

Correct answer
Compassion
Commitment
Competence
Comportment
The interviewing technique of paraphrasing promotes communication because it:
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Requires patients to defend their points of view
Limits patients from continuing a rambling conversation

Allows patients to take their conversations in any desired direction

Offers patients an opportunity to develop a clearer idea of what they said

Correct answer
Offers patients an opportunity to develop a clearer idea of what they said

Which of the following teaching methods is most appropriate for teaching a diabetic
client on self- injection of insulin?
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detailed explanations
demonstration

use of puppets
filmstrips

Nurse Letecia is working at SWU Medical Center. She knows that there are lots of
issues affecting health and illness. The following are the factors and issues affecting,
which of the choices is NOT included.
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Self-concept is an individual’s view of self.
Self-concept directly affects self-esteem.

Self-concept is objective and involves a mixture of unconscious and conscious thoughts.

Self-concept feels and thinks about oneself

Correct answer
Self-concept is objective and involves a mixture of unconscious and conscious thoughts.

The referent in the communication process is:

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Information shared by the sender
Option 2
That which motivates the communication
The person who initiates the communication
Correct answer
That which motivates the communication

The planning step of the nursing process includes which of the following activities?
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Assessing and diagnosing
Evaluating goal achievement
Setting goals and selecting interventions

Performing nursing actions and documenting them

What precaution do you apply for a patient with infectious diarrhea?

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Airborne Precaution
Contact Precaution
Droplet Precaution

Protective Precaution

Correct answer
Contact Precaution

A paralyzed patient needs to be transferred to another bed, the nurse emphasizing the
safety of the patient by:
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Communicating clearly with the other health team members

Assessing and incorporating staff’s priorities of care and preferences

Lifting the patient while the health team members are in one cue
Counting all together is necessary in transferring patient

A student nurse named Mr. Tam is focusing on Health Promotion while having his
duty in the hospital ward in caring for his patient with Diabetes Mellitus. Which one of
the following choices below is an example of Health Promotion that Mr. Tam perform?
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Prevention of STD’s
Changing Surgical dressing
Encouraging the client to stop smoking

Protecting wound incision

Planning is a category of nursing behaviors in which:

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The nurse determines the health care needed for the client.

The Physician determines the plan of care for the client.

Client-centered goals and expected outcomes are established.
The client determines the care needed.

Correct answer
Client-centered goals and expected outcomes are established.

A nurse is presenting a program to workers in a factory covering safety topics,

including the wearing of hearing protectors when workers are in the factory. Which
level of care is the nurse practicing?
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Preventive care

Primary care
Secondary care
Tertiary care

The following are the impact of safe environment in the patient’s care. (select all that
apply)
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Preventing extended lengths of treatment and/or hospitalization
Improving or maintaining a patient’s functional status

Increasing a patient’s sense of well-being

Threatening a person’s safety and often result in physical or psychological injury or death

Correct answer
Preventing extended lengths of treatment and/or hospitalization
Improving or maintaining a patient’s functional status
Increasing a patient’s sense of well-being

Which of the following is the correctly stated nursing diagnosis?

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Needs to be fed related to broken right arm
Impaired skin integrity related to fecal incontinence
Abnormal breath sounds caused by weak cough reflex
Impaired physical mobility related to rheumatoid arthritis

Correct answer
Impaired skin integrity related to fecal incontinence

Which of the following factors WILL LEAST LIKELY facilitate learning of a patient:
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motivation to learn
active participation in the learning activity
influencing the client to change his health beliefs

Positively worded corrections

A nurse educator teaches students about caring nursing practice. Which situation
demonstrates that the nurse is able to implement the whole idea of caring?
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The nurse takes care of aging parents in addition to providing care to immediate family.

The nurse is a volunteer at church and school events.

The nurse makes lists every morning, so the day stays organized and planned.
The nurse is able to carve out time for a favorite hobby at least once a week.

Correct answer
The nurse is a volunteer at church and school events.

Health promotion essentially involves nursing activities that:

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disseminate health knowledge, values and healthy lives

encourage nurse-community partnership in health

help people develop abilities to keep healthy
enhance people’s quality of life

When modifying an unhealthy behavior, success is most likely when:

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positive reinforcement is used

undesirable behavior is critical

reconditioning is done
client participation is encouraged

The school nurse is preparing a discussion on nutrition with the fourth-grade class.
Based on the children's developmental level, what information should she include in
her presentation?
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A review of the number of calories that a fourth-grade child should consume in a day.
A review of a list of high-calorie foods that all fourth-graders should avoid
A review of how to read food labels so children know which foods are good for them.
A review of nutritious foods with basic scientific information about how they affect the body
organs and systems

When establishing realistic goals, the nurse:

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Bases the goals on the nurse’s personal knowledge.
Knows the resources of the health care facility, family, and the client.

Must have a client who is physically and emotionally stable.

Must have the client’s cooperation.

It is one of the alternative therapies that uses the conscious mind to create mental
images to stimulate physical changes in the body, improve perceived well-being, and
/or enhance self-awareness
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Relaxation Therapy
Meditation and Breathing Therapy
Imagery Therapy

Chiropractic Therapy
The most important purpose of the orientation phase of the assessment interview is
to
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Collect data

Build rapport
Identify problems
Establish priorities

Correct answer
Build rapport

The most basic nursing intervention in health promotion is:

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health information, communication, and education

screening and case finding activities

behavior modification for healthy living
community organization for health action

When using printed material to teach diabetic patient about foot care, the nurse
should:
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read the material to the patient
allow the patient to read the material
Give the material to a family member to read to the patient
read the material to evaluate its clarity, accuracy and effectiveness

When a patient-centered goal has not been met in the projected time frame, the most
appropriate action by the nurse would be to:

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Rewrite the plan using different interventions.

Continue with the same plan until the goal is met.

Repeat the entire sequence of the nursing process to discover needed changes.
Conclude that the goal was inappropriate or unrealistic and eliminate it from the plan.

Correct answer
Repeat the entire sequence of the nursing process to discover needed changes.
A female patient has an indwelling foley catheter in-placed. During your clinical
rounds, you found out that the catheter bag was placed on the bed, in the patient’s
waist level. To prevent health-care associated infection, which of the following nursing
activities that you are expected to perform? (SELECT ALL THAT APPLY) *
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Wash hands before and after caring for a patient and catheter

Hang the catheter bag below the urinary bladder level without touching the floor
Adequately secure and anchor the catheter to prevent urethral and bladder-neck tension

Bring the catheter bag to the leg part and secure it so that it will not drop to the ground

Correct answer
Hang the catheter bag below the urinary bladder level without touching the floor
Adequately secure and anchor the catheter to prevent urethral and bladder-neck tension
Bring the catheter bag to the leg part and secure it so that it will not drop to the ground

It describes as a coordinated effort of the musculoskeletal and nervous systems.

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Alignment and balance
Body Mechanics

Muscle movement and posture

Weight and Gravity

The supervisor at the male-surgical ward at St. Agustin Hospital makes decisions on
what to be changed in the ward, coordinates activities of others, allocates resources
and evaluates care and the people in the ward. Based on what the supervisor is doing,
what role/responsibility is shown?
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Change Agent
Manager
Client Advocate

Researcher

Correct answer
Manager

Gathering, verifying, and communicating data about the patient to establish a

database is an example of which component of the nursing process?
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Assessment

Nursing Diagnosis
Planning
Implementation

The nurse advises an obese patient to lose weight. The patient asks the nurse, “What
should I do to help myself lose weight?” Considering the best behavior modification
strategy for controlling food intake, the nurse should respond: *
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“Ask family members not to bring tempting food into the house.”
“Post piggy pictures on the refrigerator.”
“Avoid snacks between meals.”

“Maintain a daily food diary.”

Correct answer
“Maintain a daily food diary.”

It describes as the complete elimination or destruction of all microorganisms,

including spores. *
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Cleaning
Washing
Disinfecting
Sterilizing

Rehabilitation implies active patient involvement. For best results, the patient should
demonstrate which of the following important characteristics?

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has high-level of self esteem
be motivated to some degree
be able to express his feelings
be free from emotional problems

Correct answers
has high-level of self esteem
be motivated to some degree
be free from emotional problems

An elderly patient started to ambulate after a day of knee surgery with an assistive
device. The nurse assessed that this patient is:
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Risk for Falls
Alteration of Comfort

Disturbed Self-Image
Impaired Physical Mobility

The nurse creates a referral to pastoral care when he/she realizes that the patient is in
need of
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Psychiatric care.
Return to religious affiliation.
Spiritual care.

Transfer to the psychiatric unit.

An outcome of achieving national cultural health goals would be which of the

following?
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All cultures receive the same health care.
All people have the same life expectancy.
All Filipino residents have access to the same quality of health care.

All cultures are fully assimilated into the dominant society.

Which of the following refers to a shared identity related to social and cultural heritage
such as values, language, geographical space, and racial characteristics.
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Ethnicity
Social norm
Morals
Belief system

Which of the of the following statements describe the nursing code of ethics, nurses
and people?
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The nurse demonstrates professional values such as respectfulness, responsiveness,
compassion, trustworthiness, and integrity
The nurse takes appropriate action to safeguard individuals, families and communities when their
health is endangered by a coworker or any other person
The nurse practices to sustain and protect the natural environment and is aware of its
consequences on health
The nurse maintains a standard of personal health such that the ability to provide care is not
compromised

Correct answer
The nurse demonstrates professional values such as respectfulness, responsiveness,
compassion, trustworthiness, and integrity

What are the guidelines for quality documentation and reporting? (Select all that
apply)
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Detailed
Factual

Organized

Focused
Accurate

Complete

Current
The nurse enters the room of a patient with cancer. He is crying and states, “I feel so
alone.” Of the following statements, which is the most therapeutic?
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The nurse stands at the patient’s bedside and states, “I understand how you feel. My mother said
the same thing when she was ill.”

The nurse places a hand on the patient’s arm and states, “You feel so alone.”
The nurse stands in the patient’s room and asks, “Why do you feel so alone? Your wife has been
here every day.”
The nurse holds the patient’s hand and asks, “What makes you feel so alone?”

Correct answer

The nurse holds the patient’s hand and asks, “What makes you feel so alone?”

The nurse manager is making patient assignments for the shift. What should be the
primary guiding factor in these assignments?
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Number of staff available.

Skill mix of the staff.

Patient needs.
Physical layout of the unit.

Correct answer
Patient needs.

You are working in a secondary hospital. Your shift duty is from 6am to 2 pm. It’s
already 3pm, the receiving nurse did not show up. You have informed your supervisor
but nothing has done. At 4pm, the ER was getting busier. How would you react the
situation?
1/1
Keep bothering the supervisor if someone will relieve you
Continuously attend the patient’s needs and assist the physician for any management to be done

Leave the area since you have already notified your supervisor
Stay in the area and let the nursing assistant attends all patient’s need including giving of
medications
In discussing spiritual well-being, the nurse identifies that the vertical dimension
involves
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The positive relationships and connections people have with others.
The transcendent relationship between a person and God.

Confidence in something for which there is no proof.

Providing an attitude of something to live for and look forward to.

As per on Nurse Practice Act, nursing negligence or malpractice is an example of

which law?
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Civil Laws
Criminal Laws
Regulatory Law
Common Law

Correct answer
Civil Laws

A newly diagnosed patient states, "I hate this cancer." According to Kübler-Ross, what
stage of loss is being verbalized?
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anger
bargaining
depression

denial

Correct answer
Anger

A nurse preceptor is working with a student nurse. Which behavior by the student
nurse will require the nurse preceptor to intervene?
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The student nurse reviews the patient's medical record.
The student nurse reads the patient's plan of care.
The student nurse shares patient information with a friend.
The student nurse documents medication administered to the patient

Correct answer
The student nurse shares patient information with a friend.

A female celebrity was suddenly rushed to a hospital due to gastritis. Her manager
showed up and plead for her medical record as the patient has upcoming film
shooting. What is the best response of the nurse in upholding the dignity of the
patient?
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Never share the medical record of the patient with any unauthorized persons
Let the manager take a quick look in the patient’s chart
Relay the information you have gathered to the manager and give him your opinions

Discuss the concern with the physician

Correct answer
Never share the medical record of the patient with any unauthorized persons

Ability to understand and accept another person’s reality

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Sharing empathy
Sharing hope

Sharing feelings
Sharing observations

Correct answer
Sharing empathy

You are the charge nurse responsible for the evening shift. During rounds, you hear the
patient care technician yelling loudly to a patient regarding his transfer from the bed to
chair. When entering the room, which of the following is your best response?
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You need to speak to the patient quietly. You are disturbing the patient.”
“Let me help you with your transfer technique.”

“When you are finished, be sure to apologize for your rough demeanor.”
“When your patient is safe and comfortable, meet me at the desk “

Correct answer
“When you are finished, be sure to apologize for your rough demeanor.”

A senior student nurse delegates the task of intake and output to a new nursing
assistant. The student will verify that the nursing assistant understands the task of
I&O when the nursing assistant states
1/1
“I will record the amount of all voided urine.”

“I will not count liquid stools as output.”

“I will not record a café mocha as intake.”
“I will notate perspiration and record it as a small or large amount.”

The major reason for conducting nursing research is to

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promote evidence-based care for patients/ clients.
promote the growth of the nursing profession.
document the cost-effectiveness of nursing care.

ensure accountability for nursing practice.

Correct answer
promote evidence-based care for patients/ clients.

A patient had just delivered her first-born baby and was wheeled to her room with
ongoing IV fluids incorporated with Syntocinon 20 units after 4 hours. At 8pm, the
patient called the nurse to remove the IV line as the IV site started to swell and it sores
and insisted not to put it back. The nursing action would be
1/1
Explain the necessity of the IV fluids
Remove the line and just re-insert it because the IV fluid has Syntocinon
Insist to re-insert the IV line so that the attending physician will not scold you
Follow the patient’s preference and let her sign the against medical advice form
The nurse asked the client how the pain began and the client said that the pain
suddenly occurred. Which of the following types of pain is described above?

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Acute pain
Localized pain

Chronic pain
Generalized pain

Correct answer
Acute pain

What is an important factor in the successful resolution of grief?

1/1
social isolation
support systems

triggers of grief
loss acknowledgement

If an error is made while recording, the nurse should:

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erase it or scratch it out
leave a blank space in the note.
Draw a single line through the error and initial it
obtain a new nurse's note and rewrite the entries

Correct answer
Draw a single line through the error and initial it

What is the most productive method of gathering assessment data regarding

heritage?
1/1
Physical exam
Medical history
Blood analysis
Traditional beliefs and practices checklist
The head nurse reviews all patient’s cases and starts giving allocation of the patients
to the team. One of the patient’s case assigned to you is pneumothorax of both lungs
leading the patient to have bilateral chest tube in-placed. What would you do if you are
uncertain to carry the tasks as you were previously employed in the secondary
hospital 4 months ago?

1/1
Take the assigned task as an opportunity for new experience
Discuss your level of expertise and other alternatives to the head nurse

Prove it that even you are new, you can still handle the patient
Apply what you have learned from a text book

Which behavior demonstrates the nurse's competency as an emotionally intelligent

leader?
1/1
The nurse is proficient in technical skills.
The nurse relies on policies, not options.
The nurse supports team members.

If the nurses learn about and use relevant leadership and management theories and styles this is
possible.

All nurses should be able to:

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identify researchable problems for nursing research studies.
explain the details of a medical research study to potentials participants

determine when most study findings are ready for use in nursing practice.
confidently critique the majority of published nursing research studies.

Correct answer
identify researchable problems for nursing research studies.

As nurses first began to receive advanced educational preparation and became

qualified to con- duct research, many of their studies concerned
1/1
nursing education.
characteristics of nurses.
nursing administration.
nursing care.

Used to center on key elements or concepts of the message .

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Providing information
Confrontation
Focusing
Self -disclosure

Correct answer
Focusing

Which of the following factors pertains to helping decrease or diminish the pain like
antacids or histamine blockers?
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Precipitating factors
Exacerbating factors

Alleviating factors
Risk factors

Correct answer
Alleviating factors

In selecting an appropriate enteral formula for a patient, the primary consideration is:
1/1
The patient’s nutrient needs

Availability of infusion pumps

Formula cost
Formula osmolality

The blood test result of the patient shows that potassium level is high, 5.5 and Nurse
Bella properly endorsed the patient’s condition to Nurse Charise as her shift is about
to finish. What is supposedly the action of Nurse Bella to prevent her to be sued as
malpractice?
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Emphasize the blood test result of the patient while endorsing it to the next nurse
Document the result in the nurse’s progress notes legibly and accurately

Update the patient that the blood test result has already released
Promptly notify the physician and record it in the nurse’s notes

Correct answer
Promptly notify the physician and record it in the nurse’s notes

The nurse manager has asked that all staff nurses develop effective leadership
competencies. How should the staff nurses interpret this request?
1/1
This is an unrealistic expectation, because only managers are leaders.
If the nurses learn about and use relevant leadership and management theories and styles this is
possible.

In order to become leaders, the staff nurses will have to emphasize control, competition, and
getting the job done.
Unless the staff nurses possess the traits of a natural born leader, this is an unrealistic
expectation.

The most effective meal-planning strategy for managing diabetes is:

0/1
Carbohydrate counting
An eating plan based on food lists created for persons with diabetes.
Following menus and recipes provided by a registered dietician

The approach that best helps the patient control blood glucose levels

Correct answer
The approach that best helps the patient control blood glucose levels

The nurse is assessing a client who was diagnosed with metastatic prostate cancer.
The nurse notes that the client is exhibiting signs of loss, grief, and intense sadness.
Based upon this assessment data, the nurse will document that the client is in what
stage of death and dying?
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Depression

Acceptance
Anger
Denial

The client complained of a decrease in the frequency of the bowel movement and a
passage of hard and painful stools. Which of the following pertains to the client’s
condition?
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Diarrhea

Heartburn
Constipation
Pyrosis

Correct answer
Constipation

A patient is hospitalized with severe depression after her divorce is finalized. Which
type of loss is the patient experiencing?
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Actual

Perceived
Physical
External

The word spirituality derives from the Latin word spiritus, which refers to breath or
wind. Today, spirituality is
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Awareness of one's inner self and a sense of connection to a higher being.

Less important than coping with the patient's illness.

Patient centered and has no bearing on the nurse's belief patterns.
Equated to formal religious practice and has a minor effect on health care.
You, working in a health facility, are in an education program to learn how to use a new
pressure-relieving device for patients at risk for pressure ulcers. This is which type of
education?
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Continuing education
Graduate education

In-service education
Professional Registered Nurse Education

Correct answer
In-service education

Evidence-based practice is defined as:

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Nursing care based on tradition
Scholarly inquiry of nursing and biomedical research literature
A problem-solving approach that integrates best current evidence with clinical practice

Quality nursing care provided in an efficient and economically sound manner

Which of the following statements best describes loss?

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It is determined by one's cultural values.
It is largely dependent on support of family and friends.

It can be determined only by the person who experiences it.

It is the same as grief and mourning.

Correct answer
It can be determined only by the person who experiences it.

To maintain normal elimination patterns in the hospitalized patient, you should

instruct the patient to defecate 1 hour after meals because:
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The presence of food stimulates peristalsis.
mass colonic peristalsis occurs at this time.

irregularity helps to develop a habitual pattern.

neglecting the urge to defecate can cause diarrhea.
Which of the following situations is most clearly a violation of the underlying
principles associated with professional nursing ethics?
1/1
A hospital’s policy permits use of internal fetal monitoring during labor. However, there is
literature to both support and refute the value of this practice.
When asked about the purpose of a medication, a nurse colleague responds, “Oh, I never look
them up. I just give what is prescribed.”

The nurses on the unit agree to sponsor a fund-raising event to support a labor strike proposed
by fellow nurses at another facility.
A client reports that he didn’t quite tell the doctor the truth when asked if he was following his
therapeutic diet at home.

A teenage girl who is 24 weeks pregnant expresses that what happen to her is
unwanted. She was thinking to end her pregnancy. What would be your response to
the concern of the client?
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“At this time, the fetus becomes viable and the interest here is the protection of the fetus”

“It is a community norms and trends for the adolescents to engage this activity”
“You are not answerable to the regulation because the risk of natural mortality from abortion is
less than with normal childbirth”
“As long as you are ill, you can pursue your want”

Subjectively true, personal experiences about self that are intentionally revealed to
another
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Asking relevant questions
Self -disclosure

Sharing feelings
Clarifying

What statement explains how research is establishing the credibility of nursing as a

profession? *
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Nursing has traditionally borrowed knowledge from the natural sciences.
Through research, nursing has been establishing a body of knowledge that is distinct from other
professions.

Nurses were included on the Gallup Poll as professionals with an ethical standard.
The nursing profession exists to provide service to society.

A nurse is charting on a patient's record. Which action is most accurate legally?

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Charts legibly

States the patient is belligerent

Uses correction fluid to correct error
Writes entry for another nurse

A very young nurse has been promoted to nurse manager of an inpatient surgical unit.
The nurse is concerned that older nurses may not respect the manager's authority
because of the age difference. How can this nurse manager best exercise authority?
0/1
Use critical thinking to solve problems on the unit.

Give assignments clearly, taking staff expertise into consideration.

Understand complex health care environments.
Maintain an autocratic approach to influence results
The nurse relies on policies, not options.

Correct answer
Give assignments clearly, taking staff expertise into consideration.

A 79-year-old Native American woman is placed in a nursing home by her son, who is
no longer able to care for her. She appears disoriented and complains of the “bright
lights and constant activity.” Her feelings are likely to be a result of which of the
following conditions?
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Culture assimilation
Culture disorientation
Culture blindness

Culture shock
Correct answer
Culture shock

What is Patient-Centered Care?

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A patient treatment plan based on the doctor's prerogative, as well as, the other health
practitioners' advice
A partnership between patients and providers that encourages patients to be engaged in their
health care
A treatment plan that encourages patients' healing by following non-traditional methods and
practices
A plan of care entirely based on the patient and his/her family's wants, needs, and cultural
background

Nursing is a subculture of which of the following larger cultures in our society? *

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Healthcare providers
Organizations of nurses
Institutions

Healthcare systems

Correct answer
Healthcare systems

You entered the patient’s room and have seen that the patient started to pull out the
Central lines and NGT while shouting that he is not sick. He’s relative tried to stop him
from pulling all the lines. What would be your nursing action to prevent patient from
harm?
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Help the relative to hold the patient
Talk to the patient softly that what he’s doing is not right
Secure an order to apply restraints

Give a sedative medication to the patient to keep him calm

Which of the following terms is most descriptive of a client experiencing dyspnea
when-lying down and must assume an upright or sitting position to breathe more
comfortably and effectively?
1/1
Dyspnea
Hyperpnea
Orthopnea

Acapnea

The basic building blocks for protein are:

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Side groups
Amino acids

Glucose units
Saturated bonds

Patient Mark , has a chronic pulmonary disease with bluish tinge around the lips. The
nurse charts which term to most accurately describe the client’s condition?
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Hypoxia
Hypoxemia
Dyspnea
Cyanosis

During an interaction with a critically ill patient’s family, the nurse uses the
communication technique of silence. This technique assists the family to:
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Communicate with the patient
Plan for discharge
Organize their thoughts

Decrease anxiety
This refers to the inculcation of of advanced knowledge, skills and ethical values in a
post-licensure specialization or in an inter- or multidisciplinary field of study, for
assimilation into professional practice, self-directed research and/or lifelong learning:
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Comprehensive Professional Development
Continuing Professional Development

Continuous Proficiency Discipline

Comprehensive Professional Discipline

During their clinical post conference meeting, several nursing students were
discussing their patients with their instructor. One student from a middle-class family
shared that her patient was homeless. This is an example of caring for a patient from
different:
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Ethnicity
Culture
Heritage

Religion

Correct answer
Culture

Which of the senses is believed to be the last one lost as a person nears death?
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Hearing

Vision
Touch
Smell

__ is not in the process of adding written valuable information for a health care
record?
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Recording
Charting
Data entry

Documenting

Which behavior is an initial step in culturally responsive nursing practice?

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Help the client recognize the need to adapt health practices to fit commonly accepted practices.

Discuss the meaning of the medical regimen with the client.

Inform the client that lack of adherence to the medical regimen may be detrimental.
Ask a cultural broker to explain the relevance of the intervention.

Correct answer
Discuss the meaning of the medical regimen with the client.

A patient nearing death requests that no medication be given that would cause a loss
of consciousness, including pain medication. What would a nurse do to provide the
best end-of-life care in this situation?
1/1
Give the medication; comfort is the highest priority.
Give half the ordered dose to provide compassionate care.
Discuss this with family members and follow their wishes.
Respect the patient's wishes and withhold pain medications.