NURSING LICENSURE EXAMINATION
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REVIEWER
1. While caring for an 8-year-old child
with a broken wrist, the nurse
notices red, raised streaks on the
child’s back. The child’s father
enters the room and the child
becomes quiet and distant, leaning
away from the father as he
approaches. What is the best
nursing action?
a. Chart the child was probably
beaten by the father
b. Notify the supervisor to report
possible child abuse
c. Disregard suspicious and care for
the immediate needs of the child
d. No action is required; there is no
actual proof of abuse to the child
2. A nurse manager has been notified
to obtain a bed for a client. Of the
following clients, which one would
the nurse anticipate being able to
discharge?
a. A client who had myocardial
infarction 2 days ago. His vital
signs are: BP 150/94 mmHg, pulse
84 bpm and irregular, respiration
28 cpm, minimal chest pain
b. A client who underwent an
abdominal aneurysm resection 3
days ago. His vital signs are BP
130/88 mmHg, pulse 88 bpm,
respiration 22 cpm, and oral
temperature 101 F. He is beginning
oral intake without problems
c. A client who has a subdural
hematoma. He is lethargic; pulse is
60 bpm, respiration is 28 cpm,
temperature is 99 F
d. A client who had abdominal
surgery for a bowel obstruction 4
days ago. He has bowel sounds, is
taking fluids orally, has an
abdominal
experience abdominal pain
3. Delegation is a process of
transferring work to subordinates.
A nurse-manager can
appropriately delegate which task?
a. Scheduling staff assignments for
the next month
b. Terminating a nursing assistant for
insubordination
c. Deciding on salary increases for
licensed practical nurses after they
complete orientation
d. Telling a staff nurse to initiate
disciplinary action against one of
her peers
4. The nurse is planning
assignments. Which task can be
safely delegated to a nursing
assistant?
a. Obtain a stool specimen from a
client with diarrhea
b. Assist client with a new colostomy
in practicing his first colostomy
irrigation
c. Evaluate the voiding pattern for a
client who had a urinary retention
catheter removed
d. Obtain a dietary history from a
client with peptic ulcer disease
5. A staff nurse on a busy pediatric
unit is an excellent role model for
her colleagues. She encourages
them to participate in the unit’s
decision-making process and helps
them improve their clinical skills.
This nurse is functioning effectively
in which role?
a. Manager
b. Autocrat
c. Leader
d. Authority
6. A nurse-manager on an oncology
unit has been informed that she
must determine which nursing care
 delivery system is the best for
efficient client care, client
satisfaction, and cost reduction.
Knowing that 2 or 3 registered
nurses, 4 licensed practical nurses,
and 5 nursing assistants are
generally on duty on each shift and
that the client can be grouped fairly
easily by geographic location and
client care needs, the nurse-
manager and her staff
appropriately decide to implement
which nursing care delivery
system?
a. Functional nursing
b. Case management
c. Team Nursing
d. Primary Nursing
7. The charge nurse is planning
assignments for the nursing staff.
One of the staff nurses is pregnant.
Which client would not be
appropriate to assign to this nurse?
a. Child with brain tumor being
treated with radiation
b. Infant with history syncytial virus
receiving ribavirin
c. Toddler who is HIV+ and has an
opportunistic respiratory tract
infection
d. Child with leukemia who is
receiving Oncovin (Vincristine) and
Zyloprim (allopurinol)
8. A nurse-manager appropriately
behaves as an autocrat in which
situation?
a. Planning vacation time for staff
b. Directing staff activities if a client
has a cardiac arrest
c. Evaluating a new medication
administration process
d. Identifying the strengths and
weaknesses of a client education
video
9. There are phases in the change
process to be considered:
a. Refreezing
b. Unfreezing
c. Changing
d. Resisting
10. Form of communication that travels
from staff and lower middle level
management personnel and
continues up the organizational
hierarchy is:
a. Downward
b. Upward
c. Matrix
d. Grapevine
11. What is a key component in a
quality assurance program?
a. Patient satisfaction
b. Determination of criteria to meet
standards
c. Case management for continuity of
care
d. An acuity system for client
classification
12. Which of the following tools can be
most helpful in the evaluation of
staff performance?
a. Performance assessment
b. Performance standard
c. Performance audit
d. Performance appraisal
13. A storm has prevented most of the
staff members from getting to work
on a busy medical-surgical unit.
One registered nurse, 2 licensed
practical nurses, and 3 nursing
assistants have been able to work.
The nurse-manager must decide
which nursing care delivery system
should be implemented for the best
possible client care during this
staffing crisis. The nurse-manager
directs the staff to implement which
delivery system?
a. Team Nursing
b. Primary Nursing
c. Functional Nursing
d. Case management

14. The nurse-manager of a 20-bed
coronary care unit isn’t on duty
when a staff nurse makes a
serious medication error. The
client, who received an overdose
of medication, nearly dies. Which
statement accurately reflects the
accountability of the nurse-
manager?
a. The nursing supervisor on duty will
call the nurse-manager at home
and apprise her of the problem
b. Because the nurse-manager is off
duty, she isn’t accountable for
incidents that occur in her
absence. Therefore, the nurse
manager won’t be notified
c. The nurse-manager will be
informed of the incident when
returning to work on Monday
because the nurse-manager was
officially off duty when the incident
took place
d. Although the nurse-manager is off
duty, the nursing supervisor
believes that the manager has no
responsibility for what happened
during the manager’s absence
15. The selection of a nursing care
delivery system is critical to the
success of a nursing area. Which
factor is essential in the evaluation
of a nursing care delivery system?
a. Determining how planned
absences, such as vacation time,
will be scheduled so that all staff
are treated fairly
b. Identifying who will be responsible
for making client care decisions
c. Deciding what type of dress code
will be implemented
d. Identifying salary ranges for
various types of staff
16. The nurse-manager in the office of
a group of surgeons has received
complaints from discharged clients
about inadequate instructions for
performing home care. Knowing
the importance of good, timely
client education, the nurse should
take which steps?
a. Contact the nurses who work in the
facility and tell them that client
education should be implemented
as soon as the clients are admitted
to either the hospital or the
outpatient surgical center
b. Review and revise the way client
education is conducted in the
surgeon’s office
c. Because no serious damage was
done to any of the clients, the
nurse-manager can safely ignore
their complaints
d. Work with the surgeons’ and
nursing staff in the hospital and
outpatient surgical center to
evaluate current client education
practices and revise as needed
17. When the team approach is
utilized in a management situations
the subordinates should be aware
that they should receive order from
only one person. This principle is:
a. Unity of command
b. Chain of command
c. Centralization
d. Channel of communication
18. Which of the following would the
nurse identify as an indication that
the client understands the informed
consent document?
a. The client states that the physician
has explained the procedure to him
b. The nurse finds the informed
consent form already signed
c. The client can give return verbal
explanation of the informed
consent document
d. The client states that his wife read
it and said it was okay
19. The nurse enters data on a chart
and discovers she has written on
the wrong chart. How is this error
best corrected?
a. White out the wrong information
and write over it
b. Recopy the page with error so
chart will be neat
c. Draw a straight line through the
error, initials and date
d. Obliterate the error so it will not be
confusing
20. Performance improvement is an
important component of continuous
quality improvement. Which action
should an effective nurse-manager
take when conducting performance
evaluations?
a. Conduct performance evaluation in
a group setting so input from peers
and subordinates is considered
when evaluating a staff member’s
effectiveness
b. Provide feedback on strengths as
well as areas for improvement and
clarify what the staff member is
expected to accomplish before the
next performance evaluation
c. Document areas for improvement
in writing. Areas of strengths don’t
need to be documented because
these areas are complementary
and don’t describe actions the staff
member must take to improve
d. Delegate responsibility for
conducting performance
evaluations to primary nurses
whenever possible to help them
grow professionally
21. The correct sequence of steps in
the research process is:
1.Selection and development of the
tools/techniques for collecting data
2.Formulation of hypothesis
3.Determining the research design or
the approach suitable for the study
4.Formulation of the problem
a. 1,2,3,4
b. 4,1,2,3
c. 4,2,3,1
d. 1,3,4,2
22. When selecting your study sample.
Which of the following activities
should you do first?
a. Specify the sampling frame
b. Identify the target population
c. Specify the criteria for selection of
subjects
d. Identify the available population
23. You decided to use convenience
sampling. This is an example of
convenience sampling:
a. Selection with consent
b. Simple selection
c. Availability of subjects
d. First come, first selected basis
24. You decided to use Prospective
Longitudinal Sampling. Which of
the following is an example of this?
a. Growth of newborn 2 years ago to
the present
b. Mastectomy patients are studied
from operation to 3 years after
discharge
c. Asking high school students their
choices of career after graduation
d. Asking mothers their past
experiences in giving birth
25. A type of sampling that starts with
one participant or member of the
population and uses that member’s
contacts to identify other potential
participants for the study is:
a. Cluster sampling
b. Convenience sampling
c. Snowball sampling
d. Purposive sampling
26. A patient refuses to take his
antibiotics 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 medications for his
recovery and clarify any
misconceptions
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
27. When conflict arises regarding
management of patient care, which
of the following should be upheld?
a. Physician’s order
b. Preference of the family
c. Patient’s rights
d. Institutional policy
28. The most common major risk to
safety of unconscious patient in the
hospital is:
a. Carbon dioxide poisoning
b. Any poisoning
c. Falls
d. Insect bites
29. Devolution of the health
department of care is implemented
in order to:
a. Bring services near to the people
b. Empower local politician
c. Become self reliant
d. Stop funding for national funds
30. Which of the following is your vital
role in cancer care?
a. Arrange for spiritual consultation
b. Allow patient to get angry
c. Maintain dignity of patient
d. Control shame and guilt
31. If died without a will, the
succession is called:
a. Holographic will
b. Testate
c. Heir
d. Intestate
32. This is treated as the most
important attribute of a true
Professional Nurse:
a. Competence and independent
approach
b. Professional accountability
c. Self autonomy
d. Responsibility
33. The board may allow licensed
nurses from foreign countries or
state to practice nursing in the
Philippines through special and
temporary permit if they belong to
the following categories EXCEPT:
a. Internationally-well specialist or
outstanding experts in any branch
of specialty of nursing
b. Nurses on medical mission whose
services shall be free in a
particular hospital, center or clinic
c. Employed by school, colleges of
nursing as exchange professors in
a branch of specialty of nursing
d. Balikbayan nurses who wants to
practice nursing in order to earn
credits for continuing professional
education
34. The following are grounds for the
suspension and revocation of
certificates of registration/
professional license or special/
temporary permit; which one is
NOT included?
a. Use of fictitious date in obtaining a
professional license
b. Commission of a serious
negligence
c. Unprofessional or unethical
conduct
d. Not a member of the accredited
professional organization
35. Nursing is considered as rewarding
and fulfilling career. Nursing is best
described as a profession that;
a. Concerned with patients

b. Concerned with proper

organization of the ward
c. Assist the people towards self care
d. Helps to prevent disease and
promote wellness

36.