RECALLS 6 – NP1
c. Home visits to family clients referred by the health
Situation
As a new public health nurses at a Rural Health Unit,
Ms. Casey reviews basic concepts related to her
position and job.
1. Ms. Casey know that the PRIMARY goal of community
health nursing is to ________.
a. Enhance the capacity of individuals, families and
communities manage their health needs
b. Contribute to people’s well-being through
sustainable development goals projects
c. Increase the productivity of the people by providing
them with health services
d. Support and supplement the efforts of the medical
profession in illness preventions
2. Community health nursing (CHN) is a field of nursing
practice. Which best explains this statement?
a. The scope of practice depends on the health needs
and problems identified.
b. The services are delivered outside of purely curative
institutions.
c. The service are provided along with community
health volunteers.
d. The practice is conducted in the geographical location
of people.
3. Ms. Casey is aware that she will be dealing with
population as a client. Which of the following provides
the BEST definition of a population?
a. Cluster of individuals who are at-risk of certain health
conditions.
b. Group of people sharing the same geographic
environment.
c. Collection of people who are beneficiaries of health
services.
d. Collection of individuals who share common
characteristics.
4. An example of an aggregate or population that Ms.
Casey should consider in program planning would
consist of ______.
a. Patients confined in a district hospital
b. Christians in the community
c. Young children and adolescents attending school
d. People playing games three times a week in a senior
citizen club
5. Which Nursing activity is unique to
community/public health nurses like Ms. Casey?
a. Care for sick and dying
b. Promote livelihood projects assist poor families
d. Hearing loss has a direct impact on communication
center physician
d. Focus on vulnerable groups in the community
Situation
You are making a home visit to Mr. and Mrs. Baker who
are both in their seventies. Communicating with older
persons requires effective and therapeutic techniques.
6. You noted that Mrs. Baker frequently shifts the
conversation to reminisce. Which of the following
communication techniques would be most effective
with Mrs. Baker?
a. Asking exploring questions
b. Changing the subject
c. Giving information
d. Restarting
7. The assessment of the older adult should focus on
a. Functional level
b. Social Functioning
c. Relationship needs
d. Chronological age
8. When communicating with the cognitively elderly
clients, it is important to understand the use of touch.
Which of the following is true in relation to using of
touch? Which of the following is true in relation of using
touch with the elderly?
a. It is calming.
b. The use of touch must be determined on an
individual basis.
c. It increases their agitation and confusion
d. The face should be touched to establish rapport.
9. Mr. and Mrs. Baker are an elderly couple that you are
interviewing at home. Mr. Baker asks to speak you
alone. He tells you that Mrs. Baker has become
forgetful lately and yesterday he received an overdue
water bill. He asks, “Should I take over this
responsibility?” What would you say to Mr. Baker?
a. “Old people get forgetful at times”
b. “Could you tell Mrs. Baker that you will help with the
bill paying?”
c. “Tell Mrs. Joson that you will assume the
responsibility now.”
d. “You don’t know what to suggest. This is a family
matter.”
10. It is critical to assess hearing loss in the elderly
because:
a. Only adults can only hear at 90 words per minute
b. There is an initial inability to hear low frequency
consonants
c. Deafness causes hair loss
16. The MOST accurate and reliable technique for
Situation
Nurse Giselle makes home visits to assigned barangays
and meets families of different types.
11. One such family is a married couple who has two
biologic children living with them as well as a child from
the wife’s first marriage. What type of family is evident?
a. Homogenous
b. Extended
c. Blended
d. Nuclear
12.Nurse Giselle encounters a married couple who is
raising three children. Recently, the wife’s mother
moved in. This family should be assessed as ___.
a. Nuclear
b. Extended
c. Alternative
d. Blended
13. When Nurse Giselle assesses a family, which family
task would she consider having HIGHEST PRIORITY for
health family functioning?
a. Reproduction of new family members
b. Physiologic maintenance and safety
c. Allocation of family resources
d. Maintenance of order and authority
14. Which documentation of family assessment
indicates a healthy and functional family?
a. Member provide loving and mutual support
b. Under stress, members turn inward so as not to be
burden others.
c. Members believe they can depend in each other.
d. Husband holds dominant power over his wife
15. Which of the following scenario BEST demonstrates
a continuing healthy family?
a. A couple renews their marital relationship after their
children become adults
b. A couple requires their adolescent children to attend
church services three times a week
c. One parent takes care of children. The other parent
earns income and maintains the home
d. A family has strict boundaries that require members
to address problems within the family.
Situation
Nurse Che is a part of health team of a Rural Health Unit
that implements the Philippine Package of Essential
NCD Intervention (PHILPEN). He is particularly assigned
to conduct “hypertension screening” among 15 years
old and above during home visits.
indirect BP measurement is the _______.
a. auscultatory using a mercury manometer.
b. palpation using mercury manometer
c. auscultatory using an aneroid BP apparatus
d. palpation using an aneroid BP apparatus
17. Nurse Che remembers that blood pressure taken in
the upper arm versus the forearm varies. Thus, there is
a need to document which site is used. Which of the
following values is the correct variation in mmHg?
a. 10-15
b. 5-10
c. 14-20
d. 1-4
18. Nurse Che needs to expose the patient’s arm and
position it with palm upward and the arm slightly flexed
with the whole arm supported at which level?
a. Above heart
b. Below heart
c.Heart level
d.Any level
19. Nurse Che took the blood pressure of a 45 year old
family member and got the reading as 146/92 mmHg.
This reading is classified as:
a. Hypertension, stage 1
b. Hypertension, stage
c. Hypertension, stage 2
d. Prehypertension
20. In defining and classifying hypertension, blood
pressure readings must be based on measurements
done during ________.
a. at least two visits taken one week apart
b. three consecutive daily visits
c. two readings taken two weeks apart
d. two consecutive monthly visits
Situation
Public health nurses like Ms. Jam should be
knowledgeable on the importance of immunity in the
prevention of communicable diseases by building the
capacity of the body to restrict harmful microorganisms
or viruses from entering it.
21. Nurse Jam knows that the type of immunity which is
longest acting is____________
a. Natural immunity
b. Passive immunity
c. Artificial immunity
d. Active immunity
22. She learned that the MOST important function of
inflammation and immunity is___________
a. Preventing any entry of foreign material
b. Providing protection against invading organisms
c. Regulating the process of self- tolerance
d. Destroying bacteria before damage occurs
23. Nurse Jam administers hepatitis B immunoglobin
serum to Helen, which will provide her with passive
immunity. One advantage of passive immunity is that
it______
a. Encourages the body to produce antibodies
b. Has effects that last a long time
c. Is highly effective in the treatment of disease
d. Offers immediate protection
24. Nurse Jam explains to a mother whose ten year
child just received a tetanus- toxoid injection that the
toxoid vaccine confers which of the following
immunity?
a. Long lasting active immunity
b. Lifelong natural immunity
c. Intermediate artificial immunity
d. Short-acting passive immunity
25. Nurse Jam knows that one of the following is NOT a
vaccine preventable disease, hence no immunity can be
given to a child.
a. Measle
b. Polio
c. Hepatitis B
d. Asthma
Situation
A strong typhoon hits a rural community in the Visayas
where 300 families are left without food and shelter.
26. Which reaction demonstrates the community’s
readiness?
a. Community leaders activate the community disaster
plan.
b. Community leaders contact the National Disaster and
Relief Center about the disaster.
c. Residents run to DSWD local office to ask for
donation of food and water
d. Typhoon victims are relocated to church patios,
school gyms and municipal playground.
27. Nurse Charlie is working in a temporary shelter of
victims immediately following a natural disaster. Which
condition is the nurse most likely to encounter?
a. Hallucination
b. Stress
c. Communicable disease
d. Chronic illness
28. Which task would a nurse be most likely to perform
while volunteering on a disaster medical assistant
team?
a. Assist in triaging disaster victims.
b. Conduct a needs disaster assessment of the
community
c. Set up immunization clinics to administer anti tetanus
vaccine
d. Provide medical care for disaster victims
29. Which population has a GREATER risk for disruption
after disaster?
1) Single-parent families
2) Children
3) Middle income families
4) Substance abusers
5) Health care workers
a. 1, 2, and 4
b. 2, 3, and 4
c. 1, 3, and 5
d. 2, 4 and 5
30. After the devastating typhoon hits the community, a
grassroots organization is formed to improve conditions
post recovery. Nurse Charlie joins the organization and
volunteers to contact and meet with public officials and
key informal leaders about the community’s concerns.
What role does Nurse Charlie demonstrate?
a. Educator
b. Advocate
c. Citizen
d. Political ally
Situation
Promoting metal is equally important in promoting
physical health. Unfortunately, metal health has been
largely neglected.
31. Public Health Nurse Sarah is concerned about the
impact of metal health on the community. She is
preparing for a presentation about mental health in the
Philippines. Which of the following information should
be included?
a. Mental illness is an increasing problem among the
upper class.
b. The incidence of depression is expected to decrease
within the next 10 months.
c. Almost one per 100 household has a member with
mental disability.
d. Post traumatic stress disorder is the most common of
anxiety disorders.
32. The PRIMARY reason that mental illness often
results in worsening of physical health problems is
because of the _______.
a. Loss of cognitive function d. Carbon dioxide
b. Feelings of inadequacy
c. Inability or lack of motivation for effective self-care 37. Along with the natural greenhouse gases, there are
d. Side effects of mental health modification some man-made ones that keep on increasing in the
atmosphere that contribute to the heating up of the
33. Nurse Sarah shared the statistics that intentional Earth’s surface. These HARMFUL human activities
self-harm was found to be the 9th leading cause of include the following:
death among 20-24 years old Filipino adults. Increasing 1) use of liquefied petroleum gases
number of mental health problems may be related to 2) burning of fossil fuels
_______. (Select all that apply) 3) use of aerosols and plastics
1. Poverty 4) cutting down trees
2. Age of the parents 5) burning waste materials
3. Family unemployment 6) use of recycled paper
4. Changes in family structure a. 1, 2, 5, and 6
5. Lost of community social support b. 2, 4, 5 and 6
a. 1, 2, and 5 c. 2, 3, 4, and 5
b. 1, 3, 4, and 5 d. 1, 3, 4, and 6
c. 1, 2, 3 and 4
d. 1, 2 and 3 38. You are aware of the consequences of the Earth’s
climate getting warm on the weather which eventually
34. Nurse Sarah noted that there were number of poor affect people. Which of the following is NOT included?
older women, living alone, who are suffering from a. storms and floods
depression. Her FIRST goal is to ______. b. cool summer
a. Improved quality of life c. droughts
b. Provide recreation and entertainment d. more rains and winters
c. Reduce suicide risk
d. Improve level of function 39. You are concerned about the effects of global
warming on the health of people. In your advocacy,
35. In promoting mental health, Nurse Sarah is which of the following statements should NOT be
cognizant of her nursing responsibilities. These include included?
the following, EXCEPT: a. Increased aeroallergens result in increase in
a. Teach parents the importance of community of cardiovascular disease.
providing emotional support to their children. b. There is an increase in mental health problems due to
b. Increase general knowledge of the community on harmful and unexpected consequences.
knowledge on mental hygiene. c. Increased exposure to ultraviolet rays results in
c. Help the community address factors that promote increases in skin cancers.
mental well-being. d. Changing patterns result in increases in vector, food
d. Refer at once cases of bizarre behaviors to a and waterborne disease
psychiatrist.
40. The following messages can be included in your
Situation advocacy helping reduce the generation of greenhouse
The World Health Organization (WHO) stated that gases and slow down global warming, EXCEPT:
“climate change is the biggest threat to public health a. Recycle used materials
this century.” Climate change is happening, and b. Plant more trees
scientists believe that global warming results from c. Use electricity for cooking
human activity. d. Walk or use bicycle
36. As a public health nurse and as a citizen, you are 41. The public health nurse is aware of the importance
concerned about the Earth’s warming up fast from the of the need to perform roles in preparing for a disaster.
production of greenhouse gases which are involved in The BEST example of one of these roles would be to:
the greenhouse effect. The most common greenhouses a. Assist in the prevention of injury
gases are the following, EXCEPT: b. Identify disaster risks
a. Oxygen c. Coordinate emergency care
b. Methane d. Inspect cluster of houses
c. Water Vapor
42. The residents and local leaders in Municipality X is
mapping out potential disaster locations in the
community. This period of planning and preparation is
described as:
a. Recovery stage
b. Pre- disaster stage
c. Impact stage
d. Non- disaster stage
43. The nurse provides counselling for victims of flood.
This is an example of _____.
a. Primary Prevention
b. Secondary Prevention
c. Mental health care
d. Tertiary Prevention
44. Should a terrorist attack occur, nurses need to be
ready, not only in providing quality care for the victim
but ensuring their own safety as well. During a mass
disaster drill stimulating a terrorist attack, the nurse
must triage numerous severely ill persons. The client
who should receive PRIORITY care is:
a. Cyanotic and not breathing
b. Apneic and has an apical rate of 50
c. Having seizures and urine incontinence
d. Gasping for breathing and are conscious
45. The nurse is considering how best to educate the
community about the potential threats to health from
terrorism. What are the BEST ways to accomplish this?
1. Hold public forum to educate the community
about coping with psychology effects.
2. Raise community awareness about
increased immigrants to the population
3. Teach the community about sealing windows
and doors in the event of a chemical attack.
4. Raise community awareness about the signs
and symptoms of potential biologic agents.
a. 2 and 4
b. 1 and 3
c. 2 and 3
d. 1 and 4
Situation
According to the World Health Organization (WHO),
there are major causes of non- communicable disease
that pose challenges to the live and health of millions of
people and threaten economic and social development
of countries.
46. Which of the following are the four chronic disease
referred to by WHO?
1. Cardiovascular Disease
2. Cancer
3. Dementia
4. Arthritis
5. Diabetes Mellitus
6. Chronic Obstructive Lung Disease
a. 1,2,3 and 4
b. 1,2,5 and 6
c. 2,3,4 and 5
d. 2,4,5 and 6
47. The WHO reveals that the NUMBER ONE cause of
death from chronic diseases worldwide, using the 2015
estimate, is _______.
a. Tuberculosis
b. Diabetes Mellitus
c. Ischemic Heart Disease
d. Pneumonia
48. In the Philippines, which is the TOP Killer according
to the Department of Health (2009 data)?
a. Asthma
b. Cancer
c. Tuberculosis
d. Cardiovascular Diseases
49. When studying chronic diseases, the multifactorial
etiology of illness is considered. What does this imply?
a. Single organism that causes the disease, such as
cholera, must be studied in more detail.
b. Focus should be on the factors or combinations and
levels of factors contributing to disease.
c. The rise in infectious and communicable disease must
be the main focus.
d. Genetics and molecular structure of disease is
paramount.
50. Determinants of health to address the development
of cancer in a community include:
1. Proximity of the community to chemical plants that
emit poisonous gases.
2. High percentage of tobacco use among the residents.
3. Prevailing diet high in processed food and fat.
4. Availability of the health facilities.
5. Men age of women population.
a. 3,4 and 5
b. 1,2 and 3
c. 1,3 and 4
d. 2,4 and 5
Situation
Interdisciplinary teamwork is an important model for
delivering health care to patients. Integrating services
among many health providers leads to better outcomes
delivered to underserved populations and communities
with limited access to health care.
51. Professional group productivity and member
satisfaction are best achieved by which of the following
leadership styles?
a. Democratic
b. Authoritarian
c. Laissez-faire
d. Autocratic
52. As a member of a professional work-related group
you know that:
a. Functional goals are assigned by management
b. The leader is responsible for overall functioning
c. The members summarize progress and allocate
assignments
d. The cooperation of all members is required.
53. The nurse is making a referral for the client. What
should be the first consideration for the nurse to do?
a. Acceptability of the referral to the client
b. Cost of the referral service
c. Barriers to making a referral
d. Client’s eligibility for the service
54. Group with a laissez faire leader are likely to be ___
a. More structured in format
b. Less productive
c. More productive
d. More satisfying to members
55. You have volunteered to be part of a work group
whose purpose is to look at ways to prevent medication
error. You know that:
a. Teamwork enhances the probability of goal
achievement
b. Group process is not important in a task
c. The leader assumes responsibility for the overall
group functioning
d. The goal should be set by management
Situation
Nurse Gabriella has just passed the Nursing Licensure
Examination (NLE). She directly needs to refresh herself
regarding the law that governs the practice of nursing
the Philippines.
56. By virtue of Section 16 of the Philippine Nursing
Law, the first step Nurse Gabriella needs to do after
passing the NLE is to:
a. Apply for the Certificate of Registration/Professional
License.
b. Get an official copy of her board rating from the PRC
office
c. Apply for a Professional Identification Card.
d. Take oath of profession before the Philippine
Regulatory Board of Nursing
57. Which government body has the power to revoke or
suspend Nurse Gabriella’s certificate of
registration/professional license, should she commit
unprofessional and unethical conduct in the future?
a. Philippine Nurses Association
b. Professional Regulation Commission
c. Commission on Higher Education
d. Professional Regulatory Board of Nursing
58. What Republic Act provides for a more responsive
nursing profession?
a. RA 9173
b. RA 7164
c. RA 9371
d. RA 7614
59. Nurse Gabriella intends to work as a Public Health
Nurse. Which part of the Nursing Law should Nurse
Gabriella refer to for her safe practice as a novice
nurse?
a. Nursing Research
b. Nursing Personnel System
c. Scope of Nursing Practice
d. Nursing Education
60. When Nurse Gabriella eventually gets employed in
the Rural Health Unit, foremost, she is required to
utilize which of the following in rendering care to her
clients in the community?
a. Nursing Process
b. Therapeutic use of self
c. Health teachings
d. Traditional and innovative approaches
Situation
Public Health Nurse Mandy Reyes asks the new nurses
about their membership to the accredited professional
nursing organization and their plans for personal and
professional growth.
61. Which of the following statement is true about
membership to the Philippine Nurses Association
(PNA)? It is
a. Voluntary and is encourage by the PRC code of ethics
b. Compulsory for new nurses wanting to practice
nursing in the Philippines
c. Mandatory as stipulated in the Philippine Nursing Act
if 2002
d. Required for those employed in government health
facilities
62. Why would a nurse choose to be an active member
of several professional associations? PRIMARILY to:
a. Participate in the discussion and political action
activities concerning the profession
b. Able to spend time with friends and colleagues
c. Part of the organization’s annual
convention/conference.
d. Be able to have professional development
opportunities
63. Which of the following is the MOST important step
to developing cultural competence for the nurse?
a. understand and recognize her own cultural
background
b. understand the culture of her client
c. identify the goals of cultural-congruent goals
d. gain proficiency in another language and dialect
64. Quality of client care is ensured not only by
continuing education. Professional responsibility along
this line requires, FOREMOST:
a. knowing the standards of practice
b. understand the socioeconomic background of
patients
c. getting a master’s degree in nursing
d. a nurse-centered care
65. Quality of client care is ensured not only by
continuing education. Professional responsibility along
this line requires, FOREMOST:
A. Obtaining an advance academic degree in nursing
B. Attending as many as nursing conference's
C. Conforming to institution’s policies and guidelines
D. Monitoring one’s own practice according to standard
set by the profession
Situation
As a nurse, knowledge of the legal aspects in nursing is
essential to safeguard self and clients from legal
complications. Clients are becoming increasingly aware
of their health rights, thus you should recognize your
professional boundaries and consequences of
nonconformity.
66. Your co-worker got a thank you card from a
patient’s family with an accompanying photo of her
with the family. She asked you if it would be alright to
post the post on facebook. Which would be your BEST
response?
a. “ I think that would be okay, but you should ask
permission from our head.”
b. “ Yes, as long as you ask the family if that would be
okay.”
c. “No, that could lead to a malpratice suit by the
patient or family.”
d. “No, posting pictures of patients and families on
social media is not acceptable.”
67. Identify which action is acceptable as an exception
to a nurse’s obligation regarding confidentiality.
a. Leaving printouts of lab reports on the desk in the
physicians’ lounge
b. Discussing a patient’s care with someone who is not
involved in patient care
c. Discussing a patient’s condition in a public place as
long as his name is not mentioned
d. Reporting certain disease to public health authority
68. The central question in any charge of malpractice is
whether the prevailing standard of care was met. Which
of the following statements are TRUE about standards
of nursing care?
1. Basic prudent nursing care is a standard.
2. Any health care provider can determine standards of
care.
3. Standards of care are never changing.
4. Standards are based on the ethical principle of non-
maleficence.
5. National standards of nursing practice are standards
for all nurses.
a. 1,3,4
b. 2,3,5
c. 1,4,5
d. 2,4,5
69. Select the nursing responsibility which can NEVER
be delegated.
a. Rotation schedule
b. Evaluation
c. Accountability
d. Complex Procedure
70. For safe nursing practice, you should observe some
of the do’s and do not’s in performing your professional
duty. Which ones are NOT acceptable standard of
actions by the nurse?
1. Keeping current year license to practice
2. Being a witness to a patient’s will
3. Following policies and procedures
4. Protecting patients from injuring themselves
5. Accepting money or gift from patients
6. Giving practical advice contrary to the doctor’s orders
a. 1,4, 6
b. 1,3,4
c. 2,4,5
d. 5,6
Situation
The Code of Ethics of Registered Nurses in the
Philippines was promulgated by the Professional
Regulatory Board of Nursing (PRBON) in consultation
with national nursing organizations.
71. The Code’s Preamble recognizes that the PRIMARY
responsibility of the nurse is to _______.
a. treat and cure simple disease
b. preserve health at all cost
c. support client in health matters
d. achieve quality of life for clients
72. Article II of the Code outline the ethical principles
governing the Registered Nurses and the People. In
relation to this, the following are guidelines the nurse
must observe, EXCEPT:
a. In the event of conflicts, culture and values take
precedence over welfare and safety.
b. Respect the spiritual beliefs and practices regarding
diet and treatment.
c. consider the individuality and totality of patients
when giving care
d. Uphold the dignity and rights of individuals.
73. As a citizen and a member of society, the nurse
must:
1) Be involved in community concerns and projects
2) Be equipped with knowledge of community health
resources.
3) Lead their lives in conformity with the principles of
right conduct.
4) Project an image that will uplift the nursing
profession at all times.
5) Be on guard that her/his words and actions are
always agreeable with others
A. 2, 3, and 5 only
B. 2, 3, 4, and 5
C. 1, 2, 3 only
D. 1, 2, 3, and 4
74. As a professional, the nurse must always conduct
herself appropriately. Which of the following behaviors
does NOT correspond to this statement
a. Avoid any abuse of the privilege relationship which
exists with patients.
b. Accept gift or hospitality from any person in
exchange for a requested favor.
c. Not demand and receive any commission, fee or
emolument for referrals made.
d. Not allowing themselves to be used in advertisement
that would demean the image of profession.
75. In the said Code of Ethics for Nurses, the nurse in
relation to her profession, is expected to do the
following, EXCEPT:
a. Participate actively in the growth and development of
the nursing profession
b. Strictly adhere to the nursing standard set by the
Professional Regulatory Board of Nursing
c. Strive to secure equitable socio-economic and work
conditions for nurses.
d. Be a member of the accredited professional
organization which is the International Council of
Nurses.
Situation
Nurse Eli knows that ethics is important in community
health nursing practice and that ethical decisions are
conducted in a universal and standard framework.
76. One step in ethical decision- making is to place an
ethical issue or dilemma within a meaningful context.
The rationale for this step is:
a. The nature of ethical issues and dilemmas determines
the specific ethical approach used.
b. People cannot make sound ethical decision if they
cannot identify ethical issues and dilemmas
c. Multiple factors affect the interpretation and
justification of the ethical issues and dilemmas
d. Health professionals cannot avoid choice and action
in applying ethics in their work setting.
77. The historical character in nursing whose work in
environmental health, providing care to destitute
people, and disease prevention establishing the nurse
as a leader and community-oriented was _______.
a. Lilian Wald
b. Virginia Henderson
c. Margaret Sanger
d. Florence Nightingale
78. Ethical decision making is the component of ethics
that focuses on ____.
a. The result of the decision
b. The process of how decision are made
c. The factors impinging on making the decision
d. Who makes the decision
79. The ethical principle that empowers the client
(groups or communities) to make knowledgeable
decision is _.
a. Act in accordance to client’s wishes
b. Act in client’s best interest
c. Offer franks and independent advice
d. Keep the client properly informed
80. When Nurse Eli cannot meet a need of the client, it
is most appropriate for her to
a. Refer the client to an agency that may be able to give
assistance
b. Suggest that the client discuss the need with the
physician.
c. Encourage the client to pay someone to meet that d. Blood transfusion a. Overhung latrine a. Serve as essential sources of information for
need. b. Bored-hole latrine identifying gaps
d. Inform the client that insurance will not pay for the Situation c. Antipolo latrine b. Directly address the health problems presented
care. Public health nurses serve a unique and vital role d. Open pit privy c. Present the likelihood of continuing client-provider-
environmental health. They conduct specific nursing agency relationships
Situation actions that may promote health reducing Situation d. Provide data about health-seeking behaviors
It is important that every nurse knows about PhilHealth environmental risks to health of the community. In public health, quality improvement (QI) techniques
is one of the pillars in attaining the universal health are used to improve performance and service delivery. Situation
coverage. 86. Nurse Maribel proposes fluoridation of municipal As a new nurse assigned in a municipality, you want to
drinking water of the community. In doing so, she is 91. PDCA is the basic structure for most quality be a good player in health care team that you belong to.
81. Which of the following statements is NOT true advancing the concept of ___________. improvement (QI) process. In public health, PDCA is
You plan to initiate a community health project that will
about PHILHEALTH? a. active health promotion focused on activities that are responsive to community require interdisciplinary collaboration.
a. It provides health care, with the arrangement b. wellness education needs and improving population health. PDCA stands
“consult now, pay later scheme.” c. passive health promotion for: 96. The attributes of collaborative teamwork are the
b. It is a means for those who can afford medical care to d. illness prevention a. Perform-Document-Correct-Act following EXCEPT:
subsidize those who cannot. b. Perform-Do-Check-Analyze A. professional turfing
c. It is a health insurance program for all Filipinos. 87. Environmental factors that NEGATIVELY influence c. Plan-Document-Check-Analyze B. unity of purpose
d. Beneficiaries have access to a comprehensive health include: d. Plan-Do-Check-Act C. joint responsibility
package of services. 1) Green space in the community D. shared decision-making
2) Urban stretch and unplanned zoning 92. There are several approaches and tools in (QI). One
82. Under PhilHealth, beneficiaries have access to a 3) Disparities in socioeconomic status of these is the Fishbone diagram, developed by K. 97. In any community project, the activities of health
comprehensive package of services. Outpatient 4) Gang violence and delinquency Ishikawa. Which BEST describes the Fishbone diagram? team members are needed for success. Defining the
treatment is given for which of the following diseases? 5) Organized recreation programs It is ____. relationship and responsibilities and tasks of each
a. Heart disease a. 3, 4 and 5 a. A cause-and-effect diagram member are important. Which stage of collaboration
b. Tuberculosis b. 1, 2 and 3 b. A wholistic approach in problem identification does this statement refer to?
c. Cancer c. 1, 4 and 5 c. Used in interview sessions d. Useful in focusing on A. Commitment
d. Diabetes d. 2, 3 and 4 problem symptoms B. Consensus
C. Trust building
83. Which of the following INPATIENT care are included 88. Nurse Maribel is concerned about the rise of 93. As a QI tool, the Gantt chart is useful for planning D. Collegiality
in PhilHealth? mosquito-borne diseases in a rural community. and scheduling projects. Which of the following
1) Room and board Effective PRIMARY prevention for community statements is INCORRECT about the GANTT chart? It 98. Health teams have an obligation to work together to
2) Medicines, drugs intervention measures would include: ______. improve patient care. Which of the following messages
3) Laboratory and diagnostics 1) Monitoring the incidence of disease caused by a. Provides a graphical illustration of resources does NOT support this statement?
4) Professional fees mosquitos b. Plans the order in which you’ll complete tasks A. Use unique and complementary abilities of team
a. 4 and 5 2) Promoting ordinance that control insect breeding c. Tracks specific tasks in a project. members to optimize patient care
b. 1, 2, 3, and 4 sites d. Helps assess how long a project should take B. Forge independent relationship from other
c. 1, 3, and 5 3) Instituting education program about insect control professions to advance learning
d. 1, 3, and 4 4) Promoting accessibility of diagnostic and treatment 94. The steps in conducting quality improvement consist C. Recognize one’s limitations in knowledge and skills.
services of the following: D. Communicate with team members to clarify each
84. The case rate amount depends on the final a. 2 and 3 1. Identify and select strategies member’s tasks.
diagnosis, each diagnosis having corresponding fixed b. 1 and 4 2. Evaluate QI outcomes
amount or package. The case rate amount means that c. 2 and 3 3. Implement solution in small scale 99. A member of health team proposes another
a. Patient/Family shall pay the total bill and shall be d. 3 and 4 4. State the problem community project. What is the MOST appropriate
reimbursed later by the HCI. 5. Expand scope of QI throughout the organization thing to do when you disagree with the proposal?
b. The amount that can be paid by the patient on 89. The amount of garbage collected in a middle-class A. Question the proposal indirectly by telling your
installment basis community is huge and excessive. The best approach Which is the correct sequence in the QI process? opinions to others
c. Amount shall be deducted by the Health Care the nurse can take to aid in helping decrease the a. 1, 2, 3, 5, 2 B. Blame the proponent and tell him he is
Insurance (HCI) from the member’s total bill. amount of garbage generated is ____________. b. 2, 1, 5, 3, 4 unprofessional
d. Prior to discharge, amount shall be paid in full except A. promoting recycling efforts in the community c. 4, 2, 1, 3, 5 C. Be frank while remaining flexible and open-minded.
doctors’ fees. B. encouraging use of fewer polluting products d. 1, 4, 5, 3, 2 D. Be absent in the next scheduled meeting of the
C. discouraging overuse of materials that generate trash health team.
85. Which of the following outpatient benefits is NOT D. educating about overbuying household products 95. Client satisfaction survey is an important and
included commonly used indicator for measuring the quality in 100. In a conflict situation, health team members have
a. Contract operations 90. A family lives near a creek and the toilet is health in health care. In the context of public health, mutually reached an acceptable resolution to the issue
b. Cosmetic surgery separated from their own house. Their excreta fall which is NOT a purpose of satisfaction surveys? To that partially satisfies parties concerned. This approach
c. Animal bite treatment freely to the creek. What type of toilet is this? ______. is referred to as ____________
 RECALLS 6 – NP2
A. competing 5. What is the drug that will lessen CSF production that
B. avoiding Nurse Ben will anticipate the doctor to order?
C. compromising Situation a. Spironolactone
D. accommodating Baby Boy Max, 6 months old, was diagnosed as having b. Lasix
communicating hydrocephalus. Nurse Ben is planning c. Mannitol
nursing care for this baby who is a candidate for d. Diamox
ventriculo- peritoneal shunting.
Situation
1. When helping the parents understand the baby’s Ethics is a field of moral science which deals with the
problem, which of the following should be Nurse Ben’s morality of human acts. Registered nurses must be
ACCURATE explanation? aware that their actions have professional and ethical
a. “The CSF is prevented from adequate absorption by a dimensions. They should strive to perform their work to
blockage in the ventricles of the brain.” the best interest of all concerned.
b. “Too much Cerebro Spinal Fluid (CSF) is produced
6. Which of the following is NOT aligned to ethics in
within the ventricles of the brains.”
nursing? A Nurse ______.
c. “The flow of CSF through the brain cells does not
a. Has the freedom to do what he likes sans
empty effectively into the spinal cord.”
responsibility
d. “There is a part of the brain surface that usually
b. Is obliged to avoid what is wrong and do what is good
absorbs CSF after its production that is not functioning
c. Is a person capable of knowing what is right or wrong
adequately.
d. Should have a sense of accountability for his actions
2. Nurse Ben understands that hydrocephalus, if left
7. A professional nurse has a duty to know and respect
untreated, can cause mental retardation because of
the Patient’s Bill of Rights. Which of the following is
which of the following rationales?
NOT included in the Patient’s Bill of Rights. The right
a. Hypertonic CSF disturbs normal plasma
to/for ______.
concentration, depriving nerve cells of vital nutrients.
a. A considered and respectful care.
b. Gradually increasing size of the ventricles presses the
b. Privacy and confidentiality
brain against the bony cranium; anoxia and decreased
c. A complete and current information about his illness
blood supply result.
d. Expect continuity of care from discharge to full
c. Increasing head size necessitates more oxygen and
recovery
nutrients than normal blood flow can supply.
d. CSF dilutes blood supply, causing cells to atrophy. 8. What bio-ethical principle is violated by a nurse if he
provides his patient fraudulent information about his
3. What is the IMPORTANT nursing care of an infant
diagnosis and prognosis?
with increased intracranial pressure?
a. Justice
a. Check the infant’s reflexes at regular intervals.
b. Autonomy
b. Monitor the infant’s level of consciousness by
c. Beneficence
stimulating frequently.
d. Veracity
c. Weight the infant daily before feeding.
d. Elevate the infant’s head higher than the hips. 9. Which of the following directly VIOLATES the
Patient’s Bill of Rights?
4. Baby Boy Max just had a ventriculoperitoneal shunt.
a. Informing patients about the billing policies of the
His parents were worried about the prognosis. What
hospital
information should Nurse Ben give to the parents to
b. Disclosing the HIV result to remembers of the
allay their worry?
patient’s family.
a. The shunt may need to be revised as the child grows
c. Honestly telling the patient about his current
older.
condition
b. If any brain damage has occurred, it is reversible
d. Immediately referring results of laboratory to the
during the first year of life.
physician.
c. Hydrocephalus usually is self- limiting by 2 years of
age and then the shunt is removed. 10. Autonomy is the prerogative of the patient to give
d. The prognosis is excellent and the valve is consent or refusal of treatment with the EXCEPTION of
permanent. which of the following situations?
a. Erroneous belief of a head of a church
b. Negative effect of superstition
c. Near death
d. Peer pressure
Situation
Breastfeeding is one of the major responsibilities of
OPD Nurse Mia. Along this line, she gathers pregnant
women to provide them health education about the
topic.
11. Nurse Mia explains that exclusive breastfeeding is
giving the baby_______.
a. Breast milk and introducing solids at one month
b. Breast milk with drops of syrup
c. Breast milk alternating with sips of boiled water
d. Only breast milk for 6 months
12. She further explains that the specific objectives of
exclusive and extended breastfeeding from 2005 to
2010 are the following EXCEPT_________.
a. 50% of infants are exclusively breastfeeding up to 6
months
b. 90% of infants are started on complementary feeding
by 6 months of age.
c. 70% of newborns are initiated to breastfeeding within
an hour after birth.
d. Twelve (12) months is the median duration of
breastfeeding.
13. A mother questioned Nurse Mia in the event that
she does not produce milk, what should she do? The
BEST answer of Nurse Mia would be___________.
a. “If it is difficult on your part, then you can use local
herbs said to help the production of the breast milk.”
b. “That’s a big problem ma’am, but you can still try
again.”
c. “Just continue breastfeeding. This will stimulate the
hypothalamus in the production of breast milk.”
d. I empathize with you. I too, do not have breast milk.”
14. Chelsea, one of the pregnant women, asked Nurse
Mia to teach her the proper positioning of the baby
while breastfeeding. Among Nurse Mia’s answers,
which one is NOT CORRECT?
a. The baby can lie down perpendicularly with the
mother to promote better bonding.
b. The baby’s face should be towards the mother’s
breast to have an eye to eye contact.
c. The baby’s head and body should be aligned to
promote better swallowing.
d. The baby’s tummy should be close to the mother’s
tummy for better support.
15. To convince the pregnant mothers to breastfeed
their newborns upon delivery, the BEST thing that Nurse
Mia must do is to ______________
a. Explain the hospital policy on “No breastfeeding; No
admission”
b. Relate her own experience on breastfeeding
c. Prepare the mothers physically, emotionally and
psychologically
d. Ask other mothers to convince them to breastfeed
Situation
Jam, a mother of a 6-year-old boy Mercs has arrived at
school to take her child home because the school Nurse
Miguel has verified that he has an inflamed throat.
Nurse Miguel urges his mother to seek treatment
because if the causative agent is beta-hemolytic
streptococcus, he may develop a disorder characterized
by inflamed joints, fever, and the possibility of
endocarditis.
16. Which of the following would be the possible
disorder?
a. Tetanus
b. Rheumatic fever
c. Scarlet fever
d. Influenza
17. Jam question whether her other children can catch
the same disease. Which of the following should be the
nurse’s response?
a. Your other children should be taking antibiotics to
prevent them from catching the same disease.
b. It is caused by an autoimmune reaction and is not
contagious.
c. You appear concerned that your daughter’s disease is
contagious.
d. The fact that you brought Alice to the hospital early
enough will decrease the chance for her siblings getting
it.
18. In addition to carditis, which of the following should
the nurse assess the child?
a. Oliguria and edema
b. Malabsorption and diarrhea
c. Arthralgia and low grade fever
d. Bronchitis and pneumonia
19. After throat swab for culture and sensitivity, the
nurse would expect the physician to prescribe an
appropriate antibiotic. Which of the following is the
purpose of this medication? It is to prevent _______.
a. Recurrence
b. Transmission
c. Inhalation
d. Inflammation
20. If left untreated, such condition can progress to
which of the following complication.
a. Kidney failure
b. Left-sided heart failure
c. Right-sided heart failure
d. Angina pectoris
Situation
Nurse Alice assists in the in-service training of nurses in
St. Augustine Hospital. Based from the needs
assessment, the nurses need to be trained on patient’s
safety. The first lecture was on medication
administration. Nurse Alice gave the following problems
for the nurse to solve.
21. An eight-year-old- patient is to receive
Aminophylline 3 mg/kg TID. If the girl weights 25 kg,
how much Aminophylline should she receive daily
a. 125 mg
b. 225 mg
c. 200 mg
d. 100 mg
22. Mrs. Madrigal is to receive Digoxin 0.325 mg p.o.
because of her heart ailment. The stock is 0.250 mg per
tablet. How many TABLETS should the nurse request for
7 days supply for the patient?
a. 9
b. 7
c. 10
d. 8
23. In giving insulin to an OB diabetic patient, the nurse
must use an APPROPRIATE needle size and length,
which among the following will this be?
a. 23 G, 3/8
b. 22 G, 2/8
c. 24 G, 4/8
d. 25 G, 5/8
24. Nurse Alice emphasized that patient safety
is___________.
a. Preventing errors and adverse reactions to patients
associated with health care
b. Being careful in caring for patients at all times
c.Providing treatment and care to patients and
documenting the same
d. Being mindful of the needs of others at all times
25. Nurse Alice has provided instructions that all care
provided by nurses must be documented, as one of
their legal responsibilities. In case errors occur, which is
the correct way of documenting it?
a.Wrong medicine given to wrong patient. Physician
notified. Patient observed
b. Medication inadvertently omitted. Supervisor
notified.
c. Medication given to patient A instead to patient B.
Patient advised.
d. Wrong dose of medicine administered to patient.
Sorry.
Situation
Headnurse John wishes to successfully change the way
her registered nurses, nursing assistants, and other
nursing staff in providing emotional support to the
ward’s patients.
26. In conducting quality improvement, Nurse John
should look into which of the following as her basis,
EXCEPT
a. Patient’s complaint data
b. Patient’s satisfaction survey
c. Incident reports
d. Patient’s chart
27. The FIRST step in the Quality Improvement process
is which of the following?
a. Assess progress.
b. Examine the data.
c. Confirm the existence of the problem by gathering
data.
d. Set goals.
28. The BEST quality improvement intervention that
Nurse John can do is which of the following?
a. Maintain ongoing informal communication with staff.
b. Analyze patients complaint record
c. Interview staff individually and in group
d. Recommend increase in salary of nursing staff.
29. Some of the nursing staff seemed to have a sense of
entitlement according to nursing department
leadership. They behaved as though they had unlimited
job security (because of the strength of the nursing
unions). Which of the following action is the BEST?
a. Develop a documentation-and-tracking process for
the observations
b. Revise job descriptions and performance for all
nursing staff to include the new general care guideline
and highlight emotional support.
c. Continue to work on increasing staff accountability
for service behaviors.
d. Develop new evidence-based general care guidelines
for nurse-patient interactions.
30. Which of the following requires quality
improvement? Select all that apply.
1. Patient’s fall/injury
2. Infection
3. Safety
4. Pressure ulcers
a. 1, 2, & 4
b. 3 only
c. 1 & 4
d. 1, 2, 3, & 4 36. Which of the following should be the PRIMARY to administer, as per doctor’s order? Intravenous b. Genetic abnormalities
consideration by the nurse when charting the Chief infusion of ______? c. Down syndrome
31. When planning a teaching program for a child who Complaint? The ___________. a. Cryoprecipitate d. Fetal lung maturity
has recently been diagnosed with type 1 diabetes, what a. Number of significant accompanying symptoms b. Factor VIII
will be the nurse’s FIRST concern for the Adel and her b. Objective symptom presented c. Factor X 49. Aside from an endocrinologist, to whom should the
parents? To let them ______. c. Subjective symptom presented d. Desmopressin ( DDAVP) nurse also plan to refer the patient to
a. Assess their own feelings about diabetes d. Significant reason for the child’s hospitalization a. General practitioner
b. Learn how to monitor blood glucose level 43. Nurse Chloe is providing home care instructions to b. Neurologist
c. Understand why activities must be limited 37. Using the FDAR (Focus Data Action and Response) the mother of Law. Which of the following c. Surgeon
d. Learn how to administer insulin injections Charting, which of the following presenting data would complications should Nurse Thelma tell the mother, d. Hyperglycemia
be PRIMARY “Focus” should repeated bleeding continues?
32. An evening snack is planned for Joyjoy receiving a. Vomiting in small amount a. Leukemia 50. What is the PRIMARY effect to the newborn of a
NPH (Novolin N) insulin. This will provide _____. b. Watery stools 4x in 30 minutes b. Hemarthrosis diabetic mother?
a. Encouragement for the child to stay on a diet c. Generalized abdominal pain c. Ecchymosis a. Hypoglycemia
b. Calories to help the child gain weight d. Temperature of 38.1 centigrade d. Hematoma b. Anemia
c. Nourishment to counteract late insulin activity c. hyperinsulinism
d. Energy for immediate utilization 38. When getting the data on the subjective symptom 44. A nurse analyzes the laboratory results of Law. The d. hyperglycemia
of the abdominal pain, which of the following should nurse understands that the MOST likely ABNORMAL
33. When teaching about insulin and its potential for the nurse RELY on finding in Law is which of the following? Situation
hypoglycemia, the nurse should include that its PEAK a. Mother’s verbal complaint a. Partial thromboplastin time Nurse Cara was talking about HIV – AIDS to a group of
EFFECT occurs in which number of HOURS? b. Result of the abdominal percussion b. Hemoglobin level teen-agers. Here are some questions which were asked
a. 1 to 2 c. Patient’s verbal complaint c. Hematocrit level by them during the open forum.
b. 5 to 10 d. Result of auscultation of the abdomen d. Platelet count
c. 4 to 12 51. What are some of the general symptoms the
d. 2 to 4 39. The “response” should be based from which of the 45. The nurse is planning a meal that would provide PRIMARY HIV infection? The nurse enumerated the
following categories of the FDAR? IRON for a child with bleeding disorders. Which dinner following. Which among these are CORRECT?
34. When teaching Joyjoy on dietary management, a. Intervention made menu would be the BEST? 1. Fatigue 4. Sore throat
what should the nurse emphasis MOST b. Laboratory Findings a. Chicken nuggets, macaroni, peas, cantaloupe, milk 2. Headache 5. Cough
a. Food in the form of concentrated glucose should be c. Focus b. Fish sticks, French fries, banana, cookies, milk 3. Fever 6. Dyspnea
available all the time. d. Assessment c. Ground beef patty, lima beans, wheat roll, raisins, a. 1, 2, 3, 5, 6
b. Meals should be preferably prepared and eaten at milk b. 1, 2, 4, 5,
home 40. Which of the following can be the LEAST source of d. Peanut butter and jelly sandwich, apple slices, milk c. 1, 2, 3, 4
c. Food should be weighed on a gram scale all the time. data for this case? d. 2, 3, 4, 6
d. Meals should be prepared separately from the rest of a. Vital signs Situation
b. Laboratory Findings Pia was diagnosed with gestational diabetes. She is 34 52. When can AIDS be manifested? The nurse answer
the family.
c. Intake and output years old and is on her 26 weeks Age of Gestation. was. “It can be as early as _______.
35. At 7 AM, the nurse receives the information that d. Immunization record a. 1 year or as late as 2 years
Joyjoy has a 6 AM fasting blood glucose level of 1809 46. Gestational diabetes is said to exist in pregnancy b. 2 years or as late as 10 years
mg/dL. What should be her PIORITY nursing action? Situation because of the diabetogenic effect of what hormone c. 1 year
a. Inform Adel that a complex carbohydrate such as Hemophilia is a rare blood disorder that affects the secreted by the placenta? d. 6 months
cheese should be eaten. body’s clothing factors. This may result to incapacitation a. Human placental lactogen
b. Encourage Adel to start exercising and to continue for complications to children affected with this disorder. A b. Human chorionic gonadotropin 53. Nurse Cara also asked the participants if they got to
5 minutes. c. Estrogen and progesterone know the transmission of HIV based from her lecture?
3-year-old child Law was diagnosed with hemophilia.
c. Tell Adel that the prescribed dose of regular insulin d. Relaxin Which is Not correct?
should be administered. 41. When counselling parents of a child who has a. Accidental blood exposure
d. Ask Adel to obtain again an immediate glucometer recently been diagnosed with hemophilia, what must 47. Which of the following infection will mothers with b. Kissing
reading. Nurse Chloe KNOW about Law’s condition whose father diabetes have FREQUENTLY? c. Unprotected sex
is normal and the mother is the carrier? a. Moniliasis d. Mother to child transmission
Situation a. It is likely that all sons are affected. b. Herpes zoster
Joyce, 3 years old, was admitted to Pediatrics Ward b. There is a 50% probability that sons will have the c. psoriasis 54. On the question as to which of the following are the
because of watery stools four times in 30 minutes disease. d. herpes simplex effects of AIDS on pregnancy, one teenager cited a
accompanied by vomiting, abdominal pain and c. Every daughter is likely to be a carrier. wrong answer which was ____.
temperature of 38.1 degrees centigrade. Nurse Ali was d. There is a 25% chance a daughter will be a carrier. 48. In 36 weeks, amniocentesis was orders by the a. Mild weight loss
the one who was the admitting nurse. doctor for this patient. What is the purpose of this b. Prematurity
42. Law has slipped on the ice and bumped his knee. procedure? To detect/determined ______. c. Repeated abortion
Which among the following should Nurse Chloe prepare a. An increase level of bilirubin d. Infertility
55. HIV transmission from mother to infant occur at 60. What typical assessment findings are observed to a 66. What bio- ethical principle guides the nurses when A
post-natal period during _____. patient who is a victim of sexual abuse taking care and being responsible for patients Negative 1: 8 Negative Negative
a. Bathing a. Recurrent UTI a. Solidarity Negative 11/33 Negative
b. Washing of vagina b. Fracture and bruises b. Fidelity
c. Bottle feeding c. Enuresis c. Totality Baby Boy Lim: Day 2 of Life Laboratory Test
d. Breastfeeding d. Failure to thrive syndrome d. Stewardship Results
Situation Situation 67. Each person has a responsibility to take care of Blood Glucose Total
A 13-year-old- girl named Diana tells the nurse at the Nurse Ella is assigned at the Under Five Clinic. Mostly of his/her body. In case a part is defective, it can be Bilirubin Blood Type HCT
pediatric clinic that she took a pregnancy test and it was her patients are infants, so she took the opportunity to removed for the benefit of the remaining parts. What ____________ ___________
positive. She tells the nurse that her grandfather, with have a mother’s class on the care of infants. bio- ethical principle is this? _________ ____
whom she, her younger siblings, and her mother live, a. Totality 50 10 mg 1
has repeatedly molested her for the past 3 years. When 61. Which of the following will Nurse Ella EMPHASIZE b. Stewardship
regarding the importance of play during infancy? Play Negative 50
the nurse asks the girl if she has told this to anyone, she c. Solidarity
replies: “Yes, my mother.” enhances _______ development. d. Fidelity 71. Using the chart data, which nursing intervention
a. Cognitive was CORRECTLY done by Nurse Jon for Mrs. Mayor?
56. As the nurse’s legal responsibility, which is the b. Emotional 68. As member of the health team, nurses are expected a. Rubella vaccination
APPROPRIATE agency should she notify FIRST? c. Physical to collaborate with other health care professionals for b. Rhogam injection
a. City Health Office to do a vaginal examination to d. Social unity and cooperation. What bio- ethical principle is c. Neonatal 50% glucose infusion
confirm the pregnancy this?
62. Which among the infants would show signs that d. Maternal blood transfusion
b. DSWD for notifying the girl’s mother about the a. Fidelity
pregnancy test positive result. he/she is experiencing maternal deprivation? b. Stewardship 72. Nurse Jon charted an IMPORTANT plan of care for
c. Board members of Child Protective Services for a. Hyperactive c. Solidarity Mrs. Mayor. He indicated in her charting that the
proper intervention b. Overweight d. Totality patient should report immediately signs and symptoms
d. Philippine National Police concerning a possible sex c. prone to illness of a virus-causing- disease which may affect the
crime d. responsive to stimuli 69. When another person or entity intrudes in the cardiovascular system of the fetus during which of the
affairs of the patient to promote justice and welfare, period of pregnancy?
57. If Diana is really a victim of incest and the agency 63. What should Nurse Ella include in the accident what bio- ethical principle does he/she promote
prevention teaching plan for a mother with 4-month-old a. First month
opts that she be admitted in the hospital, where should a. Welfare b. Third month
she be placed infant? b. Stewardship
a. Keep crib rails up to the highest position. c. Second Month
a. With an older friendly child c. Justice d. Fourth Month
b. In a room near the nurse’s station b. Cover electric outlets with safety plugs. d. Paternalism
c. With another 5 year old c. Remove poisonous substances from low areas. 73. Looking at the medication sheet, the charge nurse
d. In a private room d. Remove small objects from the floor. 70. As a means to solve any crisis or scarcity in any noted that Nurse Jon used the CORRECT ROUTE in the
health care systems, providing an equitable distribution administration of the vaccine, which
58. The abusive parent usually manifests one of the 64. When teaching a mother how to prevent accidents of resources is based on what bio- ethical principle?
while caring for her 6-month-old infant, Nurse Ella was_______________
following characteristics EXCEPT________ a. Paternalism
should emphasize that at this age, the infant can a. Rectal
a. History of severe mental illness b. Justice b. Intradermal
b. History of drug abuse already do which of the following developmental c. Fidelity
milestone? c. Subcutaneous
c. Belongs to low-income group d.Stewardship d. Intramuscular
d. Low tolerance for frustration a. Stand while holding on to furniture.
b. Crawl short distances. Situation 74. After administration of the vaccine, health teaching
59. When a patient, who allegedly has been sexually c. Roll over from back to abdomen. Nurse Jon is caring for a mother- infant dyad. The was also charted by the staff nurse. Which of the
abused, the nurse should be aware that legal d. Sit up without assistance. mother has just given birth to a baby boy two days ago. following is the CORRECT one?
proceedings may be necessary. Because of this Today, the charge nurse us doing a chart audit to a. Immediate follow-up check up
possibility, which of the following actions is MOST 65. Nurse Ella assesses the oral cavity of a 6-month-old determine whether the nursing process was properly
child and finds out that the tooth that buds first is the b. Nothing Per Orem
important to be done by the nurse? done from prenatal to postnatal periods. The laboratory c. No pregnancy for 3 months
a. Determining if there are other injuries such as bruises __________. results of the mother and baby boy are shown below.
a. Upper molars d. Avoid exposure to Rubella
and hematomas. Mrs. Mayor: Prenatal Laboratory Results
b. Asking the parents for their approval for diagnostic b. Lower central incisor Type: RH Rubella Titer RPR/VDRL HB 75. Nurse Jon should also include in his charting an
examinations for the child. c.Canines Sag HIV Hgb/Hct PKU additional health education to Mrs. Mayor that is:
c. Assessing the child’s physical, intellectual and d. Lower molars _________ __________ __________ _____ rubella virus can be transmitted via the placenta by the
emotional developmental levels. Situation __ _____ _______ _______ process of ______________.
d. Documenting physical findings and interactions Nurses are guided by bio-ethical principles as they a. Simple diffusion
during admission. practice their chosen profession. b. Pinocytosis
c. Active Transport
d. Facilitated Diffusion
Situation
Patient Stella visits her obstetrician for a positive
pregnancy test. The nurse in the clinic took her history.
Stella reported that she has been pregnant four times
before. She has two children at home, one of whom
was born at 32 weeks gestation. She lost a set of twins
at 14 weeks and another baby at 12 weeks.
76. In taking the Obstetrical score, how will Nurse Belle
record Gravida, Para and (TPAL)
a. G5, P4, T1, P1, A2, L2
b. G5, P2, T1, P1, A2, L2
c. G3, P2, T1, P2, A2, L1
d. G4, P4, T2, P3, A3, L2
77. When questioned, Stella admitted that she
sometimes has several glasses of wine with dinner. Her
alcohol consumption puts her fetus at risk for which
condition
a. Alcohol addiction
b. Anencephaly
c. Learning disability
d. Down syndrome
78. To help determine whether Stella is at risk for a
toxoplasmosis infection, what will the nurse ask the
client?
a. “Have you ever had osteomyelitis?”
b. “Have you recently has a rubeola vaccination?”
c. “Do you have any cats at home?”
d. “Do you have any birds at home?”
79. Stella asks Nurse Belle whether she can take castor
oil for her constipation. How should the nurse respond?
“No”. it can ______.
a. Lead to increased absorption of fat-soluble vitamins
b. Promote sodium retention
c. Produce an adverse effects
d. Initiate premature uterine contractions
80. Stella also admitted to Nurse Belle that she also use
cocaine at least once per day, skipping meals at times.
Which nursing diagnosis is MOST appropriate for her?
a. Activity intolerance related to decreased tissue
oxygenation.
b. Risk for infection related to metabolic and vascular
abnormalities.
c. Impaired gas exchange related to respiratory effects
of substance abuse.
d. Impaired nutrition: less than body requirements
related to limited food intake.
Situation
Myra is now 15 years old. She goes to an exclusive
school but she seldom interacts with her classmates nor
is interested to join school activities. Her mother
brought her to an adolescent specialist and was
diagnosed of malnutrition.
81. Which of the following is NOT a CORRECT statement
about malnutrition? Malnutrition is for ____________.
a. Both the urban and rural areas
b. Both the poor and the rich
c. The underweight as family income increases
d. The overweight as family income increases
82. Advertisement (ads) on television is said to be a
contributory factor for obesity. What could be a GOOD
advice to adolescents like Myra regarding these ads that
can be contributory to malnutrition
a. “Check nutritional contents before buying foods.”
b. “Follow your desire for food and drinks.”
c. “What you see is what you get.”
d. “There is no truth in advertisements.”
83. Myra went to see a nutritionist. She is overweight
for her height. What is the normal weight, in POUNDS,
for Myra who is 5 feet tall?
a. 90
b. 75
c. 85
d. 80
84. How can Myra be helped to reduce her weight? She
can be advised to cut intake of which of the following?
a. Salt, protein and fats
b.Carbohydrates, vitamins and salts
c. Carbohydrates, fats and salts
d. Fats, protein and sweets
85. Which of the following can Myra do to help her with
her obesity problem?
a. Skip one full meal a day.
b. Drink 6 glasses of water every day.
c. Take weight reducing pills.
d. Exercise 30 minutes three times a week.
Situation
To ensure patient safety at all times, personal and
professional growth of nursing is a necessity than a
choice. Nurse Mara is a beginning nurse in one of the
hospitals in the suburb. During the Orientation
Program, the need to enhance her skills, knowledge and
attitude was emphasized.
86. “Commitment to continual learning and active
participant in the development and growth of the
profession are commendable obligation” is contained in
which of the following?
a. Code of Ethics
b. RA 10912
c. RA 7164
d. RA 9173
87. Which law declares that the policy of the State is to
promote and upgrade the practice profession in the
country?
a. RA 7164
b. Ra 0173
c. code of Ethics
d. RA 10912
88. Nursing programs that are based on needs
assessment and needs analysis and should be offered
free is which of the following?
a. Continuing Development Program
b. In-service Training Program
c. Nursing Education Program
d. Post-Graduate Program
89. In three year’s time, Nurse Mara needs to attain
certain number of Continuing Professional
Development units to be able to renew her ______.
a. Philippine Nurses Association membership
b. Professional License
c. Professional Identification Card
d. Professional Registration
90. Nurse Mara was asked by her Headnurse why she
requested permission to enroll in the Graduate Program
for the second semester. Her reply should be, EXCEPT:
a. To have an impressive resume to enable her to be
competitive
b. Connect with people professionally
c. Invest for the future
d. Pursue her interest in Pediatric Nursing in more
depth.
Situation
One of the responsibilities of a nurse in fertility
specialist’s office is to provide health teaching to the
patient in relation to timing of intercourse to achieve
pregnancy.
91. Which instruction to patient addresses the BEST
time to achieve a pregnancy?
a. 14 days before the next period is expected
b. Immediately after menses end
c. Midway between periods
d. 14 days after the beginning of the last period
92. With regards to sexual functioning, the nurse
explained the ovulation occurs on which of the
following conditions
a. Chorionic gonadotropin level is high
b. Luteinizing hormone level is high
c. Oxytocin level is high
d. Progesterone level is high
93. After ovulation has occurred, the nurse teaches
women in the fertility clinic that the ovum is through to
remain viable for many HOURS?
a. 24 to 36
b. 12 to 18
c. 48 to 72
d. 1 to 6
94. When teaching clients to determine the time of
ovulation by taking the basal temperature, the nurse
explains that the change in the basal temperature
during ovulation is shown in which of the following
observations? The temperature_____________.
a. Drops markedly and remains lower
b. Rises markedly and remains high
c. Drops slightly and then rises again
d. Rises suddenly and then falls down
95. In response to a client’s question on the chief
function of progesterone, which of the following would
be the CORRECT answer? It _________________.
a. Stimulates the follicles for ovulation to occur
b.Establishes the secondary male sex characteristics
c. Prepares the uterus to receive a fertilized ovum
d. Develops the female reproductive organs
Situation
Nurse Emma made a study on domestic violence against
women in a certain province in Luzon.
96. Since she wanted to capture the essence and
emotion of the victims she choose to use the qualitative
design. Which among the statements below is CORRECT
about qualitative design?
a. It commences study at present but consummates at
any future time.
b. It allows estimation of relationship between studied
variables.
c. It provides insights into attitudes, beliefs, motives and
behaviors of target population.
d. It tests result through numerical data and subjects
them to statistical analysis.
97. Nurse Emma plans to gather 6 participants who are
victims of domestic violence where she will base her
questionnaires. What technique in qualitative research
is applicable to this plan?
 Situation 2
Nurse Ravi is reviewing concepts and practicing skills on
RECALLS 6 - NP3 intravenous transfusions.
a. Data triangulation Situation 1
6. Nurse Ravi is selecting a vein for an intravenous
b. Focus group discussion Because it is already her board exams in a few days,
transfusion in a 62-year-old patient. He wants to dilate
c. Interview Tamara practices computing medications dosages with
and distend the veins for easier insertion. He does the
d. Case study the following scenarios.
following methods, except:
98. To have a better analysis and interpretation of 1. Nurse Ailah administered 2 tablets of Losartan to a. Tapping the selected vein multiple times
finding, Nurse Emma reviewed and compared them Patient Grande within the past 24 hours. According to b. Placing extremity in a dependent position if there are
with other findings of previous researches on the same the doctor’s orders, Patient Thea is to receive 100mg of no contraindications
topic. This is done MAINLY by doing back to which part valsartan a day. With this information, Tamara knows c. Applying warm washcloth on to the extremity for
of the study? The __________. that the stock dose Nurse Ailah has on hand is: several minutes
a. Statement of the problem a. Losartan 1 mg/tablet d. Stroking the extremity from distal to proximal below
b. Related literature and studies b. Losartan 25 mg/tablet his desired site
c. Conceptual framework of the study c. Losartan 20mg/tablet
7. Which among the following catheters is used for less
d. Theoretical framework of the study d. Losartan 50 mg/tablet
than 24 hours?
99. Nurse Emma finally decided to make an in depth 2. Phenytoin (Dilantin) 200mg PO BID was prescribed to a. Butterfly needle
study of ONLY ONE SUBJECT of domestic violence. What a patient. The medication label reads 0.1 g/capsule. For b. Midline catheter
design will she use? each dose, the nurse prepares how many capsules to c. Plastic indwelling cannula
a. Causality Design give to the patient? d. Angiocath
b. Predictive Correlational Design a. 500
8. How often should Nurse Ravi observe a patient with
c. Descriptive Correlational Design b. 2
intravenous infusions?
d. Descriptive Case Study Design c. 3
a. Every 2 hours
d. 4
100. In as much as the research may have some risks on b. Every 6 hours
the part of the subject who is 21 years old, Nurse Emma 3. Mannitol 0.25g/kg/day was prescribed to a 7-year-old c. Every 8 hours
must assure the subject of her anonymity, patient with meningitis. The patient weighs 28.6 lbs. d. Every 12 hours
confidentiality and respect for her human rights. ONE How much mannitol should the nurse give?
9. Six hours after initiating an IV line in a patient, Nurse
ABSOLUTE WAY is to get an informed and written a. 32.5 g
Ravi noticed that the IV site was red and warm. The
consent from whom? b. 3.25 mg
patient complained that it was painful. Nurse
a. Parents c. 3.25 g
Ravi would suspect which of the following?
b. Guardians d. 0.325 g
a. Phlebitis
c. Husband 4. Nurse Ailah received an order of enalapril 10 mg OD b. Extravasation
d. Subject herself for a hypertensive patient. How many tablets will she c. Infiltration
give to the patient if they have a stock dose of d. Clot formation
20mg/tablet?
10. What should be the size/gauge of the needle Nurse
a. 1/2 tablet
Ravi would use in administering IV infusions for trauma
b. 1 tablet
patients?
c. 1 ½ tablets
a. 18
d. 2 tablets
b. 22
5. Amoxicillin 250 mg oral suspension is prescribed to a c. 20
patient q8h. Nurse Ailah checked the stock dose and d. 24
saw that the bottle reads Erythromycin Oral Suspension
Situation 3
125mg/5mL. How much will Nurse Ailah administer to
Matthew rushed to the ER due to severe abdominal
the patient in a day?
pain radiating to the scapular region. Health history
a. 6 mL
revealed that his meals were mostly from KFC. Patient
b. 12 mL
appeared jaundiced with facial grimaces. The physician
c. 10mL
on duty (POD) examined him and an impression of
d. 30mL
Cholelithiasis was given by the POD. Patient was
ordered to be admitted for further work-up and
possible surgery.
11. Which of the following questions should be asked by
the nurse to accurately describe biliary colic?
A. Nararamdaman niyo po ba ang sakit bagomatulog?
B. Nararamdaman niyo po bang sakit sa kaliwang parte
ng inyong tiyan?
C. Panandalian lamang po ba ang sakit?
D. Nararamdaman niyo po ba ang sakit matapos
kumain?
12. In a patient with obstructive jaundice, which of the
following assessment findings would you expect?
a. Itchiness of the abdomen
b. Clay-colored stool
c. Reddish-colored urine and stool
d. Presence of urobilinogen in the urine
13. Mr. Matthew bile duct exploration with open
cholecystectomy. A t-tube was connected to drain after
surgery. After 12 hours, there was a marked decrease in
output from 260 ml to 90 ml. What is the nurse’s
priority action?
A. Call the physician stat
B. Assess the tube for any obstruction
C. Irrigate the tube with normal saline
D. Change the position.
14. One of the most common complications post-
operatively is:
A. Pleurisy
B. Bronchopneumonia
C. Pneumonia
D. COPD
15. Which dietary restriction should be
recommended by the nurse to help prevent recurrence
of stone formation?
A. Orange juice, pan de sal
B. Whole milk, dairy crème , fried chicken breast
C. Steamed lapu-lapu, nilagang okra, salabat
D. Nilagangsaba, vegetable salad,
Situation 4
Mr. Sonny, a 62 year-old male, complains of shortness
of breath, dyspnea on exertion, palpitation, and
expectorating frothy, blood-tinged sputum. He was
brought to the emergency room of Hospital C. During
the interview, he also complained of easy fatigability
and weakness.
16. Given the following assessment cues, Nurse Olivia
makes a nursing care plan with the priority nursing
diagnosis of:
A. Anxiety related to actual threat to biological integrity
secondary to heart failure
B. Ineffective breathing patterns related to decreased
respiratory depth secondary to pain
C. Activity intolerance related to compromised oxygen
transport system secondary to heart failure
D. Activity intolerance related to compromised oxygen
transport system secondary to heart muscle dysfunction
17. Mr. Sonny has been diagnosed with heart failure.
Nurse Olivia expects this patient to not exhibit the
following signs and symptoms EXCEPT
A. Pulse rate of 48 bpm
B. Murmurs
C. Respiratory rate of 18 cpm
D. Strong, bounding pulse
18. The doctor ordered oxygen administration for
the patient. The nurse knows that the rationale behind
this intervention is that:
A. Oxygen helps to decrease the work of breathing
B. Oxygen is contraindicated in heart failure so the
order is questionable
C. Oxygen is given to reduce anxiety
D. Oxygen is administered through mechanical
ventilation only
19. Nurse Olivia prepares to perform the following
interventions for the immediate management of Mr.
Sonny excluding:
A. Establish an IV line and administer PNSS immediately
B. Monitor heart rate and dysrhythmia by using a
cardiac monitor
C. Continuously assess level of consciousness
D. Provide reassurance and support to the patient
20. The nurse knows that the management of a
patient with heart failure requires interprofessional
collaboration. Mr. Sonny asks Nurse Olivia from whom
can he ask for assistance and counsel regarding home
care services. Nurse Olivia responds that the
professional who can help him with his concern and
who assists the continuing care nurse with planning the
patient's discharge is the:
A. Physical therapist
B. Social worker
C. Psychologist
D. Head nurse
Situation 5
Nurse Queen Diana is a staff nurse in the medical ward.
Most of her patients are afflicted with intestinal and
rectal disorders.
21. Upon assessment, which of the following
differentiates Crohn’s disease from ulcerative colitis?
A. Presence of bleeding: severe in Crohn’s disease while
in Ulcerative Colitis bleeding is mild.
B. Presence of diarrhea: severe in Crohn’s disease in
ulcerative colitis it is mild
C. Affected area: Crohn’s disease is the descending 27. What is the immediate focus of nurses in caring
while Ulcerative colitis is the ascending colon. for a grieving family who just lost their father from
D. Course of the disease: Crohn’s disease is prolonged cancer?
and variable, Ulcerative colitis has a remission and a. Post-mortem care
exacerbation b. Return patient’s belongings (watch, clothes, etc) to
the family
22. In terms of therapeutics, which of the following c. Obtaining consent for autopsy
medications can be used for inflammatory bowel d. Provide and facilitate time for mourning
diseases?
A. Corticosteroids 28. Which among the following is not true regarding
B. Atropine sulfate grief in the older population?
C. Dulcolax a. Many older adults exhibit resilience in facing losses.
D. Maalox b. They are not at risk for complicated grieving.
c. Their increased age increases their likelihood of
23. Which systemic complication can be expected from having faced multiple losses.
a patient with Crohn’s Disease? d. Positive reappraisal helps older adults adapt to
A. Perforation significant losses.
B. Small bowel obstruction
C. Hemorrhage 29. Which among the following statements from
D. Megacolon Nurse Vebs assesses the social support systems of a
person experiencing grief from the death of his sister?
24. In order to accurately diagnose ulcerative colitis, a. “What does this loss mean to you?”
which of the following laboratory studies is needed? b. “Tell me how you are feeling.”
A. Proctosigmoidoscopy c. “Which friends or family members do you wish were
B. Albumin study here with you?”
c. colonoscopy d. “Tell me about your relationship with your sister.”
d. ultrasound
30. Which nursing action of Nurse Vebs will promote
25. Which of the following is the MOST appropriate a dying, elderly patient’s dignity and self-esteem?
nursing diagnoses for a patient in acute exacerbation of a. Providing him regular baths and good hygiene
ulcerative colitis? b. Instructing the patient’s family members to decide
i. Imbalanced nutrition less than body requirements for his food choices
R/T impaired absorption c. Calling the elderly patient by his first name only
ii. Risk for deficient fluid volume R/T abnormal fluid loss d. Encouraging his siblings to join during your private
iii. Risk for ineffective tissue perfusion R/T low conversations with the patient
hemoglobin
iv. Acute Diarrhea R/T inflammation of the bowel Situation
a. ii& iii Nurse Nikki handles various patients with elimination
b. I, ii, & iii problems. She always performs her best nursing care to
c. I, ii, iii, & iv these patients.
d. i& ii
31. Nurse Nikki teaches an incontinent patient bowel
Situation training. Which among the following would Nikki not
In her 15 years of being a ward nurse, Vebs has include in her health teaching?
witnessed and taken cared of several terminally-ill a. Opioids are avoided to prevent decrease in bowel
patients and their families. peristalsis.
b. Regular exercise is encouraged.
26. Which among the following is not considered c. Leaning backward at the hips while sitting on the
palliative care? toilet will help stimulate colon emptying.
a. Administering anti-emetics to a cancer patient who d. A hot tea or fruit juice may be taken before the
underwent chemotherapy patient defecates.
b. Frequently turning the position of a comatose patient
post-CVA 32. An enema to provide relief from gaseous
c. Removing the tumor in a Stage I breast cancer distention is prescribed to a patent. Nikki knows that
d. Providing pain relief to a cancer patient this is a/an:
a. Oil retention enema
b. Carminativeenema 39. Karl asks the nurse why Anna needs d. Creatinine clearance in acute kidney injury (AKI) c. Double knot
c.Soapsuds enema Theophylline. The best response of the nurse is: d. Two-throw knot
d. Fleet enema a. “Pinaluluwag nito ang daluyan ng hangin.” 45. Immediately after obtaining blood for an arterial
b. “Iniiwasan nito na magkaroon pa ng allergic attack si blood gas examination, Nurse Wanda instructs the Situation
33. After inserting a nasogastric tube, Nikki checks Athena.” patient to do which of the following? Nurse Melody admits Mr. Ong, 34 year-old, who was
its placement by measuring the pH of the aspirate. c. “Iniiwasan nito na atakihin ng epilepsy si Athena” a. Perform ROM exercise on the proximal joint. brought to the Emergency room by his co-worker
Nikki knows that proper placement has likely been d. “Binabawasan nito ang pamamaga ng baga” b. Apply pressure for 5-10 minutes because of severe abdominal pain. He was observed to
made if the aspirate has a pH of: c. Elevate extremity above heart level. be very anxious; holding his abdomen with his right
a. pH 3.0 40. Karl brought food in Anna’s room. Which of the d. Increase oral fluid intake. hand while bending towards his right side. The
b. pH 7.0 following food should be restricted for Anna in Emergency Room doctor made his initial assessment
Situation
c. pH 9.0 consideration to her therapeutic regimen? and referred the patient to the Surgical doctor on duty
d. pH 7.4 a. White Chocolate Mocha drink The nursing director assigned Xavier, RN in the for further assessment.
b. Mango juice orthopedic ward to care for patients with mobility
34. Nurse Nikki knows that the approximate length c. One piece chicken with rice problems. 51. To describe a sensation of severe pain felt for
of a normal female urethra is: d. One peach mango pie ruptured appendicitis, Nurse Melody applies deep
a. 1.5-2.5 cm 46. Xavier is caring for a patient with an arm cast. He pressure of her finger into the abdomen at a point away
b. 4-6.5 cm Situation knows that the functional position of the wrist and from the pain and then releases. This maneuver is
c. 20-25 cm Nurse Wanda has newly admitted patients in the fingers is which among the following: termed as __________.
d. 10-12 cm Medicine Ward who are for workup. a. Wrist in extension, fingers and thumb in flexion A. Perforation
b. Wrist in flexion, fingers in flexion, thumb in extension B. McBurney’s Point
35. To prevent urinary tract infection in a female 41. A patient with suspected pneumonia is ordered c. Wrist in flexion, fingers and thumb in flexion C. Rovsing’s sign
patient with an indwelling catheter, Nikki instructs her to have sputum culture and sensitivity. Nurse d. Wrist in extension, fingers in flexion, thumb in D. Rebound tenderness
to decrease intake of which of the following fruit juices? Wanda orders the patient to cough up how much extension
a. Pineapple juice sputum into the container? 52. Mr. Ong was diagnosed with ruptured appendicitis.
b. Prune juice a. 15-30mL 47. Xavier is teaching a patient with crutches how to When the appendix is suspected ruptured, a generalized
c. Apple juice b. 1-5 mL go up the stairs. Which among the following should he abdominal pain is felt and becomes ____________.
d. Cranberry juice c. 4-10mL instruct the patient with? A. Merely a discomfort and steady rather that
a. When moving the affected leg up, the body weight intermittent
d. 250mL
Situation should be on the crutches. B. Intense and the patient guards the area by living
Anna, while going on a date with Karl, suddenly 42. Luke is a 25-year-old patient suspected to have b. The unaffected leg goes up the step after the affected room
complains “I can’t breathe”. Karl rushed her chronic myelogenous leukemia. He is advised to leg. C. Rigid, stiff and board like feeling
immediately in the ER. She was given Theophylline and undergo bone marrow biopsy. The following bones may c. Patient should keep his feet together at the bottom D. Tender and focused on the umbilical cord region
Cromolyn sodium for the attack. be used for the procedure, except: of the stairs
a. Posterior superior iliac d. The crutches and the affected leg go up the step 53. Immediate surgery was done on Mr. Ong. Which of
36. The following are expected assessment findings b. Anterior superior iliac spine the following measures for pain control is NOT
together.
for Anna except: c. Sternum advisable to be done by Nurse Melody while patient
A. Decreased tactile fremitus d. Triquetrium 48. Xavier is assisted by another staff nurse in lifting Ong is having post-op pain?
B. Resonant to tympanitic a patient. Which among the following actions will A. Coughing exercises
C. Wheezing sounds 43. Patient Sola likes to eat melons and strawberries. prevent injury to Xavier? B. Deep breathing
D. Crackles On the day of her specimen collection for fecal occult a. Keeping the feet wide apart and knees extended C. High-fowler’s position
blood, she claimed that she has been bingeing on these b. Positioning himself close to the patient D. Semi-fowler’s position
37. Upon administration of theophylline, you are fruits since 5 days ago. What will be its implication on c. Using the muscles of the back in lifting
monitoring Anna for which drug induced adverse the test/results? 54. After operation, a nasogastric tube (NGT) was
d. Rotating at the waist in lifting
effect? a. Results can become falsely positive for occult blood. inserted to Patient Ong. The rationale for this surgical
A. Bradycardia b. Results can become falsely negative for occult blood. 49. Nurse Xavier asks two more nurses to help him measure is to _________.
B. Diarrhea c. Increased intake of fruits will confirm presence of logroll a patient. Where should Xavier place the A. Prevent use of antibiotics
C. Constipation occult blood in stool. patient’s arms prior to logrolling? B. Decrease hospitalization to two days
D. Restlessness d. Stool specimen will become clay-colored. a. Along the sides C. Decrease pain after the operation
b. Crossed on the chest D. Avoid the use of analgesics
38. Upon administration of Theophylline, the 44. Nurse Wanda knows that 24-hour urine c. Overhead, extended
therapeutic effect that you would expect is: collection is needed in determining the following, d. Behind the hips 55. Nurse Melody assesses the pain intensity of Mr.
a. Decrease in breath sounds except: Ong. The pain assessment tool APPROPRIATE to be used
b. Increase in body temperature a. Vanillylmandelic acid (VMA) in pheochromocytoma 50. In applying restraints, Xavier should employ for Mr. Ong is _____________.
c. Decrease in wheezing b. Uric acid in gouty arthritis which type of ie? A. Faces Pain Rating scale
d. Pruritus c. Culture and sensitivity of causative agent in urinary a. Half-bow B. Visual Rating Scale
tract infections b. Surgical tie C. World Rating Scale
D. Numeric Rating Scale
Situation
You are the nurse on night duty in the medical ward.
You were assigned by Ms. Love, the Charge Nurse of
the unit to monitor the status of a 9 year old boy with
bronchial asthma.
56. Which of the following manifestations of the child
would cause you to be alarmed?
A. Excessive sweating
B. Choking sensation
C. Cough with phlegm
D. Generalized chest tightness
57. You would like the child to be comfortable in bed.
Which position should you put the child to ease his
discomfort
A. Lying on his side
B. Prone position
C. High Fowler’s Position
D. Supine position
58. The Pediatrician ordered theophylline by IV route.
The effect(s) of this drug is __________.
A. Decrease gastric acid secretion
B. Causes coronary vasoconstriction
C. Relaxes the smooth muscle of the bronchial tree
D. Stimulation of the peripheral nervous system
59. What APPROPRIATE activity should you advise the
child while in the hospital?
A. Talk on the phone with his classmates adolescent
B. Finish his assignments in school promote rest
C. Watch cartoon movies on TV
D. Play with his teddy bear promote rest, reserve
energy
60. The patient is ready to go home. What health
teachings can you give to him and to his mother?
1) Prevent the child from exposure to dust and
pollutants
2) Avoid exposure to extreme hot or cold weather
3) Increase fluid intake
4) Avoid hyper-allergenic food
A. 1 and 2
B. 2, 3, 4
C. 1, 2, 3, 4
D. 1 only
Situation.
Cassandra, 65 year-old cook, restless and obese was
brought to the Emergency Room due to right abdominal
pain, nausea and vomiting for a week. She frequently
changes her position to a more comfortable one due to
intense pain. You are the nurse in charge who admitted
the patient after the attending doctor diagnosed her 66. Which of the following clinical manifestations would
with Acute Cholelithiasis. you MOST likely to observe when a patient is suffering
from Cholelithiasis?
61. Patient Cassandra’s vomiting can be treated with a A. Indigestion, pain on the right upper quadrant
nasogastric tube insertion with a suction attachment. radiating pain to the shoulder
This measure will remove the gastric juice stimulating B. Vague left upper quadrant pain radiating to the
painful contractions of the gallbladder which scapula
is __________. C. Feeling of abdominal tenderness after waking-up in
A. Cholecystokinin
the morning
B. Ecchymosis D. Feeling of abdominal fullness after taking meals
C. Lithotripsy
D. Acalculus 67. Which ONE of the following vitamins is interfered
when there is obstruction of the bile flow in
62. Patient Cassandra, was ordered by the physician to cholecystitis?
undergo several diagnostic tests. You expect that A. Vitamin C
patient will have an elevation of ________
B. Vitamin B
A. Bromsulphalein excretion C. Vitamin B12
B. Lactate dehydrogenase
D. Vitamin K
C. Serum gamma glutamyltranspeptidase
68.The patient was ordered Endoscopic Retrograde
D. Alkaline phosphatase
Cholangiopancreatography (ERCP). He was put on a
63. Nurse Edwin provides important instructions to Ms. mild sedation. As a Nurse, what should you check as a
Cassandra on the prevention of Cholelithiasis. Select all PRIORITY action when he returns to the ward?
that apply.
A. Irritation of oropharynx
1) Maintain ideal weight B. Nausea and vomiting
2) Adapt low fat diet
C. cough and gag reflex
3) Regular exercise D. Signs of bleeding
4) Prevent pregnancy
A. 2, 3 , 69. Which of the following conditions is NOT a side
B. 1, 3, 4 effect of anticholinergic drugs?
C. 1, 2, 3 A. Constipation
D. 1, 2, 4 B. Blurred vision
C. Dryness of the mouth
64. Ms. Cassandra is prepared for surgery. Nurse Edwin D. Increased blood pressure
provides comfort measures to relieve pain with the
following nursing intervention, EXCEPT _______. 70. When a client has a nasogastric tube (NGT) due to
A. Quiet environment abdominal distention post surgery. Which of the
B. Positioning following nursing responsibilities should you do?
C. Administering analgesic 1) Measure gastric secretion every shift
D. Back rub 2) Observe and record color, viscosity of secretions
3) Ensure that the gastric tube is patent
65. Immediate postoperative care of Nurse Edwin 4) Assist patient to assume a comfortable position
includes providing careful instructions to Ms. Cassandra.
A. 1, 2, 3 and 4
Which of the following interventions should be B. 1, 2 and 3
delegated to the caregiver?
C. 1 and 2
A. Administration of intravenous therapy
D. 2, 3, and 4
B. Reinforce information on exercise
C. T-tube care and changing Situation
D. Instructions for the reduction of pain The hospital director of a tertiary hospital is alarmed
with the recent report of the head Human Resource
Situation Department Office (HRDO) that there is so much
Miles, 40 years old, came to the hospital for a diagnostic
conflict going on among the health care professionals
work-up for a cholelithiasis prior to surgery. which is affecting quality patient care.
71. Which of the following is a form of dispute
resolution and considered a legal technique which is
outside the court
A. Suppression
B. Arbitration
C. Bribe
D. Negotiation
72. Change is defined “as making something different
from what it was”. If you become a unit manager in the
future, which of the following is your FIRST step as an
agent in promoting successful change in your health
care setting?
A. Revisit Institutional Vision-Mission and adhere to its
commitment
B. Obtain majority agreements when issues are
presented
C. Include obsessed people as part of your Task force
for change
D. Ignore organizational conflict as possible
73. Decision-making in an organizational structure
comes at many levels. The level which is considered
empowering to staff-member is when the unit manager
does which one of the following?
A. Makes a decision when she reads the reported
concerns
B. Ask direct report from personnel to decide on a
solution
C. Makes a decision after convening a core group to
analyze the concerned issues
D. Makes a decision by herself and assumes
responsibility for her action
74. The nurse manager is receiving some feedback that
one of her staff-nurses has been observed to be always
irritated, “bossy”, and indifferent to her patients and
some co-workers. Which of the following PRIORITY
nursing actions should the manager implement?
A. Conduct a joint meeting of both parties involved
B. Request the concerned patients and co-workers to
submit an Incident report
C. Call the nurse concerned and talk to her privately
about the observations
D. Give a memo to the nurse involved
75. A team building session was conducted by the HRDO
task force to come up with strategies for conflict
resolution. Which of the following is a WIN-WIN
approach in conflict management?
A. Each party involved agree to respond to majority
vote
B. Each participants agree to resolve conflicts by
adhering to the Institutional Vision and Mission
C. Each participants will give way to 60-40% of their
agreements
D. Disagreements are settled with respective
compromises on issues presented
Situation
Emily, a retired Barangay Health Worker, came to the
OPD for her check-up for her diabetes mellitus. She had
been diabetic since she was 37 years old. She has been
taking her maintenance medications which she
sometimes does not comply with.
76. There are metabolic abnormalities in the
development of type 2 Diabetes. Which of the following
is NOT included in these abnormalities?
A. Inappropriate production of the liver
B. Increased ability of the pancreas to produce insulin
C. Insulin resistance
D. Altered production of hormones by adipose tissues
77. Ms. Emily was admitted to the hospital for further
check-up. Which of the following diagnostic tests do
you expect to be ordered by the diabetologist as an
indicator that the patient is compliant to her prescribed
diet?
A. Oral glucose tolerance test
B. Glycosylated hemoglobin level (hgb, Alc)
C. Finger glucose findings for one day
D. Fasting blood glucose level
78. While Nurse Denise was completing her assessment,
she discovered the following findings. Which of the
following should she refer immediately to the
physician?
A. Tingling sensation of the hands and feet neuropathy
B. Changes in the peripheral vision retinopathy
C. Beginning ulceration of the left big toe
D. Fruity odor breath
79. Nurse Denise, the nurse in charge of patient Emily,
informed her physician that her serum glucose level is
38mmol/L and quite unresponsive to verbal
questioning. The nurse suspects that she is starting to
develop Diabetes Ketoacidosis (DKA). Which of the
following manifestations is UNIQUE to this condition?
A. Shallow slow respirations
B. Increased serum potassium
C. Rapid deep respirations
D. Decreased serum albumin
80. Nurse Denise’s counseling role includes lifestyle
changes as well as pharmacologic regimen. Emily’s
family were interested to know information regarding
insulin. She differentiated an intermediate acting insulin
from that of short-acting which is _________.
A. Regular onset is 2 hrs. Peak is 3 ½ hr., duration -7
hrs., administered 20-30 min. before meal
B. Regular onset is 2-4 hr., peak is 4-12 hr., duration is 8
hr., administered 20-30 min. after meal
C. Regular, onset is 1 ½ hr, peak is 3-4 hrs, duration is 6
hrs. administered 20-30 min after meal
D. Regular onset is 1 ½ - 1hr, peak is 2-3 hr., 4-6hr
duration administered 20-30 min. before
Situation.
Nurse Tyler admitted Darlyn, 38 years old, who was
diagnosed by her physician with Type I Diabetes
Mellitus. She complains of easy fatigability and
increased tiredness. Nurse Tyler, during the assessment,
noted the presence of a foot ulcer which Darlyn was
trying to hide.
81. Nurse Tyler holds the hands of Darlyn while doing
her assessment. Her hands were cold and clammy, she
suspected that the patient was having hypoglycemia. To
relieve her condition, an immediate action is to offer
her _________
A. Candy
B. Full meal
C. Sandwich
D. Fruits
82. Nurse Tyler watches Ms. Darlyn while sleeping. An
EXCELLENT guideline to differentiate if a patient is just
sleeping or experiencing hypoglycemic reaction is when
one is observed to be _______.
A.With dyspnea
B. Snoring
C. With diaphoresis
D. Grunting his teeth
83. Nurse Tyler practiced surgical asepsis during foot
care. Which of the following techniques has to be
observed?
A. Opening container of sterile water after putting
gloves on.
B. Changing the sterile field after sterile water spilled on
it
C. Placing sterile dressing 2 cm from the edge of the
sterile field.
D. Cleaning the wound in circular motion from outer
towards the ulcer site
84. Nurse Tyler after foot care encourages Patient
Darlyn to do which of the following APPROPRIATE
measures?
A. Apply lanolin generously between the toes
B. Cut toenails rounded at the edges and close to the
skin
C. Apply alcohol after cleansing feet to improve
infection
D. Wear a shoe-type slipper at home
85. Ms. Darlyn was administered NPH insulin at 8 am. At
what time would Nurse Tyler expect the patient to be at
risk for hypoglycemic reaction.
A. 11 am
B. Noon
C. 6 pm
D. 4 pm
Option 5
Situation
A 6-year old boy is suffering from pain on his right
inguinal region. His mother brought him to the hospital
and was diagnosed to have incarcerated hernia. He had
a scheduled herniotomy.
86. What will be your FIRST pre-operative nursing
measure?
A. Get informed consent from the mother.
B. Change the boy’s street clothes to surgical gown
C. Shave the operative site
D. Call the OR nurse for scheduling
87. The boy is transferred to the operating room. What
is the BEST mode to be used in transferring the patient?
A. Nurses’ carry
B. Stretcher
C. mother’s carry
D. wheelchair
88. The nurse must prepare the OR environment to be
safe and comfortable for the child by reducing the air
conditioning temperature so as to prevent
___________.
A. Hypoventilation
B. Hyperventilation
C. Hypothermia
D. Hyperthermia
89. The scrub nurse has to prepare for a pediatric
herniotomy. Which of the following should be ready?
A. Subcuticular 3/0 round, absorbable
B. Subcuticular 3/0 cutting, absorbable
C. Monofilament 3/0 cutting, absorbable
D. Monofilament 3/0 round, absorbable
90. The mother was afraid to submit the child for
surgery. What is the BEST response to the Nurse in this
situation?
A. “It is alright to feel that way but you cannot do
anything now.”
B. “It is the doctor's order; you’ll have to accept the
situation.”
C. “Your child’s condition is an emergency case. If he is
not operated on, he will die.”
D. “I understand your feelings, but your child needs to
be operated on.”
Situation.
There are extensive legal aspects that guide the Filipino
nurses in terms of regulation in practice of her
profession.
91. The Professional Regulation Commission, Board of
Nursing (PRC– BoN) as a regulatory board has the legal
functions and responsibilities EXCEPT in ONE of the
following ___________.
A. Ensure the quality nursing education by jointly
monitoring with the Commission on Higher Education
(CHED) adherence to its guidelines, policies and
standards
B. Monitor and enforce quality standards and nursing
practice in the Philippines to ensure efficient, ethical,
moral, technical professional standards
C. Issue, suspend or revoke certificates of registration
for the practice of nursing
D. Recognize specialty organizations in coordination
with the accredited professional organization and
collect fees to upgrade the conditions of Nurses
92. You are a nurse in Las Piñas Doctors Hospital and
have just completed a 2 year experience in the surgical
unit. One day, your supervisor ordered you to go on a
float to the Intensive Care Unit (ICU) as two of the
nurses called “on sick” in the said unit. What is the
MOST important action you should do in this situation?
A. Explain to your supervisor that you might not be able
to perform safely your duty as a nurse in the unit
B. File a leave instead and call your husband to fetch
you in the hospital
C. Refuse the order and tell your supervisor you don’t
want to put your license in jeopardy
D. Report to the surgical ward of your assignment and
request one of your nurses to replace you instead as
floater in the ICU.
93. Janna, a 35-year old, married to an insurance agent,
was diagnosed with colon cancer only a month ago. The
couple have very limited information about this
condition. One day, you saw the husband in the room
reading the chart which was inadvertently left by a
medical intern. What PRIORITY Nursing actions should
you do in this situation?
A. Get the chart from the husband so he will not be able
to read the diagnosis of his wife
B. Explain to the husband as per policy, relatives are not
allowed to read the chart
C. Report immediately to the supervisor on duty and
submit an incident report
D. Ask the husband what information he would like to
ask from the health care professional regarding medical
plan and diagnosis
94. Nurse Nicole, is assisting Mr. Caca who just came
from the Recovery unit for a thoracic surgery. She noted
that the dressings are saturated with blood, but the
Surgeon just reassured the Nurse to reinforce the
dressings and monitor him closely. After an hour, Mr.
Caca went into shock and died. The family filed charges
against the Doctor and the Nurse. What is the lawsuit
involved in this case?
A. Murder
B. Assault
C. Battery
D. Malpractice
95. What is the MOST important Nursing measure that
Nurse Nicole should have done to avoid this situation?
1) Monitor and record closely the vital signs until
stable
2) Report to the surgeon the vital signs and degree of
bleeding from operative site
3) Call the supervisor on duty to assist you in referring
the patient to the surgeon
4) Ask the family members to call the surgeon to see
the patient
A. 2 & 3
B. 1, 2 & 3
C. 1 & 2
D. 1 & 3
Situation
Honey, 23 year old, a dental student has been having
frequent bouts of tonsillitis in the past. One day, she
developed low grade fever, dyspnea, dizziness, syncope,
and fainting spells while preparing for her final
examination. She was rushed to the hospital by her
parents and was seen in the Emergency room by the
physician on duty (POD), Ms. Jenny was the nurse-on-
duty. The POD ordered a 12 lead Electro-cardiogram
(EKG) and other laboratory tests.
96. What specific information is essential for the Health
professionals to know when this EKG is ordered for
patient Honey?
A. Rate, rhythm and pressure within the blood vessels
B. Rate, rhythm, axis and circulation
C. Rate, rhythm, axis, hypertrophy, and infarction
D. Rate, hypertrophy and blockage to the chambers of
the heart
97. Aside from the EKG and laboratory studies, the POD
ordered patient Honey to undergo cardiac
catheterization to establish further the medical
diagnosis of Valvular heart disease. Which of the
following is NOT true as part of Nurse Jenny instructions
to the patient regarding this procedure?
A. Signing of consent is optional
B. Normal procedure is less than 2 hours
C. Fasting should be 8 to 12 hours
D. Presence of pounding sensation in the chest during
the procedure
98. Nurse Jenny must be alert that certain
complications may arise after the procedure. What
PRIORITY nursing assessment should she observe?
A. Tingling sensation
B. Signs of bleeding at the puncture site
C. Blurring vision
D. Disorientation
99. When teaching patient Honey about self-
management following cardiac catheterization, Nurse
Jenny should emphasize to AVOID which ONE of the
following?
A. Diet high in Protein and Carbohydrates to low
cholesterol and fats
B. Lifting objects heavier than five (5) lbs
C. Taking shower with the site covered after 24 hours
D. Light exercise program within 48 hours when
tolerated
100. The POD established Honey’s diagnosis that she is
suffering from acquired valvular heart disease. This
condition is brought about by _______.
A. Rheumatic fever
B. Drug abuse
C. alcohol consumption
D. heredity