NURSING PRACTICE 3

Situation: Nurse Kimmy has newly admitted

patients in the Medicine Ward who are for 5. P
Patient
atient Revi lik es to eat
eat melon s
workup. and strawberries. On the day of her
specimen collection for f eca
ecall
1. Jason is a 25-year-old
25-year-old patient
occult blood, she claimed that
that she
suspected to have chronic myelogenous
has been
been bingeing o n these fruits
leukemia. He is advised to undergo bone
since 5 days ago. What
What will be its
marrow biop sy. The
The following bon es
impli cation on the test/re
test/results
sults ?
may be used for the procedure, except:
except:
a. Results can become falsely positive
a. Posterior superior iliac crest
for occult blood.
b. Anterior superior iliac spine
b. Results can become falsely negative for
c. Sternum
occult blood.
d. Triquetrum
c. Increased intake of fruits will confirm
2. Nurse
Nurse Kimm y kno ws t hat 24-hour
24-hour presence of occult blood in stool.
urin e collection is needed
needed in determining d. Stool specimen will become
the followi ng, except:
except: claycolored.
Situation: Because it is already her
a. Vanillylmandelic acid (VMA) in
board exams in a few days, Jennifer
pheochromocytoma
practices computing medications
b. Uric acid in gouty arthritis
dosages with the following scenarios.
c. Culture and sensitivity of causative agent
in urinary tract infections 6. Mannitol 0.2
0.25g/kg/day
5g/kg/day was
d. Creatinine clearance in acute kidney prescribed to a 7-year-old patient
injury (AKI) with meningitis . The
The patient
patient weighs
28.6 lbs. How much mannitol
3. Immediate
Immediatelyly after obtaining blood f or
should t he nurse give?
give?
an arterial blood gas examination, Nurse
Kimmy instructs the patient to do which
a. 32.5 g
of the following?
b. 3.25 mg
c. 3.25 g
a. Perform ROM exercise on the proximal d. 0.325 g
joint.
b. Apply pressure for 5-10 minutes 7. Nurse Jeniffer administered 2 tablets
c. Elevate extremity above heart level. of
d. Increase oral fluid intake. Losartan to Patient Miranda within the
past 24 hours. According to the doctor’s
4. A patient with suspected pneumonia is orders, Patient Kikay is to receive
ordered to have sputum cultur e and
and 100mg of valsartan a day. With this
sensitivi ty. Nurse Kim Bok Chiu orders information, Angeline Jolie knowsthat
the patient
patient to cough up how much the stock dose Nurse Jennifer has on
sputum i nto the container?
container? hand is:

a. 15-30mL
a.Losartan 1 mg/tablet
b. 1-5 mL b.Losartan 25 mg/tablet
c. 4-10mL c. Losartan 20mg/tablet
d. 250mL d. Losartan 50 mg/tablet
8. Nurse Jennifer received an order of
enalapril 10 mg OD for a hypertensive
patient. How many tablets will she give
to the patient if they have a stock dose
of 20mg/tablet?

a. 1/2 tablet
b. 1 tablet
c. 1 ½ tablets
d. 2 tablets
 d. orange juice, pouched egg, brown
rice and ham.
9. Phenytoin (Dilantin ) 20
200mg
0mg PO 13.. When doing a health
13 health teaching to a
BID was prescri bed to a patient. The patient, the nurse determine this as the
medic ation l abe
abell reads 0.1 g/capsul e. For FIRST step
st ep ____________.
____________.
each dose, the nurse prepares how
many capsules to giv e to the patient? A. readiness to learn
B. adaptation to learning styles
a. 500 b ......Error!
......Error! Bookm ark not defined. C. learning needs
c ................................................................2 D. capacity to learn
d ................................................................2
14. You are
14. are teaching a gro up of patients
who are having hemodialysis eve every
ry w ee
eekk
10.
10. Amoxic illi n 25
250
0 mg oral
regarding
rega rding their dietary plan. You
You sho uld
suspension i s prescribed to a patient
explain to them that intake of prot ein is
q8h. Nurse
Nurse Jennifer c hecke
hecked d t he stock
necessary because it __________.
dose and saw that the bottle reads
Erythromyc in Oral Suspension
Suspension
a. reduces demand for liver functioning
125mg/5mL. How much will Nurse Joan
b. increases nitrogenous waste products
administer to the patient
patient in a day?
day?
c. maintains osmotic pressure
d. induces frequent urination
a. 6 mL
b. 12 mL 15. You are tasked to do a health
15.
c. 10mL teaching
tea ching cl ass on Thursday
Thursday morni ng
d. 30mL with s eve
everal
ral patients forpossi ble
discharge. You have a diabetic patient
for discharge. He He is taking a medication
Situation – Mr. Zander, 58 year old is Carvedilol.
Ca rvedilol. Which one of the follow ing
admitted for a suspected heart failure. He ins tru cti ons h as to be REITE
REITERATE
RATEDD
has shortness of breath, mild chest pain, during y our discharge teaching?
teaching?
fast breathing, and has crackles on the
bases of both lungs. Your head nurse (HN) a. Observe skin care because the drug
instructed you to prepare nitroglycerin to be can decrease tissue perfusion
administered by Intravenous route. You b. Monitor blood sugar level because
confirmed from your head nurse why such the drug can cause hyperglycemia
medication is going to be given to patient c. Monitor pulse rate, sugar levels because
Tulfo.
the drug may mask hyperglycemia
11. The HN who has a rol e to teach
11.
d. Check pulse rate every 6 hours because
nurses answered
answered you corr ectly by
the drug can cause palpitation
saying:” This is to _______.”
Situation- Donna is now 15 years old. She
A. “reduce after load” goes to an elite school but she seldom
B. “increase after load” interacts with her classmates nor is
C. “increase preload” interested to join school activities. Her
D. “reduce preload” mother brought her to an adolescent
specialist and was diagnosed of
12. There is a doctor’s order for your malnutrition.
patient with h ea
eart
rt f ailure to be
disch arge
arged
d after two days. The diet order 16. A com mercial (ads)
16. (ads) on t ele
elevision
vision is
is for him to limit his sodium intake to said to be a contributory f actor for
only 2 gms. Identify which of the obesit y. What coul d be a GOOD
GOOD advic
advic e
follo wing breakfast selection
selection shoul d be to adolescents lik e Cyclone about ads
incl uded in your plan. that can be contributory to malnutrition?

a. orange juice, bacon, fried egg, and a. “Check nutritional contents before buying
steamed rice foods.”
b. orange juice, fried salted fish, and b. “Follow your desire for food and drinks.”
steamed rice. c. “What you see is what you get.”
c. orange juice, toast bread, pouched d. “There is no truth in advertisements.”
egg and jam.
 Medication inadvertently omitted.
Supervisor notified.
c. Medication given to patient A instead
17. Dona scheduled an appointment to
to patient B. Patient advised.
see a nutrit ionist. She is overweight for
d. Wrong dose of medicine
her height. What
What is the normal weight, in
administered to patient. Sorry.
POUNDS
POU NDS,, for Cyclon e who i s 5 feet tall?
22. An eight-year-old- patient is to
receive Aminophylline 3 mg/kg TID. If the
a) 90 girl w eights 25 kg, how much
b) 75 Amin
Am in op
ophy
hy ll in e shou
sh ould
ld sh e receiv
rec eiv e dail y?
c) 85
d) 80 a. 125 mg
18. ALL b ut ONE are
18. are tru e statements b. 225 mg
about malnutrition. Malnutrition is for: c. 200 mg
d. 100 mg
a. Both the urban and rural areas 23. Mrs. Spectre is receiving Digoxin
b. Both the poor and the
th e rich 0.325
0.325 mg p.o. because of h er heart
c. The underweight as family income ailment. The stoc k is 0.250
0.250 mg per
increases tablet. How many TABLETS should the
d. The overweight as family income nurse request for 7 days supply for the
increases patient? a. 9
19. How can Dona reduce her w eight?
19. b. 7
She can be advised to cut intake of c. 10
which of t he following? d. 8

a. Salt, protein and fats 24. Nurse Jessi ca emphasized that

24.
patient safety is___________.
b. Carbohydrates, vitamins and salts
c. Carbohydrates, fats and salts a. Preventing errors and adverse
d. Fats, protein and sweets reactions to patients associated with health
20. Which of the foll owing can Dona do
20. care
to with her obesity problem? b. Being careful in caring for patients at
all times
a. Skip one full
f ull meal a day. c. Providing treatment and care to
b. Drink 6 glasses of water every day. patients and documenting the same
c. Take weight reducing pills. d. Being mindful of the needs of others
d. Exercise 30 minutes three times a week. at all times
25. In adminis
25. adminis tering insu lin t o a diabetic
diabetic
patient, the nurse must use an
Situation - Nurse Sofia is helping in the APPROPRIATE needl e size si ze and l engt h,
service training of nurses in St. Joseph which among the following will this be?
Hospital. Based from the needs
assessment, the nurses need improvement a) 23 G, 3/8
on patient’s safety. The first lecture was on b) 22 G, 2/8
medication administration. Nurse Sofia gave c) 24 G, 4/8
the following problems for the nurse to d) 25 G, 5/8
practice.
Situation I – Nurse Marta is a staff nurse in
the medical ward. Most of her patients are
21. Nurse Sofia has provi ded
21. afflicted with intestinal and rectal disorders.
instr uctions t hat all
all care provided by 26. Which of the following is the MOST
nurses mu st be documented, as as one of appropriate nursing diagnoses for a
their legal responsibil ities. In case error
error s patient in acute exace
exacerbation
rbation o f
occur, which i s the correct wayway of ulcerative colitis?i . Imbalance
Imbalanced d nutrit ion
documenting
documen ting i t? less than b ody r equireme
equirements
nts R/
R/T
T
impaired absorptionii. Risk for deficient
a. Wrong medicine given to wrong patient. fluid volume R/T
R/T abnormal
abnormal flui d
Physician notified. Patient observed b. lossii i.Risk for ineffective tissue
perfusion R/
R/T
T low hemoglobi niv. Acute knows t hat the rationale
rationale behind
behind thi s
Diarrhea R/T inflammation of the bowel intervention is that:

a. ii& iii a. Oxygen helps to decrease the work of

b. I, ii, & iii breathing
c. I, ii, iii, & iv b. Oxygen is contraindicated in heart failure
d. I & ii so the order is questionable
27.. In terms of therape
27 therapeutic
utic s, which of t he c. Oxygen is given to reduce anxiety
follo wing medications can be used for d. Oxygen is administered through
inflammatory bowel diseases?
diseases? mechanical ventilation only
32. Given the following assessment
a. Corticosteroids cues, Nurse Harvey creates a nursing
b. Atropine sulfate care plan with the priority nurs ing
c. Dulcolax diagnosis of:
d. Maalox
a. Anxiety related to actual threat to
28. Which systemic compli cation can be
28. biological integrity secondary to heart failure
expected from a patient with Crohn’s b. Ineffective breathing patterns related
Disease? to decreased respiratory depth secondary to
pain
a. Perforation c. Activity intolerance related to
b. small bowel obstruction compromised oxygen transport system
c. Hemorrhage secondary to heart failure
d. Megacolon d. Activity intolerance related to
29. Upon assessment, which of the compromised oxygen transport system
following differentiates Crohn’s disease secondary to heart muscle dysfunction
from ulcerative colitis? 33.. Nurse Harvey
33 Harvey pr epares to perfor m
the following in terventions for the
a. Presence of bleeding: severe in Crohn’s immediate
imm ediate management
management of Mr. Fred
disease while in Ulcerative Colitis bleeding excluding:
is mild.
B. Presence of diarrhea: severe in Crohn’s a. Establish an IV line and administer
disease in ulcerative colitis it is mild C. PNSS immediately
Affected area:
area: Crohn’s disease is the b. Monitor heart rate and dysrhythmia by
descending while Ulcerative colitis is the using a cardiac monitor
ascending colon. c. Continuously assess level of
D. Course of the disease: Crohn’s disease consciousness
is prolonged and variable, Ulcerative colitis d. Provide reassurance and support to the
has a remission and exacerbation patient
30. In order to accurately diagnose 34. Fred has been
34. been diagnos ed with heart
ulcerative colitis, which of the following failure. Nurse Harvey expects this
laboratory stu dies is needed?
needed? patient to not exhibit
exhibit the followi ng signs
and sym ptom s EXCEP
EXCEPT: T:
a. Proctosigmoidoscopy
b. Albumin study a. Pulse rate of 48 bpm
c. colonoscopy b. Murmurs C. Respiratory rate of 18
d. ultrasound cpm
Situation – Mr. Fred, a 62 year-old male, D. Strong, bounding pulse
complains of shortness of breath, dyspnea 35. The nur se know s that t he
35.
on exertion, palpitation, and expectorating management of a patient with heart
frothy, blood-tinged sputum. He was failure requires interprofessional
brought to the emergency room of Hospital collaboration. Fred asks Nurse Harvey
C. During the interview, he also complained from w hom can he askask for assistance
of easy fatigability and weakness. and counsel regarding ho me care
31. The doctor ordered oxygen services. Nurse Harvey responds that
administr ation for t he patient.
patient. The nurse the professional who can help
help him wi th
his conc ern and
and who assists th e
conti nuing care nurse with planning the 40. After ovul ation has occur red, the
40.
patient's discharge is the: nurse teaches
teaches women in the fertility
clini c that the ovum is thro ugh to remain
a. Physical therapist viabl e for many HOURS?
HOURS?
b. social worker
c. Psychologist a. 24 to 36
d. Head nurse b. 12 to 18
c. 48 to 72
d. 1 to 6
SITUATION: Raul rushed to the ER dued ue to
Situation one of the responsibilities of a severe abdominal pain radiating to the
nurse in fertility clinic is to provide health scapular region. Health history revealed that
teaching to the patient in relation to timing of his meals were mostly from Jollibee. Patient
intercourse to achieve pregnancy. appeared jaundiced with facial grimaces.
The physician on duty (POD) examined him
36. The nurse explained the ovulation and an impression of Cholelithiasis was
occurs on which of the following given by the POD. Patient was ordered to
conditions? be admitted for further work-up and possible
surgery.
a. Chorionic gonadotropin level is high
b. Luteinizing hormone level is high 41. One of the most common
c. Oxytocin level is high complications post-operatively is:
d. Progesterone level is high
a. Pleurisy
37. Which
37. Which i nstruc tion to p atient b. Bronchopneumonia
addresses t he BEST
BEST time to have sex to c. Pneumonia
achieve a pregnancy? d. COPD

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
t he last
period
38. When teaching clients to determine
the time of ovulation by taking the basal
basal
temperature, the nurse explains that the
change in t he basal
basal t empe
emperature
rature during
ovulation is shown in whic h of the
follo wing 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
39. In response to a client’s question on
the main function of pro gesterone
gesterone,, which
of the following would be the CORRECT
answer? It _________________.
42. In a patient with obstruc tive jaundice,
42.
which of the followi ng assessment
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
43. Mr. Raul
43. Raul bile duct exploration wi th
open cholecystectomy. A t-tube was
connected to drain after surgery. After
12 hours, th ere was a marked decrease
in out put fr om 260 ml to 90 ml. What
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.
44. Which dietary restricti on shoul d be
44.
recommended by the nurse to help
prevent recurrence of stone form ation?

a. Stimulates the follicles for ovulation a. orange juice, pan de sal

to occur b. Whole milk, dairy crème, fried chicken
b. Establishes the secondary male sex breast
characteristics c. Steamed lapu-lapu, nilagang okra,
c. Prepares the uterus to receive a salabat
fertilized ovum d. Nilagangsaba, vegetable salad
d. Develops the female reproductive
organs
45.. Which
45 Which of the followi ng questions
should be asked
asked by the nurse to
accurately descri
descri be biliary colic?
a. Nararamdaman niyo po ba ang sakit
bago matulog?
b. Nararamdaman niyo po ba ang sakit sa
kaliwang parte ng inyong tiyan?
c. Panandalian lamang po ba ang sakit?
d. Nararamdaman niyo po ba ang sakit
matapos kumain?
Situation- Spencer, 3 years old, was
admitted to Pediatrics Ward because of
watery stools four times in 30 minutes
together by vomiting, abdominal pain and
temperature of 38.1 degrees centigrade.
Nurse Aida admitted the patient
46. Which of the follow ing can be the
46.
LEAST
LEAS T sourc e of data for thi s case?
a. Vital signs
b. Laboratory Findings
c. Intake and output
d. Immunization record
47.. Which of the foll owing should be the
47
PRIMARY consideration by the nurse
when charting the Chief
Chief Complaint? The
___________.
_______ ____.
a. Number of significant accompanying
symptoms
b. Objective symptom presented
c. Subjective symptom presented
d. Significant reason for the child’s
hospitalization
48. Using t he FDAR
48. FDAR (Focus Data Acti on
and Response)
Response) Charting,
Charting, w hich of t he
follo wing presenting data would be
PRIMARY “Focus”
a. Vomiting in small amount
b. Watery stools 4x in 30 minutes
c. Generalized abdominal pain
d. Temperature of 38.1 centigrade
49. When
49. When doc umenti ng th e data
data on the
subjectiv e symptom of the abdominal
pain, which of the follow ing should th e
nur se RELY
RELY on?
a. Mother’s verbal complaint
b. Result of the abdominal percussion
c. Patient’s verbal complaint
d. Result of auscultation of the abdomen
Situation: In her 15 years of being a ward
nurse, Jennifer has witnessed and taken
cared of several terminally-ill patients and
their families.
50. Which
50. Which among th e following i s not
true regarding
regarding g rief in the older
population?
a. Many older adults exhibit resilience
in facing losses.
b. They are not at risk for complicated
grieving.
c. Their increased age increases their
likelihood of having faced multiple losses. d.
Positive reappraisal helps older adults
adapt to significant losses.
51. Which
51. Which among th e following i s not
considered palli ative care?
care?
a. Administering anti-emetics to a cancer
patient who underwent chemotherapy b.
Frequently turning the position of a
comatose patient post-CVA
c. Removing the tumor in a Stage I breast
cancer
d. Providing pain relief to a cancer patient
52. What is the immediate focus of
nurses in caring for a grieving family
who just l ost their father from cancer?
a. Post-mortem care
b. Return patient’s belongings (watch,
clothes, etc.) to the family
c. Obtaining consent for autopsy
d. Provide and facilitate time for mourning
53. Which
53. Which nur sing action o f Jennifer will
promote a dying, elderly patient’s dignity
and self-esteem?
a. Providing him regular baths and
good hygiene
b. Instructing the patient’s family
members to decide for his food choices
c. Calling the elderly patient by his first
name only
d. Encouraging his siblings to join
during your private conversations with the
patient
54. Which among the follow ing
54.
statements
stateme nts f rom Jennifer assesses
assesses t he
social support s ystems of a person
experiencing
expe riencing g rief from t he death
death of his
sister?
a. “What does this loss mean to you?”
b. “Tell me how you are feeling.”
c. “Which friends or family members do you
wish were here with you?” a. “Pinaluluwag nito ang daluyan ng
d. “Tell me about your relationship with your hangin.”
sister.” b. “Iniiwasan nito na magkaroon pa ng
allergic attack si Portia.”
55. To ensure
55. ensure full m edica
edication
tion di strib ution
c. “Iniiwasan nito na atakihin ng epilepsy
e pilepsy si
in using metered-dose inhalers (MDI),
Portia”
you inst ruct a patient
patient to:
d. “Binabawasan nito ang pamamaga ng
baga”
a. Shake MDI vigorously for 10 times.
b. Position the mouthpiece 4 inches from
the mouth.
c. Hold his breath for 10 seconds after
puffing the medication.
d. Loosely hold the mouthpiece with lips.
Situation: Portia, while going on a date with
Adam, suddenly
suddenly complains
complains “I can’t
can’t breathe”.
breathe”. 61. Nurse Stephen asks two more nurses
Adam sent her immediately in the ER. She to help hi m l ogroll a patient.
patient. Where
Where
was given Theophylline and Cromolyn should Stephen place the patient’s arms
sodium for the attack. prior to logrolling?

56. Upon administration of th eophylline,

56. a. Along the sides
you are monitor ing Portia for which drug b. Crossed on the chest
induced adve
adverse
rse effect? c. Overhead, extended
d. Behind the hips
a. Bradycardia
b. Diarrhea
c. Constipation 62. Stephen
62. Stephen is caring for a patient
patient wi th
d. Restlessness an arm cast. He know s that t he
57. The fol low ing are expected
57. expected functional position of the wrist and
fingers is which among the following:
assessment findings f or Portia except:
except:

a. Wrist in extension, fingers and

a. Decreased tactile fremitus
thumb in flexion
b. Resonant to tympanitic
b. Wrist in flexion, fingers in flexion,
c. Wheezing sounds
thumb in extension
d. Crackles
c. Wrist in flexion, fingers and thumb in
58. Upon administr ation of The
58. Theophyll
ophyll ine, flexion
the therapeutic
therapeutic effe
effect
ct that you would d. Wrist in extension, fingers in flexion,
expect
expe ct is : thumb in extension

a.
b. Decrease
Increase ininbody
breath sounds
temperature 63. Stephen is teaching a patient with
c. Decrease in wheezing crutc hes how to go up the stairs. Which
Which
d. Pruritus 59
59.. Adam brought fo od in among the following should he instruct
Portia’s room. Which of the following the patient
patient wit h?
food shoul d be restrict
restrict ed for Athena in
consid era
eration
tion to her therapeutic
therapeutic a. When moving the affected leg up, the
regimen? body weight should be on the crutches. b.
The unaffected leg goes up the step after
a. White Chocolate Mocha drink the affected leg.
b. Mango juice c. Patient should keep his feet together
c. One piece chicken with rice at the bottom of the stairs
d. One peach mango pie d. The crutches and the affected leg go
up the step together.

60. Portia asks the nurse why Adam

needs Theophylline. The best response 64. Stephen
64. Stephen is assi sted by anoth er staff
of the nurse is: nurse in li fting a patient. Which among
the following actions will prevent injury 68. What is the IMPORT
68. IMPORTANT ANT nur sin g c are
to Stephen? of an infant wi th incr ea
eased
sed intracranial
pressure?
a. Keeping the feet wide apart and knees
extended a. Check the infant’s reflexes at regular
b. Positioning himself close to the patient intervals.
c. Using the muscles of the back in lifting b. Monitor the infant’s level of
d. Rotating at the waist in lifting consciousness by stimulating frequently.
c. Weight the infant daily before feeding.
d. Elevate the infant’s head higher than the
65. In applying restraints, Stephen hips.
should employ whi ch type of tie?
69. What
69. What is t he drug t hat wil l less en CSF
CSF
product ion that nurse Lorena will
a. Half-bow anticipate the doctor to order?
b. Surgical tie
c. Double knot
a. Osmitrol
d. Two-throw knot b. Lasix
Situation - Baby Boy Troy, 6 months old,
c. Mannitol
was diagnosed to have communicating
d. Diamox
hydrocephalus. Nurse Nicole is preparing
nursing care plan for this baby who is a 70. Nurse Riva understands that
70.
candidate for ventriculo-peritoneal shunting. hydrocephalus, if left untr ea
eated,
ted, can
cause mental retardation because of
which of the followi ng rationales?
rationales?
66. Baby Troy has undergone a surgery

to have ventriculo
parents peritoneal
peritonea
were worried about ltshu
he nt. His a. Hypertonic CSF disturbs normal
plasma concentration, depriving nerve cells
prognosis. What information should
of vital nutrients.
Nurse Rive give to the parents to r educe
b. Gradually increasing size of the
their worry?
ventricles presses the brain against the
bony cranium; anoxia and decreased blood
a. The shunt may need to be revised as supply result.
the child grows older. c. Increasing head size necessitates
b. If any brain damage has occurred, it more oxygen and nutrients than normal
is reversible during the first year of life. blood flow can supply.
c. Hydrocephalus usually is self- d. CSF dilutes blood supply, causing
limiting by 2 years of age and then the cells to atrophy.
shunt is removed.
d. The prognosis is excellent and the
valve is permanent.
Situation – Mr. Steve, 71 years old, a former
car dealer has been chronically ill due to
67
67.
for. tWhen expl aining
expl
he parents
parents the baby’s
bab y’swhich
to understand, problem
of Emphysema. He was in and out of the
the followi ng should be Nurse
Nurse Riva hospital for the past 2 years. He decided to
ACCURATE
ACCURAT E expl anat
anatio
ion?
n? have a living will so he asked his eldest
daughter to contact their lawyer.
a. “The CSF is prevented from
adequate absorption by a blockage in the
ventricles of the brain.” 71. A waitress fr om t he bar was admitted
71.
b. “Too much Cerebro Spinal Fluid because she was suspected to be
(CSF) is produced within the ventricles of suffering from HI
HIV.
V. The
The waitress is
the brains.” single, but with a boyfri end working in
c. “The flow of CSF through the brain the Middle East.
East. During t he shift report
cells does not empty effectively into the of the nurses, the outgoing morni ng shift
spinal cord.” was discuss ing the case in a very
very lo ud
d. “There is a part of the brain surface voice and being heard by s ome patients
that usually absorbs CSF after its in t he ward. The Nurse, can be charged

production that is not functioning for_________.

adequately.
a. Unfair practices
b. Oral defamation C. Injustice 75. A Nurse is assigned in t he critical
75.
D. Non-maleficence care unit for almost 3 years
years and has
attended several patients who have died
under her shif t. She was
was emoti onally
72. Which
72. Which of t he following con dition s is affected
affecte d with thi s situation but rema
remains
ins
APPROPRIATE to hav have
e a livi
li vi ng wi ll ? silent and opts not to dis cuss it every
When a pati ent i s _________
__________. _. time she reports for d uty. The BEST
BEST way
for the Nurse to cope with thi s feeling
feeling is
a. on a stage of drowsiness and to ________.

receiving
b. sedatives but conscious and on
incapacitated a. consult a psychologist regarding this
a terminal condition feeling
c. with family members who are around b. discuss this feeling with the other
and can make decisions for him members of the staff
d. in a critical condition and receiving c. neglect this behavior and go out with
lifesaving care friends
d. request the supervisor to transfer
her to another unit

73. Which
73. Which of the followi ng actions of t he
Nurse can be classified as intention al
tort?
Situation: Nurse Frank is reviewing
concepts and practicing skills on
a. Refusing a patient to sign a waiver intravenous transfusions.
so he can go home. 76. How often should Nurse Frank
b. Failure to instruct the nursing aid to observe a patient
patient with intravenous
put up the side rails of an older patient infusions?
resulting to fall.
c. Administering a blood transfusion to a. Every 2 hours
a wrong patient.
b. Every 6 hours
d. Failure to report to the physical the
c. Every 8 hours
untoward reaction of a drug.
d. Every 12 hours

74. A patient is admitted in t he unit

74.
77. Nure Frank
77. Frank is selecti ng a vein for an
because of rect al bleeding and need a
intravenous tr ansfusion in a 62-yea
62-year-old
r-old
blood transfusion . Being
Being a Jehovah
patient. He wants to dilate and distend
witness, heThe
physi cian. Trefused the order
he wife secretly
secre of thewith
tly talked the veins for easier insertion. He does
the followi ng methods, except:
except:
the Nurse and
and the physi cian to
administer the blood transfusi on after
after
a. Tapping the selected vein multiple times
taking his medication whi ch side effect
effect
b. Placing extremity in a dependent position
is drowsi ness. What
What is the BEST
BEST action
if there are no contraindications c. Applying
of the health
health care professionals in t his
warm washcloth on to the extremity for
situation.
several minutes
d. Stroking the extremity from distal to
a. Refer the case to the minister so he
proximal below his desired site
can convince the patient
b. Proceed with giving of blood
transfusion as this is highly needed
c. Refuse the suggestion of the wife for 78. Which among th e followi ng catheters
78.
is used for less than 24 hours?
the husband might be awake
d. Talk with the wife that she is
violating the husband’s request a.
b. Butterfly needle
Midline catheter
c. Plastic indwelling cannula
d. Angiocath 83. Tania,
83. Tania, 55 yr ol d is another pati ent of
Nurse Sarah
Sarah who is having an asthmatic
79. Six hours afte
79. afterr ini tiating an IV line in
attack, with extreme difficul ty of
a patient, Nurse Frank noti ced that th e IV IV
breathing
brea thing and presence of sternal
sit e was red and warm. The patient
retraction. The physici an who was
compl aine
ained
d that it was painful. Nurse
making his rounds exa examined
mined the patient
Daniel
Da niel would su spect which of th e
and ordered the drug of choice that will
following?
relieve patient’s problems. Which of the
follow ing will be likely be written by the
a. Phlebitis physic ian, carried
carried out and recorded by
b. Extravasation the Nurse in the Medication
Medication chart?
c. Infiltration
d. Clot formation a. Nor-epinephrine
80. What shoul d be the si ze
80. ze/gauge
/gauge of the b. Epinephrine C. Prednisone
needle Nurse Frank would use in D. Albuterol
administering IV infusions fo r trauma
patients?

a. 18
b. 22
c. 20
d. 24
84. Nurse Sarah
84. Sarah is p reparing for her
Situation - Nurse Sarah is assigned in the endorsements
endorseme nts wi th the members of her
Female Medical ward and assigned to team in the ward, wh en she was
patients with varying health conditions. She approached
approache d by her juni or nur se who
believes that documentation is a vital aspect asked
aske d regarding a phys ician or der.
of the nursing process, patient safety, and Which of the following orders shoul d the
important for the role as a Nurse especially nurse question i f thi s has been
been ordered
on record keeping and reporting. by a doctor?

a. twenty four hour ambulatory EKG for a

81. In
81. In formul ating nursing di agnosis to hypertensive patient
her patient Ms. Paulsen
Paulsen who is suffering b. stress test monitoring for an obese adult
from hemolytic anemia, you wil l expect c. a high dose of insulin for a diabetic
Nurse Sarah
Sarah to w rite in the Nursing c are adolescent
plan which one of the follow ing d. blood transfusion for an anemic elderly
PRIORITIES? 85. The physi cian on duty (P
85. (POD)
OD) ord ered
a specific d iet for patie
patient
nt Paulsen
a. Ineffective airway clearance R/T poor gas diagnosed with h emolytic anemia. Which
exchange. of the following diet prescriptions will
b. Activity Intolerance R/T to fatigue. Nurse Sarah
Sarah transmit to d ieta
ietary
ry
c. Poor tolerance to heat R/T increased department?
metabolism.
d. Imbalanced Nutrition: less body weight. a. High protein, high caloric diet.
82. When Nurse Sarah
82. Sarah in dic ates basic b. High fiber, less fat, high protein diet.
care information, skill s and referral
referral c. High fats, high protein diet.
services th at the patients may need d. High carbohydrate, less fiber, low protein
before being released from the health diet.
facility i s an entry
entry of what Situation -Dr. Stevenson is a PhD graduate
documentation in the chart? in Nursing, and has been appointed as a
consultant in a tertiary hospital to help
a. Multidisciplinary notes administration to create strategies that will
b. Physician
Plan orders C. Discharge further enhance culture of team work and
quality improvement (QI) among health
D. Nurses notes personnel in the workplace. One day, Dr.
Stevenson while conducting her rounds,
observing a charge nurse (CN) facilitating a
team on reducing post-operative
complications in her unit of assignment. The
nurse was stressing the four (4) essential
steps of the QI process.
86. While undergoing the QI process,
thr ee (3)
(3) members
members of t he team
team wh ere
having confl ict i n what managemen
managementt to
do. Which of the followi ng can be an an
EFFECT
EFF ECTIVE
IVE str ategy to r esolv e this
conflict?
a. Reprimand the three members of the
team of their behavior
b. Assign the three members of the
team in the different shifts
c. Assign an Administration to solve
the conflict
d. Have the three members confront
with each other
87. The FIRS
87. FIRSTT phase of th is activi ty i s
__________.
_______ ___.
a. Review cause/s of the problems
b. List of problems & prioritize
c. Conduct root cause analysis
d. Analyze the problems carefully
safe and quality patient model, the
collaboration pr ocess as a strategy
strategy is an
exampl e of ___
_______
______.
__.
a. Feed-back mechanism
b. Through – put C. output
D. Input
90. The CQI
90. CQI team have obs erved t hat th e
incid ence of FALL among older persons
have incr ea
eased
sed by half. This data have
reached Dr. Stevenson and h ave
instr ucted the tea
team
m to conduct whi ch
one of t he foll owi ng PRIOR
PRIORITY
ITY
measures?
a. Provide a cash incentive for units with 0
incidence of Fall.
b. Intensify the in-service program for the
unit with the highest incidence of Fall.
c. Identification of the root cause of Fall.
d. Decrease the benefits of these personnel
who are involved in the Fall incidence.
Situation- Remy, 3 years old, who had
ventricular septal defect repair, is placed on
a maintenance dosage of digoxin (Lanoxin)
elixir. Nurse Ursula, who is knowledgeable
about the disease, is assigned to him.

91. Considering Remy’s age, which of

88. Dr. Stevenson was establishing some the followi ng is the BEST
BEST approach
approach by
innovative activiti es in the medical
medical the nurse when giving medication?
center for a contin uous quality
improvement (CQI) in patient care a. “You will feel better if you take your
services. A polic y has been
been adopted for medication.”
nursi ng staff every
every shift to conduct an b. “Would you like to take your medicine
hourly rounds for patients
patients with from a spoon or a cup?”
PRIORI
PRI ORITYTY health
health pro blems and attached c. “Do you want to take this pretty red
polic y was being
being compl ied with by the
nurses i n the first few weeks.
weeks. She found medicine?”
d. This is your medicine and you must
out i n the succeeding dates, it w as no take it all right now.”
lon ger fo llo wed. What is th e PRIO
PRIORI
RITY
TY
action of Dr. Lu in this sit uation? 92. Remy is 7.
92. 7.2
2 kg and th e dos age is 0.07
mg/kg/day.
mg/kg/da y. The physician o rders th e
a. Assign one Nurse per shift to Digoxin to be given twice daily. How
conduct the hourly rounds much Digoxi n shoul d Nurse Rita prepare
prepare
b. Conduct a general meeting with the to adminis ter at each
each dose?
staff and determine why such policy is NOT
complied with a) 2.5 mg
c. Conduct a general meeting with the b) 0.5 mg
staff and explain the benefits of the hourly c) 0.37 mg
rounds d) 0.25 mg
d. Call to the office nurses who fail to
93. Which of the foll owing order about
93.
comply the hourly rounds
ORAL pediatric medications is TRUE as
89. A part of t he CQI
89. CQI that Dr. Stevenson these interfere
interfere with mil k and milk
wanted to practice is the partnership product s or food eaten
eaten by young
chil dren? Oral
Oral medication sho uld be
given_____________.
97. Nurse Arnold tea
97. teaches
ches an inco ntinent
patient bowel training. Which among the
a. With meals always
follow ing would Dora not include in her
her
b. On an empty stomach
health teaching?
c. ½ hour after meals
d. With the night time formula
a. Opioids are avoided to prevent decrease
in bowel peristalsis.
b. Regular exercise is encouraged.
94
94.
. Remy
mmHg; has a pul
resting blose
od of
p ressur e of 92/78
92/78
60; respirations
60; c. Leaning backward at the hips while sitting
on the toilet will help stimulate colon
28 and
and a pot assium level of 4.4.8
8 mEg/L.
emptying.
He is irrit able and
and has vomit ed twice
d. A hot tea or fruit juice may be taken
since the morning dose of digoxin.
before the patient defecates.
Which finding is most indicative of
digoxin toxicity? 98. An enema to provide relief from
gaseous
gase ous di stention is prescribed to a
a) Vomiting patent.
patent. Arnold knows t hat this i s a/an:
a/an:
b) Lethargy
c) Bradycardia a. Oil retention enema
d) Irritability b. Carminativeenema
c. Soapsuds enema
d. Fleet enema

95. Nurse Ursula giv es home care

95.
instr uctions t o the parents
parents of Marco
Marco 99. To prevent urinary tr act infection in a
99.
regarding the procedure for t he
female
fema le patient with an indwelli ng
administr ation of digoxin (Lanoxin).
catheter,
cathete r, Arnold inst ructs h er to
Which statement, if made by the parent,
decrease
decrea se intake of which of the follow ing
indic ate
atedd the need for furth er
fruit juices?
instructions?
a. Pineapple juice
a. “If the child vomits after medication
b. Prune juice
administration, I will repeat the dose.”
c. Apple juice
b. “If more than one dose is missed, I
d. Cranberry juice
will call the physician.”
c. “I will take the child’s pulse before
administering the medication.”
100. Nurse Arnold knows that the
d. “I will not mix the medication with
approximate length of a normal f ema
emale
le
any food and drinks.”
urethra is:

a. 1.5-2.5 cm
Situation: Nurse Arnold handles various
b. 4-6.5 cm
patients with elimination problems. She
c. 20-25 cm
always performs her best nursing care to
d. 10-12 cm
these patients.

96. After i nserting a nasogastri

96. nasogastri c tu be,
Dora checks its p lace
lacement
ment by measuring
the pH of the aspirate. Dora knows that
proper pl ace
acement
ment has likely bee
beenn made if
the aspir ate has
has a pH of:

a. pH 3.0
b. pH 7.0
c. pH 9.0
d. pH 7.4