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NCM 103 LEC (FUNDA LEC) 15.

Which of the following is true about intrapersonal level of


1. Facilitates understanding and collaboration of nursing actions communication? used for both sender and receiver
with their clients and other member of the health care team.
Communicator 16. Communication with older adults should keep environmental
distractions to a minimum. Which includes? Speaking in short,
2. This refers to the condition of being in poor health all aspects of simple sentences, one subject at a time
health. Illness

17. Involves "planning, giving directions, developing staff,


3. A nurse is showing a patient how to use crutches at home and monitoring operations, giving reward fairly, and representing
instructing his mother about how to change his bandages. At this both staff members and administrations as needed. Manager
time, the nurse is primarily acting as: Teacher
18. This is broadly associated with caring which includes the
4. In the Health Belief Model, the nurse recognizes that the focus is required skills and knowledge to treat their patients.
placed on the: Relation of perceptions and compliance Compassionate
therapy

19. According to Leavell and Clark’s ecologic model, all of this are
5. The Process of Influencing helps the client in making decisions factors that affects health and illness: Environment, Agent, Host
to establish and achieve their goals towards alleviating their 20. Requires one to have master's degree in nursing and must have
conditions. Leader specialization in a particular field of nursing. Clinical Nurse
specialist
6. Which principle of code of ethics states that research should not
cause harm? Nonmaleficence 21. A Nursing role which Assesses the client’s motivations and
capacity for change, Identifies the problem, determines
alternatives, explores possible outcomes of the alternative, etc.
7. Knowing yourself is a good personal quality of a nurse. True Change Agent

8. According to American Nurses Association, Health and illness


are human experience. The presence of illness does not preclude 22. Requires advanced educational or nursing practice who can
health, nor does optimal health preclude illness. True assess, diagnose interpret medical tests. Nurse Practitioner

23. Reflection is thinking from a non-critical point of view. False


9. Provides care and comfort for person together with preserving
the dignity of human being. Caregiver
24. Among the therapeutic techniques, this pertains to being more
10. Ensuring proper medication dosages, and keeping accurate understandable and restating message. Seeking clarification
record is: Attention to detail
25. The founder of Philippine Nurses Association. Anastacia Giron
Tupaz
11. It is a great idea to view every work environment as a learning
opportunity. Willing to learn
26. The following are purposes of why Nurses should communicate
12. The Illlness-Wellness/Health Continuum is an excellent resource effectively. to be able to collect assessment data, to initiate
for nurses who want to: Educate their patients about their interventions, evaluate outcomes of care
overall health now and where it has the potential to go in the
future. 27. In the health care field, which professionals abide by a code of
ethics? All health care professions

13. The following are activities in the pre-interaction phase.


Identifies information to be discussed; plan initial visit; 28. Which therapeutic communication skill is most likely to
Recognize own feelings encourage client to verbalize? Providing general lead

14. Investigates the role of nurses which further improves the 29. Man as a bio psychosocial being refers to man as? Will never
nursing practice. Researcher be able to understand another man
30. Which of the following questions is the best example of the
therapeutic communication technique of offering self? I am
here to listen 46. These are all internal variables: Age, Race, Gender

31. The main task during the working phase includes? enhance 47. This patient care model works best when there are plenty of

trust, rapport and develop caring patient but few nurses. Functional nursing

32. The following is true about attentive Listening. Being mindful, 48. According to Boykin and Shoenhofer the theory is grounded in

Encourage the client to trust, Conveys an attitude of caring which several key assumptions? persons live their caring
moment to moment

33. Which of the following are considerations in verbal mode of


communication? pace and intonation 49. The nurse is communicating with a well-oriented grandmother
in a homecare setting. Which statement best reflects respectful
and caring communication? Are you comfortable, Mrs. Co
34. She is known as "Tandang Sora" nurse the wounded Filipino
soldiers and gave them shelter and food. Melchora Aquino 50. Caring is the heart of nursing’ s identity. True

35. Defends the client's right to be treated equally without any harm
intentionally or unintentionally. Client Advocate 51. Caring is the essence and central unifying, a dominant domain
that distinguishes nursing from other health disciplines this is
coined by? Leininger
36. Which of the following are methods of communication?
gestures or body actions; talking, listening, and writing; 52. Performs direct nursing actions in specialty areas. They may or
painting, dancing, story telling may not have advance education preparation as long as they are
certified by a government body to perform such duties. Nurse
37. In health belief model, Individual perception matters. Which of clinician
the following is highly UNLIKELY to influence preventive
behavior? Perceived curability of an illness
53. Which one of the following is an example of the emotional
component of wellness? A client expresses frustration with
38. Man’s subsystem includes which of the following? cells, tissues, her partner's substance abuse.
organs, organ system
54. Helps the client learn the state of their well-being and the
39. It is a delivery of care to individual clients by a group of therapies that will be done to them to alleviate their health
providers. Team Nursing conditions. Teacher

40. Man is an individual with vital reparative process, this concept 55. Pre-interaction phase also called orientation phase includes
was coined by? Florence Nightingale which of the following? planning stage

41. It was built exclusively for patients with leprosy. San Lazaro 56. One of the hindrance to therapeutic communication is assuming,
Hospital which refers to? thinking that you know what the client really
means

42. What does beneficence mean? To do good 57. According to Maslow, the following are true about a self-
actualized person? Desires privacy, autonomous; Understands
43. It is the extent to which an individual’s behavior coincide with poetry, music, philosophy, science etc.; Problem centered
medical or health advice. Adherence

58. The nurse questions a doctor’s order of Morphine sulfate 50 mg,


44. Your client has told you that he is depressed and is thinking IM for a client with pancreatitis. Which role best fit that
about committing suicide. You responded, “Why would you kill statement? Client advocate
yourself?” As a nurse, you know that this is non therapeutic for 59. Which of the following activities of a nurse is an example of
what reason? It demands an explanation tertiary prevention? Arranging for a hospice nurse to visit
with the family of a client with cancer
45. The following are an example of man as super Ordinate System.
problems at work, presence of family and friends
60. The client is paraplegic (paralysis of the legs and lower body) 72. What occupation requires extensive education that requires
and is in the hospital for electrolyte imbalance. Based on the special knowledge, skill, and preparation. Profession
levels of prevention, the client is receiving care at the:
Secondary Prevention
73. The following pertains to Watson Theory of Human Care.
Caring allows access to higher human spirit; Caring is
61. A client recently diagnosed with hypertension is confident that it healing
can be improved with diet and exercise alone, and recently
checked out a video on the management of hypertension at the 74. Which factors influencing communication process refers to
World Health Organization, the client's actions are most standards that influence behavior and personal point of view?
representative of which one of the following models: Health Values and perceptions
belief model
75. Knowing is one of the ingredients of Caring which refers to?
62. A registered nurse who received specialized education and needs and how to respond
training to provide care to patients who experienced violence.
Forensic Nurse 1. The use of conceptual models for collecting and organizing
assessment data ensures which of the following? Collection of
all necessary information for a thorough appraisal
63. According to WHO, it is a social and political action enhancing
public awareness in health, fostering healthy lifestyle and 2. The following are purposes of the nursing process.
creating conditions conducive to health. Health Promotion to deliver specific nursing interventions to meet those needs;
to identify a client’s health status; to establish plans to meet
64. Client communication are words or thoughts, non-distinct from the identified needs
feelings. False

3. Which of the following behaviors is most representative of the


assessment phase of the nursing process? Organizing data in
65. It is normal to feel frustrated about the discomfort. Which of the
the client’s family history
following is most representative of the skills associated with the
working phase of the helping relationship? Respect
4. The nurse wishes to determine the client’s feelings about a
recent diagnosis. Which interview question is most likely to
66. This model represents the Maslow's Hierarchy of Needs in
elicit this information? “Tell me about your reactions to the
which health is actualization or realization of person’s potential.
diagnosis.”
Eudaimonistic Model

5. In the documenting activity of the assessing phase of the nursing


67. The following are major attributes of human being. The ability
process, the nurse performs which of the following? Records
to use verbal symbols as language as a means of developing
data in the client record
and maintaining culture; Family formation; Tendency to see
and maintain territory
6. Which of the following characteristics of the nursing process
pertains to organizing the plan of care in accordance to the
68. The organizer of the Philippine Red Cross under the inspiration
client’s health problem? client centeredness
of Apolinario Mabini. Dona Hilaria de Aguinaldo

7. Which of the following is a TRUE statement about the nursing


69. Which of the following is an example of a primary prevention process? if inadequate data are obtained during assessing,
activity? Nutrition counseling for young adults with a strong the nursing diagnoses will be incomplete or incorrect
family history of high cholesterol.
8. Which of the following elements is best categorized as primary
70. Nurses help the clients to cope with the stress brought about subjective data? Client states severe pain when walking up
their health conditions, also facilitates the client’s growth in all stairs.
aspect: physical, emotional, psychological and even spiritual.
Counselor 9. Which of the following is the purpose of assessing? Establish a
71. A nurse reviews the client’s progress toward understanding his database of client responses to his or her health status.
behavior under stress. This is typical of which phase in the 10. Which of the following behaviors would indicate that the nurse
therapeutic relationship? Pre-interaction was utilizing the assessment phase of the nursing process to
provide nursing care? Reviews client’s history
1. One of the primary advantages of using a three-part diagnostic 14. It refers to a problem that exists at the moment. Actual nursing
statement such as the problem, etiology, signs and symptoms diagnosis
PES format includes which of the following? Actual diagnosis
can be documented 15. Which of the following nursing diagnoses contains the proper
components? Risk for falls related to tendency to collapse
2. Which of the following nursing diagnosis is correctly stated? when having difficulty breathing
Ineffective airway clearance related to accumulation of
secretions in lungs. 1. These are the guideline in writing nursing care plans?
Use category heading, with Date and signed, Use
3. Which of the following behaviors is most representative of the standardized/approved medical
nursing diagnosis phase of the nursing process? Identifying
major problems or needs 2. The nurse recognizes which of the following as a benefit of
using a standardized care plan? They have been approved by
4. It refers to a diagnosis that is associated with cluster of other accrediting agencies.
diagnosis. Syndrome Diagnosis
3. Planning is basically the nurse’s responsibility, in-put from the
5. The nurse is conducting the diagnosing phase or nursing client and support persons is not essential. False
diagnosis of the nursing process for a client with fever. Which
step exists between data analysis and formulating the diagnostic 4. Which of the following activities follows after setting priorities?
statement? Identify the client’s problems and strengths. Establish goals/outcomes.

6. Which of the following is the correct way in writing an actual 5. Standardized care plan are typically written in which format?
nursing diagnosis? Problem, etiology and signs and symptoms Problem and Goals/Desired Outcomes/Nursing Interventions

7. What particular nursing diagnosis focuses on well patients. 6. Which of the following activities starts the planning? Set
Wellness nursing diagnosis priorities.

8. Deficient Fluid Volume related to insufficient intake to replace 7. The nurse plans the interview setting should consider which the
fluid loss AEB sunken eyeballs and decreased blood pressure. following? Provide privacy
From this nursing diagnosis statement, determine the cause of
the response. Insufficient intake to replace fluid loss 8. In writing goals make sure that each goal is derived from only
one nursing diagnosis. True
9. Which of the following nursing diagnoses statement using
variation of basic formats is correctly stated? Risk for Impaired 9. The nurse recognizes which of the following as a benefit of
skin integrity related to decreased peripheral circulation using a standardized care plan? They have been approved by
secondary to diabetes. accrediting agencies.

10. In the diagnostic statement “Excess Fluid Volume related to 10. Which of the following is part of planning? Goal setting
decreased venous return as manifested by lower extremity
edema (swelling) presents a complete diagnostic statement.” 11. Which of the following plans is correctly stated? Gain 2 kg
True after two days.

11. All of the following are nursing diagnosis written in correct 12. Which of the following is likely to occur if the goal statement is
manner. Ineffective breastfeeding related to breast poorly written? There is no standard against which to
engorgement; Hyperthermia related to the presence of compare outcomes.
pathogenic microorganisms in the body; Ineffective airway
clearance related to the presence of thick and tenacious 1. A dependent nursing intervention ___________. requires an
secretions AEB rales on the upper right lung lobe, order from another health care provider
productive cough, tachypnea and labored breathing 2. After drawing conclusions, the nurse modifies the care plan as
12. Which of the following nursing diagnoses contains the proper indicated she may write? goal met, problem resolved,
components? Risk for Caregiver Role Strain related to Discontinued
unpredictable illness course 3. A number of uses for the NIS include: Clinical documentation,
13. In the case in which a client is vulnerable to developing a health Standardized communication regarding care, Research on
problem, the nurse chooses which type of nursing diagnosis intervention effectiveness
status? A risk nursing diagnosis
4. A nurse deciding to counsel a patient on what to expect with a 18. Which of the following refers to the potential problem? stated
new medication would be considered which type of nursing in the nursing diagnosis is being prevented, but the risk
intervention? Independent factors are still present

5. A nursing intervention _____________. is an actual treatment 19. Which of the following represents application of the components
and/or action that is performed to help a patient reach the of evaluating? After determining that the outcome was not
health goals. met, start over with a new nursing care plan.

6. A supporting data are the statement “that the goal/desired 20. Which refers to goal was met? the client response is the same
outcome was met, partially met, or not met.” False as the desired outcome.

7. During the evaluation stage, the nurse performs which of the 1. Knowing is one of the ingredients of Caring which refers to?
following? Assess outcomes for completion, Determine needs and how to respond
progress toward goals completion, Revise nursing care plan
2. The nurse sits with the client and holds the client's hands as his
8. Evaluation Decisions made after Implementation of Nursing pain decreases. This situation is an example of the following
Interventions/Actions: to continue the plan of are if more time caring practice: Nursing presence
is needed to achieve the outcomes, to modify the plan of care
if there are difficulties achieving the outcomes, to terminate 3. Which of the following refers to a Team? a group of people
plan of care when each expected outcome is achieved who collaborate on related tasks toward a common goal

9. Interventions are included for illness treatment includes the 4. Which of the following is a TRUE statement about the nursing
following: fall prevention, exercise promotion, management process? if inadequate data are obtained during assessing,
of hyperglycemia the nursing diagnoses will be incomplete or incorrect

10. In this stage, you determine if the patient has achieved the 5. Which of the following examples illustrates the principle of
expected outcomes. Evaluation knowing the client? The nurse listens as the client describes
how he has been caring for his diabetes at home.
11. It refers to the evaluation of a client’s record after discharge
from an agency. retrospective audit 6. The nurse is conducting the diagnosing phase or nursing
diagnosis of the nursing process for a client with fever. Which
12. The primary purpose of the evaluating phase of the care step exists between data analysis and formulating the diagnostic
planning process is to determine whether: Desired outcomes statement? Identify the client’s problems and strengths.
have been met.
7. The nurse manager delivers their clinical care and serve as
13. This type of nursing interventions refers actions the nurse carries administrative leaders by performing which of the following?
out in collaboration with other health team members, such as Mentor and coach nursing staff; Listen to concerns and
physical therapists, social workers, dietitians, and primary care provide counsel; Represent and support their nursing staff
providers. Collaborative
8. Which of the following would indicate that the nurse was
14. When initiating the implementation phase of the nursing utilizing the assessment phase of the nursing process to provide
process, the nurse performs which of the following phases last? nursing care? know the patient’s lifestyle.
Documenting interventions
9. The nurse teaches a client with diabetes how to make decisions
15. Which nursing intervention is considered an independent about insulin management after discharge. This teaching most
intervention? Encouraging the postoperative client to clearly reflects which caring activity? Empowering the client
perform coughing and deep breathing exercises
10. This record can be place at the bedside to facilitate the carrying
16. Which of the following demonstrates appropriate use of out of doctor’s order or specific measures and designed to be
guidelines in implementing nursing interventions? Encourage discarded. Temporary record
all clients to be as independent as desired or tolerated 11. The patient’s bill of rights can be exercised by the patient’s in
17. Which of the following principles does the nurse use in selecting behalf by a proxy decision maker in which circumstances?
interventions for the care plan? Actions should focus in patient is minor
eliminating the etiology
12. The patient has the right to review the records pertaining to
his/her medical care. True
27. Health promotion is best represented by which of the following
13. Which of the following are discussed with the client, when activities? Preventing accidents in the home
securing the informed consent? benefits and risks of
treatment, complete information about the procedure, 28. In the Health Belief Model, the nurse recognizes that the focus is
alternatives to the treatment placed on the: Relation of perceptions and compliance
therapy
14. Man is an individual with vital reparative process, this concept
was coined by? Florence Nightingale 29. Which of the following refers to the underlying principles
beneficence? doing good

15. Which of the following elements is best categorized as primary 30. Which of the following is the purpose of assessing? Establish a
subjective data? Client states severe pain when walking up database of client responses to his or her health status.
stairs.

31. Which of the following elements is best categorized as objective


16. Which of the following questions is the best example of the data? blood pressure is recorded 150/100 mmhg
therapeutic communication technique of offering self? I am
here to listen 32. She is the first nursing's first scientist-theorist for her work on
Nursing: What It is, and What It Is Not (1860/1969). Florence
Nightingale
17. The Philippine Nursing Law of 2012 is mandated by which of
the following? RA 9173
33. A nurse is showing a patient how to use crutches at home and
instructing his mother about how to change his bandages. At this
18. During the introduction phase of the nurse interview with the
time, the nurse is primarily acting as: Teacher
patients upon the beginning of the shift, the most important
initial step to take is which of the following? Introduce
34. An important first step in ethical decision making is to
yourself to the patient.
determine whether a moral situation exists. The following
criteria may be used EXCEPT: Moral principles or
19. Misconduct or practice that is below the standard expected of
frameworks exist that can be used to provide some
ordinary, reasonable and prudent person. Negligence
justification for the action; difficult choice exists between
actions that conflict with the needs of one or more persons;
20. According to Maslow, the following are true about a self-
The choice is guided by a process of weighing reasons.
actualized person? Follows the decision of the majority,
uphold justice and truth

35. Which of the following elements is best categorized as


21. When 2 parties discuss and agree orally or in writing the terms secondary subjective data? Spouse states that the patient has
and conditions during the creation of the contract. Expressed an upper abdominal pain and vomiting.

22. This is intended to make the client concerns and strength focus 36. The following are purposes of the nursing process: to deliver
of care. FDAR specific nursing interventions to meet those needs; to identify
a client’s health status; to establish plans to meet the
23. Nurse managers lead the care efforts on their units. True identified needs

24. An Oral, written or computer-based communication intended to 37. One that has not been explicitly agreed to by the parties, but that
convey information to others is an example of? Report the law considers to exist. Implied

25. When an ethical issue arises, one of the most important nursing 38. The patient Bill of Rights includes right to information regarding
responsibilities in managing client care situations is which of the diagnosis, treatment, and prognosis. True
following? Remain neutral and detached when making
ethical decisions. 39. Failure of a nurse to provide care that a reasonable person would
26. During assessment the nurse wishes to confirm her tentative ordinarily use in a similar circumstance. Negligence
nursing diagnosis from the urinalysis, fecalysis, complete blood 40. Which is NOT an objective of CPD? To develop positive
count and x-ray result of the patient. The nurse is aware that she attitudes; to meet the challenge of changes in technology; to
can find these data in which of the following sources of keep up-to-date to new concept
secondary of data? Laboratory records
41. Facilitates understanding and collaboration of nursing actions
with their clients and other member of the health care team. 55. Continuing Professional Development (CPD) is the term used to
Communicator describe the learning activities professionals engage in to
develop and enhance their abilities. True
42. Provides care and comfort for person together with preserving
the dignity of human being. Caregiver 56. Integrity is one of the essential values of nurses which refers to
acting in accordance with an appropriate code of ethics and
43. The nurse wishes to determine the patient's feelings about a accepted standards of practice. True
recent diagnosis. Which interview question is most likely to
elicit this information? "Tell me about your reactions to the 57. Self-awareness pertains to relationship between one’s perception
diagnosis." of oneself & others perception of oneself. True

44. Any written legal record of all pertinent interactions with the 58. Leaders were identified by their acts and accomplishments. This
patient in the course of nursing process. Documentation refers to which theory? Great Man Theory

45. Requires advanced educational or nursing practice who can 59. A patient reports feeling hungry but does not eat when food is
assess, diagnose interpret medical tests. Nurse Practitioner served. Using critical thinking skills, the nurse should perform
which of the following? Assess why the patient is not
46. One of the general rule for charting is the written signature of ingesting the food provided.
the nurse should consist of her initial of first name and fill the
last name. True 60. This model represents the Maslow's Hierarchy of Needs in
which health is actualization or realization of person’s potential.
47. Which charting entries is or are written accurately? with 3 cm Eudaimonistic Model
bruises at the right hand
61. Voluntary practice of validating that an individual nurse has met
48. Which of the following is an example of Subjective data? minimum standards of nursing competence in specialty areas
symptoms & covert such as maternal- child health, pediatrics, mental health,
gerontology, and school nursing. Certification
49. Nurse Hane, an Emergency Room Nurse is conducting her
assessment to a client rushed in the hospital after a 16-year-old 62. A consolidate patient orders and care needs in a centralized,
male client who met a vehicular accident. She notes that the concise way. Kardex
client is under the influence of alcohol. The client also manifests
the signs and symptoms of internal bleeding, vital signs are T 36 63. A documentation system/ style of which the Information about a
C, PR 54bpm, RR 10cpm and BP 90/50. Nurse Ailuz is aware particular problem is distributed throughout the record. Source
that Nurse Hane is conducting: Initial Assessment Oriented record

50. Continuing professional development (CPD) is described 64. The Process of making an entry on a client record is? Recording
internationally by a variety of terms these include? life-long
learning; professional skills development; continuing 65. A legal role of a nurse that is expected to provide safe and
nursing education competent care so that harm (physical, psychologic or material)
to the recipient of the service is prevented. Provider of service
51. It refers to the state of being a partner & an association of two or
more people as partner. Partnership 66. Nurse Malou saw her patient holding her right lower quadrant of
abdomen. Which of the following should Malou document as
52. It is a type of assessment in which the nurse performs within her assessment: 9:00 a.m Seen patient holding her RLQ.
specified time after admission to a hospital and the purpose is to
establish a complete database for problem identification, 67. Which moral principle provides the basis for the nurse’s actions
reference and future comparison. Initial Assessment to ensure that they remain faithful to agreements and promises?
Fidelity
53. Which of the following is an example of a primary prevention? 68. Flow chart like vital signs, progress notes are example of
Pneumococcal vaccine given to senior citizens to prevent frequent or ongoing assessment. True
Pneumonia 69. Which one of the following is an example of the emotional
54. In the decision-making process, the nurse sets and weights the component of wellness? A client expresses frustration with
criteria, examines alternatives and performs which of the her partner's substance abuse.
following before implementing the plan? Determines the
logical course of action should intervening problems arise
70. Nurse Kate is collecting data from the patient upon admission. 85. Which of the following is an example of Objective data? Overt
The patient told the nurse during an interview, “My vision data
becomes hazy and cloudy whenever I stoop.” This data is:
Primary subjective data 86. Which of the following nursing diagnoses contains the proper
components? Risk for Caregiver Role Strain related to
71. The process of influencing helps the client in making decisions unpredictable illness course
to establish and achieve their goals towards alleviating their
conditions. Leader 87. These are factors affecting the Health Care Delivery System."
Access to Health Insurance, Advances in Technology,
72. Which of the following behaviors would indicate that the nurse Increasing Number of Elderly
was utilizing the assessment phase of the nursing process to
provide nursing care? Review results of laboratory tests 88. Which of the following would indicate that the nurse was
utilizing the assessment phase of the nursing process to provide
73. Which of the following is true regarding the Patient's Bill of nursing care? Reviews physical examination
Rights? The patient also has the right to know the immediate
and long- term financial implications of treatment choices, in 89. Is a legal permit that a government agency grants to individuals
so far as they are known. to engage in the practice of a profession and to use a particular
title. License
74. Is the process of determining and maintaining competence in
nursing practice. Credentialing 90. An oral informal oral consideration of a subject by 2 or more
healthcare personnel to identify a problem or establish strategies
75. The Illlness-Wellness/Health Continuum is an excellent resource to resolve a problem. Discussion
for nurses who want to: Educate their patients about their
overall health now and where it has the potential to go in the 91. The Kardex, NCP, Incident Reports and discharge Summary
future. records are considered examples of record keeping forms? True

76. Which of the following is the least priority in addressing patients 92. Defends the client's right to be treated equally without any harm
need after thorough assessment? A client who show intentionally or unintentionally. Client Advocate
independence after home plan is given
93. Which of the following behaviors is most representative of the
77. This patient care model works best when there are plenty of nursing diagnosis phase of the nursing process? Identifying
patient but few nurses. Functional nursing major problems or needs

78. Informed consent is an agreement by a nurse to administer a 94. Let the master answer, command responsibility. This refers to?
course of treatment or a procedure. False Respondeat superior

79. Unforeseen or inevitable event, irresistible force. This pertains 95. Which of the following behaviors would indicate that the nurse
to? Force Majeure was utilizing the assessment phase of the nursing process to
provide nursing care? Reviews client’s history
80. A documentation system/ style intended to make the client and
client concerns and strength focus of care. Focus Charting 96. What do you have to fill up when an event transpired is not
consistent with routine operation of a health care unit? Incident
81. Any written legal record of all pertinent interactions with the report
patient in the course of nursing process. Documentation
97. Who claims that his or her legal rights have been infringed on by
82. Which of the following is an important element of the informed one or more other persons or entities. Plaintiff
consent? The consent must be given voluntarily.
98. Which professional organization developed a code for nursing
83. The daughter said, my mother always feels hungry and thirsty. students? NSNA (National Student Nurses' Association)
The data collected is: Secondary subjective data 99. Rule of conduct commanding what is right and what is wrong.
84. A patient experienced a myocardial infarction four weeks ago Law
and is currently participating in the daily cardiac rehabilitation
sessions at the local fitness center. In what level of prevention is 100. The bill of rights of patients includes the following: right to
the patient participating? Tertiary Prevention have advance directives, right to privacy and confidentiality,
right to considerate and respectful care
NCM 103 LAB (FUNDA LAB) 10. After you have thoroughly washed and rinsed the hands, the
1. One of the presenting symptom of systemic infection is fever. next step to do is? Thoroughly dry hands
True
1. Heat causes blood vessels to Dilate
2. All infectious diseases are contagious. False
2. The following are important points in the application of hot
3. In the chain of infection, susceptible host refers to any water bag: Wrap the bag in a towel and place it on the
individual sick or well. True affected part, Hold the bag upside down to test for leakage,
Expel the remaining air and secure the top
4. Indirect contact refers to touching a non-contaminated object.
False 3. The following equipments are used for heat application:
Aquathermia, Electric pads, Hot water bag
5. Clean technique refers to the decrease in the possibility of
transferring microorganisms. False 4. The temperature for tepid sponge bath is 27-37 degrees
centigrade
6. Medical asepsis includes all practices intended to eradicate a
specific microorganism. False 5. Which is not included in the care to patients for sitz bath? Leave
each area wet and cover with damp towel
7. One vehicle of airborne diseases can be dust. True
6. Which is the effect of cold application? Vasoconstriction,
8. Convalescense period is also called a non-recovery period. Decrease pain, Muscle relaxation
False
7. Which of the following is not a local effect of heat? Decrease
9. Infection is a disease state resulting from an etiologic agent. the removal of waste, reduces blood flow to affected area,
True Lowers the temperature of the skin

10. Bacteria can be transported through fomites. True 8. Variables affecting physiologic tolerance to heat and cold:
individual tolerance and length of exposure, Size of the
1. Which of the following terms refers to the freedom from exposed body part and open wound, Body part and
microorganisms? Asepsis intactness of the skin

2. When breaking the chain of infection which of the following is 9. Rebound phenomena occurs when heat produces a maximum
true? every link in the chain of infection can be interrupted vasodilation beyond: 30 to 45 mins

3. During preparation before washing, that following are 10. Local effect of cold includes: Vasoconstriction
observed: Determine location of running water, Determine
client presence of signs and symptoms of infection, Assess 11. A client position that is back lying position with knees flexed
hands and hips externally rotated. Dorsal recumbent

4. In medical handwashing, the hands are held in what position? 12. A patient complains of difficulty of breathing should be placed
hold hands lower than the elbow in which of the following position. Semi fowlers

5. Which of the following is the correct rationale of using warm 13. It is the point at which all the body mass is centered. Center of
water during handwashing? Warm water removes less of the gravity
protective oil than hot water
6. The following are purposes of handwashing: To reduce the 14. What is the desired position for patient for enema? Sims
risk of cross contamination among clients, To reduce the 15. Which of the following statement is true? Balance is
risk of transmission of microorganism maintained when the line of gravity falls close to the base of
7. The feces, urine, blood and other exudates are: Vehicles of support
transmission for infectious agent
16. Which of the following are the purposes of unoccupied bed: to
8. Which of these are factors in the chain of infection? Portal of provide smooth, wrinkle free bed; To provide clean and neat
exit, Portal of entry, Reservoir environment; To promote clients comfort

9. The first line of defense against disease is: an intact skin 17. Which of the following principles of body mechanics are applied
in bed making? A person is more stable if the center of
gravity is close to the base of support; Smooth, rhythmical
movement at moderate speed require less energy; Face in the 4. All of the following are TRUE in providing ROM exercise,
direction of the task to be performed EXCEPT? It promotes deterioration of joint capsules,
ankylosis and contracture
18. Purpose of occupied bed: To provide clean and neat
environment; To provide smooth, wrinkle free bed; To 5. In providing passive range of motion exercise, the nurse must
promote clients comfort perform the following, EXCEPT? Support the client’s limb on
the affected joint
19. It is an accessory of the bed use to support clients foot in a
normal right angle to the legs to prevent plantar flexion. Foot 6. Student Nurse Madonna performs donning of gloves. While
board performing the procedure, her clinical instructor’s teaching is
indeed successful when she states which of the following
20. A nurse was asked to perform occupied bedmaking. Which of statements regarding the outer boarder of the paper wrapper that
the following actions must she perform first? Assess the holds the sterile gloves? Is not sterile 1 inch all the way
patient’s ability to moved and be repositioned around.

1. When completing and duplicating the records during transfer, 7. The effects of the hospital physical environment on the healing
you need to do the following except? Endorse the chart to any process and well-being have proven to be increasingly relevant
member of the health team for patients and their families. Efficient Bed making is no
exemption to this. Nurse Maria can provide physical and
2. Documentation is important during? Discharge, Admission, psychological comfort in which nursing intervention? Providing
Transfer clean, fresh and neat bed linens.

3. Which of the following responsibilities of the nurse during 8. The following are principles of surgical asepsis, EXCEPT?
admission is considered to be the most important? Conducting Supplies remain sterile even opened for prolong period as
brief general assessment long as it does not touch unsterile items

4. Which of the following would be the best intervention when the 9. Student Nurse Clarissa is tasked to perform bedmaking at Room
patient shows anxiety during transfer? Allowing the patient to 6 of the Medical Ward. She performs all the following steps in
verbalize his feelings and reasons of anxiety stripping the bed, EXCEPT: Rolling all soiled linen inside the
bottom sheet, hold it away from her uniform, and placing
5. The perception of the patient's chief complain can be assess them directly on the floor.
through? History Taking
10. In changing the bottom sheet and draw sheet in occupied bed,
6. Which of the following condition suggests that the patient is not the first thing to do is? Assist the client to turn on the side
yet ready to be discharged? Patient's V/S result as follows: facing away from the side where the clean linen is
RR=18bpm, Temp= 38.7 C, PR= 78
11. What is the reason for raising the side rails? It is to prevent the
7. Reviewing the doctor's order during admission is important patient from falling
because? It provides reason for admission, It provides plan of
medical care, It provides information about the patient's 12. To doff (remove) used sterile gloves the nurse should: Pull off
condition the first glove by grasping slightly back from the wrist,
turning it inside out, and wading the dirty glove into the still
8. Discharge is completed by which of the following activity? gloved hand.
Completion of business function/ Hospital bill
9. During admission, who can be the primary source of 13. A toe pleat which has a fold in the sheet 5 to 10 cm
information? Patient perpendicular to the foot of the bed is? Vertical toe pleat
1. Student Nurse Madonna is about to remove used sterile gloves. 14. In adding or pouring liquid in the sterile area, the following must
She has understood the lesson when she does which of the be kept in mind, EXCEPT: Hold the bottle in slight angle so
following steps? Pull off the first glove by grasping slightly the label is under, to avoid spilling
back from the wrist, turning it inside out, and striding the
dirty glove into the still gloved hand. 15. Which is NOT included in the purpose of the bedmaking? It
does not save energy
2. ROM should be performed? Twice a day

3. Adduction: Toward the center of the body


16. Which of the following is the purpose of changing an occupied sterility of anything, consider it not sterile; Sterile persons
bed? To provide clean, neat environment for the client; To must avoid leaning over unsterile areas.
promote client comfort; To conserve client’s energy
33. After thoroughly had washed and rinsed the hands, you must?
17. All of the following are observed in providing passive ROM, Thoroughly dry hands
EXCEPT: If patient complains of minimal joint pain upon
movement, activity should be discontinued 34. The following areas are considered sterile, EXCEPT: The upper
back part of the gown
18. When opening package of sterile gloves, it is important to place
the package of gloves on a clean, dry surface because. Any 35. Supination: To turn upward
moisture on the surface could contaminate the gloves.
36. In occupied bedmaking, the rationale in fan folding the draw
19. After choosing the correct size of gloves, Student Nurse sheet and bottom sheet at the center of the bed as close to and
Madonna knows that the first thing that she must do in donning under the client as possible is: Leaves the near half of the bed
sterile gloves is: Wash hand with soap and water using good free to be changed
hand-washing technique.
37. What movement is used when rubbing the elbows down the
20. What are the purposes of ROM, except: Prevent bad breath wrist? Circular

21. Before introducing an object to a sterile field, Nurse Quinn 38. Which action performed by Nurse Maria during unoccupied bed
should do the following, EXCEPT: Immediately open the making prevents stretching, reaching and possible muscle strain?
package and hand over to the scrub nurse. Using good body movement and making each step
purposeful.
22. When opening a sterile package, the last flap to be opened
should be closest to you. 39. Pointing the toes of each foot upward is called? Dorsiflexion

23. Hands should be lower than the elbows so that the water flows 40. In using sterile forceps, when handling sterile items, you must
from the arms to the fingertips since Elbows are less always do the following, EXCEPT? Always position handle at
contaminated than the fingers. the edge of the field

24. Immersion of inanimate object in a disinfectant solution with 41. Moving the bones of the forearm so that the palm of the hand
resulting destruction of all testable microorganisms except face upward when held in front of the body is called?
spores is? Chemical disinfection Supination

25. Which is NOT a key aspect of sterile technique? All articles 42. What is the 8th step in performing occupied bedmaking? Ensure
used in a procedure have not been sterilized. continued safety of the client.

26. Which areas of a surgical gown are considered sterile? The 43. Which of the following is NOT an example of hyperextension
front from the chest to the level of the surgical field. range of motion exercises? Move each leg forward and
upward
27. The first line of defense of the body is? Intact skin and mucous
membranes 44. Which of the following is considered as unsterile? Used sterile
gloves in the sterile table
28. Bedmaking is normally recorded? False
45. Which of the following would require the nurse to put on a new
29. Before he places the contents of the sterile package on the sterile pair of sterile gloves? Grasping the patients gown to move it
field, Student Nurse Carlo measures the distance of the package out of the way
above or from the field which is about: 2.5 cm. 46. The first step in donning sterile gloves, after choosing the
30. The rationale of turning on the water and adjusting the flow correct size is: Wash hand with soap and water using good
when preparing for handwashing is to? To check the hand-washing technique.
temperature and pressure of the water. 47. After choosing the correct size of gloves, Student Nurse
Madonna knows that the first thing that she must do in donning
31. Bedmaking are always done before bed bathing. False sterile gloves is: Wash hand with soap and water using good
hand-washing technique.
32. All of the following are correct: Sterile person turns his back
to an unsterile area when passing it; If in doubt about
48. Assessment of the hands before handwashing includes. Check
hands for breaks in the skin; Nails should be kept short; 63. Patient can do own ROM: Active ROM
Remove all jewelry
64. The following are done during preparation of sterile field,
49. The outer boarder of the paper wrapper that holds the sterile EXCEPT: Reach over the field to get the needed packed
gloves: Is not sterile 1 inch all the way around. items

50. A sterile field includes which of the following? Working areas 65. The nurse put on the first glove, observing which of the
and equipment covered with sterile drapes and drape following first? grasp the glove for the dominant hand by its
accessories; The site surrounding an incision of tissue folded cuff edge (on the palmar side)
perforation; Personnel in sterile attire.
66. What is the 4th step in bedmaking? Remove the top bedding
51. Cross-contamination is a major concern for anyone working in a
hospital or clinical setting. This includes doctors and nurses as 67. Which is NOT included in the assessment when changing linen
well as other hospital staff. There are plenty of opportunities for in an occupied bed? To identify specific gown to be used
cross-contamination to occur. Most of these opportunities may
be expected, but there are some opportunities that all health care 68. After using gloves contaminated with body secretions, the
professionals should be aware of that may not be as obvious. proper way to dispose it is: Dispose the gloves to the yellow-
Which of the following actions by staff nurses in the ward that colored trash bins
can best contribute to cross-contamination? Nurse Sheila
shakes dirty linen at times to check patient’s belongings. 69. Which of the following situation is the inappropriate use of
gloves? Changing the patient’s linen with a new one
52. Patients who are confined to bed should be provided with which
accessory device to help prevent foot drop? Foot board 70. It is an exercise wherein the clients move each joint in the body
through its complete ROM. This pertains to? Active ROM
53. It is the movement of the bone around its central axis. This
refers to? Rotation 71. The nurse should put the second glove on the dominant hand.
False
54. Physical Examination of the joints involves the following,
EXCEPT? Percussion 72. In draping a table, the nurse drapes from ________ to _______
protecting her gloves ________. Front, back, by cuffing drape
55. When opening the outer package of sterile gloves, the nurse edge.
should? Remove the inner package from the outer package;
open the outer package without contaminating the gloves or, 73. Madonna is a freshman nursing student and she has just seen the
avoid contaminating the inner package. video demonstration of her clinical instructors on proper
gloving. During her guided practice, she was asked about when
56. Never exercise or stretch joint to the point of pain. True to use sterile gloves. Madonna needs additional instruction when
she states which of the following procedures? Changing bed
57. You assessed that the patient needs special mattress like linens.
eggcrate, with regards to her condition, what is the reason
behind? To reduce or prevent ulcerations or pressure sores 74. Which is NOT considered part of a sterile field? Glove of sterile
person who has folded his arms.
58. The following are purposes of handwashing, EXCEPT? To
reduce the number of microorganisms in the body 75. Rubbing hands together generating friction on all surfaces of the
hands and fingers, including thumbs, backs of fingers, backs of
59. Bed making is usually delegated? True the hands, and beneath the fingernails will take how many
seconds? 10- 15 seconds
60. What is the second step in performing bedmaking in an occupied
bed? Perform hand hygiene 76. In medical handwashing, the hands are held in what position?
61. While placing sterile supplies on a sterile field. The nurse notes hold hands lower than the elbow
that the sterile towel is wet. The nurse Knows that her supplies 77. While wearing sterile gloves, the nurse must keep the hands
would be contaminated because the towel is wet. above their own waist level at all times. True

62. Which of the following is the correct rationale of using warm 78. Student Nurse Carlo will open a wrapped package on a surface.
water during handwashing? Warm water removes less of the He needs additional guided practice when he performs which of
protective oil than hot water the following actions? Reaching over the package and
pinching the first flap on the outside of the wrapper between 14. Nurse keasha will perform perineal care to a 55-year-old
the thumb and index fingers. comatose patient. What principle should she follow? Clean
from the genital area then move to the buttocks.

79. During the preparation before washing, that following are 15. When breaking the chain of infection, the following are true,
performed EXCEPT? Introduce yourself EXCEPT? Mode of entry of harmful organism is through
direct contact by sneezing and coughing.
1. A 16-year-old client was recently diagnosed with
Chromhidrosis. What type of cleansing bath is most appropriate 16. In performing perineal care to an uncircumcised patient, Nurse
for the client? Shower Timothy retracts the prepuce to expose the glans penis for
cleaning. Unrestricted foreskin is a condition called? Phimosis
2. During logrolling a client, it is important to place a pillow after
turning the client's head as a support. What is the rationale for
this? To prevent lateral flexion of the neck. 17. Which of the following is the FIRST priority in preventing
infections when providing care for a client? Handwashing.
3. The following are purposes of bathing except: To remove
transient microorganisms, body secretions and excretions, 18. It is an exercise wherein the clients move each joint in the body
and dead skin cells. through its complete ROM. This pertains to? Active ROM

4. To be healthy, hair needs to be brushed daily. Which of the 19. The following are TRUE in preparing heat application using a
following statement about hair care is incorrect? A brush with hot bag therapy except? Place the stopper tightly and
fine bristles provides the best stimulation to blood immediately on the affected area.
circulation in the scalp.
20. The client is ambulating for the first time after surgery. The
5. Which is true regarding mitered corner? It is a means of client tells the nurse, "I feel faint." Which is the best action of
anchoring sheets or linens on mattresses. the nurse? Assist the client to a nearby chair.

6. When moving or transferring a client, the nurse must tighten her 21. In cleaning between the buttocks during perineal care, Nurse
gluteal, abdominal, and arm muscles to? To prepare them for Amanda does all of the following except? Apply a perineal pad
action and prevent injury. as needed from front to back for post-delivery or
menstruating females.
7. In washing the back and the perineum of the patient, what
position will the client assume? Side-lying position 22. About how many inches is the walker moved ahead while body
weight is borne by both legs and when maximum support is
8. Before changing an unoccupied bed, it is important to assess the required? 6 inches
patient's EXCEPT: Past and family history of diseases
23. Which action performed by Nurse Maria during unoccupied bed
9. When moving or transferring a client, the nurse faces in the making prevents stretching, reaching and possible muscle strain?
direction of the movement to? To prevent twisting the spine. Using good body movement and making each step
purposeful.
10. What is the technique used to turn a client in unison and whose
body must at all times be kept in straight alignment and moved 24. When assessing a client's gait, which does the nurse look for and
in unison? Logrolling. encourage? The spine rotates, initiating locomotion.

11. The purpose of bedmaking is: To prevent complications by 25. Bad breath is most often caused by a buildup of bacteria in the
ensuring comfort and security to the patient; To provide mouth from gum disease, food, or plaque. Bad breath is
active and passive exercise to the patient. medically known as? Halitosis.
12. Before he places the contents of the sterile package on the sterile
field, Student Nurse Carlo measures the distance of the package 26. What is the rationale behind this concept "Roll all soiled linen
above or from the field which is about: 2.5 cm. inside the bottom sheet, hold it away from your uniform and
13. Nurse Zaiarah teaches a patient about pursed lip breathing. The place it directly in the linen hamper, not on the floor.?" To
nurse identifies that the teaching is affected when the patient prevent cross-contamination of microorganisms.
says its purpose is to: Help maintain open airways. 27. If the wound is caused by a sharp pointed object, it is called?
Puncture wound
28. Bathing is an important part of hygienic care as it removes 41. All of the following are done during admission, transfer and
accumulated oil, perspiration, dead skin cells, and transient discharge: Assessment of vital signs; Documentation.
bacteria. Which of the following statement about bathing is
incorrect? Excessive bathing can interfere with the intended 42. It involves an immediate and direct transfer of microorganisms
lubricating effect of the sebum, causing dryness of the skin. from a person to person through touching, coughing, biting and
This is an important consideration, especially for infants, kissing? Direct transmission
who produce less sebum.
43. Nurse Mica will perform perineal care to a patient in the ward.
29. The nurse is performing an immobilized client. Which She will correctly position the patient to? Side-lying.
assessment causes the nurse to take action? Reddened area on
sacrum. 44. Which of the following statement is true? Balance is
maintained when the line of gravity falls close to the base of
30. Which of the following is correct in doing perineal care to a support.
male patient? For a circumcised male: Clean area using
downward stroke beginning at the tip of the penis and 45. When moving or transferring a client, the nurse must pull or roll
moving toward the anus. the client toward her to the lateral position and after which must
place her hands far on which two of the heaviest parts of the
31. In changing the bottom sheet and draw sheet in occupied bed, body? Hip and shoulders.
the first thing to do is? Assist the client to turn on the side
facing away from the side where the clean linen is. 46. Nurse Ana is shampooing a client's hair while the client is in
bed. Which intervention should she make to reduce back strain
32. About how many inches are added from the anterior fold of the while performing the procedure? Raise the bed to elbow
axilla to the heel of the foot when measuring crutch length of a height.
client lying in a supine position? 1 inch
47. What is the correct distance in positioning the tip of a standard
33. All of the following are correct: If in doubt about sterility of cane, to the side and in front of the near foot so that the elbow is
anything, consider it not sterile; Sterile persons must avoid slightly flexed? 6 inches
leaning over unsterile areas; Sterile person turns his back to
an unsterile area when passing it. 48. When positioning clients in bed, the nurse can do a number of
things to ensure proper alignment and promote client comfort
34. Which of the following is an incorrect intervention in bathing and safety: Place support devices in specified areas according
the patient? If the bed linen is to be changed place it on the to the client's position; Avoid placing one body part,
floor. particularly one with bony prominences, directly on top of
another body part; Ensure that the bed is clean and dry.
35. About how many degrees should the angle of elbow flexion be,
when determining the correct placement of the hand bar? 30 49. When moving or transferring a client, the nurse must lean her
trunk forward, and flex her hips, knees, and ankles to? To lower
36. Which of the following is NOT an example of hyperextension her center of gravity and increase her stability.
range of motion exercises? Move each leg forward and
upward. 50. This type of wound is caused by rubbing of the skin surface on
rough surface. Abrasion
37. Which of the following is a true statement? Female urethra is
shorter (4 cm) compared to male urethra (20cm). 51. The nurse put on the first glove, observing which of the
following first? Grasp the glove for the dominant hand by its
38. In bathing the patients, it is recommended that we use warm folded cuff edge (on the palmar side).
water. What is the rationale behind this practice? It prevents
burn injury to the patient; It stimulates better blood 52. It is important that nurse should not lift more than 35 pounds
circulation; It helps in relaxing the patient. without assistance from proper equipment and or other
individuals. True
39. It is the movement of the bone around its central axis. This
refers to? Rotation 53. In hand washing, what movement is used when rubbing the
elbows down the wrist? Circular
40. When moving the client to a sitting position, the nurse pivots on
the balls of the feet in the desired direction and face the foot of 54. These are the guidelines in transferring patient: Plan what to do
the bed to? To prevent twisting her spine. and how to do it; Remove obstacles from the area used for
the transfer; During the transfer, explain step by step what 67. Ticks are small gray-brown parasites that bite into tissue and
the client should do. suck blood. Which of the following is a correct practice to hair
55. Patients who are confined to bed should be provided with which infested with ticks? Save the tick in a bottle of rubbing
accessory device to help prevent foot drop? Foot board alcohol.
68. When moving or transferring a client, the nurse assumes a broad
56. Which comes first in changing an unoccupied bed? Place the stance to? To widen base support and increase stability.
fresh linen on the client's chair or overbed table; do not use
another client's bed. 69. All of the following are TRUE in providing ROM exercises: It
helps immobilized client to maintain cardiorespiratory
57. In male clients, beard and mustache care is included in hygienic function; It involves isotonic exercise; It maintain or
care for the hair. Which statement about using a safety razor to increase muscle strength and endurance.
shave facial hair is correct? Wear gloves.
70. ROM exercises should be performed? Twice a day.
58. Student Nurse Madonna is about to remove used sterile gloves.
She has understood the lesson when she does which of the 71. Which of the following principles of body mechanics are applied
following steps? Pull off the first glove by grasping slightly in bed making? Person is more stable if the center of gravity
back from the wrist, turning it inside out, and striding the is close to the base of support; Face in the direction of the
dirty glove into the still gloved hand. task to be performed; Smooth, rhythmical movement at
moderate speed
59. All of the following are purposes of perineal care: It keeps the
perineal area clean and less likely to breakdown; To prevent 72. Therapeutic baths are given for physical effects, such as to
infections, skin breakdown, itching and odor. soothe irritated skin or to treat an area. Different types of
therapeutic baths are used for different skin conditions. Which
60. The following are standards in airborne precaution: Susceptible of the following statement about therapeutic bath is correct?
people should not enter the room who has a client who has Chlorine bleach can be added to bath water for children who
measles; Wear a N95 when entering the room; Limit develop recurrent skin infections with eczema.
movement of client outside the room to essential purposes
73. In adding or pouring liquid in the sterile area, the following must
61. This refers to reduced oxygen in the blood and is characterized be kept in mind: Obtain the exact amount of liquid if possible;
by a low partial pressure of oxygen in the arterial blood. Before pouring read the label three times; Hold the bottle at
Hypoxemia height 4 to 6 inches above the bowl.

62. When moving or transferring a client, the nurse must rock from 74. Always push a stretcher from the end where the client's head is
the front leg to the back leg when pulling or from the back leg to positioned. This position will protect the client's head during
the front leg when pushing to? To overcome inertia and collision. True
counteract weight of the patient.
75. In the stages of infection, the time from the exposure of the
63. Which mobility aid transfers weight from the legs to the upper patient to a pathogen up to the appearance of the first sign and
body and is often used by people who cannot use their legs to symptom is called? Incubation period
support their weight, for reasons ranging from short-term
injuries to lifelong disabilities? Crutch 76. Student Nurse Clarissa is tasked to perform bedmaking at Room
6 of the Medical Ward. She performs all the following steps in
64. When opening a sterile package, the last flap to be opened stripping the bed, EXCEPT: Rolling all soiled linen inside the
should be Closest to you. bottom sheet, hold it away from her uniform, and placing
them directly on the floor.
65. The following are true statement about perineal care: Wash the
groin from front to back; It should be done at least once a 77. It is the efficient, coordinated, and safe use of the body to move
day during bed bath or done more when patient has objects and carry out the activities of daily living. Body
incontinence; Always use new section of cloth in every Mechanics
stroke.
78. In using sterile forceps, when handling sterile items, you must
66. When turning the client to the prone position, the nurse never always do the following, EXCEPT? Always position handle at
pulls the client across the bed because doing so may? Injure the the edge of the field.
breasts of the woman or the genitalia of the male.
79. Before moving up a client in bed, it is important to assess the 7. The nodes of Ranvier: Allow salutatory conduction of action
following EXCEPT: Client's present and past medical potential; Increase the conduction velocity of an action
history. potential; Allow action potential to develop
80. After using gloves contaminated with body secretions, the
proper way to dispose it is: Dispose the gloves to the yellow- 8. The bones of the skull are joint by what? Sutures
colored trash bins. 9. The portion of the digestive tract in which digestion begins is the
81. About how many inches is the right crutch moved ahead to a Oral cavity
suitable distance, when using four-point gait? 4 to 6
10. The deep groove that separates the right and left cerebral
82. In cleaning the eyes of the patient, what is the proper way of hemispheres from each other is the: Longitudinal fissure
doing it? Start from the inner canthus to outer canthus.
11. This is located in the upper thorax posterior to the sternum
83. Which among these weight measurements is considered as which is large in infants and children decreases size throughout
already dependent thus requires assistance from other health adulthood. Thymus
care personnel? 35 pounds
12. Which of these movements would be needed to bend over and
84. Before performing perineal care, Nurse Mica prepares all the touch your big toe? Both "Extension of forearms" and
equipment needed like a bath basin with warm water. She is also "Flexion at the wrist"
aware that that the correct temperature of the water to be used
for the perineal is care is? 43 to 46 C. 13. The part of the brainstem that regulates heart rate, breathing,
swallowing, coughing, and sneezing is: Medulla Oblongata
85. During transferring the patient between bed and chair, what is
the rationale behind this concept, "Move forward and sit on the 14. Which portion of the renal tubule reabsorbs electrolytes, plasma
edge of the bed with feet placed flat on the floor?" To bring the proteins, nutrients, vitamins, and water? Proximal convoluted
client's center of gravity closer to the nurse's. tubule

86. Which areas of a surgical gown are considered sterile? The 15. The most prevalent antibody 80% produced later in the immune
front from the chest to the level of the surgical field. response, only that can cross placenta. IgG

87. In washing the perineal-genital area of the patient, Nurse Mica 16. Which among the following is both a nervous and endocrine
does all of the following except? Wipe from the rectum to the system organ? Adrenals
pubis.
17. All of the formed elements of the blood are formed from a single
ANAPHY population of cells called: Hemocytoblasts
1. Which of these is NOT one of the large veins carrying blood to
the heart? Pulmonary vein 18. The atria of the heart: are separated from each other by the
Interatrial Septum.
2. The gallbladder: stores bile.
19. The primary muscle(s) responsible for elevating the ribs during
3. Skeletal joint in the different part of the body like shoulder, hip, inspiration is/are the External Intercostals.
knee and elbow is an example of what type of joints?
Cartilaginous 20. Which among the following does NOT occur during exercise?
Hyperglycemia
4. Which of these statements concerning the normal pathway of
blood flow? from the coronary sinus to the right atrium, 21. Which of these valves is found between the right atrium and the
from the pulmonary arteries to the lungs, from the aorta to right ventricle? Tricuspid Valve
all parts of body except lungs
22. The blood vessels that supply blood to the heart tissue are the:
5. Pleural fluid: is located in the space between the parietal and Coronary Arteries
visceral pleurae; acts as a lubricant allowing the pleurae to 23. A large groove that runs around the heart, and separates the atria
slide past each other; increases surface tension. from the ventricles is the: Coronary Sulcus \

6. Which of these statements concerning the upper limb is TRUE? 24. It is also known as the largest endocrine gland. Thyroid
The hand is composed of 5 metacarpals.
25. Which cells in the small intestine have digestive enzymes
attached to their surfaces? Absorptive Cells
45. This is the principal antibody of blood quickly produce in
26. How many bones are there in the vertebral column? 24 response to an antigen, responds to artificial immunization. IgM
27. Luigi has been absent for days because of influenza. He acquired 46. Melanin is: produced by melanocytes.
it from exposure from his classmates. Natural Active 47. What hormone is produced in the inner most layer of the adrenal
28. Which layer of the digestive tract is in direct contact with the cortex? Androgen and Estrogen
food that is consumed? Mucosa
48. Which among the following is a function of the immune system?
29. Which reproductive function is a function solely of the female Absorbs fats from the small intestines; Maintains fluid
reproductive system? Development and Nourishment of a new balance in tissues; Defends against foreign bodies and
individual microorganisms

30. Dentin: makes up most of the structure of the teeth. 49. Defecation: can occur as a result of mass movements;
involves parasympathetic reflexes mediated by the spinal
31. This is stimulated by sympathetic nervous system neurons to cord; can be initiated by stretch of the rectum.
release two similar hormone adrenaline and noradrenaline.
Adrenal Medulla 50. Tachycardia occurs when: the heart rate is more than 100
beats per minute
32. Functional hormone of the thyroid cannot be made without
iodine. True 51. Why doesn’t the stomach digest itself? The stomach wall is
protected by large amounts of mucus.
33. The stomach: has large folds in the submucosa and mucosa
called Rugae 52. Respiration refers to: gas exchange between blood and tissues;
gas exchange between the air in the lungs and blood;
34. The best anatomical terms to describe the back region of the ventilation, the movement of air into and out of the lungs.
body would be: Dorsal
53. Which of the following is a function of the integumentary
35. The two bones of the skull in which teeth are located are the system? physical barrier to foreign particles and
Maxilla and Mandible microorganisms; absorption of ultraviolet light by melanin;
provides water loss to get rid of waste products
36. Which of these statements concerning ABO blood types is
correct? Type O blood contains antibodies against both A 54. The type of glands that open into a hair follicle and produces
and B antigens. sebum are: Sebaceous Glands

37. This gland consist two lobes joined by a central mass, or 55. The peripheral nervous system (PNS) consists of: All nerves
isthmus. Thyroid Gland and ganglia outside the spinal cord

38. Spermatogenesis occurs in the Seminiferous Tubules. 56. Which among the following does not cause the increase level of
insulin in the body? Hypoglycemia
39. Tiny bones called _______ transmit vibrations to the inner ear
Ossicles 57. Which of these functions are accomplished by the nasal cavities?
Mucus produced by the nasal lining traps debris from the
40. Which of the following process is involved in the wound healing air; Cilia on the mucous membrane sweep debris into the
process? Formation of granulation tissue, Regeneration or pharynx; Air is humidified and warmed.
replacement of tissues, and Inflammation
58. Papillary muscles are attached to the cusps of valves by thin,
41. The major effect of this hormone is directed to the growth and strong connective tissue strings called the: Chordae Tendineae
long bone of skeletal muscles and long bone of the body and
determine the final body size. Growth hormone 59. Cardiac output is equal to the: volume of blood in the body
times the number of beats per minute
42. The bones of the head and trunk comprise which skeleton: Axial
60. Which type of connective tissue that support and protect organs,
43. The arm is ___________ to the hand. Proximal provides insulation, and serves as reserve food supply is?
Adipose
44. The bicuspid (mitral) valve: prevents blood flow from the left
ventricle to the left atrium 61. In order for visual system to work properly, the lens must focus
light into: Retina
62. Red blood cells: contain large quantities of hemoglobin 79. Which is a function of the urinary system? Excretion of wastes;
63. Untreated individuals with cretinism may lead into mental Regulation of erythrocyte production; Regulation of blood
retardation. True volume
80. The right side of the heart forces blood to flow: to the Lungs
64. Which of these glands does not secrete saliva into the oral
cavity? Pancreas 81. The most common formed elements in the blood are:
Erythrocytes

65. This is an elaborated system that store and release calcium when 82. The nasal cavity is divided into right and left sides by the: Nasal
it demands during muscle contraction? Sarcoplasmic Septum
Reticulum

83. The process of blood cell production is called: Hematopoiesis


66. These are the most common leukocytes and their dead cells are
part of pus. Neutrophils 84. The mother’s immunity is transferred to her baby inside the
womb through the placenta. Natural Passive
67. The sensory receptors in your skin that are specialized to report
information about changes in temperature are the: Free Nerve 85. The white blood cells called granulocytes are: Neutrophils,
Endings Basophils, and Eosinophils

68. The major component of plasma is: Water 86. Which type of tissue that protect underlying structures, secrete
fluids and absorb substances? Epithelial
69. The anterior hip muscle that flexes the thigh is the ________.
Iliopsoas 87. The plane that divides the body into superior and inferior portion
is the: Transverse
70. The following statements is correct about calcitonin: Stimulate
calcium uptake and incorporation into the bone matrix; 88. The axial skeleton is made up of the following: Skull, Sternum,
Inhibit osteoclast activity and the release of calcium from the Ribs, Hyoid, Spinal Column
bone matrix; An increase in blood calcium in the blood
stimulates calcitonin activity. 89. The heart is within the: Thoracic Cavity

71. The thick middle layer of the heart, composed of cardiac muscle, 90. The armpit or axilla is ______________ to the hip. Superior
is the Myocardium

91. There are _____ pairs of cranial nerves and _____ pairs of spinal
72. Function of the large intestine: absorption of water and salts; nerves. 12, 31
absorption of certain vitamins; production of mucus

92. This hormone is involved in helping to regulate levels of


73. Vision and hearing are different: Sensory Receptors calcium and phosphate in the blood opposing the action of
parathyroid hormone. Calcitonin
74. The 9-month old baby was given a shot of measles vaccine to
protect him. Artificial Active 93. Generating heat is one of the functions of these muscles.
Skeletal
75. Gaps between segments of oligodendrocytes or between
individual Schwann cells are called: Nodes of Ranvier 94. During swallowing, the swallowing center in the medulla
oblongata is activated.
76. Given these structures: 1) AV node 2) atrioventricular bundle 3)
bundle branches 4) Purkinje fibers Arrange these parts of the 95. An increase of ADH causes the kidneys to ________ the
conduction system of the heart in the correct order, as an action reabsorption of water, causing them to produce ________ urine.
potential would pass through them. 1, 2, 3, 4 increase; less

77. Evaluation of auditory and olfactory input, memory, abstract 96. Large points of muscle attachment near the proximal end of the
thought, and judgment are all associated with the lobe on: femur are called ________. Trochanters
Temporal

97. The ___________ is the layer of the skin made of epithelial


78. In the anatomical position the subject: Is standing upright tissue and the __________ is composed of dense connective
facing the observer with the palms forward. tissue. epidermis; dermis
98. In circumcision, this part of the male external structure is cut. 114. Which of these hormones stimulates stomach secretions?
Prepuce Gastrin
115. Cerebrospinal fluid is secreted by the _____ in the ventricles,
99. These stomach cell types are correctly matched with its function and passes back into the blood through the _____. Choroid
parietal cells—produce hydrochloric acid; Plexus, Arachnoid Villi
endocrine cells—produce regulatory hormones;
surface mucous cells—produce mucus 116. All of the following are functions of the heart: ensures one-way
flow of blood; generation of blood pressure; regulates rate
100. Vertebrae are best classified as Irregular Bones. and force of blood delivery

101. In generalized cell, cell typically have these main regions, this
is? Plasma Membrane, Nucleus, Cytoplasm 117. The onset of menstruation among girls is called: Menarche

118. Fingerprints and footprints are produced by dermal projections


102. The photoreceptors we need to appreciate a blue sky on a sunny into the epidermis called: Dermal Papillae
day are the _______, whereas the photoreceptors we use to
detect the stars outside at night are the _______. Cones; Rods
119. The following is a list of vessels and structures that are

103. Which hormone secreted by the anterior pituitary gland? associated with the heart.

Luteinizing; Prolactin; Oxytocin 1) right atrium


2) left atrium
3) right ventricle
104. The following statements are CORRECT about the factors 4) left ventricle
causing movement of lymph. Thoracic pressure changes; 5) superior & inferior vena cava
Contraction of lymphatic vessel; Skeletal muscle action 6) aorta
7) pulmonary artery
105. Blood: has a total volume of approximately 5L 8) pulmonary vein
9) mitrial/bicuspid valve
106. Which of these statements concerning the form and location of 10) tricuspid valve
the heart is correct? The apex is directed to the left, and deep 11) pulmonary semilunar valve
to the fifth intercostal space. 12) aorta semilunar valve
What is the correct order for the flow of blood entering the heart
107. Numerous raised folds on the surface of each cerebral from the BODY and leaving for PULMONARY
hemisphere are called: Gyri CIRCULATION? 5, 1, 10, 3, 11, 7

120. The hormones T3 and T4 play a vital role in the body. Which of
108. The distal convoluted tubule is the primary site for the the following are their function? Develop skeletal and nervous
reabsorption of solutes and water. True system, regulate electrolytes in the cells, regulate tissue
growth
109. Painful cramping during menstruation is called as:
Dysmenorrhea

110. The actual gas exchange between inspired air and the blood
occurs across the capillaries of the: Alveolar Ducts and Alveoli

111. Which of these statements concerning the conduction system of


the heart is true? The sinoatrial (SA) node of the heart acts as
the pacemaker.

112. This is found in colostrum, tears, saliva. IgA

113. The first structure in the kidney to collect newly formed urine is
the Minor Calyx

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