Republic of the Philippines

PROFESSIONAL REGULATION COMMISSION

Manila
BOARD OF NURSING
Nurse Licensure Examination
NURSING PRACTICE I – COMMUNITY HEALTH NURSING
INSTRUCTION: Select the correct answer for each of the following
questions. Mark only one answer for each item by shading the box
corresponding to the letter of your choice on the answer sheet
provided.
STRICTLY NO ERASURES ALLOWED.

Situation: The Expanded Program for Immunization involves the

improvement in the immunological capacity of children to prevent
the occurrence of immunizable diseases. Its implementation is one
of the tasks of the public health nurse, usually done once a
week. You are preparing a request on the vaccine supply for your
municipality with a mid-year population of 50,000.
1. You are assigned to arrange the storage for a new delivery of
vaccines in the health center. All of the following vaccines may
be stored at the body of the refrigerator, except:
a. BCG
b. DPT
c. OPV
d. Hepatitis B

2. A primigravid woman asks you about the importance of having

tetanus toxoid immunization during her pregnancy. The following
are true of this infection, except:
a. Tetanus infection causes muscular spasm of the muscles only in
the extremities, which could affect its development in children.
b. This may be acquired if the newborn’s umbilical cord becomes
contaminated postpartum.
c. On her first pregnancy, the mother is expected to receive at
most two doses of tetanus toxoid vaccine.
d. Clostridium tetani is found in the soil or in fecal matter.

3. You are to request for supply of DPT vaccine. When tasked to

conduct a health teaching of the infections this vaccine will
cover, the following must be included when diphtheria is
discussed, except:
a. If a mother acquires diphtheria during her pregnancy, the
child she will give birth to will be born immune to the disease.
b. If a lactating mother has an active diphtheria infection, the
bacteria may be passed through her milk.
c. Its distinct manifestation is a wound with patches of grayish
membrane on the respiratory tract.
d. Diphtheria is transmitted via droplet transmission.

4. James, a 13 week old child, was brought by his mother to the

health center for a check-up. Which of the following vaccinations
would you expect to be administered to him prior to his visit
today?
a. BCG, OPV2, DPT2, HepB2
b. BCG, OPV1 , DPT1 , HepB1
c. BCG, OPV1 , DPT2 , HepB2
d. BCG, OPV2 , DPT1 , HepB2

5. What regions were covered by the launch of dengue vaccine

administration in elementary public schools?
a. NCR, Region III, Region IVA
b. Region I, II, III
c. NCR, Region III, Region II
d. Region VII, VIII, IX
6. The DOH recognizes immunization as a key element in reducing
the burden of childhood mortality and morbidity with the new
inclusion of the IPV. Which of the following statements are
inappropriate regarding IPV?
a. IPV protects against polio type 1 and type 3
b. IPV protects against outbreaks of wild or vaccine-derived
polio virus type 2
c. IPV will be given in addition to oral polio vaccine when a
child is 14 weeks old
d. IPV an inactivated polio vaccine also known as the Sabin
vaccine

7. A clinical instructor is supervising her student giving

immunization. During OPV administration the student nurse opens
the child’s mouth by squeezing the cheeks gently between her
finger and put drops of vaccine from the dropper to the child’s
tongue; however the child spits it out. The instructor reminds
her student to;
a. Advise the mother to maintain child’s upright position while
breast feeding
b. Wipe child’s mouth and position baby to supine
c. Repeat OPV dose and breastfeed immediately
d. Put two drops of vaccine straight from the dropper on child’s
mouth but precaution not to allow the dropper touch child’s
tongue.

8. Mrs. De Leon, mother of a 6 month old baby, asks the PHN about
the new Pentavalent vaccine and Rotavirus vaccine. Which among
the following information should be excluded?
a. Pentavalent vaccine will be injected in three doses together
with DPT and OPV
b. Pentavalent vaccine is given to children which starts when the
child is six weeks old
c. Rotavirus vaccine is given in two doses, the first dose is
given when the child is six weeks old to less than 15 weeks old
d. For the Rotavirus vaccine, the priority will be given to 4 P’s
Pantawid Pamilya Pilipino Program beneficiaries
9. Prior to administration of Pentavalent vaccine by the PHN,
Mrs. De Leon admits some gaps of information. Which of the
following statements by the mother should be corrected?
a. I understand that the Pentavalent vaccine has the same
schedule as DPT
b. I’m glad this vaccine provides more protection for babies with
less jabs
c. The need to give the birth dose of Hepatitis B vaccine will be
unnecessary when you give the Pentavalent vaccine
d. It is still imperative to submit my child for OPV and measles
vaccine and should not be missed from the schedule

10. Ryan, a 9 year old boy, was rushed to the rural health unit
because his parents suspect that he has dengue. He has had high-
grade fever for two days, with retroocular and joint pains, and
controlled epistaxis. While waiting for the results of his Rumpel
Leads test and blood test, his mother asked you about the
management of a dengue case. The following are true of treatment
for dengue, except:
a. Paracetamol is prescribed for muscle pains.
b. Ryan may receive ORESOL or fluid replacement via intravenous
route, depending on the severity of fluid loss.
c. Aspirin is an alternative if paracetamol is not available for
muscle pains.
d. The treatment for dengue is symptomatic.
Situation: Current epidemiological studies have revealed rent
outbreaks of certain dormant diseases. The following questions
are relevant:

11. Dengvaxia ™ (CYD-TDV) is the first dengue vaccine to be

licensed in Mexico in 2015 for use in individuals 9-45 years of
age living in endemic areas. This was developed by Sanofi
Pasteur. What is the route of administration for this vaccine?
a. Intravenous
b. Oral
c. Intramuscular
d. Subcutaneous

12. Determine the dosage of this vaccine.

a. 6 injections of 0.5mL each at 3-month intervals
b. 3 injections of 1mL each at 3-month intervals
c. 6 injections of 1mL: each at 6-month intervals
d. 3 injections of 0.5mL each at 6-month intervals.

13. Young women in your community are afraid that they could be
infected with Zika virus, and they approached you in request of
conducting a small gathering wherein you could share with them
information about it. The following are vital points to be
discussed about Zika virus, except:
a. Developing the infection can only be confirmed by laboratory
testing of blood and other bodily fluids.
b. Being affected by Zika virus may cause neurological and
autoimmune complications in the newborn.
c. Mothers of children with microcephaly have been exposed to
Zika virus.
d. A means to control the spread of Zika virus is by vector side
reduction/eradication.

14. As an occupational nurse, you’ve been assigned to a response

team from your company in controlling the spread of EBOLA
infection in one of the affected areas. One of your tasks is to
conduct health teaching on preventive measures against the spread
of the disease. You must include the following concepts, except:
a. Wear personal protective equipment when caring for a client
with EBOLA
b. Clients who had EBOLA but were treated should abstain from
sexual intercourse for the rest of his life.
c. A person with EBOLA becomes infectious upon the onset of signs
and symptoms.
d. A person with EBOLA remains infectious as long as the virus is
present in his blood.

15. You are approached by Paul and Phoebe, a couple, during your
medical mission to ask about EBOLA virus because Paul was
infected several months ago. Fortunately, he survived. Now, they
are planning to start a family. When they ask you about resuming
their sexual practices, which statement is appropriate for you to
say?
a. Ebola virus can still be transmitted through blood for few
years.
b. Ebola can still be transmitted through sex for months
c. Survivors can safely resume normal sexual practices without
fear of Ebola virus transmission after two negative results in
laboratory testing.
d. Survivors can safely resume sexual practices provided that
condom is used. Situation: Part of our role as law-abiding and
ethical health care professionals come our knowledge of
regulatory policies in the Philippines that affect our practice.

16. MDT – multiple drug therapy is proven effective in the cure

for Leprosy and renders client non-infectious 7 days after the
start of treatment. Domicilliary advocates;
A. RA 4073
B. Proclamation #46
C. PD 996
D. RA 7486

17. What law regulates the use and disposal of toxic waste
products in the Philippines?
a. RA 9003
b. PD 856
c. RA 9696
d. RA 6969
18. This Republic Act legalizes the use of human organs for
surgical, medical and scientific purposes.
a. RA 1056
b. RA 349
c. RA 6111
d. RA 6425

19. The 16th congress of the Republic of the Philippines reported

this senate bill as ‘An Act Instituting Reforms To Further
Protect and Develop the Nursing Profession, Amending for the
Purpose of RA 9173, otherwise known as the Philippine Nursing Act
of 2002’ in place of the six senate bills submitted to the house.
a. Senate Bill 1009
b. Senate Bill 2583
c. Senate Bill 2720
d. Senate Bill 1264

20. The Magna Carta of Public Health Workers was instituted in

1992. Which Republic Act legalized this:
a. RA 7277 – Magna Carta of Disabled Persons
b. RA 7305
c. RA 7164 – PH Nursing Act
d. RA 7192 –Women in Development Nation Building

SITUATION: Ethnographies are a blend of a process and a product,

fieldwork and a written text. Castro and De Guzman (2016) used a
focused ethnographic approach to study the illness experiences of
clinic and street-based homeless boys aged 15-23 years living in
Morayta.
21. Nurse Marian, a community health nurse wants to conduct her
own ethnographic study focusing on the T’uali tribe in Ifugao.
She wants to seek the broad types of information sought by
ethnographers. She has an inaccurate understanding of the areas
of interest in an ethnographic study if she has included:
a. Cultural behavior
b. Cultural artifacts
c. Cultural attitude
d. Cultural speech

22. To help her understand and interpret the events and

activities by the T’uali tribe, Nurse Marian sought for the help
of the T’uali tribe chieftain as her key informant. In-depth
interviews were conducted and she realized that the chieftain’s
view about their own culture reflects:
a. Emic perspective
b. Etic perspective
c. Etit perspective
d. Tacit perspective

23. Nurse Marian was not satisfied about what she discovered
about the T’uali tribe from the chieftain. She realized that she
needs to establish her own view about the tribe’s practices as a
means of data triangulation. To suit her curiosity, Nurse Marian
is doing well with ethnographic research process if she employs
which data collection strategy used by most ethnographers?
a. Use of close-ended questions and structured interview with the
members of T’uali tribe
b. Immersion with the T’uali tribe and participant observation
c. Grouping the members of the T’uali tribe into control and
experimental group
d. Float a comprehensive survey questionnaire to all members of
T’uali tribe
24. Nurse Marian is now ready to analyze the data she gathered.
To aid her in ethnographic data analysis, she has chosen to
utilize Spradley’s method. She has an accurate chronological
understanding of its use if she will be:
1. Making domain analysis
2. Asking descriptive questions
3. Locating the informant
4. Interviewing an informant
5. Making an ethnographic record
6. Analyzing ethnographic interviews
a. 1,4,5,6,3,2
b. 3,4,5,2,6,1
c. 1,4,6,5,3,2
d. 3,4,2,5,6,1

25. Ethnographic research is typically a labor-intensive

endeavor. Nurse Marian understands that for ethnographers to
fully assimilate the culture under study, their main goal should
be directed towards acquisition or revelation of:
a. Emic and etic perspective
b. Emic and etit perspective
c. Emic perspective and tacit knowledge
d. Emic perspective and key informant’s knowledge

Situation: Buffers both intracellular and extracellular maintain

the fluid and electrolyte homeostasis of our body. Effective
circulation is affected by different physiologic factors such as
blood volume, cardiac contractility, and vessel patency. Minute
deviations from the normal can already cause drastic effects in
cellular metabolism.
26. In which acid-base disturbance is an anion gap present?
a. Respiratory acidosis
b. Respiratory alkalosis
c. Metabolic acidosis
d. Metabolic alkalosis

27. The maximum infusion time of packed RBCs is:

a. 45 minutes
b. 4 hours
c. 2 hours
d. 6 hours

28. In inserting an IV catheter, how far should the tourniquet be

applied from the proposed site of insertion?
a. 5 inches distal to the insertion site
b. 10 to 15 cm above the insertion site
c. 1-5 cm distal to the insertion site
d. 10 inches above the insertion site

29. How often should the nurse check on a patient with continuous
intravenous infusion?
a. Every 4 hours
b. Every 2 hours
c. Every 8 hours
d. Every 30 minutes

30. A grade 3 infiltration of an intravenous site is

characterized by the following, except:
a. Blanched, translucent skin
b. Cool to touch
c. Numbness and mild pain
d. Deep pitting edema
Situation: Nurses play an active role in the prevention,
management and containment of communicable diseases.
31. A client with human immunodeficiency virus positive had a
mantoux skin test. The nurse notes a 7 mm area of induration at
the site of the skin test. The nurse interprets the result as;
a. Positive
b. Negative
C. Uncertain
D. Borderline

Leprosy is a chronic mildly communicable disease that mainly

affects the skin, the peripheral nerves and the mucosa of the
upper respiratory tract. The Multi-Drug Therapy (MDT) is proven
effective cure for leprosy and renders patients non-infectious a
week after starting the treatment.
32. In a health education class conducted by the PHN, she
informed them about the early signs and symptoms of Leprosy.
Which of the following choices is inappropriate description of
the disease?
a. Lagopthalmus
b. Painful nerves
C. Muscle weakness
D. Nasal bleeding

33. The PHN gave emphasis on signs and symptoms indicating the
infection had advanced to a later stage. Which of the following
information should be excluded
A. Madorosis
B. Hand contractures
C. Loss of sensation on skin lesion
D. Chronic ulcer
German Measles is a viral exanthem infection, caused by a
Paramyxo virus primarily affecting older children and young
adults occurring sporadically in the Philippines due to mildness
of the infection. The incubation period ranges from 10-21 days
with clinical features simulating Measles, also a viral exanthem
infection
34. Prior to the exposure of the nursing affiliates to the
Pediatric-Isolation unit Mrs. Garcia, their C.I conducted pre-
conference. She asks her students to describe the hallmark of
Rubella infection which is lymphadenopathy. The C.I would not
have to correct Elsa, one of the nursing affiliates if she states
a. It involves mucocutaneous lymph node syndrome
b. The superficial cubital noles are enlarged
c. This involves enlargement of axillary node
d. The post cervical nodes and post auricular nodes are enlarged

35. Clarisse, a student nurse is currently performing assessment

on Faith, a 9 year old child diagnosed with Rubella. Clarisse
documented the typical exanthem known as Forscheimer. Which of
the following assessment would support her findings?
a. Pinkish to reddish lesions on soft palate/uvula
b. Erythematous lesions over the neck
c. Vesicles all over the trunk
d. Petechial lesions over the face

36. Paramyxo virus is spread through direct contact with

nasopharyngeal secretions of infected individual. The S.N is
conducting health teachings to the mother. The health teachings
to the mother. The health teachings were effective of the mother
states.
a. It is essential to isolate my other siblings who had Rubella
infection last year
b. I should not allow my child to play with neighbors who
recently recovered from German measles
c. Playmates who live next door with uncertain immunization are
highly risk
d. It is appropriate to inform my cousin who recently got married
for us to communicate over the phone and reset an outside meeting
a week from now.

Situation: Different communicable diseases spike up in today’s

trends. It is important for the nurse to understand the
background of different emerging diseases, its presentation,
diagnosis and interventions associated to the diseases. The
following questions apply to emerging communicable diseases.
37. Ebola virus was discovered in 1978 in Congo and re-appeared
last 2014 in Guinea with case fatality rate of 50%. It has
several different causative agents and is transmitted through
direct or indirect contact to affected primates such as bats. It
is also commonly known as the hemorrhagic fever. Given its signs
and symptoms of myalgia, high fever, malaise, internal bleeding
and shock, the nurse should anticipate all of the following
management except:
a. Intensive fluid replacement
b. Contact tracing
c. Isolation
d. Close-door home care

38. Zika virus is another emerging disease which was discovered

in Uganda in 1947. It is known to be transmitted through mosquito
bites specifically of Aedesaegypti and albopictus. Aside from a
known complication of microcephaly to infants born to a mother
who had a history of Zika virus, which complication is known to
develop among adults who have had a history of the disease?
a. Guillain-Barre Syndrome
b. Alzheimer’s disease
c. Degenerative spondylosis
d. Hunter’s syndrome
39. In caring for a client with AIDS and is currently on HAART
therapy, which of the following statements indicates a need for
further teaching regarding the management of the disease?
a. “I should take my HAART medications with meals”
b. “I should regularly check my liver function.”
c. “I should immediately consult my physician if I experience
abdominal pain which radiates to the back”
d. “I could go swimming in a public resort with my family and
friends”

40. Nurse Pau is teaching a group of student nurses about Dengue.

Which of the following statements if said by the student
indicates correct understanding of the topic being discussed?
a. “The confirmatory test for Dengue virus is the complete blood
count test”
b. “20 or more petechial spots inside a 2.5 cm2 box may indicate
presence of bleeding according to the principle of the Rumpel
lead test”
c. “The drug of choice for the client’s fever is acetylsalicylic
acid”
d. “There is a need to restrict the client’s fluid during Grade
III Dengue Fever”

41. SARS and MERS-COV almost have the same presenting signs and
symptoms. Although they both have the same causative agent which
beta-coronavirus, MERS-COV has a higher case fatality rate of 30%
compared to the 10% CFR of SARS. The difference between the
statistics of the two diseases can be attributed to:
a. The extent of respiratory complications in MERS-COV
b. The presence of renal involvement in MERS-COV
c. The easier diagnosis of SARS
d. The self-limiting nature of SARS Roseola
Infantum also known as Sixth Disease is an acute highly febrile
condition followed by occurrence of rashes caused by HHV-human
herpes virus Type 6 with high incidence between 6Mos-24Mos of
age.
42. A clinical instructor assesses the knowledge of Debbie, one
of her student assignment at the Health Center to perform
clinical history ot a child with an admitting impression as
Exanthema Subitum. Which of the following data gathered from the
mother Is helpful to make this conclusive
a. My child develops pruritic rashes for four days duration,
coupled with low grade fever
b. My child is apparently sick with vesicle lesions for 3 days
duration
c. I gave my child medicine to control the fever of 39° and yet
fever persists for 3 days, with an abrupt appearance of elevated
rashes, non pruritus as soon as the fever declines
d. My child develops painful, pruritic rashes without history of
fever

Situation: Program Planning is a necessary step in order to

deliver efficient, quality, and cost-effective activities.
43. Which of the following is not part of the planning process?
a. Source out and allocate resources to improve the present state
of affars
b. Intervene with the community’s capability to achieve wellness
c. Setting priority goals according to availability of resources
d. Pursuing the objective of enhancing wellness and improving the
health status and quality of life of the people e. NOTA

44. As an occupational nurse, you have developed programs to

promote health in your company. You may implement the following
activities, except:
a. Facilitate employee rehabilitation following a work accident
b. Conduct stress management workshops
c. Implement use of new machine to lessen muscle strain during
manual work
d. Referring a newly annulled single parent to a support group in
the office

45. Nurse Dylan is the school health nurse at Sitio Talipapa

Elementary School. How many times must he perform physical
examination to the children in a school year?
a. Once a year and as the need arises
b. Once a year only
c. At the beginning and end of classes
d. When an epidemic is suspected/being monitored

Situation: Public health nursing has dynamically evolved as a

practice which is influenced by the changing global and local
trends in the Philippines. Public health nursing has evolved
alongside the institution and development of the Department of
Health which was mandated to promote and protect people’s health.
46. The term “Public Health Nursing” was coined by Lilian Wald
who advocated for services to be available to all people. With
the different definitions of public health nursing, the World
Health Organization (WHO) defined the term as:
a. “Nursing practice in a wide variety of community services and
consumer advocate areas, and in a variety of roles, at times
including independent practice, community health nursing is not
confined to public health nursing agencies”
b. “A service rendered by a professional nurse with communities,
groups, families, individuals at home, in health centers, in
clinics, in schools, in places of work for promotion of health,
prevention of illness, care of the sick at home and
rehabilitation”
c. “A special field of nursing that combines the skills of
nursing, public health and some phases of social assistance and
functions as part of the total public health programme for the
promotion of health, the improvement of conditions in the social
and physical environment, rehabilitation of illness and
disability”
d. ““The art and science of preventing disease, prolonging life
and promoting health through the organized efforts of society.”

47. The public health nurse plays different vital roles in the
promotion of health in different fields in the community. The PHN
coordinates with other agencies for the provision of specific
services at the same time conducts home visits in the community
to evaluate the plan of care implemented on clients. When the
nurse calls for active participation of the community through
community organizing and mobilization to assist the community in
solving their own problems and promote independence, which role
is the nurse portraying?
a. Management function
b. Nursing care function
c. Training function
d. Research function

48. In the year 2000, the United Nations Millennium Declaration

was signed wherein 189 participating UN member states agreed to
try to achieve the 8 Millennium Development Goals in the year
2015. After the implementing period of the MDGs, the United
Nations, through a deliberative process involving its 193 member
states, came up with the Sustainable Development Goals 2030,
officially known as the “Transforming our world: the 2030 Agenda
for Sustainable Development”. Which of the following statements
is not in line with the targets of the 17 SDGs?
a. ensure sustainable food production systems and implement
resilient agricultural practices that increase productivity and
production, that help maintain ecosystems, that strengthen
capacity for adaptation to climate change, extreme weather,
drought, flooding and other disasters and that progressively
improve land and soil quality
b. ensure limited access to sexual and reproductive health-care
services, including for family planning, information and
education, and the integration of reproductive health into
national strategies and programmes
c. ensure that all learners acquire the knowledge and skills
needed to promote sustainable development, including, among
others, through education for sustainable development and
sustainable lifestyles, human rights, gender equality, promotion
of a culture of peace and non-violence, global citizenship and
appreciation of cultural diversity and of culture’s contribution
to sustainable development
d. Sustain per capita economic growth in accordance with national
circumstances and, in particular, at least 7 per cent gross
domestic product growth per annum in the least developed
countries

49. Public health and public health nursing is a practice which

primarily move in an increasingly health promotion direction
beyond its responsibility of providing clinical and curative
services in the community. All but one are principles of health
promotion;
a. It involves the population as a whole in the context of their
everyday life, rather than focusing on people at risk from
specific diseases
b. It is primarily a medical service and not a societal and
political venture in which healthcare professionals have a vital
role
c. It aims particularly at effective and concrete public
participation which requires development of problem-defining and
decision-making life skills both individually and collectively
d. It is directed towards action on the determinants or causes of
health. This requires a close cooperation between sectors beyond
healthcare which reflects the diversity of conditions which
influence health.

50. Nurse Lyka is assigned to a number of health centers in

District 1 of the Province of Iloilo. She manages and oversees
different groups of nurses in a total of 4 health centers from
Oton, Miagao, Tigbauan, and Guimbal. She does objective
assessment of different health programs, problems and services in
all of these areas. She also initiates meetings, discussions and
conferences with other nursing staff and health personnel to
provide joint planning and stimulation of activities for staff
improvement and capacity-building. Nurse Lyka performs the
function of a:
a. Public Health Nurse II
b. Supervising Public Health Nurse
c. Public Health Nurse V
d. Nurse Program Supervisor
Situation: Mrs. Vergara is now the chief nurse of a hospital in
Manila. She is clinically reviewing different management styles
and theories that will best help her in running the nursing
services in the hospital.

51. Which leadership style best empower the staff towards

excellence?
A. Autocratic
B. Situational
C. Democratic
D. Laissez faire

52. As nurse manager, Jillian enjoys her staff of talented and

well-motivated individuals. She knew the leadership style to suit
the needs of this kind of people is called:
A. Autocratic
B. Participative
C. Democratic
D. Laissez faire

53. A fire has broken in Jillian’s unit. The best leadership

style suited in cases of emergencies like this is:
A. Autocratic
B. Participative
C. Democratic
D. Laissez faire
54. Mrs. Vergara is thinking of introducing the Primary Nursing
Model Approach. You understand that in this nursing model:
A. The nurse manager assigns tasks to the staff members
B. Critical paths are used in providing nursing care
C. A simple registered nurse is responsible for planning and
providing individualized nursing care
D. Nursing staff are led by an RN leader in providing care to a
group of clients

55. Evaluation as administrative process is best described as:

A. Obtaining commitment of members to do better
B. Follow-up activities that have been stated
C. A continuing process of seeing that performance meet goals and
targets
D. Informing personnel how well and how much improvement has been
made

Situation: Mr. Delos Reyes, 70 years old, was suddenly rushed to

the hospital because of severe chest pain. On admission, he was
diagnosed to have an acute myocardial infarction and was placed
in the ICU.
56. While he is in the ICU, he executes a document that lists the
medical treatments he chooses to refuse in case his condition
becomes severe to a point that he will be unable to make
decisions for himself. The document is:
A. Living will
B. Power of attorney
C. Last will and testament
D. Informed consent
57. After one day, the patient’s condition worsened and he felt
hopeless. He requested the nurse to remove the oxygen. The nurse
should:
A. Follow the patient because it is his right to die gracefully
B. Refuse the patient since euthanasia is not accepted in the
Philippines
C. Follow the patient as it is his right to determine the medical
regimen he needs
D. Refuse the patient and encourage him to verbalize his feelings

58. Euthanasia is an ethical dilemma which confronts nurses in

the ICU because:
A. Decisions has to be made quickly, often under stressful
situations
B. Decisions has to be made based on societal norms
C. The choices involved do not appear to be clearly right or
wrong
D. A client’s legal rights co-exist with the nurse’s professional
obligation

59. The personal conviction that euthanasia is absolutely wrong

in any situation is:
A. Personal value
B. Legal obligation
C. Ethical issue
D. Immoral belief

60. Mr. Delos Reyes felt better after 3 days but recognized the
severity of his illness. He executed a document authorizing his
wife to transact any form of business in his behalf in addition
to all decisions relative to his confinement. This document is
referred to as:
A. Power of attorney
B. Informed consent
C. Medical record
D. Living will

Situation: The staff nurse supervisor requests all the staff

nurses to brainstorm and learn ways to provide health teachings
to clients. She wants to ensure that there are nurses available
to do daily health education classes.
61. When Lanie, a nurse, delegates aspects of client care to the
nurse aide who is an unlicensed staff, Lanie:
A. Makes the assignment to teach the staff member
B. Is assigning the responsibility to the aide but not the
accountability for those tasks
C. Does not have to supervise nor evaluate the nurse aide
D. Must know how to perform the delegated task

62. Which of the following is not a legally binding document but

is very important in the care of all patients in any health care
setting?
A. Bill of rights as provided in the Philippine constitution
B. Scope of nursing practice as defined by RA 9173
C. Board of nursing resolution adopting the code of ethics
D. Patient’s bill of rights

63. Bettina gave the wrong medication to a client. Another nurse

employed by the same hospital as a risk manager will expect to
receive which of the following communication?
A. Incident report
B. Oral report
C. Nursing kardex
D. Complaint report
64. Performing a procedure on a client in the absence of an
informed consent can lead to which of the following charges?
A. Fraud
B. Assault and battery
C. Harassment
D. Breach of confidentiality

65. Delegation is the process of assigning tasks that can be

performed by a subordinate. The RN should always be accountable
and should not lose his accountability. Which of the following is
a role included in delegation?
A. The RN must supervise all delegated tasks
B. After a task has been delegated, it is no longer a
responsibility of the RN
C. The RN is responsible and accountable for the delegated task
in adjunct with the delegate
D. Follow up on a delegated task is necessary only if the
assistive personnel is not trustworthy

Situation: Ben has a nursing diagnosis of ineffective airway

clearance related to excessive secretions and is at risk for
infection because of retained secretions. Part of Nurse Jenny’s
care plan is to loosen and remove secretions in the airway.
66. Jenny listens to Ben’s bilateral sounds and finds that
congestion is in the upper lobes of the lungs. The appropriate
position to drain the anterior and posterior apical segments of
the lungs when Jenny does percussion would be:
A. Client lying on his back and then flat on his abdomen on
Trendelenburg position
B. Client seated upright in bed or on a chair then leaning
forward in sitting position then flat on his back and on his
abdomen
C. Client lying flat on his back and the flat on his abdomen
D. Client lying on his right the left side on Trendelenburg
position
67. When documenting outcome of Ben’s treatment, Jenny should
include the following on her recording except:
A. Color, amount, and consistency of sputum
B. Character of breath sounds and respiratory rate before and
after the procedure
C. Amount of fluid intake of client before and after the
procedure
D. Significant changes in vital signs

68. When assessing Ben for chest percussion or chest vibration,

and postural drainage, Jenny would focus on the following except:
A. Amount of food and fluid taken during the last meal before
treatment
B. Respiratory rate, breath sounds, and location of congestion
C. Teaching the client’s relatives to perform the procedure
D. Doctor’s order regarding position restrictions and client’s
tolerance for lying flat

69. Jenny prepares Ben for postural drainage and percussion.

Which of the following is a special consideration when doing the
procedure?
A. Respiratory rate of 16 to 20 per minute
B. Client able to tolerate sitting and lying position
C. Client has no signs of infection
D. Time of last food and fluid intake of the client

70. The purpose of chest percussion and vibration is to loosen

secretions in the lungs. The difference between the procedures
is:
A. Percussion uses only one hand while vibration uses both hands
B. Percussion delivers cushioned blows to the chest with cupped
palms while vibration gently shakes secretions loose on the
exhalation cycle
C. In both percussion and vibration, the hands are on top of each
other and hand action is in tune with client’s breath rhythm
D. Percussion slaps the chest to loosen secretions while
vibration shakes the secretions along with the inhalation of air

Situation: Nursing is a profession. Miss Perez is a newly

appointed nurse in a hospital in Manila. Born May 1993, her
knowledge of nursing profession development is Required in order
to project the profession in a way that it uplifts the standard
of nursing.
71. Miss Perez defined nursing as the following except:
A. Assisting individual, family, and community in attaining
health
B. Assisting in basic health needs
C. Establishing nursing diagnosis and implementing nursing care
D. Diagnosing, treating, prescribing medication and doing minor
surgery

72. PNA was established: 1. In 1922 2. In 1926 3. With Mrs.

Rosario Delgado as the first president 4. With Mrs. Anastacia
Tupas as the first president
A. 1 and 3
C. 2 and 3
B. 1 and 4
D. 2 and 4

73. As a national nurses’ association, PNA is characterized by

the following, except:
A. Both a professional body and labor union
B. Affiliated with the International Council of Nurses
C. Advocating improved work and life condition of nurses
D. Accrediting body for continuing education program
74. CPE units per year are needed for license renewal. The number
of CPE units in 3 years should be:
A. 20 units
B. 30 units
C. 60 units
D. 100 units

75. To manifest that you want to quit from your job and
discontinue the services you render after the completion of a
contract, you will file a/an:
A. Certificate of resignation
B. Honorable dismissal
C. Certificate of termination
D. Resignation letter

76. Jenny plans to resign from her job as a staff nurse. She must
give an advance notice of:
A. 15 days
B. 30 days
C. 45 days
D. 60 days

77. If a nurse filed a sick leave and plans to return to work

after, she must show her:
A. Back to work certificate
B. Fit to work certificate
C. Death certificate
D. Medical certificate
78. A certificate that will show that a nurse met the requirement
set by the Philippine Government to practice the profession is:
A. Diploma
B. Certificate of passing
C. Nursing License
D. Board certificate/CoR

79. Nurses in the Philippine Government also felt the need to

organize themselves, this led to the creation of:
A. National League of Government Nurses
B. National League of Filipino Government Nurses
C. National League of Philippine Government Nurses
D. Philippine Government Nurses Association

80. The founder of NLPGN, during her lifetime, exemplified

professional dignity, high level of intelligence and leadership
ability, as well as moral integrity. She was a good model, who,
like Florence Nightingale, initiated reforms and worked for the
improvement of the nursing profession and health care in the
Philippines. The name of the NLPGN Recognition award was also
named after her.
A. Anastacia Giron Tupas
B. Francisca Delgado
C. Betty Meritt
D. Annie Sand

Situation: You are a nurse conducting a statistical analysis in

your research entitled “The Effect of Gingko Biloba in Enhancing
Memory and Retention Among 4th Year High School Students.”
81. What is the independent variable?
A. The effect of gingko biloba
B. Memory and retention
C. Gingko biloba
D. Enhancing memory and retention

82. What is the dependent variable?

A. The effect of gingko biloba
B. Memory and retention
C. Gingko biloba
D. Enhancing memory and retention

83. The research design best used in this research is:

A. Experimental
B. Non-experimental
C. Descriptive
D. Qualitative

84. The hypothesis developed was: Gingko biloba improves memory

and retention. This is an example of:
A. Simple, directional
B. Simple, non-directional
C. Complex, directional
D. Complex, non-directional

85. Gingko biloba has an effect on memory and retention best

describes which type of hypothesis?
A. Simple, directional
B. Simple, non-directional
C. Complex, directional
D. Complex, non-directional
86. Which of the following is the best null hypothesis (H0) for
this study?
A. Gingko biloba has no effect on enhancing memory and retention
B. Gingko biloba has an effect on enhancing memory and retention
C. Gingko biloba has no effect on enhancing memory and retention
of 4th year high school students
D. Gingko biloba has an effect on enhancing memory and retention
of 4th year high school students

87. Which of the following best represents the alternative

hypothesis (Ha) for this study?
A. Gingko biloba has no effect on enhancing memory and retention
B. Gingko biloba has an effect on enhancing memory and retention
C. Gingko biloba has no effect on enhancing memory and retention
of 4th year high school students
D. Gingko biloba has an effect on enhancing memory and retention
of 4th year high school students

88. Which of the following is the average P value as threshold to

determine the plausibility of the null hypothesis?
A. P=0.05
B. P=0.01
C. P=0.001
D. P=0.5

89. If the study is statistically highly significant, it would

reflect a p value of?
A. p=0.05
B. p=0.01
C. p=0.001
D. p=0.5
90. Supposed that your alternative hypothesis has a 1 in a
hundred chance of accepting the null hypothesis, has a 99% chance
of being correct, and has a 1 in a hundred chance that the null
hypothesis is true. Your P value will be?
A. P=0.99
B. P=0.01
C. P=0.001
D. P=0.5

Situation: Health promotion is the priority nursing

responsibility. The nurse should be able to promote the client’s
well-being and identify ways on improving the client’s quality of
life.
91. The nurse is caring for a 16-year old female client who isn’t
sexually active. The client asks if she needs a Papanicolau test.
The nurse should reply:
A. Yes, she should have a Pap smear after the onset of
menstruation
B. No, because she isn’t sexually active
C. Yes, because she’s 16 years old
D. No, because she is not yet 21 years old

92. The nurse is assessing a client who complains of abdominal

pain, nausea, and diarrhea. When examining the client’s abdomen,
which sequence should the nurse use?
A. Inspection, palpation, percussion, auscultation
B. Inspection, auscultation, percussion, palpation
C. Auscultation, inspection, palpation, percussion
D. Palpation, auscultation, percussion, inspection
93. The nurse is speaking to a group of women about early
detection of breast cancer. The average age of women in the group
is 45. Following the Philippine Cancer Society guidelines, the
nurse should recommend that the women should:
A. Perform a breast self-examination annually
B. Have a mammogram annually
C. Have a hormonal receptor assay annually
D. Have a physician conduct a clinical examination every 2 years

94. The school nurse is planning a program for a group of

teenagers on skin cancer prevention. Which of the following
instruction should the nurse emphasize on her talk?
A. Stay out of the sun between 1 pm and 3 pm
B. Tanning booth is a safe alternative for those who wish to tan
C. Sun exposure is safe, provided the client wears a protective
clothing
D. Examine skin once per month, looking for suspicious lesions or
changes in moles

95. An employer establishes a physical exercise area in the

workplace, and encourages all employees to use it. This is an
example of which level of prevention?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Passive prevention

Situation: As a peri-operative nurse, you are aware of the

correct processing methods for preparing disinfection.
96. As an OR nurse, what is your foremost consideration for
selecting chemical agents for disinfection?
A. Material compatibility and efficiency
B. Odor and availability
C. Cost and duration of disinfectant process
D. Duration of disinfectant and efficiency

97. Before you use an instrument disinfectant, it is essential

that you:
A. Rinse with tap water followed by alcohol
B. Wrap the instrument with sterile cloth
C. Dry the instrument thoroughly
D. Rinse with sterile water

98. You have a critical heat labile instrument to sterilize and

are considering using high level disinfectant. What should you
do?
A. Cover the soaking vessel to contain the vapor
B. Double the amount of high level disinfectant
C. Test the potency of the high level disinfectant
D. Prolong the exposure time according to manufacturer’s
direction

99. To achieve sterilization using disinfectant, which of the

following is used?
A. Low level disinfectant immersion for 24 hours
B. Intermediate level disinfectant immersion for 12 hours
C. High level disinfectant immersion for 1 hour
D. High level disinfectant immersion for 10 hours

100. Bronchoscope, thermometer, endoscope, ET tube, cystoscope,

are all best sterilized using which of the following?
A. Autoclaving at 1210C in 15 minutes
B. Flash sterilizer at 1320C in 3 minutes
C. Ethylene oxide gas aeration for 20 hours
D. 2% Glutaraldehyde immersion for 30 minutes
 KEY TO CORRECTION
1. C 21. C 41. A 61. B 81. C
2. A 22. A 42. C 62. C 82. B
3. A 23. B 43. A 63. A 83. A
4. A 24. B 44. C 64. B 84. A
5. A 25. C 45. A 65. C 85. B
6. D 26. C 46. B 66. B 86. C
7. D 27. B 47. A 67. C 87. D
8. A 28. B 48. 68. C 88. A
9. C 29. B 49. 69. D 89. C
10. C 30. D 50. 70. B 90. B
11. D 31. A 51. C 71. D 91. D
12. D 32. A 52. D 72. A 92. B
13. C 33. C 53. A 73. A 93. B
14. B 34. D 54. C 74. C 94. A
15. C 35. A 55. D 75. D 95. A
16. A 36. D 56. A 76. B 96. A
17. D 37. D 57. D 77. D 97. D
18. B 38. A 58. D 78. D 98. A
19. C 39. C 59. A 79. C 99. D
20. B 40. A 60. A 80. A 100. D