PALMR

PREPARED BY: SJ GACO OGARTE

1. Nurse develops methods for data gathering. Which of the following criteria of a good
instruments refers to the ability of the instrument to yield the same results upon its repeated
administration?
A. Validity
B. Specificity
C. Sensitivity
D. Reliability
2. Harry knows that he has to protect the rights of human research subjects. Which of the
following actions of Harry ensures anonymity?
A. Keep the identities of the subject secret
B. Obtain informed consent
C. Provide equal treatment to all the subjects of the study
D. Release findings only to the participants of the study
3. Patient’s refusal to divulge information is a limitation because it is research is appropriate for
this study?
A. Descriptive-correlational
B. Experiment
C. Quasi-experiment
D. Historical
4. Nurse Ronald is aware that the best tool for data gathering is?
A. Interview schedule
B. Questionnaire
C. Use of laboratory data
D. Observation
5. Monica is aware that there are times when only manipulation of study variables is possible
and the elements of control or randomization are not attendant. Which type of research is
referred to this?
A. Field study
B. Quasi-experiment
C. Solomon-Four group design
D. Post-test only design
6. Cherry notes down ideas that were derived from the description of an investigation written by
the person who conducted it. Which type of reference source refers to this?
A. Footnote
B. Bibliography
C. Primary Source
D. Endnotes
7. When Nurse Trish is providing care to his patient, she must remember that her duty is bound
not to do doing any action will cause the patient harm. This is the meaning of the bioethical
principle:
A. Non-maleficence
B. Beneficence
C. Justice
D. Solidarity
8. When a nurse in-charge causes an injury to a female patient and the injury cause negligent
act, the presence of the injury is said to exemplify the principle of:
A. Force majeure
B. Respondent superior
C. Res ipsa looquitor
D. Holdover doctrine
9. Nurse Myma is aware that the Board of Nursing has quasi-judicial power. An example of this
power is:
A. The Board can issue rules and regulations that will govern the practice of nursing
B. The Board can investigate violations of the nursing law and code of ethics
C. The Board can visit a school applying for a permit in collaboration with CHED
D. The Board prepares the board examinations
10. When the license of nurse Kriea is revoked, it means that she:
A. Is no longer allowed to practice the profession for the rest of her life
B. Will never have her/his license re-issued since it has been revoked
C. May apply for re-issuance of his/her license based on certain conditions stipulated in RA
9173
D. Will remain unable to practice professional nursing
11. Ronald plans to conduct a research on the use of a new method of pain assessment scale.
Which of the following is the second step is the conceptualizing phase of the research process?
A. Formulation the research hypothesis
B. Review related literature
C. Formulation and delimiting the research problem
D. Design the theoretical and conceptual framework
12. The leader of the study knows that certain patients who are in a specialized research setting
tend to respond psychologically to the conditions of the study. This referred to as:
A. Cause and effect
B. Hawthorne effect
C. Halo effect
D. Horns effect
13. Mary finally decides to use judgement sampling on her research. Which of the following
actions of is correct?
 A. Plans to include whoever is there during his study
B. Determines the different nationality of patients frequently admitted and decides to get
representations samples from each
C. Assigns numbers of each of the patients, place these in a fishbowl and draw 10 from it.
D. Decides to get 20 samples from the admitted patients.
14. The nursing theorist who developed transcultural nursing theory is:
A. Florence Nightingale
B. Madeleine Leininger
C. Albert Moore
D. Sr. Callista Roy
15. Nurse Willy reads about Path Goal theory. Which of the following behaviors is manifested by
the leader who uses this theory?
A. Recognizes staff for going beyond expectations by giving them citations
B. Challenges the staff to take individual accountability for their own practice
C. Admonishes staff for being laggards
D. Reminds staff about the sanctions for non-performance
16. Nurse Cathy learns that some leaders are transactional leaders. Which of the transactional
leader?
A. Focuses on management tasks
B. Is a caretaker
C. Use trade-offs to meet goals
D. Inspires others with vision
17. Functional nursing has some advantages, which one is an EXCEPTION?
A. Psychological and sociological needs are emphasized.
B. Great control of work activities.
C. Most economical way of delivering nursing services.
D. Workers feel secure in dependent role
18. Which of the following is the best guarantee that the patient’s priority needs are met?
A. Checking with the relative of the patient
B. Preparing a nursing care plan in collaboration with the patient
C. Consulting with the physician
D. Coordination with other member of the team
19. Nurse Tony stresses the need for all the employees to follow orders and instructions from
him and not from anyone else. Which of the following principles does he refer to?
A. Scalar chain
B. Discipline
C. Unity of command
D. Order
20. The registered nurse is planning to delegate tasks to unlicensed assistive personnel (UAP).
Which of the following task could the registered nurse safely assigned to a UAP?
A. Monitor the I&O of a comatose toddler client salicylate poisoning
B. Perform a complete bed bath on a 2-year-old with multiple injuries from a serious fall
C. Check the IV of a preschooler with Kawasaki disease
D. Give an outmeal bath to an infant with eczema
21. A nurse manager assigned a registered nurse from telemetry unit to the pediatrics unit.
There were three patients assigned to the RN. Which of the following patients should not be
assigned to the floated nurse?
A. A 9-year-old child diagnosed with rheumatic fever
B. A young infant after pyloromyotomy
C. A 4-year-old with VSD following cardiac catherization
D. A 5-month-old with Kawasaki disease
22. A nurse in charge in the pediatric unit is absent. The nurse manager decided to assign the
nurse in the obstetrics unit to the pediatrics unit. Which of the following patients could the nurse
manager safely assign to the float nurse?
A. A child who had multiple injuries from a serious vehicle accident
B. A child diagnosed with Kawasaki disease and with cardiac complications
C. A child who has had a nephrectomy for Wilm’s tumor
D. A child receiving an IV chelating therapy for lead poisoning
23. The registered nurse is planning to delegate task to a certified nursing assistant. Which of
the following clients should not be assigned to a CAN?

A. A client diagnosed with diabetes and who has an infected toe

B. A client who had a CVA in the past two months
C. A client with Chronic renal failure
D. A client with chronic venous insuffecieny
24. The nurse in the medication unit passes the medications for all the clients on the nursing
unit. The head nurse is making rounds with the physician and coordinates clients activities with
other departments. The nurse assistant changes the bed lines and answers call lights. A second
nurse is assigned for changing wound dressings; a licensed practitioner nurse takes vital signs
and bathes the clients. This illustrates of what method of nursing care?

A. Case management method

B. Primary nursing method
C. Team method
D. Functional method
25. A registered nurse has been assigned to six clients on the 12- hour shift. The RN is
responsible for every aspect of care such as formulating the care of plan, intervension and
evaluating the care during her shift. At the end of her shift, the RN will pass this same task to
the next RN in charge. This nursing care illustrates of what kind of method?

A. primary nursing method

B. case method
C. team method
D. functional method
26. A newly hired nurse on an adult medicine unit with 3 months experience was asked to float
to pediatrics. The nurse hesitates to perform pediatric skills and receive an interesting
assignments that feels overwhelming. The nurse should:

A. resign on the spot from the nursing position and apply for a position that does not require
floating
B. Inform the nursing supervisor and the charge nurse on the pediatric floor about the nurses
lack of skill and feelings of hesitations and request assistance.
C. Ask several other nurses how they feel about pediatrics and find someone else who is willing
to accept the assignment.
D. Refuse the assignment and leave the unit requesting a vacation a day
27. An experienced nurse who voluntarily trained a less experienced nurse with the intention of
enhancing the skills and knowledge and promoting professional advancement to the nurse is
called a:

A. mentor
B. team leader
C. case manager
D. change agent
28. The pediatrics unit is understaffed and the nurse manager informs the nurses in the
obstetrics unit that she is going to assign one nurse to float in the pediatric units. Which
statement by the designated float nurse may put her job at risk?
A. “I do not get along with one of the nurses on the pediatrics unit”
B. “I have a vacation day coming and would like to take that now”
C. “I do not feel competent to go and work on that area”
D. “ I am afraid I will get the most serious clients in the unit”
29. The newly hired staff nurse has been working on a medical unit for 3 weeks. The nurse
manager has posted the team leader assignments for the following week. The new staff knows
that a major responsibility of the team leader is to:

A. Provide care to the most acutely ill client on the team

B. Know the condition and needs of all the patients on the team
C. Document the assessments completed by the team members
D. Supervise direct care by nursing assistants
30. A 15-year-old girl just gave birth to baby boy who needs emergency surgery. The nurse
prepared the consent form and it should be signed by:

A. The Physician
B. The Registered Nurse caring for the client
C. The 15-year-old mother of the baby boy
D. The mother of the girl
31. A nurse caring to a client with Alzheimers’s disease overheard a family member say to the
client, “if you pee one more time, I won’t give you any more food and drinks”. What initial action
is best for the nurse to take?

A. Take no action because it is the family member saying that to the client
B. Talk to the family member and explain that what she/he has said is not appropriate for the
client
C. Give the family member the number for an Elder Abuse Hot line
D. Document what the family member has said
32. Which is true about informed consent?

A. A nurse may accept responsibility signing a consent form if the client is unable
B. Obtaining consent is not the responsibility of the physician
C. A physician will not subject himself to liability if he with holds any facts that are necessary to
form the basis of an intelligent consent
D. If the nurse witnesses a consent for surgery, the nurse, is, in effect, indicating that the
signature is that of the purported person and that the person’s condition is as indicated at the
time of signing
33. A mother in labor told the nurse that she was expecting that her baby has no chance to
survive and expects that the baby will be born dead. The mother accepts the fate of the baby
and informs the nurse that when the baby is born and requires resuscitation, the mother refuses
any treatment to her baby and expresses hostility toward the nurse while the pediatric team is
taking care of the baby. The nurse is legally obligated to:

A. Notify the pediatric team that the mother has refused resuscitation and any treatment for the
baby and take the baby to the mother
B. Get a court order making the baby a ward of the court
C. Record the statement of the mother, notify the pediatric team, and observe carefully for signs
of impaired bonding and neglect as a reasonable suspicion of child abuse
D. Do not except record the mother’s statement in the medical record
34. The hospitalized client with a chronic cough is scheduled for bronchoscopy. The nurse is
tasks to bring the informed consent document into the client’s room for a signature. The client
asks the nurse for details of the procedure and demands an explanation why the process of
informed consent is necessary. The nurse responds that informed consent means:

A. The patient releases the physician from all responsiblility for the procedure.
B. The immediate family may make decision against the patient’s will.
C. The physician must give the client or surrogates enough information to make health care
judgements consistent with their values and goals.
D. The patient agrees to a procedure ordered by the physician even if the client does not
understand what the outcome will be.
35. A hospitalized client with severe necrotizing ulcer of the lower leg is schedule for an
amputation. The client tells the nurse that he will not sign the consent form and he does not
want any surgery or treatment because of religious beliefs about reincarnation. What is the role
of the RN?
A. call a family meeting
B. discuss the religious beliefs with the phycisian
C. encourage the client to have the surgery
D. inform the client of other options
36. While in the hospital lobby, the RN overhears the three staff discussing the health condition
of her client. What would be the appropriate nursing action for the RN to take?

A. Tell them it is not appropriate to discuss the condition of the client

B. Ignore them, because it is their right to discuss anything they want to
C. Join in the conversation, giving them supportive input about the case of the client
D. Report this incident to the nursing supervisor
37. A staff nurse has had a serious issue with her colleague. In this situation, it is best to:

A. Discuss this with the supervisor

B. Not discuss the issue with anyone. It will probably resolve itself
C. Try to discuss with the colleague about the issue and resolve it when both are calmer
D. Tell other members of the network what the team member did
38. The nurse is caring to a client who just gave birth to a healthy baby boy. The nurse may not
disclose confidential information when:

A. The nurse discusses the condition of the client in a clinical conference with other nurses
B. The client asks the nurse to discuss the her condition with the family
C. The father of a woman who just delivered a baby is on the phone to find out the sex of the
baby
D. A researcher from an institutionally approved research study reviews the medical record of a
patient

39. A 17-year-old married client is scheduled for surgery. The nurse taking care of the client
realizes that consent has not been signed after preoperative medications were given. What
should the nurse do?
A. Call the surgeon
B. Ask the spouse to sign the consent
C. Obtain a consent from the client as soon as possible
D. Get a verbal consent from the parents of the client
40. Nurse Willy read about Path Goal Theory. Which of the following behaviors is manifested by
the leaders who uses this theory?

A. Recognize staff for going beyond expectations by giving them citations

B. Challenges the staff to take individual accountability for their own practice
C. Admonishes staff for being laggards
D. Reminds staff about the sanctions for non-performance

41. Nurse Cathy learns that some leaders are transactional leaders. Which of the following does
NOT characterize transactional leaders?

A. Focuses on management tasks

B. Is caretaker
C. Uses trade-offs to meet goals
D. Inspires others with vision

42. Functional nursing has some advantages, which one is an EXCEPTION?

A. Psychological and sociological needs are emphasized.

B. Great control of work activities.
C. Most economical way of delivering nursing services.
D. Workers feel secure in dependent role

43. which of the following is the best guarantee that the patient’s priority needs are met?

A. Checking with the relative of the patient

B. Preparing a nursing care plan in collaboration with the patient
C. Consulting with the physician
D. Coordinating with other members of the team

44. Nurse Tony stresses the need for all the employees to follow orders and instructions from
him and not from anyone else. Which of the following principles does he refer to?

A. Scalar Chain
B. Discipline
C. Unity of Command
D. Order

45. Nurse joey discusses the goal of the department. Which of the following statement is a
goal?

A. Increase the patient satisfaction rate

B. Eliminate the incidence of delayed administration of medications
C. Establish rapport with patients
D. Reduce response time to two minutes

46. Nurse Lou considers shifting to transformational leaderships. Which of the following
statement best describe this type of leadership?

A. Uses visioning as the essence of leadership

B. Serves the followers rather than being served
C. Maintains full trust and confidence in the subordinates
D. Possesses innate charisma that makes others feel good in his presence.

47. Nurse Mae tells one of the staff, “ I don’t have time to discuss the matter with you now. See
me in my office later”, when the latter asks if they can talk about an issue. Which of the following
conflict resolution strategies did she use?

A. Smoothing
B. Compromise
C. Avoidance
D. Restriction

48. Nurse Bea plans of assigning competent people to fill the roles designed in the hierarchy.
Which process refers to this?

A. Staffing
B. Scheduling
C. Recruitment
D. Induction

49. Nurse Linda tries to design an organizational structure that allows communication to flow in
all directions and involve workers in decision making. Which form of organizational structure is
this?

A. Centralized
B. Decentralized
C. Matrix
D. Informal

50. When documenting information in a client’s medical record, the nurse should:

A. Erase any errors

B. use a #2 pencil
C. Leave one line blank before each new entry.
D. End each entry with the nurse’s signature and title.

51. Budgeting is under in which part of management process?

A. Directing
B. Controlling
C. Organizing
D. Planning

52. Time table showing planned work days and shifts of nursing personnel is:

A. Staffing
B. Schedule
C. Scheduling
D. Planning

53. A force within an individual that influence the strength of behavior?

A. Motivation
B. Envy
C. Reward
D. Self-esteem

54. “To be leading hospital in the Philippines” is best illustrate in:

A. Mission
B. Philosophy
C. Vision
D. objective

55. It is the professionally desired norms against which staff performance will be compared?

A. Job descriptions
B. Survey
C. Flow Chart
D. Standards

56. Reprimanding a staff nurse for work that is done incorrectly is an example of what type of
reinforcement?

A. Feedback
B. Positive Reinforcement
C. Performance Appraisal
D. Negative Reinforcement

57. Question that are answerable only by choosing an option from a set of given alternatives are
known as?

A. Survey
B. Close ended
C. Questionnaire
D. Demographic
58. A researcher that makes generalization based on observations of an individuals behaviors is
said to be which type of reasoning:

A. Inductive
B. Logical
C. Illogical
D. Deductive

59. The balance of a research’s benefit vs. it risks to the subject is:

A. Analysis
B. Risk-benefit ratio
C. Percentile
D. Maximum Risk

60. An individual/object that belongs to a general population is a/an:

A. Element
B. Subject
C. Respondent
D. Author

61.An illustration that shows how the members of an organization are connected:

A. Flow Chart
B. Bar Graph
C. Organizational Chart
D. Line Graph

62. The first college of nursing that was established in the Philippines is:

A. Fatima University
B. Far Eastern University
C. University of the East
D. University of Sto. Tomas

63. Florence Nightingale is born on:

A. France
B. Britain
C. U.S
D. Italy

64. Objective data is also called:

A. Covert
B. Overt
C. Inference
D. Evaluation

65. The obligation to maintain efficient ethical standards in the practice of nursing belong to this
body:
A. BON
B. ANSAP
C. PNA
D. RN
66. A male nurse was found guilty of negligence. His license was revoked. Re-issuance of
revoked certificates is after how many years?
A. 1 year
B. 2 years
C. 3 years
D. 4 years
67. Which of the following information cannot be seen in the PRC identification card?
A. Registration date
B. License number
C. Date of application
D. Signature of PRC chairperson
68. Breastfeeding is being enforced by milk code or:
A. EO 51
B. R.A. 7600
C. R.A. 6700
D. P.D. 996
69. Self-governance, ability to choose or carry out decision without undue pressure or coercion
from anyone:
A. Veracity
B. Autonomy
C. Fidelity
D. Beneficence
70. A ale patient complained because his schedule surgery was cancelled because of
earthquake. The hospital personnel may be excused because of:
A. Governance
B. Respondent superior
C. Force maneuver
D. Res ipsa loquitor
71. Being on time, meeting deadlines and completing all scheduled duties is what virtue?
A. Fidelity
B. Autonomy
C. Veracity
D. Confidentiality
72. This quality is being demonstrated by Nurse Ron who raises the side rails of a confused and
disoriented patient?
A. Responsibility
B. Resourcefulness
C. Autonomy
D. Prudence
73. Which of the following is formal continuing eduction?
A. Conference
B. Enrollment in graduate school
C. Refresher course
D. Seminar
74. The BSN curriculum prepares the graduate to become?
A. Nurse generalist
B. Nurse specialist
C. Primary health nurse
D. Clinical instructor
75. Disposal of medical records in government hospital/ institutions must be done in close
coordination with what agency?
A. DOH
B. Records management archives office
C. Metro Manila development authority
D. Bureau of internal revenue
76. Nurse Jolina must see to it that the written consent of mentally I’ll patients must be taken
from:
A. Nurse
B. Priest
C. Family lawyer
D. Parents/legal guardian
77. When nurse Clarence respects the clients self-disclosure, this is gauge for the nurses
A. Respectfulness
B. Loyalty
C. Trustworthiness
D. Professionalism
78. The nurse is aware that the following tasks can be safely delegated by the nurse to a non-
nurse health worker except:
A. Taking vital signs
B. Change IV infusions
C. Transferring the client from bed to chair
D. Irrigation of NGT
79. During the evening round, Nurse Tina saw Mr. Toralba mediating and afterwards started
singing prayerful hymn. What would be the best response of Nurse Tina?
A. Call the attention of the client and encourage to sleep
B. Report the incidence to the head nurse
C. Respect the clients action
D. Document the situation
80. In caring for a dying client, you should perform which of the following activities?
A. Do not resuscitate
B. Assist client to perform ADL
C. Encourage to exercise
D. Assists clients towards a peaceful death.
81. Which of the following is NOT a characteristic of quality improvement that the medical
director is interested in ?

A. The leader is the empower

B. Problem-solving is by everyone
C. The employees are treated as customer
D. Reacts to correct or bad situation
82. A risk is any event that causes problems or benefits on the healthcare institution. The
medical director knows that potential risks must be identified across the hospital in order to
prevent the following EXCEPT ____
A. Financial loss
B. Incident reports
C. Accident
D. Injuries
83. Based on patient survey a number of complaints have been tracked. Which of the following
is NOT a preventive activity in the practice of the medical director risk management?
A. Fostering good administration -personnel relation
B. Providing safe environment every time
C. Tracking patient complaints at irregular intervals
D. Satisfying patient needs and desires
84. The Medical Director with the chief nurse and other officers of the hospital believe that
patient relation is important in risk management because a dissatisfied customer is likely to sue.
Which is NOT the way to handle complaints ?
A. Let the patient express himself
B. Be sure to rebut the patient point by point
C. Staff should not be defensive
D. Listen to the patients cue carefully
85. Nurses usually complain they have no personal life because of rotating shifts. The following
are three major ways to create personal time EXCEPT___
A. Delegate work to other
B. Fill every moment with task or chores
C. Eliminate task that add no value
D. Hire someone else to do the work
Situation 4- Nurses provide their patients information they need to give informed consent, only if
it is within their scope of nursing practice and nursing knowledge. Consent is the patient's
acknowledgement and acceptance of medical treatment.

86. In emergency situation when a patient is unable to give consent for life saving treatment,
What type of consent allows us to assume APPROPRIATE medical treatment?
A. Implied consent
B. Informed consent
C. Express consent
D. Involuntary consent
87. Which of the following are essential components of informed consent?
I. Explanation of the procedure and alternatives to the procedure
II. Discussion of potential risk and benefits of the procedure
III. Confirmation that patient understands the risk, benefits and any alterations
A. I, III
B. I, II
C. II, III
D. I, II, III
88. treatment of a patient without consent can constitute ______, which is defined as intentional
and unwaiting touching.
A. Battery
B. Slander
C. Negligence
D. Tort

89. Whose responsibility is it to obtain informed consent?

A. Nurse manager
B. Anesthesiologist
C. Physician
D. Midwife
90. biothecal issue should be describe as_______
A. The withholding of food and treatment at the request of the patient in a written advance
directive given before a patient acquired permanent brain damage from an accident
B. The physician’s making all decisions of client management without getting input from the
patient
C. After the patient gives permission, the physician’s disclosing all information to the family for
this support in the management of the patient
D. A research project that included treating all regular employed personnel not treating all
casual employed to compare the outcome of specific drug therapy
Situation 5- Rosie, a new staff nurse, was assigned to the psychiatric unit. A depressed patient
assigned to her fell from her bed. Her head nurse asked her to submit an incident report (IR)
91. The purpose why the head nurse asked Nurse Rosie to submit an IR is to _____
A. Note patterns of incidences in the same unit
B. Place it in nurse Rosie’s 201 file
C. Document immediately the incident
D. Evaluate nurse Rosie’s performance
92. In writing the IR, which of the following is NOT included?
A. Who was/ were involved?
B. What daily medications are given to the patient
C. What happened?
D. Who witnessed the incident?

93. What guideline is IMPORTANT in relation to incident report (IR) ? it is _______

A. Not made part of the patient's chart
B. Placed in the nurse’s 201 file
C. Filed in the nurses station
D. Filed in the Records section of the hospital
94. Which of the following would prove that nursing action carried out met the standards of care
on falls?
A. Utilizing the nursing process in providing safe, quality nursing care
B. Documenting the procedures done
C. Carrying out the doctor’s order
D. Performing physical assessment

95. Should the investigation of the fall go further, which of the following is the best source of
factual information?
A. Incident report
B. Nurse’s notes in the chart
C. Anecdotal record
D. Process recording
Situation 12- Nurse manager participates in quality improvement projects to increase awareness
and achieve better performance of the nursing team.

96. A professional practice system that manages clinical care of patients across a continuum
using managed care concept and tools is called ______
A. Modular nursing
B. Differentiated practice
C. Case management
D. Primary nursing
97. What is the outcome of having a sound clinical care management by professional healthcare
team?
A. It decreased patients length of stay
B. It diminishes collegiality between health care providers
C. It increases cost of hospitalization
D. It contributes to duplication of services
98. During a staff meeting the nurse manager presents his own analysis of problems and
proposal for actions to the staff, inviting critique and comments. Which answer indicates
The manager’s leadership style?
A. Laissez-faire
B. Autocratic
C. Participative leadership
D. Democratic
99. Which of the following is often associated with the concept of decentralized decision making
In management?
A. Team nursing
B. Interdisciplinary practice model
C. Shared governance
D. Primary nursing
100. Some decisions are best made by a group rather that by the nurse alone. What is an
advantage of group decision making?
A. Promotes collective contributions of ideas
B. Different ideas and opinions
C. Individual opinions are influenced by others
D. Dependency is fostered
Situation 14- Head Nurse Alona ensures teamwork and collaboration in her unit to achieve
efficient shared decision- making and open communication to provide safe patient care.
220. A nurse returns from vacation and friends a new model of I.V. pump attached to her
patient’s
I.V. How should the nurse proceed?
A. Read the I.V pump manual before caring for the patient.
B. Refuse to care for the patient
C. Inform the charge nurse and ask her to provide an teaching about how to use the pump
D. Use the pump because it is somewhat like the old pumps on the unit.