FOUNDATION OF PROFESSIONAL NURSING PRACTICE part 2

FOUNDATION OF PROFESSIONAL NURSING

PRACTICE part 2

51. An example of a management function of a nurse is:

a. Teaching patient do breathing and coughing exercises

b. Preparing for a surprise party for a client

c. Performing nursing procedures for clients

d. Directing and evaluating the staff nurses

52. Your head nurse in the unit believes that the staff

nurses are not capable of decision making so she makes

the decisions for everyone without consulting anybody.

This type of leadership is:

a. Laissez faire leadership

b. Democratic leadership

c. Autocratic leadership

d. Managerial leadership

53. When the head nurse in your ward plots and

approves your work schedules and directs your work,

she is demonstrating:

a. Responsibility

b. Delegation

c. Accountability

d. Authority

54. The following tasks can be safely delegated' by a

nurse to a non-nurse health worker EXCEPT:

194

a. Transfer a client from bed to chair

b. Change IV infusions

c. Irrigation of a nasogastric tube

d. Take vital signs

55. You made a mistake in giving the medicine to the

wrong client You notify the client’s doctor and write an

incident report. You are demonstrating:

a. Responsibility

b. Accountability

c. Authority

d. Autocracy

Situation 12 – Mr. Dizon, 84 years old, is brought to the

.Emergency Room for complaint of hypertension flushed

face, severe headache, and nausea. You are doing the

initial assessment of vital signs.

56. You are to measure the client’s initial blood

pressure reading by doing all of the following EXCEPT:

a. Take the blood pressure reading on both arms for

comparison

b. Listen to and identify the phases of Korotkoff’s sounds

c. Pump the cuff up to around 50 mmHg above the point

where the pulse is obliterated

d. Observe procedures for infection control

57. A pulse oximeter is attached to Mr. Dizon’s finger

to:

a. Determine if the client’s hemoglobin level is low and if

he needs blood transfusion

b. Check level of client’s tissue perfusion

c. Measure the efficacy of the client’s anti hypertensive

medications

d. Detect oxygen saturation of arterial blood before

symptoms of hypoxemia develops

58. After a few hours in the Emergency Room, Mr.

Dizon is admitted to the ward with an order of hourly

monitoring of blood pressure. The nurse finds that the

cuff is too narrow and this will cause the blood pressure

reading to be:

a. Inconsistent

b. low systolic and high diastolic pressure

c. higher than what the reading should be

d. lower than what the reading should be

59. Through the client’s health history, you gather that

Mr. Dizon smokes and drinks coffee. When taking the

blood pressure of a client who recently smoked or

drank coffee, how long should be the nurse wait before

taking the client’s blood pressure for accurate reading?

a. 15 minutes

b. 30 minutes

c. 1 hour

d. 5 minutes

60. While the client has the pulse oximeter on his

fingertip, you notice that the sunlight is shining on .the

area where the oximeter is. Your action will be to:

a. Set and turn on the alarm of the oximeter

b. Do nothing since there is no identified problem

c. Cover the fingertip sensor with a towel or bedsheet

d. Change the location of the sensor every four hours

Situation 13 - The nurse's understanding of ethico-legal

responsibilities will guide his/her nursing practice.

61. The principles that .govern right and proper

conducts of a person regarding life, biology and the

health professions is referred to as:

a. Morality

b. Religion

c. Values

d. Bioethics

62. The purpose of having nurses’ code of ethics is:

a. Delineate the scope and areas of nursing practice

b. Identify nursing action recommended for specific

healthcare situations

c. To help the public understand professional conduct,

expected of nurses

d. To define the roles and functions of the health care

giver, nurses, clients

63. The most important nursing responsibility where

ethical situations emerge in patient care is to:

a. Act only when advised that the action is ethically

sound

b. Not take sides remain neutral and fair

c. Assume that ethical questions are the responsibility: of

the health team

d. Be accountable for his or her own actions

64. You inform the patient about his rights which

include the following EXCEPT:

a. Right to expect reasonable continuity of care

b. Right to consent to or decline to participate in

research studies or experiments

c. Right to obtain information about another patient

d. Right to expect that the records about his care will be

treated as confidential

65. The principle states that a person has unconditional

worth and has the capacity to determine his own

destiny.

a. Bioethics

b. Justice

c. Fidelity

d. Autonomy

Situation 14 – Your director of nursing wants to improve

the quality of health care offered in the hospital. As a

staff nurse in that hospital you know that this entails

quality assurance programs.

66. The following mechanisms can be utilized as part of

the quality assessment program of your hospital

EXCEPT:

a. Patient satisfaction surveys provided

b. Peer review clinical records of care of client

c. RO of the Nursing Intervention Classification

d.

67. The nurse of the Standards of Nursing Practice is

important in the hospital. Which of the following

statements best describes what it is?

a. These are statements that describe the maximum or

highest level of acceptable performance in nursing

practice.

b. It refers to the scope of nursing as defined in Republic

Act 9173

c. It is a license issued by the Professional Regulation

Commission to protect the public from substandard

nursing practice.

d. The Standards of care includes the various steps of the

nursing process and the standards of professional

performance.

68. You are taking care of critically ill client and the

doctor in charge calls to order a DNR (do not

resuscitate) for the client. Which of the following is the

appropriate action when getting DNR order over the

phone?

a. Have the registered nurse, family spokesperson, nurse

supervisor and doctor sign

b. Have two nurses validate the phone order, both

nurses sign the order and the doctor should sign his

order within 24 hours.

c. Have the registered nurse, family and doctor sign the

order

d. Have 1 nurse take the order and sign it and have the

doctor sign it within 24 hours

69. To ensure the client safety before starting blood

transfusion the following are needed before the

procedure can be done EXCEPT:

a. take baseline vital signs

b. blood should be warmed to room temperature for 30

minutes before blood transfusion is administered

c. have two nurses verify client identification, blood

type, unit number and expiration date of blood

d. get a consent signed for blood transfusion

70. Part of standards of care has to do with the use of

restraints. Which of the following statements is NOT

true?

a. Doctor’s order for restraints should be signed within

24 hours

b. Remove and reapply restraints every two hours

c. Check client’s pulse, blood pressure and circulation

every four hours

d. Offer food and toileting every two hours

Situation 15 – During the NUTRITION EDUCATION class

discussion a 58 year old man, Mr. Bruno shows increased

interest.

71. Mr. Bruno asks what the "normal" allowable salt

intake is. Your best response to Mr. Bruno is:

a. 1 tsp of salt/day with iodine and sprinkle of MSG

b. 5 gms per day or 1 tsp of table salt/day

c. 1 tbsp of salt/day with some patis and toyo

d. 1 tsp of salt/day but not patis or toyo

72. Your instructions to reduce or limit salt intake

include all the following EXCEPT:

a. eat natural food with little or no salt added

b. limit use of table salt and use condiments instead

c. use herbs and spices

d. limit intake of preserved or processed food

73. Teaching strategies and approaches when giving

nutrition education is influenced by age, sex and

196

immediate concerns of the group. Your presentation

for a group of young mothers would be best if you

focus on:

a. diets limited in salt and fat

b. harmful effect on drugs and alcohol intake

c. commercial preparation of dishes

d. cooking demonstration and meal planning

74. Cancer cure is dependent on

a. use of alternative methods of healing

b. watching out for warning signs of cancer

c. proficiency in doing breast self-examination

d. early detection and prompt treatment

75. The role of the health worker in health education is

to:

a. report incidence of non-communicable disease to

community health center

b. educate as many people about warning signs of noncommunicable

diseases

c. focus on smoking cessation projects

d. monitor clients with hypertension

Situation 16 – You are assigned to take care of 10

patients during the morning shift. The endorsement

includes the IV infusion and medications for these

clients.

76. Mr. Felipe, 36 years old is to be given 2700ml of

D5RL to infuse for 18 hours starting at 8am. At what

rate should the IV fluid be flowing hourly?

a. 100 ml/hour

b. 210 ml/hour

c. 150 ml/hour

d. 90 ml/hour

77. Mr. Atienza is to receive 150mg/hour of D5W IV

infusion for 12 hours for a total of 1800ml. He is also

losing gastric fluid which must be replaced every two

hours. Between 8am to 10am. Mr. Atienza has lost

250ml of gastric fluid. How much fluid should he

receive at 11am?

a. 350 ml/hour

b. 275 ml/hour

c. 400 ml/hour

d. 200 ml/hour

78. You are to apply a transdermal patch of

nitroglycerin to your client. The following important

guidelines to observe EXCEPT:

a. Apply to hairlines clean are of the skin not subject to

much wrinkling

b. Patches may be applied to distal part of the

extremities like forearm

c. Change application and site regularly to prevent

irritation of the skin

d. Wear gloves to avoid any medication of your hand

79. You will be applying eye drops to Miss Romualdez.

After checking all the necessary information and

cleaning the affected eyelid and eyelashes you

administer the ophthalmic drops by instilling the eye

drops.

a. directly onto the cornea

b. pressing on the lacrimal duct

c. into the outer third of the lower conjunctival sac

d. from the inner canthus going towards the side of the

eye

80. When applying eye ointment, the following

guidelines apply EXCEPT:

a. squeeze about 2 cm of ointment and gently close but

not squeeze eye

b. apply ointment from the inner canthus going outward

of the affected eye

c. discard the first bead of the eye ointment before

application because the tube likely to expel more than

desired amount of ointment

d. hold the tube above the conjunctival sac do not let tip

touch the conjuctiva

Situation 17 – The staff nurse supervisor request all the

staff nurses to “brainstorm” and learn ways to instruct

diabetic clients on self-administration of insulin. She

wants to ensure that there are nurses available daily to

do health education classess.

81. The plan of the nurse supervisor is an example of

a. in service education process

b. efficient management of human resources

c. increasing human resources

d. primary prevention

82. When Mrs. Guevarra, a nurse, delegates aspects of

the clients care to the nurse-aide who is an unlicensed

staff, Mrs. Guevarra.

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 or evaluate the aide

d. most know how to perform task delegated

83. Connie, the-new nurse, appears tired and sluggish

and lacks the enthusiasms she give six weeks ago when

she started the job. The nurse supervisor should:

a. empathize with the nurse and listen to her

b. tell her to take the day off

c. discuss how she is adjusting to her new job

d. ask about her family life

84. Process of formal negotiations of working

conditions between a group of registered nurses and

employer is:

a. grievance

b. arbitration

c. collective bargaining

d. strike

85. You are attending a certification program on

cardiopulmonary resuscitation (CPR) offered and

required by the hospital employing you. This is;

a. professional course towards credits

b. in-service education

c. advance training

d. continuing education

Situation 18 - There are various developments in health

education that the nurse should know about.

86. The provision of health information in the rural

areas nationwide through television and radio

programs and video conferencing is referred to as:

a. Community health program

b. Telehealth program

c. Wellness program

d. Red cross program

87. A nearby community provides blood pressure

screening, height and weight measurement smoking

cessation classes and aerobics class services. This type

of program is referred to as:

a. outreach program

b. hospital extension program

c. barangay health center

d. wellness center

88. Part of teaching client in health promotion is

responsibility for one’s health. When Danica states she

need to improve her nutritional status this means:

a. Goals and interventions to be followed by client are

based on nurse's priorities

b. Goals and intervention developed by nurse and client

should be approved by the doctor

c. Nurse will decide goals and, interventions needed to

meet client goals

d. Client will decide the goals and interventions required

to meet her goals

89. Nurse Beatrice is providing tertiary prevention to

Mrs. De Villa. An example of tertiary provestion is:

a. Marriage counseling

b. Self-examination for breast cancer

c. Identifying complication of diabetes

d. Poison, control

90. Mrs. Ostrea has a schedule for Pap Smear. She has a

strong family history of cervical cancer. This is an

example of:

a. tertiary prevention

b. secondary prevention

c. health screening

d. primary prevention

Situation: 19 - Ronnie has a vehicular accident where he

sustained injury to his left ankle. In the Emergency

Room, you notice how anxious he looks.

91. You establish rapport with him and to reduce his

anxiety you initially

a. Take him to the radiology, section for X-ray of affected

extremity

b. Identify yourself and state your purpose in being with

the client

c. Talk to the physician for an order of Valium

d. Do inspection and palpation to check extent of his

injuries

92. While doing your assessment, Ronnie asks you "Do I

have a fracture? I don't want to have a cast.” The most

appropriate nursing response would be:

a. "You have to have an X-ray first to know if you have a

fracture."

b. "Why do you; sound so scared? It is just a cast and it's

not painful"

c. "You seem to be concerned about being in a cast."

d. "Based on my assessment, there doesn’t seem to be a

fracture."