Situation:
As a nurse, you are aware that proper
documentation
in the patient chart is your responsibility.
51. Which
of the following is not a legally binding
document
but nevertheless 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
52. A nurse
gives a wrong medication to the 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. Nursing
kardex
c. Oral
report
d. Complain
report
53.
Performing a procedure on a client in the
absence of
an informed consent can lead to
which of
the following charges?
a. Fraud
b.
Harassment
c.
Assault and battery
d. Breach
of confidentiality
54. Which
of the following is the essence of
informed
consent?
a. It
should have a durable power of
attorney
b. It
should have coverage from an
insurance
company
c.
It should respect the client’s freedom
from
coercion
d. It
should disclose previous diagnosis,
prognosis
and alternative treatments
available
for the client
55.
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 with a delegated task is
necessary
only if the assistive personnel
is not
trustworthy
Situation:
When creating your lesson plan for
cerebrovascular
disease or STROKE. It is important to
include the
risk factors of stroke.
56. The
most important risk factor is:
a.
Cigarette smoking
b. binge
drinking
c.
Hypertension
d. heredity
57. Part of
your lesson plan is to talk about etiology
or cause of
stroke. The types of stroke based on
cause are
the following EXCEPT:
a. Embolic
stroke
b.
diabetic stroke
c.
Hemorrhagic stroke
d.
thrombotic stroke
58.
Hemmorhagic stroke occurs suddenly usually
when the
person is active. All are causes of
hemorrhage,
EXCEPT:
a.
phlebitis
b. damage
to blood vessel
c. trauma
d. aneurysm
59. The
nurse emphasizes that intravenous drug
abuse
carries a high risk of stroke. Which drug is
closely
linked to this?
a.
Amphetamines
b. shabu
c.
Cocaine
d. Demerol
10
60. A
participant in the STROKE class asks what is a
risk factor
of stroke. Your best response is:
a.
“More red blood cells thicken blood
and
make clots more possible.”
b. “Increased
RBC count is linked to high
cholesterol.”
c. “More
red blood cell increases
hemoglobin
content.”
d. “High RBC
count increases blood
pressure.”
Situation:
Recognition of normal values is vital in
assessment
of clients with various disorders.
61. A nurse
is reviewing the laboratory test results
for a
client with a diagnosis of severe
dehydration.
The nurse would expect the
hematocrit
level for this client to be which of the
following?
a.
60%
b. 47%
c. 45%
d. 32%
62. A nurse
is reviewing the electrolyte results of an
assigned
client and notes that the potassium
level is
5.6 mEq/L. Which of the following would
the nurse
expect to note on the ECG as a result
of this
laboratory value?
a. ST
depression
b.
Prominent U wave
c. Inverted
T wave
d.
Tall peaked T waves
63. A nurse
is reviewing the electrolyte results of an
assigned
client and notes that the potassium
level is
3.2 mEq/L. Which of the following would
the nurse
expect to note on the ECG as a result
of this
laboratory value?
a.
U waves
b. Elevated
T waves
c. Absent P
waves
d. Elevated
ST Segment
64. Dorothy
underwent diagnostic test and the
result of
the blood examination are back. On
reviewing
the result the nurse notices which of
the
following as abnormal finding?
a.
Neutrophils 60%
b. White
blood cells (WBC) 9000/mm
c.
Erythrocyte sedimentation rate (ESR) is
39
mm/hr
d. Iron 75
mg/100 ml
65. Which
of the following laboratory test result
indicate
presence of an infectious process?
a.
Erythrocyte sedimentation rate (ESR) 12
mm/hr
b.
White blood cells (WBC) 18,000/mm3
c. Iron 90
g/100ml
d.
Neutrophils 67%
Situation:
Pleural effusion is the accumulation of fluid in
the pleural
space. Questions 66 to 70 refer to this.
66. Which
of the following is a finding that the nurse
will be
able to assess in a client with Pleural
effusion?
a.
Reduced or absent breath sound at the
base
of the lungs, dyspnea, tachpynea
and
shortness of breath
b.
Hypoxemia, hypercapnea and
respiratory
acidosis
c. Noisy
respiration, crackles, stridor and
wheezing
d. Tracheal
deviation towards the affected
side,
increased fremitus and loud breath
sounds
67.
Thoracentesis is performed to the client with
effusion.
The nurse knows that the removal of
fluid
should be slow. Rapid removal of fluid in
thoracentesis
might cause:
a.
Pneumothorax
b.
Cardiovascular collapse
c. Pleurisy
or Pleuritis
d.
Hypertension
68. 3 Days
after thoracentesis, the client again
exhibited
respiratory distress. The nurse will
know that
pleural effusion has reoccurred when
she noticed
a sharp stabbing pain during
inspiration.
The physician ordered a closed tube
thoracotomy
for the client. The nurse knows
that the
primary function of the chest tube is to:
a. Restore
positive intrathoracic pressure
b.
Restore negative intrathoracic pressure
c. To
visualize the intrathoracic content
d. As a
method of air administration via
ventilator
69. The
chest tube is functioning properly if:
a.
There is an oscillation
b. There is
no bubbling in the drainage
bottle
11
c. There is
a continuous bubbling in the
waterseal
d. The
suction control bottle has a
continuous
bubbling
70. In a
client with pleural effusion, the nurse is
instructing
appropriate breathing technique.
Which of
the following is included in the
teaching?
a. Breath
normally
b. Hold the
breath after each inspiration
for 1 full
minute
c. Practice
abdominal breathing
d.
Inhale slowly and hold the breath for 3
to
5 seconds after each inhalation
SITUATION:
Health care delivery system affects the
health
status of every filipino. As a Nurse, Knowledge of
this system
is expected to ensure quality of life.
71. When
should rehabilitation commence?
a. The day
before discharge
b. When the
patient desires
c.
Upon admission
d. 24 hours
after discharge
72. What
exemplified the preventive and promotive
programs in
the hospital?
a. Hospital
as a center to prevent and
control
infection
b. Program
for smokers
c. Program
for alcoholics and drug addicts
d.
Hospital Wellness Center
73. Which
makes nursing dynamic?
a. Every
patient is a unique physical,
emotional,
social and spiritual being
b. The
patient participate in the overall
nursing
care plan
c. Nursing
practice is expanding in the light
of modern
developments that takes
place
d.
The health status of the patient is
constantly
changing and the nurse must
be
cognizant and responsive to these
changes
74.
Prevention is an important responsibility of the
nurse in:
a.
Hospitals
b.
Community
c.
Workplace
d.
All of the above
75. This
form of Health Insurance provides
comprehensive
prepaid health services to
enrollees
for a fixed periodic payment.
a.
Health Maintenance Organization
b. Medicare
c.
Philippine Health Insurance Act
d. Hospital
Maintenance Organization
Situation:
Nursing ethics is an important part of the
nursing
profession. As the ethical situation arises, so is
the need to
have an accurate and ethical decision
making.
76. The
purpose of having a nurses’ code of ethics is:
a.
Delineate the scope and areas of nursing
practice
b. identify
nursing action recommended for
specific
health care situations
c.
To help the public understand
professional
conduct expected of
nurses
d. To
define the roles and functions of the
health care
givers, nurses, clients
77. The
principles that govern right and proper
conduct of
a person regarding life, biology and
the health
professionals is referred to as:
a. Morality
b. Religion
c. Values
d.
Bioethics
78. A
subjective feeling about what is right or wrong
is said to
be:
a.
Morality
b. Religion
c. Values
d.
Bioethics
79. Values
are said to be the enduring believe about
a worth of
a person, ideas and belief. If Values
are going
to be a part of a research, this is
categorized
under:
a.
Qualitative
b.
Experimental
c.
Quantitative
d. Non
Experimental
80. 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
12
b. Not
takes 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
81. Why is
there an ethical dilemma?
a. the
choices involved do not appear to be
clearly
right or wrong
b.
a client’s legal right co-exist with the
nurse’s
professional obligation
c.
decisions has to be made based on
societal
norms.
d.
decisions has to be mad quickly, often
under
stressful conditions
82.
According to the code of ethics, which of the
following
is the primary responsibility of the
nurse?
a. Assist
towards peaceful death
b. Health
is a fundamental right
c.
Promotion of health, prevention of
illness,
alleviation of suffering and
restoration
of health
d.
Preservation of health at all cost
83. Which
of the following is TRUE about the Code
of Ethics
of Filipino Nurses, except:
a.
The Philippine Nurses Association for
being
the accredited professional
organization
was given the privilege to
formulate
a Code of Ethics for Nurses
which
the Board of Nursing
promulgated
b. Code for
Nurses was first formulated in
1982
published in the Proceedings of the
Third
Annual Convention of the PNA
House of
Delegates
c. The
present code utilized the Code of
Good
Governance for the Professions in
the
Philippines
d.
Certificates of Registration of registered
nurses may
be revoked or suspended for
violations
of any provisions of the Code
of Ethics.
84.
Violation of the code of ethics might equate to
the
revocation of the nursing license. Who
revokes the
license?
a. PRC
b. PNA
c. DOH
d.
BON
85. Based
on the Code of Ethics for Filipino Nurses,
what is
regarded as the hallmark of nursing
responsibility
and accountability?
a. Human
rights of clients, regardless of
creed and
gender
b. The
privilege of being a registered
professional
nurse
c. Health,
being a fundamental right of
every
individual
d.
Accurate documentation of actions and
outcomes
Situation:
As a profession, nursing is dynamic and its
practice is
directed by various theoretical models. To
demonstrate
caring behaviour, the nurse applies various
nursing
models in providing quality nursing care.
86. When
you clean the bedside unit and regularly
attend to
the personal hygiene of the patient as
well as in
washing your hands before and after a
procedure
and in between patients, you indent
to
facilitate the body’s reparative processes.
Which of
the following nursing theory are you
applying in
the above nursing action?
a.
Hildegard Peplau
b. Dorothea
Orem
c. Virginia
Henderson
d.
Florence Nightingale
87. A
communication skill is one of the important
competencies
expected of a nurse. Interpersonal
process is
viewed as human to human
relationship.
This statement is an application of
whose
nursing model?
a.
Joyce Travelbee
b. Martha
Rogers
c. Callista
Roy
d. Imogene
King
88. The
statement “the health status of an individual
is
constantly changing and the nurse must be
cognizant
and responsive to these changes” best
explains
which of the following facts about
nursing?
a.
Dynamic
b. Client
centred
c. Holistic
d. Art
89.
Virginia Henderson professes that the goal of
nursing is
to work interdependently with other
health care
working in assisting the patient to
gain
independence as quickly as possible. Which
of the following
nursing actions best
demonstrates
this theory in taking care of a 94
year old
client with dementia who is totally
immobile?
a.
Feeds the patient, brushes his teeth,
gives
the sponge bath
b.
Supervise the watcher in rendering
patient his
morning care
c. Put the
patient in semi fowler’s position,
set the
over bed table so the patient can
eat by
himself, brush his teeth and
sponge
himself
d. Assist
the patient to turn to his sides and
allow him
to brush and feed himself only
when he
feels ready
90. In the
self-care deficit theory by Dorothea Orem,
nursing
care becomes necessary when a patient
is unable
to fulfil his physiological, psychological
and social
needs. A pregnant client needing
prenatal
check-up is classified as:
a. Wholly
compensatory
b.
Supportive Educative
c.
Partially compensatory
d. Non
compensatory
Situation:
Documentation and reporting are just as
important
as providing patient care, As such, the nurse
must be
factual and accurate to ensure quality
documentation
and reporting.
91. Health
care reports have different purposes. The
availability
of patients’ record to all health team
members
demonstrates which of the following
purposes:
a. Legal
documentation
b. Research
c.
Education
d.
Vehicle for communication
92. When a
nurse commits medication error, she
should
accurately document client’s response
and her
corresponding action. This is very
important
for which of the following purposes:
a. Research
b.
Legal documentation
c. Nursing
Audit
d. Vehicle
for communication
93. POMR
has been widely used in many teaching
hospitals.
One of its unique features is SOAPIE
charting.
The P in SOAPIE charting should
include:
a.
Prescription of the doctor to the
patient’s
illness
b.
Plan of care for patient
c. Patient’s
perception of one’s illness
d. Nursing
problem and Nursing diagnosis
94. The
medical records that are organized into
separate
section from doctors or nurses has
more
disadvantages than advantages. This is
classified
as what type of recording?
a. POMR
b. Modified
POMR
c. SOAPIE
d.
SOMR
95. Which
of the following is the advantage of SOMR
or
Traditional recording?
a.
Increases efficiency in data gathering
b.
Reinforces the use of the nursing
process
c.
The caregiver can easily locate proper
section
for making charting entries
d. Enhances
effective communication
among
health care team members
Situation:
June is a 24 year old client with symptoms of
dyspnea,
absent breath sounds on the right lung and
chest x ray
revealed pleural effusion. The physician will
perform
thoracentesis.
96.
Thoracentesis is useful in treating all of the
following
pulmonary disorders except:
a.
Hemothorax
b.
Hydrothorax
c.
Tuberculosis
d. Empyema
97. Which
of the following psychological preparation
is not
relevant for him?
a.
Telling him that the gauge of the needle
and
anesthesia to be used
b. Telling
him to keep still during the
procedure
to facilitate the insertion of
the needle
in the correct place
c. Allow
June to express his feelings and
concerns
d.
Physician’s explanation on the purpose
of the
procedure and how it will be done
98. Before
thoracentesis, the legal consideration you
must check
is:
a.
Consent is signed by the client
b. Medicine
preparation is correct
c. Position
of the client is correct
d. Consent
is signed by relative and
physician
99. As a
nurse, you know that the position for June
before
thoracentesis is:
a.
Orthopneic
b. Low
fowlers
c.
Knee-chest
d.
Sidelying position on the affected side
100. Which
of the following anaesthetics drug is used
for
thoracentesis?
a.
Procaine 2%
b. Demerol
75 mg
c. Valium
250 mg
d.
Phenobartbital 50 mg
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