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NP1 - test
BS in Nursing (Central Mindanao University)
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REFRESHER COURSE: PREBOARD EXAMINATION
Nursing Practice I: Basic Foundation of Nursing and
Professional Practice
GENERAL INSTRUCTIONS:
1. This test questionnaire contains 100 test questions
2. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will invalid your answer.
3. AVOID ERASURES.
4. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set.
5. Write the subject title “NURSING PRACTICE I” on the box provided.
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.
1. 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 we do not diagnose and prescribe medications
2. PNA was established:
1. In 1922 found sept 2, 1992
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
Text
6. Jenny plans to resign from her job as a staff nurse. She
must give an advance notice of:
A. 15 days
C. 45 days
B. 30 days
D. 60 days
7. 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
Text
Founder
3. As a national nurses’ association, PNA is characterized by
the following, except: (-)
check PNA.org for characteristis
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
4. 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
Past
45 units updated
D. 100 units
5. 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 mali
B. Honorable dismissal School
C. Certificate of termination
D. Resignation letter
Situation: Anicieto is an elderly client who is immobile and
8. 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
9. 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
10. 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
C. Betty Meritt
B. Francisca Delgado
D. Annie Sand
PNA yung dalawa
D. Massage the skin gently to stimulate oil production from the
sebaceous glands
sedentary.
11. Anicieto is frequently complaining of dry skin. Which of the
following is the best way to prevent dry skin?
A. Wash the skin with mild soap and water
B. Avoid exposure to cold or low humidity
C. Apply lotion or skin moisturizer
12. Which of the following is a frequently used dressing for
pressure sores?
A. Transparent
C. Wet to moist
B. Wet to dry
D. Hydrogel
Fundamental cousher
13. Heat is an old remedy for aches and pain. People equate
heat with comfort and relief because:
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A. It is safer than cold application
B. It causes a local anesthetic effect
C. It promotes blood circulation and tissue oxygenation
through vasodilation
D. Slows bacterial growth
14. Heat and cold application should not exceed:
A. 10 minutes
C. 30 minutes
B. 15 minutes
D. 1 hour
15. A client with deep wounds underwent Hydrocolloid
dressing. Which of the following is true with regards to this
dressing?
Occlusive , opaque, obscure
wound visibility
A. They provide good wound visibility
B. They could last indefinitely until the wound heals 3 - 7 days
C. They can be molded to uneven skin surfaces thus best used
in pressure ulcers
D. The client could not shower or bath with such dressing
D. Gingko biloba has an effect on enhancing memory and
retention of 4th year high school students
meron hypothesis
22. 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
23. Which of the following is the average P value as threshold
to determine the plausibility of the null hypothesis?
A. P=0.05
C. P=0.001 less than < 0.05 there is difference
B. P=0.01
D. P=0.5
greater than > 0.05
wet resistant
no significant difference
null hypothesis
Situation: You are a nurse conducting a statistical analysis in
24. If the study is statistically highly significant, it would reflect
a p value of?
A. p=0.05 basis
C. p=0.001
B. p=0.01
D. p=0.5
16. What is the independent variable?
A. The effect of gingko biloba
B. Memory and retention
C. Gingko biloba
D. Enhancing memory and retention
25. 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
C. P=0.001
B. P=0.01 1/100
D. P=0.5
your research entitled “The Effect of Gingko Biloba in
Enhancing Memory and Retention Among 4th Year High School
Students.”
1/ 100
17. What is the dependent variable?
A. The effect of gingko biloba
B. Memory and retention
C. Gingko biloba
D. Enhancing memory and retention
Situation: Survey and Statistics are important parts of research
that is necessary to explain the characteristics of the
population.
mean ,media
n
18. The research design best used in this research is:
A. Experimental
Manipulation, randominization,
B. Non-experimental
cause and effect > eprimental > controll
C. Descriptive
D. Qualitative
26. All but one of the following is not a measure of central
tendency.
pinakamadalas
A. Mode
C. Standard deviation
B. Variable
D. Range
19. The hypothesis developed was: Gingko biloba improves
memory and retention. This is an example of:
27. It reflects the most frequent value that appears in the set
data.
A. Mean
C. Median
B. Mode
D. Ratio
A. Simple, directional
B. Simple, non-directional
C. Complex, directional
D. Complex, non-directional
28. In the values: 87, 85, 88, 92, 90, the mean is:
A. 88.2
C. 87
B. 88.4
D. 90
may direction nag improve
20. Gingko biloba has an effect on memory and retention best
describes which type of hypothesis?
walang direction
A. Simple, directional
B. Simple, non-directional
C. Complex, directional
D. Complex, non-directional
walang bisa
21. Which of the following is the best null hypothesis (H 0) 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
Situation: As a peri-operative nurse, you are aware of the
correct processing methods for preparing disinfection.
31. 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
29. In the values: 80, 80, 80, 82, 82, 90, 90, 100, the mode is:
A. 80
C. 90
B. 82
D. 85.5
30. In the values: 80, 80, 10, 10, 25, 65, 100, 200, the median
is:
A. 71.25
C. 10 and 25
B. 22.5
D. 72.5
32. Before you use an instrument disinfectant, it is essential
that you:
Materials in not compability to chemicals
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
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there is no best style of leadership but it depends on the situation
Two way communication dapat lagi
33. 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
34. 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
41. Which leadership style best empower the staff towards
excellence?
A. Autocratic
C. Democratic
B. Situational
D. Laissez faire kapag professional na ksama mo
42. 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
C. Democratic
B. Participative
D. Laissez faire
43. A fire has broken in Jillian’s unit. The best leadership style
suited in cases of emergencies like this is:
A. Autocratic
C. Democratic
B. Participative
D. Laissez faire
35. Bronchoscope, thermometer, endoscope, ET tube,
44. Mrs. Vergara is thinking of introducing the Primary Nursing
cystoscope, are all best sterilized using which of the following?
Model Approach. You understand that in this nursing model:
Critical and semi critical and moist
A. Autoclaving at 1210C in 15 minutes 1281 C
A. The nurse manager assigns tasks to the staff members Functional
resistant
B. Flash sterilizer at 1320C in 3 minutes clean sterile , unsufficient time, convenieince
B. Critical paths are used in providing nursing care Case management
C. Ethylene oxide gas aeration for 20 hours lengthy time , toxicity, cause sore C. A simple registered nurse is responsible for planning and
associate, hanggang hindi
D. 2% Glutaraldehyde immersion for 30 minutes throat and DOB
providing individualized nursing care 24/7 , meron
nadischarge yung patient
use common high level for medical equipments
D. Nursing staff are led by an RN leader in providing care to a
Situation: Health promotion is the priority nursing
group of clients
Team Nursing
responsibility. The nurse should be able to promote the client’s
well-being and identify ways on improving the client’s quality
45. Evaluation as administrative process is best described as:
of life.
A. Obtaining commitment
Text of members to do better
B. Follow-up activities that have been stated
36. The nurse is caring for a 16-year old female client who isn’t
C. A continuing process of seeing that performance meet goals
sexually active. The client asks if she needs a Papanicolau test.
and targets
The nurse should reply:
D. Informing personnel how well and how much improvement
Pap smear test
A. Yes, she should have a Pap smear after the onset of
has been made
inform their strengths and weakness
menstruation
B. No, because she isn’t sexually active
Situation: Mr. Delos Reyes, 70 years old, was suddenly rushed
C. Yes, because she’s 16 years old
to the hospital because of severe chest pain. On admission, he
D. No, because she is not yet 21 years old
was diagnosed to have an acute myocardial infarction and was
placed in the ICU.
ages 21 to 29 between if normal every 3 years according cdc. gov
37. The nurse is assessing a client who complains of abdominal
46. While he is in the ICU, he executes a document that lists
pain, nausea, and diarrhea. When examining the client’s
the medical treatments he chooses to refuse in case his
abdomen, which sequence should the nurse use?
condition becomes severe to a point that he will be unable to
A. Inspection, palpation, percussion, auscultation
make decisions for himself. The document is:
B. Inspection, auscultation, percussion, palpation for abdomen
A. Living will
C. Last will and testament
C. Auscultation, inspection, palpation, percussion
B. Power of attorney
D. Informed consent
- procedures will be done
D. Palpation, auscultation, percussion, inspection
47.
After
one
day,
the
patient’s
condition
worsened and he felt
inspection, palpation,percussion, auscultation - chest
38. The nurse is speaking to a group of women about early
hopeless. He requested the nurse to remove the oxygen. The
assited suicide
detection of breast cancer. The average age of women in the
nurse should:
group is 45. Following the Philippine Cancer Society guidelines,
A. Follow the patient because it is his right to die gracefully
the nurse should recommend that the women should:
B. Refuse the patient since euthanasia is not accepted in the
A. Perform a breast self-examination annually hindi na applicable
Philippines
B. Have a mammogram annually 45 - 54 age - cancer . gov
C. Follow the patient as it is his right to determine the medical
C. Have a hormonal receptor assay annually
regimen he needs
D. Have a physician conduct a clinical examination every 2
D. Refuse the patient and encourage him to verbalize his
years
feelings
39. 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 Natural , accessible,
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
48. 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
49. The personal conviction that euthanasia is absolutely
wrong in any situation is:
40. An employer establishes a physical exercise area in the
A. Personal value
workplace, and encourages all employees to use it. This is an
B. Legal obligation
example of which level of prevention?
rehab, optimum level of functioining C. Ethical issue
A. Primary prevention- health promotion C. Tertiary prevention
D. Immoral belief
B. Secondary prevention
D. Passive prevention
early detection/ screening/ early treatment
50. Mr. Delos Reyes felt better after 3 days but recognized the
Situation: Mrs. Vergara is now the chief nurse of a hospital in
severity of his illness. He executed a document authorizing his
Manila. She is clinically reviewing different management styles
wife to transact any form of business in his behalf in addition
and theories that will best help her in running the nursing
to all decisions relative to his confinement. This document is
services in the hospital.
referred to as:
A. Power of attorney
C. Medical record
B. Informed consent
D. Living will
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Situation: Nursing as a profession. The nurse should have a
D. The medication can be injected while the client is in any
position
background on the theories and foundation of nursing as it has
influenced what nursing is today.
Situation: A client was rushed to the Emergency Room and you
are his attending nurse. You are assessing the vital signs.
51. Nursing is the protection and optimization of health and
abilities, prevention of illness and injury, alleviation of suffering
through the diagnosis and treatment of human response and
advocacy in the care of the individuals, families, communities
and the population. This is the most accepted definition of
nursing as defined by:
A. PNA
C. Florence Nightingale
B. ANA ANA, 1980
D. Virginia Henderson
52. Advancement in nursing leads to the development of the
expanded career roles. Which of the following is not an
expanded career role for nurses?
A. Nurse practitioner
C. Nurse researcher
B. Clinical nurse specialist
D. Nurse anesthesiologist
Nurse anesthetist- kasama niya anethesiologist , kaya niya magbigay pero may supervison pa din
53. The board of nursing regulated the nursing profession in
the Philippines and is responsible for the maintenance of the
quality of nursing in the country. Powers and duties of the
board of nursing are the following, except:
A. Issue, suspend, revoke certificates or registration
B. Issue subpoena, decus tecum, ad testificandum
C. Open and close college of nursing - CHED
D. Supervise and regulate the practice of nursing
expert - flexible , fluid, instinct , gut
61. After a few hours in the emergency room, the client is
admitted to the ward with an order of hourly monitoring of BP.
The nurse finds that the cuff is too narrow and this will cause
the BP reading to be:
A. Inconsistent
B. Low systolic and high diastolic
C. Higher than what the reading should be
D. Lower than what the reading should be
62. You attached a pulse oximeter to the client. You know that
the purpose of this is to:
A. Determine if the client’s hemoglobin level is low and if he
needs blood transfusion CBC TEST
B. Check level of client’s tissue perfusion
C. Measure the efficacy of the client’s antihypertensive
medications BP APP
D. Detect oxygen saturation of arterial blood before symptoms
of hypoxemia develops USE EAR LOBE , FOREHEAD ( IF STRIP) PENIS ( IF
KAPAG BURN AND AMMPUTATE)
63. Through the client’s health history, you found out that the
patient smokes and drinks coffee. When taking the BP of a
client who recently smoked or drank coffee, how long should
the nurse wait before taking the client’s BP for accurate
reading?
A. 5 minutes
C. 30 minutes
B. 15 minutes
D. 1 hour
54. A nursing student or a beginning staff nurse who has not
yet experienced enough real situations to make judgments
-aspects recognize
about them
is in what stage of nursing expertise?
- no experience ( nursing
meanigful
A. Novice
C. Advanced beginner
students)
2 - 3 yrs , coordinate complex 64. While the pulse oximeter is on the client’s fingertip, you
B. Newbie
D. Competent
care demands
proficient- ( 3-5 years ) perceive situation as whole
notice that the sunlight is shining on the area where the
oximeter is. Your action will be to:
55. Benner’s “proficient” nurse level is different from the other
A. Turn on and set the alarm of the oximeter
levels in nursing expertise in the context of having:
B. Do nothing since there are no identified problems
A. The ability to organize and plan activities
C. Cover the fingertip sensor with a towel or bed sheet
B. Attained an advanced level of education
D. Change the location of the sensor every four hours
C. A holistic understanding and perception of the client
D. Intuitive and analytic ability in new situations
65. You are to assess the temperature of the client the next
morning and found out that he ate ice cream. How many
Situation: The nurse has been asked to administer an injection.
minutes should you wait before assessing the client’s oral
temperature?
56. The nurse prepares an IM injection for an adult client using
A. 10 minutes
C. 20 minutes
the Z track technique. 4 mL of medication is to be
B. 15 minutes
D. 30 minutes
administered to the client. Which of the following
sites
will
you
recommended for adult , mas
up to choose?
most accessible
mataas sa 1ml, konti ang
1ml A. Deltoid
and convenient C. Ventrogluteal
nerves na matamaan
Situation: Oral care is an important part of hygienic practices
and promoting client comfort.
B. Rectus femoris
D. Vastus lateralis
for baby = 9 months 1 year
57. In infants 1 year and below, which of the following is the
site of choice for intramuscular injection?
A. Deltoid
C. Ventrogluteal
B. Rectus femoris
D. Vastus lateralis
58. Mrs. Morales is obese. When administering subcutaneous
injection to an obese patient, it is best for the nurse to:
A. Inject needle at 15 degree angle over the stretched skin of
skin test
the client
B. Pinch skin at the injection site and use airlock technique
C. Pull skin of patient down to administer the drug via Z track IM routse
D. Spread skin or pinch at the injection site and inject needle
at a 45-90 degree angle
59. When preparing for a subcutaneous injection, the proper
size of syringe and needle would be:
A. Syringe 3-5 mL and needle gauge 21 to 23
B. Tuberculin syringe 1 mL with needle gauge 26 to 27
C. Syringe 2 mL and needle gauge 22
D. Syringe 1-3 mL and needle gauge 25 to 27
60. The rationale for giving medications through the
subcutaneous route is:
A. There are many alternative sites for subcutaneous injection
Text
B. Absorption time of medication is slower
C. There are less pain receptors in the area
66. When performing oral care to an unconscious client, which
of the following is a special consideration to prevent aspiration
of fluids into the lungs?
A. Put the client on side-lying position with head of bed
lowered PARA MAG DRIP YUNG SECRETIONS WITH KIDNEY BASIN
B. Keep the patient dry by placing a towel under the chin
C. Wash hands and observe appropriate infection control
D. Clean mouth with oral swabs in a careful and an orderly
progression
67. A possible problem while providing oral care to
unconscious clients is the risk of fluid aspiration to the lungs.
This can be avoided by:
A. Cleaning teeth and mouth with cotton swabs soaked in
mouthwash to avoid rinsing the buccal cavity
B. Swabbing the inside of the cheeks and lips, tongue, and
gums with dry cotton swabs
C. Use finger wrapped with wet cotton washcloth to rub inside
the cheeks, tongue, lips and gums
D. Suctioning as needed while cleaning the buccal cavity
68. Your client has difficulty of breathing and is mouth
breathing most of the time. This causes dryness of the mouth
with unpleasant odor. Oral hygiene is recommended for the
client and in addition, you will keep the mouth moistened by
saline = antibacterial effect
using:
A. Salt solution Osmosis
C. Petroleum jelly
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B. Water
D. Mentholated ointment
77. 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
suggestion/ guidline for nurses
D. Patient’s bill of rights
69. A nurse is observed taking all of the following actions when
suctioning a patient who has a newly placed tracheostomy
mali ginawa
tube. Which of the following actions require intervention?
A. Applying suction for less than 15 seconds at one time
B. Administering 100% oxygen prior to starting suctioning
C. Utilizing negative pressure of 120 mmHg during suctioning 80 - 120mmHg, adult
client78. Bettina gave the wrong medication to a client. Another
D. Deflating tracheostomy cuff for three minutes before
saktong pressure
initiating suction
nurse employed by the same hospital as a risk manager will
unusual or occurence report
hindi po nagdeflate . to secure tracheostomy and to prevent aspiration
expect to receive which of the following communication?
A. Incident report
C. Nursing kardex
70. The major difference between an antiseptic and a
B. Oral report
D. Complaint report
disinfectant is that an antiseptic:
as soon as possible agad magfile
A. Destroys pathogenic and non-pathogenic microorganisms
B. Inhibits microbial growth on skin
79. Performing a procedure on a client in the absence of an
C. Has a shorter duration of effectiveness
informed consent can lead to which of the following charges?
maling
A. Fraud
C. Harassment
D. Destroys pathogens
B. Assault andinformation
battery
D. Breach of confidentiality
assault= wala siyang touching
Situation: Ensuring safety before, during, and after a
batterry= touching
80. Delegation is the process of assigning tasks that can be
diagnostic procedure is an important responsibility of the
performed by a subordinate. The RN should always be
nurse.
accountable and should not lose his accountability. Which of
the following is a role included in delegation?
71. To help Paul better tolerate the bronchoscope, you should
A. The RN must supervise all delegated tasks
instruct him to practice which of the following prior to the
B. After a task has been delegated, it is no longer a
procedure?
responsibility of the RN
A. Clenching the fist every 2 minutes
C. The RN is responsible and accountable for the delegated
B. Breathing in and out through the nose with his mouth open
task in adjunct with the delegate
C. Tensing the shoulder muscles while lying on his back
D. Follow up on a delegated task is necessary only if the
D. Holding his breath periodically for 30 seconds
assistive personnel is not trustworthy
72. Thoracentesis may be performed for cytologic studies of
the pleural fluid. As a nurse, your most important function
Situation: Health care delivery system affects the health status
during the procedure is to:
of every Filipino. As a nurse, knowledge of this system is
A. Keep the sterile equipment from contamination
expected to ensure quality of life.
B. Assist the physician
C. Open and close the three-way stopcock
81. Which of the following exemplifies the preventive and
D. Observe the patient’s vital signs
promotive programs in the hospital?
A. Hospital as a center to prevent and control infection
B. Program for smokers
73. How will you prevent ascending infection to Arra who has
Text
C. Program for alcoholics and drug addicts
an indwelling catheter?
D. Personal wellness center
A. See to it that the drainage tubing touches the level of the
urine
adaptable , accessible
82. Which makes nursing dynamic? like stroke patient
B. Change the catheter every 8 hours
48 to 72 hours
A. Every patient is a unique physical, emotional, social, and
C. See to it that urine is draining freely
spiritual being
D. Clean catheter is used since urethral meatus is not a sterile
B. The patient participates in the overall nursing care plan
area
C. Nursing practice is expanding in the light of modern
development that takes place
74. A patient’s blood test results reveal a hematocrit level of 66
D. The health status of the patient is constantly changing and
mg/dL. The nurse should give priority to which nursing
level (adult) male = 40
the nurse must be cognizant and responsive to these changes
diagnosis? normal -hematocrit
54% female= 36% - 46%
A. Ineffective breathing pattern
B. Activity intolerance
hematocrit = hemoglobin
C. Hyperthermia
83. During the evaluation phase for a client, the nurse should
D. Dysreflexia
focus on:
A. All findings of physical and psychosocial stressors of the
75. A client’s admission urinalysis shows the specific gravity
client and his family
value of 1.039. Which of the following assessment data would
B. The client’s status, progress towards goal achievement, and
the nurse expect to find when assessing the client?
ongoing re-evaluation
A. Moist mucous membranes
normal specific gravity
of urine = 1.039
C. Setting short and long-term goals to ensure continuity of
B. Urinary frequency
1.010 - 1.025
care from hospital to home
C. Poor skin turgor
D. Select interventions that are measurable and achievable
D. Increased blood pressure concentrated = dehydration!!
within selected timeframes
Situation: The staff nurse supervisor requests all the staff
nurses to brainstorm and learn ways to provide health
84. An adult comes to the clinic because of productive cough.
teachings to clients. She wants to ensure that there are nurses
She smokes two packs of cigarette a day and has a family
available to do daily health education classes.
history of lung cancer and emphysema. Using the principle of
heath promotion, the nurse would interpret the client’s
76. When Lanie, a nurse, delegates aspects of client care to
behavior as:
the nurse aide who is an unlicensed staff, Lanie:
A. Using denial to deal with being at high risk for lung cancer
A. Makes the assignment to teach the staff member
B. Not assuming self-responsibility for her health
B. Is assigning the responsibility to the aide but not the
C. Exhibiting a Laissez faire attitude toward smoking and her
accountability for those tasks
risk for cancer
C. Does not have to supervise nor evaluate the nurse aide
D. Demonstrating passive suicidal tendencies
D. Must know how to perform the delegated task
85. To set the stage for a successful rehabilitation experience,
the rehabilitation nurse helps the client and her family
conceptualize their definition of:
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D. Doctor’s order regarding position restrictions and client’s
tolerance for lying flat
A. Wellness
B. Quality of life
C. Independence
D. Active participation
Situation: The use of massage and meditation to help decrease
stress and pain have been strongly recommended based on
documented testimonials.
86. Georgia wants to perform a study on this topic entitled:
“Effects of massage and meditation on stress and pain.” The
94. 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 basic consideration
C. Client has no signs of infection
D. Time of last food and fluid intake of the client
95. The purpose of chest percussion and vibration is to loosen
secretions in the lungs. The difference between the procedures
Text is:
A. Percussion uses only one hand while vibration uses both
hands
87. The type of research that does not manipulate the
B. Percussion delivers cushioned blows to the chest with
independent variable is:
cupped palms while vibration gently shakes secretions loose on
A. Experimental design
randominization, manipulation,control
False
merong manipulation and
the exhalation cycle
B. Quasi-experimental design walang randominization,
control
C. In both percussion and vibration, the hands are on top of
C. Non-experimental design walang randominization, maipulation, control
each other and hand action is in tune with client’s breath
D. Quantitative design
rhythm
D. Percussion slaps the chest to loosen secretions while
88. This research topic has the potential to contribute to
vibration shakes the secretions along with the inhalation of air
nursing because it seeks to:
A. Include new modalities of care
Situation: Mrs. Silva, 50 years old, asks about possible
B. Resolve a clinical problem
problems regarding her elimination now that she is in the
C. Clarify an ambiguous modality of care
menopausal stage.
D. Enhance client care
type of research that best suit this topic is:
finding solution to an
, to extent the
A. Applied research existing problem C. Basic research knowledge
B. Qualitative research
D. Quantitative research
CHAPTER 2 of research
89. Georgia does review of related literature for the purpose
of:
A. Determining statistical treatment of data research
B. Gathering data about what is already known or unknown
about the problem
C. Identifying if the problem can be replicated
D. Answering the research question
90. Clients’ rights should be protected when doing research
using human subjects. Georgia identifies the rights as follows
except:
A. Right to self-determination
C. Right to privacy
B. Right to compensation
D. Right not to be harmed
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
96. Instruction on health promotion regarding urinary
elimination is important. Which would you include?
A. Hold urine as long as she can before emptying her bladder
to strengthen her sphincter muscles
B. If burning sensation is experienced while voiding, drink
pineapple juice
C. After urination, wipe from anal area towards the pubis
D. Tell client to empty the bladder eat each voiding
stress incontinence
97. Mrs. Silva talks about her fear of being incontinent due to a
prior experience of dribbling urine when laughing or sneezing,
and when she has a full bladder. Your most appropriate action
would be to:
A. Tell client to drink less fluid to avoid incontinence
B. Instruct client to start wearing thin adult diapers
C. Ask the client to bring an extra underwear “just in case”
D. Teach client pelvic exercises to strengthen perineal muscles
care plan is to loosen and remove secretions in the airway.
91. 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
92. 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 time not the amount
D. Significant changes in vital signs
93. 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
Kegels exercise
98. Mrs. Silva asked for instructions for skin care for her
mother who has urinary incontinence and is almost always in
bed. Your instruction would focus on prevention of skin
irritation and breakdown by:
A. Using thick diapers to absorb urine well
B. Drying the skin with baby powder to prevent or mask the
smell of ammonia
C. Thorough washing, rinsing, and drying of skin area that gets
her wet with urine
D. Making sure that the linen are smooth and dry at all times
SMART
99. Which of the following is the priority nursing action when a
urinary catheter has been inserted in a female client with no
urine return?
A. Insert the catheter another four inches
B. Secure the catheter tubing to the inside of the thigh
C. Encourage the client to increase fluid intake
D. Leave the catheter in the vagina and insert another catheter
100. Which of the following is the most appropriate nursing
action when the nurse has inserted a urinary catheter in a
male client but there is no return of urine?
A. Advance the catheter further
B. Remove catheter
C. Tape the catheter in place and encourage fluids
D.
Report
signs
of
urinary
infection
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