RECALLS 1 COMPILATION

RECALLS NP1

1. Nurse Miya encourages that parents to have their kinds receive measles vaccination
stating that those who are susceptible may have serious consequences. She also tells
them of the benefits of the immunization. Most parents decide to have the immunization.
Which of the following models is used to guide parent’s decision?

a. Pender’s Health Promotion Model

b. Precede-Proceed Model

c. Reasoned Action Model

d. Health Belief Model

2. In this situation, Nurse Miya notes that the agent in the epidemiolocal triad that brings
about measles is the ______.

a. Genetic susceptibility

b. School

c. climate

d. Virus

3. Nurse Miya has to be alert about the time interval between the invasion by an infection
agent and the appearance of the first sign or symptom of the disease. This is referred to as
______.

a. Generation time

b. Incubation period
c. Communicability period

d. Virulence

4. Should an outbreak of a gastrointestinal illness resulting from a food-borne pathogen

happens, Nurse Miya would likely to think that this is a/an:

a. attack rate

b. secular trend

c. point epidemic

d. event-related cluster

5. Which of the following denotes that resistance of an entire community to an infectious

agent as a result of the immunity of a large proportion of individuals to the agent?

a. Active immunity

b. Passive immunity

c. Natural immunity

d. Herd immunity

SITUATION 2: Counts and births, illnesses and deaths have to be related to the population
in whom these events occurred. This relationship with a base population becomes
important when one compares these events between groups, communities, or countries
with different sizes and structures.

6. Fifteen (15) new cases of measles have been diagnosed last week in Barangay
Carballo. In the same barangay, ten (10) children are currently being treated for measles.
What is the incidence of measles?
A. Unknown

B. Ten

C. Fifteen

D. Twenty-five

7. Mortality rate from two communities can be best compared after calculating the ____.

A. Prevalence rates

B. age-adjusted rates

C. crude rates

D. gender-specific rates

8. Which of the following is a type of rate that has not been modified to take account of
any of the factors such as the demographic makeup of the population that may affect the
observed rate?

A. crude rate

B. Cause-specific rate

C. adjusted rate

D. proportionate rate

9. The term that refers to the number of deaths due to a disease that occur among persons
who are afflicted with that disease is the ________.

A. crude death rate

B. proportional mortality rate

C. morality ratio

D. case-fatality rate

10. Which of the following refers to the systematic and continuous gathering of information
about the occurrence of disease and other health phenomena?

A. Public health surveillance

B. Social survey

C. Community mapping

D. Data analysis

SITUATION 3: As a public Health nurse, you are aware that many members of the
community are poor and underserved, affected their health status.

11. In the Philippines, poverty remain a challenge the following are some facts on poverty
based on the latest (2015) statistical report. Which statement is NOT included?

a. 28 percent of the country’s 97 million people live below the poverty line

b. Fifteen million Filipinos will rise above poverty in 2020.

c. Farmers, fishermen and children consistently posted the highest poverty incidence.

d. More than 12 million Filipinos are living in extreme poverty.

12. In identifying factors that contribution to poverty, homelessness, and poor health of a
deprived segment of a population, which of the following should you assess?

a. Mental illness and community support

b. Provision of social support and basic services

c. Mobility and age of family members

d. Neighborhood environment and sanitation

13. You have noticed that the population in a poor community has increased including the
rise of pregnant women who are undernourished. You coordinate with the local social
welfare department to provide food that are nutritionally adequate. This is considered:

a. Health promotion

b. Tertiary prevention

c. Primary prevention

d. Secondary prevention

14. In another segment of the community, you realize that there are young adult members
who have poor nutritional habits. You know that these are risk factors for diabetes and
cardiovascular disease. These risk factors can affect their ______.

a. Future potential to change their dietary habits

b. Ability to obtain health services.

c. Ability to network social support systems

d. Health status and employment potential

15. You have learned that people with mental and psychosocial disabilities are a
vulnerable group. Who are restricted in their ability to access essential health and social
care. In your advocacy, you will include the following messages, EXCEPT:

a. Persons with mental and psychosocial disabilities should be confined in an

institution
b. Employment and job opportunities must be created for people with mental and
psychosocial disabilities.

c. Mental health should be included in services during and after emergencies and disasters.

d. Mental health services should be integrated systematically into all health services
including primary level care.

SITUATION 4: A public health nurse is giving orientation to three beginning nurses who are
hired by the local government unit under the Nurse Deployment Programs.

16. In the first session, the nurse presented the organization chart of the Rural Health Unit.
Which of the following aspects of organizational structure is illustrated in the chart:

1. Type of work being done

2. Extent of coordination to be done

3. Levels of management

4. Line and staff relationship

a. A. 2, 3, 4

b. B. 3 and 4

c. 1, 3, 4

d. 1 and 3

17. The PHN wants to emphasize to the new nurses it is important to observe professional
accountability which is taking responsibility for one’s actions. She explains that
accountability can be done by:
1. Asking assistance from the doctor

2. Performing nursing tasks in a safe manner

3. Reporting and documenting assessment and interventions

4. Evaluating client’s response to nursing care given

5. Evaluating the care when there is complaint by the client:

a. 1, 2, 3

b. 1, 3, 5

c. 2, 4, 5

d. 2, 3, 4

18. Accountability also includes a commitment to continuing education to stay current

knowledgeable. According to the Guidelines Implementing Continuing Professional
Education for Nurses (CPE), from which of the following can a nurse earn credit units?

1. Participation in seminars

2. Engagement in a research project

3. As peer reviewer

4. Innovations

a. 2 and 3 only

b. 1, 2, 3, 4
C. 1 and 2 only

D. 1, 3, 4

19. The PRIMARY purpose for requiring continuing education is to _____.

a. Qualify for work abroad

b. Improve nursing competency after registration

c. Comply with the Board of Nursing requirements

d. Ensure legal practice

20. To better address emerging public health issues, a public health nurse enrolls in a
course in:

a. Ethics

b. Research

c. communication

d. Leadership

SITUATION 5: The Field Health Services and Information System (FHSIS) is the recording
and reporting system in public health care in the Philippines.

21. The following are objectives of the FHSIS, EXCEPT:

a. Ensure data reported are useful and accurate and disseminated in a timely, easy and
use fashion.

b. Complete the picture of acute and chronic disease

c. Provide standardized facility-level data base which can be used for more in-depth
studies.

d. Minimize recording and recording burden allowing more time for patient care and
promotive activities.

22. As a nurse, you should know the process on how these information are processed and
consolidated. The fundamental block of the FHSIS System is the _____________.

a. Reporting forms

b. Target/Client list

c. Family treatment record

d. Output record

23. The monthly field health service activity report is a form used in which of the
components of the FHSIS?

a. Output report

b. Target/Client list

c. Tally report

d. Individual health record

24. In using the tally sheet, the recommended frequency in tallying activities and services is

a. weekly

b. daily

c. monthly
d. quarterly

25. To monitor clients registered in long-term regimen such as the Multi Drug Therapy,
which component of the reporting system will be most useful?

a. Tally report

b. Individual health record

c. Output report

d. Target/Client list

SITUATION 6: Public Health Nurse Nika is working on some groups of women to promote
their health and well-being and help address their current health issues and problems.

26. Nurse Nika is teaching member of women’s club how to perform breast
self-examination. She emphasizes the need to have check-up at the health center if they
found out that ___________.

a. both breasts have nodules in the upper outer quadrants

b. the breast on the right side is slightly larger than the left breast

c. there is an irregularly shaped, nontender lump palpable in the left breast

d. there is a bilateral breast tenderness with palpation

27. Which statement of Nurse Nika correctly describes some health promotion needs of
the perimenopausal years?

a. Women should be encouraged to limit alcohol intake because it increases calcium

excretion

b. Dietary vitamin D supplementation is discouraged among this population.

c. Calcium supplementation does not affect risk of fractures and bone injury
d. Smoking decreases calcium excretion that causes osteoporosis.

28. Nurse Nika observes that there are women who are experiencing abuse by their
spouses. What is the goal that the intervention BEST relates to?

a. Maintaining a physically healthy body

b. Developing and maintaining a healthy sense of self

c. Developing and maintaining friendly relationships.

d. Maintaining balance and priorities in the family.

29. In an interview with a group of young women, Nurse Nika found out that a client
self-induces vomiting after every meal. The nurse recognizes that this symptom BEST
describes _________

a. Anorexia nervosa

b. A binge eating disorder

c. Bulimia

d. Post traumatic stress disorder

30. In the same group of young women, a client revealed to her that she is a lesbian. What
statement by the client indicates that she needs more information:

a. “I need to have routine pap smears.”

b. “I have an increased risk of heart disease.”

c. “I have less risk factors of breast cancer than a heterosexual”

d. “I’m at a lower risk for sexually-transmitted disease.”

SITUATION 7: Ms. Layla will be involved in an interdisciplinary research to be conducted
by the city Health Office to address health problems of the population covered. To prepare
for this tasks, she reviews her knowledge on the research process and research design.

31. Which of the following study designs that uses information on current health status,
personal characteristics, and potential risk factors will be appropriate?

a. Case-control

b. Ecological

c. Cohort

d. Cross-sectional

32. The type of epidemiologic study that is used to describe a group of persons enrolled in
a study who share some characteristic of interest and who are followed over a period of
time to observe some health outcome is a(n):

a. Cross-sectional study

b. Experimental study

c. Cohort study

d. case control study

33. The research team will use summary indicators of health as method to depict health
status. What is this approach called?

a. Analytic

b. Holistic

c. Descriptive
d. Evaluative

34. Ms. Layla is specifically assigned to talk individually with community leaders like the
primary grade teacher and the barangay official in charge of the health committee. Which
data collection method will the nurse use?

a. Key informant interview

b. Community mapping

c. Participant observer

d. Social survey

35. Ms. Layla suggested to use an analytic approach in their research. Which of the
following statements BEST describes the analytic approach?

a. Focuses on the community’s health problems and issues

b. Utilizes health indicators to define population health

c. Views factors that influence health and by which interventions to improve health are
directed

d. Addresses the social determinants of health to solve community’s problems

36. The mother asks the nurse when she will be able to begin feeling the fetal movements.
You respond by telling the mother that fetal movements will be noted between which of the
following weeks of gestation?

a. 6 and 8

b. 8 and 10

c. 10 and 12
d. 16 and 20

37. The mother asks about gestational diabetes, as she has familial history and was
worried about her pregnancy. Which statement by the client indicates a further need for
education?

a. “I need to be in a diabetic diet”

b. “I will perform glucose monitoring at home”

c. “I need to avoid exercise because of the negative effects of insulin production”

d. “I need to be aware of any infections and report signs of infection immediately”

38. History revealed that there is a history of twins in the family and the client was asking
about the possibility of having twins as well. The nurse replies:

a. Monozygotic twins result from fertilization of two ova by different sperm.

b. Monozygotic twins occur by chance regardless of race or heredity.

c. Dizygotic twins are usually of the same sex.

d. Dizygotic twins occur more often in primigravidthan in multigravid clients.

39. Nana, the client’s mother, was worried that her daughter will have an enormous amount
of blood loss during delivery. As a nurse, the best response would be:

a. The maximum blood loss considered within normal limits is 500 mL.”

b. “The minimum blood loss considered within normal limits is 1,000 mL.”
c. “Blood loss during a delivery is rarely estimated unless there is a hemorrhage.”

d. “It would be very unusual if you lost more than 100 mL of blood during the delivery.”

40. During the next visit, the client attended a childbirth preparation class and tells the
nurse that her lower back has been aching. Which of the following exercises are
appropriate for the client?

a. Pelvic rocking

b. Deep breathing

c. Tailor sitting

d. Squatting

SITUATION 8: Controlling is a management function in which performance is measured

and corrective action is taken to ensure the accomplishment of goals.

41. Which of the following is a PRIMARY task that should be performed to have an
effective control system?

a. Make an interpretation about strengths and weaknesses

b. Identify structure, process, outcome standards & criteria

c. Measure actual performances

d. Identify the values of the department.

42. Which of the following is NOT included in the controlling process?

a. Discipline of personnel

b. Performance appraisal
c. Quality assurance

d. Staff scheduling

43. Controlling is effective when?

a. Physicians are contented

b. Clients are satisfied

c. There is an increase in admission

d. Goals, objectives, and plans are accomplished

44. Which of the following distinguishing characteristics of standards is NOT included?

a. They are subjective measurements

b. They are established by authority

c. Accepted by people affected by them.

d. They are predetermined

45. Among the following standards, which is considered a structure standard?

a. All patients have their visual signs taken and recorded

b. Clients verbalized satisfaction of the nursing care received.

c. Staff mix and number are determined by the PHN supervisor.

d. Health teachings are provided to prenatal mothers.

SITUATION 9: As a public health nurse, you may encounter barriers or challenges in
communication. Thus, it is important that you maintain your professional demeanor.

46. During a support group meeting, Nurse Donato, in a teasing manner, has made several
provocative about your appearance and behavior as a group leader. Select your MOST
appropriate response.

a. “Franky, see after this meeting.”

b. “Franky, what you are saying is inappropriate.”

c. “Franky, you are excused from the group.”

d. “What do you think Franky is trying to tell us?”

47. “The dress code in this facility does not include wearing blue jeans while on duty.” This
statement is an example of using which step in giving constructive criticism?

a. Listing consequences

b. Expressing empathy

c. Describing the behavior

d. Stating expectations

48. Which of the following is an example of a barrier to successful negotiation?

a. Understanding other’s perspective

b. Becoming emotional

c. Viewing negotiation as collaborative

d. Avoiding phrases that are coercive

49. In one of your meeting you reminded the health center staff that there are quite a
number of members in the community who have not reached primary school. Which of the
following is the BEST communication intervention for a client who is illiterate?

a. Use symbols and images

b. Use touch with speech

c. Personalize speech by using first name

d. Speak loudly and clearly

50. You also emphasized that, “communication must be culturally competent to be

effective”. Which of the following BEST reflects this statement?

a. Listen actively to what is said.

b. Reflect on the meaning of the message.

c. Use simple, direct words.

d. Provide an appropriate environment.

SITUATION 10: The core value of caring is essential during the implementation and
evaluation phases in family nursing practice. There is caring when the nurse is engage in
the lived experience’ of the nurse-client relationship in real context.

51. The nurse can enhance learning towards expert caring by experiencing the process of
working with the family that provides possibilities of enriching oneself and others. One such
method is through competency-based teaching and learning. Which of the following
learning principles is the LEAST consideration? Learning is:
a. A process of absorbing new knowledge and skills

b. Facilitated when experience has meaning

c. An individual matter that is built on family’s capabilities

d. Both an intellectual and emotional process.

52. The nurse must recognize that there may be problems of the family’s unwillingness to
take actions on its health problems or concerns. Which of the following factors may bring
this about?

1. Information may be incomplete or inaccurate

2. Family is not ready to face the reality of the situation

3. There may be adherence to patterned behavior

4. Family is not cooperative with the nurse

5. There is a lack of confidence in the proposed action

a. 2, 3, 4, & 5

b. 1, 2, and 3 only

c. 1, 2, 3, & 5

d. 2, 4, and 5 only

53. Termination of the family-nurse relationship requires a smooth process. The following
are strategies that can help with the termination, EXCEPT:

a. Decrease time between the nurse’s visits

b. Provide a written summary to the family

c. Develop a plan of transition

d. Make necessary referrals to other resources

54. Evaluation of the family nursing care plan allows the nurse to engage in critical thinking
to determine if the plan is working. Summative evaluation is done

a. to determine if the intervention strategies are carried out

b. at periodic points during the implementation phase

c. at the end of the family-nurse relationship

d. during the course of the family-nurse relationship

55. Which two interventions are most commonly used by public health nurses like Nerissa
who are caring for families and which can be subject for evaluation?

1. Administering screening tools to all family members

2. Collaborating and coordination referrals as needed.

3. Providing health teaching, anticipatory guidance.

4. Participating in collecting data on clients for clinical research.

5. Resolving conflict among family members.

a. 2 & 3

b. 2, 4, & 5
c. 1, 3, & 5

d. 1 & 4

SITUATION 11: Risk factors include genetic and physiological factors, age, physical
environment and lifestyle.

56. The presence of any of these risk factors means that ______.

a. Risk modification will have no effect on disease prevention

b. The chances of getting the disease are increased

c. A person with risk factors can get the disease

d. The disease is guaranteed not to get disease

57. A nurse includes well-being in her definition of health. What will the focus be when the
nurse provides care to a family confronting the imminent death of a family member?

a. Reinforcing the need for the whole family to adapt to the impending death

b. Sharing the nurse’s knowledge on the client’s symptoms of grief

c. Discussing the perceived meaning of life with the family

d. Administering pain medication so that the client can be kept comfortable

58. In the care of families, crisis intervention is an important part of _____.

a. Secondary prevention

b. Tertiary prevention
c. Primary prevention

d. Health promotion

59. The Nurse asks Luffy, who is being admitted in a district hospital, with uncontrolled
diabetes mellitus, about his employment status. She knows that _____.

a. A person’s compliance is affected by one’s affected economic status

b. Dante’s employment will cause complication to his diabetes

c. External variables have little effected on compliance

d. Diabetes mellitus will affect his client’s work condition

60. During a home visit, a member of the family who has been using marijuana for three
years tells the nurse that he wants to be “detoxified.” It is important for the nurse to ____.

a. Instruct the patient to change his lifestyle

b. Tell the patient that relapses are not tolerated

c. Identify the patient’s stage of change

d. Realize that the patient is ready for change

SITUATION 12: Nurse Armin is preparing a smoking cessation class and believes that her
class will convert many smokers to nonsmokers once they get all the information.

61. Which of the following health care models guides her thinking?

a. Health Promotion Model

b. Basic Human Needs Model

c. Holistic Health Model

d. Health Belief Model

62. Many variables influence a client’s health beliefs and practices. Internal and external
variables influence how a client thinks and acts. An example of an internal variable would
be __________.

a. family practices

b. socioeconomic factors

c. perception of functioning

d. cultural background

63. The health care model that utilizes Maslow’s hierarchy as its basis is the ________.

a. Holistic Health

b. Health Belief

c. Health Promotion

d. Basic human needs

64. Nurse Armin’s health education programs for smoking cessation is considered at what
level of prevention?

a. Fourth

b. Tertiary

c. Secondary

d. Primary
 65. Nurse Armin must realize that the MOST effective way to get people to stop smoking
to prevent relapse is by ____________.

a. continuous reinforcement and informational support

b. provide free medical consultation and advice

c. tell family members to keep smoker member away from source of tobacco

d. give monetary incentive to cessation efforts

SITUATION 13: Esmeralda has recently passed the National Licensure Examination for
Nurses. She intends to apply in the Nurse Deployment Project (NDP) of the Department of
Health.

66. The NDP is open to all nurses who fulfill the following qualifications, EXCEPT:

a. Willing to undergo recruitment and selection process.

b. Possesses an official and validation PRC – Professional Identification Card

c. Must be at least 21 years old at the time of application.

d. Physically and mentally fit as shown in the medical certificate.

67. The NDP has been designed by the Department of Health PRIMARY to ______.

a. Improve local health systems in support of Universal Health Care

b. Augment staff of rural Health units

c. Provide experience to new nurses in terms of work realities

d. Prevent nurses from seeking jobs abroad

68. Under this program, Esmeralda will be hired on a Contract of Services status. She will
receive a monthly Salary (PhP) of:
a. 13,000

b. 18,000

c. 15,000

d. 22,000

69. Nurse Esmeralda knows that as NDP nurse, she may be assigned in any of the
following areas:

1. Rural Health Units

2. Barangay Health Stations

3. Disaster-prone areas

4. Level 1 LGU Hospitals

5. DOH Hospitals

6. Birthing homes

a. 2, 4, and 6

b. 1, 3, and 4

c. 2, 3, 5 and 6

d. 1, 2, and 5

70. The NDP is a partnership between the DOH and other government agencies and
organizations. Which of the following institutions is NOT included?

a. Department of Social Welfare and Development

b. Professional Regulatory Board of Nursing

c. Local Government Units

d. Philippine Nurses Association

SITUATION 14: In recent months, “bird flu” or avian influenza caused a significant concern
among the people especially those in Central Luzon and Metro Manila. It is both an
emerging and re-emerging infection.

71. Which of the following statement is TRUE about “bird flu”?

a. All forms of bird flu can easily cause illness to humans

b. Domestic poultry flocks are much less vulnerable to infections

c. Infected chickens can also infect domestic animals like cats and dogs

d. Only birds are normally infected by the viruses, less commonly pigs.

72. When humans are infected, the following signs and symptoms of bird flu may appear,
EXCEPT:

a. Fever

b. Sore eyes/Sore throat

c. Chicken rashe
d. Body weakness

73. Which of the following is NOT included in the control measures in infected birds?

a. Restrictions on the movement of the live poultry.

b. Rapid destruction of all infected or exposed birds

c. Transferring of the live poultry in another area or location.

d. Vigorous disinfection of poultry farms

74. There are measures that should be observed by the humans to prevent bird flu
infection. Which of the following is NOT included?

a. Non-poultry workers should avoid contact with the chickens and ducks as much
as possible.

b. All poultry farm workers should be given the current season’s flu vaccine.

c. Avoid eating chicken or any poultry products until the epidemic has abated

d. Advise people on proper cooking of poultry meat and eggs.

75. For patients with bird flu infection, health care workers should observe the following,
EXCEPT:

a. Establish a separate isolation facility

b. Utilize Personal Protective Equipment (PPE)

c. Avoid going near the patient as much as possible

d. Apply the principles of handwashing.

SITUATION 15: In any setting of nursing practice including community health, records
management such as documentation and record keeping, is important.

76. Documentation is a critical component to the delivery of healthcare. It is a tool which

serves many purposes. Which of the following is NOT included?

a. Create a permanent record for the patient’s future care

b. Provide material for discussion

c. Plan and evaluate a patient’s treatment

d. Ensures continuity of care

77. When recording the home visit, it is important for the public health nurse to _____.

a. Document the visit only when there are significant changes

b. Follow the agency format for recording and documentation

c. Complete the charting every Friday of the week

d. Use phrases in outline form

78. The nurse should document intelligently and clearly. There are ways to help protect
against an allegation of falsifying a medical record. These are the following:

1. Date, time, and sign every entry.

2. Make entries soon after care is given.

3. Written legibly.

4. Be thorough, accurate, and objective

5. Use only approved abbreviations.

a. 1, 2, 3, 4, and 5

b. 1, 3, and 5

c. 2, 3 and 4

d. 2, 4, and 5

79. Public health nurses must know that all records have a lifecycle and retention
scheduling. Clinical records must be retained in the health care facility for:

a. Anytime with client’s permission

b. Ten years from last date of service

c. Two years from date of client’s last visit

d. Five years from date of client admission

80. Controlled Substances such as drugs dispensed and administered, order and inventory
records must be kept in the health care facility for how many years?

a. Six months

b. One year

c. Five years

d. Three years

SITUATION 16: Program evaluation is a systematic process determining whether program

inputs, strategies and activities were successful in achieving program goals and objectives.
81. There are a number of considerations when designing a program evaluation. The first
consideration that influences all other aspects of the process is the _______.

a. the people who will conduct the evaluation

b. purpose of the evaluation

c. type of evaluation to be conducted

d. evaluative design to be utilized

82. The nurse will conduct an evaluation of an existing program for which evaluative
mechanisms were not established during program planning. Which describes this type of
evaluation?

a. Prospective

b. Retrospective

c. Process

d. Outcome

83. What is referred to as an evaluation conducted after project implementation?

a. Program-based evaluation

b. Formative evaluation

c. Organizational evaluation

d. Summative evaluation
84. An evaluation area concerned with analyzing whether the goals and objectives of the
projects were met is ____________.

a. Program-based evaluation

b. Process evaluation

c. Organizational evaluation

d. Structural evaluation’

85. What is considered as the BEST indicator to the final measure of the effectiveness of
community empowerment efforts?

a. Community members are included in decision or policy making

b. Barangay health workers report for duty at health center

c. Schedule the program implementation is met

d. Budget is not overspent

SITUATION 17: The Department of Health reported that Filariasis is endemic in 45 out of
78 provinces in the Philippines. You are assigned in the province of Saranggani, one of the
endemic areas. You know that Filariasis carries a social stigma owing to the disfiguring
appearance brought by the disease.

86. You call that Filariasis is caused by parasitic nematode known as ________.

a. Wucheria bancrofti

b. Necator americanus

c. S. haematobium
d. Plasmodium falciparum

87. The disease is transmitted to a person through bites of an infected female mosquito,
known as _____.

a. Aedes aegypti

b. Culex

c. Anopheles

d. Aedes poecillus

88. You receive a 36-year-old man who was brought by his wife to be tested for Filariasis.
The most likely diagnostic test that he will undergo is ______.

a. Immunochromatographic test (ICT)

b. Rumpel Leads Test

c. Urinalysis

d. Stool examination

89. A client in the ACUTE stage of Filariasis will include which of the following clinical
findings?

a. Hydrocele, lymphedema, elephantiasis

b. Lymphadenitis, lymphedema and orchitis

c. Orchitis, hydrocele, elephantiasis

d. Lymphangitis, lymphadenitis, epididymitis

90. Effective methods that the government would likely to pursue to eliminate Filariasis in
the country are all of the following, EXCEPT:

a. Vaccination off all susceptible in risk areas and high-risk populations.

b. Pursue annual mass drug administration using two drugs in all endemic areas for five
consecutive years.

c. Intensify health information and advocacy campaigns in its prevention, control and
elimination.

d. Intensify environmental sanitation such as proper drainage and cleanliness of

surroundings.

SITUATION 18: Prevention includes a wide range of activities aimed at reducing risks or
threats to health.

91. Nurse Chopper is visiting a family with a child who recently became a paraplegic. He
suggests some home modifications to accommodate the child’s disability. What level of
family-focused intervention the nurse has suggested?

a. Fourth prevention

b. Secondary prevention

c. Tertiary prevention

d. Primary Prevention

92. Which of the following programs is an example of secondary prevention?

a. An exercise program for persons who had stroke

b. A community-wide nutrition program at fast food establishments

c. Immunization of persons exposed to infectious disease with immunoglobin G
within 2 weeks of exposure.

d. Health education on safe water supply

93. As a result of an outbreak of influenza in Barangay Kuliglig, Nurse Chopper

encourages the residents of the community to receive the influenza vaccine. Which level of
prevention is being used?

a. Tertiary prevention

b. Multifactorial prevention

c. Primary prevention

d. Secondary prevention

94. Nurse Chopper explains to the mother the general needs of a family for adequate
nutrition, rest, and physical activity. Which level of prevention does this describe?

a. Fourth prevention

b. Primary prevention

c. Tertiary prevention

d. Secondary prevention

95. Nurse Wilfredo also encounters a female patient who reported chest discomfort and
shortness of breath. He placed the patient on oxygen, electrocardiogram, and had his blood
gases drawn. What level of preventive care is this patient receiving?

a. Health promotion

b. Secondary prevention
c. Tertiary prevention

d. Primary prevention

SITUATION 19: Public Health Nurse Mikasa wants to know why cases of diabetes in
Municipality Napakatamis have been increasing for the past five years. She intends to use
community organizing participatory research (COPAR).

96. As a researcher, Nurse Mikasa believes that the identification of problem such as
diabetes is:

a. based on immediate problem situation defined by the community and the

researcher

b. aligned to the interest of the researcher

c. done by a professional like her

d. based on statistics and interpreted by outside researchers

97. In community meetings, Nurse Mikasa explains to community the purpose of the
research project to address the health problem and establish rapport with the people for
cooperation in the research process. The nurse puts community members as:

a. assistants to the researcher

b. merely providers of information

c. organizers of meetings

d. co-researchers

98. The KEY feature that distinguishes participatory research from another social research
is:

a. the dialogic approach between the researcher and the people

b. the use of quantitative methods of data gathering

c. the use of conventional interview

d. didactic transmission of knowledge

99. In terms methodology option, COPAR is essentially _____________.

a. Action research

b. quantitative research

c. Basic research

d. qualitative research

100. The ULTIMATE objective of doing COPAR are the following, EXCEPT:

a. For people to develop their potentials and abilities and moral sensibilities.

b. Generate study results for the benefit of the researcher

c. Equip people with new consciousness of what must be done and how to do it.

d. Basis for planning community projects in response to perceived problem.

RECALL 1 NP 2

1. In conducting a family assessment, which source of data would be MOST helpful?

*
1/1

A. Input from other members of the health team.

B. Information from other cooperating health care agencies.

C. Review of family members’ charts and medical record data.

D. Observation and interaction with the family members.

2. In completing a family assessment, the public health nurse should BEGIN by

___________.

0/1

A. gathering the health data from all family members

B. Testing the family’s ability to cope

C. evaluating communication patterns

D. Identification of the geographic location of resources for the family.

Correct answer

A. gathering the health data from all family members

3. Which of the following would be better understood by the nurse after using a FAMILY
MAP?

0/1

A. Roles and relationship within the family

B. Recognition of the leader who speaks for the family.

C. Description of the social and economic status of the family.

D. Identification of the geographic location of resources for the family.

Correct answer

A. Roles and relationship within the family

4. The nurse discusses with the family some actions that needed to be taken and refers
to the wife in the family as an outstanding organizer. Which of the following goals is the
nurse trying to achieve by making this statement?

1/1
 A. Making then husband proud that he had married his wife.

B. Reinforcing for the family some of the strengths of one of their family members.

C. Encouraging the wife to volunteer to follow through on all the needed actions.

D. Making the wife feel very complimented and proud.

5. In implementing family-centered care, the public health nurse _____________.

1/1

A. works with clients to help them accept limitations for their actions.

B. assists family members to assume dependent roles

C. offers information about necessary self-care abilities.

D. provides his or her own beliefs on how to solve problems

6. Public Health Nurse Silang is educating a group of residents in Community Marahas

about RABIES. A participant asks, “How can you get the virus?” The Nurse explains that
the virus can be transmitted by which source?

*
1/1

A. Saliva

B. Blood

C. Urine

D. Stool

7. She emphasized that the bites, which are responsible for nearly 99 percent of human
rabies infections, are those of the infected __________.

1/1

A. monkeys

B. dogs

C. bats

D. cats

8. Nurse Silang explains that there are situations which increase the risk of rabies.
These are ________.
*

1/1

A. stray of dogs

B. All of these

C. unprovoked bites

D. animals display abnormal behavior

9. In another health education session, Nurse Silang explains about LEPROSY. Which of
the following should be included?

1. leprosy is curable

2. not all leprosy patients are infectious

3. leprosy is hereditary

4. casual contact with a patient causes leprosy

5. regular and adequate treatment is essential

1/1
 A. 1, 3, 5

B. 2, 4, 5

C. 1, 2, 5

D. 2, 3, 4

10. Nurse Silang stated that a definitive diagnosis of leprosy is obtained through
_________.

1/1

A. blood examinations

B. tuberculin testing

C. skin smears/ biopsies

D. nasal smears

Situation 2

Nurse Nikito is assigned in a disaster- prone province in the Visayas. He is aware that with
increase frequency of disaster happening, he has to respond quickly and efficiently to assist the
population affected by calamities.
11. Which of the following BEST defines a disaster?

0/1

A. Any event that results in multiple deaths.

B. Devastation that covers a broad geographic area.

C. Devastation that cannot be relieved without assistance.

D. The event results in multiple injuries, deaths and property damage

Correct answer

D. The event results in multiple injuries, deaths and property damage

12. Nurse Nikito is guided by the ICN framework of disaster nursing competencies. This
framework consists of four areas in the continuum of disaster management that
corresponds to the four stages of disaster. What consists of the FIRST stage?

1/1

A. Response

B. Preparedness
 C. Prevention

D. Recovery

13. Nurse Nikito has invited several agencies in the community to a meeting to discuss
the disaster plan for the community. Which of the following BEST describes the purpose
of this meeting? To _______.

0/1

A. Enhance communication among agencies in the community

B. Increase stability in the community

C. Manage response to disasters in the community

D. Improve overall community functioning

Correct answer

A. Enhance communication among agencies in the community

14. Nurse Nikito adapts professional nursing skills in recognizing and meeting the
physical and emotional needs resulting from a disaster. For people who are willing to
talk ensuing a disaster, which of the following in the MOST appropriate approach?
*

1/1

A. “I am with you. It is good you are trying to release your distress by crying. It will make you
feel better. “

B. “What you need to do now is to wait for instructions and services to be provided.”

C. “Don’t feel bad. Others are in the same situation as yours.”

D. “You need not cry. You need to move on and build your life again.”

15. As he passed by a road going to an evacuation center, Nurse Nikito encountered a

flash flood. A flash flood _______.

0/1

A. Occurs suddenly and for a short duration

B. Is caused by the blocking of drains

C. Is caused by heavy rains

D. Occurs in urban areas

Correct answer
 A. Occurs suddenly and for a short duration

Situation 3

Albert is a 15-year-old adolescent who lives with his mother father, and several siblings. He is
hospitalized in a provincial hospital after a suicide attempt.

16. When performing a family assessment, select what the nurse must first determine.

0/1

A. How the family expresses and manages emotions

B. The communication patterns between the patient and parents

C. Names and relationships among family members

D. The meaning that the patient’s suicide attempt has for family members

Correct answer

C. Names and relationships among family members

17. Which of the following is the BEST QUESTION for the nurse to ask to assess a
family’s ability to cope?

*
1/1

A. “Do you think your family copes effectively?”

B. “What do you think of the current family problem?”

C. “What strengths does your family have?”

D. “Can you describe how you successfully handled one family problem?”

18. The mother of Albert asks the nurse, “Why do you want to do a family assessment?
My teenager is the patient, not the rest of us.” What is the BEST response of the nurse?

1/1

A. “Family dysfunction might have caused the mental illness.”

B. “Every family member ‘s perception of events is different and adds to the total picture.”

C. “Family members provide more accurate information than the patient.”

D. “Family assessment is a protocol for care of all patients with mental illness.”

19. Which information is the nurse MOST likely to find when assessing the family of a
patient with mental illness?
*

1/1

A. Power in the family is maintained in the parental dyad and rarely delegated.

B. Several family members have serious problems with their psychological health.

C. Stress that living with a mentally ill member has challenged the family’s function.

D. The family exhibits many characteristics of dysfunctional families.

20. Parents of Albert say, “We have never known anymore who was mentally ill. We have
no one to talk to because none of our friends understand the problems we are facing.”
Which of the following is the nurse’s MOST helpful intervention?

1/1

A. Facilitate achievement of normal developmental tasks of the family.

B. Build the parent’s self-concept as coping patterns.

C. Teach the parents techniques of therapeutic communication.

D. Refers the parents to a support group.

Situation 4
In public health service, good record system is important in the delivery of quality care to clients.
As a public health nurse, you have the responsibility of assisting in the preparation, maintenance
of good records and reports.

21. You want to distinguish between records and reports. As applied to public health,
the following are the type of RECORDS, EXCEPT _______.

0/1

A. Events such as births, illness, deaths

B. Analysis of a problem situation

C. Clinic consultation

D. Written data on home visit

Correct answer

A. Events such as births, illness, deaths

22. REPORTS are prepared usually for administrative purposes. Which of the examples
below is NOT a report?

*
0/1

A. Summary of services delivered

B. Accomplishments and failures of services

C. Description of a program and planned services

D. Client information and profile

Correct answer

D. Client information and profile

23. There are commonly used record and reports in public health nursing practice. The
individual clinical record contains which of the following information?

1. Socio-demographic characteristics

2. Patient’s chief complaint

3. Physical Examination findings

4. Prescription of drugs

5. Frequency of clinic check up

6. Attendance to community settings

*

0/1

A. 1, 3, 5, 6

B. 1, 2, 3, 4

C. 1, 2, 4, 5

D. 3, 4, 5, 6

Correct answer

B. 1, 2, 3, 4

24. The family Service and Progress Record (FSPR) serves as a tool to operationalize
the concept of the family as the unit of care. The FSPR consists of four parts, the FIRST
being _________.

1/1

A. Health and nursing problems

B. Nursing care plan

C. Assessment of the family and the environment

 D. Service and Progress Notes

25. Which of the following relates to the family’s NURSING PROBLEM?

0/1

A. Inability to assume health tasks with respect to health problems

B. Crisis situation or developmental deficit

C. Health threats, risks or hazards

D. Strained relationships or disunity

Correct answer

C. Health threats, risks or hazards

Situation 5

Ms. Mahilom, a public Health Nurse Supervisor, is a preparing a supervisory plan for midwives
under her charge. A supervisory plan is a written document on how to organize and
systematizes supervisory activities.

26. The need for supervision may arise from the following:
1. Lack of motivation

2. Conflict between personal and organizational goals.

3. Lack of knowledge and skills

4. Desire for promotion or job permanency

5. Achieve health goals for the agency

0/1

A. 2, 3, 5

B. 1, 3, 4

C. 1, 2, 4

D. 2, 4, 5

Correct answer

B. 1, 3, 4

27. Ms. Mahilom would require information regarding the supervisory needs of the
midwives which can be taken from which of the following?
1. Review of records and reports

2. Interview of the midwives

3. Review of literature

4. Observation of the midwives at work

5. Results of survey among the staff

0/1

A. 2, 3, 5

B. 1, 3, 4

C. 1, 2, 4

D. 2, 4, 5

Correct answer

C. 1, 2, 4

28. Ms. Mahilom prioritizes supervisory needs and problems based on the following
criteria, EXCEPT ________.
*

0/1

A. convenience to both parties to address needs

B. degree of importance of the identified need

C. availability of resources needed

D. activities needed to meet the identified need

Correct answer

A. convenience to both parties to address needs

29. During the actual supervisory visit, which of the following is NOT expected of Ms.
Mahilom? She ________.

0/1

A. discusses the objective of the visit

B. expresses appreciation and support given for the visit

C. conveys a formal, strict approach to the midwives

D. explains the process and outcomes of the visit

Correct answer

C. conveys a formal, strict approach to the midwives

30. After setting the objectives and selecting the activities, Ms. Mahilom would need to
identify the indicators for evaluation. Which one is NOT included?

0/1

A. Needs met

B. Performance increased

C. Promotion achieved

D. Quality of service improved

Correct answer

C. Promotion achieved

Situation 6

As a public health nurse, Ms. Sisa intends to focus on a specific population to advocate,
educate, collaborate with members from a community to improve health of the people.
31. Nurse Sisa collects data and monitors the health status of the population. Which of
the following core public functions is being implemented?

1/1

A. Assurance

B. Policy development

C. Assessment

D. Prevention

32. Nurse Sisa included in her data collection the number and proportion of persons
aged 25 or older with less than a high school education. Which of the following BEST
describes this data?

1/1

A. Health status data

B. Health care resource information

C. Health risk factors

D. Sociodemographic data
33. Working in the community with an aggregate/population, who does Nurse Sisa
MOST likely to interact with?

0/1

A. Students in a local high school

B. Patients at the local hospital

C. Residents who play basketball

D. Christians in the community

Correct answer

A. Students in a local high school

34. Nurse Sisa has a clear understanding of population-focused practice. Which of the
following characteristics would she MOST likely display?

1/1
 A. Improving the effectiveness of care provided

B. Sponsoring a fund-raising project

C. Volunteering for a community action

D. Providing health interventions for individuals

35. Nurse Sisa is working to improve population-focused care in the community. Which
of the following BEST described a key opportunity for nurses like her to accomplish this
goal?

0/1

A. Assuming traditional nursing roles

B. Conducting community assessments

C. Specializing in community health practice

D. Influencing public health policy

Correct answer

D. Influencing public health policy

Situation 7
Ethical issues on a day-to-day basis often involve patient communication and advocacy. It may
also questions about end-of-life care. Nurses are often the one working closet with patients and
families while administering care.

36. What is the appropriate approach for the community/public health nurse in
balancing individual privacy and community’s needs for safety and security?

0/1

A. Fulfill agency policies first.

B. Implement professional standards of nursing practice.

C. Remember the group needs outrank individual needs.

D. Seek a balance between individual’s need and the community’s needs.

Correct answer

C. Remember the group needs outrank individual needs.

37. In regard to informed consent, which of the following statements is TRUE?

1/1
 A. Client may not be told about costs and alternatives to treatment.

B. Consent must be voluntary.

C. Only parents themselves should give consent for minor children.

D. Legally incompetent adults can give consent.

38. The client has a living will in which he states he does not want to be kept alive by
artificial means even at home. The client’s family wants to disregard the client’s wishes
and have him maintained on artificial life support. The most appropriate initial course of
action for the nurse would be to:

1/1

A. Allow the family to ventilate their feelings and concerns, while maintaining the role of client
advocate.

B. Tell the family that they have no legal rights.

C. Report the situation to the hospital’s Ethics Committee.

D. Advise the family that they have the right to ignore the living will as the patient cannot
speak.
39. During a routine visit, the nurse noted that Perlita, 20-year old wife and mother, has
several bruises at various stages of healing. She tells the nurse that she fell down.
Failure to report your findings is an example of ____________.

1/1

A. malpractice

B. reasonable prudence

C. maleficence

D. negligence

40. Which of the following examples would indicate observance of client confidentiality?

0/1

A. Reading a friend’s chart in another health care facility.

B. Describing a difficulty with a client in a health team conference.

C. Using a client’s name in a social conversation.

 D. Talking about the client’s symptoms in front of family members.

Correct answer

B. Describing a difficulty with a client in a health team conference.

Situation 8

Non Communicable Diseases (NCDs) remain to be the major health challenges in the
Philippines and globally. The specific population group that are mostly afflicted by these chronic
conditions, such as diabetes and cardiovascular diseases, are those aged 60 and above.

41. When caring for a patient with type 2 diabetes who has been discharged, which
topic will be MOST important to include in your health teaching?

1/1

A. Impact of the patient’s family history on likelihood of developing diabetes.

B. Symptoms indicating that the patient should contact the health care provider.

C. Effect of endogenous insulin on transportation of glucose into cells

D. Function of the liver in formation of glycogen and gluconeogenesis

42. To obtain the MOST complete information when doing an assessment for a
75-year-old patient, you will _________.
*

1/1

A. ask the patient to write down medical problems and medications

B. use a geriatric assessment instrument to evaluate the patient.

C. interview both the patient and the primary patient caregiver

D. review the patient’s chart for the history of medical problems

43. Which information about a 77-year-old patient who is being assessed by the public
health nurse us of UTMOST concern? The patient __________.

1/1

A. says, “I don’t go on my daily walks since I had pneumonia two months ago.”

B. tells the nurse, “I prefer to manage my life without much help from others.”

C. uses three different medications for chronic heart and joint problems.

D. organizes medications in a marked pillbox “so I don’t forget them.”

44. When caring for an older adult who lives in a rural area, you will ____________.

0/1

A. ensure transportation to appointments with the health care provider.

B. Assess the patient for chronic diseases that are unique to rural areas.

C. obtain adequate medications for the patient to last for 4 to 6 months.

D. suggest that the patient move to an urban area for better health care

Correct answer

A. ensure transportation to appointments with the health care provider.

45. Which of these patients assigned to you is MOST LIKELY to need planning for
long-term nursing management?

1/1

A. 71 year-old with appendicitis who has had an emergency appendectomy.

B. 60 year-old with bilateral knee osteoarthritis who weighs 350 lbs. (159kg)
 C. 54 year-old with cholecystitis who has had a laparoscopic cholecystectomy

D. 62 year-old with acute sinusitis who will require antibiotic therapy for 5 days

Situation 9

Assessment at the community-level of care is a multidisciplinary undertaking that involves the

member of the health team. The public health nurse uses data that have already been collected
and are available and or gathers primary data for community diagnosis.

46. Assessment is the first step in the nursing process. In the setting, which of the
following objectives of assessment by the public health nurse is NOT included?

0/1

A. Identify specific risk factors related to health and health problems.

B. Define the nature of the health status and health-related problems

C. Identify clients who should be given priority for care.

D. Determine who should be referred to different health care facilities.

Correct answer

C. Identify clients who should be given priority for care.

47. Conducting a community assessment leads to a community diagnosis, its products
consists of a profile of the community’s state of health. As a process, the public health
nurse actively participates in community diagnosis. The MOST common method of data
collection that is accurate and provides the biggest bulk of community data is the
________.

0/1

A. Observation

B. Community census

C. Interview

D. Records review

Correct answer

B. Community census

48. The data on health and disease can be gathered from different sources. Which of
the following sources provide a MOST accurate set of data?

1/1
 A. Population health profile from school and factory clinics.

B. Births and death from city/municipality registrar.

C. Morbidity data from filed personnel.

D. Mortality cases from medical death certificates.

49. Data analysis involves qualification, description and classification of data which
would reveal community health problems. An analysis of the social, economic,
environmental and political factors that influence health is categorized as:

1/1

A. Health resources problems

B. Health status problems

C. Health-related problems

D. Comprehensive problems

Situation 10

Collaboration is being able to work cooperatively and efficient with co-workers and any other
people the nurse may have to interact with. This includes other health professionals, clients, and
their families and communities.
50. With the stated problems, the nurse and the community prioritize these using a set
of criteria. Which of the following criteria refers to the probability of reducing, controlling
or eradicating the problem?

0/1

A. Modifiability of the problem

B. Preventive potential

C. Magnitude of the problem

D. Nature of the problem

Correct answer

A. Modifiability of the problem

Situation 11

Professional and personal developments are required in order to maintain and enhance
professional standards and to provide quality, competent and safe patient care.

51. Identify the element that is the BEST indicator of increasing accountability in the
profession of Nursing:

*
1/1

A. Increasing salary scale for nurses.

B. Improved public image of nurses in social media

C. Increasing number of nurses with doctoral degree

D. Demonstrate competency and high- quality care

52. Which of the following is the MOST important element in nursing’s attempt to gain
full autonomy of practices?

1/1

A. Maintaining the education system for nurses as it is now

B. Economic well-being and welfare of nurses

C. Restricting the latitude of decisions made by nurses

D. Gaining and maintaining control of nursing practice by nurses.

53. What is the BEST method for nurses to prepare for future professional practice?
*

0/1

A. Train other health care workers to whom delegation of tasks can be given.

B. Understand and explore the issues involved in professional practice

C. Establish a coalition with professional health organizations

D. Take additional courses in the use of computers and telemetry

Correct answer

B. Understand and explore the issues involved in professional practice

54. What allows a nurse to exert legitimate power over a client when providing nursing
care?

1/1

A. The ability to perform procedures to alleviate patient’s discomfort

B. The ability to provide the client and family incentives and for self care

C. The power given to the nurse by reason of licensure examination and registration

D. The establishment of a professional and personal relationship with the clientS

55. A nurse is employed by a health care agency that provides an informal training
session on how to properly use a new vital sign monitor. Which type of education did the
nurse receive?

0/1

A. Career counseling

B. Continuing education

C. Pre-employment education

D. In-service education

Correct answer

D. In-service education

Section 12

The Public Health Foundation, an NGO, defines quality improvement in public health as “the use
of a deliberate and defined improvement process, such as the PDCA which is focused on
activities that are responsive to community needs and improving population health.” Public
Health Nurse Rosita learned this management process during her undergraduate studies in
Nursing.
56. The acronym PDCA stands for _______.

1/1

A. Plan-Do-Check-Act

B. Program-Design-Check-Act

C. Plan-Draft-Certify-Act

D. Prepare-Do-Check-Achieve

57. Public Health Nurse Rosita will use the PDCA when :

1. Working towards continuous improvement

2. Implementing any change

3. Developing a new design of a process or service

4. Completing a designed project

5. Planning data collection and analysis to prioritize problems

0/1
 A. 1, 2, 4

B. 2, 3, 4

C. 1, 3, 4, 5

D. 1, 2, 3, 5

Correct answer

D. 1, 2, 3, 5

58. Using the PDCA cycle as a model for defining most of the work processes the
following are some areas of its applications, EXCEPT ____________.

1/1

A. Needs analysis

B. Overall strategic planning

C. Staff goal setting and evaluation

D. Delegation of work to lower levels

59. Public Health Nurse Rosita knows that the purpose of continuous quality
improvement (CQI) is to _____________.

1/1

A. Provide opportunity for staff members to participate in self-governance

B. Restructure health care delivery to improve cost savings

C. Deliver appropriate nursing care at tertiary level of service

D. Monitor processes involved in the provision of safe, effective client care

60. Public Health Nurse Rosita is implementing quality performance standards in a

public health department. Which of the following BEST describes the importance of this
action? Quality performance standards ___________.

1/1

A. Can be used as hiring guidelines for nurses

B. Are used to guide improvement in the public health system

C. Guide administrators to monitor public health at the national level

 D. Rigidly control public health

Situation 13

The World Health Organization stated that occupational health services, provided at the
workplace to address the health care needs of working populations, have been identified as an
important component of the public health strategy.

61. Occupational health services can make a significant contribution to government

initiative. These include the following, reducing:

1. Health insurance

2. Health inequalities

3. Social exclusion

4. Sickness absence

5. Overall burden of ill health

1/1

A. 2, 3, 4, and 5

B. 1, 3, and 4

C. 2, 4, and 5
 D. 1, 2, 3, and 4

62. The nurse is a key figure involved in delivering quality occupational health services.
She/He works independently or as part of a larger interprofessional health team. She
performs, along with others a job safety analysis. In doing such, the following methods
may be employed, EXCEPT:

0/1

A. Review of records, interviews, surveys

B. Walk-through, process and output reviews

C. Observation, focused group discussion

D. Racial background check

Correct answer

D. Racial background check

63. The head of the health team creates a workplace safety report for a new clinic. He
makes a strict recommendation to ensure that sharps are properly disposed in a
puncture-proof container to decrease the risk of needle-prick injuries. This upholds
safety under which of the following categories?
*

1/1

A. Physical

B. Chemical

C. Biological infections

D. Psychosocial

64. The occupational nurse has advocated the use of ramps and assistive equipment
for physically challenged workers. This is good example of which of the following levels
of prevention?

1/1

A. Health promotion

B. Secondary

C. Tertiary

D. Primary
65. Every employee has right to privacy and should be protected from unauthorized and
inappropriate disclosure of personal information. Which situation does NOT provide
exception to employee’s right to privacy?

0/1

A. Authorization by the employee to release information

B. Life-threating emergencies

C. Compliance with government laws and regulations

D. Request from community leaders

Correct answer

A. Authorization by the employee to release information

Situation 14

Public Health Nurse Alma is a member of the health Team that is tasked by the Rural Health Unit
to identify, define and measure major health problems of interest.

66. Public health surveillance includes the following activities, EXCEPT _________.

0/1
 A. Data analysis

B. Data collection

C. Disease control

D. Data interpretation

Correct answer

C. Disease control

67. Public Health surveillance can be BEST described PRIMARILY as which of the
following

0/1

A. A system for collecting health-related information

B. A method to monitor occurrences of public health problems

C. A program to control disease outbreaks

D. A system for monitoring persons who have been exposed to a communicable disease

Correct answer
 B. A method to monitor occurrences of public health problems

68. Which of the following is NOT a criterion for prioritizing health problems for
surveillance?

1/1

A. Incidence of the problem

B. Number of previous studies of the problem

C. Social and economic impact of the problem

D. Public concern about the problem

69. Current public health surveillance targets the following. Which one is NOT included?

0/1

A. Chronic disease

B. Population migration

C. Communicable disease
 D. Occupation Hazards

Correct answer

B. Population migration

70. Common uses and application of public health surveillance include which of the
following examples?

1. Detecting individual persons with malaria so that they can receive prompt and
appropriate treatment.

2. Helping public health officials decide how to allocate their disease control
resource.

3. Identifying changes over time in the proportion of children with elevated blood
levels in a community.

4. Documenting changes in varicella (chicken pox) incidence, after a law mandating

varicella vaccination in the Expanded Program of Immunization took effect.

1/1

A. 1, 2, 3 and 4
 B. 1 and 2

C. 1, 2, and 3

D. 2 and 4

Situation 15

You are a newly-assigned Rural Health Nurse and you have the based on the latest health
information of the municipality, food- and water- transmitted parasitic infections are prevalent.

71. The factors that contribute to the occurrence of food-transmitted diseases are the
following, EXCEPT ___________.

1/1

A. consumption of improperly cooked food

B. eating habits of the population such as eating raw food

C. lack of fuel for cooking food

D. overconsumption of locally available food

72. Paragonimus westermani or the oriental lung fluke causes in the human population
by eating inadequately cooked crabs. Patients with paragonimiasis are usually
misdiagnosed to have ___________.
*

0/1

B. Bacillary dysentery

C. typhoid fever

D. pulmonary tuberculosis

Correct answer

D. pulmonary tuberculosis

73. The eggs of Taenia solium or taenia saginata may be ingested by the pigs or cattle
who serve as intermediate hosts. Which of the following measures will PREVENT
access of animals from ingesting Taenia eggs?

1/1

A. quarantine or isolate the animals Foods

B. Feeding the pigs and cattle with clean foods.

C. Proper disposal of human faces

 D. Protect the animals by giving them vitamins.

74. Prevention of Infection from Entamoeba histolytica is BEST done through which of
the following practices?

0/1

A. Eating only organic vegetables

B. Washing food very well

C. Cooking food properly

D. Boiling of water from questionable source.

Correct answer

D. Boiling of water from questionable source.

75. Giardiasis is a disease caused by a flagellated protozoan and its prevalence is

associated with which of the following conditions?

1. Poor environmental sanitation

2. Poor hygiene
3. Improper cooking of food

4. Overcrowding

5. Malnutrition

0/1

A. 2, 4, 5

B. 1, 3, 4

C. 1, 2, 4

D. 2, 3, 5

Correct answer

B. 1, 3, 4

Situation 16

Public health Nurse Tess wants to increase her knowledge a familiarity with the elements of a
research publication.

76. Public health Nurse Tess is analyzing a research article. What section in the article
can she expect to find the research question and study purpose?
*

0/1

A. Discussion

B. Results

C. Methods

D. Introduction

Correct answer

D. Introduction

77. Public health Nurse Tess is looking for a description of the type of measurement
used in the study. She will find this which section of the article?

1/1

A. Conclusion

B. Introduction

C. Results

D. Methods
78. A brief explanation of data collection and analysis procedure is found in which
section of the article?

0/1

A. Abstract

B. Conclusion

C. Discussion

D. Introduction

Correct answer

A. Abstract

79. Public health Nurse Tess wants to go over the list of references used in the study
which can be found ____________.

0/1
 A. at the end of the article

B. in the results section

C. as part of the literature review

D. in the introduction

Correct answer

A. at the end of the article

80. Public health Nurse Tess believes that research is significant to the nursing
profession, hence, the study results should be disseminated. This is because research
allows _________.

0/1

A. a specialized body of knowledge to be generated for use in health care delivery.

B. the scope of nursing practice to be expanded into areas formerly reserved for other
disciplines.

C. nursing responsibility to be more specifically defined

D. liability within the practice of nursing to be decreased

Correct answer
 A. a specialized body of knowledge to be generated for use in health care delivery.

Situation 19

Nurses perform duties that require physical assessments, critic thinking, and collaborative
treatment plans, to name a few. Thus, nurses must understand the laws that affect their
practice, as well as their legal responsibilities in their professional roles.

81. A nurse must follow laws that protect public health, safety, and welfare. Which law is
the nurse following?

0/1

A. Code of Ethics

B. Standards of Practice

C. Continuing Professional Development

D. Nursing Practice Act

Correct answer

D. Nursing Practice Act

82. Which situation supports the charge of malpractice against a professional nurse?
*

0/1

A. A failure on the part of the nurse to establish a therapeutic relationship with the patient.

B. A failure on the part of the nurse to ensure that patients only receive care for which they
could pay.

C. A failure on then part of then nurse to exercise reasonable and prudent care in treating a
patient.

D. A failure on the part of the nurse to allay a patient’s fears about an upcoming procedure.

Correct answer

C. A failure on then part of then nurse to exercise reasonable and prudent care in treating a
patient.

83. What does the court consider in determining the nurse’s liability for standards of
care?

1/1

A. Professional education, experience, and specific conduct.

B. Professional experience, but not education or conduct.

 C. Professional conduct, but not experience or education

D. Professional education, but not experience or conduct.

84. The board of nursing has brought action against a nurse’s license based upon
violation of a regulation. What is TRUE about this scenario?

1/1

A. Rules and Regulations are internal to the Board, not the nurse.

B. Rules and regulations are only suggested standards or care and do not have to be followed.

C. These rules and regulations have the force of law.

D. Violation of a rule and regulation is not the same as violation of the nursing Practice Act.

85. The patient, injured at work, was seen by the factory occupational nurse. The nurse
treated the wound and instructed the patient to get a tetanus antitoxin injection at the
City Health Center. The patient failed to follow instructions, developed tetanus, and
subsequently filed a suit against the nurse. What is the most likely result of the ensuing
trial? The nurse is __________.

1/1
 A. liable, because there was no follow-up to ensure that the patient receive the injection

B. not liable for damages, because the nurse has a right to expect that instructions will be
followed.

C. liable, because tetanus is easily treatable after diagnosis

D. not liable, because tetanus is a reportable disease and

Situation 20

The ability to communicate is a very important skill for every nurse to have. The nurse must do
so in an effective, caring and professional manner, especially when communicating with
patients and their families.

86. A nurse wants to present information about influenza immunization to the older
adults in the community. Which type of communication should the nurse use?

1/1

A. signified meaning is wrong

B. affect is appropriate

C. personal space was violated

D. vocabulary is poor
87. A nurse is standing beside then patient’s bed. Nurse: “how are you doing?” Patient: “I
don’t feel good.” Which of the following communication ELEMENTS is categorized as
feedback?

1/1

A. “How are you doing?”

B. “I don’t feel good.”

C. Nurse is standing

D. Patient in bed

88. A smiling patient angrily states, “I will not cough and deep breathe.” How will the
nurse interpret the finding? The patient’s ___________.

0/1

A. signified meaning is wrong

B. affect is inappropriate

C. personal space was violated

 D. vocabulary is poor

Correct answer

B. affect is inappropriate

89. BEFORE meeting the patient, a nurse talks to other caregivers about the patient.
Which phase of the helping relationship is the nurse in with this patient?

1/1

A. Termination

B. Pre-interaction

C. Working

D. Orientation

90. During the INITIAL home visit, the nurse lets the patient know that the visits are
expected to end in about a month. Which phase of the helping relationship is the nurse
in with this patient?

0/1
 A. Working

B. Preinteraction

C. Orientation

D. Termination

Correct answer

C. Orientation

Situation 21

After passing the Nurses Licensure Examination, Nurse Tawi-Tawi takes her first job in a Rural
Health Unit in Municipality Z. She reviews concepts and principles in Primary Health Care (PHC).

91. The key global agency that initiated the Alma Ata conference on Primary Health Care
is the __________.

0/1

A. World Bank

B. World Health Organization (WHO)

C. CARE International
 D. United Nations Children’s Fund (UNICEF)

Correct answer

D. United Nations Children’s Fund (UNICEF)

92. Which Asian country is considered among the FIRST to adopt the principle of PHC?

1/1

A. Malaysia

B. Indonesia

C. Thailand

D. Philippines

93. Nurse Tawi-Tawi is aware that she has to use “tools and methods that are suitable
and acceptable to the families and communities” that she serve. This PHC principle is
referred to as __________.

1/1
 A. Cultural application

B. Appropriate application

C. essential methodology

D. community participation

94. Nurse Tawi-Tawi recognizes that health services offered are to in accordance to the
prevailing beliefs and practices of the intended clients of care. This PHC principle is
known as _________.

1/1

A. Availability

B. Acceptability

C. Affordability

D. Accessibility

95. Collaboration and cooperation is crucial to the achievement of PHC goals. The
referral system among the RHU, non-government organization, and local social welfare
and development office is classified as what type of relationship?
*

1/1

A. Intra-sectoral collaboration

B. Coalition building

C. Inter-sectoral collaboration

D. Network linkage

96. Which of the following is NOT recognized as part of the nurse’s role as member of
the health team?

1/1

A. Care manager and supervisor

B. Provider of care and education

C. Patient advocate and supporter

D. Performing physician’s functions with supervision

97. The health team has brainstormed for ideas on creating a more collaborative
environment in a health care facility. Which idea or action would be the BEST to develop
further?

1/1

A. Develop a plan for the different team members to follow and show impact of their work.

B. Emphasize that no one profession has all the necessary competence to provide all care.

C. Hold education sessions regarding collaboration for each unit.

D. Institute collaborative strategies that are traditionally practiced.

98. Which patient scenario describes the BEST example of professional collaboration?

1/1

A. The nurse, physician, and physical therapist have all visited separately with the patient.

B. The nurse mentions to the physical therapist that the patient may benefit from muscle
strengthening evaluation

C. The nurse and physician discuss the patient’s muscle weakness and initiate a referral for
physical therapy.
 D. The nurse, physical therapist, and physician have all developed separate care plans for the
patient.

99. Which activities are appropriate for the nurse to collaborate with a patient?

1. Prescribing a new medication dose

2. Health Promotion activities

3. End-of-life comfort decisions

4. Interpreting laboratory results

5. Lifestyle changes to improve health

0/1

A. 2, 3, 5

B. 2, 4, 5

C. 1, 4, 5

D. 1,3, 4

Correct answer
 A. 2, 3, 5

100. The Rural Health Nurse and the Rural Health Physician are explaining the home
care that will be needed by a patient with Tuberculosis. The patient’s spouse states
angrily that it will not be possible to provide the care recommended. What is the BEST
response by the nurse?

1/1

A. “I would like to listen to your concerns about the prescribed care.”

B. “It is important that you do. What the physician has prescribed.”

C. “I can come back after you talk with your spouse about the care.”

D. “Let me review what is needed again, then I’ll talk to you later.”

RECALL 1 NP 3

RECALLS NP3

1. You are in charge of this patient. In b. Bulging fontanelle

your assessment you expect to find which
c. loosening of the skin
of the following?

d. High grade fever

a. Moderately lethargic
 2. Further clinical findings of the child that 5. After the Oresol Treatment which of the
you have observed include which ONE of following is an indication that Oresol is
the following? effective?

a. Metabolic alkalosis a. Patient is well hydrated

b. Metabolic acidosis b. Refuse to play with other children

c. Respiratory acidosis c. Socialization with other children

d. respiratory alkalosis d. Temperature is 36.8°C

3. The child was ordered Oresol (ORS). SITUATION 2: Dr. Lopez, a Ph.D
As a nurse, how would you prepare Oresol graduate in Nursing, has been appointed as
treatment for this child?
a consultant in a tertiary hospital to help

a. Mix 2 sachet of ORS in 1 liter of water administration of coming up to strategies

that will further enhance culture of team
b. Mix 1 sachet of ORS in 2 liters of water work and quality improvement (QI) among
health personnel in the workplace. One day,
c. Mix 2 sachet of ORS in 2 liters of water
Dr. lopez while conducting her rounds
d. Mix 1 sachet of ORS in 1 liter of observed a charge nurse (CN) facilitating a
water team on reducing post-operative
complications in her unit of assignment.
4. The BEST practice for the nursing staff
The nurse was emphasizing the four (4)
to prevent spread of infection when patient
essential steps of the QI process.
has infectious diarrhea is _________.

a. Autoclave linens
6. The FIRST phase of this activity is
b. Strict handwashing __________.

c. isolate the patient

a. Review cause/s of the problems

d. wear latex gloves

b. List of problems & prioritize
 c. Conduct root cause analysis a. Assign one Nurse per shift to conduct
the hourly rounds
d. Analyze the problems carefully
b. Conduct a general meeting with the
7. While undergoing the QI process, three staff and determine why such policy is
NOT complied with
(3) members of the team were having
conflict in what management to do. Which
c. Conduct a general meeting with the
of the following can be an EFFECTIVE staff and explain the benefits of the hourly
strategy to resolve this conflict? rounds

d. Call to the office nurses who fail to

a. Reprimand the three members of the comply the hourly rounds
team of their behavior
9. The CQI team have observed that the
b. Assign the three members of the team
incidence of FALL among older persons
in the different shifts
have increased by 50%. This data has
c. Assign an Administration to solve the reached Dr. Lopez and she instructed the
conflict team to conduct which one of the following
PRIORITY measures?
d. Have the three members confront
with each other
a. Provide a cash incentive for units with 0
8. Dr. Lopez was initiating some incidence of Fall.
innovative activities in the medical center
b. Intensify the in-service program for the
for a continuous quality improvement (CQI)
unit with the highest incidence of Fall.
in patient care services. A policy has been
adopted for nursing staff every shift to c. Identification of the root cause of
conduct hourly rounds for patients with Fall.

PRIORITY health problems and attached

d. Decrease the benefits of those
policy was being complied with by the personnel who are involved in the Fall
nurses however, she found out in the incidence.
succeeding dates, it was no longer
10. A part of the CQI that Dr. Cynthia
followed. What is the PRIORITY action of
wanted to implement is the partnership safe
Dr. Lopez in this situation?
and quality patient model, the collaboration
process as a strategy is an example of 12. Which of the following serum
_________. electrolyte imbalances occur in an infant
with persistent vomiting?
a. Feedback mechanism
A. Potassium
b. Through – put
B. Sodium
C. output
C. Chloride
D. Input
D. Calcium
SITUATION 3: Sanji, 4-week-old infant is
admitted to the hospital with a history of 13. What is the MOST APPROPRIATE
vomiting. The mother explains that her nursing diagnosis for this patient?

daughter has an initial problem with the

a. Altered Bowel Elimination
regurgitation which progressed to a
projectile vomiting which becomes more b. Altered Nutrition
forceful.
c. Fluid volume defici

d. Alteration in Comfort
11. Upon admission, the FIRST nursing
action you should perform is ________. 14. Due to excessive vomiting in Pyloric
Stenosis, you should assess the child for
a. Switch the child feedings to electrolyte which of the following imbalances?
solution
a. Respiratory Acidosis
b. Call the pediatric ward doctor for the
admission
b. Metabolic Acidosis

c. Assess and weigh the infant

c. Metabolic Alkalosis

d. Begin an IV fluid as ordered

d. Respiratory
 15. Before scheduling the infant for c. Completed related learning experiences
surgery, the doctor ordered the
d. Good moral character
administration of parenteral fluid and
electrolytes. Which of the following 17. Taking an Oath of profession is a
incorporated solutions should be requirement for you to practice nursing in
administered through IV? the Philippines. Which of the following is the
legally designated officer to conduct the
oathtaking?
a. Potassium Chloride
a. Professional Regulatory Board of
b. Magnesium Chloride Nursing

C. Bicarbonate Chloride b. President, Association of Nursing

Service Administrators
D. Calcium Chloride
c. President, Phil. Nurses Association
SITUATION 4: Abby is a BSN graduate
and have to take the nurses licensure d. President, Association of Dens,
examination to be able to Practice her Philippine College of Nursing

chosen profession. In order to qualify for

18. In RA 9173, which of the following is
the licensure examination, she has to
NOT among the provisions?
comply with the basic requirements from
the PRC-Board of Nursing.
a. Functions of the Board of Nursing

b. Scholarship
16. Which one of the following is NOT
c. Nurse to patient ratio
considered an admission criterion for BSN
graduates seeking admission to the d. Salary and benefits
Licensure examination?
19. In health facilities, like tertiary

a. 20 years old upon registration hospitals, nurses are able to enhance their
competence by rotating in different shifts.
b. Citizen of the Philippines When a nurse is assigned to do wound
dressings to all patients for the entire shift,
this is an example of what type of nursing tachypea and presence of crackles on the
service delivery? bases of both lungs. Your head nurse (HN)
instructed you to prepare nitroglycerin to be
a. Case management administered by Intravenous route. You
validated from your head nurse why such
b. Team nursing
medication is going to be given to patient

c. Functional nursing Juaning.

d. Primary nursing

21. The HN as part of her teaching

20. A framework that is adopted recently
function provided you this APPROPRIATE
is the use SBAR for nurse-Health Care
response. This is to _______.
provider communication. SBAR is an
acronym for Situation, Background,
a. “reduce after load”
Information, Assessment while R is
recommendation. Which of the following
b. “increase after load”
statements fall under the category of
assessment? c. “increase preload”

d. “reduce preload”
a. “Sally is 21 years old, single and
college graduate.”
22. When doing a health teaching to a

b. “She had a relief of abdominal patient, the FIRST step is to determine

distention after an intake of antacid.” ____________.

c. “Can you give pain medications for her

a. readiness to learn
abdominal pain.”

b. adaptation to learning styles

d. She is having discomforts and
crying because of abdominal distention”
c. learning needs
SITUATION 5: Juaning, 58 year old is
d. capacity to learn
admitted for a suspected heart failure. He
has shortness of breath, mild chest pain,
 23. You are assigned to do a health 25. There is a doctor’s order for your
education class on Thursday morning with patient with heart failure to be discharged
several patients for possible discharge. You after two days. The diet order is for him to
have a diabetic patient for discharge. He is limit his sodium intake to only 2 g. Identify
taking a medication Carvedilol. Which one which of the following breakfast selection
of the following instructions must be should be included in your plan.
EMPHASIZED during your discharge
teaching? a. Orange juice, bacon, fried egg, and
steamed rice.

a. Observe skin care because the drug

b. Orange juice, fried salted fish, and
can decrease tissue perfusion
steamed rice.

b. Monitor blood sugar level because the

c. Orange juice, toast bread, poached
drug can cause hyperglycemia
egg and jam.

c. Monitor pulse rate, sugar levels

d. Orange juice, pouched egg, brown rice
because the drug may mask
and ham.
hypoglycemia

SITUATION 6: Patient Marites, a 60

d. Check pulse rate every 6 hours
because the drug can cause palpitation year-old was brought to the Emergency
Room due to severe pain caused by burns
24. You are teaching a group of patients on her arms and legs after her house
who are undergoing hemodialysis regarding caught fire. She was crying and moaning.
their dietary plan. You should explain to She was diagnosed by the doctor to have
them that intake of protein is necessary 3rd degree burns. Nurse Even started to
because it __________. conduct her health assessment and patient
was subsequently admitted.
a. reduces demand for liver functioning

b. increases nitrogenous waste products

26. Nurse Even formulated and
c. maintains osmotic pressure documented in the chart her nursing
diagnosis on Patient Marites. A PRIORITY
d. induces frequent urination
nursing diagnosis she wrote is, PAIN R/T d. Administer pain reliever through
_________. injection

29. Nurse Even provides bio-behavioral

a. Exposed nerve endings interventions to minimize pain and anxiety
of Patient Marites. Which one of the
b. Burn injury following is NOT appropriate to be done?

c. anxiety a. Music therapy

d. inflammation b. Guided imagery

27. Nurse Even gives pain reliever to C. Distraction

Patient Marites before a procedure is done.
Which of the following route should be D. Stretching

avoided?
30. A simple relaxation therapy was
applied to Patient Dolores. The following
a. Intramuscular injections
steps of relaxation therapy done by Nurse

b. Inhalations Tala is _________.

C. Topical medications 1. evaluate and document Ms. Dolores’s

response to therapy
D. Oral medications

28. Nurse Even evaluates Patient Marites 2. create a quiet, non-disruptive

a day after incurring the burn. Which of the environment with dim lights and
following nursing interventions is comfortable temperature
APPROPRIATE at this time?
3. demonstrate and practice the
a. Apply topical anesthesia on the site of relaxation intervention
burn

4. consider Dolores’s willingness to

b. Administer oxygen via nasal mask
participate, past experiences and
c. Evaluate the intensity of pain contraindications
 5. individualize the content of the 3. What do our customers expect of us
relaxation interventions now?

a. 4, 1, 5, 3, 2 4. What will be the expectations of our

customers in the future?
b. 2, 1, 4, 3, 5

C. 3, 2, 4, 1, 5 5. Who are our customers?

D. 4, 2, 5, 3, 1 a. 2, 3 & 4

b. 1,2,3,4 & 5

SITUATION 7: Ms. Charlotte is the Nurse c. 1 & 2

Director in a Level 3 private hospital in
Metro Manila. In the past months she has d. 1, 3 & 4

been encountering staffing problems so she

32. The hallmark of Nursing shortage is
is worried that she cannot comply with the
BEST described as ___________.
expectations of her stakeholders as a
Premiere health institution in the country
a. Predetermined standards of group of
that can deliver Safe and Quality care. patients with the available nursing staff

31. In the Strategic plan process, which of b. Situation related to recruitment and
the following questions is addressed to be retention of nursing personnel
able to arrive at a specific vision-mission in
c. Use of nursing models to forecast
a nursing business plan?
availability of nursing personnel

1. What business are we in now? d. Discrepancy between the supply and

demand of nursing graduates

2. What business do we want to be?

33. In the light of the brainstorming
session of the team leaders, the issue of
managing performance of personnel was b. Perform wound care for a diabetic
raised into the discussion. Which of the foot

following is the sequence in the

c. Administer metformin for his diabetes
performance appraisal?
d. Teach the patient to perform daily foot
1. Assess the institutional and personal care

goals
35. Likewise a clinical situation in the
ward is when a patient is attached to a
2. Assess progress of the staff
Naso-gastric tube (NGT), which of the
following nursing measure can be
3. Evaluate progress
delegated to a nursing attendant?

4. Establish objectives and time frame

a. Removing the nasogastric tube as
ordered
a. 4, 1, 2, & 3

b. 1, 3, 4 & 2 b. Performing oral care every 4 hours and

PRN
C. 2, 3, 1 & 4
c. Securing the safety of the
nasogastric tube with a tape
D. 1, 4, 2 & 3

d. Disconnect the suction to accompany

34. Prioritization and delegation of
patient to the toilet
personnel can also be of help to the
professional nurses in staffing problem. SITUATION 8: Sherlock, 32 years old,
Cases have been raised by the team single, who is an electrical engineer is
members such as; if you have a plan of scheduled to undergo left leg amputation
care for a diabetic patient which of the because of an abscess from a non-healing
following interventions can be delegated to wound. He is a Juvenile Diabetic.
the experienced nursing attendant?
36. On admission the nurse started to
gather his health history, but the client
a. Discuss with the patient and family on
insulin therapy appears uneasy and uncomfortable to
share information about his condition. What 38. After surgery, Sherlock was
is the BEST approach of the nurse in this transferred to the Post Anesthesia unit
situation? (PACU). His vital signs were stable and he
was responsive. After two hours, he was
a. Assure him that the information he transferred to his room. The Ward Nurse
is going to share will be treated received the patient. The BEST nursing
confidentially.
approach to do REALITY orientation to Mr.

b. Tell him, you have encouraged similar Sherlock is _______.

problems in the past
a. “Good afternoon, Mr. Sherlock. Do you
c. Continue getting his data in a know where you are?”
professional manner
b. “Mr. Sherlock, you just had your
d. Ask him if he wants to be interviewed at surgery, and you are back to your
a later time room.”

37. The parents of Sherlock came to visit c. “Thanks God, you had a successful
him. They feel very anxious about their operation. Your parents are here.”
son’s condition. You were asked by the
d. “Good afternoon, Mr. sherlock, did you
parents what they can do to help their son.
have a good sleep during the operation.”
Your BEST response is __________.
39. On the 3rd day, after the operation,
a. “Don’t show him that you are anxious, it you observed that Mr. Sherlock was very
will just aggravate his condition.” quiet, and when approached, he said to the
nurse. “I am really concerned with my
b. “I am sure anything you will do for him
will be appreciated.” future!” The nurse’s BEST response is
__________.
c. “Allow him to do activities that
interest him for the meantime.”
a. “You’re upset, what are you thinking
about your future?”
d. “Don’t worry, he will be able to adapt to
his condition in due time.”
b. “We have our hospital chaplain, do you
want to see him?”
 c. “Do you want to discuss your concerns b. incapacitated but conscious and in a
to your parents?” terminal condition

d. “Tell me more about your concerns c. with family members who are around
about your future.” and can make decisions for him

40. As the nurse of Mr. Sherlock, what is d. in a critical condition and receiving
your PRIORITY goal for him? lifesaving drugs

42. Which of the following actions of the

a. Plan for early rehabilitation.
Nurse can be classified as intentional tort?

b. Arrange for his counselor to spend

time with him. a. Refusing a patient to sign a waiver
so he can go home.
c. Create options for his future.
b. Failure to instruct the nursing aid to put
d. Self-acceptance of his leg up the side rails of an older patient resulting
amputation. to fall.

SITUATION 9: Robin, 71 years old, a c. Administering a blood transfusion to a

wrong patient.
former car dealer has been chronically-ill
due to Emphysema. He was in and out of
d. Failure to report to the physicial the
the hospital for the past 2 years. He untoward reaction of a drug.
decided to have a living will so he asked his
43. A Nurse is assigned in the ICU unit for
eldest daughter to contact their lawyer.
almost 3 years and has attended several
patients who have died under her shift. She
was emotionally affected with this situation
41. Which of the following conditions is
but remains to be silent every time she
APPROPRIATE to have a living will? When
reports for duty. The BEST way for the
a patient is __________.
Nurse to cope with this feeling is to
________.
a. on a stage of drowsiness and receiving
sedatives
a. consult a psychologist regarding
this feeling
 b. discuss this feeling with the other East. During the shift report of the nurses,
members of the staff the outgoing morning shift was discussing
the case in a very loud voice and being
c. neglect this behavior and go out with
friends heard by some patients in the ward. The
Nurse, can be charged for_________.
d. request the supervisor to transfer her to
another unit
a. Breach of confidentiality

44. A patient is admitted in your unit

b. Oral defamation
because of rectal bleeding and need a
blood transfusion. Being a Jehovah’s c. Injustice
witness, he refused the order of the
physician. The wife secretly talked with the d. Non-maleficence

Nurse and the physician to administer the

SITUATION 10: Nurse Hinata is assigned
blood transfusion after taking his sleeping
in the Female Medical ward, caring for
pills. What is the BEST action of the health
patients with varying health conditions. She
care professionals in this situation.
believes that documentation is an essential
aspect of the nursing process and vital for
a. Refer the case to the minister so he
the role as a Nurse especially on record
can convince the patient
keeping and reporting.
b. Proceed with giving of blood
transfusion as this is highly needed

c. Refuse the suggestion of the wife for 46. When Nurse Hinata indicates basic
the husband might be awake care information, skills and referral services
that the patients may need before being
d. Talk with the wife that she is
released from the health facility is an entry
violating the husband’s request
of what documentation in the chart?
45. A waitress in a nearby bar was
admitted because she was suspected to be a. Multidisciplinary notes
suffering from HIV. The waitress is single,
b. Physician orders
but with a boyfriend working in the Middle
 c. Discharge Plan 49. Kushina, 55 yr old is another patient of
Nurse Hinata who is having an asthmatic
d. Nurses notes
attack, with extreme dyspnea and presence

47. In coming up with her formulated of sternal retraction. The physician who was

nursing diagnosis for her patient Ms. Ino, making his rounds examined the patient

who is suffering from hemolytic anemia, you and ordered the drug of choice that will

will expect Nurse Hinata to write in the relieve patient’s problems. Which of the

Nursing care plan which one of the following will be likely be written by the

following PRIORITIES? physician, carried out and recorded by the

Nurse in the Medication chart?

a. Ineffective airway clearance R/T poor

gas exchange. a. Nor-epinephrine

b. Activity Intolerance R/T to fatigue. b. Epinephrine

c. Poor tolerance to heat R/T increased c. Prednisone

metabolism.
d. Albuterol
d. Imbalanced Nutrition: less body weight.
50. Nurse Hinata is preparing for her shift
48. The physician on duty (POD) ordered report with the members of her team in the
a specific diet for patient Ino. Which of the ward, when she was approached by her
following diet prescriptions will Nurse junior nurse who raised this concern
Hinata transmit to dietary department? regarding a physician order. Which of the
following orders should I question if this has
a. High protein, high caloric diet. been written by a doctor?

b. High fiber, less fat, high protein diet.

a. twenty four hour ambulatory EKG for a
hypertensive patient
c. High fats, high protein diet.

b. stress test monitoring for an obese

d. High carbohydrate, less fiber, low
adult
protein diet.
 c. a high dose of insulin for a diabetic conflict in what management to do. Which
adolescent of the following can be an EFFECTIVE
strategy to resolve this conflict?
d. blood transfusion for an anemic elderly

SITUATION 11: Dr. Cynthia, a Ph.D a. Reprimand the three members of the
graduate in Nursing, has been appointed as team of their behavior

a consultant in a tertiary hospital to help

b. Assign the three members of the team
administration of coming up to strategies in the different shifts
that will further enhance culture of team
work and quality improvement (QI) among c. Assign an Administration to solve the
conflict
health personnel in the workplace. One day,
Dr. Cynthia while conducting her rounds d. Have the three members confront
observed a charge nurse (CN) facilitating a with each other
team on reducing post-operative
complications in her unit of assignment.
The nurse was emphasizing the four (4)
53. Dr. Cynthia was initiating some
essential steps of the QI process.
innovative activities in the medical center
for a continuous quality improvement (CQI)
in patient care services. A policy has been
51. The FIRST phase of this activity is adopted for nursing staff every shift to
__________. conduct hourly rounds for patients with
PRIORITY health problems and attached
a. Review cause/s of the problems policy was being complied with by the
nurses however, she found out in the
b. List of problems & prioritize
succeeding dates, it was no longer
c. Conduct root cause analysis followed. What is the PRIORITY action of
Dr. Cynthia in this situation?
d. Analyze the problems carefully

a. Assign one Nurse per shift to conduct

52. While undergoing the QI process,
the hourly rounds
three (3) members of the team were having
 b. Conduct a general meeting with the a. Feedback mechanism
staff and determine why such policy is
NOT complied with b. Through – put

c. Conduct a general meeting with the c. output

staff and explain the benefits of the hourly
rounds d. input

d. Call to the office nurses who fail to SITUATION 12: Abby is a BSN graduate
comply the hourly rounds
and have to take the nurses licensure

54. The CQI team have observed that the examination to be able to Practice her

incidence of FALL among older persons chosen profession. In order to qualify for

have increased by 50%. This data has the licensure examination, sh e has to

reached Dr. Cynthia and she instructed the comply with the basic requirements from

team to conduct which one of the following the PRC-Board of Nursing.

PRIORITY measures?

a. Provide a cash incentive for units with 0 56. Which one of the following is NOT
incidence of Fall. considered an admission criterion for BSN
graduates seeking admission to the
b. Intensify the in-service program for the
unit with the highest incidence of Fall. Licensure examination?

c. Identification of the root cause of a. 20 years old upon registration

Fall.
b. Citizen of the Philippines
d. Decrease the benefits of those
personnel who are involved in the Fall
c. Completed related learning experiences
incidence.

d. Good moral character

55. A part of the CQI that Dr. Cynthia
wanted to implement is the partnership safe 57. Taking an Oath of profession is a
and quality patient model, the collaboration requirement for you to practice nursing in
process as a strategy is an example of the Philippines. Which of the following is the
_________.
legally designated officer to conduct the a. Case management
oathtaking?
b. Team nursing

a. Professional Regulatory Board of c. Functional nursing

Nursing
d. Primary nursing
b. President, Association of Nursing
Service Administrators
60. A framework that is adopted recently

c. President, Phil. Nurses Association is the use SBAR for nurse-Health Care
provider communication. SBAR is an
d. President, Association of Dens, acronym for Situation, Background,
Philippine College of Nursing
Information, Assessment while R is
recommendation. Which of the following
statements fall under the category of
58. In RA 9173, which of the following is assessment?
NOT among the provisions?
a. “Sally is 21 years old, single and
college graduate.”
a. Functions of the Board of Nursing

b. “She had a relief of abdominal

b. Scholarship
distention after an intake of antacid.”

c. Nurse to patient ratio

c. “Can you give pain medications for her
abdominal pain.”
d. Salary and benefits

d. She is having discomforts and

59. In health facilities, like tertiary
crying because of abdominal distention”
hospitals, nurses are able to enhance their
competence by rotating in different shifts. SITUATION 13: Juaning, 58 year old is
When a nurse is assigned to do wound admitted for a suspected heart failure. He
dressings to all patients for the entire shift, has shortness of breath, mild chest pain,
this is an example of what type of nursing tachypea and presence of crackles on the
service delivery? bases of both lungs. Your head nurse (HN)
instructed you to prepare nitroglycerin to be
administered by Intravenous route. You You have a diabetic patient for discharge.
validated from your head nurse why such He is taking a medication Carvedilol. Which
medication is going to be given to patient one of the following instructions must be
Juaning. EMPHASIZED during your discharge
teaching?

61. The HN as part of her teaching A. Observe skin care because the drug
can decrease tissue perfusion
function provided you this APPROPRIATE
response. This is to _______. B. Monitor blood sugar level because
the drug can cause hyperglycemia
A. “reduce after load”
C. Monitor pulse rate, sugar levels
B. “increase after load” because the drug may mask hypoglycemia

C. “increase preload” D. Check pulse rate every 6 hours

because the drug can cause palpitation
D. “reduce preload”
64. You are teaching a group of patients
62. When doing a health teaching to a who are undergoing hemodialysis regarding
patient, the FIRST step is to determine their dietary plan. You should explain to
____________. them that intake of protein is necessary
because it __________.

A. readiness to learn
a. reduces demand for liver functioning
B. adaptation to learning styles
b. increases nitrogenous waste products
C. learning needs
c. maintains osmotic pressure
D. capacity to learn
d. induces frequent urination
63. You are assigned to do a health
education class on Thursday morning with 65. There is a doctor’s order for your
several patients for possible discharge.
patient with heart failure to be discharged
after two days. The diet order is for him to
limit his sodium intake to only 2 g. Identify 2. What business do we want to be?
which of the following breakfast selection
should be included in your plan. 3. What do our customers expect of us
now?
a. Orange juice, bacon, fried egg, and
steamed rice. 4. What will be the expectations of our
customers in the future?
b. Orange juice, fried salted fish, and
steamed rice.
5. Who are our customers?
c. Orange juice, toast bread, poached
egg and jam.
A. 2, 3 & 4

d. Orange juice, pouched egg, brown rice

B. 1,2,3,4 & 5
and ham.

C. 1 & 2
SITUATION 14: Ms. Maribel is the Nurse
director in a Level 3 private hospital in
D. 1, 3 & 4
Metro Manila. In the past months she has
been encountering staffing problems so she 67. The hallmark of Nursing shortage is
is worried that she cannot comply with the BEST described as ___________.
expectations of her stakeholders as a
Premiere health institution in the country a. Predetermined standards of group of
that can deliver Safe and Quality care. patients with the available nursing stafe

b. Situation related to recruitment and

retention of nursing personnel
66. In the Strategic plan process, which of
c. Use of nursing models to forecast
the following questions is addressed to be
availability of nursing personnel
able to arrive at a specific vision-mission in
a nursing business plan? d. Discrepancy between the supply and
demand of nursing graduates

1. What business are we in now?

68. In the light of the brainstorming
session of the team leaders, the issue of
managing performance of personnel was b. Perform wound care for a diabetic
raised into the discussion. Which of the foot

following is the sequence in the

c. Administer metformin for his diabetes
performance appraisal?
d. Teach the patient to perform daily foot
1. Assess the institutional and personal care

goals
70. Likewise a clinical situation in the
ward is when a patient is attached to a
2. Assess progress of the staff
Naso-gastric tube (NGT), which of the
following nursing measure can be
3. Evaluate progress
delegated to a nursing attendant?

4. Establish objectives and time frame

a. Removing the nasogastric tube as
ordered
A. 4, 1, 2, & 3
b. Performing oral care every 4 hours and
B. 1, 3, 4 & 2 PRN

C. 2, 3, 1 & 4 c. Securing the safety of the

nasogastric tube with a tape
D. 1, 4, 2 & 3
d. Disconnect the suction to accompany
69. Prioritization and delegation of patient to the toilet

personnel can also be of help to the

SITUATION 15: Eddie Wao, 71 years old,
professional nurses in staffing problem.
a former car dealer has been chronically-ill
Cases have been raised by the team
due to Emphysema. He was in and out of
members such as; if you have a plan of
the hospital for the past 2 years. He
care for a diabetic patient which of the
decided to have a living will so he asked his
following interventions can be delegated to
eldest daughter to contact their lawyer.
the experienced nursing attendant?

a. Discuss with the patient and family on

insulin therapy
 71. Which of the following conditions is 73. A Nurse is assigned in the ICU unit for
APPROPRIATE to have a living will? almost 3 years and has attended several
patients who have died under her shift. She
When a patient is __________. was emotionally affected with this situation
but remains to be silent every time she
A. on a stage of drowsiness and receiving reports for duty. The BEST way for the
sedatives Nurse to cope with this feeling is to
________.
B. incapacitated but conscious and in
a terminal condition
a. consult a psychologist regarding
C. with family members who are around this feeling
and can make decisions for him
b. discuss this feeling with the other
D. in a critical condition and receiving members of the staff
lifesaving drugs
c. neglect this behavior and go out with
friends

72. Which of the following actions of the d. request the supervisor to transfer her to
another unit
Nurse can be classified as intentional tort?

74. A patient is admitted in your unit

a. Refusing a patient to sign a waiver because of rectal bleeding and need a
so he can go home.
blood transfusion. Being a Jehovah’s

b. Failure to instruct the nursing aid to put witness, he refused the order of the
up the side rails of an older patient resulting physician. The wife secretly talke d with the
to fall. Nurse and the physician to administer the
blood transfusion after taking his sleeping
c. Administering a blood transfusion to a
wrong patient. pills. What is the BEST action of the health
care professionals in this situation.
d. Failure to report to the physicial the
untoward reaction of a drug.
a. Refer the case to the minister so he
can convince the patient
 b. Proceed with giving of blood
transfusion as this is highly needed
76. When Nurse Joy indicates basic care
c. Refuse the suggestion of the wife for
information, skills and referral services that
the husband might be awake
the patients may need before being
d. Talk with the wife that she is released from the health facility is an entry
violating the husband’s request of what documentation in the chart?

75. A waitress in a nearby bar was

a. Multidisciplinary notes
admitted because she was suspected to be
suffering from HIV. The waitress is single, b. Physician orders
but with a boyfriend working in the Middle
East. During the shift report of the nurses, c. Discharge Plan
the outgoing morning shift was discussing
d. Nurses notes
the case in a very loud voice and being
heard by some patients in the ward. The 77. In coming up with her formulated
Nurse, can be charged for_________. nursing diagnosis for her patient Ms. Dina,
who is suffering from hemolytic anemia, you
a. Breach of confidentiality will expect Nurse Joy to write in the Nursing
care plan which one of the following
b. Oral defamation
PRIORITIES?
c. Injustice
a. Ineffective airway clearance R/T poor
d. Non-maleficence gas exchange.

SITUATION 16: Nurse Joy is assigned in b. Activity Intolerance R/T to fatigue.

the Female Medical ward, caring for
c. Poor tolerance to heat R/T increased
patients with varying health conditions. She
metabolism.
believes that documentation is an essential
aspect of the nursing process and vital for d. Imbalanced Nutrition: less body weight.
the role as a Nurse especially on record
78. The physician on duty (POD) ordered
keeping and reporting.
a specific diet for patient Dina. Which of the
following diet prescriptions will Nurse Joy junior nurse who raised this concern
transmit to dietary department? regarding a physician order. Which of the
following orders should I question if this has
a. High protein, high caloric diet. been written by a doctor?

b. High fiber, less fat, high protein diet.

a. twenty four hour ambulatory EKG for a
hypertensive patient
c. High fats, high protein diet.
b. stress test monitoring for an obese
d. High carbohydrate, less fiber, low adult
protein diet.
c. a high dose of insulin for a diabetic
79. Marimar, 55 yr old is another patient of adolescent
Nurse Joy who is having an asthmatic
attack, with extreme dyspnea and presence d. blood transfusion for an anemic elderly
of sternal retraction. The physician who was
SITUATION 17: Nicolo, 32 years old,
making his rounds examined the patient
single, who is an electrical engineer is
and ordered the drug of choice that will
scheduled to undergo left leg amputation
relieve patient’s problems. Which of the
because of an abscess from a non-healing
following will be likely be written by the
wound. He is a Juvenile Diabetic.
physician, carried out and recorded by the
Nurse in the Medication chart? 81. On admission the nurse started to
gather his health history, but the client
appears uneasy and uncomfortable to
a. Nor-epinephrine share information about his condition. What
is the BEST approach of the nurse in this
b. Epinephrine situation?

c. Prednisone
a. Assure him that the information he
is going to share will be treated
d. Albuterol confidentially.

80. Nurse Joy is preparing for her shift b. Tell him, you have encouraged similar
report with the members of her team in the problems in the past
ward, when she was approached by her
 c. Continue getting his data in a b. “Mr. Nicolo, you just had your
professional manner surgery, and you are back to your
room.”
d. Ask him if he wants to be interviewed at
a later time c. “Thanks God, you had a successful
operation. Your parents are here.”
82. The parents of Nicolo came to visit
him. They feel very anxious about their d. “Good afternoon, Mr. Nicolo, did you
have a good sleep during the operation.”
son’s condition. You were asked by the
parents what they can do to help their son. 84. On the 3rd day, after the operation,
Your BEST response is __________. you observed that Mr. Nicolo was very
quiet, and when approached, he said to the
a. “Don’t show him that you are anxious, it nurse. “I am really concerned with my
will just aggravate his condition.”
future!” The nurse’s BEST response is

b. “I am sure anything you will do for him __________.

will be appreciated.”
a. “You’re upset, what are you thinking
c. “Allow him to do activities that about your future?”
interest him for the meantime.”
b. “We have our hospital chaplain, do you
d. “Don’t worry, he will be able to adapt to want to see him?”
his condition in due time.”
c. “Do you want to discuss your concerns
83. After surgery, Nicolo was transferred to your parents?”
to the Post Anesthesia unit (PACU). His
vital signs were stable and he was d. “Tell me more about your concerns
about your future.”
responsive. After two hours, he was
transferred to his room. The Ward Nurse 85. As the nurse of Mr. Nicolo, what is
received the patient. The BEST nursing your PRIORITY goal for him?
approach to do REALITY orientation to Mr.
Timmy is _______. a. Plan for early rehabilitation.

a. “Good afternoon, Mr. Nicolo. Do you b. Arrange for his counselor to spend time
know where you are?” with him.
 c. Create options for his future. Which of the following route should be
avoided?
d. Self-acceptance of his leg
amputation.
a. Intramuscular injections
SITUATION 18: Patient Dolores, a 60
b. Inhalations
year-old was brought to the Emergency
Room due to severe pain caused by burns c. Topical medications
on her arms and legs after her house
caught fire. She was crying and moaning. d. Oral medications
She was diagnosed by the doctor to have
88. Nurse Tala evaluates Patient Dolores
3rd degree burns. Nurse Tala started to
a day after incurring the burn. Which of the
conduct her health assessment and patient
following nursing interventions is
was subsequently admitted.
APPROPRIATE at this time?

a. Apply topical anesthesia on the site of

86. Nurse Tala formulated and burn
documented in the chart her nursing
diagnosis on Patient Dolores. A PRIORITY b. Administer oxygen via nasal mask

nursing diagnosis she wrote is, PAIN R/T

_________.
c. Evaluate the intensity of pain
a. Exposed nerve endings
d. Administer pain reliever through
b. Burn injury injection

c. anxiety 89. Nurse Tala provides bio-behavioral

interventions to minimize pain and anxiety
d. inflammation of Patient Dolores. Which one of the
following is NOT appropriate to be done?
87. Nurse Tala gives pain reliever to
Patient Dolores before a procedure is done.
a. Music therapy
 b. Guided imagery D. 4, 2, 5, 3, 1

c. Distraction

d. Stretching SITUATION 19: Mia Thermopolis,

4-week-old infant is admitted to the hospital
90. A simple relaxation therapy was
with a history of vomiting. The mother
applied to Patient Dolores. The following
explains that her daughter has an initial
steps of relaxation therapy done by Nurse
problem with the regurgitation which
Tala is _________.
progressed to a projectile vomiting which
becomes more forceful.
1. evaluate and document Ms. Dolores’s
response to therapy

91. Upon admission, the FIRST nursing

2. create a quiet, non-disruptive
action you should perform is ________.
environment with dim lights and
comfortable temperature
a. Switch the child feedings to electrolyte
solution
3. demonstrate and practice the relaxation
intervention b. Call the pediatric ward doctor for the
admission

4. consider Dolores’s willingness to

c. Assess and weigh the infant
participate, past experiences and
contraindications d. Begin an IV fluid as ordered

92. Which of the following serum

5. individualize the content of the
electrolyte imbalances occur in an infant
relaxation interventions
with persistent vomiting?

A. 4, 1, 5, 3, 2
a. Potassium
B. 2, 1, 4, 3, 5
b. Sodium
C. 3, 2, 4, 1, 5
 c. Chloride a. Potassium Chloride

d. Calcium b. Magnesium Chloride

93. What is the MOST APPROPRIATE c. Bicarbonate Chloride

nursing diagnosis for this patient?
d. Calcium Chloride

a. Altered Bowel Elimination SITUATION 20: Chacha, a 6 month old

baby is admitted in the Pediatric unit for
b. Altered Nutrition
acute diarrhea and dehydration.
c. Fluid volume deficit

d. Alteration in Comfort
96. You are in charge of this patient. In
94. Due to excessive vomiting in Pyloric your assessment you expect to find which
Stenosis, you should assess the child for of the following?
which of the following imbalances?
a. Moderately lethargic
a. Respiratory Acidosis

b. Metabolic Acidosis
b. Bulging fontanelle

c. loosening of the skin

c. Metabolic Alkalosis
d. High grade fever
d. Respiratory Alkalosis
97. Further clinical findings of the child
95. Before scheduling the infant for that you have observed include which ONE
surgery, the doctor ordered the of the following?
administration of parenteral fluid and
electrolytes. Which of the following a. Metabolic alkalosis
incorporated solutions should be
b. Metabolic acidosis
administered through IV?
 c. Respiratory acidosis b. Refuse to play with other children

d. respiratory alkalosis c. Socialization with other children

98. The child was ordered Oresol (ORS). d. Temperature is 36.8°C

As a nurse, how would you prepare Oresol
RECALLS 1 NP4
treatment for this child?

RECALLS NP4
a. Mix 2 sachet of ORS in 1 liter of water
1. Nurse Kim carries out the order
b. Mix 1 sachet of ORS in 2 liters of water
for the client to have a diagnostic test.
Which of the following values indicate
c. Mix 2 sachet of ORS in 2 liters of water
hyponatremia? A sodium level _____
d. Mix 1 sachet of ORS in 1 liter of
water A. Below 8.5 to 10.5 mg/dL

99. The BEST practice for the nursing B. Between 3.5 and 5.5 mEgL
staff to prevent spread of infection when
patient has infectious diarrhea is C. Above 145 mEg/L
_________.
D. Below 135 mEg/L

a. Autoclave linens 2. Nurse Kim is aware that the MOST

common electrolyte abnormality in
b. Strict handwashing
hospitalized patient is ______
c. isolate the patient
A. Hyperkalemia
d. wear latex gloves
B. Hyponatremia
100. After the Oresol Treatment which of
the following is an indication that Oresol is C. Hypernatremia
effective?
D. Hypokalemia

a. Patient is well hydrated

3. Nurse Kim writes a nursing diagnosis. D. Monitor laboratory findings
Which of the following diagnoses is
SITUATION 2:The nurse cares for a
MOST appropriate for the client?
group of clients with allergies.

A. Excess Fluid Volume 6. The nurse assesses the client who

says he is highly allergic to many food
B. Ineffective Breathing Pattern
items and medications. Which of the

C. Deficient Fluid Volume following hypersensitivity reactions

would be responsible for this type of
D. Disturbed Thought Processes clinical manifestation?

4. The physician prescribes intravenous

A. Type 4, delayed sensitivity
solutions for the client. Which of the
following solutions is appropriate? B. Type 1, IgE mediated
hypersensitivity
A. 0.9 % Sodium Chloride
C. Type 2, cytotoxic hypersensitivity
B. Dextran 6 % in sterile water
D. Type 3, immune complex-mediated
hypersensitivity
C. 0.3 % Sodium Chloride

7. The nurse assesses an atopic client

D. Dextrose 5 % in water
who had serious Type 1 hypersensitivity
5. An appropriate nursing intervention reactions. The nurse is aware that the
for the client is for Nurse Kim most severe form of a Type 1
to________ hypersensitivity reaction is which of the
following conditions?
A. Maintain body alignment and assist
with movement A. Cell-mediated sensitivity

B. Monitor level of consciousness B. Dermatitis

C. Administer oral hygiene C. Anaphylaxis

D. Bronchial asthma to wait for how many minutes so that the
immediate reactions can be treated?
8. A client is experiencing anaphylaxis.
Which of the following actions by the A. 5 – 15 minutes
nurse takes HIGHEST priority?
B. 30 – 40 minutes

A. Administer epinephrine injection C. 60 minutes

D. 15 – 25 minutes

B. Place the client in Trendelenburg SITUATION 3: Nurse Em cares for a 30

position
year old male who suffered a spinal cord

C. Maintain an open airway injury sustained in a sporting accident

which resulted in paraplegia. The
D. Administer emergency oxygen following questions relate to the care of
a client with a paraplegia.
9. The nurse develops a care plan for a
client with a past history of anaphylaxis. 11.The client is fortunate that the level of
Which drug should the nurse instruct the his injury did not affect his respiratory
client to always have it readily available function. The nurse understands that the
to treat possible allergic reaction? cord segments involved in maintaining
respiratory function are:
A. Diphenhydramine
A. C1-2
B. Acetaminophen
B. C3-4
C. Epinephrine
C. C5
D. Acetyl Salicylic Acid
D. C6
10. A client with a history of Type 1
hypersensitivity reaction is receiving 12. Nurse Em understands that the
immunotherapy. The nurse administers
LEAST effective method of preventing
the allergen injection and asks the client
contractures of the joints of the lower C. Use of mechanical aids for
extremities would be to: ambulation.

D. Quadriceps setting
A. Passively move the extremities
through range of motion exercises. 15. Nurse Em is aware that a
complication the client with paraplegia
B. Provide the client with active
exercise instructions. may experience is formation of urinary
calculi. The factor that contributes to this
C. Maintain proper alignment in bed. condition is:

D. Change the client’s position every

two hours. A. High fluid intake

13. Nurse Em plans care for the client B. Increases loss of calcium for the
which includes turning the client every skeletal system.
two hours. This nursing measure is
necessary to:
C. Inadequate kidney functioning.

A. Improve circulation in the lower D. Increased calcium intake.

extremities.
SITUATION 4: A 63-year-old male
B. Keep the client comfortable.
arrives at the Out-Patient Department

C. Prevent occurrence of pressure complaining of numbness and tingling

sores. sensation of the lower extremities and
pain in the legs upon exercising. The
D. Prevent flexion contractures in the
nurse suspects the client may have
lower extremities.
Peripheral Arterial Disease (PAD).
14. Nurse Em recognizes that an early
16. The nurse asks the client the
major problem of the client with
following questions. Which of the
paraplegia is:
questions would determine the risk
factors of PAD?
A. Client education.

B. Bladder control. 1. “Do you smoke cigarettes?”

2. “Are you diabetic?” 18. The nurse writes a nursing diagnosis
of Ineffective Tissue Perfusion for the
3. “Are you hypertensive?” client. Which of the following
interventions is MOST appropriate for
4. “Do you exercise?” this nursing diagnosis?

5. “Do you drink alcohol?” A. Keep his legs in dependent

position

A. 2, 3, & 4
B. Elevate his legs

B. 1, 2, 3, 4, & 5
C. Take hot bath

C. 1, 4, & 5
D. Limit his daily activities.

D. 1, 2, & 3
19. The nurse writes another nursing

17. The client asks the nurse what the diagnosis of Risk for Impaired Skin

doctor meant when he heard him say Integrity related to decreased peripheral

that the client has intermittent circulation. Which of the following

claudication. The nurses’ BEST interventions is MOST appropriate for

response is, Intermittent claudication the nurse to instruct the client?

is_______
A. Monitor the extremities for color,
motion and sensation, and pulses.
A. Pain that can occur in the body with
exercise
B. Maintain an appropriate level of
activity to promote circulation.
B. Pain in the leg when exercising
C. Avoid risk factors that may increase
C. Pain in the leg that occurs when at problems with Peripheral Arterial
rest Disease.

D. A tingling feeling of sensation in the D. Protect the legs from injury because
hands the tissues are fragile.
 20. Which of the following outcomes 3. Provide a detailed description of the
indicate that there is increased arterial operation before asking the patient to
blood supply to the extremity of the
sign the consent form
client with peripheral arterial disease?

A. Reduced sensation to touch 4. Answer questions that the patient

may ask before the patient signs the
B. Reduced muscle pain
consent form.

C. Increased rubor
A. 3 & 4
D. Decreased hair on the extremity
B. 1, 2 & 3
SITUATION 5: Nurse Rose is a newly
C. 1, 2 & 4
registered nurse. She is assigned to the
surgical unit of X hospital. She is aware
D. 1 & 3
of the legal responsibilities when
performing patient care. The following 22. Which of the following health care
are situations she encountered in the professionals is legally responsible for
obtaining informed consent for an
surgical unit with legal significance. invasive procedure? The ____

21. A patient is scheduled for abdominal

A. Surgeon
surgery. Which of the following
statements is a responsibility of Nurse B. Nurse Supervisor of the unit
Rose in obtaining a consent form?
C. Medical director
1. Ensure that the consent form has
D. Registered nurse on duty
been signed and is attached to the chart
of the patient before the operation. 23. Nurse Rose documents her
observation on a patient for abdominal
2. Witness the signing of the consent surgery. Which of the following
before the operation is performed. statements is legally appropriate
notation?
A. “The charge nurse spoke with the A. 2 & 3
patient about the surgery”
B. 1 & 3
B. “The surgeon committed an error in
the medication dose to be given” C. 3 & 4

C. “Patient says he will sue the surgeon D. 1 & 2

and the hospital if the operation turns
out to be a failure.” 25. The physician orders a dose of
medication to be given to a patient
D. “Patient says he feels sharp and before undergoing surgery. Nurse Rose
stabbing pain in the abdominal area.” is aware that the dose is too high for the
patient. She tries to locate the physician
24. The attending physician writes an to check the order but the physician is
order of Do Not Resuscitate (DNR) on a not available. Which of the following is
patient who is seriously ill. Which of the the MOST appropriate action Nurse
following is a responsibility of Nurse Rose will take to ensure the safety of
Rose? Nurse Rose should ________ the patient?

1) Carry out the order in the event the A. Notify the nurse supervisor
patient experiences sudden need for immediately

CPR
B. Administer half of the dose of the
medication ordered.
2) Determine if there is a living will on
the medical record of the patient C. Administer the medication as
ordered.

3) Consult the policies and procedures D. Withhold the medication.

of the Institution if she feels such DNR
order is contrary to the patient’s or SITUATION 6: The charge nurse in the

family’s wishes. Emergency Department calls for a crisis

meeting to review principles in mass

4) Refer to the Ethics Committee of the casualty to enhance preparedness and

Institution the DNR order to determine improve emergency quality care.

appropriateness of the order.

26. Which of the following statements is A. With injuries of closed fracture,
NOT TRUE about emergency sprains, contusions and abrasions.

preparedness?
B. Who are expected to die or are dead
already.
A. Hospitals should have an emergency
preparedness plan that is tested through C. With major injuries such as open
drills or actual participation. fractures and large wounds.

B. Generally, hospital employees D. Experiencing hemorrhagic shock that

participate seriously in emergency requires immediate treatment.
drills.
29. The term NBC means nuclear,
C. Emergency preparedness training biological and chemical weapons of
and drills are standard functions of
emergency departments of hospitals. mass destruction. Which of the following
is an example of biologic terrorism
D. Drills must involve the participation agents?
and collaboration of the community.

A. Vaccine
27. The charge nurse explains that
mass casualty incidents are due to
B. Nerve agent antidotes
events such as the following EXCEPT:
C. Anthrax
A. Earthquakes
D. Neoplastic agents
B. Severe weather phenomena.
30. The charge nurse emphasizes the
C. Lightning strikes. overall goal in a disaster situation which
is ___.
D. Transportation disasters.

A. Saving as many lives as possible

28. The charge nurse reiterates the
importance of using a disaster triage tag
B. Using a disaster triage system that
system. Clients that have been categorizes triage priority by color and
“green-tagged” are those ________. number.
C. Calling all emergency medical C. 1, 2, 3, 4 & 5
service providers from the hospital to
attend the needs of the victims. D. 1, 2 & 5

D. Doing the greatest good for the 32. The nurse assesses circulation of
greatest number of people. an adult trauma victim by palpating a
central pulse. Which of the arteries will
SITUATION 7: The nurse in the the nurse palpate?
emergency department performs initial
A. Apical artery
assessment on clients brought to the
department. The following questions B. Brachial artery
pertain to assessment and nursing
interventions C. Femoral artery

31. The nurse assesses a trauma client D. Popliteal artery

in pain who refuses pain medication.
Which of the following alternative 33. The nurse performs complete spinal

methods to manage pain can the nurse immobilization. The procedure includes

use or recommend? the following actions EXCEPT _____.

1) Positioning/Splinting A. Placing the client on the backboard

B. Placing a small pillow on the head.

2) Application of heat and cold
C. Application of a rigid cervical collar.
3) Non-therapeutic touch
D. Immobilization of the head and neck.

4) Guided imagery 34. In inspecting a client’s airway, the

nurse should observe the following,
5) Humor EXCEPT:

A. 1, 2, 3 & 5 A. Tongue obstructing the airway

B. 2, 4 & 5
B. Foreign objects that may have been SITUATION 8: A 38 year old female
lodged. trauma victim is brought to the
emergency department of X hospital.
C. Loose teeth or dentures.
36. The trauma client has a blood type
D. Condition of the tonsils.
of AB+. Which type of blood will the

35. The correct sequence of the primary client need?

assessment of trauma clients is ____.
A. AB-
1) Open and inspect the client's airway
while initiating or maintaining cervical B. AB+
spine protection.
C. Any type

2) Palpate a central pulse for strength D. O+ only

and rate.
37. Nurse Pau continues to monitor the

3) Conduct a brief neurologic condition of the trauma client. The client

assessment to determine the degree of is in hypovolemic shock. Which of the

disability as measured by the client’s following types of blood products should

level of consciousness. Nurse Pau prepare?

4) Remove clothing so that all injuries A. Platelets

can be quickly identified.

B. Packed red blood cells

5) Assess for spontaneous breathing. C. Plasma

D. Whole blood
A. 2, 5, 1, 3 & 4

38. Nurse Pau admits the client. What

B. 1, 2, 3, 4 & 5
factors will assist the nurse in
C. 1, 3, 2 & 5 determining the classification of a
trauma client?
D. 1, 5, 2, 3 & 4
1) Site the injury Scoring System. Nurse Pau
understands that the elements of this
2) Speed of the vehicle scoring system are which of the
following:
3) Height of fall
1) Diastolic Blood Pressure
4) Mechanism of injury
2) Systolic Blood Pressure
A. 2 & 4
3) Heart Rate
B. 1, 2, 3, & 4

4) Glasgow Coma Scale

C. 1 & 3 5) Respiratory Rate

D. 1, 2 & 4
A. 2, 4 & 5
39. The trauma client manifests a
B. 2, 3, 4 & 5
deviated trachea, jugular vein distention,
and cyanosis. Nurse Pau realizes that C. 1, 3 & 5
the trauma client is MOST likely
demonstrating? D. 1, 2, 3, 4 & 5

SITUATION 9: The nurse assists in the

A. Tension pneumothorax
care of a 20-year old male client

B. Cervical spine injury needing blood transfusion. The

attending physician writes an order of
C. Blunt trauma to the chest blood transfusion of 250 cc of packed
red cells after blood cross matching.
D. Acceleration-deceleration injury
41. Before infusing the blood, the nurse
40. The physician assesses the trauma assesses the client’s ________.
client using the Champion Revised
A. Vital signs itchiness, headache or difficulty of
breathing.
B. Mental state
C. Document the blood type, time
C. Skin color transfusion started, and vital signs
taken.
D. Hemoglobin and hematocrit levels
D. Inform the client that the transfusion
42. The nurse takes the temperature of may last for one and a half to two hours.

the client. The temperature registers

44. The nurse administers the blood and
39⁰C. Based on this finding, the nurse
starts the transfusion at 20 – 25 drops
should:
per minute. The nurse observes for a
transfusion reaction which usually
A. Administer an antihistamine and
occurs during the _____ minutes after
transfuse the blood.
transfusion.
B. Start the blood transfusion as
ordered. A. 15 minutes

C. Withhold the blood transfusion B. 45 minutes

and notify the physician.
C. 5 minutes
D. Give tepid sponge bath and wait for
the temperature to go down then
D. 30 minutes
transfuse the blood.

45. The client receiving blood

43. Which of the following nursing
transfusion begins to wheeze on
interventions should have the HIGHEST
respiration, itch and observes that his
priority when caring for a client receiving
skin becomes flushed with hives. The
blood transfusion?
nurse recognizes these signs as
characteristic of what type of reaction?
A. Regulate the drops accurately.

B. Instruct the client to notify the A. Bacterial

nurse if the client experiences
B. Hemolytic
C. Allergic D. Conference with the members of the
health team.
D. Systemic
48. Nurse Olan formulates nursing
SITUATION 10: Nurse Olan works the diagnoses for her clients. She knows
day shift in the female medical unit. that a nursing diagnosis represents the:
Nurse Olan is aware that when caring
for clients, the nursing process can be A. Prepared plan of care.
an effective tool for communication.
B. Actual nursing interventions carried
46. Nurse Olan understands that the out.
MOST important aspect of
communication is to_____ C. Nursing judgments about the health
of her patients.

A. Observe the facial expressions of D. Actual or potential health

your patients. problems of her patients.

B. Clarify the statements made. 49. Nurse Olan collects data and begins
to develop a trust relationship with her
C. Listen to what is being said. clients. This activity is what aspect of
the nursing process?
D. Restate the words you hear from the
client. A. Evaluation

47. Which of the following activities will B. Implementation

Olan consider to validate effectiveness
C. Planning
of a nurse-client communication?

D. Assessment
A. Assessment of the physician.
50. Nurse Olan understands that the
B. Feedback from the client.
nursing process is a scientific method
and a proven form for:
C. Adaptation of the client to physiologic
changes.
A. Problem solving
B. Health education 52. Mr. M.E id brough to the medical
ward. The next day, he wants to know
C. Oral communication
about his illness. The nurse on duty

D. Cost containment replied, “You don’t need to know your

diagnosis”. Which of following rights of
SITUATION 11: Mr. M. E, 37 year old the patient is violated? Right to ______.
was accompanied by his wife and teen
age daughter to the out patient a. Obtain from his physician
department for complaints of fever, complete current information
concerning his diagnosis, treatment
fatiuge, malaise and painful swollen
and prognosis.
joints. The physician ordered that the
Mr. M.E be admitted to the hospital for b. Receive from his physician
observation and treatment. You are the information necessary to give informed
consent.
admitting nurse in the OPD. You found
out during the interview that Mr. M. E c. Expect reasonable continuity of care.
does not have a regular job. His wife
works as laundry woman. d. Considerate and respectful care,
irrespective of one’s socio- economic
51. Before admitting the client, you status.
should FIRST make sure that:
53. After five days of hospitalization, the
physician said Mr. M.E can be
a. The consent for admission is
signed by the client. discharged. He ordered medications to
be taken at home. The client is still weak
b. The consenr for admission is signed and symptomatic. Which of the following
by the wife and witnessed by the
rights could be violated in this case?
daughter.
Right to ____.
c. The client can pay his hospital bills.
a. Know hospital rules and regaulation
d. The consent form is signed by the
social worker. b. Privacy

c. Refuse treatment
d. Continuity of care c. Informed consent

54. Because Mr. M.E cannot pay for his d. Privacy

medical bills, he is referred to the social
SITUATION 12: Ms. Jenny is a charge
worker. Which of the following rights is
nurse of an oncology unit. She prepares
applicable on this case? The right to
a unit plan to improve the delivery of
___.
patient care and maximizing all human
and material resources of the unit.
a. Considerate and respectful care
irrespective of his socio-economics 56. Ms. Jenny implements a change in
status
the nursing delivery system from
b. Expect reasonable continuity of care functional to team nursing. This type of
nursing model of practice is:
c. Examine and receive an explanation
of his medical bills regardless of the
source of payment a. Nursing personnel are led by a
registered nurse in providing care to
d. Know what hospital rules and a group of patients.
regulation apply to his conduct as a
client.
b. A task approach method used to
provide care to patients.
55. The nurse discusses and shares the
medical records of Mr. M.E to a group of
c. Managed care concepts and tools are
visiting members of a medical mission used in providing patient care.
team. Which of the following rights could
be violated? The right to ___: d. A single registered nurse is
responsible for providing care to a group
of patients.
a. Expect that all communications and
records pertaining to his care should be 57. In implementing the change, Ms.
treated as confidential.
Jenny has the consensus of the staff

b. Obtain information regarding any and other personnel involved in the care
relationship of the hospital to another of patients. The main purpose of
health care and educational institution in
so far as his care is concerned.
achieving a consensus when making a 59. To ensure efficiency when
decision within a group is to ___. organizing daily workload, Ms. Jenny
reminds her staff that they should do
a. Demonstrate that staff member are which of the following:
flexible

a. Organize care around legally

b. Facilitate cooperative effort toward
required activities.
goal achievement

b. Plan activities to promote nursing

c. Explore possible alternate solutions
convenience

d. Ensure the use of effective autocratic

c. Perform routine bed baths between
decision making
8:00 to 10:00 in the morning.

58. Ms. Jenny is aware that there are

d. Provide care to a patient in isolation
nursing and other personnel who may first.
be resistant to the change and are not
taking an active part in facilitating the 60. Which of the following is the MOST
effective resource in helping a staff
process of change. To overcome
nurse identify a solution to a clinical
resistance to change, the MOST problem?
important action by Ms. Jenny would be
to ___. a. Other staff nurses in the unit

b. Nursing procedure manual

a. Emphasize the positive
consequences of the change
c. Organizational chart of the hospital

b. Identify the reason or reasons for

d. Nurse manager of the unit
the resistance

SITUATION 13: A 55 year old male is

c. State clearly and concisely the
purpose of the change admitted for complaints of joint pains,
weakness, muscle spasm and stiffness
d. Modify the objectives to appeal to when waking up in the morning. He was
more people holding key
diagnosed with Rheumatoid Arthritis
positionsistance
(RA).
61. Nurse Ray is aware that RA is a c. Ineffective individual coping related to
debilitating chronic auto-immune chronic pain

disease. The patient asks the nurse why

d. Self- care deficit related to increasing
his joints are becoming increasingly joint pains
painful. Which of the following
statements is TRUE about RA? 63. Nurse Ray develops a care plan for

Rheumatoid Arthritis ____. positioning the patient. Nurse Ray

instructs the patient to assume a

a. Is usually caused by the aging position that would ___:

process
a. Prevent venous stasis
b. Results from degenerative joint
damage b. Promote maximum support

c. Begins with inflammation of joints c. Prevent flexion deformities of the

synovial tissue joints

d. Affects only the weight bearing joints d. Decrease edema around the joints
of the body
64. Nurse Ray writes a nursing
62. The patient further complains that
diagnosis of activity intolerance related
he gets tired easily when helping his
to lack of energy conservation. Which of
wife in household chores. He further
the following activities would Nurse Ray
complains that whenever he walks, his
likely to choose to implement in
knee hurts. Based on this information,
response to the diagnosis?
Nurse Ray writes a nursing diagnosis.
Which of the following nursing
a. Encourage the patient to perform all
diagnoses is MOST appropriate? tasks planned for the day.

a. Activity intolerance related to b. Instruct the patient not to perform

fatigue and pain daily hygienic care until activity
intolerance improves.
b. Body image disturbance related to
fatigue and pain c. Administer narcotics to promote pain
relief and rest
d. Encourage the patient to alternate at risk for which of the following
periods of rest and activity imbalances?
throughout the day.

65. The patient is ready for discharge. a. Metabolic Alkalosis

He tell Nurse Ray, “I know it is important
b. Respiratory Alkalosis
to exercise my joints, so I won’t lose
mobility. But my joints are so stiff and c. Metabolic Acidosis
painful that exercise is difficult. “Which
of the following responses by Nurse Ray d. Respiratory Acidosis

is MOST appropriate?
67. The nurse assists in the care of a 30
year old male post surgical client
a. “Talk to your physician and tell him
undergoing nasogastric suctioning. The
how you feel. Maybe he can increase
nurse understands that clients with
the dosage of your pain medication”.
nasogastrics suction is MOST at risk
with what imbalances?
b. “Take a warm bath before
exercising. This may relieve some of
your discomfort.” a. Respiratory Acidosis

c. “You are probably exercising too b. Metabolic Alkalosis

much. Decrease your exercise to every
other day”. c. Metabolic Acidosis

d. “Stiffness and pain are part of your d. Respiratory Acidosis

ailment. You can learn to cope by
focusing on activities you enjoy”. 68. The nurse assesses a 32 year old
female client who appears very anxious,
SITUATION 14: The nurse cares for
restless and irritable. The client has
several clients with acid- based
marked increase rate and depth of
imbalances.
respirations. Based on the information
66. The nurse is aware that a client who gathered, the client is experiencing
has experienced cardiac arrest is MOST which of the following imbalances?
a. Respiratory Alkalosis b. ABGs assess the client’s oxygenation
status and acid- base status.
b. Metabolic Acidosis
c. ABGs provide information on blood
c. Metabolic Alkalosis parameters.

d. Respiratory Acidosis d. ABGs assess the client’s

electrolyte and fluid balance.
69. The female client who is very
SITUATION 15: Mila, a 35 year old
anxious and fidgety is blowing off to
female was brought in the Emergency
much carbon dioxide develops tingling
Unit complaining of cold, clammy skin,
sensation of the lips andfingers and is
disorientation, restlessness and
not able to control her respirations. The
confusion. The nurse suspects the
most appropriate nursing intervention for
patient is developing cardiogenic shock.
the client is to ___:
71. Nurse Victor who admitted patient
a. Instrust the client to blow her nose mila is aware that a decrease in cardiac
and take deep breaths
output results in a decrease in cerebral
blood flow. Which of the following
b. Administer oxygen
symptoms is one of the earliest sign of
c. Have the client breathe into a cardiogenic shock?
paper bag

a. Tachycardia
d. Administer intravenous fluids as
ordered
b. Altered level of consciousness
70. The nurse obtains a sample of a
c. Presence of fourth heart sound (S4)
client’s arterial blood gas (ABGs). Which
of the following statements is NOT true d. Decreased urine output
about ABGs?
72. Nurse Victor assesses patient Mila.

a. Interpretation of the client’s ABGs Decrease of which of the following

involves evaluation of pH, PCO2 and factors would help detect that the patient
HCO3; components of the ABGs.
is at risk in developing cardiogenic d. Monitoring central venous
shock? pressure

75. The physician prescribes a

a. Heart Rate
treatment plan for patient Mila. Nurse

b. Cerebral blood flow victor understands that the initial

treatment goal is which of the following?
c. Cardiac Index
a. Prevent infection
d. Blood Pressure
b. Correct metabolic acidosis
73. Nurse Victor reviews the medical
history of patient Mila. Which of the
c. Correct hypoxia
following conditions is the MOST
common cause of cardiogenic shock?
d. Increase myocardial oxygen
supply
a. Decreased hemoglobin level
SITUATION 16: Ms. Dong-a 35 year old
b. Hypotension
and a mother of two sought consultation

c. Acute myocardial infarction (MI) at the OPD. She claims that she felt a
lump on her breast while doing a self-
d. Coronary Artery Disease breast examination. On further
examination, nurse Matilde confirmed
74. Which of the following procedure
that the lump was felt in the upper outer
would be most helpful to nurse victor to
quadrant of the right breast.
confirm the underlying cause of
cardiogenic shock? 76. The nurse evaluates Ms. Dong-a for
breast cancer. Which of the following is
a. Monitoring pulmonary artery pressure a risk factor for developing breast
cancer?
b. Monitoring cardiac enzymes

a. Using foam contraceptives

c. Monitoring mean arterial pressure
using an intra-arterial line.
b. Having an early menarche before
the age of 12
c. Having an early menopause before d. Age of the patient
the age of 45
79. Ms. Dong-a appears to be worried
d. Giving birth to a first child before the and anxious. She asks the nurse what
age of 20
the doctor meant when told that she has

77. The nurse recalls that there are stage II cancer. The nurse explains that

other known risk factors for breast staging is based on the size of the

cancer such as family history, primary tumor. In Stage II, the tumor is

environmental and dietary factors. ____:

Which of the following is a best

established dietary factor breast a. 3 Cm in diameter and confined to
the breast
cancer?

b. Larger than 5 cm with involvement of

a. Fat- rich foods the internal mammary lymph nodes

b. Alcohol intake c. 2 cm or less in diameter and confined

to the breast
c. Carbonated Drink consumption
d. up to 5 cm or early metastasis to
d. Caffeine Consumption axillary lymph nodes

78. The nurse is aware that for breast 80. Based on further assessment,
cancer patients, the single and most biopsy result, Ms. Dong-a may have to
important predictor of outcome is the undergo mastectomy. The nurse
___: recognizes that mastectomy is the
treatment of choice when which of the
a. Presence of mastitis and an infection following condition apply?
process upon diagnosis
1. Tumor involves the nipple-areola
b. Presence of nipple discharge at the
time of diagnosis complex

c. Histologic status of the axillary 2. Tumor is larger than 7 cm

nodes
3. Tumor exhibits extensive b. Age
intraductal disease involving multiple
c. Gender
quadrant of the breast

d. Educational Attainment
4. Patient cannot comply with daily
radiation therapy 82. The dependent variables of this
study are which of the following:
a. 1,2 and 3
a. Cancer
b. 2,3 and 4
b. Physical Charcteristics
c. 1,3 and 4
c. Amount of serum concentration
d. 1,2,3 and 4
d. Physiologic outcomes
No correct answers
83. Nurse carol formulates the problem

SITUATION 17: Nurse Carol statement for the study. She

participated in a study the purpose of understands that a good problem has

the which is to determine the extent to which of the following characteristics:

which gender, age, weight and height The problem _____.

predict selected physiologic outcome,

namely: forced expiratory volume in one 1. Clearly and unambiguously

second, hemoglobin concentration, food identifies the variables under

intake, serum glucose concentration, consideration

total serum cholesterol concentration

and cancer related weigh change. 2. Clearly expresses the
relationship of the variable to one
81. The independent variable of this
another.
study are the following, EXCEPT:

3. Specifies the nature of the

a. Height and weight
population being studied.
4. Implies the possibility of empirical a. Psychological
testing.
b. Physiological

a. 1,3 and 4 c. Instrumentation

b. 1 and 3 d. Pharmacological

c. all of the options SITUATION 18: You and your friends

are enjoying a quiet meal in a
d. 2 and 4
restaurant. Suddenly you noticed that an
84. Nurse Carol determines the adult male customer was holding his
participants in the study. The sample of throat and apparently choking on his
the study will be every 5th person in the
food.
oncology unit. A table of random
numbers will be used to select the
86. You approach the person who is
beginning of the sampling with in the
first sampling interval. This is an apparently choking. What should you do
example of which sampling method? first?

a. Simple random sampling

a. Sweep the person’s mouth with your
finger.
b. Quota sampling

b. Apply sharp upward thrusts over the

c. Stratified random sampling
person’s sternum

d. Systematic sampling
c. Determine if the person can make
any verbal sounds.
85. Nurse Carol plans to use a method
of data collection that use technical d. Hit the middle of the person’s back
instruments to collect data the client’s firmly.
physical, chemical, microbiological and
87. You prepare to perform the Heimlich
anatomical status. Which of the
Maneuver on the conscious adult male.
following is a method appropriate for the
What are the step to be followed?
study?
Arrange the procedure in sequence.
1. Place the thumb side of the fist 3. Give five thrusts in and up with
just above the umbilicus and well below heel of the bottom hand.
the xiphoid process.
4. Make a fist
2. Make a fist
a. 1,2,3
3. Stand behind the victim
b. 1,2,3,4

4. Place arms around the victim’s c. 2,1,3

waist
d. 2,4,1,3
5. Perform five quick in and up
89. When you perform abdominal
thrusts (between the umbilicus and
thrusts during the heimlich maneuver,
xiphoid process
you are trying to __.

a. 2,5,3,4,1
a. Produce a burp to expel the foreign
body
b. 1,2,3,4,5

b. Pump the heart to push air out of the

c. 4,3,1,2,5
lungs

d. 3,4,2,1,5
c. Produce a rush of air that expels
the foreign body
88. If the victim is unconscious, the
sequence is: d. Put pressure on the stomach to expel
the foreigh body
1. Place the heel of one hand on top
90. If the victim is pregnant or obese,
of the bottom the umbilicus and xiphoid
which modification of the heimlich
process.
maneuver would be appropriate for this
person?
2. Straddle the victim’s thighs
a. Thrust against the middle of the c. “It’s been 3 months since you were
sternum rather than between the last here. How do you feel about
umbilicus and xiphoid process being back in the hospital?”

b. Perform thrusts gently, rather than d. “It’s nice to see you again. Do you
forcefully and discontinue the thrusts mss the hospital?”
after 6 tries, if unsucessful
92. The physician assessess the client
c. Place the fist with the pinkie finger, and recommends a partial bowel
rather than the thumb against the
resection and an ileostomy. The client
person’s body.
tells the nurse, “My doctor likes to play
d. Perform the thrusts with the person in smart. T’m sure the more he operates,
the supine, rather than standing
the better he likes it”. Which pf the
position.
following responses by the nurse would
SITUATION 19: The nurse cares for a ne most appropriate?
4o year old female admitted with a
diagnosis of chronic ulcerative colitis. a. ” Are you not being hard on your
doctors? He is trying to help you”.
The nurse tries to communicate
therapeutically with the client.
b. “What do you mean by that?”
91. The nurse recalls that this client is
c. “You sound upset. We can talk
her third admission in the last 8 months. about it, if you would like to.”
The client is familiar with the nurse.
Which of the following remarks by the d. “Is your remarks in any way have
something to do with your operation?
nurse would be most beneficial to the
client?
93. The client becomes increasingly
irritable thinking about her operation.
a. “You are back again. What is wrong
She is unpleasant to her visitors and
this time?”
refuses her medication and treatments.
b. “I don’t have to explain things to you. Which of the followingnursing
You have been here before anyway”. interventions would be therapeutics?
a. Encourage the client to direct her b. Let the client know that she is not the
anger to her family members. only one who experienced the operation

b. Continue performing assigned tasks c. Provide support for the plan of the
and duties as though nothing has physician regarding therapy of the client.
happened.
d. Convince the client that she will not
c. Encourage the client to discuss be disfigured and can still lead quality
her feeling and concerns. life.

d. Offer the client positive reinforcement SITUATION 20: Ms. Ada is a nurse
everytime she cooperates with her working in the surgical unit. She is
medications and treatments.
aware of her legal responsibilities as

94. The client refuses to eat her lunch she assists in the care of post operative

and angrily tells the nurse to get out of pateints.

her room. What would be the nurses’ 96. Which principle is applicable in a
best respnse? situation where a sponge was left inside
the abdomen of a patient who had an
a. “I’ll get you something to relax you”. exploratory laparotomy?

b. “You sound angry. What is

upsetting you?” a. Doctrine of Force Majeure

c. “Your anger does not bother me. I’ll b. Doctrine of Res Ipsa Loquitor
aback later”.
c. Doctrine of Viz major
d. “I’ll leave, but you need to eat”.
d. Doctrine of Respondeat Superior
95. The nurse made arrangement for a
former client who underwent ileostomy 97. Under the doctrine of respondeat

to talk with client. The reason for the superior, who among the following is

which is to ___: liable if the patient who had exploratory

previously was reopened and a piece of

a. Encourage the client and provide gauze was found in the abdominal
realistic information on ileostomy. cabity? The ___:
a. Instrument Nurse d. Negligence

b. Surgeon 100. Ms. Ada learned of a nurse in the

orthopedic ward who applied hot water
c. Operating Room Nurse
bottle over a paralyzed leg which

d. Assistant Surgeon consequently go burned. This is an

example:
98. The doctrine of respondeat superior
hold that: a. Malfeasance

a. The employer is responsible for b. Misdemeanor

the actions of his/her employee.

c. Malpractice

b. The employer is not responsible for d. Negligence

the actions of his/her employee.

c. The employee is not responsible for RECALLS 1 NP 5

his/her own actions.
RECALLS NP5
d. Using restraints without the patient’s
permission constitue false SITUATION 1: As a new RN, you are for
imprisonment. one-month orientation in the orthopedic
unit of the hospital.
99. Performing an act which a
resonable and prudent nurse would not 1. Which of the following methods of
do or the failure to perform an act which documentation uses a chronological,
a reasonble and prudent nurse would
have done under similar situations is story-telling format?
construed as___.
A. Computerized documentation
a. Misdemenor
B. Narrative charting
b. Malfeasance
C. Focus charting
c. Malpratice
D. PIE charting
2. Which of the following is the key issue 4. A staff nurse is seen making an entry
in malpractice actions brought against into an electronic medical record under
nurses in relation to medical records? another nurse’s login. What is the most
appropriate thing to do in this situation?
A. Failure to document the client’s
response A. Tell the staff nurse’s behavior to
another nurse
B. Failure to document medication and
treatment given B. The staff nurse’s activity should be
reported to someone in authority
C. Failure to document appropriately
C. Talk to the staff nurse about it
D. Failure to use medical terms
D. Just be quiet about the whole thing
3. You have observed the charge nurse
charting treatments and medications 5. Which of the following would be your
prior to actual administration and MOST appropriate action when
receiving a doctor's order over the
implementation. Which of the following
phone?
would be your initial action in this
situation? A. Have somebody beside you while
receiving the doctor’s order

A. Document what you have observed

B. Write down the telephone order
regarding the charge nurse’s behavior

C. Have the physician sign the

B. Talk to the charge nurse about the
telephone order first chance you see
legal implications of her action and
him
the violation of standards of practice

D. Read back or repeat the order the

C. Report the charge nurse’s behavior to
physician gave you
the nurse manager

6. A common response to unhealthy

D. Tell the charge nurse that you have
an obligation to report the behavior to work environment is physical tension.
the nurse manager This can be overcome by progressive
muscle relaxation which basically lifestyle modification which begins with
involves __________. ____________.

A. Focusing on an image to relax A. Eating the right kind of foods

B. Active physical exercise like aerobics B. A recognition of the impact of

unhealthy habits
C. Releasing muscles from tension.
C. Doing a regular daily exercise.
D. Listening to a relaxation audio
program. D. A constructive and positive attitude in
life.
7. Bio-behavioral interventions are being
used increasingly by both nurses and 9. Mark is a well-informed nurse on the
smoking cessation program of the
patients in stress management. The
Department of Health. As a next step to
following are examples of such his decision to stop smoking, Ace needs
intervention except ___________. ___________.

A. Commitment
A. Progressive muscle relaxation

B. Motivation
B. Pharmacotherapy

C. Information
C. Guided imagery

D. Skills to implement change

D. Mindful meditation

SITUATION 2: Mrs. Sophie Tan, a

8. Mark, a young overweight nurse, is
43-year old female came in for consult
making five to ten sticks of cigarettes a
with the chief complaint of severe pain
day. He claimed that he learned to
of both eyes. She claimed she
smoke to relieve his stress caused by
sometimes sees rainbow halos around
toxic assignments in the ward. Along
light. She also experiences nausea and
with the smoking he became a
vomiting, the attending physician gave
stress-eater. He decided to undergo a
an impression of Acute Angle-Closure
Glaucoma.
10. In assessing Mrs. Tan, what A. Disturbed sensory perception related
demographic data is/are RELEVANT to to severe pain

ocular movement?
B. Risk for ineffective therapeutic
regimen
A. Gender
C. Disturbed sensory perception related
B. Age at menarche to recent loss of vision.

C. Age and gender D. Grieving related to loss of vision

D. Race 13. Select the medication that should be

discussed by the nurse with the
11. An ophthalmoscopic examination attending physician before administering
was done to Mrs. Tan. The following it to Mrs. Tan
results are expected EXCEPT
____________.
A. Isoptocarpine eyedrops

A. Nonreactive pupil B. Corticosporin ophthalmic

B. Corneal cloudiness C. Mannitol

C. Erythematous conjunctiva D. Atropine

D. Decreased intraocular pressure

12. Vision loss for Mrs. Tan may 14. In a medically-managed patient with
progress as days go by and this is glaucoma, independent self-care is the
irreparable. An appropriate nursing area for evaluation. Which of the
diagnosis would be ___________. (C following is a short-term outcome for
has an incorrect etiology despite having Mrs. Tan?
correct Nursing problem Disturbed
sensory perception) A. Ability to recognize clinical
manifestations of complications

B. Mrs. Santos’ self-care ability

C. Compliance with the medical 17. The following are methods of
management charting, EXCEPT __________.

D. Mrs. Santos ability to instill eye

drops A. Sequential

SITUATION 3: Chelsea is a beginning B. Narrative

nurse in a government hospital. She still
C. POMR
needs enhancement of her
competencies in charting. D. Focus

15. Chelsea should know that in

SITUATION 4: You are a staff nurse in
narrative charting, documentation of
the Ear Unit of a government hospital.
patient care should be ____________.
As such, you are taking care of patients
with different ear conditions.
A. Extensive
18. Pau, a 25 year-old radio announcer
B. Formatted came in for consult with the chief
complaints of not being able to hear well
C. Chronologic
and inability to discriminate sounds he is

D. Descriptive hearing. An otoscopic examination was

done to her, which revealed that there is
16. Which statement is NOT true about sensorineural loss. This condition is due
medical record that Chelsea must
to damage to what part of the ear?
understand. Charts _____________.

A. Contents must be kept confidential A. Cochlea and auditory nerve

B. Can be borrowed by any nursing B. Vestibular nerve and cochlea

student
C. Middle ear and auditory nerve
C. Can be accessed by a researcher.
D. Outer ear and cochlea
D. Can be given out only with patient’s
consent
19. Which of the following is a D. Avoiding the use of cotton in cleaning
predisposing factor for sensory hearing the ears.

loss?
22. A patient came in with the chief
complaints of ringing in the ears and a
A. Serous otitis media
feeling of whirling around. The attending

B. Ototoxic agents physician suspects Meneire’s

Syndrome. To arrive at a correct
C. Otosclerosis diagnosis, the patient must be
manifesting these three symptoms:
D. Perforation of the eardrum
paroxysmal whirling vertigo; tinnitus;
20. Which of the following is useful in and _____________.
correcting a sensorineural hearing loss?
A. Conductive hearing loss
A. Nothing, the damage is irreversible
B. Bilateral symptoms
B. Myringotomy
C. Vomiting
C. Stapedectomy
D. Sensorineural hearing loss
D. Tympanolasty
SITUATION 5: You are a staff nurse in
21. One of your patients underwent the Psychiatric Unit of the hospital
tympanoplasty. Which of the following taking care of patients with manic
disorder. The following questions relate
interventions is the MOST
to this statement.
APPROPRIATE after a tympanoplasty?
23. What would be your MOST
A. Applying ear drops as ordered by therapeutic response to a manic patient
the physician demanding that you call his attending
physician to make an order for a pass to
go out at the middle of the night?
B. Teaching the patient to avoid heavy
physical activity for at least three weeks.
A. “You go to the recreation hall now
C. Rinsing ear three times a day using while I call your attending physician”
hydrogen peroxide as ordered
B. “You must really be upset to want a C. The intrusive behavior of a manic
pass immediately. I will give you a patient is not a threat to other patients.
medication to make you calm.”
D. Other patients need to be
C. “I can’t call your physician now protected from the intrusive behavior
but you can talk to me about your of other patients.
request to pass.”
26. A patient is manifesting some manic
D. “Don’t be unreasonable. I can’t call depression. Which of the following
your attending physician in the middle of
activities would you provide to distract
the night”
such patient?
24. One of your patients lacks food and
fluid intake due to poor appetite. What A. You let the patient go for a walk
foods would BEST meet the patient’s
nutritional needs? B. Give him a book to read.

C. Let him watch the final game of the

A. Steak and spaghetti UAAP

B. Peanut butter, sandwich and milk D. Let him play checkers with another
patient.
C. Carrots, celery, raisins, apple
27. What therapeutic activity would you
D. Beef and non-diet soda provide a patient with mania?

25. During lunchtime you have observed A. Doing ceramics and whittling
that a patient with mania taking food
from other patient. What principle would B. Playing cards and checkers

guide you in determining the appropriate

C. Playing bingo and knitting
intervention in this situation?
D. Drawing and folding towels
A. The patient needs foods and fluids
any way possible SITUATION 6: You are a staff nurse in a
Rehabilitation Center for Substance
B. The patient will calm down as soon Abuse.
as lunchtime is over.
28. You admitted an intoxicated patient 30. Which of the following assessment
for alcohol withdrawal. Which of the data provides the best information on
following interventions should you the patient’s physiologic response and
implement to help the client become the effectiveness of the medication
sober? prescribed for alcohol withdrawal?

A. Have the patient take a cold shower A. Sleep pattern

B. Walk the patient around the unit B. Evidence of tremors

C. Provide the patient a quiet room to C. Vital signs

sleep in
D. Nutritional status
D. Give patient a black coffee to drink
31. One of your patients is manifesting
29. While obtaining the history of a signs and symptoms of alcohol
patient with several cases of driving withdrawal such as: tremors,
under the influence of alcohol, you diaphoresis, and hyperactivity. Blood
asked about the amount of alcohol the pressure is 190/92 mm.Hg and pulse
patient consumes daily. He answered “I rate of 92 beats/min. which of the
just have a few drinks with the guys following medications should you expect
after work”. Which of the following would to be ordered for this patient?
be your MOST therapeutic response?

A. Lorazepam (Ativan)
A. “That’s all the patients here say at
first”. B. Naloxone (Narcan)

B. “You say you have a few drinks, C. Haloperidol (Haldol)

but you have a multiple arrests”.
D. Benztropin(Cogentin)
C. “I think you cannot handle a few
drinks”. 32. A patient discharged from an alcohol
rehabilitation program was on
D. “Then you should have somebody
driving for you”. Clonazepam (Klonopin) 0.5 mg. three
times a day. Several months later he A. To help control the intra-ocular
reported having insomnia, shakiness, pressure.

sweating, and one seizure. Which of the

B. To dilate the patient’s pupils
following questions should you ask
FIRST? Ask if he _____________. C. To treat an eye infection

D. To constrict the patient’s pupils

A. Has stopped taking the Klonopin
suddenly
34. You have observed presence of
B. Has been drinking alcohol with the drainage in Maureen’s eyes. Which of
Klonopin the following eye solutions would you
use in cleaning her eyes?
C. Has developed tolerance to the
Klonopin and needs to increase the
dose. A. Hydrochloric acid

D. Is having a panic attack and needs to B. Normal saline solution

take extra Klonopin.
C. Mineral water
SITUATION 7: You are a staff nurse in
the Eye Unit of the hospital. In the D. Soapsuds solutions
regular Quality Circle meeting one of the
35. In instilling the eye drops you have
matters discussed was the increasing
to tilt the back slightly Maureen’s head.
complaints of patients who underwent
Which of the following is the rationale for
eye surgery in relation to instillation of
this nursing action?
eye drops. The case of Maureen who
has cataract surgery was presented as
A. To prevent any spill from the eye
a frame of reference in the reviewing the during the procedure
procedure on eye drops instillation.
B. To keep any debris away from the
33. Which of the following is the lacrimal duct.
rationale for instilling eye drops to
patients who has eye surgery? C. To facilitate the procedure.
D. To reach the conjunctival sac SITUATION: Nurse Jen who is on-duty
easily. in a psychiatric unit is assigned to care
for patients at-risk for suicide.
36. You accidentally touch Maureen’s
eyelid during eye drop instillation 38. Nurse Jen should pursue
causing her to blink. What should have assessment of suicide risk for
you done to prevent this from occurring? individuals who display tendencies to be
_____________.
A. Touch the inner side of the medicine
cap A. Compulsive, obsessive, or weak

B. Tilt back Claudia’s head slightly B. Risk-taking, aggressive, or controlling

C. Hold the dropper close to the eye but C. Hostile, impulsive, or depressed
do not allow the medication to fall into
the cornea.
D. Blaming, abusive, or confused

D. Have Claudia look up and focus on

39. On admission, the nursing
something
diagnosis for Felix, who is depressed
37. You cannot open Maureen’s eyes and suicidal is, “Risk for suicide.” An
due to dried crust. Which of the appropriate outcome for this diagnosis
following actions would you do? at discharge from the hospital is, “The
patient will _____________.
A. Apply the eye drops the next day
A. Not harm self while hospitalized
B. Apply eye ointment to soften the
crust. B. Be able to problem-solve
effectively
C. Instill eye drops
C. Increase feelings of self-worth
D. Place a warm wet wash cloth over
her eyes for at least three minutes. D. Develop a trusting relationship with
the nursing staff.
40. Which of the following statements 42. In evaluating the effectiveness of the
would BEST represent Nurse Jen’s care provided for a self-destructive
attempt to assess a patient’s current patient, the BEST approach is to
ability to organize and enact a suicide __________.
wish?
A. Modify the plan as little as possible to
A. “What is your educational avoid confusing the patient.
background?”
B. Make sure the staff has followed the
B. “What plan do you have for original care plan.
committing suicide?”
C. Involve the patient in the process
C. “Have you ever thought about hurting of evaluation.
yourself?”
D. Identify maladaptive coping
D. “Are your self-destructive thoughts behaviors.
frequent?”
SITUATION: The nurse’s work
41. A male suicidal patient is found by environment plays a vital role in her
Nurse Jen as he tries to hang himself in ability to provide quality patient care.
the bathroom. What nursing intervention Inadequate resources in health care and
would address the patient’s need for unhealthy conditions in the workplace
safety while maintaining his result to nurse’s work stress.
self-esteem?
43. Burnout is a phenomenon that is
BEST characterized by
A. Advise him to use the bathroom only
_____________.
with staff supervision.

B. Tell him that the police is coming to A. Emotional exhaustion:

rescue him. depersonalization: and reduced
personal accomplishment
C. Place him in the seclusion room
with 15-minute checks. B. Growing dissatisfaction among
nurses due to changing career
D. Assign a nursing staff to remain with expectations.
him all times.
C. Increased absenteeism and fast tools is APPROPRIATE to be utilized as
turnover of nurses due to toxic work a guide for their time management?
environment.

D. Conflict between demands of work A. Pre chart

and family.
B. Radar chart
SITUATION: Mr. Ramos, a post-
operative, was given Amoxycillin at 12 C. Process of flow chart

midnight by the nurse on duty (NOD).

D. Gantt chart
The physician asked the patient during
his rounds if he has receive the drug, SITUATION: You are a staff nurse in the
the patient answered “NO”. The Ear Unit of the hospital. A common
physician clarified the claim from the condition you encounter is hearing
chart and from the chart and from the disorder which often results in
NOD. communication problems. The following
questions refer to these statements.
44. Which of the following is the primary
reason why the physician wanted to 46. The daughter of an older adult
clarify the process?
patient reports that her father just
“stares off into space” more and more in
A. Measures the turnaround time of
medication the last several months. However, once
she gets his attention her father eagerly
B. Better communication with patient smiles and nods. You should assess the
and result
patient further for ______.
C. Identify gap in the medication
administration A. Hearing loss

D. Improve care management in drug B. Anger

administration
C. Dementia
45. The approach adopted by quality
circle team was presented to top D. Depression
management. Which of the following
47. Which of the following should the 6) Talking to the patient while doing
nurse do FIRST when approaching a other nursing procedures
deaf patient?
A. 1, 2, 3, 5
A. Get the patient’s attention

B. Knock on the patient’s room loudly

B. 2, 3, 6
C. Talk while walking into the room
C. 2, 3, 5, 6
D. Close and open the vertical blinds
rapidly D. 1, 4, 6

48. You have a patient who is hearing 49. The patient with a hearing aid does
impaired and reads speech. Which of not seem to hear you whenever you talk
the following strategies should you to him. What would be your PRIORITY
incorporate when communicating with nursing action?
him? Select all that apply.
A. Irrigate the ear canal
1) Avoiding being silhouetted
B. Contact the patient’s audiologist
against strong light
C. Check the hearing aids placement
2) Not blocking out the person’s
view of the speaker’s mouth D. Cleanse the hearing aid ear mold
with normal saline

3) Facing the patient when talking

4) Having bright light behind so the 50. You have a 75 year old patient who
individual can see has been taking furosemide (Lasix)
regularly for four months now tells you
5) Ensuring the patient is familiar that he is having trouble hearing. What
with the subject material before would be your BEST response to this
discussing statement?
A. Schedule the patient for audiometric D. Results in poor judgement
testing and a hearing aid
52. The nurse asked Mrs. Chiqui for her
B. Tell the patient that because of his children’s and grandchildren’s names.
age it is inevitable that his hearing
This is to assess Mrs. Chiqui’s:
should begin to deteriorate

C. Having the patient immediately A. Remote Memory

report the hearing loss to his
physician B. Recent Memory

D. Tell the patient the hearing loss is C. Attention Span

only temporary, when his system adjust
to the furosemide his hearing will D. Orientation Status
improve
53. Which of the following outcome
SITUATION: Mrs. Chiqui, a 78 year old
criteria would be the MOST
widow, was brought to the clinic by her
APPROPRIATE for Mrs. Chiqui?
son with the chief complaint of constant
confusion, incontinence, and tendency
A. Follow an established schedule for
to wander. Mrs. Chiqui has a diagnosis
activities for daily living.
of cognitive impairment disorder.
B. Learn new coping mechanisms to
51. The son of Mrs. Chiqui informed the handle anxiety.
nurse that his mother seemed to be
inventing stories about certain personal C. Return to an adequate level of
functioning.
achievements. The nurse identifies this
as confabulation and interprets it
D. Seek out resources in the community
correctly as ________. for support.

54. The nurse spent time talking to Mrs.

A. Indicates a lack of ego-integration
Chiqui’s son. She gathered that the son
B. Results to tendency to lie is the primary caregiver. To explore and
to prevent burn-out in the son, which of
C. Helps to maintain self-esteem
the following nursing actions must the has recently been confined for
nurse do? pneumonia after an on and off flu-like
symptoms. She suspects he has HIV
A. Assess degree of understanding of because of his “closeness to a guy who
family systems and coping mechanisms. has overtly expressed his feelings on
him.”
B. Explore individual dynamics and
personal coping. 56. Min wants to know his BF’s real
diagnosis even through a private
C. Explore the support system available message in Facebook. The following
for Mrs. Chiqui’s son. information that all employees are
enjoined to observe strictly.
D. Identify the spiritual support system
of the family.
I. Operate and hold
diagnosis under strict confidentiality
55. The nursing diagnosis MOST
APPROPRIATE for Mrs. Chiqui’s son
II. Sign a non-disclosure agreement
would be _____.
between nurses and their patients.

A. Sleep pattern disturbance

III. Abide with the institution’s privacy
B. Caregiver role strain and security policies.

C. Social isolation
IV. Disclose only the result of the test

D. Risk violence to the patient himself. In terms of

legalities, which of the following should
SITUATION: Min is 19 years old, a Nurse Liz explain to Min?
grade 12 student. She recently
confessed to Nurse Liz that she had A. II, III, IV
sexual intercourse with her boyfriend
(BF), 18 years old classmate of hers. B. I, II, III

She believes that she is pregnant

C. I, II, III, IV
because she missed menstruating for 3
months. She also related that her BF D. I, II, IV
57. Nurse Liz can also explain the B. Submit herself for Elisa Test
purpose of security measures for data considering window period.

protection which is to maintain the

C. Wait until the baby is born.
availability, integrity and confidentiality of
personal data of all patients. D. Go for Elisa Test immediately

59. In case the personal data of Min’s

I. Unlawful destruction
BF has been accessed accidentally by
“somebody”, who has the right to file a
II. Alteration complaint?

III. Disclosure A. Min’s BF

B. The other guy

IV. Unlawful processing
C. the parents
Which of the following actions of
D. Min
anybody is against personal data
protection? 60. How long should personal data of an
HIV patient be stored on laptops or
A. I,II, III other portable devices which permits his
identification? For as long as
B. II, III, IV
__________.
C. I, II, III, IV
A. The patient likes
D. I, III, IV

B. His doctor likes

58. To erase the doubt of Min as to
whether she has been infected with HIV
C. It is needed as part of an
by her BF, what is the BEST advice of international or national research
the nurse?
D. It is necessary for the purpose for
which it was collected and processed
A. Wait until you have access to the
diagnosis of your BF.
SITUATION: Inadequate resources in D. Regular daily exercise
health care and unhealthy conditions in
63. Jerry is a young adult nurse who
the workplace cause work stress among
smokes 5 to 10 cigarette sticks a day.
nurses. The nurse’s work environment
He is a well-informed nurse on the
plays a vital role in her ability to provide
“smoking cessation program”. As a next
quality patient care. The following
step to his lifestyle change, Jerry needs
questions relate to this situation.
_______.
61. Burnout is a phenomenon that is
best characterized by ____________. A. Information

A. Conflict between personal and B. Motivation

professional life
C. Skills to implement change
B. Emotional exhaustion,
depersonalization, and reduced D. Commitment
personal accomplishment
64. A common response to an unhealthy
C. Increased absenteeism and fast work environment is physical tension
turn-over of nurses due to toxic work
which can be overcome by progressive
environment
muscle relaxation. Basically, this
D. Growing dissatisfaction due to involves:
changing career expectations

A. Listening to a relaxation audio

62. Lifestyle modification begins with
program for auto-suggestion
_______.
B. Releasing muscles from tension
A. Learning how to read food labels and
eating the right kinds of food C. Active physical exercise to unwind
like aerobics exercise
B. Recognizing the impact of
unhealthy habits D. Focusing to an image to relax

C. Constructive and positive attitudes in 65. Nurses and patients are increasingly
life getting empowered by learning stress
management. All of these are B. Improve alertness
bio-behavioral interventions in stress
C. Improve daytime drowsiness
management EXCEPT:

D. Control cataplexy
A. Progressive muscle relaxation
68. Good sleep hygiene is given
B. Pharmacotherapy emphasis when counseling a narcoleptic
patient. Which of the following is NOT
C. Mindful meditation considered as such? Encourage the
patient to _______.
D. Guided imagery
A. Do active exercises
SITUATION: Mr. Elmo, a 43 years old
writer, was diagnosed with narcolepsy. B. Ensure a quality sleep environment

66. All of the following are characteristic C. Avoid daytime naps

signs/symptoms of Narcolepsy
D. Avoid stimulants such as caffeine,
EXCEPT:
nicotine and alcohol near bedtime.

A. Excessive daytime sleepiness 69. Depression and decreased quality of

life are frequently reported to be
B. Sleep-onset Rapid Eye Movement
experienced by narcoleptic patients.
(REM) periods
Which of the following is NOT a major
C. Disturbed nocturnal sleep contributory factor to these two
conditions?
D. Cessation of breathing for 10
seconds
A. A healthy ego
67. Patients diagnosed with Narcolepsy
B. Disrupted social and occupational
are given Methylphenidate (Ritalin). The
roles
rationale for giving this drug is to
_______. C. A strong superego

D. Low self-esteem
A. Lengthen sleep hours
70. Cataplexy is experienced by many 72. A patient tells you that he is
narcoleptic patients. Which of the transsexual. Knowledge of which of the
following BEST DESCRIBES this following is MOST representative as the
condition? basis for APPROPRIATE care for this
patient?
A. Lapse of awareness
A. Sexual anatomy is not consistent
B. Occurs at sleep onset with gender identity

C. Experienced upon awakening B. Sexual attraction is to the individuals

with different gender
D. Sudden loss of muscle tone
C. Gonadal gender, internal organs, and
SITUATION: As a professional nurse, external genitals are contradictory
you meet patients with problems related
D. Gender identity is altered by acute
to sexuality and identity. The following
psychosis
questions relate to this statement.
73. A patient tells you he has a problem
71. Sex is one topic patients feel
related to masturbation. Which of the
uncomfortable discussing with the nurse
following is TRUE regarding
for which of the following reasons?
masturbation?
Patients _______.

A. Masturbation is a manifestation of
A. Prefer to discuss sex with health care
psychological imbalance
provider of the same sex

B. Masturbation is a way people learn

B. Assume that sex is something that
about their sexual response
is not discussed with strangers

C. Most people do not masturbate when

C. Are mostly knowledgeable about sex
they become adults
and the accompanying problems

D. Teen-age masturbation affects

D. Feel to be embarrassed to introduce
academic achievement
the topic of sex
74. A male patient is beginning to take Ear examination revealed damage to
an antidepressant medication. What the middle ear.

information should the nurse include in

76. Which of the following ear
her health teaching as to its side
assessments is a rough estimate of the
effects?
ability to hear?

A. Decreased sexual desire

A. Weber test

B. Better performance in sexual

B. Whisper test
activities

C. Audiometry
C. Premature ejaculation

D. Rinne test
D. Better performance in bed

77. When there is damage to the middle

75. A female patient reports having
ear it will result to:
dyspareunia. The MOST
APPROPRIATE for the nurse to ask is
A. Conductive loss
______.

B. Nerve deafness
A. “Do you have pains in your breast
when you have coitus?” C. Mixed loss

B. “Have you had these spasms since D. Sensorineural loss

you became sexually active?”
78. Which of the following is a
C. “Do you usually have pains before predisposing factor for a sensorineural
your period begins?” hearing loss?

D. “Have you talked with your partner A. Perforation of the eardrum

about this discomfort?”
B. Ototoxic agents
SITUATION: Mrs. Nunez, a 77 year old
widow came in with the chief complaints C. Otosclerosis
of difficulty hearing high pitched sounds.
D. Serous otitis media
79. Which of the following statements is 81. Which of the following nursing
TRUE in correcting a sensorineural actions would be your priority during
hearing loss? your initial interaction with Mr. Rancap?

A. Sensorineural hearing loss is A. Free the environment obstacles

irreversible
B. Offer to read written information
B. Sensorineural hearing loss can be
corrected by stapedectomy C. Ask Mr. Bang, “How can I help you?”

C. Sensorineural hearing loss can be D. Identify yourself as you approach

corrected by ossicular reconstruction Mr. Rancap and before you make a
physical contact.
D. Sensorineural hearing loss can be
corrected by myringotomy 82. Which of the following ethical
principles are in conflict with this case?
80. What is a high priority risk for the
older adult with age-related changes in
the vestibular structure of the ear? A. Autonomy and non-maleficence

A. Infection B. Respect for person and

non-maleficence
B. Medication errors
C. Distributive justice and respect for
person
C. Falls

D. Autonomy and beneficence

D. Food intolerance

83. Mr. Rancap’s driving without license

SITUATION: Mr. Rancap, a 75 year old
can result in a violation of which ethical
retired politician has been recently
principle?
diagnosed as legally blind. His driver’s
license has been revoked. You have
seen him driving alone to the local A. Respect for person

grocery store several times.

B. Beneficence

C. Autonomy
D. Non-maleficence The following questions related to these
statements.
84. Mr. Rancap had a fall needing
hospitalization. All his benefits were 86. What element distinguishes a true

given to him just like any senior citizen experimental research from a

with the same condition. This ethical quasi-experimental research?

principle is upheld in this situation:

A. The use of non-probability sampling

A. Beneficence
B. Lack of random assignment of
subject to group
B. Respect for person

C. Size of the sample

C. Autonomy

D. The introduction of experimental

D. Distributive justice
treatment.

85. Which principle should have

87. You want to determine the effect of
pre-eminence as you proceed to work a planned exercise on low-back pain.
with Mr. Rancap Which of the following research designs
would be MOST APPROPRIATE to use
in this study?
A. Autonomy

A. Posttest only control group design

B. Respect for person

B. One-shot case study

C. Nonmaleficence

C. Pretest-posttest control group

D. Beneficence
design

SITUATION: As a beginning
D. One group pretest-posttest design
professional nurse one of the
competencies expected of you is to 88. Which of the following is a type of
engage in research. Basic knowledge in probability sampling?
research, therefore, is very important.
A. Cluster
B. Purposive D. Purposive sampling

C. Quota SITUATION: Mr. Josh, a 35 year old

dancer consulted at the Out-Patient
D. Convenience
Department with the chief complaints of

89. You want all people who are disorientation, abdominal pain, nausea,

currently institutionalized for psychiatric and excessive perspiration. He claimed

problems to participate in your study. to be seeing his mother and heard her

This is an example of ____________. calling his name. Upon admission the

vital signs were: T = 38.5 degrees

A. Universal population centigrade; PR = 110/min; BP = 130/90.

Mr. Josh is a known alcoholic.
B. Target population
91. Which of the following frameworks
C. Element does not support the cause of
substance abuse?
D. Sample

A. Physiologic framework
90. You want to determine the difference
of the anxiety level between male and B. Psychological framework
female patients scheduled for abdominal
surgery. The first 30 males and the first C. Biologic framework
30 females who are admitted to the
D. Socio-cultural framework
hospital at the time of the study would
be asked as study participants. This is
an example of what sampling
technique? 92. For the nurse to establish a
therapeutic relationship with and
A. Fish ball technique providing treatment for a client with
substance related disorder, he/she must
B. Simple random
have:

C. Quota sampling
A. Knowledge of assessment tools used 95. You want to find out the coping skills
to determine if substance abuse exist among young adults with substance
abuse disorder. Which research method
B. Knowledge of existing programs to
help people with substance abuse will you utilize to answer the research
disorder question?

C. Self-awareness about substance

A. Survey
use and abuse

B. Mixed methods
D. Information on patient’s beliefs about
drug and alcohol use
C. Quantitative
93. Mr. Josh’ clinical manifestation were
D. Qualitative
manifestations of:

SITUATION: Your patient, Mrs. Edna,

A. Impending brain attack who was diagnosed with Alzheimer’s
Disease, is soon to be discharged. You
B. Impending heart attack scheduled a family conference to
discuss some concerns regarding Mrs.
C. Severe alcohol withdrawal Edna’s condition.

D. Severe anxiety 96. You explained to the family

members that there will be times Mrs.
94. For cases like that of Mr. Josh’, the Edna will feel agitated and fatigued. To
physician will most likely order ______. MINIMIZE if not totally prevent this
situation, you would suggest to
A. Ativan _______.

A. Make mealtime pleasant

B. Serax
B. Provide activities for her

C. Naltrexone
C. Avoid noisy activities in the house
and schedule rest period for her
D. Diazepam
D. Provide a consistent routine for Mrs. Edna. Your MOST APPROPRIATE
her answer would be ________.

97. A family member asked how they

A. “I will call Mrs. Edna’s doctor to
can help minimize Mrs. Edna’s
explain to you more about Alzheimer’s
disorientation to time. Your answer Disease”.
would be to:
B. “What information regarding
Alzheimer Disease has been given to
A. Encourage talking with friends on the
you by her doctor.
phone

C. “Do you want to discuss with me

B. Place clocks and calendars at
specific concerns that bother you
prominent places
most?”

C. Keep windows wide open

D. “I will refer your case to the social
worker”
D. Provide adequate lighting especially
in hallways, stairways and bathrooms
100. You pointed out to the family that
an important aspect of Mrs. Edna’ is the
98. A concern regarding physical safety
promotion of adequate nutrition. To
came up during the conference. You
address this concern, you would
would recommend to________.
suggest to:

A. Always close the doors and windows

A. Provide adequate lightning in the
B. Provide adequate lighting dining room
especially in hallways, stairways and
bathrooms B. Reduce noises and distractions
during mealtime
C. Use non-verbal communication
C. Do some active exercise before
D. Reduce noises and distractions mealtime

99. A family member expressed that D. Keep mealtime pleasant and serve
foods similar to her
they may not have the ability to care for