of the client.

Which of the following is the most appropriate

NP1 action by the nurse?
JUNE, 2008 NLE
A. Hold the nurse administration of the client’s
GENERAL INSTRUCTIONS: medication and refer to the head nurse
B. Put aside the medications she prepared and
1. This test booklet contains 100 test questions. instead administer the client’s medications
C. Tell the client that she will inform the
2. Read INSTRUCTIONS TO EXAMINEES printed on
physician about this
your answer sheet.
D. Bring the medications of the client to the
3. Shade only one (1) box for each question on your
nurse’s station and prepare accordingly
answer sheets. Two or more boxes shaded will
invalidate your answer.
Situation – You are a newly hired nurse in a tertiary hospital. You
4. AVOID ERASURES.
have finished your orientation
5. This is PRC property. Unauthorized possession,
program recently and you are beginning to assimilate the culture
reproduction, and/or sale of this test is punishable
of the profession.
by law. Per RA 8981.
6. Using Benner’s stages of nursing expertise, you are a
beginning nurse practitioner. You will
INSTRUCTIONS: rank yourself as a/an:
1. Detach one (1) answer sheet from the bottom of A. Competent nurse C. Proficient
your Examinee ID/Answer Sheet nurse
Set. B. Novice nurse D.
2. Write the subject title “Nursing Practice I” on the Advanced beginner
box provided.
3. Shade Set Box “A” on your answer sheet if your test 7. Benner’s “Proficient” nurse level is different from the other
booklet is Set A; Set Box “B” if your test booklet is levels in nursing expertise in
Set B. the context of having:

Situation – Accurate computation prior to drug administration is A. The ability to organize and plan activities
a basic skill all nurses
must have. B. Having attained an advanced level of
education
1. Rudolf is diagnosed with amoebiasis and is to received C. A holistic understanding and perception
Metronidazole (Flagyl) tablets of the client
1.5 gm daily in 3 divided doses for 7 consecutive days. Which of D. Intuitive and analytic ability in new situations
the following is the correct dose of the drug that the client will
received per oral administration?
8. As you become socialized into the nursing “culture” you become
A. 1,000 mg tid C. a patient advocate.
1,500 mg tid Advocacy is explained by the following EXCEPT:

B. 500 mg tid D.
50 mg tid
A. Respecting a person’s right to be autonomous
B. Demonstrating loyalty to the institution’s
2. Rhona, a 2 year old female was prescribed to receive 62.5 rights
mg suspension three times C. Shared respect, trust and collaboration in
a day. The available dose is 125 mg/ml. which of the following meeting health needs
should Nurse Paolo prepare for each oral dose? D. Protecting and supporting another person’s
rights
A. 5 ml C.
2.5 ml
B. 1.5 ml D. 9. Modern day nursing has led to the led development of the
10 ml expanded role of the nurse as seen in the function of a:

3. The physician ordered Potassium Chloride (KCL) in D5W 1
liter to be infused in 24
hours for Mrs. Gomez. Since Potassium Chloride is a high risk
drug, Nurse Robert used an intravenous pump. Which of the
following should Nurse Robert do to safely administer this drug?
A. Check the pump setting every 2 hours
B. Teach the client how the infusion pump
operates
C. Have another nurse check the infusion pump
setting
D. Set the alarm of the pump loud enough to be
heard
4. Baby Liza, 3 months old, with a congenital heart deformity,
has an order from her
physician: “give 3.00 cc of Lanoxin today for 1 dose only”. Which
of the following is the most appropriate action by the nurse?
A. Clarify order with the attending physician
B. Discuss the order with the pediatric heart
specialist in the unit
C. Administer Lanoxin intravenously as it is the
usual route of administration
D. Refer to the medication administration record
for previous administration of Lanoxin
5. When Nurse Norma was about to administer the
medications of client Lennie, the relative of
Lennie told the nurse that they buy her medicines and showed
the container of medications
A. Clinical nurse specialist C.
Community health nurse
B. Critical care nurse D.
Staff nurse
10. You join a continuing education program to help you:
A. Earn credits for license renewal
B. Get in touch with colleagues in nursing
C. Enhance your basic knowledge
D. Update your knowledge and skills related
to field of interest
Situation – Mr. Jose’s chart is the permanent legal recording of all
information that relates to his health care management. As such,
the entries in the chart must have accurate data.
11. Mr. Jose’s chart contains all information about his health
care. The functions of records include all except:
A. Means of communication that health team
members use to communicate their
contributions to the client’s health care
B. The client’s record also shows a document of
how much health care agencies will be
reimbursed for their services
C. Educational resource for student of nursing
and medicine
1
 D. Recording of actions in advance to save A. The nurses check client’s identification
band before giving medications
time
B. The nurse reports adverse reaction to drugs
C. Average waiting time for medication
administration is measured
D. The unit has well ventilated medication room

An advantage of automated or computerized client care

system is:

A. The nursing diagnoses for a client’s data can

be accurately determined
B. Cost of confinement will be reduced
C. Information concerning the client can b 19. Which of the following actions indicate that Nurse Jerome
easily updated
is performing outcome evaluation
D. The number of people to take care of the of quality care?
client will be reduced
A. Interviews nurses for comments regarding
Information in the patient’s chart is inadmissible in court
staffing
as evidence when: B. Measures waiting time for nurse’s arrival
when client calls and patient’s
A. The client’s family refuses to have it used satisfaction
B. The client objects to its use
C. Checks equipment for its calibration schedule
C. The handwriting is not legible D. Determines whether nurses perform skin
D. It has too many abbreviations that are
assessment every shift
“unofficial”

Nursing audit aims to: 20. An order for a client was given and the nurse in charge of
the client reports that she has no
experience of doing the procedure before. Which of the following
A. Provide research data to hospital personnel
is the most appropriate action of the nurse supervisor?
B. Study client’s illness and treatment regimen
closely A. Assign another nurse to perform the
C. Compare actual nursing done to procedure
B. Ask the nurse to find way to learn the
established standards
procedure
D. Provide information to health-care providers C. Tell the nurse to read the procedure manual
D. Do the procedure with the nurse
A telephone order is given for a client in your ward. What
is your most appropriate action? Situation – Oral care is an important part of hygienic practices
and promoting client comfort.
A. Copy the order on to the chart and sign the
physician’s name as close to his original
signature as possible
21. An elderly client, 84 years old, is unconscious. Assessment
of the mouth reveals excessive
B. Repeat the order back to the physician,
dryness and presence of sores. Which of the following is BEST to
copy onto the order sheet and indicate
use for oral care?
that it is a telephone order
C. Write the order in the client’s chart and have
the head nurse co-sign it A. Lemon glycerine C.
D. Tell the physician that you can not take the Mineral oil
order but you will call the nurse supervisor B. Hydrogen peroxide D.
Normal saline solution
Situation – Errors while providing nursing care to patients must
be avoided and minimized at all time. Effective management of
available resources enables the nurse to provide safe, quality 22. When performing oral care to an unconscious client, which
patient care. of the following is a special consideration to prevent
aspiration of fluids into the lungs?
16. In the hospital where you work, increased incidence of
A. Put the client on a sidelying position
medication error was identified as the number one problem with head of bed lowered
in the unit. During the brainstorming session of the nursing
B. Keep the client dry by placing towel under the
service department, probable causes were identified. chin
Which of the following is process related?
C. Wash hands and observe appropriate
infection control
A. Interruptions C. Lack of D. Clean mouth with oral swabs in a careful and
knowledge an orderly progression
B. Use of unofficial abbreviations D. Failure
23. The advantages of oral care for a client include all of the
to identify client
following, EXCEPT:
Miscommunication of drug orders was identified as a
probable cause of medication errors. Which of the following is A. Decreases bacteria in the mouth and teeth
safe medication practice related to this? B. Reduces need to use commercial
mouthwash which irritate the buccal
A. Maintain medication in its unit dose package mucosa
until point of actual administration
B. Note both generic and brand name of the C. Improves client’s appearance and self-
medication in the Medication Administration confidence
Method D. Improves appetite and taste of food
C. The physician should use approved
universal abbreviations
D. Encourage clients to ask question about their
24. A possible problem while providing oral care to
medications. unconscious clients is the risk of fluid
aspiration to lungs. This can be avoided by:

. The hospital has an ongoing quality assurance program. A. Cleaning teeth and mouth with cotton swabs
Which of the following indicates soaked with mouthwash to avoid rinsing the
implementation of process standards? buccal cavity

2
 B. Swabbing the inside of the cheeks and lips, 30. One of the first things Ms. Castro did was to engage her
until in objective writing, formulating goals and philosophy of
tongue and gums with dry cotton swabs
nursing service. Which activities are MOST appropriately
C. Use fingers wrapped with wet cotton described to which elements of administration?
washcloth to rub inside the cheeks, tongue,
lips and gums A. Planning B. Controlling C.
D. Suctioning as needed while cleaning the Directing D. Organizing
buccal cavity
31. In recognizing the Department of Nursing, she comes up
with the organizational structure defining the role and function of
. Your client has difficulty of breathing and is mouth
the different nursing positions and line-up the position with
breathing most of the time. This causes qualified people. This is included in which element of
dryness of the mouth with unpleasant odor. Oral hygiene is administration:
recommended for the client and in addition, you will keep the
mouth moistened by using: A. Monitoring B. Evaluation C.
Organizing D. Planning
A. Salt solution C.
Petroleum jelly 32. After one month, she and her management committee
B. Water D. assess the regulatory measures taken and correct whatever
discrepancies are found. This is part of which element of
Mentholated ointment
administration:

A. Monitoring B. Organizing C.
Evaluation D. Planning

33. Revaluation and administrative process is BEST described

as:
Situation - Mr. Martin, 71 years old was suddenly rushed to the
A. A continuing process of seeing that performance
hospital because of severe chest pain. On admission, he was
meets goals and targets
diagnosed to have acute myocardial infarction and was placed in
B. Obtaining commitment of members to do better
the ICU.
C. Informing personnel how well and how much
improvement has been made
25. While in the ICU, he executes the document tat list the
D. Follow-up of activities that have been studied
medical treatment he chooses to refuse in case his condition
34. In all of the various administrative functions, which of the
becomes severe to a point that he will be unable to make
following management skill is demanded efficiently and effectively
decisions for himself. This document is:
of Ms. Castro?
A. Living will C. Last will
1. Decision making skills 2.
and testament
Forecasting skills
B. Informed consent D. Power of
3. Auditing skills 4.
attorney
Communications skills
26. After one day, the patient’s condition worsened and feeling
A. 2 & 3 B. 1 & 4 C. 1 & 2
hopeless. He requested the nurse to remove the oxygen. The
D. 2 & 4
nurse should:
Situation - Health is wealth specifically in this time of the century.
A. Follow the patient because it is his right to die
The nurse is trained to promote well being of the people.
gracefully
B. Follow the patient as it is his right to determine the
35. How does a nurse promote one’s well being?
medical regimen he needs
C. Refuse the patient and encourage him to
A. Periodic travels for rest and recreation
verbalize hid feelings
B. Faithful and observance of healthy simple
D. Refuse the patient since euthanasia is not accepted in
lifestyle
the Philippines
C. Run away from polluted, stressful areas
D. Avoid sleepless, over fatigue nights
27. Euthanasia is an ethical dilemma which confronts nurses in
the ICU because:
36. The nurse can be involved with health promotion as a
significant person in helping the family:
A. The choices involved do not appear to be clearly right
or wrong
A. Become a better family C. Control
B. A client’s legal right co-exist with the nurse’s
their symptoms
professional obligation
B. Prevent disease D.
C. Decisions has to be made based on societal norms
Modify health promotive behaviors
D. Decisions has to be mad quickly, often under stressful
conditions
37. The nurse should NOT leave medication at the bedside
because:
28. A nurse who supports a patient and family’s need to make
decisions that is right for them is practicing which of the following
A. The bedside table is not sterile
ethical principles?
B. It is convenient for the nurse
C. The nurse will not be able to accurately
A. Autonomy B. Confidentiality C. Privacy
document that the patient actually took
d. Truthfulness
the medication
D. The patient may forget to take it.
29. Mr. Martin felt better after 5 days but recognizing the
severity of his illness, he executes a document authorizing the
38. Non-pharmacologic pain management includes all the
wife to transact any form of business in his behalf in addition to
following EXCEPT:
all decisions relative to his confinement his document is referred
to as:
A. Relaxation techniques C. Use of
herbal medicines
A. Power of attorney C. Informed
B. Massage D. Body movement
consent
B. Living will D. Medical
39. When assessing a client’s blood pressure, the nurse finds it
records
necessary to recheck the
reading. How many seconds after deflating the cuff should the
Situation - Miss Castro was recently appointed chief nurse of a
nurse wait before rechecking
50-bed government hospital in Valenzuela. On her first day of
the pressure?
duty, she tried to remember the elements of administration she
learned from her basic nursing education.

3
 A. 10 B. 30 C. 45 47. When assessing Richard for chest percussion or chest
D. 60 vibration and postural drainage, Mario would focus on the
following EXCEPT:
Situation – The use of massage and meditation to help decrease
stress and pain have been strongly recommended based on A. Amount of food and fluid taken during the last meal
documented testimonials. before treatment
B. Respiratory rate, breath sounds and location of
40. Martha wants to do a study on this topic: “Effects of congestion
massage and meditation on stress and pain”. The type of C. Teaching the client’s relatives to perform the
research that best suits this topic is: procedure
D. Doctor’s order regarding position restrictions and
A. Applied research C. client’s tolerance for lying flat
Basic Research
48. Mario prepares Richard for postural drainage and
B. Qualitative research D. percussion. Which of the following is a special consideration when
Quantitative Research doing the procedure?

41. The type of research design that does not manipulate A. Respiratory rate of 16 to 20 per minute
independent variable is: B. Client can tolerate sitting and lying positions
C. Client has no signs of infection
A. Experimental design C. Non- D. Time of last food and fluid intake of the client
experimental design
49. The purpose of chest percussion and vibration is to loosen
B. Quasi-experimental design D.
secretions in the lungs. The difference between the procedures is:
Quantitative design
A. Percussion uses only one hand while vibration uses
42. This research topic has the potential to contribute to nursing both hands
because it seeks to B. Percussion delivers cushioned blows to the
chest with cupped palms while vibration gently
A. Include new modalities of care shakes secretion loose on the exhalation cycle
B. Resolve a clinical problem C. In both percussion and vibration the hands are on
top of each other and hand action is in tune with
C. Clarify an ambiguous modality of care client’s breath rhythm
D. Enhance client care D. Percussion slaps the chest to loosen secretions while
vibration shakes the secretions along with the
inhalation of air

43. Martha does review of related literature for the purpose of:

A. Determine statistical treatment of data research Situation – A 61 year old man, Mr. Regalado, is admitted to the
B. Gathering data about what is already known or private ward for observation after complaints of severe chest
unknown about the problem pain. You are assigned to take care of the client.
C. To identify if problem can be replicated
50. When doing an initial assessment, the best way for you to
D. Answering the research question identify the client’s priority problem is to:

44. Client’s rights should be protected when doing research A. Interview the client for chief complaints and
using human subjects. Martha identifies these rights as follows other symptoms
EXCEPT: B. Talk to the relatives to gather data about history of
illness
A. Right of self-determination C, C. Do auscultation to check for chest congestion
Right of privacy D. Do a physical examination while asking the client
relevant questions
B. Right to compensation
D. Right not to be harmed 51. Upon establishing Mr. Regalado’s nursing needs, the next
nursing approach would be to:
Situation – Richard has a nursing diagnosis of ineffective airway
clearance related to excessive secretions and is at risk for A. Introduce the client to the ward staff to put the
infection because of retained secretions. Part of Nurse Mario’s client and family at ease
nursing care plan is to loosen and remove excessive secretions in B. Give client and relatives a brief tour of the physical
the airway. set up the unit
C. Take his vital signs for a baseline assessment
45. Mario listens to Richard’s bilateral sounds and finds that D. Establish priority needs and implement
congestion is in the upper lobes of the lungs. The appropriate appropriate interventions
position to drain the anterior and posterior apical segments of the
lungs when Mario does percussion would be: 52. Mr. Regalado says he has “trouble going to sleep”. In order
to plan your nursing intervention you will:
A. Client lying on his back then flat on his abdomen on
Trendelenburg position A. Observe his sleeping patterns in the next few days
B. Client seated upright in bed or on a chair then B. Ask him what he means by this statement
leaning forward in sitting position then flat on C. Check his physical environment to decrease noise
his back and on his abdomen level
C. Client lying flat on his back and then flat on his D. Take his blood pressure before sleeping and upon
abdomen waking up
D. Client lying on his right then left side on
Trendelenburg position 53. Mr. Regalado’s lower extremities are swollen and shiny. He
has pitting pedal edema. When taking care of Mr. Regalado,
46. When documenting outcome of Richard’s treatment Mario which of the following interventions would be the most
should include the following in his recording EXCEPT: appropriate immediate nursing approach?

A. Color, amount and consistency of sputum A. Moisturize lower extremities to prevent skin
B. Character of breath sounds and respiratory rate irritation
before and after procedure B. Measure fluid intake and output to decrease edema
C. Amount of fluid intake of client before and C. Elevate lower extremities for postural drainage
after the procedure D. Provide the client a list of food low in sodium
D. Significant changes in vital signs

4
54. Mr. Regalado will be discharged from your unit within the
hour. Nursing actions when preparing a client for discharge
include all EXCEPT:

A. Making a final physical assessment before client

leaves the hospital
B. Giving instructions about his medication regimen
C. Walking the client to the hospital exit to
ensure his safety
D. Proper recording of pertinent data

Situation – Using Maslow’s need theory, Airway, Breathing and

Circulation are the physiological needs vital to life. The nurse’s
knowledge and ability to identify and immediately intervene to
meet these needs is important to save lives.

55. Which of these clients has a problem with the transport of

oxygen from the lungs to the tissues:

A. Carol with tumor in the brain

B. Theresa with anemia
C. Sonnyboy with a fracture in the femur
D. Brigitte with diarrhea

56. You noted from the lab exams in the chart of M. Santos that
he has reduced oxygen in the blood. This condition is called:

A. Cyanosis C.
Hypoxemia
B. Hypoxia D.
Anemia

5
57. You will do nasopharyngeal suctioning on Mr. B. Watching out for warning signs of cancer
Abad. Your guide for the length of insertion of the
tubing for an adult would be: C. Proficiency in doing breast self-
examination
A. Tip of the nose to the base of the neck D. Early detection and prompt treatment
B. The distance from the tip of the nose to
64. The role of the health worker in health education
the middle of the neck is to
C. The distance from the tip of the nose
to the tip of the ear lobe A. Report incidence of non-communicable
D. Eight to ten inches diseases to community health center
B. Educate as many people about
58. While doing nasopharyngeal suctioning on Mr.
warning signs of non-communicable
Abad, the nurse can avoid trauma to the area by: diseases
A. Apply suction for at least 20-30 seconds C. Focus on smoking cessation projects
each time to ensure that all secretions are D. Monitor clients with hypertension
removed
B. Using gloves to prevent introduction of Situation – As you begin to work in the hospital where
pathogens to the respiratory system you are on probation, you are tasked to take care of a
C. Applying no suction while inserting few patients. The clients have varied needs and you are
the catheter expected to provide care for them.
D. Rotating catheter as it is inserter with
gentle suction 65. An ambulatory client. Mr. Zosimo, is being
prepared for bed. Which of the following nursing actions
59. Myrna has difficulty breathing when on her back promote safety for the client?
and must sit upright in bed to breath effectively and
comfortably. The nurse documents this condition as: Turning off the lights to promote rest and sleep
B. Instructing the client about the use of
A. Apnea call system
C. Dyspnea Raising the side rails
Placing the bed in high position
B. Orthopnea
D. Tachypnea
66. Mikka, a 25 year old female client, is admitted
with right lower quadrant abdominal pain. The
Situation – During the NUTRITION EDUCATION class
physician diagnosed the client with acute appendicitis
discussion a 58 year old man, Mr. Bruno, shows and an emergency appendectomy was performed.
increased interest.
Twelve hours following surgery, the patient
complained of pain. Which of the following is the most
60. Mr. Bruno asks what the “normal” allowable salt
appropriate nursing diagnosis?
intake is. Your best response to Mr. Bruno is:
Impaired mobility related to pain secondary to an
A. 1 tsp of salt/day with iodine and sprinkle abdominal incision
of MSG
Impaired movements related to pain due to surgery
B. 5 gms per day or 1 tsp of table salt/day Impaired mobility related to surgery
C. 1 tbsp of salt/day with some patis and
Pain related to abdominal incision secondary to
toyo surgery
D. 1 tsp of salt/day but no patis and
toyo 67. You are preparing a plan of care for a client who
is experiencing pain related to incisional swelling
61. Your instructions to reduce or limit salt intake following laminectomy. Which of the following should
include all the following EXCEPT:
be included in the nursing care plan?

A. Eat natural food with little or no salt A. Encourage the client to log roll when
added
turning
B. Limit use of table salt and use B. Encourage the client to do self-care
condiments instead C. Instruct the client to do deep breathing
C. Use herbs and spices exercises
D. Ambulate the client in ward premises
D. Limit intake of preserved or processed every twenty minutes
food
68. Mr. Lozano, 50 year old executive, is recovering
62. Teaching strategies and approaches when giving from severe myocardial infarction. For the past 3 days,
nutrition education is influenced by age, sex and Mr. Lozano’s hygiene and grooming needs have been
immediate concerns of the group. Your presentation for met by the nursing staff. Which of the following
a group of young mothers would be best if you focus activities should be implemented to achieve the goal
on: of independence for Mr. Lozano?

A. Diets limited in salt and fat A. Involving family members in meeting

client’s personal needs
B. Harmful effects of drugs and alcohol B. Meeting his needs till he is ready to perform self-care
intake C. Preparing a day to day activity list to be followed by
C. Commercial preparation of dishes client
D. Involving Mr. Lozano in his care
D. Cooking demonstration and meal
planning
69. Mr. Ernest Lopez is terminally ill and he choose
63. Cancer cure is dependent on to be at home with his family. What
nursing actions are best initiated to prepare the family
of Mr. Lopez?
A. Use of alternative methods of healing

6
 A. Talk with the family members about the C. Health promotion activities
advantage of staying in the hospital or D. Relationship between health values and
proper care health promotion activities
B. Provide support to the family
members by teaching ways to care for Situation – While working in a tertiary hospital, you are
their loved one assigned to the medical ward.
C. Convince the client to stay in the hospital
for professional care 75. Your client, Mr. Diaz, is concerned that he can
D. Tell the client to be with his family not pay his hospital bills and professional fees.
You refer him to a:
Situation – Myrna, a researcher, proposes a study on
the relationship between health values and the health
promotion activities of staff nurses in a selected college A. Nurse supervisor
of nursing. C. Bookkeeping department
B. Social worker
70. In both quantitative and qualitative research, the D. Physician
used of a frame of reference is required.
Which of the following items serves as the purpose of 76. Mr. Magno has lung cancer and is going through
a framework? chemotherapy. He is referred by the
oncology nurse to a self-help group of clients with
A. Incorporates theories into nursing’s body cancer to:
of knowledge
B. Organizes the development of study and
links the findings to nursing’s body of
A. Receive emotional support C.
knowledge Provide financial assistance
C. Provides logical structure of the research B. To be a part of a research study D.
findings Assist with chemotherapy
D. Identifies concepts and relationships
between concepts 77. A diabetic hypertensive client, Mrs. Linao, needs
a change in diet to improve her health status.
She should be referred to a:

71. Myrna needs to review relevant literature and

A. Nutritionist
C. Physician
studies. The following processes are
undertaken in reviewing literature EXCEPT: B. Dietitian
D. Medical pathologist
A. Locating and identifying resources C.
Clarifying a research topic 78. When collaborating with other health team
members, the best description of Nurse Rita’s
B. Reading and recording notes D.
role is:
Using the library

72. The primary purpose for reviewing literature is A. Encourages the client’s involvement in
to: his care
B. Shares and implements orders of the
A. Organize materials related to the health team to ensure quality care
problem of interest C. She listens to the individual views of the
B. Generate broad background and team members
understanding of information related to D. Helps client set goals of care and
the research problem of interest discharge
C. Select topics related to the problem of
interest
D. Gather current knowledge of the
problem of interest

73. In formulating the research hypotheses,

researcher Myrna should state the research 79. Nurse Rita is successful in collaborating with
question as:
health team members about the care of Mr.
Linao. This is because she has the following
A. What is the response of the staff nurses
competencies:
to the health values?
B. How is variable “health value” perceived
A. Communication, trust, and decision
in a population?
making
C. Is there a significant relationship
B. Conflict management, trust, negotiation
between health values and health
C. Negotiation, decision making
promotion activities of the staff
D. Mutual respect, negotiation and trust
nurses?
D. How do health values affect health
Situation – The practice of nursing goes with
promotion activities of the staff nurses?
responsibilities and accountability whether you work in
a hospital or in the community setting you main
74. The proposed study shows the relationship objective is to provide safe nursing to your clients?
between the variables. Which of the following is
the independent variable? 80. To provide safe, quality nursing care to various
clients in any setting, the most important
A. Staff nurses in a selected college of
tool of the nurse is:
nursing
B. Health values

7
 A. Critical thinking to decide 86. After IVP a renal stone was confirmed, a left
nephrectomy was done. Her post operative
appropriate nursing actions
order includes “daily urine specimen to be sent to the
B. Understanding of various nursing laboratory” . Eileen has a foley catheter
diagnoses attached to a urinary drainage system. How will you
C. Observation skills for data collection collect the urine specimen?
D. Possession of scientific knowledge about
A. Remove urine from drainage tube
client needs with sterile needle and syringe and empty urine
from the syringe into the specimen
81. You ensure the appropriateness and safety of container
your nursing interventions while caring for B. Empty a sample urine from the collecting
various client groups by: bag into the specimen container
C. Disconnect the drainage tube from the
A. Creating plans of care for particular indwelling catheter and allow urine to flow from
catheter into the specimen container.
clientele
D. Disconnect the drainage from the
B. identifying the correct nursing diagnoses
collecting bag and allow the urine to flow from
for clients
the catheter into the specimen container.
C. making a thorough assessment of
client needs and problems
87. Where would the nurse tape Eileen’s indwelling
D. using standards of nursing care as your
catheter in order to reduce urethral irritation?
criteria for evaluation
A. To the patient’s inner thigh
82. The effectiveness of your nursing care plan for C. To the patient’
your clients is determined by B. To the patient’s lower thigh D.
To the patient lower abdomen
A. the number of nursing procedures
performed to comfort the client 90. Which of the following menu is appropriate for one
B. the amount of medications administered with low sodium diet?
to the client as ordered
C. the number of times the client calls the A. Instant noodles, fresh fruits and ice tea
nurse B. Ham and cheese sandwich, fresh fruits
D. the outcome of nursing interventions and vegetables
based on plan of care C. White chicken sandwich, vegetable
salad and tea
83. You are assigned to Mrs. Amado, age 49, who D. Canned soup, potato salad, and diet soda
was admitted for possible surgey. She
complained of recurrent pain at the right upper 91. How will you prevent ascending infection to Eileen
quadrant of the abdomen 1-2 hours after ingestion of who has an indwelling catheter?
fatty food. She also had frequent bouts of dizziness,
blood pressure of 170/100, hot flashes. Which of the A. See to it that the drainage tubing
above symptoms would be an objective cue? touches the level of the urine
B. Change he catheter every eight hours
A. Blood pressure measurement of C. See to it that the drainage tubing
170/100 does not touch the level of the urine
B. Complaint of hot flashes D. Clean catheter may be used since
C. Report of pain after ingestion of fatty urethral meatus is not a sterile area
food
D. Complaint of frequent bouts of dizziness Situation – You are assigned to take care of 10 patients
during the morning shift. The endorsement includes the
IV infusion and medications for these clients.
84. While talking with Mrs. Amado, it is most
important for the nurse to: 92. Mr. Felipe, 36 years old is to be given 2700 ml of
D5LR to infuse for 18 hours starting at 8 am. At what
A. Schedule the laboratory exams ordered rate should the IV fluid be flowing hourly?
for her
B. Do an assessment of the client to A. 100 ml per hour C.
determine priority needs 150 ml per hour
B. 210 ml per hour D.
C. Tell the client that your shift ends after
190 ml per hour
eight hours
D. Have the client sign an informed consent 93. Frequency of administration is necessary for every
PRN pain medication. If the doctor ordered Morphine 25
Situation - Eileen, 45 years old is admitted to the mg IM PRN every 6 hours, and the first dose was given
hospital with a diagnosis of renal calculi. She is at 8 am, The next dose will be at 2 p.m onwards. Why
experiencing severe flank pain, nauseated and with a is this so?
temperature of 39 0C.
A. To prevent addiction
85. Given the above assessment data, the most B. To prevent frequent complains of pain
immediate goal of the nurse would be which of the C. To prevent overmedicating the
following? client
D. To prevent the use of excessive
A. Prevent urinary complication narcotics, so that the nurse can take
B. Maintains fluid and electrolytes home some for himself.
C. Alleviate pain
D. Alleviating nausea 94. You are to apply a transdermal patch of
nitoglycerin to your client. The following are important
guidelines to observe EXCEPT:

8
 A. Apply to hairless clean area of the
skin not subject to much wrinkling
B. Patches may be applied to distal
part of the extremities like
forearm
C. Change application and site regularly
to prevent irritation of the skin
D. Wear gloves to avoid any medication
on your hand
98. Connie, the new nurse, appears tired and sluggish
and lacks the enthusiasm she had six weeks ago when
she started the job. The nurse supervisor should
A. Empathize with the nurse and listen
to her
B. Tell her to take the day off
C. Discuss how she is adjusting to
her new job
D. Ask about her family life

99. Process of formal negotiations of working

conditions between a group of registered nurses and
95. You will be applying eye drops to Miss Romualdez. employer is
After checking all the necessary information and
cleaning the affected eyelid and eyelashes, you A. Grievance
administer the ophthalmic drops by instilling the eye C. Collective bargaining
drops: B. Arbitration
D. Strike
A. Directly onto the cornea
B. Pressing the lacrimal duct 100. You are attending a certification on
cardiopulmonary resuscitation (CPR) offered and
C. Into the outer third of the lower required by the hospital employing you. This is
conjunctival sac
D. From the inner canthus going towards A. Professional course towards credits
the side of the eye
B. Inservice education
95. When applying eye ointment, the following C. Advance training
guidelines apply EXCEPT: D. Continuing education

A. Squeeze about 2 cm of ointment and

gently close but not squeeze the eye
B. Apply the ointment from the inner
canthus going outward of the affected
eye
C. Discard the first bead of the eye
ointment before application
because the tube is likely to expel
more than desired amount of
ointment
D. Hold the tube above the conjunctival
sac, do not let tip touch the
conjunctiva

Situation – The staff nurse supervisor requests all the

staff nurses to “brainstorm” and learn ways to instruct
diabetic clients on self-administration of insulin. She
wants to ensure that there are nurses available daily to
do health education classes.

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

A. In service education process

B. Efficient management of human
resources
C. Increasing human resources
D. Primary prevention

97. When Mrs. Guevarra, a nurse, delegates aspects

of the clients care to the nurse-aide who is an
unlicensed staff, Mrs. Guevarra

A. Makes the assignment to teach the

staff member
B. Is assigning the responsibility to
the aide but not the
accountability for those tasks
C. Does not have to supervise or
evaluate the aide
D. Most know how to perform task
delegated