Glocal Review and Tutorial Center, Inc.

Final Coaching
Intensive Material Drill
PROFESSIONAL ADJUSTMENT IN NURSING, LEADERSHIP & MANAGEMENT, NURSING ETHICS, & NURSING RESEARCH( 1,000 ITEMS)
Situation 1: Kathleen is a nurse researcher assigned in a tertiary hospital. She is 12. His friend Justine failed to pass the examination for three consecutive attempts.
assigned to collect data about the incidence of infection among admitted patients. Which of the following actions can he take?
Questions 1-9 refer to this situation. A. Take the examination for the fourth time
1. Kathleen’s job includes collecting secretions from the surgical site of one of the B. Enroll in a refresher course
patients. If the patient refuses and Kathleen still continue to do it she could be C. Shift to another profession that suits his level of competence
liable for: D. Apply as a nursing assistant in a hospital.
A. Slander C. Battery
B. Assault D. Invasion of privacy 13. His classmate Adrian passed the examination but was not allowed to be registered.
The following are groups for such, which one is unlikely?
2. She overheard the security guard discussing the case of SARS suspect with another A. He is 18 years of age
guard. The two are involved in screening patients entering the hospital. Which of B. He was convicted by final judgment of criminal act involving moral turpitude
the following actions of Kathleen would be appropriate? C. Unsound mind
A. Advise that it is not right to discuss the case. D. Guilty of immoral or dishonorable conduct.
B. Ask the two if there is something they need to be clarified about.
C. Inform the supervisor about what she heard. 14. Patrick is certain that Adrian can be legally liable if he commits the following acts:
D. Ignore the two as this is not against hospital rules. 1. Appends R.N. to his name even without being registered as one
2. Abets or assist Mr. Wang in offering CPD without the approval of the BON.
3. One of the patients confided that his companion is not the legal wife. What liability 3. Uses the registration number of Patrick as his own.
will Kathleen be exposed when she divulge the information to others? 4. Poses or advertises as a registered nurse that tends to create an
A. Slander C. Breech of confidentiality impression that he is indeed a registered nurse.
B. Libel D. Assault A. 1,2,3 C. 2,3,4
B. 1,3,4 D. 1,2,3,4
4. Two janitors were having a heated argument as to who shall dispose the infectious
waste of a patient with typhoid fever. The first one calling the second one with 15. Patrick sets his eyes to be in the nurse manager of the Clinical Care Department
names like “lazybones”, “incompetent” and “pain in the neck” within the hearing someday. Which of the following requirement is NOT a legal requirement in order
distance of the rest of the nurses. If the latter decides to file a case against him, to qualify for position?
what kind of case would he likely to file? A. Membership in the accredited professional organization
A. Libel C. Slander B. Has at least 2 years experience in general nursing administration
B. Incompetence D. Negligence C. Nine units in administration and management in the graduate level.
D. Masters degree in nursing
5. Should the accusations be written in the newsletter of the hospital, such liability is a:
A. Malpractice C. Libel 16. On a long term basis he dreams of becoming an administrator of nursing service of
B. Assault D. Slander Asian hospital someday. Which of the following does he need to posses in order
to qualify for the position?
6. Mr. Simpkins, a German who is a SARS suspect is advised to be confined in a 1. Passed the written comprehensive examination for the master’s degree
negative pressure room with strict protective gadgets of the health workers taking 2. Five years of experience in supervisory or managerial position in nursing
care of him. He vehemently resented being confined in that room. Moreover, he 3. Member of good standing of the accredited professional organization
was denied visitors. He threatened to sue the hospital. Which case will he file 4. Be a registered nurse in the Philippines
most likely? A. 1,2,4,5 B. 2,3,4 C. 2,3,4,5 D. 1,3,4
A. Illegal detention C. Incompetence
B. Defamation D. Battery 17. Patrick pursues continuing professional education, in emergency care order to be
certified as a nurse specialist in critical care. Which of the following agencies are
7. Which action of the nurse will save the hospital from lawsuit in #6? mandated by law to formulate and develop the comprehensive specialty
A. Explains to him that his isolation is beneficial for him and his family program?
B. Enforce the protocol on SARS admission 1. Board of Nursing
C. Informs him of the DOH directive in handling SARS cases 2. Accredited Professional Organization
D. Tells him that the police will bodily restrain him if he refuses. 3. Department of Health
4. Specialty organizations
8. Kathleen refers to the infection control nurse about the proper disposal of infectious A. 1,2,3 C. 1,3,4
waste. Which of the following laws refer to the Code of Sanitation? B. 1,2,4 D. 1,2,3,4
A. P.D. 825 B. P.D. 856 C. P.D. 965 D. P.D. 791
18. After two years in hospital nursing, Patrick decides to change career to military
9. Kathleen knows that as a researcher she needs to follow the provisions of R.A. nursing. He knows that the chief nurse in the military hospital is not yet qualified if
6713, otherwise known as: he does NOT have
A. Generics Act of 1998 A. Masters Degree in Nursing
B. Sanitation Code B. General Staff Course
C. Code of Conduct and Ethical Standards of Public Officials and Employees C. At least 9 units in Management and Administration courses at the graduate level
D. Salary Standardization of Government Employees D. Masters degree in Nursing and General Staff Course

Situation 2: Patrick is a new graduate of Bachelor of Science in Nursing and intends to
practice his profession in the country upon acquiring his professional license.
Questions 10-19 refer to this situation.
10. He understands that the duty and power to regulate the practice of nursing in the
Philippines is vested on what agency?
A. Philippine Nurses Association
B. Board of Nursing
C. Technical Committee on Nursing Education
D. Association of Nursing Service Administrators of the Philippines
11. Which of the following reports of his rating would grant him license to practice
nursing?
A. General rating of 70 and a rating of 65 in NP I Test
B. General rating of 75 and a rating of 60 in NP II Test
C. General rating of 80 and a rating of 59 in NP III Test
D. General rating of 75 and a rating of 55 in NP IV Test
19. Up to what year of experience should the chief nurse have within which to qualify
for the position?
A. 1 year experience in supervisory or managerial position in Nursing
B. 3 years experience in supervisory or managerial position in Nursing
C. 5 years experience in supervisory or managerial position in Nursing
D. 10 years experience in supervisory or managerial position in Nursing
Situation 3: Sandra is a nurse assigned at the Women and Child unit. A 16 year-old
primigravida was admitted for primary CS due to cephalopelvic disproportion
(CPD). Questions 20-24 refer to this situation.
20. Sandra prepares the consent for surgery. Who among the following is legally
responsible for securing the consent for the contemplated procedure?
A. Dr. Rivera, the obstetrician of the patient
B. Mrs. Castro, the head nurse of the unit
C. Dr. Cortez, the anesthesiologist
D. Ms. Josue, the nurse assigned to take care of the patient in the unit

1 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
21. She knows that the patient and her husband are both emancipated. When securing 32. He knows that the chief nurse of the hospital is mandated by law to be a graduate
for an informed consent, Sandra remember that: of a master’s degree in:
A. Either the husband or the patient can sign the consent A. Public Health/ Community Health Nursing
B. The consent should be signed by the parents of the patient because she is a B. Nursing Administration
minor. C. Public Administration
C. If the patient signed that consent herself, there is no need for a witness. D. Hospital Administration
D. It is her duty to obtain the informed consent
33. As a public health nurse, Jacob enjoys the privileges of the following laws, which
22. Sandra was pulled out from the unit and was asked to assist in the OR. The include the following, except:
anesthesiologist asked her to inject Penthotanal Na by IV. Which of the following A. R. A. 7305 C. R. A. 1080
actions should be done by Sandra? B. R. A. 7392 D. R. A. 2382
A. Follow the anesthesiologist since he is around to supervise her.
B. Explain to the doctor that it is not permissible by law. 34. Which of the following laws refer to Comprehensive Dangerous Drug Act of 2002?
C. If the order is written she can administer the drug. A. R.A. 6425 C. R.A. 6675
D. If the manager of the department allows it, she would follow the order. B. R.A. 9165 D. R.A. 7875

23. To protect her from legal suit, Sandra should see to it that orders of Penthotal Na 35. Mrs. Castro his patient who is a 64 year-old government retiree is covered by RA
and some related drugs should be made by: 7432. Which of the following is a provision of this law?
A. Narcotic licensed physicians C. Anesthesiologists A. 20% discount on hospital bills
B. Any resident physicians D. Interns B. Medicines are prescribed in Generics
C. National Health Insurance Act
24. After the procedure, the patient was brought back to the ward. Sandra noticed that D. Code of Good Governance
the post-op orders were written by the surgical intern who assisted during the
procedure. Which of the following actions is most appropriate for Sandra to do? 36. As a health professional, Jacob is exposed to legal risks. Which of the following
A. Call the attention of an intern and ask him to secure the signature of the surgeon. does NOT constitute malpractice?
B. Refer the matter to head nurse. A. Using another nurse’s license as his own
C. Ignore the order because it is not legal. B. Any reasonable lack of skill or fidelity in the performance of fiduciary duties
D. Remind the surgeon about the policy on doctor’s order. C. Stepping beyond one’s authority with serious consequences
D. Objectionable practice or contrary to established rules
Situation 4. Mrs. Campos is a terminally-ill cancer patient. She requested that she will
not be resuscitated once she goes into cardiac arrest. The nurse prepares the 37. When a case is filed against him in court for an injury to a patient, Jacob is referred
“Do Not Resuscitate” (DNR) form. Questions 25-29 refer to this situation. to as:
25. Which of the following should be done by the nurse to ensure that she would not A. Respondent C. Accomplice
face any legal entanglements? B. Complainant D. Accessory
A. Ask the patient’s relative to sign the DNR form.
B. Inform the physician what will this entail and secure the consent by letting her 38. Jacob was asked to appear in court to testify. Which of the following terms refer to
sign the DNR form this legal order?
C. Refer to the attending physician so he could write a DNR order. A. Subpoena ducestecum C. Arraignment
D. Document the request in the progress notes. B. Subpoena ad testificandum D. Summon

26. Which of the following treatments will no longer be given once Mrs. Campos is on 39. Jacob received a notice ordering him to appear before the Board at a specified time
DNR order? and date to answer a complaint made against him. Which of the following legal
A. Mechanical ventilation C. Pain medications order refer to this?
B. Osteorized feedings D. Intravenous fluids A. Subpoena ducestecum C. Summons
B. Injunction D. Subpoena ad testificandum
27. The attending physician called up to disconnect the mechanical ventilator. Which of
the following is the most appropriate action of the nurse? Situation 6: Nurse Pamela is newly appointed by the local government to lead the
A. Tell the doctor to relay his order to the resident on duty. program on Integrated Management of Childhood Illness in the municipality of
B. Follow the doctor’s order once the DNR form is signed. Sto. Tomas. She knows that as a young and inexperienced nurse, she needs to
C. Write the telephone order and indicate the name of the doctor, the date and time update her competence in the legal aspect of professional practice. Questions 40-
such order was made. 49 refer to this situation:
D. Read back the order after writing it in the doctor’s order sheet. 40. As a registered nurse, Pamela knows that to practice her profession, she has
certain liabilities to consider. Which of the following terms refer to a liability?
28. Which term refers to Mrs. Campos if she dies and her properties are transmitted to 1. Obligation
succession whether or not she left a will? 2. Being held accountable by law
A. Decedent C. Testatrix 3. Commitment to one’s duty
B. Heir D. Administrator 4. Adherence to standards
A. 1 & 2 B. 2 & 3 C. 2 only D. All except 4
29. If Mrs. Campos opts to leave a will that is written, dated and signed by her, this type
of will is a: 41. As a nurse, she should be guided by the nursing law in the country. Which is not a
A. Holographic C. Invalid provision of this law?
B. Nuncupative D. Statutory A. Increases the competition of the board from five to seven representing nursing
education, service and community health nursing.
Situation 5: Jacob is a staff nurse in a community hospital. HE is assigned at the B. Requires those nurses who have been away from practice to undergo one month
Emergency Department of the hospital. of didactic training and five months of practicum before returning to the workforce
30. Which of the following actions of Jacob needs a special training prior to its C. Recognition of nursing specifically organizations in coordination with the
performance? accredited professional organization.
A. Administration of intravenous therapy D. Provides for incentives and benefits system for nurses and their dependents
B. Health education
C. Suture perineal lacerations 42. Two of the following statements are true about the new nursing law, which TWO
D. Internal vaginal examination are NOT?
1. It guarantees the delivery of quality basic health services through an adequate
31. While in the practice of nursing, Jacob is mandated by law to observe the following nursing personnel system throughout the country.
except: 2. Requires the member of the board to resign from any employment both in the
A. Code of Ethics government and private institutions
B. Code of technical standard for nurses 3. Requires the chairman of the Board to be a holder of a doctorate degree
C. Maintain Competence through CPD 4. Amends the Philippine Nursing Act of 1991
D. Be a member of good standing of the accredited professional organization A. 1 & 2 B. 2 & 3 C. 3 & 4 D. 2 & 4

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43. Pamela is certain that only competent nurses are allowed to practice nursing in the 53. Which of the following is considered the primary responsibility of Erin?
country. Which of the following warrants that this strictly adhered to? A. Assist the doctors in making their rounds
A. Competency assessment C. Continuing competency program B. Attend to the call for help from a patient, who needs total care
B. Licensure and registration D. Specialty certification program C. Answer the e-mail of the Director of Nursing who instructed Erin to report about
an incident in the unit.
44. As a lead person in the IMCI program, Pamela is at risk for lawsuits. Which of the D. Attend to a complaint of a relative about the lack of water supply in their room.
following actions will shield her from possible lawsuits?
1. Knowledge and implementation of standards/ protocol of care 54. A patient refuses to take his antibiotic because he believes that it’s not giving him
2. Documentation of actions accurately and concisely any good. Which of the following actions of the nurse is most appropriate?
3. Document outcome of care A. Explains to the patient that he needs the medication for his recovery
4. Following all doctor’s orders that are legal and in writing B. Writes in the chart that the patient refuses to take his medication
A. 1,2,4 B. 2 & 3 C. 1,2 & 3 D. 2,3 & 4 C. Refer to the attending physician about his refusal
D. Ask the patient to sign the waiver of responsibility.
45. She assessed a three-year old boy for fever, but the boy would not want to go near
her. Which of the following remarks of Pamela would constitute an assault? 55. Which of the following principles apply to the action of the nurse to refrain from
A. “You don’t want to have your temperature taken? I will call the guard to hold you discussing the disease condition of the patient with those who are not involved in
and give you an injection instead!” his care?
B. “Alright just tell me when you are ready to have your temperature taken.” A. Beneficence C. Justice
C. “This will not hurt you; just put it under your tongue.” B. Non-maleficence D. Autonomy
D. “If you will let me take your temperature your fever will be gone.”
56. Mr. Joseph Tang is diagnosed to have acute myocardial infarction and is
46. One of the midwives in the health center injected Cotrimoxazole to a five year-old recommended for admission. He refuses to be admitted and asks to be
patient without the consent of the parents. Which of the ff. cases can the midwife transferred to a tertiary hospital instead. Which of the following principles should
be possibly accused of? Erin use as a guide for her action?
A. Malpractice C. Negligence A. Autonomy C. Non-maleficence
B. Battery D. Assault B. Justice D. Beneficence

47. A 4-year old patient assessed to have severe dehydration need an intravenous 57. The Code of Ethics of Nurses in the Philippines was approved the Board of Nursing
infusion of D5NSS. Pamela has not attended training in IV therapy yet and she through:
believes that she is not competent to handle such. Which of the following actions A. BON Resolution No. 1955 s. 1989 C. BON Resolution No. 110 s. 1998
of Pamela will expose her to legal risk? B. BON Resolution No. 633 s. 1984 D. BON Resolution No. 99-14 s. 1999
A. Start the IV with the goal of saving the patient from further injury
B. Refer the case to the doctor who can come in less than one hour. 58. This refers to the omission or commission of an act that a reasonably prudent
C. Refer the patient to the nearest hospital facility, which can be reached in 30 person in the same or similar circumstance would or would not do.
minutes A. Felony C. Malpractice
D. Give ORESOL while waiting for help. B. Negligence D. Culpa

48. Which of the following conditions would prevent Pamela from a malpractice suit? 59. Mr. Gibson, a British national, who is terminally ill, instructed the staff to refrain from
A. She performs her duty as prescribed in her job description giving him resuscitation in the event that he goes into cardiac arrest. Which of the
B. Her action resulted to an injury resulted from non-compliance to the standard of following actions of Erin is not within legal norms?
care A. Prepare the form for advanced directives and ask Mr. Gibson to sign
C. The participation of child’s parents resulted to an injury to the child B. Ask two other persons who are qualified to be witnesses of the signed directive
D. She is aware of the possibility of the injury to the patient C. Explain to Mr. Gibson that this is not yet a practice in the Philippines
D. Attach the advanced directives to the patient’s charts.
49. If Pamela divulges the information that she is caring for the child of a patient with
sexually transmitted disease, she can be liable for unprofessional conduct 60. Which TWO of the following are qualifications of witnesses?
specifically: 1. 18 years of age or older
A. Libel C. Breech of confidentiality 2. Not designated as the patient’s health care representative or alternate
B. Slander D. Invasion of privacy 3. Relative of the patient
4. Attending physician
Situation 7: Ms. Erin Gomez is a newly appointed manager of a primary hospital in Sta. A. 1 & 2 B. 2 & 3 C. 1 & 4 D. 3 & 4
Maria, Zamboanga City. As a new manager, she deems it appropriate that she
gains competence in the professional responsibilities. Questions 50-60 refer to Situation 8: Mr. Benedict Ocampo just graduated from college with a degree of
this situation. Bachelor of Science in Nursing, from a recognized college of nursing. He intends
50. Erin knows that the fundamental responsibility is fourfold. What is the most basic of to take the integrated comprehensive nurse licensure examination so he can
these responsibilities? practice his profession after passing the said examination. Questions 61-70 refer
A. Promote health C. Restoration of health to this situation.
B. Prevention of illness D. Alleviation of suffering 61. Which of the following requirements is NOT needed for Benedict to qualify for the
said examination?
51. Which of the following demonstrates the responsibility of Erin towards her A. A holder of Bachelor’s Degree in Nursing from a college or university that
profession? complies with the standards of nursing education duly recognized by the proper
1. Participates in the development and implementation of standards of nursing government agency
practice I her department. B. Must be of good moral character
2. Ensures that the core competencies of the staff are enhanced C. A citizen of the Philippines
3. Participates in the activities of the local chapter of the PNA and ANSAP. D. A member of the accredited professional organization
4. Lobbies for the implementation of the incentives and benefit system for nurses
and dependents as stipulated in the law. 62. For him to pass the said examination, he must obtain a general average of ______
A. 1, 2 & 3 C. 3 & 4 with a rating of not below ____ in any subject.
B. 2,3 & 4 D. 1, 2, 3 & 4 A. 75%, 60% C. 75%, 70%
B. 70 %, 65% D. 70%, 60%
52. When Erin is certain that Paula, a new nurse us not competent in taking care of a
critically ill patient, she would not be ethical if she: 63. Should Benedict fail in one subject, but obtained the required general average,
A. Discusses the concern with Paula herself which of the followings should he do?
B. Assigns another nurse to the patient A. Takes the whole set of examination all over again
C. Explains to Paula the nature of the condition of the patient and the need for a B. Takes the examination on the subject where he is rated below the required
competent nurse to handle the increased demand for care passing rate
D. Discusses to a senior staff nurse that Paula is new and lacking in skills for the C. Makes an appeal to the board for rechecking of his examination papers.
needs of the patient. D. Enroll in a refresher course for one year.

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64. Upon passing the licensure examination, which of the following is a priority action 77. Tony was apprehended for smoking in Public. You know that smoking in enclosed
for Benedict? places is prohibited under
A. Take an oath of profession before the Board of Nursing A. RA 6715 C. LOI 567
B. Apply for registration with the Professional Regulation Commission B. RA 9173 D. EO 26
C. Apply for membership to the Philippine Nurses Association
D. Prepare credentials for job hunting 78. When Mrs. Mendez refused to receive her next dose of Nordette and Trisha
injected it just the same, she can be sued for legal case?
65. He was issued a certificate of registration by the Board of Nursing. Which of the A. Battery C. Invasion of Privacy
following information should be shown in the certificate? B. Assault D. Misdemeanor
1. Full name of the registrant
2. Serial number 79. She remarks to those who refuse to undergo bilateral tubal ligation that they can no
3. Signature of the chairperson of the commission and the members of the Board longer avail of the services of the DOH once they refuse to submit themselves to
4. Official seal of the commission the procedure which make them reasonably believe that such will be enforced. If
5. Signature of the president of the accredited professional regulation a case is filed against Trisha, what case would it be?
A. 1,2,3 B. 1,2,4,5 C. 1,2,3,4 D. 1,2,3,5 A. Assault C. Slander
B. Harassment D. Battery
66. Which of the following information is NOT indicated in the professional identification
card issued to Benedict? 80. During the rounds, she showed to a group of students the proper way of doing a
A. Date of examination C. Date of issuance & expiration perilite without asking permission from the patient. This act is a violation of the
B. Registration date D. License number patient’s right to:
A. Privacy C. Slander
67. Benedict knows that he is duty bound to renew his professional identification card B. Self-determination D. Battery
every how often?
A. Every five years C. Annually Situation 10: Karla, an RN and two other nurses were summoned to appear before the
B. Every three years D. Biannually Board of Nursing due to an administrative case filed against them for alleged
negligence which caused the death of a certain Mr. Bernas, who was admitted
68. As a registered nurse, Benedict is covered by the law regulating the practice of due to COPD. Questions 81-90 refer to this situation.
nursing in the Philippines which is: 81. Which of the following terms refer to Karla and the two other nurses?
A. R.A. 4704 B. R.A. 7164 C. R.A. 877 D. R.A. 9173 A. Respondents C. Witnesses
B. Plaintiffs D. Accomplices
69. He knows that the implementing rules and regulations (IRR) of the said law, was
passed through: 82. Ms. Antonia Bernas, the daughter of MrBernas was the one who filed the case
A. BON Resolution No. 425, s. 2003 C. BON Resolution No. 459, s. 2002 against the nurses. Which term refers to her in this case?
B. BON Resolution No. 524, s. 2002 D. BON Resolution No. 99-14, s. 1999 A. Plaintiff C. Respondent
B. Defendant D. Jury
70. He dreams of pursuing a career as a clinical faculty someday. Which of the
following qualifications is NOT mandatory? 83. Karla is ordered by the Legal Department to bring along with her the initial
A. He must have one year clinical practice in a field of specialization assessment form and the progress notes she used for the patient. What legal
B. Be a registered nurse in the Philippines order from the hearing officer refers to this?
C. Member of good standing in the accredited professional organization of nurses A. Subpoena ducestecum C. Respondent
D. Must have three years of clinical practice in any field of nursing B. Subpoena ad testificandum D. Jury

Situation 9: Nurse Trisha is assigned at the safe Motherhood program of the 84. Which of the following doctrines will apply if it is proven that Karla did not go
Department of Health. As a new nurse she needs to keep abreast with the laws through a rigid training before being deployed as a staff nurse due to acute
affecting the practice of her profession. Questions 71-80 refer to this situation. demand for her services?
71. Which of the following laws prohibits the practice of midwifery without the license to A. Res ipsa loquitur C. Force majeur
practice? B. Respondeat superior D. Epikia
A. R.A. 7392 B. R.A. 7305 C. R.A. 7600 D. R.A. 7432
85. Which of the following conditions will NOT establish the doctrine of res ipsa loquitur
72. As a registered nurse, which of the following can Trisha perform within the meaning for Karla?
of the Nursing Act of 2002? A. The injury done to the patient was such nature that it would not normally occur
1. Internal examination during labor and delivery in the absence of antenatal unless Karla was not negligent.
bleeding B. The injury was caused by a voluntary action on the part of the private duty
2. Suturing of perineal lacerations after undergoing special training according to caregiver.
established protocol C. The injury was due to the assistance of the clinical assistant who was instructed
3. Administration of medications and therapies including IV by Karla to help her.
4. Nursing care during pregnancy, labor and delivery D. The injury was not due to the voluntary participation of the family.
A. 1,2,3 B. 2,3,4 C. 1,3,4 D. 1,2,3,4
86. Which of the following are the elements of professional negligence?
73. She knows that she needs to follow the provisions of EO 51. Which of the following 1. Existence of a duty on the part of the person charged to use due care
is mandated in this law? 2. Failure to meet standards of due care;
A. Decrees the registration of the birth of a child within 30 days with the Civil 3. Foreseeability of harm resulting from failure to meet the standard
Registrar 4. The power of control over the agency or instrumentality
B. Protects and promotes the rights and welfare of children and youth A. 1,2,3 B. 2,3,4 C. 1,3,4 D. 1,2,3,4
C. Milk code of the Philippines
D. Family Code of the Philippines 87. If found guilty of professional negligence, she would likely be given penalty, which
could be any of the following EXCEPT:
74. Trisha knows that she must room-in the newly-delivered baby to her mother and A. Revocation of License C. Life imprisonment
have her be breastfed. This is mandated under: B. P50,000 penalty D. 6 year-imprisonment
A. BON Res. # 459 C. BON Res. # 425
B. EO # 220 D. R.A. 7600 88. Which of the following circumstances are considered mitigating circumstances in
the case filed against Karla?
75. One of her patients had an excessive bleeding and needs to be transfused with A. When she voluntarily confesses her guilt before the Board before the presentation
blood. She knows that the blood bank act is: of evidence
A. R.A. 7875 B. R.A. 7719 C. R.A. 6675 D. R.A. 4226 B. When she acts in fulfillment of a duty.
C. When she acted with abuse of confidence or obvious ungratefulness.
76. Trisha advocates for her patient by reminding the physician to prescribe the D. When she acted under the impulse of uncontrollable fear of an equal of greater
medication in its generic name. This is mandated under: injury to the patient
A. RA 6675 B. RA 2382 C. RA 9211 D. RA 10932

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89. The board after a series of hearings found Karla and the two other nurses to be not Part II.
guilty of the case filed against them. Which of the following is considered an 101. Nurse responsibility in mental health is to safeguard welfare of clients. What
exempting circumstance? should the nurse do in case of emergency at home?
A. The injury, which was merely an accident, was caused without fault or intention of A. Call police officer C. Refer to psychiatrist
doing it. B. Prevent injury D. Call for help
B. The nurses act in fulfillment of duty
C. The nurses had no intention to commit so grave a wrong as the one committed. 102. The following are included as an example for prohibit practice of nursing except?
D. The nurses act with evident premeditation. A. Appending the BSN/RN title even without it being earned
B. False documents submitted to acquire license
90. Prior to his death, MrBernas was able to make a legal declaration of his intentions C. Establishing a nursing home without license
upon death. Which of the following terms refer to this testamentary document? D. Appointing a Dean without a Master’s Degree
A. Writ B. Exhibit C. Will D. Injunction
103. The nurse who just arrived to Saudi Arabia for a job as OR nurse was
Situation 11: Ms. Sheena Perez is the Health Education Program Officer of the apprehended with 15.9 grams burn a pot session with his old time friends. The
Municipal Health Office. She plans to develop programs based on the various following are her probable penalties except?
laws and directives from the DOH. Questions 91-100 refer to this situation. A. Revocation of her license
91. She knows that all prescriptions of the municipal health officer should be in B. Maximum period of imprisonment
generics. What law provides for this mandate? C. Maximum amount of fines or monetary penalty
A. R. A. 9173 C. R. A. 1080 D. Suspension for one year
B. R. A. 6675 D. R. A. 7160
104. A working contract signed by the nurse and with her employer will only be valid if:
92. Sheen has to consider managing the resources of the MHO. She knows that the A. She has voluntary accepted the terms of the contract
delivery of basic services and facilities of the national government was transferred B. She has coerced into the contract
to the local government units. Which of the following laws mandated this? C. There were two witnesses when signed the contract
A. R. A. 7305 C. R. A. 4226 D. It provides for Christmas bonus
B. R. A. 7160 D. R. A. 9173
105. When a nurse is already earning an income she needs to pay an income tax. The
93. Which of the following provisions does NOT apply to RA 7305 or the Magna Carta deadline for filling an income tax returns according to the national internal
of Public Health Workers Act? revenue code is:
A. Promote and improve the socio-economic well being of health workers A. March 15 C. December 31
B. Develop their skills and capabilities B. April 15 D. January first week
C. Encourage those qualified and with abilities to remain in government service
D. Standardizes the salaries of nurses working in the government 106. The professional tax is paid annually every:
A. January C. December
94. She deems it necessary for the nurses in the community health to be recognized B. March D. First week of January
and certified as a specialty group. Which of the following supports this objective?
A. BON Resolution No. 118, s. 2002 107. According to the milk code, which of the following behaviors is improper for the
B. BON Resolution No. 24, s. 1999 nurse
C. BON Resolution No. 14, s. 1998 A. Promoting the use of a specific brand milk to a new lactating mother
D. BON Resolution No. 425, s. 2003 B. Teaching mother on the alternative ways of artificial feeding if breast feeding is
not impossible
95. She emphasized to her team that they should be careful in the practice of their C. Soliciting donations from the milk companies to give milk to disasters victims
profession to avoid legal entanglements. Which of the following could be a cause D. Encouraging mothers to breastfeed their children
for revocation and suspension of license?
1. Unprofessional or unethical conduct 108. A nurse unintentionally places a wrong identification tag on a pediatric patient
2. Gross incompetence or serious ignorance resulting to an error in medication due to improper patient. This action of the
3. Malpractice or negligence nurse is considered
4. Use of fraud, deceit, or false statements in obtaining a certificate of registration/ A. Reckless negligence
professional license or a temporary special permit. B. Excusable
A. 1, 2 & 3 C. 1, 3, & 4 C. Inconsequential since there was no intention
B. 2, 3, & 4 D. 1, 2, 3 & 4 D. Malpractice

96. Sheena knows that the suspension of the certificate of registration should not 109. If a nurse assists the doctor in performing illegal abortion to a patient who paid for
exceed how many years? said illegal service, her action in the crime makes her:
A. 2 B. 3 C. 4 D. 6 A. Accessory C. Principal
B. Accomplice D. None of the above
97. In addition to the prescribed period, the following are the other conditions for which
the revoked certificates can be reissued. Which one is not included? 110. Nurse Sarah was requested by a graduating student nurse May to sign a form for
A. Reasons of equity and justice character reference. other requirements for licensing examination for nurses
B. Cause for the revocation has disappeared or has been cured and corrected. include the following:
C. Upon application thereof and payment of required fees A. A PRC application form accomplished under oath
D. Upon the completion of one month didactic and 3 months practicum. B. Birth certificate
C. Diploma as BSN
98. She plans for a certification program for the nurses under the MHO. How long will D. All of the above
the beneficiaries of the program are obliged to serve in any of the Philippine
hospitals? 111. Nurse Sarah clarified that the condition for rating the examinations are as follows
A. 1 year B. 2 years C. 6 months D. 4 months except:
A. General rating of 75% with no rating below 60% the first examination
99. In order to motivate her team. Sheena announced that the salary of nurses has B. To pass the second examination, a rating of 75% is needed in a repeated subject
been upgraded to salary grade ____. C. Re-examination in all subjects with one year if she failed the second examination
A. 12 B. 13 C. 14 D. 15 D. No fourth examination is given

100. Which of the following penalties shall be imposed on any person or employer of
nurses who violate the minimum base pay and incentives and benefits that
should be accorded them?
A. A fine of not less than P 50,000.00 and not more than P100,000.00
B. Imprisonment of not less than 1 year nor more than 6 years
C. Either of A or B
D. Both a and b
112. Miss Reyes, twenty years old from Medical College of Nursing submitted her
application for nurse licensure examination but was refused because:
A. It was filled ten days before the first day of examination
B. She is an alien with proof of reciprocity
C. Her application was not under oath
D. None of the above

5 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
113. Luckily, Miss Reyes passed the examination and is waiting for the issuance of a 126. A person is deemed to resort to fraudulent misrepresentation if she does which of
certificate to practice nursing. This responsibility primarily belongs to the the following:
A. Civil service commission C. Professional regulation commission A. Claiming to have passed the NLE even if he actually has not, and is practicing as
B. Board of nursing D. Office of the president a nurse in the hospital
B. Administering the wrong medication to a patient
114. One of the following is true regarding the concept of registration of those who C. Ignores the comprehensive explanation of a procedure to a client who will
passed the local licensure examination for nurses: undergo treatment.
A. Registration is dispensable since already passed the examination D. Failure to carry out doctor’s order.
B. All board passers must register their names 3 months after they received the
result 127. When can a nurse be liable for illegal detention:
C. Registration and passing the license examination are two separate act A. When she placed cholera patient in isolation
D. Government nurses may not register anymore once they pass because they are B. When she confine a Vietnamese refugee to quarantine, probable for SARS
exempted C. When she detained a patient who is positive for AIDS for danger of cross-
contamination
115. While waiting for the issuance of her license, she accompanied one day a friend D. When she did not allow a patient with cervical cancer with radium implant to
Miss Santos, to the Philippine Nurses Association. to qualify for membership in ambulate along the hospital corridors
the PNA, Miss Santos must meet the following except:
A. Registered nurse 128. A 25 year old female patient will undergo Normal Spontaneous Delivery, from
B. Good moral character whom should the physician get the informed consent:
C. Revoked or suspended license A. Hospital authorization C. Patient herself
D. Must have paid a membership fee of 400.00 pesos B. The patient and her husband D. The patient’s relative

116. The Philippine Nurse Association was founded in 1922 by: 129. A person posing as a nurse and doing task of a nurse also, without the nurse
A. Anne Sand C. Anastacia G. Tupaz license maybe charge of:
B. Dean J. Sotejo D. Rosario Delgado A. Malfeasance C. Unprofessional conduct
B. Misdemeanor D. Malpractice
117. The following are the objectives of PNA, except:
A. Create professional unity 130. When obtaining result for surgery initially the nurse should:
B. Creates harmony among nurses A. Explain the risk involved in surgery
C. Creates equality and fairness among nurses B. Explain that obtaining then signature is routine for any surgery
D. Promotes international working opportunities C. Evaluate if the clients knowledge level is sufficient to give consent
D. Witness the signature because this is what the nurse’s signature documents
118. Being a member of PNA, a nurse is given the prerogative in hiring compared to
those who are not a member thereof, under; 131. Nurses are protected from all legal action when they:
A. RA 10 C. RA1000 A. Offer first aid at the scene of an automobile bus accident
B. RA 100 D. LOI 1000 B. Administer CPR measure on an unconscious child pulled from the a swimming
pool
119. A nurse rendered steam inhalation with a conveyor or placed too close to C. Report incidents of suspected child abuse to the appropriate authorities identified
patient’s face. a few minutes after the procedure the cheek of the patient was in legislation and policies
noted to reddened. upon inspection first degree burns were present. The nurse’s D. All of the above
act constitute:
A. Malpractice C. Tort 132. A republic act of 2002 regulating the practice of nursing in the Philippines is:
B. Battery D. Incompetence A.RA 9172 B. RA 9171 C. RA 9174 D. RA 9173

120. To legalize the patient’s release form from the hospital, what is needed? 133. Safe nursing practice requires:
A. Doctor’s discharge order A. Professional competence C. Registration as a nurse
B. Patient’s consent B. Completion of BSN D. Membership in the PNA
C. Patient’s payment
D. Patient’s signature at the proper hospital form 134. Like other professions what is unique in professional nursing:
A. Its compassionate and caring roles
121. A metal skin clip found liable in the abdominal cavity of an operated patient with B. Its caring roles
recurrent fever is a basis for liability under the; C. A well-defined body of knowledge and examination
A. Effects of force majeure C. Doctrine of Res ipsa loquitur D. Its involvement in nursing research
B. Doctrine of Respondeat Superior D. All of the above
135. A final requirement to the practice of nursing after passing the board examination
122. Signing an informed consent is one of the legal responsibilities of a nurse before is:
an operation is done. It is valid when it is: A. Oath taking C. Passing the civil service examination
A. Signed by a person before eighteen years of age B. Paying your occupational tax D. Undergoing a nurse residency training
B. Witnesses by a blind person
C. Signed by a consenting adult given due explanations by the nurse and properly 136. During doctor’s rounds you find yourself faced with the following activities which
signed by the witness should you give priority?
D. All of the above A. Response to a patients call for assistance
B. Write report required by the head nurse
123. Mercedes was having steam inhalation which was prescribed and was carried out C. Go on with the doctor’s round
by the pm duty nurse. After giving it for thirty minutes, Mercedes face was red all D. Attend to your nursing students inquiry
over and soon blisters started to appear. In this case the pm nurse is liable for;
A. Reckless imprudence C. Simple negligence 137. When the patient falls out of bed, the nurse can be held liable if:
B. Minor infarction D. Misdemeanor A. She failed to assign a watcher
B. She failed to give him a sedative
124. The first degree burns in the case above illustrates the doctrine of; C. She knew that the patient was disoriented and in need of restraint and did nothing
A. Respondeat superior C. Force majeure D. None of the above
B. Res ipsa loquitur D. Sin of commission
138. In attending to emergency cases in the absence of a physician, the nurse should
125. If the reasons, the cause of scalding the face of Mercedes was due to the remember to do the following except:
defective equipment the following are liable to court case: A. Give assistance only within the area of nursing practice
A. The hospital thru the principle of respondeat superior B. Use sound professional judgment and give only care
B. The hospital thru force majeure C. Institute only life saving measures
C. The nurse only D. Perform medical functions without reporting to the physician after rendering such
D. A & C care

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139. The first licensure examination for nurses was conducted in? 157. In your job as new staff nurse, you noted that staff nurses who have stayed
A. 1915 B. 1919 C. 1920 D. 1966 longer in the unit start charting as early as 9 am after a brief visit to their patients.
what would be the appropriate action to take?
140. It refers to a civil wrongdoing committed against a person or a person’s property? A. Follow their practice to save nursing time
A. Libel C. Tort B. Initiate discussion of the matter in a regular meeting
B. Dishonesty D. Fraud C. Continue care of the patients and do charting later
D. Report the matter to the head nurse
141. These are the obligations associated with rights
A. Liability C. Obligation 158. One day, Ms. Vans requested nurse Mitzin preparing her will. The one who
B. Responsibility D. Relationship leaves the will is called:
A. Principal C. Accomplice
142. Which of the following is true regarding good samaritan laws? B. Testator D. Respondeat superior
A. They provide nurses with absolute exemption from prosecution
B. They establish a designated time frame within which a lawsuit can be filed 159. Should anyone try to alter the patient’s record and cancel all possible evidences.
C. They provide legal immunity for persons who give first aid at the scene of an He/ she can be charged as:
accident A. Defendant C. Accessory
D. They provide protection when nurse fail to leave people and their property alone. B. Accomplice D. Principal

143. Which statement best describes deontology: 160. The patient always has the right to examine and read even his chart and receive
A. Ethical study based on moral obligation explanation of all documentation. This information is found in the:
B. A choice between two undesirable outcomes A. Hospital directory C. Code of ethics
C. A proposal that all clients be told the truth B. Patient’s bill of rights D. Medicare code
D. An ethical theory based on final outcome
161. If a patient sues a nurse for malpractice, the patient must be able to prove:
144. An incident report is best described as: A. Error, proximal cause and lack of concern
A. A personal written account of an event B. Error, injury and proximal cause
B. A written account of an unusual event that may cause harm C. Injury, error and assault
C. A contract between a person and a company willing to provide legal service D. Proximal cause, negligence and nurse error
D. A lawsuit alleging that a professional’s failure to act responsibly caused harm
162. Mario cannot raise the amount for the hospital bill of her son due to poverty. if the
145. Which of the following is not a place of law in nursing? hospital refuse to release the patient due to his account, the hospital involved
A. Protect rights of patients including the nurse may be charged for:
B. Protect nurses, doctors and hospitals A. Slander C. Assault
C. Accountability B. Malpractice D. Illegal Detention
D. Compromise errors
163. The recent act providing punishment for illegal sale and administration of all
146. The first law that has something to do with nursing practice? prohibited drug is:
A. RA 2493 C. RA 2808 A. RA 1080 B. RA 3573 C. RA 6425 D. RA 9165
B. RA 877 D. RA 9173
164. The act that gives honor and justice to our people’s long tradition of giving high
147. The first true law or organic law in nursing? regard to our elderly:
A. RA 877 C. RA 7164 A. RA 7305 B. RA 7432 C. RA 7600 D. RA 7160
B. RA 9173 D. RA 2808
165. RA 7600 provides that babies born in private and government hospitals should be
148. The law that prescribes intravenous therapy with doctors supervision? roomed in with their mothers to promote breastfeeding and ensure safe and
A. RA 7164 C. RA 877 adequate nutrition to children. this is also known as the:
B. RA 6136 D. RA 9173 A. Baby friendly Act of 1992
B. Rooming-In and Breastfeeding act of 2001
149. Intravenous therapy under the new law is: C. Rooming in and breastfeeding Act of 1992
A. Independent function C. Interdependent function D. Baby friendly Act of 2000
B. Dependent function D. Any of the above
166. This nursing law of 2002 was passed to provide for a more responsive nurse
150. Under the new directive the PRC is under what agency? profession?
A. BON B. DOLE C. SENATE D. PNA A. RA 7164 B. RA 9173 C. RA 7432 D. RA 3573

151. An act providing for a more responsive nursing profession, also known as “The 167. The court can only review the decision of the Board of Nursing if it treat once or
Philippine Nursing Act of 2002” unconstitutional. The best example of this is:
A. RA 9173 C. RA 7164 A. Use of administrative position C. Thorough investigation
B. RA 7193 D. RA 9165 B. Consulting other leaders D. Abuse of power

152. An administrative agency under the office of the president which regulates all 168. Standard for nursing practice are important as objective guidelines for nurse to
professions in the country: provide care and as criteria for evaluating care. Which of the following is best
A. PRC B. BON C. PNA D. DOH clearly defined standard?
A. Administrator can determine that care meets acceptable standards
153. A quasi-judicial body which regulates the practice of nursing in the Philippines? B. Nurses can test and determine what is correct in giving nursing care
A. PRC B. BON C. PNA D. DOH C. Clients may choose the care they think is appropriate
D. It can be a source for legal disputes
154. Who appoints the members and the chairman of the board of nursing:
A. President of the Philippines C. PNA 169. As a school nurse, you must be equipped with the basic knowledge on nutrition
B. PRC D. BON and environmental sanitation as competencies required by?
A. CHED B. DepEd C. BON D. PRC
155. The Board of Nursing is composed of how many officers, including the chairman:
1. 1 chairman 3. 6 members 170. At time of their appointment, the chairperson and the members of the Board must
2. 2 chairman 4. 5 members possess the following qualifications:
A. 1& 3 B. 1 & 5 C. 2 & 3 D. 2 & 5 1. Naturalized citizen
2. members of PNA
156. Who recommends the nurses to the position of the Board of Nursing: 3. 10 years of continuous practice master’s degree holding in nursing
A. PRC C. PNA or any accredited Prof. Nursing Org. A. All except 1 C. All except 3
B. BON D. DOH B. All except 2 D. All of the above

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171. Which of the following does not disqualify a nurse to the position of the Board of 188. Before entering the practice of nursing, a successful candidate shall be required
Nursing? to:
A. Presence of complaint for immoral conduct A. Do volunteer training in the community
B. Naturalize born citizen B. Do volunteer training in the hospital
C. 5 years of continuous practice C. Have Master units in Nursing
D. President of a review program for PNLE D. Take an oath before the Board of Nursing

172. The three areas of nursing represented in the Board of Nursing, the persons
appointed shall institute the following except:
A. Resign from any teaching position in any school offering BSN
B. Shall not accept any office in government owned or controlled corporation
C. Shall have pecuniary interest in nursing supervision
D. shall not have any connection in nursing review center
189. Professional license may be issued without examination, under registration by
reciprocity provided that:
A. Requirements for registration in said country are substantially the same
B. The laws of the state grant the same privilege to Filipino Nurses
C. They have the same salary
D. A and B only

173. To protect and improve the nursing profession, the state shall institute the 190. Who had the power to revoke and suspend certificates of registration
following measures except: A. PNA B. PRC C. BON D. The court
A. Human working condition C. Monetary reward
B. Dignified existence of the nurse D. Better career prospects 191. The following are grounds for revocation and suspension of nurse’s certificate of
registration, except:
174. When a nurse serves the unexpired portion of the term of a board member, the A. Presence of a case of immoral or dishonorable conduct
appointment is: B. Malpractice/ Negligence
A. Ad-interim appointment C. Hold-over C. Gross incompetence or serious ignorance
B. Regular appointment D. Special appointment D. Violation of the nursing law

175. When the members of the Board shall hold office until their successors shall have 192. The suspension of license shall be for a period not exceeding?
been appointed and qualified, there exists: A. 2 years B. 4 years C. 5 years D. 10 years
A. Ad interim C. Hold-over
B. Regular appointment D. Special appointment 193. Military Nurses must be equipped with height, age and health requirements and
proper military and hospital training under the auspices of:
176. The maximum number of years a member of the board can serve is? A. Armed forces C. PNP
A. 3 years C. 6 years B. DOH D. Nurse Corps, AFP
B. 5 years D. 10 years
194. When a nurse injected a medicine without doctors order, he may be liable for:
177. The qualifications of the members of the Board shall be based on the doctrine of: A. Negligence C. Plagiarism
A. Hold –over C. Merit and Fitness B. Malpractice D. Malfeasance
B. Quantum Merit D. Special Appointment
195. Which of the following exempt a nurse from negligence:
178. The Board of Nursing is under the administrative supervision of: A. Good Samaritan Law C. Stare decisis
A. President B. PRC C. DOH D. PNA B. Respondeat superior D. Res ipsa loquitur

179. Who has the custody of the records of the Board, the cases, applications and 196. The nurse failed to put the side rails up for a delirious patient and the patient
other documents? sustained multiple injuries, what doctrine will be applied to prove the nurse is
A. President B. PRC C. DOH D. PNA negligent?
A. Force majeure C. Respondeat Superior
180. The compensation of the members of the Board of Nursing shall be based on: B. Res ipsa loquitur D. Stare decisis
A. Hold-over C. Merit and fitness
B. Quantum merit D. Salary range 197. The nursing education program shall provide general and professional nursing
foundation in consonance with requirements of:
181. The powers and functions of the board under the law are classified as: A. BON B. PRC C. PNA D. CHED
A. Quasi-judicial C. Administrative
B. Quasi-legislative D. All of the above 198. The nursing curriculum is described as:
A. Integrated comprehensive C. Competency based; Community oriented
182. Conducting hearings and investigation to resolve complaints against nurse B. Professional general D. Competency oriented only
practitioner is performing the function of?
A. Quasi-judicial C. Administrative 199. Upon graduation, nurse are ready for:
B. Quasi-legislative D. All of the above A. A specialized nursing practice C. Administrative 7 supervisory position
B. First-level generalized practice D. All of the above
183. Prescribing, adopting, issuing and promulgating guidelines and regulations to
implement the nursing law is performing the function of? 200. The following are requirements for inactive nurses returning to practice:
A. Quasi-judicial C. Administrative 1. One month practicum
B. Quasi-legislative D. All of the above 2. One month didactic training
3. 3 months didactic training
184. The following are powers and duties of the Board except: 4. 3 months practicum
A. Issue, suspend or revoke license C. Open and close Colleges of Nursing A. 1&3 C. 1 & 4
B. Conduct licensure examinations D. Promulgate Code of Ethics for Nurses B. 1&2 D. 2 & 4

185. The following are grounds for the removal and suspension of Board Members, Part III.
except: 201. As a professional, a nurse can do research for varied reasons, except:
A. Minor administrative violations A. Professional advancement through research participation
B. Neglect of duty B. To validate results of new nursing modalities
C. Irregularities in the licensure examinations C. For financial gains
D. unprofessional conduct D. To improve nursing care

186. PRC modernization Act of 2000 is: 202. Each nurse participants were asked to identify a research problem. After the
A. RA 9173 B. RA 6675 C. RA 8981 D. RA 9165 identification of the research problem, which of the following should be done?
A. Methodology C. Acknowledgment
187. The process of determining whether minimum competence to practice nursing is B. Review of Related Literature D. Formulation of a hypothesis
met or not:
A. Licensure Registration C. Specialization D. Accreditation

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203. In Quantitative date, which of the following is described as the distance in the 216. A 75 year old client in a nursing home tells a nurse, “I signed the papers of that
scoring unites of the variable from the highest to the lower? research study because the doctor was so insistent and I want him to continue
A. Frequency B. Mean C. Median D. Range taking care for me”. Which client right is being violated?
A. Right to self-determination
204. This expresses the variability of the data in reference to the mean. It provides as B. Right to privacy and confidentiality
with a numerical estimate of how far, on the average the separate observations C. Right to self-disclosure
are from the mean: D. Right not to be harmed
A. Mode C. Median
B. Standard Deviation D. Frequency 217. A supposition or system of ideas that is proposed to explain a given phenomenon
best defines:
205. In an array of: 88, 81, 89, 88, 90, 92, 90: What is the mean? A. Paradigm C. Theory
A. 88.3 B. 88.4 C. 88.1 D. 88.2 B. Concept D. Conceptual Framework

206. Draw Lots, Lottery, Table of random numbers or a sampling that ensures that 218. A nursing student wants to know if the of time she will study for the board
each element of the population has an equal and independent chance of being examination is proportional to her board rating. During the June 2008 board
chosen is called: examination. She studied for 6 months and gained 60%. On the next board exam,
A. Cluster B. Simple C. Stratified D. Systematic she studied for 6 months again for a total of 1 year and gained 74%. On the third
board exam, she studied for 6 months for a total of 1 and a half year and gained
207. A researcher wants to determine some of the problems that are experienced by 82%. The research she used is:
diabetic clients when using an Insulin pump. The investigation went into a clinic A. Comparative Study C. Experimental Study
where he personally knows several diabetic clients having problem with insulin B. Longitudinal Study D. Cohort Study
pump. The type of sampling done by the investigator is called:
A. Probability B. Purposive C. Snowball D. Incidental 219. Barangay A was selected randomly as well as Barangay B, Nurse Edly
conducted teaching to Barangay A and assess if Barangay A will have a better
208. If the researcher implemented a new structured counseling program with a status than Barangay B. This is an example of:
randomized group of subject and a routine counseling program with another A. Comparative C. Experimental
randomized group of subject, the research is utilizing which design? B. Correlational D. Qualitative
A. Quasi-Experimental C. Non-Experimental
B. Experimental D. Phenomenology 220. Anton was always eating high fat diet. You want to determine if what will be the
effect of high cholesterol food to Anton in the next 10 years. This is an example
209. Which of the ff. is not true about a Pure Experimental Research? of:
A. There is a control group A. Comparative C. Experimental
B. There is an experimental group B. Correlational D. Qualitative
C. Selection of subjects in the control group is randomized
D. There is a careful selection of subjects in the experimental group 221. A nurse is conducting a research study on how mark, an AIDS client lives his life.
A design suited for this is:
210. The researcher implemented a medication regimen using a new type of A. Historical C. Phenomenological
combination of drugs to manic patients while another group of manic patient B. Case study D. Ethnographic
receives the routine drugs. The researcher however handpicked the experimental
group for they are the clients with multiple episodes of bipolar disorder. The 222. A nurse researcher is to perform a study about how nurses perform surgical
researcher utilized which research design? asepsis during World War II. A design for this study is:
A. Quasi-Experimental C. Non-Experimental A. Historical C. Phenomenological
B. Experimental D. Phenomenology B. Case study D. Ethnographic

211. You are interested to study the effects of medication and tactile stimulation on the 223. Which among the following is the most important characteristic of a sample?
pain experienced by the cancer patients. What type of variable is pain? A. Appropriate number C. Representativeness
A. Dependent C. X Variable B. Location D. Randomization
B. Independent D. Y Variable
224. A student nurse visited a tribe located somewhere in China. She studied the way
212. You would like to compare the support system of patients with chronic illness to of life, tradition and the societal structure of these people. Which among the
those with acute illness. Considering that the hypothesis was: “Clients with following is an appropriate research design?
chronic illness have lesser support system than clients with acute illness.” What A. Historical C. Phenomenological
type of research is this? B. Case study D. Ethnographic
A. Descriptive C. Correlational, Non-experimental
B. Experimental D. Quasi-experimental 225. A nurse researched on TB. Its transmission, Causative agent and factors,
treatment, sign and symptoms as well as medication and all other in depth
213. In any research study where individual persons are involved, it is important that information about tuberculosis. This study is best suited for which research
an informed consent of the study is obtained. The following are essential design?
information about the consent that you should disclose to the prospective subject A. Historical C. Phenomenological
except: B. Case study D. Ethnographic
A. Exclusion of explaining the administration of placebo
B. Description of benefits, risks, and discomforts 226. What does a sample group represent?
C. Explaining the procedure A. Control group
D. Assurance of anonymity and confidentiality B. Study subjects / respondents
C. General population
214. Which of the following studies is based on quantitative research? D. Universe
A. A study examining the bereavement express in spouse or clients with terminal
cancer 227. Random sampling ensures that each subject has:
B. A study exploring the factors influencing weight control behavior A. Been selected systematically
C. A study measuring the effects of sleep deprivation on patients healing B. An equal chance of selection
D. A study examining client’s feeling before, during and after bone marrow C. Been selected based on set criteria
aspiration. D. Characteristics that match other samples

215. Which of the following studies is based on the qualitative research? 228. You decided to include 5 barangays in your municipality and chose a sampling
A. A study determining the extent of knowledge of nursing students on ha method that would get representative samples from each barangay. What should
B. A study examining client’s reaction to stress after open heart surgery be the appropriate method for you to use in this care?
C. A study gauging oxygen levels after endotracheal suctioning A. Cluster C. Stratified
D. A study measuring differences in blood pressure before, during and after B. Random D. Systematic
procedure

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229. Which of the following might prevent the conduct of a research study? 242. In a qualitative research report, the thematic analysis of the data would be
A. In order to gather data for the research, excessive risk to subject is required presented in the:
B. Costs for conducting the study are low compared to the potential benefits from A. Introduction C. Results section
the researcher B. Methods section D. Discussion section
C. The identified problem is covered in the literature
D. The research problem is based on untested nursing theories 243. Which of the ff. is not a nonprobability sampling method?
A. Convenience B. Cluster C. Purposive D. Quota
230. Every year we discover new methods or gadgets to improve man’s life. The
research typed used is: 244. Which of the following types of sample is considered to be the weakest for
A. Applied B. Basic C. Experimental D. Quantitative quantitative studies?
A. Convenience C. Purposive
231. The criterion used by quantitative researchers involving the soundness of the B. Quota D. Systematic
findings is:
A. Reliability B. Validity C. Credibility D. Dependability 245. The most widely used method of collecting data in nursing research is:
A. Self-reports C. Biophysiologic measures
232. Which of the following is not an aspect of trustworthiness to be considered in B. Observations D. All three are about equal
evaluating the strength of evidence in a qualitative study?
A. Triangulation C. Confirmability 246. Steps generally employed I the analysis of qualitative data include all of the
B. Transferability D. Credibility following, except:
A. Testing hypothesis C. Validating themes
233. Nurse Jaime is conducting a research to generate new knowledge. What type of B. Searching for themes D. Developing a coding scheme
research, according to purpose, is responsible for the generation of novel
knowledge? 247. In the research problem, “Is the level of anxiety higher among BSN 3 students
A. Applied Research C. Historical Research than the BSN 4 students?” what is the dependent variable?
B. Basic Research D. Experimental Research A. Level of Anxiety C. BSN 3 Students
B. Year level of BSN Students D. BSN 4 Students
234. A group of nurses meet in order for them to discuss and comment on available
research articles. This is an activity in Nursing Research which is: 248. A nurse wanted to determine his sample by selecting every 10th person in the
A. Clinical Problem Solving & Decision Making patient list. This is what kind of sampling technique?
B. Research Collaboration A. Purposive Sampling C. Quota Sampling
C. Journal Club Participation B. Stratified Random Sampling D. Systematic Sampling
D. Research Dissemination
249. A staff nurse defined as “a professional nurse employed at Region 1 Medical
235. Nurse Anjo conducted a research about the possible effects of fall among the Center” is an example of what definition?
elderly. After the conduct of his research, he discussed the implication & the A. Lexical C. Conceptual
relevance of the findings of his study to a group of elderly people. This is an B. Operational D. Theoretical
activity in Nursing Research which is:
A. Clinical Problem Solving & Decision Making 250. This is a type of research which explores the interrelationships among variables:
B. Research Collaboration A. Historical C. Correlational
C. Journal Club Participation B. Experimental D. Descriptive
D. Research Dissemination
251. In qualitative research, this pertains to the confidence in the truth of the findings
236. A Nurse researcher sought for the help of another researcher in order for them to A. Credibility C. Confirmability
conduct a joint study. This is an activity in Nursing Research which is: B. Dependability D. Transferability
A. Clinical Problem Solving & Decision Making
B. Research Collaboration 252. This occurs when themes and categories in the data becomes repetitive and
C. Journal Club Participation redundant, such that no new information can be gleaned by further data
D. Research Dissemination collection.
A. Credibility C. Transferability
237. After identifying a problem, the researcher evaluates the problem according to the B. Data Saturation D. Confirmability
FEASIBILITY criteria. This means:
A. Data can be collected to solve the problem 253. This is the use of multiple sources or referents to draw conclusions about what
B. There is a genuine enthusiasm by the researcher constitutes the truth.
C. Subjects are available A. Thick Description C. Audit Trail
D. Problem has significance to the population targeted B. Data Saturation D. Triangulation

238. After identifying a problem, the researcher evaluates the problem according to the 254. A nurse researcher is conducting a qualitative research and is about to resort to
INTEREST criteria. This means: triangulation. She made use of interviews and observations as her methods of
A. Data can be collected to solve the problem data collection. This is what kind of triangulation?
B. There is a genuine enthusiasm by the researcher A. Methods Triangulation C. Analyst Triangulation
C. Subjects are available B. Triangulation of Sources D. Theory Triangulation
D. Problem has significance to the population targeted
255. A nurse researcher is conducting a qualitative research and is about to resort to
239. The independent variable in the research question “What is the effect of noise triangulation. She sought for the expertise of multiple observers to provide a
levels on postoperative pain or blood pressure fluctuations in ICU patients?” is: check on selective perception and illuminate blind spots. This is what kind of
A. Blood Pressure C. Noise Levels triangulation?
B. ICU Patients D. Postoperative Pain A. Methods Triangulation C. Analyst Triangulation
B. Triangulation of Sources D. Theory Triangulation
240. Marie is interested in a research project to determine the effectiveness of a plant
in the cure for diabetes. The independent variable is: 256. This is the strongest form of research dissemination:
A. Plant C. Rats A. Oral Presentation C. Journal Publication
B. Diabetes D. Extent of effectiveness of the plant B. Poster Presentation D. None of the Above

241. A research hypothesis: 257. The researcher has relayed the findings of his study to his respondents. This
A. Is a set of logically interrelated propositions supports what ethical principle in research?
B. Is usually more general in scope than the problem statement A. Beneficence C. Full Disclosure
C. Predicts the existence of a relationship between two or more variables B. Non-maleficence D. Confidentiality
D. Predicts the absence of a relationship between two or more variables

10 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
258. In the research problem “Is there a significant relationship between the age and 272. An investigation report shows that the perpetrator to a crime of rape was 14 years
gender of patients and their pain perception level?” Age and gender are: old. He may fall under what circumstance affecting criminal liability?
A. Dependent Variable C. X Variable A. Justifying C. Mitigating
B. Independent Variable D. Y Variable B. Exempting D. Aggravating

259. In the research problem “Does the number of clinical work hours affect the sense 273. In a case of homicide, the perpetrator claimed to have done such because he
of professionalism of nurses?” What is the Dependent Variable? defended himself from the injurious threat of the victim. He may fall under what
A. Sense of Professionalism of Nurses circumstance affecting criminal liability?
B. Number of clinical work hours A. Justifying C. Mitigating
C. Nurses B. Exempting D. Aggravating
D. Chief Nurses
274. During nighttime, when the hospital cashier department was closed, a person
260. This is a sampling technique, where the population is divided into two or more stole money from it. He surreptitiously broke the glass door which served as his
strata, and then samples were drawn from each strata using fishbowl or lottery entrance. He may fall under what circumstance affecting criminal liability?
technique: A. Justifying C. Mitigating
A. Convenience Sampling C. Quota Sampling B. Exempting D. Aggravating
B. Stratified Random Sampling D. Cluster Sampling
275. A nurse who intentionally killed a patient by administering a bolus of KCl,
261. As a registered nurse, Martha is covered by the Code of Ethics for Registered voluntarily surrendered to the proper authorities. He may fall under what
Nurses in the Philippines which is promulgated in: circumstance affecting criminal liability?
A. RA 6715 B. RA 9173 C. EO 51 D. RA 7600 A. Justifying C. Mitigating
B. Exempting D. Aggravating
262. Nurse Kathryn is assigned in the Nursery Department. She knows that the
rooming-in and breastfeeding of babies are bound by: 276. A nurse who intentionally killed a patient by administering a bolus of KCl,
A. RA 6715 B. RA 9173 C. EO 51 D. RA 7600 voluntarily surrendered to the proper authorities. This is a crime called:
A. Murder C. Infanticide
263. A mother was rushed to the Emergency Department because of bruises and B. Homicide D. Parricide
open wounds. During history taking, Nurse Jaime found out that she was
physically abused by her husband. Nurse Jaime knows that the husband can be 277. A nurse who accidentally killed a patient by administering a bolus of KCl,
criminally liable under: voluntarily surrendered to the proper authorities. This is a crime called:
A. RA 6715 B. RA 9262 C. RA 7600 D. PD 603 A. Murder C. Infanticide
B. Homicide D. Parricide
264. Nurse Patricio has been practicing his profession for three years already since he
passed the NLE. He needs to renew his license, because this is mandated under: 278. If Kamille divulges the information that she is caring for the child of a patient with
A. RA 6715 B. RA 9173 C. LOI 567 D. RA 7600 sexually transmitted disease, she can be liable for unprofessional conduct
specifically:
265. Nurse Myla is assigned in the Nursery Department and is aware of the banning of A. Libel C. Breach of Confidentiality
milk substitutes because this has been mandated under: B. Slander D. Invasion of Privacy
A. RA 6715 B. RA 9173 C. LOI 567 D. EO 51
279. Nurse Amy remarks to those who refuse to undergo bilateral tubal ligation as
266. A client was rushed in the emergency department due to stab wounds. irresponsible and “good-for nothing” who just want to get pregnant all the time
Unfortunately he was proclaimed “Dead on Arrival”. The nurse knows that the within the hearing distance of other patients in the OPD. If a case is filed against
suspect’s act may fall under what classification of felony? Trisha, what case would it be?
A. Consummated C. Attempted A. Assault C. Slander
B. Frustrated D. Mitigating B. Breach of Confidentiality D. Battery

267. A client reported that he was almost stabbed by someone. He luckily swerved 280. The hospital administrator insisted on holding the client’s stay in the hospital until
from the knife, and ran from the perpetrator. A knowledgeable nurse knows that the latter settles all his hospital bills. This is a criminal offense called:
the perpetrator’s act may fall under what classification of felony? A. Assault C. Slander
A. Consummated C. Attempted B. Negligence D. Illegal Detention
B. Frustrated D. Mitigating
281. Which of the following is not an element of a malpractice?
268. A client was rushed in the emergency department due to stab wounds. He was A. Duty C. Effect
dying, but was revived by the health care team. The nurse knows that the B. Breach of Duty D. Injury
suspect’s act may fall under what classification of felony?
A. Consummated C. Attempted 282. A sponge was left in the viscera of the patient after appendectomy. Which
B. Frustrated D. Mitigating doctrine can be applied to a malpractice case?
A. Res ipsa loquitur C. Force majeure
269. Investigation reveals in a medico-legal report that the client was shot by June, B. Respondeat superior D. Voxpopuliestsupremalex
who was instigated by Felix. Mario learned about the firing incident, however,
during the course of investigation, he denied the knowledge of such. June is 283. A nurse was not able to report to duty because of a outrageous typhoon. Which
criminally liable as the: doctrine can be applied to a malpractice case?
A. Principal C. Accessory A. Res ipsa loquitur C. Force majeure
B. Accomplice D. Witness B. Respondeat superior D. Voxpopuliestsupremalex

270. Investigation reveals in a medico-legal report that the client was shot by June, 284. Nurse Lita knows that she is duty-bound to renew her professional identification
who was instigated by Felix. Mario learned about the firing incident, however, card every how often?
during the course of investigation, he denied the knowledge of such. Felix is A. Every 5 years C. Anually
criminally liable as the: B. Every 3 years D. Bianually
A. Principal C. Accessory
B. Accomplice D. Witness 285. Which of the following is NOT true about the qualifications of the members of the
Board of Nursing?
271. Investigation reveals in a medico-legal report that the client was shot by June, A. Citizen & Resident of the Philippines
who was instigated by Felix. Mario learned about the firing incident, however, B. Member of an Accredited Professional Organization
during the course of investigation, he denied the knowledge of such. Mario is C. Registered Nurse &Masters Degree Holder
criminally liable as the: D. 5 years experience in Nursing Profession
A. Principal C. Accessory
B. Accomplice D. Witness 286. A newly hired public health nurse knows that her Salary grade is:
A. 12 B. 13 C. 14 D. 15

11 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
287. When Mrs. Mendez refused to receive her next dose of Nordette and Trisha PART IV.
injected it just the same, she can be sued for what kind of legal case? Situation: Mrs. Perez is the director of nursing service department for almost 3 years
A. Battery C. Invasion of Privacy now and has not finished her masteral degree in nursing administration.
B. Assault D. Misdemeanor Unfortunately, with the implementation of the nursing law requiring all department
heads to have a masteral degree she has step down to the middle management
288. A nurse advised a client who wishes to donate his healthy kidney, in exchange of position.
money, that he might suffer in the long run. The nurse considered what ethical 301. When making decision to such kind of situation the following approached may be
principle? considered:
A. Role Fidelity C. Stewardship A. Resign immediately from the current position
B. Justice D. Totality B. Enroll for the masteral degree program file for study leave
C. Seek employment abroad
289. A nurse treats patients of higher class with regard, than those who cannot afford D. Ignore the problem; this may have no effect at all your current position
the services of the hospital. This is an issue under what ethical principle?
A. Role Fidelity C. Stewardship 302. When making decision on the type organizational structure to be used for the
B. Justice D. Totality nursing service department the following can be considered except:
A. Type of hospital C. Philosophy of the department
290. This is an ethical principle which states that God is the owner and we are the care B. Total bed capacity D. Modality of nursing care to be used
takers of our bodies.
A. Role Fidelity C. Stewardship 303. Management by objective as a directing element can be defined as:
B. Justice D. Totality A. A process whereby a superior and subordinate jointly the common goals that will
direct the organization
291. The resident physician was already on his way to the Intensive Care Unit when a B. A process that considers objective of care all the time
client was arresting. The ICU Nurse can no longer wait for the doctor to arrive in C. A process that dictates the leadership style to be implemented
the ICU, that is why she herself intubated the client despite lack of training. This is D. A process that determines the quality of care to be rendered
an issue under what ethical principle?
A. Role Fidelity C. Stewardship 304. One of the primary duties of effective team leader to their team is to:
B. Justice D. Totality A. Ensure that all the details are taken care of all the time
B. Enable the team to envision their goals and the objectives
292. Meeting of minds between two or more persons, whereby one binds himself with C. Take effective minutes of the meeting
respect to another, to give something or to render some service. D. Allow everyone a chance to participate, even if the meeting goes longer than
A. Will C. Succession expected
B. Contract D. Obligation
305. An old ventilator often malfunctions and has inefficiencies resulting from the
293. An act whereby a person is permitted with formalities of law to control to a certain speed of the equipment or downtime (amount of time it is out of service for
degree the disposition of his estate to take effect after his death. repairs). The organization decided to purchase new technology because the old
A. Will C. Succession one is too expensive to maintain. What type of budget is allotted for the
B. Contract D. Obligation equipment?
A. Operational budget C. Capital Budget
294. Any union of employees which exist for the purpose of collective bargaining or of B. Construction budget D. Any of the above
dealing with employees concerning terms and conditions of employment.
A. Labor Organization C. Strike 306. A project would need physical expansion of the hospital so that a mammography
B. Collective Bargaining Agreement D. Lockout unit will be included. However, the hospital Director suggested to include this in
2013 budget planning for reason that this type of budget is considered in:
295. A negotiated contract between a legitimate labor organization and the employer A. Operational budget C. Capital expenditure budget
concerning terms of employment plus mandatory provisions for grievance & B. Cash budget D. Flexible budget
arbitration machineries, good for 5 years
A. Labor Union C. Strike 307. Nurse Laila is the project head for a feeding program; she requested extra funds
B. Collective Bargaining Agreement D. Lockout in anticipation for fluctuations in resource needs or meet contingency expenses.
This type of budget is called:
296. This pertains to a work stoppage by the employees A. Operational budget C. Cash budget
A. Labor Union C. Strike B. Capital expenditure budget D. Flexible budget
B. Collective Bargaining Agreement D. Lockout
308. Which of the following is NOT included in the Operational budget?
297. This pertains to work shutdown by the employer A. Repairs and maintenance C. Purchase of a major equipment
A. Labor Union B. Medical/surgical supplies D. Purchase of consumable materials
B. Collective Bargaining Agreement
C. Strike 309. An operational budget is a financial tool that outlines anticipated revenue and
D. Lockout expenses over a specified period. Which of the following are incorrect regarding
budget?
298. A nurse is planning to resign. He must notify his employer by submitting a A. The budget translates operational plans into financial and statistical terms so that
resignation letter: income can be projected with associated costs
A. 3 months prior to resignation C. 1 month prior to resignation B. Budget serve as standards to plan, monitor, and evaluate the performance of a
B. 2 months prior to resignation D. 15 days prior to resignation health care system
C. Budget account for the relationship of income to the expenses needed to deliver
299. This is a code of ethics for nurses which considers scope of practice, uphold the services
nursing law, comply with nursing standards, uphold patients’ bill of rights, D. All of the above
professional conduct:
A. Nurses and people C. Nurses and co-workers 310. Which among the following is the purpose of monitoring a budget?
B. Nurses and practice D. Nurses and society A. Keep expenses above budget
B. Maintain revenue above the previous year’s budget
300. This is a code of ethics for nurses which considers the roles as citizens and C. Ensure revenue is generated monthly
environmental preservation. D. Generate revenue and control expenses within a projected framework
A. Nurses and people C. Nurses and co-workers
B. Nurses and practice D. Nurses and society 311. She decides to illustrate the organizational structure. Which of the following
elements is NOT included?
A. Level of authority C. Lines of communication
B. Span of control D. Unity of direction

12 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
312. She plans of assigning competent people to fill the roles designed in the 329. As the manager of the unit, you play an important role in the orientation of a new
hierarchy. Which process refers to this? employee. Which of the following is NOT true about orientation programs?
A. Staffing B. Scheduling C. Recruitment D. Induction A. It minimizes likelihood of rule violations.
B. It fosters feelings of belonging and acceptance.
313. Which phase of the employment process includes getting on the payroll and C. It provides the new employee an opportunity for promotion.
completing documentary requirements? D. It promotes enthusiasm and morale.
A. Orientation B.Induction C. Selection D. Recruitment
330. The morning supervisor was visiting the ward when the doctor of a patient
314. She decides to have a decentralized staffing system. Which of the following is an complained to her about the staff nurse who failed to give the “stat” medication.
advantage of this system of staffing? Applying the principle of “line of authority”, you expected the supervisor to first:
A. Greater control of activities C. Compatible with computerization A. Reassure the patient that next time the nurse will not miss the medication
B. Conserves time D. Promotes better interpersonal relationship B. Report the incident to the chief nurse
C. Ask the staff nurse to explain the incident
315. Leadership is best defined as a process of: D. Talk to you as the head nurse about the doctor’s complaint
A. Coercion C. Interpersonal dynamics
B. Influence D. Passive learning 331. A new nursing graduate is attending an agency orientation regarding the nursing
model of practice implemented in the facility. The nurse is told that the nursing
316. Mr. Cabrido gives strong orders, makes decisions and thinks less of his model is team-nursing approach. The nurse understands that planning of care
subordinates. He is a leader who is: delivery will be based on which characteristic of this type of nursing model of
A. Autocratic C. Laissez-faire practice?
B. Democratic D. Bureaucratic A. A task approach method is used to provide care to clients
B. A single registered nurse (RN) is responsible for providing nursing care to a group
317. When the situation calls for compliance of the followers to ensure the success of of clients
the activity, the best leadership style that Nurse Beng will use is: C. Managed care concepts and tools are used in providing client care
A. Laissez-faire C. Autocratic D. Nursing personnel are led by an RN leader in providing care to a group of clients
B. Democratic D. Authoritative
332. Nurse Miranda is making a work schedule for her staff she knew that the
318. A leader who defers decision making to his or her followers is called what type of expected hours of work per week should be
leader? A. 60 hours/week C. 20 hours/week
A. Laissez-faire C. Democratic B. 40 hours/week D. 30 hours/week
B. Autocratic D. Employee-centered
333. Which of the following is a major managerial responsibility of the head nurse?
319. What kind of communication style should a nurse manager should possess? A. See to it that the ward is clean
A. Passive B. Assertive C. Aggressive D. Sarcastic B. Join the doctor’s during their rounds
C. Set standard of performance among staff nurses
320. Management process involves five functions which follow the following sequence: D. Provide bed side nursing care to selected clients
A. Planning, staffing, organizing, controlling, directing
B. Planning, organizing, directing, staffing, controlling 334. In considering the line of authority, the Incident report must be submitted first with
C. Organizing, planning, directing, staffing, controlling which of the following?
D. Planning, organizing, staffing, directing, controlling A. Head nurse C. Supervisor
B. Co-staff nurse D. Nursing Director
321. Which of the following statements about management is true?
A. It focuses on clinical excellence 335. You delegate to the nursing assistant the task of taking the client’s vital signs
B. It tends to attract people who like quiet, routine work without interruptions every 2 hours and recording the vital signs in the patient’s chart. Later you check
C. It focuses on issues such as cost, productivity, effectiveness, and staffing the client’s chart and discover that the vital signs have not been recorded. What is
D. It is synonymous with leadership your BEST action?
A. Take the vital signs because it is not the nursing assistant’s scope of practice
322. The management function that involves determining the objectives of an B. Speak to the nursing assistant privately to determine why the vital signs were not
organization and tasks needed to complete objectives is: recorded
A. Staffing B. Directing C. Planning D. Controlling C. Notify the head nurse
D. Call the nursing assistant to the nurses’ station to reprimand
323. Chief Nurse Vera and Nurse Supervisor Victoria developed a five-year staff
development plan. Which type of planning are they engaging in? 336. Several nurses complain to the nurse manager that one of the nursing aides
A. Strategic planning C. Short range planning constantly takes extensive lunch breaks. The nurse manager should:
B. Operational planning D. Visual planning A. Convene a group meeting of all nursing aides to review their responsibilities
related to time management.
324. Which plans extends from a few months to a year? B. Talk with nursing aide to explore the reasons for the behavior and review
A. Strategic planning C. Short range planning expectations
B. Operational planning D. Visual planning C. Arrange a meeting with the nurse so they can confront the nursing aide as a
group
325. Planning, technically, can be considered as long term when the coverage ranges: D. Document the nursing aide’s behavior and place it in the aides personnel file
A. 1-3 years B. 3-5 years C. 5-7 years D. 7-10 years
Situation: As a supervisor you are confronted with several problems arising from
326. Nurse Laila is the project head for a feeding program; she requested extra funds various causes or reasons. It ranks from Administration – clinical – personnel,
in anticipation for fluctuations in resource needs or meet contingency expenses. which later resulted to conflict. You tried to find means to resolve it.
This type of budget is called: 337. You should therefore consider that the following means can be utilized in
A. Operational budget C. Cash budget resolving conflict, EXCEPT:
B. Capital expenditure budget D. Flexible budget A. Making a compromise C. Reporting
B. Majority rule D. Smoothing
327. Which of the following is NOT included in the Operational budget?
A. Repairs and maintenance C. Purchase of a major equipment 338. When conflicts arise in the unit, the best thing that the unit manager should do is:
B. Medical/surgical supplies D. Purchase of consumable materials A. Discuss with the situation with the group and make a move to resolve it.
B. Ignore the situation
328. The purpose of organizational structure is to: C. Give warning to staff
A. Have a written plan of organizational structure of her governing bodies D. Recommend shifting of the staff
B. Explain to each member the line of authority
C. Inform all her staff members of the philosophy and goals of the institution
D. Provide mechanism through which tasks are distributed among members for goal
realization

13 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
339. Desirable goals for a nurse manager include all of the following EXCEPT: 350. Ms. Valencia prepares the process standards. Which of the following is NOT a
A. Select a style of leadership that works best for the individual and to practice it process standard?
exclusively A. Initial assessment shall be done to all patients within twenty-four hours upon
B. Use a style of leadership that promotes high – level work performance admission.
C. Use a style of leadership that creates the least amount of disruption B. Informed consent shall be secured prior to any invasive procedure
D. Adopt a leadership style that best suits the task to be accomplished C. Patients’ reports 95% satisfaction rate prior to discharge from the hospital.
D. Patient education about their illness and treatment shall be provided for all
340. Katherine tells one of the staff, “I don’t have time to discuss the matter with you patients and their families.
now. See me in my office later” when the latter asks if they can talk about an
issue. Which of the following conflict resolution strategies did she use? 351. Which of the following is evidence that the controlling process is effective?
A. Smoothing B. Compromise C. Avoidance D. Restriction A. The things that were planned are done
B. Physicians do not complain.
341. She notes that there is an increasing unrest of the staff due to fatigue brought C. Employees are contended
about by shortage of staff. Which action is a priority? D. There is an increase in customer satisfaction rate.
A. Evaluate the overall result of the unrest
B. Initiate a group interaction 352. A critical component of the supervisory process is delegation. Which of the
C. Develop a plan and implement it following is the most empowering to the staff?
D. Identify external and internal forces. A. Delegation starts at top management
B. Delegation frees the manager to do other task
342. Kathleen knows that one of her staff is experiencing burnout. Which of the C. Effective delegation requires the nurse manager to determine the abilities of the
following is the best thing for her to do? staff
A. Advise her staff to go on vacation. D. Delegation enables the staff to improve competence and confidence
B. Ignore her observations; it will be resolved even without intervention
C. Remind her to show loyalty to the institution. 353. Nurse Mary is the head nurse and tells Nurse Fatima her staff nurse what to do.
D. Let the staff ventilate her feelings and ask how she can be of help. What kind of communication is this?
A. Upward communication C. Lateral communication
343. St. Raphael Medical Center just opened its new Performance Improvement B. Downward communication D. Diagonal communication
Department. Ms. Valencia is appointed as the Quality Control Officer. She
commits herself to her new role and plans her strategies to realize the goals and 354. Nurse Jane is coordinating with the OR department for a scheduled surgery of
objectives of the department. Which of the following is a primary task that they one of her patients. This kind of communication is?
should perform to have an effective control system? A. Upward Communication C. Diagonal Communication
A. Make an interpretation about strengths and weaknesses B. Grapevine D. Lateral Communication
B. Identify the values of the department
C. Identify structure, process, outcome standards & criteria 355. In planning activity, he should consider the following as the initial step:
D. Measure actual performances A. Prepare the budget
B. Make a schedule of the activity
344. Ms. Valencia develops the standards to be followed. Among the following C. Formulate objectives and develop strategies of the program
standards, which is considered as a structure standard? D. Determine job description of members
A. The patients verbalized satisfaction of the nursing care received
B. Rotation of duty will be done every four weeks for all patient 356. When responsibilities have to be delegated to the member, the manager must:
C. All patients shall have their weights taken recorded A. Ensure that the member is capable of doing the task
D. Patients shall answer the evaluation form before discharge B. Supervise the new members all the time
C. Perform the task based on the acceptable standard
345. She knows that performance appraisal consists of all the following activities D. Let the member write an accident report in case of mistakes
EXCEPT:
A. Setting specific standards and activities for individual performance. 357. He was asked how the staff will be evaluated. He probably will show them the
B. Using agency standards as a guide. following EXCEPT:
C. Determine areas of strength and weaknesses A. Performances Evaluation sheet C. Performance Checklist
D. Focusing activity on the correction of identified behavior. B. Ranking Device D. Nursing Audit

346. Which of the following statements is NOT true about performance appraisal? 358. Performance appraisal consists of the following activities, EXCEPT:
A. Informing the staff about the specific impressions of their work help improve their A. Setting specific standards for individual performances
performance. B. Determining areas of strength and weakness
B. A verbal appraisal is an acceptable substitute for a written report C. Focusing the criticisms made for the staff
C. Patients are the best source of information regarding personnel appraisal. D. Basis of determining progression or deterioration
D. The outcome of performance appraisal rests primarily with the staff.
359. With the rapid turnover of nurses nowadays as a head nurse you are sometimes
347. There are times when Katherine evaluates her staff as she makes her daily called to interview applicants for a staff nurse position. Which of the following
rounds. Which of the following is NOT a benefit of conducting an informal questions is most appropriate to ask in order to get an idea of the applicant’s
appraisal? probable competence?
A. The staff member is observed in natural setting. A. “Are you willing to do overtime?”
B. Incidental confrontation and collaboration is allowed. B. “Where did you take up your B.S.N.?”
C. The evaluation is focused on objective data systematically. C. “Do you plan to go abroad?”
D. The evaluation may provide valid information for compilation of a formal report. D. “What was your last nursing experience?”

348. She conducts a 6-month performance review session with a staff member. Which 360. The registered nurse is planning to delegate tasks to unlicensed assistive
of the following actions is appropriate? personnel (UAP). Which of the following task could the registered nurse safely
A. She asks another nurse to attest the session as a witness. assigned to a UAP?
B. She informs the staff that she may ask another nurse to read the appraisal before A. Monitor the I&O of a comatose toddler client with salicylate poisoning
the session is over. B. Perform a complete bed bath on a 2-year-old with multiple injuries from a serious
C. She tells the staff that the session is manager-centered. fall
D. The session is private between the two members. C. Check the IV of a preschooler with Kawasaki disease
D. Give an oatmeal bath to an infant with eczema
349. When she presents the nursing procedures to be followed, she refers to what
type of standards? 361. A nurse in charge in the pediatric unit is absent. The nurse manager decided to
A. Process B. Outcome C. Structure D. Criteria assign the nurse in the obstetrics unit to the pediatrics unit. Which of the
following patients could the nurse manager safely assign to the float nurse?
A. A child who had multiple injuries from a serious vehicle accident
B. A child diagnosed with Kawasaki disease and with cardiac complications

14 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
C. A child who has had a nephrectomy for Wilm’s tumor
D. A child receiving an IV chelating therapy for lead poisoning
362. Which pattern of nursing care involves the care given by a group of
paraprofessional workers led by a professional nurse who take care of patients
with the same disease conditions and are located geographically near each
other?
A. Case method C. Modular nursing
B. Nursing case management D. Team nursing
363. The most traditional method of nursing care delivery is:
A. Case method C. Functional method
B. Team nursing D. Primary nursing
364. A mother requested for a nurse to take care of her daughter who has systemic
lupus erythematosus at home. What patient assignment supports this?
A. Primary B. Functional C. Case method D. Team nursing
365. You noticed that one of the senior nurses is assigning a patient care based on the A. Acts as patient advocate and coordinate the health care team for specific group of
concept of allocation of specific duties to her staff nurses. This would be a
characteristic of:
A. Case method nursing C. Primary Nursing
B. Functional Nursing D. Team Nursing
366. The nurse in the medication unit passes the medications for all the clients on the D. Coordinates the care given to a group of patients by support staff
nursing unit. The head nurse is making rounds with the physician and
coordinates clients’ activities with other departments. The nurse assistant
changes the bed lines and answers call lights. A second nurse is assigned for
changing wound dressings; a licensed practitioner nurse takes vital signs and
bathes the clients. This illustrates of what method of nursing care?
A. Case management method C. Primary nursing method
B. Team method D. Functional method
367. A newly hired nurse on an adult medicine unit with 3 months experience was
asked to float to pediatrics. The nurse hesitates to perform pediatric skills and
receive an interesting assignment that feels overwhelming. The nurse should:
A. Resign on the spot from the nursing position and apply for a position that does
not require floating
B. Inform the nursing supervisor and the charge nurse on the pediatric floor about
the nurse’s lack of skill and feelings of hesitations and request assistance
C. Ask several other nurses how they feel about pediatrics and find someone else
who is willing to accept the assignment
D. Refuse the assignment and leave the unit requesting a vacation a day
368. The newly hired staff nurse has been working on a medical unit for 3 weeks. The B. The whole unit
nurse manager has posted the team leader assignments for the following week.
The new staff knows that a major responsibility of the team leader is to:
A. Provide care to the most acutely ill client on the team
B. Know the condition and needs of all the patients on the team
C. Document the assessments completed by the team members
D. Supervise direct care by nursing assistants
369. A nurse caring to a client with Alzheimer’s disease overheard a family member
say to the client, “if you pee one more time, I won’t give you any more food and
drinks”. What initial action is best for the nurse to take?
A. Take no action because it is the family member saying that to the client
B. Talk to the family member and explain that what she/he has said is not
appropriate for the client
C. Give the family member the number for an Elder Abuse Hot line
D. Document what the family member has said
370. A mother in labor told the nurse that she was expecting that her baby has no
chance to survive and expects that the baby will be born dead. The mother
accepts the fate of the baby and informs the nurse that when the baby is born and C. Discusses to other nurses that Mary is new and lack skills for the patient’s needs
requires resuscitation, the mother refuses any treatment to her baby and
expresses hostility toward the nurse while the pediatric team is taking care of the
baby. The nurse is legally obligated to:
A. Notify the pediatric team that the mother has refused resuscitation and any
treatment for the baby and take the baby to the mother
B. Get a court order making the baby a ward of the court
C. Record the statement of the mother, notify the pediatric team, and observe
carefully for signs of impaired bonding and neglect as a reasonable suspicion of
child abuse
D. Do nothing except record the mother’s statement in the medical record
371. A staff nurse has had a serious issue with her colleague. In this situation, it is
best to:
A. Discuss this with the supervisor
B. Not discuss the issue with anyone. It will probably resolve itself
15 |NOVEMBER 2019 PNLE REVIEW
C. Try to discuss with the colleague about the issue and resolve it when both are
calmer
D. Tell other members of the network what the team member did
372. The nurse is caring to a client who just gave birth to a healthy baby boy. The
nurse may not disclose confidential information when:
A. The nurse discusses the condition of the client in a clinical conference with other
nurses
B. The client asks the nurse to discuss the her condition with the family
C. The father of a woman who just delivered a baby is on the phone to find out the
sex of the baby
D. A researcher from an institutionally approved research study reviews the medical
record of a patient
Situation: The practice of primary nurse in primary nursing is preferred by many
nurses because it supports professional autonomy and accountability of the
nurses
373. What is the function of the primary nurse in primary nursing?
patients
B. Act as the charge nurse, organizing staff assignments and help in solving
problem in the unit
C. Plans and coordinate the patient care assigned to her from admission to
discharge
374. Primary nursing is MOST advantageous and satisfying to the patient and nurse
because of which of the following principles?
A. Autonomy and authority for planning care are best delegated to a nurse
B. Accountability is clearest since our nurse is responsible for the overall plan and
implementation of care
C. The holistic approach provides for a therapeutic relationship continuity of care and
efficient nursing care
D. Continuity of patients care promotes efficient nursing care.
375. Which is the role of the associate nurse in primary nursing?
A. Over-all manager of the unit
B. Responsible for the over-all care of the patient during off days of primary nurse
C. Patient advocate in the health care team
D. Coordinator of comprehensive, holistic patient care
376. In primary nursing, the nurse is responsible for which of the following group of
patient?
A. The whole ward C. Small group of patient like 3-5 patients
D. Big group of patients like 10-15 patients
377. In primary nursing who among the following is needed to her leadership and
quality control in the ward?
A. The chief nurse C. The head nurse
B. The nurse supervisor D. The service director
SITUATION: Jane is a newly appointed manager of a primary hospital in Lucena City.
As a new manager, he deems it is appropriate that he gains competency in his
professional responsibilities.
378. Jane knows that the fundamental responsibility is 4-fold. One is considered the
BASIC of these responsibilities:
A. Restoration of health C. Promotion of health
B. Alleviation of suffering D. Illness prevention
379. Jane is certain that the newly hired nurse Mary is not competent of handling care
for a critically ill patient. He will not be ethical if he:
A. Assigns another nurse to the patient
B. Discuss the concern to Mary
D. Explains to Mary that the patient’s condition and the need for a competent nurse
is required to handle the demands of care
380. One of the following is a primary responsibility of Jane:
A. Answer the telephone call of the head nurse
B. Answer the email of the Doctor of Nursing who instructed him to report about an
incident in the unit
C. Attend to a call for help from a patient who requires total care
D. Assist the doctors in making their rounds
381. A patient assigned to the unit of Jane refuses to take the antibiotic medication
because she believes it is not doing her any good. If you are the nurse, which
action is MOST appropriate?
A. Refer the patient to the attending physician of her refusal
B. Explain to the patient that she needs the medications for her recovery
GLOCAL REVIEW AND TUTORIAL CENTER INC.
C. Ask the patient to sign the waiver of responsibility 396. During strong typhoon, a glass fragment from the broken window of the Hospital
D. Write in the chart that the patient refused to take the medication hit the patients arm causing an open wound that needed suturing. The RN
defendant can invoke as defense the Doctrine for:
382. What principle applied to the action of a nurse to refrain from discussing the A. Res IpsaLoquitor C. Respondeat Superior
disease condition of a patient with other members/ people not involved in the care B. Force Majeure D. None of these
of this patient?
A. Beneficence B. Autonomy C. Justice D. Confidentiality 397. RN Corazon gave Mr.Y steam inhalation. Hours later, a blister was noted at the
right paranasal area. Corazon’s malpractice can be established by the doctrine of:
383. Ms. Smith is an American national terminally ill. She instructed the nurse staff to A. Res IpsaLoquitor C. Respondeat Superior
refrain from giving her resuscitation in the event she would have cardiac arrest. B. Lack of Care D. Incompetence
Which action is NOT legally sound?
A. Ask other persons who are qualified to be witness of the signed directive 398. This behavior is more of curing than caring in the practice of nursing:
B. Explain to Ms. Smith that this is not yet a practice in the Philippines A. Concern for safety, privacy and comforts of patients
C. Prepare the form for advanced directives and ask Ms. Smith to sign B. Enhancing dignity of client
D. Attached the advance directives to the patient’s chart C. Technical skills and prompt services
D. Knowledge and sensitivity on what is important to clients
384. When a conflict arises regarding management of patient care, which of the
following should be upheld? 399. The bulk of responsibility is on the HEAD nurse. When he supervises ancillary
A. Institutional policy C. Physician’s order workers, his actions are based on the rule:
B. Patient’s right D. Preference of the family A. Legitimate authority C. Unity of command
B. Respondent superior D. Res ipsaloquitor
Situation: Eloisa, an RN and two other nurses were summoned to appear before the
Board of Nursing due to an administrative case filed against them for alleged 400. You saw a co-nurse pull the patient’s bed away from the rail. The legs of the bed
negligence, which caused the death of a certain Mr. Santibañez, who was collapsed which caused injury to the leg of the patient. The injury is a sufficient
admitted due to COPD. evidence of negligence using the doctrine:
385. Which of the ff. terms refer to Eloisa and the two other nurses? A. Fuerza mayor C. Res ipsaloquitor
A. Defendant B. Witnesses C. Plaintiffs D. Accomplices B. Captain of the ship D. Stare decisis

386. Ms. Almira Santibañez, the daughter of Mr. Santibañez was the one who filed the PART V.
case against the nurses. Which terms refer to her in this case? Situation: MJ is chosen to be a part of the research team of the hospital and as a
A. Plaintiff B. Respondent C. Defendant D. Jury researcher she made a review of the following important nursing concepts was
made.
387. Eloisa is ordered by the Legal Department to bring along with her the initial 401. As a professional nurse, MJ knows that a nurse can do research for varied
assessment form and the progress notes she used for the patient. What legal reason except:
order from the hearing officer refers to this? A. To improve nursing care
A. Subpoena ducestecum C. Subpoena ad testificandum B. Professional advancement through research participants
B. Summon D. Writ C. For financial gains
D. To validate results of new nursing modalities
388. Which of the following doctrines will apply if it is proven that Eloisa did not go
through a rigid training before being deployed as a staff nurse due to an acute 402. MJ was asked to identify a problem. After the identification of the research
demand for her services? problem, which of the following should be done?
A. Res ipsaloquitor C. Force majeure A. Methodology C. Review of related literature
B. Respondeat superior D. Assumption of Risk B. Formulate hypothesis D. Acknowledgement

389. The ER, RN Supervisor Corazon, while making her round, was informed that a 403. Which of the followng methods allows the use of any group of research subject?
patient fell from stretcher the side rail gave way due to defective lock. The A. Snowball B. Convenience C. Quota D. Purposive
situation can establish a case of:
A. Incompetence C. Omission 404. He checks if his instruments meet the criteria for evaluation. Which of the
B. Force majeure D. Negligence following criteria refers to the consistency or the ability to yield the same response
upon its repeated administration?
390. In the above situation, Corazon may be held liable based on the doctrine of: A. Validity B. Reliability C. Sensitivity D. Objectivity
A. Res IpsaLoquitor C. Respondeat Superior
B. Foreseeability D. Incompetence 405. Which criteria refer to the ability of the instrument to detect fine differences among
the subjects being studied?
391. In the above cited case, the patient was informed that the stretcher was defective A. Sensitivity B. Reliability C. Validity D. Objectivity
but because it was the only one available & he wanted to lie down, and so, he
used it. The RN was then involved in a malpractice suit. RN may invoke in her 406. Which of the following terms refer to the degree to which an instrument measures
defense. what it is supposed to be measure?
A. Respondeat Superior C. Force majeure A. Validity C. Reliability
B. Assumption of Risk D. Res ipsaloquitor B. Meaningfulness D. Sensitivity

392. “A Negligent Act” is established by the presence of the following 4 Elements 407. In a double blind experiment:
EXCEPT: A. Neither observers nor subjects shall know into which group any subject belongs
A. Duty owed on the part of the Plaintiff B. There are two separate sets of observers that should not communicate
B. Breach of duty C. There are two sets of subjects who do not know which group they belong
C. Occurrence of foreseeable injury D. None of the above
D. Guilt beyond reasonable doubt
408. If a person participating in a research study refuses to continue participating, what
393. A civil wrong or wrongful act resulting in injury/loss for which the injured party can should a nurse do?
bring a suit for damages is: A. Respect his right to refuse
A. Tort B.Felony C. Incompetence D. Negligence B. Respect his right but do not give his honorarium
C. Respect his right but tell him you will withhold treatment
394. A nurse who cooperates essentially in the execution of an offence by previous or D. Refer the matter to the author of the study
simultaneous act can become:
A. Accomplice B. Principal C. Accessory D. None of these 409. Which among the following is the most important characteristic of a sample?
A. Location C. Representativeness
395. A valid consent to a procedure requires the ff. condition EXCEPT: B. Randomization D. Appropriate number
A. Presence of witness C. Adequate & comprehensive information
B. Absence of undue influence D. Application of force

16 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
410. A researcher does review of related literature for the purpose of: 425. The social class variable includes “education” with the possible choices given as:
A. Answering the research question 1. Elementary level
B. To identify if problem can be replicated 2. Elementary graduate
C. Gathering data about what is already known or unknown about the problem 3. High school level
D. Determine statistical treatment of data research 4. High school graduate
The above set of choices is an example of what level of measurement?
411. The device or techniques an investigator employs to collect data are called? A. Nominal B. Ordinal C. Interval D. Ratio
A. Instrument B. Hypothesis C. Sample D. Concept
426. Client’s rights should be protected when doing research using human subjects.
412. The use of another person’s ideas or wordings giving appropriate credit results These rights below are correct EXCEPT:
from inaccurate attribution of materials to its sources. Which of the following is A. Right of self-determination C. Right not to be harmed
referred to when another person’s idea is inappropriate credited as one’s own? B. Right to compensation D. Right of privacy
A. Paraphrase B. Quotation C. Assumption D. Plagiarism
427. As experimental research designs have their strengths, so does non-
413. A patient is participating in a cardiac study in which his physician is directly experimental researches. Which of the following statements is NOT one of the
involved. Which statement by the patient indicates a lack of understanding about strengths of non-experimental designs?
his rights as a research study participant? A. Less expensive
A. “I can withdraw from the study anytime” B. Easier to gain cooperation of study subjects
B. “My confidentiality will not be compromised in this study” C. Can be completed in a short span of time
C. “I’ll have to find a new physician if I don’t complete this study” D. Useful for predictive purposes
D. “ I understand the risk associated in this study”
428. The nurse researcher mutually agreed with the research subjects that all personal
414. You decided to include 5 barangays in your municipality and chose a sampling data of the subjects should be kept confidential. To safeguard anonymity of data
method that would get representative samples from each barangay. What should after the report is written, the nurse researcher should:
be the appropriate method of or you to use in this care? A. Burn or shred the papers
A. Systematic sampling C. Cluster sampling B. Throw the papers in a wastebasket
B. Stratified sampling D. Random sampling C. Keep the papers for 5 years and dispose of these after
D. Have the papers recycle but not as writing scratch paper
415. When a researcher in a qualitative study chooses the participants based on what
they may be able to contribute to the study, the sampling method selected is 429. Which of the following studies is based on quantitative research?
called as: A. A study examining the bereavement process in spouse or clients with terminal
A. Cluster sampling C. Quota sampling cancer
B. Snowball sampling D. Purposive sampling B. A study exploring the factors influencing weight control behavior
C. A study measuring the effects of sleep deprivation on wound healing
416. The information that an investigator collects from the subjects or participants in a D. A study examining client’s feelings before, during and after bone marrow
research study is usually called: aspiration
A. Concept B. Variable C. Hypothesis D. Data
430. Which of the following studies is based on qualitative research?
417. Which of the following quantitative research designs is most appropriate if Noel, a A. A study examining clients reaction to stress after open heart surgery
nurse investigator assigned in a City Health Office, is interested to determine the B. A study measuring nutrition and weight loss/gain in clients with cancer
relationship between social class and nutritional status of children under 6 years C. A study examining oxygen levels after endotracheal suctioning
of age living in Metro Manila? D. A study measuring differences in blood pressure before, during and after the
A. Case control C. Descriptive correlational procedure
B. Experimental D. Quasi-experimental
431. MJ implemented a medication regimen using a new type of combination drugs for
418. The independent variable in said study is: manic patients while another group of manic patients will receive the routine
A. Social class B. Children C. Age D. Nutritional status drugs. The researcher however, handpicked the experimental group for they are
the clients with multiple episodes of bipolar disorder. MJ utilized what research
419. While the dependent variable is: design?
A. Social class B. Children C. Age D. Nutritional status A. Experimental C. Quasi-experimental
B. Descriptive D. Case study
420. Which is the best tool for data gathering for this study?
A. Interview schedule C. Questionnaire 432. Which of the following research designs would be appropriate for this study if she
B. Observation D. Use of physiologic measurement wants to find out a cause and effect relationship between the structured discharge
plan and the compliance to home care regimen among the subjects?
421. The sampling method that is most appropriate to give each element of the A. True experiment C. Descriptive
population the probability to be included in the study, “Relationship between B. Quasi-Experiment D. Correlational
social class and nutritional status of children under 6 years of age living in Metro
Manila”, is: 433. From the hypothesis, “Compliance to home care regimen is greater among
A. Simple random sampling C. Stratified sampling patients who received the structured discharge plan instructions than those who
B. Systematic sampling D. Cluster sampling received verbal discharge instructions.” Which is the independent variable in the
study?
422. Since Metro Manila is a big area for the study, Noel can do successive random A. Verbal instructions C. Compliance to home care regimen
sampling to choose the district from where he can eventually select the study B. Patients D. Discharge plan instructions
sample. This type of sampling is:
A. Simple random sampling C. Stratified sampling 434. Which is the dependent variable in the study?
B. Systematic sampling D. Cluster sampling A. Verbal instructions C. Compliance to home care regimen
B. Patients D. Discharge plan instructions
423. The nutritional status of children in the study, “Relationship between social class
and nutritional status of children under 6 years of age living in Metro Manila”, is Situation: A group has made a research entitled, “The Extent of Awareness of Nurses
determined by ‘weight by age’. Weight is an example of what level of Regarding Time Management inside the Clinical Area.”
measurement? 435. The design of this research is:
A. Nominal B. Ordinal C. Interval D. Ratio A. Ex post facto C. Retrospective
B. Descriptive D. Prospective
424. The sex of the children included in the study, “Relationship between social class
and nutritional status of children under 6 years of age living in Metro Manila”, will 436. Identify the population of the problem formulated by the group.
be classified as male and female. This measurement is: A. Extent of awareness C. Nurses
A. Nominal B. Ordinal C. Interval D. Ratio B. Time management D. Clinical area

17 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
437. The group is ready to face the panel regarding their study. The presentation in 448. Melissa reads about exploratory research. Which of the following is the purpose
which they defend their research by speaking is: of doing this type of research?
A. Written defense C. Oral defense A. Inductively develops a theory based on observations about processes involving
B. Conclusion D. Recommendation selected people
B. Makes new knowledge useful and practical
438. During the 1980’s and early 1990’s, there was growing evidence that women and C. Identifies the variables in the study
minorities were being excluded from many clinical studies. In response to this D. Finds out the cause and effect relationship between variables
issue, the National Institute of Health made a regulation requiring researchers
who sought funding from NIH to include women and minorities as study 449. She reviews qualitative design of research. Which of the following is true about
participants in their research. What kind of ethical principle did the researcher ethnographic study?
apply in his study? A. Develops theories that increase the knowledge about a certain phenomenon
A. Non-maleficence C. Beneficence B. Focuses on the meanings of life experiences of people
B. Justice D. Privacy C. Deals with patterns and experiences of a defined cultural group in a holistic
fashion
439. In conducting an interview for a research study, the researcher ensures the D. In-depth investigation of a single entity
participants that all data collected will be kept strictly confidential. What kind of
ethical principle did the researcher apply in his study? 450. She knows that the purpose of doing ethnographic study is to:
A. Full disclosure C. Self-determination A. Understand the worldview of a cultural group
B. Justice D. Privacy B. Study the life experiences of people
C. Determine the relationship between variables
440. One particular important procedure for safeguarding human and subjects and D. Investigate intensively a single entity
protecting their right to self- determination is by making sure that the participants
have adequate information regarding the research, comprehend the information 451. Alyssa wants to learn more about experimental design. Which is the purpose of
and have the power of free choice. This is referred to as: this research?
A. Right to consent A. Test the cause and effect relationship among the variables under a controlled
B. Right to information situation
C. Right to informed consent B. Identify the variables in the study
D. Right to comprehensive information C. Predicts the future based on current intervention
D. Describe the characteristics, opinions, attitudes or behaviors of certain population
Situation: Mastery of research design determination is essential in passing the NLE. about a current issue or event
441. Community A was selected randomly as well as Community B. Nurse Beth
conducted teaching to Community A and assess if Community A will have a 452. She knows that there are three elements of experimental research. Which is NOT
better status than Community B. The design best suited for this study is: included?
A. Comparative C. Correlational A. Manipulation B. Control C. Randomization D. Trial
B. Experimental D. Descriptive
453. One of the related studies that she reads is a phenomenological research. Which
442. Ricky researched on pneumonia. Its transmission, causative agent and factors, of the following questions is answered by this type of qualitative research?
treatment, signs and symptoms as well as medication and all other in depth A. “What is the way of life of this cultural group?”
information about pneumonia. This study is best suited for which research B. “What is the effect of the intervention to the dependent variable?”
design? C. “What is the essence of the phenomenon as experienced by these people?”
A. Survey C. Historical D. “What is the core category that is central in explaining what is going on in that
B. Analytical D. Case Study social scene?”

443. Marlon is always eating high fat diet. You want to determine what will be the 454. Ms. Ajina wants to know the coping abilities of female patients who are newly
effect of high cholesterol food to Marlon in the next ten years. You will use: diagnosed to have terminal cancer. She has decided to focus on the meaning of
A. Comparative C. Longitudinal their experiences of coping. Which of the following types of research design is
B. Correlational D. Historical most appropriate?
A. Ethnography C. Phenomenology
444. Joseph is to perform a study about how nurses perform surgical asepsis during B. Grounded theory study D. Case study
WWII. A design best for this study is:
A. Historical C. Case Study 455. Other studies are categorized according to the time frame. Which of the following
B. Descriptive D. Experimental refers to a study of variables in the present which is linked to a variable that
occurred in the past?
445. Melinda conducts sampling at barangay 156. He collected 100 random A. Prospective design C. Retrospective design
individuals and determines who is their favorite comedian actress. 50% said B. Cross sectional study D. Longitudinal study
Eugene Domingo, 20% said Ai Ai, while some answered Ruffa Mae Quinto,
Candy Pangilinan, Tuesday Vargas. Melinda conducted what type of research Situation: A group of student nurses is writing the research methodology of their thesis.
study? Knowledge of the following concepts can help in writing the said chapter.
A. Case Study C. Quasi-Experimental 456. When evaluating the instruments validity, the researcher may consider the
B. Analytical D. Survey following:
A. Content of the questionnaire
446. Sheena researched on the development of a new way to measure intelligence by B. The tool can detect even small variations in the attribute
creating a 100-item questionnaire that will assess the cognitive skills of an C. A theory that may be compared to the variable under study
individual. The design best suited for this study is; D. All of the above
A. Historical C. Survey
B. Methodological D. Case Study 457. The split half technique, test, retest and equivalent test administration are ways to
evaluate the instruments:
Situation: Melissa plans to conduct a study about nursing practice in the country. She A. Validity B. Sensitivity C. Efficiency D. Reliability
decides to refresh her knowledge about the different types of research in order to
choose the most appropriate design for her study. 458. Taking the blood pressure of all patients aged 30 years and above in an
447. She came across surveys, like the Social Weather Station and Pulse Asia ambulatory setting from January 1 to December 31 is considered as:
Survey. Which of the following is the purpose of this kind of research? A. Primary data C. Neither
A. Obtains information regarding the prevalence, distribution, and interrelationships B. Secondary data D. Both
of variables within a population at a particular time
B. Get an accurate and complete data about a phenomenon 459. An investigator wanted to determine if there is a significant difference in the mean
C. Develop a tool for data gathering systolic blood pressure of 10 women before and after oral contraceptive use for 3
D. Formulate a framework for the study months. The appropriate statistical test for significance of this study is:
A. Analysis of variance C. Chi-square analysis
B. Student t-test D. Paired t-test

18 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
460. Considering the said study, what is the independent variable of the study? 474. The last act of informed consent is said to have been fulfilled when:
A. Systolic C. Mean systolic BP A. Adequate information about research has been given
B. Oral contraceptive D. Women B. The subject has understood the information
C. The subject has voluntarily consented (or declined) to participate in the study
461. If the investigator studied the relationship between the timing of hemodialysis and D. The subject has voluntarily signed the consent form
the levels of daytime sleepiness, what appropriate statistical treatment would be
significant for this study? 475. Fair and non-discriminatory selection of subjects for research is an important
A. Analysis of variance C. Chi-square analysis aspect of what ethical principle?
B. Student t-test D. Paired t-test A. Respect for human dignity
B. Justice
462. Considering the hypothesis for the study is; “The timing of hemodialysis is not C. Beneficence/Non maleficence
related to the levels of daytime sleepiness of patients in the renal unit.” What is D. Confidentiality
the independent variable in the study?
A. Patients in the renal unit C. Levels of daytime sleepiness 476. What right do research participants have if they are exercising their autonomous
B. Renal disorder D. Timing of hemodialysis rights?
A. Right to justice C. Right to beneficence
463. What is the dependent variable in the study? B. Right to self-determination D. Right to privacy
A. Patients in the renal unit C. Levels of daytime sleepiness
B. Renal disorder D. Timing of hemodialysis 477. In a study regarding the incidence of Down Syndrome among infants of mother
who has rubella, a relative risk of 15 was established, as compared to the
464. The investigator would like to compare the levels of postpartum depression in incidence of Down Syndrome among infants of mother who had not have rubella.
three groups of women: middle-class white mothers of term infants, middle-class This means that:
white mothers of preterm infants, and low-income African-American mothers of A. Among mothers who had rubella, there were 15 infants more than those seen
term infants. The appropriate statistical test for significance of this study is: among non-rubella mothers of Down Syndrome babies
A. Analysis of variance C. Student t-test B. There is no association between rubella and Down Syndrome
B. Chi-square analysis D. Paired t-test C. The risk is 15 times greater for mothers who had rubella to have Down Syndrome
as compared to those mothers who did not have rubella
465. In considering the above study, what is the dependent variable/s of the study? D. A and B
A. Race, term of infants and levels of postpartum depression
B. Race, term or infants and economic status Situation: As a community health nurse in Bicol, you are bothered by high dropout rate
C. Postpartum depression among the family planning acceptors in your province. You wanted to conduct a
D. Postpartum depression, term of infants and economic status study on the quality of care among the family planning clinics in the Bicol Region.
478. A conceptual framework for this study will best include which one of the following:
466. What is the independent variable/s of the study? A. Elements of quality care
A. Race, term of infants and levels of postpartum depression B. Location of the various family planning clinics in Bicol
B. Race, term or infants and economic status C. Health benefits of family planning
C. Postpartum depression D. The different contraceptive methods commonly available in the clinics
D. Postpartum depression, term of infants and economic status
479. In the process of doing this research, the researcher should be careful not to
467. If an independent variable is weight gain during pregnancy and the dependent disclose the names of the clinics under study. Which of the following is being
variable is infant birth weight, the appropriate test statistic is a(n): observed by the researcher when she refuses to disclose the names?
A. t-test C. ANOVA A. Protection of the clinics C. Informed consent
B. Chi-square D. Pearson R B. Confidentiality of information D. Anonymity

468. The independent variable is race (Caucasian/African-American) while the 480. Which research design would be MOST appropriate for this kind of study?
dependent variable is pulse rate. What is an appropriate statistical test? A. Experimental C. Survey method
A. t-test C. ANOVA B. Case study D. Descriptive
B. Chi-square D. Pearson R
481. Which of the following is the BEST statement of a research problem for the above
469. To compare the mean BP of teachers before and after semester, which statistical study?
tests will be used? A. “What are the training needs of the family planning service provider of the family
A. t-test planning clinics in the Bicol Region?”
B. Standard deviation of blood pressure B. “What is the quality of care rendered among the family planning clinics of Bicol
C. ANOVA Region?”
D. Pearson product moment correlation C. “Do family planning clinics in Bicol Region render quality care?”
D. “What health services are rendered in the family planning clinic of Bicol Region?”
470. A good researcher needs to examine the ethical implications of her research.
The code of research ethics which requires informed consent in all cases 482. In the process of planning your research study, you thought of including the
involving human subjects is the: number of both private and public family planning clinics in Bicol Region. You
A. Belmont Report C. Helsinki Code wanted to include in your study only those clinics that have regular clinic days for
B. Nuremberg Code D. Code of Ethics at least three days per week. This statement of facts is included in which part of
the research paper?
471. The Belmont report summarizes the basic ethical principles which include the A. Research methodology C. Introduction
following EXCEPT: B. Scope and limitation `D. Presentation and analysis of data
A. Beneficence C. Respect for Human Dignity
B. Justice D. Confidentiality Situation: As a nurse researcher, you must have a very good understanding of the
common terms and concepts used in research.
472. One knows that only competent people should conduct research and that in the 483. The information that an investigator assumes from the subjects or participants
process, subjects are assured of protection from harm. This primary ethical and the relevant variables in a research study is usually called:
principle is: A. Hypothesis B. Variable C. Data D. Concept
A. Beneficence C. Respect for Human Dignity
B. Justice D. Informed consent 484. Which of the following usually refers to the dependent variables in doing
research?
473. Once a researcher has fully described to prospective study participants the nature A. Result B. Output C. Cause D. Effect
of study, their rights to refuse participation and likely risks and benefits that would
be incurred, he has done: 485. The term in research which refers to how the variables are defined in the study is
A. Full disclosure C. Informed consent called:
B. Fair treatment D. Debriefing A. Operational definition C. Assumption
B. Quotation D. Limited definition

19 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
Situation: Mark is a nurse doing research works in a tertiary hospital. She is assigned 498. The doctrine of respondent superior applies:
for data collection about the incidence of infection among admitted patients. A. When the injury occurs, while the servant is not within the legitimate scope of his
486. Mark found out that one of the midwives in their health center injected Penicillin to authority
a 6 year old child without the consent of the parents. The midwife will be accused B. When the injury occurred in the course of his employment
of? C. When the injury occurred outside the commerce of man
A. Negligence C. Battery D. When the instrumentality was within the full control of the servant
B. Assault D. Malpractice
499. A nurse told her co-workers that a physician in incompetent, her action
487. Mark is taking care of a client with sexually transmitted disease. If he divulges constitutes an offense called:
information about his client, he may be liable for: A. Malpractice B. Libel C. Fraud D. Slander
A. Libel C. Tort
B. Slander D. Breach of confidentiality 500. A hospital refused to discharge a patient because he cannot pay his bills. This act
is considered to criminal act and is called:
488. Bea’s job includes collecting secretions from the surgical site of the patients. One A. Illegal detention C. Malpractice
of her patient refused, however she insisted and proceed to do the collection. B. Simulation of birth D. Quarantine
She would then be liable for:
A. Battery C. Invasion of privacy PART VI.
B. Slander D. Assault Situation: Joacquin is a new graduate and accepted by the DOH-Rural Health Unit of a
barangay. As a cum laude and topnotcher, he likes to do research in Community
489. Two of the security guards are assigned in screening patients entering the Health Nursing.
hospital. Bea overheard them discussing the case of an HIV suspect. Which is 1. Joacquin wanted to study the sanitation practices of the families, where typhoid
an appropriate action to be done by the nurse? fever was prevalent. Which among the problems below would be the best to
A. Ask the two if there is something they need to be clarified about state?
B. Ignore the two guards as this is not against the hospital rules A. What are the local measures to control typhoid fever in Brgy. WalangKupas?
C. Advise them that it is not right to discuss the case of any patient B. What are the ways that the families do to control typhoid fever?
D. Inform the supervisor about what she heard C. What are the sanitation practices of families in Brgy. WalangKupas in relation to
typhoid fever control?
490. One of the patients confided that his companion is not the legal wife. Bea will be D. What practices do families do in relation to typhoid fever control?
held liable if she divulge the information to others, otherwise known as:
A. Assault C. Libel 2. The method of data collection in the study of Joacquin where he only wanted to
B. Breach of confidentiality D. Slander focus on the practices of only three families in the barangay initially?
A. Questionnaire C. Interview
491. Two utility personnel were having heated argument as to who shall dispose the B. Observation D. Focused group discussion
infectious wastes of a patient with typhoid fever. The first one calling the second
one with names “like lazybones, incompetent and pain in the neck,” within the 3. The type of research study in the study of typhoid fever if relationship has to be
hearing distance of the rest of the nurses. If the latter decides to file a case established between sanitation practices and the occurrence of typhoid fever:
against him, what kind of case would he likely file? A. Exploratory C. Case Study
A. Negligence B. Incompetence C. Libel D. Slander B. Descriptive D. Experimental

492. Should the above case be written in a newsletter of the hospital, such liability 4. What is the purpose of conducting research in any setting?
known as? A. Improve health care C. Court order
A. Slander B. Malpractice C. Libe l D. Assault B. Publication D. Legal document

493. Mr. Hiroshima is a Japanese national, suspected of SARS and advised to be 5. A study was done to prove that Co-trimoxazole is more effective than other drugs in
confined in a negative pressure room with strict protective gadgets of the health treating respiratory tract infections in ambulatory patients in a community. The
workers taking care of him. He vehemently resented being confined in that room. suitable control group will receive:
Moreover, he was denied of accepting visitors. He threatened to sue the hospital. A. Another drug for respiratory infections
Which case should he file? B. The standard drug for treating respiratory infections given as placebo
A. Illegal detention C. Battery C. Another experimental drug for respiratory infection
B. Incompetence D. Defamation D. A placebo

SITUATION: Bernadette is newly appointed nurse by the local government to lead the Situation: Research contributes to improvement of nursing practice. It is essential that
program Integrated Management of Childhood Illnesses in the municipality of professional nurses understand scientific method.
Butuan. She knows that as a young and non-experiences nurse, she needs to 6. Research in Nursing is mainly aimed to:
update her competence in the legal aspects of the professional nursing practice. A. Contributes to professionalism in nursing
494. Bernadette is aware that she may be at risk of lawsuits. Which of the following B. Ensure safe nursing process
actions will shield her from potential lawsuits? C. Improve nursing practice
1. Knowledge and implementation of standards and protocol of care D. Setting criteria for quality nursing
2. Documentation of actions accurately and concisely
3. Documentation outcomes of nursing care 7. An ethical consent in research requires which of the following conditions:
4. Follow all doctor’s order that is legal and in writing A. Consent of attending physician C. Written without coercion
A. 1, 2, 3, and 4 C. 2 and 3 B. Free and informed D. Must be explained
B. 1, 2 and 3 D. 2, 3 and 4
8. A review of related literature provides:
495. When the head nurse fails to report to the physician the changes in the patient’s A. Characteristics of subjects C. A rational of the research
condition after there was the appearance of adverse reaction after administering B. Synthesis of previous studies D. The research methodologies
a drug is clear example of:
A. Malfeasance C. Incompetence 9. When participating in studies using drugs the nurses should be aware of:
B. Malpractice D. Irresponsible A. Details of research protocol C. Name of subjects
B. The principal investigator D. The investigational drugs
496. The following are the elements of self-defense which the psychiatric nurse
invokes as a defense for the instant death of a patient, except? 10. Random sampling assures that each subject has:
A. Unlawful aggression on the part of the offended party A. Been selected based on criteria
B. No provocation on the part of the defending nurse B. Been systematically selected
C. Reasonableness of the defense made C. Characteristics that match other samples
D. Nurse’s life is in danger D. An equal chance of selection

497. When the law attaches the capital punishment, the felony is considered as:
A. Grave B. Less grave C. Light D. Minimal

20 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
Situation: Mama Mia is a member of the Nursing Research Council of the hospital. Her C. Academic performance in MS, MCN, CDN, CHN
first assignment is to determine the level of patient satisfaction on the care they D. Clinical performance in MS, MCN, CDN, CHN
received from the hospital. She plans to include all patients admitted from April to
May with average length of 3-4 days, first admission and able to read and write. Situation: Hannah, a researcher, proposes a study on the relationship between health
11. Which of the following is an extraneous variable of the study? values and the health promotion activities of staff nurses in a selected college of
A. Nature of illness C. Ability to read and write nursing.
B. Date of admission D. Length of stay 23. In both quantitative and qualitative research, the use of a frame of reference is
required. Which of the following items serve as the purpose of a framework?
12. She thinks of an appropriate theoretical framework of this study. Which of the A. Incorporates theories into nursing’s body of knowledge
following theories would be most appropriate? B. Organizes the development of study and links the findings to nursing’s body of
A. System theory C. Needs theory knowledge
B. Adaptation model D. Stress theory C. Provides logical structure of the research findings
D. Identifies concepts and relationships between concepts
13. She opts to use a self-report method. Which of the following is not true about this
method? 24. Hannah needs to review relevant literatures and studies. The following processes
A. Most direct means of gathering information are undertaken in reviewing literature EXCEPT:
B. Versatile in terms of content coverage A. Locating &identifying the sources C. Clarifying a research topic
C. Most accurate and valid method when eliciting feelings or behavior B. Reading and recording notes D. Using the library
D. Yields information that would be difficult to gather by another method
25. The primary purpose of reviewing literature is to :
14. Which of the following articles would Mia LEAST consider for her review of the A. Organize materials related to the problem of interest
literature? B. Generate broad background and understanding of information related to the
A. “Response Time of Nurses and Decreased Anxiety Levels of Patients in the research problem of interest
Emergency Room” C. Select topics related to the problem of interest
B. “Turnaround Time in Doctors Clinic” D. Gather current knowledge of the problem of interest
C. “Outcome Standards in Tertiary Health Care Instructions”
D. “Performance Improvement Strategies” 26. In the research problem “Gender Differences in Pain Reactions”, which of the
following will be the priority action?
Situation: A nurse was interested to study the research question: “What are the A. Conduct a literature search on the subject matter
differences and similarities between aggressive and non-aggressive cognitively B. Develop a theoretical/conceptual framework
impaired, elderly, institutionalized people?” C. Select a research design
15. Investigation of cognitively impaired individual presented some ethical dilemmas. D. Design a sampling plan
Which of the following protocol would be considered unethical?
A. Recording interaction with the elderly with their permission 27. A good research requires a thorough review of the literature. The first step in
B. Data coded and recorded solely by the investigator searching for literature to locate all pertinent sources is to:
C. Verbal permission from the subject is unnecessary A. Ask help from the librarian about potential references
D. A written consent from the institution and a significant other B. Conduct print or computer search
C. Identify key words and concepts to be searched
16. A semi-structured interview was conducted. This means that: D. Refer to the bibliographic lists of related studies
A. Interview is conducted precisely in the same manner
B. Interviewer is not held to any specific question Situation: Consider the following hypothesis: “The job turnover rate and job
C. Subject is allowed to express without any suggestion from interviewer dissatisfaction levels of graduate nurse who have worked less than 2 years is
D. Interviewer is free to probe beyond a number of specific major questions higher than those graduate nurse who have worked for more than 2 years”
28. The major reason for conducting nursing research is to:
17. The type of study conducted is: A. Improve nursing care for clients
A. Descriptive C. Quasi-experimental B. Promote the growth of the nursing profession
B. Experimental D. Case study C. Document the cost effectiveness of nursing care
D. Ensure accountability of nursing practice
18. The average age of the respondents was 86. this represents:
A. The sum ages divided by the total number of participants 29. Which is the independent variable in the study?
B. The youngest participant is 86 years old A. Job dissatisfaction C. Job dissatisfaction &job turnover rate
C. The oldest participant is 86 years old B. Job turnover rate D. Length of employment
D. Most of the number of participants is 86 years old
30. Which is the dependent variable in the study?
Situation: A group of Level 4 students will conduct a study that aims to determine the A. Job dissatisfaction C. Job dissatisfaction & job turnover rate
similarities / differences in the clinical performance of the student nurses under B. Job turnover rate D. Length of employment
the Bachelor of Science in Nursing (BSN) program and Associate in Health
Sciences Education (AHSE) as perceived by the faculty members of 4 selected Situation: A group of nurses decided to describe the influence of religion on the attitude
colleges of nursing. The clinical performances of the students in the following of staff nurses in the care of dying patients.
areas MS, MCN, CDN, CHN will be determined. 31. In your review of literature, under what appropriate topic would you focus?
19. The most appropriate design for the said study is: A. Care of terminally ill patients C. Attitude and religion
A. Descriptive – correlation C. Descriptive – comparative B. Concept on death and dying D. The dying patient
B. Evaluate survey D. Classical Experiment
32. The variables in your study are the following, except:
20. The respondents will be clinical instructors from 2 schools that offer the BSN A. Religion C. Setting of the study
program and 2 with AHSE program. After obtaining the sampling frame every B. Care of the dying D. Attitude of the staff nurses on dying
15th in the list of the faculty will be taken as research subject. This sampling
technique is referred to as: 33. Which of the following research designs would be most appropriate for the study?
A. Quota B. Stratified C. Simple random D. Systematic A. Descriptive C. Case study
B. Ex post facto D. Quasi-experimental
21. Which of the following is the dependent variable in the study?
A. Nursing program 34. If you choose to concentrate in one community alone, which research design would
B. Grades be appropriate?
C. Academic performance in MS, MCN, CDN, CHN A. Descriptive B. Survey C. Exploratory D. Case study
D. Clinical performance in MS, MCN, CDN, CHN
Situation: A research was conducted on “The Effects of the Nurse Expressive Role in
22. Which of the following is the independent variable in the study? the Reduction of Anxiety in Patients who will Undergo Nasogastric Tube
A. Nursing program Insertion”
B. Grades

21 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
35. The research is experimental which means that it utilized: 48. The research team learned that some of the nursing services of few hospitals are
A. An interview schedule C. Control & experimental groups already approved for costing and are about to be submitted to Department of
B. A survey D. A questionnaire Health for approval. The team invited the proponents of the study “Determination
of Cost of Nursing Services in Hospital A”, for information. The knowledge
36. The independent variable is: obtained from this activity is through:
A. Patients C. Expressive role A. Experience C. Consulting expert
B. Reduction of anxiety D. Nasogastric insertion B. Trial and error D. Tradition

37. The dependent variable is: 49. One of the problems encountered by the other members of the research team
A. Nasogastric insertion C. Patients concerns bed sore. In one unit, it was learned that they tried using the bark of
B. Expressive role D. Reduction of anxiety banana to line the skin where possible pressure sore is suspected. Eventually,
they tried water pads to lessen pressure on the affected part. The knowledge
Situation: As a nurse, you are expected to participate in initiating or participating in the obtained in this situation is through:
conduct of research studies to improve nursing practice. You should be updated A. Trial and error C. Scientific method
on the latest trends and issues affecting the profession and the best practices B. Tradition D. Experience
arrived at the profession.
38. You are interested to study the effects of meditation & relaxation on the pain 50. One member of the research team used to be assigned in the Reproductive Health
experienced by cancer patients. What type of variable is pain? Clinic of the OPD. The nurses in that clinic were trained on infection control and
A. Dependent B. Correlational C. Independent D. Demographic for a long time have not been using disinfectant solution for the sterile pick up
forceps. Instead, they just keep it in a dry sterile container after use and have a
39. In the hypothesis: “The utilization of technology in teaching improves the retention new sterile pick up forceps and sterile dry container every day. The knowledge of
and attention of the nursing students”. Which is the independent variable? keeping the pickup sterile in this manner has been through.
A. Utilization of technology A. Trial and error C. Scientific method
B. Improvement in the retention of attention B. Consulting Expert D. Tradition
C. Nursing students
D. Teaching Situation: Mike is the head of the surgical intensive care unit, as the head of the unit he
needs to motivate his members towards goal accomplishment.
40. Which is the dependent variable? 51. Mike develops the standards. Among the following standards, which is considered
A. Utilization of technology as a structure standard?
B. Improvement in the retention of attention A. The client verbalized satisfaction of the nursing care received
C. Nursing students B. Nurse-patient ratio shall be 1:6 for adult cases
D. Teaching C. All patients shall have their weights taken recorded
D. Patients shall answer the evaluation form before discharge
41. The investigator would like to compare the levels of postpartum depression in three
groups of women: middle-class white mothers of term infants, middle-class white 52. He prepares the process standards. Which of the following is NOT a process
mothers of preterm infants, and low-income African-American mothers of term standard?
infants. The appropriate statistical test for significance of this study is: A. Initial assessment shall be done to all the patients within twenty four hours upon
A. Analysis of variance C. Student t-test admission
B. Chi-square analysis D. Paired t-test B. Informed consent shall be secured prior to any invasive procedure
C. Patients has a well-lit and a well ventilated room
42. In considering the above study, what is the dependent variable/s of the study? D. Patient education about their illness and treatment shall be provided for all
A. Race, term of infants and levels of postpartum depression patients and their families
B. Postpartum depression
C. Race, term or infants and economic status 53. In his directing function as a manager, the manager knows that his ability to direct
D. Postpartum depression, term of infants and economic status depends on;
A. Being officially appointed to the position
43. What is the independent variable/s of the study? B. Having confidence to do the job
A. Race, term of infants and levels of postpartum depression C. The ability to apply theory to practice
B. Postpartum depression D. Having followers who are willing to be led
C. Race, term or infants and economic status
D. Postpartum depression, term of infants and economic status 54. Which of the following refers to criteria?
A. Agreed on the level of nursing care
44. If an independent variable is weight gain during pregnancy and the dependent B. Characteristic used to measure the level of nursing care
variable is infant birth weight, the appropriate test statistic is a(n): C. Step by step guidelines
A. t-test B. ANOVA C. Chi-square D. Pearson r D. Statement which guide the group in decision making and problem solving

45. The independent variable is race (Caucasian/African-American) while the 55. They want to ensure that every task is carried out as planned. Which of the
dependent variable is pulse rate. What is an appropriate statistical test? following is NOT included in the controlling process?
A. t-test B. ANOVA C. Chi-square D. Pearson R A. Instructing the members of the standards committee to prepare policies
B. Reviewing the existing policies of the hospital
Situation: After 5 years of working as a staff in the medical ward, you were asked by the C. Evaluating the credentials of all nursing staff
chief nurse to be part of the team that will undertake a hospital wide research on D. Checking if activities conform to schedule
costing of nursing service. You recall that one of the first lessons in your research
class is the method by which knowledge is based on Situation: Errors while providing nursing care to patients must be avoided & minimized
46. Having worked in the emergency ward for 6 months, you are convinced that crisis at all times. Effective management of available resources enables the nurse to
intervention is one of those services for which a nurse can charge professional provide safe quality patient care.
fee. This knowledge is based on: 56. The hospital has an ongoing quality assurance program. Which of the following
A. Scientific Method C. Experience indicates implementation of process standards?
B. Consulting expert D. Trial and error A. The nurses check client’s identification band before giving medications
B. The nurse reports adverse reaction to drugs
47. While working in the ICU, the head nurse and supervisor conducted a small-scale C. Average waiting time for medication administration is measured
study “The effects of Music Therapy on Pain Relief among Selected Patients in D. The unit has well ventilated medication room
ICU.” The knowledge obtained from his activity is through:
A. Scientific method C. Trial and error 57. Which of the following actions indicate that Nurse Jerome is performing outcome
B. Experience D. Tradition evaluation of quality care?
A. Interviews nurses for comments regarding staffing
B. Measures waiting time for clients per nurse’s call
C. Checks equipment for its calibration schedule
D. Determines whether the nurses perform skin assessment every shift

22 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
58. An order for a client was given & the nurse in charge of the client reports that she 69. An old ventilator often malfunctions and has inefficiencies resulting from the speed
has no experience of doing the procedure before. Which of the ff. is the most of the equipment or downtime (amount of time it is out of service for repairs). The
appropriate action of the nurse supervisor? organization decided to purchase new technology because the old one is too
A. Assign another nurse to perform the procedure expensive to maintain. What type of budget is allotted for the equipment?
B. Ask the nurse to find a way to learn the procedure A. Operational budget C. Capital Budget
C. Tell the nurse to read the procedure manual B. Construction budget D. Any of the above
D. Do the procedure with the nurse
70. An operational budget is a financial tool that outlines anticipated revenue and
59. Nursing audit aims to: expenses over a specified period. Which of the following are incorrect regarding
A. Provide research data to hospital personnel budget?
B. Compare actual nursing care done to establish standards A. The budget translates operational plans into financial and statistical terms so that
C. Study client’s illness and treatment regimen closely income can be projected with associated costs
D. Provide information to health-care providers B. Budget serve as standards to plan, monitor, and evaluate the performance of a
health care system
60. An example of a management function of a nurse is: C. Budget account for the relationship of income to the expenses needed to deliver
A. Teaching patient do breathing and coughing exercises the services
B. Preparing for a surprise party for a client D. All of the above
C. Performing nursing procedures for clients
D. Directing and evaluating the staff nurse 71. Which among the following is the purpose of monitoring a budget?
A. Keep expenses above budget
61. In conflict management, the win-win approach occurs when: B. Maintain revenue above the previous year’s budget
A. There are two conflicts and the parties agree to each win one C. Ensure revenue is generated monthly
B. Each party gives in on 50% of the disagreements making up the conflict D. Generate revenue and control expenses within a projected framework
C. Both parties involved are committed to solving the conflict
D. The conflict is settled out of court sop the legal system and the parties win Situation: Jun just received his appointment paper as permanent employee. He was
told by the head nurse that it was his loyalty, commitment, competence, and
Situation: Miss Andy is the newly promoted head nurse of the ambulatory care unit. caring attitude that contributed to his present appointment.
62. As the head of the unit, she noticed increasing incompetence among the members. 72. Which response describes Jun as an assertive person?
The first action that she should do is: A. “I am used to this. I am born a winner.”
A. Bring the group together and discuss the problem B. “I don’t know why I became permanent. Probably they like me.”
B. Ignore the problem, it’s a minor issue C. “Thank you. I hope I will be able to contribute to the goals of the department.”
C. Present the problem to the charge nurse D. “I expected this to happen. I know I did my best.”
D. Discuss the problem with the other unit managers
73. The nurse revised the system for the delivery of nursing care which is referred to
63. Which of the ff. can best motivate her staff when such conflict arises? as:
A. Strict enforcement of rules A. Patient Classification system C. Variable staffing
B. Encouraging good interpersonal relationship B. Pattern of nursing care D. Scheduling
C. Maintaining an open communication
D. Providing guidelines in doing procedures 74. Jun was assigned to take care of 5 to 6 patients from admission to discharge. The
system is:
64. Decision-making occurs at many levels. Which from among the following is the A. Primary nursing C. Nursing care management
most empowering to the staff members? B. Team nursing D. Modular nursing
A. The supervisor makes decision without consulting anyone
B. The supervisor ask reports to decide on the solution of the problem 75. One of his patients who have a chronic hypertensive vascular disease asked Jun if
C. The supervisor makes decision after convening a task force to analyze the issues he can be available to take care of her even before admission and even after
D. The supervisor makes decision after the report has been presented discharge. What system does the patient refers to?
A. Case method C. Team nursing
65. Katherine is a young Unit Manager of the Pediatric Ward. Most of her staff nurses B. Nursing case management D. Primary nursing
are senior to her, very articulate, confident and sometimes aggressive. Katherine
feels uncomfortable believing that she is the scapegoat of everything that goes 76. Which pattern of nursing care involves the care given by a group of
wrong in her department. Which of the ff. is the best action that she must take? paraprofessional workers led by a professional nurse who take care of patients
A. Identify the source of the conflict & understand the points of friction with the same disease conditions and are located geographically near each
B. Disregard what she feels and continue to work independently other?
C. Seek help from the Director of Nursing A. Case method C. Nursing case management
D. Quit her job and look for another employment. B. Modular nursing D. Team nursing

66. As a young manager, she knows that conflict occurs in any organization. Which of Situation: Jun is the new supervisor of the medical-surgical unit with 40-bed capacity.
the ff. statements regarding conflict is not true? 77. A critical component of the supervisory process is delegation. Which of the
A. Can be destructive if the level is too high following is the most empowering to the staff?
B. May result in poor performance A. Delegation starts at top management
C. Is not beneficial; hence it should be prevented at all times B. Delegation frees the manager to do other task
D. May create leaders C. Effective delegation requires the nurse manager to determine the abilities of the
staff
Situation: Mr. Nicandro is an Operating Room head nurse for three years. He strongly D. Delegation enables the staff to improve competence and confidence
felt that his unit needs some changes in order to be competitive with other
hospitals. 78. Which task can be delegated to the nursing aid when the patient is stable?
67. Which of the following is incompatible with the planning process in the A. Administering tap water enema
organization? B. Incorporating potassium chloride intravenously
A. Establishes goals and objectives C. Teaching patient to administer insulin
B. Evaluates goal implementation D. Taking CVP
C. Places goals of nursing personnel above organizational goals
D. Revises and updates plan 79. As the supervisor, you plan to implement change in the nursing unit from team
nursing to primary nursing. You anticipate that there will be resistance to change.
68. Which of the following is not included in the capital expense budget? In order to avoid such, which of the following should be done?
A. Renovation of the OR suites C. Purchase of heart-lung machine A. Determine the need for change
B. Purchase of anesthetic machine D. Repair of air conditioning B. Confront the staff individually
C. Develop the change one step at a time
D. Use coercion to implement change

23 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
80. The supervisor has implemented to change. A nurse aide seems to be resistant to
the change. Which of the following should be done?
A. Ignore the resistance
B. Utilize coercion
C. Give reward to the nursing assistant
D. Talk to the nurse assistant and encourage verbalization of feelings
81. As a medication nurse, you are tasked to give digoxin to a patient with arrhythmia.
You noticed that the heart rate is 40 beats per minute and the potassium level is
below normal. The physician orders digoxin STAT. An assertive response of the
nurse should be:
A. “I think we have first to monitor the patient’s cardiac rate before giving the drug.”
B. “I don’t want to carry out your order”
C. “Don’t you know the precaution for giving this drug?”
D. “Yes doctor. I will give it right now.”
92. You are commuting to work riding the LRT. An older person collapsed and nobody
seems to notice her. The security guard tried to make her sit down but she
remained unconscious. You saw what happened and you decided to help. With
help, you brought the patient to the nearest hospital. You learned later that
woman was diabetic. She was on her way to the diabetes clinic to have her
fasting blood sugar tested. She developed hypoglycemia. You were able to save
a life. You felt good. What principle was applied?
A. Advocacy B. Beneficence C. Justice D. Autonomy
Situation: As a nurse in charge you noted that a lot of confusion occurs in your unit
due to some disorganization. You decided to improve work performance.
93. A deliberate course of action that results in alteration of something different in a
nursing unit is referred to as :
A. Change management C. Nursing care Systems
B. Specialty certification D. Nursing process

82. Determining the standard of the institution is one of the concerns in controlling. 94. When resistance threatens needed change, what important measure would you
When the institution has reached the minimum level of excellence, it should: use to overcome the resistance?
A. Be contented on the result of the evaluation A. Send a memorandum of change C. Gain early support from staff
B. Do something to improve the standard B. Use a problem-solving strategy D. Conduct staff re-education
C. Help maintain the standard of the institution
D. Publish the result to the publication 95. This is a factor influencing acceptance of staff for change:
A. Externally imposed C. Share its benefits
83. Who should be involved in maintaining the standard? B. Staff participants D. Planned ahead
A. Top-level managers C. Middle-managers
B. Unit managers D. Managers in all levels 96. These are important qualities of a change agent except:
A. Leadership skills C. Sociability
84. When conducting nursing audit the following must be considered EXCEPT: B. Credibility D. Management skills
A. Outcome B. Quality C. Process D. Structure
97. A nurse manager who establishes connection in the outside institution is utilizing
85. The most effective way in conducting the nursing audit is to: what power?
A. Evaluate the records of the patient A. Legitimate B. Referent C. Coercive D. Permissive
B. Determine the job description of the staff
C. Evaluate staffing patterns 98. The ability of a manager to give incentives to his members to be able to motivate
D. Determine job performance them to perform is using what power?
A. Expert B. Information C. Self D. Reward
86. A nurse manager who establishes connection in the outside institution is utilizing
what power? 99. A person who has the ability to obtain, retain and motivate his workers because of
A. Legitimate B. Referent C. Coercive D. Permissive the position he is holding inside the organization is utilizing what power?
A. Connection B. Referent C. Legitimate D. Coercive
87. In conflict management, the lose-lose approach occurs when:
a. There are two conflicts and the parties agree to each win one 100. Having to deal with a lot of people, the nurse manager’s most important
b. Each party gives in on 50% of the disagreements making up the conflict communication skill is which of the following?
c. Both parties involved are committed to solving the conflict A. Questioning B. Assertiveness C. Affirmation D. Listening
d. The conflict is settled out of court sop the legal system and the parties win
PART VII.
Situation: Many hospitals form bioethical review committees to ensure better quality of Situation: Letty is a very enthusiastic neophyte nurse researcher. She was able to
life of patients. You areinvited by the nursing service department to participate in identify a research topic that has been approved for funding by a non-government
their bioethical review committee. You are expected to know the purpose and organization.
apply bioethical principles. 101. In choosing the appropriate research design, she should remember that a good
88. Which of the ff. is the purpose of the ethical review committee? design should be one that?
A. Promote implementation of general standards A. Is approved by the funding agency
B. Enhance health care provider’s liability B. Is most familiar to the researcher
C. Increase individuals responsibility for decision making C. Is appropriate for the research objectives
D. Decrease public scrutiny of health care provider’s action D. Is most practical

89. Maria who is admitted to the hospital with autoimmune thrombocytopenia and a 102. Being a beginner in research, Letty bears in mind that research design is the
platelet count of 20,000/æL develops epistaxis and melena. Treatment with study’s:
corticosteroids and immunoglobulin has not been successful. Her physician A. Skeleton B. Map C. Showcase D. Blueprint
recommended splenectomy. Maria states “I don’t need surgery. This will go
away on its own.” In considering your response to Maria, you must depend on 103. This qualitative research does not involve a literature review prior to conducting
the ethical principle of: the study.
A. Beneficence B. Justice C. Autonomy D. Advocacy A. Ethnographic C. Phenomenological
B. Historical D. Philosophical
90. Zoyda is terminally ill & is experiencing severe pain. She has bone & liver
metastasis. She has been on morphine for several months now. Zoyda is aware 104. A researcher used a sample of more than 2000 newborns from two hospitals and
that they are having financial problems. She decides to sign a DNR form. What assessed the effects of two different methods on umbilical cord care. The infants
ethical principle did Zoyda& her family utilize as a basis for their decision to sign a were randomly assigned to either umbilical cleansing with alcohol or natural
DNR? drying of the umbilical site. What type of design did the researcher use?
A. Justice B.Autonomy C. Beneficence D. Advocacy A. Longitudinal study C. Survey design
B. Clinical trial D. Feasibility study
91. Diana, a staff nurse working in a cancer unit, is considered a role model not only by
her colleagues but also by her patients. She goes out of her way to help others. 105. Identify the research design for this situation: “Note the volume of traffic in Baguio
She is very active in their professional organization and she practices what she City in the presence and absence of a traffic aide manually directing vehicular
teaches. What ethical principle is she practicing? flow.
A. Beneficence B. Autonomy C. Advocacy D. Justice A. Longitudinal study C. Survey design
B. Clinical trial D. Comparative descriptive

24 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
106. Identify the research design for this study: “Level of depression among Filipino 121. The most immediate objective of the study is:
women during the premenopausal transition” A. Help hospital administration to improve to OB ward
A. Longitudinal C. Descriptive study B. Determine effects of honey on wound healing rate
B. Clinical trial D. Phenomenology C. Hasten patient’s discharge
D. Justify the use of honey
107. The following are characteristics of a true experiment. Which one is not included?
A. Randomization C. Control 122. The control group in the study are:
B. Introduction D. Manipulation A. All the OB patients in the unit
B. Patients without wounds
108. This is a type of experimental research that lacks one or two characteristics of a C. Patients with wounds receiving antibiotic and honey
true experiment: D. Patients with wounds receiving antibiotics
A. True Experiment C. Quasi Experiment
B. Correlational D. Feasibility 123. The experimental group in the study are?
A. All the OB patients in the unit
109. A researcher wants to study the health practices of adult Filipino women in the B. Patients without wounds
United States. What is the appropriate design for the study? C. Patients with wounds receiving antibiotic and honey
A. Feasibility C. Correlational D. Patients with wounds receiving antibiotics
B. Descriptive D. Ethnography
124. What type of variable is pain management in the study “Improving pain
110. What is the appropriate research design for this: UC-CN undertakes this to management through research”?
establish the viability of operating mobile nursing clinic to some selected areas. A. Independent variable C. Dependent variable
A. Longitudinal study C. Survey design B. Demographic variable D. Confounding variable
B. Clinical Trial D. Feasibility study
125. This refers to the qualities, properties or characteristics of persons, things or
111. A researcher is interested in studying the changes in nursing students’ situations that change or vary?
professionalism as they progress through a 4- year BSN program, what research A. Sampling frame C. Objectives
design should be utilized: B. Research design D. Variables
A. Longitudinal C. Cross- sectional
B. Retrospective D. Prospective 126. Considered the simplest form of presenting research data?
A. Average C. Mode
112. In case the researcher decided to proceed with a cross- sectional design, which B. Frequency distribution D. Median
of the following is true about cross- sectional research design:
A. Group of students are being studied from freshman until senior 127. In describing the central value using interval or ratio data, all may be used,
B. Different groups are being studied at one point in time except?
C. A & b are correct A. Mode B. Mean C. Median D. Range
D. None of them are correct
Situation: Your group is gathering data concerning your research. You collected the
Concept: Sampling is a very essential part of the research process. following data: 70, 66, 55, 50, and 50.
113. You are to study the life of GRO’s on Magsaysay. What type of sampling do you 128. Compute for the mean of the study.
utilize when you get one informant who will make referrals to other participants? A. 56 B. 57 C. 58 D. 59
A. Convenience C. Purposive
B. Snowball D. Systematic 129. What is the median score of the data?
A. 54 B. 55 C. 56 D. 57
114. The best sampling method to be used when those who went to actual affiliations
are included in the study and the most representative of them are included in the 130. Identify the mode of the data gathered.
sample. A. 70 B. 66 C. 55 D. 50
A. Purposive C. Quota
B. Convenience D. Cluster 131. The most accurate procedure in measuring temperature responses of children to
tepid sponge bath is:
115. Fifteen students per section and 75 per year level predetermined numbers set for A. Use of thermometer
inclusion, the sampling method that should be utilized is? B. Observe degree of sweating
A. Purposive B. Quota C. Convenience D. Cluster C. Use of hands to determine skin temperature
D. Elicit feeling of coldness or hotness of patient
116. Havaianas” desires the largest percentage of the population be presented,
therefore, they divided the entire student nurses population by year levels and 132. Visual analogue is best used for:
sections, what kind of sampling did “Havaianas” use? A. Objective data C. Subjective data
A. Simple Random Sampling C. Stratified B. Triangulation D. Peer debriefing
B. Cluster D. Quota
133. Gloria has the third highest score with 50 correct answers. Third is:
117. In this method of sampling, every member of the population has equal chance of A. Ordinal C. Nominal
being chosen B. Interval D. Ratio
A. Snowball sampling C. Simple random sampling
B. Purposive sampling D. Judgmental sampling 134. When group F2 obtain data resources from “ Notes on nursing” which was
originally written by Nightingale, this data source is considered as:
Situation: Bruce, a nurse assigned to the surgical ward, observed that the rate of A. Primary C. Secondary
wound healing among the patient is rather slow even if the patients were on B. Interview D. Self- report
antibiotic therapy. He thought it would be interesting to study the rate of wound
healing if he would use a glucose-containing substance such as honey. 135. The tool used in a study of male sex workers in Baguio city is a paper with
118. The type of research design appropriate in this study is: questions distributed to them to be submitted after answering it, this is?
A. Phenomenology C. Ethnography A. Interview C. Questionnaire
B. Experimental D. Developmental B. Biophysical devices D. Observation

119. The independent variable in the study is: 136. It is more advantageous to disseminate questionnaires through mail because:
A. Wound healing rate C. Laceration A. Return may come in poorly
B. Antibiotic D. Honey B. There is a chance that it may be lost in the mail.
C. Respondents cannot clarify poorly constructed questions.
120. The dependent variable in the study is: D. Responses will remain anonymous.
A. Wound healing rate C. Honey
B. Laceration D. Antibiotic

25 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
137. If a particular instrument has been used several times with consistent result, this 152. It flows from the purpose or mission statement and delineates the set of values
is: and beliefs that guide all actions of the organization
A. Feasibility C. Validity A. Philosophy B. Goal C. Objective D. Mission
B. Measurability D. Reliability
153. The nursing unit is considering changing the mode of nursing care delivery to one
138. This is the extent to which findings from the data can be transferred to other that holds a nurse responsible and accountable over a 24-hour period for the care
settings or groups. This is termed as: and treatment of case load. This type of assignment is called which of the
A. Dependability C. Credibility following?
B. Confirmability D. Transferability A. Primary C. Functional
B. Total patient care D. Team nursing
139. This is one of the criteria in assessing tools in qualitative studies, which refers to
the degree of consistency or accuracy with which an instrument measures the 154. One registered nurse may be responsible for giving medications, another nurse
attribute it is designed to measure? for admission and discharges while nursing attendant change linen or do simple
A. Dependability C. Credibility procedures for which they have been trained, what kind of nursing care modality
B. Confirmability D. Transferability describes this?
A. Functional B. Team C. Case D. Modular
140. If a researcher is curious about something that is vague, for example, the
respiratory isolation technique most commonly used by nurses in the ward, what 155. Which nursing care system is considered as the system used for assigning the
criterion of a research problem describes this? work of private duty nurses?
A. Feasibility C. Interest A. Functional B. Team C. Case D. Modular
B. Researchability D. Ethical considerations
156. One of the patients who is scheduled for open heart surgery asks the RN if she
141. If a researcher considers the rights of the subjects when he conducts an can be available to take care of her even before admission and even after
experimental research, it is described as? discharge. What nursing care system does the patient refer to?
A. Feasibility C. Interest A. Functional B. Team C. Case D. Modular
B. Researchability D. Ethical considerations
157. This modality is usually associated with democratic style of leadership. Group
142. Nurse Dona is making a research problem. Of the following options, which is not members are given as much autonomy as possible when performing assigned
included as a source of research problem? tasks.
A. Literature Sources C. Theory A. Functional B. Case C. Team D. Modular
B. Experiences D. Hearsays
158. Which among the following leadership styles is most applicable in emergency
143. One of the essential parts of research is the ethical consideration concerning the room?
participants. The respondents cannot be identified with their answers, this ethical A. Autocratic C. Democratic
consideration is? B. Laissez faire D. Participative
A. Beneficence C. Veracity
B. Confidentiality D. Anonymity 159. It is the most desirable form of management; it will satisfy higher human needs
resulting in greater employee responsibility which in turn leads to high
144. The hypothesis that states that there is no relationship between the variables productivity. What style is this?
under study: A. Autocratic C. Democratic
A. Null hypothesis C. Research hypothesis B. Laissez faire D. Permissive
B. Directional hypothesis D. Non-directional hypothesis
160. The style which is being use in the operating room, supervision is minimal since
145. The one that is being studied, or the effect, is the extent of awareness of male sex the group is knowledgeable and capable of self-direction.
workers. The group has formulated a hypothesis, “The longer the duration of the A. Autocratic C. Democratic
work of male sex workers, the more knowledge that they have on sexually B. Laissez faire D. Participative
transmitted diseases.” This is a?
A. Directional, null hypothesis C. Non-directional, research hypothesis 161. The head nurse gives his full trust and confidence to his team and allows them to
B. Directional, research hypothesis D. Non-directional, null hypothesis share their suggestions and participate in the development of the program. Which
management behavior does he adopt?
146. “There is a relationship between level of exercise postpartum and weight A. Democratic C. Laissez faire
retention”, this is an example of? B. Autocratic D. Permissive
A. Simple, directional C. Simple, nondirectional
B. Complex, directional D. Complex, nondirectional 162. In the management process, what is the first step that an RN should do?
A. Organizing C. Directing
147. The samples of a research group are the nurses of BGH, when they found out B. Planning D. Controlling
that they are being observed, their behavior changed. What term refers to this?
A. Hawthorne effect C. Plagiarism 163. When the plan is already carried out, Nurse Tyra decided to put the organized
B. Copyright issue D. Triangulation plan into action, which of the following process of management describes this?
A. Organizing C. Directing
148. Group A2 is having their oral defense when the panel noticed that they used the B. Planning D. Controlling
work of one research group and they recognized it as their own, they committed
which of the following? 164. He first identified the management functions?
A. Hawthorne effect C. Plagiarism A. Fayol B. Taylor C. Gulick D. Weber
B. Copyright issues D. Triangulation
165. He expanded on the management functions in his introduction of “seven activities
149. A logical sequence research instrument which specifies the wording of all of management”.
questions during the interview is the: A. Fayol B. Taylor C. Gulick D. Weber
A. Questionnaire C. Observation guide
B. Interview schedule D. Test question 166. In this theory of management, the success of the group will depend on the
relationship among the members and the task structure of the group
150. This refers to an influence that can distort the results of a study. A. Great man theory C. Trait theory
A. Bias C. Hawthorne effect B. Situational theory D. Contingency theory
B. Halo effect D. None of the above
167. According to contingency theory, what will be the effect if the leader has a good
151. This statement identifies the organizations constituency and addresses its relationship with the member and the member has a good relationship to the
position regarding ethics, principles, and standards of practice. This is otherwise leader as well?
known as purpose. A. Success C. Failure
A. Philosophy B. Goal C. Objective D. Mission B. Not known D. It depends

26 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
168. In McGregor’s theory, when the workers dislike their work, need coercion and 183. You are preparing to go to work when suddenly, there’s a major earthquake. You
direction, this refers to theory: failed to go to work and you are not liable for it. This is an example of:
A. X B. Y C. W D. Z A. Negligence C. Malpractice
B. Force majeure D. Respondeat superior
169. This involves an internal struggle to clarify contradictory values or wants?
A. Interpersonal conflict C. Intrapersonal conflict 184. If a surgeon did his best in an open heart surgery and no error was committed but
B. Intergroup conflict D. Conflict aftermath the patient died, the surgeon is?
A. Liable
170. This may be used by managers when a quick or unpopular decision needs to be B. Liable depending on the patients diagnosis
made? C. Not liable
A. Compromising C. Competing D. Liable together with the other members of the OR team
B. Accommodating D. Smoothing
185. Public officials and employees shall discharge their duties with utmost
171. In this conflict management, all parties set aside their original goals and work responsibility, integrity, competence and loyalty, and shall act with patriotism and
together to establish a priority common goal. justice. This is in accordance with?
A. Avoiding C. Collaborating A. RA 6713 B. RA 7432 C. RA 7160 D. RA 9173
B. Accommodating D. Smoothing
186. This is the Philippine Nursing act of 2002?
172. This includes allowing the patient to refuse treatment if he so decides, disclosure A. RA 6713 B. RA 7432 C. RA 7160 D. RA 9173
of his ailment, prognosis, and maintaining confidentiality?
A. Autonomy C. Veracity 187. According to the Philippine Nursing Act of 2002, the composition of the BON is?
B. Beneficence D. Nonmaleficence A. 7 members, 1 chairman C. 6 members, 1 chairman
B. 5 members, 1 chairman D. 4 members, 1 chairman
173. The physician tells the patient and his family his diagnosis, and plan of care, what
principle of biomedical ethics does the physician exercising? 188. The chairperson and the members of the Board shall hold office for how many
A. Autonomy C. Veracity years?
B. Beneficence D. Nonmaleficence A. 2 years B. 4 years C. 3 years D. 5 years

174. The recovery room nurse received a patient post craniotomy. When the nurse 189. This act states that sale, administration, delivery, distribution and transportation of
arranged the bed and raised the side rails of the patient, this action reflects? prohibited drugs are punishable by law.
A. Autonomy C. Veracity A. RA 9165 B. RA 4226 C. RA 2382 D. RA 6675
B. Beneficence D. Nonmaleficence
190. This is an act to promote, require and ensure the production of an adequate
175. An experimental drug to be tested in patients inside the hospital was introduced supply, distribution, use and acceptance of drugs and medicines identified by
by a particular drug company. The nurse refused to give the drug since the their generic names.
potential harm may be greater than the expected benefit, what principle of A. RA 9165 B. RA 4226 C. RA 2382 D. RA 6675
biomedical ethics did the nurse exercise?
A. Autonomy C. Veracity 191. This is the first true nursing law:
B. Beneficence D. Nonmaleficence A. Act 2808 B. RA 9165 C. PD 223 D. RA 2382

176. RA 7432 called the senior Citizens Act, gives honor and justice to the elderly by 192. Which among the following is a qualification of members of the Board of Nursing?
giving 20% discount in public establishments such as restaurants, pharmacies A. 5 years’ experience in the field
and hospitals. This is an example of? B. 10 years’ experience in the field
A. Justice B. Veracity C. Autonomy D. Fidelity C. 2 years’ experience in general nursing administration
D. Degree of BSN with at least 9 units in management and administration course at
177. One of the patients in the community has Diabetes Mellitus and the man’s foot is the graduate level
gangrenous. The nurse helps the patient understand that the amputation will save
the patient’s life; he can still walk through the aid of crutches or artificial limbs. 193. Which among the following requires 1 year experience in clinical area?
What moral principle did the nurse exercise? A. Board of Nursing C. Nursing Service Administrator
A. Totality C. Epikia B. Faculty D. Chief Nurse
B. Two fold effect D. Golden rule
194. The only accredited national organization of nurses in the Philippines is:
178. If a patient who has cancer of the uterus submits to hysterectomy she will not be A. ADPCN C. PNA
able to bear a child. If she does not have the operation, she will die. This is an B. BON D. DOH
example of?
A. Totality C. Epikia 195. A client is brought to the emergency room by the emergency medical services
B. Two fold effect D. Golden rule after being hit by a car. The name of the client is unknown. The client has
sustained a severe head injury, multiple fractures, and is unconscious. An
179. An anxious patient repeatedly uses the call bell to get the nurse to come to the emergency craniotomy is required. Regarding informed consent for the surgical
room. Finally, the nurse says to the patient, “If you keep ringing, I will tie you to procedure, which of the following is the best action?
your bed.” This is an example of: A. Call the police to identify the client and locate the family
A. Slander B. Battery C. Assault D. Libel B. Obtain a court order for the surgical procedure
C. Ask the emergency medical services team to sign the informed consent.
180. A patient G5P5 refused to be injected with her third dose of Depo Provera. The D. Transport the victim to the operating room for the procedure
nurse insisted despite the patients’ refusal and forcibly injected Depo. The nurse
can be sued for which of the following? 196. An 87-year old woman is brought to the emergency room for treatment of a
A. Slander C. Assault fracture arm. On the physical assessment, the nurse notes old and new
B. Battery D. Libel ecchymotic areas on the client’s chest and legs the nurse asks the client how the
bruises were sustained. The client, although reluctant, tells the nurse in
181. A nurse is driving her car when she hit a 5 year old boy, the boy was injured. This confidence that her son frequently hits her if supper is not prepared on time when
is an example of: he arrives home from work. Which of the following is the most appropriate
A. Negligence C. Malpractice nursing response?
B. Force majeure D. Respondeat Superior A. “Oh really. I will discuss this situation with your son.”
B. “Do you have any friends that can help you out until you resolve these important
182. The emergency department phoned the OR for an emergency craniotomy. issues with your son?”
Unfortunately, no anesthesiologist was present, as a nurse you decided to give C. “Let’s talk about the ways you can manage your time to prevent this from
the anesthesia since you have enough knowledge anyway. This is an example of: happening.”
A. Negligence C. Malpractice D. “This is a legal issue, and I need to let you know that I will need to report it.”
B. Force majeure D. Respondeat superior

27 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
197. The nurse gives an inaccurate dose of a medication to a client. Following
assessment of the client, the nurse completes an incident report. The nurse
notifies the nursing supervisor of the medication error and calls the physician to
report the occurrence. The nurse who administered the inaccurate medication
dose understands that the:
A. Error will result in suspension
B. Incident report is a method of promoting quality care and risk management
C. Incident will be reported to the board of nursing
D. Incident will be documented in the personnel life
198. The registered nurse arrives at work and is told to report (float) to the intensive
care unit because the ICU is understaffed and needs additional nurses to care for
the clients. The nurse has never worked in the ICU. Which of the following is the
most appropriate nursing action?
A. Refuse to float in the ICU.
B. Call the hospital lawyer
C. Call the nursing supervisor
D. Report to the ICU and identify tasks that can be performed safely
199. A nurse who is employed in a community hospital as a unit manager determines
that in this position of authority, authority most appropriately refers to?
A. Being responsible for what the staff members do
B. Carrying the legal responsibilities for the task performance of others
C. The official power to approve an action, command an action, or to see that a
decision is enforced
D. Accepting the responsibility for the actions of others
200. A nurse practicing in a nurse managed clinic wants to set up a diabetic teaching
seminar. The nurse understands that to meet the client’s needs, the nurse must
first?
A. Assess the clients functional abilities
B. Ensure that insurance documentation is up to date
C. Discuss the focus of the seminar with the multi-disciplinary team
D. Include everyone who comes into the clinic in the teaching sessions
PART VIII.
201. A nurse is performing an admission assessment on a client admitted to the
hospital with a diagnosis of fever of unknown origin. The nurse performs
interventions based on the Nurse Practice Act when the nurse?
A. Enters the information to the clients chart
B. Works information on the work sheet
C. Informs the supervisor of the clients vital sign
D. Tells another nurse that the client has a high fever
202. A nurse is observing a student nurse auscultate the breath sounds of a client for
the first time. The nurse would correct the student after observing which of the
following behaviors by the student?
A. Asking the client sit upright
B. Asking the client to breath slowly and deeply through the mouth
C. Placing the diaphragm over the clients ski
D. Placing the bell over the clients gown
203. The physician wrote an order for wrist restraints to be applied to a client for
disorientation between the hours 10:00 p.m. and 6:00 a.m. the nurse instructs the
nursing assistant to apply the restraints. When checking the client, which
observation would indicate that the nursing assistant performed unsafe care?
A. A safe knot was used to secure the restraints
B. Restraints were released every 2 hours
C. Restraints were applied snugly and tightly
D. The call light was placed within reach of the clients hand
204. A vascular surgeon repeatedly asks a nurse to obtain signed consent forms on
his surgical clients. The nurse is uncomfortable with obtaining the informed
consent and explains the reasons to the surgeon, but the surgeon tells the nurse
he or she will be reported if the consents are not obtained. The nurse would most
appropriately manage this situation by?
A. Obtaining the informed consent
B. Contacting the national medical association and reporting the surgeon
C. Stating to the surgeon I don’t really care if you report me, I am not obtaining the
consents
D. Discussing the situation with the nurse manager
205. Which action should the nurse take when recording mistake has occurred?
A. Draw a line through the mistake
B. Draw a line through it and write error above the entry
C. Draw a line through it and write mistaken entry above it
D. Draw a line through the mistake and write mistaken entry and your initials above it
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206. If there is a physician order for all of the following, which can be delegated to the
health aide?
A. Feeding and bathing the client C. Assessing wound healing progress
B. Teaching the client about medications D. Adjusting oxygen flow
207. A nursing student is employed and working as a UAP (Unlicensed Auxiliary
Personnel) on a busy surgical unit. The nurse knows that the UAP is enrolled in a
nursing program and will be graduating soon. A nurse asks the UAP if he has
performed a urinary catheterization on client while on nursing program. When the
UAP says “Yes”. The nurse asks him to help her out by doing a urinary
catheterization on a post-surgical client. What is the best response by the UAP?
A. Let me get permission from the client first
B. Sure. What client is it?
C. I can’t do it unless you supervise me
D. I can’t do it. Is there something else I can help you with?
208. The nurse gives two pills instead of the ordered one pill. The physician is notified.
The client is carefully monitored and no untoward effects happen. Can the client
sue the nurse for malpractice?
A. No, the client was not harmed C. Yes, a breach of duty exists
B. No, the nurse notified the physician D. Yes, foresee ability is present
209. A professional nurse committed to the principle of autonomy would be careful to:
A. Provide the information and support a patient needed to make decisions to
advance her own interests
B. Treat each patient fairly, trying to give everyone his or her due
C. Keep any promises made to a patient or another professional caregiver
D. Avoid causing harm to a patient
210. The nurse administers a wrong medication. She made an incident report and
plans to submit it to the:
A. Supervisor B. Risk manager C. Head nurse D. Patient
211. The incoming nurse for the morning shift noticed that the previous entry on the
chart was incomplete and unsigned by the nurse on the night shift. What is the
best action of the nurse to perform?
A. Leave a space for the previous nurse to sign
B. Begin charting on the next line below the last entry and make a note for the
previous nurse on duty to make a late entry to complete the chart
C. Write an incident report and file it to the risk manager
D. Complete the chart and sign it on behalf of the night shift nurse
212. Patients may be transferred from the Medical ward to the ICU as their condition
warrants. Which of the following actions is incorrect?
A. The nurse from the Medical ward notifies in advance the receiving nurse of the
patient’s case
B. The transfer report accompanies the patient during the transfer
C. The transfer report is sent in advance to the ICU for the nurse to review
D. An oral report is usually made by an accompanying nurse during the transfer
213. A sound disciplinary program must be tailored to the objectives of the institution.
The following statements are absolutely true regarding disciplinary actions
except:
A. Any employee charged for breach of rules and regulations shall be given due
process.
B. There must be existing rules of conduct governing the nurse’s behavior.
C. A documentation of actual violation of such rule must support the charges filed.
D. The employee must be notified verbally about the violation.
214. During the morning visit of the physician in the ICU, Dr. Jones ordered the nurse
to administer Metoprolol to the patient. What should be the initial action by the
nurse in this situation?
A. Call the pharmacy to order the drug
B. Ask Dr. Jones to write the order in the patient’s chart
C. Refuse to follow the order since it is not written in the chart
D. Prepare the medication and administer to the patient
215. Which of the following change-of-shift reports is best since it enables the patient
and his family to participate in the plan of care?
A. Oral report C. Nursing rounds
B. Audio-tape report D. Written report
216. The following are precautions to observe in documentation. Which is incorrect?
A. Only the nurse who performs the nursing intervention makes the entry and signs
it.
B. Charting made by the nursing students should be countersigned by their clinical
instructors
C. Chart all important information before going on a break
D. Chart only the performed interventions at the end of the shift
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217. A patient died after an arrest in the ICU. Which note on the patient’s record made
by the nurse would protect her from being sued with negligence?
A. “Dr. Jones was notified”
B. “Dr. Jones was paged three times at 10:45 am but did not come”
C. “Administered lidocaine to the patient”
D. “Informed the doctor’s secretary of the ongoing arrest”
218. A nursing discharge summary is a special progress report that helps ensure that
a client’s discharge results in desirable outcomes. When does the nurse complete
a discharge summary?
A. Upon admission
B. When nursing diagnosis begins
C. When the patient’s condition is stable and ready for discharge
D. After discharge of the patient from the hospital
219. The Kardex is a flip-over card usually kept in a portable index file at the nurse’s C. Call the police
station. If the Kardex is made a permanent part of the patient’s record, the nurse D. Call the nursing supervisor and report the incident
should:
A. Record the entries using a pencil
B. Record the entries using a permanent ink
C. Attach the Kardex in the patient’s chart
D. Use the Kardex during the endorsement
220. A patient is about to be discharged home. To best ensure continuity of care at
home, the nurse should:
A. Provide verbal instructions about the discharge plan
B. Provide a copy of the written discharge plan
C. Provide the patient with the contact numbers of the nurse and the health care
providers for inquiries
D. Make a follow-up call to the patient after discharge to check for his condition
Situation: A client arrives in the E.R. & is assessed by the nurse. The client is
staggering, confused, & verbally abusive. The client complains of headache from
drinking alcohol & is asking for medication. The nurse explains to the client that
the physician will need to perform an assessment before the administration of
medication.
221. When the client becomes verbally abusive, the nurse obtains leather restraints
and threatens to place the client in restraints. With which of the following can the
client legally charge the nurse as a result of the nursing action?
A. Assault C. Negligence
B. Battery D. Invasion of privacy
222. The nurse calls the physician regarding a new medication order because the
dosage prescribes is higher than the recommended dosage. The nurse is unable D. The client became restless and tried to get out of bed.
to locate the physician and the medication is due to be administered. Which of the
following actions should the nurse take?
A. Hold the medication until the physician can be contacted
B. Administer the dose prescribed
C. Administer the recommended dose until the physician can be located.
D. Contact the nursing supervisor
223. A nursing graduate is employed as a staff nurse in a local hospital. During
orientation, the new graduate asks the nurse educator about the need to obtain
professional liability insurance. The most appropriate response by the nurse
educator is:
A. “The hospital’s liability insurance will cover your actions.”
B. “It is very expensive and not necessary.”
C. “Nurses are encouraged to have their own malpractice insurance.”
D. “The majority of suits are filed against physicians and the hospital.”
224. The nurse gives an inaccurate dose of a medication to a client. Following
assessment of the client, the nurse completes an incident report. The nurse
notices the nursing supervisor of the medication error and calls the physician to
report the occurrence. The nurse who administered the inaccurate medication
dose understands that the:
A. Error will result in suspension
B. Incident report is a method of promoting quality care and risk management
C. Incident will be reported to the board of nursing
D. Incident will be documented in the personnel life
225. A nurse who works on the night shift enters the medication room and finds a co-
worker with a tourniquet wrapped around the upper arm. The co-worker is about
to insert a needle, attached to a syringe containing a clear liquid, into the
antecubital area. The most appropriate initial action by the nurse is which of the
following?
A. Call the police
B. Call security
C. Lock the co-worker in the medication room until help is obtained.
D. Call the nursing supervisor.
29 |NOVEMBER 2019 PNLE REVIEW
226. The nurse has made an error in documenting an assessment finding on a client
and obtains the client’s record to correct the error. The nurse corrects the error
by:
A. Trying to erase the error for space to write in the correct data
B. Using whiteout to delete error and writing in the correct data
C. Drawing one line through the error, initialing and dating the line, and then
documenting the correct information.
D. Documenting a late entry into the client’s record
227. The nurse employed in a hospital is waiting to receive a report from the laboratory
via the fax machine. The fax machine activates and the nurse expects the report
but instead receives a sexually oriented photograph. The most appropriate
nursing action is to:
A. Cut up the photograph and throw it up
B. Call the laboratory and ask for the individual’s name that sent the photograph
228. The nursing instructor provides a lecture to nursing students regarding the issue
of client’s rights. The instructor asks a nursing student to identify a situation that
represents an example of invasion of client privacy. Which of the following if
identified by the student indicates an understanding of a violation of this client
right?
A. Performing a procedure without consent
B. Telling the client that he or she cannot leave the hospital
C. Threatening the client to give a medication
D. Observing care provided to the client without the client’s permission.
229. The nursing staff is sitting in the lounge taking their morning break. A nursing
assistant tells the group that she thinks that the unit secretary has AIDS. The
nursing assistant proceeds to tell the nursing staff that the secretary probably
contacted the disease from her husband who is supposedly a drug addict. Which
legal tort has the nursing assistant violated?
A. Slander B. Assault C. Libel D. Negligence
230. The nurse hears a client calling out for help. The nurse hurries down the hallway
to the client’s room and finds the client lying on the floor. The nurse performs a
thorough assessment and assists the client back to bed. The nurse notifies the
physician of the incident and completes an incident report. Which of the following
would the nurse document in the incident report?
A. The client was found lying on the floor
B. The client climbed over the side rails
C. The client fell out of bed
231. A client is brought to the emergency room by the emergency medical services
after being hit by a car. The name of the client is unknown. The client has
sustained a severe head injury, multiple fractures, and is unconscious. An
emergency craniotomy is required. Regarding informed consent for the surgical
procedure, which of the following is the best action?
A. Call the police to identify the client and locate the family
B. Obtain a court order for the surgical procedure
C. Ask the emergency medical services team to sign the informed consent.
D. Transport the victim to the operating room for the procedure
232. An 87-year old woman is brought to the emergency room for treatment of a
fracture arm. On the physical assessment, the nurse notes old and new
ecchymotic areas on the client’s chest and legs the nurse asks the client how the
bruises were sustained. The client, although reluctant, tells the nurse in
confidence that her son frequently hits her if supper is not prepared on time when
he arrives home from work. Which is the most appropriate nursing response?
A. “Oh really. I will discuss this situation with your son.”
B. “Do you have any friends that can help you out until you resolve these important
issues with your son?”
C. “Let’s talk about the ways you can manage your time to prevent this from
happening.”
D. “This is a legal issue, and I need to let you know that I will need to report it.”
233. The nurse is working in a long – term care facility and is administering
medications to assigned clients. A client refuses to take the prescribed
medication, and the nurse threatens the client and tells the client that if the
medication is not taken orally, then restraints will be applied and the medication
will be given by injection. This statement by the nurse constitutes which legal
tort?
A. Invasion of privacy C. Assault
B. Negligence D. Battery
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Situation: The nurse’s understanding of ethico-legal responsibilities will guide his 245. You are on night duty in the surgical ward. One of your patients Martin is a
nursing practice. prisoner who sustained an abdominal gunshot wound. He is being guarded by
234. The principles that govern right and proper conduct of a person regarding life, policemen from the local police unit. During your rounds, you heard a commotion.
biology, and the health professions is referred to as: You saw the policemen trying to hit Martin. You asked why he was trying to hurt
A. Morality B. Values C. Religion D. Bioethics Martin. He denied the matter. Which among the following activities will you do
first?
235. The purpose of having a nurses’ code of ethics is: A. Make an incident report
A. Delineate the scope and areas of nursing practice B. Call the security to report the incident
B. Identify nursing action recommended for specific health care situations C. Call the nurse supervisor and report the incident
C. To help the public understand professional conduct expected of nurses D. Call the physician on duty
D. To define the roles and functions of the health care givers, nurses, clients
246. This refers to the principle of right conduct as they apply to the nursing
236. The most important nursing responsibility where ethical situations emerge in profession?
patient cases is to: A. Ethics C. Professional ethics
A. Act only when advised that the action is ethically sound B. Nursing ethics D. Bioethics
B. Not take sides, remain neutral and fair
C. Assume that ethical questions are the responsibility of the health team 247. A nurse administers Digoxin 0.25mg instead of the prescribed order of 0.125mg.
D. Be accountable for his or her own actions The nurse discovers the error while charting the medication. The nurse completes
an incident report and notifies the physician of the incident. The nurse takes
237. You inform the patient about his rights which include the following, EXCEPT: which additional action?
A. Right to expect reasonable continuity of care A. Gives the client a copy of the incident report
B. Right to consent or decline to participate in research studies or experiments B. Makes a copy of the incident report and sends it to the physician’s office
C. Right to obtain information about another patient C. Documents the incident in the clients record
D. Right to expect that the records about his care will be treated as confidential D. Places the incident report in the clients record

238. This principle states that a person has unconditional worth and has the capacity 248. This includes allowing the patient to refuse treatment if he so decides, disclosure
to determine his own destiny: of his ailment, prognosis, and maintaining confidentiality?
A. Bioethics C. Fidelity A. Autonomy C. Beneficence
B. Justice D. Autonomy B. Veracity D. Nonmaleficence

Situation: As Filipino Professional Nurses, we must be knowledgeable about the Code 249. The recovery room nurse received a patient post craniotomy. When the nurse
of Ethics for Filipino Nurses and practice these by heart. The next questions arranged the bed and raised the side rails of the patient, this action reflects?
pertain to this Code of Ethics. A. Autonomy C. Beneficence
239. A nurse should be cognizant that professional programs for specialty certification B. Veracity D. Nonmaleficence
by the Board of Nursing are accredited through the:
A. Professional Regulation Commission 250. RA 7432 called the senior Citizens Act, gives honor and justice to the elderly by
B. Nursing Specialty Certification Council giving 20% discount in public establishments such as restaurants, pharmacies
C. Association of Deans of Philippine Colleges of Nursing and hospitals. This is an example of:
D. Philippine Nurses Association A. Justice B. Autonomy C. Veracity D. Fidelity

240. Mr. Santos, RN, works in a nursing home, and he knows that one of his duties is 251. One patient came to you and offered you a big amount of money to perform
to be an advocate for his patients. Mr. Santos knows a primary duty of an abortion on her because she is a graduating student. You chose not to perform
advocate is to: since it is unethical. Your action as a nurse is considered as?
A. Act as the patient’s legal representative A. Autonomy C. Beneficence
B. Complete all nursing responsibilities on time B. Veracity D. Nonmaleficence
C. Safeguard the well-being of every patient
D. Maintain the patient’s right to privacy 252. When you allow a relative to see a seriously ill patient who expresses the desire
to see the former although it is not yet visiting hours, this is an example of?
Situation: Records are vital tools in any institution and should be properly maintained to A. Totality C. Two fold effect
specific use and time. B. Epikia D. Golden rule
241. The patient’s medical record can work as a double edged sword. When can the
medical record become the doctor’s / nurse’s worst enemy? 253. The medication of your patient is about to be given but the dosage of the
A. When the record is voluminous medication is vague, what will be your initial action?
B. When a medical record is subpoenaed in court A. Consult to your drug hand book C. Contact the physician
C. When it is missing B. Call the pharmacist D. Do not give the medication
D. When the medical record is inaccurate, incomplete and inadequate
254. The physician tells the patient and his family his diagnosis, and plan of care, what
242. In the hospital, when you need the medical record of a discharged patient for principle of biomedical ethics does the physician exercising?
research, you will request permission through: A. Autonomy C. Beneficence
A. Doctor in charge C. The nursing service B. Veracity D. Nonmaleficence
B. The hospital director D. Medical records section
255. One of the patients in the community has Diabetes Mellitus and the man’s foot is
Situation: As a nurse, you should be aware and prepared of the different roles you play. gangrenous. The nurse helps the patient understand that the amputation will save
243. As a nurse, your primary focus in the workplace is the client’s safety. However, the patient’s life; he can still walk through the aid of crutches or artificial limbs.
personal safety is also a concern. You can communicate hazards to your co- What moral principle did the nurse exercise?
workers through the use of the following except: A. Totality C. Two fold effect
A. Formal training C. Posting IR in the bulletin board B. Epikia D. Golden rule
B. Posters D. Use of labels and signs
256. Since nurses like others to treat them kindly and with respect, they should be
244. As a nurse, you protect yourself and co – workers from misinformation and willing to do the same to others to, this is?
misrepresentations through the following except: A. Totality B. Epikia C. Two fold effect D. Golden rule
A. Provide information to clients about a variety of services that can help alleviate
the client’s pain and other contributions 257. A doctor does not violate any moral principle when he is unable to save the life of
B. Advising the client, by virtue of your expertise, that which can contribute to the the baby who is born in the third month of pregnancy. This is according to which
client’s well – being moral principle?
C. Health education among clients and significant others regarding the use of A. Two-fold effect
chemical disinfectant B. No one is held to the impossible
D. Endorsement thru tri-media to advertise your favorite disinfectant solution. C. Epikia
D. The greatest good for the greatest number

30 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
258. It is acceptable to limit the freedom of persons by keeping them in isolation rooms 271. Nurse Mark Lee signed a three year contract with Makati Medical City but later
when they are suspected to have a highly contagious disease. The isolation will on, he did not comply with the terms and conditions as agreed upon due to an
protect others from the patients’ infection. This is an example of? attractive overseas employment in New York. He can be charged of:
A. Two-fold effect A. Breach of trust and confidence C. Breach of contract
B. No one is held to the impossible B. Breach of Privilege communication D. Breach of Medical Neutrality
C. Epikia
D. The greatest good for the greatest number 272. A hospitalized client tells the nurse that a living will is being prepared and that the
lawyer will be bringing the will to the hospital today for witness signatures. The
259. If a mentally ill patient went berserk and the doctor cannot be contacted, the client asks the nurse for assistance in obtaining a witness to a will. The most
patient may be restrained by virtue of which of the following moral principle? appropriate response to the client is which of the following?
A. Two-fold effect C. No one is held to the impossible A. “I will sign as a witness to your signature.”
B. Epikia D. The greatest good for the greatest number B. “You will need to find a witness on your own.”
C. “I will call the nursing supervisor to seek assistance regarding your request.”
260. Nursing practice in the Philippines could have been started, similarly a in other D. “Whoever is available at the time will sign as a witness for you.”
parts of the world. Institutionalization of nursing practice in the Philippines is
thought to have been initiated by the: 273. A client handed cash to the nurse for caring for him during his stay in the unit. The
A. “Albolarios” C. American nurses head nurse reports the nurse to the supervisor. Which statement is correct with
B. Spanish religious orders D. Japanese authorities regards to the situation:
A. Nurses can accept gifts provided that the client gave it voluntarily
261. The Philippine Nurses Association is one of the nursing associations in the B. Sometimes, nurses cannot resist from accepting gifts from their clients
Philippines. It was established on? C. Nurses should not accept gifts of any kind from their clients
A. October 22, 1922 C. September 02, 1922 D. The hospital may allow nurses to accept gifts from their clients in case-to-case
B. October 19, 1922 D. November 22, 1922 basis

262. The founder of the PNA is? 274. Prior to the procedure, the person who is responsible for documenting that the
A. Anastacia GironTupas C. Marco Antonio Sto. Tomas procedure, its risks, benefits, and possible alternative options is explained to the
B. Rosario Delgado D. Florence Nightingale client is the:
A. Physician C. Nurse
263. Nurses who have not actively practiced the profession for 5 consecutive years are B. Surgeon D. Anesthesiologist
required to undergo 1 month of didactic training and 3 months of practicum. The
Board shall accredit what body to conduct the said training program. 275. When a defect in the equipment such as stretchers and wheelchairs may lead to
A. Schools C. Research centers falls thus injuring the patient. This is?
B. Hospitals D. Rural health units A. Negligence C. Force majeure
B. Malpractice D. Respondeat superior
264. The following are functions of the BON. Which one is NOT included?
A. Monitor the nursing practice C. Recognize nursing organization 276. You noticed that one of your co-nurses prescribed a certain drug for her close
B. Conduct licensure examination D. Secure examination papers friend, with that action, she can be charge with?
A. Negligence C. Force majeure
265. Nurses who have not actively practiced the profession for 5 consecutive years B. Professional Negligence D. Respondeat superior
shall undergo?
A. 1 month didactic training and 9 months of practicum 277. You are preparing to go to work when suddenly, there’s a major earthquake. You
B. 1 month didactic training and 6 months of practicum failed to go to work and you are not liable for it. This is an example of?
C. 1 month didactic training and 3 months of practicum A. Negligence C. Force majeure
D. 1 month didactic training and 1 months of practicum B. Malpractice D. Respondeat superior

266. The certificate of registration can be revoked or suspended for the following acts, 278. A stroke patient suffered an accidental fall due to inability to put the side rails up.
EXCEPT: The injury sustained by the patient is sufficient evidence of negligence using the
A. Conducting in – service education programs without a permit doctrine of?
B. Gross incompetence A. Force Majeure C. Respondeat Superior
C. Accused of immoral and dishonorable conduct B. Res ipsaLoquitor D. Malfeasance
D. Illegal practice
279. An explore laparotomy was performed to a patient whose appendix ruptured. Few
267. Under the new nursing law, registered nurses can safely perform the following weeks after the patient’s discharge, the patient suffered from peritonitis.
EXCEPT: Investigations found out that there was a sponge left in the patient’s abdomen.
A. IE by inserting gloved fingers into the vaginal canal in the absence of bleeding The patient filed a law suit, the surgeon is held responsible, under the doctrine of:
B. Suturing of 1st and 2nd degree perineal laceration even without special training A. Res Ipsa Loquitur C. Respondeat Superior
C. Administration of written prescription for parenteral medications B. Force Majeure D. Incompetence
D. Suturing of perineal lacerations in the absence of the physician
Situation: Mrs. Bautista and 2 other staff nurse are subjects of an administrative case
268. Which among the following functions is newly added under the new Scope of field with the Board of Nursing because of Negligence. The family claims that
Nursing Practice under the New Nursing Act of 2002? there was failure to render proper nursing management when the client was
A. IV therapy after certification from an accredited organization having Heart Attack.
B. Perineal suturing after special training 280. The family of the dead patient who filed an administrative case against the nurses
C. Nasogastric Tube insertion is called:
D. ECG reading and monitoring after proper training A. Accessory C. Defendant
B. Complainant D. Accomplice
269. Ana passed the nursing licensure examination last July 2015, before entering the
nursing profession, she must take? 281. During the investigation, it was decided to call the watcher to testify what she
A. Oath C. A job knows about the case. The watcher can be compelled to be present in the next
B. NCLEX exam D. IV training hearing if the investigating body issue which of the following:
A. Subpoena ducestecum C. Summon
270. It is a set of ethical principles that is shared by members of the group, reflects B. Subpoena D. Injunction
their moral judgment and serves as a standard for their professional actions:
A. Code of Ethics C. Jurisprudence 282. The medical record librarian was asked to appear in court with the patient’s
B. Nursing ethics D. Nursing law records. The hearing officer will have to issue what legal order to compel the
librarian to bring the patient’s chart?
A. Subpoena ducestecum C. Summon
B. Subpoena D. Injunction

31 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
283. Pulgosa is only 16-years-old when she committed the crime of abortion. This can C. It is planned and conducted in a systematic and orderly manner
be considered as: D. External factors which may influence the relationship among phenomena is
A. Justifying circumstance C. Exempting circumstance controlled
B. Aggravating circumstance D. Mitigating circumstance
297. The following are characteristics of a clinical nursing problem apart from:
284. Which of the following circumstances may be taken into consideration as either A. It reflects something that could be improved in clinical practice
reducing or increasing liability? B. It has a potential to change how nursing care is delivered in the unit
A. Aggravating C. Exempting C. It is value-laden and involves feelings and perceptions
B. Alternative D. Justifying D. It is a problem that occurs frequently in a particular group.

285. Based on the Code of Ethics for Filipino Nurses, what is regarded as the hallmark 298. Which of the following describes an inductive form of reasoning?
of nursing responsibility and accountability? A. Separation anxiety is common in children. Children whose parents are not in the
A. Human rights of clients, regardless of creed and gender hospital room will manifest anxious behavior.
B. The privilege of being a registered professional nurses B. Most patients are irritable. Unpredictable moods and irritability behaviors of
C. Accurate documentation of actions and outcomes patients are caused by their underlying illnesses that alter their activities of daily
D. Health, being a fundamental right of every individual living.
C. Mild anxiety sharpens one’s perception and cognitive function. Most students who
286. The following are the nurses’ bill of rights, which one is not included? take examination with mild anxiety have high scores.
A. Nurses have the right to fair compensation D. All of the above
B. Nurses have the right to a work environment that is safe
C. Nurses have the right to a work environment that supports and facilitates ethical 299. Quantitative research uses which type of reasoning to generate hunches that are
practice tested in the real world?
D. Nurses have the right to discontinue medications without contacting the physician A. Deductive reasoning C. Informal logic
B. Inductive reasoning D. All of the above
287. Sterilization is the termination of the ability to produce offspring. If the operation is
primarily to accomplish sterilization, the consent should be obtained by? 300. Which paradigm of nursing research responds to the human inquiry “How should
A. The wife C. Both the husband and wife the inquirer obtain knowledge?”
B. The husband D. The children A. Ontologic C. Axiologic
B. Epistemologic D. Methodologic
288. The doctrine of Respondeat Superior will apply in all of the following, EXCEPT?
A. Error was committed while on duty PART IV.
B. Nurse applied rules of the hospital 301. Patricia is aware of the importance of controlling threats to internal validity for
C. Nurse followed legal orders of the doctor experimental research, which include the following examples EXCEPT:
D. Nurse was doing a discretionary function A. History C. Attrition
B. Maturation D. Design
289. Patient refused to be injected with an IM medication. The nurse insisted despite
the patient’s refusal and forcibly injected the medication. The nurse can be sued 302. One of the related studies that she reads is a phenomenological research. Which
for which of the following? of the following questions is answered by this type of qualitative research?
A. Misrepresentation C. Battery A. “What is the way of life of this cultural group?”
B. Assault D. Negligence B. “What is the effect of the intervention to the dependent variable?”
C. “What the essence of the phenomenon is as experienced by these people?”
290. When a patient fall from bed, which of the following is the most immediate action? D. “What is the core category that is central in explaining what is going on in that
A. Report to the head nurse and report someone for help social scene?”
B. Refer to the resident doctor on duty
C. Determine any injury or harm Situation: You are fortunate to be chosen as part of the research team in the hospital. A
D. Put the patient back to bed review of the following IMPORTANT nursing concepts was made:
303. A professional nurse can do research for varied reasons except:
291. One of your patient asks for help from you regarding abortion, she wanted to A. Professional advancement through research participation
abort her baby since she’s still in college, studying. You recommend the patient to B. To validate results of new nursing modalities
another patient for the abortion. In case this will go to the courts, you are liable C. For financial gains
under what moral principle? D. To improve nursing care
A. Two fold effect
B. Totality 304. Each nurse participant was asked to identify a problem. After the identification of
C. Defects of nature may be corrected the research problem, which of the following should be done?
D. One who acts through an agent is himself responsible A. Methodology C. Acknowledgement
B. Review of related literature D. Formulate hypothesis
292. Research designed to generate knowledge to guide nursing practice and to
improve the health and quality of life of nurses’ clients is termed as: 305. Which of the following communicate the results of the research to the readers?
A. Nursing Research C. Research They facilitate the description of the data.
B. Clinical Nursing Research D. Ethics A. Hypothesis C. Research problem
B. Statistics D. Tables and graphs
293. A variable that comes between dependent and independent variable is called:
A. Extraneous variable C. Dichotomous variable 306. In quantitative data, which of the following is described as the distance in the
B. Polychomotous variable D. Intervening variable scoring units of the variable from the highest to the lower?
A. Frequency B. Mean C. Median D. Range
294. Which of the following characteristics do not describe a research problem?
A. Used unauthorized from another’s literary work 307. This expresses the variability of the data in reference to the mean. It provides as
B. The topic itself is researchable with a numerical estimate of how far, on the average the separate observation are
C. Generally applicable for use in practice from the mean:
D. None of these A. Mode C. Median
B. Standard deviation D. Frequency
295. Sources of a research problem could either be the following except:
A. Concepts C. Theories Situation: Survey and statistics are important part if research that is necessary to
B. Issues D. Hearsays explain the characteristics of the population.
308. All but one of the following in not a measure of central tendency:
296. Which of the following characteristics do not describe a scientific investigation? A. Mode C. Standard deviation
A. They are conducted to test or develop theories and study advance knowledge B. Variance D. Range
B. Empirical data are not necessarily gathered through human sense but must be
based on theories

32 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
309. In the values: 87, 85, 88, 92, 90, what is the mean? 321. In the hypothesis: “The utilization of technology in teaching improves the retention
A. 88.2 B. 88.4 C. 87 D. 90 and attention of the nursing students,” which is the dependent variable?
A. Utilization of technology
310. In the values: 80, 80, 80, 82, 82, 90, 90, 100, what is the mode? B. Improvement in the retention and attention
A. 80 B. 82 C. 90 D. 85.5 C. Nursing students
D. Teaching
311. In the values: 80, 80, 10, 10, 25, 65, 100, 200, what is the median?
A. 71.25 B. 22.5 C. 10 & 25 D. 72.5 Situation: You are an actively practicing nurse who has just finished your graduate
studies. You learned the value of research and would like to utilize the knowledge
312. Draw lots, lottery, table of random numbers or a sampling that ensures that each and skills gained in the application of research to the nursing service. The
element of the population has an equal and independent chance of being chosen following questions apply to research.
is called: 322. Which type of research inquiry investigates the issues of human complexity (e.g.
A. Cluster B. Stratified C. Simple D. Systematic understanding the human expertise)?
A. Logical position C. Positivism
313. An investigator wants to determine some of the problems experienced by B. Naturalistic inquiry D. Quantitative Research
diabetic clients when using insulin pump. The investigator went to a clinic where
he personally knows several diabetic clients having problem with insulin pump. 323. Which of the following studies is based on quantitative research?
The type of sampling done by the investigator is called: A. A study examining the bereavement process in spouses of clients with terminal
A. Probability C. Snowball cancer
B. Purposive D. Incidental B. A study exploring factors influencing weight control behavior.
C. A study measuring the effects of sleep deprivation on wound healing
314. If the researcher implemented a new structured counseling program with a D. A study examining client’s feeling before, during and after a bone marrow
randomized group of subject and a routine counseling program with another aspiration
randomized group of subject, the research is utilizing which design?
A. Quasi experimental C. Comparative 324. Which of the following studies is based on qualitative research?
B. Experimental D. Methodological A. A study examining clients reactions to stress after open heart surgery
B. A study measuring nutrition and weight loss/gain in clients with cancer.
315. Which of the following is not true about a pure experimental research? C. A study examining oxygen levels after endotracheal suctioning
A. There is a control group D. A study measuring differences in blood pressure before, during and after a
B. There is an experimental group procedure
C. Selection of subjects in the control group is randomized
D. There is a careful selection of subjects in the experimental group 325. An 85 year old client in a nursing home tells a nurse, “I signed the papers for that
research study because the doctor was so insistent and I want him to continue
316. The researcher implemented a medication regimen using a new type of taking care of me”. Which client right is being violated?
combination drugs to manic patients while another group of manic patients A. Right of self determination C. Right to full disclosure
receives the routine drugs. The researcher however handpicked the experimental B. Right to privacy and confidentiality D. Right not to be harmed
group for they are the clients with multiple episodes if bipolar disorder. The
researcher utilized which research design? 326. “A supposition or system of ideas that is proposed to explain a given
A. Quasi experimental C. Phenomenological phenomenon”, best defines:
B. Pure experimental D. Longitudinal A. A paradigm C. A theory
B. A concept D. A conceptual framework
Situation: As a nurse, you are expected to participate in initiating or participating in the
conduct of research studies to improve nursing practice. You have to be updated Situation: Mastery of research design determination is essential in passing the NLE.
on the latest trends and issues affecting the profession and the best practices 327. Monette wants to know if the length of time she will study for the board
arrived at by the profession. examination is proportional to her board rating. During the December 2007 board
317. You are interested to study the effects of mediation and relaxation on the pain examination, she studied for six months and gained 68%. On June 2008 board
experienced by cancer patients. What type of variable is pain? exam, she studied for 6 months again for a total of one year and gained 74%. On
A. Dependent C. Independent November 2008, she studied for 6 months for a total of one and a half year and
B. Correlational D. Demographic gained 82%. The research design she used is:
A. Comparative C. Experimental
318. You would like to compare the support system of patient with chronic illness and B. Correlational D. Qualitative
those with acute illness. How will you best state your problem?
A. A descriptive study to compare the support systems of patients with chronic 328. Rodrigo was always eating high fat diet. You want to determine if what will be the
illness and those with acute illness in terms of demographic data and knowledge effect of high cholesterol food to Rodrigo in the next 10 years. You will use:
about intervention A. Comparative C. Historical
B. The effects of the types of support system of patients with chronic illness and B. Correlational D. Longitudinal
those with acute illness
C. A comparative analysis of the support system of patients with chronic illness and 329. Community A was selected randomly as well as Community B, nurse Crystal
those with acute illness conducted teaching to Community A and assessed if Community A will have a
D. A study to compare the support system of patients with chronic illness and those better status than Community B. This is an example of:
with acute illness A. Comparative C. Experimental
E. What are the differences of the support system being received by patient with B. Correlational D. Qualitative
chronic illness and patients with acute illness?
330. Faye researched in the development of a new way to measure intelligence by
319. You would like to compare the support system of patients with chronic illness to creating a 100-item questionnaire that will assess the cognitive skills of an
those with acute illness. Considering that the hypothesis was: “Clients with individual. The design best suited for this study is:
chronic illness have lesser support system than clients with acute illness.” What A. Historical C. Survey
type of research is this? B. Methodological D. Case study
A. Descriptive C. Correlational, non-experimental
B. Experimental D. Quasi experimental 331. Emman is conducting a research study on how Ralph, an AIDS client lives his life.
A design suited for this is:
320. In any research study where individual persons are involved, it is important that A. Historical C. Phenomenological
an informed consent of the study is obtained. The following are essential B. Case study D. Ethnographic
information about the consent that you should disclose to the prospective
subjects except: 332. Mae is to perform a study about how nurses perform surgical asepsis during
A. Consent to incomplete disclosure World War II. A design best for this study is:
B. Description of benefits, risks, and discomforts A. Historical C. Phenomenological
C. Explanation of procedure B. Case study D. Ethnographic
D. Assurance of anonymity and confidentiality

33 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
333. Medel conducts sampling at Barangay Maligaya. He collected 100 random 346. Which of the following variables will he likely EXCLUDE in his study?
individuals and determine who is their favorite actor. 50% said Piolo, 20% said A. Competence of nurses C. Salary of nurses
John Lloyd, while some answered Sam, Dingdong, Richard, and Derek. Medel B. Caring attitude of nurses D. Responsiveness of staff
conducted what type of research study?
A. Phenomenological C. Non experimental 347. He plans to use a Likert Scale to determine
B. Case study D. Survey A. Degree of agreement and disagreement
B. Compliance to expected standards
334. Mark and Toberts visited a tribe located somewhere in China, it is called Shin Jea C. Level of satisfaction
tribe. They studied the way of life, tradition, and the societal structure of these D. Degree of acceptance
people. They will best use which research design?
A. Historical C. Phenomenological 348. He checks if his instruments meet the criteria for evaluation. Which of the
B. Case study D. Ethnographic following criteria refers to the consistency or the ability to yield the same response
upon its repeated administration?
335. Jezz and Jen researched about TB – its transmission, causative agent and A. Validity C. Reliability
factors, treatment, signs and symptoms, as well as medication and all other in- B. Sensitivity D. Objectivity
depth information about tuberculosis. This study is best suited for which research
design? 349. Which criteria refer to the ability of the instrument to detect fine differences among
A. Historical C. Phenomenological the subjects being studied?
B. Case study D. Ethnographic A. Sensitivity C. Reliability
B. Validity D. Objectivity
336. Diana, Arlene, and Sally are to conduct a study about relationship of the number
of family members in the household and the electricity bill, which of the following 350. Which of the following terms refer to the degree to which an instrument measures
is the best research design suited for this study? what it is supposed to be measure?
1. Descriptive 3. Explanatory 5. Comparative A. Validity C. Meaningfulness
2. Exploratory 4. Correlational 6. Experimental B. Reliability D. Sensitivity
A. 1 and 4 C. 3 and 6
B. 2 and 5 D. 1 and 5 E. 2 and 4 351. He plans for his sampling method. Which sampling method gives equal chance to
all units in the population to get picked
Situation: As a nurse researcher, Vinz must have a very good understanding of the A. Random B. Accidental C. Quota D. Judgment
common terms of concept used in research.
337. The information that an investigator like Vinz collects from the subjects or 352. Raphael is interested to learn more about transcultural nursing because he is
participants in a research study is usually called: assigned at the family suites where most patients come from different cultures
A. Hypothesis B. Variable C. Data D. Concept and countries. Which of the following designs is appropriate for this study?
A. Grounded theory C. Case study
338. Which of the following usually refers to the independent variables in doing B. Ethnography D. Phenomenology
research?
A. Result B. Output C. Cause D. Effect 353. The nursing theorist who developed transcultural nursing theory
A. Dorothea Orem C. Betty Newman
339. The recipients of experimental treatment in an experimental design or the B. Madeleine Leininger D. Sr. Callista Roy
individuals to be observed in a non-experimental design are called:
A. Setting B. Subjects C. Treatment D. Sample 354. Which of the following statements best describes a phenomenological study?
A. Involves the description and interpretation of cultural behavior
340. The device or techniques that Vinz employs to collect data is called: B. Focuses on the meaning of experiences as those who experience it
A. Sample B. Instrument C. Hypothesis D. Concept C. Involves an in-depth study of an individual or group
D. Involves collecting and analyzing data that aims to develop theories grounded in
341. The use of another person’s ideas or wordings without giving appropriate credit real-world observations
results from inaccurate or incomplete attribution of materials to its resources.
Which of the following is referred to when another person’s idea is inappropriately 355. He systematically plans his sampling plan. Should he decides to include whoever
credited as one’s own? patients are admitted during the study he uses what sampling method?
A. Plagiarism C. Assumption A. Judgment B. Random C. Accidental D. Quota
B. Quotation D. Paraphrase
356. He finally decides to use judgment sampling. Which of the following actions of
342. Kevin is a member of the Nursing Research Council of the hospital. His first Raphael is correct?
assignment is to determine the level of patient satisfaction on the care they A. Plans to include whoever is there during his study.
received from the hospital. He plans to include all adult patients admitted from B. Determines the different nationality of patients frequently admitted and decides to
April to May, with average length of stay of 3-4 days, first admission, and with no get representations samples from each.
complications. Which of the following is an extraneous variable of the study? C. Assigns numbers for each of the patients, place these in a fishbowl and draw 10
A. Date of admission C. Age of patients from it.
B. Length of stay D. Absence of complications D. Decides to get 20 samples from the admitted patients

343. He thinks of an appropriate theoretical framework. Whose theory addresses the 357. He knows that certain patients who are in a specialized research setting tend to
four modes of adaptation? respond psychologically to the conditions of the study. This is referred to as:
A. Martha Rogers C. Florence Nightingale A. Bias C. Halo effect
B. Sr. Callista Roy D. Jean Watson B. Hawthorne effect D. Horn’s effect

344. He opts to use a self-report method. Which of the following is NOT TRUE about 358. Which of the following items refer to the sense of closure that Raphael
this method? experiences when data collection ceases to yield any new information?
A. Most direct means of gathering information A. Saturation B. Limitation C. Precision D. Relevance
B. Versatile in terms of content coverage
C. Most accurate and valid method of data gathering 359. In qualitative research the actual analysis of data begins with:
D. Yields information that would be difficult to gather by another method A. Search for themes C. Validation of thematic analysis
B. Weave the thematic strands together D. Quasi statistics
345. Which of the following articles would Kevin least consider for his review of
literature? 360. Raphael is also interested to know the coping abilities of patients who are newly
A. “Story-Telling and Anxiety Reduction Among Pediatric Patients” diagnosed to have terminal cancer. Which of the following types of research is
B. “Turnaround Time in Emergency Rooms” appropriate?
C. “Outcome Standards in Tertiary Health Care Institutions” A. Phenomenological C. Grounded Theory
D. “Environmental Manipulation and Client Outcomes” B. Ethnographic D. Case Study

34 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
361. Which of the following titles of the study is appropriate for this study? Situation: Stephanie is a nurse researcher of the Patient Care Services Division. She
A. Lived Experiences of Terminally-Ill Cancer Patients plans to conduct a literature search for her study.
B. Coping Skills of Terminally-Ill Cancer Patients in a Selected Hospital 374. Which of the following is the first step in selecting appropriate materials for her
C. Two Case Studies of Terminally-Ill Patients in Manila review?
D. Beliefs & Practices of Patients with Terminal Cancer A. Track down most of the relevant resources
B. Copy relevant materials
362. Ms. Montana plans to conduct a research on the use of a new method of pain C. Organize materials according to function
assessment scale. Which of the following is the second step in the D. Synthesize literature gathered.
conceptualizing phase of the research process?
A. Formulating the research hypothesis 375. She knows that the most important categories of information in literature review is
B. Review related literature the:
C. Formulating and delimiting the research problem A. Research findings C. Methodology
D. Design the theoretical and conceptual framework B. Theoretical framework D. Opinions

363. Which of the following codes of research ethics requires informed consent in all 376. She also considers accessing electronic data bases for her literature review.
cases governing human subjects? Which of the following is the most useful electronic database for nurses?
A. Helsinki Declaration C. Belmont Report A. CINAHL C. HealthSTAR
B. Nuremberg Code D. ICN Code of Ethics B. MEDLINE D. EMBASE

364. Which of the following ethical principles was NOT articulated in the Belmont 377. While reviewing journal articles, Stephanie got interested in reading the brief
Report? summary of the article placed at the beginning of the journal report. Which of the
A. Beneficence C. Justice following refers to this?
B. Respect for human dignity D. Non-maleficence A. Introduction C. Abstract
B. Preface D. Background
365. Which one of the following criteria should be considered as a top priority in
nursing care? 378. She notes down ideas that were derived from the description of an investigation
A. Avoidance of destructive changes written by the person who conducted it. Which type of reference source refers to
B. Assurance of safety this?
C. Preservation of life A. Footnote C. Primary source
D. Preservation of integrity B. Bibliography D. Endnotes

366. Which of the following procedures ensures that the investigator has fully 379. She came across a study which is referred to as meta-analysis. Which of the
described to prospective subjects the nature of the study and the subject's rights? following statements best defines this type of study?
A. Debriefing C. Informed consent A. Treats the findings from one study as a single piece of data
B. Full disclosure D. Covert data collection B. Findings from multiple studies are combined to yield a data set which is analyzed
as individual data
367. After the review session has been completed, Karen and the staff signed the C. Represents an application of statistical procedures to findings from each report
document. Which of the following is the purpose of this? D. Technique for quantitatively combining and thus integrating the results of multiple
A. Agree about the content of the evaluation. studies on a given topic.
B. Signify disagreement of the content of the evaluation.
C. Document that Karen and the staff reviewed the evaluation. 380. This kind of research gathers data in detail about an individual or groups and
D. Serve as basis for future evaluation. presented in narrative form, which is:
A. Case study C. Analytical
368. Which of the following is NOT true about a hypothesis? Hypothesis is: B. Historical D. Experimental
A. Testable
B. Proven 381. Stephanie is finished with the steps in the conceptual phase when she has
C. Stated in a form that it can be accepted or rejected conducted the LAST step, which is
D. States a relationship between variables A. Formulating and delimiting the problem.
B. Review of related literature
369. Which of the following measures will best prevent manipulation of vulnerable C. Develop a theoretical framework
groups? D. Formulate a hypothesis
A. Secure informed consent
B. Payment of stipends for subjects 382. She states the hypothesis of the study. Which of the following is a null
C. Protect privacy of patient hypothesis?
D. Ensure confidentiality of data A. Infants who are breastfed have the same weight as those who are bottle fed.
B. Bottle-fed infants have lower weight than breast-fed infants
370. Which of the following procedures ensures that the participant has been given all C. Cuddled infants sleep longer than those who are left by themselves to sleep.
information, fully understood and agreed to his participation in the study? D. Children of absentee parents are more prone to experience depression than
A. Debriefing C. Informed consent those who live with both parents.
B. Full disclosure D. Covert data collection
383. She notes that the dependent variable in the hypothesis “Duration of sleep of
371. This technique refers to the use of multiple referents to draw conclusions about cuddled infants is longer than those infants who are not cuddled by mothers” is
what constitutes the truth: A. Cuddled infants C. Infants
A. Triangulation C. Meta-analysis B. Duration of sleep D. Absence of cuddling
B. Experiment D. Delphi technique
Situation: Aretha is a nurse researcher in a tertiary hospital. She is tasked to conduct a
372. The statement, “Ninety percent (90%) of the respondents are female staff nurses research on the effects of structured discharge plan for post-open heart surgery
validates previous research findings (Santos, 2001; Reyes, 2005) that the nursing patients.
profession is largely a female dominated profession is an example of 384. She states the significance of the research problem. Which of the following
A. Implication C. Analysis statements is the MOST significant for this study?
B. Interpretation D. Conclusion A. Improvement in patient care
B. Development of a theoretical basis for nursing
373. The study is said to be completed when Ms. Montana achieved which of the C. Increase the accountability of nurses.
following activities? D. Improves the image of nursing
A. Published the results in a nursing journal.
B. Presented the study in a research forum. 385. Regardless of the significance of the study, the feasibility of the study needs to be
C. The results of the study is used by the nurses in the hospital considered. Which is considered a priority?
D. Submitted the research report to the CEO. A. Availability of research subjects C. Time frame
B. Budgetary allocation D. Experience of the researcher

35 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
386. Aretha knows that a good research problem exhibits the following characteristics; 398. Which leadership theory stressed that leaders are born?
which one is NOT included? A. Trait theories C. Greatman theory
A. Clearly identified the variables/phenomenon under consideration. B. Charismatic theory D. Situational theory
B. Specifies the population being studied.
C. Implies the feasibility of empirical testing 399. A person who is a leader but who does not have a sanctioned role within the
D. Indicates the hypothesis to be tested. organization is what kind of leader?
A. Formal C. Informal
387. She states the purposes of the study. Which of the following describe the purpose B. Situational D. Transformational
of a study?
1. Establishes the general direction of a study 400. This kind of leadership takes a holistic approach by performing for the followers to
2. Captures the essence of the study be example, shares decision, making and builds community
3. Formally articulates the goals of the study A. Transformational leadership C. Servant leadership
4. Sometimes worded as an intent B. Transaction leadership D. Path goal leadership
A. 1, 2, 3 C. 1, 3, 4
B. 2, 3, 4 D. 1, 2, 3, 4 PART X
Situation: Ms. AK, an expert in business management, has just been appointed to be
388. She opts to use interviews in data collection. In addition to validity, what is the the Chief Operating Officer of a hospital. Not in the medical field, she will be
other MOST serious weakness of this method? heading institution of doctors, nurses, and medical staff who has been with the
A. Accuracy B. Objectivity C. Sensitivity D. Reliability hospital for quite a long time.
401. Under the Situational theory of leadership, Ms. AK has to build a lead in a system
389. She plans to subject her instrument to pretesting. Which of the following is NOT that is:
achieved in doing pretesting? A. High in task & low in relationship C. Low in task & high in relationship
A. Determines how much time it takes to administer the instrument package B. High in task & high in relationship D. Low in task & low in relationship
B. Identify parts that are difficult to read or understand
C. Determine the budgetary allocation for the study 402. Being new with the system, Ms. AK must practice an authority and power that is
D. Determine if the measures yield data with sufficient variability positional. Which of the following power is considered as positional power?
A. Expert B. Information C. Coercive Power D. Referent
390. She tests the instrument whether it looks as though it is measuring appropriate
constructs. Which of the following refers to this? 403. One of the weaknesses that Ms. AK noticed is a faulty appraisal system that
A. Face validity C. Construct Validity tends to retain positions in the hospital even at the poor performance of the
B. Content validity D. Criterion-related validity employee. An appraisal system is which phase of management?
A. Planning B. Organizing C. Directing D. Controlling
391. Which of the following questions would determine the construct validity of the
instrument? 404. As a solution, Ms. AK has called the Quality Assurance Team of the hospital to
A. “What is this instrument really measuring?” update the policies and procedures on objectively evaluating the performance of
B. “How representative are the questions on this test of the universe of questions on the employees. Such action falls under:
this topic?” A. Planning B. Organizing C. Directing D. Controlling
C. “Does the question asked looks as though it is measuring the appropriate
construct?” Situation: Mr. KT has been with a well known university in Manila as a Dean and is
D. “Does the instrument correlate highly with an external criterion? compensated well to support more than enough to support his needs. An offer
from an unknown low-populated school, still starting to build a name, has been
Situation: A nurse researcher would like to see the importance of humor to hospitalized offered to Mr. KT as the Assistant Vice President for Academic Affairs but with a
clients that can reduce anxiety associated with being in the hospital. salary lower than what he has at present. Mr. KT accepted the offer in the belief
392. Which of the following should the researcher consider to be able to determine the that his contribution is more needed in a young institution.
type of data to be collected? 405. Herzberg classifies this as a result of:
A. Research design C. Research process A. Hygienic Factors C. Job Security Factor
B. Pilot study D. Scientific method B. Motivating Factors D. Quality of Supervision Factor

393. Which of the following is most appropriate for the researcher to study if she would 406. Mc Cleland, on the other hand, can explain Mr. KT’s action as a motivation for a
do a correlational study? need for:
A. Humor experienced by hospitalized patients A. Power B. Achievement C. Affiliation D. Compensation
B. Humor, a basis for reducing anxiety among hospitalized patients
C. Effect of humor on anxiety of hospitalized patients 407. Under Maslow’s Hierarchy of Needs, Mr. KT’s action can be categorized as:
D. Anxiety among hospitalized patients experiencing humor A. Physiologic Needs C. Love and Belongingness Needs
B. Safety and Security Needs D. Self Actualization
394. Research requires that variables are defined operationally. Which of the following
should the researcher consider when she defines humor and anxiety? 408. Upon the first meeting with the Board of Trustees, Mr. KT’s immediate concern is
A. Adapt definition of selected theorists on humor and anxiety the institution’s philosophy, mission and vision. Such concern falls under which
B. Define humor and anxiety according to how these are measured in the study phase of management:
C. Restate definition of humor and anxiety as stated in the conceptual framework A. Planning B. Organizing C. Directing D. Controlling
D. Humor and anxiety as defined in Webster’s dictionary
409. To involve all the employees in the formulation of the institution’s ideals, Mr. KT
instructed all the employees to write statements that will reflect of the institution’s
395. After having been approved, the researcher is now ready for the implementation
direction. From these, Mr. KT selected one that will best fit the description. A
of the study. Which of the following should the researcher do first before the
leadership style that Mr. KT utilized is:
actual study is carried out?
A. Autocratic-Benevolent C. Democratic- Consultative
A. Review related literature C. Consult a statistician
B. Autocratic-Exploitative D. Democratic - Particpative
B. Conduct a pilot study D. Select the target population
410. When asked about the hierarchy of the institution’s overall ideals. Mr. KT is
396. To obtain 30 appropriate samples for the study, the researcher decided to use a correct to trace them in this order:
simple random sampling. Which of the following should the researcher do? A. Mission, Vision, Goals, Philosophy
A. Include post-operative clients only B. Vision, Mission. Philosophy, Goals
B. Select every 3rd hospitalized client in the list C. Philosophy, Vision, Mission, Goals
C. Pick out 30 from the list of hospitalized clients D. Goals, Vision, Mission, Philosophy
D. Chose 15 males and 15 females
411. Carrey has been a private duty nurse for Mr. Santiago for 5 years. Mr. Santiago
397. Quantitative research uses which type of reasoning to generate hunches that are was debilitated by complications of Diabetes. Carrey is practicing as an
tested in the real world? independent nurse by:
A. Deductive reasoning C. Informal logic A. Team nursing C. Primary nursing
B. Inductive reasoning D. All of the above B. Functional nursing D. Case Nursing

36 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
412. Being assigned in the home nursing facilities, the nurse only contacts a physician 425. Col. Senter is considering many aspects in coming up with a rotation plan for the
in case the elder patients is a need or in emergency nursing. When a nurse nurse corps. She wishes to implement a system that will not concentrate the work
assumes most of the roles in the care the client, then the nurse should be effort of the staff only in one area but rather make nurse corps multi tasked and
equipped as: multi functional in all areas. The assigning system that best suites her concepts
A. Team nurse C. Primary nurse is the:
B. Functional nurse D. Case Nurse A. Centralized system C. Cyclical system
B. Decentralized system D. Decyclical system
413. A type of leadership where the leader’s input and control is minimal, permitting
each individual members of the group to set his own independent goal. 426. Which of the following can be delegated to the nursing aid?
A. Autocratic C. Laissez-faire A. Client education C. Performing Triage
B. Democratic D. Transformational B. Measuring input and output D. Evaluation of client

414. This management theory believes that members are mixture of personality; that 427. Flow of communication can be best traced in case there is a conflict by referring
some prefer to decide for themselves while others prefer to be lead. Such theory to the:
is termed as: A. Manuals C. Organizational structure
A. Theory X B. Theory Y C. Theory Z D. Theory M B. Job description D. Mission/Vision

415. The least of concerns for a nurse manager when coming up with staffing is: 428. The Philippine Government having a lot of branches and departments wherein it
A. Number of productive hours in an 8-hour shift is self regulating and the presidential power can be delegated is a very good
B. Number of holidays in a year calendar example of which of the following Leadership Theory?
C. Hourly rate of regular and contractual nurses A. Autocratic theory C. Ultraliberall theory
D. Average client census of the hospital B. Democratic theory D. Bureaucratic theory

416. Which of the following is true about job performance appraisal? Situation: Mr. Hipolito, the director of the nursing service office has called up a meeting
A. It cannot be done anytime, announcement should be made in advanced to require nursing research for all the department and wards in the hospital.
B. It can only be done by a superior to a subordinate and never vise-versa Nursing agenda has been contemplated on and has been prepared to give
C. It is done to measure how a subordinate exceeds what is expected of him direction to the studies since no research has been done with the past
D. It should always be in a formal manner administration. When asked about the additional compensation, Mr. Hipolito
emphasized that more than the compensation, it is a responsibility of a
Situation: Mr. Ling, the owner of an established eye clinic in Makati, has sent his sons professional to engage in research and that additional points will be added to the
to international business school with the vision that they will soon run the credential incase of promotion and determining the salary scheme.
business themselves. After years of schooling, the eldest son, Tili, was appointed 429. Mr. Hipolito has mentioned about inclusion of the research outcome to the staff’s
as the Chief Executive Officer of a branch in Cebu. credential as the basis of promotion and salary. A performance appraisal that will
417. Tili will be practicing an authority that is based on: best fit the description is promotion through:
A. Legitimate power C. Referent power A. Ranking system C. Forced choice comparison
B. Information power D. Connection power B. Anecdotal records D. Rating scales

418. Mr. Ling has left a legacy that constant supervision on all the employees, with no 430. Since this a new idea for the staff, there is an atmosphere of resistance. A
exemption, is a necessity to ensure that an employee is worth all the salary he is change strategy that Mr. Hipolito engaged in with the situation is termed as:
getting. Mr. Ling has imposed such employees without supervision will always A. Power-coercive C. Normative- Reeducative
tend to find ways to get away from the job while spending hours behind the desk. B. Empirical-Rational D. Reductive-Alternative
Mr. Ling’s philosophy of leadership is based on:
A. Theory X B. Theory Y C. Theory M D. Theory Z 431. Some of the old staff has aired their concern that they are already “not that
young” to do research and the only young ones should be required. The young
419. Tili, on the other hand, had learned a lot from her schooling abroad. He has expressed sentiments on equality. Such conflict can be classified as:
made a 5-year strategic plan for the expertise of their eye clinic to be recognized A. Overt, vertical, behavioral stand point
internationally. He insisted that trends in leadership has emerged in which what B. Covert, horizontal, process stand point
really matters are results, and how it is attained doesn’t really matter. This C. Overt, horizontal, behavioral stand point
contemporary theory of leadership is: D. Covert, vertical, process standpoint
A. Quantum Theory C. Chaos Theory
B. Equity theory D. Expectancy Theory 432. Mr. Hipolito intervened by requiring that such proposal be applicable to everybody
in all departments, regardless of age and length of tenure. A conflict resolution
420. With Tili’s innovative system, he is dwelling which role of a manager? that is evident with Mr. Hipolito’s decision is:
A. Interpersonal C. Decisional A. Competition B. Collaboration C. Compromise D. Forcing
B. Informational D. Professional
Situation: Sir Tony Loin, The Accreditation chairman of a certain hospital has worked
421. The type of leadership which assumes that no one best leadership style and way beyond his working hours with no guarantee of overtime pay to upgrade the
maintains its effectiveness in all different task. And that leader should help present system to a computerized system to pass ISO certification. He is working
followers grow into readiness to perform new tasks as long as they are able and with most of the department heads.
willing to go. 433. Sir Loin’s dedication to work has been a good example to the entire employee
A. Transformational C. Motivational that they start offering their help to hasten the process. Such leadership can be
B. Situational D. Interactional classified under which theory?
A. Transformational leadership C. Path goal leadership
Situation: Colonel Maria Senter has been in the AFP Military Hospital for 8 years. Upon B. Transactional leadership D. Servant leadership
retirement of the present Chief Nurse Corps, she was recommended to vie for the
position. 434. Sir Loin is aware of the 40 hour -week-law, which states that:
422. Col. Senter been an advocate of the Quality Assurance and has been wanting to A. A worker cannot work for more than 40 hour a week in a 100 bed capacity
implement TQM. Which of the following makes TQM distinct from other theory of hospital in a population of 1 million
management? B. A worker can work 48 hours in a 100 bed capacity in a population less than a
A. Combination of Theory X and Theory Y million.
B. A belief on the potential of every individual C. A worker can work 48 hours in a less than 50 bed capacity lying in center with a
C. Focus on costumers’ satisfaction population that is less than a million
D. Long term employment and collective decision-making D. All of the above

423. A head nurse form Ward 7A came up to Col. Senter verifying if the same system 435. Which of the following can be safely delegated to the LVN/LPN?
will be applied to staffing. Col. Senter will be correct if she will instruct that 37% of A. Insertion of NGT C. Suctioning chronic tracheostomy
the staff nurses will have to comprise the: B. Parenteral medication D. Care of invasive lines
A. AM shift B. PM shift C. Night Shift D. Any shift
436. Sir Loin’s intention to be accredited by prestigious accrediting body falls under
424. Staffing is a function of a manager under: which phase of management?
A. Planning B. Organizing C. Directing D. Controlling A. Planning B. Organizing C. Directing D. Controlling
37 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
437. A type of budgeting that is reliable in terms of liquidating all the costs up to the 449. In reorganizing the department of nursing, she draws up the organizational
last cent. structure, delineates the roles and functions of the different positions and fills the
A. Incremental budgeting C. Combination budgeting position with qualified people. This is included in which element of
B. Zero-based budgeting D. Forecasted budgeting administration?
A. Evaluating B. Organizing C. Monitoring D. Planning
438. Alaire is the medication nurse for the past three days in the orthopedic ward and
is excited to try her hands on the a charge nursing after two weeks. Such 450. In upgrading the services of the hospital, a good manager will measure services
nursing roles can be best described as: of the insitution with that of best-performing in the field of health care.
A. Team nursing C. Case nursing A. Benchmarking B. Auditing C. Appraisal D. Ranking
B. Primary nursing D. Functional nursing
451. In the progressive model of disciplining, a staff nurse who has failed to chart a
439. After two weeks, Alaire endorses inventory of the drug stocks on the ward to certain procedure but bore no legal implications should receive:
Halluer. Such communication can be described as: A. Written warning C. Suspension
A. Upward B. Downward C. Horizontal D. Grapevine B. Verbal warning D. Dismissal

440. Kiko has been idealistic about how a department in the hospital should operate. 452. Process of instilling sanctions to offenses commited in an integral task in:
Upon assuming the role of the head of the department, he has now the A. Planning B. Organizing C. Directing D. Controlling
capabilities to make those changes into realization by spear heading different
programs and policy amendments. Kiko was able to do this now because he has 453. Which of the given statements about leadership is NOT true?
the authority granted through: A. There are times when formal leadership is irrelevant
A. Referent power C. Coercive power B. Every superior is a leader
B. Legitimate power D. Expert power C. Leader should be a supervisor
D. A leader has the ability to influence others
441. Proponents of this management theory advocate that proper training and
instruction of the workers and improving working conditions will increase 454. Which of the given traits tells what a true leadership trait should be?
productivity. A. Individuals can be taught leadership trait to help them become more effective
A. Complexity theory C. Classical Management theory leaders
B. Chaos theory D. Humanistic theory B. Oftentimes, effective leaders compromise their values to make themselves more
successful
442. Delegation of work in the hospital setting is an important skill that a nurse C. Such traits: self confidence, the drive to succeed, and relevant knowledge often
leader/manager must possess. Which of the following statement is correct about characterize effective leaders
task delegation? D. Differences between leaders and non-leaders have been carefully explained by
A. A manager can delegate overall responsibility, authority, and accountability for the trait theories of leadership
fulfillment of duty in the assigned area.
B. Delegation of tasked must be based on co-workers’ endorsement 455. An organizational chart tells the nurse the following:
C. Coming up with final evaluation and disciplining staff can be delegated by 1. Leaders and subordinates organization
mangers 2. Roles/Positions in the organization
D. Every staff is accountable for his/her own action; the manager must accept 3. Number of individuals in the organization
accountability for the staff performance. 4. Location in the hierarchical level
A. 1,2,3 B. 2,3,4 C. 1,2,4 D. All
443. Based on the code of ethics for Filipino nurses, what is regarded as the hallmark
of the nursing responsibility and accountability? 456. Downward communication may come in the form of:
A. Human rights of clients, regardless of creed and gender. 1. Policies 3. Incidental/Situation report
B. The privilege of being registered professional nurses. 2. Manuals 4. Memoranda
C. Accurate documentations of actions and outcomes. A. 1,2,3 B. 1,2,4 C. 1,3,4 D. All
D. Health, being a fundamental right of every individual.
457. An area of concern for nurse managers in staffing includes integration of the
444. Which is not true about strategic planning? reserve staff nurses for unexpected absences. This particular type of planning
A. It is long-ranged plan can be classified as:
B. Focuses on the entire organization A. Strategic B. Operational C. Long term D. Contingency
C. Determines where an organization is going over the next year or more
D. Deals with day-to-day maintenance Situation: Dra. Marie Cula has been a consultant of many hospitals in Metro Manila and
finally decided to build her health facililty that will cater to the needs of these
445. A nurse recalls that organizing is necessary because people accomplish more hospitals, hence the birth of Dra. Cula Blood Bank.
work that could be done individually. Under the Classical Theory of Management, 458. Budget is a vital aspect to make Dra. Cula’s project to materialize. Together with
the number of people under the supervision of the manger should be within the a feasibility study, she calculated her investments in comparison with the
manageable number so that vigilance is possible. expected income from her blood bank. This budget falls under:
A. Unity of command C. Span of control A. Revenue Budget C. Capital Budget
B. Scope of responsibility D. Degree of authority B. Expense Budget D. Cash Budget

446. A clinical instructor has felt the need to train new clinical instructor to be take over 459. Dra. Cula has chosen a strategic location for her blood blank. She opted to rent
her when she rtires. This is a formal relationship a newly hired employee and a the place because of its proximity to 2 government hospitals and 1 private
veteran employee who serves as a role model. hospital. A chapter of the Philippine National Red Cross is 2 hours drive from
A. Mentorship C. Precetorship these hospitals. Dra. Cula will place the rental in a budget that is:
B. Coaching D. Empowerment A. Fixed B. Variable C. Contingency D. Flexible

447. Which of the following is the essence of transformational type of leadership? 460. Allocation of the resources is one of the prime responsibilities of the manager as:
A. Empowerment C. Sampling by doing A. Decisional B. B. Personal C. Traditional D. Informational
B. Behavior based D. Evidenced based
461. Dra. Cula has just hired medical technologists as part of the health care team to
Situation: Ms. Castro was recently appointed chief nurse of a 50-bed government facilitate the blood bank operations. Compared with other laboratories, Dra. Cula
hospital in Masbate. On the first day of duty she tried to remember the elements offered a salary scheme at par with that of established laboratories. If Dra. Cula
of administration she learned in her basic nursing education. is right, she will place salaries and wages under:
448. One of the first things did to engage her staff in objective setting, formulating A. Revenue Budget C. Capital Budget
goals and philosophy of the nursing service. These activities are most B. Expense Budget D. Cash Budget
appropriately described in which element of administration.
A. Directing B. Organizing C. Controlling D. Planning

38 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
Situation: As an internal nurse auditor, you were assigned to evaluate performance of 475. You have required qualified staff belonging to the 40% with emphasis that it will
the job performance in the admitting section. When you inquired about the be for their personal benefit. Such style of leadership reflects:
standard length of time a client should have been admitted upon getting the A. Autocratic – exploitative C. Democratic – consultative
attending physician’s approval, the department head was not able to produce the B. Autocratic – benevolent D. Democratic – participative
necessary document, but showed you a checklist of the requirements needed to
476. You will be giving the staff belonging to the 40% to finish masterals. You have
be admitted.
released a memo that if they failed to do so, these nurses will be placed in a part
462. Under the TQM, the non-compliance of the admitting department will be a faulty
time status and will not be given a full load. You have implemented change in the
with
behavior of the staff nurses. Such change qualifies under:
A. Costumer/client satisfaction
A. Power-coercive C. Normative- Reeducative
B. Total organizational involvement
B. Empirical- Rational D. Reductive-Alternative
C. Use of quality tools and statistics for measure
D. Key process for improvement 477. Theory of Management that Star Box believes when the company exerts effort to
train its personnel to achieve optimum potential of each individual:
463. If you will be using the suggested tool, you might be accountable for: A. Scientific B. Humanistic C. Chaos D. Classical
A. Halo Error C. Recency Error
B. Leniency Error D. Ambiguity Error 478. All, except one, theories of leadership and management have suggested that
leadership should be exercised in accordance to the supervision needs of the
464. As a Regional Quality Assurance Auditor, a hospital has just submitted a proposal subordinates.
for an inspection to be accredited as Level II hospital. You will be expecting to A. Contingency Theory C. Expectancy Theory
find the following in a Level II hospital, EXCEPT: B. Situational Theory D. Theory M
A. General Medicine
B. Second Level Radiology and Pharmacy 479. A nurse manager employs leadership style without input from the staff, this is
C. Surgery and Anesthesia what type of dominion over the group?
D. Secondary Clinical Laboratory A. Autocratic C. Loose leadership
B. Situational D. Laissez faire
465. The chief nurse of the Star Box Hospital have been contemplating on coming up
with new programs for graduate nurses who have not been absorbed by 480. It is a style or a process of persuading and inducing a group of people, usually his
hospitals. She has proposed nurses having mastery in diagnostic procedures like followers to attain desired objectives:
MRI and CT Scan. This could also generate income for the hospital. This is a A. Leadership skills C. Management skills
component of: B. Curative skills D. Nursing skills
A. Planning B. Organizing C. Directing D. Controlling 481. A theory that states that leaders are born and not developed because some
people are born with characteristics to be great:
466. All, but one, are distinguishes leader from a manager:
A. Trait theory C. Contingency theory
A. Motivation B. Relationships C. Resources D. Influence
B. Great-man theory D. Situational theory
467. This particular theory of leadership emphasizes that leadership comes out 482. The leader usually cites the achievements of his members which is the reason
naturally and that could be very obvious from the start of school age. why they reached their goal. This power is called?
A. Behavior Theory C. Equity Theory A. Punitive power C. Permissive power
B. Path Goal Theory D. Trait Theory B. Coercive power D. Reward power
468. On the other hand, such theory has defined that although leadership may come 483. The collaborative role of a nurse in management of patient care is best reflected
naturally; education, training and experiences make the realization of leadership when:
to anyone who aspires for it. A. The nurse plans care with the patient
A. Behavior Theory C. Equity Theory B. The nurse works with other members of the heath care team form other units-
B. Path Goal Theory D. Trait Theory interdepartmental
C. Initiates nursing action with co-workers
Situation: Ms. Genalyn Yu has been hired to join the nursing staff of the Infantry D. Depending rights of patients
Battalion Medical Center. Because of her qualification, she was given the head
nurse position. Ms. Yu has shown exceptional human relationship with the staff 484. The most effective leadership style during acute crisis condition is:
that she had no problem establishing authority. A. Autocratic C. Permissive
469. Ms Yu’s leadership can be classified under the theory of: B. Laissez faire D. Democratic
A. Transformational C. Charismatic 485. Which of the following is more of managing rather than leading?
B. Transactional D. Servant A. Setting good examples
B. Keeping the subordinate’s morale up
470. Though Ms. Yu is most liked by her subordinates, she is exercising a power over C. Making schedule for the maximization of Work force
the organization that is: D. Introducing innovation in ways things are Done
A. Connection B. Legitimate C. Referent D. Expert
486. For such case, when the follower seems to be resistant, but capable of producing
471. The staff of Infantry Battalion Medical center, which is a military hospital, has the output, a situational leader will have:
been patronizing the chain of command. Theory of Management that is evident A. High task, low relationship C. Low task, low relationship
is: B. High task, high relationship D. Low task, high relationship
A. Scientific B. Humanistic C. Chaos D. Classical
487. The most effective approach of providing nursing service during acute shortage of
Situation: As the newly appointed chief nurse, the low evaluation on the work manual personnel in the unit
performance of 40% of the nursing staff has caught your attention. You have A. Primary care nursing C. Functional nursing
arranged an appointment with the head of the Human Resource Department to B. Team nursing D. Leadership nursing
arrange for a training course to uplift the competency of those on the list. 488. An RN asks a nurse aid to perform a procedure. The nurse aid states that she
472. You have arranged with your alma mater a Memorandum of Agreement to cater only observed the delegated procedure before but never personally gave it to any
the educational needs of the 40% of staff in terms of post graduate studies patient. What is the best action that the nurse must do?
(Masteral). Your have lived up to the role of the manager as: A. Request the LPN to review the procedure theoretically
A. Entreperenuer C. Negotiator B. Request that she buy a manual of nursing procedure
B. Resource Allocator D. Decision Maker C. Perform the procedure together with the LPN
D. Request the LPN to observe first before doing it by herself
473. Staff development is one of the major components of:
A. Planning B. Organizing C. Directing D. Controlling 489. This theory insists that to be able to have a control of the subordinate, a leader
have the power to manipulate who will belong to the team to optimize output.
474. Enrolling most of the staff belonging to the 40% in the masterals program A. Situational C. Path Goal
comprises staff development as: B. Fiedler’s Contingency D. Behavioral
A. Orientation C. Specialty Course
B. In service training D. Formal Education

39 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.
490. In the performance of a role as a supervisor, the CHN should primarily do which 502. Nurse Nina was promoted as the new head nurse of the medical-surgical unit.
of the following? Her position entails responsibility and authority over, but not limited to her
A. Preparing nursing procedures to be delegated to midwives designated area. By the virtue of her organizational position, Nurse Nina has what
B. Case study of the community type of power over staff?
C. Assessment of individual skills and attitudes of midwives A. Reward power C. Expert power
D. Identification of weak points of followers B. Coercive power D. Legitimate power

491. In preparing for a supervisory plan, which of the following ranks first among the 503. Nurse Miranda is the best transplant nurse. She is often called by the head
activities to be performed by the appointed nurse supervisor in the community nurses in the different wards when they need information on caring for a liver
A. List plan of care transplant patient. She has:
B. Provide staffing pattern within the community A. Legitimate power C. Reward power
C. Problem solving approach B. Expert power D. Coercive power
D. Providing objectives

492. Delegation is the process of transferring work to a subordinate. A nurse 504. Negotiation is one of the most effective means in settling a conflict between staff.
supervisor can appropriately delegate which task? Which of the following is the most important tool in mediating during negotiation?
A. Scheduling staff assignments for the next month A. Good communication skills C. Cultural competency
B. Terminating a nurse aid for insubordination B. Authoritative power D. Understanding
C. Deciding on salary increases for Nurse aids and midwives working in her area
D. Telling a staff nurse to initiate disciplinary action against one of her peers 505. It is a process of formal negotiations of working conditions between a group of
registered nurses and employer is:
493. A nurse supervisor delegates responsibility for the review and revision of A. Grievance C. Strike
materials for client’s health education. Which statement illustrates the best B. Collective bargaining D. Arbitration
method of delegation?
A. Tell the nursing staff they are responsible for the review and revision of materials 506. The purpose of management is to coordinate and direct actions and assign
B. Ask two of the best staff nurses to form a review committee then set a deadline resources in order to:
for submission of recommendations A. Achieve organization’s objectives
C. Tell the nursing staff the need for review and revision. Tell that the nurse B. Develop high quality staff
supervisor will make the final decisions about changes. C. Receive a promotion
D. Ask the head nurse to develop a plan for review and revision. D. Keep staff turnover as low as possible
494. As a manager in the unit, you discovered that there are so many cases of juvenile
507. In all of the various administrative functions, which of the following management
delinquencies, abortion, drug addiction etc., affecting the youth today. Each
skill is demanded efficiently and effectively?
nurse has an ethical responsibility to contribute possible solutions to this menace
1. Decision making skills
in the community because;
2. Forecasting skills
A. Nurses has versatile role
3. Auditing skills
B. Because it may affect one of your relatives also, including your own child
4. Communication skills
C. It is a major news everyday
A. 2 and 3 C. 1 and 2
D. Rehabilitation procedures are expensive
B. 1 and 4 D. 2 and 4
495. You also discover that some of your nurses coming from 6-2am shift have
508. Budget means:
already done charting as early as 9am. You wanted to initiate changes by;
A. A statement of future expenditures C. List of current expenditure
A. Scolding erring nurses C. Suggest ward policies
B. List of past expenditures D. A system of meeting
B. Impose a schedule plan for charting D. Resolve the issue by discussion
509. A newly hired staff nurse was told of the reason for existence of the hospital.
496. As a reviewer in a nursing review center, you have emphasized the role of the
Which of the following concepts best describe the activity?
nursing students and their possible contributions to the economy of the country
A. Philosophy C. Goals
and have encouraged them to serve the Philippines first before other nations.
B. Mission D. Objectives
This inspired students not just to pass the board exam but be involved in
reshaping the nation. The leader most evident here is the:
510. The statement: “The Great Commission Hospital recognized by patients and staff
A. Transactional leadership C. Charismatic leadership
for excellence and compassion in service and care” refers to:
B. Transformational leadership D. Quantum Leadership
A. Vision C. Goals
B. Mission D. Objectives
497. All nurses are required to attend to a 3 day Venipuncture Training Program
funded by the hospital. The basis for attending this program is a:
511. Which is true about philosophy?
A. Professional duty C. Ethical duty
A. States actions for achieving the purpose
B. Managerial duty D. Nursing standards
B. Statement of beliefs and values that direct one practice
C. Detailed steps on achieving standard operating procedures
498. A hospital has just adapted a computerized system of documentation. Policies
D. Declaration of where the organization is going
and procedure development for such improvement needs to replace old policies
and regulations. Such activity is under which phase of management process?
512. According to the organizational chart you learned that the clinical assistant is
A. Controlling B. Planning C. Directing D. Organizing
directly under her supervision. Which of the following depicts a superior-
499. A hospital manager has organized a training on Disaster Management. The subordinate relationship?
hospital manager imposed the nurses that this is for their own professional growth A. Box C. Dotted line
and that all concerned should attend or else they will be reprimanded for an B. Solid line D. Broken line
unexcused absence. Such type of leadership is:
A. Democratic-Consultative C. Autocratic-Benevolent 513. A dotted line in the organizational structure may signify:
B. Democratic-Participative D. Autocratic-Exploitative A. Coordinated relationship C. Direct relationship
B. Delegating relationship D. Channeling relationship
500. Nurse Beng knows that some leaders show little or not trust on subordinates,
which refer to: --------------------END OF EXAM----------------------
A. Benevolent- authoritative C. Consultative
B. Exploitative- authoritative D. Participative “Always aim for the stars, and not for the trees; so that when you fall, you’d fall onto the
trees and not onto the stars.” -Carlo Paul C. Sana
501. Because a large organization is so complex, communication channels used by
the nurse manager may observe an informal communication network that flows
rapidly and is subject to error and distortion. Such communication mode is
considered:
A. Upward C. Downward
B. Horizontal D. Grapevine

40 |NOVEMBER 2019 PNLE REVIEW GLOCAL REVIEW AND TUTORIAL CENTER INC.