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NURSING PRACTICE 4
PREBOARD 3 EXAM
May 2022 Philippine Nursing Licensure Examination
D. to wait for lunch break to do the recording
7. Right after endorsement and during the rounds, the
Situation: Bojiejang, 52 years old has been a incoming nurse observes that the IV fluid is at 700
cigarette smoker since age 17. has nagging cough cc level and not 500cc, as endorsed. What is the
and hoarseness of voice and dyspnea. Based on CORRECT information that she will chart?
A. Anything goes, nobody reads the charting
the physical and laboratory findings, the
anyway.
physician suspected him of having lung cancer. B. Record the 500 cc.
C. Chart that she received 700cc
1. Which of the following is NOT a known predisposing
D. Refer to the Head Nurse on what to do.
factor to lung cancer?
8. Which is the APPROPRIATE way to correct an error
A. House is near a banana plantation.
in the Nurses Notes?
B. Works as a sprayer of vegetables and fruit trees.
A. Take the whole page out and replace with a
C. Lives in a suburban area.
fresh one
D. Living with mother who is a tobacco smoker.
B. Draw a single line across the error and write
2. Upon history-taking, the nurse notes that the cough
your initials
of a patient with lung cancer usually STARTS off to
C. Draw a single line across and write “Error”
be _____.
D. Use a rubber eraser to erase an error.
A. blood-tinged
Rationale:
B. productive
C. dark yellow sputum
9. If a medicine is unavailable and therefore not given
D. dry and persistent
to the patient, how is it charted?
3. Which diagnostic procedure is commonly used to
A. Leave it blank.
establish the diagnosis of lung cancer which
B. Sign and make an explanation in the Nurses
provides a detailed description of the
Notes.
tracheobronchial tree and allows for biopsies of
C. With an asterisk or mark, as per hospital
suspicious areas?
protocol.
A. Computerized Tomography (CT) scan
D. Write the letter.
B. Bronchoscopy
10. If the patient is referred to another consultant and
C. Sputum cytology
the latter has made an order already, what can the
D. Positron Emission Tomography (PET)
nurse CORRECTLY chart?
4. To help the patient with his breathing difficulty, the
A. The attending physician has not yet read the
nurse places him in which position?
order.
A. Prone
B. Only one order has been left to be carried out.
B. Fowler's
C. She has carried out the orders of the consultant.
C. Sim's lateral
D. That the consultant has seen the patient with
D. Supine
new orders.
5. Bojiejang is diagnosed with small cell lung cancer
Situation: Dog Bites are relatively common in the
(SCLC), a rapidly growing type of cancer. He and his
Philippines. The presence of a number of stray
family were shocked when told by the doctor that
the patient will just undergo palliative treatment. dogs predisposes to the occurrence of rabies.
Which nursing action is MOST APPROPRIATE?
A. Providing relief from symptoms. 11. Upon entry of the patient to ER, the nurse must
B. Reducing fatigue FIRST perform which nursing intervention?
C. Providing psychological support A. Inject with rabies immune globulin.
D. Advising treatment options B. Cleanse the bite with soap and running water.
Situation: Proper recording is a vital task that the C. Inject the rabies vaccine immediately.
D. Administer the pain reliever, as ordered.
nurse is trained to do properly in nursing school
and expected to practice as a professional.
12. The nurse knows that a dog bite has a shorter
incubation for rabies if located in the _______.
6. Nurses are taught as students that the ideal and
A. leg
PROPER time for recording vital signs and notes on
B. hand
the patient is ______.
C. abdomen
A. during the next vital signs taking for comparison
D. face
B. after all the tasks are done, in order to conserve
13. The nurse anticipates that which one is prescribed to
time
prevent a common bacterial complication from the
C. as soon as they obtain the signs or observations
dog bite?
on the patient
A. ibuprofen (Motrin)

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 B. ciprofloxacin (Cipro) 20. Discharge instruction made by the nurse to the
C. tetanus toxoid (Tetavax) parents should include ____.
D. meperidine (Demerol) A. close monitoring of the toddler
14. In administering the rabies immune globulin (RIg), B. disciplining the child every time
the nurse infiltrates the calculated dose around the C. poison-proofing the home
wound edges and the rest of the dose injected D. lecturing the child on safety
_______. Situation: Nurse Leni is working in the ER when a
A. Intradermally strong earthquake shook the city. Fifteen minutes
B. Intramuscularly later, a number of patients have been starting to
C. subcutaneously
arrive in the ER.
D. Intravenously
15. According to RA 9482 or the Anti- Rabies Act of
21. As the triage Nurse, which of the following will be
2007, which of the following statements regarding
Leni’s priority?
rabies post exposure prophylaxis APPLICABLE?
A. A non-responsive patient with sunken skull.
A. Have the dog be regularly vaccinated against
B. The patient with facial wounds and fracture.
rabies
C. Patient with sucking chest wound
B. Do not allow the dog to roam the street.
D. A man with over 50 percent second and third
C. Put the dog in a leash when in a public place.
degree burns.
D. The owner of the dog will assist the bite victim
22. Patients brought in who are unresponsive with
with the medical expenses.
penetrating head wounds are tagged by the triage
Situation: The 3-year-old child has just finished
nurse in which color?
ingesting the kerosene stored in a RC Cola bottle. A. Black
When the mother saw the child, she immediately B. Red
brought him to the nearest hospital. C. Green
D. Yellow
16. The assessment of the patient with ingested poison 23. Those who suffered stable abdominal wounds
must include ___________. without significant bleeding will be tagged
I. determining the poison ingested and the amount. __________.
A. green
II. the time from ingestion and the signs and symptoms B. red
C. black
III. weight of the patient D. yellow
24. It is very important that nurses must plan for mass
IV. patient's Immunization history casualties, which include _______.
I. warfarin
A. I. II. III, and IV
B. I, II, and IV II. terrorism
C. I, II, and III
D. II, III, and IV III. natural disasters
17. In case of poisoning, the nurse is aware that the
main goals in poisoning are to _____. IV. infectious disease outbreaks
I. inactivate the poison
A. I, II, and III
II. administer the specific antidote B. I, III and IV
C. I, II, III, and IV
III. induce the patient to vomit D. II, III, and IV
25. Nurse Leni must work with the Disaster Committee
IV. support vital organ functions for an appropriate disaster response strategy, in
order to succeed, must have physical assets which
A. I, II, and IV includes which of the following?
B. I, II, and III I. Increased security
C. I, II, and IV
D. II, III, and IV II. Stockpiles of equipment
18. To remove the ingested poisonous substance, the
physician ordered a gastric lavage. What is the role III. Numerous medications
of the nurse immediately prior to the procedure?
A. Get the right size of the nasogastric tube. IV. Trained staff
B. Remind parents to be careful next time
C. Obtain an informed consent immediately. A. I, II, and III
D. Tell the parent that they are negligent B. II, III and IV
19. The nurse is aware that the proper management of C. I, II, III, and IV
poisoning includes the following EXCEPT to D. I, III, and IV
________.
A. perform hemoperfusion
B. remove the toxin through dialysis Situation: The nurse when practicing the
C. dilute the ingested substance profession must adhere to ethic principles.
D. induce vomiting after ingestion of the caustic
substance orpetroleum distillate. 26. When the nurse treats the patients in the air-
conditioned rooms favorably compared to those in

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 the charity wing, she violates which of the following
ethical principles?
A. Veracity
B. Justice
C. Fidelity
D. Distributive justice
27. The nurse has an obligation to tell the truth. When
she admits mistake promptly, she manifests
A. Fidelity
B. Veracity
C. Respect
D. Autonomy
28. The cancer patient has been frequently complaining
of pain and demand that the pain reliever be
administered even before the due time. The nurse
prepares to inject NSS as a placebo. Which principle
will she transgress?
A. Respect
B. Veracity
C. Justice
D. Fidelity
29. The nurse knows that ethical dilemmas may be
referred to the Hospital Ethics Committee. This
committee has the PRIMARY role to ________.
A. Prevent the physician from making the wrong
decision
B. Decide what must be done under the
circumstances
C. Prevent ethical dilemmas from occurring
D. Provide guidance for healthcare teams and
family of patients
30. Nurses were overheard talking about the patient and
his prognosis. What ethical principle was violated?
A. Autonomy
B. Confidentiality
C. Non-maleficence
D. Beneficence
Situation: Nurses must continually grow as a
person and as a professional.
31. An a newly licensed nurse employed in a tertiary
hospital, you are required to attend Continuing
Professional Development (CPD) program. When the
training program is for the enrichment of nurses in
the hospital, it is called _______.
A. informal training program
B. formal education program
C. self-directed
D. In-service training program
32. The professional development ways, such as of a
nurse can be achieved through various ways, such
as _____.
A. Participating in political rallies
B. Attendance in socio-civic activities
C. Attending demonstration of baking
D. Engaging in CPD programs
33. When nurses are projected in a television
advertisement as sex symbols, what APPROPRIATE
action is expected from a concerned nurse?
A. Keep your silence, it is the television station's
prerogative.
B. Go to the street to manifest displeasure of the
nurses' portrayal.
C. Make a position paper to denounce the
advertisement
D. Condemn the issue in the radio program.
34. To grow as a person, the student nurse can attend
lecture-demonstration on which of the following
procedures?
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A. Bathing the newborn
B. Proper bandaging
C. Doing first aid
D. Doing makeup
35. Nurse PD Bang’s application to Canada has finally
been approved and she was advised to depart in
three months. But, she is also enrolled in the
graduate school and ambivalent to go because of
this engagement plus the fact that her mother has
just been discharged from the hospital. Which of the
following actions is BEST?
A. Tell family that the money spent in graduate
school can be easily earned in Canada.
B. Inform the agency that she could go anytime as
they wish
C. Tell the recruiter to give her more time to settle
her personal affairs.
D. Share to friends this is her escape from her sad
life with her family.
Situation: Chelsea, a kasambahay, is admitted for
leukemia in exacerbation. She appears shy and
seldom talks to hospital staff, except with the
watcher who is her sister.
36. Nurse Chariz wants to draw the patient out of her
shell so she would be better able to elicit the
patient's cooperation. Which of the following actions
is MOST helpful?
A. Just ask Chelsea straight the questions that
need to be asked.
B. Smile at the patient and allow her to express her
concerns.
C. Talk to the sister instead to get more
information.
D. Be a professional in every way in dealing with
her.
37. Friendly but professional overtures have finally made
Chelsea open up her circumstances to the nurse,
including their financial difficulty. What has been
established at this time?
A. Beginning of a friendship
B. Trusting relationship with the nurse
C. A lifelong commitment
D. A dire need for financial help
38. One morning during rounds, Nurse Chariz noticed
that Chelsea was unduly sad. The nurse's BEST way
of communicating her concern is ________.
A. whatever it is, you lift it up to God
B. saying you are sad again, that is bad for your
health
C. telling Chelsea to stop worrying, everything will
be okay
D. placing her hand over Chelsea’s shoulder and
asking why the sad face
39. The day of discharge came and Chelsea’s face
becomes all the more sad. When asked why, she
answered she has no money to pay the bill. The
BEST way of communicating her piece of advice is
stating which of the following?
A. You can go to the cashier for to find out what
she can advise you.
B. The government has agencies for those who
need financial assistance. I will give you the list.
C. You can always pay in staggered amounts to be
given every15 days.
D. Ask help from generous relatives so you can
have additional for down payment.
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40. Leukemia is a chronic illness and it is expected that
the patient will be in and out of the hospital. To
maintain communication, the nurse will ______.
A. ask the patient to call the hospital number listed
in the yellow pages
B. ask for the phone number where the patient can
be easily contacted
C. read the information sheet of the patient in the
chart
D. tell patient to write the number in a piece of
paper and give it to the ward clerk.
Situation: You are the Quality Improvement office
of the Hospital ABCDEFW To achieve safe and
quality outcomes, necessary protocols must be in
place and every error or adverse event
investigated to find the root cause and thereafter
apply the necessary improvement.
41. A sentinel event is an unexpected occurrence
involving death or serious physical or psychological
injury to a patient. As the QI officer, what is your
INITIAL STEP following a sentinel event?
A. Reporting to the Department of Health
B. Immediate investigation
C. Corrective action on the personnel.
D. Reporting to the Chief Executive Officer
42. In one of the Board meetings, the QI Officer will
report the results of Quality Improvement efforts in
the hospital. The report will be presented much
BETTER by using which of the following? (Select all
that apply)
I. diagrams
II. charts
III. graphs
IV. flow charts
A. I, II, III, and IV
B. 1, III, and IV
C. II, III, and IV
D. I, II, and III
43. The WHO Surgical Safety Checklist aims to increase
the safety of patients undergoing surgery. This is
being adopted by the Hospital's Quality Department.
Based on the Checklist, you are aware that surgeon,
nurse, and anesthetist should be present during the
recapitulation and reassurance of correct patient
identity, correct site, and correct procedure, which
occur right before skin incision. In what phase
should the above take place?
A. Debriefing
B. Sign Out
C. Sign in.
D. Time Out
44. As the QI officer, you have strongly recommended
to the Surgery Department the adoption of the WHO
Surgical Safety Checklist to prevent a "wrong site"
surgery?
A. Debriefing
B. Briefing
C. Time out
D. Surgical site marking
45. The QI officer conducts her random visit to the
Operating Room. She asks one of the OR nurses in
what phase in the WHO Surgical Safety Checklist will
the nurse account for the sponges and needles used
in the surgery?
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A. Sign out
B. Time out
C. Sign in
D. Debriefing
Situation: Lomi, a 50-year-old chain smoker, is
suspected to have lung cancer after he was seen
and examined by his physician. He and his wife
got very worried about his diagnosis.
46. Which procedure has to be done to the patient to
establish a definitive diagnosis of lung cancer?
A. Chest x-ray followed by a CT scan
B. Cytological study of the sputum
C. Bronchoscopy
D. Magnetic resonance imaging
47. The MOST significant contributory factor to the
development of lung cancer is ______.
A. being a cigarette smoker
B. belonging to the male sex
C. Being extremely obese
D. age over 40years.
48. The patient while in the hospital is complaining of
chest pain. When the nurse is assessing the degree
of pain of the patient, the MOST APPROPRIATE
basis is ______.
A. watcher's description of patient's pain
B. patient's own rating of his pain
C. Non-verbal cues observed in the patient
D. Nurse's own rating of the patient's pain
49. Health teaching on chemotherapy includes informing
Lomi on the adverse effect of bleeding related to
bone marrow depression. Which verbalization of the
patient indicates further teaching?
A. I should watch out for discolorations in my skin.
B. I am going to take two tablets of Aspirin for my
headache
C. I may need platelet transfusion in the future
D. I should not blow my nose
50. The patient underwent a left pneumonectomy due
to lung cancer. During surgery the phrenic nerve is
accidentally cut. This incident will result to _____.
A. Allow greater expansion of the lungs
B. Make the diaphragm descend with ease
C. Produce a partially functioning diaphragm
D. Make the diaphragm go up with ease
Situation: Mr. Mamamow, an insurance agent was
ordered by his physician to be admitted to the
hospital for Coronary Artery Bypass Graft ( CABG)
due to three vessels blockage.
51. As a nurse, you are aware that cardiac surgery is a
source of stress to the patient and family. Which of the
following strategies should the nurse implement FIRST
to overcome this stress?
A. Identify coping mechanisms helpful to the patient and
family members.
B. Recognize fears and concerns regarding surgery and
future health status.
C. Explore support system available during the entire
hospitalization period.
D. Reinforce understanding of the surgical procedure
hospitalization and recovery.
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52. Mr. Mamamow, underwent an invasive diagnostic
test to determine the location of the blockage which is
needed for his CABG. This procedure is ______.
A. cardiac CT scan
B. carotid doppler
C. magnetic resonance imaging
D. cardiac catheterization
53. The nurse is teaching breathing exercises to Mr.
Mamamow. At what phase of the peri-operative care is
this BEST performed?
A. After surgery when he is inside the recovery room.
B. Immediately after he has signed the informed
consent.
C. During the briefing period prior to the surgical
procedure.
D. When he is back to his room from the recovery unit.
54. Which of the following is a blood thinning drug and
temporarily stopped by the physician prior to CABG due
to possible bleeding.
A. Pradaxa
B. Ibuprofen
C. Aspirin
D. Toradol
Answer: A
55. The nurse formulates a nursing diagnosis
“Decreased cardiac output R/T blood loss”. Which of the
following is the highest priority nursing action?
A. Auscultate for heart sounds and rhythm.
B. Assess peripheral pulses, pedal, tibial and radial.
C. Monitor EKG pattern for cardiac dysrhythmia.
D. Assess arterial blood pressure very 15 min. until
stable.
Situation: PD Bang, 32 year old a government
employee has been having abdominal pain which
was on and off for almost 6 months. She has been
having flatulence and recently lost weight
because of vomiting. She consulted their office
physician and she was suspected to be suffering
from chronic pancreatitis. She was advised to be
hospitalized for further work-up.
56. You are the admitting Nurse when Ms. PD Bang
arrived in the hospital. When doing a comprehensive
pain assessment, you should conduct the procedure
during the ____.
A. evaluation of nursing pain management
B. Initial contact with the patient
C. course of pain management
D. the time the physician instructed you to do
57. When a patient is having pain due to Pancreatitis,
you expect that the pain is located in the
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A. hypogastrium, right upper quadrant of the abdomen
radiating to the left lumbar area
B. epigastrium, right upper quadrant of the abdomen
radiating to the left lumbar area
C. hypogastrium, left upper quadrant of the abdomen
radiating to the left lumbar area
D. epigastrium, left upper quadrant of the abdomen
radiating to the left lumbar area
58. You are aware of several manifestations when a
patient is in pain. Which of the following is a behavioral
response to pain?
A. Changes in skin color
B. Increase in blood pressure
C. depth in respiration.
D. Moaning and grimacing.
59. When a patient is ordered corticosteroids, which of
the following drugs will produce therapeutic effects of
reducing pain?
A. Spironolactone
B. Diazepam
C. Atropine S04
D. Prednisone
60. When severe vomiting occurs in this patient, it
results to what particular condition?
A. Hyperkalemia
B. Hypocalcemia
C. Alkalosis
D. Acidosis
Situation: Collaboration and teamwork are critical
to the success of health care operations.
61. Which of the following statements is INCORRECT of
collaboration in a health care setting?
A. Trust and respect are core values of a collaborative
organization.
B. A shared vision is essential for collaboration in any
health care operations
C. Successful conflict resolution can help collaborative
teams overcome differences
D.Interprofessional collaboration & multidisciplinary
collaboration can be used interchangeably.
62. Nurse Dasurb received an order from attending
physician of patient Dawter who was having a severe
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abdominal pain of almost a double dose of morphine
S04. The nurse consulted her unit manager and the
pharmacist regarding the order which was also
questioned. The nurse called the attention of the
physician regarding the dose of the drug and changed
the order to an acceptable level. What relevant principle
of collaboration is applied in this case?
I. Shared vision
Situation: Rohee, 65 years old, came to the
outpatient Clinic due to dyspnea, fever and on
and off productive cough. He smokes one pack of
cigarette per day for the last 30 years. The doctor
ordered sputum examination, chest x-ray and
blood culture.
66. In collecting sputum specimens, the nurse should
instruct Roy to _______.

II. Respect and trust A. breathe slowly, cough and expectorate into the
specimen container
III. Communication B. breathe deeply and cough, expectorate into the
sputum container.
IV. Interpersonal relationship
C. cough and expectorate saliva into the specimen
A. I, II, II and IV container.
B. III and IV D. cough and expectorate into the specimen
C. I and II container.
D. I, II and III 67. The patient’s diagnostic tests revealed he was
63. In a tertiary hospital where Geegee works as unit positive for bacterial pneumonia. The MOST likely
manager, an interdisciplinary team mode is adapted on causative this type of pneumonia is _____.
collaboration of care. With this type of model, how is
A. legioneila pneumoniae
DECISION making made?
B. mycoplasma pneumoniae
A. Shared responsibility of the group for the problem- C. streptococcus pneumoniae
solving final decision. D. hemophilus pneumoniae
68. The nurse did an admission procedure. The BEST
B. One person makes the final decision for the position to be assumed by Rohee is _____.
treatment.
A. left lateral position with the affected side
C. Partnership with the patient & team for the final inferior.
decision. B. Semi-fowler at least 30 degrees.
C. Dorsal position with pillow under the chest
D. All members work together for both alternative &
D. lying on his side, the affected side of the lungs
final decisions.
should be superior.
64. Nurse Yowdawter, is a member of the Quality 69. When a patient is diagnosed to have pneumonia, the
Assurance team of the hospital and has been always breath sounds detected by the nurse on auscultation of
rated as very assertive. Which of the following is NOT a the affected area would be _____.
characteristic of an assertive person?
A. wheezing sounds
A. Intervene with the situation calmly and confidently B. stridor
C. fine crackles
B. She stands up with what she believes & push control D. deep and low-pitched breath sounds
on others 70. When there is respiratory depression resulting from
drug overdose, the nurse have to watch for which of the
C. Articulate clearly the importance of nursing following?
perspective.
A. Hyperventilation
D. Use "I" when stating thought and feelings & B. Tachypnea
persuading others. C. Biot’s respiration
D. Bradypnea
65. A patient is going for a coronary arterial by-pass
Situation: Ms. Noh, 66 year-old consulted the
graft (CABG) due to a 4 blocked arterial blood vessels. A
OPD due changes in energy level, fatigue and not
surgical team has been formed with the cardiac surgeon
able to tolerate performance of activities of daily
as the head. Who is the member of the health team that
living, The physician suspected that she has
prepares the pre-operative orders for the patient?
hypothyroidism disorder and advised admission
A. Cardiologist for further work-up.

B. Anesthesiologist 71. When a patient is with hypothyroidism, the

assessment findings of the nurse that is NOT present is
C. Surgeon _______.

D. Medical Internist A. brittle nails

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B. hair loss
C. dry skin
D. fine tremors of hands
72. In assessing the thyroid gland for size, shape,
symmetry ,consistency and presence of tenderness, the
MOST appropriate examination modality is ______.
A. auscultation
B. percussion
C. palpation
D. inspection
73. After several thyroid diagnostic tests, Ms. Nohwas
ordered to take thyroid hormone (Levothyroxine). Which
of the following nursing actions is NOT ADVISABLE in
administering this drug? The nurse should give
__________.
A. A single dose daily before breakfast
B. a single dose daily after breakfast
C. it with a full glass of water
D. It without mixing with fruit juices
74. In monitoring the effectiveness of the drug therapy,
which of the following is NOT expected as a POSITIVE
patient's outcome?
A. regular bowel function
B. excessive sweating at night time
C. participates in self- care activities.
D. metabolism returns to normal
75. The nurse is developing a nursing care plan for Ms.
Noh. If the Nursing diagnosis is "Activity intolerance R/T
fatigue and depressed cognitive process", which of the
following is an APPROPRIATE intervention?
A. Increase mobility through early ambulation.
B. Allow self-care activities with active exercises.
C. Space nursing activities to promote rest and
sleep.
D. Avoid a stimulating interesting conservation.
Situation 16 - Resources in health care delivery
system are one of the challenging concerns of
nursing leadership in the country today. Nurse
Ravi is a unit manager in a tertiary hospital and
conducts meeting regularly every two weeks to
his staff to address PRIORITY affecting their
services.
76. Which of the following statements indicates an
effective communication technique used by the unit
manager to her staff?
A. “We need to improve our nursing services;
otherwise top management will take over”.
B. “Let’s limit requesting supplies and equipment,
our budget for our promotion might be affected.
C. “There are a lot of redundant position in our
unit, there is a need to retrench some staff.
D. “We need to discuss strategic approaches to
facilitate delivery of nursing service with less
expenses on our consumers.”
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77. For the past 6 months, several nurses are resigning.
Some have verbalized in the exit interview that there are
not happy anymore. Which of the following descriptions
manifest BEST, a nurse who has job satisfaction?
A. Competitive, self-centered, euphoric.
B. Empowered, enthusiastic, ethical
C. Loner, egoistic, reactive.
D. Outgoing, sensitive, competitive.
78. Delegation is a critical component of leadership and
governance. Which of the following empowering
activities should the unit manager applies in delegation?
A. In delegation, facilitating professional growth
and development of a staff is necessary.
B. When delegating a responsibility to a nursing
staff, modification of standards of care is
permitted.
C. Delegation of responsibility inpatient care has to
start, from top management to the staff-nurse
level
D. Delegation requires responsibility with
corresponding accountability of a staff-nurse.
79. Nurse Lany is guided that the initial step of
delegation is ______.
A. demonstrate the task and let the staff continue
the next activities
B. assess the capability of the staff, change him if
not performing
C. Determine the competency level of staff for the
task being given
D. Explain the task to be done with the
accompanying job description
80. The unit manager is planning to take her regular
official business leave for the Year. She has written a
letter of recommendation to her immediate supervisor
for her assistant unit manager to assume her position
while she is on leave. This is an example of delegation
by ______.
A. rank
B. Authority
C. Succession
D. General
Situation: Nurse Petron is on duty in the medical
unit and has two patients for discharge. Shell, 38
year old diagnosed with Diabetes Mellitus and on
insulin therapy for the first time and Caltex, 42
years old who had myocardial infarction (MI).
81. When preparing a teaching plan for patient Shell, the
following are the instructions provided to patients with
Diabetes Mellitus. Which ONE of the teaching plan is
considered NOT a PRIORITY concern when discussing
the list with the patient?
A. Diet and genetic counseling.
B. Exercise in extreme heat and cold.
C. Regular exercise, diet and medications.
D. Monitoring of blood sugar and urine ketones.
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82. Shell was taught by Nurse Petron on how to
administer self - injection insulin and rotation sites with
use of the chart every day till her discharge. The
following is the procedure for the self- injection of
insulin. Which of the following are the correct sequence
in self administration of the drug?
I. Inject the insulin, push the plunger all the way in
II. With one hand stabilize the skin by spreading a large
area
III. Pull the needle straight out of the skin and press
cotton ball over injection site
IV. Pick-up syringe with the other had hold and insert
needle to the skin.
V. Dispose syringe in a hard plastic container.
A. I, IV, III, II and V
B. II, IV, I , III and V
C. III, II, I, V and IV
D. IV, III, I, V and II
83. The doctor ordered a low- saturated fat, low -
cholesterol diet to patient Caltex who was also going
home. From the following list of foods, which meals has
to be included in the instructional plan of Nurse Petron
to her patient?
A. Pork steak, mixed vegetables with butter and cheese.
B. Hamburger, macaroni salad and milk shake.
C. Fried chicken, green beans, and skim milk.
D. Baked fish, green beans, coffee
84. Considering that patient Caltex is a post MI patient,
she was taught by the nurse on home exercises on leg
movements while resting on bed. The expected goal of
this intervention is to
A. facilitate better digestion of food
B. prevent stasis of urine and stone formation
C. facilitate circulation for skin integrity
D. prevent venous stasis in the lower extremities
85. The resumption of sexual activity is an important
activity that has to be included in the home instruction
to be given to patient Caltex together with her husband.
Which of the following is the SAFE period for an
uncomplicated MI to resume sexual activity?
A. One month after MI.
B. 12 to 14 days after MI
C. Two month after MI
D. 7 to 10 days after MI
Situation: Horavi, a 22-yr old nurse graduate,
passed the November 2018 Philippine Nurse
Licensure Examination before her birthday which
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November 16. The scheduled oath-taking
ceremony was set on January 6, 2019.
86. To obtain her license to practice, she must do the
following, EXCEPT:
A. Must take the oath to any government official
B. Must register in the registration division of the
PRC.
C. Must take the oath of professionals before any
member of the PR-BON
D. Must be issued a certificate of registration (COR)
and profession identification card (PIN).
87. Nurse Horavi has to renew her professional
identification card on or before ______.
A. January 6, 2021
B. November 16, 2022
C. November 16, 2021
D. Janurary 6, 2022
88. For Nurse Horavi to continually practice nursing, she
must satisfy the requirements set by the PRC and
comply how many units of CPD upon renewal?
A. 45 units
B. 10 units
C. 25 units
D. 15 units
89. After 3 years being assigned in the Operating Room,
Horavi is in interested to actively join which appropriate
professional organization?
A. ORNAP
B. NLGN
C. ADPCN
D. APO
90. What would Horavi do to keep abreast with the
latest trends in peri-operative nursing?
A. Attend training and seminars
B. Perform researches
C. All of these
D. Pursue graduate studies
Situation: A computer analyst of a company, was
rushed to the Emergency room due to abdominal
pain, nausea and vomiting, ascites and shallow
breathing due to enlarged abdomen. The
physician suspected that the patient is suffering
from péritonitis and was advised
to be admitted for further workout (Gwinnet College,
2020).
A nurse doesn’t need to conduct research / pursue
graduate studies to be updated, these are good
practices but not the required paths just to be updated
with the latest trends.
91. In assessing a patient suffering from peritonitis,
which of the following manifestations is NOT likely to be
present?
A. Rebound tenderness
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 B. Abdominal guarding IV. Nursing audit from the patient's chart.
C. Abdominal gas A. III and IV
D. Abdominal rigidity B. I, II and III
92. The overall goals set by the members of the health C. I, II, III and IV
team once the patient is admitted include which of the D. I and II
following? 98. Nurse Cassidy distributed the patient satisfaction
form to the admitted patients in the hospital, this tool is
I. Relief of the abdominal pain in compliance to the _______ quality standards
II. Resolution of inflammation
III. Provision of normal nutritional status A. human resource
IV. Prevention from complications B. organizational structure
A. I, II, III C. patient care
B. I and II D. legal – ethical
C. II and III 99. The QA team was alerted by the Administration, that
D. I, II, III and IV they have to anticipate for a possible earthquake in the
93. Diagnostic tests were ordered to the patient which forthcoming days. As part of Safe Practice Environment
included: complete blood count (CBC) and abdominal CT (SPE) standards, which of the following are to be priority
scan. The primary purpose for ordering CT scan is to attention by the team?
determine PRESENCE __.
I. Electrical wires
A. Amylase content II. Combustuble materials
B. Bacteria III. Entry, Exit of the building
C. Fluid shifts IV. Infected waste materials
D. Abscess A. I, II, III and IV
94. Which of the following drugs do you expect to be B. II and III
ordered by the physician for severe acute pain? C. I and II
D. I, II and III
A. Acetaminophen (Tylenol) 100. The QA team has been bombarded by complaints
B. Levorphanol (Lev-Drmn) of patients on their long waiting period in the OPD
C. Percodan (Aspirin) before the health care professionals are examining
D. Codeine (Ambenyl) them. In response to the concern, which type of quality
95. The physician ordered the patient for paracentesis. assessment should the team implement?
Which of the following pre- procedure nursing actions
should the nurse perform EXCEPT _____. A. Outcome evaluation
B. Process evaluation
A. Place him in upright position on the edge of the C. Ongoing evaluation
bed place D. Structure evaluation
B. Place him in low- lying position with knees
straight
C. Check for the signed consent form
D. Instruct patient to urinate to empty bladder
Situation: Cassidy is an active member of the
Quality Assurance (QA) team in a health facility
where the major role is setting Quality Standards.

96. Which of the following statements is TRUE of Quality

Improvement?

A. Focuses on the organizational structure than

patient care.
B. Continually improve every process in the
organization
C. Centered on people rather than processes.
D. An approach that is externally driven by the
stakeholder.
97. As a QA nurse, which of the following can Nurse
Cassidy adopts as concurrent evaluation of patient's
outcomes in the unit?

I. Direct observation of patient's condition.

II. Patient's interview in the unit.
III. Face to Face interview with nursing staff.

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