The mid-term exam has 30 items, comprising multiple choice and identification.

Answer
accordingly.

1. Which statement best describes a situation that shows appropriateness of medication

administration through NGT?

a. Check placement of NGT, flush the syringe barrel with 30 ml of water, instill the
dissolved medication, and lastly, flush it again with 30 ml of water.
b. Check placement of NGT, instill the properly dissolved medication, and flush the barrel
of the syringe with 15 ml of water.
c. Flush the syringe barrel with 15 ml of water, administer the dissolved medication, and
flush it with 15 ml of water.

2.Which situation shows that oral medication is taken by the client?

a. Client verbalizes that he has taken the medication.
b. Client shows the nurse that he has swallowed the medication, and leaves the patient
after.
c. Nurse stays with the client until medication is swallowed, and may check the client’s
mouth to ensure it was taken and not hidden inside the cheek.

3.Which is an example of standing order?

a. Cefuroxime 750 mg, IV every 8 hours.
b. Paracetamol 300 mg, IV, every 8 hours as needed for severe pain.
c. Pip-taz 4.5 gm IV 30 minutes prior to operation.

4. What is the best way to prevent cross-contamination?

a. Cleaning all the medical supplies after each use or when it is dirty.
b. Wearing proper Personal Protective Equipment all the time whenever going to the client.
c. Performing hand hygiene.
5. Right of medication administration that conducts appropriate follow up for the client,
checking if there are any side effects, or adverse reactions after administration?
a. Right Assessment
b. Right Documentation
c. Right Evaluation

6. The degree to which subcutaneous medications are administered.

a. 45 degrees.
b. 90 degrees.
c. All of the above.

7. Proper sequencing of Donning, putting on Personal Protective Equipment?

a. Hand hygiene, gloves, gown, mask, eye shield.
b. Hand hygiene, gown, gloves, N95, face shield.
C. Hand hygiene, gown, N95, goggles, gloves.

8. Proper sequencing of Doffing, removing Personal Protective Equipment?

a. Gloves, mask, hand hygiene, goggles, gown.
b. Gloves, gown, hand hygiene, goggles, mask.
c. Gloves, hand hygiene, gown, mask, goggles.

9. Duration of which hand hygiene is employed as per WHO.

a. 15-40 seconds.
b. 30-60 seconds.
c. 20-30 seconds.

10. It is done when hands are visibly soiled.

a. Surgical handwashing.
b. Hand hygiene.
c. Handwashing

11. How many moments we have for hand hygiene.

a. 4
b. 5
c 5.5

12. The client is known to be vomiting for 2 days, what should the nurse do?
a. Administer oral anti-emetic medication as prescribed by the Physician.
b. Administer parenteral medication as ordered by the Physician.
c. Administer anti-emetic medication through a feeding tube.

13. If sterile fields must always be kept in sight to be considered sterile, what should the nurse do?
a. Keep the table that holds the sterile equipment at the back of the Surgeon, for nurses’ to easily
access the sterile instrument.

b. Make sure that the table that holds the sterile equipment is located near the operating rooms
door.

c. Never turn your back on the sterile field.

14. Upon checking the supplies of dressing kit and suturing kit, the nurse notices that one dressing
set has tearing on the package, what should the nurse do?

a. Set the dressing kit aside, plaster the tear with micropore, label it, and make sure that it is used
for the next procedure.

b. Set aside the dressing kit, notify your charge nurse, make sure that it is not used for any
procedure.

c. Set aside the dressing kit, and make it available for next use.
15. The statement shows that the nurse is aware of what is happening to the patient and
encourages him/her to talk about it.

a. Tell me how it happened.

b. “You went for a walk and then you felt the sharp chest pains, which radiated down your arm”.

c. “You seem to be upset”.

16. It means that tests, treatments, and medications have been explained to the person, as well as
outcomes, possible complications, and alternative procedures.

a. Inferred consent.

b. Surgical consent.

c. Informed consent.

17. The nurse is telling her colleague that the new doctor does not seem to know what he is doing.
Based on her statement, the nurse can be charged against,

a. Negligence

b. Libel

c. Slander

18. Ethical principles that shows an act of truthfulness

a. Fidelity

b. Veracity.

c. Vividly

19. What best describes a nurse being non-therapeutic?

a. “I will be with you until they come to fetch you for the operation in theater”

b. Please tell me more about yourself

c. I think you must talk it out with your spouse if yor are having some issues with your relationship.

20. A nurse may be liable if a client receives the wrong medication and is harmed, and called

a. act of commission
b. act of omission

c. none of the above

21. An attempt or threat to touch another person unjustifiably is called

a. Battery

b. Assault

c. Homicide

22. All areas mentioned below are non-sterile except

a. back of any health care provider

b. below the waist level

c. above waist level

23. The nurse will administer a vitamin K to a newborn client intramuscularly, what site would be
the best location for this type of client?

a. Deltoid

b. Ventrogluteal

c. Vastus Lateralis

24. An act which keeps information of all clients among health care providers who are only involved
in the patient’s care is,

a. Act of veracity

b. Act of justice

c. Privacy and Confidentiality.

For items 25-26, name 2 moments of hand hygiene.

25-26.

For items 27-30, name 4 rights of medication administration.

27-30.