100 Nursing Board Exam test questions of November 2008 Nurse Licensure Examination (NLE)

Nursing Practice 1 – Foundation of Professional Nursing Practice

Fundamentals of Nursing

PART 1 Board Exam test questions 1 - 50

Situation 1: Nursing is a profession.  The nurse should have a background on the theories and
foundation of nursing as it influenced what is nursing today.

1. Nursing is the protection, promotion and optimization of health and abilities, prevention of illness and
injury, alleviation of suffering through the diagnosis and treatment of human response and advocacy in
the care of the individuals, families, communities and population. This is the most accepted definition of
nursing as defined by the:
A. PNA
B. ANA
C. Nightingale
D. Henderson

2. Advancement in Nursing leads to the development of the Expanded Career Roles. Which of the
following is NOT expanded career role for nurse?
A. Nurse practitioner
B. Clinical Nurse Specialist
C. Nurse Researcher
D. Nurse anaesthesiologist

3. The Board of Nursing regulated the Nursing profession in the Philippines and is responsible for the
maintenance of the quality of nursing in the country. Powers and duties of the board of nursing are the
following EXCEPT:
A.  Issue, suspend revoke certificates of registration
B.  Issue subpoena duces tecum, ad testificandum
C. Open and close colleges of nursing
D. Supervise and regulate the practice

4. A nursing student or a beginning staff nurse who has not yet experienced enough in a situation to
make judgments about them is in what stage of Nursing Expertise?
A. Novice
B. Newbie
C. Advanced Beginner
D. Competent

5. Benner’s “Proficient” nurse level is different from the other levels in nursing expertise in the context
of having:
A. The ability to organize and plan activities
B. Having attained an advanced level of education
C. A holistic understanding and perception of the client
D. Intuitive and analytic ability in new situations
Situation 2: The nurse has been asked to administer an injection via Z TRACK technique. Questions 6 to
10 refer this.

6. The nurse prepares an IM injection for an adult client using the Z track techniques, 4 ml of medication
is to be administered to the client. Which of the following site will you choose?
A. Deltoid
B. Rectus Femoris
C. Ventrogluteal
D. Vastus lateralis

7. In infants 1 year old and below, which of the following is the site of choice in intramuscular injection?
A. Deltoid
B. Rectus Femoris
C. Ventrogluteal
D. Vastus lateralis

8. In order to decrease discomfort in Z track administration, which of the

A. Pierce the skin quickly and smoothly at 90 degree angle
B. Inject the medication at around 10 minutes per millilitre
C. Pull back the plunger and aspirate for 1 minute t make sure that the needle did not hit a blood vessel
D. Pierce the skin slowly and carefully at a 90 degree angle

9. After injection using the Z track technique, the nurse should know that she needs to wait for few
second before withdrawing the needle and this is to allow the medication to disperse into the muscle
tissue thus decreasing the client’s discomfort. How many seconds should the nurse wait before
withdrawing the needle?
A. 2 second
B. 5 seconds
C. 10 seconds
D. 15 seconds

10. The rationale in using the Z track technique in an intramuscular injection is:
A. It decreases the leakage of discolouring and irritating medication into the subcutaneous tissue.
B. It will allow a faster absorption of the medication
C. The Z track technique prevent irritation of the muscle
D. It is much more convenient for the nurse

Situation 3: A client was rushed to the emergency room and you are his attending nurse. You are
performing a vital sign assessment:

11. All of the following are correct methods in assessment of the blood pressure EXCEPT:
A. Take the blood pressure reading on both arms for comparison
B. Listen to and identify the phases of Korotkoff sound
C. Pump the cuff to around 50mmHg above the point where the pulse is obliterated
D. Observe procedures for infection control

12. You attached a pulse oximeter to the client. You know that the purpose id to:
A. Determine if the client’s hemoglobin level is low and if he needs blood transfusion
B. Check level of client’s tissue perfusion
C. Measure the efficacy of the client’s anti-hypertension medications
D. Detect oxygen saturation of arterial blood before symptoms of hypoxemia develops

13. After a few hours in the Emergency Room, the client is admitted to the ward with an order of hourly
monitoring of blood pressure. The nurse finds that the cuff is too narrow and this will cause the blood
pressure reading to be:
A. Inconsistent
B. Low systolic and high diastolic
C. Higher than what the reading should be
D. Lower than what the reading should be

14. Through the client’s health history, you gather that the patient smokes and drinks coffee. When
taking the blood pressure of a client who recently smoked or drank coffee, how long should the nurse
wait before taking the client’s blood pressure for accurate reading?
A. 15 minutes
B. 30 minutes
C. 1 hour
D. 5 minutes

15. While the client has pulse oximeter on his fingertip, you notice that the sunlight is shining on the
area where the oximiter is. Your action will be to:
A. Set and turn on the alarm of the oximeter
B. Do nothing since there is no identified problem
C. Cover the fingertip sensor with a towel or bedsheet
D. Change the location of the sensor every four hours

16. The nurse finds it necessary to recheck the blood pressure reading. In case of such reassessment, the
nurse should wait for a period of:
A. 15 seconds
B. 1 to 2 minutes
C. 30 minutes
D. 15 minutes

17. If the arm is said to be elevated when taking the blood pressure. It will create a:
A. False high reading
B. False low reading
C. True False reading
D. Indeterminate

18. You are to assessed the temperature of the client the next morning and found out that he ate ice
cream. How many minutes should you wait before assessing the client’s oral temperature?
A. 10 minutes
B. 20 minutes
C. 30 minutes
D. 15 minutes