Nursing.Criminology.LET.CSE.

NAPOLCOM
4th Floor Insular Life Bldg. Rizal St. Legazpi City
Take Home Exam: Fundamentals of Nursing 1
Instructions:
1. Choose the best answer and encircle the corresponding letter on the questionnaire.
2. Show your duly accomplished output to iMind Staff at the next meeting.
1. A patient who describes his illness is providing which type of data?
a. Subjective c. Covert
b. Sign d. Objective data
2. Which of the following is not a part a nurse’s responsibility to a patient with a diagnostic test
called vanillymandelic acid test?
a. Explain to the patient that the test will be done to diagnose pheochromocytoma and other
adrenal tumors.
b. The client should be restricted to eat coffee, tea, bananas, or anything with vanilla and aspirin
for 2-3 days before the test is started.
c. The client must be put on NPO when the test is started
d. Urine will be collected as the specimen
3. How would you prepare for the accuracy of the occult blood examination?
a. Meatless diet for 72 hours prior to collection of the specimen
b. Fluid intake is increased an hour before the collection of the specimen
c. Fluid intake is limited only to 1 liter per day
d. NPO for 9 hours prior to collection of specimen
4. A patient performing a finger stick for blood glucose determination asks why the side of the
fingertip is advised as the preferred site. The nurse is aware that it is because:
a. The blood supply is greater in this area
b. It is easier for the self-determination method
c. The side of the finger is less responsive to pain
d. It leaves more room for other site selection
5. Mr. Zamora, RN, has been assigned several patients. Which one of the following patients would
most likely have a higher than normal temperature?
a. The depressed, apathetic patient
b. The patient addressed with hemorrhage
c. The patient who is recovering from surgery
d. The patient experiencing strong emotions
6. Ms. Pascual, age 66, suddenly develops rectal hemorrhaging, her radial pulse is difficult to palpate
even with slight pressure. This type of pulse would be described as:
a. Absent c. Thready
b. Nonpalpable d. Bounding
7. The nurse is assessing Ms. Bernardo’s blood pressure for the first time as a part of the patient’s
postoperative assessment. After reaching the level of maximum inflation of the cuff, the nurse
would:
a. Deflate the cuff slowly and wait 15 to 20 seconds before reinflating
b. Deflate the cuff rapidly and wait 15 to 30 seconds before reinflating
c. Deflate the cuff slowly and wait for 1 minute before reinflating
d. Deflate the cuff rapidly and wait for 1 minute before reinflating
8. During admission, the client complains on a lymph node that make her uncomfortable on her left
breast. With these data, the nurse is about to double check and confirmed the gathered data. The
nurse should:
a. Assess for the breast self-integrity
b. Palpate the left breast first using finger pads
c. Palpate the right breast first then the left breast afterwards
d. Palpate the left breast first using palm
9. The x-ray examination for Mr. Sy to detect ulcerations of the stomach or duodenum is:
a. Ba enema c. G.I. series
b. Chole. G.I. series d. Gastroscopy
10. Which statement best describes the purpose of nursing diagnosis?
a. Identification of problem areas c. Organization of assessment data
b. Specification of patient’s health care needs d. Preparation of a clinical abstract
11. The nurse performs defibrillation correctly to the client if:
a. He synchronizes defibrillation with QRS complex
b. He discharges 100 joules in every defibrillation
c. He makes it sure that the patient is pulse less
d. He has kept the patient on NPO for 4 hours before the procedure
12. The patient with COPD is seen at the ER. The nurse observes that the patient is receiving 9LPM of
oxygen via nasal cannula. The nurse should:
a. Not question the doctor’s order
b. Lower oxygen delivery 1-2 liters per minute
c. Allow such amount of oxygen be delivered to the client to reduce signs and symptoms of
COPD
d. Discuss with the co-staff nurses the advantages and disadvantages of oxygen therapy to
clients with COPD

iMIND iNSIGHTS COMMITMENT. EXCELLENCE. QUALITY. 1st Edition

13. Prior to the series of procedures the patient is assessed for presence of seafood allergies, presence
of metal objects within the body. With these, the patient was also encouraged not to take stimulants
before the procedures. Which of the following tests will not b performed to the patient?
a. Magnetic resonance imaging c. Electroencephalography
b. CT scan d. Thyroid ultrasound
14. Which of the following tests does not require the use of a dye?
a. Myelogram c. Electroencephalography
b. Coronary angiography d. CT scan
15. A post-operative patient has been given morphine. The nurse should e aware that continuous or
prolonged use of opioids could lead into which of the following most common side effects?
a. Respiratory depression, constipation c. Hypotension and tachypnea
b. Pruritus and nausea d. Pinpoint pupils and diarrhea
16. Her former manager demonstrated passion for serving her staff rather than being served. She
takes time to listen,prefers to be a teacher first before being a leader, which is characteristic of:
a. Transformational leader c. Servant leader
b. Transactional leader d. Charismatic leader
17. She came across a theory which states that the leadership style is effective dependent on the
situation. Which of thefollowing styles best fits a situation when the followers are self-directed, experts
and are matured individuals?
a. Democratic c. Laissez faire
b. Authoritarian d. Bureaucratic
18. Ms. Castro learns that some leaders are transactional leaders. Which of the following does NOT
characterize a transactional leader?
a. Focuses on management tasks c. Uses trade-offs to meet goals
b. Is a caretaker d. Inspires others with vision
19. Harry is a Unit Manager I the Medical Unit. He is not satisfied with the way things are going in his
unit. Patientsatisfaction rate is 60% for two consecutive months and staff morale is at its lowest. He
decides to plan and initiatechanges that will push for a turnaround in the condition of the unit. Which
of the following actions is a priority for Harry?
a. Call for a staff meeting and take this up in the agenda.
b. Seek help from her manager.
c. Develop a strategic action on how to deal with these concerns.
d. Ignore the issues since these will be resolved naturally.
20. She knows that there are external forces that influence changes in his unit. Which of the following
is NOT an external force?
a. Memo from the CEO to cut down on electrical consumption
b. Demands of the labor sector to increase wages
c. Low morale of staff in her unit
d. Exacting regulatory and accreditation standards
21. Which of the following is TRUE about functional nursing?
a. Concentrates on tasks and activities
b. Emphasizes use of group collaboration
c. One-to-one nurse-patient ratio
d. Provides continuous, coordinated and comprehensive nursing services
22. Functional nursing has some advantages, which one is an EXCEPTION?
a. Psychological and sociological needs are emphasized.
b. Great control of work activities.
c. Most economical way of delivering nursing services.
d. Workers feel secure in dependent role
23. He raised the issue on giving priority to patient needs. Which of the following offers the best way
for setting priority?
a. Assessing nursing needs and problems
b. Giving instructions on how nursing care needs are to be met
c. Controlling and evaluating the delivery of nursing care
d. Assigning safe nurse: patient ratio
24. Which of the following is the best guarantee that the patient’s priority needs are met?
a. Checking with the relative of the patient
b. Preparing a nursing care plan in collaboration with the patient
c. Consulting with the physician
d. Coordinating with other members of the team
25. The statement, “The Good Shepherd Medical Center aims to provide patient-centered care in a
total healingenvironment” refers to which of the following?
a. Vision c. Philosophy
b. Goal d. Mission
26. Julius orients his staff on the patterns of reporting relationship throughout the organization. Which
of the following principles refer to this?
a. Span of control c. Esprit d’ corps
b. Hierarchy d. Unity of direction
27. He emphasizes to the team that they need to put their efforts together towards the attainment of
the goals of the program. Which of the following principles refers to this?
a. Span of control c. Unity of command
b. Unity of direction d. Command responsibility
28. Katherine is a young Unit Manager of the Pediatric Ward. Most of her staff nurses are senior to
her, very articulate,confident and sometimes aggressive. Katherine feels uncomfortable believing that

iMIND iNSIGHTS COMMITMENT. EXCELLENCE. QUALITY. 1st Edition

she is the scapegoat of everythingthat goes wrong in her department. Which of the following is the
best action that she must take?
a. Identify the source of the conflict and understand the points of friction
b. Disregard what she feels and continue to work independently
c. Seek help from the Director of Nursing
d. Quit her job and look for another employment
29. As a young manager, she knows that conflict occurs in any organization. Which of the following
statements regarding conflict is NOT true?
a. Can be destructive if the level is too high
b. Is not beneficial; hence it should be prevented at all times
c. May result in poor performance
d. May create leaders
30. Alexandra is tasked to organize the new wing of the hospital. She was given the authority to do as
she deems fit. 51.She is aware that the director of nursing has substantial trust and confidence in her
capabilities, communicatesthrough downward and upward channels and usually uses the ideas and
opinions of her staff. Which of the following is her style of management?
a. Benevolent –authoritative
b. Consultative
c. Exploitive-authoritative
d. Participative
Situation: A nurse is monitoring a client who was rushed to the hospital because of severe abdominal
pain. History revealed that the patient has been drinking continuously for more than 24 hours.
Diagnosis is acute pancreatitis.
31. Which is not an appropriate nursing intervention for the patient suffering from pancreatitis?
a. Place patient in semi-Fowler’s position
b. Monitor patient for hypoglycemia
c. Teach the client to take pancreatic enzyme medication before meals
d. Modify diet to low fat
32. The nurse is monitoring the patient for decreasing BP and tachycardia to anticipate the possible
occurrence of:
a. Pancreatic infection c. Alcohol withdrawal
b. Shock d. Pneumonia
33. While providing discharge instructions to the patient, the patient sys to the nurse “I don’t think I
can stop drinking.” The appropriate response of the nurse would be:
a. “Drinking occasionally is allowed.”
b. “It is your right to follow or not to follow your treatment regimen.”
c. “You can drink but wait for at least one year to pass before starting to do so”
d. “Let us talk more about your drinking.”
Situation: A 20 year old client is being treated for pneumonia. He has persistent cough and
complained of severe pain on coughing.
34. What type of instruction could be given to help the client reduce the discomfort he is having?
a. Hold in your cough as much as possible
b. Place the head of your bed flat to help with coughing
c. Splint your chest wall with pillow for comfort
d. Restrict fluids to help decrease the amount of sputum
35. A diagnosis of pneumonia is typically achieved by which of the following diagnostic test?
a. ABG analysis
b. Chest x-ray
c. Blood cultures
d. Nutritional intake
36. The doctor ordered antibiotic to be administered q6 o.Thirty minutes after taking the medication,
the patient complained that he is having difficulty breathing, feels weak and nauseated. The nurse
knows that the patient is experiencing:
a. pulmonary edema and should report to the physician ASAP
b. normal therapeutic effect of the drug and should give the patient to do coughing exercises
c. part of the signs and symptoms of pneumonia and encourage the patient to do coughing
exercises
d. anaphylactic reaction and should notify the physician right away
37. The client has been treated with antibiotic therapy for left lower lobe pneumonia for 10 days.
Which of the following physical findings would lead the nurse to believe it is appropriate to discharge
the client?
a. Continued dyspnea c. Respiratory rate of 32 breaths/min
b. Temperature of 102’F d. Vesicular breath sounds
Situation: Mr. Jamandron is a 60 year old man who just had cataract surgery performed of his right
eye.
38. As the nurse reviews the history of the patient, which finding will not be expected?
a. blurred vision c. eye pain at night
b. cloudy white pupil d. sensitivity to glare
39. After discharge, Mr. Jamandron attends the eye clinic for follow-up visits. When he receives his
cataract glasses, it is important that the nurse advise him that:
a. His peripheral vision will be increased
b. Objects will appear closer than they really are
c. Magnification by the lens is only about 10%
d. Judging distance will be easier

iMIND iNSIGHTS COMMITMENT. EXCELLENCE. QUALITY. 1st Edition

40. The nurse should instruct a client preparing for eye surgery that which of these activities will be
restricted post-operatively?
a. Bending with the knees flexed c. Keeping the head in a neutral position
b. Bending from the waist d. Lying flat
41. Nursing care for Mr. Jamandron during the first 24 hours after surgery will include:
a. Encourage the patient to do eye exercises
b. Changing the dressing every shift
c. Encouraging coughing and deep breathing
d. Lie on the unoperated side
Situation: Mrs. Lopez is admitted to the Coronary Care Unit. She tells the nurse she is sure her pain is
just angina but claims she do not really understand the difference between angina and myocardial
infarction pain.
42. Which response is most appropriate for the nurse to make to Mrs. Lopez’ statement that she does
not understand the difference between angina and M.I. pain?
a. Anginal pain is usually last only 3-5 minutes
b. Anginal pain produces clenching of the fist over the chest while acute MI pain does not
c. Anginal requires morphine for relief
d. Anginal pain radiates to the left arm while acute MI pain does not
43. The morning after admission, Mrs. Lopez told the nurse that she must be home tonight to take
care of the children when r. Hubbard goes to work. The problem identified at this point would be:
a. Anxiety related to physical limitations
b. Alteration in cardiac output
c. Inability of client to understand the disease process.
d. Safety needs related to inability to cope
44. Oxygen is ordered. Administering oxygen to a client with acute M.I. is related to which of the
following client problem?
a. Anxiety
b. Presence of thrombus
c. Alteration in heart rate, rhythm and conduction
d. Chest pains
45. The nursing management of a client with acute CHF will include all of the following except:
a. an increase in cardiac output c. a reduction in the heart’s worked
b. an elevation in renal blood flow d. a decreased in myocardial contractility
46. The patient is placed on digitalis and diuretic therapy. When these two therapies are given
simultaneously, the nurse should closely monitor the client for signs of:
a. Electrolyte depletion c. Hypotension
b. Dehydration d. Hypovolemia
47. Mrs. Lopez is ready to be discharged. The nurse gives her instructions regarding the medications
she has to take at home. Which of the following statements of the patient indicates a need for further
teaching?
a. I should not take my digitalis medication when my heart rate falls below 60.
b. I need to increase the dosage of my digitalis whenever I begin to experience blurring of vision.
c. I should rest awhile after a meal.
d. Nitroglycerine is for my chest pain.
Situation: Ms. Deborah Corpuz is admitted in the hospital because of easy fatigability for the past few
months. After a series of examinations, a diagnosis of hyperthyroidism was confirmed.
48. An assessment was made, the least symptom that she would experience is:
a. Intolerance to heat c. Palpitation
b. Hyperactive d. Constipation
49. After three months, the patient was readmitted to the hospital for thyroidectomy. Prior to surgery,
the doctor prescribed Lugol’s solution. When administering this medication, the nurse should
remember the following considerations except:
a. not to administer it for more than 10 days
b. telling patient to take it using straw
c. crashing the tablet then giving it with sweets to mask metallic taste
d. watch out for hypersensitivity reaction
50. The primary reason why Lugol’s solution is administered prior to surgery is to:
a. Decreased thyroid hormone secretion
b. Limit bleeding
c. Reduce metabolic rate
d. Provide a store of thyroxine hormone after surgery

iMIND iNSIGHTS COMMITMENT. EXCELLENCE. QUALITY. 1st Edition