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NP 1
Situation: You as a nurse is expected to asses, contribute and preserve work environment
that supports fulfilling your ethical responsibility as a professional.

1. Nurse Micah is assigned to the Emergency Department. She is currently attending to a

client with a complaint of acute abdominal pain. Which of the following actions of Nurse
Micah demonstrates respect of client’s autonomy?*
A. Complying when the physician attempts to delegate obtaining informed consent
B. Describing the risks and be nefits of the reasonable alternative to treatments
C. Facilitating and supporting client’s choices regarding treatment options
- autonomy means voluntary decision, only no.3 showed na sinusupport ang decision or
hinayaang mag decide yung patient sa sarili niya

2. The nurse obtain the blood pressure of a client and have a reading of 160/100mmHg.
The nurse did not tell the client the reading because she believes that this information will
upset him and consequently further elevate his blood pressure. This situation illustrates
an example of:*
A. Paternalism
B. Self – determination
C. Autonomy
D. Beneficence

3. Which of the following statements is true regarding informed consent?*

A. It is an ethical responsibility of nurses to provide client with opportunities to give
informed consent- AUTONOMY
B. Nurses may not be legally liable if they know that informed consent was not obtained
C. It is ethical or legal for nurses to obtain informed consent for procedures that are to be
performed by a physician

4. The nurse’s compassion is aroused when a patient under her care is suffering and is in
a prolonged life – sustaining machine. Many times the nurse experiences feeling of
uneasiness and anguish. This human condition that confronts the nurse gives rise to:*
a. Unavoidable trust
b. Ethical dilemma- conflict in ethical principles
c. Human indignation
d. Moral suffering

5. The nurse shows respect to human dignity[-patient din dapat nagdedecide] when she
observes which of the following situations when caring for the clients?*
a. Asking the client’s priorities after assessing the client’s capabilities in the past and in
the present
b. Evaluating response of client to the nursing care rendered by the health care team as
planned
c. Constant monitoring of client’s condition and reporting any unusual occurrences to the
health team
d. Planning nursing care together with the client and immediate relative

Situation: Accuracy in the computation and administration of medications ordered is

extremely important to avoid medication errors that may threaten the clients’ welfare.

6. A hypertensive client is ordered to receive 20 mEq of Potassium Chloride. The bottle

is labeled KCL elixir 10 mEq/ml. how many ml should be given?*
a. 1.5 ml
b. 2 ml Formula: Desired dose times Quantity
c. 0.5 ml Stock dose
d. 1 ml 20meq times 1ml=
10meq/ml

7. A client who is experiencing tachycardia is ordered to receive Digoxin 0.325 mg OD.

The stock is 0.25 mg/tab. How many tablet/s should be given to the client?*
a. 1.5 tablets - nearest
Formula: 0.325 mg × 1 tab
b. 2 tablets
0.25 mg
c. 3 tablets
= 1.3 tablets
d. ¾ tablet

8. A client who have episodes of seizure is ordered to received Dilantin 5mg/kg body
weight is ordered to a client who weighs 50lbs. the drug is to be administered in 3 equal
doses. The label reads Dilantin suspension 125mg/ml. how much medication should be
administered to the client?* Wt: 50 lbs
a. 0.5ml 2.2
b. 1.0ml = 22.72kg
c. 1.5ml Desired= 5mgkg×22.72 kg= 113.6 mg
113.6
125mg/ml
=0.9ml

d. 1.8ml

9. A post exploratory laparotomy client has an order for Meperidine Hydrochloride 50mg
every 4 hours PRN. The multiple vial dose vial is labeled 50mg/ml. what is the correct
dose to be administered to this client when he complains of pain?*
a. 0.5ml
Formula: 50mg/ml ×1
b. 1.5ml
50mg
c. 2.0ml
=1.0ml
d. 1.0ml

10. An order is given to a young adult to receive 1 million units of penicillin. The stock
on hand is Penicillin 500,000 units and the direction reads: add 1.3ml to yield 2ml. What
is the correct amount to be administered?*
a. 3ml Formula= 1,000,000×2ml
b. 2.5ml 500,000 units
=4ml
c. 2ml
d. 4ml

Situation: A Nurse manager of a medical center was tasked to organize a core group that
will conduct a strategic plan for their institution. The group consists of key players from
the different units of the health facility.

11. Which of the following are the benefits of coming up with a strategic plan? 1.
Enhance organizational capabilities of the constituents 2. Improve understanding among
the members of the organization 3. Realize the vision-mission of the institution 4. A
supportive and powerful coalition is developed 5. Improve communication and public
relation

A. 3 and 4 only
B. 1 and 2 only
C. 2, 3 and 4 only
D. ALL of the options

12. The team started the planning session with an aim to revisit of the institution's vision-
mission. Vision pertains to:(- future aim)
A. Value statement of the organization

B. Preferred future of the organization

C. Mission that anchors on certain specific task

D. Belief of the members

13. In the strength, weaknesses, opportunities and threats (SWOT) analysis, the
organizational structure of the medical center including the chain of command were
analyzed. Which of the following describes an authoritative type of organization?( leader
yung nagdedecide; downward communication= top to down)*

A. Authority and responsibility are delegated to the lowest level

B. The organizational structure is flat
C. Communication comes from the different directions
D. Control and communication flow is from top down

14. The team were unanimous in saying that the Medical Center is a people-oriented
organization which promotes Empowerment. When there is a decentralization of power it
promotes the following EXCEPT:*
A. Promotes long-range planning than short-term planning
B. Have voice in the governance of the institution/
C. Encourages creativity and commitment of the people/
D. Increased morale of the personnel/

15. The outcome of the strategic plan session by the representative groups is for the
medical center to have a shared governance. It means: 1. There will be increased
authority and control over their unit of assignments 2. Wider participation in decision-
making before final decision is made 3. There will be autonomy and control of its own
practices 4. Environment is democratic and participative*
A. 1 and 2 only
B. 2, 3, and 4 only
C. 1 only
D. ALL of the options
Situation: You are a member of research team of a health unit that is tasked to conduct a
study to present an evidence for the best nursing practice in your clinical setting.

16. A research idea or problem is generated through the following, Except:*

A. Critical review of literature

B. Review of policy guidelines
C. Practical experience
D. Recommendation for funding source - kung ano dapat interest ng researcher; hindi
iisipin yung funds

17. Your team is interested to consider handwashing as a topic for research. The
statement, "in what situations do staff nurses wash their hands in the clinical areas?" This
is an example of a research ___________.*
A. Purpose
B. Problem
C. conceptual statement
D. hypothesis

18. In the final selection of a research problem, aside from its significance to nursing
practice, you will also have to consider the following criteria, except:*
A. Investigators interest to the problem/
B. Researchability of the problem/
C. Feasibility of addressing the research problem/
D. Investigators work schedule

19. You know that a good research problem should exhibit the following characteristics.
Which one is NOT always included?*
A. Implies the feasibility of empirical testing/
B. Indicates the hypothesis to be tested
C. Specifies the population being studied/
D. Clearly identified the variables/phenomenon under consideration/

20. You also know that a good research requires a thorough review of the literature. The
first step in searching for literature to locate all pertinent sources is to *
A. Conduct print or computer search
B. Identify key words and concepts to be searched
C. Ask help from the librarian about potential references
D. Refer to the bibliographic lists of related studies

Situation – Spiritual care deals with the history, philosophy, theories, principles, process,
modes and interventions of spiritual care. Emphasis is made on the process of spiritual
formation and the role of nurses in providing spiritual care.

21. The following statements are true in spiritual care nursing except:*
a. Mobilizing the patient’s spiritual resources and patients’ expressed needs /
b. Developing a relationship of trust between the nurse and the patient/
c. Referral or utilize members of the team is not important for spiritual care as it is for
other aspects of care
d. Awareness and respect of the patient’s culture, social and spiritual preferences/

22. The following are vulnerable groups needing spiritual care: (1) Chronically ill
patient (2) Older adult (3) Dying and Bereavement (4) During disasters (5) During
Emergencies (6) Patient with acute illness (7) Children and families*

A. 2, 4, 6
C. 1, 3, 5, 7
B. 1 only
D. All are correct

23. The following statements are true of Parish nursing also known as faith
community nurse:*
a. A registered nurses with a minimum of 2 years experience/
b. There is conscious partnering of health issues with the faith of the client and client’s
family/
c. The core to this practice is in the intentional care of the spirit of those the PN assist/
d. All are correct

24. Roles of a parish nurse includes all of the following: (1) Health advisor
(2) Educator on health issues (3) Advocate/
resource person(4) Liason to faith and community resources (5) Teacher and
volunteers and developer of support groups(6) Healer of body, mind, spirit and
community *
A. 1, 3, 5
B. b. 2, 4, 6

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C. All are true except 6

D. All are correct

25. The following statement are true of palliative (-symptomatic care)/ hospice -(end
of care) (1) Excellent, evidence based medical treatment (2) Vigorous care of pain and
symptoms throughout illness (3) Provides support and care for those in the last phases of
life- limiting illness (4) Recognizes dying as part of the normal process of living (5)
Affirms life and neither hastens nor postpones death (6) Focuses on quality of life for
individuals and their family caregivers*
a. 1, 3, 5
b. 2, 4, 6
c. All are true except 6
d. All are correct

SITUATION. Nurse Sophia is caring for Yannie, a 32 year old primigravida at 39-40
weeks AOG was admitted to the labor room due to hypogastric and lumbo-sacral pains.
IE revealed a fully dilated, fully effaced cervix. Station 0.

26. Andrea is immediately transferred to the DR table. Which of the following

conditions signify that delivery is near? 1. A desire to defecate 2. Begins to bear down
with uterine contraction 3. Perineum bulges 4. Uterine contraction occur 2-3 minutes
intervals at 50 seconds duration(60-90 secs) -(dapat kapag malapit mangank dapat
tumatagal yung duration and umiiksi yung interval)
A. 1,2,3
B. 1,2,3,4
C. 1,3,4
D. 2,3,4

27. Artificial rupture of the membrane(-risk of infection) is done. Which of the

following nursing diagnoses is the priority?*
a. High risk for infection related to membrane rupture- 2 nd
b. Potential for injury related to prolapse cord - first nx dx priority
c. Alteration in comfort related to increasing strength of uterine contraction
d. Anxiety related to unfamiliar procedure

28. Yannie complains of severe abdominal pain and back pain during contraction.
Which two of the following measures will be MOST effective in reducing
pain(pharmacological treatment is the most effective if server pain)? 1. Rubbing the back
2.Effleurage 3. Imagery 4.Breathing techniques*
A. 2,4
B. 2,3
C. 1,4
D. 1,2

29. Lumbar epidural anesthesia(- unstable hemodynamics= bagsak lahat ng V/S) is

administered. Which of the following nursing responsibilities should be done
immediately following procedure?*
a. Reposition from side to side
b. Administer oxygen
c. Increase IV fluid as indicated
d. Assess for maternal hypotension

30. The nurse is caring for a woman in labor. The woman is irritable, complains of
nausea and vomits and has heavier show. The membranes rupture. The nurse understands
that this indicates:*
a. The woman is in transition stage of labor
b. The woman is having a complication and the doctor should be notified
c. Labor is slowing down and the woman may need oxytocin
d. The woman is emotionally distraught and needs assistance in dealing with labor.
Situation: Nurse Mak is caring for pediatric clients who have different metabolic and
endocrine disorders.

31. A school-age child needs 5 units of regular insulin to be administered. She is in the
playroom when you are ready to give the injection. Your best action would be to:*
a. Inject it in the playroom; insulin injections do not hurt.
b. Tell her to come outside the playroom for the injection.-playgroup is a happy place for
children; we don’t want na ma-associate dito ang trauma
c. Ask the other children if they would mind if you gave the injection in the playroom.
d. Ask the girl if she would mind if you gave the injection in the playroom.

32. Diabetes insipidus (DI)-(decrease antidiuretic hormone;DM yung need ng insulin)

is suspected in a child. His parents asked Nurse Mak how often the child needs insulin
injections in a day. Nurse Mak answers correctly by stating:*
a. “The child would need an intermediate- and long-acting insulin given 2 hours and
before night time respectively.”
b. “You seem very anxious. Do you want to talk about your fears?”
c. “Your child’s condition does not necessarily need insulin regimens.”
d. “I will ask your doctor first.”

33. A patient with Cushing’s syndrome due to a primary tumor is expected to have
elevated levels of the following, except:*
a. Adrenocorticotropic hormone/
b. Antidiuretic hormone
c. Cortisol/
d. None is an exception

34. Isabella is suspected to have diabetes mellitus (DM). Her first test reveals elevated
blood sugar. She was required to undergo a second test of her blood sugar. Which of
these results would confirm presence of DM?*
a. Fasting blood sugar 104 mg/dL
Note: FBS= NORMAL >125mg/dl
b. Random blood sugar 190 mg/dL RBS= >200mg/dl
c. Fasting blood sugar 130 mg/dL Confirmatory test: Hemoglobin A1C(HgA1C)
d. Random blood sugar 122 mg/dL - history of RBC for 3 mos (hindi siya
nadadaya)

35. Which toy would you expect to provide the best therapeutic play for a child who
has to receive daily medicine injections?*
a. Anatomically-correct puppet
b. Doll with a cast in place.
c. Syringe to practice injections
d. Stuffed bear with Band-Aids.
Situation: There are various pediatric disorders that require comprehensive assessment
and nursing interventions. The following scenarios refer to health problems of children.

36. Ian is a pediatric patient of Nurse Regine. Ian is diagnosed with Duchenne’s
Muscular Dystrophy (DMD)(- tinutungkod yung kamay hanggat samakatayo siya)
Because of this condition, when Ian tries to walk, he is said to “walk up his front” –
pressing his hands against his ankles and thighs. Regine notes sign as:*

a. Gower’s sign
b. Chadwick’s sign
c. Ortolani’s sign
d. Barlow’s sign

37. To maintain the optimal functioning of Ian’s muscles, select the interventions that
Nurse Regine should include in her care plan and discharge plan. i.Maintain complete
bed rest as long as possible.× ii.Perform stretching exercises, strength and muscle training
as much as the client can tolerate/. iii.Perform breathing exercises to increase and
maintain lung vital capacity/. iv.Comply to follow-up in physical therapy/ v.Encourage
influenza and pneumococcal vaccines /vi.Encourage parents to perform all Jim’s ADLs to
avoid fatigue.*×
a. i, iii, iv
b. i, ii, iii, iv, v
c. ii, iii, iv
d. ii, iii, iv, v

38. Nurse Regine is handling another patient with myelomeningocele, a type of spina
bifida. Nurse Regine knows that neural tube disorders like spina bifida is prevented by
prenatal intake of which of the following?*
a. Vitamin B9- /folic or folate
b. Vitamin B6
c. Vitamin B12
d. Vitamin B1

39. The patient with myelomeningocele-( may bukol sa likod; patient’s sac is exposed
with csf, meninges and nerves) is placed under a warmer without any clothing. How
should Nurse Regine care for the patient’s sac?*
a. Leave it uncovered.
b. Frequently rub petroleum jelly on the sac covering.
c. Apply sterile, moist, nonadherent dressing over the sac.
d. Cover with sterile gauze moistened with 40% ethyl alcohol.

40. In feeding the infant with the myelomeningocele sac, how should Nurse Regine
position him to prevent complications?*
a. Place the infant in a supine position with two pillows under the head
b. Keep the patient in prone position with the head turned to the side.

c. Place the infant supine with pillows on one side of his back.
d. Request for a nasogastric tube to be inserted.
Note: occulta- sac is hidden
Meningocele- sac is exposed with csf & meninges
Myelomingocelye- meninges with nerves and csf

Situation: You are part of the research department in the Department of Health. As a
nurse researcher, you have a good understanding on the different concepts and terms
utilized in carrying out the research process.

41. In one of the studies conducted, the hypothesis formulated was stated, “Baccalaureate
degree-prepared nurses will practice more palliative nursing measures on a client in an
ICU than will associate degree- prepared nurses.” The independent variable here is:*
a. Baccalaureate degree-prepared nurses Note: Independent variable-
b. Associate degree-prepared nurses cause
c. Palliative nursing measures Dependent variable-effect
d. Type of educational background of nurses

42. In a certain study, the researcher was asked to include the subjects’ gender. Gender is
classified in what scale of measurement?*
a. Ordina
b. Ratio
c. Nominal
d. Internal

43. Empiricism refers to:*- measured &observed using 5 senses

a. Making generalizations from a specific observation
b. Gathering evidence rooted in objective reality
c. Verifying assumptions on which the study was based
d. Deciding specific productions from generalizations

44. In conducting a research, you did not collect any information that would link to the
identification of the participants to their responses. The ethical guideline observed is:*
a. Privacy of participants
b. Autonomy
c. Confidentiality of information
d. Anonymity of respondents-

45. As you write your introduction for your study, you must take all of the following
considerations, except:*
a. Presenting every detail of the study concisely
b. Omitting the major findings of the study
c. Careful selection of words to avoid redundancy
d. Using a deductive presentation of the study
Situation: Aside from knowing the diseases which are currently included in the
Philippines’ Newborn Screening Program, nurses must also be equipped with the
knowledge on how to properly care for newborns who tested positive for any of the
inborn errors of metabolism.

46. Which of the following food products should be eliminated in the diet of a child
with Phenylketonuria?*-toxic levels of phenylalanine(common protein &amino acid) due
to inability of body to convert
a. bread
Note: Note:
b. pineapple Causes: mental retardation, Avoid; meat, dairy products,
c. milk convulsions, beh.pattern, dry beans, nuts, and eggs
d. potato skin rash, musty body odor

47. In clients with Phenylketonuria, at which developmental period would the dietary
restrictions be easily applied?*
a. Infancy
b. Toddlerhood
c. Preschool years
d. School years

48. Which of the following is recommended for newborns and infants who are
diagnosed with Galactosemia?*-animal milk including human, and breastmilk
a. breastmilk
Note: effect if hindi Note: avoid, fava, red
b. commercial milk formula NBS yung infant wine, legumes,blueberry,
c. fruit juices Galactosemia soya food, tonic water,
d. soy-based formula- plant based bitter melon
(GAL) = DEATH

49. For newborns diagnosed with Maple Syrup Urine Disease, which of the following
vitamins should be increased in their diet?*

a. Thiamine -vitamin b1
b. Pyridoxine Note: effect if hindi NBS yung infant

c. Tochopherol Maple Syrup Urine Disease

d. Vitamin K (MSUD)= DEATH

50. All of the following can trigger hemolysis in children with Glucose-6-Phoshate-
Dehydrogenase Deficiency, except:*
a. fava beans/
b. naphthalene balls/
c. Aspirin/
d. Junk foods
Situation: Nurse Sherlyn works in the orthopedic unit of the pediatric ward.

51. A 13 year old female with structural scoliosis has Harrington rods inserted. Nurse
Sherlyn knows that the best position during the post- operative period is:*
a. High fowler’s
b. Semi-fowler
c. supine in bed
d. side-lying

52. Which of the following observations does Nurse Sherlyn expect to see in her patient
with thoracic scoliosis?*
a. The patient walks with a waddling gait
b. The patient’s sternum is protruding
c. The patient’s lower legs are edematous
d. The patient’s thoracic area is asymmetrical

53. A child with bilateral clubfeet is going home with corrective braces after having both
casts removed. Nurse Sherlyn is completing discharge teaching for the parents. Which of
the following is the highest priority?*
a. Keep the braces concealed under long pants
b. Remove the braces whenever the child is in public
c. Use lotion and then powder to prepare the skin before applying the corrective braces to
the legs

d. Increase the time of interval of wearing the braces and have the child wear them
eventually as much as possible

54. Which of the following positions of the femur is accurate in relation to the
acetabulum in a child with congenital hip dislocation?*
a. Anterior
b. Inferior Note: position of choice: hip
c. posterior abduction= nakabukaka
d. superior

55. Nurse Sherlyn knows that structural scoliosis is not:*

a. Idiopathic
b. Accompanied by damage to the vertebrae
c. A primary lateral curvature with a compensatory second curve
d. A compensatory mechanism in children who have unequal leg lengths and refractive
errors
Situation: A major continuing and non-negotiable task of every nurse in the care of
infants and children at varying stages of their growth and development is the application
of her assessment skills. The following questions apply.

56. Nurse Ivee inquires about the activity level of a 3-year-old under her care. The
mother states that the child loves to play at the park, and the nurse encourages the mother
to continue physical activities. What important principle guides the nurse’s response?*
a. allowing the toddler to walk, run and hop enhances the child’s kinesthesia
b. socialization with other toddlers helps develop communication skills
c. maternal bonding is enhanced through play
d. only emotionally happy child can enjoy the park

57. The father of a 2½ year old asked nurse Ivee how to prevent early childhood dental
cavities. The best response by nurse Ivee would be:*
a. “Let the child watch you brush your teeth so that he can learn how to do it himself.”
b. “Your child has only baby teeth; these will eventually fall out and so there is no need
to worry.”
c. “Take the child to the dentist to see if he has any cavities.”
d. “Make sure your child’s diet is nutritious, and limit snacks high in sugar.”

58. In caring for a 3-year-old, Nurse Ivee knows that she needs to obtain the height of the
child as part of routine health screening. To obtain an accurate measurement, the child
must:*
a. remove his shoes and stand upright, with head level
b. stand with his feet wide apart
c. be measured in a recumbent position
d. face the wall as he is measured

59. The mother of a 3-year old child also under Nurse Ivee’s care tells her that the child
has frequent nightmares. The statement by the mother that indicates the need for more
teaching is:*
a. “I read her a story until she calms down.”
b. “I stay with her a little while to reassure her.”
c. “I usually talk quietly and rub her back to reassure her.”
d. “I take her to my bed so she will calm down.”

60. Our school curricula now include educating the young regarding human sexuality.
What is the most appropriate age group for the nurse to incorporate these in her
instructions?*
a. 9 years old
b. 15 years old
c. 13 years old
d. 11 years old
Situation: Kenneth James, a 9 month old infant is admitted in the pediatric unit due to
enlarged head circumference, bulging fontanelle and sunset eyes. He is diagnosed to have
hydrocephalus

61. Which of the following is not true about hydrocephalus. It is*

a. A disorder that occurs only at birth
b. A problem of over production of CSF
c. An obstruction of flow of CSF in the brain’s ventricular circulation
d. An under absorption of CSF

62. Magnetic resonance imaging is done. Which of the following results does not confirm
the diagnosis of hydrocephalus?*

a. Site of CSF blockage

b. Enlarged cranium
c. atrophied brain
d. enlarged ventricles

63. The top priority in rendering nursing care to this patient is:*
a. Provide emotional support to the parents
Note: s/s of hydrocephalus
b. Monitor signs of increased intracranial pressure
Early: DLOC?=/ALOC
c. Monitor vital signs Late: cushing’s triad= hypertension,
d. promote normal growth and development of the child bradycardia, bradypnea)

64. At nine months old, which of the following behaviors is indicative that his
development is delayed. He can:*
a. Sit with support -6 mos nagagawa na dapat maka-upo w/o support
b. Pull himself up to his feet with assistance
c. Swallow liquid from a cup
d. Handle semi-solid food

65. Kenneth underwent ventriculo-peritoneal shunting. What is the best position for
Kenneth post-operatively?*
a. Flat on bed
b. Trendelenburg
c. head is elevated
d. side lying

Situation: Safety and quality during the birth – giving episode is the nurse’s principal
concern. The following questions apply.

66. The nurse is preparing a woman for epidural anesthesia-unstable hemodynamics. The
woman asks “why is my IV running so fast? It feels so cold” what is the appropriate reply
of the nurse?*
a. “IV hydration helps prevent the blood pressure from dropping so low”
b. “Don’t worry. This is a routine procedure in preparation for an epidural anesthesia”
c. “I’ll slow the IV down so you won’t feel so cold”
d. “IV fluids help prevent spinal headaches”

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67. A woman arrived to the labor suite and states “I have water leaking down my legs”
What assessment is most appropriate in this situation?*
a. urine test for protein
2 possible assessment:
b. DTRs
1. Amniotic fluid
c. Fern test -microscopy (to assess) 2. urine
d. Blood pressure check

68. it is most likely that the physician would consider performing an amnioinfusion -
infusion of fluid to the amniotic sac; cord compression- variable deceleration) when
external fetal monitor tracing shows:*
a. Flat line without variability and no decelerations
b. Occasional mild variable decelerations and moderate variability present
c. Deep variable decelerations with every contraction
d. Consistent early decelerations, variability present and occasional accelerations

69. A woman carrying a breeched fetus is scheduled for external version. She says to the
nurse “I’m really scared of the procedure, will it hurt badly?” What is the best reply of
the nurse?*
a. “The procedure can be quite uncomfortable, but it is best for your baby. You want to
do what is best for the baby, right?”
b. “Sometimes the procedure is uncomfortable. If it becomes too painful, let the doctor
know and she will stop the procedure. ”
c. “You can do it. I’ll hold your hand throughout the procedure and you should be just
fine.”
d. “Don’t worry. An external version procedure is not painful.”

70. Which statement by a postpartum woman after caesarean delivery indicates that
further discharge teaching is needed?*
a. “I need to hold my incision when I cough”
b “My mother will come to help me when I get home.”
c. Being tired may increase the pain I feel.”
d. “The incision needs to be covered with a bandage”

Situation: Socorro, a nurse working in the OB ward of a second level hospital received a
post normal delivery mother back in the ward with her healthy newborn baby girl.
Rooming- In is newly practiced in this hospital

71. Socorro is aware that in accordance with R.A. 7600 of 1992, the purpose of the
“rooming- in” national policy are two-fold; 1. Encourage, protect and support the practice
of breastfeeding/ 2. Save on costs for utilities and personnel for a newborn nursery× 3.
Create an environment where basic physical, emotional, and psychological needs of
mothers and infants are fulfilled/ 4. Teach the mother to take responsibility for caring for
her newborn right after her delivery*
a. 2 and 3 are correct
b. 2 and 4 are correct
c. 1 and 2 are correct
d. 1 and 3 are correct

72. Soon after both mother and baby were settled in their hospital room, the pediatrician,
who is now in the hospital, came to see the baby. After reviewing the baby’s condition
immediately after delivery, she asks, “Is there a standard milk formula the hospital
prescribes or would want us to use?” Nurse Melody was quick to respond, “I am sorry,
but shouldn’t we be adhering to the National Milk Code Act of 2006 and the Expanded
Breastfeeding Act of 2009?” This reflects the nurse’s role as:*
A. strong supporter of the Bureau of Food and Drug (BFAD) in law enforcement
B. patient-advocate and law-abiding practicing health worker
C. representative of the Professional Regulation Commission (PRC) enforcing standards
D. ordinary citizen exercising police powers

73. Socorro is very much aware that in the case of the newborn, within the first hour after
birth, that which is necessary?*
A. Immediate initiation of breastfeeding with complementary milk formula.
B. Immediate initiation of breastfeeding continued within 6 months up to 2 years and
beyond without complementary milk formula. Complementary feeding started only at 6
months.
C. Actual initiation of breastfeeding, continued with complementary milk formula within
6 months up to 2 years and beyond.
D. Initiation of breastfeeding but when not possible, immediate introduction of
complementary formula feeding.

74. After her duty hours, a milk company representative approached Socorro offering her
part time job with them. Socorro turned down the offer because this is in conflict with her

desire to promote breastfeeding. In addition, Section 32 of Administrative Order 2006-

0012 as implementing rules and regulations to Executive Order No. 51 (Milk Code
Policy):*
A. provides that it is generally a choice for the health professional.
B. provides that it is the primary responsibility of the health workers to promote, protect,
and support breastfeeding and appropriate infant and young child feeding and that no
assistance, logistics, or training from milk company is permitted.
C. allows health workers to do public endorsements for as long as it is outside of their duty.
But accepting the offer would create conflict in professional interest which will rebound to
unethical conduct.
D. is actually silent about the matter.

75. Socorro attended a meeting in the hospital representing her ward, where she pushed for
adherence to the “Expanded Breastfeeding Promotion Act of 2009” RA 7600 (Rooming -
In and Breastfeeding Act). This measure provides the 3rd vital component of the
breastfeeding law (PROVISION OF SUPPORT for the practice of breastfeeding) by:*
A. updating the penalty provisions of the former Aquino EO No. 51 and AO No. 2006-
0012.
B. maintaining the provision of facilities for breastmilk collection and storage (e.g. milk
banks) and establishment of “lactation stations” with adequate support facilities, and
providing incentives and sanctions thereto.

C. mandating the provision of facilities for breastmilk collection and storage (e.g. milk
banks) and establishment of “lactation stations” with adequate support facilities, and the
integration of breastfeeding education in the curricula. – it is mandated by the law to have
lactation stations.
D. integrating the key provisions of EO 51 and AO No. 2006-0012
Situation: The nurse is caring for a G3P1 postpartum client who just had her delivery.

76. The nurse is checking for the patients VS and noticed that her temperature is increased.
The mother noticed that she also feels really warm and thirsty. What would the nurse tell
the patient?*- normal na mataas temp24hrs after birth kasi nanganak.pangaganak is
inflammatory process kaya normal to.
a. Tell the patient that what she is experiencing is normal within 24 hours.
b. Tell the patient that what she is experiencing is normal within 48 hours.
c. Tell the patient that she has a starting infection.
d. Tell the patient that she has a good immune system.

77. After 3 days, the patient had a urinalysis. The nurse noticed that the patient’s BUN is
relatively high. What would the nurse do?* - it is also normal for bun to be high kasi may
protein breakdown cause by the delivery. Kaya napunta protein sa ihi.
a. Refer to the attending physician.
b. Note the occurrence as normal.
c. Assess the patient’s level of consciousness.
d. Confer with the other nurses regarding the laboratory result.

78. Knowing that the patient has high levels of BUN in her urine. What would the nurse
tell the client about her diet?* - protein is mababa kasi nagkarron ng protein breakdown
kaya dapat pataasin si protein.
a. Tell the client to decrease her intake of CHON-rich food.
b. Tell the client to increase her intake of CHON-rich food.
c. Tell the client to increase the intake of CHO-rich food.
d. Tell the client to decrease her intake of CHO-rich food.

79. The patient is about to be discharged from the clinic. The patient asks the nurse of when
her menses will return if she will not continuously breastfeed her baby. What will be the
proper health teaching of the nurse?* - if not breastfeeding maagang babalik. If nag
breastfeed mga 4-6 months bago bumalik yung mens.

a. The patient will have her menstrual flow back on track in 6-10 weeks after giving birth.
b. The patient will have her menses 3-4 months after birth.
Note: LAM- best family
c. The patient will have varying menstrual flow. planning method for first
6 months her baby.
d. The client will experience some pain in the abdomen while breastfeeding

80. The client after she was discharged came back to the clinic in her 3rd postpartum day.
She noticed that her breasts are really full and that she feels that it’s really tense. What will
the nurse tell the patient?* - breast engorgement tx. – continue breast feedind kasi need
iempty yung full na breast. If busog na si baby mag breast pump na.
a. Tell the client that it is a sign of mastitis.
b. Tell the client that she is experiencing an overproduction of milk.
c. Tell the client that the breasts become tender and full at the start of the 3rd postpartum
day.
d. Tell the patient that she’s just too excited about what’s happening to her.
Situation: Marie Amoure calls her pre-natal clinic to report that, she had
intermittent lower abdominal cramping and occasional spotting for the last 24 hrs. Her
last menstrual period was eight weeks ago. Two weeks ago she had a positive pregnancy
test.

81. The most likely diagnosis for Dollies condition on the basis of the information
presented is:*- if hindi pa open cervical os – threatened. If open is cervical os inevitable.
If closed pa mapipigilan si labor. If open na di na mapipigilan, so promote labor nalang.
a. inevitable abortion
b. incomplete abortion Spontaneous- Induced- therapeutic or
pregnancy ends bcoz elective reasons exist for
c. threatened abortion Threatened- spotting or
of natural causes Inevitable- spotting&
termination pregnancy
cramping occur w/o cramping occur and cervix
d. spontaneous abortion
cervical change begins to dilate and efface
Incomplete- loss of
some products of Complete- loss of
conception occurs w/ all products of
parts retained conception

82. Marie Amoure comes to clinic. Pelvic examination, which reveals vaginal bleeding but
no dilatation (halt dapat labor kasi di pa open) of the cervix, confirms the
tentative diagnosis. Which of the following should not be considered in the management
of Kate’s disorder?*
A. bed rest
B. abstinence from intercourse
C. Administration of mild sedative
D. Administering of diethylstilbestrol (Synthetic estrogen)- kasi this can promote
contractions.

83. A week later Marie Amoure comes back to the emergency room because of heavy
bleeding and severe cramps. Vaginal examinations reveals that her cervix is
dilated and tissue is bulging (bukas na so promote labor) through the os. Which of the
following would be the best procedure in managing this new condition?*
A. dilation and currettage
B. oxytocin stimulation – this will promote labor na
C. saline infusion
D. Shirodkar procedure

84. Which of the following positions should the nurse place the patient who has been
diagnosed with a prolapsed cord*- the baby is putting pressure sa cord. So need mo ilayo
yung baby sa cord.
a. supine
b. left lateral recumbent
c. Trendelenberg- kasi this will make the baby akyat sa fundus para marelieve yung
pressure sa cord.
d. high fowlers

85. A woman has been in preterm labor off and on for 2 weeks. She is 28 weeks pregnant.
It seems inevitable that she will delivery soon. Which of the following medications would
the nurse prepare to give this patient?* - if baby is preterm meron immature lung function.
So need bigyan si baby ng med to promote lung function.
a. celestone – (betamethasone) this will increase lung surfactant. If wala lung surfactant
magdidikit alveoli so si surfactant ensure that there is patent alveoli for gas exchange. If no
surfactant di makakahinga baby and mamatay.
b. magnesium sulfate
c. pitocin
d. Terbutaline

Situation: As a newly registered nurse, Nurse Nenita was employed in a government

hospital and is assigned in the maternity unit. Here, she takes care of gravidomorbid –
abnormal pregnancy clients. It is essential to know the normal and abnormal changes in
pregnancy in order to deliver the best nursing care. The following questions apply.

86. During the night shift, a woman is hospitalized for the treatment of severe
preeclampsia. Which of the following represents an unusual finding for this condition?*
A. Proteinuria 4+.
B. Blood pressure 160/100.
C. Generalized edema.
D. Convulsions. – ecclempsia sya nakikita

87. As a nurse in the maternity unit, Janine knows that the action of hormones during
pregnancy affect the body by?* hormone na lumalabas in relation to insulin ay HPL:
human placental lactogen – pag lumabas to meron increase insulin resistance – which
will cause the glucose to increase.= hyperglycemia
A. Raising resistance to insulin. – HPL is release sa pagpasok ng 2 nd trimester.

B. Blocking the release of insulin from the pancreas.

C. Preventing the liver from metabolizing glycogen.
D. Enhancing the conversion of food to glucose.

88. A 28-year-old woman has had diabetes mellitus since she was an adolescent. She is
8 weeks pregnant and is admitted under the care of Nurse Nenita. Hyperglycemia during
her first trimester – during frst trimester meron organogenesis kaya pag meron problem
during this time nagkakaroon ng malformation sa mga organs. will have what effect on
the fetus?*
A. Hyperinsulinemia.
B. Excessive fetal size.
C. Malformed organs.
D. Abnormal positioning.

89. Nenita is caring for a young diabetic woman who is in her first trimester of
pregnancy. As the pregnancy continues the nurse should anticipate which change in her
medication needs?*
A. A decrease in the need for short-acting insulins.
B. A steady increase in insulin requirements.
C. Oral hypoglycemic drugs will be given several times daily.
D. The variable pattern of insulin absorption throughout the pregnancy requires constant
close adjustment. – kasi depende sa insulin resistance ng mother.

90. Methylergonovine (Methergine) is prescribed for a client with postpartum

hemorrhage. Before Nenita administers the medication, she contacts the health care
provider who prescribed the medication (pag ganito need palitan yung gamot kasi meron
si patient na contraindicated) if which condition is documented in the client’s medical
history?*- we’re looking for contraindication
A. Hypotension

B. Hypothyroidism
C. Diabetes mellitus
D. Peripheral vascular disease – pwede magcause ng dvt and embolism
Situation: Nurse Rancelle is addressing concerns of several clients in the out-patient
department of a lying-in clinic. The following clients consulted Nurse Rancelle, thus, she
performed health teachings.

91. During a visit to the prenatal clinic, Mia is at 32 weeks’ gestation and complains of
heartburn. After Rancelle’s health teaching, the client needs further instruction when Jenny
says she must do what?*
A. Avoid highly seasoned foods.
B. Avoid laying down right after eating.
C. Eat small, frequent meals. – also called ssf (small frequent feeding)
D. Consume liquids only between meals. – kasi di naman needed to pag may heartburn.

92. Rancelle is teaching a new prenatal client about her iron deficiency anemia during
pregnancy. Which statement indicates that the client needs further instruction about her
anemia?*
A. “I will need to take iron supplements now.”
B. “I may have anemia because my family is of Asian descent.” – kasi hindi namamana
yung anemia.
C. “I am considered anemic if my hemoglobin is below 11 g/dL.”
D. “The workload on my heart is increased when there is not enough oxygen in my system.”

93. An antenatal primagravid client has just been informed that she is carrying twins.
The plan of care includes educating the client concerning factors that put her at risk for
problems during the pregnancy. Nurse Rancelle realizes the client needs further instruction
when she indicates carrying twins puts her at risk for which of the following?*

A. Preterm labor.
B. Twin-to-twin transfusion. – 2 baby sa loob; ang nagyayari ay isa ay giver isa receiver.
Yung giver binigay lahat kaya muka syang malnourished si receiver ay super Malaki
C. Anemia.
D. Group B Streptococcus. – di sya common sa twin pregnancy

94. A 30-year-old multigravid client has missed three periods and now visits the
prenatal clinic because she assumes she is pregnant. She is experiencing enlargement of
her abdomen, a positive pregnancy test, and changes in the pigmentation on her face and
abdomen. These assessment findings reflect this woman is experiencing a cluster of which
signs of pregnancy?*
A. Positive. Note:
Presumptive signs- felt by the mother
B. Probable. Positive signs- felt by the examiner
C. Presumptive. Probable signs- uterine enlargement, hegar;s, goodwell’s,
chadwick. Braxton hicks, positive pregnancy test
D. Diagnostic.
95. An antenatal client receives education concerning medications that are safe to use
during pregnancy. Rancelle evaluates the client’s understanding of the instructions and
determines that she needs further information when she states which of the following?*
A. “If I am constipated, Milk of Magnesia is okay but mineral oil is not.”
B. “If I have heartburn, it is safe to use Tums, Rolaids, Mylanta, and Maalox.”
C. “I can take Tylenol if I have a headache.”
D. “If I need to have a bowel movement, Ex-Lax is preferred.” -ex lax is an abrasive
laxative so not recommended for preggy kasi it can damage gastro intestinal tracts.
Situation: Nurse Coachie is a community health nurse and has paid particular attention to
Rhufa, a 16 year old client at 30 weeks gestation.

96. Nurse Coachie is developing a teaching plan for a client entering the third trimester
of her pregnancy. He should include all of the following in the plan, except:*

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A. Ambivalence concerning pregnancy. – ambivalence opposing feelings. this happens

during the first trimester. Pag third trimester acceptance na
B. Experimenting with mothering roles.
C. Realignment of roles and tasks.
D. Trying various caregiver roles.

97. Rhufa, who is being monitored at home with home nursing visits, is diagnosed with
mild preeclampsia and has gained 2 lb in the past week. Her current blood pressure is
144/92 mm Hg. Which assessment finding would require further action by the Nurse
Coachie?*
A. Occasional headache. – this can be sign that it can be ecclampsia
B. Frequent voiding in large amounts./
C. 1 + pedal edema./
D. 3 + protein on urine dipstick./

98. At 32 weeks’ gestation, Rhufa, a 15y/o primigravid client who is 5 feet, 2 inches tall
has gained a total of 20 lb, with a 1-lb gain in the last 2 weeks. Urinalysis reveals negative
glucose and a trace of protein. The nurse should advise the client that which of the
following factors increases her risk for preeclampsia?*- if women is still in adolescent age
when get pregnant that is a huge factor to eclampsia
A. Total weight gain.
B. Short stature.
C. Adolescent age group.
D. Proteinuria.

99. After instructing Rhufa, who is now at 38 weeks’ gestation, about how preeclampsia
can affect the client and the growing fetus, nurse Coachie realizes that the client needs
additional instruction when she says that preeclampsia can lead to which of the following?*
A. Hydrocephalic infant.

B. Abruptio placentae.- Mas mabilis ma detach placenta if with preeclampsia

C. Intrauterine growth retardation.
D. Poor placental perfusion.

100. Pat was rushed to the hospital and is experiencing pain during the first stage of labor.
The nurse on duty should instruct her to do all of the following, except:*
A. Walk in the hospital room.
B. Use slow chest breathing.
C. Lightly massage her abdomen.
D. Sip ice water. – during this period merong slow down of GI motility. Too much fluid is
contraindicated. Iwasan dapat painumin/bigyan si preggy ng fluids

NP2
Situation: Local Government Code known as R.A. 7160 brought major shift in the roles of
the Department of Health. Under this law, all structures, personnel and budgetary
allocations from the provincial health level down to the barangays were devolved to the
local government units (LGUs) to facilitate health service delivery

1. R.A. 7160 mandates devolution of basic services from the national government to local
government units. Which of the following is the major goal of devolution?*- before
devolution DOH lahat responsible sa lahat so devulotion gives responisibily to RHU
A. To make basic services more accessible to the people
B. To strengthen local government units
C. To allow greater autonomy to local government units
D. To empower the people and promote their self-reliance – the goal of community
health nursing

2. Lavinia recently passed the board exam and now has her license to practice. She wants
to become a Public Health Nurse (community ka so pinake applicable ka sa rhu). Where
will she apply?*
A. Department of Health
B. Provincial Health Office
C. Regional Health Office
D. Rural Health Unit- focuses on community

3. The public health nurse is the supervisor of rural health midwives. Which of the
following is a supervisory function of the public health nurse?* - pag supervisory; health
worker to health worker; wala kinalaman sa patient to. Nurse is supervisor and midwife
is supervisee to improvet the KSA – knowledge skills and attitude of the supervisee.
A. Referring cases or patients to the midwife
B. Providing nursing care to cases referred by the midwife
C. Formulating and implementing training programs for midwives
D. Providing technical guidance to the midwife

Supervisor - monitors midwives and other HW

Ad vo cate/clin ic ian - health care provider, client advocate
Facilitator - uses multisectoral linkgaes(referral system)
Educator in health = disseminates information to people w/ emphasis
on health promotion and disease prevention; information, education
and communication

4. One of the participants in a hilot training class asked you to whom she should refer a
patient in labor who develops a complication. You will answer would be, to the:* - pag
complication na dapat doctor/physician na.
A. Public Health Nurse
B. Rural Health Midwife
C. Municipal Health Officer
D. Any of these health professionals

5. Community health nursing is a developmental service. Which of the following best

illustrates this statement?*- pag developmental training- may ginagawa para na training
yung mga tao sa lugar.
A. Community health nursing is intended primarily for health promotion and prevention
and treatment of disease.
B. The goal of community health nursing is to provide nursing services to people in their
own places of residence.
C. The community health nurse continuously develops himself personally and
professionally.
D. Health education and community organizing are necessary in providing community
health services. – pag may health education considered din syang training.
Situation: You are now in the entry phase of community organizing process, after
establishing rapport with the people in Barangay San Miguel. The following questions
apply.

6. With the community health activities started and in the entry phase, which of these
activities should you not include?* - entry phase; kakapasok palang
a. Information campaign on health programs
b. Project Management – is usually done during sustenance and strengthening phase

c. Core group formation

d. Conduct of deepening social investigation

7. Identification of potential leaders is crucial during the entry phase. Which of these
characteristics may not be necessary to an efficient and effective community leader?*
a. Responsive and willing to work for change
b. Must have relatively good communication skills
c. A respected member of the community
d. A college graduate with management skills – di necessary yung college degree

8. The best technique in identifying potential leaders in the community proven to be

affective is to:*
a. Ask community residents to directly name person whom they consider as community
leaders – hindi pwede mamilit dapat willing and has initiative and has motivation to do so.
b. Ask volunteers who are willing to become community leaders
c. Review family background properties and academic records of community residents
d. Observe people who are active in small mobilization activities that motivate residents
to start working

9. The core group is composed of individuals in the community who possess leadership
potentials organized into cohesive working unit. The core group – kasama ng nurse and
sila yung mga taga don sa community sila yung mga insiders. Meaning they can relate with
the people in there. So meaning they are the one who knows the most immediate felt needs
so sila ang mas may alam about sa lugar. works with the team in:*
a. Selecting community activities according to their preferences
b. Monitoring the performance of the barangays officials

c. Setting up community organization that will serve the interest of a sector in the
community
d. Mobilizing the community to act on their most immediate felt needs and participate in
the delivery of essential health

10. The nurse as a community health practitioner functions as a community:*

A. Facilitator – nurse facilitate sya nag guguide
B. Planner – insiders (community Mem.)
c. Leader – leader are the insiders or yung core group yung mga taga don (com. Mem.)
d. Evaluator – evaluator (com. Mem.)
* kasi nga promoting self reliance sa community
Situation: You are a beginning community health nurse in your Health Center. You are
aware that meaningful integration is essential for you to carry out your roles and functions.
The following questions apply.

11. Integration is the process of establishing rapport with the people in the community. It
can best be achieved by:*
A. Bringing in some gifts to win acceptance of the people in the community
B. Cleaning the house and doing other household chores
C. Conversing with the people where they are participating in social activities –
makipagchikahan tayo to establish rapport
D. Sponsoring a sports festival to have an opportunity to meet more people

12. Community organizing is an important part of the community nursing function. Given
the following elements: choosing an organizational structure, identifying and recruiting
members, defining mission, vision and goals, clarifying roles and responsibilities at which
stage do these elements belong?*
A. Program maintenance-consolidation
B. Community analysis/diagnosis

C. Design and initiation – always take note of activities

D. Dissemination-reassessment

13. At which phase of the community organizing process are the leaders or groups given
training to develop their knowledge, skills and attitude in managing their own programs/*
- pag developmental always training sya
a. Sustenance and strengthening phase
b. Pre- entry phase
c. Organizing- building phase
d. Entry phase

14. When you have already organized, follow up home visits are likewise needed. Which
of the following should you do first?*
A. Wash your hands and perform the necessary procedure -
B. Explain the purpose of the visit
C. Greet the patient/ resident, introduce self – always first
D. Do an environmental surveillance

15. Which of the following priority conditions will be determining factors on the frequency
of home health visits?* - mas dumadalas depende sa acceptance ng family. Pag hindi
matangap ng family yung problem nila- Malala yung salience nila. Salience means
perception of a health problem needing attention. Tagalog ng salience ay pakialam. Pag
walang pake yung family mahirap sila iconvince kaya mas madalas puntahan.
A. The need for health teachings and level of family understanding
B. Acceptance of the family of their health concerns and their coping strategies
C. The results of the studies conducted and level of family understanding
D. Administration of medications and the schedules set

Situation: A relevant DOH program addresses community health conditions particularly

Tuberculosis. Again, safety and quality care is every nurse’s concern. The following
questions apply.

16. Directly Observed Treatment Short-course (DOTS) can do all of the following except:*
A. stop resistance to anti-TB drugs
B. cure TB patients
C. increase health care cost – dots decreases health cost
D. prevent new infection among children and adults

17. Which vital statistics relating to Tuberculosis (TB) in our country is inaccurate?*
A. b. TB is the 6th leading cause of illness among Filipinos
B. c. TB is the 6th leading cause of deaths among Filipinos
C. The Philippines is among the 22 highly burdened poor countries in the world
D. Most TB patients belong to the 0-15 age groups – mas madalas tamaan ang 25-55 y/o

18. The elements of TB DOTS that need to be fulfilled include all of the following except:*
A. regular chest x-ray for diagnosis – the diagnostic use for TB is DSSM (direct sputum
smear microscopy)
B. standardized recording and reporting of TB data
C. regular supply of anti-TB drugs
D. supervised treatment by a treatment partner

19. Pulmonary TB is suspected when client manifests which symptoms?*

A. hematemesis
B. sudden loss of weight
C. cough for more than 2 weeks – pinaka common na makita. If cough is viral mabilis
mawala if matagal bacterial ang cause. Pinka common na bacterial for lungs is TB. If sa

US hindi to applicable kasi si TB ay endemic. Endemic means constant number of cases

(nagkalat na cases). Mas madami TB sa pinas kaya applicable dito.
D. precordial chest pain

20. Which of the following statements about TB treatment is incorrect?*

A. combination of 3-4 anti-TB drugs is the treatment of choice
B. single drug is appropriate REMEMBER: RIPES – Rifampicin, Isoniazid,
pyrazinamide, Ethambutol, streptomycin (Anti TB
C. treatment renders patients non-infectious and cured
D. tuberculosis is a curable disease
Situation: The case of Acquired Immunodeficiency Syndrome (AIDS) in the Philippines
has been rapidly increasing. Official records of the Department of Health (DOH) showed
that the number of HIV cases rose to 709 in 2009, compared to the 528 recorded the
previous year. Nurses have a pivotal role in educating the public to prevent an increase in
occurrence of this transmissible disease.

21. The nurse looks for results of which laboratory measurement that provides a reliable
indicator of lymphocyte status in a client with HIV infection?*
a. B lymphocytes
b. T-cytotoxic cells
c. T-helper cells (CD4) – eto binabantayan
d. Natural killer cells (NK)

22. A male client who has acquired immunodeficiency syndrome (AIDS) asks why oral
progesterone (Megace) is being prescribed for treatment. What is the nurse’s best
response?* uses of progesterone is to improve appetite. Need nila kumain kasi
immunocompromised sila.
a. “Megace is used to treat the nausea associated with this infection.”
b. “Megace is used as an appetite stimulant to boost nutritional support.”
c. “Megace is used as an antineoplastic agent for palliative treatment.”
d. “Megace provides symptomatic relief of constipation.”

23. Which one of the following suggestions by the nurse would be most helpful to a human
immunodeficiency virus (HIV) positive client who has altered taste perception ?*- pag may
HIV meron sila metallic taste sa mouth kaya wala sila gana kumian. To lessen the taste
take zinc supplement.
a. Drink plenty of salty broths and other fluids to stimulate taste buds.
b. Try zinc supplementation to improve taste perception.
c. Increase intake of meat to at least one serving per day.
d. Avoid using plastic eating utensils.

24. Which of the following suggestions would the nurse give to a client with human
immunodeficiency virus infection to best alleviate nausea?*
a. Drink liquids with meals.
b. Eat high-fat foods.
c. Eat small, frequent meals. – konti konti lang muna
d. Lie down after eating.

25. The nurse is caring for a pediatric client with acquired immunodeficiency syndrome
(AIDS). Which activity by the nurse should be reported to the employee health department
as an exposure for the nurse?* AIDS is nakukuha through body fluids. Ihi, dugo, genital
secretions
a. While flushing out the used bedpan, fluid splashes in the nurse’s eyes.
b. The nurse is stabbed with a sterile syringe to be used to draw up the client’s medications.
c. Nurse does not wear a mask while in the client’s room.
d. During the bath, the nurse removes gloves when giving a backrub on intact skin.
Situation: Urethral catheterization requires a physician’s order. Special care and strict
aseptic technique must be observed for clients with indwelling catheter.

26. A day after the insertion of the urinary retention catheter, the client complains of
discomfort in the bladder and in the urinary meatus. The initial action of the nurse would
be:*
a. Establish patency of the catheter
b. Check the bladder if distended – check muna bladder una is assess muna if may retention.
To check for bladder is palpation.
c. Notify the physician
d. Milk the catheter toward the collecting receptacle

27. The client is ordered to have closed intermittent catheter irrigation. The nurse performs
the procedure in the following order: 1. (2)Aspirate sterile solution into the syringe2.
(1)Using aseptic technique, put sterile solution in the sterile graduated cup3.
(3)Clamp indwelling retention catheter 4. (5)Withdraw syringe, leave solution for
about 20 minutes 5. (4)Slowly inject sterile irrigant into the catheter and bladder6. (6)
Remove the clamp and allow irrigant to drain into the collion bottle/bag*
a. 1,2,3,4,5,6
b. 2,1,3,5,4,6
c. 2,3,1,4,5,6
d. 3,2,1,4,5,6

28. When a client has a retention catheter, the nurse is expected to:* - if meron silang
catheter they tend to develop CAUTI – catheter associated urinary tract infections so
we need to prevent that.
a. Clean the urinary meatus and the adjacent skin periodically
b. Flush the catheter as needed
c. Perform perineal flushing as needed
d. Encourage liberal amount of fluid intake

29. After removing the indwelling catheter the client complains of difficulty in her first
attempt to urinate. The nurse explains that this is due to:*
a. Irritation of the urethra
b. Attempt of the body to adjust or normal reflex mechanism – pag naka catheter walang
effort si bladder kaya pag tinangal need ni patient mag adjust since nasanay si bladder.
c. Fluid and electrolytes imbalance
d. Irritation of the urinary bladder

30. When considering the safety needs of a client with a urinary catheter, which of the
following should the nurse observe?*- gravity operates this mechanism
a. Irrigate the catheter daily
b. Keep the bag lower than the bed
c. Measure intake and output daily
d. Keep a closed sterile drainage system
Situation: Professional Development is achieved through participation in various trainings
and continuing professional education. This is to keep nurses abreast with the latest
development in the profession and staying globally competitive in skills development.

31. Nurse Palomeno is attending a cardiopulmonary resuscitation training to review her

previous CPR training as a requirement in the new hospital where she was recently
employed. This is an example of:*
a. Continuing education – aka continuing professional development. Pag nag rerenew ng
ID meron CPD units. If wala cpd units di makaka renew. CPD can be acquired through
seminars.
b. Advanced training
c. In- service training
d. Professional training

32. A nurse who recently passed the nurse licensure exam who is seeking employment
decided to attend training on IV therapy program offered by an accredited nursing
organization. This is an example of:*
a. Advanced training
b. Professional training
c. Continuing education
d. In- service education

33. After a year and a half of working in a hospital, Nurse Palomeno decides to pursue a
master’s degree in nursing. Graduate education in nursing prepares nurse Palomeno for the
following except:*
a. Take advance training as a clinical specialist/
b. Assume managerial positions in nursing service/
c. Carry out research to advance nursing theory – this is usually done pag Phd level na
d. Take lead roles in nursing educational settings/ – in terms of educational setting

34. Nurse Prince believes that health is a fundamental right of every individual. He believes
in the worth and dignity of each human being and recognizes the primary responsibility to
preserve health at all costs. These statements are part of the:*
a. Philippine Nursing Act of 2002
b. Code of Good Governance
c. Standard of Nursing Practice
d. Code of Ethics for Registered Nurses – if wala to pwede yung board of nursing
resolution No. 220 (this is the more official/legal term)

35. The objectives of continuing professional education programs in nursing are the
following except:*
a. Protect and promote the general welfare of the public by attaining the lowest (highest)
standards and quality in the practice of profession.

b. Make the professional globally competitive by maintaining capability for delivering

professional services.
c. Augment the nurse educational preparation for admission to the practice of his
profession.
d. Make available latest trends in the profession brought about by scientific and
technological advancement in the profession.
Situation: A group of nursing students is conducting a research on the medical ward of a
Laoag General Hospital with the topic “(The Effects- pag effects usually experimental of
the Nursing Health Teachings- independent kasi cause sya in the Reduction of Anxiety-
dependent kasi sya yung effect of Diabetic Patients-sya yung population) Undergoing
Limb Amputation.”

36. The group adviser will most likely suggest a study to check the procedures of the
research. This is:*
a. Proposal
b. Test-retest
c. Pretest
d. Pilot study – to check if may tama or mali

37. The independent variable of the study will be*

a. Nursing health teachings-cause
b. Insulin injection
c. Reduction of anxiety
d. Diabetic patients

38. Which of the following is the variable that can be measured?*dependent

a. Reduction of anxiety-
b. Diabetic Patient
c. Nursing helath teachings

d. Limb Amputation

39. What research design is likely to be utilized?*

a. Descriptive
b. Quasi-experimental – pag experimental qualitative
c. Exploratory
d. Experimental

40. Which of the following is an example of convenience sampling?*

a. Subjects are purposively picked by the researchers
b. Selection of every 10th person on a patient list
c. Simple selection
d. Availability of subjects

Situation: Florence is a Charge Nurse of the Charity Pediatric Ward. She is handling 45
patients for the morning shift, with 3 RNs, 2 Nursing Attendants, and 1 Ward Clerk.

41. The staff are able to wish their off schedule with Florence, thereby their motivation to
please her all the time. What is her primary source of power over the others in the unit?*
a. Coercive power
b. Informational power
c. Reward power
d. Expert power

42. Annually, Florence assists the unit’s Head Nurse during budgeting. This activity is
under what stage of management?* budgeting is also call fiscal(financial) planning
A. Planning
B. Organizing
C. Staffing

D. Controlling

43. In the ward, the staff work as a team. Florence is responsible for carrying out the orders
of the doctors, while each of the nurses are assigned to feed and bathe the patients,
administer due medications and therapeutics, and monitor vital signs and fluid infusions.
What nursing care delivery system is utilized in the unit?* if task based job it is considered
functional nursing method. Meaning lahat ng patient sa ward ay patient mo din. Lahat
patient mo pero isa lang task mo para sa lahat ng patient.
A. Modular Nursing
B. Team Nursing
C. Primary nursing
D. Functional nursing

44. A new protocol for administering tube feedings among neonates is introduced in the
unit. The staff are having problems in the implementation. What is Flo’s first action?* if
meron group problem bilang manager the technique to is meeting (key word)
A. Ask for a report from the staff nurses regarding the new protocol and its implementation
B. Call for a meeting with the staff to discuss problems encountered
C. Interview each staff separately to effectively identify areas for improvement in the
protocol
D. Search for more evidence regarding the new protocol and present in a meeting

45. Which of the following statements should be avoided by Flo in giving feedback to the
staff after a performance appraisal?*
A. “Gather all the staff in the meeting room so I can announce the results of the evaluation.”
– feedback should be one on one/privately
B. “Let us talk about how you can improve your techniques in administering medications.” /

C. “Go over this list of strengths and weaknesses we have identified during your
evaluation.”/
D. “If your weakness is in the computation of fluid infusions, I will be assigning you that
task for one month so you can practice.”/

Situation: In community Health Nursing the realities of “cause- effect” relationship almost
always exist and the CH Nurse is in a very strategic position to decipher these occurrences.
The following questions apply.
46. In a political rally, spaghetti and friend chicken were distributed among the 1,500
people who attended. Around 2-3 hours after lunch, people started experiencing
gastrointestinal symptoms such as stomach pains, nausea and vomiting, diarrhea, fever and
dehydration. Health authorities confirmed that the outbreak of illness was mainly due to
staphylococcal enterotoxins. This condition is an illustration of a statistical association
which is:*
A. Direct causal
B. Non- causal
C. Indirect causal
D. Multifactorial

47. The above illness outbreak describes which type of epidemic?*

A. a. Cyclic variation
B. b. Point source – from single cause which is yung food
C. Secular variation
D. Propagated epidemic
Note:
Epidemic- sudden increase of number of
disease cases
Endemic- regular, constant, habitual like malaria
Sporadic- on/off, intermittent like rabies
Pandemic- simultaneous epidemic of same
disease in several countries

48. This type of epidemic is characterized by the following EXCEPT:*

a. Epidemic terminates when supply of susceptible persons is exhausted/.

b. Simultaneous exposure of the susceptible persons/

c. Cause originated from single event/
d. Low number of susceptible personal, high number of immune persons – this is called
Herd immunity

49. Here, the nurse would want to determine the magnitude of the problem therefore she
will compute for:*
a. Prevalence rate
Formula: number of new cases X Factor
b. Incidence rate –
(depends sa laki ng population)
c. Disease rate
population at risk.
d. Attack rate

50. In cases like epidemics it is necessary for the nurse to be able to call to action and
mobilize the community towards:*
a. Community response- dapat lahat gumagalaw kapag may epidemic
b. Individual response
c. Leaders response
d. Public officials response
Situation: One of your responsibilities as a community health nurse is to conduct home
visits to evaluate the health condition of families and communities.

51. Prior to the visit you have checked on your clients’ records in the health center to
have a background of their case and to formulate objectives of the visit. This phase is:*
a. closing
b. planning
c. professional
d. socializing

52. In every home visit, you are not only concerned with the client but you should also:*
a. pay particular attention to the economics status
b. observe the family and the environment- to assess the context and background
c. put emphasis on the children’s education
d. observe the family’s spiritual practices

53. In your community home visits, you have met four clients. Who among them will you
visit first?*
a. Family planning defaulters
b. A premature newborn- may problem with respiration; kapag newborn mababa pa ang
thermoregulation
c. G4P3 3 days post partum
d. G3P2 36 weeks AOG

54. During a home visit, socialization is important in order to:*

a. Do procedures
b. Establish rapport and put the client at ease- 2nd answer if wala yung identify needs
c. identify the needs of the client
d. evaluate the visit

55. To give clear and correct information to the client, the nurse should consider the
following EXCEPT:*
a. Give several instructions at one time - one instruction at one time para hindi nalilito
b. Listen to what the patient is saying/
c. do not use medical terms/
d. repeat important information/
Situation: The Good Shepherd Parish Church in Las Piñas City initiated a parish led 5
year community health and development project. Community diagnosis is needed to
enable its parish public health nurse prepare the necessary community health nursing care
plans and programs which would be responsive to the needs of the parishioners and
various communities. To realize all these collaborative work is necessary.

56. As the parish community health nurse working with volunteer RNs and affiliate you
will assess community and environment characteristics. Which of the following pertains
to environmental characteristics? 1. language, religion and political orientation 2.
occupation, unemployment status and poverty level 3. air, water and noise pollution 4.
vegetation and sanitation*
a. 1 and 2
b. 1 and 4
c. 3 and 4
d. 2 and 3

57. A step in the development of the community health plan that answers the questions,
what health problems, health threats and health deficits exist and how the community
copes with these health problems is referred to as:*
a. Assessment
b. Plan implementation
c. Plan formulation
d. Evaluation

58. Collaboration is strengthened by the parish health team with the city health
department and the various health centers of the city stool examination days were
conducted where majority of the children were found to have ascaris- disease. Which
among the following community nursing diagnosis will guide the nurse in setting
strategies to address the problems?*
a. parasitism as a health threat
b. parasitism foreseeable crisis
c. malnutrition as a health deficit
d. parasitism as a health deficits- kapag health deficit it means disease or disability

59. The following nursing interventions address the problem on parasitism, EXCEPT:*
a. teach proper disposal of stools and stress that it shouldn’t be used as fertilizer
b. encourage handwashing before and after eating
c. treat patients with broad spectrum anthelmintic – definitive therapy targets specific
organisims; broad spectrum is bahala na sino tamaan.
d. stress that vegetables should be thoroughly washed especially if eaten raw

60. Evaluating the nursing care given, which of the following vital statistics in the
communities served indicates the BEST health status?*
a. 0 infant mortality rate for the year 2006 – infant mortality rate is the best indication
of health status of the community. Low mortality rate is good community.
b. 0 crude death rate for the year 2007
c. 50% Swaroop’s index for the year 2006
d. 0 crude birth rate for the year 2007

Situation: People empowerment is an important purpose why Community Participatory

Active Research (COPAR) was created, it encourages the community to generate
community participation in development activities.

61. In COPAR, people of the community are being prepared as managers of development
programs in the future. All of the following but one are considered as principles of
COPAR*
a. People, especially the most oppressed, exploited and deprived sectors are open to change,
have the capacity to change and are able to bring about change – mas tama ito kasi
binibgyan sila ng empowerment to change their community
b. COPAR should lead to a self-reliant community and society.
c. Community resources are identified and mobilized for the poor, the powerless and the
oppressed
d. COPAR should be based on the interests of the poorest sectors of the society

62. COPAR is people-based it is focused towards the powerless and the oppressed. Which
developmental approach is related to participatory?*
a. Abandoning the traditional methods of doing things and must adopt the technology of
industrial countries
b. Introduction of whatever resources are lacking in the community adopting technological
development
c. Immediate or spontaneous response to ameliorate the manifestation of poverty,
especially on the personal level
d. The process of empowering the poor so that they can pursue a more just and humane
society

63. The following statements do not relate to community development, but one?*
a. In participatory approach, then nurse must devotedly adhere to what people want

b. In a peasant community where people are fighting for land ownership, the nurse must
not participate as this is not a health concern
c. Nurses must not join protests action as nurses should always be neutral at all times
d. If the people are not attending to the services offered by the health staff, the team must
reassess the needs of the people

64. Carrying out the planned activities involving maximum community participation is
referred to as:*
a. Community Organization
b. Community assembly
c. Mobilization
d. Integration

65. Community organizing ends when the community is already self-reliant. This signals
that the community organizers are now ready to pull out of the community because:*
a. It indicates that community organization is finished
b. It will prevent dependency of the community – kaya trabaho lang ng nurse ay mag
facilitate to promote their self reliance
c. Organizers can expand to other poor communities
d. It can evaluate the outcomes of the programs

Situation: Being the staunch leader in health in the country, the Department of Health
developed numerous health programs over the years. These programs address the leading
health problems or conditions of different populations.

66. Various nutrition programs are implemented for a reduction in the common nutritional
deficiencies present in the country. Most programs are structured to address the
deficiencies in these nutrients, namely: i.Vitamin A ii.Iron iii.Vitamin C iv.Iodine

v.Protein* - micronutrient deficiencies include vit. A iron and iodine. Kaya they
developed sangkap pinoy – fortified with micro nutrients. Kaya meron din iodine salt.
a. i, ii, iv
b. i, ii, iii, iv
c. ii, iii, v
d. ii, iii, iv

67. Micronutrient supplementation of Vitamin A aids infants and children in their growth
and development. How much Vitamin A should be given to a 7-month-old infant?*
a. 200,000 IU for one dose only
Note:
b. 200, 000 IU for two doses, with an interval of two days
First dose- 6
c. 100,000 IU for two doses, 1 month apart months
Succeeding doses
d. 100, 000 IU for one dose only every 6 mont hs

68. When should a pregnant mother start taking Vitamin A supplements?* - teratogenic at
first trimester kasi it can cause fetal deformity.
a. As early as 2 months

b. During the 4th month of pregnancy – 2nd trimester hintayin muna mabuo yung bata.
c. Anytime during the last trimester
d. At the first onset of uterine contractions

69. In providing teachings to the livelihood residents and mothers of a barangay in Cavite,
you explain to them that the SangkapPinoy Seal means the food:*
a. Is free from contamination from E. coli bacteria
b. Underwent fortification with Vitamin A, iron, or both
c. Can complete the daily nutritional requirements of an infant or child
d. Has been inspected by the FDA and considered safe to eat

Situation: Kylie Gardo Verzosa, public health nurse of Barangay Niyugyog. You have just
finished implementing the programs for the identified community health problems last
month. You are now preparing to check if the target goals and objectives were met. The
following questions apply.
70. Evaluation involves which of the following processes?* BONUS
a. Exploration
b. Observation
c. A and C
d. Measurement

71. Which of the following phases of the PRECEDE-PROCEED Model correspond to the
evaluation if the objectives and sub-objectives have been met?*- we’re looking for impact
evaluation
a. Process Evaluation
b. Impact Evaluation
c. Effect Evaluation
d. Outcome Evaluation- looking for goal

72. Which of the following is evaluated by the outcome evaluation?*

a. Objectives
b. Strategy Objectives – process evaluation
c. Sub-objectives
d. Goal

73. Which of the following evaluation indicators is described by the statement, “what
proportion of those who need something are actually receiving it”?*
a. Accessibility
b. Efficiency
c. Coverage
d. Effort

74. What is the ultimate goal of community health nursing?*

a. Community competence
b. Community self-actualization
c. Community organization
d. Community integration

Situation: Immunization for different diseases are important for health care workers who
are frequently exposed to different patients and environments.

75. Pre-exposure vaccination for rabies consists of how many doses?* - bago makagat
a. Three
b. Four
c. Five
d. Six

76. Student Nurse Nicole was doing her ocular survey in Barangay Loma when a dog
suddenly attacked her and bit her . Mara’s school records show she had complete
prophylaxis for rabies. How many doses of rabies vaccine does she expect to be given to
her afer the bite?* - post exposure
a. Three doses – two doses right away, and the other dose on the 3rd day
b. Two doses – one dose right away, and the second on the third day
c. None, since the pre-exposure vaccines are already enough.
d. Four doses – one dose right away, and the other doses on the 3rd, 7th, and 14th days

77. Which of these vaccines is not given orally?*

a. MMR- SQ
b. Polio vaccine- Oral
c. Rotavirus vaccine- oral
d. Cholera vaccine-oral

78. All of the following vaccines except one are examples of live attenuated vaccines.
Choose the exception.*
a. Varicella vaccine
b. Measles vaccine
c. MMR
d. Tetanus- killed and inactivated

79. In administering BCG- (to prevent tuberculosis; should be given ASAP after birth.
Endemic din siya sa ph) to a neonate, how much should Nurse Nicole withdraw from the
vial?*
a. 0.1mL
b. 0.5mL
c. 0.05mL- intradermal
d. 1.0mL
Situation: The Aquino administration initiated Pantawid Pamilyang Pilipino Program or
commonly called 4Ps as its flagship poverty alleviation program.

80. Which of these government agencies is/are partners in enrolling beneficiaries from
different state universities and colleges?*
a. Philippine Association of State Universities and Colleges
b. Department of Labor and Employment
c. Commission on Higher Education
d. All of the above

81. Which of these programs is not included in the 4Ps?*

a. Enrollment of children in daycare, elementary, and secondary schools
b. Deworming of schoolchildren aged 6 to 14 years old
c. Health check-ups for pregnant women and children aged 0 to 5
d. None of the above

82. How often are deworming pills given to children aged 6-14?*
a. Once a year
b. Twice a month

c. Twice a year- every 6 months

d. Once a month

83. To be able to receive the subsidies in 4Ps, which among these is not part of the
conditions that should be met by the household-beneficiaries?*
a. Parents or guardians must attend the family development sessions, which include
topics on responsible parenting, health, and nutrition
b. Pregnant women must avail pre- and post-natal care, and be attended during childbirth
by a faith healer.- physician dapat
c. Children-beneficiaries aged 3-18 must enroll in school, and maintain an attendance of
at least 85% of class days every month
d. Children aged 0-5 must receive regular preventive health check-ups and vaccines

84. Rona, G1P1, is on her 2nd postpartum day. She asks Nurse Maja about the definition
of exclusive breastfeeding. Nurse Maja responds based on his knowledge that exclusive
breastfeeding means:*
a. Giving the baby breast milk and drops or syrups consisting of vitamins, mineral
supplements, or medicines only.
b. Giving the baby breast milk only. Drops or syrups consisting of vitamins, mineral
supplements, or medicines should not yet be given until the 6th month of life
c. Giving the baby breast milk and water only.
d. Giving the baby breast milk and solid food only.
Situation: Nurse Jabee Dayandante is caring for the Aguilar Family and is currently doing
his first level assessment of the family’s nursing problems.

85. Mrs. Aguilar was looking at the chance of having a baby for the incoming year. Nurse
Jabee knows that in the event that Mrs. Aguilar becomes pregnant, the family will have
what type of family health problem?*
a. Health Threat-
b. Health Deficit- disease
c. Wellness state- improve competence
d. Stress point - anticipated period of unusual event or foreseeable crisis; not a problem

86. Mrs. Aguilar gave birth to a baby girl named Hetty. It was the second child of the
family and all of the couple’s attention was focused on their new offspring. Twirly, who’s
the elder sister of Hetty, is becoming jealous of her. This was noted by Mrs. Aguilar and

she asked the advised of the nurse. As a nurse, what would be the most appropriate
nursing intervention for this scenario?*
a. Tell Mrs. Aguilar that it’s normal phenomena.
b. Create a plan that would address the jealousy of Twirly together with Mr. and Mrs.
Aguilar.
c. Provide Mrs. Aguilar with a pamphlet regarding child rearing practices.
d. Advise Mrs. Aguilar to reprimand Twirly for her bad attitude.

87. Mr. Aguilar who is a 15 packs/year smoker, approached Nurse Jabee and told him
that he was diagnosed by the Pulmonologist with COPD. Knowing the pathophysiology
of COPD, Nurse Jabee knows that the disease is chronic in nature. Given the situation,
what type of family health problem is the family experiencing?*
a. Health Deficit
b. Health Threat
c. Stress point
d. Wellness state

88. Mrs. Aguilar found out that Hetty was not able to get her last dose of immunization.
This problem of Mrs. Aguilar can be noted as what type of of family problem?*
a. Health Threat
b. Health Deficit
c. Stress point
d. Wellness state

89. The following are ways is the best way to measure the skill-mas mataas ang skills
rather than knowledge of Mrs. Aguilar in caring for her new infant, Hetty?*
a. Demonstrating how to hold her new infant.
b. Asking her to identify the steps in swaddling her infant.
c. Asking her to verbalize the different ways of measuring the normal growth and
development of Hetty.
d. Demonstrating how to handle her stress.
Situation: Middle East Respiratory Syndrome is a viral respiratory disease caused by a
novel coronavirus that was first identified in Saudi Arabia in 2012.

90. The clinical spectrum of MERS-CoV can include all of the following, except:*
a. Asymptomatic
b. Severe acute respiratory disease

c. Mild respiratory symptoms

d. None of the above

91. The said novel coronavirus is believed to originate from what animal?*
a. Donkeys
b. Camels
c. Bats
d. Lambs

92. Which of the following clients bear the most risk of acquiring a severe disease if
infected with MERS-CoV?*-comorbidity
a. An 18-year-old female client who has a history of rheumatic heart disease.
b. A 26-year-old male who works as a call-center agent.
c. A 32-year-old female client who is on her 5th month of pregnancy.
d. A 46-year-old male client who has diabetes.- mas unstable kasi

93. Typical findings in patients infected with MERS-CoV include which of the
following:*
a. cough
b. hypothermia
c. bradypnea
d. vomiting

94. Your relative who is currently working as an OFW in the United Arab Emirates
called you and asked how he can prevent acquiring the infection. You are correct by
instructing him to do the following, except:*
a. “Practice general hygiene measures before and after touching animals like camels.”
b. “Avoid close contact with potential sick individuals.”
c. “Have yourself vaccinated.” - kasi wala pang vaccine ang MERS-CoV
d. “Ensure that animal products be cooked thoroughly.”
Situation: Documentation and management of the patient’s records are two important
tasks of the nurse. The following questions apply.

95. During the interview of a patient, she starts to moan and curl up due to pain.
History revealed that the pain occurs about an hour after taking black coffee without

breakfast. It has been occurring for three weeks now. This is recorded as:*- kapag
documentation dapat copy paste; kung ano sinabi ng patient isusulatmor yun irerecord
a. Claims to have abdominal pains after intake of coffee unrelieved by analgesics
b. After drinking coffee, the client experienced severe abdominal pain
c. Client complained of intermittent abdominal pain an hour after drinking coffee
d. Reported abdominal pain usually an hour after drinking black coffee. Pain has been felt
for three weeks now.

96. Which of the following entries in the Nurses Notes is most appropriate?*
a. “Large hematoma noted in the right arm.”- dapat detailed; sabihin kung how many
inches/cm
b. “The client appears to be happy.”- this is a subjective data
c. “Provided oral care.”
d. “Clear breath sounds. Suctioning performed , as ordered and as needed.”-baliktad
naman; dapat I-suction muna bago sabihin na clear breath sounds

97. The nurse is writing down his progress notes. Should a recording mistake occur,
which of the following should he do?*
a. Erase the erroneous entry using correction fluid and write down the new entry above
the erased entry.
b. Draw a single line through it and write his initials or name above or near the line.
c. Use multiple lines to strike through the erroneous entry then write his initials or name
above or near the lines.
d. Draw a single line through the erroneous entry and write error above the said entry.

98. The attending physician of one of the patients called to give a new order. The
nurse should do which of the following when receiving telephone orders? i. Write the
order down on the patient’s Kardex- dapat sa physician’s order sheet muna. ii. Ask the
prescriber to speak slowly and clearly. iii. Read the order back to the prescriber using the
abbreviations- dapat worded out which he used. iv. Have a colleague listen on extension.
v. Write down only the medication order and the date and time-complete detailed dapat
that the order was given.*
a. ii, iii, iv, and v
b. i, iii, and v
c. ii and iv

d. i, ii, iii, iv, v

99. The nurse decided to call the attending physician of one of his patients because
latter suddenly collapsed. Which of the following should avoid when giving a telephone
report?*
a. Include the client’s name and medical diagnosis.
b. Begin the report with the main reason for the telephone call.- magpakilala ka muna,
then sabihin mo na yung concern mo
c. Specify that the nurse would like the attending physician to come and assess the client.
d. Inform the physician of the pertinent changes in the patient’s baseline data.

100. A physician orders 2000 ml of D5NSS to infuse over 12 hours. The drop factor is
15 drops per ml. Nurse Lykee sets the flow rate at how many drops per minute? *
a. 42 drops per minute
Formula: volume x drop factor
b. 35 drops per minute
Hours x 60 mins
c. 21 drops per minute = 2000ml x 15 drops
d. 50 drops per minute 12x60
= 41-42
NP3
Situation: Upon discharge, the patient with Chronic Obstructive Pulmonary Disease
(COPD) requires considerable patient and family teaching;

1. A nurse instructs a client diagnosed with COPD to use purse-lip breathing (prevent
atelectasis). The client inquires the nurse about the advantage of this kind of breathing. The
nurse answers that the main purpose of purse-lip is to:*
a. Prevent bronchial collapse
b. Strengthen the intercostals muscle
c. Achieve maximum inhalation
d. Allows air trapping

2. Nurse Albert teaches a patient about the use of respiratory inhaler. Arrange the steps
in using an inhaler chronologically. 1. Press the canister down with your fingers as you
breathe in 2. Wait one minute between puffs if more than one puff is prescribed 3. Inhale

the mist, hold your breath at least 5 to 10 seconds before exhaling 4. Remove the cap and
shake the inhaler*
a. 4, 1, 2, 3
b. 4, 1, 3, 2
c. 3, 4, 2, 1
d. 1, 2, 3, 4

3. The physician prescribed monitoring closely of clients oxygen saturation of the

blood. Which of the following will you prepare?*
a. Electrocardiogram machine
b. Spirometer
c. Pulse oximeter
d. Blood Pressure apparatus

4. Patients suffering from COPD are taught to avoid shifts to temperature and
humidity. It should be emphasized that heat increases body temperature and thereby raising
the:* - kapag nainitan it can increase o2 requirements
a. Risk for infection
b. Anxiety level
c. The oxygen requirements
d. Fluid intake

5. COPD patients may be taught the following pulmonary hygiene (pulmonary

toilet/chest physiotherapy) measures to improve clearance of airway secretion, except:*
a. Postural drainage/
b. Complete bed rest
c. Effective coughing/
d. Measure fluid intake/

Situation: Sandy a flower shop owner admitted in medical ward has been resuscitated and
was transferred to the ICU. The Physician inserted a CVP line. She was diagnosed of
having Congestive Heart Failure (CHF). CVP is an indicator of fluid status. This is an
invasive procedure. The catheter enters vein and ends at the right atrium.
6. CVP -monitoring could provide the following information, but one:*
a. Vascular tone/
b. Blood volume/
c. Ability of the heart to receive and pump blood/
d. Glomerular filtration rate- sa kidney na kasi to; malayo na

7. The normal CVP reading is:*

a. 8 – 12 cm of H2O
b. 13 – 17 cm of H2O
c. 18 – 25 cm of H2O
d. 4 – 10 cm of H2O

8. In taking the CVP reading, the nurse knows that the stopcock shall be manipulated
in a manner that:*- dapat open to patient and close to air.
a. There is a communication between the client and the manometer
b. There is a communication between the manometer and the client and closed to the IV
c. There is a communication between the IV and the client and closed to the manometer
d. There is a communication between the IV and manometer and closed to the client

9. The patient is having volume ventilator. Which of the following does not indicate
that the client is adequately ventilated?*
a. Absence of hyper – and hypoventilations
b. Skin is normal in color
c. Blood pressure is normal
d. Presence of neurologic signs

10. Possible means of verifying proper placement of Lanie’s catheter (CVP line)? *
a. Palpation
b. Auscultation
c. Chest X-ray
d. Cystoscopy

Situation: Enrolling as nursing students taught you what the nursing profession has in store
for you and to recognize that each one came from different environs, different influences,
different past and present. As you journey through nursing, you saw yourselves transform
“from the person you were” to the “aspiring nurse” you have become. Now that you have
graduated and now taking your Nurse Licensure Examination (NLE) there is only the
“YOU, who is the nurse.”

11. As an aspirant, a beginning nurse practitioner after your basic nursing education, the
“YOU, who is a professional nurse” means:*
A. I have simply fine tuned myself, my needs, my wants, my idiosyncrasies, to fit in the
profession of nursing.
B. The I in me and the nurse in me are two distinct identities that even my patients have to
learn to respect.
C. I have simply retained my former self but acquired the knowledge, skills, attitudes, and
values expected of a nurse.
D. The person I am and the professional nurse I aspire to be have now developed into one
Filipino Nurse. We are one and the same identity.

12. As you progress in developing your nursing competencies, you have to thread a career-
path according to the culture and design of Philippine Nursing. This means:*

a. Serving in other countries and learning new and modern ways of doing nursing and
sharing these back in the Philippines.
b. Progressing as nurse-generalist in a multitude of choice-practice settings to that of expert
nurse-practitioner also in choice-practice-settings
c. Avoiding personal and professional stagnation by updating and upgrading one’s self
d. Constantly upgrading one’s self throu gh advanced technological means and strategies

13. It is important to remember that while RNs value “job tenure” because the years in
service spell variety of experiences in nursing practice, it is far more valuable to consider
that tenure-years are nothing if these are not parallel with one’s personal -professional
growth and maturity. This implies:*
a. Simply earning years of job-related service until we retire from service.
b. Extending assistance to our less-fortunate fellow nurses.
c. Progressive upgrading of competencies in terms of knowledge, skills, attitudes, and
values as professional nurse.
d. Volunteering our services wherever needed.

14. We often give our best in caring but despite all efforts, the reality of facing death is
inevitable. Our brand and core values of nursing will always extend beyond the ordinary
levels of promotive, preventive, curative, and rehabilitative care. This culturally-bound,
Filipino values of nursing likewise needs to be nurtured:*
A. Psychological care
B. Emotional care
C. Spiritual care
D. Relational care-nasa puso ang pag aalaga

15. It is important to not only enrich one’s mind with progressive technical upgrades but
equip one’s self with holistic personal and professional development believing that:*
A. we are also God’s angels of mercy on earth

B. we may also find real holism in the service we render

C. we and the beneficiaries of our care are made up of body, soul, and spirit and each
component do have health needs intertwined
D. should we encounter terminal patients, we may understand how to support them to their
dying stage

16. The patient called for the nurse and complains of unrelieved chest pain. She
verbalized, “I followed your instructions carefully. I already took 3 NTG SL tablets at 5 -
minute intervals from my pillbox. But the pain is still there.” The nurse’s best action
would be:*
A. Oxygenate the patient immediately REMEMBER:MONA FOR
SUSPECTED M.I
B. c. Get NGT SL tab from the E-cart and give to patient
Morphine
C. Call the doctor and report infarction Oxygen
D. Administer Morphine stat as ordered Nitroglycerine
As pi ri n
17. Aneleise’s admission assessment was done by Nurse Faye. Which of the following
descriptions would the nurse consider as a classical pain of acute myocardial infarction?*
a. pain radiates to the jaw, back, and left arm
b. crushing mediastinal pain
c. sudden chest pain associated with activity
d. gnawing pain unrelieved by rest

18. Oxygen at 2-4 L/min via nasal cannula was prescribed. Nurse Faye understands that
the primary purpose of this order is to:*
a. increase myocardial oxygen supply
b. decrease cardiac workload
c. reduce pain due to ischemia
d. relieve difficulty of breathing

19. Morphine sulfate was administered in intravenous bolus to reduce pain and anxiety.
Which of the following vital signs should Nurse Faye monitor carefully to specifically
determine cardiac responses?*
a. temperature
b. pulse rate- always the first na vital sign na nagcha-change
c. blood pressure

d. respiratory rate

20. Nurses must be aware that pain in MI may occur without cause primarily during what
time of the day?*
a. anytime of the day
b. usually after a day’s work
c. early at night before retiring
d. early in the morning- pinaka common na nangyayari
Situation: A nurse admitted a female, 19-year old college student. Her chief complaints
are fatigue, weakness, and sometimes dizziness. The patient is plae. The admitting
diagnosis is iron deficiency anemia.
Note:
Hallmark- FATIGUE/ easy fatigability
(laging pagod) - mababa yung iron sa
katawan so mababa yung RBC therefore
mababa yung= oxygen carrying capacity

21. The nurse prepared the client for complete blood count (CBC) testing. The complete
blood count is normal if the result is:*

a. 1,2,3,6
b. 1,3,5,6
c. 1,2,3,4
d. 1,2,4,5

22. After a thorough assessment and based on the laboratory findings, the diagnosis of
iron deficiency anemia is confirmed. The client asks the nurse what is the role of iron in
the body? The correct response of the nurse is:*
a. iron prevents bleeding
b. iron gives the red color of our blood
c. the body cannot synthesize hemoglobin without iron
d. iron helps in the conduction of nutrients to the body

23. Which of the following food enhance absorption of iron?*

a. cereals
Note: Vitamin C or
b. citrus fruits
ascorbic acid increases
c. dairy products the absorption of Iron
d. green leafy vegetables

24. The client was prescribed Ferrous sulfate as iron supplement. For better absorption,
the nurse would instruct the client to take this supplement:*
a. with meals.
b. 1 hour before meals. - para empty stomach; mas mataaas yung abosorption kasi isa
lang yung kasama, kapag may kasama may katunggali pa doon sa absorption
c. after breakfast
d. before going to bed

25. Intramuscular supplementation of Iron causes local pain and can cause stain in the
skin. If you are the nurse, what the best technique of administration will you use?*
a. Z-track- IM; to reduce irritation and to prevent pain form irritating drugs like Iron.
REMEMBER: DISPLACED THE SKIN
b. IV bolus
c. vigorous rubbing of the injection site after injection
d. use the gluteus maximus muscle
Situation: Nurse Jade is in charge of a client who was admitted for management of acute
episodes of cholecystitis.- sa gallbladder yung tama, so sa upper right abdomen mara-
ramdaman

26. Nurse Jade did her admission assessment. She understands that the pain is
characterized as:*
A. Tenderness that is generalized in the upper epigastric area
B. Tenderness and rigidity at the left epigastric area radiating to the back
C. Tenderness and rigidity of the upper right abdomen radiating to the midsternal area
D. Pain of the left upper quadrant radiating to the left shoulder

27. To confirm the diagnosis of cholecystitis, the attending physician ordered the
procedure that can detect gallstones as small as 1 to 2 cm and inflammation. Nurse Jade
would prepare the client for which specific diagnostic procedure?*
A. cholangiography
B. gall bladder series
C. oral cholecystogram
D. ultrasonography

28. The diagnosis was confirmed as cholecystitis with gallstones. The doctor prepared the
client for the removal of his gallbladder. The client asks the nurse: “How will this
procedure affect my digestion?” The nurse’s most correct response would be:*
A. c. “Your body system will adjust in due time.”
B. “The removal of the gallbladder usually interferes with digestion but can be remedied
by dietary modifications.”- produces bile= LIVER ; Si galbladder naman nagstore lang
ng bile. Normally kasi iniipon ni galbladder mga bile hanggat matapos kang kumain then
doon pa lang niya ibubuhos, kaya kapag wala ka ng galbladder-tuloy tuloy lang na
tumutulo yung bile so hindi naco-concentrate or naiipon kaya yung fat absorption nagde-
decrease siya.
C. “The removal of the gallbladder would significantly interfere only with the digestion
of fatty food.”
D. “The removal of gallbladder does not usually interfere with digestion.”

29. While reviewing the laboratory findings of the client, Nurse Jade found out that
which findings are elevated? 1. white blood cell count 2. total serum bilirubin 3. alkaline
phosphate 4. red blood cell count 5. cholesterol 6. serum amylase*
A. 3,5,6
B. 1,2,6
C. 1,2,3
D. 2,3,4

30. A T-tube was inserted and the doctor ordered: “Monitor the amount, color,
consistency and odor of drainage.” Which of the following procedures can the nurse
perform without the doctor’s order?*
A. clamping
B. Emptying - Ito lang yung hindi need ng doctor’s order para gawin
C. aspirating
D. irrigating
Situation: A nursing student was assigned to take care of a client who was diagnosed of
polycythemia vera.

31. You planned the nursing care of the client together with the nursing student. You
asked the nursing student to enumerate the clinical manifestations of a client with
polycythemia vera. You expected the nursing student to enumerate the following
manifestations, except:*
a. Splenomegaly/

b. ruddy complexion/- redness

c. generalized pruritus/- itching
d. hepatomegaly

32. The nursing student reviews laboratory findings and finds which blood results are
elevated?*
a. RBC, WBC, platelet count
b. WBC, platelet and cholesterol
c. bilirubin, RBC and platelet
d. BP, WBC, and hematocrit

33. Phlebotomy- (it is only therapeutic=aim to improve the patient’s condition but hindi
siya diagnostic sa polycythemia vera; so procedure ito para maipadala sa laboratory yung
result para magamot yung blood disorder) was ordered as part of the therapy. You
instructed the client and emphasized that the procedure can be repeated. The client
inquired, “What is the primary aim of the procedure?” Your appropriate response is:*
a. “Remove the excess blood and donate to patients of the same blood type.”
b. “Prevent headache and dizziness.”
c. “Keep the BP reading within normal range.”
d. “Keep the hematocrit within normal range.”

34. The companion asks why the client was advised to avoid iron supplements or
vitamins. The correct response of the nurse would be:*
a. “These supplements enhance the production of RBC.”- magkakaroon ng over
production ng blood
b. “The vitamins and iron can suppress bone marrow function.”
c. “Actually, the patient does not need these supplements.”
d. “It is best that the client gets these supplements from natural sources.”

35. The client complained of generalized pruritus. The following are appropriate nursing
interventions, except:*
a. administer routine antihistamine round the clock/
b. regulate room temperature to 25 degrees or lower/- kailangan malamig; kapag mainit,
malagkit so mangangati siya kasi
c. bathe in tepid or cool water followed by coca-based lotion application/
d. wearing light material, loose-fitting camisa - ito ay pineapple fiber; it can be irritating
to the skin
 64. Which of the following assessment findings when observed in a post thyroidectomy
client is indicative of a thyroid crisis?
a. Spasm in the hand
b. Falling blood pressure
c. Regular and noisy respiration
d. High fever

65. At the start of thyroid replacement post total thyroidectomy, the nurse must monitor
for side effects. Which side effects would the nurse expect to assess? Select all that
apply.
i. Hypertension
ii. Tremors
iii. Hirsutism
iv. Insomnia
v. Tachycardia
vi. Hyperglcemia
b. 1, 2, 3, 4 and 5
c. 3, 4, 5 an 6
d. 1, 2, 3, zand 5
e. 1, 3, 4, and 5

Situation: It is often said that “ignorance of the law excuses no one.” In the practice of
professional nursing the same applies. The following questions are related to ethico-legal
dimension in the paactice of nursing.

66. For failure of the nurse to check the nasogastric tube placement before administering
feeding, the patient aspirated and died. The nurse may incur:
a. Administrative liability
b. Civil liability
c. All liability may be filed
d. Criminal liability

67. The following are sources of laws/rules/policies that affect the nursing practice in
the Philippines:
i. International Council of Nurses/ Philippine Nurses Association
Advisories
ii. Board of Nursing Promulgations e.g. Resolutions and Memorandum

iii. DOH Administrative Order and CHED Memorandum Order

iv. House Bills/ Senate Bills
a. All are recognized sources
b. 1 and 4
c. 2 and 3
d. 1 and 4

68. The following are true about the requirements for applying to take the Licensure
Examination in the Philippines except:
i. The applicant must be a person of Good Moral Character
ii. The applicant must have gotten an average of 75% with no grade
lower than 60% in any subject in the NLE
iii. The applicant myst have finished BSN degree from an accredited
school
iv. The applicant must be a Filipino citizen
b. 1 and 3
c. 1 and 4
d. 1, 3, and 4
e. Only 2

69. ASEAN countries now engage in the Mutual Recognition Arrangement (MRA)
negotiations consistent with liberalization measures of the General Agreement on
Trade in Services (GATS). The applicable mode for this kind of agreement is:
a. Via Reciprocity
b. Via Examination
c. Via temporary/ Special permit
d. Via Movement of Natural Persons

70. Upon full implementation of Board of Nursing Resolution No.22 series of 2009
(National Nursing Career Progression Program), the following are deemed legally
practicing nursing except:
i. A “trained” nurse phlebotomist
ii. A duly certified hemodialysis nurse who primes a hemodialysis
machine before initiating hemodialysis to a client
iii. An ACLS- trained and Certified Nurse clinician who intubates a
patient under accepted ICCU protocol

iv. A certified Critical Care Nurse Specialist who extracts arterial blood
every hour for ABG monitoring of patients
a. Only 1
b. Only 4
c. Only 3
d. Only 2

Situation: Nurse Kately admitted a 33 years old, married, for thyroid work-up.

71. Which admission assessment would make you suspect that Lucille has
hypothyroidism? Select all that apply
i. Heat intolerance
ii. Diarrhea
iii. Bradycardia
iv. Coarse and dry skin
v. Somnolence
vi. Decreased appetite
a. 2, 3, 5, 6
b. All except 5
c. 3, 4, 5, 6
d. 1, 2, 3, 4

72. Lucille was ordered to undergo radioactive iodine uptake the following day. The
nurse understands that this test determines which of the following?
a. Absorption of the iodine isotope
b. Ingestion of the iodine isotope
c. Stimulation of the iodine isotope
d. Reaction of the iodine isotope

73. If the doctor will prescribe Basal Metabolic rate (BMR) to Lucille, which of the
following is NOT indicated?
a. Nothing by mouth for 10-12 hours
b. Blood extraction upon waking up
c. Instruct the client not to get out of bed until the test is over
d. A good night sleep of 8-10 hours

74. Cytomel (Liothyronine) was prescribed to Lucille. Before administering the drug,
Nurse Karen should not only verify the doctors order but also:
a. Take the BP and PR
b. Take the temperature and respiratory rate
c. Take the weight of the client
d. Advise the client to stay in bed

75. Lucille asked the nurse which diet is most appropriate for her. The correct response
of the nurse would be:
a. Low salt, low fat
b. Low calorie and high fiber
c. High calorie and high fiber
d. High protein but low residue

Situation: Jojo and Jan Jan, a scrub nurse and circulating nurse respectively, are preparing
for hydrocelectormy, their last case for the day.

76. Jojo discovered a cut in her palm while she was opening the sterile pack, Jojo
should:
a. Scrub but put on double gloves
b. Ask to be relieved as a scrub nurse
c. Scrub if the cut is properly bandaged
d. Scrub after writing an incident report

77. Before any member of the surgical team proceed to do the surgical hand scrub,
he/she should have complete operating room (OR) attire. Identify all the attire
appropriate for this case:
i. Head Cap Goggles
ii. Face masl
iii. Sterile gown
iv. Gloves
a. 2, 3, 4
b. 1, 2, 3
c. 1, 2
d. 3, 4, 5

78. A sterile set up has been prepared. The OR was notified of a delay in transporting
the client from the ward to the OR. Which of the following guidelines should the
circulating nurse follows?
a. Keep door of the operating room closed all the time to maintain the “sterile
set up”
b. “Sterile set up” should be replaced after an hour
c. Cover appropriately “sterile set up”
d. Prepare another “sterile set up”

79. Identify which appropriate gloving technique will the assistant surgeon use when he
performs the skin preparation?
a. Gloving self-closed techqniue
b. Srub nurse serves the gloves
c. Any gloving technique is accepted
d. Gloving self-open technique

80. The intern 2nd assistant surgeon contaminated his gown while the surgery is
ongoing. He is expected to change his gown and gloves. Which of the following is
the CORRECT technique to be followed?
a. The intern removes his gown and gloves then puts on another sterile gown
and gloves.
b. The circulating nurse unties the gown. The intern removes his gown then
removes the gloves and puts another sterile gown and gloves.
c. The intern removes his gloves, then his gown does a 3 minutes hand scrub
and don another sterile gown and gloves
d. The intern unties his gown removes his gown and put on another gown and
gloves.

Situation: Poon Day, who has an increased risk for cervical cancer asks you different points
about the condition.

81. With your knowledge of cervical cancer, which of these would you include in your
teaching on its risk factors? Select all that apply.
i. Monogamous
ii. Sexual contact with males whose partners have had cervical cancer
iii. Underweight
iv. Folic acid deficiency

v. Exposure to HPV6
vi. Never had any sexual contact
a. i, iii iv, v
b. ii, iv
c. ii, iii, iv, v, vi
d. i, iii, iv, vi

82. Cervical cancers metastiasize if not detected and treated. What is commonly the first
metastatic location of cervical neoplasms?
a. Inguinal lymph node
b. Cervical node
c. Pelvic lymph nodes
d. Axillary lymph nodes

83. A surgery is suggested to treat the patient’s cervical cancer. However, she exclaims
that she still plans to bear a child. Which of the following procedures may be done
to the patient granting her wish?
a. Radical hysterectomy
b. Radical vaginal hysterectomy
c. Radical trachelectomy
d. Simple bilateral salphingoectomy

84. Norma underwent hysterectomy and was transferred to your ward 3 hours post-
surgery. Which of these assessments would warrant you to notify the doctor?
a. Pain on the incision site
b. Chest pain
c. Vaginal bleeding
d. Post-operative edema

85. Early ambulation for a patient who underwent surgery for cervical cancer is
encouraged to prevent:
a. Severe hemorrhage
b. Contractures
c. Deep vein thrombosis
d. Bladder retention

Situation: A patient who has Stevens - Johnson syndrome is newly-admitted to the medical
ward. You are assigned to take the history and plan for the care of the patient.

86. While you take your history, which of these signs and symptoms would be part of
the prodromal stage of the syndrome?
a. Dysuria
b. Sore throat
c. Corneal lesion
d. Vaginal stenosis

87. Which of these statements by the patient would give you an information of the cause
of the syndrome?
a. “I am not sure if I am able to drink at least 8 glasses of water because of my
busy schedule.”
b. “I am fond of eating grilled barbecue and isaw after work. I buy and eat them
almost everyday.”
c. “I take penicillin whenever I feel like I will have cough or colds.”
d. “Paracetamol is my go-t- medication, especially when I started feeling
weak.”

88. In reviewing the workup of the patient, which of these laboratory findings do you
expect her to manifest?
a. Elevated arterial blood pH
b. Elevated C-reactive protein
c. Decreased partial thromboplastin time
d. Decreased platelet count

89. Which of these complaints by the patients indicate a progression to a complication

of SJD?
a. “I have a difficulty swallowing liquids.”
b. “My eyes feel like they are drying.”
c. “My whole body is itching terribly.”
d. “Anything that touches my skin causes extreme pain.”

90. Which of these interventions would you not include in caring for the patient?
a. Shift to nasogastric gavage from IV infusions in fluid administration as soon
as possible.
 b. Prescribed topical antibiotic may be applied in conjunction with
hydrotherapy in a tub.
c. Ask the patient to limit blinking and eye movement to prevent aggravating
the complication.
d. Administer analgesics before the painful procedures or treatments are done.

Situation: You are a nurse in Indonesia who has been assigned as part of the triage team in
the recent earthquake in the capital city. You assess and prioritize patients according to
their status and needs. Different emergency nursing concepts apply during this process.

91. Which of these should be done during your secondary survey of the patients?
a. Cervical spine stabilization
b. Establishing a patent airway
c. Splinting of suspected fractures
d. Immediate closed reductions on pulseless extremity

92. In a reversed advanced type of triage, whom would you give prioritization to?
a. A gasping patient, with estimated blood loss of 900mL
b. An elderly client with a fractured femur, mobile, can respond to voice
command
c. A head trauma patient, unconscious, HR 40bpm, RR 10 cyles/min, BP
145/70
d. A pulseless infant, with cold and clammy skin

93. Critical incident stress management is what type of prevention in disaster

management?
a. Primordial
b. Secondary
c. Primary
d. Tertiary

94. Following the external triage system, which among these patients would you highly
prioritize?
a. An unresponsive patient with capillary refill time of more than 2 seconds,
and an RR of 10 breaths/min
b. A pregnant client, with rib fractures, responsive to voice commands, HR
120bpm, RR 20cycles/min

c. A patient with sustained head injuries, gasping for air, with bluish appearance
d. A patient with severe blood loss, PR of 75 bpm, RR of 10 cycles/min

95. Which of these principles is not included in performing START triage in

emergencies and disasters?
a. Never go against the flow and go back to a previous casualty
b. Tag under the black category those persons who are gasping for air
c. Provide treatment for all patients requiring intensive care
d. Begin where you stand

Situation: Bed rest is a therapeutic intervention that achieves beneficial effect. However
prolonged bed rest can be counterproductive to the clients’ recovery. The inactivity
imposed by bed rest may cause structural changes in joints and shorten muscles. Moving,
turning, and positioning of clients are essential aspect of nursing care.

96. Nurse Monilia is giving the 8:00am medication to a client who happens to have slide
down the bed from the fowler’s position. Which of the following interventions is
most effective when the nurse reporitions the client?
a. Raise the head of the bed to the height of the center of gravity
b. Remove all pillows then place against the head of the bed
c. Ask the client to flex the hips and knees and position the feet for effective
pushing up
d. Adjust the head of the bed to a flat position or as low as the client can tolerate

97. Using an overhead trapeze for repositioning the client can be accomplished by
instructing the client to grasp the:
a. Overhead trapeze with one hand and push with the heels upward
b. Overhead trapeze with both hands and lift and pull during the move
c. Head of the bed with one hand and maneuvering for an upward movement
d. Head of the bed with one arm and the overhead trapee with the other arm
then lift and pull upward

98. A client on bed rest is rolled to a lateral position by the nurse. The nurse is
negotiating the move correctly when he:
a. Positions himself at the mid part of the bed and places both hands at the back
of the client and roll client onto side
Pull/roll the client toward you to the lateral position

b. Places one hand on the client’s far hip and the other on the client’s far
shoulder, rock backward and roll onto side of the body facing him
c. Assume a broad stance with the foot nearest the bed placing his arms under
the client’s thighs and shoulder and roll client onto side
d. Supports the back and buttocks of the client and shifts his own weight from
the forward to the backward foot and roll the client onto side

99. A client with injured left leg is sitting on the bed preparing to transfer to a
wheelchair. The nurse is assisting the client and positions the wheel chair on the:
a. Foot part of the bed
b. Client’s right side
c. Head part of the bed
d. Client’s left side

100. A client has difficulty walking and needs a wheelchair to facilitate

performance of daily activities. Anticipating the needs of the client, the nurse shoul
dhave the wheelchair ready by placing it at:
a. 80- degree angle
b. 45- degree angle
c. 90- degree angle
d. 30- degree angle

NP 5
Situation: Facundo Mercado, a 35 years old male client diagnosed with Delusional
Schizophrenia is on pharmacotherapy as part of his medical management

1. An order of Chlorpromazine (Thorazine)- (treatment for schizophrenia) 300mg QID

was given to the client. As a responsible nurse, Louisiana is reviewing the nurse’s
notes. Which assessment would alert her as the most serious side effect of his drug?
a. Postural hypotension
b. Photosensitivity and skin rashes
c. Inhibition of ejaculation and decreased libido
d. Agranulocytosis and jaundice- kasi mababa yung WBC levels ng may schizo

2. Which of these written notes by the nurses on the kardex would need further
discussion on nursing actions related to antipsychotic medications administration?
a. Give parenteral meds only when the patient is properly restrained- kasi
nagbigay ka lang ng meds need mo pa ba I-restrain diba;need lang yun gawin
kapag may risk of self injury
b. Teach the patient about the expected extrapyramidal side effects
c. Monitor the patient’s blood pressure
d. Check to make sure that the client does not hide medications

3. With the administration of Chlorpromazine, the client complains of dry mouth and
constipation. Which appropriate intervention should nurse Louisiana write in the
nursing care plan?
a. Question the client about the amount and type of his daily exercise
b. Consult with the client’s physician about changing the antipsychotic
medications

c. Advice the client to chew sugarless gum and eliminate gas forming food
d. Encourage the client to rinse mouth with water and drink 6-8 glasses of fluid
each day- para hindi siya constipated
4. During Nurse-Patient interaction, the client states that ants are crawling all over his
body- tactile hallucination= may nararamdaman ka pero wala naman talaga you
would document this in which part of mental status?
Note: visual hallucination= may nakita ka pero hindi
a. Emotional state wala naman
b. Sensorium or orientation- kasi Auditory hallucination= may naririnig ka kahit wala
yung problem ay sa senses;sense of naman nagsasalita; pinaka common at pianaka
touch delikado
c. Characteristics of talk
d. Content of thought

5. For proper documentation and accountability of all entries to the client’s chart, it is
important for nurse Gigi to inspect that:
a. Staff must not abbreviate SOAP
b. Client’s problem in the medical record must bear date of entry and numbers
of client’s problems
c. All notes must have signatures and title of the person making the entry
d. Nurses implement the use of problem oriented progress notes

Situation: Ricardo Ricarding, 35 years old has been admitted to the psychiatric unit because
he has been negligent of his personal hygiene, has withdrawn himself from relating with
others and seemed to have a world of his own as he was observed talking to himself

6. During the nurses rounds, nurse Annie observed that Manny lying on his bed, in a
fetal position, covered his face with foul smelling body odor . Nurse Annie noted
this behavior as a state of:
a. Disturbed affect
b. Apathy and indifference
c. Autism
d. Severe regression- - bumabalik sa earliest stage, feeling nila kapag ganong
position safe sila

7. In order to establish trust with Ricardo Ricarding, which of the following

approaches is most important to consider?

a. Assign to him the friendliest nurse in every interaction

b. Assign to him a male nurse in every interaction
c. Have a nurse who portrays a parent figure relate with him
d. Have the same nurse interact with him in every interaction-

8. Ricardo Ricarding remained aloof for several days and the nurse had difficulty
relating to him because he was often agitated, incoherent and irrelevant in his
thoughts-mst likely may depression si patient . Medication has started, which
medication will the psychiatrist prescribe?
a. Lithium anti manic- no manic episodes so di ito
b. Chlorpromazine antipsychotic- wala naman delusions
c. Lorazepam anxiolytics- for anti anxiety
d. Sertraline SSRI- meds for antidepressant
9. Nurse Narcissa is conducting a health teaching to Ricardo Ricarding about the
newly prescribed SSRI antidepressant for the treatment of depression. Which of the
following points should Nurse Narcissa include in her teaching plan?
I. This drug acts to increase the levels of mood elevating chemical in the
brain called serotonin
II. This drug acts quickly, so feelings of depression will decrease in a few
days- 14 days to 30 days
III. Manny should avoid alcohol or taking antihistamine medications with
this drug
IV. If Manny finds it difficult to sleep at night during intake of the
medication, he can try taking it in the morning
V. Manny should have a special diet

a. I, II, III
b. I, II, IV, V
c. I, III, IV
d. I, IV, V

10. Given a client like Ricardo Ricarding, which of the following is a common nurse’s
behavior during the initial phase of Nurse-Patient Relationship which nurse
Narcissa should be aware of:
a. Ambivalence- alanganin/unsure
b. Apathy
c. Withdrawal

d. Mistrust

Situation: Hugeen seeks psychiatric counseling for his ritualistic behavior of counting his
money as many as 10 times before leaving home.

11. An initial appropriate nursing diagnosis is:

a. Impaired social interaction
b. Ineffective individual coping- clients with OCD yung mga ritualistic
behaviors nila yun yung coping mechanism nila sa kanilang anxiety
c. Impaired Adjustment
d. Anxiety Moderate

12. Obsessive compulsive disorder is BEST described by:

a. Uncontrollable impulse to perform an act or ritual repeatedly
b. Recurring unwanted and disturbing thoughts alternating with a behaviour
c. Pathological persistence of unwilled thought, feeling or impulse
d. Persistent thoughts

13. The defense mechanism used by persons with obsessive compulsive disorder is
undoing and it is best described in one of the following statements:
a. Transfer of emotions associated with a particular person, object or situation
to another less threatening person, object or situation
b. Unacceptable feeling or behaviour are kept out of awareness by developing
the opposite behaviour or emotion
c. Consciously unacceptable instinctual drives are diverted into personally and
socially acceptable channels
d. Something unacceptable already done is symbolically acted in reverse- ex.
kakabilang niya ng pera niya nalate siya tapos babawi siya sa mga naabala
niya

14. To be more effective, the nurse who cares for persons with obsessive compulsive
disorder must possess one of the following qualities:
a. Consistency- di pwede pabago bago yung rules ng nurse
b. Patience
c. Friendliness
d. Compassion

15. Person with OCD usually manifest:

a. Fear
b. Apathy
c. Suspiciousness
d. Anxiety

Situation: Last November 8, 2013, Supertyphoon Haiyan (Yolanda) left behind a path of
destruction on one-third of the Philippines, claiming many lives and causing unimaginable
damages never been seen before

16. The following are the characteristic manifestation of post traumatic stress disorder
except:
a. Anhedonia/- wala ng feeling of excitement and pleasure
b. Extreme attachment with other people- opposite nangyayare; nagkakaroon
ng detachment
c. Unresponsiveness to surroundings/
d. Flashbacks/

17. All but one of the following is not a diagnostic criteria for the diagnosis of PTSD
except
a. Repetitive, intrusive recollection of reenactment of the event in memories/
b. Numbing feeling
c. Day time imagery or dreams
d. Onset after 6 months of a traumatic event- dapat nangyayare agad agad yung
ptsd
18. When the nurse is dealing with clients with PTSD, which of the following
approaches is inappropriate?
a. Consistent emphatic approach to help the clients tolerate the emotional pain
b. Simple reorienting, reassuring statements to prevent suicidial ideation
c. Trusting relationship to convey a sense of respect, acceptance of their distress
and belief in clients’ reactions
d. Promote and maintenance dependence and the clients’ highest level of
functioning- dapat independence ang pinopromote mo kasi it means kaya na
nilang tuamyo sa sarili nilang paa xDDD

19. For victims who refuse to talk whether angry, or remain mute and silent, the nurse
should do the following except:

a. Maintain regular contact and greet them

b. Acknowledge that you understand they are not to blame
c. Tell them you will not return to him so he should as well speak up
d. Tell them that you are not upset or angry because they did not talk

20. Rehabilitation of children after a disaster may include all except:

a. Letting the child to be close to adults who are familiar to them/
b. Organize story telling session, singing songs and games/
c. Avoid touching, hugging, and reassuring them verbally- do not avoid; kasi
need yan ng mga bata during disaster
d. Involve them in activities like drawing and painting where they can express
their emotions

21. A 42-year-old woman, Milagros, with a diagnosis of Meniere’s disease is seen in

the clinic. The nurse would expect the client to complain of:
a. Discharge from the ear, pain, and conductive deafness
b. Vertigo, tinnitus, and neurosensory hearing loss
c. Fever, ear noises, and headache
d. Severe headache, enlarged lymph nodes, and fever

22. The nurse is assessing a patient diagnosed with Meniere’s disease. Which of the
following patient statements would require further teaching by the nurse?
a. “I smoke one pack of cigarettes per day”- it can cause vasoconstriction sa
ear;mapapalalo pa yung condition
b. “When I have vertigo, I keep my eyes open and stare straight ahead”
c. “I have a continuous, low-pitched roar in my left ear”
d. “I continue to feel dizzy after the vertigo goes away”

23. The nurse finds a patient with Meniere’s disease leaning over the sink in the room
and clutching it with both hands. After determining that the patient is having an
acute attack, which of the following actions should the nurse take FIRST?
a. Help the patient back to bed and place a pillow on either side of the patient’s
head-
b. Have the patient lie down where he is and check the patient’s vital signs and
pupil’s response to light
c. Give the patient an emesis basin and massage the neck over the area of the
carotid arteries
 d. Notify the physician and prepare the administer atropine sulfate
subcutaneously

24. During an acute attack of Meniere’s disease, the nurse can most likely anticipate
administering which of the following drugs?
a. Corticosteroids
b. Nonsteroidal anti-inflammatory drugs
c. Antihistamines- to suppress labyrinth in our ears; to lessen also yung pag
atake ng meniere’s dx
d. Diuretics

25. What important client teaching should the nurse provide regarding the client’s diet?
a. Instruct to avoid foods rich in protein
b. Teach the client to read food labels- dapat I-avoid yung foods with high salt
and sugar & msg- it can cause trigger of attack
c. Instruct the client to limit salt intake at 2 grams per day
d. Encourage to have a high fiber diet

Situation: A 50 year old male client arrived in the emergency room with complaints of
frequent headaches. Left side body weakness and difficulty in balancing. An MRI was
conducted and the result shows a brain tumor.

26. The patient has undergone a supratentorial craniotomy to obtain a tissue sample for
biopsy. What immediate nursing action should be done after the procedure?
a. Lying flat in bed
b. Neurologic checks and vital signs every 4 hours
c. Limiting fluids to 1.5L-2L in 24 hours- need I-limit to prevent
overhydration= to prevent inc of ICP kasi especially my brain tumor si pt.
d. Allowing no pillows under the head

27. Drainage on a craniotomy dressing must be measured and marked. Which of the
following should be reported immediately to the doctor?
a. Bloody drainage- merong active bleeding
b. Yellowish drainage
c. Greenish drainage
d. Foul-smelling drainage

28. Neurologic assessment should be performed every hour after the procedure to
monitor an increased intracranial pressure. Using the Glasgow coma scale, which
of the following scores indicates that the client has the best neurologic function?
a. Eye opening-3, motor response-8, verbal response-6
b. Eye opening-5, motor response-4, verbal response-8
c. Eye opening-4, motor response-6, verbal response-5
d. Eye opening-6, motor response-5, verbal response-4

29. The nurse must stay alert for signs and symptoms of increased intracranial pressure
(ICP). Which cardiovascular findings are late indicators of increased ICP?
a. Rising blood pressure and bradycardia- kasi kasama yan sa cushing’s triad
b. Hypotension and bradycardia
c. Hypotension and tachycardia
d. Hypertension and narrowing pulse pressure

30. To evaluate the extent of the increasing intracranial pressure, the nurse assesses the
client for Doll’s eyes reflex- para malaman kung may lesions sa spinal cord ng
patient . When the nurse turns the client's head to the left, the client's eyes remain
on the right side. This may indicate:
a. Brainstem Compression
b. Subdural hematoma
c. Meningeal inflammation
d. Normal

Situation: Freddie, 35 year old driver, experienced fatigue, visual disturbances and
paresthesia in his arms and legs. He later developed spastic paralysis of the legs. His
physician says he has Multiple Sclerosis.

31. Upon assessment, the nurse should address which of the following behaviors related
to the disease?
a. Client’s coping
b. Client’s lifestyle
c. Client’s plan for the future
d. Client’s actual and potential needs- kasi dapat unahin yung mga actual need
ng patient

32. The client is concerned about his fluctuating physical condition and generalized
weakness. Which of the following is the priority nursing interventions for Freddie?
a. Teach measures for activity limitation
b. Space activities throughout the day- para maiwasan na mapagod si pt agad
c. Have an immediate family member stay with him
d. Bedrest and restriction of activities

33. During exacerbation of multiple sclerosis- di laging inaatake yung mga mild cases ,
the client will experience which of the following?
a. Mental retardation
b. Resting Tremors
c. Sudden burst of energy
d. Diplopia and nystagmus- nagkakroon ng visual problems bcoz of lesions in
optic nerve

34. Mr. Freddie experiences bladder incontinence. Which of the following should the
nurse do?
a. Limit fluid intake to 1200mL per day to 2000mL/24hrs
b. Insert an indwelling catheter
c. Establish a regular voiding schedule- independent interventions; para
matrain niya yung brain niya na ganitong oras iihi siya
d. Administer prophylactic antibiotic as ordered

35. The nurse is preparing Manny for discharge from the hospital. Which of the
following is an appropriate instruction?
a. Keep active, less stressful activities and avoid fatigue - pinaka tama to kasi
may avoid fatigue; bawal kasi sila mapagod
b. Learn to use walking aids in anticipation of future disabilities
c. Observe Quiet, inactive lifestyle and regular exercise-active dapat
d. Maintain good health habits and regular exercise

Situation: Parkinson’s disease is a slowly progressing neurological movement disorder that

eventually leads to disability. Although the cause of most cases is unknown, research
suggest several causative factors, including genetics, atherosclerosis, excessive
accumulation of oxygen free radicals, viral infections, head trauma, chronic use of
antipsychotic medications and some environmental exposure

36. Parkinson’s disease, a progressive neurologic disorder is characterized by:

a. Bradykinesia/
b. Tremors/
c. Muscle rigidity/
d. All of the above

37. The client is on an anti-Parkinsonian medication which acts by releasing dopamine

from the neuronal storage sites. This anti-viral agent used early in Parkinson’s
treatment is:
a. Artane
b. Benadryl
c. ELavil
d. Symmetrel-

38. The nurse will administer benztropine 1mg p.o. daily. Which finding suggests its
desired side effect?
a. Decreased confusion
b. Decreased muscle tremors
c. Decreased dizziness
d. Decreased muscle rigidity

39. The client finds the resting tremor-kapag walang ginagawa don nagshsahake kamay
niya he is experiencing in his right hand very frustrating. The nurse will advise this
client to
a. Take a warm bath
b. Practice deep breathing
c. Hold an object- para cinocontract niya muscle niya sa kamay
d. Take diazepam as needed

40. A patient with Parkinson’s disease has a nursing diagnosis of Impaired Physical
Mobility related to neuromuscular impairment. You observe a nursing assistant
performing all of these actions. For which actions must you intervene?
a. The NA assists the patient to ambulate to the bathroom and back to bed
b. The NA reminds the patient not to look at his feet when he is walking
c. The NA performs the patient’s complete bath and oral care - magiging
dependent siya sa nurse’s assistance
d. The NA sets up the patient’s tray and encourages patient to feed himself

Situation: Zoshima was rushed to the emergency room when she was discovered to have
taken over dosage of sleeping pills

41. Myths surround suicide but which of these should the nurse take as reality?
a. All suicide behavior should be taken seriously. It is a cry for help
b. Only psychotic persons try to kill themselves
c. The suicide risk is over when improvement follows a suicide crisis
d. Suicide attempts are manipulative plays

42. Zoshima is on antidepressant treatment. A selective serotonin reuptake inhibitor was

prescribed. This medication targets which part of the brain?
a. Putamen
b. Frontal cortex
c. Basal ganglia
d. Hippocampus

43. The primary nursing diagnosis of Zoshima is:

a. Risk for suicide- rare risk na pinaprioritize
b. Spiritual distress
c. Loss of self-control
d. Ineffective coping

44. All of these are basic suicide precautions except:

a. Allow the client to have visitors and telephone calls
b. Stay with the client with all medications are taken
c. Isolate the suicidal patient-
d. Search the client belongingness in his/her presence for potentially harmful
objects

45. Zoshima is being discharged after spending six days in the hospital, due to
depression with suicidal ideation. The psychiatric and the mental health nurse
knows that an important outcome has been met when the patient states:
a. “I can’t wait to get home and forget that this ever happened”
b. “I have to leave here soon, if I want to make it to the shelter before they run
out of beds”

c. “I have a list of support groups and a crisis line that I can call, if I feel
suicidal”- at least aware siya na kapag nagka episode siya alam niya ano
gagawin niya
d. “I feel so much better. If I continue to feel this way, I can probably stop
taking my medications soon”

Situation: In the Psychiatric Ward, you are assigned to administer the medications for all
the patients admitted. Proper knowledge of the medications and their side effects are
essential

46. Which information is most important for the nurse to include in a teaching plan for
a mal schizophrenic client taking clozapine (Clozaril)-anti psychotic drug for schizo
a. Monthly blood tests are necessary and will be conducted
b. Stop the medication gradually once you feel the symptoms start subsiding
c. Your blood pressure must be monitored for hypertension
d. Report to your physician once sore throat or fever occurs

47. What non-antipsychotic medication is used to treat some clients with

schizoaffective disorder?
a. Lithium carbonate (Lithane)- nasa group naman ng meds ito ng para sa
bipolar disorder
b. Imipramine (Tofranil)
c. Chlordiazepoxide (Librium)
d. Phenelzine (Nardil)

48. Dana, a physiactric client, is to be discharged with orders for haloperidol (haldol)-
bawal masyadong naarawan therapy. When developing a teaching plan for
discharge, the nurse should include cautioning the client against:
a. Driving at night
b. Ingesting wines and cheese
c. Staying in the sun
d. Taking medications containing aspirin

49. Fred was newly diagnosed with anxiety disorder. The physician prescribed
buspirone (BuSpar). The nurse is aware that the teaching instructions for newly
prescribed buspirone should include which of the following?
a. A warning about the incidence of neuroleptic malignant syndrome (NMS)

b. A reminder of the need to schedule blood work in 1 week to check blood

levels of the drug
c. A warning about the drugs delated therapeutic effect, which is from 14 to 30
days
d. A warning that immediate sedation can occur with a resultant drop in pulse

50. Which of these medications would cause the least dependence and side effects in a
bipolar event?
a. Benzodiazepine
b. MAOI
c. TCAs
d. SSRIs- kasi hindi siya masyadong nakaka adik

Situation: Nurse Elmma Rosario is assigned in the medical-surgical unit and most of the
clients assigned to her were elderly clients.

51. For a client complaining of child musculoskeletal pain, the nurse will anticipate that
the treatment for this client’s level of discomfort will include which of the
following?
a. Diazepam-
b. Meperidine hydroghloride-moderate to severe pain
c. Acetaminophen- or paracetamol for mild musculoskeletal pain
d. Fentanyl - Narcotic- for anesthesia din baka di na magising si pt.

52. Elmma Rosario was to inject Vitamin B intramuscularly to another elderly patient.
Before injecting, the nurse explained that the client may feel some discomfort. This
is an example of:
a. Reducing pain receptor
b. Self-preservation
c. Anticipatory response-
d. Distraction

53. Mr. Colet, 68 years old, has a history of chronic back pain. He thinks that his family
perceives him as a “weakling” because he often asks for pain medication. Which of
the following is the most therapeutic response of the nurse?

a. “It seems that you are worried. Which matters to you more? What people
will say or getting relief from your pain?” -vinavalidate mo feelings niya pero
nagbibigay ka din ng choices sa pt.
b. “Taking pain medication as prescribed will help you become more active.”
c. “Chronic back pain is very difficult to manage, use pain medication because
that is what it is for.”
d. “Don’t you think your family wants you to be comfortable, and the only way
is to take your medicine?”

54. Mang Sinok has chronic pain due to osteoarthritis but has impaired speech. Which
of the following is the most appropriate to determine his medication needs for pain?
a. Observe typical pain behavior through facial expressions
b. Asking the client to rate his pain on a scale of 0 to 10 by writing on a magic
slate
c. Medicate the client with analgesics as often as ordered
d. Record frequency of patient’s complaint of pain and administer medication
accordingly

55. Aling Powks, 65, diabetic, complained of elevated blood glucose since she strained
her back a week ago despite following her diet and drug prescription.Your best
explanation would be:
a. Physiologic and psychologic stress can elevate blood glucose level- pag
nastress kasi tayo; tatas yung blood glucose bcoz of cortisol kasi ito yung
stress hormone natin kaya tataas yung blood glucose
b. Client is consuming more food as a coping mechanism
c. It is usual occurence among the elderly
d. Parasympathetic stimulation from the body’s normal response to pain

56. The intensive care unit (ICU) quality improvement team decided to gather data to
determine probable causes of central line infection among the ICU patients. If you
were the member of the quality improvement team, which of the following data will
you consider as MOST appropriate to yield the most probable cause of central line
infection?
a. Nurses’ notes on hourly assessment of sites of central line
b. Performed central line care interventions as observed
c. Daily every shift report of central line care measures from bedside nurses
d. Incidence of central line infection as reported by infection control nurse

57. The highest incidence of fall among the hospitalization patients is in the medical
unity. The medical unit’s quality improvement team has identified the probably
causes of the incidences of fall among their hospitalization patients. With the data
analyzed and finsings organized, which of the following should the quality
improvement team do FIRST?
a. Implement fall prevention measures identified to be effective
b. Propose a list of nursing actions intended to identify fall risks and preventive
measures
c. Do a pilot study of the fall prevention measures to a small group of patients
d. Brainstorm for a plan for an appropriate action for change- kasi nakuha na
yung data e so need na magplan kung paano maaayos

58. Another group of quality improvement team in the ICU conducted a project on
ventilator associated pneumonia incidences among ICU patients. If you are a
member of this team, which of the following measures will you consider as the
MOST appropriate to be implemented in collaboration with the respiratory
therapist?
a. Perform regularly assessment of the client’s readiness to be extubated
b. Consider orotracheal as preferred route of endotracheal intubation
c. Maintain head elevation at 30-45 degrees
d. Suction endotracheal tube as prescribed in the manual of procedures

59. Noise level in the ICU has always been a complaint in the patient satisfaction
survey. Which of the following tools can be recommended to the quality
improvement team as most appropriate to determine level of noise in the ICU.
a. Questionnaire with clients and patients as respondents
 b. Observation checlist- pwede maka create ng bias
c. Measurement device
d. Interview schedule form with nurses, clients and relatives as interviewees

60. During a group discussion, probably factors responsible for urinary tract infection
incidences among the hospitalization clients in the medical unit were being explired.
Which of the following will you consider as the group of data which would be
LEAST helpful?
i. Diameter and length of Foley catheter
ii. Length of time Foley catheter has been kept indwelling

iii. Age and sex of client- important din yung sex kasi women yung mas
risk sa UTI
iv. Daily physical activities of the client
v. Relevant data regarding need for continuing indwelling catheter
a. 1, 2, 4
b. 3, 4, 5
c. 1, 2, 3
d. 2, 3, 4

Situation: Mrs. Daccu, 65 years old, had an acute attack of pain, soreness and swelling on
both knees. She is diagnosed with rheumatoid arthritis.

61. Nurse Kennethlyn is assessing the client. Which of the following is MOST likely to
be assessed?
a. Early morning stiffness
b. Nodules along the knees----
These symptoms are for
c. Joint for deformities------------
osteoarthritis
d. Limited motions of joint-----
62. The client is in the acute phase of rheumatoid arthritis. In addition to the prescribed
medication, the physician orders application of heat and cold to manage arthritis
pain. Which of the following statements indicate that the client lacks understanding
in the application of heat and cold?
a. “Cold application is applied for 20 min, then 20 minutes off”
b. “Hot water bag should be covered with flannel to prevent burns.”
c. “Heat and cold can be applied as needed.”
d. “Heat producing liniments can be used while applying heat and cold”. -
madodouble yung heat appplication

63. Nurse Kennethlyn is helping the client, who is immobilized by pain, towards self-
reliance and independence. The nurse should approach the problem with which of
the following:
a. Set a specific goal
b. Set a positive attitude toward an eventful outcome
c. Need for a member of the family during the pain episode
d. Recognize that little can be accomplished

64. The nurse should know that a client with rheumatoid arthritis will most often have
pain and limited movements of the joints:
a. Resulting from non-adherence to prescribed diet
b. After excessive exercises
c. Because of inactivity upon awakening in the morning
d. During cold weather

65. To prevent deformities of Mrs. Daccu, the nurse includes in the nursing care plan:
a. Messaging the joint with oil liniment
b. Implementation of strictly prescribed diet
c. Performing isometric exercises twice a day
d. Alternate rest periods with active exercises- para di deformed yung muscles

66. The nurse notices that the comatose client starts to lighten. She is aware that without
protection, the client could fall or be injured. Which of the following is the LEAST
intervention?
a. Restrain the client to prevent from falling/- kasi masy risk of fall
b. Give adequate support when turning or moving- to prevent bed sores
c. Keep the side rails up on the bed- prevent injury
d. Protect client’s head- okay naman pero least kasi; fall yung pinaka iniiwasan

67. Following hip replacement after 24 hours the client asks for assistance onto the
bedpan. She is placed in an orthopaedic bed and to facilitate the use of the bedpan,
how sould the nurse assist the client?
a. Pull on the trapeze to lift the pelvis extending both legs
b. Lifting the pelvis off the bed and turn gently toward the operative side
c. Assist the client in lifting the pelvis
d. Elevate the pelvis using the trapeze involving the unaffected upper extremity
and unoperated leg

68. Caloy, an elderly client, is to be discharged after sustaining a sprain from fall while
negotiating the last step of the stairs. The daughter asks the nurse how to promote
safety in the stairways and hallways in the home. The nurse recommends extra
lighting at the stairways and suggests repainting the hallways with:
a. Red and yellow- contrasting colors; bright and light
b. Blue and green
c. Black and white

d. Cream and white

69. Filomena, 32 years old has problem with the olfactory nerve- responsinble for sense
of smell. They live in a thickly populated area and is concerned for the safety of her
3 young children. What measure should the nurse recommend for home safety?
a. Install additional lighting for visibility
b. Participate in fire prevention training
c. Mild water heater temperature
d. Install smoke detector device

70. Lola Barbie, 76 years old is living alone. Her married daughter visits her from time
to time. She can do activities of daily living with limited assistance and seems to
independently physically. Which of the following measure should be recommended
to reduce sensory deprivation?
a. Encourage acquaintances to come to house for a chat- para maiwasan
madeprive yungs senses nila
b. Redecorate the house and provide a separate room
c. Provide pictures of family members
d. Invite friends often to share meals at home

Situation: Many clients in psychiatric unit receive antipsychotic meds, also referred to as
Neuroleptics.

71. Clients may be shifted from typical to atypical antipsychotic medications because
of its minimal extrapyramidal side effects. A common extrapyramidal symptom that
is very unpleasant and intolerable to clients is called akathisia- hindi mapakali. This
is:
a. Upward rolling of the eyes
b. Inability to sit or stand still
c. Pill rolling movement of hands
d. Stiffening of client’s neck

72. Health instructions about Haldol (haloperidol)- side effects: sensitive skin has been
given to Albert while in hospital & before his discharge. Client correctly understood
health techniques of nurse when he says:
a. “I will immediately report any episode if diarrhea or vomiting to my doctor”
b. “I will drink about 2 liters of fluids daily and expect to urinate frequently”

c. “I will wear long sleeve clothing and sun block when I go out”
d. “I will avoid pizza, any food with cheese and processed meat”

73. While giving Chlorpromazine (Thorazine)-parkisonism to client Mica, medication

when she observes this side effect: tremors, shuffling gait, bradykinesia
a. Shuffling gait
b. Fine tremors
c. Yellow sclerae
d. Facial grimacing

74. Another client in the ward, Lando, is given. Thorazine (Chlorpromazine). This
medication has several side effects. Which side effect should cause nurse to be
MOST concerned?
a. Uncomfortable sun burns
b. Sore throat, fever, decreased white blood cell count- di na kaya ng immune
system na labanan
c. Tremors, inability to stand still
d. Low blood pressure upon getting up from bed

75. Clients on antipsychotic medications usually receive anti-parkinson drugs to reduce

Parkinson like side effects. What medication would the nurse expect the client to
receive?
a. Cogentin (Benztropine)- para mablodk yung symptoms ng parkinson’s dx
b. Nardil (Phenelzine)
c. Fluphenazine (Prolixin)
d. Fluoxetine (Prozac)

Situation: Stress of hospitalization can lead to difficulties between nurses & patients. The
following are situations that nurses presented during a monthly nursing circle.

76. Jury asked the nurse to have an “out on pass” privilege for the weekend but his
request was not granted by the nurse. He remarked, “I thought you really liked me”.
A Therapeutic response of the nurse would be:
a. Say, “I understand, you feel bad but of course, I like you”
b. Say as a matter of fact, “Your behavior did not meet criteria for out on pass
privilege.”- iniisip kasi ng patient nagiging bias ka lang; so need magsabi ng
factual para malaman ni pt na may criteria pala

c. Ignore Jurry’s remark

d. Be transparent and express disapproval openly. “You upset me with your
remark.”

77. The dynamics of behabior underlying manipulative behavior explain that it is a

behavior of:
a. A sense of security and control
b. Exhibiting uncooperative and hostile behavior- kasi gusto nila sila ang
masusunod; kapag di sila sinunod nagiging hsotile sila so dapat mag set ng
limits
c. Reducing patient’s anxiety
d. Sensing fear of other people

78. Carlota, an elderly client idealizes some nurses as “terrific”, “the best”, or “so
understanding”, but refers to others as “mean”, or “indifferent”. This behavior can
be understood by the staff as:
a. Avoiding taking responsibility for her own behavior and underlying feelings
b. An understandable behavior for an elderly that must not be taken seriously-
kasi bumabalik sila sa pagka-bata; so wag personalin
c. An invitation to have social & intimate relationship w/ her nurse
d. Immature and childish behavior

79. A patient with (delirium- hindi nila mahiwalay ang fantasy vs. Reality) touches the
nurse inappropriately. The therapeutic response of the nurse would be to:
a. Ask for the patient’s name and if whether he is aware where he is.
b. Remove the patient’s hand while saying calmly, “I’m the nurse and this is a
hospital.”
c. Say nothing and just go on with the usual nursing interventions
d. Say her name, “I’m Cathy, I’m your nurse.”-

80. The staff nurses have differing emotional reactions to the use of limit setting. Some
staff view it as unprofessionally punitive and uncaring. The MOST appropriate
approach to address the nursing concern is through:
a. Counseling with the nursing supervisor
b. Seminar-workshop
c. Nursing conference- tsaka niyo idiscuss yung pros and cons baka si aware
mga other nurses

d. Brainstorming session

Situation: Mrs. Centeno is an 85 year old woman who has been hospitalized due to a u rinary
tract infection and dehhydration. She has Alzheimer’s disease, osteoporosis, and a
tendency to wander. She has an IV in her left forearm, which was difficult to establish.
Concerned that Mrs. Centeno might pull out her IV and wander off the floor, staff is
considering the possibility of using restraint on her.

81. The staff is considering the possibility of using restraint on Mrs. Centeno, however,
repeatedly declares that she does not want to be restrained. The staff is faced with
an ethical dilemma of autonomy versus:
a. Beneficence- kasi yung reason naman ng pag restraint ay for the GOOD;
Veracity
b. Fairness
c. Justice

82. With a history of osteoporosis and a tendency to wander, which of the following
would be a priority
a. Request for a sitter
b. Wheelchair privilege commode
c. Prevention of fall
d. Provision of a bedside

83. Which of the following would be LEAST likely appreciated by Mrs. Centeno- MAY
ALZHEIMER SIYA?
a. Playing a table board game- di niya maintindihan/maappreciate yung board
games
b. Singing to or with her
c. Going through family picture album
d. Listening to old familiar music

84. The nurse aims at the highest level of self-care. Which of the following will the
nurse minimize?
A. Providing mouth swabs
a. Using clothing w/ buttons and zippers- for fine motor skills
b. Hand and body lotion
c. Labeling clothing items

85. Mrs. Centeno has a dietary privilege of food preferences. Which question is MOST
effective to communicate with her?
a. Which way would you want your egg done? Scrambled? Sunny side up?
With vegetable mix? Or boiled egg?- masyadong madami and complicated
yung choices
b. Do you want a fried egg or boiled egg?-
c. How would you want to have your egg done?- wala kang choices na binigay;
kasi baka nakalimutan niya na yung tawag
d. What is your favorite egg recipe?

Situation: The concept of testimonial privilege applies only in a court-related proceeding.

As a professional nurse, you should have a clear understanding of this concept

86. Communication between two people is NOT considered as testimonial privileges-

may naka bind na contract between two people; kapag humarap sa korte bawal sila
magsabi ng something na against sa other party or magbigay ng info abt sa isa
a. Between a teacher and a student- walang contract; pero may oath na tinake
si teacher
b. Between husband and wife- marriage contract
c. Between a male and a female going steady
d. Between a lawyer and his client

87. In a testimonial privilege, the right to reveal privileged information belongs to the
a. Clergy
b. The listener
c. Lawyer
d. The person who spoke-

88. In which of the following situations does testimonial privilege between health
professionals and patients exist?
a. If it is established by the code of ethics of the health professional
b. If it is established by law
c. If it is within the social normas
d. If both parties agreed to it

89. In which of the following situations privileged communications between a nurse

and a patient may be breached?
a. If the information will cause harm to the nurse
b. It should never be breached
c. If there is a threat in the health of the general population- ex. COVID
d. If the information will cause harm to the patient

90. You disclosed to your co-nurse that your patient is HIV positive. Which of the
following actions may the patient do? The patient:
a. May sue you for breach of confidentiality
b. May forgive you
c. Can file an administrative case against you for unethical behavior
d. Can confront you

Situation: You are the school nurse of the third district of the Province of Rizal. You were
invited by the Federation of the Parent-Teacher Association of the province to give a
lecture on Seizure Disorder. An open-forum was held after your lecture.

91. A parent whose daughter was newly diagnosed with Epilepsy asked you what
should be a part of your teaching plan for her daughter who is being discharged on
a regimen of Dilantin- anti seizure med; side effects= drowsiness. Which of the
following would be your correct answer?
a. Reporting signs of infection
b. Drinking plenty of fluids
c. Brushing teeth after each meal
d. Having someone with the child during waking hours

92. You asked some school teachers to do a role play on the management of seizure in
the classroom. Which of the following actions when PERFORMED First indicates
that your lecture has been successful?
a. Moving the child to the principal’s office for privacy
b. Placing a padded tongue blade between the child’s teeth
c. Removing any sharp objects that can harm the child
d. Asking the other children what happened before the seizure

93. A parent asked you what they should do to promote th e growth and development of
their 7-year old son who has just been diagnosed with a s eizure disorder. You should
instruct the parents that:
a. There is a potential for a learning disability and their son may need tutoring
to achieve his grade level
b. The child will likely have normal intelligence and be able to attend regular
school
c. There will be problems associated with social stigma and home-schooling
must be considered
d. The child will need activity limitation and will not be able to perform as well
as his peers

94. A mother with a daughter who has an occasional generalized seizure wants her
 daughter to join the summer camp in their church. The mother asked for your advice
on planning for the camping experience. Which of the following activities should
be avoided?
a. Rock climbing
b. Tennis/
c. Hiking
d. Swimming

95. You discussed measures, other than medication, to lower the temperature of children
with febrile seizures- sobrang taas ng lagnat. Which of the following statements
indicate that the participants understand the topic?
a. “We’ll make the bath water cold enough to make him shiver”
b. “We’ll add extra blankets when he says he is cold”
c. “We’ll use a solution of half alcohol and half water when sponging him”
d. “We’ll wrap him in a blanket if he starts shivering”

Situation: You are a staff nurse in the Orthopedic Unit of the Department of Surgery of the
Hospital.

96. You are assisting in a research study on assessing patient’s reactions to the use of
new dressing material. A medical student questions the credibility of the nursing
research. Your response would be:
a. To keep quiet
b. “Nursing research is essential for the development of nursing science”

c. “Doing research is one of the competencies of professional nurses”

d. “Nursing practice is based on research findings”

97. Research utilization is an imporant aspect of safe, quality care provided by the nurse
to her patients. Research utilization refers to:
a. The development of nursing knowledge to improve clinical practice
b. The application of research findings into clinical practice
c. The integration of the best research evidence, clinical expertise and patient
preferences in providing sage, quality patient care
d. The application of tested theories in the care of the patients

98. Which of the following research methods has for its purpose to describe social
processes present within human interactions?
a. Phenomenology
b. Participatory action research
c. Grounded theory
d. Case study

99. In a clinical question, “Is breastfeeding more effective in increasing the birth weight
of a preterm infant than adding corn oil to the infant formula?” What is the
intervention of interest?
a. Breastfeeding
b. Preterm infant
c. Increasing the birth weight
d. Adding corn oil to the infant formula

100. In a research question, “What is the relationship between wound healing and
nutrition among elderly patient with hip surgery ?” which one is the dependent
variable?
a. Elderly patient
1. Highlight first yung population w/
b. Hip surgery characteristic= elderly patient w/ hip surgery
c. Wound healing 2. Manipulation- kung ano kayang ibigay ng
d. Nutrition nurse sa patient= nutrition; INDEPENDENT
VARIABLE

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