RECALLS 6: NURSING PRACTICE 1

7. A smiling patient angrily states, 'I will not cough and breathe.
Situation: Health Centers regularly conduct “Operation
" How will the nurse interpret this finding? The patient is
Timbang” to assess the nutritional status of children years old.
a. signified meaning is wrong.
b. vocabulary is poor.
1. The sex of the children included in his study will be classified c. Effect is inappropriate
as male and female. This measurement us: d. personal space was violated
a. Interval
b. Ordinal
Rationale: reaction is not congruent with what the patient
c. Ratio
says
d. Nominal

8. A nurse wants to present information about influenza

Rationale:
immunization to the older adults in the community. Which type
→ Nominal - words; category, no order (na hindi
of communication should the nurse use?
mararank; gender, marital status, place of birth)
a. Interpersonal
→ Ordinal - words; with order (educational status,
b. Public
beginner/expert)
c. Small group
→ Ratio - numerical; no true zero - walang negative value
d. Intrapersonal
(age, weight, height)
→ Interval - numerical; with true zero (may mga negative;
Fahrenheit, Celsius) Rationale: older adults - general target audience/population

2. While age is what level of measurement? 9. A nurse is standing beside the patient'. bed. Nurse: How are
a. Ratio you doing? Patient: I don't feel good. Which of the following
b. Interval communication ELEMENTS is categorized as feedback?
c. Ordinal a. "'How are you doing?"
d. Nominal b. "I don’t feel good."
c. Nurse is standing
3. The nutritional status of children is determined by weight and d. Patient in bed
age. Weight is an example of what level of measurement?
a. Ordinal Rationale: Sender → Encoder → Message → Decoder →
b. Ratio Receiver → Feedback → Sender
c. Interval
d. Nominal
10. BEFORE meeting the patient, a nurse talks to other
4. The educational level of the parents is also recorded with the caregivers about the patient. Which phase of the helping
possible choices given as: relationship is the nurse in with this patient?
● Elementary level a. Termination
● Elementary graduate b. Working
● High school level c. Orientation
The above set of choices is an example of what level of d. Pre interaction
measurement?
a. Ratio Rationale: the nurse do “background checking” before
b. Interval meeting the patient
c. Nominal
d. Ordinal
Situation: Occurrence of conflicts is a natural part of the
5. The mothers of children are also asked particularly on the workplace. Conflict management is the ability to be able to
child’s health history. One of the questions, " Did your child identify and handle conflicts sensibly, fairly, and efficiently.
experience episodes of diarrhea within the last 6 months? " If
yes, skip item no. 4 and item no. 5. This question item is referred
to as: 11. The public health midwife was very upset regarding a
a. Funnel question - “tell me why or why not” reprimand issued by her supervisor. The former confronts her
b. Follow—up question supervisor in the hallway. How should the supervisor respond?
c. Contingency question a. Tell the midwife to calm down and act professionally.
d. Filter question b. Respond to the midwife in the hal 1 way.
c. Ignore the situation and forget about it.
d. Invite the midwife to come to the supervisor's office.
Rationale: Filter question is also known as contingency
question
Rationale: to privately handle the conflict

Situation: The ability to communicate is a very important skill
for every nurse to have. The nurse must do so in an effective,
caring, and professional manner, especially when
communicating with patients and their families.
6. During the INITIAL home visit the nurse lets the patient Know
that the visit is expected to end in about a month. Which phase
of the helping relationships the nurse is in with this patient?
a. Interaction
b. Working
c. Termination
d. Orientation
Rationale: during orientation phase, the patient should be
informed how long and when s/he would expect you to visit
12. Which of the following actions by the public health nurse
indicates the use of effective conflict management skill?
a. Defends judgements of others
b. Negotiates with others
c. Asserts own position
d. Avoids competition
Rationale: to achieve a win-win situation; meeting halfway;
both are compensating and at the same time acquires
benefits from the situation
13. Public health nurse Lily has become very disagreeable
among her team members. The other nurses know that she has
been required to be transferred to another rural health unit. The
nurses decided to ignore the situation. This illustrates which
method of conflict resolution?
a. Collaboration
b. Avoidance

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c. Accommodation 19. Which of the following statements BEST describes Public

d. Passive-aggressiveness Health Nursing?
a. Services are best implemented only in far flung and hard to
14. A health care worker approaches the public health reach areas.
supervision- with a complaint about the RHU Nurse and said, she b. Services are rendered free of charge to people in the
doesn't do the same amount of work as the other health catchment area.
professionals in the Health Unit. "After investigating the c. It involves home care to sick people who cannot be confined
complaint, the Nurse Supervisor believes the health care worker in the hospital.
does not understand the role of the RHU nurse. What kind of d. It puts emphasis on health promotive and preventive
conflict has this situation caused the health worker?
a. Interprofessional conflict 20. Collecting data and monitoring the health status of the
b. Individual conflict population defines which of the core public health functions?
c. Interprofessional conflict a. Quality assurance
d. Organizational conflict b. Assessment
c. Policy development
d. Health promotion
Rationale:
→ Interprofessional - with other professionals
→ Intraprofessional - within your profession (nurse vs. Situation: Public Health Nurses have important roles in
nurse, doctor vs. doctor) ensuring the well—being of the family. They themselves
should be empowered as they assist family clients in enabling
their capacities to maintain and improve their health status.
15. Which actions are MOST important in preventing conflict
from occurring?
1. Allocate resources fairly. - para iwas inggitan 21. Which of the following would BEST indicate a maturational
2. Keep problems confidential - problems are not opened crisis?
up A. Illness - situational
3. Address staff fears - acknowledging fears B. Death - maturational
4. Clearly state expectations - instructions must be clearly C. Marriage
defined; not assuming D. Unemployment - situational
5. Keep lines between roles flexible - pagiging bida bida;
malpractice
Rationale:
A. 2, 3, 5
→ Maturational crisis are expected life events
B. 1, 3, 4
(pregnancy)
C. 2, 4, 5
→ Situational crisis are unexpected life events (unwanted
D. 1, 2, 3
pregnancy, unexpected death)
→ Adventitious are acts of God; natural disasters; social
Situation: Public health nurses use their nursing skills in the crisis (flood, earthquake, fire, war, pandemic, murder,
application of public health functions and provision of social rape)
assistance to their clients.
22. Providing crisis intervention is an important part of primary
prevention in an important part of?
Additional Notes: PHN Goal: Promotion of Health and
a. Primary Prevention - healthy
Prevention of Illness
b. health promotion
c. secondary prevention - with increased risk; unhealthy
16. The public health nurse must participate in the essential d. tertiary prevention - post treatment, rehab
services that are relevant and accessible to the family and the
community. These include
Rationale: provision of intervention indicates crisis or
a. Working in enforcing laws to regulate health and ensure
presence of problem
safety.
b. Diagnosing and investigating health problems of the
country. 23. The nurse explains that families pass through predictive
c. Informing, educating, and empowering the people stages. This statement is based on models.
about health. a. Systems models
d. Monitoring health status and completing a community b. Focal
assessment. c. Structural—functional
d. Developmental
Rationale: through cleaning drives, mother’s talk
Rationale: Developmental or Maturational because they are
expected
17. Public health services are provided by government facilities.
What is the most appropriate response of a public health nurse
to the statement: The government should give these health 24. The nurse is educating the family regarding general needs
services free of charge to people? for adequate nutrition, rest, and physical activity. Which level of
a. "Yes, and for that reason, we should choose our prevention does this describe?
government officials wisely during elections. a. Tertiary prevention
b. "Yes, I agree. But right now, the government does not have b. Secondary prevention
enough resources to do that. c. Health Maintenance
c. "That is an ideal situation that our government should aspire d. Primary prevention
to attain in the near future. "
d. "Many of the health services are given free, but we
Rationale: Primary Prevention includes health teaching
people pay for them just the same through our taxes "

18. The current emphasis for public heal to practice is 25. The nurse observes that the family is exhibiting strengths
a. improving environmental sanitation in the face of hardships they are facing. The best description
b. controlling epidemic diseases of the strengths the nurse is observing is?
c. preventing communicable diseases a. Power
d. advocating for social justice b. Resilience
c. Projection
d. Faith

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 RECALLS 6: NURSING PRACTICE 1
Situation: As a Public Health Nurse in your local community,
about good it. is one of your main responsibilities to educate
health practices.
26. One of the new mothers attending the discussion wants to
know about vaccination. One of the key information you share is
that
a. diarrhea and malnutrition are contraindicated - could still
proceed to vaccination as long as it is mild diarrhea
b. If the vaccination schedule is Interrupted, it is necessary to
restart - doble doble na peklat from vaccine :<
c. it is safe to vaccinate a sick child who is suffering from
a minor illness
d. minor infections with low fever (below 38.5 Degree Celsius)
is contraindicated - if sinat lang okay lang; benefits from the
vaccine overweighs the risk
27. One of the participants asked you about what herbal plants
to use when treating diarrhea. You answer that young leaves can
be used as a home Ericaedy.
A. tsaang gubat
B. sambong
C. sambong
D. bayabas
Rationale:
28. As part of your topic, you shared about the strategy that
should be initiated by students and teachers for a “Healthy
School". What is this strategy about?
a. Implementing Environment-al Sanitation activities
b. CPR demonstration - dito kaya ng mga preschool o kaya
nursery HAHA
c. Selection of better school doctors and school nurses - ain’t
practical; si Dr. Vicki Belo nasa school niyo, shala!
d. Scrapbooking using recycled materials
Rationale: no stagnant waters, no wet floors; Option A is
much practical to do
29. You also discussed having a "Healthy Market" which means
that the community should?
a. sell fresh and healthy foods only
b. organize recycling teams
c. collect garbage and recycle them
d. dispose waste and garbage separately
30. During a community forum, you discussed herbal medicines.
You explained to the participants that “Botika sa Paso" is done
by?
a. cultivating herbal plants in vacant or unused lots
b. growing herbal plants in pots
c. planting herbs along the barangay streets
d. experimenting with herbal decoction
Situation: A 6.2 magnitude earthquake struck last May 13,
2022 Municipality F. Nami was a trained nurse in emergency
and disaster preparedness.
31. Which of the following is NOT true regarding nurses'
responsibilities in disaster preparedness?
a. Nurses will be the leaders in the incident command
structure set up at the disaster site
b. Nurses have a personal end family plans as a part of their
disaster preparedness plan
c. Nurses who are prepared for disasters will be better able to
help themselves, their families, and their communities in a
disaster. - situation.
d. Nurses have a responsibility to the public to be
knowledgeable about disaster preparedness response
Rationale: leaders would be the police or significant
authorities; nurses are placed in triaging
32. A Resident in Municipality F by the name Pedro sustained
injury. First aid was initiated by Nurse Nami. This is given
a. during the arrival of an ambulance or doctor
b. before the arrival of ambulatory doctors or other qualified
personnel. - nurse Nami is already a qualified personnel
already because she is a nurse
c. before the arrival of an ambulance or doctor
d. during the arrival of an ambulance doctor or other qualified
personnel.
Rationale: first aid is done BEFORE
33. One function of Nami in emergency and disaster is to provide
immediate care, EXCEPT
a. victim identification and reporting
b.to trauma care
c. Coordinate with military
d. first aid, triage, and transport of victims
Rationale: Nurse Nami should coordinate with nurses too
34. As a primary healthcare giver, which of the following
activities should Nurse Nami NOT involve in?
a. recovery of primary health care activities
b. water- safety and quality
c. food safety and food security
d. search, rescue, and evacuation
Rationale: Option D is to be done by the military, police,
firemen, or EMT
35. To better address emerging public health issues, a public
health nurse enrolls in a course in:
a. Leadership
b. Ethics
c. Communication
d. Research
Rationale: root causes are identified through research;
nursing updates and trends
36. The PRIMARY purpose for requiring continuing education
is to
a. Qualify for work abroad
b. Improve nursing competency after registration.
c. Comply with the 'Board of Nursing requirements
d. Ensure Legal practice
Rationale: because not all new graduate nurses are with
improved or advanced nursing competencies and therefore
undergoes with continuing education/trainings/masterals
37. Accountability also includes a commitment to continuing
education to stay current. and knowledgeable. According to the
Guidelines Implementing Continuing Education or Nurses
(CPE), from which of the following can a nurse earn credit units?
1. participation in seminars
2. engagement in a research project
3. as peer reviewer
4. innovations
A. 1, 3, and 4
B. 2 and 3 only
C. 1, 2, 3, and 4
a. D. 1 and 2 only
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38. The PHN wants to emphasize to the new nurses that it is

Rationale: should be checked twice to know if the
important to observe professional accountability which is taking
temperature is still correct and right for the vaccines
responsibility for one's actions. She explains that accountability
can be done by:
Additional Notes:
1. asking for assistance from the doctor ● Covid - once nalabas sa freezer dapat
2. performing nursing tasks in a safe manner maadminister na
3. reporting and documenting assessment and ● Varicella - 72 hours na nilabas from freezer dapat
interventions - coz if it’s not documented it is not done naadminister na
4. evaluating the client's response to nursing care given

5. evaluating the care when there is a complaint by the

44. The type of refrigerator/ freezer utilized to store vaccine in a
client.
health center should be:
A. 2, 4, 5
a. Standard chest—type freezer.
B. 1, 3, 5
b. Standard refrigerator with separate freezer door and
C. 2,3,4
seal.
D. 1, 2, 3
c. Dormitory type refrigerator and separate dormitory type
freezer.
39. Nami considers the following factors in patients' triage
d. Dormitory type refrigerator with small hanging freezer
EXCEPT
inside.
A. Pulse and respiration
B. Temperature
45. Vaccines can be mixed in single syringe when:
C. Mental status
a. There is a need to decrease the number of injections to be
D. Ability to walk
given.
b. Remaining vaccines need to be consumed during the day.
Rationale: START - simple triage and rapid treatment; c. Giving all live or all inactivated vaccines.
putting tags/ribbon on victims of disaster; d. Vaccines are licensed and labeled to be mixed.
→ GREEN - client can still walk and obey commands
→ YELLOW - client has minor injuries, can walk but can’t
Rationale: pentavalent - has 5 vaccines
talk
→ RED - has injuries, pulse and respiration are not stable
→ BLACK - can’t walk, does not respond, no pulse 46. Vaccines should NEVER be stored in which part of the
refrigerator?
a. Lower right-hand corner
40. In the first session, the nurse presented the organizational
b. Lower left-hand compartment
chart of the Rural Health Unit. Which of the following aspects of
c. Floor
organizational structure is Illustrated in the chart?
d. Door
1. type of work being done - this is found in job description
2. extent of coordination to be done - with separate
organization chart (pharmacists or doctors) Rationale: prone to breakage
3. levels of management
4. Line and staff relationship
A. 1 and 3 Situation: Collaboration in the unit is very essential in relation
B. 2, 3, and 4 to patient care. Management functions are also carried out in
C. 3 and 4 this constant collaboration by the nurse, in fact, one of the
D. 1, 3, and 4 nurses’ most important roles in patient care is as a
collaborator.
Situation: Public Health Nurse Fern is in charge of protecting
the vaccine supply in the Rural health Unit. In performing this 47. A new wing is being constructed in the hospital and the
responsibility, she is guided by the standards and guidelines Nursing Director is asked to help design it. To achieve maximum
on "How to Protect the Vaccines.” efficiency in carrying out using activities, the Nursing Director
would consider which of the following conditions to be most
helpful?
41. You are assigned to arrange the storage for a new delivery a. Environmental factors such as current economic status and
of vaccines in the health center. All of the following vaccines may global issues
be stored at the body of the refrigerator, except: b. How the structural plan facilities staff interaction and the
a. BCG rituals the nurses use to conduct work
b. DPT c. Type of equipment and technology and its effects on how
c. OPV - should be placed in the freezer work tasks are designed and carried out
d. Hepatitis B d. Work flow where equipment, medication, and other
items essential for patient care are stored and
Rationale: positioned
Temperature of:
→ Freezer: -15 to -25 degree Celsius 48. Information gathered by nurses shows the importance of
→ Refrigerator: 2 to 8 degree Celsius nurse-physician communication. With the current recognition
that many medical errors are caused by communication failure,
which of the following is the MOST appropriate intervention?
42. Which of the following vaccines go in the freezer? a. Involve a form of communication where 2 parties
a. Hepatitis B engage in problem solving discussion
b. Varicella or Chickenpox b. Organize a conference on medication error participated by
c. Tetanus nurses, physicians and others
d. Diphtheria c. Develop a policy where all members of the health team can
use it as a reference
43. The temperature in the refrigerator and freezer should be d. Conduct in-service education for nurses to improve
checked: competencies to address the issues
a. Twice a Month
b. Twice a day
c. Months a Day Rationale: E.g., doctor’s penmanship is illegible, nurses
d. Once a week should ask the doctor to clarify

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49. To improve quality client care, the nurses created “problem
solving committees” headed by senior nursing staff to review
standards of care and develop policies and procedures. Its
desired outcome is best shown in:
a. Allowing changes in staff rotation plan to accommodate
personal needs of the staff.
b. More nurses participating in doctor’s rounds and giving
immediate information to doctors regarding patient status.
c. Continuous evaluation of nursing practice and
protocols in relation to desired patient outcomes.
d. Increasing staff communication like providing a bulletin
board for sharing information among personnel.
Rationale: evaluation determines if proposed solution is
effective
Situation: Nurse Marie is assigned to care for patients with
different oxygen delivery systems.
50. After each suctioning for copious secretions, what should
Nurse Marie instruct a conscious patient to do?
A. Hyperventilate
B. Deep-breathe
c. Assume a tripod position
d. Avoid unnecessary talking
Rationale: deep breathing is used for lung expansion and to
inflate the alveoli; hyperoxygenation is done BEFORE each
suctioning
51. What is the common position patients are placed into for
suctioning?
A. Modified Trendelenburg
B. High-Fowler’s with head flexed - suctioning tube will not be
advanced properly
c. Semi-Fowler’s - to promote lung expansion
d. Orthopneic position
52. An oropharyngeal airway was inserted to a patient.
Assessment of the mouth may be done as appropriate for the
patient’s condition every:
a.1 hour
B. 8 hours
c. 4 hours
d. 2 hours
Rationale: mouth care is performed 2-4 hours; checking can
be done q8 hours
53. Nurse Marie noticed that the patient on the nasal cannula
has encrustations on her nose. Which among these is best for
Nurse Marie to do first?
a. Call the physician.
b. Apply a water-soluble lubricant as ordered.
c. Tighten tubing and apply leucoplast to secure prongs on the
nares.
d. Use a sterile operating sponge to scrape off the
encrustation.
Rationale: to soften encrustations and so that it would not
be painful when removed
54. As safety precautions for clients receiving oxygen, which
among these should Nurse Marie not do?
a. Place and arrange substances like acetone, alcohol, and
oils at the bedside.
b. Replace woolen blankets with cotton blankets.
c. Place a “No Smoking” sign on the client’s door and at the
foot or head of the bead.
d. Ensure that all electric devices are in good working order
Rationale: oxygen is a flammable gas; patients are
instructed not to smoke and place anything that would cause
combustion near it such as acetone, alcohol, and oils - this
would ignite fire
Situation: Iseminger, Levitt and Kirk (2009) defined
presencing as the term describing the art of being present, or
just being with a client during an “existential moment”. This
art of nursing presence to promote healing was published in
the journal Nursing Clinics of North America.
55. Which nursing theorist is the most relevant in using this
nursing intervention?
a. Hildegard Peplau - Interpersonal Relations Theory; more
common in Psych Nursing
b. Dorothea Orem - Self Care Deficit
c. Jean Watson
d. Madeleine Leininger - Transcultural Theory; respecting
culture of different race, religion
Rationale: presence of a nurse is important in theory of
human caring proposed by Jean Watson
56. Which of the following is not a benefit of using nurse
presence in intervening for clients who are helpless, powerless,
and vulnerable?
a. Promote healing
b. Prevent anxiety
c. Create sense of safety
d. Improved client satisfaction
Rationale: anxiety is only diminished
57. Nurse Lily provides emotional and spiritual presence for the
patients in the Trauma Ward. Their interactions are at a
transpersonal level, causing a transformative experience.
According to Osterman and Schwartz-Barcott (1996), what level
of being present for clients is this?
a. Presence
b. Partial Presence
c. Total Presence
d. Transcendent Presence
Rationale:
4 Stages:
→ Stage 1 - Presence: the nurse is physically present
→ Stage 2 - Partially Present: the nurse is physically
present and performs his duties and responsibilities
→ Stage 3 - Total Presence: with added physical,
emotional, and mental involvement (patient can talk to
the nurse regarding his concerns)
→ Stage 4 - Transcendent: + spiritual presence (bible
study, praying)
58. Nurse Tom is a novice nurse assigned to the Cancer
Institute. He maintains his physical presence with the patients,
and attends to some of their tasks on the patients’ behalf. He
interacts at a superficial level with them. According to Osterman
and Schwartz-Barcott (1996), what level of being present for
clients is this?
a. Presence
b. Partial Presence
c. Total Presence
d. Transcendent Presence
Rationale: the nurse is only performing his tasks
Situation: Obesity is an emerging concern for patients and
nurses. The nurse has an important role in assessing and
evaluating a patient's physiological status in relation to weight
control.
59. An obese patient asks Nurse Bertha about using Orlistat
(Xenical) for weight reduction. Nurse Bertha advises the patient
that _________.
a. drugs may be helpful in weight loss, but weight gain is
likely to recur unless changes in diet and exercise are
maintained
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b. the long-term effect of orlistat is not known, and the drug

may cause serious side effects such as heart valve
problems
c. this drug can cause serious depletion of fat-soluble vitamins
and should be used only several weeks
d. weight-reduction drugs of any type are used for only those
who do not have the willpower to reduce their intake of food
Rationale: Orlistat is a lipase inhibitor → does not allow
body to absorb fat → all fats will go with feces
60. When developing a weight-reduction plan for an obese
patient who is starting a weight loss program, which question is
MOST important for Nurse Bertha to ask?
A. “What factors do you think led to your obesity?”
B. “Have you been on any previous diets?”
C. “What kind of physical activities do you enjoy?”
D. “How long have you been overweight?”
Rationale: to determine root cause; e.g., depressive state →
eating as coping mechanism
Situation: Safety in any health agency is a must. Nurse Jane
wants this to be maintained in her unit.
64. The Nursing Practice Standards which Nurse Jane must let
her staff follow includes, EXCEPT ___________.
a. use a multidisciplinary approval to enhance client safety as
indicated
b. implement emergency measures during fires and disasters
c. risk elements should not be modified
d. use infection control practices that prevent or control
transmission of the pathogens
Rationale: risk elements should be modified because it
varies per person
65. When a patient is placed in bed rest, the nurse must watch
which part of the body most
A. Liver
B. Head
C. Legs
D. Skin

61. When working with an obese patient who is enrolled in a

Rationale: patient on bed rest has increased risk for
behavior modification program, which nursing action is
pressure ulcers/sores
APPROPRIATE?
→ Stage 1: redness
a. Having the patient write down the caloric intake of each
→ Stage 2: with breakage in the skin; superficial only
meal
→ Stage 3: with fats
b. suggesting that the patient has a reward after achieving a
→ Stage 4: with bones and muscles
weight loss goal
c. encourage the patient to eat small amounts throughout
the day 66. The clients at risk require re-assessment of their status on
d. asking the patient about situations that tend to increase ____________
appetite A. shift basis
B. daily basis
C.as necessary basis
Rationale: would led to patient’s behavioral changes; would
D. injury
be habitual eventually
67. The nursing process facilitates an understanding of the
62. A patient who has been consistently following a diet and scope of challenges inherent in nursing care of clients at risk for
exercise program and successfully losing one pound weekly for ___________ EXCEPT:
several months is weighed at the clinic. However, he has not lost A. Infection
any weight for the last month. Nurse Bertha should first B. Suicide
_______________. C. Restraint - non-existent lol
a. ask the patient whether there have been any recent D. Injury
changes in exercise or diet patterns
b. discuss the possibility that the patient has reached a
Situation: Mr. Cruz is confined in the ICU in a provincial
temporary weight loss plateau
hospital for some complications of his type II diabetes. He is
c. Instruct the patient to weigh weekly and record the weights.
edematous and complained of severe chest pain. His vital
d. review the diet and exercise guideline with the patient
signs are: BP 160/98, temperature 37.2C; PR- 90 bpm; RR- 30
bpm.
63. Nurse Bertha is assessing patients at the outpatient clinic.
Which of the following patients is at risk for health complications
related to weight? 68. If Mr. Cruz would be for dialysis and you need to bring him
a. a thirty-three-year-old who has a body mass index (BMI) of to the dialysis unit, who among the following could be the best
24 kg/m - within normal BMI to help you wheel him to the area? A ______________.
b. A fifty-six-year-old who is 6 ft (180 cm) tall and weighs 150 A. institutional worker
lb (68 kg) - BMI: 20.99 B. member of the family
c. A seventy-one-year-old who is 5 ft 4 inches (160 cm), C. physician
weighs 120 lb (55 kg), and carries most of the weight in the D. nurse aide
thighs - BMI: 21.48
d. a twenty-four-year-old female with a waist
Rationale: physician would explain the procedure to the
measurement of 30 inches (75 cm) and a hip
patient and therefore is the best to help wheel in the patient
measurement of 34 inches (85 cm) - abnormal waist to hip
to the dialysis unit
ratio: 0.88

69. Turning Mr. Cruz every two hours would be difficult if you
Rationale:
do it alone. In order to keep the patient safe, the most number of
BMI: weight in kg/height in m^2
nurse who can team up with you will be ____________
→ Normal: 18.5-24.9
A. Four
Waist to Hip Ratio: waist in cm/hips in cm
B. One
→ Normal:
C. Two
• M: <0.95 D. Three
• F: <0.80

Rationale: in total, 4 nurses including you.

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70. As much as you have not been trained in initiating
Intravenous infusion, who among the following cannot also do it?
A. charge nurse
B. staff nurse
C. nursing aide
D. physician
Rationale: this is out of their responsibility; IVT should be
done by licensed professionals
71. Morning care had to be done by the ________
A. nursing student
B. all the options
C. staff nurse
D. nursing aide
Rationale: both staff nurse and nursing aide can perform
morning care, but can be delegated unless the case is
uncomplicated
72. The order of the physician is for immediate intubation. For
the priority equipment, supplies and material to be used for the
procedure, the nurse should collaborate with the _________.
A. operating room
B. central supply unit
C. anesthesia department
D. emergency department
Situation: Applying therapeutic communication skills is vital
in the nurse-client relationship.
73. Which of the following statements is TRUE in relation to the
use of humor?
A. Humor should focus on the client’s humanity
B. Humor is used to build rapport
C. Constant use of humor can be healing
D. Laughter increases neurotransmitter
Rationale: humor can bring lightness in stressful
environments
74. You ask your newly admitted patient, “What can we do to
help you?” You know that this open-ended question will
_____________.
A. result in specific information from the patient
B. allow patient to elaborate on his response
C. allow patient to briefly answer question
D. put the patient at ease
75. As you listen to a patient, you need to provide feedback that
is __________.
a. behavior-focused and evaluative - feedback does not
depend on the behavior of the patient
b. well-timed and general
c. general and content-focused
d. well-timed and content-focused
Rationale: well-timed - agad agaran yung sagot and must
able to answer the patient’s concerns immediately
76. Which of the following is the BEST SEQUENCE of
communication techniques to use during an assessment
interview? Begin with ____________.
a. Giving a broad opening and move to asking focused
questions
b. Giving information and move to asking focused questions
c. Asking focused questions and close-ended questions
d. Providing information and proceed to stating observations
77. You are caring for Pixies, sixteen years old, suffering from
acute leukemia. You want to actively listen to her concerns and
understand her meanings. You know that active listening is used
to _______.
a. Treat patient’s medical problems - listening does not
guarantee healing; nakinig ka lang gumaling na sa cancer
lmao
b. Recognize the issue that is most important to the client
c. Help the patient become dependent to the nurse in
addressing his concerns
d. Make conclusions regarding client’s perception
Situation: Jasmine, 16 years old, and a high-school student,
visited the clinic because she suspects that she is pregnant.
Her pregnancy is confirmed by the school physician. Jasmine
requested nurse Laura not to tell her parents about her being
pregnant. She also expressed a desire to terminate her
pregnancy.
78. Which of the following ethical concepts apply to patient
Jasmine’s case?
a. Bioethics - biological standpoint
b. Deontology - duty-based
c. Teleology - consequences
d. Intuitionism - alam mong right or wrong; intuition; strongly
tied to culture
Rationale: it is not included in the duty of a 16-year-old to be
pregnant and Jasmine is aware of it that’s why she doesn't
want her parents to be informed about it
79. Nurse Laura should be guided by the steps in helping
Jasmine make an ethical decision. Sequence the steps below.
1. Gather data
2. Make decision
3. Identify and clarify the ethical problem
4. Act and assess the outcomes of decisions
5. Identify options or alternatives
A. 3, 1, 5, 2 & 4
B. 1, 5, 2, 4 & 3
C. 1, 3, 5, 2 & 4
D. 2, 4, 1, 3 & 5
80. The INITIAL advice of nurse Laura to patient Jasmine is
which of the following?
a. Jasmine will inform her teacher about her condition and to
request the teacher to tell her parents.
b. Jasmine will request the doctor to inform the parents
c. Jasmine will choose a significant other close to the parents
to be the one to relay about her pregnancy
d. Advise her that as a minor, her parents should be duly
informed about her pregnancy
Rationale: Based on Philippine Laws, adult age is 18 years
old; Jasmine is a minor, informed consent is to be signed by
her parents because at 16 surgery is high risk
81. Jasmine analyzed the advice of Nurse Laura and realized the
value of life and family. This attitude of realization is termed as
_____________
A. Justice
B. Ethics
C. Autonomy
D. Values clarification
82. Patient Jasmine’s decision regarding her pregnancy is
termed as _____________
A. Autonomy
B. Justice
C. Veracity
D. Fidelity
Rationale: Jasmine decides for herself; self-governance; self
determination
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 RECALLS 6: NURSING PRACTICE 1

Situation: Melchora, 65 years of age, has just been widowed hindi na sila inuutusan
a year ago. Her two children are now all living in the U.S. She
used to love cooking but since she is now living alone, she
89. To determine proper drug dosages for children, calculations
eats meals irregularly. Most of the time, she just watches
are MOST precisely made on the basis of the child’s __________.
television. Her chief complaint is constipation.
A. Weight
B. Height
83. When assessing Melchora, Nurse Lenn should ask the C. body surface area
following, EXCEPT: D. age
A. Dietary and fluid intake
B. Cultural beliefs
Rationale:
C. Lifestyle
D. Bowel pattern

Rationale: is not a common cause for constipation

84. When auscultating the bowel sound of Melchora, the nurse

should be able to hear ___________.
A. loud and gurgling sound
B. increased bowel sound - diarrhea
C. decreased bowel sound
D. absent sound

Additional Notes: Bowel sound - Borborygmi

85. The MOST APPROPRIATE nursing diagnosis for Melchora’s

case is _________________.
a. risk of constipation related to lifestyle 90. Nurse Tricia administered the intramuscular medication of
b. perceived constipation related to eating habits Iron by the z-track method. This method is used to
c. dysfunctional gastrointestinal motility related to ________________.
lifestyle A. provide more even absorption of the drug
d. constipation related to inactivity - medical diagnosis is not B. provide faster absorption of the drug
used for nursing diagnosis C. prevent the drug from irritating sensitive tissue
D. reduce discomfort from the needle
86. Which of the following are the most simple and cost-
effective interventions that the Nurse can advise Melchora to Rationale: iron can stain the skin and therefore z track is
resolve constipation? used to prevent irritations
1. Encourage increased fiber in diet
2. Encourage physical activity and regular exercise
91. The doctor ordered to give a one-year-old patient an
3. Regular time for elimination
intramuscular injection. The appropriate and preferred muscle
4. Laxative - patient is geriatric; needs prescription;
to select for this child is the _______________.
dependent nursing intervention
A. Dorsogluteal
A. 1, 2, & 3
B. Deltoid - for 3 years old
B. 3 and 4
C. Ventrogluteal
C. 1, 3 & 4
D. Vastus lateralis - for 0-3 years old
D. 2, 3 & 4

87. Health education should include which of the following?
1. Responding to the urge to defecate and establishing a
daily pattern
2. Role of dietary fiber and fluid in maintaining bowel
function
3. Role of exercise and activity in maintaining bowel
function
4. Safe and correct use of pharmaceutical agents -
dependent nursing action; needs prescription
A. 2, 3 and 4
B. 1, 2, 3 and 4
C. 2 and 3
D. 1, 2 and 3
Situation: Nurse Tricia is working on the hospital’s pediatric
unit. She is assigned as a medication and treatment nurse
88. In preparing to give medications to a preschool-age child,
which of the following statements is an APPROPRIATE
interaction by Nurse Tricia?
a. “Let me explain about the injection that you will be getting”
b. “Do you want to take your medication now?” - more
complicated questions
c. “Would you like medication with water or juice?” - choices
are offered in toddlers
d. “If you don’t take the medication now, you will not get
better.”
Rationale: preschoolers are in initiative vs guilt stage in Erik
Erikson’s theory; gives them a chance to performed task na
Rationale: pinakamalaking muscle nila at that age and is
less vascular
Situation: Patient Peppa, three years old, was brought to the
clinic by her mother due to ear ache and low-grade fever.
While performing her physical assessment, Nurse Georgy
found Patient Peppa’s right ear to be inflamed and warm to
touch. The Pediatrician ordered ear drops to be instilled to the
affected ear.
92. Nurse Georgy performs further physical assessment on
Patient Peppa BEFORE drug administration, which includes the
following, EXCEPT _______________.
a. Appearance of the pinna and meatus of the ear
b. Presence of the interference during the drug
administration
c. Type of any ear discharge
d. Location and extent of inflammation of the ear
93. The MOST APPROPRIATE nursing action before instilling
ear drops to Peppa is to ______.
A. Check the medication to be within room temperature
B. Refrigerate the medication for thirty minutes
C. Fill up the dropper with no more than one millimeter
D. Clean the outer surface of the dropper
Rationale: medication should be room temperature to
prevent vertigo

RECALLS 6: NURSING PRACTICE 1

 RECALLS 6: NURSING PRACTICE 1

94. In installing any drug into the ears, Nurse Georgy performs
in SEQUENCE. Which of the following steps?
1. Allow the drug to flow into the ears slowly
2. Tilt the head away from the nurse - tilt to visualize the
ear and to prevent medication from spilling out
3. Put a small cotton loosely into the ear
4. Wait for 15 minutes before instilling drops on the other
ear
5. Instill the ear drops into the affected ear
A. 1, 4, 2, 5, 3
B. 2, 5, 1, 3, 4
C. 4, 1, 5, 3, 2
D. 3, 1, 4, 5, 2
100. Which of the following statements is NOT true about the
benefits of blood donation?
a. enhances production of new blood cells
b. burns calories
c. reduces cancer risk - creation of new blood cells as
compensation when donating blood
d. D.is a good prevention against infection
Rationale: donating of blood does not guarantee prevention
of infections

95. After instilling medications to the right ear, what is the MOST
appropriate instruction to the mother?
A. Remain in the position for 5 minutes
B. Pack a cotton pledge tightly to the ear
C. Have the patient remain in the position for one hour
D. Advice the mother not to let Cheyenne drink hot water

Rationale: to allow the drug to be absorbed

96. In administering otic medication, Nurse Georgy

a. Don the gloves - not necessary when instilling otic drops
b. Perform hand hygiene
c. Explain procedure and postpone - nagexplain ka tapos di
mo rin ginawa :’)
d. Check identification band and proceed

Situation: You will start working as a field nurse at the

Philippine Red Cross. You are reviewing RA 7719 or the Blood
Services Act of 1994. This law ensures a safe and accessible
blood supply by promoting voluntary blood donation.

97. You are aware that a person is ELIGIBLE to donate blood in

which of the following conditions?
A. Taking antibiotics or maintenance medications
B. Pregnancy and recent childbirth
C. Having high or low blood cholesterol
D. Having used self—injected, non-prescribed drugs

Rationale: blood cholesterol cannot be transferred and

therefore would not affect another person
→ As long as you are not pregnant, self-administering
medications thru injections, taking antibiotics, anemic,
newly tattooed and pierced

98. You keep a list of "Walking Blood Donors You mobilize the
community to register _ in this list with their blood types. Some
instructions for blood donors are the following:
1. Register at any Blood Center Until in a government
hospital.
2. Go to any hospital or clinic and register as a potential
donor. - not all clinic can perform
3. Your complete health history will be taken .
4. You will be given honorarium upon registration
5. Ä physical examination and vital signs will be taken.
6. A blood test will be taken to determine your blood type.

Which of these will you include in your instructions?

A. 2, 3, 4, 5
B. 1, 3, 5, 6
C. 1, 4, 5, 6
D. 2, 4, 5, 6

99. After donating blood, you advise the donor to do the

following, EXCEPT to
A. increase fluid intake following blood donation.
B. skip the next meal to a low the body system to rest.
C. leave the adhesive dressing from 3—6 hours.
D. avoid carrying or lifting heavy objects using the donating arm.

Rationale: after donating blood, do not skip meals instead

eat foods rich in iron, folic acid, such as liver and eggs

RECALLS 6: NURSING PRACTICE 1