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RECALLS 5 - NP3

Situation

ursing practice is governed by ethical principles which serve as the basis for
reasoning, actions, and decisions.

1. Respect for autonomy requires individuals to honor a patient’s right to self

determination. This also involves allowing patients and families to know all the
relevant information and enabling them to weigh their options. What is the most
important role that nurses have in such situations?

1/1

a. Advocate

b. Caregiver

c. Educator

d. Care manager

2. What principle underlies a trusting relationship between nurse and patient? *

1/1
a. Beneficence
 b. Nonmaleficence

c. Veracity

d. Justice

3. The principle of double effect may morally justify some actions that produce
both good and evil effects. Which of the following criteria must be fulfilled for an
action to be considered moral based on the principle of double effect?

i. The action itself is good or morally neutral.

ii. The agent sincerely intends the good and not the evil effect

iii. The evil effect is foreseen and intended.

iv. The good effect is not achieved by means of the evil effect.

v. There is a proportionate or favorable balance of good over

evil. *

0/1

a. i, ii, v

b. i, iii, v

c. i, ii, iv, v
d. i, ii, iii, iv
Correct answer

c. i, ii, iv, v

4. What do you call situations in which a clear conflict exists between two or more
moral principles or competing moral claims, where the nurse must choose the
lesser evil?

1/1

a. Moral distress

b. Moral dilemmas

c. Moral problems

d. Moral uncertainty

5. What do you call situations in which the nurse is aware of the correct course of
action but institutional constraints stand in the way of pursuing the correct action?

0/1
a. Moral distress

b. Moral dilemmas
 c. Moral problems

d. Moral uncertainty

Correct answer

a. Moral distress

6. Cushing’s Syndrome is most likely to be developed in which of the following

patients?

0/1

a. A patient with TB infection

b. A patient with a pituitary gland tumor, causing increased ACTH secretion

c. A patient who underwent adrenalectomy

d. A patient who is medicating with glucocorticoids for 6 weeks

Correct answer

d. A patient who is medicating with glucocorticoids for 6 weeks

7. The following, except one, are clinical manifestations of Cushing’s Disease? *

0/1

a. Buffalo hump
 b. Hyperglycemia

c. Skin hyperpigmentation

d. Hirsutism

Correct answer

c. Skin hyperpigmentation

8. A patient was admitted to ER, unconscious and with BP 70/40 mmHg. His wife
reported that she has been complaining about severe pain, increased confusion, and
lethargy. He said that he cannot recall when was the last time they bought her
medication PO Prednisone. What is the patient most likely experiencing?

0/1

a. Cushing’s Syndrome

b. Addisonian Crisis

c. Hashimoto’s Disease
d. Thyroid Crisis

Correct answer

b. Addisonian Crisis
9. What medication is expected to be started for the patient above? *

1/1

a. PO Prednisone

b. PO Declomycin

c. IV Insulin

d. IV Solu-Cortef

10. The patient has a take home medication which is Prednisone. The following
statements suggest effective teaching, except?

1/1

a. I will wear a Medic-Alert bracelet.

b. I will take this medication religiously at 8am everyday.

c. I will take this medication even when my symptoms are gone.

d. I will stop taking the medication if I feel more sick.

Solution

Diabetes insipidus affects about 1 in 25,000 people in the general population. Adults
are more likely to develop the condition, but it can occur at any age.
11. A patient arrives at the ER after a car accident with the following findings: BP
140/90 mmHg, PR 113 bpm, RR 20 cpm, T 37.5 deg C. After 48 hours, the patient’s
urine output increased to 180mL/hr and she is extremely thirsty. Which laboratory
findings support the nurse’s suspicion of diabetes insipidus?

0/1

a. Above-normal urine and serum osmolality levels

b. Below-normal urine and serum osmolality levels

c. Above-normal urine osmolality level, below-normal serum osmolality level

d. Below-normal urine osmolality level, above-normal serum osmolality

level Correct answer

d. Below-normal urine osmolality level, above-normal serum osmolality level

12. Diabetes insipidus is characterized by:

0/1

a. Decreased vasopressin and decreased kidney water

reabsorption b. Increased vasopressin and increased kidney water

reabsorption
 c. Decreased insulin and increased serum glucose levels

d. Increased insulin and decreased serum glucose levels

Correct answer

a. Decreased vasopressin and decreased kidney water reabsorption

13. Which of the following interventions should not be included in the nursing
care plan?

0/1

a. IV infusion of hypotonic saline solution

b. Fluid restriction

c. IM administration of ADH
d. Skin care

Correct answer

b. Fluid restriction

14. Diabetes insipidus may be nephrogenic in form when there is failure in the
renal tubules’ response to ADH. All but one may cause this condition:

*
1/1

a. Hypokalemia

b. Hypercalcemia

c. Intake of declomycin

d. Meningitis

15. The patient with DI is given Desmopressin IV. Which of the following nurse
findings require intervention?

1/1

a. Clear breath sounds

b. Decreased urine output

c. Sodium level of 136 mEq/L

d. Potassium level of 5.4 mEq/L

Situation

Diabetes mellitus is one of the most common lifestyle diseases worldwide.

16. The nurse is admitting a patient diagnosed with type 2 diabetes mellitus. The
nurse should expect the following symptoms during an assessment, except:
*

1/1

a. Frequent bruising

b. Dry mouth

c. Moist skin

d. Tachycardia

17. Health teaching is important in nursing care for patients with diabetes. The
following guidelines are helpful dietary recommendations for patients with DM,
except:

*
1/1

a. Combine starchy foods with protein- and fat-containing foods

b. Eat whole fruit instead of drinking juice

c. Eat a light high-carbohydrate snack before exercising

d. Avoid eating breakfast

18. Nurse Rico gave an intermediate-acting insulin to patient A at 7PM. At 3AM, he

noticed that the patient was experiencing night sweats and his skin was cold to
touch. When the patient woke up at 7AM, his glucose level was 250 mg/dL. What
is patient A most likely experiencing?

1/1

a. Dawn phenomenon

b. Somogyi effect

c. Insulin waning

d. Hypoglycemic crisis

19. Nurse Rico gave an intermediate-acting insulin to patient B at 8PM. At 2AM,

his blood glucose is within his normal range. However, when the patient woke up
at
6am, his glucose level increased to 225 mg/dL. What is patient B most
likely experiencing?

0/1

a. Dawn phenomenon

b. Somogyi effect

c. Insulin waning

d. Hypoglycemic crisis

Correct answer
 a. Dawn phenomenon

20. What is the most appropriate nursing intervention for patient B? *

0/1

a. Give a bedtime snack

b. Give the insulin at 10PM

c. Increase insulin dose

d. This is normal in patients with DM

Correct answer

b. Give the insulin at 10PM

Situation

Thyroid disorders can range from a small, harmless goiter (enlarged gland) that needs
no treatment, to life-threatening cancer.

21. What is the most common type of hyperthyroidism?

1/1

a. Grave’s Disease

b. Hyperaldosteronism
 c. Hashimoto’s Disease

d. Adrenal Insufficiency

22. All but one may be expected in a patient with hyperthyroidism. *

1/1
a. Diffuse pruritus

b. Exophthalmos

c. Cold intolerance

d. Atrial fibrillation

23. A 40-year old woman returns from a subtotal thyroidectomy for the treatment of
hyperthyroidism. Upon assessment, the immediate priority that the nurse should
assess is:

1/1

a. Pain

b. Neurological status

c. Fluid volume status

d. Respiratory distress
24. What intervention for hyperthyroidism may be delegated to the experienced
certified nursing assistant?

1/1
a. Instruct the patient to report palpitations, dyspnea, vertigo, or chest

pain. b. Check the apical pulse, blood pressure, and temperature every 4

hours.

c. Draw blood for thyroid-stimulating hormone, T3, and T4 levels.

d. Explain the side effects of propylthiouracil (PTU) to the patient.

25. Lugol’s solution is given before a patient can undergo thyroidectomy. What is
the rationale for this?

1/1

a. Decrease the total basal metabolic rate.

b. Maintain the function of the parathyroid glands.

c. Block the formation of thyroxine by the thyroid gland.

d. Decrease the size and vascularity of the thyroid gland.

Situation

A 36-year old male went to the clinic for a check-up. He has been diagnosed
with hypertension type I 4 years ago.

26. The patient says to the nurse, “I really don’t know why I need to come back
regularly. I feel fine and haven’t had any symptoms.” The nurse would explain to
the client that symptoms of hypertension:
*

1/1

a. Are often absent

b. Occur only in malignant hypertension

c. Appear once the kidney has been irreversibly damaged

d. Appear when there is high risk of stroke

27. The patient was prescribed a new drug. Which drug inhibits calcium ion influx
into vascular smooth muscle?

0/1

a. Atenolol

b. Verapamil
 c. Hydralazine

d. Hydrochlorothiazide

Correct answer

b. Verapamil
28. Non-pharmacological techniques can also help lower blood pressure. All but
one are examples of these techniques:

0/1

a. Smoking cessation

b. Taking multivitamins

c. Dietary changes

d. Caffeine limitation

Correct answer

b. Taking multivitamins

29. The patient is being discharged home on Hydrochlorothiazide (HCTZ) for

treatment of hypertension. Which of the following statements by the patient
indicates they understood your discharge teaching about this medication?

*
1/1

a. I will make sure I consume foods high in potassium.

b. I understand a dry cough is a common side effect with this medication.

c. I will only take this medication if my blood pressure is high.

d. I will monitor my glucose levels closely because this medication may mask symptoms
of hypoglycemia.

30. Which of the following patients does not have a risk factor for hypertension? *

1/1

a. A 25 year old male with a BMI of 35.

b. A 35 year old female with a total cholesterol level of 100.

c. A 68 year old male who reports smoking 2 packs of cigarettes a day.

d. A 40 year old female with a family history of hypertension and diabetes

Situation

Maria is a 65-year old female diagnosed with Chronic Kidney Disease, Type 2 diabetes
mellitus, uncontrolled hypertension and acute dermatitis. She was admitted to the
hospital with chief complaint of “ang lakas ng kabog ng dibdib ko.”

31. Maria’s potassium level was noted to be 5.7 mmol/L. Her doctor ordered an
ECG reading. Which of the following is not expected?
*

0/1
a. Peaked T wave

b. Prominent U wave

c. Prolonged PR interval

d. Wide QRS

Correct answer

b. Prominent U wave

32. Maria was also identified to have low serum sodium level. Nursing
intervention for a patient with a diagnosis of hyponatremia includes all of
the following except:

0/1

a. Assessing for symptoms of nausea and malaise.

b. Encouraging the intake of low-sodium liquids such as coffee or

tea. c. Monitoring neurologic status

d. Restricting tap water intake.

Correct answer
 b. Encouraging the intake of low-sodium liquids such as coffee or tea.
33. Upon assessment, you noticed that Maria has a pitting edema on both of her
lower legs. Her urine output is 15-20mL/hr, dark amber in color. Her recent GFR
was 23 mL/min. What stage of chronic kidney disease is this known as?*

1/1

a. Stage 2

b. Stage 3

c. Stage 4

d. Stage 5

34. Which medication ordered by the physician will help treat the patient's
uncontrolled hypertension along with providing a protective mechanism to
the kidneys?

1/1

a. Metoprolol

b. Amlodipine

c. Verapamil

d. Lisinopril
35. Maria is now experiencing extreme pruritus and has several areas of
crystallized white deposits on the skin. As the nurse, you explain that this is due
to excessive amounts of what substance found in the blood?

···/1

a. Calcium

b. Urea

c. Phosphate

d. Erythropoietin

No correct answers

Situation

The mortality from stroke during the last 10 years has an average of 63,804 deaths per
year. Despite the COVID pandemic, the recorded annual Philippine stroke death increased
from 64,381 in 2020 to 68,180 in 2021 (Collantes et al., 2022).

36. Denver, 30 year-old male, is admitted with decreased level of consciousness

and uncontrolled atrial fibrillation. His pulse rate and blood pressure has increased.
The patient’s medication history includes vitamin D supplements and calcium.
What type of stroke is this patient at MOST risk for?
*

0/1

a. Ischemic thrombosis

b. Ischemic embolism
 c. Hemorrhagic

d. Ischemic stenosis

Correct answer

b. Ischemic embolism

37. MRI shows damage to the cerebellum. What assessment findings should you
expect to find?

1/1

a. Vision problems

b. Balance impairment

c. Language difficulty

d. Impaired short-term memory

38. Another patient, Tokyo, has been admitted with right side brain damage due to
stroke. What can you expect to observe in the patient? Select all that apply:

i. Right side hemiplegia

ii. Confusion on date, time, and place

iii. Aphasia
iv. Unilateral neglect

v, Aware of limitations

vi. Impulsive

vii. Short attention span

viii. Agraphia

0/1

a. i, iii, iv, vi, vii

b. ii, iii, iv, viii

c. ii, iv, vi, vii

d. All of the above

Correct answer
a. i, iii, iv, vi, vii

39. Tokyo was prescribed Mannitol for increased ICP. Which statement is
INCORRECT about this medication?

0/1
 a. Mannitol will remove water from the brain and place it in the blood to be removed
from the body.

b. Mannitol will cause water and electrolyte reabsorption in the renal tubules.

c. When a patient receives Mannitol, the nurse must monitor the patient for both
fluid volume overload and depletion.

d. Mannitol is not for patients who are experiencing anuria.

Correct answer

b. Mannitol will cause water and electrolyte reabsorption in the renal tubules.

40. What assessment finding requires immediate intervention if found while

Tokyo is receiving Mannitol?

1/1
a. Crackles

b. BP 110/80

c. ICP of 10 mmHg

d. Dry mouth and thirst

Situation

Nursing research plays a big role in upholding and continuously advancing the nursing
practice. Being a researcher is an important role of nurses to improve their knowledge
and skills in patient care and to contribute in ensuring evidence-based practice.
41. Nurse Gia is conducting a grounded theory research. Which of the following is
most accurate regarding the grounded-theory method?

0/1

a. An etic perspective is used during data collection.

b. It is a process of constructing human experience.

c. Secondary sources are sometimes used.

d. It is an inductive approach.

Correct answer

d. It is an inductive approach.
42. Respondents of a research should always be protected. Which of the
following rights of individual participants must be ensured when the
researcher cannot link the information given by the respondent from the
source of the information?

0/1

a. Confidentiality

b. Anonymity

c. Virility
 d. Volunteerism

Correct answer

b. Anonymity

43. Nurse Via integrates the findings of the multiple quantitative research studies on
nonpharmacological interventions for patients with ischemic stroke. What type of
research method is this?

1/1

a. Meta-synthesis
b. Meta-analysis

c. Secondary analysis

d. Systematic analysis

44. What process should Nurse Bon use to obtain a 10-year-old child’s agreement
for participation in the study, “Eating practices of hospitalized children under 12
years of age”?

0/1

a. Assent
 b. Consent of a minor

c. Minor agreement

d. None of the above

Correct answer

a. Assent

45. Once Nurse Bon collected all necessary data via interviews, what technique
can he use to analyze these data?
*

0/1

a. Chi-Square test

b. Measures of variation

c. Content analysis

d. Pearson r correlation

Correct answer

c. Content analysis

46. In the study “The effect of a supportive home care program on caregiver
burden with stroke patients in Iran: an experimental study” by Farahani et al.
(2021), what is the independent variable?

1/1

a. Supportive home care program

b. Caregiver burden

c. Stroke patients in Iran

d. An experimental study
47. What is the dependent variable in #46?

0/1

a. Supportive home care program

b. Caregiver burden

c. Stroke patients in Iran

d. An experimental study

Correct answer

b. Caregiver burden

48. Mamo et al. (2019) conducted the study, “Determinants of poor glycemic control
among adult patients with type 2 diabetes mellitus in Jimma University Medical
Center, Jimma zone, south west Ethiopia: a case control study”. The aim of this
study is to identify the determinants of poor glycemic control at the diabetes clinic
of the Jimma University Medical Center from April 01 to June 30/2017. What is the
other term for this case control study?

1/1

a. Retrospective study
b. Prospective study

c. Cohort study

d. Cross-sectional study

49. Sample is regarded as a subset of:

0/1

a. Data

b. Set

c. Distribution

d. Population

Correct answer

d. Population
50. Nurse Paul suggests for their community research to conduct data collection
about everyone or everything in group or population and has the advantage of
accuracy and detail. What is this called?

*
1/1

a. Census

b. Survey

c. Probability sampling

d. Cluster sampling

Situation

Nurse Lisa, a new registered nurse has been oriented about many ethical and moral
issues that she may encounter while in practice. The following question applies.

51. Nurse Lisa was asked by a fourth year nursing learner regarding the BEST
practical guide they can use if confronted with ethical dilemmas. Nurse Lisa
should inform the nursing learner about the ________.

1/1

a. Florence nightingale oath

b. RA 9173
 c. Code of ethics for nurses

d. Deontological theory
52. Nurse Lisa emphasized to the nursing learners that a nurse should fully support
the patient’s rights throughout their personal stay when working toward achieving
desirable outcomes for them. This ethical principle is known as?

1/1

a. Teleology

b. Accountability

c. Advocacy

d. Beneficence

53. Mr. Mosi has presented in the emergency department complaining of substernal
chest pain. He has a history of diabetes and hypertension. The physician
considered Mr. Mosi to be at risk of CAD that needs surgery. What PRIORITY nursing
actions should be done by the members of the health team in this situation?

1/1

a. Inform Mr. Mosi of his health status and discuss possible interventions, then let
him decide.
 b. Proceed immediately to surgery after confirming the presence of clot in his heart’s

artery c. Consult his wife and let her decide on behalf of Mr. Mosi.

d. Refer the patient to the ethics committee.

54. Which statement would best explain the role of the nurse when planning care
for a culturally diverse population? The nurse will plan care to:

1/1

a. Focus only on the needs of the client, ignoring the nurse’s beliefs and practices

b. Include care that is culturally congruent with the staff from predetermined

criteria

c. Blend the values of the nurse that are for the good of the client and minimize the
client’s individual values and beliefs during care

d. Provide care while aware of one’s own bias, focusing on the client’s individual
needs rather than the staff’s practices

55. Nurses agree to be advocates for their patients. Practice of advocacy calls
for the nurse to:

1/1
 a. Assess the client’s point of view and prepare to articulate this point of

view. B. Document all clinical changes in the medical record in a timely

manner.

C. Work to understand the law as it applies to the client’s clinical

condition. D. Seek out the nursing supervisor in conflicting situations

Situation

Mr. Ricci Rivero, 25 years old, a college instructor was admitted to the Mariano Marcos
Memorial Hospital and Medical Center due to difficulty of breathing 30 minutes prior to
admission. He also revealed that he has been suffering from blood-streaked
productive
cough accompanied by dull and aching chest with coughing for more than four weeks
now. He was diagnosed with pulmonary tuberculosis 2 years ago.

56. Nurse Al is assigned to patient Ricci and should expect the lungs to be
with _______ in the chest x-ray result?

1/1

a. Pulmonary infiltrates

b. Multinodular infiltrates
 c. Crackles

d. Stridor

57. Nurse Al administered oxygen and had carried out all the doctors order. Nurse
Al should be aware that documentation of the care rendered should be done __?

*
1/1

a. As soon as possible

b. After the shift

c. Every four hours

d. every 8 hours

58. Mr. Rivero was discharged after 5 days in the hospital. Nurse Al carried out
the referral forms to San NicoIlas Municipal Health Office. Nurse Alwin should
expect that the health information of patient Brent is in what form of the FHSIS?

0/1

a. Target Client List

b. Treatment record
 c. Tally or Reporting Forms

d. Output Records

Correct answer

a. Target Client List

59. Nurse Al has conducted discharge teaching with Mr. Rivero regarding his
medications. Nurse Al determines that Mr. Rivero has understood the information
if he makes which statement?

0/1

a. “Hindi na ako makakapunta ng Sogo para kumain sa susunod na anim na

buwan” b. “Nararapat na ipagpatuloy ko ang aking gamutan sa isang buwan”

c. “Makakapagtrabaho na ako kapag ang aking sputum culture ay negatibo da

baktirya” d. “Hindi na ako makakahawa pagkatapos ng 2-3 linggong gamutan”

Correct answer

d. “Hindi na ako makakahawa pagkatapos ng 2-3 linggong gamutan”

60. Another patient was admitted to the MMMH-MC who was recently diagnosed
with pulmonary TB. He is about to begin a 6-month course of therapy with
isoniazid. Nurse Al should plan to teach the client to take which action?
*

1/1

a. Increase intake of Swiss or aged cheese

b. Drink Gin bilog in small amounts only

c. Avoid vitamin supplements during therapy.

d. Report yellow eyes or skin immediately.

Situation

Ms. Cynthia went to the hospital for a follow-up check up after her hospitalization due
to exacerbated hypothyroidism.

61. Nurse Jen is assigned to patient Cynthia. The nurse should expect
which signs/symptoms Ms. Cynthia may exhibit?

1/1

a. Complains of extreme fatigue and hair loss

b. Exophthalmos and complains of nervousness

c. Complaints of profuuse sweating and flushed skin.

d. Tetany and complaints of stiffness of hands.

62. Nurse Jen should be aware that the preferred medication for
treating hypothyroidism is?

1/1
a. Propylthiouracil

b. Propranolol

c. Synthroid

d. Lithium

63. Patient Cynthia had discussed the onset of feelings of sadness and depression
due to her illness to the nurse, the nurse should inform the client that these
feelings are:

1/1

a. normal and part of having a chronic illness.

b. Temporary effects of thyroid replacement therapy and will diminish once homeostasis
is achieved

c. Permanent effects of thyroid replacement therapy and will not diminish over

time d. Most likely related to low thyroid hormone levels and will improve with

treatment
64. Which findings indicate the presence of side effects associated
with levothyroxine? Select all the apply.

a. Weight loss
b. Bradycardia

c. Mild heat intolerance

d. Constipation

e. Insomnia

1/1

a. a,b,c

b. a,c,d,e

c. b,c,d,e

d. a,c,e

65. After several weeks from the follow-up check-up patient Jen was admitted to
the ICU diagnosed with myxedema coma. Immediate nursing intervention is
warranted with which assessment data?

*
1/1

a. Serum blood glucose level of 60-mg/dl

b. Pulse oximeter reading of 90%

c. Telemetry reading showing sinus bradycardia

d. The client is lethargic and sleeps all the time.

Situation

Mrs. Ehe, 42 years old was diagnosed with Grave’s disease.

66. The nurse is expected to asses from Mrs. Ehe with which of the following

sign? *

1/1

a. Anorexia

b. Tachycardia

c. Cold skin

d. Sleep problems

67. Prophylthiouracil (PTU) is prescribed to Mrs. Ehe. The nurse should inform
the client to report ______ immediately.

*
1/1

a. Painful, excessive menstruation

b. Sore throat

c. Constipation

d. Increased urine output

68. Another patient was diagnosed with hyperthyroidism and was prescribed
with methimazole. Select all nursing considerations that are NOT associated
with this medication.

a. Administer methimazole with food

b. Place the client on a low-calorie, low- protein diet

c. Assess the client for unexplained bruising and bleeding

d. Instruct the client to report side and adverse effects such as sore throat, fever,
or headaches

e. Use special radioactive precautions when handling the client’s urine for the first
24 hours following initial administration.

0/1

a. abcd
 b. bcde
c. acd

d. be

Correct answer

d. be

69. Which signs/symptoms should make the nurse suspect the client is
experiencing a thyroid storm?

1/1

a. Extreme tachycardia and hypothermia

b. Hypotension and tachycardia

c. Decreased respirations and hypoxia

d. Hyperpyrexia and extreme tachycardia

70. In advance cases of hyperthyroidism, the diagnosis is made on the basis of

the symptoms and which of the following laboratory result?

0/1
 a. Increase in serum TSH
b. Decreased free T4

c. Decrease in radioactive iodine uptake

d. Decreased in serum TSH

Correct answer

d. Decreased in serum TSH

Situation

Nurse John has just passed the board exam and is planning to work in a tertiary hospital
in his province. Nurse John should be encouraged to abide with the laws that govern the
nursing practice in the Philippines.

71. What is the PRC Modernization Act of 2000?

1/1

a. RA 9881

b. RA 8981

c. RA 1989

d. RA 9198
72. All successful candidates in the examination are required to take an oath
of profession before ______.
*

0/1

a. Any PRC Official

b. The chief of hospital

c. The Baranggay tanod of their respective Baranggay

d. Any authorized government official

Correct answer

d. Any authorized government official

73. The principal basis of the code of ethics for nurses is

______. *

0/1

a. Local Government Code of the Philippines

b. Code of Good Governance

c. RA 9173

d. ANA Code of Ethics for Nurses

Correct answer

b. Code of Good Governance

74. According to the Code of ethics for Nurses, the hallmark of
nursing accountability focuses on _____?

0/1

a. Accurate documentation

b. Safe nursing practice

c. Quality and excellence

d. Welfare of patients

Correct answer

a. Accurate documentation

75. As a well-informed registered nurse, nurse John should earn ___ CPD units
to renew his license every three years.

*
0/1

a. 13

b. 14

c. 15
 d. 16

Correct answer

c. 15

Situation

Patient Dee has been ordered to receive a blood transfusion after a hemorrhagic episode.

76. Nurse Jeremy prepares the blood to be transfused. As a prudent nurse

verification of the blood typing and cross matching result should be done to prevent
any transfusion reaction. Should nurse Jeremy fails to verify the blood typing and
cross-matching result and has transfused an incompatible ABO- and Rh- blood,
what type of reaction should nurse Jeremy expect?

1/1

a. Febrile reaction

b. Hemolytic reaction
c. Allergic reaction

d. Overacting reaction

77. In the situation above, nurse Jeremy should assess the patient with
what signs/symptoms?

0/1
 a. Fever and chills

b. Flushing and urticaria

c. Dyspnea and stridor

d. Dyspnea and hypotension

Correct answer

a. Fever and chills

78. Nurse Jeremy should be well aware of the most important nursing
considerations when caring for a client who is receiving 2 units of packed
RBCs. Select all that apply

a. Verify that the ABO and Rh of the 2 units are the same.

b. Infuse a unit of PRBCs in less than 4 hours

c. Stop the transfusion if a reaction occurs, but keep the line

open d. Take vitals signs every 15 minutes while the unit is

transfusing e. Inspect the blood bag for leaks, abnormal color,

and clots.

f. Use a gauge 22 catheter for optimal flow of a blood

transfusion. *
1/1

a. a,c,e

b. d,e

c. b,c,e

d. a,b,c,d,e,f

79. Patient Dee had already received 25 ml of packed RBCs has complained of
low back pain and pruritus. After stopping the infusion, nurse Jeremy should take
what action next?

0/1

a. Administer prescribed antihistamine and aspirin

b. Administer diuretics
c. Administer vasopressors

d. Collect blood and urine samples and send to the lab

Correct answer

d. Collect blood and urine samples and send to the lab

80. Nurse Jeremy has two middle-aged clients who were prescribed with blood
transfusion of PRBCs at the same time. The first client’s blood pressure dropped
from preoperative value of 120/80 mmHg to a postoperative value of 100/50. The
second client is dehydrated and is suffering anemia secondary to pneumonia. After
checking the patency of their IV lines and vital signs, what should the nurse do
next?

0/1

a. Call for both client’s blood transfusions at the same time.

b. Call for and hang the first client’s blood transfusion

c. Ask another nurse to call for and hang the blood for the second client d.

Ask another nurse to verify the compatibility of both units at the same time.

Correct answer

b. Call for and hang the first client’s blood transfusion

Situation
Ms. Serena, 25 years old, has been recently diagnosed with HIV. She has been so
distressed about her diagnosis.

81. A year after her diagnosis, she went back to the laboratory for her follow up
CD4 counting. Her CD4 count has been noted to be 120 cell/mm^3. The nurse
should be aware that which symptom/s should be present aside from the
laboratory report would indicate her condition has already progressed to AIDS?

0/1

a. Malaise,fever, anorexia, and weight loss

 b. Leukopenia

c. Fatigue

d. Mucopurulent greenish-yellowish cough

Correct answer

d. Mucopurulent greenish-yellowish cough

82. The nurse is assigned to care for Ms. Serene who has developed a
cutaneous Kaposi’s sarcoma. The nurse is about to give the patient a bath,
change the bed linens. The lesions are open and drains a small amount of
serous fluid. What PPE should the nurse use to bath the patient?

*
1/1

a. Gloves only

b. Gown and gloves for both procedures

c. Gown, gloves and a mask for both procedures

d. Gown and gloves to change the bed linens,and gloves only for the bath

83. In the first few months of her diagnosis, Ms. Serena was encouraged to
continue taking zidovudine (AZT). The expected outcome of AZT is to:

*
1/1

a. Destroy the virus

b. Slow replication of the virus

c. Enhance the body’s antibody reaction

d. Neutralize toxins produced by the virus

84. How long is the window period of HIV?

1/1
a. 1-3 months

b. 4-5 months

c. 6-7 months

d. 8-9 months

85. What is the confirmatory test for HIV?

0/1

a. ELISA
 b. Soberano

c. Western Blot

d. Rumpel Leads test

Correct answer

c. Western Blot

86. The nurse is admitting a 28-year-old college instructor with a diagnosis of

rule-out anemia. The client has undergone a gastric bypass surgery for obesity 3
years ago. Current assessment findings include height of 5’5”; weight 75 kg;
P110,
R27, and BP 104/66; pale mucous membranes and dyspnea on exertion. The
nurse should suspect the client to have which type of anemia?

0/1

a. Sickle cell anemia

b. Folic acid anemia

c. Iron deficiency anemia

d. Vitamin B12 deficiency

Correct answer

d. Vitamin B12 deficiency

87. A client is admitted with full-thickness burns and may be developing DIC.
Which findings would support the diagnosis of DIC?

0/1

a. Sudden onset of chest pain and frothy sputum

b. Foul-smelling, concentrated urine

c. Oozing blood from the IV catheter site

d. A reddened, inflamed central line catheter site.

Correct answer

c. Oozing blood from the IV catheter site

88. A patient asks the primary nurse, “How does someone get hemophilia A?”
Which statement would be the primary nurse’s best response?

1/1

a. “ it is an inherited A-linked recessive disorder

b. “It is an inherited X-linked recessive disorder”

c. “The person is born with hemophilia A”

 d. “The mother carries the gene and gives it to the son”

89. The student nurse asks the nurse, “What is sickle cell anemia?” Which
statement by the nurse would be the best answer to the student’s question?

1/1

a. “Bakit nag tatanong ang beshy ko?”

b. “It is a congenital disease of the blood in which the blood does not clot”
c. “The client has decreased synovial fluid that causes joint pain.”

d. “The blood becomes thick when the client is deprived of oxygen”

90. Which is a potential complication that occurs specifically to a male

client diagnosed with sickle cell anemia during a sickle cell crisis?

0/1

90. Which is a potential complication that occurs specifically to a male client

diagnosed with sickle cell anemia during a sickle cell crisis?

a. ejaculation

b. Inflammation of the clitoris`

 c. Priapism

d. Hypertensive crisis

Correct answer

c. Priapism

Situation

Quality nursing practice impact patient care, patient outcomes, patient and clinical
satisfaction, and resource utilization. The nursing management plays a vital role in
achieving a quality nursing practice.
91. Nurse Laida is the chief nurse of Mariano Marcos Memorial Hospital and
Medical Center. The ER Department has been receiving feedback regarding long
waiting times for treatment. Nurse Laida has formed a committee to resolve the
issue. The leader of the committee should first consider what task to solve the
problem?

1/1

a. Reassess the emergency waiting times.

b. Consult the director of operations for possible solutions

c. Collect baseline data to determine if a problem exists

d. A continuous quality improvement team should be established to define the

desired outcome
92. A staff nurse in the pediatric department had a medication error and had
immediately reported to the unit supervisor. The pediatric department is known to
promote quality nursing practice. Which response should the staff expect from
the supervisor?

0/1

a. "Why are you reporting that to me without completing an incident

report?" b. "You need to report directly to the Chief Nursing Officer."

c. "We have a blame-free environment so you can report errors without

fearing punishment."

d. "You have reported this to me, so you do not need to file an incident

report." Correct answer

c. "We have a blame-free environment so you can report errors without

fearing punishment."

93. The nurse has received the assignment for the day shift. Which client should
the nurse plan to care for first after making initial rounds and assessment?

*
1/1

a. A client with a white blood cell count of 14, 000 mm3 (14x109/L) and a temperature
of 38.4oC

b. A client who is ambulatory demonstrating steady gait

c. A postoperative client who has just received an opioid pain medication. d.

A client scheduled for physical therapy for the first crutch-walking session.

94. The nurse is giving a bed bath to an assigned client when an assistive
personnel (AP) enters the client’s room and tells the nurse that another assigned
client is in pain and needs pain medication. Which is the most appropriate nursing
action?

*
1/1

a. Ask the AP to find out when the last pain medication was given to the client

b. Ask the AP to tell the client in pain that medication will be administered as soon as
the bed bath is complete

c. Finish the bed bath and then administer the pain medication to the other client

d. Cover the client, raise the side rails, tell the client that you will come back shortly,
and administer the pain medication to the other client.

95. Nurse Laida is preparing a training program to introduce quality

management. Which information should Nurse Laida include?
*

0/1

a. Staff satisfaction surveys will be used to track the effectiveness of changes b.

The purpose is to improve the experience of patient care, population, and values.

c. Staff will plan in silos

d. Programs will be staff focused.

Correct answer

b. The purpose is to improve the experience of patient care, population, and

values. Situation

Nursing research is considered essential to the achievement of high-quality patient care

and outcomes.

96. Which of the following is a method of non-probability

sampling? *

1/1

a. Cluster sampling

b. Snowball sampling

c. Simple random sampling

 d. stratified random sampling

97.The data on the family’s number of children is appropriate for what level
of measurement?

0/1

a. Interval

b. Ordinal

c. Ratio
d. Nominal

Correct answer

c. Ratio

98. A nurse researcher wants to study the response of patients who suffer
from dysrhythmia to pacemaker. The appropriate research design would be?

0/1

a. Experimental research design

b. Descriptive-correlational
 c. Comparative descriptive

d. Correlational

Correct answer

a. Experimental research design

99. Which of the following are qualitative data sources?

1/1
a. Interview and observation.

b. Primary sources and secondary sources

c. Books and journals

d. Questionnaires and survey

100. All of the following are advantages of using questionnaires

EXCEPT: *

0/1

a. Easy to test data for reliability and validity

b. Facilitates data gathering

 c. Less time consuming than interview and observation

d. Respondents may provide socially acceptable answers

Correct answer

d. Respondents may provide socially acceptable answers