1.

In utilizing the nursing process, nurses should remember that the assessment phase is:
a. Completed in admission
b. Linear
c. Performed only by nurses
d. Continuous
2. Mr. Gozo, a 24-year-old nurse, whose appointed by the hospital to undergo training on infection
control in Singapore Children’s hospital. The human resource of Singapore children hospital
informed him that he needs to submit a medical certificate. Mr. Gozo claims that since
childhood he’s healthy and never been sick. Nevertheless, he came to the out-patient
department for medical checkup. What type of assessment are you going to perform?
a. Focus assessment
b. Initial or comprehensive assessment
c. Partial assessment
d. On-going assessment
3. Jinkee, a 21 year old elementary school teacher comes to the university clinic due to throbbing
headache. As you interview Jinkee, she mentions that she had her annual checkup just a week
ago in the same facility. What type of assessment are you going to perform?
a. Problem-oriented assessment
b. Emergency assessment
c. Partial assessment
d. On-going assessment
4. The assessment phase is:
a. Continuous or going
b. Performed only by the admitting nurse
c. Only done upon admission
d. Performed by the discharging nurse
5. The focus of the physician’s assessment is:
a. The ability to perform the activities of daily living
b. The client’s psychological status
c. The client’s physiologic status
d. The client’s total health status
6. Nursing health assessment includes:
a. Collection of data, developmental plan, evaluating the effectiveness of intervention
b. Collection of data, validation of data, documentation of data
c. Collection of data, developing diagnosis, prioritizing medical problems
d. Collection of data, analyzing data, developing diagnosis, evaluating gathered data
7. A diagram used by nurses to illustrate the family history of the client
a. Genogram
b. Polygram
c. Histogram
d. Cardiogram
8. In preparing diagnose for family history, a female member is indicated by:
a. Triangle
b. Square
 c. Circle
d. Rectangle
9. Which of the following is considered as a primary source of information when gathering
subjective data?
a. Client’s family
b. Client’s previous medical record
c. The client
d. Client’s friend
10. Mr. Gonzalo is for rectal exam. You asked him to lie the table face down supporting the body to
the knees and the chest. Further, you make sure that the thighs are at a 90 degree angle to the
table slightly separated. The head turned to one side and the arms placed to the side above the
head. This position is called:
a. Sims
b. Prone
c. Supine
d. Knee chest
11. As you examine Mr. Locsin, you request him to lie on the examining table face down with his
head turned to the side, placing arms to the side as you assess the back.
a. Prone
b. Low-fowlers
c. Supine
d. Sims
12. Mr. Diesto was involved in a vehicular accident in front of AUP. The brgy. tanod brought him to
the university clinic. He was bleeding profusely and his blood pressure was 80/60. They
immediately placed him on the examining table with his head lower than his legs. This position
is called?
a. Supine
b. Fowlers
c. Trendelenburg
d. Lithotomy
13. The position used when examining the female’s internal and external genitalia.
a. Lithotomy
14. Side length position with the lower arm placed behind the body and the upper arm flexed at the
shoulder and the elbow.
a. Sims position
15. The clinical instructor asked you to assess your classmate’s breath and heart sound. Which part
of the stethoscope will you use?
a. Tubing
b. Earpiece
c. Bell
d. Diaphragm
16. Which of the following techniques involves using the senses of vision, smell, hearing to detect
any normal and abnormal findings?
a. Inspection
 b. Palpation
c. Percussion
d. Auscultation
17. Your seatmate requested you to check her temperature since she thinks that she is sick. You
failed to bring your thermometer
a. Dorsal surface of the hand
18. When assessing the patient’s spleen you apply pressure between 2.5-5 cm. This is known as?
a. Light
b. Bimanual
c. Moderate
d. Deep
19. A physical examination technique that helps the nurse detect the density of an underlying
structure:
a. Inspection
b. Palpation
c. Percussion
d. Auscultation
20. A flat sound during percussion is appreciated over the:
a. Lungs
b. Liver
c. Abdomen
d. Bones
21. ---------
22. Before giving a physical assessment to a client, the nurse should first:
a. Request the family of the client to be present
b. Determine whether the client is anxious
c. Wash both hands with soap and water
d. Ask the client to remove his cloth
23. The main purpose of documentation is:
a. For nurses to address the client’s specific health needs
b. To ensure that nurses would know what is happening to client
c. To promote effective communication among disciplinary health care members
d. To establish an initial database
24. Which of the following is not a function of the skin?
a. Vitamin B synthesis
b. Temperature regulation
c. Fluid and electrolyte balance
d. Protection
25. Which of the following layer of epidermis undergo cell division
a. Lucidum
b. Germinativum
c. Granulosum
d. Corneum
26. The physical examination technique that the nurse utilize in assessment of skin, hair, and nails.
 a. Inspection and percussion
b. Palpation and percussion
c. Inspection and palpation
d. Percussion and auscultation
27. Minerva, 40 year old, was diagnosed by the doctor to be anemic. You expect her skin color to
be:
a. Pale to ashen without underlying pink
b. Bluish to ashen
c. Yellowish to bluish
d. Bluish ashen
28. A condition which is the result of cardiopulmonary problem that makes the skin to appear bluish
is called:
a. Pallor
b. Cyanosis
c. Carotenemia
d. Jaundice
29. Mr. Gomez, 65 years old, comes to the university clinic for his routine blood pressure check-up.
As you are facing the cuff in his right upper arm, he ask you why his skin on his posterior neck
and nape is thicker and darker in color as compared to the arms. You remember that this
suggests:
a. Diabetes mellitus
b. Heart problem
c. Systemic lupus erythematosus (SLE)
d. Respiratory problem
30. Mr. Cruz informs that he has patchy, loss of skin color in his hands, face and lips. This indicates
that he has:
a. Albinism
b. Acanthosis nigricans
c. Vitiligo
d. Butterfly rash
31. As you palpate the skin of Marissa, you found out that her skin is rough, flaky, and dry. This
condition is related to:
a. Hyperthyroidism
b. Kidney problem
c. Hypothyroidism
d. Liver problem
32. Which of the following are examples of a macule?
a. Freckles, petechia, flat moles
b. Freckles, pustule, wheal
c. Freckles, vesicle, bulla
d. Freckles, bulla, petechial
33. Spider angioma is associated with:
a. Liver disease
b. Kidney problem
 c. Trauma
d. Psoriasis
34. Nails that are half white on the upper proximal half and pink on the distal half indicates:
a. Liver disease
b. Kidney problem
c. Trauma
d. Psoriasis
35. While performing a test for capillary refill you noted that the pink tone returns after 5 seconds.
This finding lies:
a. A normal test for capillary refill
b. Trauma on the nailbeds
c. Respiratory or cardiovascular disease
d. Fungal infection
36. General survey
a. Systematic examination
b. Overall impression
c. Both
d. None
37. Introductory phase
a. Explain the purpose of interview
b. Develop trust and rapport with client
c. Both
d. None
38. Non-verbal communication
a. Laundry list
b. Demeanor
c. Both
d. None
39. Open-ended question
a. “On the scale of 1-10 how severe is your feeling”
b. “Do you feel any tenderness in this area?”
c. Both
d. None
40. Subjective data
a. Sensations or symptoms
b. Laboratory diagnostic result
c. Both
d. None
41. Attitude of the nurse during interview
a. Judgmental
b. Professional
c. Both
d. None
42. Well-placed phrases
 a. “I agree”
b. “Go on”
c. Both
d. None
43. Special considerations during interview
a. Gender
b. Cultural background
c. Both
d. None
44. Skills when obtaining health history
a. Interpersonal skills
b. Interviewing skills
c. Both
d. None
45. The nurse listens, observes, queues and uses critical thinking to interpret and validate
information from the client
a. Working phase
b. Closing phase
46. Shiela Rivera, 65 year old woman has been diagnosed with terminal breast cancer. The following
questions pertains to that case techniques that would be useful in eliciting information about
how this patient is coping with her diagnosis.
a. Asking close questions
b. Asking open ended questions
c. Soliciting information from the patient’s family after interviewing the patient.
d. Soliciting information from the patient’s family before interviewing the patient.
47. Under erik erikson’s developmental level should be at what stage?
a. Intimacy vs. isolation
b. Generativity vs. stagnation
c. Ego integrity vs. despair
d. Industry vs. inferiority
48. When exploring client’s patient perception about present condition. The best question to ask
would be:
a. “Why are you here?”
b. “How do you feel about having to seek healthcare?”
c. “When did you first notice the lump on your breast?”
d. “Hey, hey, hey, are you okay?”
49. Past health history focuses on:
a. Familial diseases
b. Previous organizations, childhood diseases, surgeries
c. Client’s health strengths and weaknesses
d. Reason for seeking healthcare
50. Primary source of data collection in the assessment data phase of the nursing process is the
a. Chart
b. Patient
 c. Doctor
d. Family
51. What is an example of subjective data
a. Color of drainage
b. Odor of breath
c. Respirations 14 breaths/min
d. Patients stated “I feel sick”
52. 2 year old Jason’s mother states “Jason vomited 8 ounces of formula this morning”. This
statement is an example of:
a. Objective data from primary source
b. Objective data from secondary source
c. Subjective data from primary source
d. Subjective data from secondary source
53. The nurse completes her interview of a 39 year old female since happily married for 4 with 4
healthy children who are doing very well at school and works part time as a college professor.
The nurse would be able to conclude that this client is in what stage of the psychosocial
development.
a. Generativity
54. During the therapeutic encounter the patient states “I have been very sad”. The nurse responds
“so you say you have been feeling sad?”. That is an example of what?
a. Empathy
b. Reflection
c. Restating
d. Suggestion
55. Which phase of the nursing process establishes patient database?
a. Analysis
b. Assessment
c. Evaluation
d. Implementation
56. 50 year old woman patient tells the nurse that she enjoys babysitting her grandchildren. While
their parents are attending night classes at the local college. She also shares that on many days,
she volunteers at her neighborhood foodbank. Erikson most likely place this patient as:
a. Feeling ashamed that she never held her children complete school
b. Feeling lonely and isolated from family and the community
c. Negatively resolving poor relationships with her uneducated children
d. Positively resolving a sense of generativity vs. stagnation
57. When assessing the client for pain. The nurse should
a. Doubt the client when he/she in pain
b. Assess for underlying causes of pain then believe the patient
c. Believe the patient as he claims that he/she is in pain
d. Assess for the presence of physiologic factors/indicators then believe the client
58. One of the bodies normal physiologic response to pain
a. Hypotension
b. Pulse rate below 50
 c. Diaphoresis
d. Hypoglycemia
59. After assessing the client in pain. The nurse:
a. Documents the exact description given by the patient
b. Choose from the least of pain descriptors that best reflects the client’s description
c. Ask the family to describe how they view the pain
d. Document how he/she best sees the client’s pain
60. Pain that is felt in a part of the body that has been removed is called
a. Phantom pain
61. The nurse is interviewing Sir Banks due particularly to his nervous affect in his reaction when his
son’s name was mentioned, you suspect potential elderly abuse. In assessing the client, the
nurse should:
a. Focus exclusively on the physical examination as elder abuse is primarily physical in nature
b. Make sure that the assessment includes questions to evaluate Mr. banks access to food and
needed medication
c. Ask to speak to Mr. Banks’ son directly to ask him candidly about potential abuse
d. Keep in mind that the elder abuse is usually reported indicating that Mr. Banks is most likely
to lie
62. John is a 5 year old boy comes to the clinic scheduled for schedule injections. Which physical
indications would lead you to suspect child abuse?
a. Bruising on the upper portion of his buttocks
b. Regular circular pattern coincides redenned areas on the back
c. Irregular patterns, small circular reddened areas with healing blisters on various part of the
body
d. Crying when he sees the needle for injection
63. Stereotyping is defined as:
a. The belief that one’s cultural values are superior to others
b. A worldview that each of us forms values and beliefs based on our culture
c. A culture-bound syndrome found in many cultural groups
d. Expecting all members of the cultural group to hold the same beliefs
64. Shared practices and rituals used to express one’s faith is called
a. Religion
b. Spirituality
c. Denomination
d. Philosophy
65. The path one pursues in search of life’s meaning and purpose
a. Spirituality
66. While providing spiritual care to clients. The nurse must avoid:
a. Assess spiritual needs
b. Praying for clients as requested
c. Attempting to convert clients to your belief
67. During a thorough spiritual assessment the nurse understands that the questions asked are
designed to:
a. Search the client to explore other religion
 b. Cause the client to question long-held beliefs
c. Determine the client and nurse had a similar beliefs
d. Reveal beliefs that might affect client care
68. To quickly identify a client whom may be at risk for nutritional problems. The nurse use which of
the following assessment?
a. Laboratory work
b. Comprehensive nutritional assessment
c. Physical examination
d. Nutritional screening tool
69. A nurse performs assessment of nutritional status. Which of the following statements could be
of least significance?
a. I am fond of street foods
b. I drink 4-5 glasses of water in a day
c. I try to see if my intermittent fasting will help me lose weight
d. I want to have breast augmentation done so that I would look slimmer
70. Before beginning a patient interview, the nurse should be done except:
a. Explain to the client the purpose of the interview and health assessment
b. Reassure the client about confidentiality
c. Acquire written permission to conduct interview
d. Introduce self and establish rapport