SITUATION: Nursing Service Management should endeavor to update nurses for the

improvement of quality and safe nursing care, especially with the passage of the
Universal Health Law.
60 of 100 points

1. How can nurse contribute to the improvement of Maternal and Child Health (MCA) in
the Philippines? One way is by knowing the 8 Millennium Development Goals. Which, of
the TWO of the 8 Goals are VERY specific to MCH?
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A. Reduce child mortality and improve maternal health

B. Eradicate extreme poverty and hunger: and achieve universal primary education
C. Promote gender equality and empower women and global partnership for health
D. combat HIV/ AIDS and ensure environmental sustainability

2. The Universal Health Law focuses on the population. If a pregnant woman has been
found and diagnosed to have preeclampsia, the focus of health care is on the
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A. population group
B. individual

C. community
D. family

3. Which among the following is TRUE about mother and child health in the Philippines
(among ASEAN) that can be addressed by the Universal Health Law?

I. Fastest decline in maternal mortality rate

II. Number one highest in infant mortality rate

III. Fastest rising HIV/AIDS

IV. Highest TB burden

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A. II, III, IV
B. I, II, III
C. I, II

D. III, IV

4. In the Universal Health Law, which of the following are the government agencies that
are considered as "key players" in its implementation?
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A. Family, DOH and Phil Health
B. DOH, LGU and Philippine Health Insurance, Inc. (PhilHealth)

C. Community, DOH, LGU

D. Individual, DOH, and LGU

5. What is one of the MAJOR Challenges that a beginning nurse may encounter in her
service delivery in the hospital in terms of an INDIVIDUAL client or patient?
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A. Dysfunctional facilities
B. Poor health seeking behavior

C. Social determinants of health

D. Stock out of essential commodities
SITUATION: Everyday, nurses make ethical decision in their nursing practice. This
decision may involve patient care, action related to co—workers or nurse—doctor
relationship. Nurse Lydia is assigned in the Obstetrics Ward

6. Which of the following will NOT guide Nurse Lydia in her ethical decisions?
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A. There are automatic solutions to all ethical conflicts.

B. Nurse is not legally responsible for obtaining a patient informed consent.

C. Legally Nurse Lydia is responsible for using her knowledge and skill to protect her patient.
D. Nurse Lydia can act as patient advocate.

7. Nurse Lydia considers consulting Ethics Committee. Which of the following

considerations given by the Ethics Committee is applicable?
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A. The family members disagree about what should be done by the nurse.
B. The health care team disagrees among themselves about the treatment.
C. The doctor disagrees with the patient his family regarding treatment.
D. All of these.

8. Patients must be notified about their rights to privacy and how their health information
will be used and shared by the health team. He also has the right to decide to whom will
he allow the information to be shared. This right is, which of the following?
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A. Beneficence
B. Justice
C. Informed consent

D. Confidentiality

9. Ethics committee provides as forum for the patient, his family and health care team to
resolve a conflict. In this Committee, who among the following cannot be a member?
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A. Nurse
B. Lay persons/ clergy

C. Doctor
D. Midwife

10. Who among the health team can BEST give the disclosure to patient about informed
decision regarding her future medical care?
*
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A. Nurse
B. Significant others
C. Doctor
D. Midwife
Situation: A 10 year old male child is admitted to the pediatric unit of the surgical
department of hospital x for pain in the right lower quadrant. The tentative diagnosis is
acute appendicitis.

11. Which of the following signs and and symptoms would most likely be seen in a client
with appendicitis?
*
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a. Itching and swelling around the eyes and ankles.
b. Sore throat, bone and joint pains.
c. Convulsions, weight gain and loss.
d. Fever, nausea and vomiting.

12. The nurse performs physical assessment. Which assessment findings would the
nurse expect to find in child with appendicitis?

1. sore throat, bone and joint pains

2. diarrhea or acute constipation

3. localized pain in the left lower quadrant

4. abdominal guarding
*
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a. 2 & 4

b. 1, 3 & 4
c . 1, 2, 3 and 4
d. 1 & 3

13. While the nurse is doing an assessment, the child says, the pain is gone and his
abdomen doesn’t hurt anymore. The nurse would suspect that the ______:
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a. Appendix has ruptured.

b. Child is afraid to have an operation.

c. Child wants more attention.
d. Child is having difficulty expressing the pain adequately.

14. The client’s diagnosis is confirmed. The client is scheduled for appendectomy.
Preoperative nursing care include which of the following:
*
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a. Apply warm packs on the child’s abdomen to help relieve discomfort.
b. Administer a laxative as ordered.
c. Assess bowel activity by evaluating abdominal distention and auscultating bowel sounds.

d. Place the child in the left side lying position to help localized and prevent the spread of
infection.

15. The nurse prepares the child for surgery. Which of the following nursing intervention
should the nurse perform?
*
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a. Administer an enema as ordered.
b. Give clear liquids.
c. Maintain complete bed rest.

d. Apply heat to the abdomen.

Situation: A 70 year old male client is brought to the emergency department
complaining of inability to move his right arm and leg and absence of muscle tone. The
initial diagnosis of the physician is left cerebrovascular accident (CVA) with flaccid
hemiplegia of his right side.

16. The nurse writes a nursing diagnosis for the client. Which of the following nursing
diagnoses is most appropriate ______:
*
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a. Impaired Physical Mobility.

b. Activity Intolerance.
c. Unilateral Neglect.
d. Sleep Pattern Disturbance.

17. A priority assessment the nurse performs in the first 24 hours of admission is an
assessment of the client’s:
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a. Risk factors for vascular disease
b. Urinary elimination patterns
c. Health behaviors before the CVA

d. Pupil size and papillary response

18. The nurse performs an assessment of the functional status of the client before and
after the CVA because it is essential for which of the following reasons:
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a. It will help the client expect to regain much of his functioning.
b. The functional status before the CVA will help predict outcomes.

c. It will serve as a guide for a rehabilitation plan.

d. It will help the client recognize his physical limitations.

19. The physician orders IV Potassium. The nurse carries out the order keeping in mind
the following precautionary measures EXCEPT to_____:
*
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a. Change IV sites every 72 hours or sooner if the vein becomes tender to palpitation.
b. Give potassium by IV push.

c. Dilute potassium in normal saline.

d. Agitate the bag before hanging it up to prevent bolus administration.

20. The nurse observes that all treatments for the client with hypokalemia have fail to
raise the potassium level significantly. The nurse should assess the client further and
report which of the following findings ____?
*
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a. Use of estrogen by the client.
b. Client has a recent leg fracture.
c. Client’s abuse use of laxative.

d. Client has a chronic insomnia.

21. The nurse instruct the client to eat foods that are high in potassium such as ______:
*
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a. Lima beans
b. Brocolli

c. Corn
d. White rice
Situation: The head nurse of the medical unit calls for a staff development meeting.
The purpose of which is to improve the quality of nursing care. The head nurse reminds
the staff that nursing care is based on theoretical frameworks that provide directions for
care. The following questions are related to theories in nursing.

22. The emphasis of nursing according to this theory is the delivery of nursing care for
the whole person to meet the physical, emotional, intellectual, social and spiritual needs
of the client and his family. This is the theory of _________;
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a. The conservation principles.
b. The 21 nursing problems.

c. Human to human relationship.

d. The 14 components of basic nursing care.

23. The focus of this theory is the establishment of nurse-client relationship. This theory
is the ________:
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a. Humanistic Theory
b. Theory of human caring
c. Interpersonal Theory.

d. Homeodynamics theory

24. The goal of this nursing in this theory is the promotion of behavioral responses that
affect health. This is called the _____:
*
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a. Interpersonal Theory
b. Humanistic Theory
c. Roy Adaptation Model

d. Conservation principles.

25. Nursing is defined in this theory as helping or assisting a person who maybe wholly
or partly dependent on the care giver. This theory ______:
*
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a. is the Self-Care Deficit theory.

b. is called the 21 nursing problems.

c. the humanistic theory.
d. are the conservation principles.
26. The basic concepts underlying Florence Nightingale’s is which of the following?
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a. A clean and safe environment that will assist the client in his recovery.

b. A dynamic nurse-patient relationship.

c. Self-Care and therapeutic touch.
d. Respect for other humans and belief that relationship are based on mutual trust.
SITUATION: Nadine, three years old, was admitted to the Pediatric Ward due to frequent
coughing, presence of wheezes when breathing out, and chest congestion. Upon physical
examination, Nurse Alma noted some bruises on the back and lower extremities of
Nadine. When the mother was asked of the noted bruises the mother said it is due to
Nadine's being hyperactive and playful. Mother of Nadine said that the child is bed
wetting. Nurse Alma also observes that Nadine is showing signs of anxiety.

27. The toddler years are a time of great cognitive, emotional, and social development.
The toddler is a child ______________ month old.
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A. 6 to 12
B. 9 to 36
C. 36 to 48
D. 12 to 36

28. Upon seeing warning signs of child abuse, the BEST nursing action that Nurse Alma
should make is to report the noted observation to
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A. Dept of Social Welfare Development (DSWD)
B. Head nurse

C. Philippine National Police (PNP)

D. Attending Pediatrician

29. Nurse Alma recalls that there are four kinds of child abuse. Which of the following
below are considered as child abuse? Select all that apply.

1. physical

2. emotional

3. sexual
4. Neglect
*
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A. 1 & 3
B. 1, 2, & 3
C. 1, 2, 3, & 4

D. 1 & 2

30. When there is a failure to supervise a child adequately, especially in children younger
than 12, the kind of child abuse is, which of the following?
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A. emotional
B. sexual
C. neglect

D. physical
SITUATION: The public health nurse must have an understanding of demography which
should support health care plan.

31. Demography is concerned with the study of population. Which of the following are
included in a demographic profile?
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A. Size, composition, health status, and environment.
B. Change in population, distribution, and health status.
C. Size, distribution, composition, and change in population.

D. Size, distribution, and composition.

32. Based on the 2017 Demographic Report (July 2016 estimate), the Philippine
population has reached:
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A. 140 million
B. 120 million
C. 102 million

D. 85 million

33. There are three demographic variables in population growth. Which one is NOT
included?
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A. Fertility
B. Migration
C. Morbidity

D. Mortality

34. Population structure is a diagram of population typically presented a pyramid—like

style format based on_______________
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A. sex and educational attainment
B. age and fertility
C. age and civil status
D. age and sex

35. An aging population refers to a phenomenon in which the median age of the
population in a country rises significantly compared to the total population. This is
caused by any or combination of the following:

1 - a declining birth rate

2 - rising life expectancy

3 - Decreasing fertility

4 - increased child survival

5 - better health decreased fertility

*
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A. 1, 2, 3, and 4

B. 1 ,2, 4, and 5
C. 1, 2, and 3
D. 1, 2, 3, 4, and 5
Situation – Mr. Robert is 36 years old confined in the hospital due to abdominal
pain. He has undergone several diagnostic studies and was diagnosed to have
pancreatitis.

36. The patient was observed to have steatorrhea. The nurse will BEST describe this in
her assessment as presence of ______.
*
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a. frothy, foul smelling stool with high fat content

b. bright red stool

c. clay-colored tools with minimal blood
d. dark tarry stool with fatty content

37. To relieve the abdominal pain of acute pancreatitis, which of the following is the
PREFERRED medication that produces longer action than the other drugs?
*
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a. Aspirin
b. Cimetidine
c. Meperidine hydrochloride

d. Morphine Sulfate

38. When a patient is suffering from Emphysema, which of the following manifestations
will likely NOT to be included in your assessment findings?
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a. Decreased breath sounds
b. Decreased diaphragmatic motion

c. Chest is dull on percussion

d. Hyperresonance

39. You have devised a Nursing Care Plan for Mr. Robert. What APPROPRIATE nursing
diagnosis can you formulate for a patient going for Surgery?

1. Anxiety R/T surgical and environmental concerns

2. Risk for injury R/T anesthesia and surgical procedures

3. Risk for pruritus R/T anesthesia and surgical procedures

4. Risk R/T hospital expenses

*
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a. 1, 2, 3 and 4
b. 1 and 2

c. 1 and 3
d. 2, 3 and 4

40. The nurse is planning with the dietitian the ordered diet for Mr. Robert. Which of the
following dietary instructions is APPROPRIATE for him?
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a. High sodium, Low carbohydrate
b. Low calorie, low carbohydrate
c. High fat, high protein

d. Low protein, high carbohydrate

41. The PRIORITY health instruction of the nurse for the prevention of future attacks of
pancreatitis is on ______.
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a. engagement in regular exercises
b. abstinence of alcohol intake
c. restriction of food high in carbohydrate
d. avoidance to stressful events

Situation – An infant was born 12 hours ago. Nurse Karen has been instructed
to collect blood by heel stick for newborn screening (NBS) for congenital
hypothyroidism before the baby will be discharged.

42.Nurse Karen questions the order of the Pediatrician because 12 hours after birth in
not the optimum time to collect this specimen for which reason?
*
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a. There is an immediate rise of Thyroid stimulating hormone after birth.

b. The baby needs to digest the formula before a blood sample can be taken.
c. A thyroid scan should be done first.
d. At 24 hours, the T4 level will be extremely high

43. At 4 months, the child was diagnosed with hypothyroidism. The mother ask
symptoms consistent with the diagnosis. Select those that apply:

1. High pitched shrill cry

2. Prolonged jaundice at birth

3. Describe as “good baby”

4. Constipation
5. Tall for gestation at birth
*
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a. 1,4 and 5
b. 3, 4 and 5
c. 1, 2 and 3
d. 2, 3 and 4
44. What will be the PRIORITY Nursing Diagnosis for this child?
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a. High risk for ineffective health maintenance.

b. Hyperthermia.
c. Imbalance Nutrition more than the body requirements
d. Altered oral mucus membrane

45. If not diagnosed early, irreversible damage can occur to what major organ of the
body?
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a. Brain

b.Gastrointestinal tract
c. Liver
d. Thyroid gland

46. Thyroid hormone replacement to eliminate signs of Hypothyroidism is the lifetime

management. Prior to administration to such drug, the nurse will check which of the
following:
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a. Blood pressure
b. Respiratory rate
c. Temperature
d. Pulse rate

Situation – Mrs. Rory, 38 years old, is admitted to the hospital for the extreme
weakness after a full day’s work. She has been having these discomforts for
almost two years now. After an endocrine work-up, she was diagnosed to have
Grave’s disease.

47. As the attending nurse of Ms. Rory, which of the following findings do you NOT
expect to find?
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a. warm moist skin
b. weight gain

c. bounding rapid pulse

d. fine, silky hair
Situation – Nurse Sylvia is assigned in Out Patient Department medical center.
Every Wednesday of the month, the health care services are scheduled for
patients with endocrine disorders.

48. The patient is admitted to the private room for further work-up. You started to
develop a nursing care plan for Ms. Belen. Which of the following nursing diagnosis is
APPROPRIATE for her at this time?
*
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a. Disturbed thought processes R/T hyper metabolic rate
b. Constipation R/T gastro intestinal hyper motility
c. Imbalanced Nutrition R/T Less body requirements

d. Activity intolerance R/T decrease metabolic rate

49. Once Ms. Belen is confirmed to have Hypothyroidism, she might experience
Hematologic compromise which is ______.
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a. Iron and Folate deficiency

b. decreased hematocrit
c. oxygen demand is decreased
d. increased Serum cholesterol

50. Nurse Tony informed Patient Lilia the risk factors of developing complications with
cardiac disorders. Nurse Tony reminded her to the following risk factors which include
_______.
*
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a. gender, stress, obesity
b. obesity, inactivity, diet, smoking

c. stress, family history, obesity

d. inactivity, diet, family history

51. Nurse Tony recommends to patient Lilia precautionary measures to maintain a

healthy heart. Which of the following is NOT recommended?
*
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a. Brisk walking for 15 minutes a day
b. Take 10 cc of red wine every night
c. Smoking not more than a pack of cigarette a day.

d. Take diet high in saturated fats and low cholesterol.

52. As a Nurse, which of the following characteristics of pain should you ask when
assessing if a patient has an eye disorder? Is ______?

1. the pain sharp

2. the pain burning in character

3. there conjunctival redness

4.there absence of tears

*
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a. 1, 2, 3 and 4
b. 1 and 2

c. 1, 3 and 4
d. 1, 2 and 3

53. The day after surgery, Annie expresses concern that hearing is not good as it was
before admission. What is the BEST nurse action?
*
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A. Encourage Annie to divert her attention by reading
B. Encourage Annie to blow more her nose to clear the eustachian tubes.
C. Reassure Annie that it is temporary loss due to post op edema and ear packing
D. Check the external ear for blood clots and remove them

54. What post-operative teaching will the patient strictly follow?

*
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A. Reinforce that fact that airplane travel is no longer permitted.
B. Show patient how to gently irrigate the external auditory canal
C. Inform physician any dizziness that develops after she is discharged.
D. Stress that hair washing should be avoided immediately after surgery.

Situation – Mina, 28 year old married with two children had undergone
mastectomy of the left breast. She is very much concerned about the effects of
the surgery to her husband and to her family.

55. Which of the following statements is therapeutic for Mina’s concern?

*
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a. “I know what you feel. My sister went through the same operation 6 months ago.”
b. “Don’t worry. I am sure your husband and your children will understand.”

c. “It’s better that you had the operation while you are on vacation.”
d. “God has something better for you; just try to keep on hoping.”

56. Flora is apprehensive about being choked and not be able to talk because of the
tracheostomy tube. What is the best response of the nurse to this concern?
*
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a. “Tracheostomy tube is only for the meantime while you have a lot of secretions.”

b. “You will not choke because your feeding do not pass through your tracheostomy tube.”
c. “You said you are apprehensive because you are going to choke and not be able to talk due to
your tracheostomy tube and NGT?”
d. “Don’t worry; I will give you pencil and writing pad.”

57. Which of the following statements of the client going to surgery is reflective of a
knowledge deficit?
*
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a. “I need to have consent signed prior to my operation.”
b. “It is important that I wear my ID bracelet throughout my surgery.”
c. “It is important that I drink valium so I can relax before surgery.”
d. “I don’t have to go on NPO.”

58. Wendy, 36 years old underwent mastectomy, right breast, tells you that she is
nauseated. Which of the following intervention is your priority?
*
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a. Assure Wendy that it is expected as an effect of anesthesia.

b. Turn Wendy completely to her side and have an emesis basin ready.
c. Refer her to the anesthesiologist and have an antiemetic prescribed.
d. Take Wendy’s vital signs.

59. When you checked the blood pressure of Lydia, who underwent partial gastrectomy,
you observed that her BP dropped from 118/70 to 90/60. You suspect early signs of
hypovolemia and early shock. Which of the following interventions will you do FIRST.
*
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a. Take heart rate and respiratory rate for one full minute.
b. Inspect surgical incision site and nasogastric tube drainage for signs of bleeding.
c. Place Lydia in a shock position, flat on bed with legs elevated.

d. Increase oxygen inhalation to 6 liters/minute.

60. Julio, who underwent exploratory laparotomy, was transferred to the surgical unit.
You accompanied Julio and endorsed him to Liza, the nurse in charge of Julio in the
surgical floor. Arrange the following intervention according to PRIORITY?

1. Assess breathing and connect to O2 inhalation.

2. Assess surgical site and wound drainage.

3. Assess level of consciousness, orientation and ability to more extremities.

4. Connect all drainage tubes to drainage system and monitor.

5. Monitor vital signs and note skin color, temperature and last administration of last
pain medication.

6. Assess pain level, character and time, type and route of administration of last pain
medication.
*
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a. 4, 2, 6, 5, 1, 3
b. 4, 5, 2, 3, 6, 1

c. 5, 4, 2, 6, 1, 3
d. 2, 4, 3, 5, 6, 1
Situation: The nurse reviews a recent finding of a study which revealed while depressed
clients may have higher risk for heart failure, clients suffering from cardiovascular
disease are more prone to depressive symptoms.

61. The study further reveals that the major depression is most prevalent to which of the
following _______:
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a. Persons younger than 60 years old

b. Male
c. Female
d. Persons older than 60 years of age.

62. The nurse reads that mood disturbance among clients with chronic heart failure is
greatest among those who _____:
*
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a. also had other cardiovascular disorder

b. were most uncertain about how the disease would progress.

c. were unable to continue working.
d. had previously led extremely active lives.

63. A term described in the study for chronic depressive state in which the client
experiences fewer than five symptoms of depression that last for two years is called
_____.
*
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a. depression psychosis
b. major depression
c. minor depression
d. dysthymia

64. The study compared the variables, physiologic intervention in clients with both heart
failure and depression and psychological and psychotherapeutic intervention. It was
found out that psychosocial and psychotherapeutic intervention ___.
*
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a. Are undesirable for most clients.
b. Take longer to be effective.
c. Are considerably less effective.

d. Tend to increase dyspnea.

Situation: The nurse manager of the medical and surgical units reorients the
staff nurses and other members of the health care team on reporting and
recording of incidents that may occur in the units.

65. The nurse manager informs the staff that the purpose of writing incident reports are
the following EXCEPT _____:
*
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a. For improvement of nursing services.
b. For objective reporting of unplanned occurrences.
c. For disciplinary action.

d. For documentation and follow-up.

Situation: The nurse cares for a group of clients with various types malignancy
receiving treatment and medication for cancer.

66. A client receives a drug in a Phase 1 clinical trial. The nurse makes an assumption
that the cancer _________:
*
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a. and its treatment are not covered by the insurance of the client.
b. is not responding to other known treatment for cancer.
c. is not following the expected course of the disease.
d. is limited in size and virulence.

67. A client with a lung cancer receives a drug of Phase II clinical trial. Which of the
following is an appropriate assessment of the drug by the course?
*
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a. Determination of the maximum tolerated dose.
b. Description of the type and severity of side effects.
c. Evaluation of the general effectiveness of the drug.

d. Explanation of how the drug compares with standard treatments.

68. The nurse caring for a client with an implanted radiation should reduce self-exposure
to the radiation by incorporating which of the following strategies?
*
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a. Limiting the time spent close to the client to thirty minutes per eight hour shift.

b. Wearing a radiation meter or film badge to measure exposure.

c. Staying six feet away from the client except when doing physical care.
d. Wearing a lead-shielded apron when entering a client’s room.

69. Which of the following nursing actions has the HIGHEST priority for a 30 year old
client with an implanted radiation source?
*
1/1
a. Prevent skin problems related to radiation.
b. Assess the reaction of the client to the diagnosis and treatment.
c. Promote regular activity while confined in the room.
d. Safeguard the client and others from unnecessary exposure to radiation.

70. The nurse cares for client with temporary radioactive cervical implant. Which of the
following action should be avoided by the nurse?
*
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a. Placing the beddings of the client on a laundry hamper in the hospital corridor.
b. Standing by the bed of the client for an hour talking with the client.
c. Flushing the toilet once after emptying the bedpan used by the client.

d. Giving the client an alcohol-containing mouthwash for oral care.

SITUATION: You are employed as staff—nurse in a tertiary government hospital
in Manila and had a training program with the Red Cross on Disaster
preparedness Management before deciding to work back home in Cagayan
province. One day, there was a strong typhoon that hit your place and despite
the typhoon, you decided to report for duty.

71. You are assigned in the surgical ward with 10 patients and across your ward is the
Pediatric unit with 12 patients, but their nurses did not report for duty. Your immediate
supervisor ordered you to cover both units temporarily. Which of the following PRIORITY
actions should you do in this situation?
*
1/1
A. Call the medical director to augment the staffing with more nurses.
B. Identify and cluster patients according to their needs.

C. Request the watchers to assist you with patients on ventilators.

D. Ask if -you can go home early, so you can help your family too.

72. Your supervisor is aware that you have a previous experience in the pediatric unit.
She instructed you to take care of the children while she will take care of the surgical
patients. How should you respond to this?
*
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A. Do not accept this responsibility as there is a possibility for you to commit a mistake.
B. Accept this assignment as you have the competency to take care of the children.

C. Do not accept this assignment as the Pediatric ward is in disarray and patients are with
varying illnesses.
D. Argue with your supervisor that this is not correct as your nursing license. will be at stake.
73. After a week the medical director has organized an assembly to recognize the health
care personnel who were on duty during the typhoon incident. You were given a
certificate of appreciation and a trip to Tagaytay for an advanced training on Disaster
and Preparedness program r This incentive is a form of _________.
*
1/1
A. personal and Research development
B. quality improvement
C. promotional activity
D. personal and professional development

74. In line with your career pathway, you decided to enroll in the graduate program
leading to clinical specialization. You were offered to become a staff— development
coordinator by the chief nurse. What is your APPROPRIATE response to this offer?
*
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A. Accept the position right away even without a written contract.
B. Do not accept the offer as this will entail a lot of responsibilities and accountability.
C. Talk to the chief nurse and inform her you are still finishing your graduate studies.

D. Accept the job as this is a promotion yon have been waitIng for.

75. Management of resources is a core competency' that must be developed by every

graduate nurse in the health care facility. Which of the following are the key elements
that will facilitate effective and efficient health care.

I. Workload of staff

II. Financial resources

III. Positive practice environment

IV. Proper functioning of equipment

*
···/1
A. I, II, III, & IV,

B. I, II, & III

C. I & III
D I & II
SITUATION: A patient with hyperthyroidism is admitted to your unit. She as the
nurse about the endocrine functions.

76. To begin your discussion, you explain to her that the endocrine glands include which
of the following?
*
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A. pituitary, thyroid, parathyroids, adrenals, pancreatic islets, and hypothalamus

B. pituitary, thyroid, parathyroids, pancreatic is Lets, ovaries, and testes

C. pituitary, thyroid, parathyroids, adrenals, and pancreatic islets
D. pituitary, thyroid, parathyroids, adrenals, pancreatic islets, ovaries, and testes

77. The ___________ is the link between the nervous system and the endocrine system.
*
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A. spinal cord
B. hypothalamus

C. pituitary gland
D. thyroid gland

78. This endocrine disorder 1 s a severe form of hypothyroidism characterized by an

accumulation of mucopolysaccharides in subcutaneous and other interstitial tissues.
*
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A. Myxedema

B. Thyrotoxicosis
C. Cushing's syndrome
D. Hashimoto's disease

79. The patient asks you about goiter. You describe this disorder as _________________.
*
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A. a condition produced by •excessive endogenous or exogenous thyroid hormone
B. the enlargement of the thyroid gland and usually caused by an iodine-deficient diet

C. none of the choices

D. inflammation of the thyroid gland that may lead to chronic hypothyroidism or resolve
spontaneously.

80 The patient asks what, is a normal thyroid state? The BEST response is
________________.
*
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A. Euthyroid

B. parathyroid
C. hyperthyroid
D. panthyroid
SITUATION: Ms. Simon is a nurse manager of a medical unit in a tertiary
hospital. She is responsible for the supervision of the staff nurses assigned in
the unit and other health care personnel.

81. Ms. Simon reminds the nursing staff to safeguard and improve the quality of care
given to the patients. Which of the following activities is a PRIORITY to safeguard
•nursing practice? Nurses should _____________.
*
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A. understand their professional, legal and ethical obligations and responsibilities.

B. know their strengths and weaknesses.

C. documents care accurately.
D. practice nursing competently

82. Ms. Simon in collaboration with maintenance personnel prepares a safety program
which includes periodic inspections of electrical equipment, conduct of fire drills and
proper disposal of hazardous wastes. Which component of a quality program do these
activities illustrates?
*
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A. Total Quality Program
B. Risk Management Program
C. Quality Assurance Program

D. Quality Improvement Program

83. Ms. Simon reviews a report on the number of patients who fell off from their beds and
other fall incidents. Which of the following is an APPROPRIATE approach for Ms. Simon to
manage the situation?
*
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A. Apply risk management principles
B. Implement a systems approach
C. Implement quality assurance measure
D. Apply total quality management principles

84. A patient is admitted for episodes of seizures. Sometimes during the night, the
patient fell off from the bed. The night nurse found the patient on the floor. The nurse
manager instructs the night nurse to explain what- happened. Which of the following
BEST describes an incident report? An incident report _______________.

1. serves as a record of facts surrounding the event.

2. identifies the people involved, the date, time and location of the event.

3. is a part of the patient ' s medical record.

4. can be used in a court of law.*

0/1
A. 1, 3, 4
B. 1, 2
C. 2, 3, 4
D. 1, 2, 3, 4

85. You have a pediatric patient Nadine. Since Nadine is four years old, Nurse Alma
needs to determine the routines and rituals concerning, which of the following, EXCEPT
*
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A. feeding
B. toilet training
C. sleep pattern
D. favorite toy (s)

SITUATION: Nurse Angie is conducting a mothers ' class at Barangay Riles Rural
Health Unit. One of the participants asked about contraceptive pills.

86. As part of the teaching plan, Nurse Angie teaches that oral contraceptives contain
estrogen. Which of the following is the ACTION of Estrogen?

It inhibits the_________________
*
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A. GnRH thereby inhibiting FSH and LH production
B. Luteinising hormone (LH) thereby inhibiting ovulation
C. Testosterone production
D. Follicle stimulating hormone (FHS) thereby inhibiting maturation of ovum

87. Nurse Angie added that oral contraceptives also contains progesterone. Which of the
following is the action of progesterone in contraception?

It inhibits _______________.
*
1/1
A. testosterone production
B. GnRH thereby inhibiting FSH and LH production
C. Luteinising hormone (LH) thereby inhibiting ovulation

D. Follicle stimulating hormone (FSH) c hereby inhibiting maturation of ovum

88. Nurse Angie included that contraceptives that have estrogen—like and/or
progesterone—like compounds are prepared in a variety of forms. These are the
following _____________.

1. oral contraceptive 4. foam spermicides

2. diaphragms 5. Norplant

3. cervical caps 6. intrauterine devise

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

89. A biphasic anti—ovulatory medication of combined progestin and estrogen is

prescribed for a female patient. What should the nurse include when teaching about this
oral contraceptive?
*
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A. Restrict sexual activity temporarily.
B. Report any irregular vaginal bleeding,
C. Increase the intake of calcium.

D. Have bi—monthly Pap smears.

90 Which danger sign would warrant stoppage of pills?

*
1/1
A. Clear vision
B. Decrease blood pressure
C. Simple colds
D. Elevation of blood pressure

SITUATION: A young mother brings her 4year-old. Richard to a Pediatric Clinic

where you are assigned.

91. The young mother wanted to know which of the following statements about the
motor development is NOT true?
*
1/1
A. "He can tie shoelace.”
B. "He can alternate feet when climbing.
C. "He has not developed good posture”

D. "He can hop two or more times.”

92. Healthy physical development is dependent upon nutrition, brain development,

muscle, and bone. Which of the following is NOT appropriate for physical development of
a pre—schooler?
*
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A. Sleeps 6 to 8 hours of sleep each day
B. Assists in brushing and flossing teeth

C. Gains 5 pounds per year

D. Eruption of the primary teeth

93. Her son starts asking you many questions about the things inside the pediatric Clinic.
You should inform the mother. of which of the following statements?
*
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A. expected in a preschooler as they tend to ask many questions during this age

B. expected in toddlers only so he may have a delayed development

C. not normal in a preschooler so the mother may need to consult a child psychiatrist
D. impolite so the mother should discipline her son to stay quiet in public places

94. You informed the mother about the normal psychosocial development of
preschoolers. She correctly understands your health teaching if she verbalizes
that_____________.
*
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A. he may have temper tantrums resulting from his frustration in wanting to do everything for
himself

B. he continues to react to separation from his parents

C. her son is more active with his parents and tends to be a bit selfish with his toys
D. he may tend to exaggerate, boast, and tattle on others

95. Before finishing the check—up, which of the following principles is NOT included
among the principles of guidance in handling Richard?
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A. controlling temper tantrums
B. basing her expectations within the child's limitation
C. acceptance of masturbation as a normal phenomenon to be discouraged in public

D. reinforcing the correct use of language

96. He wants to be sure that: health workers have common understanding of chronic
disease. The BEST definition of a chronic disease is:
*
1/1
A. Problems that are experienced by individual. in their lifetime that may cause financial
hardships.
B. Problems in body functions and structure which is a lifetime debilitation .
C. Multidimensional phenomenon resulting from the interaction between people and their
environment.
D. A condition that requires ongoing medical care, limits one can do, which likely lasts three
months or more

97. Nurse Zafra would like to propose a month—long series of health information related
to healthy living. Some of the relevant topics should include:

1-Diet

2-Exercise

3-Pharmacotherapy

4-End—of—life care

5-Vaccination for selected condition

*
0/1
A. 1, 2, and 3 C. 1, 2, and 4
B. 2, 3, and 5 D. 1, 2, and 5

98. Nurse Zafra emphasizes the responsibility of the nurse to increase the knowledge of
the community regarding the importance of physical activity. The minimum amount of
daily physical activity required for health benefits is:
*
0/1
A. 15 minutes, to be achieved every morning or afternoon, twice a week.
B. At least 30 minutes, cumulative, of moderate intensity on most days of the week.
C. 60 minutes of intensive activity, once a week.
D. 30 minutes of aerobic activities sporadically during the week.

99. Nurse Zafra explains the ABC strategies to promote healthy nutrition. These
strategies are the following, EXCEPT:
*
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A. Build healthy nutrition—related practices

B. Aim for ideal body weight.

C. Choose food wisely.
D. Access weight—reducing herbs.

100. Stress management is also included in the proposed program. Meditation is one of
the several stress management techniques which can have beneficial effects. Which of
the following effects is NOT included?
*
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A. Helps muscles relax.
B. Reduces stressful thoughts
C. Lowers blood pressure
D. Increases respiratory rate