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NURSING CARE MANAGEMENT I

INSTRUCTION: Select the correct answer for each of the


following questions. Mark only the answers for each item
by shading the box corresponding to the letter of your
choice on the answer sheet provided.
Situation: The charge nurse in a medical surgical unit applies
conflict management strategies to improve team work and
quality service.
1.

Nurses experience conflict between and among themselves


as professionals. Which of the following statements about
conflict is accurate?
a. The tone of any conflict is negative.
b. In any conflict, affect is intense between the
parties.
c. Large-group conflicts are more difficult to resolve
than those involving only two people.
d. Conflict occurs when two or more people
cannot agree on issues they care about.
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2. By defining the issues at hand in a conflict:
a. The outcome phase occurs earlier
b. The minority does not have a chance to be heard
c. A win/win solution is more likely
d. Further conflicts will be avoided
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3. Which of the following occurs in the conceptualization
phase of conflict?
a. The affected person defines the conflict
according to his needs.
b. The affected person initiates the discussion
with the other person(s).
c. Both parties rehearse what they will say to each
other about the issue in question
d. Nonverbal messages sent between those in
conflict.
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4. Negative conflict aftermath refers to:
a. Conflict statement
b. Leftover feelings if one side perceives a loss
c. Parties agreeing to disagree
d. The need to seek a third party to resolve conflict
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5. Which of the following is an example of assertive
communication in conflict resolution?
a. Using nonverbal gestures that indicate you want a
resolution to the conflict.
b. Describing how you would like the behavior/issue
of the other person to change.
c. Making sure person(s) recognizes that everyone
gets equal time to discuss their point.
d. Articulating feelings and needs with l
messages.
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Situation: The nurse in the emergency room attends to a
female patient needing an intravenous infusion. The nurse is
trained in venipuncture techniques.
6. To become proficient in venipuncture techniques the nurse
must do which of the following:

a. Attend a seminar on venipuncture techniques


b. Perform many procedures on real patients
c. Practice on anatomic training arms
d. Work with clinical preceptors
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7. As a start, the nurse should perform venipuncture on
patients who:
a. Have chronic diseases
b. Are well-hydrated
c. Had previous infusion therapy
d. Are dehydrated
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8. In most adults, the nurse can start with the veins for
venipucture in the:
a. Wrist
b. Forearm
c. Hand
d. Upper arm
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9. A characteristic of a suitable arm for venipuncture feels
round, firm, elastic, and
a. Engorged
b. Hard
c. Bumpy
d. Flat
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10. If the patient complains of tingling or numbness during the
venipuncture procedure, which of the following may have
been damaged.
a. Nerve
b. Tendon
c. Ligament
d. Artery
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Situation: The nurse attends a session on alternative and
complementary therapist for pain management. Some of the
information she acquires are the following:
11. An agent that is used in aroma therapy to decrease anxiety
that often accompanies pain is:
a. Black pepper oil
b. Ginger
c. Lemon grass
d. Lavender
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12. An agent that used in aromatherapy to decongest and
reduce discomfort associated with colds allergies is:
a. Lavender
b. Lemon grass
c. Eucalyptus
d. Black pepper oil
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13. Time travel is a:
a. Form of destruction in which the person places
himself in an imaginary place.
b. Form of hypnosis that maybe useful in a number
of conditions
c. Stress reduces where the patient visualize himself
motionless

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d.

Form of imaginary where the patient visualize


a time when his pain is revealed
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14. applying pressure to which of the following organs would
be considered reflexology that would eliminate specific
diseases or conditions,
a. neck, face
b. eyebrows, forehead
c. feet, hands, ears
d. abdomen, back
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15. The nurse learned in the session that complimentary
therapies for pain management:
a. Have no place in moderate to severe pain
management
b. Maybe used at any time as an adjunct therapy
c. Should be prescribe when opiods are no longer
effective
d. Will work only if the patient and therapist believe
they will work
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Situation: The nurse cares for a cancer patient in pain:
16. In relieving pain related to cancer which of the following
nursing actions is most appropriate?
a. Allow the patient to stay in one position to prevent
the occurrence of pain
b. Apply heat or cold in the painful areas
c. Place a hard bedroll behind the patients back
d. Keep the room well-lighted so that the nurse can
assess the patient thoroughly
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17. A cancer patient has a tunneled epidural catheter to control
pain. The catheter site should be assessed every shift by the
nurse on duty. Which of the following signs indicate
catheter migration or tissue trauma.
a. Bright red bleeding under the dreesing
b. Bright red bleeding and fluid collecting under the
dreesing
c. Bright red bleeding and fluid collecting under the
dreesing with loss of pain control
d. Catheter insertion site is red , swollen with
purulent discharge
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18. If the catheter becomes disconnected from the tubing the
nurse should use which of the following solutions to clean
the tubing or connections?
a. Alcohol
b. Providone solution
c. Sterile water
d. Saline
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19. The nurse instructs the patient to report if he experiences
sign and symptom of local anesthetics toxicity including
the following:
1 periorbital numbness
2. palpitations
3. ringing in the ears
4. seizures
a. 1,2,3
b. 2,3
c. 1,2,3,4

d. 3,4
20. A patient describes pain as knifelike chest pain that
increases in intensity on inspiration. Which of the
following system is most likely its origin?
a. Musculoskeletal
b. Pulmonary
c. Gastrointestinal
d. Cardiac
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SITUATION: The nurse reviews nursing theories before
reporting on duty on his first day in a medical facility.
21. The emphasis of nursing in 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
a. Peplaus Interpersonal Theory
b. Levines Conservation Principles
c. Orem s Self-Care Deficit Theory
d. Abdellahs 21 Nursing Problems
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22. Nursing is seen in this theory as a nurturing response of
one person to another in a time of need.
a. Paterson and Zderad humanistic theory
b. Peplaus interpersonal theory
c. Travelbees Human to Human Relationship
d. Orems Self-care Deficit theory
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23. The goal of nursing in this theory is the promotion of
behavioral responses that affect health.
a. Martha Rogers Homeodynamics Theory
b. Roys Adaptation Model
c. Watsons theory of human caring
d. Leningers theory of transcultural nursing
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24. An assumption of this theory is that the individual and the
environment are continuously exchanging matter and
energy with each other.
a. Watsons theory of human caring
b. Rogers theory of homeodynamics
c. Roys Adaptation Model
d. Abdellahs 21 Nursing Problems
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25. In this theory, the client is viewed as an integral being that
interacts with and adapts to the environment.
a. Hendersons components of basic nursing care
b. Orem s Self-Care Deficit Theory
c. Levines Conservation Principles
d. Florence Nightingales Environment theory
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SITUATION: A 78 year old woman is brought to the OPD by
her daughter for evaluation and consultation. The nurse
obtains the initial health history and performs a physical
assessment.
26. The nurse is aware that many older adults become adept at
lip reading when their hearing diminishes. Which of the
following should be avoided when interviewing an older
adult?
a. The female nurse wears colorful lipstick
b. Sit opposite the older adult at the same level
c. Ask more than one question at a time

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d.

Use body language, gestures, and facial


expression
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27. The nurse recognizes the common changes associated with
aging. Which of the following are normal age-related
changes in the cardiovascular system?
a. Increased pulse irregularities
b. Increased heart rate
c. Decreased systolic pressure
d. Decreased peripheral resistance
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28. The nurse is aware that if an elderly person has a slightly
elevated WBC count it is:
a. Only indicative of sepsis if the temperature is
elevated
b. A concern since the elderly have a diminished
immune response
c. Considered normal since older people produce
more WBC
d. An indication that blood cultures should be
ordered immediately
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29. An elderly patients hematocrit provides information about
the patients
a. Immune response
b. State of hydration
c. Potential for anemia
d. Inflammatory response
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30. If an elderly patients BUN is elevated to 25 mg/L and
creatinine is within normal limits at 1.4mg/L, the nurse
should:
a. Ask the physician to stop the patients diuretic
b. Suspect that the problem is related to acute renal
failure
c. Suspect that the problem might be related to
poor intake or urinary problems
d. All of the above
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Situation: The nurse in the medical ward prepares and
administers oral medications to the patients:
31. Before administering the medication to a patient, the
nurse must verify the identity of the patient and the
safest way to do it is to:
a. check the patients identification band
b. ask for the name of the patient
c. call out the name of the patient loud and clear
and have the patient repeat his name
d. check the name of the patient in the bed tag or
room number
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32. The physician writes an order of aspirin gr. v p.o. every
3 hrs. the nurse understands this medication order as an
example of:
a. A stat order
b. A single order
c. A standard written order
d. An as needed order

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33. The nurse has a patient with a nasogastric tube in place.
How should the nurse administer the patients oral
medications?
a. Cut the tablets in half and wash them down the
NGT using a syringe filled with water
b. Crush the tablets and wash the powder
down the NGT using a syringe filled with
saline solution
c. Crush the tablets and prepare a liquid form and
then insert the liquid into the NGT.
d. Heat the tablets until they become liquid and
pour it down the NGT
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34. the nurse assesses the patients dietary history before
administering the prescribed drugs because:
a. the number of calories consumed can alter the
metabolism of certain drugs
b. vegetarian diets can cause more adverse drug
reactions than diets containing meat products
c. high sodium diets can increase the potency of
some drugs
d. dietary intake can alter the effectiveness of
some drugs
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35. The patient has four different kinds of drugs to be taken
orally. Which of the following nursing interventions or
actions is appropriate in this situation?
a. State the name and action or use of each
drug before giving it to the patient
b. Advise the patient to take each drug with 8 oz
of water
c. Tell the patient to take all the drugs at one time
d. Leave the drugs at the bedside and tell the
patient to take them when he feels like taking
them.
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Situation: The new registered nurse is aware of his legal
responsibilities as he assists in the care of patients in a medical
unit.
36. Performing an act which a reasonable and prudent nurse
would not do, or the failure to perform an act which a
reasonable and prudent nurse would have done, under
similar situations is:
a. Malpractice
b. Negligence
c. Misdemeanor
d. Malfeasance
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37. Which principle is applicable when a
sponge is left inside the abdomen of a patient during an
operation because of the failure of the nurse to count
the sponges used accurately.
a. Doctrine of Respondent Superior
b. Doctrine of Res Ipsa Loquitor
c. Doctrine of Viz Major
d. Doctrine of Force Majeure
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38. A nurse who applies restraints on a
Patient, may be held liable for illegal

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Detention because he:


a. Did not obtain an order from the physician.
b. Applied restraints after failing to subdue the
patient by other means
c. Tried by failed to obtain the consent of the
patient or a member of the family.
d. Applied restraints for the convenience of the
hospital personnel.
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39. A nurse who threatens to beat an unruly or
uncooperative patient can be charged of:
a. Battery
b. Assault
c. Misconduct
d. Negligence
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40. Under the doctrine of respondent superior, who is liable
if a patient who had a hysterectomy previously was
reopened and a piece of gauze was found in the abdominal
cavity? The
a. OR nurse supervisor
b. Instrument nurse
c. Surgeon
d. Assistant of the surgeon
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Situation: Nurse Susan is assigned to visit and provide direct
care or health education to several families in the community
where she serves. She tries to manage her time effectively.
41. To become more effective in time management, Nurse
Susan should:
a. Evaluate the use of time at the
end of every
week.
b. Purchase a personal digital assistant such as a
Palm Pilot to organize her activities better.
c. Establish a daily or weekly plan of activities
and stick to it.
d. Use break times or rest periods to adjust her
plans as needed.
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42. To become a better time manager, the first step is to:
a. Keep a daily log of your activities for one
month
b. Identify your goals and time frames for
completion
c. Keep a mental note of how you spend your time.
d. Assign a number to your most important task to
be completed
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43. Nurse Susan understands that a daily activity log should:
a. Be kept for at least a month
b. List only the productive activities
c. Be recorded at the end of the day to serve as a
review
d. Contain productive activities and time wasters.
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44. Nurse Susan prepares a priority time matrix. She is
aware that time wasters should be:
a. Scheduled for the end of the day or week.
b. Scheduled for the beginning of the work day.
c. Considered for elimination and deleted
accordingly

d.

Identified as not important and not urgent


and deleted immediately.
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45. Nurse Susan knows that procrastation is great stealer of
time. Which of the following is true about procrastination?
It
a. Is usually a behavior that occurs only when a
person is under prolonged stress
b. May be a healthy behavior in some individuals
depending on their type of personality.
c. Can be avoided by completing difficult tasks
easily in the morning
d. Will decrease if the person set deadlines for
himself.
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Situation: The surgeon orders an infusion of whole blood
500cc to a 24 year old male client to replace blood loss during
a major abdominal surgery.
46.

The nurse prepares to administer the blood transfusion.


What should be the first action of the nurse?
a. start an IV infusion of normal saline
b. assess the vital signs of the client
c. Refer for typing and cross matching of the
clients blood
d. compare the clients identification band with the
tag or label on the unit of blood.
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47.
The nurse prepares the infusion tray to include the
appropriate IV access device or needle which would be:
a. 23 G b. 18 G c. 21 G d. 25 G
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48.
Which of the following nursing intervention would be
most appropriate IV for a client receiving blood
transfusion?
a. start the infusion with a 22 G needle
b. allow the blood to warm to room temperature
before infusing it
c. stay with the client for at least 20 minutes
after starting the blood transfusion
d. start IV infusion of 5 % dextrose in saline
solution before hanging the blood bag
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49.
When caring for a client who is receiving a blood
transfusion, the nursing intervention that should take
highest priority would be:
a. documenting the blood transfusion in the
record of the client
b. informing the client that the transfusion
usually takes 1 to 2 hours
c. instructing the client to report any itching,
swelling of difficulty of breathing
d. assessing the clients vital signs when the
transfusion is finished
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50.
The nurse understands that the maximum transfusion
time for a unit of packed red blood cells (RBC) is:
a. 4 hrs b. 6hrs c. 2hrs d. 1 hrs
SITUATION: The nurse teaches a senior nursing student how
to administer intramuscular injections.

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51.

When giving an intramuscular injection, the needle


should be introduced into the muscle at an angle of:
a. 45 degrees
c. 15 degrees
b. 90 degrees
d. 30 degrees
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52.
The nurse explains that one factor which may affect the
drug absorption rate from an intramuscular injection
site is:
a. muscle strength
b. muscle tone
c. blood flow to the site of injection
d. amount of bloody fat at the injection site
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53.
The student asks about the Z-tract technique of giving
injections. The nurse explains the technique. To prepare
a Z-tract injection, measure the correct dose and then
draw a small amount of air into the syringe. The
rationale of this action is: adding the air
a. Ensures that the client receives the entire dose
b. Prevents the drug from flowing back into
the needle tract
c. Decreases pain caused by the injection
d. Prevents the solution from entering a blood
vessel
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54.
The nurse further explains the Z-tract technique to the
student. Which of the following action is correct?
a. Pull the skin laterally toward the injection site
b. Swipe the needle immediately after giving the
injection
c. Simultaneously withdraw the needle and
release the skin
d. Insert the needle at a 45 degrees angle
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55.
The student nurse refers an order of a physician to
administer Neparin 7,500 units subcutaneously every 6
hrs. The vial heparin is 10,000 units per ml. The nurse
should give how much of heparin for each dose?
a. ml
c. 1 ml
b. ml
d. ml
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SITUATION: You are a school nurse in a local elementary
school. Your main concern is the health of the school children.
In the school clinic, several children come to you for treatment
or consultation.
56.
A child tells you that her eyes hurts a little and tears a
lot more than usual. When you examine her eye, you
notice that the sclera is reddened. Which eye
abnormally do these signs and symptoms suggest?
a. Cataract c. conjunctivitis
b. Ptosis
d. glaucoma
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57.
As you assess the skin of a child, you notice a number
of small, firm, round, raised lesions on the childs body.
You recognize these findings as:
a. Papules c. Pustules
b. Macules
d. Cysts
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58.

You are inspecting the childs pupil as part of a routine


examination. You shine a light into the childs right
eye. What is the normal response?
a. Both eyes dilate
b. Both eyes constrict
c. The right eye constrict and the left eye dilates
d. The left eye constricts and the right eye dilates
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59.
You assess the childs visual acuity using the Snellen
chart. The result is 20/50 in both eyes. These finding
means that:
a. The child can see at a distance of 20 ft, what
normal eyes can see at a distance of 50 ft.
b. The child can see at a distance of 50 ft, what
normal eyes can see at a distance of 20 ft.
c. The child needs a 50% magnification increase
d. The child needs a 20% magnification increase
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60.
An 11-year old child comes to the school clinic with
complaint of earache and sore throat. You inspect the
tympanic membrane with an otoscope. Which color
suggests that the eardrum is normal?
a. Red
c. white
b. Gray d. Brown
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SITUATION: The nurse reviews the assessment process of
older adults prior to her assignment in a geriatric unit.
61.
The nurse knows that there are changes that occur with
normal aging. Which of the following statements about
older adult health or illness is not true?
a. Functional ability should be part of the health
assessment of an older person
b. Chronic illness may mask the symptoms of
another illness
c. Fatigue and pain are normal consequences
of aging
d. Depression in the older adult may present
differently than in younger adults
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62.
Which of the following conditions would not be
conducive when taking the health history of an elderly
client?
a. Have a quite, soft background music
playing
b. Keep the room temperature at about 75 oC
c. Have the client faced the nurse during the
interview
d. Ask one questions at a time
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63.
The process of aging is probably least influenced by:
a. Culture
c. nutrition
b. Lifestyle
d. age
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64.
The frial elderly are those individuals who are
a. over 80 with one chronic disease
b. age 75 or older
c. age 85 or older
d. over 65 and is chronically ill
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65.

The nurse understands that the core component of


assessment of the older adult is:
a. functional ability
b. nursing diagnosis
c. medical diagnosis
d. number of health problems
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SITUATION: The charge nurse in the rehabilitation unit
provides information on clients rights and privileges.
66.
The clients right to information, informed consent and
refusal to be treated are contained in the:
a. Code of Nurses
b. Standards of Nursing Practice
c. Constitution and By-laws of the Country
d. Patients Bill of Rights
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67.
A client undergoes a surgical procedure. Which
member of the health team is responsible to obtain an
informed consent from the client? The
a. Physician handling the case
b. Charge nurse of the unit
c. Medical intern
d. Staff nurse assigned
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68.
A client wants to be discharged from the hospital but is
against medical advice. The nurse should first of all:
a. prevent the client from leaving the unit
b. let the client sign a form that client is leaving
against medical advice
c. call security guard to help detain the client
d. notify the attending physician
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69.
Nursing licensure and practice in the Philippines is
regulated by:
a. Republic act 7164
b. The Philippine Nurses Association
c. Republic act 9173
d. Policies and Standards of Nursing Education
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70.
The primary purpose for the regulation of nursing
practice in the Philippines is:
a. to halt the exodus of nurses going abroad
b. to maintain professional standards
c. to protect the professional nurse
d. to protect the public
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SITUATION: The nurse is informed of legal principles and
professional responsibilities incorporated in clinical practice.
71.
The legal doctrine, respondent superior, holds that:
a. The employer is responsible for action of an
employee
b. Using restraints without a patients permission
constitutes false imprisonment
c. The employer is not responsible for actions of an
employer
d. The employee is not responsible for actions of an
employer
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72.

Charges of negligence against a nurse most often arise


from:
a. abandoning a patient (s)
b. unintentional failure to adhere to standards of
care
c. intentional failure to adhere to standards of care
d. breach of promise
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73.
The primary purpose of documentation is to:
a. Communicate patient information to other
members of the health team.
b. Provide legal protection for the nurse in case of
lawsuit
c. Collect data to improve quality of nursing services
d. Allow the nurse to express his/her opinion on
patient care
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74.
Which of the following recommendations will help
reduce potential liability for malpractice litigation?
a. Maintain an open relationship and proper
communication with each patient
b. Maintain a personal log or diary as evidence of
adhere to standards of care
c. Offer best estimate when a patient asks a question
regarding his prognosis
d. Offer an expression of regret and apology to the
supervising nurse when an error is committed
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75.
Applying a hot water bag over a paralyzed leg is an
example:
a. Malpractice c. negligence
b. Malfeasance d. Misdemeanor
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SITUATION: The hospice nurse cares for a 60 year old female
patient dying of ovarian cancer. The nurse help prepare the
patient and her family for the process of dying.
76.
One of the signs of imminent death of active dying the
nurse observes is:
a. Euphoria
b. Intractable pain
c. The in ability to swallow
d. Clinical depression
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77.
A cardiovascular sign that is predictive of imminent
death or active dying is:
a. An increase in blood pressure
b. A dramatic increase in heart rate
c. Increased peripheral circulation
d. A decrease in the volume of Korotkoff sounds.
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78.
One cardinal sign of imminent death is the skins
becoming
a. Mottled
c. Erythematous
b. Pale
d. Ashen
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79.
The most appropriate lighting in a dying patients room
is:
a. Dim (near darkness); to avoid overloading the
senses
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b.

Bright, because vision declines during the dying


process
c. Fluorescent to avoid harsh and frightening shadows
d. Subdued, sufficient for the distinguishing of
peoples faces
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80.
It is believed that the last of the senses to leave the body
is:
a. Taste
c. Hearing
b. Touch
d. Vision
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SITUATION: The new nurse is oriented in the female medical
unit. She is assigned to assist in the care of two patients. The
nurse applies the nursing process.
81.
The nursing process is a scientific method and a proven
form for:
a. Cost containment
b. Problem solving
c. Oral communication
d. Health teaching
____________________________________________________
____________________________________________________
____________________________________________________
82.
The nurse collects data and begins to develop a trust
relationship with the patient(s) in which step of the
nursing process?
a. Assessment
c. Implementation
b. Planning
d. Evaluation
____________________________________________________
____________________________________________________
___________________________________________________
83.
The nurse carries out the nursing care for the patient(s)
in which step of the nursing process?
a. Assessment
c. implementation
b. Planning
d. Evaluation
____________________________________________________
____________________________________________________
____________________________________________________
84.
When a nurse is working with patients, the most
important aspect of communication is for the nurse to:
a. Observed facial expression
b. Listen to what is being said
c. Restate the words heard
d. Clarify the statements made
____________________________________________________
____________________________________________________
____________________________________________________
85.
In caring for patients, a health care team often uses
critical pathways. Which of the following is the most
important to ensure success when using a critical
pathway? The critical pathway:
a. Decreases cost for the patient and hospital
b. Is followed by all members of the health team
c. Provides organization for the care of the patient
d. Includes all treatments and procedures
____________________________________________________
____________________________________________________
____________________________________________________
SITUATION: You are working as an occupational health
nurse in a large company. One of your functions is to perform
initial assessment on employees who come to the company
clinic for consultation of treatment.
86.
You perform a physical assessment on a prospective
employee. Which of the following should you address
first?
a. Presence of skin lesions
b. Vital signs
c. General appearance
d. Health habits

____________________________________________________
____________________________________________________
____________________________________________________
87.
You need to perform a mental health assessment on a
female employee seeking help to control her
overwhelming feelings of anxiety. As the nurse, what
should be your focus? To
a. Gather information from the patient
b. State goals for care of the patient
c. Distinguish medical problems from mental health
problems
d. Formulate a nursing diagnosis
____________________________________________________
____________________________________________________
____________________________________________________
88.
During the interview, the patient has episodes in which
she persistently repeats words and ideas which term
identifies this type of speech?
a. Echolalia
c. Perseveration
b. Neologism
d. speech disorder
____________________________________________________
____________________________________________________
____________________________________________________
89.
An employee comes to the company clinic with
complains of vomiting after eating as a party
celebration. You need to assess his skin turgor for signs
of dehydration. How should you proceed?
a. Press on his nails beds to cause blanching
b. Squeeze the skin on his forearm or sternum
c. Palpate the skin on the dorsum of his hand
d. Squeeze the skin on his abdomen
____________________________________________________
____________________________________________________
____________________________________________________
90.
A 49-year old male employee with a history of alcohol
abuse was admitted in the hospital owned by the
company where you work. The patient has bleeding
esophageal varices. When you assess the patient, you
observed several small, weblike, vascular lesions on his
cheeks. You would chart these findings as:
a. Angiomas
c. telangiectasis
b. Purpura
d. Pustules
____________________________________________________
____________________________________________________
____________________________________________________
SITUATION: A ten years old boy was admitted to the pediatric
surgical unit for sever injury in his right arm which he
sustained in a car accident. According to the boys mother, the
child loves to play basketball, draw and create art designs since
admission; the boy has been very quite and just watches
television. The following questions relate to the application of
nursing theories by the nurse.
91.
The nurse is guided by several nursing theories when
caring for clients. Which of the following concepts are
the four key concepts of most nursing theories?
a. health, environment, disease, and treatment
b. health, illness, health restoration and caring
c. man, environment, health and nursing
d. man, health, illness and health care
____________________________________________________
____________________________________________________
____________________________________________________
92.
The nurse assesses the health needs of the child
according to several areas of concern until all overt and
covert needs are met. The nurse is applying the theory
of
a. Imogene king c. Faye Abdellah
b. Betty Neuman d. Dorothea Orem
____________________________________________________
____________________________________________________
____________________________________________________
93.
The nurse makes the child comfortable, provides
adequate ventilation and warmth and ensures that the
7

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TEL. # (74) 445-8085 / 300-2085

environment is safe and clean. The nurse is applying the


theory of
a. Faye Abdullah
b. Dorothea Orem
c. Martha Rogers
d. Florence Nightingale
____________________________________________________
____________________________________________________
____________________________________________________
94.
The nurse encourages the boy to feed himself and
participate in his care as much as he is able. The nurse
is applying the theory of:
a. Ida Jean Orlando
b. Rosemarie Parse
c. Dorothea Orem
d. Madeleine Leininger
____________________________________________________
____________________________________________________
____________________________________________________
95.
The nurse plans care with the child. The nurse
encourages the child to talk about himself, his
accomplishments, his love for sports and arts. The nurse
wants the boy to regain his self-esteem. The nurse is
applying the theory of:
a. Hildegard Peplau c. Betty Neuman
b. Martha Rogers
d. Imogene king
____________________________________________________
____________________________________________________
____________________________________________________
SITUATION: A nurse cares for older clients with chronic
illnesses.
96.
A client refuses to take his oral medications. The nurse
threatens the client and tells him that restraints will be
applied and the medication will be given by injection.
The nurse can be sued for:
a. Battery
c. Assault
b. Negligence d. Malpractice
____________________________________________________
____________________________________________________
____________________________________________________
97.
The nurse reviews the medications orders of a client.
The dose prescribe is higher than the recommended
dosage. The nurse calls for the physician but is unable
to locate the physician and the medication is due to be
administered. Which of the following actions should the
nurse take?
a. Administer the dose prescribe
b. Hold the medication until the physician can be
contacted
c. Administer the recommended dose until the
physician can be located
d. Contact the nurse supervisor
____________________________________________________
____________________________________________________
____________________________________________________
98.
The nurse gives a client the wrong medication. After
observing the client or any untoward reactions, the
nurse writes an incident report. Which of the following
statements will describe the action to be taken? The
incident will
a. Be documented in the personal file of the nurse
b. Result in the suspension of the nurse and probably
consequent termination of employment
c. Be used as a method of promoting quality care
and risk management
d. Be reported to the Board Of Nursing for
appropriate action
____________________________________________________
____________________________________________________
____________________________________________________

99.

The client sues the nurse for negligence. The clients


attorney must prove which elements for a professional
negligence action
a. Duty, breach of duty, damages, and causation
b. Duty, damages and causation
c. Duty, breach of duty, and damages
d. Breach of duty, damages and causation
____________________________________________________
____________________________________________________
____________________________________________________
100. Which guidelines define and regulate the practice of
nursing in the Philippines?
a. Philippines Constitution
b. Philippine Labor Laws
c. Standards of Nursing Practice
d. Philippine Nursing Act
____________________________________________________
____________________________________________________
____________________________________________________

In doing what we ought we


deserve no praise because it
is our duty

ST. LOUIS REVIEW CENTER INC. BAGUIO BRANCH

TEL. # (74) 445-8085 / 300-2085