Situation 1: Rita just retired from government service and was admitted for pneumonectomy.

1. As the nurse on duty, you should check for the medical clearance of your client for surgery among other
pre op requirements. This clearance primarily covers :
a. Stress-coping mechanism of the client
b. Socio-economic status of the client
c. Smoking and eating habits of the client
d. Cardio pulmonary system
2. A battery of pre-operative tests were done. Particularly, the nurse should assess the lung capacity by
checking the;

a. serum creatinine level c. Serum protein levels

b. Chest x-ray d. Arterial blood gas
3. The major objective in postoperative pneumonectomy is;

a. maintain patent airway

b. provide maximum remaining lung capacity
c. provide early rehabilitation measures
d. recognize early symptoms of complications
4. There is an order of central venous pressure(CVP) reading. As a nurse, you should know that this is a
measure of observing signs of:
a. hypoxia c. hypothermia
b. hypovolemia d. hypoxemia
5. Pulmonary edema is a potential danger that we nurses should monitor in post pneumonectomy. This is
usually due to
a. extreme temperature
b. liberal fluid intake
c. rapid infusion of IV fluids
d. fluid retention due to prolonged bed rest

Situation 2: The PRC regulates the practice of 42 professions in the Philippines.

6. What is the basic requirement of the state for a nurse to practice her profession?
a. willingness to practice the profession
b. a BSN degree
c. A nursing license
d. An NCLEX and CGFNS passer
7. The code of good governance for the profession in the Philippines shall be adapted by:
a. all registered professionals c. all professionals
b. all Filipino professionals d. all registered nurses
8. The standardized guidelines and procedures for the implementation of continuing Professional Education
(CPE) for all professionals. Resolution number 2004-179 provides that the total CPE credit units for
registered professionals with baccalaureate degree should be:
a. 20 credit units per year c. 60 credit units for 3 years
b. 30 credit units for 3 years d. 10 credit units required
9. The board of nurses is vested with power to issue, suspend, or revoke for cause, the:
a. certificate of Good Moral Character c. Certificate of registration
b. Certificate of practice d. Certificate of employment
10. RA 7193 stipulates the removal examination of the nurse licensure examination shall be taken:
a. within 3 years after the last failed examination
b. anytime the examinee wants to take the exam
c. within 2 years after the last failed examination
d. within the same year after the last failed examination

Situation 3: Pain is always associated with surgery.

11. As a surgical nurse, which of the following nursing intervention will allay anxiety and pain among surgical
patients?
a. assess the client for concerns especially those that can potentially cause pain
b. verify that the operative permit is signed
c. Discourage the client from discussing details of the surgical procedure
d. Ensure safety of the client while in surgery
 12. Rhizotomy is a condition surgical procedure to manage those that can potentially cause pain. What is
crucial in determining a good candidate for rhizotomy?
a. Pain which is resistant to non-pharmacological for 6 months
b. Pain which is resistant to pharmacologic protocol for 12 months
c. Local pain with no radiating pain or signs of nervous compassion
d. Deep pain with obvious signs of peripheral nerve damage
13. Which of the following would be the nurses appropriate response to crying female client scheduled for
emergency surgery who is verbalizing fear of pain but afraid to go to sleep?
a. Let her cry and tell significant other to stand by
b. Squeeze her hands and assure her that there will be no pain at all because she will be given
anesthesia
c. Stand by her side and quietly ask her to describe her feelings
d. Check her name tag and request anesthesiologist to sedate client
14. Which of the following client statement indicated the he understands the nurses instruction about
postoperative wound pain?
a. “I shall call the nurse when my wound itches and smell”
b. “I shall expect slight pain and discomfort from surgical incision”
c. “I should call my doctor if my wound has no drainage and intact”
d. “I should not touch my surgical wound”
15. What do you think is an important responsibility related to pain that is subjective in nature?
a. divert attention of client in pain
b. leave the patient alone while in pain
c. believe what the client says about the pain
d. assume responsibility to eliminate pain as described by the client

Situation 4: Nurse’s attitude toward pain influence the way they perceive and interact with clients in pain.

16. Nurses should be aware that older persons are at risk of underrated pain. Nursing assessment and
management of pain should address the following beliefs. EXCEPT
a. older patient seldom tend to report pain than the younger ones
b. pain is a sign of weakness
c. older patients do not believe in analgesics; they are tolerant
d. complaining of pain will lead to being labeled a “bad” patient
17. Nurses should understand that when a client responds favorably to a placebo, it is known as the “placebo
effect”. Placebos do not indicate whether or not a client has:
a. conscience c. disease
b. real pain d. drug tolerance
18. You are the nurse in the pain clinic where you have a client who has difficulty specifying the location of the
pain. How can you assist such client?
a. the pain is vague
b. by charting-it hurts all over
c. identify the absence and presence of pain
d. ask the client to point to the painful area by just one finger
19. What symptoms, more distressing than pain, should the nurse monitor when giving opioids especially
among elderly clients who are in pain?
a. forgetfulness c. drowsiness
b. constipation d. allergic reactions like pruritus
20. Physical dependence occurs in anyone who takes opioids over period of time. What do you tell a mother
of a “dependent” when asked for advice?
a. start again another drug and slowly lessen the opioids dosage
b. indulge in recreational outdoor activities
c. isolate opioid dependent to restful resort
d. instruct slow tapering of the drug dosage and alleviate physical withdrawal symptoms

Situation 5: As a perioperative nurse, you are aware of the correct processing methods for preparing instruments
and other devices for patient use to prevent infection.
21. Items that enter sterile tissue or vascular system are categorized as critical items and should be:
a. clean c. sterilized
b. decontaminated d. disinfected
22. As an OR nurse, what are your foremost consideration for selecting chemical agents for disinfection?
a. material compatibility and efficiency
b. odor and availability
 c. cost and duration of disinfection process
d. duration of disinfection and efficiency
23. Before you use disinfected instruments, it is essential that you:
a. rinse with tap water followed by alcohol
b. wrap the instrument with sterile towel
c. dry the instruments thoroughly
d. rinse with sterile water
24. You have critical heat labile instruments to sterilize and are considering to use high level disinfectant. What
should you do?
a. Cover the soaking vessel to contain the vapor
b. Double the amount of high level disinfectant
c. Test the potency of the high level disinfectant
d. Prolong the exposure time according to manufacturers direction
25. As a nurse, you know that intact skin acts as an effective barrier to most microorganisms. Therefore, items
that come in contact with the intact skin should be:
a. disinfected c. clean
b. sterile d. alcoholized

Situation 6: The OR is divided into three zones to control traffic flow and contamination.

26. What OR attires are worn in the restricted area?

a. scrub suit, OR shoes, head cap
b. head cap, scrub suit, mask, OR shoes
c. Mask, OR shoes, scrub suit
d. Cap, mask, gloves, shoes
27. Which of the following nursing intervention should be given the highest priority when receiving a client in
the OR?
a. check for presence of dentures, jewelry, nail polish, and other accessories
b. receive the client at the semi-restricted area and change his gown
c. assess level of consciousness
d. verify the identification and informed consent
28. Conversation while in the operation is ongoing is minimized because
a. full concentration is demanded during the entire procedure
b. it annoys the surgeon
c. it is unethical to talk about the client
d. it enhances the spread of microorganism to the incision site
29. Spaulding categorized instruments according to use. Where do you classify endoscopic instrument?
a. decontaminated instruments
b. high level disinfected instruments
c. high technology instruments
d. sterile instruments
30. In the OR “Surgical Conscience” means:
a. Observance of Operating Room Protocol at all times
b. Use of prescribed OR attire in all areas of the OR
c. Honest adherence to surgical aseptic techniques all the time
d. Strict implementation of “Standard Precaution”

Situation: 7 – Nurses have the responsibility to assist diabetic clients with insulin administration. It is essential that
both nurse and client learn how to measure insulin dosage accurately.

31. Insulin concentration is labeled and measured in:

a. units/ml c. grain
b. gm/ml d. mg/ml
32. Each unit of insulin provides the client with the same dose and effect regardless of its concentration per 1
ml of solution. Is insulin of 500 “u” per ml more potent that insulin of 100 “u” per ml?
a. Moderate potency c. More potent
b. Less potent d. Same potency
33. Nursing intervention for a patient on low dose IV insulin therapy includes the following EXCEPT:
a. elevation of serum ketones to monitor ketosis
b. vital signs including BP
c. estimate serum potassium
d. elevation of blood glucose levels
 34. The doctor ordered to incorporate 1000 “u” insulin to the remaining on going IV. The strength is 500 u/ml.
how much should you incorporate into the IV solution?
a. 10 ml c. 0.5 ml
b. 2 ml d. 5 ml
35. Multiple vial-dose-insulin when in use should be:
a. kept at room temperature c. kept in the narcotic cabinet
b. kept in the refrigerator d. stored in the freezer

Situation 8 – Collaborative planning is essential if nursing and health care are to be made available to all people

36. Perioperative examples of collaboration are the following EXCEPT:

a. Communicate with other members of the health profession to improve the integrity
b. Communicate with health officials the incidence of Hepatitis B among OR personnel
c. Collaboration with other OR personnel regarding the practices of surgeons collecting exorbitant
professional fees
d. Collaborate with DOH regarding disposal or specimens
37. The nurses collaborate with other members of the health profession to improve the integrity of the
hospital working environment through the following ways EXCEPT:
a. joining barangay health club projects
b. joining the Mayo Uno Labor Union
c. Joining labor day rally to increase wages of healthcare workers and improve dilapidated health
centers
d. Affiliating with The All Healthcare Alliance
38. An example of a collaborating effort on public service particularly during summer is:
a. Boto Mo, Ipatrol Mo c. Clean and Green
b. Operation Linis d. Operation Tuli
39. When does a nurse reject the interdependence of providers and patients in achieving access to health
care?
a. “Our hospital does not honor visiting doctors”
b. When the nurse replies to a client’s relative “You have the best doctor in town”
c. “when the nurse communicates to the attending physician the desire of the patient to be seen by
a urologist”
d. “The doctor is not on duty today”
40. Individual patients and society as a whole benefit from nursing participation in decisions made about
health care. This is exemplified in:
a. Supporting political candidates that advance nursing health care issues
b. Bringing the NCLEX in the Philippines
c. Supporting the proliferation of colleges of nursing in the country
d. Following the decision of CGFNS to retake Test III and V to validate the visa screen for the U.S.

Situation 9 – Pain management is not limited (o pharmacological means)

41. Ronald, one of your clients who is being worked out for AIDS, tells you that he ahs been using acupuncture
to help with his pain. You questioned his treatment because:
a. acupuncture uses needles to stimulate certain points on the body to treat pain
b. acupuncture uses a variety of verbs and oils from wild plants
c. acupuncture uses manipulation of the skeletal muscles to relieve stress and pain
d. acupuncture uses pressure form the fingers and hands to stimulate body responses
42. Your younger brother came home with a right black eye. He asked you for an eye ointment to relive the
pain and swelling. You should offer:
a. ice pack over the right eye
b. tetracycline ophthalmic ointment
c. hot compress over the right eye
d. ice cold drinks
43. Menstrual pain and discomfort account for absences in schools and offices. A non-pharmacological
remedy for menstrual pain is:
a. regular bowel movement
b. knee-chest exercises before menstruation and hot water bag application over lower abdomen
during onset
c. warms shower during onset of menstrual period
d. diet restriction on fatty foods and liberal fluid intake
 44. Among burn clients, especially 1st and 2nd degree burn, one of the primary nursing functions is to alleviate
pan. The following are appropriate nursing interventions, EXCEPT:
a. using cold water for hydrotherapy
b. avoiding exposure t draft
c. administering morphine SO4 as prescribed
d. using of bed cradle to relieve pain
45. Nursing taking care of post skin-graft patients know that the post-op pain is at the:
a. buttocks c. recipient site
b. donor site d. injection site

Situation 10: One learns by doing especially when you practice the best method.

46. Which action by the new nurses signifies a need for further teaching in infection control?
a. the nurse places the side rails the time to an unconscious patient
b. the nurse elevates the head of the bed to check the BP
c. the nurse uses her bare hands to change the dressing
d. the nurse applies the oxygen catheter to the mouth
47. You are on PM shift and about 5 patients are for discharge. You noted that the orderly was looking through
the items of one of the patient. Which action should you pursue?
a. call the attention of the orderly in private
b. ignore the situation because you are busy
c. report this behavior to the nurse in charge
d. monitor the situation and note whether any other items are reported missing
48. What appropriate action should you do when you overhear the nursing attendant speaking harshly to an
elderly patient?
a. try to explore the interaction with the nursing attendant concerned
b. change the attendant’s assignment
c. initiate a group discussion with all other nursing attendants
d. discuss the matter with the patient’s family
49. You have been in surgical ward for almost a year and have cared for number of patients with CVP. Which
observation from a colleague would indicate a need for further teaching?
a. the colleague turns the stop-cock to the off position from the IV fluid to the patient
b. the nurse colleague notes the level at the top of the meniscus
c. the colleague instructs the client to perform the valsalva maneuver during the CVP reading
d. the nurse colleague charting medication administration that she has not yet given
50. You saw one colleague charting medication administration that she has not yet administered. After talking
to her, you also report the incident to the charge nurse. The charge nurse should:
a. require the staff to submit an incident report
b. terminate the nurse
c. charge the erring nurse with dishonesty
d. report to the board of nursing

Situation 11: You are assigned to the PACU. At 9:30 AM post op clients started to be wheeled in the OR

51. Which nursing diagnosis has priority among client in the PACU?
a. acute pain related to discomfort of wound and immobility
b. body image disturbance because of wound dressing and drains
c. ineffective airway clearance related to general anesthesia
d. knowledge deficit related to lack of information because patients are all sedated
52. Which of the following clients at the PACU will demonstrate the effectiveness of preoperative teaching?
a. the client demonstrates deep breathing, coughing, splinting and leg exercises
b. the client manifests normal temperature
c. the clients sleep well
d. the client has good balance
53. Which of the following remark indicates that the client’s relative understood the discharge instruction for
wound care?
a. “if the wound is painful, I will say it is normal”
b. “It is alright to use adhesive tape over the wound to keep it intact”
c. “It is ok for his pet to remain at his bedside to keep him company”
d. “I will report any swelling and redness of the wound”
54. You just transferred a post-op client to her room. What would your instruction to the family include to
prevent accidents?
 a. Report when the IV infusion is almost finished
b. Test the call system if it function
c. Keep the room lights on for 24 hours
d. Make sure the side rails are up
55. One of your post-op patients has a temperature of 37.9 C and was shivering. You covered him with a
blanket and later took his temperature again and its now 38.9 C. The nursing student asked you to explain
the absence of shivering even if the temperature was higher?
a. the patient is no longer febrile thus he is no longer chilling
b. shivering normally disappears as temperature becomes higher
c. the body has reached its new set point thus the absence of shivering
d. the patient is feeling hotter

Situation 12: Patients with chest tubes can be very challenging to new nurses.

56. The chest tube drainage of Tirso has continues bubbling in the water sealed drainage. After an hour you
noticed that the bubbling has stopped. Which of the possible conditions is the cause of the malfunctioning
sealed drainage?
a. a suction being too high
b. an air leak
c. a tube being too small
d. a tension pneumothorax
57. While you were making you’re endorsement, you found out a chest tube of a client was disconnected.
What would be you’re appropriate action?
a. assist the client back to his bed and place him o his affected side
b. cover the end of the chest tube with sterile gauze
c. reconnect the tube to the chest tube system
d. put the end of the chest tube onto a cup of sterile normal saline
58. Dr. Reyes asked you to assist him with the removal of Tirso’s chest tube. You would instruct the client to:
a. continuously breathe normally during the removal of the chest tube
b. take a deep breathe, exhale, and bear down
c. exhale upon actual removal of the tube
d. hold breathe until chest tube is pulled out
59. Chest tube diameters is measured or expressed in;
a. French c. Millimeters
b. Gauge d. inches
60. When transporting clients with chest tube, the system should be;
a. disconnected
b. closed
c. placed lower than the patients chest
d. placed between the legs of the client to prevent breakage

Situation 13: The perioperative nurse collaborates with the client significant others and health care providers.

61. Patient outcomes reflect the collaborative interdisciplinary effort and independent nursing activities. Who
is the primary partner in the health Care?
a. family c. client
b. doctor d. significant other
62. To control environmental hazards in the OR, the nurse collaborates with the following departments
EXCEPT:
a. biomedical division c. infection control committee
b. chaplaincy services d. pathology department
63. Waste disposal poses a big problem for the hospital Biological waste (i.e. amputated limbs) disposal
should be coordinated with the following agencies EXCEPT:
a. crematorium c. MMDA
b. DOH d. DILG
64. Tess, the PACU nurse discovered that Malou, who weighs 110 lbs prior to surgery, is in severe pain 3 hours
after cholecystectomy . Upon checking the chart, Malou found out that she has an order of Demerol 100
mg IM prn for pain. Tess should verify the order with:
a. nurse supervisor c. surgeon
b. anesthesiologist d. intern on duty
 65. Rosie, 57, who is diabetic, is for debridement of incision wound. When the circulating nurse checked the
present IV fluid, she found out that there is no insulin incorporated as ordered. What should the
circulating nurse do?
a. Double check the doctors order and call the attending MD
b. Communicate with the ward nurse to verify if insulin was incorporated or not
c. Communicate with the client if the insulin is incorporated or not
d. Incorporate insulin as ordered

Situation 14: Technology and patient’s education has dramatically improved the management of the diabetic
client.

66. The current insulin pumps available in the market have the following capability EXCEPT:
a. prevent unexpected saving in blood glucose measurements
b. detect signs and symptoms of hypoglycemia and hyperglycemia
c. deliver a pre-meal bolus dose of insulin before each meal
d. deliver a continues basal rate of insulin at 0.5 units to 2.0 units per hour
67. Discharge plan of diabetic client include injection-site-rotation. You should emphasize that the space
between sites should be:
a. 6 cm c. 2.5 cm
b. 5 cm d. 4 cm
68. It is critical also that a diabetic client should be educated in the possible sites if regular if regular insulin.
The fastest absorption rate happens at the tissue areas of:
a. gluteal area c. anterior thigh
b. deltoid area d. abdominal area
69. Self monitoring of blood glucose (SMBG) is recommended for patients use. You will recommend this
technology in the following diabetic patients EXCEPT:
a. a client with proliferative retinopathy
b. unstable diabetes
c. hypoglycemia without warning
d. abdominal renal glucose threshold
70. It is necessary for a diabetic client to exercise regularly. What is the effect of regular exercise to a diabetic
client?
a. it burns excess glucose
b. it improves insulin utilization and lower blood glucose
c. it lowers glucose, improves insulin utilization, decrease total triglyceride levels
d. it will make you fit and energized

Situation 15: RN’s should always be conscious that the contents in charting are admissible in court as evidence.

71. If there is any deviation from normal practice or procedure e.g. streptomycin was given by IV not IM, this
should documented in the:
a. progress notes c. nurses notes
b. incident report d. patients chart
72. Documentation of all nursing activities performed is legally and professionally vital. Which of the following
should not be included in the patient’s chart
a. presence of prosthetic devices such as dentures, artificial limbs, hearing aid, etc
b. baseline physical, emotional, and psychosocial data
c. arguments between nurses and residents regarding treatment
d. observed untoward signs and symptoms and interventions including concomitant intervening
factors
73. During your morning rounds, Mr. Tipol, 60 years old widower, tried to sit up instead of holding to the side
rails held the IV stand causing the IV bottle to fall and break. You wrote an incident report to show:
a. document the incident
b. be a part of the patients chart
c. present confidential report
d. evidence of the quality of care
74. Ensures alterations, and additions in medical records and the nurses notes can be avoided. The following
are some tips on how to do corrections EXCEPT:
a. cross out blank spaces
b. cross out wrong word or phrase with one or two lines making the wrong crossed word discernible
c. insert additions or corrections
d. State the reason for any deviation from normal procedure practice
 75. Kathy is one of your patients. Her uncle, who is a doctor, wants to read her chart. Your appropriate action
would be?
a. Instruct kathy’s uncle to present a written authorization signed by the patient
b. Refer to the hospital director
c. Instruct kathy’s uncle to present a written request to medical records section of the hospital
d. Refer to the attending physician

Situation 16: During the month of July, You noticed that there is an incidence of upper respiratory disorders.

76. One of your cases is with acute pharyngitis. Your nursing management includes the following EXCEOT:
a. suggest a soft liquid diet during acute stage
b. encourage liberal amount of cold fruit juices
c. encourage bed rest during febrile stage
d. apply ice collar for symptomatic relief of severe soar throat
77. For a nurse to assess an upper respiratory tract infection, you should palpate the following:
a. eyes, ears, nose, and throat
b. adenoids, tonsils, and nose
c. nose and throat only
d. the tracheal and nasal mucosa including the frontal sinuses
78. Among patients with upper airway infection, airway clearance can be facilitated by the following EXCEPT:
a. regularly administering prescribed vasoconstrictive medications
b. decreasing systemic hydration
c. positional drainage
d. humidifying inspired room air
79. A friend asked you some nursing measures of uncomplicated common colds. You will include the following
measures EXCEPT:
a. instruct client about symptoms of secondary infection
b. administer prescribed antibiotics
c. teach that the causative virus is contiguous even before symptoms appear
d. suggest adequate of fluids and rest
80. The following are your nursing suggestion for a patient with acute or chronic sinusitis EXCEPT:
a. local heat application to promote drainage
b. consult an ENT surgeon
c. increase humidity
d. advice adequate fluid intake

Situation 17: A specimen is a piece of tissue or body fluid taken from the disease body organ or tissue to aid the
health care team in diagnosis and effective treatment. Necessarily, the nurse assumes responsibility in the care of
the specimen.

81. Carmen is suspected to have left breast CA. She is scheduled in your room on 5 for frozen section. How will
you prepare the specimen for laboratory?
a. Refrigerate and send it along wit the day’s specimens
b. Send immediately to pathology without soaking solutions
c. Soak it in NSS
d. Soak it in Formalin
82. How will you label this specimen? What information was important in the label?
a. name of client, age, sex, hospital number
b. name of client, age, sex
c. name, age, site, type of specimen, hospital number, doctor
d. name, doctor, type of specimen, hospital number
83. Foreign body the extracted from the body like pins, needles, seeds or bullets are also considered as
specimen. You assisted in a multiple-gun shot wound exploration. During the surgery three bullets were
recovered. You should send the specimen to:
a. department of pathology c. OR head nurse
b. National Bureau of Investigation d. Clients family
84. A post dilation and curettage (D and C) client is for discharge. Follow up of lab. Result should be part of the
discharge plan. You will instruct the client to follow up result at the:
a. medical records c. doctors clinic
b. laboratory d. nurses station
85. You are the circulating nurse in the OR 2. You have 4 thyroidectomy cases for today. How do you prevent
switching of specimen?
 a. send the specimen to the laboratory right away after the operation with the proper labels
b. collect all the specimen and send the specimen to laboratory at the end of the day
c. label specimen at ones
d. prepare 4 specimen vials first thing in the morning

Situation 18: Mr. Santos, 50, is to undergo cystoscopy due to multiple problems like scanty urination, hematuria
and dysuria

86. You are the nurse in charge of Mr. Santos. When asked what are the organs to be examined during
cystoscopy, you will enumerate as follows:
a. ureter, kidney, bladder, urethra
b. urethra, bladder wall, trigone, ureteral opening
c. bladder wall, uterine wall, and urethral opening
d. urethral opening, ureteral opening, bladder
87. In the OR, you will position Mr. Santos who is for cystoscopy in:
a. supine c. semi-fowler
b. lithotomy d. trendelenburg
88. After cystoscopy, Mr. Santos asked you to explain why there is no incision of any kind. What will you
respond?
a. Cystoscopy is direct visualization and examination by urologist
b. Cystoscopy is done by x-ray visualization of the urinary tract
c. Cystoscopy is done by using lasers on the urinary tract
d. Cystoscopy is an endoscopic procedure of the urinary tract
89. Within 24-48 hours post Cystoscopy, it is normal to observe one of the following:
a. pink tinged urine c. signs of infection
b. distended bladder d. prolonged hematuria
e.
90. Leg cramps are not uncommon post Cystoscopy. Nursing intervention includes:
a. bed rest c. early ambulation
b. warm moist soak d. hot sit bath

Situation 19: During the surgical procedure, contamination should be confined and contained within the
immediate vicinity of the surgical field to prevent the spread of pathogenic microorganism.

91. The following technique illustrates the concept “confine and contain” EXCEPT
a. contaminated items like sponges are handled using gloves
b. all blood, tissues, and body fluid specimens should be placed in leak proof containers
c. surgeon conduct their patients round in their scrub suits
d. prompt cleaning up of accidental spills of contaminated debris e.g. blood, body fluids
92. The OR is a restricted area, were OR attire is worn. Temperature and humidity are set for patient and
personnel safety and reduce bacterial contamination. During surgery, movement of the personnel
including the circulating nurse is:
a. kept to a minimum c. restricted
b. eliminated when possible d. monitored
93. Sterile is the condition of almost all items, devices or supplies in the OR for any surgical procedures. Shelf-
life of a packaged sterile item is event related and depends on the following EXCEPT:
a. type of sterilizer used to sterile items
b. amount of handling
c. the quality of packaging materials used
d. storage condition
94. Precaution recommends that the use of standard personnel protective equipments (PPE) to prevent cross
contamination. Which is NOT considered a piece of PPE?
a. cover gown c. gloves
b. eyewear d. face shields
95. Traffic pattern in the OR suite should:
a. prevent unauthorized personnel from entering the OR
b. prevent transmission of pathogenic microorganism
c. assure that personnel walk in the same direction
d. allow personnel to move freely between restricted and unrestricted areas

Situation 20: Nokia is powerful to “connect people” from continent to continent through communication via the
cellphones. Other ways of communications to relay information or instructions exist even in healthcare settings.
96. An anesthesiologist is preparing to do a spinal anesthesia for a 220 lb, 30 year old athlete. She requests
the circulating nurse to prepare a pink spinal set with another blue set at stand by. What gauge spinal sets
will you make available in the OR suite?
a. gauge 16 and 22 c. gauge 16 and 20
b. gauge 18 and 16 d. gauge 15 and 22
97. Medical gasses are used a lot in the OR. Some gasses are used to operate equipments and some are used
to administer general anesthesia through inhalation. What is the identifying color of the tank which
contains “laughing gas”
a. yellow c. black
b. green d. blue
98. On a traffic light, yellow means “proceed with caution”. In the field of health care, where do you discard
you’re tissue papers?
a. yellow bin c. green bin
b. orange bin d. black bin
99. An instrument tray with black stripped autoclave/steam chemical indicator tape communicates that the
instrument tray…

a. is clean
b. is ready for use in surgery
c. is sterile
d. has undergone the sterilization process

100. In health care, when lead apron is required in any procedure like ortho surgery, there is danger in
exposure to:
a. water and blood splashes c. radiation
b. pseudomonas d. bone fragments