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1. This test booklet contains 100 test questions

2. Read INSTRUCTIONS TO EXAMINEES printed on your answer sheet.
3. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded will
invalidate your answer.


1. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet Set.
2. Write the subject title “Nursing Practice I” on the box provided.
3. Shade Set Box “A” on your answer sheet if your test booklet is Set A; Set Box “B” if your test
booklet is Set B.


Situation 1: An understanding of the factors influencing the health care delivery system will enable nurse
to adjust to change, create better ways of providing nursing care and develop new nursing roles.

1. Wellness clinics and health education activities have been integrated in government hospitals to
render appropriate services. Which of the following purposes LEAST helps clients in health promotion
A. Identify disease symptoms
B. Maintain maximum functions
C. Promote health habits
D. Reduce the costs of health care

2. With regards to illness prevention activities as part of nursing care, which of the following will help
clients MOST?
A. Maintain maximum functions
B. Reduce risk factor
C. Promote habits related to health care
D. Manage stress

3. By experience, which of the following nursing goals are MOST often overlooked by nurses and other
member of the hospital team in the care of their clients in the hospital?
A. Illness prevention C. Diagnosis and treatment
B. Health promotion D. Rehabilitation of patients

4. Which of the following health care agencies is usually family-centered, relatively recent in popularity
and oftentimes focuses on maintenance of comfort and satisfactory lifestyle of clients in the terminal
phase illness?
A. Non-government Organization
B. Hospice
C. Community Health Center
D. Support group

5. Which of the following is NOT a legally binding document but nonetheless very important in the care of
all patients in any setting?
A. Board of Nursing Resolution Adopting Code of Ethics
B. Bill of Rights as provided in the Philippine Constitution
C. Patient’s Bill of Rights (As adopted by American Nurses Association)
D. Scope of nursing Practice as define in R.A. 9173

Situation 2: Your nursing unit plans to conduct a study on the use of structured preoperative preparation
in reducing the demand for post operative pain reliever.

6. Which of the following research activities should you initially do?

A. Find out from interview how many patients are willing to participate
B. Review literature on the topic
C. Get the permission from the hospital director
D. Prepare the tool for collecting data

7. Which of the following statements do NOT contribute to the researchability of your proposed problem?
A. Measurability of variables
B. Readability of findings
C. Well-defined problem statements
D. Potential use of findings

8. A study (research) table should NOT contain which of the following?

A. Relevant rows and columns
B. Categories of data collected
C. Names of sample selected
D. Specific title of table

9. Which of the following actions will facilitate analysis of research data?

A. Consult a computer expert
B. Consult a physician
C. Categorize data collected
D. Consult an adviser
10. The research methodology that is appropriate for the above problem would be:
A. Descriptive C. Experimental
B. Quasi experimental D. Normative

Situation 3: Mr. Tan is for admission to the medical unit and you are his nurse

11. The most important initial nursing approach when admitting a client is to:
A. Orient the client to the physical set up of the unit
B. Identify the most immediate needs of the client and implement the necessary intervention
C. Introduce the client to the ward staff
D. Take vital signs for a baseline assessment

12. When gathering baseline data, the best way for you to check if the client has pedal edema is to:
A. Talk to the relatives
B. Do a physical assessment
C. Interview the client
D. Do auscultation

13. You want to know the sleeping patterns of Mr. Tan. You will:
A. Take his blood pressure before sleeping and upon waking up
B. Perform physical assessment
C. Interview client and relatives
D. Observe his sleeping patterns over a period of time

14. Mr. Tan has severe pedal edema. Which accessory device would be appropriate for his condition?
A. Rolled pillows C. Bedboard
B. Footboard D. Cradle

15. You are planning Mr. Tan’s discharge from your unit. Your nursing responsibilities include all
A. Making a final assessment C. Proper documentation
B. Teaching him about his D. Arranging for his transportation
medications at home home

Situation 4: Elena, 45 years old, is admitted to the hospital with a diagnosis of renal calculi. She is
experiencing severe flank pain, nausea and a temperature of 39 degC.

16. Given the above assessment data, the MOST immediate goal of the nurse would be which of the
A. Alleviate nausea C. Maintain fluid and electrolytes
B. Prevent urinary complication D. Alleviate pain

17. After IVP, renal stone was confirmed. A left nephrectomy was done. Her post operative order
includes “daily urine specimen to be sent to the laboratory”. Elena has a foley catheter attached to a
urinary drainage system. How will you collect the urine specimen?
A. Remove urine from the drainage tube with a sterile needle and syringe and empty urine
from the syringe into the specimen container
B. Disconnect the drainage tube from the collecting bag and allow urine to flow from the
catheter into the specimen container
C. Disconnect the drainage tube from the indwelling catheter and allow urine to flow from the
catheter into the specimen container
D. Empty a sample urine from the collecting bag into the specimen container

18. Where would the nurse tape Elena’s indwelling catheter in order to reduce urethral irritation?
A. To the patient’s lower thigh C. To the patient’s gown
B. To the patient’s lower abdomen D. To the patient’s inner thigh

19. Which of the following menu is appropriate for one with low-sodium diet?
A. Ham and cheese sandwich, fresh fruits and vegetables
B. Canned soap, potato salad, diet soda
C. White chicken sandwich, vegetables salad and tea
D. Instant noodles, fresh fruits, and iced tea

20. Ho will you prevent ascending infection on Elena who has an indwelling catheter?
A. See to it that the drainage tubing does not touch the level of urine
B. See to it that the drainage tubing touches the level of urine
C. Change the catheter every 8 hours
D. Clean catheter may be used since the urethral meatus is not a sterile area.

Situation 5: It is SAFETY AWARENESS WEEK in the community and the nurse checks on the presence
of hazards at home. The nurse’s plan is to have the residents themselves identify the physical hazards in
their own homes.

21. Which of the following is NOT a physical hazard in the home?

A. Inadequate lighting in and out of the house
B. Large windows that allow good ventilation
C. Obstacle people can trip over like door mats, rugs, electrical cords
D. Unstable slippery stairway

22. Risk factors exist for each of the different development levels. From infancy to preschool age the
most common cause of death is injury rather than disease. To protect children from harm, the
parents should be aware that most injuries for this age group are due to:
A. Accidents in the playground, park, school, and presence of strangers who ay abduct or
molest the child
B. Accidents at home caused by the swallowing poisonous materials, small objects, exploring
electrical sockets
C. Accidents from sports related activities at school or the neighborhood
D. Accidents from self-inflicted wounds

23. To promote safety at home, the nurse identifies ways and means of “child proofing” the house. Which
of the following is NOT safe?
A. Removing objects that the child could easily dismantle and swallow like small parts pf a
mechanical toy, buttons, materials inside stuffed animals, liquid chemicals
B. Covering electrical outlets, tying up long and loose electrical and telephone cords,
securing cabinets or doors within reach of the child
C. Apply childproof caps on medicine bottles and chemicals
D. Giving colorful grocery bags to play with or to store toys and materials
24. The nurse knows that a person’s hygienic practices are influenced by family customs and traditions.
Which of the following is NOT part of Basic Hygiene practice?
A. Hair and skin care such as washing hair and face, feet, hand and nail care
B. Care of skin with lesions, cuts and infection
C. Oral hygiene practices such as brushing and flossing teeth, gum care
D. Bathing practice, frequency and time, care of eyes, ear nose

25. Falls are the most common home accidents among the elderly and these are due to the physical
limitations imposed by aging and some hazards in the home setting. The nurse reduces risk of
falling through the following EXCEPT:
A. Providing nonskid and well fitted shoes or slippers
B. Rearranging furniture frequently
C. Having the bed or mattress close to the floor
D. Having a call bell within the person’s reach and answering call bells immediately

Situation 6: One of the responsibilities of a nurse is to administer medications correctly. Nurse Omar
unintentionally omits an ordered 8 am medication that is given every 4 hours.

26. Omar discovers his omission. The most appropriate action would be:
A. Give both doses at the same time
B. Give the current dose and just document that the 8 am dose was omitted
C. Give the 8 am dose at 10 am and the 12 noon dose on time
D. Report the error, review drug action and consult with physician regarding appropriate
action for this medication

27. When giving medications through a nasogastric tube, medication is followed by water instilled
afterwards for which of the following?
A. Done to dissolve the medication
B. Check patency of the nasogastric tube
C. This is done to flush the tube
D. Provide the client with additional fluids

28. The nurse should not leave medication at the bedside because:
A. The bedside table is not sterile


B. The nurse will not be able to accurately document that the patient actually took the

C. The patient may forget to take it

D. It is convenient for the nurs

29. Non pharmacologic pain management includes all of the following EXCEPT:
A. Body movement C. Massage
B. Use of herbal medicines D. Relaxation techniques

30. An elderly client who has been immobilized is now ordered to begin passive range of motion exercises
(ROM). The nurse understands that ROM exercises:
A. Should be completed to the point of discomfort of the client
B. When done sufficiently, will assist in the performance of activities of daily living
C. Passive range of motion exercises increase muscle strength
D. Should be completed in full range to be effective for increased mobility

Situation 7: Upon admission, a complete nursing assessment is necessary in order to identify initial
problems of the patient and initiate appropriate nursing measures.

31. Which of the following is the least nursing activity in performing assessment on a patient?
A. Physical examination C. Laboratory tests
B. Systems review D. Health history

32. One of the responsibilities of Mr. Yano, RN, an industrial nurse, is to conduct physical head to toe
assessment of a newly hired factory worker. As part of the assessment, he took the vital signs.
Which of the four assessment techniques did he utilize?
1. Auscultation 3. Palpation
2. Percussion 4. Inspection
A. 3 and 4 C. 1, 2 and 3
B. 1 and 2 D. 1, 3 and 4

33. Which of the following are the purposes of performing a physical assessment?
1. Gather base line data about the client’s health
2. Confirm and identify nursing diagnosis
3. Evaluate physiological outcome of care
4. Make clinical judgment of patient’s diagnosis
A. 1, 2, and 4 C. 1, 2 and 3
B. 2, 3 and 4 D. 1, 3 and 4

34. Which of the following should be given the highest priority before a physical examination is done to a
A. Physical preparation of the client
B. Preparation of the equipment
C. Preparation of the environment
D. Psychological preparation of the client

35. A patient brought to the ER was described by the admitting nurse to be cyanotic. Her observation is
based on the findings of which of the following assessment sites?
1. Conjunctiva 3. Lips
2. Nail beds 4. Mucous membrane
A. 3 and 4 C. 2 and 3
B. 4 and 5 D. 1 and 2

Situation 8: Benjie, an adolescent, was diagnosed to have pneumonia. He constantly complains of chest
pain and has a standing order of morphine SO4.

36. Which of the following MOST appropriately describes pain sensation that has period of remission and
A. Psychosomatic C. Intractable
B. Acute D. Chronic

37. Benjie is constantly asking to be relieved from pain. Since morphine is an addicting drug, which of the
following is BEST for the patient?
A. Give instructions on relaxation technique to reduce frequency of pain sensation
B. Administer morphine on a routine schedule as ordered
C. Administer morphine SO4 p.r.n.
D. Divert his attention by not limiting visitors

38. To get accurate information about the quality of pain the patient is experiencing, which of the following
statements would be MOST APPROPRIATE?
A. “Have you taken something to relieve the pain?”
B. “Tell me what your pain feels like?”
C. “Is it stabbing or radiating pain?”
D. “What cause you the pain?”

39. As the nurse assigned to him, which of the following can decrease his chest pain?

A. Teaching him diaphragm relaxation exercises

B. Encouraging him to breath deeply
C. Advising him not to deep breath
D. Supporting his rib cage when he coughs

40. Which of the following is the nurse’s primary goal in caring for clients with chronic pain?
A. Change the client’s reaction to pain
B. Eliminate the source of pain
C. Reduce the client’s perception to pain
D. Change the client’s perception of pain

Situation 9: Safe nursing practice includes an understanding of the law which governs one’s practice.
The law provides the parameters within which the professional nurse protects self and clientele.

41. In the Philippines this law is:

A. The Philippine Nursing Act or RA 7164
B. The Philippine Nursing Act of 2002 or RA 9173
C. Republic Act 8981
D. IRR, Resolution 425 of 2003

42. The Philippine Nursing Act delineates the scope of nursing. It specifies that as independent
practitioners, nurses are responsible for:
A. Rehabilitative aspects of care
B. Administration of written prescription for treatment and therapies
C. Collaborating with other health care providers for health restoration and alleviation of
D. Health promotion and prevention of illness

43. Standards of Care provide the legal basis for evaluation of nursing practice or malpractice. Its
functions include all EXCEPT:
A. Used by nurse experts to define what appropriate nursing practice is in a given situation
B. Used to measure or evaluate the conduct of nurse specialists who are certified in their
own specialty fields
C. Used to delineate the scope, function and role of the nurse
D. Used to measure or evaluate nursing conduct to determine if the nurse acted reasonably
as any prudent nurse would under similar circumstances

44. As a standard in ethics, this represents an understanding and agreement to respect another person’s
right to decide the course of his or her own destiny.
A. Beneficence C. Autonomy
B. Nonmaleficence D. Justice

45. The Code of Ethics refers to standards of behavior or ideals of conduct. The duty to answer for and
stand by one’s action refers to:
A. Advocacy C. Veracity
B. Accountability D. Responsibility

Situation 10: Mr. Mateo, 70 years old, was suddenly rushed to the hospital because of severe chest pain.
On admission, he was diagnosed to have acute myocardial infarction and was placed in the ICU.

46. While in the ICU he executes a document that lists the medical treatment he chooses to refuse in case
his condition becomes severe to a point that he will be unable to make a decision for himself. This
document is:
A. Living will C. Last will and testament
B. Power of attorney D. Informed consent

47. After one day, the patient’s condition worsened and feeling hopeless, he requested the nurse to
remove the oxygen. The nurse should:
A. Follow the patient because it is his right to die gracefully
B. Refuse the patient since euthanasia is not accepted in the Philippines
C. Follow the patient as it is his right to determine the medical regimen he needs
D. Refuse the patient and encourage him to verbalize his feelings.

48. Euthanasia is an ethical dilemma which confronts nurses in the ICU because
A. Decision has to be made quickly, often under stressful conditions
B. Decision has to be made based on societal norms
C. The choices involved do not appear to be clearly right or wrong
D. A client’s legal right co-exists with the nurse’s professional obligation


49. The personal conviction that euthanasia is absolutely wrong in any situation is a:
A. Personal value C. Ethical issue
B. Legal obligation D. Moral belief

50. Mr. Mateo felt better after 3 days but recognizing the severity of his illness, he executed a document
authorizing the wife to transact any form of business in his behalf in addition to all decisions relative
to his confinement. This document is referred to as:
A. Power of attorney C. Medical record
B. Informed consent D. Living will

Situation 11: Miss Japzon was recently appointed chief nurse of a 50-bed government hospital in
Masbate. On her first day of duty she tried to remember the elements of administration she learned in her
basic nursing education.

51. One of the first things Miss Japzon did was to engage her staff in objective setting. Formulating goals
and philosophy of nursing service. These activities are MOST appropriately described in which
element of administration?
A. Directly C. Organizing
B. Controlling D. Planning

52. In recognizing the Department of Nursing, she draws up the organizational structure; delineates the
roles and functions of the different nursing positions and fills up the position with qualified people.
This is included in which element of administration?
A. Evaluation C. Monitoring
B. Organizing D. Planning

53. After one month, she and her management committee assess the regulatory measures taken and
correct whatever discrepancies are found. This is part of which element of administration?
A. Evaluation C. Organizing
B. Planning D. Monitoring

54. Evaluation as administrative process is BEST described as:

A. Obtaining commitment of members to do better
B. Follow-up of activities that have been stated
C. A continuing process of seeing that performance meet goals and targets
D. Informing personnel how well and how much improvement has been made

55. In all of the various administrative functions, which of the following management skills is demanded
efficiently and effectively of Miss Castro?
1. Decision-making skills
2. Forecasting skills
3. Auditing skills
4. Communication skills
A. 2 and 4 C. 2 and 3
B. 1 and 2 D. 1 and 4

Situation 12: The nurse is expected to accurately record and report patients’ progress. She is able to
communicate to the other members of the team by documenting her nursing care plan and the appropriate
nursing interventions.

56. Mrs. Mendez, 8 months pregnant, is admitted to the hospital because of pre-eclampsia. Which of the
following nursing orders is MOST APPROPRIATE for the patient’s condition?
A. Daily urinalysis for proteinuria
B. Record patient’s intake and output
C. Keep a padded tongue depressor at the patient’s bed
D. Weigh the patient weekly

57. Mr. Siena, 65 years old, is scheduled for hemiorrhapy in the morning under a spinal anesthesia.
Which of the following assessment should the nurse perform and document in the patient’s record to
indicate he is recovering from anesthesia?
A. The rate of capillary refill in the toes
B. The rate and depth of respiration
C. The degree of response to pin prick in the legs and toes
D. The level of consciousness

58. Which of the following persons cannot have free access to a patient’s record?
A. Speech therapist C. Lawyer of the family
B. Physical therapist D. The patient

59. POMR charting is different from traditional method because of which of the following practices?
1. SOAP charting 2. use of flow sheet
3. Narrative charting 4. Use of checklist
A. 1 and 3 C. 1 and 2
B. 2 and 3 D. 3 and 4

60. Which of the following qualities are relevant in documenting patient care?
1. Accuracy and conciseness
2. Thoroughness and currentness

3. Systematic and orderly

4. Legibly, properly dated and signed
5. Use of locally accepted abbreviation
A. 2, 3, 4 and 5 C. 1, 2, 3, and 5
B. 1, 2, 3 and 4 D. 1, 3, 4 and 5

Situation 13: The nurse meets a new client, Mr. Pala, 50 years old. During the initial interview, the nurse
begins to feel irritated towards the client. Shortly after, she becomes uncomfortable and politely leaves the
room. The nurse realizes the behavior and mannerisms of Mr. Pala as reminding him of his strict,
disciplinarian father who abused him physically.

61. The nurse recognizes that his feelings for the client is known as:
A. Denial C. Revenge
B. Transference D. Countertransference

62. Seeing that his negative feelings for Mr. Pala could affect his nursing care, you will know that the nurse
applies the concept of therapeutic use of self when:
A. The nurse talks about his personal feelings towards the client
B. The nurse suppresses his feeling and continues to take care of the client
C. The nurse uses self-awareness to manage his feelings and thoughts toward the client
D. The nurse uses his awareness and asks to be reassigned to another client

63. Mr. Pala is terminally ill and his family is coping with his impending death. The nurse has to deal with
his own thoughts and personal feelings about death and grieving in order to:
A. Avoid sharing personal thoughts about their impending loss and feelings of grief since this
is very subjective
B. Prevent self from being affected by the family’s grief and remain objective
C. Get the self out of the way while he assists the client and his family express their feelings
of impending loss
D. Help the family plan for the funeral arrangement and burial services
64. One morning, when the nurse enters the client’s. Mr. Pala asks the nurse to leave me alone and stop
bothering me and I don’t want your pity. Which of the following responses by the nurse would be
most appropriate?
A. “Why are you angry with me? What did I do anything to upset you?”
B. “You are probably upset because you don’t feel well”
C. “I understand and will leave you for a while”
D. “You seem upset this morning” and remains with the client

65. The nurse understands that the nurse-client relationship is a therapeutic alliance when:
A. This is an essential part of the nursing process
B. The nurse is a role model for the client
C. The nurse has to be therapeutic at all times
D. How the nurse thinks and feels affect her actions and behavior toward her client and her

Situation 14: Medications are part of management of client’s health needs and the nurse has the
responsibility to administer the medications ordered by the physician.

66. When giving oral medication, which nursing action is appropriate when the client has difficulty
A. Put the tablet in mashed banana
B. Put the client in a sitting position
C. Mix the medication in clients soup
D. Put the client in supine position

67. You are to instill ear drops to an infant. You straighten the ear canal by:
A. Pulling the auricle upward and backward
B. Pulling the auricle sideways
C. Pulling the auricle downward and backward
D. Pulling the auricle upward and forward

68. When giving subcutaneous injection to an obese client, pinch skin at site and inject medication at:
A. 45 degree angle C. 20 degree angle
B. 90 degree angle D. 50 degree angle


69. Which statement is NOT true about the special Z technique of intramuscular injection?
A. This technique is used when medications for intramuscular injection are irritating to tissue
B. This technique leaves a zigzag path that seals needle track
C. The medication is injected slowly in this technique to allow medication to disperse evenly
in muscle tissue
D. This technique seals the medication in subcutaneous tissue

70. The doctor has ordered 250 ml D5 RL to run for 5 hours for a 5 year old boy. The micro-drip drop
factor is 60 (60gtt/ml). The flow rate would be:
A. 20 gtt/min C. 60 gtt/min
B. 50 gtt/min D. 80 gtt/min

Situation 15: The practice of primary nursing is preferred by many nurses because it supports
professional autonomy and accountability of nurses.

71. What is the function of the primary nurse in primary nursing?

A. Plans and coordinates the patient’s care assigned to her from admission to discharge
B. Acts as patient advocate and coordinates the health care team with a specific group of
C. Acts as the charge nurse organizing staff assignments and helps in solving the problems
in the unit
D. Coordinates the care given to a group of patients by support staff.

72. Primary nursing is MOST advantageous and satisfying to the patient and nurse because of which of
the following principles?
A. Accountability is cleared since one nurse is responsible for the overall plan and
implementation of care
B. Continuity patient care promotes efficient nursing care
C. Autonomy and authority for planning care and best delegated to a nurse
D. The holistic approach provides for a therapeutic relationship, continuity of care and
efficient nursing care.

73. What is the role of the associate nurse in primary nursing?

A. Patient advocate in the health care team
B. Coordinator of comprehensive, holistic patient care
C. Over-all manager of the unit
D. Responsible for the overall care of the patient during off days of primary nurse

74. In primary nursing, the primary nurse is responsible for which of the following groups of patient?
A. The whole unit
B. Small-group of patients like 3-5 patients
C. Big group of patients like 10-15 patients
D. The whole ward

75. In primary nursing, who among the following is needed for her leadership and as quality control agent
in the ward:
A. The Head nurse C. The nurse supervisor
B. The chief nurse D. In-service Director

Situation 16: To prevent further injury to patients with problems of immobility, the nurse should observe
certain principles of body mechanics for herself and her patients.

76. Which of the following are appropriate goals for clients with positioning and mobility needs?
A. Development of contractures C. Proper body alignment
B. Decrease in activity tolerance D. Sensory alterations

77. Which of following positions would MOST likely cause injury to the nurse when moving a patient from
the bed to the wheelchair?
A. Bending at the knees
B. Standing with feet apart
C. Using body weight to assist with movement
D. Standing with feet together

78. Which of the following is the CORRECT guideline when positioning patients?
A. Put pillows above a joint to immobilize it
B. Joints of patients are to be supported with pillows
C. Patients position should be changed at least three or four times a day
D. Position of the joints should be slightly extended.


79. Which of the following can be used by clients with problem of immobility to enable them to raise their
body from the bed, transfer from bed to wheelchair or perform some bed exercises?
A. Sandbag C. Side-rail
B. Trochanter roll D. Trapeze bar

80. Which of the following are the CORRECT uses of side rails?
1. Allow weak clients to roll from side to side
2. As support for clients who want to sit-up by themselves
3. Prevent unconscious patient from falling off the bed
4. Immobilize clients
5. Maintain specific body alignment
A. 2, 3 and 4 C. 3, 4 and 5

B. 1, 2 and r D. 1, 2 and 3

Situation 17: Menchu, 46 years old, is waiting for her doctor’s appointment at the clinic where you work.

81. You are to interview her as your initial nursing action so that you can:
A. Identify the most appropriate nursing diagnoses for her health problems
B. Provide solutions to her immediate health concerns
C. Gather data about her lifestyle, health needs and problems to develop a plan of care
D. Document important data in her client records for health team to read

82. During the interview, Menchu experiences a sharp abdominal pain on the right side of her abdomen.
She further tells you that an hour ago she ate fatty food and this has happened many times before.
You will record this as:
A. Client complained of intermittent abdominal pain an hour after eating fatty food
B. Client reported sharp abdominal pain on the right upper quadrant of abdomen an hour
after ingestion of fatty food
C. After eating fatty food, the client experienced severe abdominal pain
D. Patient claims to have sharp abdominal pains after eating fatty food unrelieved by pain

83. Menchu tells you that she has been on a high protein/high fat/low carbohydrates diet in order to lose
weight and that she has successfully lost 8 pounds during the past two weeks. In planning a healthy
balanced diet for her, you will:
A. Ask her to shift to a macrobiotic diet rich in complex carbohydrates
B. Encourage her to eat a well-balanced diet with a variety of food from the major food
groups and take plenty of fluids
C. Encourage her to eat a high carbohydrate low protein diet low diet
D. Encourage her to cleanse her body of toxins by changing to a vegetarian diet with regular

84. You learn that Menchu drinks 5-8 cups of coffee a day plus cola drinks. Because she is in her
perimenopausal years, the nurse instructs her to decrease consumption of coffee and cola drinks
A. These products have stimulant effect on the body
B. These products encourage increase in sugar consumption
C. These products are addicting
D. These products cause increased calcium loss from the bones

85. Health Education plan for Menchu stresses prevention of NCD or non-communicable diseases that are
influenced by her lifestyle. These include the following EXCEPT:
A. Cancer C. Diabetes Mellitus
B. Osteoporosis D. Cardiovascular diseases

Situation 18: Changes in technology, the nation’s economy, and the increasing number of population
have brought about changes in the health care system.

86. At present, government hospitals are expected to offer comprehensive health services to include
illness prevention and health promotion. In which of the following unit or services are these are
services integrated?
A. Intensive care unit
B. Newborn screening unit
C. Rehabilitation center
D. Wellness centers

87. Which of the following is MOST recent government initiative to help subsidize the cost of health
services for both the employed and the unemployed?
A. Magna Carta for Health Workers
B. National Health Insurance Act
C. Medicare Act
D. Worker’s Compensation Act

88. The top ten morbidity cases in the Philippines include tuberculosis, diarrhea among children to name a
few. Many of these conditions are preventable and have implications in the development of which
nursing competencies?
A. Health education
B. Administration of treatment and medication
C. Execution of nursing procedures and techniques
D. Therapeutic use of self

89. The cost of hospitalization is getting more expensive and unaffordable to many of our people. These
facts will MOST likely bring about the development in which of the following?
A. Home care services C. Acute care services
B. Advance practice nursing D. Managed care services

90. Which of the following latest trend has expanded health services based on prepaid fess with emphasis
on health promotion and illness preventions?
A. Preferred provider organization
B. Health Maintenance Organization
C. Private Insurance plan
D. Government Insurance plan

Situation 19: Miss Tapia is assigned to Mang Tomas, a 60 year old newly diagnosed diabetic patient.
She is beginning to write objectives for her teaching plan.

91. Which of the following objectives is written in behavior terms?

A. Mang Tomas will know about diabetes related foot care and the techniques and
equipment necessary to carry it out.
B. Mang Tomas’ sister will be able to determine in two days his insulin requirement based on
blood glucose levels obtained from glucometer
C. Mang Tomas wife needs to understand the side effects of insulin
D. Mang Tomas daughter should learn about diabetes mellitus with the week

92. Which of the following is the BEST rationale for written objectives?
A. Ensure learning on the part of the nurse
B. Document the quality of care
C. Facilitate evaluation of the nurse’s performance
D. Ensure communication among staff members

93. Which of the following behavior BEST contribute to the learning of Mang Tomas regarding his disease
A. Frequent use of technical terms for familiarization
B. Detailed length explanations about his condition
C. Loosely structured teaching session
D. Drawing him into discussion about diabetes

94. Which of the following behaviors of Mang Tomas LEAST indicate readiness to learn?
A. Reading brochures and pamphlets about diabetes
B. Inquiring about the date of discharge
C. Asking questions about diabetes mellitus
D. Talking with nurse in charge and his doctor about his condition

95. Before discharge, Mang Tomas’ sister will demonstrate how to use the glucometer correctly. This is
an example of what kind of objectives?
A. Psychomotor C. Cognitive
B. Affective D. Long-term

Situation 20: One of the professional competencies that nurses must always demonstrate is in the area
of communication?

96. Which communication technique would be MOST effective in eliciting detailed information from a
A. Verbalizing observations C. Summarizing clients views
B. Open-ended questioning D. Active listening

97. Which of the following terms refer to the sender’s attitude towards the self the message and the
A. Verbal communication C. Non verbal communication
B. Meta communication D. Double-bind communication

98. In increasing with patients, the nurses should remember that a client’s personal space is:
A. Highly mobile depending upon certain situation
B. Clearly visible to others
C. That which revolves around the client
D. The same as that of the nurse

99. During interpersonal communication which type of relationship is LEAST threatening?

A. Intimate C. Professional
B. Social D. Personal

100. In demonstrating the method for deep breathing exercises, the nurse places the hands on the
client’s abdomen to explain diaphragmatic movement. This technique involves the use of which of
element of communication?
A. Message C. Appropriateness
B. Feedback D. Channel