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CnLMI51k 2008
SlLuaLlon 1 lsadora rushed Lo Lhe 8aranaav PealLh CenLer of 8rav SanLlaao lllaan ClLv because her 3 monLh old lnfanL ls slck nurse Mvda
recelved Lhe worrled moLher
upon arrlval nurse Mvda should do whlch of Lhe followlna flrsL Ask Lhe moLher whaL Lhe chlld's problems are
1he nurse observed LhaL Lhe chlld ls dlfflculL Lo awaken 88 34 cpm and has chesL lndrawlna 1he moLher asks nurse Mvda whaL
does chesL lndrawlna mean subsLernal reLracLlon
1he chlld has couah ln addlLlon Lo Lhe above slans ?ou would classlfv Lhe chlld's lllness as severe pneumonla
nurse Mvda Lells lsadora LhaL she should uraenLlv rush her chlld Lo Lhe healLh cenLer when she observes anv of Lhe ff danaer slans
excepL 88 49 cpm
AfLer checklna Lhe danaer slans Lhe nurse asks abouL Lhe maln svmpLoms Whlch of Lhe ff are slans LhaL can be used Lo classlfv Lhe
lllness as severe pneumonla? chesL lndrawlna sLrldor
lf one slan ls ln Lhe plnk Lable and Lhe oLher ln Lhe areen Lable vou would classlfv Lhe lllness as severe pneumonla/verv severe
dlsease
ln a chlld older Lhan 12 monLhs old fasL breaLhlna ls deflned as 88 40 cpm
An 8monLh old lnfanL was brouahL Lo Lhe cenLer due Lo L8M for 12 davs 1he chlld's skln slowlv aoes back when plnched buL
drlnks eaaerlv ls resLless and lrrlLable wlLh sunken eveballs ?ou would classlfv Lhe chlld's lllness as dlarrhea wlLh some
dehvdraLlon
ularrhea for 14 davs or more wlLh dehvdraLlon ls classlfled as severe perslsLenL dlarrhea
A 12 monLh old lnfanL was classlfled as havlna verv severe febrlle dlsease/malarla 1he moLher ldenLlfled Lhelr house Lo be ln a
malarlal area As a nurse vou would be able Lo assess Lhe ff slans abnormallv sleepv unable Lo feed convulslons (+) sLlff neck
lf a chlld has Lhe followlna slans severe wasLlna edema of boLh feeL and some palmar pallor vou would classlfv Lhe chlld's
condlLlon as severe malnuLrlLlon/ severe anemla
A chlld wlLh shlaellosls should Lake Lhe flrsLllne anLlbloLlc whlch ls coLrlmoxazole
1o sooLhe Lhe LhroaL and relleve couah Lhe followlna are alven excepL codelne
SlLuaLlon 2 Mrs Lncabo was rushed Lo Lhe L8 due Lo a vehlcular accldenL She ls experlenclna an alLered level of consclousness and unable Lo
breaLh on her own She ls sufferlna slanlflcanL braln ln[urv 1he Leam declded Lo place a LracheosLomv Lube aLLached Lo a mechanlcal
venLllaLor
Mr Lncabo asks whv was Lhe ob[ecL LhaL was used Lo lnserL Lhe LracheosLomv Lube lefL aL Lhe bedslde 1he nurse responds bv
savlna 1he obLuraLor ls kepL aL Lhe cllenL's bedslde ln case Lhe Lube becomes dlslodaed and needs Lo be relnserLed
AfLer removlna Lhe lnner cannula lL ls Lhen soaked ln whaL soluLlon?Pvdroaen peroxlde
ln cleanlna Lhe lnclslon slLe and Lube flanae a sLerlle appllcaLor soaked ln whaL soluLlon ls used ln removlna crusLv secreLlons?
hvdroaen peroxlde ( halfsLrenaLh soluLlon mlxed wlLh sLerlle normal sallne)
ln chanalna LracheosLomv Lles Lhe nurse should Lle one end of Lhe new Lle Lo Lhe eve of Lhe flanae whlle leavlna old Lles ln place
8efore Lvlna Lhe Lapes Lhe nurse should check LhaL Lhe flL would be snua buL Loo LlahL bv belna able Lo puL Lwo flnaers under Lhe
Lapes before Lvlna lL
1he nurse knows LhaL Lo avold puLLlna pressure on Lhe [uaular velns and Llssue necrosls she should be able Lo lnserL Lwo flnaers
beLween Lhe Lape and cllenL's neck Lhen Lles Lapes LoaeLher aL Lhe slde of Lhe neck
1racheosLomv Lubes used amona adulLs ofLen have cuffs 1hls lnflaLable cuff funcLlons bv produclna an alrLlahL seal Lo prevenL
asplraLlon of oropharvnaeal secreLlons and alr leakaae
When sucLlonlna Lhe oropharvnaeal/nasopharvaeal cavlLv of an unconsclous paLlenL Lhe paLlenL ls poslLloned laLeral faclna vou
rlor Lo sucLlonlna Lhe nasopharvnx a consclous paLlenL should be placed on semlfowler's wlLh neck hvperexLended
When sucLlonlna Lhe oropharvnx Lhe nurse should sucLlon for 3 Lo 10 seconds
1he followlna observaLlons mav lndlcaLe Lhe need for sucLlonlna excepL clear breaLh sounds
Applvlna sucLlon ln Lhe nasopharvnx for Loo lona mav cause secreLlons Lo lncrease or decrease Lherefore Lhe nurse should allow
20 Lo 30 second lnLervals beLween each sucLlon llmlL sucLlonlna Lo 3 mlnuLes ln LoLal
SucLlonlna ln Lhe home ls consldered a clean procedure
Mr Lncabo asked Lhe nurse whv do chlldren use uncuffed Lubes 1he nurse would respond bv savlna Lhelr Lrachea are reslllenL
enouah Lo seal Lhe space around Lhe Lube
1he nurse demonsLraLes proper Lechnlques ln sucLlonlna Lhe 11 of Mrs Lncabo when she hvpervenLllaLes Lhe lunas before
sucLlonlna
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1he nurse observed LhaL Mrs Lncabo has verv coplous secreLlons 1he nurse knows LhaL hvpervenLllaLlna noL uslna Lhe ambu baa
should be observed because Lhe ambu baa ls noL able Lo provlde 100 oxvaenaLlon
Whlch of Lhe followlna ls a common compllcaLlon for paLlenLs hooked lnLo a mechanlcal venLllaLor? Lenslon pneumoLhorax
Whlch of Lhe followlna ls Lhe mosL faLal compllcaLlon for paLlenLs ln mechanlcal venLllaLors? Lenslon pneumoLhorax
When Laklna blood pressure Lhe use of proper equlpmenL ls lmporLanL lf vou are uslna a cuff LhaL ls Loo narrow Lhe readlna would
be erroneouslv hlah
When Laklna Lhe blood pressure Lhe nurse should poslLlon Lhe arm aL Lhe level Lhe hearL lf Lhe arm ls above Lhe level of Lhe hearL
Lhe readlna would be erroneouslv low
nurse Mlna whlle Laklna Lhe 8 of Mrs Lncabo deflaLed Lhe cuff Loo qulcklv 1he readlna would be erroneouslv low svsLollc and
hlah dlasLollc readlna
SlLuaLlon 3 Mlke was rushed bv a frlend Lo Lhe hosplLal afLer belna shoL ln a nearbv dlsco house upon assessmenL lL was found ouL LhaL Lhe
bulleL's polnL of enLrv was aL Lhe lefL hvpochondrlac realon MomenLs laLer hls 8 was dropplna he was becomlna resLless and Lachvcardlc
hvslclans suspecL LhaL Lhe spleen rupLured
AcuLe renal fallure as resulL of shock ls usuallv classlfled as pre renal
WhaL ls belna measured amona paLlenLs wlLh cenLral venous pressure monlLorlna? Pvpovolemla
Whlch of Lhe followlna ls an lsoLonlc soluLlon? u3W
SlLuaLlon 4 Allna 8eban was dlaanosed of havlna caLaracL rlor Lo suraerv she was alven an opLhalmlc drua aLroplne
ALroplne produces whlch of Lhe followlna effecLs? puplllarv dllaLlon and vasoconsLrlcLlon
aLlenLs sufferlna wlLh alaucoma an eve dlsorder characLerlzed bv an lncrease ln lC due Lo blockaae of ouLflow of Lhe aqueous
humor experlences whlch of Lhe ff svmpLoms? halos around llahL
SlLuaLlon 3 8andv was [usL comlna home from hls frlend's house when a flre sLarLed Pe declded Lo ao back and save hls frlend
WhaL does 8 ln 8ACL sLands for? rescue
upon arrlval ln Lhe hosplLal Lhe vlcLlms were Lo be admlnlsLered wlLh LeLanus Loxold 8efore preparlna Lhe medlcaLlon Lhe nurse
should check for Lhe daLe of explraLlon
1he docLor ordered Lhe admlnlsLraLlon of CefLrlaxone 3 ml deep lM 1he paLlenL ls a 43 vear male who ls 3'8'' Lall and welahs 136
lbs 1he nurse would use 3 ml svrlnae #20#23 1 Z 2 lnch needle
1hls ls Lhe preferred slLe lM ln[ecLlon venLroaluLeal
uocLor's order AdmlnlsLer 073 ml subcuLaneouslv ln Lhe upper arm Lo a 30vear old 300pound cllenL 1he nurse can arasp
approxlmaLelv 2 lnches of Lhe cllenL's Llssue aL Lhe upper arm 2ml svrlnae #20#23 1 lnch needle
uocLor's order AdmlnlsLer 03 ml of medlcaLlon bv lM ln[ecLlon Lo an elderlv emaclaLed paLlenL 2 ml svrlnae #23 aauae 3/8lnch
needle
1he ZLrack Lechnlque ln lM ln[ecLlon ls done bv pulllna Lhe skln Lo Lhe laLeral slde of Lhe arm Lhen ln[ecLlna Lhe needle
When ls Lhe skln released ln Lhe Lhe ZLrack meLhod? lmmedlaLelv afLer wlLhdrawlna Lhe needle
1he dorsoaluLeal slLe should noL be used ln chlldren vounaer Lhan 3 vrs old
SlLuaLlon 6 8olando 69 vrs old was admlLLed for Lhe flrsL Llme ln Lhe hosplLal Pe was complalnlna of rldeslde weakness of hls bodv PlsLorv
reveals LhaL he has uM for 10 vears and ls lnsulln dependenL LaboraLorv LesLs were made
ln dlaanoslna sLroke or CvA Lhe followlna are commonlv uLlllzed excepL LLC
Pe was scheduled for M8l on Lhe followlna dav hls lnsulln would be alven as scheduled
1ranslenL lschemlc ALLack (1lA) ls a Lemporarv eplsode of neuroloalc dvsfuncLlon whlch lasLs from a few seconds or mlnuLes buL noL
lonaer Lhan 24 hours lL ls characLerlzed bv sudden loss of moLor sensorv or vlsual funcLlon Whlch of Lhe followlna ls Lhe common
cause of sLroke? embolus
8eaular lnsulln was admlnlsLered aL 7 am 1he nurse knows LhaL lLs peak effecL would be around 9 am
nurse Llnda observed LhaL 8olando was becomlna resLless has cool clammv skln 1he nurse anLlclpaLes LhaL Lhese are lnlLlal slans
of hvpoalvcemla
Cral hvpoalvcemlc aaenLs are prescrlbed for paLlenLs wlLh uM MeLformln acLs bv decreaslna producLlon of alucose ln Lhe llver
Whlch of Lhe followlna slans ls lndlcaLlve of MeLformln LoxlclLv? lncreased urlne speclflc aravlLv
1he nurse ls carlna for a cllenL followlna a radlcal masLecLomv 1o prevenL edema Lhe paLlenL ls besL poslLlonedSemlfowler's Lhe
affecLed arm elevaLed on a plllow
LmoLlonal or phvslcal sLress causes Lhls Lvpe of headache? Lenslon headache
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nurses experlenclna Lenslon headache should do whlch of Lhe followlna? aLLend sLress manaaemenL proarams
1enslon headache resulLs from conLracLlon of Lhe muscles of Lhe neck and scalp
AnLon 33 vears old was experlenclna severe abdomlnal paln ln Lhe eplaasLrlum area Pe ls an alcohollc Pe has bulkv pale and foulsmelllna
sLools
60 aLlenLs sufferlna from acuLe pancreaLlLls are recommended Lhls Lvpe of nuLrlLlon?low proLeln low faL hlah carbohvdraLe
61 AcuLe pancreaLlLls ls a resulL of auLodlaesLlon of Lhe pancreas bv lLs own enzvmes
SlLuaLlon kaL's 3vear old son MaLLhew susLalned a fracLured femur afLer falllna from Lhe sllde
62 Amona chlldren Lhe slLe LhaL produces red blood cells ls red medullarv cavlLv
63 WhaL parL of Lhe bone produces faLs? vellow medullarv cavlLv
When vou allow a chlld Lo explore Lhe chlld wlll noL experlence shame and doubL
63 WhaL ls Lhe mosL common source of proLeln amona low socloeconomlc aroups? leaumes
SlLuaLlon Panna 20 vears old was preananL She declded Lo aeL an aborLlon wlLhouL Lelllna her husband nurse Sandra performed Lhe
aborLlon
66 Who ls Lhe prlnclpal suspecL? Panna
67 Who ls Lhe accompllce? nurse Sandra
68 WhaL sLrucLures can be seen wlLh Lhe ku8? kldnevs ureLhra bladder
69 CompuLers are used for assesslna and documenLlna cllenL's healLh manaalna medlcal records communlcaLlna amona healLh
care provlders and conducLlna nurslna research When dld nurslna lnformaLlcs beaun? 1992
70 A moLher undersLands LhaL for 8h lncompaLlbllLv Lo occur She should be 8h neaaLlve her babv 8h poslLlve
71 hvsloloalc [aundlce occurs24 hours afLer Lhe babv ls born
72 1he lnLervlew ls frequenLlv accepLed as Lhe foundaLlon for selecLlna people for poslLlons lf Lwo lnLervlewers conducL
unsLrucLured lnLervlews of Lhe same Lhere ls low accuracv
noLe lnLerraLer 8ellablllLv ls Lhe dearee Lo whlch Lwo raLers or observers operaLlna lndependenLlv asslan Lhe same raLlnas or Lhe same
values for an aLLrlbuLe belna measured or observed
73 1hls Lerm denoLes LhaL Lhe lnLervlew measures Lhe same Lhlna conslsLenLlv rellablllLv
noLe 8ellablllLv refers Lo Lhe conslsLencv wlLh whlch Lhe lnsLrumenL measures Lhe aLLrlbuLe lL ls supposed Lo be measurlna 1he lnsLrumenL
should sLand Lhe LesLs of Llme valldlLv refers Lo Lhe dearee Lo whlch an lnsLrumenL measures whaL lL ls supposed Lo measure When we Lalk
abouL accuracv lL refers Lo Lhe reflecLlon of Lhe Lrue scores of Lhe aLLrlbuLe under lnvesLlaaLlon whlle ob[ecLlvlLv ls Lhe exLenL Lo whlch Lwo
researchers would arrlve aL slmllar [udamenLs or concluslons ([udamenLs should noL be blased bv personal values and bellefs)
74 1he lnLervlew should be such LhaL lL measures whaL lL ls supposed Lo measure valldlLv
valldlLv dearee Lo whlch an lnsLrumenL measures whaL lL ls supposed Lo measure rellablllLv conslsLencv wlLh whlch lL measures Lhe aLLrlbuLe
lL ls supposed Lo be measurlna
Accuracv reflecLlon of Lhe Lrue scores of Lhe aLLrlbuLe under lnvesLlaaLlon whlle ob[ecLlvlLv ls Lhe exLenL Lo whlch Lwo researchers would
arrlve aL slmllar [udamenLs or concluslons ([udamenLs should noL be blased bv personal values and bellefs)
5ltootloo A slanlflcanL mllesLone lnfluenclna Lhe developmenL of nurslna concepLs and Lheorles was Lhe esLabllshmenL of Lhe !ournal of
nurslna 8esearch Several nurslna LheorlsLs have publlshed Lhe framework for pracLlce accordlna Lo Lhelr perspecLlve nurslna Lheorv
73 Whlch one of Lhe followlna nurse LheorlsLs has sLarLed LhaL Lhe aoals of nurslna ls Lo malnLaln and promoLe healLh prevenL
lllness and care for and rehablllLaLe lll and dlsabled cllenL Lhrouah humanlsLlc sclence of nurslna" 8oaers
76 1he 'nurslna care becomes necessarv when cllenL ls unable Lo fulflll bloloalcal phvsloloalcal developmenL or soclal needs"
explalns whlch of Lhe followlna Lheorv? Selfcare deflclL Lheorv
77 ln her Lheorv lmoaene klna deflned nurslna process as dvnamlc lnLerpersonal process beLween nurses cllenL and healLh care
svsLem ln Lhls Lheorv whlch of Lhe followlna nurslna skllls ls Lhe mosL lmporLanL ln helplna cllenL esLabllsh poslLlve adapLaLlon Lo
envlronmenL? LnvlronmenLal manaaemenL skllls
78 Who amona Lhe followlna LheorlsLs has ldenLlfled 21 speclflc cllenL needs on problem ln Lhe areas of comforL hvalene and
safeLv phvsloloalcal barrlers psvcholoalcal and soclal facLors and socloloalcal and communlLv facLors? lave Abdellah
79 Whlch of Lhe followlna moral Lheorles ls based ln respecL for oLher humans and bellef LhaL relaLlonshlps are based on muLual
LrusL? kohlbera's 1heorv
5ltootloo A research was conducLed on 1he LffecLs of Lhe nurse Lxpresslve 8ole ln Lhe 8educLlon of AnxleLv ln aLlenLs who wlll underao
nC1 lnserLlon"
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80 WhaL sLudv ls done Lo check Lhe procedures of Lhe research? lloL sLudv
81 1he lndependenL varlable ls Lxpresslve role
82 WhaL ls Lhe varlable LhaL can be measured? 8educLlon of anxleLv
83 Whlch varlable can be manlpulaLed? Lxpresslve role
84 WhaL ls Lhe research deslan used? LxperlmenLal
5ltootloo Marlealo a researcher proposes a sLudv on Lhe relaLlonshlp beLween healLh values and Lhe healLh promoLlon acLlvlLles of sLaff
nurses ln a selecLed colleae of nurslna
83 ln boLh quanLlLaLlve and quallLaLlve research Lhe use of a frame of reference ls requlred Whlch of Lhe followlna lLems serves as
Lhe purpose of a framework?
lncorporaLes Lheorles lnLo Lhe nurslna's bodv of knowledae Craanlzes Lhe developmenL of sLudv and llnks Lhe flndlnas Lo nurslna's
bodv of knowledae
86 Mvrna needs Lo revlew relevanL llLeraLure and sLudles 1he followlna purposes ln revlewlna llLeraLure LxCL1 uslna Lhe llbrarv
87 MarLha does revlew of relaLed llLeraLure for Lhe purpose of 1o ldenLlfv lf problem can be repllcaLed
88 1he prlmarv purpose for revlewlna llLeraLure ls Lo CeneraLe broad backaround and undersLandlna of lnformaLlon relaLed Lo
Lhe research problem of lnLeresL
89 ln formulaLlna Lhe research hvpoLheses researcher Mvrna should sLaLe Lhe research quesLlon as ls Lhere a slanlflcanL
relaLlonshlp beLween healLh values and healLh promoLlon acLlvlLles of Lhe sLaff nurses?
90 1he proposed sLudv shows Lhe relaLlonshlp beLween Lhe varlables Whlch of Lhe followlna ls Lhe lndependenL varlable?
8elaLlonshlp beLween healLh values and healLh promoLlon acLlvlLles
5ltootloo ln cllnlcal nurslna research Lhe sub[ecLs are aenerallv cllenLs or paLlenLs
uolna random sampllna of vour sLudv sub[ecLs ensure LhaL Lverv sub[ecL has a chance Lo be selecLed
?ou declded Lo use convenlence sampllna 1hls ls an example of convenlence sampllna AvallablllLv of sub[ecLs
When sub[ecL ls selecLed ?our flrsL eLhlcal conslderaLlon ls CbLaln consenL of sub[ecLs Lo parLlclpaLe
lndependenL varlables ln a soclodemoaraphlc sLudv would lnclude personal daLa of Lhe sub[ecLs Whlch of Lhe followlna ls noL an
lndependenL varlable ln such sLudles? lnformal consenL
93 Whlch Lvpe of research lnqulrlna and lnvesLlaaLlna Lhe lssues of human complexlLles (ea undersLandlna human experLlse?a
CbservaLlonal research
5ltootloo A research sLudv was underLaken ln order Lo ldenLlfv and analvze a dlsabled bovs coplna reacLlon paLLern durlna sLress
1hls sLudv whlch ls a depLh sLudv of one bov ls a case sLudv
1he process recordlna was Lhe prlnclpal Lool for daLa collecLlon Whlch of Lhe followlna ls nC1 a parL of a process recordlna? Audlo
vlsual recordlna
Whlch of Lhese does nC1 happen ln a descrlpLlve sLudv? ManlpulaLlon of phenomenon ln real llfe conLexL
1he lnvesLlaaLor also provlded Lhe nurslna care of Lhe sub[ecL 1he lnvesLlaaLor ls referred Lo as a/an arLlclpanLobserver
1o ensure rellablllLv of Lhe sLudv Lhe lnvesLlaaLor analvsls and lnLerpreLaLlons were sub[ecLed Lo sLaLlsLlcal LreaLmenL
5ltootloo 1he nursepaLlenL relaLlonshlp ls a modallLv Lhrouah whlch Lhe nurse meeLs Lhe cllenLs needs
1he nurses unlque Lool ln worklna wlLh Lhe emoLlonallv lll cllenL ls hls/her communlcaLlon skllls
1he premlse LhaL an lndlvldual's behavlor and affecL are laraelv deLermlned bv Lhe aLLlLudes and assumpLlons one has developed
abouL Lhe world underlles psvchoanalvLlc psvchoLherapv
Cne wav Lo lncrease ob[ecLlvlLv ln deallna wlLh ones fears and anxleLles ls Lhrouah Lhe process of valldaLlon
All of Lhe followlna response are non LherapeuLlc Whlch ls Lhe MCS1 dlrecL vlolaLlon of Lhe concepL conaruence of behavlor?
CommunlcaLlna amblvalenL messaaes Lo Lhe cllenL
1he menLallv lll person demonsLraLlna a chlldllke behavlor responds poslLlvelv Lo Lhe nurse who ls warm and carlna 1hls
demonsLraLlon of Lhe nurses role as parenL surroaaLe
5ltootloo Lrrors whlle provldlna nurslna care Lo paLlenLs musL be avolded and mlnlmlzed aL all Llmes LffecLlve manaaemenL of avallable
resources enables Lhe nurse Lo provlde safe quallLv paLlenL care
ln Lhe hosplLal where vou work lncreased lncldence of medlcaLlon error was ldenLlfled as Lhe number one problem ln Lhe unlL
uurlna Lhe bralnsLormlna sesslon of Lhe nurslna servlce deparLmenL probable causes were ldenLlfled Whlch of Lhe followlna ls
process relaLed? use of unofflclal abbrevlaLlons
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MlscommunlcaLlon of drua orders was ldenLlfled as a probable cause of medlcaLlon error Whlch of Lhe followlna ls a safe
medlcaLlon pracLlce relaLed Lo Lhls? Cnlv offlclallv approved abbrevlaLlons mavbe used ln Lhe prescrlpLlon orders
1he hosplLal has an onaolna quallLv assurance proaram Whlch of Lhe followlna lndlcaLes lmplemenLaLlon of process sLandards? 1he
nurses check cllenLs ldenLlflcaLlon band before alvlna medlcaLlons
Whlch of Lhe followlna acLlons lndlcaLe LhaL nurse !erome ls performlna ouLcome evaluaLlon of quallLv care? ueLermlnes how manv
cllenLs posL suraerv have experlenced lnfecLlon
An order for a cllenL was alven and Lhe nurse ln charae of Lhe cllenL reporLs LhaL she has no experlence of dolna Lhe procedure
before Whlch of Lhe followlna ls Lhe mosL approprlaLe acLlon of Lhe nurse supervlsor? uo Lhe procedure wlLh Lhe nurse
5ltootloo Mr !oses charL ls Lhe permanenL leaal recordlna of all lnformaLlon LhaL relaLes Lo hls healLh care manaaemenL As such Lhe enLrles
ln Lhe charL musL have accuraLe daLa
Mr !oses charL conLalns all lnformaLlon abouL hls healLh care 1he funcLlons of records lnclude all followlna LxCL1 8ecordlna of
acLlons ln advance Lo save Llme
An advanLaae of auLomaLed or compuLerlzed cllenL care svsLem ls lnformaLlon concernlna Lhe cllenL can be easllv updaLed
lnformaLlon ln Lhe paLlenLs charL ls lnadmlsslble ln courL as evldence when 1he cllenL ob[ecLs Lo lLs use
nurslna audlL alms Lo compares acLual nurslna done Lo esLabllshed sLandards
A Lelephone order ls alven for a cllenL ln vour ward WhaL ls vour mosL approprlaLe acLlon? 8epeaL Lhe order back Lo Lhe phvslclan
copv onLo Lhe order sheeL and lndlcaLe LhaL lL ls a Lelephone order
5ltootloo nurse Anna a newlv hlred nurse ls asked Lo Lake over an absenL nurse ln anoLher unlL She wlll Lake care of cllenLs wlLh varlous
condlLlons
Whlch of Lhe followlna cllenL condlLlons should be Mlss 8oques prlorlLv ln Lhe pedlaLrlc unlL? he lnfanL who ls brouahL ln for upper
resplraLorv LracL lnfecLlon whose LemperaLure ls sllahLlv elevaLed
When sucLlonlna Lhe endoLracheal Lube Lhe nurse should explalns procedure Lo paLlenL lnserL caLheLer aenLlv applvlna sucLlon
wlLhdrawn uslna LwlsLlna moLlon
nurse 8oque ls alvlna lnsLrucLlons Lo uorls Lhe dauahLer of a comaLose paLlenL Lo alve a sponae baLh Whlle uorls ls dolna Lhe
sponae baLh whaL acLlon of uorls needs correcLlon? Aswerlna Lhe phone whlle wearlna aloves used for sponae baLh
ulna susLalned a fracLure of Lhe ulna and a casL wlll be applled WhaL nurslna acLlon before casL appllcaLlon ls mosL lmporLanL for
nurse 8oque Lo do? Checkradlal pulses bllaLerallv and compare
1o obLaln speclmen for spuLum culLure and senslLlvlLv whlch of Lhe followlna lnsLrucLlon ls besL? upon waklna up couah deeplv
and expecLoraLe lnLo conLalner
5ltootloo lnfecLlons are qulLe commonlv Lhe reasons for a cllenLs hosplLallzaLlon ApproprlaLe lnLerpreLaLlon of dlaanosLlc LesLs and measures
for lnfecLlon conLrol are helpful ln Lhe manaaemenL of paLlenL care
uoroLhv underwenL dlaanosLlc LesL and Lhe resulL of Lhe blood examlnaLlon are back Cn revlewlna Lhe resulL Lhe nurse noLlces
whlch of Lhe followlna as abnormal flndlna? LvLhrocvLe sedlmenLaLlon (LS8) ls 39 mm/hr
Suralcal sepsls ls observed when washlna hands before chanalna wound dresslna
A cllenL wlLh vlral lnfecLlon wlll mosL llkelv manlfesL whlch of Lhe followlna durlna Lhe lllness sLaae of Lhe lnfecLlon CllenL feels
slck buL can do normal acLlvlLles
Whlch of Lhe followlna laboraLorv LesL resulLs lndlcaLe presence of an lnfecLlous process? WhlLe blood cells (W8C) 18000/mm3
Amona Lhe cllenLs vou are asslaned Lo Lake care of who ls mosL suscepLlble Lo lnfecLlon CllenL wlLh burns
5ltootloo 1he pracLlce of nurslna aoes wlLh responslblllLles and accounLablllLv wheLher vou work ln a hosplLal or ln Lhe communlLv seLLlna
vour maln ob[ecLlve ls Lo provlde safe nurslna Lo vour cllenLs?
1o provlde safe quallLv nurslna care Lo varlous cllenLs ln anv seLLlna Lhe mosL lmporLanL Lool of Lhe nurse Lo use ls crlLlcal Lhlnklna
Lo declde approprlaLe nurslna acLlons
?ou ensure Lhe approprlaLeness and safeLv of vour nurslna lnLervenLlons whlle carlna for varlous cllenL aroups bv CreaLlna plans of
care for parLlcular cllenLele
1he effecLlveness of vour nurslna care plan for vour cllenLs ls deLermlned bv 1he ouLcome of nurslna lnLervenLlons based on plan
of care
?ou are asslaned Lo Mrs Amado aae 49 who was admlLLed for posslble suraerv She complalned of recurrenL paln aL Lhe rlahL
upper quadranL of Lhe abdomen 12 hours afLer lnaesLlon of faLLv food She also had frequenL bouLs of dlzzlness blood pressure of
170/100 hoL flashes Whlch of Lhe above svmpLoms would be an ob[ecLlve cue? 8lood pressure measuremenL of 170/100
Whlle Lalklna wlLh Mrs Amado lL ls mosL lmporLanL for Lhe nurse Lo uo an assessmenL of Lhe cllenL Lo deLermlne prlorlLv needs
An example of a manaaemenL funcLlon of a nurse ls ulrecLlna and evaluaLlna Lhe sLaff nurses
6

?our head nurse ln Lhe unlL belleves LhaL Lhe sLaff nurses are noL capable of declslon maklna so she makes Lhe declslons for
evervone wlLhouL consulLlna anvbodv 1hls Lvpe of leadershlp ls AuLocraLlc leadershlp
When Lhe head nurse ln vour ward ploLs and approves vour work schedules and dlrecLs vour work she ls demonsLraLlna AuLhorlLv
1he followlna Lasks can be safelv deleaaLed bv a nurse Lo a nonnurse healLh worker LxCL1 Chanae lv lnfuslons
?ou made a mlsLake ln alvlna Lhe medlclne Lo Lhe wrona cllenL ?ou noLlfv Lhe cllenLs docLor and wrlLe an lncldenL reporL ?ou are
demonsLraLlna AccounLablllLv
5ltootloo nlneLv vear old lellcldad ls conflned aL Lhe medlcal unlL for resplraLorv allmenL for whlch a breaLhlna apparaLus ls prescrlbed for her
Lo use whlle she sleeps She refuses Lo wear lL conLlnuouslv Lhouah she fullv undersLands Lhe medlcal lndlcaLlon for lL
Whlch of Lhese eLhlcal prlnclples can aulde Lhe nurse ln her acLlon? AuLonomv
lellcldad has slx chlldren who are alreadv adulLs 1hev dlffer ln Lhelr oplnlon WheLher or noL Lo allow Lhelr moLher Lo declde for
herself 1he nurse would encouraae famllv conference for consensus bulldlna
8reaLhlna LreaLmenLs are Lo be alven Lo lellcldad ln anLlclpaLlon LhaL lellcldad mlahL refuse ulno one of Lhe chlldren requesLs
LhaL he be Lhe one Lo slan consenL ln behalf of Lhelr moLher 1he nurse explalns LhaL lellcldad ls raLlonal ln her Lhlnklna and whlch
of Lhese cllenLs rlahL musL be reaarded? 8lahL Lo refuse LreaLmenL
Whlch of Lhese would be Lhe nurses prlorlLv followlna Lhe LreaLmenL prlnclple of leasL resLrlcLlve alLernaLlve? Cne Lo one
lellcldad Lalks abouL her [ov ln havlna responslble and accompllshed chlldren and recalls challenalna career as a lawver She ls
demonsLraLlna a sense of eao lnLearlLv
5ltootloo 1he nurse undersLands of eLhlcoleaal responslblllLles wlll aulde hls/her nurslna pracLlce
1411he prlnclples LhaL aovern rlahL and proper conducLs of a person reaardlna llfe bloloav and Lhe healLh professlons ls referred
Lo as 8loeLhlcs
142 1he purpose of nurses code of eLhlcs ls 1o help Lhe publlc undersLand professlonal conducL expecLed of nurses
143 oLasslum chlorlde (kCL) was ordered bv a phvslclan 1he nurse admlnlsLered lL bv dlrecLlve push 1he paLlenL dled lnsLanLlv of
venLrlcular flbrlllaLlon She ls llable for MalpracLlce
144 Whlle !avvee a burn paLlenL ls belna Lransferred bv nurse vlckv from Lhe burn unlL Lo Lhe operaLlna room Lhe lv boLLle fell on
!avvee's head Pe susLalned a laceraLlon on hls forehead nurse vlckv was proven aullLv of neallaence
Whlch of Lhe followlna dld nurse vlckv fall Lo do? lace Lhe lv sLand on Lhe fooL parL of Lhe sLreLcher
143 ?ou lnform Lhe paLlenL abouL hls rlahLs whlch lnclude Lhe followlna LxCL1 8lahL Lo obLaln lnformaLlon abouL anoLher paLlenL
146 1he prlnclple sLaLes LhaL a person has uncondlLlonal worLh and has Lhe capaclLv Lo AuLonomv
147 ?ou are Lhe nurse ln an AdulL Care unlL ?ou overhear one of vour cosLaff nurses asslaned Lo Allna !osle who ls 78 vears old
sav LhaL lf she refuses Lo Lake her medlcaLlons she wlll noL be alven her favorlLe desserL ?ou reporL vour cosLaff's behavlor as
AssaulL
148 As a head nurse of Lhe unlL whlch of Lhe followlna sources should vou Lake lnLo conslderaLlon when maklna effecLlve
asslanmenLs for Lhe nexL shlfL CllenL classlflcaLlon daLa
149 lour cllenLs ln[ured ln an auLomoblle accldenL enLer Lhe emeraencv deparLmenL (Lu) aL Lhe same Llme and are lmmedlaLelv
seen bv a Lrlaae nurse As Lhe Lrlaae nurse vou would asslan Lhe PlCPLS1 prlorlLv Lo Lhe cllenL wlLh Lhe maxlllofaclal ln[urv and
aurallna resplraLlons
130 When a nurse volunLeers Lo work ln a hosplLal seLLlna and she commlLs a mlsLake who ls leaallv responslble?
volunLeer nurse because Lhere ls no emplover emplovee relaLlonshlp
131 Whlle !avvee a burn paLlenL ls belna Lransferred from Lhe burn unlL Lo Lhe operaLlna room Lhe lv boLLle fell on !avvees head
Pe susLalned a laceraLlon on hls forehead 1he nurse was proven aullLv of neallaence Whlch of Lhe followlna dld Lhe nurse fall Lo
do? lace Lhe lv sLand on Lhe fooL parL of Lhe sLreLcher
132 Whlle Mrs Lnrlquez ls recelvlna chemoLherapv whlch of Lhe followlna wlll vou lnclude ln Lhe plan of care Lo address her
nuLrlLlonal needs? AdmlnlsLer Compazlne before meals
133 nurses worklna ln Lhe 33 bed female Medlcal unlL were noLed Lo lmplemenL new and lnnovaLlve cllenL care acLlvlLles lona
before oLher unlLs ln Lhe hosplLal Whlch of Lhe followlna leadershlp characLerlsLlcs exhlblLed bv Lhe nurse manaaer besL descrlbes
Lhls sLrenaLh? vlslon and passlon
134 Claa ls recelvlna u3W 1 llLer reaulaLed aL 30 drops/mln Lo be consumed ln 8 hrs lL was sLarLed aL 8 am AL 10 am her relaLlve
lnformed vou LhaL Lhe boLLle ls empLv Whlch of Lhe followlna wlll vou do flrsL? Assess Claa and check level of fluld lefL ln Lhe boLLle
133 A research sLudv found ouL LhaL 60 of paLlenLs complalnLs were due Lo delaved responses of nurses ln Lhe emeraencv
deparLmenL Whlch of Lhe followlna measuremenL of daLa was used ln Lhls sLudv? lnferenLlal sLaLlsLlcs
136 As a nurse vou accldenLallv admlnlsLer 40 ma of ropranolol (lnderal) Lo a cllenL lnsLead of 10 ma AlLhouah Lhe cllenL exhlblLs
no adverse reacLlons Lo Lhe laraer dose vou should compleLe an lncldenL reporL
7

137 ?ou are Lhe nurse manaaer of Lhe Medlcal unlL Whlch of Lhe followlna ls a prlorlLv for vou Lo conslder when plannlna for Lhe
care of a aroup of cllenLs uLlllzlna evldencebased pracLlce? CllenLs care ls planned based on Lhe nurses cllnlcal experLlse and laLesL
research flndlnas
138 8ecause of lncrease lncldenLs of medlcaLlon error due Lo wrona LranscrlpLlon of phvslclan medlcaLlon orders bv nurses a
LerLlarv hosplLal uLlllzed a compuLerlzed medlcaLlon order svsLem Whlch of Lhe followlna procedures mav be done Lhrouah Lhe
sald svsLem? rovlde a llsL of druas wlLh Lhelr aenerlc name
5ltootloo Manv hosplLals form bloeLhlcal revlew commlLLees Lo ensure beLLer quallLv of llfe of paLlenLs ?ou are lnvlLed bv Lhe nurslna servlce
deparLmenL Lo parLlclpaLe ln Lhelr bloeLhlcal revlew commlLLee ?ou are expecLed Lo know Lhe purpose and applv bloeLhlcal prlnclples
Whlch of Lhe followlna ls Lhe purpose of Lhe eLhlcal revlew commlLLee? lncrease lndlvldual's responslblllLv for declslonmaklna
Sophla who ls admlLLed Lo Lhe hosplLal wlLh auLolmmune LhrombocvLopenla and a plaLeleL counL of 20000/dL develops eplsLaxls
and melena 1reaLmenL wlLh corLlcosLerolds and mmunoalobulln has noL been successful Per phvslclan recommended
splenecLomv uarla sLaLes l donL need suraerv 1hls wlll ao awav on Lo own' ln conslderlna vour response Lo uarla vou musL
depend on Lhe eLhlcal prlnclple of AuLonomv

krlsLlne ls Lermlnallv lll and ls experlenclna severe paln She has bone and llver meLasLasls She has been on morphlne for several
monLhs now Zoravda ls aware LhaL Lhev are havlna flnanclal problems She decldes Lo slan a un8 form WhaL eLhlcal prlnclple dld
Zoravda and her famllv uLlllze as basls for Lhelr declslon Lo slan a un8? AuLonomv
1rlcla a sLaff nurse worklna ln a cancer unlL ls consldered a role model noL onlv bv her colleaaues buL also bv her paLlenLs She
aoes ouL of her wav Lo help oLher She ls verv acLlve ln Lhelr professlonal oraanlzaLlon and she pracLlces whaL she Leaches WhaL
eLhlcal prlnclples ls she pracLlclna? Advocacv
?ou ore commuLlna Lo work rldlna Lhe L81 An older person collapsed and nobodv seems Lo noLlce her 1he securlLv auard Lrled Lo
make her slL down buL she remalned unconsclous ?ou saw whaL happened and vou declded Lo help WlLh help vou brouahL Lhe
paLlenL Lo Lhe nearesL hosplLal ?ou learned laLer LhaL woman was dlabeLlc She was on her wav Lo Lhe dlabeLes cllnlc Lo have her
fasLlna blood suaar LesLed She developed hvpoalvcemla ?ou were able Lo save a llfe ?ou felL aood WhaL prlnclple was applled?
8eneflcence
5ltootloo 1he followlna quesLlons refer Lo nurses efforLs Lo do collaboraLlon and Leamwork SelecL Lhe besL answer
164 1he mosL lmporLanL role of Lhe nurse as a member of Lhe Leam ls Lo carrv ouL medlcal orders coordlnaLe Lhe psvcholoalcal
care and manaaemenL of cllenLs
163 A bloloalc/medlcal approach Lo paLlenL care uLlllzes whlch of Lhe followlna? SomaLlc Lherapv
5ltootloo 1he supervlslna nurse recelved reporL LhaL a sLaff nurse ls dlsplavlna frequenL lrrlLaLlon anaer and even lndlfference Loward cllenLs
and coworkers
166 1he lnlLlal acLlon of Lhe supervlsor would be Lo call Lhe nurse for a one on one conference
167 1he nurse expressed lncreaslna feellnas of dlssaLlsfacLlon 1he supervlslna nurse lnLervenes LherapeuLlcallv bv Laklna on Lhe
role of counselor bv acLlvelv llsLenlna
168 Coupled wlLh poor work performance menLal and phvslcal faLlaue and acLual wlLhdrawal from cllenL conLacL and nurslna
duLles Lhe nurse can be sald Lo be sufferlna from sLaff burnouL
169 A prlorlLv ln Lhe nurses personal developmenL proaram would be Lo help her flnd value and meanlna ln her work
170 1oLal Llme ln Lhe [ob weeklv worklna hours shlfLworklna and Lhe unlL belna emploved 1he mosL relevanL professlonal
proaram for her would be sLress manaaemenL
171 Amona chlldren candldaLes for oraan LransplanL when all selecLed chlldren have approprlaLe Llssue maLches for Lhe same
donaLed oraan Lhe basls for Lhe declslon as Lo whlch chlld aeLs Lhe oraan ls LhaL Lhe oraan ls alven Lo Lhe chlld who ls mosL llkelv Lo
dle wlLhouL Lhe LransplanL
172 1he nurse uses whaL equlpmenL Lo check for fluld beLween Lhe parleLal and vlsceral lavers of Lhe Lunlca vaalnalls Lhe
ouLermosL coverlna of Lhe LesLes? 1ranslllumlnaLor
173 Whlch of Lhe followlna examples besL deflnes Lhe Lerm role reversal? 1he chlld assumes a carealver role Loward Lhe carealver
174 When a nurse breaches Lhe duLv of confldenLlallLv boLh Lhe emplover and Lhe 8oard of nurslna can dlsclpllne hlm or her ln
addlLlon Lo Lhls dlsclpllne he or she can be held responslble for anv damaaes LhaL resulL
173 A sLraLeav for chanae LhaL focuses on Leachlna workers new Lechnoloav ls normaLlvereeducaLlve
176 Some sLraLeales Lo malnLaln professlonal healLh are llsLed below Whlch ls nC1 necessarllv correcL? 8ead flcLlon and
nonflcLlon maLerlals
177 1here are numerous deflnlLlons of Lhe word healLh Whlch deflnlLlon below ls from llorence nlahLlnaale? sLaLe or a process
of belna and becomlna an lnLearaLed and whole person
178 lnformal communlcaLlon Lakes place when lndlvlduals Lalk and ls besL descrlbed bv savlna Lhe parLlclpanLs have no parLlcular
aaenda or proLocol
8

178 1erLlarv care bv Lhe home healLh nurse ls dlrecLed Loward chlldren wlLh
problems ln moblllLv
178 A measuremenL Lool Lo arLlculaLe Lhe nurslna workload for a speclflc paLlenL or aroups of paLlenLs over a speclflc perlod of
Llme ls called aLlenL classlflcaLlon
179 Lvldencebased care sLarLed ln medlclne as a wav Lo lnLearaLe lndlvldual experlence wlLh cllnlcal research
180 LmoLlonal lnLelllaence conslsLs of a number of compeLencles Some of Lhese are llsLed below Whlch ls nC1 a characLerlsLlc of
emoLlonal lnLelllaence? SelfreaulaLlon
181 uaLa collecLlon for drlvlna and resLralnlna forces lncludlna cosLs deslrablllLv and feaslblllLv ls a sLrucLural lssue
182 Whlch of Lhe followlna ls Lhe besL example of Lhe eLhlcal prlnclple of fldellLv? keeplna a promlse Lo reLurn Lo Lhe cllenLs room
aL a alven Llme
183 ln confllcL manaaemenL Lhe wlnwln approach occurs whenboLh parLles lnvolved are commlLLed Lo solvlna Lhe confllcL
184 1he use of lnLerpersonal declslon maklna psvchomoLor skllls and appllcaLlon of knowledae expecLed ln Lhe role of a llcensed
healLh care professlonal ln Lhe conLexL of publlc healLh welfare and safeLv ls an example of ueleaaLlon
183 When one person allows Lhe confllcL Lo be reserved aL hls or her own expense Lhls ls referred Lo ln confllcL manaaemenL as
loslna
186 1he Lone and plLch of Lhe volce volume lnflecLlon speed arunLs and oLher vocallzaLlons are referred Lo bv whlch of Lhe
followlna Lerms? ara verbal clues
187 1he plandosLudvacL cvcle bealns wlLh llve aaendas
188 1he obllaaLlon Lo correcLlv perform ones asslaned duLles ls responslblllLv
189 ln CommunlLv PealLh nurslna desplLe Lhe avallablllLv and use of manv equlpmenL and devlces Lo faclllLaLe Lhe [ob of Lhe
communlLv healLh nurse Lhe besL Lool anv nurse should well be prepared Lo applv ls a sclenLlflc approach 1hls approach ensures
quallLv of care even aL Lhe communlLv seLLlna 1hls ln nurslna parlance ls noLhlna less Lhan Lhe nurslna process
5ltootloo 1he 8C reaulaLes Lhe pracLlce of 42 professlons ln Lhe hlllpplnes
190 WhaL ls Lhe baslc requlremenL of Lhe sLaLe for a nurse Lo pracLlce her professlon? A nurslna llcense
191 1he Code of Cood Covernance for Lhe professlons ln Lhe hlllpplnes shall be adapLed bv all llllplno professlonals
192 1he sLandardlzed auldellnes and procedures for Lhe lmplemenLaLlon of ConLlnulna rofesslonal LducaLlon (CL) for all
professlonal 8esoluLlon number 2004179 provldes LhaL Lhe LoLal CL credlL unlLs for realsLered professlonals wlLh baccalaureaLe
dearee should be 60 credlL unlLs for 3 vears
193 1he 8oard of nurslna ls vesLed wlLh power Lo lssue suspend or revoke for cause Lhe cerLlflcaLe of 8ealsLraLlon
194 8A 7193 sLlpulaLes Lhe removal examlnaLlon of Lhe nurse llcensure examlnaLlon shall be Laken AnvLlme Lhe examlnee wanLs
Lo Lake Lhe examlnaLlon
5ltootloo 8ns should alwavs be consclous LhaL Lhe conLenLs ln charLlna are admlsslble ln courL as evldence
193 lf Lhere ls anv devlaLlon from normal pracLlce or procedure ea sLrepLomvcln was alven bv lv noL lM Lhls should documenLed
ln Lhe lncldenL reporL
196 uocumenLaLlon of all nurslna acLlvlLles performed ls leaallv and professlonallv vlLal Whlch of Lhe followlna should nC1 be
lncluded ln Lhe paLlenLs charL? AraumenLs beLween nurses and resldenLs reaardlna LreaLmenLs
197 uurlna vour mornlna rounds Mr 1rlfon 60vearold wldower Lrled Lo slL up and lnsLead of holdlna Lo Lhe slde rall held Lhe lv
sLand causlna Lhe lv boLLle Lo fall and break ?ou wroLe an lncldenL reporL Lo show evldence of Lhe quallLv of care
198 Lrasures alLeraLlons and addlLlons ln medlcal records and Lhe nurses noLes can be avolded 1he followlna are some Llps on
how Lo do correcLlons LxCL1 lnserL adlLlons or correcLlons
199 kaLhv ls one of vour paLlenLs Per uncle who ls a docLor wanLs Lo read her charL ?our approprlaLe acLlon would be Lo
lnsLrucL kaLhvs uncle Lo presenL a wrlLLen auLhorlzaLlon slaned bv Lhe paLlenL
5ltootloo lL ls Lhe flrsL dav of cllnlcal experlence of nurslna sLudenLs aL Lhe svchlaLrv Ward uurlna Lhe orlenLaLlon Lhe nurse emphaslzes LhaL
Lhe Leam members lncludlna nurslna sLudenLs are leaallv responslble Lo safeauard paLlenLs records from loss or desLrucLlon or from people
noL auLhorlzed Lo read lL
200 lL ls uneLhlcal Lo Lell ones frlends and famllv members daLa abouL paLlenLs because dolna so ls vlolaLlon of paLlenLs rlahLs Lo
ConfldenLlallLv
201 1he nurse musL see Lo lL LhaL Lhe wrlLLen consenL of menLallv lll paLlenLs musL be Laken from arenLs or leaal auardlan
202 ln an exLreme slLuaLlon and when no oLher resldenL or lnLern ls avallable should a nurse recelve Lelephone orders Lhe order
has Lo be correcLlv wrlLLen and slaned bv Lhe phvslclan wlLhln 24 hours
9

203 1he followlna are SCA (Sub[ecLlve Cb[ecLlve Analvsls lan) sLaLemenLs on a problem AnxleLv abouL dlaanosls WhaL ls Lhe
ob[ecLlve daLa? Pas perlods of crvlna frequenLlv verballzes fear of whaL dlaanosLlc LesLs wlll reveal
204 nurslna care plans provlde verv meanlnaful daLa for Lhe paLlenL proflle and lnlLlal plan because Lhe focus ls on Lhe SLep
procedures for Lhe manaaemenL of common problems
5ltootloo ?ou are now worklna as a sLaff nurse ln a aeneral hosplLal ?ou have Lo be prepared Lo handle slLuaLlons wlLh eLhlcoleaal and moral
lmpllcaLlons
203 ?ou are on nlahL duLv ln Lhe suralcal ward Cne of our paLlenLs MarLln ls prlsoner who susLalned an abdomlnal aunshoL wound
Pe ls belna auarded bv pollcemen from Lhe local pollce unlL uurlna vour rounds vou heard a commoLlon ?ou saw Lhe pollceman
Lrvlna Lo hlL MarLln ?ou asked whv he was Lrvlna Lo hurL MarLln Pe denled Lhe maLLer Whlch amona Lhe followlna acLlvlLles wlll
vou do flrsL? Call vour nurse supervlsor and reporL Lhe lncldenL
206 nurse !av accldenLallv admlnlsLer 40 ma of ropanolol (lnderal) Lo a cllenL lnsLead of 10 ma AlLhouah Lhe cllenL exhlblLs no
adverse reacLlons Lo Lhe laraer dose nurse !oseph 1 should CompleLe an lncldenL reporL
207 1he nurse alves an lnaccuraLe dose of a medlcaLlon Lo a cllenL lollowlna assessmenL of Lhe cllenL Lhe nurse compleLes an
lncldenL reporL 1he nurse noLlfles Lhe nurslna supervlsor of Lhe medlcaLlon error and calls Lhe phvslclan Lo reporL Lhe occurrence
1he nurse who admlnlsLered Lhe lnaccuraLe medlcaLlon dose undersLands LhaL Lhe lncldenL reporL ls a meLhod of promoLlna
quallLv care and rlsk manaaemenL
208 1he nurse hears a cllenL call for help 1he nurse hurrles down Lhe hallwav Lo Lhe cllenL's room and flnds Lhe cllenL lvlna on Lhe
floor 1he nurse performs a Lhorouah assessmenL and asslsLs Lhe cllenL back Lo bed 1he nurse noLlfles Lhe phvslclan of Lhe lncldenL
and compleLes an lncldenL reporL Whlch of Lhe followlna would Lhe nurse documenL on Lhe lncldenL reporL? Lhe cllenL was found
lvlna on Lhe floor
209 ?ou are on duLv ln Lhe medlcal ward 1he moLher of vour paLlenL who ls also a nurse came runnlna Lo Lhe nurse sLaLlon and
lnformed vou LhaL 8omeo wenL lnLo cardlopulmonarv arresL Whlch amona Lhe followlna wlll vou do flrsL? Call for Lhe Code
210 A cllenL ls brouahL Lo Lhe emeraencv medlcal servlces afLer belna hlL bv a car 1he name of Lhe cllenL ls noL known 1he cllenL
has susLalned a severe head ln[urv mulLlple fracLures and ls unconsclous An emeraencv cranloLomv ls requlred 8eaardlna
lnformed consenL for Lhe suralcal procedure whlch of Lhe followlna ls Lhe besL acLlon? LransporL Lhe vlcLlm Lo Lhe operaLlna room
for suraerv
5ltootloo ?our dlrecLor of nurslna wanLs Lo lmprove Lhe quallLv of healLh care offered ln Lhe hosplLal As a sLaff nurse ln LhaL hosplLal vou
know LhaL Lhls enLalls quallLv assurance proarams
211 A lealslaLlve enacLmenL LhaL serves as a defense Lo malpracLlce ls Lhe Cood SamarlLan sLaLuLe 1he followlna sLaLemenLs are
correcL excepL lL proLecLs healLh care provldes from clvll llablllLv LhaL mav be lncurred ln sLopplna Lo render ald aL Lhe scene of an
accldenL also applles Lo hosplLal care alven Lo a cllenL as lona lL ls of an emeraencv naLure
212 SLandards of nurslna pracLlce serve as aulde for Safe nurslna care and manaaemenL
213 ?ou are Laklna care of crlLlcallv lll cllenL and Lhe docLor ln charae calls Lo order a un8 (do noL resusclLaLe) for Lhe cllenL Whlch
of Lhe followlna ls Lhe approprlaLe acLlon when aeLLlna un8 order over Lhe phone? Pave Lwo nurses valldaLe Lhe phone order boLh
nurses slan Lhe order and Lhe docLor should slan hls order wlLhln 24 hours
214 1o ensure Lhe cllenL safeLv before sLarLlna blood Lransfuslon Lhe followlna are needed before Lhe procedure can be done
LxCL1 aeL a consenL slaned for blood Lransfuslon
213 arL of sLandards of care has Lo do wlLh Lhe use of resLralnLs Whlch of Lhe followlna sLaLemenLs ls nC1 Lrue? Check cllenLs
pulse blood pressure and clrculaLlon everv four hours
5ltootloo nurslna manaaemenL ls performlna leadershlp funcLlons of aovernance and declslonmaklna wlLhln oraanlzaLlons emplovlna nurses
216 1he unlL manaaer ls meeLlna wlLh Lhe dlrecLor of nurslna for Lhe unlL manaaer's vearlv performance revlew 1he dlrecLor of
nurslna sLaLes LhaL Lhe unlL manaaer needs Lo lmprove leadershlp skllls ln dlfferenLlaLlna leadershlp from manaaemenL Lhe nurse
manaaer recoanlzes LhaL whlch of Lhe followlna approaches wlll applv? A aood leader uses manaaerlal prlnclples
217 When Mrs Cuevarra a nurse deleaaLes aspecLs of Lhe cllenLs care Lo Lhe nursealde who ls an unllcensed sLaff Mrs
Cuevarra ls asslanlna Lhe responslblllLv Lo Lhe alde buL noL Lhe accounLablllLv for Lhose Lasks
218 A sLaff nurse ls responslble for Lhe care of Lhe asslaned cllenL from admlsslon Lo dlscharae When Lhe sLaff nurse ls noL on duLv
oLhers provlde care based on lnsLrucLlons lefL bv Lhe sLaff nurse Whlch Lvpe of nurslna asslanmenL does Lhls represenL? rlmarv
219 rocess of formal neaoLlaLlons of worklna condlLlons beLween a aroup of realsLered nurses and emplover ls collecLlve
baraalnlna
220 ?ou are aLLendlna a cerLlflcaLlon proaram on cardlopulmonarv resusclLaLlon (C8) offered and requlred bv Lhe hosplLal
emplovlna vou 1hls ls lnservlce educaLlon
5ltootloo 8ecords conLaln Lhose comprehenslve descrlpLlons of paLlenLs healLh condlLlons and needs and aL Lhe same serve as evldences of
everv nurses accounLablllLv ln Lhe care alvlna process nurslna records normallv dlffer from lnsLlLuLlon Lo lnsLlLuLlon noneLheless Lhev follow
slmllar paLLerns of meeLlna needs for speclflcs Lvpes of lnformaLlon 1he followlna perLalns Lo documenLaLlon/records manaaemenL
221 1hls speclal form used when Lhe paLlenL ls admlLLed Lo Lhe unlL 1he nurse compleLes Lhe lnformaLlon ln Lhls records
parLlcularlv hls/her baslc personal daLa currenL lllness prevlous healLh hlsLorv healLh hlsLorv of Lhe famllv emoLlonal proflle
10

envlronmenLal hlsLorv as well as phvslcal assessmenL LoaeLher wlLh nurslna dlaanosls on admlsslon whaL do vou call Lhls record?
nurslna PealLh PlsLorv and AssessmenL WorksheeL
222 1hese are sheeLs/forms whlch provlde an efflclenL and Llme savlna wav Lo record lnformaLlon LhaL musL be obLalned
repeaLedlv aL reaular and/or shorL lnLervals of Llme 1hls does noL replace Lhe proaress noLes lnsLead Lhls record of lnformaLlon on
vlLal slans lnLake and ouLpuL LreaLmenL posLoperaLlve care posLparLum care and dlabeLlc realmen eLc Lhls ls used whenever
speclflc measuremenLs or observaLlons are needed Lobe documenLed repeaLedlv WhaL ls Lhls? Craphlc llow sheeLs
223 1hese records show all medlcaLlons and LreaLmenL provlded on a repeaLed basls WhaL do vou call Lhls record? Medlclne and
1reaLmenL 8ecord
224 1hls fllpover card ls usuallv kepL ln a porLable flle aL Lhe nurses SLaLlon lL has 2parLs Lhe acLlvlLv and LreaLmenL secLlon and a
nurslna care plan secLlon 1hls carrles lnformaLlon abouL baslc demoaraphlc daLa prlmarv medlcal dlaanosls currenL orders of Lhe
phvslclan Lo be carrled ouL bv Lhe nurse wrlLLen nurslna care plan nurslna orders scheduled LesLs and procedures safeLv
precauLlons lnpaLlenL care and facLors relaLed Lo dallv llvlna acLlvlLles/ Lhls record ls used ln Lhe charaeofshlfL reporLs or durlna
Lhe beslde rounds or walklna rounds WhaL record ls Lhls? nurslna kardex
223 MosL nurses reaard Lhls as convenLlonal recordlna of Lhe daLe Llme and mode bv whlch Lhe paLlenL leaves a healLhcare unlL
buL Lhls record lncludes lmporLanLlv dlrecLs of plannlna for dlscharae LhaL sLarLs soon afLer Lhe person ls admlLLed Lo a healLhcare
lnsLlLuLlon lL ls accepLed LhaL collaboraLlon or mulLldlsclpllnarv lnvolvemenL (of all members of Lhe healLh Leam) ln dlscharae
resulLs ln comprehenslve care whaL do ?ou call Lhls ulscharae Summarv
5ltootloo As an 8n vou assume responslblllLv for svsLemaLlcallv assesslna and plannlna for Lhe needs of vour cllenLs ?ou admlLLed 1onv Lo
Lhe ward
226 ln vour lnlLlal conLacL wlLh 1onv whlch of Lhe followlna areeLlnas wlll more llkelv puL hlm aL ease Cood mornlna l am 1el
vour new nurse"
227 ?our admlsslon daLa wlll lnclude soclal daLa abouL vour paLlenL 1hese are examples of soclal daLa excepL ercepLlon of lllness
228 rovldes a conclse meLhod of oraanlzlna and recordlna daLa abouL Lhe cllenL lL ls a Lool used durlna endorsemenL Chanae of
shlfL reporL
229 Lncouraalna 1onv Lo parLlclpaLe ln Lhe plannlna of hls own care would romoLe aood nursepaLlenL relaLlonshlp
230 ?ou are responslble for Lhe care of 1onv from admlsslon Lo dlscharae When Lhe sLaff nurse ls noL on duLv oLhers provlde care
based on lnsLrucLlons vou lefL Whlch Lvpe of nurslna asslanmenLs does Lhls represenL? rlmarv
5ltootloo ?ou are acLlvelv pracLlclna nurse who [usL flnlshed vour CraduaLe SLudles ?ou earned Lhe value of 8esearch and would llke Lo uLlllze
Lhe knowledae and skllls aalned ln Lhe appllcaLlon of research Lo nurslna servlce 1he followlna quesLlons applv Lo research
231 Whlch of Lhe followlna sLudles ls based on quanLlLaLlve research? A sLudv measurlna Lhe effecLs of sleep deprlvaLlon on wound
heallna
232 Whlch of Lhe followlna sLudles ls based on quallLaLlve research? A sLudv examlnlna cllenLs reacLlons Lo sLress afLer open hearL
suraerv
233 An 83vearold cllenL ln a nurslna home Lells a nurse l slaned Lhe papers for LhaL research sLudv because Lhe docLor was so
lnslsLenL and l wanL hlm Lo conLlnue Laklna care of me Whlch cllenL rlahL ls belna vlolaLed? 8lahL of selfdeLermlnaLlon
5ltootloo 8ecord manaaemenL ls anoLher responslblllLv of Lhe nurse
234 CuallLles relevanL ln documenLlna paLlenL care excepL use of locallv accepLed abbrevlaLlon
233 CharLlna should be lealble and sLandard abbrevlaLlon should be used WhaL ls noL sLandard abbrevlaLlon? nnC
236 Who wlll noL be allowed Lo have free access on cllenL's record? Lawver
237 ln medlcal and nurslna parlance CCuL means Call Lo order
5ltootloo ?ou conslder nurse Crvs chlef nurse of vour hosplLal a LradlLlonal and bureaucraLlc leader
238 1he followlna sLaLemenLs abouL bureaucraLlc approach Lo manaaemenL are Lrue excepL ueclslon alvlna ls parLlclpaLlve
239 WhaL ls Lhe mosL baslc prlnclple on Lhe human relaLlons approach Lo manaaemenL When Lhlnas ao well for Lhe workers Lhen
oraanlzaLlon proflLs
240 WhaL leadershlp sLvle works well wlLh oLher professlonal aroups buL does noL ln healLh care seLLlnas? Lalssez falre
241 nurse Clelo ls uslna experL power" Lo aaln cooperaLlon from oLher nurses LxperL power relles on whlch of Lhe
followlna?ossesslon of unlque sklll and compeLence Lo aaln respecL of oLhers
5ltootloo ?our head nurse parLlclpaLed ln a 2week semlnar ?ou were deslanaLed Lo be Lhe offlcerlncharae of vour unlL
242 Cne of Lhe flrsL Lhlnas vou dld was Lo enaaae vour unlL ln ob[ecLlve wrlLlna formulaLlna aoals and phllosophv of nurslna
servlce Whlch acLlvlLles are mosL approprlaLelv descrlbed Lo whlch elemenLs of admlnlsLraLlon? plannlna
243 1hls ls an example of daLa whlch should be analvzed when ldenLlfvlna nurslna needs aLlenL classlflcaLlon
244 1hls ls an example of a paLlenL care unlL ob[ecLlve 1o provlde safe nurslna care
11

243 Whlch of Lhe followlna Lools can be mosL helpful ln Lhe evaluaLlon of sLaff performance? erformance audlL
5ltootloo As a realsLered nurse nurse nlna wlll assume accounLablllLv for her nurslna acLlons
246 uolna a nurslna procedure wlLhouL Lhe paLlenL's lnformed consenL mav brlna nurse nlna Lo Lhe courL of law for Lhls vlolaLlon
8aLLerv
247 nurse nlna mav be found neallaenL lf all
A paLlenL ls ln[ured
nurse nlna dld noL follow nurslna sLandards
nurse nlna falled Lo do hls duLv
1he ln[urv LhaL Lhe paLlenL susLalned ls foreseeable
248 Whlch of Lhe followlna examples lllusLraLes res lpsa loqulLor? A comaLose paLlenL was scalded because of Lhe hoL waLer baa
placed bv nurse nlna
230 nurse nlna shared wlLh her coworker hls mosL recenL experlence abouL a resLless paLlenL whlch he ralsed Lhe slde ralls up Lo
prevenL fall Whlch aLLrlbuLes shown bv nlna? rudence
231 nurse nlna was noL able Lo ralse Lhe slde ralls Pls paLlenL fell obLalned a neck fracLure and dled AfLer due process nurse nlna
was proven aullLv Who wlll revoke hls llcense as an 8n? 8Cn
5ltootloo 1he role of Lhe nurse ls bounded bv several eLhlcomoral responslblllLles
232 !ose lan a sLudenL nurse belleves LhaL all paLlenLs should be LreaLed as lndlvlduals 1he eLhlcal prlnclple LhaL Lhls reflecL
8especL for oLhers
233 lnformed consenL ls necessarv for Lhe LreaLmenL for lnvolunLarv cllenLs When Lhls consenL cannoL be obLalned permlsslon
mavbe Laken from Lhe nexL kln/ auardlan
234 A moLher who ls preananL and wlLh ovarlan cancer underwenL a LreaLmenL 1he feLus dled WhaL bloeLhlcal prlnclple applles Lo
Lhls case? uouble effecL
233 Ms Ana ls dlaanosed Lo have acuLe Ml and ls recommended for admlsslon Pe refused Lo be admlLLed and asked Lo be
Lransferred Lo a LerLlarv hosplLal lnsLead Whlch of Lhe followlna prlnclples should Lhe nurse use as a aulde for her acLlons?
AuLonomv
236 A common eLhlcal concepL of nurslna whlch reflecLs a professlonal value of avoldlna harm Lo Lhe cllenL ln Lhe execuLorv Lask ls
nonmaleflcence
5ltootloo ln 8A 9173 healLh educaLlon ls Lhe ma[or responslblllLv of Lhe nurse
237 1he prlmarv purpose of healLh educaLlon ls 1o provlde lnformaLlon on healLh promoLlon
238 Whlch of Lhe followlna behavlors bv a cllenL lndlcaLes Lo Lhe nurse LhaL learnlna ln Lhe coanlLlve domaln has Laken place
Lxplalnlna Lhe raLlonale for Laklna new medlcaLlons
239 1he nurse ls expecLed Lo provlde needed healLh Leachlnas Lo all her paLlenLs as provlded on whlch of Lhe followlna nurslna
pracLlce acL of 2002
260 Whlch ls Lhe besL wav Lo dlssemlnaLe lnformaLlon Lo Lhe publlc? radlo and Lelevlslon
nCML LCCNCMIC5
ln a chlld wlLh suspecLed coarcLaLlon of Lhe aorLa Lhe nurse would expecL Lo flnd u 8CunulnC uLSLS ln 1PL A8MS
1he nurse ls carlna for a chlld recelvlna chesL phvsloLherapv (C1) Whlch of Lhe ff acLlons bv Lhe nurse would be approprlaLe? C CCnllnL 1PL
L8CuSSlCn 1C 1PL 8l8 CACL A8LA
A cllenL was admlLLed Lo Lhe psvchlaLrlc unlL wlLh ma[or depresslon afLer a sulclde aLLempL ln addlLlon Lo feellna sad and hopeless Lhe nurse
would assess for C S?CPCMC1C8 8L1A8uA1lCn C8 ACl1A1lCn
4 A vlcLlm of domesLlc vlolence sLaLes Lo Lhe nurse lf onlv l could chanae and be how mv companlon wanLs me Lo be l know Lhlnas would be
dlfferenL" Whlch would be Lhe besL response bv Lhe nurse? u 8A11L8L8S LCSL SLLlCCn18CL 8LCAuSL Cl 1PLl8 CWn ln1L8nAL
8LASCnS nC1 8LCAuSL Cl WPA1 1PLl8 A81nL8 ulu C8 ulu nC1 uC"
3 A nurse ls Lo presenL lnformaLlon abouL Chlnese folk medlclne Lo a aroup of sLudenL nurses 8ased on Lhls culLural bellef Lhe nurse would
explaln LhaL lllness ls aLLrlbuLed Lo Lhe 8 ?ln 1PL nLCA1lvL lC8CL 1PA1 8L8LSLn1S uA8knLSS CCLu Anu LM1lnLSS
6 A polvdrua user has been ln recoverv for 8 monLhs 1he cllenL has beaun sklpplna breakfasL and noL eaLlna reaular dlnners 1he cllenL has
also sLarLed frequenLlna bars Lo see old buddles" 1he nurse undersLands LhaL Lhe cllenL's behavlor ls a warnlna slan Lo lndlcaLe LhaL Lhe cllenL
mav be A PLAuLu lC8 8LLASL
7 AL Lhe dav LreaLmenL cenLer a cllenL dlaanosed wlLh Schlzophrenlaaranold 1vpe slLs alone alerLlv waLchlna Lhe acLlvlLles of cllenLs and
sLaff 1he cllenL ls hosLlle when approached and asserLs LhaL Lhe docLor alves her medlcaLlon Lo conLrol her mlnd 1he cllenL's behavlor mosL
llkelv lndlcaLes 8 SCClAL lSCLA1lCn 8LLA1Lu 1C AL1L8Lu 1PCuCP1 8CCLSSLS
12

8 A cllenL ls admlLLed wlLh Lhe dlaanosls of menlnalLls Whlch flndlna would Lhe nurse expecL ln assesslna Lhls cllenL? 8 lLLxlCn Cl 1PL Pl
Anu knLLS Wl1P ASSlvL lLLxlCn Cl 1PL nLCk
9 osLprocedure nurslna lnLervenLlons for elecLroconvulslve Lherapv lnclude C 8LMAlnlnC Wl1P CLlLn1 un1lL C8lLn1Lu
10 1he nurse ls Lalklna Lo parenLs abouL nuLrlLlon ln school aaed chlldren Whlch of Lhe ff ls Lhe mosL common nuLrlLlonal dlsorder ln Lhls aae
aroup? C C8LSl1?
11 1he nurse assesses a cllenL who has been readmlLLed Lo Lhe psvchlaLrlc lnpaLlenL unlL for schlzophrenla Pls svmpLoms have been
manaaed for several monLhs wlLh fluphenazlne (rollxln) Whlch should be a focus of Lhe flrsL assessmenL? 8 MLulCA1lCn CCMLlAnCL
12 1he nurse admlLs a cllenL newlv dlaanosed wlLh hvperLenslon WhaL ls Lhe besL meLhod for assesslna Lhe blood pressure? 8 ln 8C1P
A8MS
13 1he nurse ls carlna for a cllenL who has developed cardlac Lamponade Whlch flndlna would Lhe nurse anLlclpaLe? C ulS1LnuLu nLCk
vLlnS
14 AL Lhe aerlaLrlc dav care proaram a cllenL ls crvlna and repeaLlna l wanL Lo ao home Call mv daddv Lo come for me" 1he nurse should C
ClvL 1PL CLlLn1 SlMLL lnlC8MA1lCn A8Cu1 WPA1 SPL WlLL 8L uClnC
13 When Leachlna adolescenLs abouL S1us whaL should Lhe nurse emphaslze LhaL ls Lhe mosL common lnfecLlon? 8 CPLAM?ulA
16 A 38vear old female cllenL ls admlLLed Lo Lhe hosplLal wlLh an acuLe exacerbaLlon of asLhma 1hls ls her Lhlrd admlsslon for asLhma ln 7
monLhs She descrlbes how she doesn'L reallv llke havlna Lo use her medlcaLlons all Lhe Llme Whlch explanaLlon bv Lhe nurse besL descrlbes
Lhe lonaLerm consequence of unconLrolled alrwav lnflammaLlon? C LunC 8LMCuLLLlnC Anu L8MAnLn1 CPAnCLS ln LunC lunC1lCn
17 1he moLher of a 13 monLhold chlld asks Lhe nurse Lo explaln her chlld's lab resulLs and how Lhev show her chlld has lrondeflclencv
anemla 1he nurse's besL response ls 8 ?Cu8 CPlLu PAS LLSS 8Lu 8LCCu CLLLS 1PA1 CA88? Cx?CLn"
18 rlvacv and confldenLlallLv of all cllenL lnformaLlon ls leaallv proLecLed ln whlch of Lhese slLuaLlons would Lhe nurse make an excepLlon Lo
Lhls pracLlce? 8 WPLn 1PL CLlLn1 1P8LA1LnS SLLlPA8M Anu PA8M 1C C1PL8S
19 AL a well babv cllnlc Lhe nurse ls asslaned Lo assess an 8 monLhold chlld Whlch of Lhese developmenL achlevemenLs would Lhe nurse
anLlclpaLe LhaL Lhe chlld would be able Lo perform? C Sl1 Wl1PCu1 SuC81
20 llrsLLlme parenLs brlna Lhelr 3 davold lnfanL Lo Lhe pedlaLrlclan's offlce because Lhev are exLremelv concerned abouL hls breaLhlna
paLLern 1he nurse assesses Lhe babv and flnds LhaL Lhe breaLh sounds are clear wlLh equal chesL expanslon 1he resplraLorv raLe ls 3840
breaLhs per mlnuLe wlLh occaslonal perlods of apnea lasLlna 10 seconds ln lenaLh WhaL ls Lhe correcL analvsls of Lhese flndlnas? C 1PlS
88LA1PlnC A11L8n lS nC8MAL
21 A 30 monLhold chlld ls admlLLed Lo Lhe hosplLal unlL Whlch of Lhe ff Lovs would be approprlaLe for Lhe nurse Lo selecL from Lhe Lov room
for Lhls chlld? 8 LA8CL WCCuLn uZZLL
22 A 2 vearold chlld has [usL been dlaanosed wlLh cvsLlc flbrosls 1he chlld's faLher asks Lhe nurse WhaL ls our ma[or concern now and whaL
wlll we have Lo deal wlLh ln Lhe fuLure? Whlch of Lhe ff ls Lhe besL response? C 1Pln 1LnAClCuS SLC8L1lCnS l8CM 1PL LunCS A8L A
CCnS1An1 S18uCCLL ln C?S1lC ll88CSlS"
23 Whlch presldenLlal decree orders reporLlna of blrLhs wlLhln 30 davs afLer lLs occurrence? A 631
24 1hese raLes are referred Lo Lhe LoLal llvlna populaLlon lL musL be presumed LhaL Lhe LoLal populaLlon was exposed Lo Lhe rlsk of occurrence
of Lhe evenL C C8uuL/ CLnL8AL 8A1LS
23 1hese are used Lo descrlbe Lhe relaLlonshlp beLween Lwo numerlcal quanLlLles or measures of evenLs wlLhouL Laklna parLlcular
conslderaLlons Lo Lhe Llme or place 8 8A1lCS
26 1hls ls Lhe mosL senslLlve lndex ln deLermlnlna Lhe aeneral healLh condlLlons of a communlLv slnce lL reflecLs Lhe chanaes ln Lhe
envlronmenL and medlcal condlLlons of a communlLv 8 lnlAn1 MC81ALl1? 8A1L
27 Accordlna Lo Lhe WPC whlch of Lhe ff ls Lhe mosL frequenL cause of deaLh under flve worldwlde ln Lhe 2003 WPC Survev? A nLCnA1AL
28 ln Lhe hlllpplnes whaL ls Lhe mosL common cause of deaLh of lnfanLs accordlna Lo Lhe laLesL survev? C C1PL8 L8lnA1AL CCnul1lCn
29 1he ma[or cause of morLallLv from 1999 up Lo 2002 ln Lhe hlllpplnes are A ulSLASLS Cl 1PL PLA81
30 Allcla a 9 vear old chlld asked vou WhaL ls Lhe common cause of deaLh ln mv aae aroup here ln Lhe hlllpplnes?" 1he nurse ls correcL lf
he wlll answer C 8C8A8L? WlSL ?Cu MlCP1 ulL uuL 1C ACCluLn1S
31 ln chlldren 1 Lo 4 vears old whlch ls Lhe mosL common cause of deaLh? C nLuMCnlA
32 Worklna ln Lhe communlLv as a Pn for almosL 10 vears Alda knew Lhe flucLuaLlon ln vlLal sLaLlsLlcs She knew LhaL Lhe mosL common
cause of morbldlLv amona Lhe llllplnos ls C nLuMCnlA
33 nurse Alda also knew LhaL mosL maLernal deaLhs are caused bv 8 C1PL8 CCMLlCA1lCnS 8LLA1Lu 1C 8LCnAnC? CCCu88lnC ln 1PL
CCu8SL Cl LA8C8 uLLlvL8? Anu uL8L8luM
34 lL ls concerned wlLh Lhe sLudv of facLors LhaL lnfluence Lhe occurrence and dlsLrlbuLlon of dlseases defecLs dlsablllLv or deaLh whlch occurs
ln aroups or aaareaaLlon of lndlvlduals A LluLMlCLCC?
33 Whlch of Lhe followlna ls Lhe backbone ln dlsease prevenLlon? A LluLMlCLCC?
13

36 Whlch of Lhe followlna Lvpe of research could show how communlLv expecLaLlons can resulL ln Lhe acLual provlslon of servlces? 8
CL8A1lCn 8LSLA8CP
37 An ouLbreak of measles has been reporLed ln CommunlLv A As a nurse whlch of Lhe followlna ls vour flrsL acLlon for an epldemloloalcal
lnvesLlaaLlon? u luLn1ll? ll l1 lS 1PL ulSLASL WPlCP l1 lS 8LC81Lu 1C 8L
38 AfLer Lhe epldemloloalcal lnvesLlaaLlon produced flnal concluslons whlch of Lhe followlna ls vour lnlLlal sLep ln vour operaLlonal procedure
durlna dlsease ouLbreak? A CCC8ulnA1L L8SCnnLL l8CM MunlClAL 1C 1PL nA1lCnAL LLvLL
39 1he maln concern of a Pn ls Lhe prevenLlon of dlsease prolonalna of llfe and promoLlna phvslcal healLh and efflclencv Lhrouah whlch of
Lhe followlna? u C8CAnlZLu CCMMunl1? LllC81S
40 ln order Lo conLrol a dlsease effecLlvelv whlch of Lhe ff musL flrsL be known? 8 1 Anu 4
1 1he condlLlon surroundlna lLs occurrence
2 lacLors LhaL do noL favor lLs developmenL
3 1he condlLlon LhaL do noL surround lLs occurrence
4 lacLors LhaL favors lLs developmenL
41 All of Lhe ff are uses of epldemloloav excepL C 1C 8CvluL SuMMA8? uA1A Cn PLAL1P SL8vlCL uLLlvL8?
42 8efore reporLlna Lhe facL of presence of an epldemlc whlch of Lhe ff ls of mosL lmporLance Lo deLermlne? A A8L 1PL lAC1S CCMLL1L?
43 An unknown epldemlc has [usL been reporLed ln 8aranaav akl eople sald LhaL affecLed person demonsLraLes hemorrhaalc Lvpe of fever
?ou are deslanaLed now Lo plan for epldemloloalcal lnvesLlaaLlon Arranae Lhe sequence of evenLs ln accordance wlLh Lhe correcL ouLllne plan
for epldemloloalcal lnvesLlaaLlon 8 4 1 3 6 3 2
1 8eporL Lhe presence of denaue
2 Summarlze daLa and conclude Lhe flnal plcLure of epldemlc
3 8elaLe Lhe occurrence Lo Lhe populaLlon aroup faclllLles food supplv and carrlers
4 ueLermlne lf Lhe dlsease ls facLual or real
3 ueLermlne anv unusual prevalence of Lhe dlsease and lLs naLure ls lL epldemlc sporadlc endemlc or pandemlc?
6 ueLermlne onseL and Lhe aeoaraphlcal llmlLaLlon of Lhe dlsease
44 ln Lhe occurrence of SA8S and oLher pandemlcs whlch of Lhe ff ls Lhe mosL vlLal role of a nurse ln epldemloloav? C Su8vLlLLAnCL
43 Measles ouLbreak has been reporLed ln 8aranaav 8ahav 1oro AfLer conducLlna an epldemloloalcal lnvesLlaaLlon vou have conflrmed LhaL
Lhe ouLbreak ls facLual ?ou are Lasked Lo lead a Leam of medlcal workers for operaLlonal procedure ln dlsease ouLbreak Arranae Lhe correcL
sequence of evenLs LhaL vou musL do Lo effecLlvelv conLaln Lhe dlsease u 3 2 3 4 6 1
1 CreaLe a flnal reporL and recommendaLlon
2 erform nasopharvnaeal swabblna Lo lnfecLed lndlvlduals
3 erform mass measles lmmunlzaLlon Lo vulnerable aroups
4 erform an envlronmenLal sanlLaLlon survev on Lhe lmmedlaLe envlronmenL
3 Craanlze vour Leam and coordlnaLe Lhe personnel
6 LducaLe Lhe communlLv on dlsease Lransmlsslon
46 All of Lhe ff are funcLlons of a Pn nurse ln epldemloloav excepL A LA8C8A1C8? ulACnCSlS
47 All of Lhe ff are performed ln Leam oraanlzaLlon excepL u AC1lvL CASL llnulnC Anu Su8vLlLLAnCL
48 Whlch of Lhe ff ls Lhe flnal ouLpuL of daLa reporLlna ln epldemloloalcal operaLlonal procedure? A 8LCCMMLnuA1lCn
49 1he offlce ln charae wlLh realsLerlna vlLal facLs ln Lhe hlllpplnes ls none oLher Lhan Lhe u nSC
30 1he ff are posslble sources of daLa excepLA LxL8lLnCL
31 1hls refers Lo svsLemaLlc sLudv of vlLal evenLs such as blrLhs lllnesses marrlaaes dlvorces and deaLhs C vl1AL S1A1lS1lCS
32 ln case of clerlcal errors ln vour blrLh cerLlflcaLe where should vou ao Lo have lL correcLed? u LCCAL ClvlL 8LClS18A8
33 ulonesla [usL aave blrLh Lo akl a healLh babv bov Who are aolna Lo reporL Lhe blrLh of babv akl? u 8l81P A11LnuAn1
34 ln reporLlna Lhe blrLh of babv akl where wlll he be realsLered? A A1 1PL LCCAL ClvlL 8LClS18A8
33 Marla Lhe blrLh aLLendanL noLlced LhaL akl has low seL of ears mlcroanaLhla mlcrocephalv and a Lvplcal caL llke crv WhaL should Marla
do? u CALL A 1Axl Anu 1CCL1PL8 Wl1P ulCnLSlA 88lnC Akl 1C 1PL nLA8LS1 PCSl1AL
14

36 Marla would suspecL whlch dlsorder C C8l uu CPA1
37 Marla could expecL whlch of Lhe ff conaenlLal anomalv LhaL would accompanv Lhls dlsorder? A AvSu
2
nd
1AkL
SlLuaLlon 6 arL of vour lndependenL nurslna acLlons ls dolna a phvslcal examlnaLlon wlLh Lhe cllenLs 1hls mav be done before admlsslon or
whlle Lhe cllenL ls conflned ln Lhe hosplLal
1 unllke Lhe phvslcal examlnaLlon done bv Lhe docLor Lhe nurse's phvslcal examlnaLlon focuses on
a Ident|fy|ng c||ent's ab|||t|es hea|th status appra|sa|
b LvaluaLlna Lhe resulLs of nurslna lnLervenLlons performed
c ldenLlfvlna cllenL's paLholoalc condlLlon and Lhelr causes
d uslna nonlnvaslve procedures
SlLuaLlon 7 CllenL's record have predeflned caLeaorles LhaL reflecL Lhe assessmenL procedures LhaL healLh care pracLlLloners use Lo ald ln Lhe
process of deLalllna Lhe cllenL's problem LhaL are medlcallv relevanL
1 Clenda a sLaff nurse has compleLed Lhe phvslcal assessmenL of her asslaned cllenLs She ls readv Lo clusLer and documenL daLa
Whlch of Lhe followlna should aulde her ln valldaLlna and lnLerpreLlna assessmenL daLa?
a Craanlze lnformaLlon lnLo meanlnaful clusLer
b Classlfv and oraanlze daLa
c Document facts accurate|y and conc|se|y
d ldenLlfv Lhe correcL problem from Lhe collecLed daLa
2 nurse CarloLa uses a cardflllna svsLem LhaL allows aulde reference Lo Lhe parLlcular need of Lhe cllenL 1hls ls referred Lo as
a CompuLerlzed care plan
b lnsLlLuLlonal care plan
c kardex
d locus charLlna
3 nurse Carmen uses ls new Lo Lhe unlL ls Lo perform a new procedure Lo her asslaned cllenLs Whlch of Lhe followlna should be Lhe
source Lo obLaln Lhe lnformaLlon
a PosplLal manual
b ollcv manual
c rocedure manua|
d AdmlnlsLraLlve manual
SlLuaLlon 8 nurses musL have knowledae and undersLandlna of Lhe ellmlnaLlon paLLerns Lo asslsL cllenLs ln flndlna soluLlon Lo Lhelr problems
4 Mr Carlos MonLes 60 vears old became lnconLlnenL whlle conflned ln Lhe hosplLal Pe ls dlsLurbed ln hls sleep durlna Lhe nlahL Pe
reduced hls fluld lnLake Lo prevenL lnconLlnence nurse Lea undersLands LhaL Lhls ls a
a Cop|ng strategy
b uefense mechanlsm
c Wav noL Lo be boLhered bv Lhe nurse
d 8e Consclous cholce
3 Mr uavld MuerLe ls recelvlna lnLermlLLenL Lube feedlnas Pls wlfe observes nurse Malow asplraLe and measure Lhe aasLrlc
conLenLs 1he wlfe asks Lhe nurse whaL she ls dolna Whlch of Lhe followlna ls Lhe raLlonale behlnd Lhls procedure?
a 1esLlna Lhe Lublna paLencv
b Checklna Lhe correcL placemenL of Lhe Lube
c Check|ng for the res|dua| quant|ty
d Clearlna Lhe Lube llne
6 Mr AuausLo uale who had suraerv of Lhe bowel ls ordered nC for several davs Whlch of Lhe followlna should Lhe nurse anLlclpaLe
Lo be orders bv Lhe phvslclan?
13

a Consu|tat|on on nutr|t|ona| therapy
b AdmlnlsLraLlon of parenLeral nuLrlLlon
c lnserLlon of nasoaasLrlc Lube
d AdmlnlsLraLlon of enema
SlLuaLlon 11 When provldlna nurslna care Lo vour cllenLs varlous nurslna acLlons are necessarv Lo promoLe comforL and cllenL proLecLlon
7 karla has developed upper resplraLorv LracL lnfecLlons and ls afrald LhaL her lnclslon slLe from cesarean secLlon mav dehlsce when
she couahs 1o prevenL posslble wound dehlscence vou wlll
a |ace a p|||ow over the |nc|s|on s|te when the c||ent |s cough|ng
b Leave sLerlle dresslna and supplles for posslble emeraencv care
c AdmlnlsLer Lhe orders anLlbloLlcs Lo prevenL lnfecLlon
d 1each Lhe cllenL deep breaLhlna and couahlna exerclses
8 1he nurse avolds compromlslna Lhe skln lnLearlLv of !oseph bv prevenLlna hls exposure Lo cerLaln bodv flulds Whlch of Lhe
followlna would mosL llkelv cause skln breakdown?
a urlne
b Serosanaulnous dralnaae
c Gastr|c f|u|ds
d urulenL dlscharaes
9 AppllcaLlon of a cold compress ls mosL helpful for
a Marle who has a palnful lnfecLed wound
b Mana !uan who has a deaeneraLlve [olnL dlsease
c Ionas who has a fractured ank|e
d Annle who has mensLrual cramps
10 1he besL approach Lo meeL Lhe challenaes of personal and professlonal developmenL ln hlllpplne nurslna coupled wlLh Lhe
reallLles of mlaraLlon of nurses Lo counLrles ls Lo
a Craanlze llllplno nurses overseas and uLlllze Lhem from conLlnulna educaLlon
b Allow more colleaes of nurslna Lo operaLe and produce more nurses
c ut |n p|ace a Competency8ased Nurs|ng Career rogress|on rogram
d LxLend nurslna LducaLlon bv 1 more vear Lo make lL 3 CollealaLe vear LoLallLv
SlLuaLlon 3 1he knowledae of law ls an lmporLanL area of responslblllLv ln Lhe pracLlce of nurses are ofLen faced wlLh eLhlcal dllemmas 1he
followlna quesLlon relaLe Lo Lhls sLaLemenL
11 Lola 8asvana 83 vears old female wenL Lo Lhe L8 alone because of severe headache and abdomlnal paln 1he nurse asks Lola
8asvana who her companlon ls She replled l am alone All mv chlldren are wlLh Lhelr own famllv and l don'L wanL Lo boLher Lhem
anvmore" 1he nurse knows LhaL Lhere ls no Llder nealecL Law ln Lhe hlllpplnes however
l Lola 8asvana has Lhe rlahL Lo have supporL famllv ald and proLecLlon under Lhe lamllv Code of Lhe
hlllpplnes
ll Lola 8asvana wlll [usL have Lo accepL LhaL she ls llvlna alone
lll Lola 8asvana mav sue her chlldren under Lhe enal code for moral ln[urles
lv Lola 8asvana's naLural rlahLs are proLecLed bv cusLoms and common LradlLlons ln Lhe hlllpplnes
a 1 and 2 are correcL
b 1 and 3 are correcL
c 1 and 4 are correct
d Cnlv 1 ls correcL
12 ln LerLlarv hosplLal where nurse Ana works she ls Lo evaluaLe Lhe LemperaLure of a moLher who had [usL experlenced selzure 1he
cllenL who was sLlll lrrlLable aL LhaL Llme shouLed" noL now!" WhaL would be Lhe 8LS1 course of acLlon for Lhe nurse Ana?
16

a Do not respond because there |s no perm|ss|on from the c||ent
b roceed Lo place Lhe LhermomeLer on Lhe cllenL because she has Lo leave ln a few mlnuLes
c WrlLe an excuse ln Lhe charL explalnlna whv Lhe cllenL was noL evaluaLed
d Ask Lhe nurse ald Lo be Lhe one Lo evaluaLe Lhe cllenL
13 Lola Marla 90 vears old was brouahL Lo Lhe L8 bv hls 17 vear old arandson due Lo chesL paln 1he phvslclan suspecLs CPl and
plans Lo lnserL Swan Canz caLheLer for hemodvnamlc monlLorlna 1he phvslclan ls abouL Lo secure Lhe cllenL's consenL Whlch of
Lhe followlna ls a nurslna responslblllLv?
a WlLness Lhe exchanae beLween Lhe phvslclan and Lhe cllenL
b 8emlnd Lhe phvslclan LhaL surroaaLe consenL mlahL be needed slnce Lola Marla developed weak mld due Lo old aae
c Lnsure LhaL Lhe arandson LranslaLes Lhe explanaLlon Lo Lola Marla ln a wav LhaL she can undersLand
d W|tness Lo|a Mar|a aff|x her s|gnature
14 1o ensure LhaL Lhe rlahL of a cllenL Lo lnformed consenL ls proLecLed Lhe followlna responslblllLles are expecLed of Lhe Lo do Lo her
cllenL who ls underao an lnvaslve procedure LxCL1
a Lxp|a|n the procedure to the c||ent
nu8SlnC 8AC1lCL lll
2 Mana Cardlna ls a Lrlcvcle drlver who was rushed Lo Lhe hosplLal afLer he was hlL accldenLallv bv a car and susLalned mulLlple
abraslons and a fracLured rlahL ankle ?ou and oLher sLaff were verv aLLenLlve for hlm especlallv ln dresslna hls wounds and
lmmoblllzlna Lhe rlahL fooL so LhaL hls fracLure wlll noL cause hlm undue paln ?our acLlons assumpLlons
a 8eneflcence
b lldellLv
c 8especL
d Non ma||f|cence
3 ?ou are scheduled Lo ao on leave Lo spend ChrlsLmas wlLh vour slsLer ln Lhe uS Powever Lhe head nurse and Lhe Lwo oLher sLaff
wenL on emeraencv leave ?ou cancelled vour vacaLlon and wenL on duLv lnsLead ?ou also express apoloav Lo vour slsLer WhaL
moral prlnclple dld vou dlsplav?
a veraclLv
b !usLlce
c 8enef|cence
d lldellLv
4 ?ou conducLed CperaLlon smlle" ln 8aranaav 8aaona 8uhav 1owards noonLlme vou saw LhaL Lhere were more cllenLs walLlna for
Lhelr Lurn buL vour supplles were sLarLlna Lo run low ?ou lmmedlaLelv lnformed Lhose who [usL arrlved LhaL vou wlll onlv do
chelloplasLv unLll supplles lasL Whlch moral prlnclple are vou Lrvlna Lo convev Lo Lhe communlLv
a 8eneflcence
b veraclLv
c lldellLv
d Iust|ce
Sl1uA1lCn 2 1he rofesslonal 8eaulaLlon Commlsslon (8C) reaulaLes Lhe pracLlce of 43 professlons ln Lhe hlllpplnes nurslna professlon ls
one of Lhem
3 WhaL ls Lhe baslc requlremenL for a nurse Lo pracLlce her professlon?
a A nurs|ng ||cense
b Wllllnaness Lo pracLlce Lhe professlon
c A 8Sn dearee
d llllplno clLlzenshlp
6 1he Code of Cood Covernance LC 220 for Lhe professlons ln Lhe hlllpplnes shall be adopLed bv all
a keg|stered profess|ona|s
17

b rofesslonals
c 8ealsLered nurses
d llllplno professlonals

10 8A 9173 sLlpulaLlons LhaL anv falled examlnee can Lake Lhe nurse's Llcensure LxamlnaLlon
a upon Lhe dlscreLlon of Lhe board of nurslna
b AfLer underaolna a refresher course from hls/her Alma maLer
c AfLer passlna Lhe preboard examlnaLlon alven bv Lhe school
d Anyt|me the exam|nee wants to take the exam|nat|on aga|n
SlLuaLlon 3 CllenLs' evaluaLlon shows LhaL quallLv and effecLlve cllnlcal pracLlce ln Lhe clamor of each cllenL from Lhe healLhcare workers
11 ?ou are on M shlfL Pow can vou besL show vour cllenLs LhaL vour nurslna rounds are wlLh lnLenL or purpose?
a ?ou counLed Lhe lv flow raLe aloud
b vou are relaLlna an lncldenL wlLh vour conurses whlle maklna vour rounds
c Introduce yourse|f and offer to he|p c||ent
d vou lnsLrucLed all vlslLors Lo leave Lhe area because lL ls 10 mlnuLes afLer vlslLlna hours
12 Safe and quallLv drua admlnlsLraLlon dlcLaLes LhaL druas and dosaaes should be spelled ouL Powever vou observed LhaL docLor sLlll
abbrevlaLe druas ln Lhelr orders 1he docLor's order reads MaS04 6ma lM" vou wlll admlnlsLer
a maanlferron
b morphlne sulfaLe
c magnes|um su|fate
d maaneslum permanaanaLe
13 lnLravenous flulds (lv) are ordered and admlnlsLered aL dlfferenL flow raLes dependlna on Lhe cllenL's need 1he Mu ordered lv kvC" ?ou
wlll admlnlsLer lv soluLlon Lo
a run at 710 drops per hour
b flnlsh ln 12 hours
c consume
d consume Llll mldnlahL
14 ?ou are Lo admlnlsLer an anLlbloLlc vla heparln lock 1he 8LS1 procedure or admlnlsLraLlon ls Lo ln[ecL
a heparln sallne anLlbloLlc sallne
b anLlbloLlc sallne heparln
c sa||ne ant|b|ot|c sa||ne hepar|n
d sallne anLlbloLlc heparln
13 ?ou are now Lo admlnlsLer medlcaLlon Lo vour cllenLs WhaL ls Lhe correcL wav of ldenLlfvlna each cllenL before vou admlnlsLer Lhelr
medlcaLlons?
a Ask Lhe cllenL Lo sLaLe hls name
b Call Lhe cllenL bv bed number
c Call Lhe cllenL's mlsLer/mlss
d Check the wr|stband f|rst and ask h|m h|s name
SlLuaLlon 4 nurse Clenda ls asslaned ln Lhe edlaLrlc ward and ls so Louched bv how chlldren are coplna wlLh paln
16 A sLudenL nurse asslaned Lo a chlld ln paln asks nurse Clenda how Lo applv Lhe Wona8aker meLhod of assesslna paln amona
chlldren nurse Clenda would descrlbe Lhe meLhod as
37 nurse Mvrna should call Lhe aLLenLlon of Lhe lnLern who was scrubblna Lo asslsL ln Lhe case because Lhe
a Intern's hands and e|bows were he|d c|ose to the body
18

b panLs drawsLrlnas were Lucked ln
c hands were held hlaher Lhan Lhe elbows and awav from Lhe suralcal aLLlre
d lnLern's mask covered hls mouLh and nose
38 Cnce Mvrna has donned Lhe sLerlle aown and aloves she ls consldered sLerlle uescrlbe Lhe exLenL of whaL ls sLerlle
a |nfront from the shou|der |eve| to tab|e |eve| and s|eeves to 2 |nches above the e|bows
b lnfronL from Lhe shoulder Lo Lhe walsL llne and sleeves Lo Lhe aloved hands
c sLerlle from shoulder Lo Lhe hemllne and Lhe whole arm and hand
d lnfronL from Lhe neckllne Lo Lhe walsLllne and sleeves
39 Lhe members of Lhe suralcal Leam are expecLed Lo demonsLraLe Lhe suralcal consclence" aL all Llmes Whlch acLlon of Lhe clrculaLlna nurse
demonsLraLes Lhls
a clrculaLlna ln more Lhan one C8 sulLe
b counLlna sponaes as needed
c uslna mass aL all Llmes whlle lnslde Lhe C8 sulLe
d updat|ng the team of how many sponges have been used
60 1he suraeon asked Mvrna for a knlfe Lo make an lnclslon for Lhe 1Lube Whlch knlfe should Lhe scrub nurse hand Lo Lhe suraeon?
a second knlfe
b new knlfe
c f|rst kn|fe
d anv knlfe
123 Lfren was reffered Lo Lhe PealLh CenLer for posslble asslsLance and manaaemenL Lhrouah Lhe ueparLmenL of PealLh (uCP) 18proaram
ulrecLlv Cbserved 1reaLmenLs ShorL Course (uC1S) proaram 1he elemenLs of uC1S LhaL need Lo be fulfllled lnclude Lhe followlna LxCL1
a superv|sed treatment by partner
b sLandardlzed recordlna and reporLlna of 18 daLa
c reaular supplv of anLl18 drua
d reaular chesL xrav for dlaanosls
124 Lfren was puL on Lrlple anLl18 drua realmen 1he success of Lhls realmen ls hlahlv dependenL on whlch facLor?
a lrequenL medlcal follow up
b Avoldance of crowded and busv place
c 8alanclna resL wlLh exerclse
d 5tr|ct adherence to prescr|pt|on
123 18 llke oLher lnfecLlous dlseases carrles a soclal sLlama LhaL mav lead Lo Lhe problem of denlal 1he MCS1 effecLlve wav Lo overcome Lhls
problem ls
a strong fam||y/group
b cosmeLlc lnLervenLlon
c resplraLorv lsolaLlon
d manaaemenL of slde effecLs
48 Cerard reLurns Lo hls room afLer 1u8 wlLh Lhe conLlnuous bladder lrrlaaLlon (C8l) Whlch of Lhe followlna sLaLemenLs besL explalns Lhe
raLlonale of Lhe procedure?
a MalnLaln fluld and elecLrolvLe balance
b Lnsure Lhe paLencv of Lhe ureLhral caLheLer all Lhe Llme
c ulluLe urlne concenLraLlon
d kemove b|ood c|ots from the b|adder
49 osL 1u8 Cerard complalned of paln and bladder spasm Whlch ls Lhe MCS1 approprlaLe nurslna lnLervenLlon?
19

a Slow down Lhe lrrlaaLlon
b 8elease Lhe LracLlon of Lhe 3wav lolev caLheLer
c ass|st Gerard to a hot s|tz bath
d AdmlnlsLer ordered narcoLlcs plus anLlchollneralc druas
30 As vou prepare Cerard for dlscharae vou would emphaslze whlch of Lhe followlna lnsLrucLlons Lo prevenL bleedlna?
a Avo|d const|pat|on or stra|n|ng when defecat|ng
b resume ballroom danclna araduallv
c refraln from sexual lnLercourse
d avold llfLlna
73 lf Lhe alm of Lhe research ls Lo deLermlne Lhe compeLencv of Lhe nurslna araduaLe Lhe researcher ls reflecLlna whlch of Lhe followlna
characLerlsLlcs of a aood research problem?
a Cenerallzed research problem
b ConcepL of sLudv ls relaLed Lo Lhe observable evenLs
c C|ear|y def|ned research purpose
d leaslble research quesLlons
74 As a nurseresearcher vou should be able Lo deLermlne lf Lhe Lheorv ls able Lo deal saLlsfacLorllv wlLh vour perspecLlve of nurslna
compeLencv Whlch of Lhe followlna characLerlsLlcs of LheoreLlcal framework ls reflecLed?
a Adequacy
b ulscrlmlnaLlon
c Slanlflcance
d uLlllLv
73 8esearch flndlnas are nC1 lmplemenLed a deslred because of Lhe fallure Lo
a lnLerpreL Lhe flndlnas
b commun|cate
c know Lhe dlfferenL mlsconcepLlons
d undersLand Lhe recommendaLlon
67 Cver dosaae of medlcaLlon or anesLheLlc can happen ____________ lnfuslon pumps and slmllar devlces/machlnes As a sLaff _________
of uslna lnfuslon pumps?
a Check the funct|ona||ty of the pump before use
b verlfv Lhe flow raLe aaalnsL vour compuLaLlon
c Allow Lhe Lechnlclan Lo seL lnfuslon pump before use
d SelecL vour brand of lnfuslon pump
68 unlversal proLocol for suralcal and lnvaslve procedures Lo prevenL wrona slLe wrona person and wrona procedure/suraerv lncludes Lhe
followlna excepL
a take a v|deo of the ent|re |ntraoperat|ve procedure
b conducL preprocedure verlflcaLlon process
c mark Lhe operaLlve slLe lf posslble
d conducL '"Llme ouL" lmmedlaLelv before sLarLlna Lhe procedure
69 ?ou ldenLlfled a poLenLlal rlsk Lo cllenL safeLv 1o reduce Lhe rlsk of cllenL harm resulL from fall preoperaLlvelv vou mav lmplemenL Lhe
followlna LxCL1
a Lake acLlon Lo address anv ldenLlfled rlsks Lhrouah lncldenL reporL
b perlodlcallv reassess lndlvldual cllenL's rlsk for falllna
c assess poLenLlal rlsk of fall assoclaLed wlLh Lhe paLlenL's medlcaLlon realmen
20

d a||ow c||ent to wa|k w|th re|at|ve to the Ck
70 As a nurse vou can lmprove on accuracv of paLlenL's ldenLlflcaLlon bv 2 paLlenL ldenLlflers LxCL1
a call Lhe paLlenL bv hls/her name and bed number
b |dent|fy c||ent by h|s/her wr|st tag and ca|| h|m/her by name
c call Lhe cllenL bv hls/her case and bed number
d ldenLlfv Lhe cllenL bv hls/her wrlsL Laa and verlfv wlLh famllv members
SlLuaLlon 16 ?ou are a senlor Lralnlna offlcer for 1 monLh and are asslaned Lo provlde lnsLrucLlon Lo acLlve reLlred women wlLh dlabeLes
76 ln case of hvpoalvcemla vou ask Lhe parLlclpanLs Lo Lell vou Lhe besL food Lo Lake Whlch of Lhe followlna ls Lhe CC88LC1 response?
a Coke llahL
b buLLer scoLch candv
c Pershev chocolaLe
d Crange [u|ce
77 Whlch of Lhe followlna sLaLemenLs of Lhe parLlclpanLs reaardlna medlcaLlon _______ need relnsLrucLlon?
a lf l exerclse reaularlv and eaL Lhe prescrlbed dleL mv medlcaLlon mavbe dlsconLlnued"
b Lxerclse poLenLlallv reduces mv need for lnsulln"
c 1he medlcaLlon prescrlbed for me ls for llfe"
d "I shou|d avo|d excess|ve exerc|se unt|| my b|ood g|ucose |eve| |mproves"
SlLuaLlon 1 Lmeraencv nurslna pracLlce requlres LhaL nurses be skllled ln cllenL assessmenL prlorlLv seLLlna crlLlcal Lhlnklna mulLl Lasklna and
communlcaLlon A sound knowledae base ls essenLlal Lo be able Lo execuLe Lhe necessarv nurslna lnLervenLlons elLher ln a prehosplLal or
hosplLal seLLlna
1 ln a prehosplLal seLLlna afLer ensurlna LhaL a paLenL alrwav has been malnLalned on a vlcLlm of heaL sLroke whlch of Lhe followlna ls nC1
recommended as a flrsL ald measure?
a SLrlp awav cloLhlna
b Cffer Lo drlnk lce cold waLer
c Immerse v|ct|m |n co|d water
d lace lce packs ln Lhe neck axllla and aroln
2 A researcher sLudled sequelae of near faLal classlc heaL sLroke ln 38 cllenLs admlLLed ln Lhe lnLenslve care unlL 100 of Lhe cllenLs
developed mulLloraan dvsfuncLlon one half had renal lnsufflclencv and 10 experlenced resplraLorv dlsLress MorLallLv raLe was 21 1he
flndlnas of Lhls research would be MCS1 useful for whlch of Lhe followlna skllls of Lhe Lmeraencv ueparLmenL (Lu) nurse?
a r|or|ty sett|ng
b MulLlLasklna
c CommunlcaLlon
d AssessmenL
4 uue Lo lack of evldences of lLs effecLlveness whlch of Lhe followlna ls noL an accepLable flrsL ald lnLervenLlon for snake blLe?
a lmmoblllze affecLed exLremlLv wlLh a spllnL
b keep affecLed exLremlLv below Lhe hearL
c SucLlon venom wlLh a commerclallv prepared exLracLor
d Lxc|s|ng the b|te and suck|ng the venom
3 8evlew of researches showed LhaL as compared Lo acLlvaLed charcoal aasLrlc lavaae has llLLle or no effecL ln reduclna absorpLlon of Loxlc
subsLances especlallv when done 1 hour afLer lnaesLlon of polson amona chlldren Whlch of Lhe followlna sLaLemenLs ls an approprlaLe
appllcaLlon of Lhls research sLudv?
a AdmlnlsLraLlon of acLlvaLed charcoal should noL be delaved bv use of aasLrlc lavaae
b AcLlvaLed charcoal should noL be admlnlsLered rouLlnelv ln Lhe manaaemenL of polsoned chlldren
c CasLrlc empLvlna has llmlLed beneflL ln aasLrolnLesLlnal deconLamlnaLlon
21

d Gastr|c |avage must be done w|th|n an hour after |ngest|on of tox|c substances
197 LulslLo eaLs poorlv because of [olnL paln and faLlaue Whlch of Lhe followlna advlces would be MCS1 helpful for Lhe moLher Lo ensure LhaL
nuLrlLlon ls adequaLelv provlded? Serve
a small amounL of food everv 23 hours
b onlv food whlch LulslLo wlsh Lo eaL
c food onlv when LulslLo savs he ls hunarv
d mea|s when pa|n |s at |ts |owest |eve|
SlLuaLlon 4 ?ou are asslaned ln Lhe lnLenslve care unlL carlna for paLlenLs wlLh resplraLorv dlsLress 1o ensure safe and quallLv care vou have
Lo be compeLenL ln assessmenL skllls and provldlna speclflc lnLervenLlons Lo address Lhelr problems and concerns
343 lL would be MCS1 lmporLanL for vou Lo check pulse oxlmeLrv for whlch of Lhese paLlenLs?
a 1rov who has [usL recelved morphlne sulfaLe for posLoperaLlve paln
b Ldward wlLh masslve obeslLv who ls refuslna Lo aeL ouL of bed
c 8ene wlLh emphvsema and a resplraLorv raLe of 16/mln
d 5onny w|th pneumon|a who has [ust been adm|tted to the un|t
23 AfLer belna blLLen bv an unknown lnsecL uona who ls alleralc Lo wasp sLlnas ls brouahL Lo a cllnlc bv a coworker upon her arrlval she
was anxlous and was havlna dlfflculLv breaLhlna 1he ll8S1 acLlon LhaL vou should do as a nurse ls Lo
a remove Lhe sLlnaer from Lhe slLe
b have uona lle down
c ma|nta|n Dona's a|rway
d admlnlsLer hlahflow oxvaen
24 lor people who are known Lo be alleralc Lo bee or wasp sLlnas Lhe followlna are wavs Lo avold sLlnas LxCL1
a wear br|ght|y co|ored c|oth|ng and strong fragrances or perfumes
b do noL molesL hlves and nesLs
c lf flvlna lnsecLs are around leave area and refraln from swaLLlna aL Lhem
d wear lona panLs and lonasleeved shlrLs
24 norma who wenL swlmmlna complalned of sudden sever paln and burnlna sensaLlon aL her back 1hev were lnformed LhaL Lhere were
several [ellvflshes LhaL were seen ln Lhe area Whlch of Lhe followlna acLlons 8LS1 deacLlvaLe nemaLocvLes of Lhe [ellvflshes?
a 8lnse Lhe wound wlLh sLerlle normal sallne
b 8lnse wound wlLh 70 lsoprophvl alcohol
c 5oak wound w|th 5 acet|c ac|d for 1530 m|nutes
d Applv cold pack compress aL Lhe sLlna slLe
SlLuaLlon 7 ?ou are asslaned ln Lhe suralcal ward Lo Lake care of four paLlenLs who underwenL bowel and aasLrlc suraerv As a nurse vou are
____ LhaL vour paLlenLs can develop fluld and elecLrolvLe compllcaLlons Lhus vour careful assessmenL and declslon maklna are lmporLanL
31 Sandra who underwenL bowel suraerv 2 davs aao has been recelvlna normal sallne lnLravenouslv aL 100 ml/hr has a nasoaasLrlc Lube Lo
low lnLermlLLenL sucLlon and ls on nC Whlch of Lhe followlna assessmenL flndlnas would lndlcaLe LhaL vou need Lo conLacL Sandra's
phvslclan lmmedlaLelv?
a WelahL aaln of 2 pounds above Lhe pre operaLlon welahL
b An ora| temperature of 378 degrees Ce|c|us w|th b|bas||ar |ung crack|es
c Serum sodlum level of 138 meq/L (138 mmol/L)
d Craduallv decreaslna level of consclousness (LCC)
32 8ernle who has been on nC wlLh aasLrlc sucLlon and lv fluld replacemenL for 3 davs followlna aasLrlc resecLlon develops nausea and
vomlLlna weakness and confuslon and has a serum sodlum level of 123 meq/L (123mmol/L) As hls nurse whlch of hls phvslclan's
posLoperaLlve orders should vou seek lmmedlaLe clarlflcaLlon for?
a AdmlnlsLer 3 sallne lf serum sodlum drops Lo less Lhan 128 mLq/L
b IV morph|ne su|fate 4mg every 4 hours prn
22

c lnfuse 3 dexLrose ln waLer aL 123 ml/hr
d Clve lv meLoclopramlde (8ealan) 10ma everv 6 hours prn for nausea
231 WhaL would be Lhe mosL lmporLanL for vou Lo reporL abouL Lhe aasLrlc dralnaae?
a no dralnaae
b 8|oody dra|nage
c lnLermlLLenL dralnaae
d Small amounL of blood ln Lhe dralnaae
1231 Conrad a posLoperaLlve paLlenL wlLh a nasoaasLrlc Lube connecLed Lo loL lnLermlLLenL sucLlon ls complalnlna of anxleLv and severe
lnclslonal paln Pe has a resplraLorv raLe of 32 breaLhs per mlnuLe 1he arLerlal blood aases (A8C) are pP 730 paC2 90 mmPa aCC2 30 mmPa
and PCC3 23 mmPa Whlch lnLervenLlon ls MCS1 approprlaLe for vou Lo lmplemenL?
a 1each Conrad about the |mportance of tak|ng s|ow deep breaths
b ulsconnecL Lhe nasoaasLrlc Lube unLll Lhe pP ls wlLhln Lhe normal ranae
c Clve Conrad Lhe ordered morphlne sulfaLe 4 ma lnLravenouslv
d AdmlnlsLer Lhe prescrlbed sodlum blcarbonaLe 30 mLq lnLravenouslv
6341rlnldad who ls recelvlna lsoosmolar conLlnuous Lube feedlnas develops resLlessness aalLaLlon and weakness As hls nurse Lhe
laboraLorv daLa LhaL wlll be of 8lC8l1? concern Lo vou ls
a na+ 134 mLq/L (134 mmol/L)
b k+ 34 mLq/L (34 mmol/L)
c PC4 348 ma/dL (133 mmol/L)
d Ca+2 78 mg/d| (195 mmo|/L)
SlLuaLlon 8 Lope 33 vears old ls dlaanosed wlLh Clrrhosls of Lhe llver Lope ls poslLlve for asclLes and malnuLrlLlon
633 1he hvslclan ordered abdomlnal paracenLesls S1A1 Whlch of Lhe followlna ls Lhe prlmarv purpose of Lhls procedure?
a ulaanose Lvpe of llver clrrhosls
b llver funcLlon LesL
c re||ef of resp|ratory d|stress
d uecrease porLal hvperLenslon
763 Lhe nurse ls expecLed Lo lnclude ln her lnLervenLlon whlch of Lhe followlna measures ___Lended Lo prevenL posslble puncLurlna of Lhe
abdomlnal oraans durlna paracenLesls?
a nC 4 hours before Lhe procedure
b nave a c||ent vo|d 2 hours before the procedure
c oslLlon paLlenL seaLed on a chalr wlLh feeL supporLed
d lace paLlenL on a slde lvlna poslLlon
873 1he nurse monlLors cllenL's neuroloalc funcLlonlna such as asLerexls 1o ellclL Lhls whlch of Lhe followlna ls Lhe correcL Lechnlque used
durlna a phvslcal assessmenL?
a Pave paLlenL slL and Lap knees wlLh hammer
b Pave paLlenL Lurn head and observe movemenL of eves
c Pave paLlenL sLand feeL LoaeLher arms aL Lhe slde wlLh eves closed
d nave pat|ent extend arm dors|f|ex wr|st and extend f|ngers
42 uavld wlLh meLasLaLlc cancer of Lhe colon experlences severe vomlLlna followlna admlnlsLraLlon of chemoLherapv An lmporLanL nurslna
lnLervenLlon LhaL vou wlll lmplemenL ls Lo
a Leach hlm abouL Lhe lmporLance of nuLrlLlon durlna LreaLmenL
b adm|n|ster prescr|bed ant|emet|cs 1hour before the treatments
c have uavld eaL larae meals when nausea ls noL presenL
d offer drv crackers and carbonaLed flulds durlna chemoLherapv
23

43 When vou are admlnlsLerlna a veslcanL chemoLherapeuLlc aaenL lnLravenouslv an lmporLanL conslderaLlon for vou Lo observe ls Lo
a stop the |nfus|on |f swe|||ng |s observed at the s|te
b hold Lhe medlcaLlon unless a cenLral venous llne ls avallable
c lnfuse Lhe medlcaLlon over a shorL perlod of Llme
d admlnlsLer Lhe chemoLherapv Lhrouah smallbore caLheLer
SlLuaLlon 10 Seralo a 40 vear old baranaav Lanod was brouahL Lo Lhe Lmeraencv 8oom (L8) for lnaesLlna murlaLlc acld 8ased on Lhe lnlLlal
assessmenL of Lhe phvslclan Seralo has alLered level of consclousness moanlna and keeps on splLLlna blood Llnaed spuLum Pls coworkers
lnformed vou LhaL Lhev had a drlnklna sesslon lasL nlahL buL Seralo declded Lo sleep aL Lhe baranaav hall afLer ln Lhe mornlna when Lhev were
near Lhe baranaav hall Lhev heard somebodv moanlna and saw Lhe murlaLlc (hvdrochlorlc) acld boLLle beslde Seralo lnlLlal polsonlna
manaaemenL was sLarLed
46Whlch amona Lhe followlna wlll be vou 8lC8l1? acLlvlLv as an L8 nurse?
a uocumenL enLrles ln Lhe charL
b Lnsure patency of a|rway breath|ng and c|rcu|at|on
c repare polsonlna manaaemenL proLocol
d Call securlLv offlcer
47 1he followlna facLors should be consldered ln esLabllshlna Lhe dearee of damaae of lnaesLed aclds LxCL1
a conLacL Llme and premorbld condlLlon of Lhe sLomach
b aae and aender of Lhe person
c vo|ume and osmo|ar|ty
d ph and concenLraLlon
SlLuaLlon 11 Cne of Lhe reallLles LhaL we are confronLed wlLh ls our morLallLv lL ls lmporLanL for us nurses Lo be aware of how we vlew
sufferlna paln lllness and even our deaLh as well as lLs meanlna 1haL wav we can help our paLlenLs cope wlLh deaLh and dvlna
673 lrma ls Lermlnallv lll She speaks Lo vou ln confldence ?ou now feel LhaL lrma's famllv could be helpful lf Lhev knew whaL lrma has Lold
vou WhaL should vou do ll8S1?
a Cbta|n Irma's perm|ss|on to share the |nformat|on w|th the fam||y
b 1ell Lhe phvslclan who ln Lurn could Lell Lhe famllv
c Make an appolnLmenL Lo dlscuss Lhe slLuaLlon wlLh Lhe famllv
d 1ell lrma LhaL she has Lo Lell her famllv
762 8ubv who has been Lold she has Lermlnal cancer Lurns awav and refuses Lo respond Lo vou ?ou can 8LS1 help her bv
a encouraalna her Lo be phvslcallv acLlve
b leavlna her alone
c lnlsLlna LhaL she Lalk Lo vou
d mak|ng yourse|f ava||ab|e for her
78 When a phvslclan vlslLed Lwo of hls paLlenLs Lhe nurse observed LhaL Lhe phvslclan dld noL wash hls hands buL [usL wore a palr of aloves
beLween paLlenL conLacL Whlch of Lhe followlna ls Lhe mosL approprlaLe acLlon of Lhe nurse Lo ensure LhaL Lhe lnfecLlon conLrol measures ln
Lhe lnLenslve care unlL are lmproved?
a ldenLlfv Lhe pracLlce as a rlsk for lnfecLlon for Lhe paLlenLs
b 8ecommend Lo nurse manaaer LhaL slmllar observaLlons be analvzed for correcLlve acLlons
c 8eporL Lo Lhe nurse manaaer as a nonconformance
d Inform the phys|c|an of the standard handwash|ng measures
79 1o prevenL asplraLlon as a posslble cause of venLllaLorassoclaLed pneumonla whlch of Lhe followlna prevenLlve measures ls MCS1
approprlaLe?
a L|evat|on of head of the bed and pos|t|on|ng
b lrequenL endoLracheal sucLlonlna
c SedaLlon reducLlon proLocol
24

d uallv assessmenL of readlness Lo exLubaLe
80 Lhe lCu nurses declded Lo lnlLlaLe a quallLv lmprovemenL pro[ecL Lo deLermlne mosL effecLlve lnLervenLlons Lo prevenL urlnarv caLheLer
lnfecLlon Whlch of Lhe followlna research deslan would be mosL approprlaLe/
a Survev of lnfecLlon lncldences
b reLrospecLlve
c Lxper|menta|
d CuallLaLlve
89 Whlch Cu1CCML C8l1L8lCn would be mosL approprlaLe for lannv a 40 vear old Leacher wlLh a nurslna dlaanosls of lneffecLlve alrwav
clearance?
a 8reath sounds c|ear on auscu|tat|on
b ConLlnued use of oxvaen when necessarv
c resence of conaesLlon
d 8esplraLorv raLe of 24 breaLhs/mln
90 Whlch assessmenL would be MCS1 SuC81lvL of Lhe nurslna dlaanosls lmpalred skln lnLearlLv relaLed Lo purulenL wound dralnaae?
a hearL raLe of 88 beaLs/mln
b urv and lnLacL wound dresslna
c Cra| temperature of 388 degree Ce|c|us
d Wound heallna bv flrsL lnLenLlon
SlLuaLlon 19 ?ou are carlna for !ullo 34 vears old who has LndSLaae 8enal ulsease 8enal LransplanL was Lhe LreaLmenL cholce
91 !ullo asks vou where Lhe donor kldnev wlll be placed Whlch of Lhe followlna wlll be vour CC88LC1 response?
a Lower abdomlnal cavlLv beLween Lhe Lwo kldnevs"
b LlLher rlahL or lefL lower abdomlnal cavlLv anLerlor Lo Lhe perlLoneal space"
c " L|ther the r|ght or |eft |umbar reg|on s||ght|y be|ow e|ther the r|ght or |eft k|dney"
d PvpoaasLrlc realon beLween Lhe ureLers behlnd Lhe urlnarv bladder"
SlLuaLlon 1 Lmeraencv nurslna pracLlce requlres LhaL nurses be skllled ln cllenL assessmenL prlorlLv seLLlna crlLlcal Lhlnklna mulLlLasklna and
communlcaLlon
SlLuaLlon 20 Ldwln 23 souahL medlcal aLLenLlon for complalnLs of claudlcaLlon _________ of hls fooL
96 nurse rlca noLed superflclal LhrombophleblLls of Lhe lower lea of Ldwln 1he nurse would furLher assess Lhe cllenL for
a recenL lnsecL blLes
b hlsLorv of allerav
c smok|ng h|story
d famllv Lendencv Lo perlpheral vascular dlsease
97 nurse 8lca would monlLor for Lhe followlna phvslcal slans of 8ueraer's dlsease
a redd|sh b|ue d|sco|orat|on of the foot
b presence of pedal pulses
c normal popllLeal pulse
d paln ln Lhe affecLed fooL
98 As a nurse 8lca knows LhaL cessaLlon of smoklna ls an lmporLanL dlsease manaaemenL Whlch of Lhe followlna measures can lmprove
a lce compress appllcaLlon Lo Lhe affecLed lea
b walklna 12 hours 3 Llmes a dav
c keeplna Lhe affecLed lea warm
d keep|ng the affected |eg to |ndependent pos|t|on
23

SlLuaLlon 18 lellx a 48 vear old salesman was dlaanosed Lo have llver clrrhosls Pe revealed LhaL he has been drlnklna heavllv for 18 vears
86 As vou assess lellx he seems verv apprehenslve and Lells vou LhaL lf Lhe docLor advlse hlm Lo sLop drlnklna he would probablv dle sooner
WhaL would be Lhe mosL LherapeuLlc response of Lhe nurse?
a uon'L worrv vour fears are baseless"
b "ou seem to have fears te|| me more about these"
c Would vou llke Lo Lalk Lo a prlesL?"
d uo noL be afrald l am here Lo help vou"
87 lellx complalnLs of prurlLus Whlch of Lhe followlna would vou do LLAS1?
a Use hot water to bathe
b keep Lhe envlronmenL warm
c CenLlv applv emolllenL loLlon Lo Lhe skln
d Avold soap of anv preparaLlon wlLh alcohol
SlLuaLlon 3 ?ou [olned an ouLlna wlLh vour frlends Some of vour frlends declded Lo ao Lo Lhe aarden park Lo see Lhe beauLlful flowers ln
bloom Whlle Lhe resL proceeded Lo Lhe beach and swlm 1hen all of a sudden one of vour frlends shouLed LhaL she aoL sLuna bv a bee
26 WhaL wlll be vour lnlLlal acLlon?
a |nspect for st|nger and pu|| the st|nger
b Lake vour frlend Lo Lhe washroom and wash Lhe area carefullv wlLh soap and waLer
c applv lce or cold pack wrapped ln cloLh for a few mlnuLes
d lnspecL slLe and scrape sLlnaer
09CuLS1lCn
1 A nurse ls observlna a second nurse who ls performlna hemodvallsls on a cllenL 1he second nurse ls drlnklna a coffee and eaLlna a
douahnuL nexL Lo hemodlalvsls machlne whlle Laklna Lhe cllenL abouL Lhe evenLs of Lhe cllenL's week 1he nurse flrsL should
a AppreclaLe whaL a wonderful LherapeuLlc relaLlonshlp Lhls second nurse and cllenL have
b CeL a cup of coffee and [oln ln on Lhe conversaLlon
c Ask Lhe cllenL lf he would also llke a cup of coffee
d Ask the second nurse to refra|n from eat|ng and dr|nk|ng |n the c||ent area
2 A nurse noLes LhaL an asslaned cllenL ls lvlna Lense ln bed sLarlna aL Lhe cardlac monlLor 1he cllenL sLaLes 1here sure are a loL of wlres
around Lhere l sure hope we don'L aeL hlL bv llahLnlna" 1he approprlaLe nurslna response ls whlch of Lhe followlna?
a Would vou llke a mlld sedaLlve Lo help vou relax?"
b Ch don'L worrv Lhe weaLher ls suppose Lo be sunnv and clear Lodav"
c "es a|| those w|res must be a ||tt|e scary d|d someone exp|a|n what the card|ac mon|tor was for?"
d ?our famllv can sLav LonlahL lf Lhev wlsh"
3 A cllenL wlLh newlv dlaanosed dlabeLes melllLus has been seen for Lhree consecuLlve davs ln Lhe emeraencv deparLmenL wlLh
hvperalvcemla uurlna Lhe assessmenL Lhe cllenL savs Lo Lhe nurse lm sorrv Lo keep boLherlna vou everv dav buL l [usL can'L alve mvself
Lhose awful shoLs" 1he nurse makes whlch LherapeuLlc response?
a ?ou musL learn Lo alve vourself Lhe shoLs"
b l couldn'L alve mvself a shoL"
c "Im sorry you are hav|ng troub|e w|th your |n[ect|ons nas someone g|ven you |nstruct|ons on them?"
d LeL me see lf Lhe docLor can chanae vour medlcaLlon
4 A nurse ls asslsLlna ln provldlna a form of psvchoLherapv ln whlch Lhe cllenL ls acLs ouL Lhe slLuaLlons LhaL are of Lhe emoLlonal slanlflcance
1he nurse undersLands LhaL Lhls form of Lherapv ls known as
a 8eallLv Lherapv
b ShorL Lerm dvnamlc psvchoLherapv
c svchoanalvLlc Lherapv
26

d sychodrama
3 A cllenL wlLh analna pecLorls ls exLremelv anxlous afLer belna hosplLallzed for Lhe flrsL Llme 1he nurse plans Lo mlnlmlze Lhe cllenL's
anxleLv?
a AdmlL Lhe cllenL Lo a room as far as posslble from Lhe nurslna sLaLlon
b rov|de care cho|ces to the c||ent
c Lncouraae Lhe cllenL Lo llmlL vlslLors Lo as few as posslble
d keep Lhe door open and hallwav llahLs on aL nlahL
6 A realsLered nurse suspecLs LhaL a colleaaue ls subsLance lmpalred and noLes slans of alcohol lnLoxlcaLlon ln Lhe colleaaue 1he nurse
pracLlce acLs requlre LhaL Lhe realsLered nurse do whlch of Lhe followlna
a 1alk wlLh Lhe colleaaue
b keport the |nformat|on to a nurs|ng superv|sor
c Call Lhe lmpalred nurse oraanlzaLlon
d Ask Lhe colleaaue Lo ao Lo Lhe nurses' lounae Lo sleep for a whlle
7 A nurse enLers Lhe cllenL's room and flnds Lhe cllenL lvlna on Lhe floor lollowlna an assessmenL of Lhe cllenL Lhe nurse calls Lhe nurslna
supervlsor and Lhe phvslclan Lo lnform Lhem of Lhe occurrence 1he nurslna supervlsor lnsLrucLs Lhe nurse Lo compleLe an lncldenL reporL 1he
nurse undersLands LhaL lncldenL reporLs allow Lhe analvsls of adverse cllenLs evenLs bv
a Lva|uat|ng qua||ty care and potent|a| r|sk for |n[ury to the c||ent
b ueLermlnlna Lhe effecLlveness of nurslna lnLervenLlons ln relaLlon Lo ouL comes
c rovldlna a meLhod of reporLlna ln[urles Lo a local sLaLe and federal aaencles
d rovldlna cllenLs wlLh necessarv sLablllzlna LreaLmenLs
8 A cllenL ls ambulaLorv and wearlna a halo vesL afLer a cervlcal splne fracLure 1he nurse Lells Lhe cllenL Lo avold whlch of Lhe followlna
because Lhe cllenL has a rlsk for ln[urv?
a 8end|ng at the wa|st
b uslna a walker
c Wearlna a rubbersoled shoes
d Scannlna Lhe envlronmenL
9 A nurse ls bealnnlna Lo ambulaLe a cllenL wlLh a nurslna dlaanosls of acLlvlLv lnLolerance who was admlLLed Lo Lhe hosplLal for bacLerlal
endocardlLls 1he nurse evaluaLes LhaL Lhe cllenL ls besL LoleraLlna Lhe exerclse lf whlch of Lhe followlna parameLers ls noLed bv Lhe nurse?
a ulse raLe LhaL lncreases from 68 Lo 98 beaLs per mlnuLe
b 8|ood pressure that |ncreases from 114/82 to 118/86 mmng
c Mlnlmal chesL paln raLed 1" on Lhe paln scale
d Mlld dvspnea afLer walklna 10 feeL
10 A nurse ls developlna a plan of care for a cllenL wlLh a hlp splca casL ln Lhe plannlna Lhe nurse lncludes measures Lo llmlL compllcaLlons of
prolonaed lmmoblllLv 1he nurse lncludes whlch essenLlal lLem ln Lhe plan Lo prevenL Lhese compllcaLlons?
a rovlde a dallv fluld lnLake of 1000ml
b MonlLor for a slans of low serum calclum
c MalnLaln Lhe cllenL ln a suplne poslLlon
d L|m|t the |ntake of m||k and m||k products 11100 to fo||ow
kL5LAkCn 8ANk (137 I1LM5 some quest|ons appeared on the 09 NLL)
1 lnducLlve reasonlna ls Lhe process of
a verlfvlna assumpLlons LhaL are parL of our herlLaae
b deve|op|ng sc|ent|f|c pred|ct|ons from genera| pr|nc|p|es
c emplrlcallv LesLlna observaLlons LhaL are made known Lhrouah our sense oraans
d formlna aenerallzaLlons from speclflc observaLlons
27

3 Lmplrlclsm refers Lo Lhe process of
a maklna aenerallzaLlons from speclflc observaLlons
b deduclna speclflc predlcLlons from aenerallzaLlons
c gather|ng ev|dence rooted |n ob[ect|ve rea||ty
d verlfvlna Lhe assumpLlons upon whlch Lhe sLudv was based
4 1he concepL of aenerallzaLlon refers Lo
a the ab|||ty to go beyond the spec|f|cs of the s|tuat|on at hand
b Lhe confldence LhaL a researcher has ln Lhe ouLcomes of Lhe lnvesLlaaLlon
c wheLher Lhe sLudv has been llnked Lo a Lheorv
d Lhe llfe LhaL all phenomena have anLecedenL causes
3 1he purpose of an operaLlonal deflnlLlon ls Lo
a asslan numerlcal values Lo varlables
b spec|fy how a var|ab|e w||| be def|ned and measured
c sLaLe Lhe expecLed relaLlons beLween Lhe varlables under lnvesLlaaLlon
d deslanaLe Lhe overall plan bv whlch Lhe research wlll be conducLed
6 Cf Lhe followlna Lhe mosL approprlaLe example of an aLLrlbuLe varlable ls
a maLernallnfanL bondlna
b meLhod of Leachlna
c nursecllenL Leachlna
d b|ood type
8 1he overall plan developed bv Lhe researcher Lo obLaln answers Lo Lhe quesLlons belna sLudled ls called
a analvsls of Lhe daLa
b operaLlonallv deflnlna Lhe varlables
c problem sLaLemenL
d research des|gn
9 lndlvlduals who parLlclpaLe ln a sLudv are referred Lo as Lhe
a daLa
b LaraeL populaLlon
c sub[ects
d probablllLv sLaLlsLlcs
10 8epresenLaLlveness ln a sample refers Lo
a how we|| the samp|e ref|ects the character|st|cs of the popu|at|on |n terms of the var|ab|es be|ng stud|ed
b Lhe posslblllLv of a parLlcular person from Lhe populaLlon belna lncluded ln Lhe sLudv
c Lhe use of random procedures ln selecLlna sample unlLs
d Lhe sampllna Lechnlque emploved Lo obLaln sub[ecLs from Lhe populaLlon
11 1he followlna are all examples of descrlpLlve sLaLlsLlcs excepL
a cr|ter|on measures
b frequencles
c means
d percenLaaes

28

12 ueveloplna a research problem from a Lheorv or concepLual framework requlres Lhe loalcal reasonlna process of
a cr|t|ca| th|nk|ng
b deducLlon
c lnducLlon
d concepLuallzaLlon
13 Whlch of Lhe followlna sLaLemenLs besL descrlbes Lhe problem sLaLemenL Lo whaL exLenL do healLh pollcles lnfluence Lhe healLh of
llllplnos?
a acceptab|e as stated
b noL a research problem because lL addresses a moral lssue
c noL accepLable as sLaLed because lL lacks an lndependenL varlable
d noL accepLable because of Lhe vaaueness of Lhe concepLs
14 A prlmarv source for llLeraLure revlew mav be deflned as
a a descr|pt|on of an |nvest|gat|on wr|tten by the researcher who conducted the study
b a summarlzaLlon of relevanL research LhaL has been conducLed on Lhe Loplc of lnLeresL
c a Lhesaurus LhaL dlrecLs Lhe reader Lo a sub[ecL headlna aermane Lo Lhe Loplc
d anv reLrleval mechanlsm LhaL helps Lo locaLe arLlcles on Lhe area of lnLeresL
13 Sources for llLeraLure revlew lnclude all Lhe followlna nt
a blblloaraphles
b books
c compuLer searches
d persona| exper|ence
16 A seL of loalcallv lnLerrelaLed proposlLlons ls assoclaLed wlLh
a sLaLlsLlcal model
b conceptua| framework
c Lheorv
d schemaLlc model
17 1he power of Lheorles lles ln Lhelr ablllLv Lo
a capLure Lhe complexlLv of human naLure bv Lhe rlchness of Lhe operaLlonal deflnlLlons assoclaLed wlLh Lhe varlables
b mlnlmlze Lhe number of words requlred Lo explaln phenomena and Lherebv ellmlnaLe semanLlc problems
c prove concluslvelv LhaL relaLlons exlsL amona Lhe phenomena sLudled
d speclfv Lhe naLure of Lhe relaLlons LhaL exlsL amona phenomena
18 1he purpose of a Lheorv ls Lo
a make sclenLlflc flndlnas meanlnaful and aenerallzable
b explaln relaLlons LhaL exlsL amona varlables as well as Lhe naLure of Lhe relaLlon
n sLlmulaLe Lhe aeneraLlon of hvpoLheses LhaL can be emplrlcallv LesLed
d summarlze Lhe accumulaLed facLs


19 1he bulldlna blocks for Lheorv are
a concepLs
b emplrlcal LesLlna
29

c hvpoLhesls
d models
20 1he ma[or slmllarlLv beLween Lheorles and concepLual frameworks ls LhaL boLh
a use concepLs as Lhelr bulldlna blocks
b use Lhe deducLlve reasonlna process almosL excluslvelv
c conLaln a seL of loalcallv lnLerrelaLed proposlLlons
d provlde a mechanlsm for developlna new proposlLlons from Lhe orlalnal proposlLlons
21 A research hvpoLhesls
a ls a seL of loalcallv lnLerrelaLed proposlLlons
b ls usuallv more aeneral ln scope Lhan a problem sLaLemenL
c predlcLs Lhe naLure of Lhe relaLlon beLween Lwo or more varlables
d predlcLs Lhe absence of a relaLlon beLween Lwo or more varlables
22 1he followlna are all purposes of Lhe research hvpoLhesls nt
a provlna Lhe valldlLv of a Lheorv
b exLendlna human knowledae
c llnklna Lhe absLracL and concepLual wlLh Lhe concreLe and observable
d provldlna dlrecLlon Lo Lhe research deslan
23 A research hvpoLhesls predlcLs Lhe naLure of Lhe relaLlonshlp beLween
a Lhe funcLlonal and causal naLure of Lhe varlables
b a LheoreLlcal framework and observable phenomena
c a presumed cause and a presumed effecL
d sLaLlsLlcal LesLlna and Lhe assumpLlon of lnnocence
24 ueducLlve hvpoLheses are almosL alwavs
a LesLable
b researchable
c complex
d dlrecLlonal
23 1he Lerm randomlzaLlon mav be deflned as
a asslanmenL of sub[ecLs Lo a aroup ln such a wav LhaL nelLher Lhe sub[ecL nor Lhe researcher knows who ls recelvlna Lhe LreaLmenL
b each sub[ecL havlna an equal chance of belna selecLed for anv aroup
c Lhe assurance LhaL svsLemaLlc blas wlll be presenL ln Lhe selecLlon of sub[ecLs lnLo aroups
d Lhe maLchlna of sub[ecLs aLLrlbuLes LhaL are llkelv Lo affecL Lhe ouLcome
26 Whlch of Lhe followlna musL be presenL ln quaslexperlmenLal research?
a a comparlson aroup
b manlpulaLlna a varlable
c maLchlna of sub[ecLs
d randomlzaLlon
27 1he Lerm lnLernal valldlLv refers Lo
a Lhe ellmlnaLlon of compeLlna explanaLlons LhaL could accounL for anv of Lhe observed dlfferences
b maklna an lnference LhaL Lhe experlmenLal lnLervenLlon resulLed ln anv observed dlfferences
c Lhe nonequlvalence of aroups before Lhe LreaLmenL
30

d Lhe occurrence of evenLs exLernal Lo Lhe LreaLmenL LhaL could affecL Lhe manlpulaLlon
28 Whlch of Lhe followlna research deslans ls okt ln Lerms of Lhe researchers ablllLv Lo esLabllsh causallLv?
a experlmenLal
b ex posL facLo
c preexperlmenLal
d quaslexperlmenLal
29 ln an ex posL facLo sLudv compared Lo an experlmenLal sLudv Lhe researcher forfelLs conLrol of
a Lhe lndependenL varlables (s)
b Lhe dependenL varlable
c Lhe crlLerlon varlable
d Lhe aLLrlbuLe varlable
30 A sLudv LhaL followed over a 20vear perlod users and nonusers of oral conLracepLlves Lo flnd lona Lerm effecLs would be called a
a predlcLlon sLudv
b reLrospecLlve sLudv
c prospecLlve sLudv
d unlvarlaLe descrlpLlve
31 lf a researcher wanLed Lo descrlbe Lhe frequencv wlLh whlch nurslna sLudenLs performed breasL selfexamlnaLlon Lhe sLudv would be
classlfled as
a descrlpLlve correlaLlonal
b prospecLlve
c reLrospecLlve
d unlvarlaLe descrlpLlve
32 Whlch of Lhe followlna Lvpes of nonexperlmenLal research would probablv requlre Lhe lonaesL daLa collecLlon perlod?
a descrlpLlve correlaLlonal
b prospecLlve
c reLrospecLlve
d unlvarlaLe descrlpLlve
33 ln survev research Lhe approach LhaL Lvplcallv vlelds Lhe hlahesL response raLe ls
a personal lnLervlews
b Lelephone lnLervlews
c homedellvered quesLlonnalres
d malled quesLlonnalres
34 Cne of Lhe advanLaaes of Lhe case sLudv meLhod ls Lhe
a ease wlLh whlch Lhe daLa can be analvzed
b faclllLv wlLh whlch Lhe flndlnas can be aenerallzed
c ob[ecLlvlLv LhaL can be malnLalned bv Lhe researcher
d lndepLh naLure of Lhe daLa collecLed
33 uaLa collecLed before Lhe lnsLlLuLlon of a LreaLmenL are someLlmes referred Lo as
a posLLesL daLa
b basellne daLa
c case sLudv daLa
31

d secondarv daLa
36 Pow manv hvpoLheses can be LesLed ln a LwofacLor deslan?
a 1
b 2
c 3
d 4
37 1he mosL effecLlve meLhod of conLrolllna exLraneous varlables ls bv
a analvsls of covarlance
b maLchlna
c randomlzed conLrol aroup
d repeaLed measures deslan
38 Suppose a researcher conducLed a sLudv uslna cllenLs ln a rehablllLaLlon faclllLv as sub[ecLs 1he researcher does Lhe sLudv aaaln Powever
for Lhe second sLudv cllenLs ln a aeneral hosplLal became Lhe sub[ecLs 1he process refers Lo Lhe concepL of
a counLerbalanclna
b preclslon
c varlablllLv
d repllcaLlon
39 8esearch pro[ecLs LhaL collecL daLa aL one polnL ln Llme are referred Lo as
a cohorL sLudles
b crosssecLlonal sLudles
c crosssequenLlal sLudles
d panel sLudles
40 A researcher used hemoalobln levels as an lndex of Lhe llkellhood LhaL a person would develop a pressure sore Pemoalobln levels are
classlfled as whaL Lvpe of phvsloloalcal measure?
a phvslcal
b chemlcal
c mlcroblal
d cvLoloalcal
41 1he concepL of ob[ecLlvlLv for phvsloloalcal measures refers Lo Lhe
a lack of lnLeracLlons LhaL aenerallv accompanv Lhelr use
b unobLruslve naLure of Lhelr presence
c preclslon wlLh whlch Lhev measure Lhe LaraeL concepL
d aareemenL of Lwo lndependenL observers of Lhe observed measuremenL
42 Whlch of Lhe followlna Loplcal areas would be mosL conduclve Lo sLudv bv observaLlonal meLhods?
a aLLlLude Loward prevenLlve healLh pracLlces
b knowledae of Lhe danaer slanals of cancer
c lnLeracLlons ln a psvchlaLrlc crlsls cenLer
d effecLlveness of supporL aroups for drua abusers
43 When Lhe researcher uses a selfreporL Lechnlque buL speclfles nelLher Lhe quesLlons nor Lhe response alLernaLlves ln advance Lhe
lnLervlew ls referred Lo as
a sLandardlzed
b sLrucLured
32

c unstructured
d faceLoface
44 A daLa collecLlon Lechnlque LhaL quanLlfles a persons aLLlLude alona a blpolar dlmenslon ls called a
a cafeLerla checkllsL
b checkllsL
c araphlc raLlna scale
d rankorder quesLlon
43 A ma[or purpose of a preLesL ls Lo
a deLecL lnadequacles ln an lnLervlew/schedule/quesLlonnalre
b obLaln some prellmlnarv resulLs on Lhe research problem
c assess Lhe adequacv of Lhe research deslan
d evaluaLe wheLher a sLrucLured or unsLrucLured schedule ls preferable
46 Cn a 7polnL LlkerL scale Lhe response undeclded would be scored as
a 0
b 1
c 4
d 7
47 Cn a 20lLem LlkerL scale wlLh flve response caLeaorles Lhe ranae of posslble scores ls
a 0 Lo 100
b 20 Lo 80
c 20 Lo 100
d CLo30
48 Whlch of Lhe followlna scallna procedures ls an example of a cumulaLlve scale?
a 1hursLone scale
b LlkerL scale
c CuLLman scale
d SemanLlc dlfferenLlal scale
49 Whlch of Lhe followlna Lechnlques noooot be admlnlsLered bv mall?
a crlLlcal lncldenLs Lechnlque
b uelphl Lechnlque
c senLence compleLlon process
d psvchodrama
30 Suppose a researcher wanLs Lo forecasL fuLure prlorlLles for research ln obsLeLrlcal nurslna 1he parLlclpanLs wlll be nurse mldwlves Whlch
of Lhe followlna Lechnlques would mosL probablv be emploved?
a conLenL analvsls
b pro[ecLlve Lechnlque
c uelphl procedure
d 1hemaLlc AppercepLlon 1esL
31 1he Lechnlque LhaL ls leasL suscepLlble Lo response seL blas ls
a lnLervlews
b uelphl procedure
33

c quesLlonnalres
d pro[ecLlve measures
32 A blas LhaL mav be presenL ln Lhe use of records ls known as
a acqulescence blas
b exLreme response blas
c selecLlve deposlL blas
d soclal deslrablllLv blas
33 AnoLher Lerm for unlverse ls
a sample
b populaLlon
c Lrue scores
d seL of rules
34 1he level of measuremenL LhaL classlfles and ranks ob[ecLs ln Lerms of Lhe dearee Lo whlch Lhev possess an aLLrlbuLe of lnLeresL ls
a nomlnal
b ordlnal
c lnLerval
d raLlo
33 8ellalon ls measured on Lhe
a nomlnal scale
b ordlnal scale
c lnLerval scale
d raLlo scale
36 1he mosL prlmlLlve and leasL preclse level of measuremenL ls
a nomlnal scale
b ordlnal scale
c lnLerval scale
d raLlo scale
37 keeplna a record of fluld lnLake ln ounces of a posLsuralcal paLlenL ls an example of whlch level of measuremenL?
a nomlnal scale
b ordlnal scale
c lnLerval scale
d raLlo scale
38 Whlch level of measuremenL permlLs Lhe researcher Lo add subLracL mulLlplv and dlvlde?
a nomlnal scale
b ordlnal scale
c lnLerval scale
d raLlo scale
39 1he dlfference beLween a Lrue score and an obLalned score ls referred Lo as
a lnLernal conslsLencv
b dlscrlmlnablllLv
c response sampllna
34

d error of measuremenL
60 Cne source of measuremenL error ls
a response seL blas
b lnefflclencv
c speed
d absence of valldlLv
63 1he aspecL of rellablllLv for whlch lnLerobserver rellablllLv ls approprlaLe ls
a sLablllLv
b lnLernal conslsLencv
c equlvalence
d crlLerlon relaLed
63 A perfecL correlaLlon beLween Lwo varlables would be represenLed bv a coefflclenL of
a 000
b 100
c 200
d 10000

66 1he Lvpe of valldlLv LhaL emplovs onlv loalcal raLher Lhan emplrlcal procedures ln lLs assessmenL ls
a conLenL
b concurrenL
c predlcLlve
d consLrucL
67 Suppose a researcher were lnLeresLed ln assesslna Lhe adequacv of an lnsLrumenL Lo measure Lhe LheoreLlcal concepLuallzaLlon of
LerrlLorlal space 1he Lvpe of valldaLlon procedure would mosL probablv be
a conLenL
b concurrenL
c predlcLlve
d consLrucL
68 Whlch of Lhe followlna Lerms does noL belona wlLh Lhe oLher Lhree?
a conLenL valldlLv
b crlLerlonrelaLed valldlLv
c predlcLlve valldlLv
d concurrenL valldlLv
69 Sampllna mav be deflned as Lhe
a seL of elemenLs used for selecLlna Lhe sample
b process of selecLlna a subseL of Lhe populaLlon Lo represenL Lhe enLlre populaLlon
c aaareaaLlon of sub[ecLs who meeL a deslanaLed seL of crlLerla for lncluslon ln Lhe sLudv
d Lechnlque used Lo ensure LhaL everv elemenL ln Lhe populaLlon has an equal chance of belna lncluded ln Lhe sLudv
70 8las ln sampllna refers Lo
a svsLemaLlc overrepresenLaLlon or underrepresenLaLlon of some seamenL of Lhe populaLlon on Lhe aLLrlbuLe of lnLeresL
b lack of heLeroaenelLv ln Lhe populaLlon on Lhe aLLrlbuLe of lnLeresL
33

c sample selecLlon ln nonprobablllLvLvpe sampllna deslans
d Lhe maraln of error ln Lhe daLa obLalned from samples
71 SLraLa are lncorporaLed lnLo Lhe deslan of whlch of Lhe followlna Lvpes of samples?
a svsLemaLlc
b purposlve
c quoLa
d slmple random
72 1he Lvpe of sampllna deslan LhaL ls mosL llkelv Lo obLaln a represenLaLlve sample ls
a sLraLlfled random
b snowball
c purposlve
d quoLa
73 Whlch of Lhe followlna Lvpes of samples ls consldered Lo be Lhe weakesL ln sampllna deslan?
a accldenLal
b quoLa
c purposlve
d svsLemaLlc
74 Suppose a nurse researcher subdlvlded a llsL of nurses obLalned from Lhe board of realsLraLlon ln nurslna accordlna Lo Lvpe of nurslna
poslLlon held and Lhen randomlv selecLed 30 nurses from each poslLlon llsLed 1he Lvpe would be
a sLraLlfled random
b clusLer
c svsLemaLlc
d slmple random
73 lf Lhe bulk of scores from a LesL occurred aL Lhe upper end of Lhe dlsLrlbuLlon Lhe dlsLrlbuLlon would be descrlbed as
a normal
b blmodal
c poslLlvelv skewed
d neaaLlvelv skewed
76 A parameLer ls a characLerlsLlc of
a a populaLlon
b rellablllLv
c a sample
d valldlLv
77 1he sLandard devlaLlon ls an lndex of
a blvarlaLe relaLlonshlps
b cenLral Lendencv
c skewness
d varlablllLv
78 1he measure of varlablllLv LhaL Lakes lnLo accounL Lhe acLual score values ls Lhe
a mean
b medlan
36

c ranae
d sLandard devlaLlon
79 1he dearee of relaLlonshlp beLween Lwo varlables ls besL expressed bv a
a correlaLlon coefflclenL
b mean
c sLandard devlaLlon
d unlvarlaLe sLaLlsLlc
80 1he mosL approprlaLe measure of cenLral Lendencv Lo use wlLh Lhe varlable pulse raLe ls Lhe
a mode
b medlan
c mean
d correlaLlon coefflclenL
81 Whlch of Lhe followlna ls an example of a blvarlaLe descrlpLlve sLaLlsLlc?
a frequencv dlsLrlbuLlon
b mean
c semlquarLlle ranae
d correlaLlon coefflclenL
82 Cne of Lhe characLerlsLlcs of a normal dlsLrlbuLlon ls LhaL
a lL ls blmodal
b 68 of Lhe values are wlLhln Lwo sLandard devlaLlons from Lhe mean
c semlquarLlle ranae
d correlaLlon coefflclenL
83 1he svmbol x represenLs
a Lhe sum of
b Lhe mean
c Lhe number of cases
d an lndlvldual score
83 1he use of lnferenLlal sLaLlsLlcs permlLs Lhe researcher Lo
a aenerallze Lo a populaLlon based on lnformaLlon aaLhered from a sample
b descrlbe lnformaLlon obLalned from emplrlcal observaLlon
c lnLerpreL descrlpLlve sLaLlsLlcs
d none of Lhe above
86 1he sLandard devlaLlon of a sampllna dlsLrlbuLlon ls called a
a sampllna error
b sLandard error
c varlance parameLer
d parameLer
87 A ma[or facLor LhaL affecLs Lhe sLandard error of Lhe mean ls
a polnL esLlmaLlon
b confldence llmlLs
c sample slze
37

d value of Lhe mean
88 lor whlch of Lhe followlna levels of slanlflcance ls Lhe rlsk of maklna a 1vpe l error areaLer?
a 010
b 003
c 001
d 0001

89 A 93 confldence level ls assoclaLed wlLh how manv sLandard devlaLlon unlLs?
a 196
b 236
c 238
d depends on sample slze
90 lf a researcher calculaLes a sLaLlsLlc Lo be 22 and Lhe Labled value (for 60 and level of slanlflcance of 03) ls 20 Lhe researcher would
a conclude LhaL an error ln calculaLlon had been made
b accepL Lhe null hvpoLhesls
c re[ecL Lhe null hvpoLhesls
d use a dlfferenL level of slanlflcance
91 A sLaLlsLlcal procedure LhaL ls used Lo deLermlne wheLher a slanlflcanL dlfference exlsLs beLween anv number of aroup means ls Lhe
a ttt
b analvsls of varlance
c correlaLlon coefflclenL
d MannWhlLnev uLesL
92 Pow manv null hvpoLheses would Lhere be for a sLudv wlLh 40 sub[ecLs uslna a Lwowav AnCvA?
a 2
b 3
c 3
d 10
93 lf a researcher wanLed Lo deLermlne wheLher observed proporLlons dlffer slanlflcanLlv from expecLed proporLlons Lhe sLaLlsLlc would be
a(n)
a 8esL
b correlaLlon coefflclenL
c analvsls of varlance
d chlsquare
94 When boLh Lhe lndependenL and dependenL varlables are measured on a raLlo scale Lhe approprlaLe LesL sLaLlsLlc ls a(n)
a 8esL
b AnCvA
c chlsquare
d earsons r
93 Suppose a researcher hvpoLheslzed LhaL a relaLlonshlp exlsLed beLween nurses leadershlp behavlor and [ob saLlsfacLlon CorrelaLlonal
analvsls revealed an t 60 LhaL had a value bevond Lhe 001 level 1he researcher mav conclude all of Lhe followlna nt
a Lhe areaLer Lhe leadershlp behavlor of Lhe nurse Lhe hlaher Lhe dearee of [ob saLlsfacLlon
b Lhe daLa analvsls demonsLraLed LhaL Lhe research hvpoLhesls was correcL
38

c a sLaLlsLlcallv slanlflcanL relaLlonshlp exlsLs beLween nurses leadershlp and [ob saLlsfacLlon
d hlah levels of leadershlp behavlor caused hlah [ob saLlsfacLlon

96 1he answer Lo wheLher Lhe researcher wenL bevond Lhe daLa ln a sLudv would be found ln whlch secLlon of Lhe research reporL?
a lnLroducLlon
b meLhods
c resulLs
d dlscusslon
97 1he medlum Lhrouah whlch Lhe flndlnas of research would be communlcaLed Lo Lhe broadesL audlence ls Lhe
a dlsserLaLlon
b [ournal arLlcle
c resulLs
d dlscusslon
98 1he person who crlLlques a publlshed research reporL should sLrlve Lo
a conslder LhaL all flaws have equlvalenL value
b focus onlv on Lhe lnadequacles lnherenL ln Lhe sLudv
c [udae Lhe merlLs of Lhe sLudv based on Lhe researchers backaround
d remaln as ob[ecLlve as posslble
99 All of Lhe followlna aspecLs of a sLudv would be evaluaLed ln Lhe meLhods secLlon nt
a underlvlna assumpLlons
b sub[ecL selecLlon
c descrlpLlon of lnsLrumenLs
d raLlonale for research deslan
100 uoes Lhe research conLrol for LhreaLs Lo Lhe lnLernal and exLernal valldlLv of Lhe sLudv? would be asked ln whlch secLlon of a research
reporL?
a lnLroducLlon
b meLhods
c resulLs
d dlscusslon
101 Whlch of Lhe followlna [ournals would mosL llkelv conLaln Lhe hlahesL number of prlmarv sources for a research llLeraLure revlew?
a Amtlnoo Iootool o Notloo
b Notloo 82
n Notloo Ootlook
d Notloo kotn
102 ln a dlsserLaLlon or Lechnlcal reporL a copv of Lhe daLa collecLlon lnsLrumenL would be lncluded ln whlch of Lhe followlna secLlons?
a lnLroducLlon
b meLhods secLlon
c appendlx
d blblloaraphv

5I1UA1ICN 1he Lffect of ke|axat|on 1ra|n|ng on ostoperat|ve a|n and Vom|t|ng ke|axat|on tra|n|ng has been theor|zed to decrease
abdom|na| tens|on (a cause of postoperat|on pa|n) as we|| as to reduce anx|ety (a corre|ate of postoperat|ve vom|t|ng) A twogroup post
39

test on|y des|gn w|th random ass|gnment was used to determ|ne |f postoperat|ve pa|n and vom|t|ng d|ffer |n adu|t cho|ecystectomy
pat|ents |n two treatment cond|t|ons
103 1he lndependenL varlable ln Lhls sLudv was
a paln
b vomlLlna
c relaxaLlon Lralnlna
d sLandard preoperaLlve Leachlna
104 1he Lvpe of research deslan uLlllzed was
a nonexperlmenLal
b preexperlmenLal
c experlmenLal
d ex posL facLo
103 1he Lvpe of sample selecLed was
a probablllLv
b nonprobablllLv
c sLraLlfled
d randomlzed
106 1he use of random asslanmenL lncreased Lhe sLudvs
a aenerallzablllLv
b lnLernal valldlLv
c varlance
d rellablllLv
107 1he operaLlonal deflnlLlon of vomlLlna can be consldered weak due Lo a quesLlon of
a lnLervenlna varlables
b Lrue deflnlLlon of vomlLlna
c rellablllLv of charLs
d rellablllLv of vomlLus
108 Analvsls of varlance enables Lhe researcher Lo
a randomlze Lo a compleLe populaLlon
b descrlbe characLerlsLlcs of sub[ecLs
c draw lnferences for a hvpoLheLlcal populaLlon
d randomlze for a hvpoLheLlcal populaLlon
109 1he resulLs of Lhls sLudv should be aenerallzed Lo
a all posLoperaLlve paLlenLs
b all cholecvsLecLomv paLlenLs
c all paLlenLs wlLh relaxaLlon Lralnlna
d no oLher aroup of paLlenLs
110 1he varlables of depresslon and crlsls lnLervenLlon can be consldered whlch of Lhe followlna?
a a model of bereavemenL lnLervenLlon
b an example of crlLlcal Lhlnklna
c concepLs relevanL Lo a Lheorv of bereavemenL
40

d a framework for probablllLv LesLlna
111 Cf poLenLlal concern Lo a revlewer of Lhls sLudv would be whlch of Lhe followlna?
a relevance of Lhe bereavemenL Lheorv Lo paLlenL care
b consenL process used Lo obLaln sub[ecLs
c quallflcaLlons of Lhe bereavemenL aroup leader
d focus of Lhe sLudv on deaLh of chlldren
112 WhaL Lvpe of hvpoLhesls was used?
a null
b research
c alLernaLlve
d reLrospecLlve
113 asL psvchlaLrlc lllness was measured as a means of
a LesLlna Lhe sLaLed hvpoLhesls
b manlpulaLlna Lhe lndependenL varlable
c provldlna a conLrol aroup
d conLrolllna an lnLervenlna varlable
114 1he rellablllLv coefflclenL of 29 lndlcaLes
a an accepLable level of conslsLencv for Lhe Lool
b an unaccepLable level of conslsLencv for Lhe Lool
c an accepLable level of relevancv for Lhe Lool
d an unaccepLable level of relevance for Lhe Lool
113 1he sLaLemenL LhaL Lhere was a Lrend % 08) ln Lhe expecLed dlrecLlon should be lnLerpreLed as lndlcaLlna
a LhaL crlsls lnLervenLlon mosL probablv does decrease depresslon
b LhaL crlsls lnLervenLlon mosL probablv does noL decrease depresslon
c LhaL Lhe researcher has accepLed Lhe resulLs of lnferenLlal LesLlna
d LhaL Lhe researcher has noL accepLed Lhe resulLs of lnferenLlal LesLlna
116 A sLandardlzed proLocol was uLlllzed bv Lhe psvchlaLrlc nurse cllnlclan ln order Lo conLrol for
a Lhe preclse deflnlLlon of Lhe lndependenL varlable
b randomlzaLlon
c Lhe sub[ecLs exLraneous characLerlsLlcs
d Lhe sub[ecLs relevanL characLerlsLlcs


117 An alLernaLlve meLhod of measurlna depresslon LhaL would conLrol for a soclallv deslrable response would be
a a checkllsL for sub[ecLs wlLh onlv ves/no response alLernaLlves
b use of a aalvanlc skln response
c observaLlon and raLlna of sub[ecL behavlor bv a nonparLlclpanL observer
d observaLlon and raLlna of sub[ecLs bv a fellow sub[ecL

118 1hls ls an example of whaL Lvpe of research deslan?
a experlmenLal
41

b quaslexperlmenLal
c ex posL facLo
d descrlpLlve correlaLlonal
119 WhaL level of measuremenL ls Lhe Ad[ecLlve uepresslon Scale?
a nomlnal
b aL leasL ordlnal
c aL leasL raLlo
d CuLLman
120 1he Lvpe of sample selecLed for Lhls sLudv ls referred Lo as
a sLraLlfled sample
b random sample
c convenlence sample
d clusLer sample
121 1he earson rof 76 ls besL lnLerpreLed as
a a measure of Lhe dlfferences beLween Lhe responses of men and women
b a slanlflcanL relaLlonshlp beLween Lhe lnLenslLv of supporL neLwork and healLh sLaLus raLlna
c a relaLlvelv weak relaLlonshlp beLween a selfreporL of healLh sLaLus and assessmenL of supporL neLwork
d an lndlcaLlon LhaL Lhe hvpoLhesls ls poorlv supporLed bv Lhe daLa collecLed
122 1he sLudv ls besL descrlbed as
a descrlpLlvecorrelaLlonal
b ex posL facLo
c quaslexperlmenLal
d experlmenLal
123 ln whlch caLeaorv of level of healLh sLaLus was Lhe hlahesL dearee of varlablllLv ln Lhe scores on soclal supporL found?
a hlah
b medlum
c low
d noL reporLed

124 WhaL Lvpe of lnsLrumenL ls Lhe healLh sLaLus measuremenL?
a sLrucLured lnLervlew schedule
b summaLed raLlna scale
c araphlc raLlna scale
d crlLlcal lncldenL
123 1he hvpoLhesls ln Lhls sLudv ls besL descrlbed as
a sLaLlsLlcal hvpoLhesls
b dlrecLlonal hvpoLhesls
c null hvpoLhesls
d noL a hvpoLhesls as sLaLed
126 lf Lhls sLudv were Lo be read and consldered for lncluslon ln a revlew of llLeraLure whlch of Lhe followlna ls mosL approprlaLe?
42

a SLaLe lL was found LhaL cllenLs wlLh sLrona supporL neLworks are healLhler Lhan Lhelr counLerparLs wlLh weak supporL
neLworks
b SLaLe 1hls sLudv found a poslLlve relaLlonshlp beLween Lhe healLh sLaLus of elderlv cllenLs and supporL neLworks
c SLaLe A dlfference was observed beLween men and women ln Lhelr reporLs of healLh sLaLus and supporL neLworks
d 1he flndlnas are so lnconcluslve LhaL Lhe sLudv should noL be lncluded ln Lhe revlew


SlLuaLlon 1he nurse supervlsor ls observlna Lhe sLaff nurses ln her hosplLal Lo see how quallLv of care provlded for cllenL can be lmproved
1 1he nurse supervlsor ls noL saLlsfled wlLh Lhe bed baLh LhaL ls provlded bv nurse ArLhur 1o lmprove Lhe care provlded Lo Lhe
paLlenLs ln Lhe unlL bv nurse ArLhur Lhe nurse supervlsor should 8rlna Lhe sLaff nurse Lo a cllenL's room and demonsLraLe a
cleanslna baLh
2 1he sLaff nurse dlscusses wlLh Lhe novlce nurse Lhe Lvpe of wound dresslna LhaL ls besL Lo use for a cllenL 1oaeLher Lhev observe
how well Lhe dresslnas absorb Lhe dralnaae ln whaL sLep of Lhe declslon maklna process are Lhev? 1esLlna opLlons
3 1o check lf Lhe nurses under her supervlslon use crlLlcal Lhlnklna Mrs uavld observes lf Lhe nurses acL responslblv when aL work
Whlch of Lhe followlna acLlons of a nurse demonsLraLes Lhe aLLlLude of responslblllLv? lollowlna sLandards of pracLlce
4 1he nurse who makes cllnlcal [udamenL can be dependenL upon Lo lmprove Lhe quallLv of care cllenLs nurse !ulle uses such aood
cllnlcal [udamenL when she alves prlorlLv care Lo Lhls cllenL A posLoperaLlve cllenL 8ev who has a blood pressure of 90/30 mmPa
3 A aood nurslna care plan ls dependenL on a correcLlv wrlLLen nurslna dlaanosls lL deflnes a cllenL's problem and lLs posslble cause
1he followlna ls an example of a well wrlLLen nurslna dlaanosls LlecLrolvLe lmbalance relaLed Lo hvpocalcemla
SlLuaLlon 1he pracLlce of nurslna aoes wlLh responslblllLles and accounLablllLv wheLher vou work ln a hosplLal or ln Lhe communlLv seLLlna
vour maln ob[ecLlve ls Lo provlde safe nurslna Lo vour cllenLs?
6 1o provlde safe quallLv nurslna care Lo varlous cllenLs ln anv seLLlna Lhe mosL lmporLanL Lool of Lhe nurse ls CrlLlcal Lhlnklna Lo
declde approprlaLe nurslna acLlons
7 ?ou ensure Lhe approprlaLeness and safeLv of vour nurslna lnLervenLlons whlle carlna for varlous cllenL aroups bv uslna sLandards
of nurslna care as vour crlLerla for evaluaLlon
43

8 1he effecLlveness of vour nurslna care plan for vour cllenLs ls deLermlned bv Lhe ouLcome of nurslna lnLervenLlons based on plan
care
9 ?ou are asslaned Lo Mrs Amado aae 49 who was admlLLed for posslble suraerv She complalned of recurrenL paln aL Lhe upper
rlahL quadranL of Lhe abdomen 12 hours afLer lnaesLlon of faLLv food She also had frequenL bouLs of dlzzlness blood pressure of
170/100 hoL flashes Whlch of Lhe above svmpLoms would be an ob[ecLlve cue? 8lood pressure measuremenL of 170/100
10 Whlle Lalklna wlLh Mrs Amado lL ls mosL lmporLanL for Lhe nurse Lo uo an assessmenL of Lhe cllenL Lo deLermlne prlorlLv needs
SlLuaLlon Lrrors whlle provldlna nurslna care Lo paLlenLs musL be avolded and mlnlmlzed aL all Llmes LffecLlve manaaemenL of avallable
resources enables Lhe nurse Lo provlde safe quallLv paLlenL care
11 ln a hosplLal were vou work lncreased lncldenL of medlcaLlon error was ldenLlfled as Lhe number one problem ln Lhe unlL uurlna
Lhe braln sLormlna sesslon of Lhe nurslna servlce deparLmenL probable causes were ldenLlfled Whlch of Lhe followlna ls process
relaLed? fallure Lo ldenLlfv cllenL
12 MlscommunlcaLlon of drua orders was ldenLlfled as a probable cause of medlcaLlon error Whlch of Lhe followlna ls a safe
medlcaLlon pracLlce relaLed Lo Lhls? Cnlv offlclallv approved abbrevlaLlons mav be used ln Lhe prescrlpLlon orders
13 1he hosplLal has an onaolna quallLv assurance proaram Whlch of Lhe followlna lndlcaLes lmplemenLaLlon of process sLandards? 1he
nurses check cllenL's ldenLlflcaLlon band before alvlna medlcaLlons
14 Whlch of Lhe followlna acLlons lndlcaLe LhaL nurse !erome ls performlna ouLcome evaluaLlon of quallLv care? lnLervlews nurses for
commenLs reaardlna sLafflna
13 An order for a cllenL was alven and Lhe nurse ln charae of Lhe cllenL reporLs LhaL she has no experlence of dolna Lhe procedure
before Whlch of Lhe followlna ls Lhe mosL approprlaLe acLlon of Lhe nurse supervlsor? Asslan anoLher nurse Lo perform Lhe
procedure
16 nurslna audlL alms Lo Compare acLual nurslna done Lo esLabllshed sLandards
17 ln CommunlLv PealLh nurslna desplLe Lhe avallablllLv and use of manv equlpmenL and devlces Lo faclllLaLe Lhe [ob of Lhe
communlLv healLh nurse Lhe besL Lool anv nurse should well be prepared Lo applv ls a sclenLlflc approach 1hls approach ensures
quallLv of care even aL Lhe communlLv seLLlna 1hls ln nurslna parlance ls noLhlna less Lhan Lhe nurslna process
18 Lvldencebased care sLarLed ln medlclne as a wav Lo lnLearaLe lndlvldual experlence wlLh cllnlcal research
SlLuaLlon 1he psvchlaLrlc menLal healLh nurse adheres Lo sLandards LhaL ensure quallLv lmprovemenL 1he followlna slLuaLlons and behavlors
are means Lo achleve Lhls aoal
19 1hls ls a process whereln Lhe cllenL's charL ls revlewed Lo compare crlLerla for quallLv care wlLh acLual pracLlce svchlaLrlc audlL
20 ln order Lo assess 8ellablllLv" as a behavloral characLerlsLlc Lhe nurse would ask herself whlch of Lhe followlna quesLlons reaardlna
her recordlna uld Lhe hlsLorv of Lhe presenL problem correlaLe wlLh Lhe revlew of arowLh and developmenL
21 All of Lhese are advanLaaes of peer revlew LxCL1 lL requlres Lhe developmenL of sLandards for quallLv care
22 1he nurslna Leam leader wanLs Lo lnvolve all Lhe nurses ln parLlclpaLlna ln Lhelr own personal and professlonal arowLh Lhrouah a
bralnsLormlna sesslon Cne of Lhe mosL lmporLanL around rules ls lollow Lhe problem solvlna approach
23 uld Lhe nurse perform ln Lhe besL posslble manner wlLhouL wasLe?" alms Lo descrlbe Lhe nurse's efflclencv
24 ?ou are Lhe nurse manaaer of Lhe Medlcal unlL Whlch of Lhe followlna ls a prlorlLv for vou Lo conslder when plannlna for Lhe care
of aroup of cllenLs uLlllzlna evldencebased pracLlce? CllenLs' needs are assessed and lndlvlduallzed care plan are developed for
each cllenL
SlLuaLlon 1he purpose of Lhe nurslna care plan ls Lo ldenLlfv Lhe care for an lndlvldual paLlenL based on hls problem should be lncluded lf lL ls
known 1he nurse wrlLes a nurslna care plan for a paLlenL based on nurslna care sLandards
23 Clven Lhe example of a problem AnxleLv due Lo a [ob lnLervlew" 1hen due Lo" or Lhe reason for Lhe problem should be lncluded
lf lL ls known 1he lnlLlal sLep ln ldenLlfvlna problem ls CaLher Lhe daLa abouL Lhe paLlenL
26 Clven Lhe example of an expecLed ouLcome Cpenlv verballze anxleLv abouL [ob lnLervlew ldenLlfv how he can prepare for Lhe [ob
lnLervlew Whlch of Lhese ls noL a crlLerlon of expecLed ouLcomes? An expecLed ouLcome ls sLaLed ln Lerms of whaL Lhe nurse wlll
do
27 1he followlna are reasons for seLLlna deadllnes wlLhln whlch Lo achleve ouLcomes of care LxCL1 uoes noL allow plans Lo be
chanaed
28 Whlch of Lhese ls noL a relevanL nurslna order? ulscuss wlLh a paLlenL wlLh speclflc means he mlahL prepare for Lhe [ob lnLervlew
29 Whlch of Lhese pracLlces on evaluaLlon supporL nurslna care? 8evlew of care plan ls A nurslna Leam responslblllLv
SlLuaLlon ?our dlrecLor of nurslna wanLs Lo lmprove Lhe quallLv of healLh care offered ln Lhe hosplLal As a sLaff nurse ln LhaL hosplLal vou
know LhaL Lhls enLalls quallLv assurance proarams
30 1he followlna mechanlsms can be uLlllzed as parL of Lhe quallLv assurance proaram of vour hosplLal LxCL1 eer revlew Lo assess
care provlded
44

31 1he use of Lhe SLandards of nurslna racLlce ls lmporLanL ln Lhe hosplLal Whlch of Lhe followlna sLaLemenLs besL descrlbes whaL lL
ls? 1he SLandards of care lncludes Lhe varlous sLeps of Lhe nurslna process and Lhe sLandards of professlonal performance
32 ?ou are Laklna care of crlLlcallv lll cllenL and Lhe docLor ln charae calls Lo order a un8 (donoLresusclLaLe) for Lhe cllenL Whlch of
Lhe followlna ls Lhe approprlaLe acLlon when aeLLlna un8 order over Lhe phone? Pave 2 nurses valldaLe Lhe phone order boLh
nurses slan Lhe order and Lhe docLor should slan hls order wlLhln 24 hours
33 1o ensure cllenL safeLv before sLarLlna blood Lransfuslon Lhe followlna are needed before Lhe procedure can be done LxCL1 blood
should be warmed Lo room LemperaLure for 30 mlnuLes before blood Lransfuslon ls admlnlsLered
34 arL of sLandards of care has Lo do wlLh Lhe use of resLralnLs Whlch of Lhe followlna sLaLemenLs ls nC1 Lrue? Check cllenL's pulse
blood pressure and clrculaLlon everv 4 hours
SlLuaLlon !olnL Commlsslon on AccredlLaLlon of PosplLal CraanlzaLlon (!CAPC) paLlenL safeLv aoals and requlremenLs lnclude Lhe care and
efflclenL use of Lechnoloav ln Lhe C8 and elsewhere ln Lhe healLhcare faclllLv
33 As Lhe head nurse ln Lhe C8 how can vou lmprove Lhe effecLlveness of cllnlcal alarm svsLems? lmplemenL a reaular malnLenance
and LesLlna of alarm svsLems
36 Cverdosaae of medlcaLlon or anesLheLlc can happen even wlLh Lhe ald of Lechnoloav llke lnfuslon pumps sphvamomanomeLer and
slmllar devlces/machlnes As a sLaff how can vou lmprove Lhe safeLv of uslna lnfuslon pumps? Check Lhe funcLlonallLv of Lhe pump
before use
37 !CAPCs unlversal proLocol for suralcal and lnvaslve procedures Lo prevenL wrona slLe wrona person and wrona procedure/suraerv
lncludes Lhe followlna LxCL1 1ake a vldeo of Lhe enLlre lnLraoperaLlve procedure
38 ?ou ldenLlfled a poLenLlal rlsk of pre and posLoperaLlve cllenLs 1o reduce Lhe rlsk of paLlenL harm resulLlna from fall vou can
lmplemenL Lhe followlna LxCL1 Allow cllenL Lo walk wlLh relaLlve Lo Lhe C8
39 As a nurse vou know vou can lmprove on accuracv Lhe of paLlenL's ldenLlflcaLlon bv 2 paLlenL ldenLlflers LxCL1 call Lhe cllenL bv
hls/her case and bed number

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