TEST DRILLS: ANSWERS

Nursing Practice 1
Situation: Nurse Vince is assigned as the team leader of newly hired community health nurses of the component city in
the province. He oriented them about primary health care.
1. Which of the following are some elements of primary health care except?
A. Use of appropriate technology
B. Safe water supply
C. Free medicines
D. Maternal and child care
2. Nurse Vince is going to refer patient to secondary health facility. Which of the following is an example of secondary
health facility?
A. A District Hospital
B. Puericulture Center
C. Rural health unit
D. Barangay Health Station
3. Which of the following herbal medicines is recommended for cough?
A. Sambong
B. Guava
C. Bawang
D. Lagundi
4. Guava leaves are recommended by the department of health to
A. Dissolve kidney stones
B. Lower blood pressure
C. Remedy for cough
D. Wash wound
5. This global program aims to end poverty and protect the planet?
A. Center for Disease Control
B. Sustainable development goal
C. Millennium development goals
D. World health organization

Situation: In the community where Nurse Noli is assigned there are many obese individuals who are suffering from
different heart ailment.
6. Which initiative should Nurse Noli introduce in order to decrease incidence of risk factors especially Obesity.
A. A Wellness and fitness program
B. Obesity is natural body response
C. Tell them to go the gym
D. They have to undergo strict dietary regimen
7. Which should be emphasize by the nurse in her health teachings
A. Jogging a mile a day
B. No need to diet
C. Vigorous exercise
D. Weight reduction
8. Nurse Noli should advice the patients the following except:
A. cut down on salt intake
B. More fruits and vegetable
C. Eat regular meals
D. Eat more saturated fats
9. To prevent complications from their heart diseases the nurse recommends to the patient regular monitoring of their
blood
A. Cholesterol
B. Nitrogen
C. Type
D. Oxygenation
10. Nurse Noli should include in his health teaching the following EXCEPT:
A. Less saturated fat
B. Weight within normal limits
C. Exercise regularly
D. More fats in the diet.

Situation: Nurse Mae is a new supervisor of the health center. Her program thrusts include excellent and quality provision
of services and performance of the staff.
11. To ensure that the staff adheres to their job responsibilities which should be the APRROPRIATE tool should Nurse
Mae utilize in evaluating staff performance?
A. Memorandum
B. Performance evaluation.
C. Incident report
D. Anecdotal report
12. As a nurse manager, which nursing action should do to let the staff imbibe the culture of quality at the health center?
A. Become a role model
B. Reprimand every now and then
C. Frequent meetings
D. Allow them to read books.
13. Which measure will be used in the unit to ensure patient satisfaction of the delivery of health services?
A. Encourage to use social media
B. Provide means to evaluate services
C. Verbal feedback
D. Ask the local officials
14. Which is the simple meaning of standards of nursing care ?
A. What protects the nurse
B. How the nurse will behave
C. How much work is done D. What to do
15. Which is the BEST strategy that Nurse should employ to give feedback on patients evaluation of health services?
A. Put the evaluation at supervisors office
B. Send letter to all C. Conduct staff meeting
D. Through bulletin board.

Situation: With the onset of rainy season, Nurse Nena and her team are on alert for increase in cases of Dengue Fever.
16. Identify the causative agent of dengue favor?
A. Fomite
B. Vector
C. Bacteria D. Virus
17. Which of the following strategies would prove effective in preventing more incidence of dengue infection? A.
Healthy nutritious food
B. Burning of leaves and garbage
C. Destruction of breeding place of vectors
D. Adequate rest and sleep
18. Bleeding is the most serious complication of Dengue infection. When is the patient be watched for symptoms of
bleeding?
A. 4th to 7 days
B. At the onset of symptoms
C. 2nd to 3rd day
D. 1st day
19. Which information about the nature of dengue fever the nurse should relay to the community? A. It is always life
threatening.
B. It could be deadly but preventable.
C. It responds well to antibiotics.
D. The incubation period is variable.
20. Which diagnostic test could be useful in confirming the diagnosis of Dengue Fever? A. Rumpell-Leede
B. Mantoux
C. Elisa
D. Widal

Situation: Nurse Rica finds effective communication as the key to successful community health nursing.
21. When writing a memorandum, which of the following is the MOST important guideline A. Purpose is included
B. Content clear
C. Friendly tone
D. One topic at one time
22. Which of the following is an INDICATOR of effective communication?
A. Receiver
B. Feedback
C. Sender
D. Non verbal communication
23. Nurse Rica would like to start a conversation, which communication technique she should use? A. Clarifying
B. Restating
C. Challenging
D. Broad opening
24. The patient told her something about her treatment to make she understood the patient which communication
technique should be used by the nurse?
A. Clarifying
B. Focusing
C. Validating D. Restating
25. Non verbal communication is as strong conveying information because the nurse can ______.
A. Observe gestures
B. Body language could be observed
C. Sender less effort
D. Action speaks louder than words

Situation: Nurse Lyn plans to enhance her personal and professional development 26. Choose
an indicator that models personal and professional behavior values.
A. Utilizes communication and social media responsibly
B. Attends conferences
C. Enrolls in school
D. Joins civic organization
27. Nurses should have knowledge about professional organization. Which of the following is the following is the
accredited professional organization of nurses?
A. Maternal Child Nursing
 B. Philippine Nurses Association, Inc.
C. National League of Government Nurses of the Philippines.
D. Association Nursing Service Administrators of the Philippine
28. A profession is characterized by the following except:
A. Body of knowledge
B. Code of ethics.
C. Member of professional organization
D. Engages in research
29. Which of the following is an example of self-directed learning activity? A. Research at work.
B. Attends webinars
C. Attendance to graduate school D. Resource person
30. Aside from attending seminars which of the following informal continuing education programs should the nurse
engaged herself EXCEPT:
A. Attending professional conventions
B. Webinars
C. Symposium
D. Doing research as academic requirement

Situation: Nurse Betty is assigned as team leader of the group of Community Health Nurses who are tasked to conduct a
Community Diagnosis in one of the far- flung barangays of the municipality.
31. While preparing to depart to their assigned barangay Nurse Betty informs her group that the PRIMARY purpose of
conducting community diagnosis is to ______.
A. do assessment of the community profile B. count the number of morbidity in the place
C. assess the number of indigenous people. D. form
a core group of selected residents
32. Nurse Betty and her group followed the steps of community diagnosis. Which comes after, the formulation of
objectives?
A. Determine data to be collected.
B. Define the study population.
C. Analyze the collected data.
D. Collect the needed data.
33. In the step of community diagnosis where data are collected which of the following tools is utilized less? A. Interview
guide
B. Observation checklist
C. Survey questionnaire
D. Case Study
34. To prepare the collected data about the health status of the community for analysis, which is the APPROPRIATE step
that the group of Nurse Betty should do?
A. Analyze data
B. Interpret data
C. Present data
D. Make conclusion
35. Once the group of Nurse Betty is able to identify community problems. Which would be APPROPRIATE for them to
do in order to be able to plan for necessary intervention?
A. Present the data
B. Formulate objectives
C. Evaluate the data
D. Set priorities
Situation: At present the public knows their rights in health care, The Community Health Nurse should be confident and
safe in the practice of her profession
36. Nurse has a complaint from a parent for administering wrong dose of vaccine to the child. This act is a form of
A. Battery
B. Assault
C. Negligence
D. Malpractice
37. When Nurse Ace submitted a report to the physician that she committed an error in medication. This is an example of
____.
A. Responsibility
B. Accountability
C. Commitment D. Delegation
38. Who among the following is the BEST to sign an informed consent during surgical procedure of a child at the health
center?
A. A 26 year old brother who is a drug addict.
B. A father who is 40 years old and illiterate.
C. A sister, 21 years old but undergoing dialysis.
D. A mother, 35 years old with on and off seizure.
39. A nurse administer an extra dose of vaccine to a child and the patient developed adverse reaction and died. She can be
sued for _________.
A. Negligence
B. Malpractice
C. Tort
D. Battery
40. A patient was for transfer to a tertiary hospital because of severe astma, but the nurse do not prepare the patient right
away and the patient dies. Which of the following the nurse is liable?
A. Malpractice
B. Assault
C. Murder
D. Battery

Situation: Health education is one of the essential services at the community setting. Nurse Nena is in charge of health
education activities of the rural health unit.
41. Which of the following is TRUE about health education in public health? A. It only done by professionals like
nurses.
B. It is every health worker responsibility
C. It remains constant
D. It is seldom use in public health setting
42. The BEST result of health-education process is
A. It influences and changes behavior
B. It provides new inputs
C. Update others
D. Information transfer
43. Which of the of the following explains health education is creative process? 1. It could employ a variety of strategies
2. It is can be done anywhere.
3. It could perform by any member of the health team
4. It is a valuable health service
A. 1,2,3
B. 1,2
C. 3,4
 D. 1,2,3,4
44. To families and individual in the community, which is the MOST important goal of health education? A. To study
their life history
B. To identify their weaknesses
C. To totally change their lifestyle
D. To motivate them to develop skills and literacy in health.
45. As a whole health education in public health aims to ___________.
A. Transfers information
B. Make life changes
C. Better health opportunities
D. Change personality

Situation: Nurse Mary is assigned to manage the Non Communicable Disease Prevention and Control. She is alarm by the
increase number of residents who are having Hypertension.
46. Which assessment findings is INDICATIVE of the diagnosis of hypertension? A. Family members with high blood
pressure.
B. Elevation of blood cholesterol level.
C. Stressful work environment
D. Consistent elevation of blood pressure
47. Identify the MOST appropriate diagnostic examination that confirms the incidence of hypertension among residents.
A. Chest Xray
B. Electrocardiogram
C. Ultrasound
D. BP monitoring
48. Which medication will be prescribed to control and maintain the blood pressure of patients at normal level? A.
Lidocaine
B. Epinephrine
C. Amlodipine D. Furosemide
49. Nurse Mary had observed that most patients with hypertension stop taking their medications and heard them saying “I
feel good already”. Which the APPROPRIATE nursing diagnosis?
A. Impaired gas exchange
B. Anxiety
C. Knowledge deficit
D. Ineffective coping
50. During the conduct of his health teachings to the patients which should the nurse emphasize to maintain blood
pressure at normal level?
1. Smoke in moderation
2. Exercise regularly
3. Consume less salt
4. Maintain normal weight
5. 5.Less stress
A. 2,3,4,5
B. 1,2,3,4
C. c. 1,2,4,5
D. 1,3,4,5

Nursing Practice 2
Situation: Sonny, 11 years old, is admitted due to bronchitis. Upon admission, he manifested the following signs
and symptoms: cough, production of mucus (sputum), yellowish in color, fatigue, shortness of breath, slight
fever and chills and chest discomfort. The physician orders 4L/min oxygenation.
1. The first standard step in oxygen therapy that the nurse should do is _______.
A. assess client's condition
B. gather all the equipment and supplies
C. prepare the client for the oxygen treatment
D. check the chart for ordered flow rate and oxygen delivery method

2. In planning for Sonny's oxygen therapy, the nurse should consider which of the following, EXCEPT _____.
A. need for a humidifier.
B. length of tubing
C. determine the age of Excel.
D. manner of administering oxygen, continuous or intermittent.
3. Which of the following is the PRIORITY action of the nurse for Sonny who in on oxygen therapy? A.
Check the flow.
B. Connect the flow meter to the pipe in oxygen outlet.
C. Turn on the oxygen.
D. Attach the humidifier and connecting tubing to the oxygen delivery device.
4. What PRIORITY precautionary measure should be done by the nurse during the oxygen therapy?
a. Humidifier's water should be checked regularly.
b. No Smoking sign.
c. Oxygen tank should have belt.
d. Limit visitors.

5. One evening, Sonny complained of dyspnea despite continuous oxygen therapy. What should be the FIRST
action of the nurse? A. Reassess the client.
B. Give PRN medication.
C. Assess the patency of the tubing.
D. Refer client to the physician.

Situation: The senior nurse Reese, is planning to revisit and implement a change in the management system for
the Obstetric Unit. This would be a pilot unit as planned by the administration. Many problems have occurred
one of which is the present documentation system, and the charge nurse determines that a change is required.
6. What should be the INITIAL STEP in the process of change for the senior nurse. A. set goals and
priorities regarding the change process.
B. Plan strategies to implement the change.
C. Identify potential solutions and strategies for the change.
D. Identify the inefficiency that needs improvement or correction.

7. Nurse Reese is preparing the patient assignment for the day and needs to assign patients to a
midwife and nursing assistant. Which patient should the nurse assign to the midwife because of
patient needs that cannot be met by the nursing assistant? A patient requiring _______.
A. dressing change of post caesarian surgery
B. collecting of urine specimen for urinalysis testing.
C. performing range-of-motion exercises twice a day
D. taking of vital signs measurement every hours
8. Because of the scarcity of nurses in the hospital settings, different service delivery models were
proposed. Which situation represents the primary nursing care delivery model?
A. The nursing aide is assigned to make beds and other errands while the nurse is to give medications
 B. The nurse develops a plan of care for patients and collaborates with other team members.
C. The nurse performs all tasks needed by the individual patient to optimize health.
D. The nurse provides care to 4 patients while the nursing aide is to care for 2 patients.
9. One of the post-caesarian patients has a private duty nurse and is responsible for providing holistic care
to her patient during the shift. What modality of nursing care is implemented?
A. Primary
B. Team
C. Total care D. Functional
10. At which stage of Lewin's planned change indicates the nurse identifying, planning and implementing
appropriate strategies ensuring that driving forces exceed restraining forces? A. Refreezing
B. unfreezing
C. movement
D. in activism

Situation: Olivia, a 15-year-old, high school student visited the health center for her prenatal checkup. Per
nurse's initial assessment, the patient drinks alcohol and smokes cigarettes about 5 sticks a day for 2 years now.
Her last menstrual period (LMP) was October 10, 2020.
11. Based on the nurse's computation utilizing Nagele's rule, the patient's expected date of birth (EDB) will be
on ________.
A. September 17, 2021
B. June 17, 2021
C. July 17, 2021
D. August 17, 2021
12. Which of the following is the MOST common emotional response among women during the first trimester
of pregnancy?
A. Ambivalence
B. Depression
C. Acceptance D. Jealousy
13. Olivia mentioned that she can experience uterine squeezing. Which of the following signs of normal
pregnancy should the nurse consider?
A. Braxton-Hicks contractions
B. Hegar's sign
C. Ballottement
D. Goodell's sign.
14. Nurse Emma advised the patient to quit smoking because nicotine will contribute to ________. A. low birth
weight infant.
B. ectopic tubal pregnancy
C. congenital anomalies
D. large for gestation age infants.
15. Emotional lability is common to pregnant women. Identify which following reactions is accepted as part of
a normal pregnancy?
A. Feelings are easily hurt by remarks
B. Mood swings
C. Amusing or even charming situation
D. Narcissism
Situation: Nurse Lingling is in the process of evaluating the effectiveness of her teaching which is the critical
part of the process.
16. Which of the following would BEST help Nurse Lingling in conducting evaluation?
A. Written examination
B. Change in behavior
C. Return demonstration
D. Obtain feedback from the client
17. Which of the following aspects should nurses continually teach patients to do? (Select all that apply.)
1.Disease or disorder
2.Diet medication
3.Treatments
4.Self care A.
1 only
B. 1,2 & 3
C. 1, 2, 3 & 4 D. 2
&3
18. The first step in teaching is assessing which of the following?. (Select all that apply).
1. Learning needs
2. Knowledge deficit
3. Education background
4. Social status A. 1, 2 & 3
B. 1 & 2
C. 1 only
D. 1, 2, 3 & 4
19. Which of the following environmental factors affect learning? (Select all that apply.)
1. Client comfort.
2. Lighting
3. Noise level
4. Room temperature
A. 2 & 4
B. 3 & 4
C. 1 only
D. 1,2, 3 & 4
20. Which of the following are good sources for teaching? (Select all that apply.)
1. Nursing specialists
2. Videotapes
3. Demonstration equipment
4. Books A. 2, 3
&4
B. 2 & 3
C. 1, 2, 3 & 4
D. 1, 2 & 3

Situation: Ramon, 6 years old, has been recently diagnosed to have Acute Lymphocytic Leukemia. The child
has undergone chemotherapy. However, the father is witnessing before his very eyes his first child dying.
The father is very much depressed. 21. In what way will the nurse handle the situation? A. Tell her to trust
on God's love and mercy.
 B. Tell her that death is a reality.
C. Encourage her to keep calm because the health care team is doing their best to help Ramon recover.
D. Encourage the mother to express more about her thoughts and feelings.
22. The APPROPRIATE nursing diagnosis to protect the patient from further injury is, which of the
following?
A. Altered mucous membrane related to chemotherapy.
B. Interrupted family processes related to life threatening illness of a family member.
C. Fatigue related to disease process.
D. Risk for injury related to thrombocytopenia.
23. Mouth sores have developed in the child's mouth. The father aske nurse the reasons for this. The MOST
APPROPRIATE response of the is ______. A. "The child's oral hygiene needs to be improved."
B. "There is no need to worry as all kids receiving chemotherapy tend to have them."
C. "He is allergic to the drug so I will report this to the doctor and suggest a change of drug."
D. "Mouth sores result because the cells of the mouth are sensitive to chemotherapy." 24.
Ramon died at 10:00 PM. His father cried much and refused to move Ramon's body. What is the
APPROPRIATE approach of the nurse? A. Talk about the reality of death.
B. Leave the mother and the child for the last time.
C. Silence to allow the mother to grieve.
D. Cry with the mother as you remember your own experience death in family.
25. The nurse's MAIN responsibility in preparing Ramon's discharge is, which of the following? A. Assist
the mother to pay the hospital bill.
B. Prepare Ramon's cadaver.
C. Prepare the death certificate.
D. Extend condolences to the bereaved family.

Situation: Asst Chief for Education & Training, Nurse Mendoza, is to conduct an in-service training program on
intravenous therapy for the staff nurses.
26. To be able to justify the conduct of any in-service training program in a hospital, which of the following
should be the bases for the implementation of the program?
1. Needs assessment
2. Needs analysis
3. Per recommendation by the Chief Nurse
4. Incident Reports
A. 1, 2 & 4
B. 1, 2 & 4
C. 1 only
D. 1, 2, 3 & 4
27. The BEST rationale for the conduct of the program is which of the following?
A. Ensure safe practice in the hospital
B. Improve nursing practice in general
C. Provide knowledge and skills to all nursing staff in IV Therapy
D. Deliver safe and quality nursing care to patients on intravenous therapy
28. One of the lecturers discussed the complications that patients while on IV therapy. Which of the following
is the most common complication that IV patients. may contract while on IV therapy? A. Embolism
B. Cardiac overload
C. Phlebitis
D. Aneurysm
29. The participants may avail of Continuing Professional Development (CPD) units if Nurse Mendoza had
filed the program to be CPD accredited to which of the following?
A. Professional Regulatory Board of Nursing.
B. Professional Regulation Commission
C. Continuing Professional Development Council for Nursing
D. Commission on Higher Education
30. The participants should know the way by which they may obtain CPD units aside from attending in-service
training programs, which are, EXCEPT _________.
A. professional seminars and conferences
B. graduate studies
C. short course training for specialization
D. joining nursing service committees

Situation: The concept of Reproductive Health is introduced as early primary and secondary levels with
different degrees of concentration. Students, interested to continue health courses were asking questions on
human sexuality.
31. Nurse Hailey discusses the 2020 National Health Goals. Which of the following statements is an
EXCEPTION in planning sexual health programs.
A. Make sexual education programs voluntary.
B. Increase the proportion of adolescents who have never engaged in sexual intercourse.
C. Reduce deaths from cancer resulting from uterine myomas.
D. Reduce deaths from cancer of the uterine cervix.
32. Maternal and child Nursing is a concept under the National Goals. Which objective should Nurse Bailey
emphasize to support the program?
A. Avoid having misdirected children and become street children.
B. Promote the well-being of the mother's family life and family planning.
C. Consider that every child has love, security, and a better future.
D. Avoid complications of pregnancy and promote vaginal deliveries.
33. Which of the following topics should the patient feel MORE comfortable when reproductive anatomy and
physiology is discussed with the nurse? A. Sexual health education.
B. Gender reassignment
C. Varied sexual positions
D. Gender identity
34. When can the patient tell all information to the nurse?
A. All diagnostic laboratory tests performed had been completed
B. Once the feeling of security is established in the nurse-patient relationship
C. A change in physical appearance occurs
D. The nurse knows the genogram of the patient
35. Which nursing diagnosis is NOT RELEVANT to sexual health?
A. Anxiety-related inability to conceive after six months. B. Health-
seeking behaviors related to reproductive functioning
C. Sexual dysfunction related to an unknown cause.
D. Risk for infection related to high-risk sexual behaviors.

Situation: Ruby, a pregnant patient 37 weeks gestation is admitted due to fever, painful swelling of hands, feet,
joints, and in labor pain who has a diagnosis of sickle cell anemia.
36. Nurse Sophie administers oxygen to patient Ruby and implements additional measures to prevent a sickling
crisis from occurring? A. Maintain strict asepsis.
B. Maintains adequate hydration.
C. Monitors the temperature.
D. Reassures the patient.
37. Nurse Sophie hooks a 1000 mL intravenous (IV) solution of D5Water as ordered by the physician at 9 am
to infuse 80 ml/hr via macro drop infusion set (20 gtts = 1 ml). On the assessment of the infusion at what
would be the level of the remaining amount in the IV bag at 2 pm? A. 500
B. 200
C. 400
D. 300
E. None of the above
38. The patient began receiving an intravenous (IV) infusion of packed red blood cells 30 minutes ago. The
patient complains of difficulty of breathing, itching and a tight sensation in the chest. Which is the
IMMEDIATE action of the nurse?
A. Recheck the unit of blood for compatibility.
B. Call the physician.
C. Check the patient's temperature.
D. Stop the infusion.
39. Nurse Sophie checks the gauge of the patient's intravenous catheter. Which is the smallest gauge
catheter that the nurse can use to administer blood?
A. 22-Gauge
B. 18-Gauge
C. 20-Gauge D. 12-Gauge
40. The nurse reviews the patient's plan of care. Which of the following nursing diagnoses will be the
PRIORITY?
A. Fluid volume, deficit
B. Risk for pain, acute
C. Coping, ineffective.
D. Body image, disturbed

Situation: Nurse Nilda is a beginning nurse assigned in the Pediatrics Unit in a government hospital. The Unit
has pediatric patients of different ages. Since she will be dealing with patients of varied ages, she thought it best
to review her notes on human growth and development, specifically Erikson's psychosocial theory.
41. The BEST reason why Nurse Nilda opted to review Erikson's psychosocial theory is, which of the
following statements?
A. Completion of task results in a sense of competence and a healthy personality.
B. Failure to master these tasks leads to feelings of inadequacy.
C. Helps children grow into successful, contributing members of society.
D. We are motivated by the need to achieve competence in certain areas of our lives.
42. Nurse Nilda immediately responds to any cry from her pediatric patients because it is, which of the
following reasons?
A. to attend to her patients who cannot communicate verbally
B. to check if the child is hungry or wet
C. to lessen the noise overload in the Unit
 D. a powerful influence over that individual's interactions with others for the remainder of his/her life
43. Nurse Nilda is attending to a two-year-old Neneng who was admitted due to chronic bronchitis. Neneng
sports a long hair that extends up to her shoulder. As part of the morning care, Nurse Nilda decided to style
Neneng's hair into a pony tail. However, Neneng vehemently resisted her hair being tied by a rubber band. The
BEST thing that Nurse Nilda should do is, which of the following? A. Assert her authority.
B. Deny Neneng's preference.
C. Explain that a pony tail would make Neneng's more beautiful.
D. Allow Neneng's preference.
44. Joji 17 years old, is admitted in a private room due to influenza. In one of Nurse Nilda's conversation is
with Joji, the patient expressed is unhappiness with the program he is taking up in college. This is not his
choice but rather the choice of his parents. In which of Erikson's stage of development does this case fall?
A. Autonomy versus shame/doubt
B. Integrity versus despair
C. Identity versus role confusion D. Trust
versus distrust
45. When a 3-year-old patient of Nurse Nilda asserts to choose the pants and shirt to wear to include food
preference. Based on Erikson's developmental tasks, the child's such behavior is attributed to their which of the
following?
1. struggling to acquire a sense of autonomy
2. discovering they have a will of their own
3. awareness that they cannot control others
4. learning which behavior gains approval
A. 1, 2 & 3
B. 2, 3 & 9
C. 1,2, 3 & 9
D. 1,2 & 9

Situation: Gwen a unit manager is assigned to evaluate applicants for the position in the OB unit.
During the interview, the applicant was asked 5 questions.
46. When a patient is admitted to the OB ward with complains of dizziness and body weakness, this is an
example of ________.
A. secondary source
B. primary source
C. objective data
D. subjective data
47. What are the possible cases that need informed consent?
A. Administering skin testing
B. Subjecting the patient to an invasive procedure
C. Hair shampooing of patient
D. Performing a laboratory procedure
48. The applicant was further asked about an incident report. Which of the following is a
PRIORITY case for an incident report to be accomplished A. Patient fell from the
bed.
B. Refusal to go to the physical therapy session.
C. A visitor encourages a patient on bed rest to ambulate.
D. Nurse left before his duty ends.
49. On which occasion would a nurse can be charged with negligence? A. Giving the
patient the wrong medication.
B. Giving competent care.
C. Following standards of care.
D. Communicating with another health team.
50. What tasks can be delegated to his nursing assistant during his tour of duty. A.
Changing wound dressings.
B. Administering analgesic drug.
C. Performing a physical assessment.
D. Taking vital signs.

Nursing Practice 3
Situation: Nurse Rachel is assigned in the medical unit of a tertiaryhospital where most of the patients admitted
are suffering from Endocrine disorders. She is currently assigned to Patients: Claire, 54 year old, married with
hyperthyroidism. Aster, 66 yr. old has an impression of Cushing syndrome while Sonia, 48 year old is
suffering from hypothyroidism.
1. While you are doing your physical assessment to patient Aster, she hasbeen exhibiting a UNIQUE clinical
manifestation different from patients. Claire and Sonia which is characterized by ________.
A. cyanosis, increasing growth of hands and feet
B. anemia, weight loss and presence of acne
C. moon face purple striae on trunk and buffalo hump
D. moon face easy fatigability and peripheral edema.
2. Which one of the following diagnostic tests do you expect NOT to be ordered by Dr. Lim to patient Aster
who is suspected to have Cushing Syndrome?
A. 24 hour urine cortisol lever
B. C reactive Protein level
C. ACTH serum concentration
D. Computerized tomography of the brain, chest and abdomen
3. Which clinical manifestation should Nurse Rachel watch for patient Claire if she is suffering from
hyperthyroidism?
A. Cold extremities
B. Increased weight
C. Decreased bowel movement
D. Fine motor tremor
4. Patient Sonia, who has hypothyroidism is given which one of the following drug therapy? a.
Propranolol
b. Iodine
c. Tron pills
d. Levothyroxine
5. Which of the following should be AVOIDED by patient Sonia while she isbeing treated for hypothyroidism?
A. Use of warm blankets
B. Light activities done at home C. Taking foods low in fiber
D. Exposure to cold temperature.

Situation: Nurse Eileen has just passed the Board Examination for Nurses and set her goals for her Nursing
Career for the next 5 years. She is aspiring to become a Diabetes Nurse Educator after completing her2 years as
a bedside nurse.
6. Which of the following can Nurse Eileen adopt to visualize her future?
A. Flow chart
B. Decision tree
C. Gantt chart D. Decision grid
7. She started to create her personal and professional portfolio as a preparation for her application to a
university medical center in Metro Manila. Which of the following is NOT a major purpose of keeping a
portfolio?
A. Keep on ongoing records of skills development.
B. Create a system for documenting accomplishments.
C. Set career and educational goals.
D. Set system for a possible shift to another job.
8. One area of the professional portfolio is to indicate one's philosophy of life. Which of the following work
place values should Nurse Eileen consider as NOT favorable to be written in her portfolio? A. Customer
service based on acceptance, empathy and selfless duty.
B. Time and compensation limiting her pursuit of excellence in her job.
C. Commitment to continual life long and self-directed learning.
D. Challenges which can lead to growth, responsibility and accountability.
9. In order for Nurse Eileen to be active as a bedside nurse, she has to comply with the renewal of PRC ID by
undertaking continuing professional development (CPD) as mandated by the CPD law. The purposes of
which are ________.
I. promote and upgrade the practice of the profession
II. improve the competence of the professional
III. international alignment of competence
IV. develop quality assurance for accreditation
A. II & III
B. I, II, & III
C. I, II, III, & IV D.
I& II
10. Nurse Eileen is aware that in her personal and professional portfolio has to include and keep up to date the
following EXCEPT _________.
A. certificate of CPD attended
B. letters of reference
C. photographs
D. confidential information from past employers

Situation: Mr. Reynaldo is tasked to conduct a study to determine the level of patient satisfaction on the care
they received from the hospital. In doing so, he plans to include: all adult patients admitted from May-October,
first admission, with an average length of hospital confinement of 4-5 days, and with no complications.
11. Which of the following is an EXTRANEOUS of the study? A. Age of patients.
B. Absence of complications.
C. Length of stay 4-5 days.
D. Date of admission January-March.
12. Which of the following variables will he likely EXCLUDE in his study?
A. Salary of nurses
B. Caring attitude of nurses
C. Responsiveness of staff
D. Competence of nurses
13. He plans to use a Likert scale to determine:
A. compliance to expected standards
B. degree of agreement and disagreement
C. level of satisfaction
D. degree of acceptance
14. Which criterion refers to the ability of the instrument to detect fine differences among the subjects being
studied?
A. Reliability
B. Sensitivity
C. Objectivity D.
Validity
15. This technique refers to the use of multiple referents to draw conclusions about what constitutes the truth.
A. Delphi technique
B. Meta-analysis
C. Triangulation
D. Experiment

Situation: Nurse Tarly, the research coordinator of a Tertiary hospital where there was a growing concern of
patients and family complaints that Nurses are" 'rude and cranky". In response to this she organized a core
group to conduct a study on the "Caring behaviour of Staff-Nurses and Satisfaction of Women with Ostomy.
16. Based on the research statement, what is the independent variable in the study?
A. Staff nurses
B. Caring behavior
C. Women with ostomy
D. satisfaction
17. What is the dependent variable in the study?
A. staff-nurse
B. ostomy
C. degree of satisfaction D.
caring behavior
18. What are the relevant related literatures that Nurse Tarly and her groupmates can utilize in this study?
1. Caring behaviour.
2. ostomy pathogenesis.
3. contentment and satisfaction.
4. Concept of body image.
A. III and IV
B. I, II and III
C. I and II
D. I, II, III and IV
19. If Nurse Tarly and her core group decide to formulate a directional hypothesis it will be ______.
A. There is an increase relationship between the caring staff nurses and degree of satisfaction of
ostomized patients.
B. The caring behaviors of the staff nurses is related to increased satisfaction of ostomized patients.
C. The staff nurses behaviors has an effect on the patients' satisfaction with ostomized patients.
D. A significant relationship exists between the caring behaviors of the staff-nurses and degree of
satisfaction of ostomized patients.
20. Based on the research problem, what is the Research design of the study?
 A. Quasi-experimental
B. Descriptive
C. Expost-facto
D. Experimental

Situation: Nurse Virgo admits Benito, 67 year-old, due to severe abdominal and back pain and vomiting after
attending a party. He had positive alcohol breath and was tentatively diagnosed with pancreatitis. He was
scheduled for diagnostic laparotomy to further confirm the diagnosis.
21. Nurse Virgo gathers more appropriate data from Patient Benito. Which of the following APPROPRIATE
questions should Nurse Virgo asks?
1."Can you describe your pain?"
2. "Is your urine yellow?"
3. "Is your stool clay colored?"
4."Do you drink alcohol often?"
A. 2 and 4
B. 1 and 4
C. 1, 2 and 4
D. 1, 2 and 3
22. Patient Benito asks Nurse Virgo, "Why can't the surgeon just take out my pancreas?". The BEST response
of Nurse Virgo is ____.
A. "your body needs to function well with your pancreas"
B. "your attack will soon be overcome when you are at rest"
C. "if your pancreas is removed, you can never eat fat and fried foods again"
D. "antibiotic will relieve signs of infection"
23. Before Surgery, Patient Benito is on nothing per orem status (NPO). She tells Nurse Virgo that he is thirsty
and hungry. Which of the following is the BEST response of Nurse Virgo?
A. "You can sip only this amount of water to moisten your mouth"
B. "An NGT will be inserted to remove gastric secretions alleviate your thirst"
C. "I will give you ice chips to relive your thirst"
D. "Oral and fluid intake stimulates pancreatic enzymes and pain"
24. Nurse Virgo asks Patient Benito how can he help to reduce pain while waiting for his operation.
Which is the MOST appropriate question of Nurse Virgo?
A. "Are you ready for the operation? The pain will soon be over."
B. "After operation, everything will be alright."
C. "Is your present position reducing pain?"
D. "Does exercise reduce your pain?"
25. Which of the statements of Patient Benito will convince Nurse Virgo that his instructions for the prevention
of pancreatitis were understood by the patient? I will _________.
A. "increase my intake of high protein products"
B. "try to stop drinking alcohol"
C. "follow a high fat diet faithfully
D. "be careful of exposing myself to infection"

Situation: The Department of Health (DOH) is an agency that set standards for safe and quality health care
together with Philippine Health Insurance which takes care of accreditation and reimbursement of cost of health
care service.
26. The professional conduct of doctors, nurses and other health care providers in the health facilities belong
to which of the following quality standards?
A. Improving performance
B. Organizational ethics
C. Patient care standards.
D. Leadership and management
27. The positive practice environment (PPE) is part of the quality standards of every health facilities in the
country today. Which of the following is NOT a component of the PPE in the work setting? A. waste
management
B. peer review
C. electrical wires D. infection control
28. When a health facility formulates its Vision- Mission to guide Management and health personnel in the
work place is what part of quality standards?
A. Human resource management
B. Patient care standards
C. Leadership and management
D. Organizational ethics
29. When Norse Sarah distributed a Patient satisfaction survey form to be filled by the consumer upon
discharge in a hospital setting is in compliance to what quality standards? A. Organizational structure and
professional ethics.
B. Identification of Patient rights and welfare.
C. Improving performance of health care personnel.
D. Human resource management and staffing pattern.

30. When an accurate documentation whether done manually or by electronic by the health care
professionals in their work setting is a component of what quality standards in a health care delivery system?
A. Patient care standards
B. Information management
C. Leadership and management
D. Human resource management

Situation: Mr. Lan, a 44-year-old, male obese, married was rushed to Emergency room because of feeling
nauseated, with shortness of breath and severe chest pain radiating to the back.
31. As a nurse, what is your PRIORITY step to be done in this situation? A.
Palpate the point of maximal impulse.
B. Inspect the nail bed it cyanotic
C. Take the vital signs and report to the physician.
D. Assess quality of pain
32. A 12 lead EKG was ordered by the physician. Which finding in the EKG is suggestive evidence that the
patient has myocardial infarction (MI)?
A. Prominent segment elevation
B. ST segment elevation
C. Peaked P wave
D. Minimal QRS wave
33. The physician confirmed that the patient is suffering from MI. She was advised to be hospitalized and was
given streptokinase. Which of the following is the DESIRED effect of the drug?
 A. Dissolve clot formation
B. Reduce tissue damage of the heart.
C. Prevent dysrhythmia
D. Reduce edema formation.
34. As a nurse you are aware that the heart muscles damage after an attack without treatment becomes
permanent within _____ hours?
A. 7-9
B. 10-12
C. 4-6 D. 1-3
35. In designing a care plan, which modifiable risk factors have to be emphasized to the patient to prevent
for another heart attack to happen?
1. Smoking
2. High blood pressure.
3. high cholesterol
4. Overweight
A. 1,2, & 3
B. 3 & 4
C. 1 & 2
D. 1,2,3, 4

Situation: Ms. Nilda is a new graduate with a Bachelor of Science degree which she acquired from a university.
She is determined to pass the National Licensure Examination (NLE) to be administered by the Board of
Nursing.
36. The licensure examination which is administered by the Professional Regulation Commission, Board of
Nursing is given to _______.
A. apply the theory learned from class room to practice settings
B. protect the public from incompetent practitioners
C. apply the scope of nursing practice
D. demonstrate expected competency standards
37. The PRC-Board of Nursing (PR-BON) has the power to regulate Nursing Practice in the
Philippines. The regulatory functions include the following EXCEPT ______. A. enforce and
monitor quality standards of nursing practice in the country
B. issue, suspend, revoke or reissue certification of registered nurses
C. ensure proper conduct of nurses licensure in the country
D. issue permit for the opening of nursing programs in the country
38. Ms. Sanchez is a new nursing graduate and in dire need for the hospitalization of her ailing mother.
She is being offered to endorse a detergent product on TV Commercial wearing a mini skirt and
plunging neckline shirt. In doing this performance Ms. Sanchez is violating the neckline shirt. In doing
this performance Ms. Sanchez is violating the ____.
A. Oath of professional for new nurses
B. Nursing practice act 7164
C. Code of ethics for nurses
D. Core competency standards
39. Nurse Rey with the members of the team from a tertiary hospital is going for their annual outreach program
“Operation Tuli”. There were 300 patients who came in the morning with only 4 doctors, 3 nurses and 1
pharmacist. Due to the volume of patients, Nurse Rey was asked to participate in performing circumcision with
the rest of the doctors. Nurse Rey can be liable of committing ______.
 A. Assault
B. Invasion of privacy
C. Tort
D. Malpractice
40. Which of the following actions is likely to constitute GROSS Negligence?
A. Complied with the request of a bedridden patient not to be turned because of pain.
B. A nasogastric feeding not given on time because patient is feeling nauseated.
C. A patient suffering from bleeding due to post-operative wound and the Nurse failed to report to
the attending physician.
D. Urine output that has not been measured because of an emergency admission.

Situation: Documentation is a basic competency expected of a graduate nurse when performing her role in the
clinical setting.
41. Mr. Rey had his insulin therapy on the day of his admission. On second day he developed allergic reactions
after 2 hours of the administration. What clinical manifestations do you expect the nurse write in her
documentation as a reaction to this drug?
1. Redness
2. Swelling
3. Tenderness
4. Induration A. 1, 2, & 3
B. 2 & 4
C. 1, 2, 3, & 4 D. 1 & 2
42. Mr. Rey has been anxious regarding his diagnosis as well as the reaction to the insulin therapy.
As a nurse, the PRIORITY nursing actions to overcome this anxiety behavior is to _____.
A. conduct a family conference for the concern of the patient
B. refer to the physician for an order of tranquilizer
C. express your empathy and respect for his feelings
D. take time to explain his disease process and effects ofinsulin
43. When a patient is suffering from Ketoacidosis, you expect that the entry of Nurse assessment findings in the
chart will include the following clinical manifestations EXCEPT ________.
A. kussmaul respiration B.
cheyne stokes breathing
C. lethargy.
D. acetone breath odor
44. Nurse Gladys who is on morning shift was making her rounds when observed Mr. Joe, who is suffering
from Congestive heart failure is complaining of heaviness of his legs. She observed the patient an edema of his
lower extremities. If the edema is 3+, what do expect the nurse to write in her assessment findings?
a. Deeper pit, rebounds in 30 seconds.
b. Barely the pit is not perceptible.
c. Deeper pit, rebounds in only few seconds.
d. Deep pit, rebounds in 10-20 seconds.
45. When auscultating the breadth sounds of patients with respiratory disorder they are instructed to breath
thru their mouth. A possible complaint the nurse has to watch and be written in her documentation when
performing this procedure is which of the following? A. Palpitation
B. Dizziness
C. Tachycardia
D. Bradycardia
Situation: Mary, a hairstylist is experiencing peri-umbilical pain, feeling feverish and nauseated while at work.
She was rushed to the hospital as the pain is becoming intense at the right lower quadrant of the abdomen. She
was advised by the ER physician to be admitted for further work-up,
46. Nurse Ella admitted the patient and started to do her assessment. What sign is elicited by the nurse when a
deep palpation of the left iliac fossa is done and causes pain on the right iliac fossa of the patient?
A. Obturator sign
B. Blumberg sign
C. Psoas sign
D. Rovsing sign
47. After a thorough physical examination, laboratory and diagnostic test the physician ordered an emergency
open appendectomy due to as unspected ruptured appendicitis. This is done to prevent which of the following
MAJOR complication?
A. A Thrombosis
B. Sepsis
C. Perforation D.
Bleeding
48. The nurse prepares the patient for surgery. The overall goals by the surgical team for the patient going for
operation include which of the following?
I. Relief of pain
II. Preventing fluid volume deficit
III. Reducing anxiety reaction
IV. Eliminating infection
A. I, II, III, & IV
B. I, II, & III
C. II & IV D. I &II
49. As a safety alert, which of the following nursing measures should AVOIDED by the nurse prior to
appendectomy?
A. Observe nothing by mouth
B. Administration of enema. C.
Removal of nail polish
D. Instruct to urinate.
50. In wound care management, the nurse is aware NOT to perform which of the following intervention?
A. Allow the wound to drain freely.
B. Maintenance of an acidic or neutral PH
C. Application of cold pack solutions.
D. Maintenance for a moist wound environment.

Nursing Practice 4
Situation: Barack, 52 years old has been a cigarette smoker since age 17. has nagging cough and hoarseness of
voice and dyspnea. Based on the physical and laboratory findings, the physician suspected him of having lung
cancer.
1. Which of the following is NOT a known predisposing factor to lung cancer? A. House is near a
banana plantation.
B. Works as a sprayer of vegetables and fruit trees.
C. Lives in a suburban area.
D. Living with mother who is a tobacco smoker.
2. Upon history-taking, the nurse notes that the cough of a patient with lung cancer usually
STARTS off to be _____. A. blood-tinged
B. productive
C. dark yellow sputum
D. dry and persistent
3. Which diagnostic procedure is commonly used to establish the diagnosis of lung cancer which provides a
detailed description of the tracheobronchial tree and allows for biopsies of suspicious areas?
A. Computerized Tomography (CT) scan
B. Bronchoscopy
C. Sputum cytology
D. Positron Emission Tomography (PET)
4. To help the patient with his breathing difficulty, the nurse places him in which position? A. Prone
B. Fowler's
C. Sim's lateral D.
Supine
5. Barack is diagnosed with small cell lung cancer (SCLC), a rapidly growing type of cancer. He and his
family were shocked when told by the doctor that the patient will just undergo palliative treatment. Which
nursing action is MOST APPROPRIATE? A. Providing relief from symptoms.
B. Reducing fatigue
C. Providing psychological support
D. Advising treatment options

Situation: Proper recording is a vital task that the nurse is trained to do properly in nursing school and expected
to practice as a professional.
6. Nurses are taught as students that the ideal and PROPER time for recording vital signs and notes on the
patient is ______.
A. during the next vital signs taking for comparison
B. after all the tasks are done, in order to conserve time
C. as soon as they obtain the signs or observations on the patient
D. to wait for lunch break to do the recording
7. Right after endorsement and during the rounds, the incoming nurse observes that the IV fluid is at 700 cc
level and not 500cc, as endorsed. What is the CORRECT information that she will chart? A. Anything goes,
nobody reads the charting anyway.
B. Record the 500 cc.
C. Chart that she received 700
D. Refer to the Head Nurse on what to do.
8. Which is the APPROPRIATE way to correct an error in the Nurses Notes?
A. Take the whole page out and replace with a fresh one
B. Draw a single line across the error and initial it C. Draw a
single line across and write “Error”
D. Use a rubber eraser to erase an error.
9. Ifa medicine is unavailable and therefore not given to the patient, how is it charted? A. Leave it blank.
B. Sign and make an explanation in the Nurses Notes.
C. With an asterisk or mark, as per hospital protocol.
D. Write the letter.
10. If the patient is referred to another consultant and the latter has made an order already, what can the
nurse CORRECTLY chart?
A. The attending physician has not yet read the order.
 B. Only one order has been left to be carried out.
C. She has carried out the orders of the consultant.
D. That the consultant has seen the patient with new orders.

Situation: Dog Bites are relatively common in the Philippines. The presence of a number of stray dogs
predisposes to the occurrence of rabies.
11. Upon entry of the patient to ER, the nurse must FIRST perform which nursing intervention? A. Inject
with rabies immune globulin.
B. Cleanse the bite with soap and running water.
C. Inject the rabies vaccine immediately.
D. Administer the pain reliever, as ordered.
12. The nurse knows that a dog bite has a shorter incubation for rabies if located in the _______. A. leg
B. hand
C. abdomen D. face
13. The nurse anticipates that which one is prescribed to prevent a common bacterial complication from the
dog bite? A. ibuprofen (Motrin)
B. ciprofloxacin (Cipro)
C. tetanus toxoid (Tetavax)
D. meperidine (Demerol)
14. In administering the rabies immune globulin (RIg), the nurse infiltrates the calculated dose around the
wound edges and the rest of the dose injected _______.
A. Intradermally
B. Intramuscularly
C. subcutaneously D.
Intravenously
15. According to RA 9482 or the Anti- Rabies Act of 2007, which of the following statements
regarding rabies post exposure prophylaxis APPLICABLE? A. Have the dog be regularly
vaccinated against rabies
B. Do not allow the dog to roam the street.
C. Put the dog in a leash when in a public place.
D. The owner will assist the bite victim with the medical expenses.

Situation: The 3-year-old child has just finished ingesting the kerosene stored in a Lem-o-line bottle.
When the mother saw the child, she immediately brought him to the nearest hospital.
16. The assessment of the patient with ingested poison must include ___________. I. determining
the poison ingested and the amount.
II. the time from ingestion and the signs and symptoms
III. weight of the patient
IV. patient's Immunization history
A. I. II. III, and IV
B. I, II, and IV
C. I, II, and III
D. II, III, and IV
17. In case of poisoning, the nurse is aware that the main goals in poisoning are to _____.
I. inactivate the poison
II. administer the specific antidote
III. induce the patient to vomit
IV. support vital organ functions
A. I, II, and IV
B. I, II, and III
C. I, II, and IV D. II, III, and IV
18. To remove the ingested poisonous substance, the physician ordered a gastric lavage. What is the role of the
nurse immediately prior to the procedure? A. Get the right size of the nasogastric tube.
B. Remind parents to be careful next time
C. Obtain an informed consent immediately.
D. Tell the parent that they are negligent
19. The nurse is aware that the proper management of poisoning includes the following EXCEPT to ________.
A. perform hemoperfusion
B. remove the toxin through dialysis
C. dilute the ingested substance
D. induce vomiting after ingestion of the caustic substance orpetroleum distillate.
20. Discharge instruction made by the nurse to the parents should include ____.
A. close monitoring of the toddler
B. disciplining the child every time
C. poison-proofing the home
D. lecturing the child on safety

Situation: Nurse Emma is working in the ER when a strong earthquake shook the city. Fifteen minutes later, a
number of patients have been starting to arrive in the ER.
21. As the triage Nurse, which of the following will be Emma's priority? A. A
non-responsive patient with sunken skull.
B. The patient with facial wounds and fracture.
C. Patient with sucking chest wound
D. A man with over 50 percent second and third degree burns.
22. Patients brought in who are unresponsive with penetrating head wounds are tagged by the triage nurse in
which color?
A. Black
B. Red
C. Green D. Yellow
23. Those who suffered stable abdominal wounds without significant bleeding will be tagged __________.
A. green
B. red
C. black
D. yellow
24. It is very important that nurses must plan for mass casualties, whichinclude _______.
I. warfarin
II. terrorism
III. natural disasters
IV. infectious disease outbreaks
A. I, II, and III
B. I, III and IV
C. I, II, III, and IV D. II, III, and IV
25. Nurse Emma must work with the Disaster Committee for an appropriate disaster response strategy, in
order to succeed, must have physical assets which includes which of the following? I. Increased security
II. Stockpiles of equipment
III.Numerous medications
IV. Trained staff A.
I, II, and III
B. II, III and IV
C. I, II, III, and IV
D. I, III, and IV

Situation: The nurse when practicing the profession must adhere to ethic principles.
26. When the nurse treats the patients in the air-conditioned rooms favorably compared to those in the charity
wing, she violates which of the following ethical principles?
A. Veracity
B. Justice
C. Fidelity
D. Distributive justice
27. The nurse has an obligation to tell the truth. When she admits mistake promptly, she manifests A. Fidelity
B. Veracity
C. Respect
D. Autonomy
28. The cancer patient has been frequently complaining of pain and demand that the pain reliever be
administered even before the due time. The nurse prepares to inject NSS as a placebo. Which principle will
she transgress?
A. Respect
B. Veracity
C. Justice D.
Fidelity
29. The nurse knows that ethical dilemmas may be referred to the Hospital Ethics Committee. This committee
has the PRIMARY role to ________.
A. Prevent the physician from making the wrong decision
B. Decide what must be done under the circumstances
C. Prevent ethical dilemmas from occurring
D. Provide guidance for healthcare teams and family of patients
30. Nurses were overheard talking about the patient and his prognosis. What ethical principle was violated?
A. Autonomy
B. Confidentiality
C. Non-maleficence
D. Beneficence

Situation: Nurses must continually grow as a person and as a professional.

31. An a newly licensed nurse employed in a tertiary hospital, you are required to attend Continuing
Professional Development (CPD) program. When the training program is for the enrichment of nurses in
thehospital, it is called _______.
A. informal training program
B. formal education program
C. self-directed
D. In-service training program
32. The professional development ways, such as of a nurse can be achieved through various ways, such as
_____.
 A. Participating in political rallies
B. Attendance in socio-civic activities
C. Attending demonstration of baking
D. Engaging in CPD programs
33. When nurses are projected in a television advertisement as sex symbols, what APPROPRIATE action
is expected from a concerned nurse?
A. Keep your silence, it is the television station's prerogative.
B. Go to the street to manifest displeasure of the nurses' portrayal. C. Make a position
paper to denounce the advertisement
D. Condemn the issue in the radio program.
34. To grow as a person, the student nurse can attend lecture-demonstration on which of the following
procedures? A. Bathing the newborn
B. Proper bandaging
C. Doing first aid
D. Doing makeup
35. Nurse Merry's application to Canada has finally been approved and she was advised to depart in three
months. But, she is also enrolled in the graduate school and ambivalent to go because of this engagement
plus the fact that her mother has just been discharged from the hospital. Which of the following actions is
BEST?
A. Tell family that the money spent in graduate school can be easily earned in Canada.
B. Inform the agency that she could go anytime as they wish
C. Tell the recruiter to give her more time to settle her personal affairs.
D. Share to friends this is her escape from her sad life with her family.

Situation: Darla, a kasambahay, is admitted for leukemia in exacerbation. She appears shy and seldom talks to
hospital staff, except with the watcher who is her sister.
36. Nurse Tina wants to draw the patient out of her shell so she would be better able to elicit the patient's
cooperation. Which of the following actions is MOST helpful? A. Just ask Darla straight the questions that
need to be asked.
B. Smile at the patient and allow her to express her concerns.
C. Talk to the sister instead to get more information.
D. Be a professional in every way in dealing with her.
37. Friendly but professional overtures have finally made Darla open up her circumstances to the nurse,
including their financial difficulty. What has been established at this time?
A. Beginning of a friendship
B. Trusting relationship with the nurse
C. A lifelong commitment
D. A dire need for financial help
38. One morning during rounds, Nurse Tina noticed that Darla was unduly sad. The nurse's BEST way of
communicating her concern is ________.
A. whatever it is, you lift it up to God
B. saying you are sad again, that is bad for your health
C. telling Marlene to stop worrying, everything will be okay
D. placing her hand over Darla's shoulder and asking why the sad face
39. The day of discharge came and Darla's face becomes all the more sad. When asked why, she answered she
has no money to pay the bill. The BEST way of communicating her piece of advice is stating which of the
following?
 A. You can go to the cashier for to find out what she can advise you.
B. The government has agencies for those who need financial assistance. I will give you the list.
C. You can always pay in staggered amounts to be given every15 days.
D. Ask help from generous relatives so you can have additional for down payment.
40. Leukemia is a chronic illness and it is expected that the patient will be in and out of the hospital.
To maintain communication, the nurse will ______.
A. ask the patient to call the hospital number listed in the yellow pages
B. ask for the phone number where the patient can be easily contacted
C. read the information sheet of the patient in the chart
D. tell patient to write the number in a piece of paper and give it to the ward clerk.

Situation: You are the Quality Improvement office of the Hospital Z. To achieve safe and quality outcomes,
necessary protocols must be in place and every error or adverse event investigated to find the root cause and
thereafter apply the necessary improvement.
41. A sentinel event is an unexpected occurrence involving death or serious physical or psychological injury to
a patient. As the QI officer, what is your INITIAL STEP following a sentinel event?
A. Reporting to the Department of Health
B. Immediate investigation
C. Corrective action on the personnel.
D. Reporting to the Chief Executive Officer
42. In one of the Board meetings, the QI Officer will report the results of Quality Improvement efforts in the
hospital. The report will be presented much BETTER by using which of the following? (Select all that
apply)
I. diagrams
II. charts
III. graphs
IV. flow charts
A. I, II, III, and IV
B. 1, III, and IV
C. II, III, and IV D. I, II, and III
43. The WHO Surgical Safety Checklist aims to increase the safety of patients undergoing surgery. This is
being adopted by the Hospital's Quality Department. Based on the Checklist, you are aware that surgeon,
nurse, and anesthetist should be present during the recapitulation and reassurance of correct patient identity,
correct site, and correct procedure, which occur right before skin incision. In what phase should the above
take place?
A. Debriefing
B. Sign Out
C. Sign in.
D. Time Out
44. As the QI officer, you have strongly recommended to the Surgery Department the adoption of the WHO
Surgical Safety Checklist to prevent a "wrong site" surgery?
A. Debriefing
B. Briefing
C. Time out
 D. Surgical site marking
45. The QI officer conducts her random visit to the Operating Room. She asks one of the OR nurses in what
phase in the WHO Surgical Safety Checklist will the nurse account for the sponges and needles used in the
surgery?
A. Sign out
B. Time out
C. Sign in
D. Debriefing

Situation: Tommy, a 50-year-old chain smoker, is suspected to have lung cancer after he was seen and
examined by his physician. He and his wife got very worried about his diagnosis.
46. Which procedure has to be done to the patient to establish a definitive diagnosis of lung cancer?
A. Chest x-ray followed by a CT scan
B. Cytological study of the sputum
C. Bronchoscopy
D. Magnetic resonance imaging
47. The MOST significant contributory factor to the development of lung cancer is ______.
A. being a cigarette smoker
B. belonging to the male sex C.
Being extremely obese
D. age over 40years.
48. The patient while in the hospital is complaining of chest pain. When the nurse is assessing the degree of
pain of the patient, the MOST APPROPRIATE basis is ______.
A. watcher's description of patient's pain
B. patient's own rating of his pain
C. Non-verbal cues observed in the patient
D. Nurse's own rating of the patient's pain
49. Health teaching on chemotherapy includes informing Tommy on the adverse effect of bleeding related to
bone marrow depression. Which verbalization of the patient indicates further teaching? A. I should watch
out for discolorations in my skin.
B. I am going to take two tablets of Aspirin for my headache
C. I may need platelet transfusion in the future
D. I should not blow my nose
50. The patient underwent a left pneumonectomy due to lung cancer. During surgery the phrenic nerve is
accidentally cut. This incident will result to _____.
A. Allow greater expansion of the lungs
B. Make the diaphragm descend with ease
C. Produce a partially functioning diaphragm
D. Make the diaphragm go up with ease

Nursing Practice 5
Situation: Effective communication is a core skill for nurses that a professional nurse must apply in their daily
routine for patient care, colleagues and family.
1. The nurse asks the patient, "What do you fear MOST about your surgerytomorrow? This is an example of
which communication technique?
A. Providing general leads
B. Summarizing
 C. Seeking clarification D.
Presenting reality
2. The patient made the following statement to the nurse, “My doctor just told me that he cannot save my
leg and that I need to have an above-the-knee-amputation." Which response by the nurse is
MOSTAPPROPRIATE? A. "Tell me more."
B. “Dr. Benito is an excellent surgeon."
C. "If I were you, I will get a second opinion. "
D. "Are you in pain?"
3. A nurse is communicating with attending physician about medical intervention prescribed for a patient-
post spine surgery. Which statement is INDICATIVE of a collaborative relationship?
A. "Can we talk about Mrs. Santos?"
B. "I am worried about Mrs. Santos blood pressure. It is not decreasing even with the new
antihypertensive medication."
C. "That new medication you prescribed for Mrs. Santos is ineffective."
D. "We do not need to talk about Mrs. Santos blood pressure."
4. An 80-years-old male, admitted for emergency suturing of the forehead sustained from accident tall while
gardening under local sedation. He was just received in the ward. Which nursing intervention is
APPROPRIATE to facilitate effective communication with this patient?
A. Talk to patient when fully awake and inform him and family events which may occur post-
surgery.
B. Provide the patient with instructional materials about discharge.
C. Tell the patient, "You are fine nothing to worry."
D. Ask the patient, "Do you know where you are?"
5. The nurse who uses appropriate therapeutic listening skills will which BEST behavior? A. Presume an
understanding of the patient needs.
B. React quickly to the message.
C. Reassure the patient that everything will be fine.
D. Absorb both the content, and the feeling which patient is conveying.

Situation: Effective teamwork and collaboration in nursing is achieved when individuals work together in
harmony, processes and goals a realigned towards achieving safe quality patient care.
6. Which of the following actions is INAPPROPRIATE for a nurse leader to apply in a work setting? A. Ask
staff members of their opinion on the matter.
B. Modifies his own behavior favoring the needs of individual staff.
C. Gives equal consideration to each staff members
D. Plans and organizes group activities of staff members.
7. In problem solving, the head nurse must know what is the MAJOR characteristic of negotiation? A. Be
positive in your approach since optimism gives further favorable results.
B. Harmony is possible even when strategies are not well planned.
C. It is not important to get anything in writing since thetruth will prevail.
D. Resources tend to involve too many individuals in decision-making process.
8. Applying multidisciplinary approach of patient care, which among the members of the
multidisciplinary team that the nurse would MOST likely collaborate with when the patient is at risk of fall due
to an impaired gait?
A. Podiatrist
 B. Physical therapist
C. Speech therapist D.
Nutritionist
9. The nurse manager has implemented a change in the method of the nursing delivery system from
functional to team nursing. A nursing is resistant to the change and is not taking an active part in facilitating the
process of change. Which is the BEST approach in dealing with the nurse?
A. Exert coercion on the nurse
B. Provide a positive reward system for the nurse
C. Talk and encourage verbalizing feelings of the change.
D. Ignore the resistance of the nurse
10. Which among the members of the multidisciplinary team that the nursewould be BEST to collaborate
with when the patient can benefit the use of leg prosthesis?
A. Occupational therapist
B. Physical therapist
C. Podiatrist
D. Pharmacist

Situation: Karen in seventeen years old, grade twelve, active in gymnastics. She is five feet and seven inches
tall, weighs eighty five pounds. Her family doctor diagnosed her with anorexia nervosa.
11. Which of the following statements should Nurse Cora consider as TRUE with anorexia nervosa? A.
Thinness is equated with vanity among peers.
B. Eating disorders are not major health problems
C. Cultures linking beauty to thinness increase risk of the illness.
D. Anorexia nervosa is not considered as a mental disorder.
12. Karen is being assessed for eating disorder. Which option is suggestive of anorexia nervosa?
A. Lack of knowledge about food and nutrition
B. Guilt and shame about eating patterns
C. Refusal to talk about food-related topics
D. Unrealistic perception of body size
13.Nurse Cora is working with Karen. Even though Karen has been eating all her meals and snacks, her weight
has remained unchanged for a week. Which nursing intervention in APPROPRIATE for Karen?
A. Supervise Karen closely for 2 hears after meals and snacks.
B. Supervise Karen closely 2 hours before and after meals.
C. Increase the daily caloric intake from 1500 to 2000 calories.
D. Increase the daily caloric intake from 1800 to 3000 calories .
14. One morning, as Nurse Cora entered Karen's room, she noticed that patient was engaging in a rigorous
push-ups. Which nursing action MOST APPROPRIATE? A. Allow her to complete her exercise program.
B. Tell her that she is not allowed to exercise rigorously.
C. Interrupt her and offer to take her for a walk.
D. Interrupt her and explain that exercise is not needed.
15. Which of the following is the INITIAL goal for treating the severely malnourished patient with
anorexia nervosa?
A. Nutritional rehabilitation
B. Correction of body image disturbance
C. Weight restoration
D. Correction of electrolyte imbalances
Situation: Annie is a 38-year-old-woman with three children. She has a history of otosclerosis. She is admitted
for ear surgery.
16. While taking nursing history on Annie, what will be the response of the patient that indicates her present
condition?
A. She frequent experience vertigo, nausea and nystagmus when sitting.
B. She has ear pain and discharge from the left ear when travelling.
C. She has had impaired hearing since birth.
D. Her hearing loss has become worse with each succeeding pregnancy.
17. Annie states. "I'm afraid to let my children out of my sight now that I can't hear them. What is the
nurse's BEST response?
A. “Tell me about your fears of losing contact with your children now that you can’t hear them.”
B. “Children need some freedom, and the mother has to learn to trust them”.
C. “Do the children usually misbehave when they cannot be seen or heard by you?”
D. “What can the children do the make you feel more comfortable?”
18. What should be APPRORIATE the nursing care plan for Annie having otosclerosis? A. Substitute
meaningful sensory input by the use of other senses.
B. Orient Annie to the staff, the unit and all treatments C. Give
nursing care that will meet her psychological needs.
D. Make frequent calls to prevent isolation and loneliness.
19. The day after surgery, Annie expresses concern that hearing is not good as it was before admission.
What is the BEST nurse action?
A. Encourage Annie to divert her attention by reading
B. Encourage Annie to blow more her nose to clear the eustachian tubes.
C. Reassure Annie that it is temporary loss due to post op edema and ear packing
D. Check the external ear for blood clots and remove them
20. What post-operative teaching will the patient strictly follow?
A. Reinforce that fact that airplane travel is no longer permitted.
B. Show patient how to gently irrigate the external auditory canal
C. Inform physician any dizziness that develops after she is discharged.
D. Stress that hair washing should be avoided immediately after surgery.

Situation: Sandy, a 58-year-old teacher had a left total hip replacement due to osteoarthritis.
21. Sandy should be placed in which of these positions for meals?
A. Supine
B. Trendelenburg's
C. Semi-fowlers D. Sim's Lateral
22. The nurse did preoperative teaching to Sandy who's admitted for hip replacement surgery. Which statement
of Sandy indicates the need for further preoperative teaching?
A. “I’ll rest in bed for 2 to 3 hours after surgery."
B. “I'll begin gait training within 48 hours."
C. “I should do muscle strengthening exercises in both legs."
D. "I need to turn, cough. and breathe deeply every 2 hours."
23. The physical therapist orders exercises of Sandy's left hip, knee and foot to gradually increase range of
motion to the left hip. The nurse cab BEST assist Sandy by ________.
A. Observing Sandy's ability to perform the exercises
B. performing the exercises for Sandy
 C. administering an analgesic before the exercises
D. stopping the exercises if Sandy experiences pain
24. Sandy should be instructed to avoid _________.
A. assuming prone position
B. abducting her left leg
C. putting any weight on her left leg
D. adducting her left leg
25. Sandy asks the nurse if her new joint will function normally. The nursecan BEST answer this by saying that
the ______.
A. doctor will be able to assess your limitations in 6 weeksand then explain them to you
B. new joint will function almost as well as a normal joint, if you perform your exercises faithfully
C. now joint will be stronger than the old one if youwellexercise
D. new joint won't function as well as the new joint, but willbe better than the arthritic joint

Situation: When nurses are considering issues on control, shame and stigma surrounding the subject of mental
illness, one of the primary considerations should be nurse's own sensitivity in recognizing signs of mental
health problem. Ethics pervades good practice. The following situations apply.
26. A patient is brought to the hospital by his officemates because he kept on blaming his immediate superior of
getting him fired from his job.Ethical problems may arise when diagnosing psychiatric patients because of ___.
A. inadequate staffing
B. lack of Exercise
C. subjectivity
D. inappropriate diagnostic procedures
27. The nurse is administering psychotropic medication to the patient. The patient refused to take the medication.
Which of the following situations would guide the nurse where a patient refuses medication?
A. Cannot refuse his medication regardless of his medical diagnosis
B. Need a court order to allow the patient to refuse his medication
C. Can refuse this medication if he has not been deemed incompetent by formal legal procedures
D. May refuse the medications only if his attending physician agrees
28. Which of the following is a basic safeguard to ethical practice by the nurse in providing care to patients
with borderline personality disorders who are extremely provocative and manipulative? A. Observing
human to human relationship.
B. Seeking clinical expert opinion
C. Practicing self-awareness constantly
D. Applying person centered approach

29. The patient verbalizes to the nurse about thought of “threatening to kill his wife”. The nurse is in dilemma
whether to tell the wife about this conversation. Given this situation which of the following is the appropriate
action of the nurse?
A. Alert immediately the proper authorities regarding the threat to safeguard the safety of the wife.
B. Tell the wife to be very extra careful as her life is in danger.
C. Weigh carefully the situation by viewing it as dilemma between disclosing confidential information or
warning appropriate authorities.
D. Keep the information to herself and be vigilant on the action of the patient to protect the wife. 30. The
psychiatric diagnosing of patients is a morally charged issue and the assigning of diagnosis may be an
ethical issue. The role of the nurse in diagnosing psychiatric patient is important because nurses are ___.
A. Collaborators in the diagnostic process
 B. Planners of psychiatric nursing care
C. Knowledgeable in the field of psychiatry due to extensive clinical experience D.
Competent by virtue of their educational preparation

Situation: Mrs. Juan, a young female patient, believes that doorknobs contaminated with Covid 19 and refuses
to touch them except with the aid of tissue paper.
31. Her diagnosis of obsessive compulsive disorder constantly does repetitive cleaning. The nurse knows that
this behavior is probably MOST basically an attempt to
A. A decrease the anxiety to a tolerable level
B. focus attention on non-threatening tasks
C. control others
D. decrease time available for interaction with people
32. What response should the nurse use in dealing with this behavior?
A. Encourage her to scrub the doorknobs with a strong antiseptics so she does not need to use tissue papers.
B. Supply her with paper tissue to help her function until her anxiety is reduced.
C. Force her to touch doorknobs by removing all available paper tissue until she learns to deal with the
situation.
D. Explain to her that ideas about doorknobs with covid 19 is part of her illness and is not necessary.
33. Signs such as using tissues to doorknobs develop because the patient is _____.
A. unconsciously controlling unacceptable impulses or feelings
B. listening to voices that tell her that doorknobs are unclean
C. consciously using this method of punishing herself
D. fulfilling a need to punish others by carrying out annoying procedure
34. Therapeutic treatment for Mrs. Juan. should be directed towards helping her to ____.
A. learn that her behavior is not serving a realistic purpose
B. forget her fears by administering antianxiety medications.
C. redirect her energy into activities to help others
D. understand her behavior is caused by unconscious impulses that she fears 35.The nurse
plans to educate the entire family about obsessive compulsive disorder. Which of the following plans would
be MOST effective?
A. The nurse directs Mrs. Juan and her family to the other resources to help them learn about the illness and
medication to treat it.
B. The nurse teaches the family about Mrs. Juan's illness and medication and suggest that they educate Mrs.
Juan about her disease and the medications to treat it.
C. The nurse educates the entire family at the same time about the disease and medications to treat it.
D. The nurse teaches Mrs. Juan about her illness and her medications and suggests that she teaches her
family what she has learned.

Situation: Latest death toll in the Philippine due to Corona virus after Easter 2021 was 13,425. It was so scary
that within a year this COVID 19 virus takes its toll. The nurse must understand the importance of self-
awareness and competencies in helping patients and families during bereavement.
36. When human needs are taken away or not met for some reason, a person experiences loss. Using Maslow's
hierarchy of human needs, which one of the following will the nurse consider a loss in case of death?
A. Loss of security and a sense of belonging
B. Loss related to self-actualization
C. Physiologic and safety loss D. Loss of self-esteem
37. Vangie, 73 years old, comorbid with hypertension and asthma died of COVID. Ariel grieved and mourned
to the loss of his mother's untimely death. He is now aware that his mother is one of those 13, 425 deaths. The
nurse will consider at what stage of grieving process is Ariel experiencing? A. Depression.
B. Bargaining
C. Denial and Anger
D. Acceptance
38. Which of the following gives cues to the nurse that the patient may be grieving for a loss?
A. Thoughts, feelings, behavior, and physiologic complaints
B. Hallucination, panic level of anxiety, sense of impending doom
C. Sad affect, anger, anxiety, and sudden change of mood
D. Complaints of abdominal pain, diarrhea, loss of appetite
39. Which of the following situations will the nurse consider as risks factors for complicated grief?
A. Childbirth, marriage and divorce
B. Death of a spouse, child, death by suicide. C. Inadequate perception of the grieving process
D. Inadequate support and old age.
40. As a nurse, which of the following are the critical factors forsuccessful integration of loss during the
grieving process?
A. The patient's predictable and steady movement form one stageof the process to the next
B. Accurate assessment and intervention by the nurse or helpingperson
C. The nurse trustworthiness and healthy attitude about grief
D. The patient's adequate perception, adequate support, and adequate coping

Situation: Ms. Diaz, a new Charge Nurse of EENT unit is keen on staff andprofessional growth of the nursing
team.
41. Ms. Diaz learns that some leaders are transactional leaders. Which of the following does NOT characterize a
transactional leader?
A. Focuses on management tasks
B. Inspires others with vision C. In a
caretaker
D. Uses bargaining to meet goals
42. Ms. Diaz finds out that some managers have benevolent-authoritative style of management.
Which of the following behaviors will she exhibitMOST likely?
A. Have condescending trust and confidence in theirsubordinates
B. Gives economic or ego awards.
C. Communicates downward to the staff.
D. Allows decision making among subordinates
43. Ms. Diaz knows that there are external forces that influence changes in his unit. Which of the following is
NOT an external force?
A. Demands of the labor sector to increase wages
B. Exacting regulatory and accreditation standard
C. Low morale of staff in his unit
D. Memo from the CEO to cut down on electrical consumption
44. After discussing the possible effects of the low patient satisfaction rate, the staff started to list down possible
strategies to solve the problems head on. Should they decide to vote on the best change strategy, which of the
following strategies in referred to this?
A. Majority rule
B. Dominance
 C. Collaboration D. Compromise
45. The nurse asks the aide to weigh a patient. Later, the nurse discovered that a patient has been weighed who
is supposed to be on rest. This situation violates which of the following rights of delegation?
A. Right person
B. Right direction and communication
C. Right supervision and evaluation.
D. Right task

Situation: Peter, a 19-year-old college student, has been in excellenthealth until developing a flu-like illness
couple of weeks. He is admitted with diagnosis of Guillain-Barr syndromeago.
46. Which of the following clinical manifestations would the nurse expect tofind when performing admission
assessment?
A. Rapid progressive muscular atrophy.
B. Ascending paralysis with ataxia.
C. Hyperactive deep tendon reflexes
D. Paresthesia and muscle weakness of upper body.
47. What is the MOST APPROPRIATE nursing diagnosis for this patient? A. Self-care deficit related to
neuromuscular impairment. B. Alteration in nutritional status related to possible choking
C. Alteration in nutritional status related to anorexia.
D. Alteration in urinary elimination related to sensory motor impairment.

48. What is the priority of care patient diagnosed with Guillain- Barre syndrome?
A. Maintenance of respiratory function
B. Control of urinary tract infection
C. Prevent of decubitus
D. Replacement of fluid and electrolytes
49. In planning the nursing care for this patient, what is the most important nursing intervention a nurse must
do?
A. Encourage patient to release anxiety by crying B.
Reassure family that complete recovery is probable.
C. Assess patient for respiratory distress.
D. Have patient assist with care
50. What symptom is an indicator of cranial nerve involvement?
A. Difficulty of speaking and chewing
B. Spastic paralysis of the extremities
C. Loss of pain sensation
D. Forgetfulness and syncope