1. The nurse knows which of the following indicates protein deficiency?

a. Hypoalbuminemia and pot bellyb. Koionychia (spoon-shaped nails)c. Beefy red tongued.d. Bleeding gums

• 2. Before administering a tube feeding the nurse knows to perform which of the following assessments?

a. The GI tract including bowel sound, last BM and distentionb. The clients neurologic status, especially gag reflexc. The amount of air in the stomachd. The formula used directly from the refrigerator

• 3. An adult is being taught about a healthy diet. The nurse can offer:

a. Milkb. Jelloc. Freshly squeezed orange juiced. Ice cream

• 5. An adult has received an injection of immunoglobulin. The nurse knows that the client will develop which of the following types of immunity:

a. Active natural immunityb. Active artificial immunityc. Passive natural immunityd. Passive artificial immunity

• 6. BON Resolution No 432 S 2003 is:

a. Guidelines for the implementation of Board Resolution No. 14 S 1999b. Implementing Rules and Regulations of RA 9173c. Special training on intravenous injection for nursesd. Adoption of a Guide to Evaluate Compliance with Standard for Safe Nursing Practice.

• 7. Its a type of non-probability sampling wherein the researcher identifies population strata and determines how many participants are needed for each stratum

a. Quota Samplingb. Purposive Samplingc. Convenience samplingd. Simple stratified sampling

• 8. All but one are concepts of informed consent.

a. It must be voluntary-without coercion or forceb. Patient must be competentc. Knowledgeable information should be providedd. It must be signed right after administration of pre-ops meds.

• 9. The following concepts of liability negligence are true, except?

a. Deviation from standard of care is established.b. Duty is owed to the nursec. Financial, physical and emotional harm is establishd. Direct cause for failure to meet standard of care clearly established.

• 10. The nurse is caring for a client whose arterial blood gases indicate metabolic acidosis. The nurse knows that of the following, the least likely to cause metabolic acidosis is:

a. cardiac arrestb. Diabetic ketoacidosisc. decreased serum potassium leveld. renal failure

• 11. The nurse is caring for a client who is receiving IV fluids, Which observation the nurse makes best indicates that the IV has infiltrated?

a. Pain at the siteb. A change in flow ratec. Coldness around the insertion sited. Redness around the insertion site

• 12. A 27 y.o adult is admitted for treatment of Crohn's disease. Which information is most significant when the nurse assesses nurtritional health?

a. Anthropometric measurementsb. bleeding gumsc. dry skind. facial rubor

•13. ASA (aspirin) is being administered to a client. The nurse understands that the most common mechanism of action for non-narcotic analgesic is their ability to:

a. Inhibit prostaglandin synthesisb. After pain perception in the cerebellumc. Directly affect the central nervous systemd. Target the pain-producing effect of kinins

• 14. The nurse caring for an adult client who is receiving TPN will need to be monitored for which of the following metabolic complications?

a. Hypoglycemia and Hypercalcemiab. Hyperglycemia and Hypokalemiac. Hyperglycemia and Kyperkalemiad. Hyperkalemia and Hypercalcemia

• 15. Total parenteral nutrition is ordered for an adult. Which nutrient is not likely to be in the solution?

a. Dextrose 10%b. Trace mineralsc. Amino acidsd. Non of the above

• 16. A man has sprained his ankle. The physician would order cold applied to the injured area to.

a. Reduce the body's temperatureb. Increase circulation to the areac. Aid in absorbing the edemad. Relieve pain and control bleeding.

• 17. An adult is to have a tepid sponge bath to lower his fever. What temperature should the nurse make the water?

a. 65 Fb. 90 Fc. 110 Fd. 105 F

• 18. An adult has chronic lower back pain and receives hot pack three times a week. The nurse knows that the treatment is given for which of the following reasons?

a. To help remove debris from the woundb. To keep the client warm and raise his temperaturec. To improve the client's general circulationd. To relieve muscle spasm and promote muscle relaxation

• 19. An insane man got hold of a knife and stabbed a pregnant woman. His liability will be determined by virtue of :

a. Justifying circumstancesb. Exempting circumstancesc. Mitigating circumstancesd. Aggravating circumstances

• 20. A crime in which all the elements necessary for its execution and accomplishment are present.

a. Heinous crimeb. frustrated crimec. consummated crimed. attempted crime

• 21. Once criterion to assess the quality of a study is triangulation. This means.

a. accuracy and consistency of informationb. soundness of evidencec. use of multiple sources for conclusionsd. consistency and stability of evidence over time

• 22. It is thought to be the most recent method or system in providing nursing care

a. Case System methodb. primary nursing methodc. functional nursing methodd. team nursing method

• 23. A patient classification system where patients minimal theraphy and less frequent observation

a. minimal care (category 1)b. moderate care (category 2)c. maximum care (category 3)d. intensive care (category 4)

• 24. The nurse is to apply a dressing to a stage II pressure ulcer. Which of the following dressing is best?

a. Dry gauze dressingb. wet gauze dressingc. wet to dry dressingd. moisture vapor permeable dressing

• 25. The client has been placed in the trendelenburg position. The nurse knows the effects of this position to the client include which of the following.

a. increase blood flow to the feetb. decrease blood pressurec. increase pressure on the diaphragmd. decrease intracranial pressure

• 26. A man who has been in an MVA is going into shock. Before placing the client in a modified trendelenburg position, the nurse should assess the client for:

a. long bone fractureb. air embolusc. head injuryd. thrombophlebitis

• 27. The nurse enters a room and finds a fire. Which is the best initial action?

a. Evacuate any people in the room, beginning with the most ambulatory and ending with the least mobileb. activating the fire alarm or call the operator, depending on the institutions systemc. get a fire extinguisher and put out the fired. close all the windows and doors and turn off any oxygen or electricity appliance.

• 28. A member of the board of nursing may be removed and/or suspended on the following grounds except:

a. Toleration of irregularities in the licensure examinationb Violation of the Philippine Nursing Actc. Neglect of duty or incompetenced. Immoral unprofessional or dishonorable conduct

• 29. A tendency of the evaluator to inaccurately rate a group because of the belief that he/she has a very good cooperative group.

a. hawthorne effectb. sunflower effectc. horn's effectd. halo effect

• 30. A type of probability sampling where the researcher selects random samples, successively from a larger to smaller units by either simple or stratified methods.

a. Multi-stage samplingb. Systematic samplingc. purposive samplingd. snowballing sampling

• 31. The nurse is to open a sterile package from central supply. Which is the correct direction to open the first lap?

a. Toward the nurseb. Away from the nursec. To the nurse's left or right handd. It does not matter as long as the nurse touches only the outside edge

• 32. The nurse knows which of the following is the proper technique for medical asepsis?

a. gloving for all the client contactb. changing hospital linens weeklyc. using your hands to turn off the faucet after hand washingd. gowning to care for a 1 year old child w/ infections diarrhea

• 33. An adult ha a left, above the knee amputation two weeks ago. The nurse places him in a prone position tree times a day because

a. Prevents pressure ulcer on the sacrumb. helps the prosthesis to fit correctlyc. prevents flexion contracturesd. allow better blood flow to the heart

•34. A woman is to have a pelvic exam. Which of the following should the nurse have the client do first?

a. Remove all her clothes and her socks and shoesb. go to the bathroom and void saving a samplec. assume a lithotomy position on the exam tabled. assemble all the equipments needed for the examination

• 35. An adult is in supine. Which of the ff. can the nurse to prevent external rotation of the legs?

a. put a pillow under the clients lower legsb. place a pillow directly under the client kneec. use a trochanter roll alongside the client's upper thighsd. lower the client's legs so that they are below hips.