FUND/PROF.AD/LMR-ANSWERS

1. When you assist an individual to do what be cannot normally do in illness, you are using which nursing theory?

a. Hendersonb. Royc. Oremd. Abdellah

2. Like other professions, what is unique in professional nursing?

a. Its compassionate and caring roleb. Its caring rolec. A well-defined body of knowledge and expertised. Its environment in nursing research

3. According to Freud, the ego serves this function:

a. Resorvoir of instincts, basics drives and wishes b. Reality testingc. Moral arm of the personalityd. Resorvoir of psychic energy

4. Horence Nightingale conceptualizes that nursing is.

a. the act of utilizing the environment of the patient to assist him in his recoveryb. assisting the individual sick or well in the performance of those activities contributing to health or its recovery or to peaceful deathc. a humanistic science dedicated to compassionate concern with rehabilitating the sick or disabled.d. a unique profession, in that it is concerned with all the variables affecting an individual’s response to stressors.

5. Which of the following nursing theorists conceptualizes that all persons strive to achieve self-care.

a. Sister Callista Royb. Dorothea Oremc. Dorothy Johnsond. Jean Watson

6. Which of the following nursing theorists introduced Transcultural Nursing Model?

a. Imogene Kingb. Myra Levinec. Ida Jean Orlandod. Madeleine Leininger

7. Which of the following moral theories is based on respect for other humans and belief that relationships are based on mutual trust?

a. Erikson’s theory b. Kohlberg's theoryc. Freud’s theoryd. Schulman and Mekler’s theory

8. What is your initial nursing action before you suction the patient?

a. perform suctioning b. document relevant datac. hyperventilate the patient d. dispose the equipment and ensure availability for the next suction

Situation: Lady Lee, age 5 is brought to the pediatric clinic by her mother, who reports that Lady Lee has a sore throat and fever and will not eat or drink. The physician diagnosis epiglottitis.

9. Which symptoms are associated with epiglottitis?

a. Dyspnea. restlessness, hoarseness and moaningb. Leaning forward, anxiety, drooling, and a muffled voice c. Crouching, leaning with hands stretched out in back, and extended neck d. Ruddy complexion, distended neck veins, and knee-chest position

10. The nurse's first action when caring for Lady Lee should be to:

a. Obtain a tracheostomy set and notify the physician b. Begin respiratory precautions immediately c. Obtain I. V. and oxygen equipmentd. Obtain a cardiac monitor and an emergency equipment cart

11. Tracheostomy is an opening through the neck into the trachea through which an indwelling tube maybe inserted which of the following is not a part of tracheostomy set?

a. cannula b. respiratorc. obturator d. cuff

12. Hand washing is important in every setting including hospitals. Which of the following is inappropriate during hand washing when observing a sterile technique.

a. Hold the hands higher than the elbows during hand washb. Maintaining the hands uppermost when applying soapc. After washing and rinsing, use a towel to dry one hand thoroughly in a rotating motion from the elbow to the fingers d. Let the running water run from the fingertips to the elbows

13. According to Orem's Mode!, which nursing intervention would you render to a one hour post-operative patient?

a. Universalb. Supportive-educative c. Wholly compensatory d. Partially compensatory

14.500 ml of blood was ordered for his blood transfusion. Your nursing responsibility before the start of blood transfusion is:

a. check the amount of blood available b. check the label of the bottle with blood c. check if Benadryl is ordered for injection d. check the vital signs

15. Which of the following steps should the nurse take first when preparing to insert a nasogastric tube?

a. Wash handsb. Apply sterile glovesc. Apply a mask and gownd. Open ail necessary kits and tubing

16. The nurse on duty is inserting a nasogastric tube. Mr. Javier begins to gag. Which actions should the nurse take?

a. Remove the inserted tube and notify the physician b. Stop the insertion, allow the client to rest, then continue inserting the tube c. Encourage the client to take deep breaths through the mouth while the tube is being insertedd. Pause until the gagging stops, tell the client to take a few sips of water and swallow as the tube is inserted.

17. Which of the following steps, if taken by the nurse after insertion of nasogastric tube could harm Mr. Javier.

a. Affix the nasogastric tube to the nose with tape b. Check tube placement by aspirating stomach contents using a piston syringec. Check tube placement by instilling 100ml of water into the tube to check for stomach filling d. Document in the chart the insertion, method used to check tube placement, and client's response to the procedure

18. Which of the following drug forms can be administered through a nasogastric tube?

a. Enteric b. Oral c. Parenteral d. Sublingual

Situation: As a nurse, you are aware that proper documentation in the patient's chart is a legal responsibility.

19. A nurse gives the wrong medication to a client another nurse employed by the hospital as a risk manager will expect to receive which of the following communications?

a. Incident reportb. Oral report from the nursec. Copy of the medication Kardexd. Order changed signed by the physician

20. Performing a procedure on a client in the absence of Informed consent can lead to which of the following changes?

a. Fraud b. Harassment c. Assault and battery

d. Beach of confidentiality

21. Which of the following characteristics of the client goal in the plan of care is correct?

a. Nurse-focused, flexible, measurable and realistic b. Client-focused, flexible, realistic and measurable c. Nurse-focused, time-limited, realistic, and measurable d. Client-focused, time-limited, realistic, and measurable

22. A nurse is performing an admission assessment on a client with exacerbation of asthma. Which of the following time is ideal to begin discharge planning?

a. At the time of admissionb. The day before dischargec. After the acute episode is resolvedd. When the discharge order is written

23. A nurse is witnessing consent from a client before a cardiac catheterization. Which of the following factors is a component of informed consent ?

a. Freedom from coercionb. Durable power of attorneyc. Private insurance coveraged. Disclosure of previous answers given by the client

24. Implementation of plan of action is done through:

a. independent and independent measure b. dependent and independent measurec. dependent and Interdependent measure d. none of the above

25. Which of the following has the greatest effect on personal hygiene?

a. Culture, knowledge, and social influencesb. Occupation, physical environment and genetics c. Self awareness, time of day, and personnel available for assistance d. Socio-economic status, health and age

26. The most important nursing intervention to correct dryness is:

a. Avoid bathing patient until the condition is remedied, and notify the physicianb. Ask the physician to refer the patient to a dermatologist and suggest that the patient wear home-laundered sleepwear.c. Consult the dietician about increasing the patient's fat intake, and necessary measures to prevent infection. d. Encourage the patient to increase hid fluid intake, use non-irritating soap when bathing the patient, and apply lotion to the involved areas.

Situation 5. As a professional nurse you take responsibility for personal & professional growth

27. Regulation of nursing practice is mainly based on:

a. Board of Nursing resolutions and pronouncementsb Legal rules and principles governing nursing practicec. Standards of nursing practiced. Decisions made by the PRC relating the nursing practice

28. You are a graduate of new BSN curriculum feat aims to prepare a fully functioning nurse. Which of the following best describe this graduate?

a. Sensitive awareness to the health needs of society b. Collaboration with multi-sectoral groups c. Compassionate attitude to all those cared for d. Consideration of needs of patients and others

29. Accountability and responsibility in nursing practice is enhanced by utilization of

a. Assessment or appraisal tools b. Code of Ethics of nurse'sc. Records for care pland. The nursing process

30. The professional license is renewable every three years during which of the following periods?

a. Every April 15 of each year b. Every march 15 of each year c. Every January 20 of each year d. On or before one’s birth month

31. Which of the following Acts means that "Health Workers" are all persons engaged in health relate work regardless of their employment status?

a. Magna Carta of Public Health Workerb. Security of Tenure of regular employeesc. Discrimination Prohibitiond. Code of Conduct and Ethical Standard of Public Officials and Employees

32. 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.

33. 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

34. 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.

35. 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.

36. 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

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

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

38. 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

39. 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

40. 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

41. A tendency of the evaluator to inaacurately 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

42. 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

43. The following are elements of felony except?

a. There must be an act of ommisionb. such act or omission must be done voluntarilyc. such act maybe done with or without intentd. such act or omission is punisable by law

44. To qualify as a dean of the college of nursing the applicants must have?

a. At least 5 years of teaching and supervisionb. At least 10 years of clinical practivec. At least 3 years of being a clinical coordinatord. At least 2 years management units.

45. A research design where there is manipulation of independent variable but no random or control group

a. longitudinal designb. quasi-experimentalc. experimentald. cross-sectional

46. Four clients have signaled with the call bells for the nurse. Who should you see first?

a. A client who needs to use the toiletb. A client who does not have his glasses or hearing aidec. A client who has just been given morphined. A client in a chair with a restraint vest on.

47. Which of the ff. should the nurse observe first?

a. A client who has just returned from the ORb. A client whose call light is not workingc. A client with Alzheimer's disease

d. A clietn who is receiving a heating pad treatment

48. Which of the ff. should the nurse deal first?

a. A client who need her dressing changedb. A client who needs to be suctionedc. A client needs to be medicated for postoperative paind. A client who is incontinent and needs to be cleaned

49. One of the major ethical princles in research is beneficence that includes:

a. Right to protection of protection from physical and psychological harmb. Right to full-disclosurec. Right to performance of sources goodd. Right to protection of participants form explotation.

50. He described humans as "wanting organism" that satisfly their basic needs in a specific sequence?

a. Frederick Herzbergb. Abraham Maslowc. BF Skinnerd. Victor Vroom

51. A client has been receiving an IV solution. What is an appropriate expected outcome for this client?

a. Monitor fluid intake and output every 4 hoursb. The client remains free of signs and symptoms of phelibitsc. edema and warmth over the IV sited. Excess fluid volumn evidenced by weight gain

52. This theorist of management developed the 14 principles of management based on his experience.

a. Mary Follettb. Max Weberc. Henry Fayold. Kurt Lewin

53. These are mitigating circumstances that lessen the penalty, except:

a. Under 18 and over 70

b. No intention to commit so gravec. There wa sufficent provocationd. in contempt of authority

54. The nurse is monitoring options of effectiveness of drug theraphy, when should the nurse obtain a measurement of the blood sample through level.

a. 1 hour before administering the next doseb. immediately before administering the next dosec. immediately after administering the next dosed. 30 mins. after administering the next dose

55. Which od the following options servers a framework for nursing education and clinical practice?

a. Scientific breakthroughb. technological advancesc. theoretical modelsd. medical practices

56. Nursing care for a client includes removing elastic stocking once per day. What is the rationale for this interventions?

a. TO increase blood flow to the heartb. to observe the lower extremitiesc. to allow the leg muscles to stretch and relaxd. To permit veins in the legs to fill with blood.

57. Hyperactive bowel sounds can result from all the following except.

a. Paralytic ileusb. hungerc. intestinal obstructiond. diarrhea

58. The following characteristics speak of a leader except:

a. Do the right thingb. focus on peoplec. develops visions and strategiesd. have a short-term views

59. This theory of management suggest that an employees work motivation is controlled by conditions in the external

environment rather than by internal needs and desires.

a. vroom's expectancy theoryb. skinner's operant theoryc. adam's equity theoryd. white competence theory

60. In Lydia Hall's theory, which of the ff. represents "core"?

a. Nurturance and factors that are exclusive to nursingb. Therapeutic use of selfc. Focuses on nursing related to physicians orderd. All of the above.

61. A research that seeks to describe an existing problem situation and examine the underlying factors that contributes to the emergence of the problem:

a. Explanatory researchb. Quantitative researchc. Exploratory researchd. Quantitative research

62. During blood transfusion, the patient manifest tacycardia, distended neck vein and increase CVP reading, the nurse should

a. Obtain vital signsb. Call the physicianc. Stop the infusiond. Decrease the rate of infusion.

63. A nurse who is maintainin a private clinic in the community and renders service on materials and child health amont the neighborhood for a fee is

a. primary care nurseb. an independent nurse practionerc. nurse-midwifed. a nurse specialist

64. A client comes to the clinic for a diagnostic allergy testing. Why is intradermal injections used for such tsting.

a. intradermal injection is less painfulb. intradermal drugs are easier to administer

c. intradermal drug diffuse more rapidlyd. intradermal drugs diffuse more slowly

65. A client is placed in isolation. Client isolation techniques attempt to break the chain of infection by interfering with the

a. Agentb. susceptible hostc. transmission moded. portal of entry

66. A research hypothesis that proposes that there is association or significant relationship between variables is called.

a. null hypothesisb. directional hypothesisc. alternative hypothesisd. non-directional hypothesis

67. Which of the ff. laboratory test results is the most impt. indicator of malnutrition in a client with a wound?

a. serum potassium levelb. albumin levelc. lymphocyte countd. differential count

69. Which detail of a clients drug theraphy is the nurse legally responsible for documenting?

a. Peak concentration time of drugb. Safe ranges of the drugc. Clients socioeconomic datad. client's reaction to the drug

70. Which of the ff. statements about these nursing practice acts are true?

a. These acts are not effective in the supervision or revocation of licensure of erring nursesb. These acts have been authorized by the accredited national nurses organizationc. These acts usually define the scope of nursing practiced. These acts describe the diffences between a registered nurse and a practice nurse

71. The following are true on a manager except?

a. Are interested in efficiencyb. emphasize tactics, structure and systemc. motivate people to comply with standardsd. use person to person influence

72. The nurse is assessing tactile fremitus in a client with pneumonia. For this examination, the nurse hould use the:

a. fingertipsb. ulnar surface of the handc. dorsal surface of the handd. finger pads

73. The ff. activities belong to the design phase in the research process, except?

a. developing a time tableb. selecting the study designc. determining sampling pland. conducting a pilot study

74. When inspecting a client's skin, the nurse finds a vesicle on the client's arm. Which description appliest to a vesicle?

a. flat, nonpalpable and coloredb. solid, elevated and cicumscribedc. circumscribed, elevated, and filled with serous fluidd. elevated, pus-filled and circumscribed

75. Which nursing action is essential when providing continuous enteral feeding?

a. elevating the head of the bedb. positioning the client on the left sidec. warming the formula before administering itd. hanging a full day's worth of formula at one time

76. After initial assessment of a client, findings reveals a body temp of 38.5 C, Consequently the clients blood pressure can be expected to

a. Fluctuatesb. Remain the Same

c. Increased. Decrease

77. The nurse assesses the skin turgor of an elderly client. When evaluating skin turgon, the nurse should remember that:

a. Over hydration causes the skin to tentb. Dehydration causes the skin to appear edematous and spongyc. Inelastic turgor is a normal part of agingd. Normal skin turgon is moist and boggy.

78. Which of the ff. does not govern the practice of nursing?

a. RA 7164b. RA 9173c. BON Resolution for Code of Ethicsd. Board Resolution Scope of Nursing Practice

79. A client with sever chest pain is brought to the emergency department. He tells the nurse, "I just have a little indigestion." Which of the following mechanisms is the client exhibiting?

a. Denialb. Anxietyc. Repressiond. Confusion

80. These are "in-between factors" present in research environment that threaten the internal and external validity of a research study.

a. Dependent variableb. Independent variablesc. Intervening variablesd. Criterion variable

81. The ff. are motivational factors according to Herzberg, except:

a. Challenging aspects of the work itselfb. Added responsibilityc. Oppurtunities for personal growth

d. Quality of supervision

82. The nurse measures the client's temperature at 102 F. What is the equivalent centigrade temp?

a. 39.1 Cb. 47.2 Cc. 38.9 Cd. 40.1 C

83. A client is placed on a low-sodium (500mg/day) diet. Which client statement indicates that the nurse's nutrition teaching plan has been effective?

a. "I can eat a ham-and-cheese sandwich w/ potato chips for lunch"b. "I choose broiled chiken whith a baked potato for dinner"c. "I choose a tossed salad w/ sardines and oil and vinegar dressing for lunch"d. "Im glad i can still have chicken bouillon soup"

84. Why should an infant be quiet and seated upright when the nurse assess his fontaanels?

a. The mother will have less trouble holding a quiet upright infantb. Lying down can cause the fontanels to recede, making assessment more difficult.c. The infant can breath more easily when sitting upd. Lying down and crying can cause the fontanels to buldge

85. Communicating and using the research findings is under what phase of the research process?

a. Implementation phaseb. Dissemination phasec. Analysis and interpretation phased. Design phase

86. To give a Z-tract injection, the nuse measures the correct medication dose and draws a small amount of air into the syringe. What is the rationale for this action?

a. Adding air decreases pain caused by the injectionb. Adding air prevents the drug from flowing back into the needle tractc. Adding air prevens the solution from entering a blood vesseld. Adding air ensures that client receives the entire dose.

87. Which of the ff. is true of Care System method?

a. Autonomy and authority for the care of four to siz patients on a 24-h basisb. Assigning nurses to give total nursing care to a single patientc. Divison of labor which nurses are assigned to perform secific tasksd. Assigning a team to give total care to a selected group of clients

88. Which of the ff. best describes the action of the nurse who documents her nursing diagnosis?

a. She documents and charts it whenever necessaryb. She can be accused of malpracticec. She does it reguarly as an impt. responsibilityd. She starts it only when the pt. is acutely ill

89. To help assess a clients cerabral function, the nurse should ask:

a. Have you noticed a change in your memory?b. Have you noticed a chnge in your muscle strength?c. Have you had any coodination problem?d. Have you had any problems with your eyes?

90. The nurse is evaulating a postoperative client for infection. Which sign of sympton would be most indicative for infection?

a. The presence of an indwelling urinary catheterb. Rectal temperature of 100Fc. Red, warm , tender incisiond. WVC count of 8,000/UI

91. What nursing diagnosis is commonly used to develop a plan of care for managing client's drug regimen?

a. Noncomplienceb. Altered coping mechanismc. Anxietyd. Altered home maintenance

92. Which of the ff. provides that nurses be members of the national nurse organization?

a. RA 877b. 1987 Code of Ethics approved by the house of delegates PNA

c. Board Resolution No 1955 promulgated by the Board of Nursingd. RA 7164

93. The ff. are good sources of research problems except?

a. Literatureb. Clininal experiencec. Daily news reportsd. existing theories

94. What is the common goal of discharge planning in all care settings?

a. prolonging hospitalization until the client can function independentlyb. Teaching client how to perform self-care activitiesc. Providing the financial resources needed to ensure proper cared. Preventing the need for medical follow-up care.

95. The physician prescribe as IV infucion of 1000 ml D5W every 12 hours for a client. The IV setup delivers 15 gtt/ml. Approx. how many drops should be administered each minute?

a. 18b. 21c. 24d. 27

96. Which of the following provides the material and human resources and building the structure to care out the activities of the organization?

a. Planningb. Organizingc. Commandd. Control

97. A client is scheduled to receive a blood transfusion. During the transfusion, the nurse should observer for which sign or symptoms of a transfusion reaction?

a. Dizzinessb. Chillsc. Hypothermiad. Hyperreflexia

98. The client has an abdominal hysterectomy, 10 hours ago. Which position should the nurse teach the client to avoid?

a. High Fowlersb. lateral recumbentc. Supined. Side lying

99. A client has been receiving an IV solution. What is an appropriate expected outcome for this client?

a. Monitor fluid intake and output every 4 hoursb. The client remains free of signs and symptoms of phelibitsc. edema and warmth over the IV sited. Excess fluid volumn evidenced by weight gain

100. This theorist of management developed the 14 principles of management based on his experience.

a. Mary Follettb. Max Weberc. Henry Fayold. Kurt Lewin

101. The nurse prepares to palpate a clients maxillary sinues. For this procedure, where should the nurse place the hands?

a. On the bridge of the noseb. below the eyebrowsc. below the cheekbonesd. over the temporal area

102. A client who receives general anesthesia returns from surgery. Postoperatively, which nursing diagnosis takes highest priority for this client?

a. Pain related to the surgeryb. Fluid volume deficit related to fluid and blood loss from surgeryc. Impared physical mobility related to surgeryd. Risk for aspiration related to anesthesia

103. After a client receives an IM injection, he complains of a burning pain in the injection site. Which nursing action whould be best to take at this time?

a. apply a cold compress to decrease swelling

b. apply a warm compress to dilate the blood vesselsc. Massage the area to promote absorption of the drugd. Instruct the client to tighten his gluteal muscles to enhance absorption of the drug

104. These are mitigating circumstances that lessen the penalty, except:

a. Under 18 and over 70b. No intention to commit so gravec. There wa sufficent provocationd. in contempt of authority

105. The nurse is monitoring options of effectiveness of drug theraphy, when should the nurse obtain a measurement of the blood sample through level.

a. 1 hour before administering the next doseb. immediately before administering the next dosec. immediately after administering the next dosed. 30 mins. after administering the next dose

106. Which od the following options servers a framework for nursing education and clinical practice?

a. Scientific breakthroughb. technological advancesc. theoretical modelsd. medical practices

107. Nursing care for a client includes removing elastic stocking once per day. What is the rationale for this interventions?

a. TO increase blood flow to the heartb. to observe the lower extremitiesc. to allow the leg muscles to stretch and relaxd. To permit veins in the legs to fill with blood.

108. Hyperactive bowel sounds can result from all the following except.

a. Paralytic ileusb. hungerc. intestinal obstructiond. diarrhea

109. The following characteristics speak of a leader except:

a. Do the right thingb. focus on peoplec. develops visions and strategiesd. have a short-term views

110. This theory of management suggest that an employees work motivation is controlled by conditions in the external environment rather than by internal needs and desires.

a. vroom's expectancy theoryb. skinner's operant theoryc. adam's equity theoryd. white competence theory

111. In Lydia Hall's theory, which of the ff. represents "core"?

a. Nurturance and factors that are exclusive to nursingb. Therapeutic use of selfc. Focuses on nursing related to physicians orderd. All of the above.

113. A research that seeks to describe an existing problem situation and examine the underlying factors that contributes to the emergence of the problem:

a. Explanatory researchb. Quantitative researchc. Exploratory researchd. Quantitative research

114. During blood transfusion, the patient manifest tacycardia, distended neck vein and increase CVP reading, the nurse should

a. Obtain vital signsb. Call the physicianc. Stop the infusiond. Decrease the rate of infusion.

115. A nurse who is maintainin a private clinic in the community and renders service on materials and child health amont the neighborhood for a fee is

a. primary care nurseb. an independent nurse practionerc. nurse-midwifed. a nurse specialist

116. A client comes to the clinic for a diagnostic allergy testing. Why is intradermal injections used for such tsting.

a. intradermal injection is less painfulb. intradermal drugs are easier to administerc. intradermal drug diffuse more rapidlyd. intradermal drugs diffuse more slowly

117. A client is placed in isolation. Client isolation techniques attempt to break the chain of infection by interfering with the

a. Agentb. susceptible hostc. transmission moded. portal of entry

118. A research hypothesis that proposes that there is association or significant relationship between variables is called.

a. null hypothesisb. directional hypothesisc. alternative hypothesisd. non-directional hypothesis

119. Which of the ff. laboratory test results is themost impt. indicator of malnutrition in a client with a wound?

a. serum potassium levelb. albumin levelc. lymphocyte countd. differential count

120. Which detail of a clients drug theraphy is the nurse legally responsible for documenting?

a. Peak concentration time of drugb. Safe ranges of the drugc. Clients socioeconomic datad. client's reaction to the drug

121. Which of the ff. statements about these nursing practice acts are true?

a. These acts are not effective in the supervision or revocation of licensure of erring nursesb. These acts have been authorized by the accredited national nurses organizationc. These acts usually define the scope of nursing practiced. These acts describe the diffences between a registered nurse and a practice nurse

122. The following are true on a manager except?

a. Are interested in efficiencyb. emphasize tactics, structure and systemc. motivate people to comply with standardsd. use person to person influence

123. The nurse is assessing tactile fremitus in a client with pneumonia. For this examination, the nurse hould use the:

a. fingertipsb. ulnar surface of the handc. dorsal surface of the handd. finger pads

124. The ff. activities belong to the design phase in the research process, except?

a. developing a time tableb. selecting the study designc. determining sampling pland. conducting a pilot study

125. When inspecting a client's skin, the nurse finds a vesicle on the client's arm. Which description appliest to a vesicle?

a. flat, nonpalpable and coloredb. solid, elevated and cicumscribedc. circumscribed, elevated, and filled with serous fluidd. elevated, pus-filled and circumscribed

126. Which nursing action is essential when providing continuous enteral feeding?

a. elevating the head of the bedb. positioning the client on the left sidec. warming the formula before administering itd. hanging a full day's worth of formula at one time

127. After initial assessment of a client, findings reveals a body temp of 38.5 C, Consequently the clients blood pressure can be expected to

a. Fluctuatesb. Remain the Samec. Increased. Decrease

128. The nurse assesses the skin turgor of an elderly client. When evaluating skin turgon, the nurse should remember that:

a. Over hydration causes the skin to tentb. Dehydration causes the skin to appear edematous and spongyc. Inelastic turgor is a normal part of agingd. Normal skin turgon is moist and boggy.

129. Which of the ff. does not govern the practice of nursing?

a. RA 7164b. RA 9173c. BON Resolution for Code of Ethicsd. Board Resolution Scope of Nursing Practice

130. A client with sever chest pain is brought to the emergency department. He tells the nurse, "I just have a little indigestion." Which of the following mechanisms is the client exhibiting?

a. Denialb. Anxietyc. Repressiond. Confusion

131. These are "in-between factors" present in research environment that threaten the internal and external validity of a research study.

a. Dependent variableb. Independent variablesc. Intervening variables

d. Criterion variable

132. The ff. are motivational factors according to Herzberg, except:

a. Challenging aspects of the work itselfb. Added responsibilityc. Oppurtunities for personal growthd. Quality of supervision

133. The nurse measures the client's temperature at 102 F. What is the equivalent centigrade temp?

a. 39.1 Cb. 47.2 Cc. 38.9 Cd. 40.1 C

134. A client is placed on a low-sodium (500mg/day) diet. Which client statement indicates that the nurse's nutrition teaching plan has been effective?

a. "I can eat a ham-and-cheese sandwich w/ potato chips for lunch"b. "I choose broiled chiken whith a baked potato for dinner"c. "I choose a tossed salad w/ sardines and oil and vinegar dressing for lunch"d. "Im glad i can still have chicken bouillon soup"

135. Why should an infant be quiet and seated upright when the nurse assess his fontanels?

a. The mother will have less trouble holding a quiet upright infantb. Lying down can cause the fontanels to recede, making assessment more difficult.c. The infant can breath more easily when sitting upd. Lying down and crying can cause the fontanels to buldge

136. Communicating and using the research findings is under what phase of the research process?

a. Implementation phaseb. Dissemination phasec. Analysis and interpretation phased. Design phase

137. To give a Z-tract injection, the nuse measures the correct

medication dose and draws a small amount of air into the syringe. What is the rationale for this action?

a. Adding air decreases pain caused by the injectionb. Adding air prevents the drug from flowing back into the needle tractc. Adding air prevens the solution from entering a blood vesseld. Adding air ensures that client receives the entire dose.

138. Which of the ff. is true of Care System method?

a. Autonomy and authority for the care of four to siz patients on a 24-h basisb. Assigning nurses to give total nursing care to a single patientc. Divison of labor which nurses are assigned to perform secific tasksd. Assigning a team to give total care to a selected group of clients

139. Which of the ff. best describes the action of the nurse who documents her nursing diagnosis?

a. She documents and charts it whenever necessaryb. She can be accused of malpracticec. She does it reguarly as an impt. responsibilityd. She starts it only when the pt. is acutely ill

140. To help assess a clients cerabral function, the nurse should ask:

a. Have you noticed a change in your memory?b. Have you noticed a chnge in your muscle strength?c. Have you had any coodination problem?d. Have you had any problems with your eyes?

141. The nurse is evaulating a postoperative client for infection. Which sign of sympton would be most indicative for infection?

a. The presence of an indwelling urinary catheterb. Rectal temperature of 100Fc. Red, warm , tender incisiond. WVC count of 8,000/UI

142. What nursing diagnosis is commonly used to develop a plan of care for managing client's drug regimen?

a. Noncomplience

b. Altered coping mechanismc. Anxietyd. Altered home maintenance

143. Which of the ff. provides that nurses be members of the national nurse organization?

a. RA 877b. 1987 Code of Ethics approved by the house of delegates PNAc. Board Resolution No 1955 promulgated by the Board of Nursingd. RA 7164

144. The ff. are good sources of research problems except?

a. Literatureb. Clininal experiencec. Daily news reportsd. existing theories

145. What is the common goal of discharge planning in all care settings?

a. prolonging hospitalization until the client can function independentlyb. Teaching client how to perform self-care activitiesc. Providing the financial resources needed to ensure proper cared. Preventing the need for medical follow-up care.

146. The physician prescribe as IV infucion of 1000 ml D5W every 12 hours for a client. The IV setup delivers 15 gtt/ml. Approx. how many drops should be administered each minute?

a. 18b. 21c. 24d. 27

147. Which of the following provides the material and human resources and building the structure to care out the activities of the organization?

a. Planningb. Organizingc. Command

d. Control

150. A nurse stops at the scene of an accident and finds a man with a deep laceration on his hand, a fractured am and leg, and abdominal pain. The nurse wraps the man's hand in soiled cloth and drives him to the nearest hospital. The nurse is:

a. Negligent and can be sued for malpractice b. Practicing under guidelines of the Nurse Practice Act c. Protected for these actions, in most states, buy the Good Samaritan Law d. Treating a health problem that can and should be handled by a physician

151. A newly graduate nursing student applied at the PRC to take the Philippine Nurses Licensure Examination. To qualify she must possess the following:

1. age must be 21 years old2. a Filipino citizen3. graduated from a recognized College of Nursing4. with good health and with good moral character

a. 1, 2,and 4b. 1,2, and 3c. 2, 3, and 4d. 1,3, and 4

152. In order for the examinee to pass the Philippine Nurses Licensure examination, she must obtain an average of:1. general average rating of 74.9% that could be round off into 75%2. genera! average rating of 75% and above3. rating not below 69% in any subjects4. rating not below 60% in any subjects

a. 1 and 3b. 2 and 3c. 1 and 4d. 2 and 4

153. Persons who committed crimes by indirect participation such as assisting in its consummation can be accused of being:

a. an accessoryb. a principal

c. a witnessd. both A and C

154. According to the Annotated Philippine Nursing Act of 2002, the Licensure Members of the Board of Nursing is composed of:

a. A chairperson and six member’sb. A chairperson and three membersc. Seven members onlyd. A chairperson and five members

5. A battery is:

a. An unconsented touching of another personb. An act that puts the victim in fear of harm to himselfc. Considered only when a harm occurs to the person touchedd. All of the above

156. Miss Montessa applied for the Philippine Nurses' Board Examination. To qualify she must posses the following:1. age 21 years old2. Filipino citizenship3. graduated from recognized college of nursing4. good health and good moral character

a. 1 and 2b. 1,3, and 4c. 1, 2, and 3d. 2, 3, and 4

157. A staff nurse must:1. have at least 2 years experience2. be single3. be a Filipino citizen4. be currently license to practice professional nursing

a. 1 and 2b. 3 and 4c. 2 and 3d. 2 and 4

158. Nurses abroad are very in-demand nowadays. While opportunities may be better abroad, she must serve the country for:

a. 2 yearsb. 1 yearc. 6 monthsd. as long as she likes '

159. The refusal issue a certificate of registration for reasons cited in RA 877 as amended by RA 4704 rests on:

a. Philippine Association of Board Examinersb. Board of Nursingc. Professional Regulation Commission ;d. Legal Division, PRC

160. The law which provides for the use of generic terminology in the promotion, prescription, and dispensing of drugs:

a. RA4226b. RA6675c. RA 7164d. RA 7877

161. A client asks to be discharged from the health care facility against medical advice (AMA). What should the nurse do?

a. Prevent the client from leaving b. Notify the physicianc. Have the client sign an AMA formd. Call a security guard to help detain the client

162. What is the most common tort filed against health care providers by clients?

a. Malpractice b. Negligence c. Assault d. Battery

163. A nurse is counseling a parent whose 11-year-old child has attention deficit hyperactivity disorder. The parent reports that the child is disruptive at home. Which of the approaches should the nurse suggest that the parent take?

a. Confine the child to the bedroomb. Establish a specific schedule for activitiesc. Explain to the child why the behavior is disturbingd. Vary the methods by which rewards are given

164. The physician prescribes digoxin 4mg IV. for a client In rapid atrial fibrillation, How should the nurse proceed?

a. Assess the client's apical rate, then administer the dose. b. Administer 0.4 mg I.V. because the physician most likely meant to write that dosage c. Question the physician about that order. d. Administer the dose, then monitor the client closely.

165. A nurse administers a unit of blood to a client without receiving informed consent. Performing a procedure, such as administering blood products, without receiving informed consent can lead to which of the following charges?

a. Assault and batteryb. Fraudc. Breach of confidentialityd. Harassment

166. A staff nurse influences the behaviors of her colleagues by guiding and encouraging them. She's an excellent role model but has no formal authority over her peers. This nurse is demonstrating characteristics of which of the following roles?

a. Manager b. Autocrat c. Leader d. Authority

167. The nurse manager is concerned because she received many time-off requests from her staff for the upcoming holiday season. She has come up with several possible solutions to the staffing dilemma and has scheduled a staff meeting to present ideas to the staff. Which management style is this manager demonstrating?

a. Participativeb. Democraticc. Autocratic d. Laissez-faire

168. A new nurse-manager is trying to determine the best way to implement client teaching in her outpatient surgical center. She decides to gather data from other surgical centers and compare their teaching methods to her center's methods.

Which quality improvement process is she utilizing?

a. Benchmarking b. Risk management c. Performance improvement d. Quality management

169. A client arrives in the emergency room and is assessed by a nurse. The client is staggering, confused, and verbally abusive. The client complaints of a headache from drinking alcohol and is asking for medication. The nurse explains to the - client that the physician will need to perform an assessment prior to the, administration of medication. When the client becomes verbally abusive, the nurse obtains leather restrains and threatens to place the client in the restraints. With which of the following can the client legally charge the nurse as a result of the nursing action?

a. assault b. battery c. negligence d. invasion of privacy

176. A registered nurse arrives at work and is told to report (float) to the intensive care unit (ICU) for the day because the ICU is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the ICU. Which of the following is the most appropriate nursing action?

a. Refuse to float to the ICU b. Call the hospital lawyerc. Call the nursing supervisor d. Report to the ICU and identify tasks that can be safely performed

177. A nurse who works on the night shift enters the unit and finds a coworker with a tourniquet wrapped around the upper arm. The coworker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. The most appropriate initial action by the nurse is which of the following?

a. Call the policeb. Call securityc. Lock the coworker in the medication room until help is obtained

d. Call the nursing supervisor

178. A study describing the evaluation of aseptjc technique would be which type of study?

a. Longitudinalb. Descriptivec. Historicald Evaluation

179. If a bill has been approved by the joint conference Committee of Congress, This means that:

a. The bill is now a lawb. The bill will be sent to the President of the Philippinesc. The bill will be discussed by the senators and the congressman, for its merit d. The bill will be print out and distributed

180. Mrs. Peralta was also issued a professional license by the Professional Regulation Commision. It is a:

1. A permanent right2. A vested interest3. A legal right4. A privilege5. Means to protect society and promote general welfare

a. 1,2,3 b. 2,3,4 c. 3,4,5 d. 1,3,4

181. Nursing Resolution concerning with 1.V. Training Program:

a. N. R. #1955 Series 1989b. N. R.# 557 Series 1988c. N. R. #08 Series 1994d. N. R. # 633 Series 1984

182. The devise or technique an investigator employs to collect data is called:

a. Sample

b. Instrument c. Hypothesis d. Concept

183. Being an I. V. Licensed Nurse, it is renewed?

a. every 2 years b. every 6 months c. it depends d. no renewal at all

184. A nurse lawyer provides an education session to the nursing staff regarding client's rights. A staff nurse asks the lawyer to describe an example that might relate to invasion of client privacy. Which of the following indicates a violation of the right?

a. Taking photographs of the client without consentb. Telling the client that he or she cannot leave the hospitalc. Threatening to place the client in restraintsd. Performing a surgical procedure without consent

185. If found to be telling the truth, the nurse may be released right away. The fact That morphine sulfate was meant to be given to a relative as prescribed by a licensed physician considered to be a

a. Justifying circumstances b. Mitigatingc. Exempting d. Aggravating

186. Example of intentional torts includes:a. malpractice and assaultb. malpractice and negligence c. false imprisonment and battery d. negligence and invasion of privacy

187. In a certain hospital whenever there are patients in the recovery room, 2 nurses are usually present. The hospital policy expects the nurses to take their breaks before patients arrive from surgery. On this particular day, there are 2 nurses on duty and 2 patients in the recovery room who have had minor surgeries performed that morning. One nurse had not had a coffee break that morning. The nurse should:

a. Stay because hospital policy expects there to be two nurses in attendance while there are patients in the recovery room. b. Leave for coffee break because there are only 2 patients in the recovery room and one nurse can handle 2 patients quite easily. c. Talk with the nursing supervisor and secure permission from him/her. d. Leave to get coffee and come right back.