Nurse Licensure Examination PDF

Republic of the Philippines PROFESSIONAL REGULATION COMMISSION Manila BOARD OF NURSING Nurse Licensure Examination NURSING PRACTICE I – COMMUNITY HEALTH NURSING INSTRUCTION: Select the correct answer for...

Republic of the Philippines PROFESSIONAL REGULATION COMMISSION Manila BOARD OF NURSING Nurse Licensure Examination NURSING PRACTICE I – COMMUNITY HEALTH NURSING INSTRUCTION: Select the correct answer for each of the following questions. Mark only one answer for each item by shading the box corresponding to the letter of your choice on the answer sheet provided. STRICTLY NO ERASURES ALLOWED. Situation: The Expanded Program for Immunization involves the improvement in the immunological capacity of children to prevent the occurrence of immunizable diseases. Its implementation is one of the tasks of the public health nurse, usually done once a week. You are preparing a request on the vaccine supply for your municipality with a mid-year population of 50,000. 1. You are assigned to arrange the storage for a new delivery of vaccines in the health center. All of the following vaccines may be stored at the body of the refrigerator, except: a. BCG b. DPT c. OPV d. Hepatitis B 2. A primigravid woman asks you about the importance of having tetanus toxoid immunization during her pregnancy. The following are true of this infection, except: a. Tetanus infection causes muscular spasm of the muscles only in the extremities, which could affect its development in children. b. This may be acquired if the newborn’s umbilical cord becomes contaminated postpartum. c. On her first pregnancy, the mother is expected to receive at most two doses of tetanus toxoid vaccine. d. Clostridium tetani is found in the soil or in fecal matter. 3. You are to request for supply of DPT vaccine. When tasked to conduct a health teaching of the infections this vaccine will cover, the following must be included when diphtheria is discussed, except: a. If a mother acquires diphtheria during her pregnancy, the child she will give birth to will be born immune to the disease. b. If a lactating mother has an active diphtheria infection, the bacteria may be passed through her milk. c. Its distinct manifestation is a wound with patches of grayish membrane on the respiratory tract. d. Diphtheria is transmitted via droplet transmission. 4. James, a 13 week old child, was brought by his mother to the health center for a check-up. Which of the following vaccinations would you expect to be administered to him prior to his visit today? a. BCG, OPV2, DPT2, HepB2 b. BCG, OPV1 , DPT1 , HepB1 c. BCG, OPV1 , DPT2 , HepB2 d. BCG, OPV2 , DPT1 , HepB2 5. What regions were covered by the launch of dengue vaccine administration in elementary public schools? a. NCR, Region III, Region IVA b. Region I, II, III c. NCR, Region III, Region II d. Region VII, VIII, IX 6. The DOH recognizes immunization as a key element in reducing the burden of childhood mortality and morbidity with the new inclusion of the IPV. Which of the following statements are inappropriate regarding IPV? a. IPV protects against polio type 1 and type 3 b. IPV protects against outbreaks of wild or vaccine-derived polio virus type 2 c. IPV will be given in addition to oral polio vaccine when a child is 14 weeks old d. IPV an inactivated polio vaccine also known as the Sabin vaccine 7. A clinical instructor is supervising her student giving immunization. During OPV administration the student nurse opens the child’s mouth by squeezing the cheeks gently between her finger and put drops of vaccine from the dropper to the child’s tongue; however the child spits it out. The instructor reminds her student to; a. Advise the mother to maintain child’s upright position while breast feeding b. Wipe child’s mouth and position baby to supine c. Repeat OPV dose and breastfeed immediately d. Put two drops of vaccine straight from the dropper on child’s mouth but precaution not to allow the dropper touch child’s tongue. 8. Mrs. De Leon, mother of a 6 month old baby, asks the PHN about the new Pentavalent vaccine and Rotavirus vaccine. Which among the following information should be excluded? a. Pentavalent vaccine will be injected in three doses together with DPT and OPV b. Pentavalent vaccine is given to children which starts when the child is six weeks old c. Rotavirus vaccine is given in two doses, the first dose is given when the child is six weeks old to less than 15 weeks old d. For the Rotavirus vaccine, the priority will be given to 4 P’s Pantawid Pamilya Pilipino Program beneficiaries 9. Prior to administration of Pentavalent vaccine by the PHN, Mrs. De Leon admits some gaps of information. Which of the following statements by the mother should be corrected? a. I understand that the Pentavalent vaccine has the same schedule as DPT b. I’m glad this vaccine provides more protection for babies with less jabs c. The need to give the birth dose of Hepatitis B vaccine will be unnecessary when you give the Pentavalent vaccine d. It is still imperative to submit my child for OPV and measles vaccine and should not be missed from the schedule 10. Ryan, a 9 year old boy, was rushed to the rural health unit because his parents suspect that he has dengue. He has had high- grade fever for two days, with retroocular and joint pains, and controlled epistaxis. While waiting for the results of his Rumpel Leads test and blood test, his mother asked you about the management of a dengue case. The following are true of treatment for dengue, except: a. Paracetamol is prescribed for muscle pains. b. Ryan may receive ORESOL or fluid replacement via intravenous route, depending on the severity of fluid loss. c. Aspirin is an alternative if paracetamol is not available for muscle pains. d. The treatment for dengue is symptomatic. Situation: Current epidemiological studies have revealed rent outbreaks of certain dormant diseases. The following questions are relevant: 11. Dengvaxia ™ (CYD-TDV) is the first dengue vaccine to be licensed in Mexico in 2015 for use in individuals 9-45 years of age living in endemic areas. This was developed by Sanofi Pasteur. What is the route of administration for this vaccine? a. Intravenous b. Oral c. Intramuscular d. Subcutaneous 12. Determine the dosage of this vaccine. a. 6 injections of 0.5mL each at 3-month intervals b. 3 injections of 1mL each at 3-month intervals c. 6 injections of 1mL: each at 6-month intervals d. 3 injections of 0.5mL each at 6-month intervals. 13. Young women in your community are afraid that they could be infected with Zika virus, and they approached you in request of conducting a small gathering wherein you could share with them information about it. The following are vital points to be discussed about Zika virus, except: a. Developing the infection can only be confirmed by laboratory testing of blood and other bodily fluids. b. Being affected by Zika virus may cause neurological and autoimmune complications in the newborn. c. Mothers of children with microcephaly have been exposed to Zika virus. d. A means to control the spread of Zika virus is by vector side reduction/eradication. 14. As an occupational nurse, you’ve been assigned to a response team from your company in controlling the spread of EBOLA infection in one of the affected areas. One of your tasks is to conduct health teaching on preventive measures against the spread of the disease. You must include the following concepts, except: a. Wear personal protective equipment when caring for a client with EBOLA b. Clients who had EBOLA but were treated should abstain from sexual intercourse for the rest of his life. c. A person with EBOLA becomes infectious upon the onset of signs and symptoms. d. A person with EBOLA remains infectious as long as the virus is present in his blood. 15. You are approached by Paul and Phoebe, a couple, during your medical mission to ask about EBOLA virus because Paul was infected several months ago. Fortunately, he survived. Now, they are planning to start a family. When they ask you about resuming their sexual practices, which statement is appropriate for you to say? a. Ebola virus can still be transmitted through blood for few years. b. Ebola can still be transmitted through sex for months c. Survivors can safely resume normal sexual practices without fear of Ebola virus transmission after two negative results in laboratory testing. d. Survivors can safely resume sexual practices provided that condom is used. Situation: Part of our role as law-abiding and ethical health care professionals come our knowledge of regulatory policies in the Philippines that affect our practice. 16. MDT – multiple drug therapy is proven effective in the cure for Leprosy and renders client non-infectious 7 days after the start of treatment. Domicilliary advocates; A. RA 4073 B. Proclamation #46 C. PD 996 D. RA 7486 17. What law regulates the use and disposal of toxic waste products in the Philippines? a. RA 9003 b. PD 856 c. RA 9696 d. RA 6969 18. This Republic Act legalizes the use of human organs for surgical, medical and scientific purposes. a. RA 1056 b. RA 349 c. RA 6111 d. RA 6425 19. The 16th congress of the Republic of the Philippines reported this senate bill as ‘An Act Instituting Reforms To Further Protect and Develop the Nursing Profession, Amending for the Purpose of RA 9173, otherwise known as the Philippine Nursing Act of 2002’ in place of the six senate bills submitted to the house. a. Senate Bill 1009 b. Senate Bill 2583 c. Senate Bill 2720 d. Senate Bill 1264 20. The Magna Carta of Public Health Workers was instituted in 1992. Which Republic Act legalized this: a. RA 7277 – Magna Carta of Disabled Persons b. RA 7305 c. RA 7164 – PH Nursing Act d. RA 7192 –Women in Development Nation Building SITUATION: Ethnographies are a blend of a process and a product, fieldwork and a written text. Castro and De Guzman (2016) used a focused ethnographic approach to study the illness experiences of clinic and street-based homeless boys aged 15-23 years living in Morayta. 21. Nurse Marian, a community health nurse wants to conduct her own ethnographic study focusing on the T’uali tribe in Ifugao. She wants to seek the broad types of information sought by ethnographers. She has an inaccurate understanding of the areas of interest in an ethnographic study if she has included: a. Cultural behavior b. Cultural artifacts c. Cultural attitude d. Cultural speech 22. To help her understand and interpret the events and activities by the T’uali tribe, Nurse Marian sought for the help of the T’uali tribe chieftain as her key informant. In-depth interviews were conducted and she realized that the chieftain’s view about their own culture reflects: a. Emic perspective b. Etic perspective c. Etit perspective d. Tacit perspective 23. Nurse Marian was not satisfied about what she discovered about the T’uali tribe from the chieftain. She realized that she needs to establish her own view about the tribe’s practices as a means of data triangulation. To suit her curiosity, Nurse Marian is doing well with ethnographic research process if she employs which data collection strategy used by most ethnographers? a. Use of close-ended questions and structured interview with the members of T’uali tribe b. Immersion with the T’uali tribe and participant observation c. Grouping the members of the T’uali tribe into control and experimental group d. Float a comprehensive survey questionnaire to all members of T’uali tribe 24. Nurse Marian is now ready to analyze the data she gathered. To aid her in ethnographic data analysis, she has chosen to utilize Spradley’s method. She has an accurate chronological understanding of its use if she will be: 1. Making domain analysis 2. Asking descriptive questions 3. Locating the informant 4. Interviewing an informant 5. Making an ethnographic record 6. Analyzing ethnographic interviews a. 1,4,5,6,3,2 b. 3,4,5,2,6,1 c. 1,4,6,5,3,2 d. 3,4,2,5,6,1 25. Ethnographic research is typically a labor-intensive endeavor. Nurse Marian understands that for ethnographers to fully assimilate the culture under study, their main goal should be directed towards acquisition or revelation of: a. Emic and etic perspective b. Emic and etit perspective c. Emic perspective and tacit knowledge d. Emic perspective and key informant’s knowledge Situation: Buffers both intracellular and extracellular maintain the fluid and electrolyte homeostasis of our body. Effective circulation is affected by different physiologic factors such as blood volume, cardiac contractility, and vessel patency. Minute deviations from the normal can already cause drastic effects in cellular metabolism. 26. In which acid-base disturbance is an anion gap present? a. Respiratory acidosis b. Respiratory alkalosis c. Metabolic acidosis d. Metabolic alkalosis 27. The maximum infusion time of packed RBCs is: a. 45 minutes b. 4 hours c. 2 hours d. 6 hours 28. In inserting an IV catheter, how far should the tourniquet be applied from the proposed site of insertion? a. 5 inches distal to the insertion site b. 10 to 15 cm above the insertion site c. 1-5 cm distal to the insertion site d. 10 inches above the insertion site 29. How often should the nurse check on a patient with continuous intravenous infusion? a. Every 4 hours b. Every 2 hours c. Every 8 hours d. Every 30 minutes 30. A grade 3 infiltration of an intravenous site is characterized by the following, except: a. Blanched, translucent skin b. Cool to touch c. Numbness and mild pain d. Deep pitting edema Situation: Nurses play an active role in the prevention, management and containment of communicable diseases. 31. A client with human immunodeficiency virus positive had a mantoux skin test. The nurse notes a 7 mm area of induration at the site of the skin test. The nurse interprets the result as; a. Positive b. Negative C. Uncertain D. Borderline Leprosy is a chronic mildly communicable disease that mainly affects the skin, the peripheral nerves and the mucosa of the upper respiratory tract. The Multi-Drug Therapy (MDT) is proven effective cure for leprosy and renders patients non-infectious a week after starting the treatment. 32. In a health education class conducted by the PHN, she informed them about the early signs and symptoms of Leprosy. Which of the following choices is inappropriate description of the disease? a. Lagopthalmus b. Painful nerves C. Muscle weakness D. Nasal bleeding 33. The PHN gave emphasis on signs and symptoms indicating the infection had advanced to a later stage. Which of the following information should be excluded A. Madorosis B. Hand contractures C. Loss of sensation on skin lesion D. Chronic ulcer German Measles is a viral exanthem infection, caused by a Paramyxo virus primarily affecting older children and young adults occurring sporadically in the Philippines due to mildness of the infection. The incubation period ranges from 10-21 days with clinical features simulating Measles, also a viral exanthem infection 34. Prior to the exposure of the nursing affiliates to the Pediatric-Isolation unit Mrs. Garcia, their C.I conducted pre- conference. She asks her students to describe the hallmark of Rubella infection which is lymphadenopathy. The C.I would not have to correct Elsa, one of the nursing affiliates if she states a. It involves mucocutaneous lymph node syndrome b. The superficial cubital noles are enlarged c. This involves enlargement of axillary node d. The post cervical nodes and post auricular nodes are enlarged 35. Clarisse, a student nurse is currently performing assessment on Faith, a 9 year old child diagnosed with Rubella. Clarisse documented the typical exanthem known as Forscheimer. Which of the following assessment would support her findings? a. Pinkish to reddish lesions on soft palate/uvula b. Erythematous lesions over the neck c. Vesicles all over the trunk d. Petechial lesions over the face 36. Paramyxo virus is spread through direct contact with nasopharyngeal secretions of infected individual. The S.N is conducting health teachings to the mother. The health teachings to the mother. The health teachings were effective of the mother states. a. It is essential to isolate my other siblings who had Rubella infection last year b. I should not allow my child to play with neighbors who recently recovered from German measles c. Playmates who live next door with uncertain immunization are highly risk d. It is appropriate to inform my cousin who recently got married for us to communicate over the phone and reset an outside meeting a week from now. Situation: Different communicable diseases spike up in today’s trends. It is important for the nurse to understand the background of different emerging diseases, its presentation, diagnosis and interventions associated to the diseases. The following questions apply to emerging communicable diseases. 37. Ebola virus was discovered in 1978 in Congo and re-appeared last 2014 in Guinea with case fatality rate of 50%. It has several different causative agents and is transmitted through direct or indirect contact to affected primates such as bats. It is also commonly known as the hemorrhagic fever. Given its signs and symptoms of myalgia, high fever, malaise, internal bleeding and shock, the nurse should anticipate all of the following management except: a. Intensive fluid replacement b. Contact tracing c. Isolation d. Close-door home care 38. Zika virus is another emerging disease which was discovered in Uganda in 1947. It is known to be transmitted through mosquito bites specifically of Aedesaegypti and albopictus. Aside from a known complication of microcephaly to infants born to a mother who had a history of Zika virus, which complication is known to develop among adults who have had a history of the disease? a. Guillain-Barre Syndrome b. Alzheimer’s disease c. Degenerative spondylosis d. Hunter’s syndrome 39. In caring for a client with AIDS and is currently on HAART therapy, which of the following statements indicates a need for further teaching regarding the management of the disease? a. “I should take my HAART medications with meals” b. “I should regularly check my liver function.” c. “I should immediately consult my physician if I experience abdominal pain which radiates to the back” d. “I could go swimming in a public resort with my family and friends” 40. Nurse Pau is teaching a group of student nurses about Dengue. Which of the following statements if said by the student indicates correct understanding of the topic being discussed? a. “The confirmatory test for Dengue virus is the complete blood count test” b. “20 or more petechial spots inside a 2.5 cm2 box may indicate presence of bleeding according to the principle of the Rumpel lead test” c. “The drug of choice for the client’s fever is acetylsalicylic acid” d. “There is a need to restrict the client’s fluid during Grade III Dengue Fever” 41. SARS and MERS-COV almost have the same presenting signs and symptoms. Although they both have the same causative agent which beta-coronavirus, MERS-COV has a higher case fatality rate of 30% compared to the 10% CFR of SARS. The difference between the statistics of the two diseases can be attributed to: a. The extent of respiratory complications in MERS-COV b. The presence of renal involvement in MERS-COV c. The easier diagnosis of SARS d. The self-limiting nature of SARS Roseola Infantum also known as Sixth Disease is an acute highly febrile condition followed by occurrence of rashes caused by HHV-human herpes virus Type 6 with high incidence between 6Mos-24Mos of age. 42. A clinical instructor assesses the knowledge of Debbie, one of her student assignment at the Health Center to perform clinical history ot a child with an admitting impression as Exanthema Subitum. Which of the following data gathered from the mother Is helpful to make this conclusive a. My child develops pruritic rashes for four days duration, coupled with low grade fever b. My child is apparently sick with vesicle lesions for 3 days duration c. I gave my child medicine to control the fever of 39° and yet fever persists for 3 days, with an abrupt appearance of elevated rashes, non pruritus as soon as the fever declines d. My child develops painful, pruritic rashes without history of fever Situation: Program Planning is a necessary step in order to deliver efficient, quality, and cost-effective activities. 43. Which of the following is not part of the planning process? a. Source out and allocate resources to improve the present state of affars b. Intervene with the community’s capability to achieve wellness c. Setting priority goals according to availability of resources d. Pursuing the objective of enhancing wellness and improving the health status and quality of life of the people e. NOTA 44. As an occupational nurse, you have developed programs to promote health in your company. You may implement the following activities, except: a. Facilitate employee rehabilitation following a work accident b. Conduct stress management workshops c. Implement use of new machine to lessen muscle strain during manual work d. Referring a newly annulled single parent to a support group in the office 45. Nurse Dylan is the school health nurse at Sitio Talipapa Elementary School. How many times must he perform physical examination to the children in a school year? a. Once a year and as the need arises b. Once a year only c. At the beginning and end of classes d. When an epidemic is suspected/being monitored Situation: Public health nursing has dynamically evolved as a practice which is influenced by the changing global and local trends in the Philippines. Public health nursing has evolved alongside the institution and development of the Department of Health which was mandated to promote and protect people’s health. 46. The term “Public Health Nursing” was coined by Lilian Wald who advocated for services to be available to all people. With the different definitions of public health nursing, the World Health Organization (WHO) defined the term as: a. “Nursing practice in a wide variety of community services and consumer advocate areas, and in a variety of roles, at times including independent practice, community health nursing is not confined to public health nursing agencies” b. “A service rendered by a professional nurse with communities, groups, families, individuals at home, in health centers, in clinics, in schools, in places of work for promotion of health, prevention of illness, care of the sick at home and rehabilitation” c. “A special field of nursing that combines the skills of nursing, public health and some phases of social assistance and functions as part of the total public health programme for the promotion of health, the improvement of conditions in the social and physical environment, rehabilitation of illness and disability” d. ““The art and science of preventing disease, prolonging life and promoting health through the organized efforts of society.” 47. The public health nurse plays different vital roles in the promotion of health in different fields in the community. The PHN coordinates with other agencies for the provision of specific services at the same time conducts home visits in the community to evaluate the plan of care implemented on clients. When the nurse calls for active participation of the community through community organizing and mobilization to assist the community in solving their own problems and promote independence, which role is the nurse portraying? a. Management function b. Nursing care function c. Training function d. Research function 48. In the year 2000, the United Nations Millennium Declaration was signed wherein 189 participating UN member states agreed to try to achieve the 8 Millennium Development Goals in the year 2015. After the implementing period of the MDGs, the United Nations, through a deliberative process involving its 193 member states, came up with the Sustainable Development Goals 2030, officially known as the “Transforming our world: the 2030 Agenda for Sustainable Development”. Which of the following statements is not in line with the targets of the 17 SDGs? a. ensure sustainable food production systems and implement resilient agricultural practices that increase productivity and production, that help maintain ecosystems, that strengthen capacity for adaptation to climate change, extreme weather, drought, flooding and other disasters and that progressively improve land and soil quality b. ensure limited access to sexual and reproductive health-care services, including for family planning, information and education, and the integration of reproductive health into national strategies and programmes c. ensure that all learners acquire the knowledge and skills needed to promote sustainable development, including, among others, through education for sustainable development and sustainable lifestyles, human rights, gender equality, promotion of a culture of peace and non-violence, global citizenship and appreciation of cultural diversity and of culture’s contribution to sustainable development d. Sustain per capita economic growth in accordance with national circumstances and, in particular, at least 7 per cent gross domestic product growth per annum in the least developed countries 49. Public health and public health nursing is a practice which primarily move in an increasingly health promotion direction beyond its responsibility of providing clinical and curative services in the community. All but one are principles of health promotion; a. It involves the population as a whole in the context of their everyday life, rather than focusing on people at risk from specific diseases b. It is primarily a medical service and not a societal and political venture in which healthcare professionals have a vital role c. It aims particularly at effective and concrete public participation which requires development of problem-defining and decision-making life skills both individually and collectively d. It is directed towards action on the determinants or causes of health. This requires a close cooperation between sectors beyond healthcare which reflects the diversity of conditions which influence health. 50. Nurse Lyka is assigned to a number of health centers in District 1 of the Province of Iloilo. She manages and oversees different groups of nurses in a total of 4 health centers from Oton, Miagao, Tigbauan, and Guimbal. She does objective assessment of different health programs, problems and services in all of these areas. She also initiates meetings, discussions and conferences with other nursing staff and health personnel to provide joint planning and stimulation of activities for staff improvement and capacity-building. Nurse Lyka performs the function of a: a. Public Health Nurse II b. Supervising Public Health Nurse c. Public Health Nurse V d. Nurse Program Supervisor Situation: Mrs. Vergara is now the chief nurse of a hospital in Manila. She is clinically reviewing different management styles and theories that will best help her in running the nursing services in the hospital. 51. Which leadership style best empower the staff towards excellence? A. Autocratic B. Situational C. Democratic D. Laissez faire 52. As nurse manager, Jillian enjoys her staff of talented and well-motivated individuals. She knew the leadership style to suit the needs of this kind of people is called: A. Autocratic B. Participative C. Democratic D. Laissez faire 53. A fire has broken in Jillian’s unit. The best leadership style suited in cases of emergencies like this is: A. Autocratic B. Participative C. Democratic D. Laissez faire 54. Mrs. Vergara is thinking of introducing the Primary Nursing Model Approach. You understand that in this nursing model: A. The nurse manager assigns tasks to the staff members B. Critical paths are used in providing nursing care C. A simple registered nurse is responsible for planning and providing individualized nursing care D. Nursing staff are led by an RN leader in providing care to a group of clients 55. Evaluation as administrative process is best described as: A. Obtaining commitment of members to do better B. Follow-up activities that have been stated C. A continuing process of seeing that performance meet goals and targets D. Informing personnel how well and how much improvement has been made Situation: Mr. Delos Reyes, 70 years old, was suddenly rushed to the hospital because of severe chest pain. On admission, he was diagnosed to have an acute myocardial infarction and was placed in the ICU. 56. While he is in the ICU, he executes a document that lists the medical treatments he chooses to refuse in case his condition becomes severe to a point that he will be unable to make decisions for himself. The document is: A. Living will B. Power of attorney C. Last will and testament D. Informed consent 57. After one day, the patient’s condition worsened and he felt hopeless. He requested the nurse to remove the oxygen. The nurse should: A. Follow the patient because it is his right to die gracefully B. Refuse the patient since euthanasia is not accepted in the Philippines C. Follow the patient as it is his right to determine the medical regimen he needs D. Refuse the patient and encourage him to verbalize his feelings 58. Euthanasia is an ethical dilemma which confronts nurses in the ICU because: A. Decisions has to be made quickly, often under stressful situations B. Decisions has to be made based on societal norms C. The choices involved do not appear to be clearly right or wrong D. A client’s legal rights co-exist with the nurse’s professional obligation 59. The personal conviction that euthanasia is absolutely wrong in any situation is: A. Personal value B. Legal obligation C. Ethical issue D. Immoral belief 60. Mr. Delos Reyes felt better after 3 days but recognized the severity of his illness. He executed a document authorizing his wife to transact any form of business in his behalf in addition to all decisions relative to his confinement. This document is referred to as: A. Power of attorney B. Informed consent C. Medical record D. Living will Situation: The staff nurse supervisor requests all the staff nurses to brainstorm and learn ways to provide health teachings to clients. She wants to ensure that there are nurses available to do daily health education classes. 61. When Lanie, a nurse, delegates aspects of client care to the nurse aide who is an unlicensed staff, Lanie: A. Makes the assignment to teach the staff member B. Is assigning the responsibility to the aide but not the accountability for those tasks C. Does not have to supervise nor evaluate the nurse aide D. Must know how to perform the delegated task 62. Which of the following is not a legally binding document but is very important in the care of all patients in any health care setting? A. Bill of rights as provided in the Philippine constitution B. Scope of nursing practice as defined by RA 9173 C. Board of nursing resolution adopting the code of ethics D. Patient’s bill of rights 63. Bettina gave the wrong medication to a client. Another nurse employed by the same hospital as a risk manager will expect to receive which of the following communication? A. Incident report B. Oral report C. Nursing kardex D. Complaint report 64. Performing a procedure on a client in the absence of an informed consent can lead to which of the following charges? A. Fraud B. Assault and battery C. Harassment D. Breach of confidentiality 65. Delegation is the process of assigning tasks that can be performed by a subordinate. The RN should always be accountable and should not lose his accountability. Which of the following is a role included in delegation? A. The RN must supervise all delegated tasks B. After a task has been delegated, it is no longer a responsibility of the RN C. The RN is responsible and accountable for the delegated task in adjunct with the delegate D. Follow up on a delegated task is necessary only if the assistive personnel is not trustworthy Situation: Ben has a nursing diagnosis of ineffective airway clearance related to excessive secretions and is at risk for infection because of retained secretions. Part of Nurse Jenny’s care plan is to loosen and remove secretions in the airway. 66. Jenny listens to Ben’s bilateral sounds and finds that congestion is in the upper lobes of the lungs. The appropriate position to drain the anterior and posterior apical segments of the lungs when Jenny does percussion would be: A. Client lying on his back and then flat on his abdomen on Trendelenburg position B. Client seated upright in bed or on a chair then leaning forward in sitting position then flat on his back and on his abdomen C. Client lying flat on his back and the flat on his abdomen D. Client lying on his right the left side on Trendelenburg position 67. When documenting outcome of Ben’s treatment, Jenny should include the following on her recording except: A. Color, amount, and consistency of sputum B. Character of breath sounds and respiratory rate before and after the procedure C. Amount of fluid intake of client before and after the procedure D. Significant changes in vital signs 68. When assessing Ben for chest percussion or chest vibration, and postural drainage, Jenny would focus on the following except: A. Amount of food and fluid taken during the last meal before treatment B. Respiratory rate, breath sounds, and location of congestion C. Teaching the client’s relatives to perform the procedure D. Doctor’s order regarding position restrictions and client’s tolerance for lying flat 69. Jenny prepares Ben for postural drainage and percussion. Which of the following is a special consideration when doing the procedure? A. Respiratory rate of 16 to 20 per minute B. Client able to tolerate sitting and lying position C. Client has no signs of infection D. Time of last food and fluid intake of the client 70. The purpose of chest percussion and vibration is to loosen secretions in the lungs. The difference between the procedures is: A. Percussion uses only one hand while vibration uses both hands B. Percussion delivers cushioned blows to the chest with cupped palms while vibration gently shakes secretions loose on the exhalation cycle C. In both percussion and vibration, the hands are on top of each other and hand action is in tune with client’s breath rhythm D. Percussion slaps the chest to loosen secretions while vibration shakes the secretions along with the inhalation of air Situation: Nursing is a profession. Miss Perez is a newly appointed nurse in a hospital in Manila. Born May 1993, her knowledge of nursing profession development is Required in order to project the profession in a way that it uplifts the standard of nursing. 71. Miss Perez defined nursing as the following except: A. Assisting individual, family, and community in attaining health B. Assisting in basic health needs C. Establishing nursing diagnosis and implementing nursing care D. Diagnosing, treating, prescribing medication and doing minor surgery 72. PNA was established: 1. In 1922 2. In 1926 3. With Mrs. Rosario Delgado as the first president 4. With Mrs. Anastacia Tupas as the first president A. 1 and 3 C. 2 and 3 B. 1 and 4 D. 2 and 4 73. As a national nurses’ association, PNA is characterized by the following, except: A. Both a professional body and labor union B. Affiliated with the International Council of Nurses C. Advocating improved work and life condition of nurses D. Accrediting body for continuing education program 74. CPE units per year are needed for license renewal. The number of CPE units in 3 years should be: A. 20 units B. 30 units C. 60 units D. 100 units 75. To manifest that you want to quit from your job and discontinue the services you render after the completion of a contract, you will file a/an: A. Certificate of resignation B. Honorable dismissal C. Certificate of termination D. Resignation letter 76. Jenny plans to resign from her job as a staff nurse. She must give an advance notice of: A. 15 days B. 30 days C. 45 days D. 60 days 77. If a nurse filed a sick leave and plans to return to work after, she must show her: A. Back to work certificate B. Fit to work certificate C. Death certificate D. Medical certificate 78. A certificate that will show that a nurse met the requirement set by the Philippine Government to practice the profession is: A. Diploma B. Certificate of passing C. Nursing License D. Board certificate/CoR 79. Nurses in the Philippine Government also felt the need to organize themselves, this led to the creation of: A. National League of Government Nurses B. National League of Filipino Government Nurses C. National League of Philippine Government Nurses D. Philippine Government Nurses Association 80. The founder of NLPGN, during her lifetime, exemplified professional dignity, high level of intelligence and leadership ability, as well as moral integrity. She was a good model, who, like Florence Nightingale, initiated reforms and worked for the improvement of the nursing profession and health care in the Philippines. The name of the NLPGN Recognition award was also named after her. A. Anastacia Giron Tupas B. Francisca Delgado C. Betty Meritt D. Annie Sand Situation: You are a nurse conducting a statistical analysis in your research entitled “The Effect of Gingko Biloba in Enhancing Memory and Retention Among 4th Year High School Students.” 81. What is the independent variable? A. The effect of gingko biloba B. Memory and retention C. Gingko biloba D. Enhancing memory and retention 82. What is the dependent variable? A. The effect of gingko biloba B. Memory and retention C. Gingko biloba D. Enhancing memory and retention 83. The research design best used in this research is: A. Experimental B. Non-experimental C. Descriptive D. Qualitative 84. The hypothesis developed was: Gingko biloba improves memory and retention. This is an example of: A. Simple, directional B. Simple, non-directional C. Complex, directional D. Complex, non-directional 85. Gingko biloba has an effect on memory and retention best describes which type of hypothesis? A. Simple, directional B. Simple, non-directional C. Complex, directional D. Complex, non-directional 86. Which of the following is the best null hypothesis (H0) for this study? A. Gingko biloba has no effect on enhancing memory and retention B. Gingko biloba has an effect on enhancing memory and retention C. Gingko biloba has no effect on enhancing memory and retention of 4th year high school students D. Gingko biloba has an effect on enhancing memory and retention of 4th year high school students 87. Which of the following best represents the alternative hypothesis (Ha) for this study? A. Gingko biloba has no effect on enhancing memory and retention B. Gingko biloba has an effect on enhancing memory and retention C. Gingko biloba has no effect on enhancing memory and retention of 4th year high school students D. Gingko biloba has an effect on enhancing memory and retention of 4th year high school students 88. Which of the following is the average P value as threshold to determine the plausibility of the null hypothesis? A. P=0.05 B. P=0.01 C. P=0.001 D. P=0.5 89. If the study is statistically highly significant, it would reflect a p value of? A. p=0.05 B. p=0.01 C. p=0.001 D. p=0.5 90. Supposed that your alternative hypothesis has a 1 in a hundred chance of accepting the null hypothesis, has a 99% chance of being correct, and has a 1 in a hundred chance that the null hypothesis is true. Your P value will be? A. P=0.99 B. P=0.01 C. P=0.001 D. P=0.5 Situation: Health promotion is the priority nursing responsibility. The nurse should be able to promote the client’s well-being and identify ways on improving the client’s quality of life. 91. The nurse is caring for a 16-year old female client who isn’t sexually active. The client asks if she needs a Papanicolau test. The nurse should reply: A. Yes, she should have a Pap smear after the onset of menstruation B. No, because she isn’t sexually active C. Yes, because she’s 16 years old D. No, because she is not yet 21 years old 92. The nurse is assessing a client who complains of abdominal pain, nausea, and diarrhea. When examining the client’s abdomen, which sequence should the nurse use? A. Inspection, palpation, percussion, auscultation B. Inspection, auscultation, percussion, palpation C. Auscultation, inspection, palpation, percussion D. Palpation, auscultation, percussion, inspection 93. The nurse is speaking to a group of women about early detection of breast cancer. The average age of women in the group is 45. Following the Philippine Cancer Society guidelines, the nurse should recommend that the women should: A. Perform a breast self-examination annually B. Have a mammogram annually C. Have a hormonal receptor assay annually D. Have a physician conduct a clinical examination every 2 years 94. The school nurse is planning a program for a group of teenagers on skin cancer prevention. Which of the following instruction should the nurse emphasize on her talk? A. Stay out of the sun between 1 pm and 3 pm B. Tanning booth is a safe alternative for those who wish to tan C. Sun exposure is safe, provided the client wears a protective clothing D. Examine skin once per month, looking for suspicious lesions or changes in moles 95. An employer establishes a physical exercise area in the workplace, and encourages all employees to use it. This is an example of which level of prevention? A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Passive prevention Situation: As a peri-operative nurse, you are aware of the correct processing methods for preparing disinfection. 96. As an OR nurse, what is your foremost consideration for selecting chemical agents for disinfection? A. Material compatibility and efficiency B. Odor and availability C. Cost and duration of disinfectant process D. Duration of disinfectant and efficiency 97. Before you use an instrument disinfectant, it is essential that you: A. Rinse with tap water followed by alcohol B. Wrap the instrument with sterile cloth C. Dry the instrument thoroughly D. Rinse with sterile water 98. You have a critical heat labile instrument to sterilize and are considering using high level disinfectant. What should you do? A. Cover the soaking vessel to contain the vapor B. Double the amount of high level disinfectant C. Test the potency of the high level disinfectant D. Prolong the exposure time according to manufacturer’s direction 99. To achieve sterilization using disinfectant, which of the following is used? A. Low level disinfectant immersion for 24 hours B. Intermediate level disinfectant immersion for 12 hours C. High level disinfectant immersion for 1 hour D. High level disinfectant immersion for 10 hours 100. Bronchoscope, thermometer, endoscope, ET tube, cystoscope, are all best sterilized using which of the following? A. Autoclaving at 1210C in 15 minutes B. Flash sterilizer at 1320C in 3 minutes C. Ethylene oxide gas aeration for 20 hours D. 2% Glutaraldehyde immersion for 30 minutes  KEY TO CORRECTION 1. C 21. C 41. A 61. B 81. C 2. A 22. A 42. C 62. C 82. B 3. A 23. B 43. A 63. A 83. A 4. A 24. B 44. C 64. B 84. A 5. A 25. C 45. A 65. C 85. B 6. D 26. C 46. B 66. B 86. C 7. D 27. B 47. A 67. C 87. D 8. A 28. B 48. 68. C 88. A 9. C 29. B 49. 69. D 89. C 10. C 30. D 50. 70. B 90. B 11. D 31. A 51. C 71. D 91. D 12. D 32. A 52. D 72. A 92. B 13. C 33. C 53. A 73. A 93. B 14. B 34. D 54. C 74. C 94. A 15. C 35. A 55. D 75. D 95. A 16. A 36. D 56. A 76. B 96. A 17. D 37. D 57. D 77. D 97. D 18. B 38. A 58. D 78. D 98. A 19. C 39. C 59. A 79. C 99. D 20. B 40. A 60. A 80. A 100. D