SET A Seat No.

____
NURSING PRACTICE 1:
FOUNDATION OF PROFESSIONAL NURSING PRACTICE
Direction:
Choose the letter of the BEST answer by shading the corresponding letter of your
choice on the answer sheet
provided. STRICTLY NO ERASURE!
Situation 1: Mr. Martin, 71 years old was suddenly rushed to the hospital becaus
e of severe chest pain. On admission,
he was diagnosed to have acute myocardial infarction and was placed in the ICU.
1. While in the ICU, he executes the document tat list the medical treatment he
chooses to refuse in case his condition
becomes severe to a point that he will be unable to make decisions for himself.
This document is:
A. living will C. last will and testament
B. informed consent D. power of attorney
2. After one day, the patient s condition worsened and feeling hopeless. He reques
ted the nurse to remove the oxygen.
The nurse should:
A. follow the patient because it is his right to die gracefully
B. follow the patient as it is his right to determine the medical regimen he nee
ds
C. refuse the patient and encourage him to verbalize hid feelings
D. refuse the patient since euthanasia is not accepted in the Philippines
3. Euthanasia is an ethical dilemma which confronts nurses in the ICU because:
A. the choices involved do not appear to be clearly right or wrong
B. a clients legal right co-exist with the nurse s professional obligation
C. decisions has to be made based on societal norms.
D. decisions has to be mad quickly, often under stressful conditions
4. A nurse who supports a patient and family s need to make decisions that is righ
t for them is practicing which of the
following ethical principles?
A. Autonomy B. confidentiality C. privacy d. truthfulness
5. Mr. Martin felt better after 5 days but recognizing the severity of his illne
ss, he executes a document authorizing the
wife to transact any form of business in his behalf in addition to all decisions
relative to his confinement his document is
referred to as:
A. power f attorney C. informed consent
B. living will D. medical records
Situation 2: Miss Castro was recently appointed chief nurse of a 50-bed governme
nt hospital in Valenzuela. On her first
day of duty, she tried to remember the elements of administration she learned fr
om her basic nursing education.
6. One of the first things Ms. Castro did was to engage her until in objective w
riting, formulating goals and philosophy of
nursing service. Which activities are MOST appropriately described to which elem
ents of administration?
A. planning B. controlling C. directing d. organizing
7. In recognizing the Department of Nursing, she comes up with the organizationa
l structure defining the role and
function of the different nursing positions and line-up the position with qualif
ied people. This is included in which element
of administration:
A. monitoring B. evaluation C. organizing d. planning
8. After one month, she and her management committee assess the regulatory measu
res taken and correct whatever
discrepancies are found. This is part of which element of administration:
A. monitoring B. organizing C. evaluation d. planning
9. Revaluation and administrative process is BEST described as:
A. a continuing process of seeing that performance meets goals and targets
B. obtaining commitment of members to do better
C. informing personnel how well and how much improvement has been made
D. follow-up of activities that have been studied
10. In all of the various administrative functions, which of the following manag
ement skill is demanded efficiently and
effectively of Ms. Castro?
1. Decision making skills
2. Forecasting skills
3. Auditing skills
4. Communications skills
A. 2 & 3
B. 1 & 4 C.1&2 D.2&4
Situation 3: Meldy. 40 years old. is waiting for her doctor s appointment at the c
linic where you work.
11. You are to interview her as an initial nursing action so that you can.
A. Document important data in her client records for health team to read.
B. Gather data about her lifestyle, health needs, lifestyle, health needs and pr
oblems to develop
plan of care
C. provide solutions to her immediate health concern
D. identify the most appropriate nurse diagnosis for her heath problem
12. During the interview, Meldy experiences a sharp abdominal pain on the right
side of her abdomen. She further tells
you that an hour ago, she ate fatty food and this had happened many times before
. You will record this as:
A.
Client complains of intermittent abdominal pain an hour alter eating fatty foods
B.
After eating fatty food the client experienced severe abdominal pain
C.
Client claims to have sharp abdominal pains after eating fatty food unrelieved b
y pain medication
D.
Client reported sharp abdominal pain on the right upper quadrant of abdomen an h
our after
ingestion of fatty foods.
13. Meldy tells you that she has been on a high protein / high fat / low carbohy
drate diet order to lose weight and that
she has successfully lost 8 lbs during the past two weeks. In planning a healthy
balanced diet for her, you will:
A. Encourage her to eat well-balanced diet with a variety of food from the major
food groups and
take plenty of fluids.
B. Ask her to shift to a macrobiotic diet rich in complex carbohydrates.
C. Encourage her to cleanse her body toxins by changing a vegetarian diet with r
egular exercise.
D. Encourage her to eat a high carbohydrate, low protein diet and low fat diet.
14. You learn that Meldy drinks 5-8 cups o coffee a day plus cola drinks. Becaus
e she is in her pre-menopausal years, the
nurse instructs her to decrease consumption of coffee and cola preparation becau
se:
A. these products increase calcium loss from the bones
B. These products have stimulant effect n the body
C. these products encourage increase in sugar consumption
D. these products are addicting
15. Health education plan for Meldy stresses prevention of NCD or Non-communicab
le diseases that are influenced by
lifestyle. These include the following EXCEPT:
A. Cancer B. DM
C. Osteoporosis D. Cardiovascular diseases
Situation 4: Changes in technology, the nation s economy and the increasing number
of population have brought about
changes in the Health Care System.
16. At present, government hospitals are expected to offer comprehensive health
services to include illness prevention
and health promotion. In which of the following unit of services are these servi
ces integrated?
A. Wellness center
C. Rehabilitation Center
C. Intensive Care unit
D. newborn screening unit
17. Which of the following is the MOST recent government initiative to help subs
idize the cost of health services for both
the employed and the unemployed?
A. National Health Insurance Act C. Medicare Act
B. Worker s Compensation Act D. Magna Carta for Public Health Workers
18. The top ten morbidity cases in the Phil. Include TB, diarrhea among children
to name a few. Many of these conditions
are preventable and have implications are preventable and have implications in t
he development of which nursing
competencies?
A. Execution of nsg. procedure and technique
B. Therapeutic use of self
C. Administration of treatment and medication
D. Health education
19. The cost of hospitalization is getting more expensive and unaffordable to ma
ny of our people. These facts will MOST
LIKELY bring about development in which of the following?
A. acute services C. home care services
B. managed care services D. advance practice nursing
20. Which of the following latest trend has expanded health services based on pr
epaid fees with emphasis on health
promotion and illness prevention?
A. Government Insurance Plan C. Health Maintenance Organization
B. Preferred Provider Organization D. Private Insurance Plan
Situation 5: It is Safety Awareness Week in the Community and the nurse checks o
n the presence of hazards at home.
The nurse plan is to have the residents themselves identify the physical hazards
in their own homes.
21. Which of the following is NOT a physical hazard in the home?
A. unstable and slippery stairway
B. large windows that allow good ventilation
C. obstacle people cam trip over like door mats, rugs, electric cords
D. inadequate lighting in and out of the house
22. Risk factors exist for each of the different developmental levels. From infa
ncy to preschool age, the most common
cause of death is injury rather than disease. To protect children from harm, tha
t parents should be aware that MOST
injuries for this age group are due to:
A. Accidents at home caused by the swallowed poisonous materials, small objects,
exploring
electrical sockets
B. Accidents from self inflicted wounds
C. accidents from sports related activities at school or the neighborhood
D. accidents in the Playground Park, school and presence of strangers who may ab
duct of molest the child.
23. To promote safety at home, the nurse identifies ways and means of child proof
ing the house. Which of the following
is NOT safe?
A. apply child proof caps and medicine bottles and chemicals
B. covering electrical outlets, tying up long and loose electrical and telephone
cords, securing cabinets
or doors within reach o the child
C. giving colorful grocery bags to play with or to store toys and materials
D. removing objects that the child could easily dismantle and swallow like small
parts of a mechanical
toy, buttons, materials inside, stuffed animals, liquid chemicals.
24. The nurse knows that a person s hygienic practices are influenced family custo
ms and traditions. Which of the
following is NOT part of Basic Hygienic Practices?
A. bathing practices, frequency and time, care of eyes, ear and nose
B. oral hygiene practices such as brushing and flossing teeth, gum care
C. care of skin with lesions, cuts with infection
D. hair and skin such as washing hair and face, feet, hand and nail care
25. Falls are the common home accident among elderly and these are due to physic
al limitations imposed by aging and
some hazards in the home setting. The nurse reduces the risk of falling through
the following EXCEPT:
A. rearranging furniture frequently
B. having the bed or mattress close to the floor
C. providing a nonskid and well fitted shoes or slippers
D. having a call bell within the persons reach and answering call bells immediat
ely
Situation 6: Eileen, 45 years old is admitted to the hospital with a diagnosis o
f renal calculi. She is experiencing severe
flank pain, nauseated and with a temperature of 39 0C.
26. Given the above assessment data, the most immediate goal of the nurse would
be which of the following?
A. Prevent urinary complication C. Alleviate pain
B. maintains fluid and electrolytes D. Alleviating nausea
27. After IVP a renal stone was confirmed, a left nephrectomy was done. Her post
operative order includes daily urine
specimen to be sent to the laboratory . Eileen has a foley catheter attached to a
urinary drainage system. How will
you collect the urine specimen?
A. remove urine from drainage tube with sterile needle and syringe and empty uri
ne from the
syringe into the specimen container
B. empty a sample urine from the collecting bag into the specimen container
C. disconnect the drainage tube from the indwelling catheter and allow urine to
flow from catheter into
the specimen container.
D. disconnect the drainage the from the collecting bag and allow the urine to fl
ow from the catheter into
the specimen container.
28. Where would the nurse tape Eileen s indwelling catheter in order to reduce ure
thral irritation?
A. to the patient s inner thigh C. to the patient
B. to the patient s lower thigh D. to the patient lower abdomen
29. Which of the following menu is appropriate for one with low sodium diet?
A. instant noodles, fresh fruits and ice tea
B. ham and cheese sandwich, fresh fruits and vegetables
C. white chicken sandwich, vegetable salad and tea
D. canned soup, potato salad, and diet soda
30. Howe will you prevent ascending infection to Eileen who has an indwelling ca
theter?
A. see to it that the drainage tubing touches the level of the urine
B. change he catheter every eight hours
C. see to it that the drainage tubing does not touch the level of the urine
D. clean catheter may be used since urethral meatus is not a sterile area
Situation 7: Miss Tingson is assigned to Mang Carlos, a 60 year old newly diagno
sed diabetic patient. She is beginning
to write objectives of her teaching plan.
31. Which of the following objectives is written in behavioral terms?
A. Mang Carlos will know about diabetes related to foot care and the techniques
and equipments necessary to
carry it out
B. Mang Carlos daughter should learn about DM within the week
C. Mang Carlos wife needs to understand the side effects of insulin
D. Mang Carlos sister will be able to determine in two days his insulin requirem
ent based on
blood glucose levels obtained from glucometer
32. Which of the following is the BEST rationale for written objectives?
A. ensure communication among staff members
B. facilitate evaluation of the nurse s performance
C. ensure learning on the part of the nurse
D. document the quality of care
33. Which of the following behavior BEST contribute to the learning of Mang Carl
os regarding his disease condition?
A. frequent use of technical terms for familiarization
B. drawing him into discussion about diabetes
C. detailed lengthy explanation about his condition
D. loosely structured teaching session
34. Miss Tingson should encourage exercise in the management of diabetes, becaus
e it:
A. decrease total triglyceride levels C. lowers blood glucose
B. improves insulin utilization D. accomplishes all of the above
35. The chief life-threatening hazard for surgical patient with uncontrolled dia
betes is:
A. dehydration B. hypertension C. hypoglycemia D. glucosuria
Situation 8: Caring for the perioperative patient.
36. An appendectomy during a hysterectomy would be classified as:
A. Major, emergency, diagnosis C. Minor, elective, ablative
B. major, urgent, palliative D. minor, urgent, reconstructive
37. An informed consent is required for:
A. closed reduction of a fracture C. irrigation of the external ear canal
B. insertion of intravenous catheter D. urethral catheterization
38. The circulating nurse s responsibilities, in contrast to the scrub nurse s respo
nsibilities, include:
A. assisting the surgeon C. setting up the sterile tables
B. monitoring aseptic practices D. all of the above functions
39. The primary nursing goal in the immediate postoperative period is maintenanc
e of pulmonary function and prevention
of:
A. Laryngospasm C. hypoxemia and hypercapnea
B. hyperventilation D. pulmonary edema ad embolism
40. Unless contraindicated, any unconscious patient should be positioned:
A. flat on his of her back, without elevation of the head, to facilitate frequen
t turning and minimize pulmonary
complications
B. in semi-fowlers position, to promote respiratory function and reduce the inci
dence of orthostatic hypotension
when the patient can eventually stand.
c. in fowler s position, which most closely stimulates a sitting position, thus fa
cilitating reparatory as well as
gastrointestinal functioning.
D. on his or her side without a pillow at the patient s back and his or her chin e
xtended to minimize
the danger of aspirations
Situation 9: To prevent further injury to patients with problems of immobility /
mobility, the nurse should observe
certain principles of body mechanics for herself and her patients.
41. Which of the following are appropriate goals for client with positioning and
mobility needs?
A. developing of contractures C. sensory alterations
B. proper body alignment D. decrease in activity tolerance
42. Which for the following would MOST likely cause injury to the nurse when mov
ing the patient from bed to the
wheelchair?
A. bending at the knees C. using body weight to assist with the movement
B. standing with feet together D. standing with feet apart
43. Which of the following is the CORRECT guideline when positioning patients?
A. put pillows above a joint to immobilize it
B. position of the joint should be slightly extended
C. joints of patient to be supported with pillow
D. patient s position should be changed at least three or four times a day
44. Which of the following can be used by clients with problem of immobility to
enable them raise their body from bed to
wheelchair or perform some bed exercises?
A. sandbag B. side-rail C. trochanter roll D. trapeze bar
45. The importance of forcing fluids with an immobilized patient is to:
A. prevent pneumonia C. prevent skin breakdown
B. prevent urinary stasis D. maintain peristalsis
46. Which of the following is the least nursing activity in performing assessmen
t of the patient?
A. laboratory test C. Health history
B. physical examination D. systemic review
47. One of the responsibilities of Mr. Lata, RN, an industrial nurse, is to cond
uct physical head-to-toe assessment of a
newly hired factory worker. As part of the assessment, he took the vital signs.
Which of the four assessment techniques
did he utilize?
1. auscultation 3. palpation
2. percussion 4. inspection
A. 1,2 & 3 B. 3 &4 C. 1 & 2 D. 1,3 & 4
48. Which of the following are the purpose of performing a physical assessment?
1. gather baseline data about the client s health
2. confirm and identify nursing diagnosis
3. evaluate physiological outcome of care
4. make clinical judgment of patients diagnosis
A.1,2&4 B.2, 3&4 C.1,3&4 D. 1,2 & 3
49. Which of the following should be given the HIGHEST PRIORITY before physical
examination is done to a patient?
A. preparation of the equipment C. preparation of the environment
B. psychological preparation of the client D. physical preparation of the client
50. During the assessment phase of the nursing process, the nurse is concerned w
ith:
A. interpreting data
B. designing nursing strategies
C. establishing a data base
D. comparing client responses with the anticipated outcome
Situation 11: The nurse is responsible to accurately records and reports patient s
progress. She is able to communicate
to the other member of the team by documenting the nursing care plan and the app
ropriate nursing intervention.
51. A main function of the patient s records is to:
A. prepare the nurse for the shift worked
B. serve as a record of financial charges
C. serve as a vehicle for communication
D. ensure that the message is received
52. When the nurse writes in the chart and discovers an error has been made, whi
ch is the BEST approach?
A. erase the erroneous material
B. carefully ink out the erroneous material
C. place as asterisk next to the statement, then footnote it
D. draw a straight line through the error and initial it.
53. Which of the following persons cannot have the access to the patient record?
A. physical therapist C. the patient
B. lawyer of the family D. speech therapist
54. POMR charting is different from traditional method because of which of the f
ollowing practices?
1. SOAP charting 3. narrative charting
2. use of flow sheet 4 . use of checklist
A. 3 & 4 B. 1 & 2 C.1&3 D.2&3
55. Which of the following qualities are relevant in documenting patients care?
1. Accuracy and consciousness
2. thoroughness and currentness
3. systematic and orderly
4. legibly, properly dated and signed
5. use of locally accepted abbreviation
A.1,3,4&5 B.2,3,4&5 C.1,2,3&5 D. 1,2,3 & 4
Situation 12: The practice of primary nurse in primary nursing is preferred by m
any nurses because it supports
professional autonomy and accountability of the nurses>
56. What is the function of the primary nurse in primary nursing?
A. acts as patient advocate and coordinate the health care team for specific gro
up of patients
B. act as the charge nurse, organizing staff assignments and help in solving pro
blem in the unit
C. plans and coordinate the patient care assigned to her from admission to disch
arge
D. coordinates the care given to a group of patients by support staff
57. Primary nursing is MOST advantageous and satisfying to the patient and nurse
because of which of the following
principles?
A. autonomy and authority for planning care are best delegated to a nurse
B. accountability is clearest since our nurse is responsible for the overall pla
n and implementation of care
C. the holistic approach provides fro a therapeutic relationship continuity of c
are and efficient
nursing care
D. continuity of patients care promotes efficient nursing care.
58. Which is the role of the associate nurse in primary nursing?
A. over-all manager of the unit
B. responsible for the over-all care of the patient during off days of primary n
urse
C. patient advocate in the health care team
D. coordinator of comprehensive, holistic patient care
59. In primary nursing, the nurse is responsible for which of the following grou
p of patient?
A. the whole ward
B. small group of patient like 3-5 patients
C. big group of patients like 10-15 patients
D. the whole unit
60. In primary nursing who among the following is needed to her leadership and q
uality control in the ward?
A. the chief nurse C. the nurse supervisor
B. the head nurse D. the service director
Situation 13: Your nursing unit plans to conduct a study on the use of structure
d preoperative preparation in lessening
the demand for post-operative pain medications.
61. Which of the following research activities should you initially do?
A. find out from interview how many patients are willing to participate
B. get the permission from the hospital director
C. review literature on the topic
D. prepare the tool for collecting data
62. Which of the following statements do NOT contribute to the researchabilty of
your proposed problem?
A. potential use of findings C. well-defined problem statement
B. readability of findings D. measurability of variables
63. A study /research table should NOT contain which of the following ?
A. categories of data collected C. specific title of table
B. relevant rows and columns D. names and sample of the selected
64. Which of the following actions will facilitate analysis of research data?
A. consult a physician C. consult a complete expert
B. consult an adviser D. categorize data collected
65. The research methodology that is appropriate for the above problem would be:
A. descriptive B. normative C. experimental D. quasi experimental
Situation 14: The nurse meets a new client, Mr. Principe, 50 years old. During t
he initial interview, the nurse begins to
feel irritated towards the client. Shortly after, he becomes uncomfortable and p
olitely leaves the room. The nurse realizes
the behavior and mannerism of Mr. Principe reminds him of his strict disciplinar
ian father who abused him physically.
66. The recognize that his feeling for the client is known as:
A. denial B. counter transference C. revenge D. transference
67. Seeing that his negative feelings for Mr. Principe could affect his nursing
care, the nurse applies the concept of
therapeutic use of self when:
A. the nurse talks about his personal feelings towards the client
B. the nurse suppresses his feelings and continue to take care of the client
C. the nurse uses his awareness and asks to be reassigned to another client
D. the nurse uses self-awareness to manage his feelings and thoughts towards the
client
68. Mr. Principe is terminally ill and his family is coping with his impending d
eath. The nurse has to deal with his own
thoughts and personal feelings about death and grieving in order to:
A. avoid sharing personal thought about their impending loss and feeling of grie
f since this is very subjective
B. get self out of the way while he assists the client and his family express th
eir feelings of impending loss
C. prevent self from being affected by the family s grief and remain objective
D. help the family plan for the funeral arrangement and burial services
69. One morning when the nurse enters the client s room. Mr. Principe asks the nur
se to leave me alone and stop
bothering me and I don t want your pity . The following response by the nurse would
be MOST appropriate?
A. You seem upset this morning and remains with the client
B. You are probably upset because you don t feel well
C. Why you are angry with me? What did I do anything to upset you?
D. I understand and will leave you for a while
70. The nurse understands that the nurse-client relationship is a therapeutic al
liance when:
A. the nurse is a role model for a client
B. this is an essential part of the nursing process
C. the nurse has to be therapeutic at all times
D. how the nurse thinks and feels affects her actions and behavior towards her c
lient and her work
Situation 15: Mr. Ong is for admission to the medical unit and you are his nurse
.
71. The MOST important initial nursing approach when admitting client is to:
A. introduce the client to the ward staff
B. orient the client to the physical set up of the unit
C. identify the most immediate needs of the client and implement the necessary i
ntervention
D. take V/S fro baseline assessment
72. When gathering baseline data, the BEST way for you to check if the client ha
s pedal edema is to:
A. talk to the relatives C. do auscultation
B. interview the client D. do a physical assessment
73. You want to know the sleeping pattern of Mr. Ong You will:
A. interview the clients and relatives
B. take his BP before sleeping and upon waking up
C. observe his sleeping pattern over a period of time
D. perform physical assessment
74. Mr. Ong has severe pedal edema. Which accessory device would be appropriate
for his condition?
A. footboard B. cradle C. bed board D. rolled pillows
75. A student nurse is observed putting a standard size cuff on an obese client.
The action would probably result in BP
reading that is:
A. false high B. false low C. normal D. undetectable
Situation 16: Health is wealth specifically in this time of the century. The nur
se is trained to promote well being of the
people.
76. How does a nurse promote one s well being?
A. periodic travels for rest and recreation
B. faithful and observance of healthy simple lifestyle
C. run away from polluted, stressful areas
D. avoid sleepless, over fatigue nights
77. The nurse can be involved with health promotion as a significant person in h
elping the family:
A. become a better family C. control their symptoms
B. prevent disease D. modify health promotive behaviors
78. The nurse should NOT leave medication at the bedside because:
a. the bedside table is not sterile
b. it is convenient for the nurse
c. the nurse will not be able to accurately document that the patient actually t
ook the medication
d. the patient may forget to take it.
79. Non-pharmacologic pain management includes all the following EXCEPT:
a. relaxation techniques c. use of herbal medicines
b. massage
d. body movement
80. When assessing a client s blood pressure, the nurse finds it necessary to rech
eck the reading. How many seconds
after deflating the cuff should the nurse wait before rechecking the pressure?
a.10
b.30 c.45 d. 60
Situation 17: Safe nursing practice involves an understanding of the law.
81. In the Philippines, this law is :
a. The Philippine Nursing Act of 2002 or R.A. 9173
b. the Philippine Nursing Act of 1991 or R.A. 7164
c. IRR or Resolution 425 of 2003
d. Republic Act No. 8981
82.
The Philippine Nursing Act delineates the scope of nursing. It specifies that in
dependent practicing nurse is
responsible for:
a. health promotion and prevention of illness
b. administration of written prescription for treatment and therapies
c. rehabilitative aspect of care
d. Collaborating with other healthcare providers for health restoration and alle
viation of suffering
83. Standards of care provide the legal basis for evaluation of nursing practice
or malpractice. Its functions include all
EXCEPT:
a. used by nurse experts to define what appropriate nursing practice is in a giv
en situation
b. used to measure or evaluate nursing conduct to determine if the nurse acted r
easonably as any prudent nurse
would under similar circumstances
c. used to delineate the scope, function and role of the nurse
d. use to measure or evaluate the conduct of nurse specialists who are certified
in their own
specialty fields
84. As a standard in ethics, this represents an understanding and agreement to r
espect another person s right to decide a
course his or her own destiny:
a. Autonomy c. Beneficence
b. justice d. nonmalifecence
85. The Code of Ethics refers to standards of behavior or ideals of conduct. The
ability to answer for and stand by one s
action refers to:
a. accountability c. advocacy
b. veracity d. responsibility
Situation 18: An understanding of the factors influencing the health care delive
ry system will enable nurses to adjust to
change, create better ways of providing nursing care and develop new nursing rol
es.
86. Wellness clinics and health education activities have been integrated in gov
ernment hospitals to render appropriate
services. Which of the following purposes LEAST helps clients in cases of these
health promotion activities?
A. maintain maximum functions C. promote health habits
B. reduce the costs of health care D. identify disease symptoms
87. With regards to illness prevention activities as part of nursing care, which
of the following will help clients MOST?
A. maintain maximum function C. promote habits related to health care
B. reduce risk factor D. manage stress
88. By experience, which of the following nursing goals are MOST often overlooke
d by nurses and other members of the
hospital team in the care of their clients in the hospital?
A. illness prevention C. diagnosis and treatment
B. health promotion D. rehabilitation of patients
89. Which of the following health care agencies is usually family-centered, rela
tively recent in popularity and oftentimes
focuses on maintenance of comfort and satisfactory lifestyle of clients in the t
erminal phase of illness?
A. non-government organization C. community health center
B. hospice D. support group
90. Which of the following is NOT a legally binding document but nonetheless ver
y important in the care of all patients in
any setting?
A. Bill of rights as provided in the Philippine Constitution
B. Scope of nursing practice as defined in R.A. 9173
C. Patient s Bill of Rights ( as adopted by American Nurses Association )
D. Board of Nursing resolution adopting the Code of Ethics
Situation 19: One of the professional competencies that nurse must always demons
trate is in the area of
communication:
91. Which communication technique would be MOST effective in eliciting detailed
information from the client?
A. open-ended questioning C. active listening
B. verbalizing observations D. summarizing clients views
92. Which of the following terms refer to the sender s attitude towards the self,
the message and the listener?
A. verbal communication C. non-verbal communication
B. double-bind communication D. meta communication
93. In interacting with patients, the nurses should remember that a client s perso
nal space is:
A. that which revolves around the client
B. highly mobile depending upon certain situation
C. clearly visible to others
D. the same as that of the nurse
94. In interpersonal communication is LEAST threatening during what type of rela
tionship?
A. social C. personal
B. intimate D. professional
95. In demonstrating the method for deep breathing exercises, the nurse places t
he hands on the client s abdomen to
explain diaphragmatic movement. This technique involves the use of which element
of communication?
A. appropriateness C. channel
B. feedback D. message
Situation 20: Roy, an adolescent, was diagnosed to have pneumonia. He constantly
complains of chest pain and has a
standing order of Morphine SO4.
96. Which of the following MOST appropriately describe pain sensation that has p
eriods of remission and exacerbation?
A. chronic C. acute
B. intractable D. Psychosomatic
97. Roy is constantly asking to be relieved from pain. Since morphine is an addi
cting drug, which of the following is BEST
for the patient?
A. administer morphine SO4 PRN
B. administer morphine on a routine schedule as ordered
C. give instructions on relaxation technique to reduce frequency of pain sensati
on
D. divert the attention by not limiting visitors
98. To get accurate information about the quality of pain the patient is experie
ncing, which of the following statements
would be MOST APPROPRIATE?
A. What cause you the pain? C. Have you taken something to relieve the pain?
B. Tell me what your pain feels like D. Is it stubbing or radiating pain?
99. As the nurse assigned to Ray, which of the following can decrease his chest
pain?
A. supporting his rib cage when he coughs C. teaching him
B. advising him D. encouraging him to breathe deeply
100. Which of the following is the nurse s primary goal in caring for clients with
chronic pain?
A. change the clients perception of pain
B. reduce the clients perception of pain
C. change the clients reaction to pain
D. enumerate the source of pain
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