1
PALMR FINAL COACHING EXAM WITH REAL TEST QUESTIONS AND
ANSWERS 2026-27 LATEST UPDATED VERSION
Situation: A professional nurse is assumed to 6. The management function that involves
update herself about the profession to maintain determining the objectives of an organization and
competence in practice. The nursing management tasks needed to complete objectives is
process is a topic for both staff and head nurses. A. Staffing
B. Directing
1. This major function of the management process C. Planning
establishes formal authority. It defines qualifications D. Controlling
and also includes staffing:
A. Planning 7. Chief Nurse Vera and Nurse Supervisor Victoria
B. Organizing developed a five-year staff development plan. Which
C. Directing type of planning are they engaging in?
D. Controlling A. Strategic planning
B. Operational planning
2. On the other hand, this major function of the C. short range planning
management process actuates efforts towards the D. Visual planning
accomplishment of goals. It includes updating
policies and procedures: 8. Which plans extends from a few months to a
A. Planning year?
B. Organizing A. Strategic planning
C. Directing B. Operational planning
D. Controlling C. Short range planning
D. Visual planning
3. She noticed that policies and standard operating
procedures (SOP’s) are strictly implemented in the 9. Planning, technically, can be considered as long
hospital. What management function is this? term when the coverage ranges:
A. Planning
B. Organizing a. 1-3 years
C. Directing b. 3-5 years
D. Controlling c. 5-7 years
d. 7-10 years
4. Management process involves five functions which
follow the following sequence: 10. The purpose of organizational structure is to:
A. Planning, staffing, organizing, controlling, A. Have a written plan of organizational
directing structure of her governing bodies – NOT a
B. Planning, organizing, directing, staffing, plan
controlling B. Explain to each member the line of authority
C. Organizing, planning, directing, staffing, - Show but not explain
controlling C. Inform all her staff members of the
D. Planning, organizing, staffing, directing, philosophy and goals of the institution →
controlling Planning function
D. Provide mechanism through which
POSDC tasks are distributed among members
for goal realization
5. Which of the following statements about
management is true? Rationale: Organizing Structure → in Organizing
A. It focuses on clinical excellence Function → Work distribution
B. It tends to attract people who like quiet,
routine work without interruptions 11. When giving responsibilities to the staff members
C. It focuses on issues such as cost, she should consider the following:
productivity, effectiveness, and staffing A. Job description
D. It is synonymous with leadership B. Abilities of the staff – Strength only
C. Preference of the staff
,2
D. Her own decision
, 3
C. A 4-year-old with VSD following cardiac
Rationale: Delegate both strength and
weaknesses catheterization
D. A 5-month-old with Kawasaki disease
Situation: Jun is the new supervisor of the
Rationale: 4 pointers of Delegation
medical-surgical unit with 40 bed capacity.
1. Licensed
2. Telemetry to pedia ward
12. A critical component of the supervisory process is 3. Licensed → Balikan Ward na
delegation. Which of the following is the most pinanggalingan at alamin ang ginagawa
empowering to the staff? dun → telemetry → daily cardiac
monitoring
4. Condition → look for cardiac patients
A. Delegation starts at top management - X 9-year-old child diagnosed with rheumatic fever
B. Delegation frees the manager to do other – CARDIAC PT → ASSIGN
task young infant after pyloromyotomy – GI PT →
C. Effective delegation requires the nurse Do not assign
manager to determine the abilities of the A 4-year-old with VSD following cardiac
staff - Evaluation and only determines the catheterization → Cardiac Pt → ASSIGN
abilities A 5-month-old with Kawasaki disease → Cardiac
D. Delegation enables the staff to improve Pt → Assign
competence and confidence
15. The registered nurse is planning to delegate
Rationale: Letter C is in under evaluation function tasks to unlicensed assistive personnel (UAP). Which
and only determines the abilities. Dapat both of the following task could the registered nurse
strength and weakness safely assigned to a UAP?
13. Which task can be delegated to the nursing aid A. Monitor the I&O of a comatose toddler client
when the patient is stable? with salicylate poisoning – Complicated
B. Perform a complete bed bath on a 2-year-old
A. Administering tap water enema with multiple injuries from a serious fall -
B. Incorporating potassium chloride Complicated
intravenously – Licensed C. Check the IV of a preschooler with Kawasaki
C. Teaching patient to administer insulin – disease – Complicated needs strict monitoring
Licensed → RNs: Health education / teaching of I & O
D. Taking CVP D. Give an oatmeal bath to an infant with
eczema – bed baths
Rationale: 4 pointers of Delegation
1. Consider the position → if Licensed or not Rationale: 4 pointers of Delegation
2. Ward → know where she came from and 1. Not licensed
san pupunta 2. Skip the ward, since not licensed
3. Capabilities of the staff → which will 3. Unlicensed → Simple tasks
depend on the staff 4. Unstable patient
4. Condition of the patient
In the situation 16. A nurse in charge in the pediatric unit is absent.
1. Not licensed The nurse manager decided to assign the nurse in
2. Skip the ward, since not licensed the obstetrics unit to the pediatrics unit. Which of
3. Unlicensed → Simple tasks the following patients could the nurse manager
4. Stable patient safely assign to the float nurse?
TIP: We delegate the dirty tasks to your
A. A child who had multiple injuries from a
unlicensed
serious vehicle accident
B. A child diagnosed with Kawasaki disease and
14. A nurse manager assigned a registered nurse
with cardiac complications – Cardiac – do not
from the telemetry unit to the pediatrics unit. There
assign
were three patients assigned to the RN. Which of
C. A child who has had a nephrectomy for
the following patients should not be assigned to
Wilms’ tumor – Surgery: Removal of kidney
the floated nurse?
→ Location of surgery : abdominal
D. A child receiving an IV chelating therapy for
A. A 9-year-old child diagnosed with rheumatic
lead poisoning → Toxicology
fever
B. A young infant after pyloromyotomy
PALMR FINAL COACHING EXAM WITH REAL TEST QUESTIONS AND
ANSWERS 2026-27 LATEST UPDATED VERSION
Situation: A professional nurse is assumed to 6. The management function that involves
update herself about the profession to maintain determining the objectives of an organization and
competence in practice. The nursing management tasks needed to complete objectives is
process is a topic for both staff and head nurses. A. Staffing
B. Directing
1. This major function of the management process C. Planning
establishes formal authority. It defines qualifications D. Controlling
and also includes staffing:
A. Planning 7. Chief Nurse Vera and Nurse Supervisor Victoria
B. Organizing developed a five-year staff development plan. Which
C. Directing type of planning are they engaging in?
D. Controlling A. Strategic planning
B. Operational planning
2. On the other hand, this major function of the C. short range planning
management process actuates efforts towards the D. Visual planning
accomplishment of goals. It includes updating
policies and procedures: 8. Which plans extends from a few months to a
A. Planning year?
B. Organizing A. Strategic planning
C. Directing B. Operational planning
D. Controlling C. Short range planning
D. Visual planning
3. She noticed that policies and standard operating
procedures (SOP’s) are strictly implemented in the 9. Planning, technically, can be considered as long
hospital. What management function is this? term when the coverage ranges:
A. Planning
B. Organizing a. 1-3 years
C. Directing b. 3-5 years
D. Controlling c. 5-7 years
d. 7-10 years
4. Management process involves five functions which
follow the following sequence: 10. The purpose of organizational structure is to:
A. Planning, staffing, organizing, controlling, A. Have a written plan of organizational
directing structure of her governing bodies – NOT a
B. Planning, organizing, directing, staffing, plan
controlling B. Explain to each member the line of authority
C. Organizing, planning, directing, staffing, - Show but not explain
controlling C. Inform all her staff members of the
D. Planning, organizing, staffing, directing, philosophy and goals of the institution →
controlling Planning function
D. Provide mechanism through which
POSDC tasks are distributed among members
for goal realization
5. Which of the following statements about
management is true? Rationale: Organizing Structure → in Organizing
A. It focuses on clinical excellence Function → Work distribution
B. It tends to attract people who like quiet,
routine work without interruptions 11. When giving responsibilities to the staff members
C. It focuses on issues such as cost, she should consider the following:
productivity, effectiveness, and staffing A. Job description
D. It is synonymous with leadership B. Abilities of the staff – Strength only
C. Preference of the staff
,2
D. Her own decision
, 3
C. A 4-year-old with VSD following cardiac
Rationale: Delegate both strength and
weaknesses catheterization
D. A 5-month-old with Kawasaki disease
Situation: Jun is the new supervisor of the
Rationale: 4 pointers of Delegation
medical-surgical unit with 40 bed capacity.
1. Licensed
2. Telemetry to pedia ward
12. A critical component of the supervisory process is 3. Licensed → Balikan Ward na
delegation. Which of the following is the most pinanggalingan at alamin ang ginagawa
empowering to the staff? dun → telemetry → daily cardiac
monitoring
4. Condition → look for cardiac patients
A. Delegation starts at top management - X 9-year-old child diagnosed with rheumatic fever
B. Delegation frees the manager to do other – CARDIAC PT → ASSIGN
task young infant after pyloromyotomy – GI PT →
C. Effective delegation requires the nurse Do not assign
manager to determine the abilities of the A 4-year-old with VSD following cardiac
staff - Evaluation and only determines the catheterization → Cardiac Pt → ASSIGN
abilities A 5-month-old with Kawasaki disease → Cardiac
D. Delegation enables the staff to improve Pt → Assign
competence and confidence
15. The registered nurse is planning to delegate
Rationale: Letter C is in under evaluation function tasks to unlicensed assistive personnel (UAP). Which
and only determines the abilities. Dapat both of the following task could the registered nurse
strength and weakness safely assigned to a UAP?
13. Which task can be delegated to the nursing aid A. Monitor the I&O of a comatose toddler client
when the patient is stable? with salicylate poisoning – Complicated
B. Perform a complete bed bath on a 2-year-old
A. Administering tap water enema with multiple injuries from a serious fall -
B. Incorporating potassium chloride Complicated
intravenously – Licensed C. Check the IV of a preschooler with Kawasaki
C. Teaching patient to administer insulin – disease – Complicated needs strict monitoring
Licensed → RNs: Health education / teaching of I & O
D. Taking CVP D. Give an oatmeal bath to an infant with
eczema – bed baths
Rationale: 4 pointers of Delegation
1. Consider the position → if Licensed or not Rationale: 4 pointers of Delegation
2. Ward → know where she came from and 1. Not licensed
san pupunta 2. Skip the ward, since not licensed
3. Capabilities of the staff → which will 3. Unlicensed → Simple tasks
depend on the staff 4. Unstable patient
4. Condition of the patient
In the situation 16. A nurse in charge in the pediatric unit is absent.
1. Not licensed The nurse manager decided to assign the nurse in
2. Skip the ward, since not licensed the obstetrics unit to the pediatrics unit. Which of
3. Unlicensed → Simple tasks the following patients could the nurse manager
4. Stable patient safely assign to the float nurse?
TIP: We delegate the dirty tasks to your
A. A child who had multiple injuries from a
unlicensed
serious vehicle accident
B. A child diagnosed with Kawasaki disease and
14. A nurse manager assigned a registered nurse
with cardiac complications – Cardiac – do not
from the telemetry unit to the pediatrics unit. There
assign
were three patients assigned to the RN. Which of
C. A child who has had a nephrectomy for
the following patients should not be assigned to
Wilms’ tumor – Surgery: Removal of kidney
the floated nurse?
→ Location of surgery : abdominal
D. A child receiving an IV chelating therapy for
A. A 9-year-old child diagnosed with rheumatic
lead poisoning → Toxicology
fever
B. A young infant after pyloromyotomy
