819
NURSING PRACTICE I SET A
Nursing Licensure examination Comprehensive Exam Questions And Correct Verified Answers
1.Nurse Suzie is administering 12:00 PM medication in Ward 4. Two patients have to receive Lanoxin.What
should Nurse Suzie do when one of the clients does NOT have a readable identification band?
A. Ask the client if she is Mrs.Santos
B.Ask the client his name
C.Ask the room mate if the client is Mrs. Santos
D.Compare the ID band with the bed tag
2.Lizette, a head nurse in a surgical unit, hears one of the staff nurses say that she does not touch any client
assigned to her unless she performs nursing procedures or conducts physical assessment.To guide the staff
nurse in the use of touch,which of the following would be BEST response of Lizette?
A."Use touch when the situation calls for it".
B."Touch serves as a connection between the nurse and the patient".
C."Use touch with discretion".
D."Touch is used in physical assessment".
3.You are asked to teach the client,Mr.Lapuz, who has right sided weakness the use of a cane.Which observation
will indicate that Mr.Lapuz is using the cane correctly?
A. The cane and one foot or both feet are on the floor at all times
B.He advances the cane followed by the left leg
C.Client keeps the cane on the right side along the weak leg
D.Client leans to the left side which is stronger
4.George,a 43 year old executive is scheduled for cardiac bypass surgery. While being prepared for the
surgery,he says to the nurse "I am not going to have the surgery.I may die because of the risk." Which
response by the nurse is most appropriate?
A."Without the surgery you will most likely die sooner."
B."There are always risks involved with surgery."
C."There is a client in the other room who had successful surgery and you can talk to him.”
D."This must be very frightening for you.Tel me how you feel about the surgery."
5.A client is ordered to take Lasix, a diuretic, to be taken orally daily. Which of the following is an appropriate
instruction by the nurse?
A. Report to the physician the effects of the medication on urination.
B.Take the medicine early in the morning
C.Take a full glass of water with the medicine
D.Measure frequency of urination in 24 hours
6.Nurse Glenda gets a call from the neighbor who tells her that his 3 years old daughter has been vomiting
and has fever and asks for advice. Which of the following is the most appropriate action of the nurse?
A.Observe the child for an hour. If the child does not improve, refer to the physician in the
neighborhood.
B.Recommend to bring the child immediately to the hospital
C.Assess the child,recommend observation and administer acetaminophen. If
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symptoms continue, bring to the hospital.
D.Tell the neighbor to observe the child and give plenty of fluids. If the child does not improve,bring the
child to the hospital.
7.Wilfred,30 years old male,was brought to the hospital due to injuries sustained froma vehicular accident.
While being transported to the X-ray department, he straps accidentally broke and the client fell to the floor
hitting to his head. In this situation, the nurse is:
A.not responsible because of the doctrine of respondent superior
B.free from any negligence that caused harm to the patient
C.liable along with the employer for the use of a defective equipment that
harms the client
D.totally responsible for the negligence
8.While going on evening round,Nurse Edna saw Mrs.Pascual meditating and afterwards started singing
prayerful hymns. What is the BEST response of Edna?
A.Ignore the incidence
B. Report the incidence to the head nurse
C. Respect the client's actions as this provides structure and support to the client
D.Call her attention so she can go to sleep
9.A client asks for advice on low cholesterol food. You advise the client to eat the following:
A.Chicken liver,cow liver,eggs
B.Lean beef and pork,egg ewhite,fish
C.Balut,salted eggs,duck and chicken egg
D.Pork liempo,cow brain,lungs and kidney
10.The code of ethics for nurses has an interpretative statement that provides:
A.continuity of care for the improvement of the client
B.guide for carrying out nursing responsibilities that provide quality care and
for the ethical obligation of the profession
C.standards of care in carrying out nursing responsibilities
D.identical care to all clients in any setting
11.Which of the following situations would possibly cause a nurse to be sued due to negligence?
A.Nurse gave a client wrong medication, and an hour later, client complained of
dyspnea
B.While preparing a medication, the nurse notices that instead of 1 tablet,she put two tablets into the
client's medicine cup
C. As the nurse was about to administer medication, the client questioned why the medication is
still given when in fact the physician discontinued it.
D.Nurse administered 2 tablets of analgesic instead of 1 tablet as prescribed. Patient noticed the error
and complained.
12.Your nurse supervisor asks you who among the following clients is most susceptible to getting infection if admitted
to the hospital?
A.Diabetic client type2
B.Client with chronic obstructive pulmonary disease (COPD)
C.Client with second degree burns
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D.Client with psoriasis
13.Mr.Chris Martinez has been confined for three days. His wife helped take care of him and he has observed her
to be "too involved" in his care. He complained to the head nurse about this.Which of the following would be the
BEST response of the nurse?
A."Don't worry.I will call the attention of your wife."
B. "Your wife is just trying to help because she is worried about you."
C."What are your thoughts about your wife's involvement in your care?"
D."Your wife can assist you well in your care and recovery."
14.The nurse is in the hospital canteen and hears two staff nurses talking about the client confined in Room
612. They mentioned his name and discussed details of his condition.Which of the following actions should
the nurse take?
A.Approach the two nurses and tell them that their actions are inappropriate especially in a
public place
B. Wait till the nurses finish the discussion and report the situation to the supervisor
C.Say nothing to avoid embarrassing the staff nurses
D.Remain quiet and ignore the discussion
15.The son of Mr. Rosario, a 76 year old man, reports to the nurse in the community health center that his father
has been getting out of bed at night and walks around the house in the early hours of the morning causing him to
fall and injure himself. Which instruction would you give?
A.Apply restraints during night hours only
B.Advise hospitalization to prevent future accidents
C.Keep a radio or TV for company and to orient the client
D.Have someone check on the client frequently at night
SITUATIONAL
Situation 1-Preparation and administration of medications is a nursing function that cannot be
delegated. It is important that the nurse has a deep understanding of this responsibility that is meant
to save patient's lives.
16.You are to administer an intramuscular injection to Dulce, 1 1/2 year old girl. The most appropriate site to
administer the drug is:
A.dorso gluteal region C.vastus lateralis
B.ventral forearm D.gluteal region
17.An infant is ordered to receive 500ml of D5NSS for 24 hours. The intravenous drip is running at 60
drops/minute.How many drops per minute should the flow rate be?
A.60 drops per minute C. 30 drops per minute
B.21 drops per minute D. 15 drops per minute
18.Following surgery,Henry is to receive 20 mEq (milliequivalent) of potassium chloride to be added to 1000 ml of
D5W to run for 8 hours. The intravenous infusion set is calibrated at 20drops per mililiter.How many drops per
minute should the rate be to infuse 1 liter of D5W for 8hours?
A.42 drops C. 60drops
B.20 drops D.32 drops
19. Mr. Lagro is to receive 1 liter of D5LR to run for 12 hours.The drop factor of the IV infusion
821
NURSING PRACTICE I SET A
Nursing Licensure examination Comprehensive Exam Questions And Correct Verified Answers
1.Nurse Suzie is administering 12:00 PM medication in Ward 4. Two patients have to receive Lanoxin.What
should Nurse Suzie do when one of the clients does NOT have a readable identification band?
A. Ask the client if she is Mrs.Santos
B.Ask the client his name
C.Ask the room mate if the client is Mrs. Santos
D.Compare the ID band with the bed tag
2.Lizette, a head nurse in a surgical unit, hears one of the staff nurses say that she does not touch any client
assigned to her unless she performs nursing procedures or conducts physical assessment.To guide the staff
nurse in the use of touch,which of the following would be BEST response of Lizette?
A."Use touch when the situation calls for it".
B."Touch serves as a connection between the nurse and the patient".
C."Use touch with discretion".
D."Touch is used in physical assessment".
3.You are asked to teach the client,Mr.Lapuz, who has right sided weakness the use of a cane.Which observation
will indicate that Mr.Lapuz is using the cane correctly?
A. The cane and one foot or both feet are on the floor at all times
B.He advances the cane followed by the left leg
C.Client keeps the cane on the right side along the weak leg
D.Client leans to the left side which is stronger
4.George,a 43 year old executive is scheduled for cardiac bypass surgery. While being prepared for the
surgery,he says to the nurse "I am not going to have the surgery.I may die because of the risk." Which
response by the nurse is most appropriate?
A."Without the surgery you will most likely die sooner."
B."There are always risks involved with surgery."
C."There is a client in the other room who had successful surgery and you can talk to him.”
D."This must be very frightening for you.Tel me how you feel about the surgery."
5.A client is ordered to take Lasix, a diuretic, to be taken orally daily. Which of the following is an appropriate
instruction by the nurse?
A. Report to the physician the effects of the medication on urination.
B.Take the medicine early in the morning
C.Take a full glass of water with the medicine
D.Measure frequency of urination in 24 hours
6.Nurse Glenda gets a call from the neighbor who tells her that his 3 years old daughter has been vomiting
and has fever and asks for advice. Which of the following is the most appropriate action of the nurse?
A.Observe the child for an hour. If the child does not improve, refer to the physician in the
neighborhood.
B.Recommend to bring the child immediately to the hospital
C.Assess the child,recommend observation and administer acetaminophen. If
819
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symptoms continue, bring to the hospital.
D.Tell the neighbor to observe the child and give plenty of fluids. If the child does not improve,bring the
child to the hospital.
7.Wilfred,30 years old male,was brought to the hospital due to injuries sustained froma vehicular accident.
While being transported to the X-ray department, he straps accidentally broke and the client fell to the floor
hitting to his head. In this situation, the nurse is:
A.not responsible because of the doctrine of respondent superior
B.free from any negligence that caused harm to the patient
C.liable along with the employer for the use of a defective equipment that
harms the client
D.totally responsible for the negligence
8.While going on evening round,Nurse Edna saw Mrs.Pascual meditating and afterwards started singing
prayerful hymns. What is the BEST response of Edna?
A.Ignore the incidence
B. Report the incidence to the head nurse
C. Respect the client's actions as this provides structure and support to the client
D.Call her attention so she can go to sleep
9.A client asks for advice on low cholesterol food. You advise the client to eat the following:
A.Chicken liver,cow liver,eggs
B.Lean beef and pork,egg ewhite,fish
C.Balut,salted eggs,duck and chicken egg
D.Pork liempo,cow brain,lungs and kidney
10.The code of ethics for nurses has an interpretative statement that provides:
A.continuity of care for the improvement of the client
B.guide for carrying out nursing responsibilities that provide quality care and
for the ethical obligation of the profession
C.standards of care in carrying out nursing responsibilities
D.identical care to all clients in any setting
11.Which of the following situations would possibly cause a nurse to be sued due to negligence?
A.Nurse gave a client wrong medication, and an hour later, client complained of
dyspnea
B.While preparing a medication, the nurse notices that instead of 1 tablet,she put two tablets into the
client's medicine cup
C. As the nurse was about to administer medication, the client questioned why the medication is
still given when in fact the physician discontinued it.
D.Nurse administered 2 tablets of analgesic instead of 1 tablet as prescribed. Patient noticed the error
and complained.
12.Your nurse supervisor asks you who among the following clients is most susceptible to getting infection if admitted
to the hospital?
A.Diabetic client type2
B.Client with chronic obstructive pulmonary disease (COPD)
C.Client with second degree burns
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D.Client with psoriasis
13.Mr.Chris Martinez has been confined for three days. His wife helped take care of him and he has observed her
to be "too involved" in his care. He complained to the head nurse about this.Which of the following would be the
BEST response of the nurse?
A."Don't worry.I will call the attention of your wife."
B. "Your wife is just trying to help because she is worried about you."
C."What are your thoughts about your wife's involvement in your care?"
D."Your wife can assist you well in your care and recovery."
14.The nurse is in the hospital canteen and hears two staff nurses talking about the client confined in Room
612. They mentioned his name and discussed details of his condition.Which of the following actions should
the nurse take?
A.Approach the two nurses and tell them that their actions are inappropriate especially in a
public place
B. Wait till the nurses finish the discussion and report the situation to the supervisor
C.Say nothing to avoid embarrassing the staff nurses
D.Remain quiet and ignore the discussion
15.The son of Mr. Rosario, a 76 year old man, reports to the nurse in the community health center that his father
has been getting out of bed at night and walks around the house in the early hours of the morning causing him to
fall and injure himself. Which instruction would you give?
A.Apply restraints during night hours only
B.Advise hospitalization to prevent future accidents
C.Keep a radio or TV for company and to orient the client
D.Have someone check on the client frequently at night
SITUATIONAL
Situation 1-Preparation and administration of medications is a nursing function that cannot be
delegated. It is important that the nurse has a deep understanding of this responsibility that is meant
to save patient's lives.
16.You are to administer an intramuscular injection to Dulce, 1 1/2 year old girl. The most appropriate site to
administer the drug is:
A.dorso gluteal region C.vastus lateralis
B.ventral forearm D.gluteal region
17.An infant is ordered to receive 500ml of D5NSS for 24 hours. The intravenous drip is running at 60
drops/minute.How many drops per minute should the flow rate be?
A.60 drops per minute C. 30 drops per minute
B.21 drops per minute D. 15 drops per minute
18.Following surgery,Henry is to receive 20 mEq (milliequivalent) of potassium chloride to be added to 1000 ml of
D5W to run for 8 hours. The intravenous infusion set is calibrated at 20drops per mililiter.How many drops per
minute should the rate be to infuse 1 liter of D5W for 8hours?
A.42 drops C. 60drops
B.20 drops D.32 drops
19. Mr. Lagro is to receive 1 liter of D5LR to run for 12 hours.The drop factor of the IV infusion
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