NURSING PRACTICE I – FOUNDATIONS OF NURSING PRACTICE
SITUATION 1: Nursing is a profession. The nurse should have a background on the theories and foundation of
nursing as it influenced what is nursing today.
1. Nursing is the protection, promotion and optimization of health and abilities, prevention of illness and
injury, alleviation of suffering through the diagnosis and treatment of human response and advocacy in
the care of the individuals, families, communities and the population. This is the most accepted definition
of nursing as defined by the:
a. PNA
b. ANA
c. Nightingale
d. Hernderson
2. Advancement in Nursing leads to the development of the Expanded Career Roles. Which of the following
is NOT an expanded career role for nurses?
a. Nurse practitioner
b. Clinical nurse specialist
c. Nurse researcher
d. Nurse anesthesiologist
3. The Board of Nurses regulated the Nursing profession in the Philippines and is responsible for the
maintenance o the quality of nursing in the country. Powers and duties o the board of nursing are the
following EXCEPT:
a. issue, suspend, revoke certificates of registration
b. issue subpoena duces tecum, ad testificandum
c. open and close colleges of nursing
d. supervise and regulate the practice of nursing
4. A nursing student or a beginning staff nurse who has not yet experienced enough real situations to make
judgments about them is in what stage of Nursing Expertise?
a. Novice
b. Newbie
c. Advanced beginner
d. Competent
12. You attended a pulse oximeter to the client. You know that the purpose is to:
a. Determine if the client’s hemoglobin level is low and if he needs blood transfusion
b. Check the level of client’s tissue perfusion
c. Measure the efficacy of the client’s anti=hypertensive medications
d. Detect oxygen saturation of arterial blood before symptoms of hypoxemia develops
13. After a few hours in the Emergency Room, the client is admitted to the ward with an order of hourly
monitoring of blood pressure. The nurse finds that the cuff is too narrow and this will cause the blood
pressure reading to be:
a. Inconsistent
b. Low systolic and high diastolic
, c. Higher than what the reading should be
d. Lower than what the reading should be
14. Through the client’s health history, you gather that the patient smokes and drinks coffee. When taking the
blood pressure of a client who recently smoked or drank coffee, how long should the nurse wait before
taking the client’s blood pressure for accurate reading?
a. 15 minutes
b. 30 minutes
c. 1 hour
d. 5 minutes
15. While the client has pulse oximeter on his fingertip, you notice that sunlight is shining on the area where
the oximeter is. Your action will be to:
a. Set and turn on the alarm of the oximeter
b. Do nothing since there is no identified problem
c. Cover the fingertip sensor with a towel or bed sheet
d. Change the location of the sensor every four hours
16. The nurse finds it necessary to recheck the blood pressure reading. In case of such reassessment, the
nurse should wait for a period of:
a. 15 seconds
b. 1 to 2 minutes
c. 30 minutes
d. 15 minutes
17. If the arm is said to be elevated when taking the blood pressure, it will create a:
a. False high reading
b. False low reading
c. True false reading
d. Indeterminate
18. You are to assess the temperature of the client the next morning and found out that he ate ice cream.
How many minutes should you wait before assessing the client’s oral temperature?
a. 10 minutes
b. 20 minutes
c. 30 minutes
d. 15 minutes
19. When auscultating the client’s blood pressure, the nurse hears the following: from 150 mmHg to 130
mmHg: silence, then, a thumping sound continuing down to 100 mmHg: muffled sound continuing down
to 80 mmHg, and then silence. What is the client’s blood pressure?
a. 130/80
b. 150/100
c. 100/80
d. 150/100
SITUATION 1: Nursing is a profession. The nurse should have a background on the theories and foundation of
nursing as it influenced what is nursing today.
1. Nursing is the protection, promotion and optimization of health and abilities, prevention of illness and
injury, alleviation of suffering through the diagnosis and treatment of human response and advocacy in
the care of the individuals, families, communities and the population. This is the most accepted definition
of nursing as defined by the:
a. PNA
b. ANA
c. Nightingale
d. Hernderson
2. Advancement in Nursing leads to the development of the Expanded Career Roles. Which of the following
is NOT an expanded career role for nurses?
a. Nurse practitioner
b. Clinical nurse specialist
c. Nurse researcher
d. Nurse anesthesiologist
3. The Board of Nurses regulated the Nursing profession in the Philippines and is responsible for the
maintenance o the quality of nursing in the country. Powers and duties o the board of nursing are the
following EXCEPT:
a. issue, suspend, revoke certificates of registration
b. issue subpoena duces tecum, ad testificandum
c. open and close colleges of nursing
d. supervise and regulate the practice of nursing
4. A nursing student or a beginning staff nurse who has not yet experienced enough real situations to make
judgments about them is in what stage of Nursing Expertise?
a. Novice
b. Newbie
c. Advanced beginner
d. Competent
12. You attended a pulse oximeter to the client. You know that the purpose is to:
a. Determine if the client’s hemoglobin level is low and if he needs blood transfusion
b. Check the level of client’s tissue perfusion
c. Measure the efficacy of the client’s anti=hypertensive medications
d. Detect oxygen saturation of arterial blood before symptoms of hypoxemia develops
13. After a few hours in the Emergency Room, the client is admitted to the ward with an order of hourly
monitoring of blood pressure. The nurse finds that the cuff is too narrow and this will cause the blood
pressure reading to be:
a. Inconsistent
b. Low systolic and high diastolic
, c. Higher than what the reading should be
d. Lower than what the reading should be
14. Through the client’s health history, you gather that the patient smokes and drinks coffee. When taking the
blood pressure of a client who recently smoked or drank coffee, how long should the nurse wait before
taking the client’s blood pressure for accurate reading?
a. 15 minutes
b. 30 minutes
c. 1 hour
d. 5 minutes
15. While the client has pulse oximeter on his fingertip, you notice that sunlight is shining on the area where
the oximeter is. Your action will be to:
a. Set and turn on the alarm of the oximeter
b. Do nothing since there is no identified problem
c. Cover the fingertip sensor with a towel or bed sheet
d. Change the location of the sensor every four hours
16. The nurse finds it necessary to recheck the blood pressure reading. In case of such reassessment, the
nurse should wait for a period of:
a. 15 seconds
b. 1 to 2 minutes
c. 30 minutes
d. 15 minutes
17. If the arm is said to be elevated when taking the blood pressure, it will create a:
a. False high reading
b. False low reading
c. True false reading
d. Indeterminate
18. You are to assess the temperature of the client the next morning and found out that he ate ice cream.
How many minutes should you wait before assessing the client’s oral temperature?
a. 10 minutes
b. 20 minutes
c. 30 minutes
d. 15 minutes
19. When auscultating the client’s blood pressure, the nurse hears the following: from 150 mmHg to 130
mmHg: silence, then, a thumping sound continuing down to 100 mmHg: muffled sound continuing down
to 80 mmHg, and then silence. What is the client’s blood pressure?
a. 130/80
b. 150/100
c. 100/80
d. 150/100
