DECEMBER 2006 – NP1 8. After one month, she and her management committee assess the regulatory measures taken and correct
FOUNDATION OF PROFESSIONAL NURSING PRACTICE whatever discrepancies are found. This is part of which element of administration:
A. monitoring B. organizing C. evaluation d. planning
Situation 1: Mr. Martin, 71 years old was suddenly rushed to the hospital because of severe chest pain. On
admission, he was diagnosed to have acute myocardial infarction and was placed in the ICU. 9. Revaluation and administrative process is BEST described as:
A. a continuing process of seeing that performance meets goals and targets
1. While in the ICU, he executes the document tat list the medical treatment he chooses to refuse in case his B. obtaining commitment of members to do better
condition becomes severe to a point that he will be unable to make decisions for himself. This document is: C. informing personnel how well and how much improvement has been made
A. living will C. last will and testament D. follow-up of activities that have been studied
B. informed consent D. power of attorney
10. In all of the various administrative functions, which of the following management skill is demanded efficiently
2. After one day, the patient’s condition worsened and feeling hopeless. He requested the nurse to remove the and effectively of Ms. Castro?
oxygen. The nurse should: 1. Decision making skills 3. Auditing skills
A. follow the patient because it is his right to die gracefully 2. Forecasting skills 4. Communications skills
B. follow the patient as it is his right to determine the medical regimen he needs A. 2 & 3 B. 1 & 4 C. 1 & 2 D. 2 & 4
C. refuse the patient and encourage him to verbalize hid feelings
D. refuse the patient since euthanasia is not accepted in the Philippines Situation 3: Meldy. 40 years old. is waiting for her doctor’s appointment at the clinic where you work.
3. Euthanasia is an ethical dilemma which confronts nurses in the ICU because: 11. You are to interview her as an initial nursing action so that you can.
A. the choices involved do not appear to be clearly right or wrong A. Document important data in her client records for health team to read.
B. a clients legal right co-exist with the nurse’s professional obligation B. Gather data about her lifestyle, health needs , lifestyle, health needs and problems to develop
C. decisions has to be made based on societal norms. plan of care
D. decisions has to be mad quickly, often under stressful conditions C. provide solutions to her immediate health concern
D. identify the most appropriate nurse diagnosis for her heath problem
4. A nurse who supports a patient and family’s need to make decisions that is right for them is practicing which of
the following ethical principles? 12. During the interview, Meldy experiences a sharp abdominal pain on the right side of her abdomen. She further
A. Autonomy B. confidentiality tells you that an hour ago, she ate fatty food and this had happened many times before. You will record this as:
C. privacy D. truthfulness A. Client complains of intermittent abdominal pain an hour alter eating fatty foods
B. After eating fatty food the client experienced severe abdominal pain
5. Mr. Martin felt better after 5 days but recognizing the severity of his illness, he executes a document authorizing C. Client claims to have sharp abdominal pains after eating fatty food unrelieved by pain medication
the wife to transact any form of business in his behalf in addition to all decisions relative to his confinement his D. Client reported sharp abdominal pain on the right upper quadrant of abdomen an hour after ingestion
document is of fatty foods.
referred to as:
A. power of attorney C. informed consent 13. Meldy tells you that she has been on a high protein / high fat / low carbohydrate diet order to lose weight and
B. living will D. medical records 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
Situation 2: Miss Castro was recently appointed chief nurse of a 50-bed government hospital in Valenzuela. On plenty of fluids.
her first day of duty, she tried to remember the elements of administration she learned from her basic nursing B. Ask her to shift to a macrobiotic diet rich in complex carbohydrates.
education. C. Encourage her to cleanse her body toxins by changing a vegetarian diet with regular exercise.
6. One of the first things Ms. Castro did was to engage her until in objective writing, formulating goals and D. Encourage her to eat a high carbohydrate, low protein diet and low fat diet.
philosophy of nursing service. Which activities are MOST appropriately described to which elements of
administration? 14. You learn that Meldy drinks 5-8 cups o coffee a day plus cola drinks. Because she is in her pre-menopausal
A. planning B. controlling years, the nurse instructs her to decrease consumption of coffee and cola preparation because:
C. directing d. organizing A. these products increase calcium loss from the bones
B. These products have stimulant effect n the body
7. In recognizing the Department of Nursing, she comes up with the organizational structure defining the role and C. these products encourage increase in sugar consumption
function of the different nursing positions and line-up the position with qualified people. This is included in which D. these products are addicting
element of administration:
A. monitoring B. evaluation 15. Health education plan for Meldy stresses prevention of NCD or Non-communicable diseases that are
C. organizing d. planning 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 B. covering electrical outlets, tying up long and loose electrical and telephone cords, securing cabinets
about changes in the Health Care System. or doors within reach o the child
C. giving colorful grocery bags to play with or to store toys and materials
16. At present, government hospitals are expected to offer comprehensive health services to include illness D. removing objects that the child could easily dismantle and swallow like small parts of a mechanical toy,
prevention and health promotion. In which of the following unit of services are these services integrated? buttons, materials inside, stuffed animals, liquid chemicals.
A. Wellness center B. Rehabilitation Center
C. Intensive Care unit D. newborn screening unit 24. The nurse knows that a person’s hygienic practices are influenced family customs and traditions. Which of the
following is NOT part of Basic Hygienic Practices?
17. Which of the following is the MOST recent government initiative to help subsidize the cost of health services A. bathing practices, frequency and time, care of eyes, ear and nose
for both the employed and the unemployed? B. oral hygiene practices such as brushing and flossing teeth, gum care
A. National Health Insurance Act C. Medicare Act C. care of skin with lesions, cuts with infection
B. Worker’s Compensation Act D. Magna Carta for Public Health Workers D. hair and skin such as washing hair and face, feet, hand and nail care
18. The top ten morbidity cases in the Phil. Include TB, diarrhea among children to name a few. Many of these 25. Falls are the common home accident among elderly and these are due to physical limitations imposed by aging
conditions are preventable and have implications are preventable and have implications in the development of and some hazards in the home setting. The nurse reduces the risk of falling through the following EXCEPT:
which nursing competencies? A. rearranging furniture frequently
A. Execution of nsg. procedure and technique B. having the bed or mattress close to the floor
B. Therapeutic use of self C. providing a nonskid and well fitted shoes or slippers
C. Administration of treatment and medication D. having a call bell within the persons reach and answering call bells immediately
D. Health education
Situation 6: Eileen, 45 years old is admitted to the hospital with a diagnosis of renal calculi. She is experiencing
19. The cost of hospitalization is getting more expensive and unaffordable to many of our people. These facts will severe flank pain, nauseated and with a temperature of 39 0C.
MOST LIKELY bring about development in which of the following?
A. acute services C. home care services 26. Given the above assessment data, the most immediate goal of the nurse would be which of the following?
B. managed care services D. advance practice nursing A. Prevent urinary complication C. Alleviate pain
B. maintains fluid and electrolytes D. Alleviating nausea
20. Which of the following latest trend has expanded health services based on prepaid fees with emphasis on
health promotion and illness prevention? 27. After IVP a renal stone was confirmed, a left nephrectomy was done. Her post operative order includes “daily
A. Government Insurance Plan C. Health Maintenance Organization urine specimen to be sent to the laboratory” . Eileen has a foley catheter attached to a urinary drainage system.
B. Preferred Provider Organization D. Private Insurance Plan How will you collect the urine specimen?
A. remove urine from drainage tube with sterile needle and syringe and empty urine from the syringe into
Situation 5: It is Safety Awareness Week in the Community and the nurse checks on the presence of hazards at the specimen container
home. The nurse plan is to have the residents themselves identify the physical hazards in their own homes. 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
21. Which of the following is NOT a physical hazard in the home? specimen container.
A. unstable and slippery stairway D. disconnect the drainage the from the collecting bag and allow the urine to flow from the catheter into the
B. large windows that allow good ventilation specimen container.
C. obstacle people cam trip over like door mats, rugs, electric cords
D. inadequate lighting in and out of the house 28. Where would the nurse tape Eileen’s indwelling catheter in order to reduce urethral irritation?
A. to the patient’s inner thigh C. to the patient’
22. Risk factors exist for each of the different developmental levels. From infancy to preschool age, the most B. to the patient’s lower thigh D. to the patient lower abdomen
common cause of death is injury rather than disease. To protect children from harm, that parents should be aware
that MOST injuries for this age group are due to: 29. Which of the following menu is appropriate for one with low sodium diet?
A. Accidents at home caused by the swallowed poisonous materials, small objects, exploring electrical A. instant noodles, fresh fruits and ice tea
sockets B. ham and cheese sandwich, fresh fruits and vegetables
B. Accidents from self inflicted wounds C. white chicken sandwich, vegetable salad and tea
C. accidents from sports related activities at school or the neighborhood D. canned soup, potato salad, and diet soda
D. accidents in the Playground Park, school and presence of strangers who may abduct of molest the child.
30. Howe will you prevent ascending infection to Eileen who has an indwelling catheter?
23. To promote safety at home, the nurse identifies ways and means of “child proofing” the house. Which of the A. see to it that the drainage tubing touches the level of the urine
following is NOT safe? B. change he catheter every eight hours
A. apply child proof caps and medicine bottles and chemicals 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 40. Unless contraindicated, any unconscious patient should be positioned:
A. flat on his of her back, without elevation of the head, to facilitate frequent turning and minimize pulmonary
Situation 7: Miss Tingson is assigned to Mang Carlos, a 60 year old newly diagnosed diabetic patient. She is complications
beginning to write objectives of her teaching plan. B. in semi-fowlers position, to promote respiratory function and reduce the incidence of orthostatic hypotension
when the patient can eventually stand.
31. Which of the following objectives is written in behavioral terms? c. in fowler’s position, which most closely stimulates a sitting position, thus facilitating reparatory as well as
A. Mang Carlos will know about diabetes related to foot care and the techniques and equipments necessary to gastrointestinal functioning.
carry it out D. on his or her side without a pillow at the patient’s back and his or her chin extended to minimize the
B. Mang Carlos daughter should learn about DM within the week danger of aspirations
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 requirement based on blood glucose Situation 9: To prevent further injury to patients with problems of immobility / mobility, the nurse should observe
levels obtained from glucometer certain principles of body mechanics for herself and her patients.
32. Which of the following is the BEST rationale for written objectives? 41. Which of the following are appropriate goals for client with positioning and mobility needs?
A. ensure communication among staff members A. developing of contractures C. sensory alterations
B. facilitate evaluation of the nurse’s performance B. proper body alignment D. decrease in activity tolerance
C. ensure learning on the part of the nurse
D. document the quality of care 42. Which for the following would MOST likely cause injury to the nurse when moving the patient from bed to
the wheelchair?
33. Which of the following behavior BEST contribute to the learning of Mang Carlos regarding his disease A. bending at the knees C. using body weight to assist with the movement
condition? B. standing with feet together D. standing with feet apart
A. frequent use of technical terms for familiarization
B. drawing him into discussion about diabetes 43. Which of the following is the CORRECT guideline when positioning patients?
C. detailed lengthy explanation about his condition A. put pillows above a joint to immobilize it
D. loosely structured teaching session B. position of the joint should be slightly extended
C. joints of patient to be supported with pillow
34. Miss T should encourage exercise in the management of diabetes, because it: D. patient’s position should be changed at least three or four times a day
A. decrease total triglyceride levels C. lowers blood glucose
B. improves insulin utilization D. accomplishes all of the above 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?
35. The chief life-threatening hazard for surgical patient w/ uncontrolled diabetes is: A. sandbag B. side-rail C. trochanter roll D. trapeze bar
A. dehydration B. hypertension C. hypoglycemia D. glucosuria
45. The importance of forcing fluids with an immobilized patient is to:
Situation 8: Caring for the perioperative patient. A. prevent pneumonia C. prevent skin breakdown
B. prevent urinary stasis D. maintain peristalsis
36. An appendectomy during a hysterectomy would be classified as:
A. Major, emergency, diagnosis C. Minor, elective, ablative 46. Which of the following is the least nursing activity in performing assessment of the patient?
B. major, urgent, palliative D. minor, urgent, reconstructive A. laboratory test C. Health history
B. physical examination D. systemic review
37. An informed consent is required for:
A. closed reduction of a fracture C. irrigation of the external ear canal 47. One of the responsibilities of Mr. Lata, RN, an industrial nurse, is to conduct physical head-to-toe assessment
B. insertion of intravenous catheter D. urethral catheterization of a newly hired factory worker. As part of the assessment, he took the vital signs. Which of the four assessment
techniques
38. The circulating nurse’s responsibilities, in contrast to the scrub nurse’s responsibilities, include: did he utilize?
A. assisting the surgeon C. setting up the sterile tables 1. auscultation 2. percussion 3. palpation 4. inspection
B. monitoring aseptic practices D. all of the above functions A. 1,2 & 3 B. 3 &4 C. 1 & 2 D. 1,3 & 4
39. The primary nursing goal in the immediate postoperative period is maintenance of pulmonary function and 48. Which of the following are the purpose of performing a physical assessment?
prevention of: 1. gather baseline data about the client’s health
A. Laryngospasm C. hypoxemia and hypercapnea 2. confirm and identify nursing diagnosis
B. hyperventilation D. pulmonary edema ad embolism 3. evaluate physiological outcome of care
4. make clinical judgment of patients’ diagnosis
FOUNDATION OF PROFESSIONAL NURSING PRACTICE whatever discrepancies are found. This is part of which element of administration:
A. monitoring B. organizing C. evaluation d. planning
Situation 1: Mr. Martin, 71 years old was suddenly rushed to the hospital because of severe chest pain. On
admission, he was diagnosed to have acute myocardial infarction and was placed in the ICU. 9. Revaluation and administrative process is BEST described as:
A. a continuing process of seeing that performance meets goals and targets
1. While in the ICU, he executes the document tat list the medical treatment he chooses to refuse in case his B. obtaining commitment of members to do better
condition becomes severe to a point that he will be unable to make decisions for himself. This document is: C. informing personnel how well and how much improvement has been made
A. living will C. last will and testament D. follow-up of activities that have been studied
B. informed consent D. power of attorney
10. In all of the various administrative functions, which of the following management skill is demanded efficiently
2. After one day, the patient’s condition worsened and feeling hopeless. He requested the nurse to remove the and effectively of Ms. Castro?
oxygen. The nurse should: 1. Decision making skills 3. Auditing skills
A. follow the patient because it is his right to die gracefully 2. Forecasting skills 4. Communications skills
B. follow the patient as it is his right to determine the medical regimen he needs A. 2 & 3 B. 1 & 4 C. 1 & 2 D. 2 & 4
C. refuse the patient and encourage him to verbalize hid feelings
D. refuse the patient since euthanasia is not accepted in the Philippines Situation 3: Meldy. 40 years old. is waiting for her doctor’s appointment at the clinic where you work.
3. Euthanasia is an ethical dilemma which confronts nurses in the ICU because: 11. You are to interview her as an initial nursing action so that you can.
A. the choices involved do not appear to be clearly right or wrong A. Document important data in her client records for health team to read.
B. a clients legal right co-exist with the nurse’s professional obligation B. Gather data about her lifestyle, health needs , lifestyle, health needs and problems to develop
C. decisions has to be made based on societal norms. plan of care
D. decisions has to be mad quickly, often under stressful conditions C. provide solutions to her immediate health concern
D. identify the most appropriate nurse diagnosis for her heath problem
4. A nurse who supports a patient and family’s need to make decisions that is right for them is practicing which of
the following ethical principles? 12. During the interview, Meldy experiences a sharp abdominal pain on the right side of her abdomen. She further
A. Autonomy B. confidentiality tells you that an hour ago, she ate fatty food and this had happened many times before. You will record this as:
C. privacy D. truthfulness A. Client complains of intermittent abdominal pain an hour alter eating fatty foods
B. After eating fatty food the client experienced severe abdominal pain
5. Mr. Martin felt better after 5 days but recognizing the severity of his illness, he executes a document authorizing C. Client claims to have sharp abdominal pains after eating fatty food unrelieved by pain medication
the wife to transact any form of business in his behalf in addition to all decisions relative to his confinement his D. Client reported sharp abdominal pain on the right upper quadrant of abdomen an hour after ingestion
document is of fatty foods.
referred to as:
A. power of attorney C. informed consent 13. Meldy tells you that she has been on a high protein / high fat / low carbohydrate diet order to lose weight and
B. living will D. medical records 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
Situation 2: Miss Castro was recently appointed chief nurse of a 50-bed government hospital in Valenzuela. On plenty of fluids.
her first day of duty, she tried to remember the elements of administration she learned from her basic nursing B. Ask her to shift to a macrobiotic diet rich in complex carbohydrates.
education. C. Encourage her to cleanse her body toxins by changing a vegetarian diet with regular exercise.
6. One of the first things Ms. Castro did was to engage her until in objective writing, formulating goals and D. Encourage her to eat a high carbohydrate, low protein diet and low fat diet.
philosophy of nursing service. Which activities are MOST appropriately described to which elements of
administration? 14. You learn that Meldy drinks 5-8 cups o coffee a day plus cola drinks. Because she is in her pre-menopausal
A. planning B. controlling years, the nurse instructs her to decrease consumption of coffee and cola preparation because:
C. directing d. organizing A. these products increase calcium loss from the bones
B. These products have stimulant effect n the body
7. In recognizing the Department of Nursing, she comes up with the organizational structure defining the role and C. these products encourage increase in sugar consumption
function of the different nursing positions and line-up the position with qualified people. This is included in which D. these products are addicting
element of administration:
A. monitoring B. evaluation 15. Health education plan for Meldy stresses prevention of NCD or Non-communicable diseases that are
C. organizing d. planning 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 B. covering electrical outlets, tying up long and loose electrical and telephone cords, securing cabinets
about changes in the Health Care System. or doors within reach o the child
C. giving colorful grocery bags to play with or to store toys and materials
16. At present, government hospitals are expected to offer comprehensive health services to include illness D. removing objects that the child could easily dismantle and swallow like small parts of a mechanical toy,
prevention and health promotion. In which of the following unit of services are these services integrated? buttons, materials inside, stuffed animals, liquid chemicals.
A. Wellness center B. Rehabilitation Center
C. Intensive Care unit D. newborn screening unit 24. The nurse knows that a person’s hygienic practices are influenced family customs and traditions. Which of the
following is NOT part of Basic Hygienic Practices?
17. Which of the following is the MOST recent government initiative to help subsidize the cost of health services A. bathing practices, frequency and time, care of eyes, ear and nose
for both the employed and the unemployed? B. oral hygiene practices such as brushing and flossing teeth, gum care
A. National Health Insurance Act C. Medicare Act C. care of skin with lesions, cuts with infection
B. Worker’s Compensation Act D. Magna Carta for Public Health Workers D. hair and skin such as washing hair and face, feet, hand and nail care
18. The top ten morbidity cases in the Phil. Include TB, diarrhea among children to name a few. Many of these 25. Falls are the common home accident among elderly and these are due to physical limitations imposed by aging
conditions are preventable and have implications are preventable and have implications in the development of and some hazards in the home setting. The nurse reduces the risk of falling through the following EXCEPT:
which nursing competencies? A. rearranging furniture frequently
A. Execution of nsg. procedure and technique B. having the bed or mattress close to the floor
B. Therapeutic use of self C. providing a nonskid and well fitted shoes or slippers
C. Administration of treatment and medication D. having a call bell within the persons reach and answering call bells immediately
D. Health education
Situation 6: Eileen, 45 years old is admitted to the hospital with a diagnosis of renal calculi. She is experiencing
19. The cost of hospitalization is getting more expensive and unaffordable to many of our people. These facts will severe flank pain, nauseated and with a temperature of 39 0C.
MOST LIKELY bring about development in which of the following?
A. acute services C. home care services 26. Given the above assessment data, the most immediate goal of the nurse would be which of the following?
B. managed care services D. advance practice nursing A. Prevent urinary complication C. Alleviate pain
B. maintains fluid and electrolytes D. Alleviating nausea
20. Which of the following latest trend has expanded health services based on prepaid fees with emphasis on
health promotion and illness prevention? 27. After IVP a renal stone was confirmed, a left nephrectomy was done. Her post operative order includes “daily
A. Government Insurance Plan C. Health Maintenance Organization urine specimen to be sent to the laboratory” . Eileen has a foley catheter attached to a urinary drainage system.
B. Preferred Provider Organization D. Private Insurance Plan How will you collect the urine specimen?
A. remove urine from drainage tube with sterile needle and syringe and empty urine from the syringe into
Situation 5: It is Safety Awareness Week in the Community and the nurse checks on the presence of hazards at the specimen container
home. The nurse plan is to have the residents themselves identify the physical hazards in their own homes. 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
21. Which of the following is NOT a physical hazard in the home? specimen container.
A. unstable and slippery stairway D. disconnect the drainage the from the collecting bag and allow the urine to flow from the catheter into the
B. large windows that allow good ventilation specimen container.
C. obstacle people cam trip over like door mats, rugs, electric cords
D. inadequate lighting in and out of the house 28. Where would the nurse tape Eileen’s indwelling catheter in order to reduce urethral irritation?
A. to the patient’s inner thigh C. to the patient’
22. Risk factors exist for each of the different developmental levels. From infancy to preschool age, the most B. to the patient’s lower thigh D. to the patient lower abdomen
common cause of death is injury rather than disease. To protect children from harm, that parents should be aware
that MOST injuries for this age group are due to: 29. Which of the following menu is appropriate for one with low sodium diet?
A. Accidents at home caused by the swallowed poisonous materials, small objects, exploring electrical A. instant noodles, fresh fruits and ice tea
sockets B. ham and cheese sandwich, fresh fruits and vegetables
B. Accidents from self inflicted wounds C. white chicken sandwich, vegetable salad and tea
C. accidents from sports related activities at school or the neighborhood D. canned soup, potato salad, and diet soda
D. accidents in the Playground Park, school and presence of strangers who may abduct of molest the child.
30. Howe will you prevent ascending infection to Eileen who has an indwelling catheter?
23. To promote safety at home, the nurse identifies ways and means of “child proofing” the house. Which of the A. see to it that the drainage tubing touches the level of the urine
following is NOT safe? B. change he catheter every eight hours
A. apply child proof caps and medicine bottles and chemicals 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 40. Unless contraindicated, any unconscious patient should be positioned:
A. flat on his of her back, without elevation of the head, to facilitate frequent turning and minimize pulmonary
Situation 7: Miss Tingson is assigned to Mang Carlos, a 60 year old newly diagnosed diabetic patient. She is complications
beginning to write objectives of her teaching plan. B. in semi-fowlers position, to promote respiratory function and reduce the incidence of orthostatic hypotension
when the patient can eventually stand.
31. Which of the following objectives is written in behavioral terms? c. in fowler’s position, which most closely stimulates a sitting position, thus facilitating reparatory as well as
A. Mang Carlos will know about diabetes related to foot care and the techniques and equipments necessary to gastrointestinal functioning.
carry it out D. on his or her side without a pillow at the patient’s back and his or her chin extended to minimize the
B. Mang Carlos daughter should learn about DM within the week danger of aspirations
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 requirement based on blood glucose Situation 9: To prevent further injury to patients with problems of immobility / mobility, the nurse should observe
levels obtained from glucometer certain principles of body mechanics for herself and her patients.
32. Which of the following is the BEST rationale for written objectives? 41. Which of the following are appropriate goals for client with positioning and mobility needs?
A. ensure communication among staff members A. developing of contractures C. sensory alterations
B. facilitate evaluation of the nurse’s performance B. proper body alignment D. decrease in activity tolerance
C. ensure learning on the part of the nurse
D. document the quality of care 42. Which for the following would MOST likely cause injury to the nurse when moving the patient from bed to
the wheelchair?
33. Which of the following behavior BEST contribute to the learning of Mang Carlos regarding his disease A. bending at the knees C. using body weight to assist with the movement
condition? B. standing with feet together D. standing with feet apart
A. frequent use of technical terms for familiarization
B. drawing him into discussion about diabetes 43. Which of the following is the CORRECT guideline when positioning patients?
C. detailed lengthy explanation about his condition A. put pillows above a joint to immobilize it
D. loosely structured teaching session B. position of the joint should be slightly extended
C. joints of patient to be supported with pillow
34. Miss T should encourage exercise in the management of diabetes, because it: D. patient’s position should be changed at least three or four times a day
A. decrease total triglyceride levels C. lowers blood glucose
B. improves insulin utilization D. accomplishes all of the above 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?
35. The chief life-threatening hazard for surgical patient w/ uncontrolled diabetes is: A. sandbag B. side-rail C. trochanter roll D. trapeze bar
A. dehydration B. hypertension C. hypoglycemia D. glucosuria
45. The importance of forcing fluids with an immobilized patient is to:
Situation 8: Caring for the perioperative patient. A. prevent pneumonia C. prevent skin breakdown
B. prevent urinary stasis D. maintain peristalsis
36. An appendectomy during a hysterectomy would be classified as:
A. Major, emergency, diagnosis C. Minor, elective, ablative 46. Which of the following is the least nursing activity in performing assessment of the patient?
B. major, urgent, palliative D. minor, urgent, reconstructive A. laboratory test C. Health history
B. physical examination D. systemic review
37. An informed consent is required for:
A. closed reduction of a fracture C. irrigation of the external ear canal 47. One of the responsibilities of Mr. Lata, RN, an industrial nurse, is to conduct physical head-to-toe assessment
B. insertion of intravenous catheter D. urethral catheterization of a newly hired factory worker. As part of the assessment, he took the vital signs. Which of the four assessment
techniques
38. The circulating nurse’s responsibilities, in contrast to the scrub nurse’s responsibilities, include: did he utilize?
A. assisting the surgeon C. setting up the sterile tables 1. auscultation 2. percussion 3. palpation 4. inspection
B. monitoring aseptic practices D. all of the above functions A. 1,2 & 3 B. 3 &4 C. 1 & 2 D. 1,3 & 4
39. The primary nursing goal in the immediate postoperative period is maintenance of pulmonary function and 48. Which of the following are the purpose of performing a physical assessment?
prevention of: 1. gather baseline data about the client’s health
A. Laryngospasm C. hypoxemia and hypercapnea 2. confirm and identify nursing diagnosis
B. hyperventilation D. pulmonary edema ad embolism 3. evaluate physiological outcome of care
4. make clinical judgment of patients’ diagnosis
