NURSING PRACTICE I
Situation - Public Health Nurse Zafra is preparing for a meeting to discuss with his co-
workers major chronic disease which are responsible for deaths in their city. He plans
to focus on promotive and preventive health care.
1. He wants to be sure that health workers have common understanding of chronic
disease. The BEST definition of a chronic decease is:
A. problem that are experienced by individuals in their life time that may cause
financial hardships.
B. problems in body functions and structure which is a lifetime debilitation.
C. phenomenon resulting from the interaction between people and their environment.
D. a condition that requires ongoing medical care, limits one can do which is likely to
last three months or more.
2. Nurse Zafra would like to propose a month-long series of health information related
to healthy living. Some of the relevant topics should include:
1. Diet
2. Exercise
3. Pharmacotherapy
4. End-of –life care
5. Vaccination for selected condition
A. 1, 2 and 3
B. 2, 3 and 5
C. 1, 2 and 4
D. 1, 2 and 5
3. Nurse Zafra emphasizes the responsibility of the nurse to increase the knowledge of
the community regarding the importance of physical activity. The minimum amount of
daily physical activity required for health benefits is:
A. 15 minutes, to be achieved every morning or afternoon, twice a week.
B. At least 30 minutes, cumulative, of moderate intensity on most days of the week.
C. 60 minutes of intensive activity, once a week.
D. 30 minutes of aerobic activities sporadically during the week
4. Nurse Zafra explains the ‘ABC’ strategies to promote healthy nutrition. These ‘ABC’
strategies are the following EXCEPT:
A. build healthy nutrition-related practices
B. aim for ideal body weight
C. choose food wisely
D. access weight-reducing herbs
5. Stress management is also included in the proposed program. Meditation is one of
the several stress management techniques which can have beneficial effects. Which of
the following effects is NOT included?
A. Helps muscles relax
B. Eliminates stressful thoughts
C. Lower blood pressure
D. Increase respiratory rate
Situation – The public health nurse must have an understanding of the demography
which should support health care plan.
6. Demography is concerned with the study of population. Which of the following are
included in a demographic profile?
A. Size, composition health status, and environment
B. Change in population, distribution, and health status
C. Size, distribution, composition, and change in population
D. Size, distribution, and composition
,7. Based on 2017 Demographic Report (July 2016 estimate), the Philippine population
has reached:
A. 140 million
B. 120 million
C. 102 million
D. 85 million
8. There are three demographic variables in population. Which one is NOT included?
A. Fertility
B. Migration
C. Morbidity
D. Mortality
9. Population structure is a diagram of population typically presented in a pyramid-like
style format based on __________.
A. sex and education attainment
B. age and fertility
C. age and civil status
D. age and sex
10. An aging population refers to a phenomenon in which the median age of the
population in a county rises significantly compared to the total population. This is
caused by any or combination of the following:
1. A declining birth rate
2. Rising life expectancy
3. Decreased fertility
4. Increased child survival
5. Better health
A. 1, 2, 3, and 4
B. 1, 2, 4, and 5
C. 1, 2, and 3
D. 1, 2, 3, 4, and 5
Situation – Nurse Lunario makes several home visits to patients who were discharged
from a district hospital.
11. As Nurse Lunario prepares for the day’s visits,which of the following patients should
be seen FIRST? A client with __________.
A. Parkinson’s disease with imbalance gait
B. A history of congestive heart failure with dyspnea
C. a thoracostomy month ago
D. a stroke with nasogastric tube (NGT)
12. Mang Bonifacio refuses to take his daily medication for hypertension. Which of the
following actions should Nurse Lunario take at this time?
A. Tell Mang Bonifacio that he will suffer from stroke
B. Explore the reason for the client’s refusal to take the medication
C. Administer the medication by injection
D. Obtain help from relatives in administering the medication
13. Nurse Lunario sees a 65 year-old male, who is recovering from stroke. He noticed
that Mang Jose exhibits signs of unilateral neglect. Which behavior is suggestive of this
unilateral neglect? Mang Jose is __________.
A. unable to carry out cognitive and motor activity at the same time
B. observed shaving only one side of his face
C. unable to complete a range of vision without turning his head side to side
D. unable to distinguish between two tactile stimuli
,14. Nurse Lunario is teaching a client with Parkinson’s disease on ways to prevent
curvatures of the spine associated with the disease. To prevent spinal flexion. The nurse
should tell the client to __________.
A. rest in supine position with his head elevated
B. sleep only in dorsal recumbent position
C. periodically lie in prone position without a neck pillow
D. sleep on either side, but keel his back straight
15. A client with congestive heart failure has been recovering digoxin (Lanoxin). Which
finding indicates that the medication is having a desired effect?
A. Increased weight
B. Improve appetite
C. Increase urine output
D. Increase pedal edema
Situation - The goal of ethical reasoning in the context of nursing is to reach a mutual
peaceful agreement that is in the best interest of the client. Reaching an agreement
may require compromise.
16. When a ethical issue arises, which of the following is the most important nursing
responsibility?
A. Ensure that a team is responsible for deciding ethical questions.
B. Remain neutral and detached when making ethical questions.
C. Be able to defend the morality of one’s own actions.
D. follow the client and a family wishes exactly
17. Which of the following is a clear violation of the underlying principles associated
with professional nursing ethics?
A. a health care facility policy permits the use of internal either fetal monitoring which
in the literature evidence points to either support or refuse this practice.
B. the nurses on the unit agree to sponsor a fund raising event to support a labor strike
proposed by fellow nurses at another health care facility
C. a client reports that he didn’t quite tell the doctor the truth when asked if he was
following his therapeutic diet at home
D. when asked about the purpose of a medication, a nurse colleague respond, “Oh i
never look them up. I just give them what is prescribed”
18. Which of the following statement would be most helpful when a nurse is assisting
clients in clarifying their values?
A. “the most important thing is to follow the plan of care. Did you follow the doctor’s
order?”
B. “some people might have a different decision. What led you to make your decision?”
C. “if you had asked me, i would have given you my opinion. Now how do you feel about
your choice?”
D. “that was not a good decision. Why did you think out would work?”
19. A dying patient asks for over dosage of pills from the nurse to end his life for his
unbearable pain cause by cancer. If the nurse grants the patient’s request, she liable for
A. active euthanasia
B. negligence
C. advance directive
D. Assisted suicide
20. The midwife is verbal accusing the nurse that the latter caused the medication
errors without citing an evidence. The midwife can be sued for __________.
A. assault
B. slander
C. defamation
D. Libel
, Situation – Public Health Nurse Melchora is tasked for the day to administer
vaccination to pediatric clients in the barangays she covers. She, along with the team of
midwives, should be knowledgeable on how to provide with the most effective,
necessary and safest vaccination.
21. The foundation of medication administration is the application of the “Rights of
Medication Administration”. Which of the following is NOT included in these rights?
A. Right route
B. Right patients
C. Right dosage
D. Right price
22. When conducting Parent Education on immunization, which of the following
considerations should Nurse Melchora include?
1. Welcomes and greet child and family
2. Explains the vaccines to be administered
3. Refuse entry to those who come late
4. Informs attendees about the procedures to be done
5. Provide parents time to ask questions
6. Refrain from answering questions from parents
A. 2, 4, 5, 6
B. 2, 3, 5, 6
C. 1, 2, 4, 5
D. 1, 3, 4, 6
23. When handling vaccines, the FIRST step Nurse Melchora should do is to __________.
A. select the correct needle size
B. reconstitute using the diluent supplied
C. check the content prior to drawing up
D. check the vial for expiration date
24. If more than one vaccine is given, the following guidelines should be observed,
EXCEPT _________.
A. do not give more than one dose of the same vaccine in one session
B. do not use the same arm or leg for more than one injection
C. give doses of the same vaccine at the correct intervals
D. use the same syringe and needle in administering two vaccines
25.When documenting the procedures done, which of the following should NOT be
recorded?
A. Date
B. Lot number
C. Manufacturer
D. Needle gauge
Situational – Public Health Nurse Jesusa has several elderly clients in her case load.
26. Which of the following clients is MOST likely to be a victim of elder abuse? A client
who is __________.
A. 65 year old female with hip replacement
B. 76 year old male with Parkinson’s disease
C. 80 year old female with Alzheimer’s dementia
D. 70 year old male with diabetes mellitus
27. To prevent deformities of the knee joint in an elderly client with exacerbation of
rheumatoid arthritis, which of the following instructions should Nurse Jesusa make?
A. Discourage passive range of motion because it will cause further swelling.
B. Tell the client she will need joint immobilization for three weeks.
Situation - Public Health Nurse Zafra is preparing for a meeting to discuss with his co-
workers major chronic disease which are responsible for deaths in their city. He plans
to focus on promotive and preventive health care.
1. He wants to be sure that health workers have common understanding of chronic
disease. The BEST definition of a chronic decease is:
A. problem that are experienced by individuals in their life time that may cause
financial hardships.
B. problems in body functions and structure which is a lifetime debilitation.
C. phenomenon resulting from the interaction between people and their environment.
D. a condition that requires ongoing medical care, limits one can do which is likely to
last three months or more.
2. Nurse Zafra would like to propose a month-long series of health information related
to healthy living. Some of the relevant topics should include:
1. Diet
2. Exercise
3. Pharmacotherapy
4. End-of –life care
5. Vaccination for selected condition
A. 1, 2 and 3
B. 2, 3 and 5
C. 1, 2 and 4
D. 1, 2 and 5
3. Nurse Zafra emphasizes the responsibility of the nurse to increase the knowledge of
the community regarding the importance of physical activity. The minimum amount of
daily physical activity required for health benefits is:
A. 15 minutes, to be achieved every morning or afternoon, twice a week.
B. At least 30 minutes, cumulative, of moderate intensity on most days of the week.
C. 60 minutes of intensive activity, once a week.
D. 30 minutes of aerobic activities sporadically during the week
4. Nurse Zafra explains the ‘ABC’ strategies to promote healthy nutrition. These ‘ABC’
strategies are the following EXCEPT:
A. build healthy nutrition-related practices
B. aim for ideal body weight
C. choose food wisely
D. access weight-reducing herbs
5. Stress management is also included in the proposed program. Meditation is one of
the several stress management techniques which can have beneficial effects. Which of
the following effects is NOT included?
A. Helps muscles relax
B. Eliminates stressful thoughts
C. Lower blood pressure
D. Increase respiratory rate
Situation – The public health nurse must have an understanding of the demography
which should support health care plan.
6. Demography is concerned with the study of population. Which of the following are
included in a demographic profile?
A. Size, composition health status, and environment
B. Change in population, distribution, and health status
C. Size, distribution, composition, and change in population
D. Size, distribution, and composition
,7. Based on 2017 Demographic Report (July 2016 estimate), the Philippine population
has reached:
A. 140 million
B. 120 million
C. 102 million
D. 85 million
8. There are three demographic variables in population. Which one is NOT included?
A. Fertility
B. Migration
C. Morbidity
D. Mortality
9. Population structure is a diagram of population typically presented in a pyramid-like
style format based on __________.
A. sex and education attainment
B. age and fertility
C. age and civil status
D. age and sex
10. An aging population refers to a phenomenon in which the median age of the
population in a county rises significantly compared to the total population. This is
caused by any or combination of the following:
1. A declining birth rate
2. Rising life expectancy
3. Decreased fertility
4. Increased child survival
5. Better health
A. 1, 2, 3, and 4
B. 1, 2, 4, and 5
C. 1, 2, and 3
D. 1, 2, 3, 4, and 5
Situation – Nurse Lunario makes several home visits to patients who were discharged
from a district hospital.
11. As Nurse Lunario prepares for the day’s visits,which of the following patients should
be seen FIRST? A client with __________.
A. Parkinson’s disease with imbalance gait
B. A history of congestive heart failure with dyspnea
C. a thoracostomy month ago
D. a stroke with nasogastric tube (NGT)
12. Mang Bonifacio refuses to take his daily medication for hypertension. Which of the
following actions should Nurse Lunario take at this time?
A. Tell Mang Bonifacio that he will suffer from stroke
B. Explore the reason for the client’s refusal to take the medication
C. Administer the medication by injection
D. Obtain help from relatives in administering the medication
13. Nurse Lunario sees a 65 year-old male, who is recovering from stroke. He noticed
that Mang Jose exhibits signs of unilateral neglect. Which behavior is suggestive of this
unilateral neglect? Mang Jose is __________.
A. unable to carry out cognitive and motor activity at the same time
B. observed shaving only one side of his face
C. unable to complete a range of vision without turning his head side to side
D. unable to distinguish between two tactile stimuli
,14. Nurse Lunario is teaching a client with Parkinson’s disease on ways to prevent
curvatures of the spine associated with the disease. To prevent spinal flexion. The nurse
should tell the client to __________.
A. rest in supine position with his head elevated
B. sleep only in dorsal recumbent position
C. periodically lie in prone position without a neck pillow
D. sleep on either side, but keel his back straight
15. A client with congestive heart failure has been recovering digoxin (Lanoxin). Which
finding indicates that the medication is having a desired effect?
A. Increased weight
B. Improve appetite
C. Increase urine output
D. Increase pedal edema
Situation - The goal of ethical reasoning in the context of nursing is to reach a mutual
peaceful agreement that is in the best interest of the client. Reaching an agreement
may require compromise.
16. When a ethical issue arises, which of the following is the most important nursing
responsibility?
A. Ensure that a team is responsible for deciding ethical questions.
B. Remain neutral and detached when making ethical questions.
C. Be able to defend the morality of one’s own actions.
D. follow the client and a family wishes exactly
17. Which of the following is a clear violation of the underlying principles associated
with professional nursing ethics?
A. a health care facility policy permits the use of internal either fetal monitoring which
in the literature evidence points to either support or refuse this practice.
B. the nurses on the unit agree to sponsor a fund raising event to support a labor strike
proposed by fellow nurses at another health care facility
C. a client reports that he didn’t quite tell the doctor the truth when asked if he was
following his therapeutic diet at home
D. when asked about the purpose of a medication, a nurse colleague respond, “Oh i
never look them up. I just give them what is prescribed”
18. Which of the following statement would be most helpful when a nurse is assisting
clients in clarifying their values?
A. “the most important thing is to follow the plan of care. Did you follow the doctor’s
order?”
B. “some people might have a different decision. What led you to make your decision?”
C. “if you had asked me, i would have given you my opinion. Now how do you feel about
your choice?”
D. “that was not a good decision. Why did you think out would work?”
19. A dying patient asks for over dosage of pills from the nurse to end his life for his
unbearable pain cause by cancer. If the nurse grants the patient’s request, she liable for
A. active euthanasia
B. negligence
C. advance directive
D. Assisted suicide
20. The midwife is verbal accusing the nurse that the latter caused the medication
errors without citing an evidence. The midwife can be sued for __________.
A. assault
B. slander
C. defamation
D. Libel
, Situation – Public Health Nurse Melchora is tasked for the day to administer
vaccination to pediatric clients in the barangays she covers. She, along with the team of
midwives, should be knowledgeable on how to provide with the most effective,
necessary and safest vaccination.
21. The foundation of medication administration is the application of the “Rights of
Medication Administration”. Which of the following is NOT included in these rights?
A. Right route
B. Right patients
C. Right dosage
D. Right price
22. When conducting Parent Education on immunization, which of the following
considerations should Nurse Melchora include?
1. Welcomes and greet child and family
2. Explains the vaccines to be administered
3. Refuse entry to those who come late
4. Informs attendees about the procedures to be done
5. Provide parents time to ask questions
6. Refrain from answering questions from parents
A. 2, 4, 5, 6
B. 2, 3, 5, 6
C. 1, 2, 4, 5
D. 1, 3, 4, 6
23. When handling vaccines, the FIRST step Nurse Melchora should do is to __________.
A. select the correct needle size
B. reconstitute using the diluent supplied
C. check the content prior to drawing up
D. check the vial for expiration date
24. If more than one vaccine is given, the following guidelines should be observed,
EXCEPT _________.
A. do not give more than one dose of the same vaccine in one session
B. do not use the same arm or leg for more than one injection
C. give doses of the same vaccine at the correct intervals
D. use the same syringe and needle in administering two vaccines
25.When documenting the procedures done, which of the following should NOT be
recorded?
A. Date
B. Lot number
C. Manufacturer
D. Needle gauge
Situational – Public Health Nurse Jesusa has several elderly clients in her case load.
26. Which of the following clients is MOST likely to be a victim of elder abuse? A client
who is __________.
A. 65 year old female with hip replacement
B. 76 year old male with Parkinson’s disease
C. 80 year old female with Alzheimer’s dementia
D. 70 year old male with diabetes mellitus
27. To prevent deformities of the knee joint in an elderly client with exacerbation of
rheumatoid arthritis, which of the following instructions should Nurse Jesusa make?
A. Discourage passive range of motion because it will cause further swelling.
B. Tell the client she will need joint immobilization for three weeks.
