PREBOARD EXAMINATION
NURSING PRACTICE I
Situation: ENTEROSTOMAL THERAPY is now considered a specialty in nursing. You are participating in the
OSTOMY CARE CLASS.
1. During colostomy irrigation, the client complains of a cramping sensation with the fluid was introduced.
Which of the following is a CORRECT nursing action?
A. Temporarily stop the irrigation
B. Clamp the irrigating tube
C. Pinch or kink the irrigating tube temporarily
D. Continue the irrigation
2. When are the colostomy appliance best emptied?
A. When there is the sensation of pressure
B. When there is the sensation of taste
C. When there is the sensation of smell
D. When it is full
3. The client asked the nurse, WHEN is the best time to perform irrigation? The nurse would answer:
A. Early morning, before meals, upon arising
B. Early morning, before meals
C. Early morning
D. Early morning, After meals
4. The nurse is teaching a client how to irrigate his stoma. Which action indicates that the client needs more
teaching?
A. Hanging the irrigation bag 24" to 36" (60 to 90 cm) above the stoma
B. Filling the irrigation bag with 500 to 1,000 ml of lukewarm water
C. Stopping irrigation for cramps and clamping the tubing until cramps pass
D. Washing hands with soap and water when finished
5. The physician orders a stool culture to help diagnose a client with prolonged diarrhea. The nurse who obtains
the stool specimen from the colostomy stoma should:
A. take the specimen to the laboratory immediately.
B. collect the specimen in a clean container.
C. collect the specimen in a sterile container.
,D. perform a midstream clean catch collection.
6. You plan to teach Fermin how to irrigate the colostomy when:
A. The perineal wound heals And Fermin can sit comfortably on the commode
B. Fermin can lie on the side comfortably, about the 3rd postoperative day
C. The abdominal incision is closed and contamination is no longer a danger
D. The stools starts to become formed, around the 7th postoperative day
7. When preparing to teach Fermin how to irrigate colostomy, you should plan to do the procedure:
A. When Fermin would have normal bowel movement
B. At least 2 hours before visiting hours
C. Prior to breakfast and morning care
D. After Fermin accepts alteration in body image
8. When observing a return demonstration of a colostomy irrigation, you know that more teaching is required if
Fermin:
A. Lubricates the tip of the catheter prior to inserting into the stoma
B. Hangs the irrigating bag on the bathroom door cloth hook during fluid insertion
C. Discontinues the insertion of fluid after 500 ml of fluid has been instilled
D. Clamps of the flow of fluid when felling uncomfortable
9. You are aware that teaching about colostomy care is understood when Fermin states, “I will contact my
physician and report:
A. If I have any difficulty inserting the irrigating tub into the stoma.”
B. If I noticed a loss of sensation to touch in the stoma tissue.”
C. The expulsion of flatus while the irrigating fluid is running out.”
D. When mucus is passed from the stoma between the irrigations.”
10. You would know after teaching Fermin that dietary instruction for him is effective when he states, “It is
important that I eat:
A. Soft food that is easily digested and absorbed by my large intestines.”
B. Bland food so that my intestines do not become irritated.”
C. Food low in fiber so that there are fewer stools.”
D. Everything that I ate before the operation, while avoiding foods that cause gas.”
Situation: Informed consent is taken to assure that the client’s autonomy is respected. As a nurse, you should
know the principles and your responsibility in securing the informed consent.
11. Performing a procedure on a client in the absence of an informed consent can lead to which of the following
charges?
,A. Fraud C. Harassment
B. Assault and battery D. Breach of confidentiality
12. Which of the following is the essence of informed consent?
A. It should have a durable power of attorney
B. It should have coverage from an insurance company
C. It should respect the client’s freedom from coercion
D. It should disclose previous diagnosis, prognosis and alternative treatments available for the client
13. Kristie, a 19 year old client, has been rushed to the hospital by his father due to severe head trauma and is
now unconscious. To whom will the physician obtain the informed consent?
A. The father C. The physician
B. Kristie D. There is no need for consent because this is an emergency
14. The main responsibility of the nurse when the physician obtains the informed consent is:
A. Explain the procedure, alternatives, prognosis and diagnosis
B. Listen to the physician’s explanation
C. Make sure that the client fully understood the instructions, the consent was given voluntarily, the signature is
authentic and the client is competent when receiving the consent.
D. Make sure that the client fully understood the instructions, the consent was given voluntarily, the
signature is authentic and the client is competent when giving the consent.
15. Autonomy is said to be the bioethical principle respected in Enlightened consent. If the nurse made sure that
the client received enough information when the physician obtained the consent, asked and verifies if the client
understood the procedure and informs the physician if the client have some questions with regards to the
diagnosis, procedure, alternatives and prognosis, The nurse is playing which role?
A. Mother surrogate C. Client Advocate
B. Care provider D. Collaborator
Situation: Nursing Organizations has been established to enhance growth of the profession as well as its
members.
16. Established in 1896, This is the national professional organization of the United states of America.
A. ANA C. PNA
B. ICN D. CNA
17. The largest and the most prestigious organization of Nurses, Wherein, This Federation is the collection of all
national nursing organizations.
A. ANA C. PNA
B. ICN D. CNA
, 18. Anastacia Giron Tupas presided in the founding of the PNA on:
A. September 2, 1922 C. October 2, 1902
B. September 2, 1927 D. October 2, 1922
19. Nurses in the Philippine government also felt the need to organize themselves, this leads to the creation of:
A. National League of Government Nurses
B. National League of Filipino Government Nurses
C. National League of Philippine Government Nurses
D. Philippine Government Nurses Association
20. The founder of NLPGN, during her lifetime, exemplified professional dignity, high level of intelligence and
leadership ability, as well as moral integrity. She was a good model, who, like Florence Nightingale, initiated
reforms and worked for the improvement of the nursing profession and health care in the Philippines. The name
of the NLPGN Recognition award was also named after her:
A. Anastacia Giron Tupas C. Annie
B. Francisca Delgado D. Annie Sande
SITUATION: Nursing is a profession. The nurse should have a background on the theories and foundation of
nursing as it influenced what is nursing today.
21. 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. Henderson
22. 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 C. Nurse Researcher
B. Clinical nurse specialist D. Nurse anaesthesiologist
23. The Board of Nursing regulated the Nursing profession in the Philippines and is responsible for the
maintenance of the quality of nursing in the country. Powers and duties of the board of nursing are the
following, EXCEPT:
A. Issue, suspend, revoke certificates of registration
B. Issue subpoena duces tecum, ad testificandum
NURSING PRACTICE I
Situation: ENTEROSTOMAL THERAPY is now considered a specialty in nursing. You are participating in the
OSTOMY CARE CLASS.
1. During colostomy irrigation, the client complains of a cramping sensation with the fluid was introduced.
Which of the following is a CORRECT nursing action?
A. Temporarily stop the irrigation
B. Clamp the irrigating tube
C. Pinch or kink the irrigating tube temporarily
D. Continue the irrigation
2. When are the colostomy appliance best emptied?
A. When there is the sensation of pressure
B. When there is the sensation of taste
C. When there is the sensation of smell
D. When it is full
3. The client asked the nurse, WHEN is the best time to perform irrigation? The nurse would answer:
A. Early morning, before meals, upon arising
B. Early morning, before meals
C. Early morning
D. Early morning, After meals
4. The nurse is teaching a client how to irrigate his stoma. Which action indicates that the client needs more
teaching?
A. Hanging the irrigation bag 24" to 36" (60 to 90 cm) above the stoma
B. Filling the irrigation bag with 500 to 1,000 ml of lukewarm water
C. Stopping irrigation for cramps and clamping the tubing until cramps pass
D. Washing hands with soap and water when finished
5. The physician orders a stool culture to help diagnose a client with prolonged diarrhea. The nurse who obtains
the stool specimen from the colostomy stoma should:
A. take the specimen to the laboratory immediately.
B. collect the specimen in a clean container.
C. collect the specimen in a sterile container.
,D. perform a midstream clean catch collection.
6. You plan to teach Fermin how to irrigate the colostomy when:
A. The perineal wound heals And Fermin can sit comfortably on the commode
B. Fermin can lie on the side comfortably, about the 3rd postoperative day
C. The abdominal incision is closed and contamination is no longer a danger
D. The stools starts to become formed, around the 7th postoperative day
7. When preparing to teach Fermin how to irrigate colostomy, you should plan to do the procedure:
A. When Fermin would have normal bowel movement
B. At least 2 hours before visiting hours
C. Prior to breakfast and morning care
D. After Fermin accepts alteration in body image
8. When observing a return demonstration of a colostomy irrigation, you know that more teaching is required if
Fermin:
A. Lubricates the tip of the catheter prior to inserting into the stoma
B. Hangs the irrigating bag on the bathroom door cloth hook during fluid insertion
C. Discontinues the insertion of fluid after 500 ml of fluid has been instilled
D. Clamps of the flow of fluid when felling uncomfortable
9. You are aware that teaching about colostomy care is understood when Fermin states, “I will contact my
physician and report:
A. If I have any difficulty inserting the irrigating tub into the stoma.”
B. If I noticed a loss of sensation to touch in the stoma tissue.”
C. The expulsion of flatus while the irrigating fluid is running out.”
D. When mucus is passed from the stoma between the irrigations.”
10. You would know after teaching Fermin that dietary instruction for him is effective when he states, “It is
important that I eat:
A. Soft food that is easily digested and absorbed by my large intestines.”
B. Bland food so that my intestines do not become irritated.”
C. Food low in fiber so that there are fewer stools.”
D. Everything that I ate before the operation, while avoiding foods that cause gas.”
Situation: Informed consent is taken to assure that the client’s autonomy is respected. As a nurse, you should
know the principles and your responsibility in securing the informed consent.
11. Performing a procedure on a client in the absence of an informed consent can lead to which of the following
charges?
,A. Fraud C. Harassment
B. Assault and battery D. Breach of confidentiality
12. Which of the following is the essence of informed consent?
A. It should have a durable power of attorney
B. It should have coverage from an insurance company
C. It should respect the client’s freedom from coercion
D. It should disclose previous diagnosis, prognosis and alternative treatments available for the client
13. Kristie, a 19 year old client, has been rushed to the hospital by his father due to severe head trauma and is
now unconscious. To whom will the physician obtain the informed consent?
A. The father C. The physician
B. Kristie D. There is no need for consent because this is an emergency
14. The main responsibility of the nurse when the physician obtains the informed consent is:
A. Explain the procedure, alternatives, prognosis and diagnosis
B. Listen to the physician’s explanation
C. Make sure that the client fully understood the instructions, the consent was given voluntarily, the signature is
authentic and the client is competent when receiving the consent.
D. Make sure that the client fully understood the instructions, the consent was given voluntarily, the
signature is authentic and the client is competent when giving the consent.
15. Autonomy is said to be the bioethical principle respected in Enlightened consent. If the nurse made sure that
the client received enough information when the physician obtained the consent, asked and verifies if the client
understood the procedure and informs the physician if the client have some questions with regards to the
diagnosis, procedure, alternatives and prognosis, The nurse is playing which role?
A. Mother surrogate C. Client Advocate
B. Care provider D. Collaborator
Situation: Nursing Organizations has been established to enhance growth of the profession as well as its
members.
16. Established in 1896, This is the national professional organization of the United states of America.
A. ANA C. PNA
B. ICN D. CNA
17. The largest and the most prestigious organization of Nurses, Wherein, This Federation is the collection of all
national nursing organizations.
A. ANA C. PNA
B. ICN D. CNA
, 18. Anastacia Giron Tupas presided in the founding of the PNA on:
A. September 2, 1922 C. October 2, 1902
B. September 2, 1927 D. October 2, 1922
19. Nurses in the Philippine government also felt the need to organize themselves, this leads to the creation of:
A. National League of Government Nurses
B. National League of Filipino Government Nurses
C. National League of Philippine Government Nurses
D. Philippine Government Nurses Association
20. The founder of NLPGN, during her lifetime, exemplified professional dignity, high level of intelligence and
leadership ability, as well as moral integrity. She was a good model, who, like Florence Nightingale, initiated
reforms and worked for the improvement of the nursing profession and health care in the Philippines. The name
of the NLPGN Recognition award was also named after her:
A. Anastacia Giron Tupas C. Annie
B. Francisca Delgado D. Annie Sande
SITUATION: Nursing is a profession. The nurse should have a background on the theories and foundation of
nursing as it influenced what is nursing today.
21. 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. Henderson
22. 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 C. Nurse Researcher
B. Clinical nurse specialist D. Nurse anaesthesiologist
23. The Board of Nursing regulated the Nursing profession in the Philippines and is responsible for the
maintenance of the quality of nursing in the country. Powers and duties of the board of nursing are the
following, EXCEPT:
A. Issue, suspend, revoke certificates of registration
B. Issue subpoena duces tecum, ad testificandum
