NURSING PRACTICE EXAM 1, PART 1
WITH ACTUAL COMPLETE QUESTIONS
AND 100% CORRECT ANSWERS 2025
UPDATE.
1. During a physical assessment, the nurse closes the door and provides a drape to promote
privacy. The nurse is performing her role as a/an:
A. Advocate
B. Communicator
C. Change agent
D. Caregiver - ANS D. Caregiver
The role of a nurse as caregiver helps clients promote, restore, and maintain dignity, health, and
wellness by viewing a person holistically. As an advocate, the nurse intercedes or works on
behalf of the client. Identifying the need and problems of the client and communicating them to
other members of the health team is the role of a communicator. As a change agent, the nurse
assists the client in modifying their behavior.
2. During the nursing rounds, Nurse Cathy is instructing the patient to avoid smoking to
prevent the worsening of respiratory problems. The patient asked about the things that he
can do when feelings of wanting to smoke arise. The nurse enumerates ways of dealing with
the situation. This is an example of a nurse's role as a/an:
A. Advocate
B. Clinician
C. Change agent - ANS C. Change agent
D. Caregiver
As a change agent, the nurse assists the client in modifying their behavior. As an advocate, the
nurse intercedes or works on behalf of the client. As a clinician, the nurse would use technical
expertise to administer nursing care. The role of a nurse as caregiver helps clients promote,
restore, and maintain dignity, health, and wellness by viewing a person holistically.
3. Nurse Cathy, on the other hand, knows the case immediately even before a diagnosis is
done. Based on Benner's theory, she is a/an:
A. Novice
,B. Expert - ANS B. Expert
C. Competent
D. Advanced beginner
The ability to perceive something without further evidence is the development of intuition and is
seen in expert nurses. A novice nurse is governed by rules and is usually inflexible. Competent
nurses are consciously planning nursing care. Advanced beginners demonstrate acceptable
performance.
4. Newborn screening is done for every newborn in the Philippines. This is an example of:
A. Primary prevention
B. Secondary prevention - ANS B. Secondary prevention
C. Tertiary prevention
D. Rehabilitation
Promotion of early detection and early treatment of the disease is under secondary prevention.
Examples include breast self-exams, TB screening, and genetic counseling.
5. One of Nurse Cathy's co-workers is Annie, who is flexible in any given situation. Annie is
performing her duties well without supervision but still needs more experience and practice
to develop consciously planned nursing care. According to Patricia Benner's category in
specialization in nursing, Annie is a/an:
A. Novice
B. Expert
C. Competent
D. Advanced beginner - ANS D. Advanced beginner
A novice is governed by rules and is usually inflexible. Expert nurses have an intuitive grasp on
the situation dealt with. Competent nurses consciously plan nursing care. Advanced beginners
demonstrate acceptable performance.
6. The clinical instructor is discussing the Nursing Process. She mentioned that when a
cluster of actual or high-risk diagnoses are present because of a certain situation, it is
called:
A. Wellness nursing diagnosis
B. Actual nursing diagnosis
C. Syndrome nursing diagnosis - ANS C. Syndrome nursing diagnosis
D. Risk nursing diagnosis
, The presence of both actual and high-risk diagnoses is called a syndrome nursing diagnosis.
Wellness nursing diagnosis focuses on clinical judgment on an individual from a specific to a
higher level of wellness. Actual diagnoses are clinical judgments validated by the nurse. A risk
diagnosis is based on clinical judgment that the client may develop vulnerability to the problem.
7. The nurse in charge measures a patient's temperature at 101 degrees F. What is the
equivalent centigrade temperature?
A. 36.3 degrees C
B. 37.95 degrees C - ANS B. 37.95
C. 40.03 degrees C
D. 38.01 degrees C
To convert °F to °C, use the formula: (°F - 32) × 0.55. To convert °C to °F, use: (°C × 1.8) + 32.
8. During a change-of-shift report, it would be important for the nurse relinquishing
responsibility for the care of the patient to communicate which of the following facts to the
nurse assuming responsibility for the care of the patient?
A. That the patient verbalized, "My headache is gone."
B. That the patient's barium enema performed 3 days ago was negative
C. Patient's NGT was removed 2 hours ago - ANS C. Patient's NGT was removed 2 hours
ago
D. Patient's family came for a visit this morning
The change-of-shift report should indicate significant recent changes in the patient's condition
that the nurse assuming responsibility will need to monitor. The other options are not critical
enough to include in the report.
9. A client is receiving 115 ml/hr of continuous IVF. The nurse notices that the
venipuncture site is red and swollen. Which of the following interventions would the nurse
perform first?
A. Stop the infusion - ANS A. Stop the infusion
B. Call the attending physician
C. Slow the infusion to 20 ml/hr
D. Place a cold towel on the site
The sign and symptoms indicate extravasation, so the IVF should be stopped immediately. A
warm (not cold) towel should be placed on the affected site.