NP4 (1-50) EXAM QUESTIONS WITH CORRECT ANSWERS LATEST UPDATE 2026/2027
Situation: Nurses working on the medical unit are experiencing difficulties stabilizing the clients'
nasogastric tubes. In order to offer the clients the best choice of care, the nurse must do data
gathering.
Before data gathering, which of the following should be initiated by the nurse?
A. Develop the question or problem statement that best defines the need
B. Begin with a concept and seek how to best implement the concept into client care
C. Secure consent from the clients for their involvement
D. Organize a team to conduct the study and obtain their comment - Answers C. Secure consent
from the clients for their involvement
Situation: Nurses working on the medical unit are experiencing difficulties stabilizing the clients'
nasogastric tubes. In order to offer the clients the best choice of care, the nurse must do data
gathering.
The next step that the nurses should do after securing consent is:
A. Analyze the extent of literature
B. Define the problem
C. Secure evidence
D. Formulate framework - Answers B. Define the problem
Situation: Nurses working on the medical unit are experiencing difficulties stabilizing the clients'
nasogastric tubes. In order to offer the clients the best choice of care, the nurse must do data
gathering.
Following the review and evaluation of the data, the nurses should:
A. Recommend measures to meet the need
B. Extrapolate information
,C. Choose the most relevant information
D. Decide the level of evidence - Answers C. Choose the most relevant information
Situation: Nurses working on the medical unit are experiencing difficulties stabilizing the clients'
nasogastric tubes. In order to offer the clients the best choice of care, the nurse must do data
gathering.
With the information obtained to promote evidence-based practice, the nurse should:
A. Apply findings to clients with NGT
B. Conduct a pilot study to selected clients in several units of the study
C. Make recommendation and apply into NGT practices in the unity
D. Communicate findings to nurses in other units - Answers B. Conduct a pilot study to selected
clients in several units of the study
Situation: Nurses working on the medical unit are experiencing difficulties stabilizing the clients'
nasogastric tubes. In order to offer the clients the best choice of care, the nurse must do data
gathering.
Following the success in stabilizing NGT in their unit, the nurses share the literature they found
on NGT stabilization with nurses in the ICU. In order to reflect currently published knowledge,
which of the following appropriate actions should critical nurses do?
A. Review all the studies, summarize findings, and completely revise NGT stabilization policy
B. Revise practice-based guidelines and procedures of clinical intervention
C. Gather enough evidences to substantiate the findings of the nurses in the medical unit
D. Conduct a similar research in the ICU - Answers D. Conduct a similar research in the ICU
Situation: The nurse's accurate assessment is very crucial in preventing complication during the
severe post burn period.
Corazon sustained circumferential thermal burns of the left upper extremity and chest. You
noted that pulse could not be appreciated in his injured extremity. Which of the following will
you do first?
, A.elevate the injured extremity to increase blood flow to the heart
B. remove the dead tissues which impede circulation
C. try to take the pulse in the uninjured extremity
D. notify the physician immediately as this requires emergency intervention - Answers C. try to
take the pulse in the uninjured extremity. Assess first to make sure that your only problem is the
left extremity. (ADPIE)
Rationale: Option A is incorrect, there is already no circulation. Elevating it will worsen the
condition more. Option B is incorrect, escharotomy is done by a physician. Option D is incorrect,
assess first before notifying the physician.
While loading containers with chemicals from a truck, Shoogar accidentally spilled the whole
can of corrosive chemicals all over his body. Which of the following would you consider as the
priority intervention in the emergency management of Shoogar.
A. wash the chemical off with cool water
B. maintain a patent airway
C.assess for associated injuries
D. remove all clothing containing the chemicals - Answers B. maintain a patent airway
Rationale: In any emergency, the priority is to make sure that your patient is able to breathe.
A 165-lbs trauma client was rushed to the emergency with full thickness burns of the whole face,
right and left arm, and at the anterior chest sparing the abdominal area. He also has superficial
partial thickness burn at the posterior trunk and at the half upper portion of the left leg. In caring
for the patient during the emergent phase of burn, using the Parkland's formula, you know that
during the first 8 hours of burn; the amount of fluid that will be given is:
A. 5,400 mL
B. 10,600 mL
C. 9,450 mL
D. 6,750 mL - Answers D. 6,750 mL
Situation: Nurses working on the medical unit are experiencing difficulties stabilizing the clients'
nasogastric tubes. In order to offer the clients the best choice of care, the nurse must do data
gathering.
Before data gathering, which of the following should be initiated by the nurse?
A. Develop the question or problem statement that best defines the need
B. Begin with a concept and seek how to best implement the concept into client care
C. Secure consent from the clients for their involvement
D. Organize a team to conduct the study and obtain their comment - Answers C. Secure consent
from the clients for their involvement
Situation: Nurses working on the medical unit are experiencing difficulties stabilizing the clients'
nasogastric tubes. In order to offer the clients the best choice of care, the nurse must do data
gathering.
The next step that the nurses should do after securing consent is:
A. Analyze the extent of literature
B. Define the problem
C. Secure evidence
D. Formulate framework - Answers B. Define the problem
Situation: Nurses working on the medical unit are experiencing difficulties stabilizing the clients'
nasogastric tubes. In order to offer the clients the best choice of care, the nurse must do data
gathering.
Following the review and evaluation of the data, the nurses should:
A. Recommend measures to meet the need
B. Extrapolate information
,C. Choose the most relevant information
D. Decide the level of evidence - Answers C. Choose the most relevant information
Situation: Nurses working on the medical unit are experiencing difficulties stabilizing the clients'
nasogastric tubes. In order to offer the clients the best choice of care, the nurse must do data
gathering.
With the information obtained to promote evidence-based practice, the nurse should:
A. Apply findings to clients with NGT
B. Conduct a pilot study to selected clients in several units of the study
C. Make recommendation and apply into NGT practices in the unity
D. Communicate findings to nurses in other units - Answers B. Conduct a pilot study to selected
clients in several units of the study
Situation: Nurses working on the medical unit are experiencing difficulties stabilizing the clients'
nasogastric tubes. In order to offer the clients the best choice of care, the nurse must do data
gathering.
Following the success in stabilizing NGT in their unit, the nurses share the literature they found
on NGT stabilization with nurses in the ICU. In order to reflect currently published knowledge,
which of the following appropriate actions should critical nurses do?
A. Review all the studies, summarize findings, and completely revise NGT stabilization policy
B. Revise practice-based guidelines and procedures of clinical intervention
C. Gather enough evidences to substantiate the findings of the nurses in the medical unit
D. Conduct a similar research in the ICU - Answers D. Conduct a similar research in the ICU
Situation: The nurse's accurate assessment is very crucial in preventing complication during the
severe post burn period.
Corazon sustained circumferential thermal burns of the left upper extremity and chest. You
noted that pulse could not be appreciated in his injured extremity. Which of the following will
you do first?
, A.elevate the injured extremity to increase blood flow to the heart
B. remove the dead tissues which impede circulation
C. try to take the pulse in the uninjured extremity
D. notify the physician immediately as this requires emergency intervention - Answers C. try to
take the pulse in the uninjured extremity. Assess first to make sure that your only problem is the
left extremity. (ADPIE)
Rationale: Option A is incorrect, there is already no circulation. Elevating it will worsen the
condition more. Option B is incorrect, escharotomy is done by a physician. Option D is incorrect,
assess first before notifying the physician.
While loading containers with chemicals from a truck, Shoogar accidentally spilled the whole
can of corrosive chemicals all over his body. Which of the following would you consider as the
priority intervention in the emergency management of Shoogar.
A. wash the chemical off with cool water
B. maintain a patent airway
C.assess for associated injuries
D. remove all clothing containing the chemicals - Answers B. maintain a patent airway
Rationale: In any emergency, the priority is to make sure that your patient is able to breathe.
A 165-lbs trauma client was rushed to the emergency with full thickness burns of the whole face,
right and left arm, and at the anterior chest sparing the abdominal area. He also has superficial
partial thickness burn at the posterior trunk and at the half upper portion of the left leg. In caring
for the patient during the emergent phase of burn, using the Parkland's formula, you know that
during the first 8 hours of burn; the amount of fluid that will be given is:
A. 5,400 mL
B. 10,600 mL
C. 9,450 mL
D. 6,750 mL - Answers D. 6,750 mL
