NP4 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
SITUATION 1 - The nurse is assigned in the Emergency Department with important tasks as a nurse.
Critical decision making and right judgment has to be exercised.
1. A nurse identifies a small fire in a magazine rack in the corner of the emergency department. Because
all of the residents are busy, the nurse activates the fire alarm and then instructs staff members to close
all doors on the unit. The nurse then obtains a type A extinguisher to fight the fire. Place the following
steps in the order in which they should be implemented.
1. Aim the nozzle of the extinguisher at the base of the flames.
2. Drag the extinguisher on the floor to the area of the fire.
3.Pull the pin on the extinguisher.
4. Squeeze the handles together to discharge water from the extinguisher.
5. Sweep the nozzle of the extinguisher back and forth at the base of the flames.
a. 2, 1, 3, 4, 5
b. 1, 2, 3, 4, 5
C. 3, 2, 1, 4, 5
d. 2, 3, 1, 4, 5 - (ANSWER)d. 2, 3, 1, 4, 5 = PASS
2. A nurse accidentally gets stuck with a used syringe needle; he flushes the skin with water. What is the
next action for safety?
a. Write an incident report.
b. Get permission from the patient to have blood drawn.
C. Notify the charge nurse.
d. Bleed the wound. - (ANSWER)d. Bleed the wound. ( para mugamay ang viral load)
3. A parent comes to the emergency department with a toddler because the toddler drank cleaning fluid
that was under the sink. What information should the nurse ask initially?
, NP4 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
a. Who was watching the toddler?
b. Did you call Poison Control?
c. When did the toddler drink the fluid?
D. Do you have the cleaning fluid with you? - (ANSWER)D. Do you have the cleaning fluid with you?
4. A patient who has been waiting in the ED to be seen brings a handbag up to the nurses' desk and says
this was left in the waiting room but she did not see who left it. The nurse should initially:
a. get the name of the patient who brought the handbag to the desk.
b. empty the contents of the bag on the desk to visualize.
C. open the handbag and look inside with another employe - (ANSWER)C. open the handbag and look
inside with another employee. (ASSESS SA BEFORE EREFER)
5. A hysterical girl bleeding from a large leg laceration is brought to emergency department. The girl is
screaming for her mother who was with her but the mother has not been recovered yet from the
rubble. The best option for the nurse at this time is to:
a. let the young girl run back to the rubble to find her mother.
b. restrain the young girl so she does not run back in and sustain further injuries.
C. tag her green and have someone force her to the shelter.
d. tag her yellow and have someone sit with her one-to-one. - (ANSWER)d. tag her yellow and have
someone sit with her one-to-one.
SITUATION 2 Legal and ethical situations were discussed during the orientation of a group of newly hired
staff nurses in the medical surgical unit.
6. Registered nurses derive their legal right to practice from:
a. the Philippine Nursing Act of 2002.
b. the Labor Code of the Philippines.
SITUATION 1 - The nurse is assigned in the Emergency Department with important tasks as a nurse.
Critical decision making and right judgment has to be exercised.
1. A nurse identifies a small fire in a magazine rack in the corner of the emergency department. Because
all of the residents are busy, the nurse activates the fire alarm and then instructs staff members to close
all doors on the unit. The nurse then obtains a type A extinguisher to fight the fire. Place the following
steps in the order in which they should be implemented.
1. Aim the nozzle of the extinguisher at the base of the flames.
2. Drag the extinguisher on the floor to the area of the fire.
3.Pull the pin on the extinguisher.
4. Squeeze the handles together to discharge water from the extinguisher.
5. Sweep the nozzle of the extinguisher back and forth at the base of the flames.
a. 2, 1, 3, 4, 5
b. 1, 2, 3, 4, 5
C. 3, 2, 1, 4, 5
d. 2, 3, 1, 4, 5 - (ANSWER)d. 2, 3, 1, 4, 5 = PASS
2. A nurse accidentally gets stuck with a used syringe needle; he flushes the skin with water. What is the
next action for safety?
a. Write an incident report.
b. Get permission from the patient to have blood drawn.
C. Notify the charge nurse.
d. Bleed the wound. - (ANSWER)d. Bleed the wound. ( para mugamay ang viral load)
3. A parent comes to the emergency department with a toddler because the toddler drank cleaning fluid
that was under the sink. What information should the nurse ask initially?
, NP4 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
a. Who was watching the toddler?
b. Did you call Poison Control?
c. When did the toddler drink the fluid?
D. Do you have the cleaning fluid with you? - (ANSWER)D. Do you have the cleaning fluid with you?
4. A patient who has been waiting in the ED to be seen brings a handbag up to the nurses' desk and says
this was left in the waiting room but she did not see who left it. The nurse should initially:
a. get the name of the patient who brought the handbag to the desk.
b. empty the contents of the bag on the desk to visualize.
C. open the handbag and look inside with another employe - (ANSWER)C. open the handbag and look
inside with another employee. (ASSESS SA BEFORE EREFER)
5. A hysterical girl bleeding from a large leg laceration is brought to emergency department. The girl is
screaming for her mother who was with her but the mother has not been recovered yet from the
rubble. The best option for the nurse at this time is to:
a. let the young girl run back to the rubble to find her mother.
b. restrain the young girl so she does not run back in and sustain further injuries.
C. tag her green and have someone force her to the shelter.
d. tag her yellow and have someone sit with her one-to-one. - (ANSWER)d. tag her yellow and have
someone sit with her one-to-one.
SITUATION 2 Legal and ethical situations were discussed during the orientation of a group of newly hired
staff nurses in the medical surgical unit.
6. Registered nurses derive their legal right to practice from:
a. the Philippine Nursing Act of 2002.
b. the Labor Code of the Philippines.
