1
PALMER FINAL COACHING EXAM 2026-27 VERSION
naman siyang issue sa gamot? Yung patient may issue.
Letter C → nagpatawag ka ng meeting kasi may tanong yung
Situation – The nurse is taking care of a client newly diagnosed
with asthma. The client tells the nurse that a relative with asthma patient! xD
has been prescribed Salmotorol Xinaloate, along acting Letter D → kailangan ko pa ba idiscuss sa health care team eh
medication and wonders why she has been prescribed it. nagtanong lang naman siya?
Salbutamol, a short acting drug. “Doc may concern si px”
“Ano?”
1. To provide accurate information the nurse should do “Nag aask po about sa ganto”
which of the following activities? “SO NAGPA MEETING KA PARA LANG DYAN?!”
a. Consult the attending physician regarding the
medication prescribed
4. The nurse is ready to implement the decision of the health
b. Refer to the head nurse the concern of the client
care team on the prescribed medication to the client. Which
c. Ask the client what she knows about the action
of the following should be considered?
of both drugs
1. integrate the evidence found from the literature search
d. Collect the most relevant and best evidence
with the health care provider
to answer the question
2. expertise in the clinical assessment of the client
3. available health care resources
Letter D → action muna bago refer!!!! 4. preferences and values of the client
a. 1, 2, 3, and 4
b. 1 and 2
2. As care the nurse conducts critical appraisal of the c. 2, 3, and 4
literature related to the client's prescribed medication. d. 1 and 4
Which of the following key areas should be addressed by
the health care team to ensure relevance and
transferability of the evidence to client’s care? Ready to implement the decision → Painumin mo na ng gamot.
a. Result of the study, validity of the result and No 1. → diba nagda-drugs study ka yung nakuha mong
facilitate the study report to the client
informations is implement mo. YES!
b. Practicality and validity of the search materials to
answer the clinical question No 2 → kailangan ba iconsider ang client?
c. Applicability and generality of the search No.3 → may mabibilhan ba ng gamot?
materials that may benefit the client No.4 → pwede na rin to!
d. Search materials should provide related
information that substantiate the client’s question
5. The treatment plan has been implemented. Which of the
following is the MOST appropriate action based on clinical
Transferability
Kunyare may ubo, do you self medicate? Example: yung anak na decision?
nag nagkasakit is pina-checkup then nag prescribe yung doctor. a. Ask the client what he feels about the treatment
So nung next na nagkasakit yung iba pang anak is yun na rin ang b. Conduct physical assessment and gather more
ginamit na gamot nung nanay di na nagpa-consult = transferability. data
Pwede sayo at umubra sa kanya, kahit sa iba’t ibang tao, pwede c. Evaluate how effective the clinical decision is
yern with the client
d. Generate more information by doing literature
Letter A → bigay mo daw results ng mga study na nabasa mo
search
3. On the basis of pieces of evidence from the literature Situation – Joint Commission International patient safety goals
search related to the client’s prescribed medication, the requirements include the care and efficient use of technology in
nurse’s MOST appropriate intervention is to: the OR and elsewhere in the healthcare facility.
a. Provide answer to the question of the client
and include the relatives in the discussion 6. As the head nurse in the OR, how do you improve the
b. Talk with the attending physician the result of the effectiveness of the clinical alarm system?
literature search a. Limit supplies to a few so that quality is
c. Call a meeting with the nursing staff for a maintained
presentation of literature search b. Implement a regular inventory of supplies and
d. Discuss plan of care and the client’s concern with equipment
the health care team c. Adherence to manufacturer's recommendation
d. Implement a regular maintenance and testing
of alarm systems
REMEMBER: nag ugat ang situation sa TANONG lang ng patient
about sa medication niya;
Letter D → ano ba ang tanong? Dba about sa “alarm system”? Edi
Letter A → pwede ba toh? Sasagutin mo na siya. Nag-collect ng ang isagot mo about alarm systems din
literature and nagbasa, so gora!
Letter B → bakit ka makikipag usap sa attending physician eh wala
, 2
7. JCIs universal protocol for surgical and invasive
procedures to prevent wrong sites, wrong person and 12. Miscommunication of drug orders was identified as a
wrong procedure/surgery, includes the following EXCEPT: probable cause of medication errors. Which of the following
a. Mark the operative site if possible is safe medication practice related to this?
b. Conduct pre-procedure verification process a. Maintain medication in its unit dose package until
c. Take video of the entire intra – operative point of actual administration
procedure b. Note both generic and brand name of the
d. Conduct time-out immediately before starting the medication administration method
procedure c. The physician should use approved universal
abbreviation
8. As a nurse you know you can improve on accuracy of d. Encourage clients to ask question about their
patient’s identification by 2 patient identifiers, EXCEPT: medications
a. Identify the client by his/her wrist tag and verify
with family members
Meaning the communication was taken wrongly by the other
b. Identify client by his/her wrist tag and call his/her
person saan ito sa choices?
by name
Letter A → delivery ng gamot ito
c. Call the client by his/her case and bed
number Letter B → nasa prescriber ito; this if ro buying of medications not
d. Call the patient by his/her name and bed number for miscommunication
Letter C → hindi pwede ang bed number, mamaya tumayo yan 13. Mrs. Jefferson is an 88-year-old client at a long-term care
tapos nakipag chikahan sa iba, basta hindi to pwede!!!! facility. Prior to administering any medication or treatment
to this client the nurse must confirm identity by:
a. asking the client if she is Mrs. Jefferson.
9. Carmen is suspected to have a left breast CA she is b. reading the client’s identification bracelet
scheduled in your room on 5 for the frozen section. How c. reading the client’s medical record.
will you prepare the specimen for the laboratory? d. asking the roommate to state the client’s name.
a. Refrigerator and send it along with the day’s
specimens
b. Send to pathology immediately without Letter A → wag niyo inuuna ang mag ask hindi yan ang standard!
soaking solution What if tulog?!
c. Soak it in NSS Letter B → ito parin ang standard! Magko-cross in all situations!
d. Soak it in formalin
Tulog, comatose, or may aning aning pwede.
Letter B → hindi natin sino-soak bhie!
14. A nurse is obligated to carry out a physician’s order
EXCEPT:
10. How will you label this specimen? What information was a. When a client refuses
essential in the label? b. Believes an order to be inappropriate or
a. Name of the client age, sex, hospital number inaccurate
b. Name of the client age, sex c. When the nurse does not understand the order
c. Name age, site, type of specimen, hospital d. When the nurse is very busy
number, doctor
d. Name, doctor, type, of specimen, hospital
As a nurse, are we obligated to carry out the doctor's order? YES.
number
Letter A → you prepared then the client refuses but na-carry out
Letter C → there should be PROPER LABELING. mo ba? NO!
Doctor's order → prepare medication by the nurse = You carry out
11. You are the circulating nurse in OR 2. You have 4
thyroidectomy cases for the day. How do you prevent Letter A: you give the medications → the patient refuses = NO (di
switching of specimens? mo na-carry out); is your reason justifiable (since the patient
a. Send specimen to laboratory right away after the refused) YES!
operation with the proper labels
b. Collect all specimens and send to laboratory at Letter B → kine-carry out ko yung doctor’s order, kaso “these
the end of the day
meds parang inappropriate sa client? Hmm ibibigay ko ba?” NO.
c. Label specimen at once
d. Prepare 4 specimen vials first thing in the Pero pnrepare mo but inappropriate nga, may intention naman to
morning carry out!
Letter C → eh kung nalabel-an na agad yan, kahit anong mangyari Letter B: Inaccurate → meds di mo bibigay → justifiable
hindi yan mags-switch.
Just like the concept sa delivery room, paglabas ng baby you put Letter C → dou carry it out kahit di mo maintindihan kasi
tag (proper labeling) agad to prevent switching!
PALMER FINAL COACHING EXAM 2026-27 VERSION
naman siyang issue sa gamot? Yung patient may issue.
Letter C → nagpatawag ka ng meeting kasi may tanong yung
Situation – The nurse is taking care of a client newly diagnosed
with asthma. The client tells the nurse that a relative with asthma patient! xD
has been prescribed Salmotorol Xinaloate, along acting Letter D → kailangan ko pa ba idiscuss sa health care team eh
medication and wonders why she has been prescribed it. nagtanong lang naman siya?
Salbutamol, a short acting drug. “Doc may concern si px”
“Ano?”
1. To provide accurate information the nurse should do “Nag aask po about sa ganto”
which of the following activities? “SO NAGPA MEETING KA PARA LANG DYAN?!”
a. Consult the attending physician regarding the
medication prescribed
4. The nurse is ready to implement the decision of the health
b. Refer to the head nurse the concern of the client
care team on the prescribed medication to the client. Which
c. Ask the client what she knows about the action
of the following should be considered?
of both drugs
1. integrate the evidence found from the literature search
d. Collect the most relevant and best evidence
with the health care provider
to answer the question
2. expertise in the clinical assessment of the client
3. available health care resources
Letter D → action muna bago refer!!!! 4. preferences and values of the client
a. 1, 2, 3, and 4
b. 1 and 2
2. As care the nurse conducts critical appraisal of the c. 2, 3, and 4
literature related to the client's prescribed medication. d. 1 and 4
Which of the following key areas should be addressed by
the health care team to ensure relevance and
transferability of the evidence to client’s care? Ready to implement the decision → Painumin mo na ng gamot.
a. Result of the study, validity of the result and No 1. → diba nagda-drugs study ka yung nakuha mong
facilitate the study report to the client
informations is implement mo. YES!
b. Practicality and validity of the search materials to
answer the clinical question No 2 → kailangan ba iconsider ang client?
c. Applicability and generality of the search No.3 → may mabibilhan ba ng gamot?
materials that may benefit the client No.4 → pwede na rin to!
d. Search materials should provide related
information that substantiate the client’s question
5. The treatment plan has been implemented. Which of the
following is the MOST appropriate action based on clinical
Transferability
Kunyare may ubo, do you self medicate? Example: yung anak na decision?
nag nagkasakit is pina-checkup then nag prescribe yung doctor. a. Ask the client what he feels about the treatment
So nung next na nagkasakit yung iba pang anak is yun na rin ang b. Conduct physical assessment and gather more
ginamit na gamot nung nanay di na nagpa-consult = transferability. data
Pwede sayo at umubra sa kanya, kahit sa iba’t ibang tao, pwede c. Evaluate how effective the clinical decision is
yern with the client
d. Generate more information by doing literature
Letter A → bigay mo daw results ng mga study na nabasa mo
search
3. On the basis of pieces of evidence from the literature Situation – Joint Commission International patient safety goals
search related to the client’s prescribed medication, the requirements include the care and efficient use of technology in
nurse’s MOST appropriate intervention is to: the OR and elsewhere in the healthcare facility.
a. Provide answer to the question of the client
and include the relatives in the discussion 6. As the head nurse in the OR, how do you improve the
b. Talk with the attending physician the result of the effectiveness of the clinical alarm system?
literature search a. Limit supplies to a few so that quality is
c. Call a meeting with the nursing staff for a maintained
presentation of literature search b. Implement a regular inventory of supplies and
d. Discuss plan of care and the client’s concern with equipment
the health care team c. Adherence to manufacturer's recommendation
d. Implement a regular maintenance and testing
of alarm systems
REMEMBER: nag ugat ang situation sa TANONG lang ng patient
about sa medication niya;
Letter D → ano ba ang tanong? Dba about sa “alarm system”? Edi
Letter A → pwede ba toh? Sasagutin mo na siya. Nag-collect ng ang isagot mo about alarm systems din
literature and nagbasa, so gora!
Letter B → bakit ka makikipag usap sa attending physician eh wala
, 2
7. JCIs universal protocol for surgical and invasive
procedures to prevent wrong sites, wrong person and 12. Miscommunication of drug orders was identified as a
wrong procedure/surgery, includes the following EXCEPT: probable cause of medication errors. Which of the following
a. Mark the operative site if possible is safe medication practice related to this?
b. Conduct pre-procedure verification process a. Maintain medication in its unit dose package until
c. Take video of the entire intra – operative point of actual administration
procedure b. Note both generic and brand name of the
d. Conduct time-out immediately before starting the medication administration method
procedure c. The physician should use approved universal
abbreviation
8. As a nurse you know you can improve on accuracy of d. Encourage clients to ask question about their
patient’s identification by 2 patient identifiers, EXCEPT: medications
a. Identify the client by his/her wrist tag and verify
with family members
Meaning the communication was taken wrongly by the other
b. Identify client by his/her wrist tag and call his/her
person saan ito sa choices?
by name
Letter A → delivery ng gamot ito
c. Call the client by his/her case and bed
number Letter B → nasa prescriber ito; this if ro buying of medications not
d. Call the patient by his/her name and bed number for miscommunication
Letter C → hindi pwede ang bed number, mamaya tumayo yan 13. Mrs. Jefferson is an 88-year-old client at a long-term care
tapos nakipag chikahan sa iba, basta hindi to pwede!!!! facility. Prior to administering any medication or treatment
to this client the nurse must confirm identity by:
a. asking the client if she is Mrs. Jefferson.
9. Carmen is suspected to have a left breast CA she is b. reading the client’s identification bracelet
scheduled in your room on 5 for the frozen section. How c. reading the client’s medical record.
will you prepare the specimen for the laboratory? d. asking the roommate to state the client’s name.
a. Refrigerator and send it along with the day’s
specimens
b. Send to pathology immediately without Letter A → wag niyo inuuna ang mag ask hindi yan ang standard!
soaking solution What if tulog?!
c. Soak it in NSS Letter B → ito parin ang standard! Magko-cross in all situations!
d. Soak it in formalin
Tulog, comatose, or may aning aning pwede.
Letter B → hindi natin sino-soak bhie!
14. A nurse is obligated to carry out a physician’s order
EXCEPT:
10. How will you label this specimen? What information was a. When a client refuses
essential in the label? b. Believes an order to be inappropriate or
a. Name of the client age, sex, hospital number inaccurate
b. Name of the client age, sex c. When the nurse does not understand the order
c. Name age, site, type of specimen, hospital d. When the nurse is very busy
number, doctor
d. Name, doctor, type, of specimen, hospital
As a nurse, are we obligated to carry out the doctor's order? YES.
number
Letter A → you prepared then the client refuses but na-carry out
Letter C → there should be PROPER LABELING. mo ba? NO!
Doctor's order → prepare medication by the nurse = You carry out
11. You are the circulating nurse in OR 2. You have 4
thyroidectomy cases for the day. How do you prevent Letter A: you give the medications → the patient refuses = NO (di
switching of specimens? mo na-carry out); is your reason justifiable (since the patient
a. Send specimen to laboratory right away after the refused) YES!
operation with the proper labels
b. Collect all specimens and send to laboratory at Letter B → kine-carry out ko yung doctor’s order, kaso “these
the end of the day
meds parang inappropriate sa client? Hmm ibibigay ko ba?” NO.
c. Label specimen at once
d. Prepare 4 specimen vials first thing in the Pero pnrepare mo but inappropriate nga, may intention naman to
morning carry out!
Letter C → eh kung nalabel-an na agad yan, kahit anong mangyari Letter B: Inaccurate → meds di mo bibigay → justifiable
hindi yan mags-switch.
Just like the concept sa delivery room, paglabas ng baby you put Letter C → dou carry it out kahit di mo maintindihan kasi
tag (proper labeling) agad to prevent switching!
