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Exam (elaborations)

Nursing board Exams| Nursing Board Practice Test Compilation

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NURSING PRACTICE I: FOUNDATION OF NURSING PRACTICE 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. 1. 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 2. 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 b. Nurse Researcher c. Clinical nurse specialist d. Nurse anaesthesiologist 3. 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 c. Open and close colleges of nursing d. Supervise and regulate the practice of nursing 4. A nursing student or a beginning staff nurse who has not yet experienced enough real situations to make judgments about them is in what stage of Nursing Expertise? a. Novice b. Newbie c. Advanced Beginner d. Competent 5. Benner’s “Proficient” nurse level is different from the other levels in nursing expertise in the context of having: a. the ability to organize and plan activities b. having attained an advanced level of education c. a holistic understanding and perception of the client d. intuitive and analytic ability in new situations SITUATION: The nurse has been asked to administer an injection via Z TRACK technique. Questions 6 to 10 refer to this. 6. The nurse prepares an IM injection for an adult client using the Z track technique. 4 ml of medication is to be administered to the client. Which of the following site will you choose? a. Deltoid b. Rectus femoris c. Ventrogluteal d. Vastus lateralis 7. In infants 1 year old and below, which of the following is the site of choice for intramuscular Injection? a. Deltoid b. Rectus femoris c. Ventrogluteal d. Vastus lateralis 8. In order to decrease discomfort in Z track administration, which of the following is applicable? a. Pierce the skin quickly and smoothly at a 90 degree angle b. Inject the medication steadily at around 10 minutes per millilitre c. Pull back the plunger and aspirate for 1 minute to make sure that the needle did not hit a blood vessel d. Pierce the skin slowly and carefully at a 90 degree angle 9. After injection using the Z track technique, the nurse should know that she needs to wait for a few seconds before withdrawing the needle and this is to allow the medication to disperse into the muscle tissue, thus decreasing the client’s discomfort. How many seconds should the nurse wait before withdrawing the needle? a. 2 seconds 4 5 b. 5 seconds c. 10 seconds d. 15 seconds 10. The rationale in using the Z track technique in an intramuscular injection is: a. It decreases the leakage of discolouring and irritating medication into the subcutaneous tissues b. It will allow a faster absorption of the medication c. The Z track technique prevent irritation of the muscle d. It is much more convenient for the nurse SITUATION: A Client was rushed to the emergency room and you are his attending nurse. You are performing a vital sign assessment. 11. All of the following are correct methods in assessment of the blood pressure EXCEPT: a. Take the blood pressure reading on both arms for comparison b. Listen to and identify the phases of Korotkoff’s sound c. Pump the cuff to around 50 mmHg above the point where the pulse is obliterated d. Observe procedures for infection control 12. You attached a pulse oximeter to the client. You know that the purpose is to: a. Determine if the client’s hemoglobin level is low and if he needs blood transfusion b. Check level of client’s tissue perfusion c. Measure the efficacy of the client’s anti- hypertensive medications d. Detect oxygen saturation of arterial blood before symptoms of hypoxemia develops 13. After a few hours in the Emergency Room, The client is admitted to the ward with an order of hourly monitoring of blood pressure. The nurse finds that the cuff is too narrow and this will cause the blood pressure reading to be: a. inconsistent b. low systolic and high diastolic c. higher than what the reading should be d. lower than what the reading should be 14. Through the client’s health history, you gather that the patient smokes and drinks coffee. When taking the blood pressure of a client who recently smoked or drank coffee, how long should the nurse wait before taking the client’s blood pressure for accurate reading? a. 15 minutes b. 30 minutes c. 1 hour d. 5 minutes

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Uploaded on
October 6, 2023
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Nursing board Exams
Nursing Board Practice Test Compilation
................................................................................. 185

Contents
NURSING PRACTICE I: FOUNDATION OF NURSING
PRACTICE .......................................................................... 4
NURSING PRACTICE II ..................................................... 15
NURSING PRACTICE III .................................................... 26
NURSING PRACTICE IV.................................................... 36
NURSING PRACTICE V..................................................... 46
TEST I - Foundation of Professional Nursing Practice .... 56
Answers and Rationale – Foundation of Professional
Nursing Practice ......................................................... 66
TEST II - Community Health Nursing and Care of the
Mother and Child ........................................................... 74
Answers and Rationale – Community Health Nursing
and Care of the Mother and Child ............................. 84
TEST III - Care of Clients with Physiologic and
Psychosocial Alterations ................................................ 91
Answers and Rationale – Care of Clients with
Physiologic and Psychosocial Alterations................. 102
TEST IV - Care of Clients with Physiologic and
Psychosocial Alterations .............................................. 111
Answers and Rationale – Care of Clients with
Physiologic and Psychosocial Alterations................. 122
TEST V - Care of Clients with Physiologic and Psychosocial
Alterations.................................................................... 133
Answers and Rationale – Care of Clients with
Physiologic and Psychosocial Alterations................. 144
PART III PRACTICE TEST I FOUNDATION OF NURSING . 153
ANSWERS AND RATIONALE – FOUNDATION OF
NURSING .................................................................. 158
PRACTICE TEST II Maternal and Child Health ............... 162
ANSWERS AND RATIONALE – MATERNAL AND CHILD
HEALTH..................................................................... 167
MEDICAL SURGICAL NURSING ..................................... 173
ANSWERS AND RATIONALE – MEDICAL SURGICAL
NURSING .................................................................. 178
PSYCHIATRIC NURSING ................................................ 180
ANSWERS AND RATIONALE – PSYCHIATRIC NURSING

,FOUNDATION OF PROFESSIONAL NURSING PRACTICE188 TEST IV - Care of Clients with Physiologic and
ANSWER KEY - FOUNDATION OF PROFESSIONAL Psychosocial Alterations .............................................. 310
NURSING PRACTICE Answers and Rationale – Care of Clients with
................................................................................. 19 Physiologic and Psychosocial Alterations ................ 321
9 TEST V - Care of Clients with Physiologic and Psychosocial
COMMUNITY HEALTH NURSING AND CARE OF THE Alterations.................................................................... 332
MOTHER AND CHILD Answers and Rationale – Care of Clients with
..................................................................................... 20 Physiologic and Psychosocial Alterations ................ 343
0
PART III ......................................................................... 352
ANSWER KEY: COMMUNITY HEALTH NURSING AND
CARE OF THE MOTHER AND CHILD PRACTICE TEST I FOUNDATION OF NURSING............... 352
................................................................................. 21 ANSWERS AND RATIONALE – FOUNDATION OF
1 NURSING .................................................................. 357
Comprehensive Exam 1................................................ 213 PRACTICE TEST II Maternal and Child Health ............... 361
CARE OF CLIENTS WITH PHYSIOLOGIC AND
PSYCHOSOCIAL ALTERATIONS
..................................................................................... 22
2
ANSWER KEY: CARE OF CLIENTS WITH PHYSIOLOGIC
AND PSYCHOSOCIAL ALTERATIONS
................................................................................. 23
4
Nursing Practice Test V ................................................ 235
Nursing Practice Test V ................................................ 245
TEST I - Foundation of Professional Nursing Practice .. 255
Answers and Rationale – Foundation of Professional
Nursing Practice
................................................................................. 26
5
TEST II - Community Health Nursing and Care of the
Mother and Child
..................................................................................... 27
3
Answers and Rationale – Community Health Nursing
and Care of the Mother and Child
................................................................................. 28
3
TEST III - Care of Clients with Physiologic and
Psychosocial Alterations
..................................................................................... 29
0
Answers and Rationale – Care of Clients with
Physiologic and Psychosocial Alterations
................................................................................. 30
1

, ANSWERS AND RATIONALE – MATERNAL AND CHILD MEDICAL SURGICAL NURSING Part 1 ........................... 475
HEALTH..................................................................... 366 ANSWERS and RATIONALES for MEDICAL SURGICAL
MEDICAL SURGICAL NURSING ..................................... 372 NURSING Part 1 ........................................................ 479

ANSWERS AND RATIONALE – MEDICAL SURGICAL MEDICAL SURGICAL NURSING Part 2 ........................... 481
NURSING .................................................................. 377 MEDICAL SURGICAL NURSING Part 2 ....................... 485
PSYCHIATRIC NURSING ................................................ 379 ANSWERS and RATIONALES for MEDICAL SURGICAL
ANSWERS AND RATIONALE – PSYCHIATRIC NURSING NURSING Part 2 ........................................................ 489
................................................................................. 384 MEDICAL SURGICAL NURSING Part 3 ........................... 491
FUNDAMENTALS OF NURSING PART 1 ........................ 387 ANSWERS and RATIONALES for MEDICAL SURGICAL
FUNDAMENTALS OF NURSING PART 2 ........................ 392 NURSING Part 3 ........................................................ 495

ANSWERS and RATIONALES for FUNDAMENTALS OF PSYCHIATRIC NURSING Part 1 ...................................... 497
NURSING PART 2 ...................................................... 397 ANSWERS and RATIONALES for PSYCHIATRIC NURSING
FUNDAMENTALS OF NURSING PART 3 ........................ 401 Part 1 ........................................................................ 502

ANSWERS and RATIONALES for FUNDAMENTALS OF PSYCHIATRIC NURSING Part 2 ...................................... 504
NURSING PART 3 ...................................................... 405 ANSWERS and RATIONALES for PSYCHIATRIC NURSING
MATERNITY NURSING Part 1 ........................................ 409 Part 2 ........................................................................ 509

ANSWERS and RATIONALES for MATERNITY NURSING PSYCHIATRIC NURSING Part 3 ...................................... 512
Part 1 ........................................................................ 418 ANSWERS and RATIONALES for PSYCHIATRIC NURSING
MATERNITY NURSING Part 2 ........................................ 428 Part 3 ........................................................................ 516

Answer for maternity part 2 .................................... 433 PROFESSIONAL ADJUSTMENT ...................................... 519

PEDIATRIC NURSING .................................................... 434 LEADERSHIP and MANAGEMENT ................................. 522

ANSWERS and RATIONALES for PEDIATRIC NURSING NURSING RESEARCH Part 1 .......................................... 532
................................................................................. 439 NURSING RESEARCH Part 2 .......................................... 542
COMMUNITY HEALTH NURSING Part 1........................ 444 Nursing Research Suggested Answer Key ................ 546
COMMUNITY HEALTH NURSING Part 2........................ 454




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