NCM 109 RLE PRELIMS EXAM
QUESTIONS WITH COMPLETE
SOLUTIONS
A student nurse is assigned to the emergency room. Their clinical instructor taught them
the Five steps of care in the ER. Which of the ff are arranged accordingly
a. Admission, Triage , Registration , Re-evaluation, Discharge/ Admitted
b. Admission , Triage, Re-evaluation , Registration , Discharge/ Admitted
c. Triage , Admission , Re - evaluation , Registration , Discharge/ Admitted
d. Triage , Admission , Registration , Re - evaluation , Discharge/ Admitted - Answer- d.
Triage , Admission , Registration , Re - evaluation , Discharge/ Admitted
Patient X is for discharge. Who accomplishes the home instructions of the patient?
a. Nursing Aide
b. Staff Nurse
c. Nurse Supervisor
d. Resident on Duty - Answer- b. Staff Nurse
The doctor is making his rounds with his patient, and upon assessment , the patient can
be discharged. Which of the ff is not included in making the discharge summary?
a. Philhealth form
b. Professional fees of Doctors
c. Projected cost of home care
d. The Nursing Aide assists the patient and relative in a wheelchair - Answer- c.
Projected cost of home care
A mother brought her 4 year old child to the emergency room with a chief complaint of
difficulty breathing and seizure. How will you categorize the care?
a. Urgent
b. Triage
c. Delayed
d. Immediate - Answer- d. Immediate
The kardex is used during the endorsement of patients by nurses on duty. Which of the
ff is not included
a. It serves as a care summary of patients updated every shift
b. File system is done by nurses that is separate from the patient chart for quick
reference
c. It facilitates clinical decision - making d. It gives a brief overview of each patient -
Answer- c. It facilitates clinical decision - making
,The patient in the emergency room is for admission, but relatives claim that they have
financial problems and want to transfer the patient to a Government institution. What is
the best action of the ER nurse?
a. Explain that FEU hospital has a charity ward that would take care of all their needs.
b. Refer the relative to the Social Worker
c. Have the relative sign the DAMA
d. Explain to the relative the condition of the patient needing urgent admission -
Answer- d. Explain to the relative the condition of the patient needing urgent admission
The student nurse is assigned to triage . Activities includes vital signs and history
taking. Which of the ff does not belong to the group?
a. Immediate
b. Urgent
c. Delayed
d. Imminent - Answer- d. Imminent
What is the best action of the nurse on duty if the patient is discharged , and cannot pay
the cost of the hospital bill?
a. Advise them to seek admission to a government hospital
b. Admit the patient to the charity ward c. Refer the relative to the Social Worker d.
Admit the patient and inform his/her attending doctor - Answer- c. Refer the relative to
the Social Worker
Which of the ff is the least consideration of a well - documented patient care record?
a. Protects your patient
b. Minimizes the potential of being names as a defendant in a lawsuit
c. Demonstrate to the board of nursing that you are a competent nurse
d. Provides attribution or credit to the admitting nurse - Answer- d. Provides attribution
or credit to the admitting nurse
You are assigned to the Emergency Room. the clinical instructor asks you to gather
information about the patient. What will you do?
a. Assess
b. Record
c. Take the history
d. Evaluate - Answer- a. Assess
Which of the ff statements in principles of record writing is incorrect?
a. Patient records should be written immediately after an interview
b. Patients records should contain facts based on observation, conversation, and action
c. Patient's records are valuable legal documents and should be handled carefully
d. Patient's records are not confidential documents - Answer- d. Patient's records are
not confidential documents
The patient was directly admitted to the private room with a Foley catheter and NGT.
What would be the most important detail in the diet's information sheet?
, a. Date of admission
b. Full diet for the watcher
c. Attending medical doctor
d. Type of diet-soft die - Answer- d. Type of diet-soft die
If a patient is admitted to the hospital, all the supplies as well as the medicines must be
provided by the hospital. In some cases, if medicine was bought outside, the nurse
should take what action?
a. Let the pharmacy check and verify the medicine first
b. Refer the case to the resident on duty
c. Ask for the receipt to be sure that the pharmacy outside the hospital is legit
d. Administer it observing the 14 rights in giving medication - Answer- a. Let the
pharmacy check and verify the medicine first
As the nurse on duty in the emergency room, you must do prioritization of care to
determine the severity of the case which is called?
a. Urgent
b. Immediate
c. Triage
d. Delayed - Answer- c. Triage
A 28 year old primigravida woman with an AOG of 31 weeks came to the emergency
room with a chief complaint of vaginal bleeding. The nurse does an initial assessment
and history taking except one
a. Dental Examination
b. Self introduction
c. Past medical history
d. Presenting Complaint - Answer- a. Dental Examination
As the admitting nurse, one of the responsibilities is to explain to the patients about the
Hospital policy regarding Advance directives. The FEU-NRMF policy on the advance
directive is ;
a. Validity extends continuously
b. Valid only for 24 hours
c. It must be notarized to be valid
d. Two nurse's authentications to validate the advance directive - Answer- a. Validity
extends continuously
The doctor in charge of room 301 visited her patient, she gave instructions on
medicines as well as how to perform proper dressing on the incision site. Which of the ff
is the formal termination of patient service by the attending doctor when treatment is
over?
a. Discharge
b. Death
c. Transfer
d. DAMA - Answer- a. Discharge
QUESTIONS WITH COMPLETE
SOLUTIONS
A student nurse is assigned to the emergency room. Their clinical instructor taught them
the Five steps of care in the ER. Which of the ff are arranged accordingly
a. Admission, Triage , Registration , Re-evaluation, Discharge/ Admitted
b. Admission , Triage, Re-evaluation , Registration , Discharge/ Admitted
c. Triage , Admission , Re - evaluation , Registration , Discharge/ Admitted
d. Triage , Admission , Registration , Re - evaluation , Discharge/ Admitted - Answer- d.
Triage , Admission , Registration , Re - evaluation , Discharge/ Admitted
Patient X is for discharge. Who accomplishes the home instructions of the patient?
a. Nursing Aide
b. Staff Nurse
c. Nurse Supervisor
d. Resident on Duty - Answer- b. Staff Nurse
The doctor is making his rounds with his patient, and upon assessment , the patient can
be discharged. Which of the ff is not included in making the discharge summary?
a. Philhealth form
b. Professional fees of Doctors
c. Projected cost of home care
d. The Nursing Aide assists the patient and relative in a wheelchair - Answer- c.
Projected cost of home care
A mother brought her 4 year old child to the emergency room with a chief complaint of
difficulty breathing and seizure. How will you categorize the care?
a. Urgent
b. Triage
c. Delayed
d. Immediate - Answer- d. Immediate
The kardex is used during the endorsement of patients by nurses on duty. Which of the
ff is not included
a. It serves as a care summary of patients updated every shift
b. File system is done by nurses that is separate from the patient chart for quick
reference
c. It facilitates clinical decision - making d. It gives a brief overview of each patient -
Answer- c. It facilitates clinical decision - making
,The patient in the emergency room is for admission, but relatives claim that they have
financial problems and want to transfer the patient to a Government institution. What is
the best action of the ER nurse?
a. Explain that FEU hospital has a charity ward that would take care of all their needs.
b. Refer the relative to the Social Worker
c. Have the relative sign the DAMA
d. Explain to the relative the condition of the patient needing urgent admission -
Answer- d. Explain to the relative the condition of the patient needing urgent admission
The student nurse is assigned to triage . Activities includes vital signs and history
taking. Which of the ff does not belong to the group?
a. Immediate
b. Urgent
c. Delayed
d. Imminent - Answer- d. Imminent
What is the best action of the nurse on duty if the patient is discharged , and cannot pay
the cost of the hospital bill?
a. Advise them to seek admission to a government hospital
b. Admit the patient to the charity ward c. Refer the relative to the Social Worker d.
Admit the patient and inform his/her attending doctor - Answer- c. Refer the relative to
the Social Worker
Which of the ff is the least consideration of a well - documented patient care record?
a. Protects your patient
b. Minimizes the potential of being names as a defendant in a lawsuit
c. Demonstrate to the board of nursing that you are a competent nurse
d. Provides attribution or credit to the admitting nurse - Answer- d. Provides attribution
or credit to the admitting nurse
You are assigned to the Emergency Room. the clinical instructor asks you to gather
information about the patient. What will you do?
a. Assess
b. Record
c. Take the history
d. Evaluate - Answer- a. Assess
Which of the ff statements in principles of record writing is incorrect?
a. Patient records should be written immediately after an interview
b. Patients records should contain facts based on observation, conversation, and action
c. Patient's records are valuable legal documents and should be handled carefully
d. Patient's records are not confidential documents - Answer- d. Patient's records are
not confidential documents
The patient was directly admitted to the private room with a Foley catheter and NGT.
What would be the most important detail in the diet's information sheet?
, a. Date of admission
b. Full diet for the watcher
c. Attending medical doctor
d. Type of diet-soft die - Answer- d. Type of diet-soft die
If a patient is admitted to the hospital, all the supplies as well as the medicines must be
provided by the hospital. In some cases, if medicine was bought outside, the nurse
should take what action?
a. Let the pharmacy check and verify the medicine first
b. Refer the case to the resident on duty
c. Ask for the receipt to be sure that the pharmacy outside the hospital is legit
d. Administer it observing the 14 rights in giving medication - Answer- a. Let the
pharmacy check and verify the medicine first
As the nurse on duty in the emergency room, you must do prioritization of care to
determine the severity of the case which is called?
a. Urgent
b. Immediate
c. Triage
d. Delayed - Answer- c. Triage
A 28 year old primigravida woman with an AOG of 31 weeks came to the emergency
room with a chief complaint of vaginal bleeding. The nurse does an initial assessment
and history taking except one
a. Dental Examination
b. Self introduction
c. Past medical history
d. Presenting Complaint - Answer- a. Dental Examination
As the admitting nurse, one of the responsibilities is to explain to the patients about the
Hospital policy regarding Advance directives. The FEU-NRMF policy on the advance
directive is ;
a. Validity extends continuously
b. Valid only for 24 hours
c. It must be notarized to be valid
d. Two nurse's authentications to validate the advance directive - Answer- a. Validity
extends continuously
The doctor in charge of room 301 visited her patient, she gave instructions on
medicines as well as how to perform proper dressing on the incision site. Which of the ff
is the formal termination of patient service by the attending doctor when treatment is
over?
a. Discharge
b. Death
c. Transfer
d. DAMA - Answer- a. Discharge
