1. Using the principles of standard precautions, the nurse would wear gloves in what
nursing interventions?
A. Providing a back massage
B. Feeding a client
C. Providing hair care
D. Providing oral hygiene
2. The nurse is preparing to take vital sign in an alert client admitted to the hospital
with dehydration secondary to vomiting and diarrhea. What is the best method used
to assess the client’s temperature?
A. Oral
B. Axillary
C. Radial
D. Heat sensitive tape
3. A nurse obtained a client’s pulse and found the rate to be above normal. The
nurse document these findings as:
A. Tachypnea
B. Hyperpyrexia
C. Arrhythmia
D. Tachycardia
4. Which of the following actions should the nurse take to use a wide base support
when assisting a client to get up in a chair?
A. Bend at the waist and place arms under the client’s arms and lift
B. Face the client, bend knees and place hands on client’s forearm and lift
C. Spread his or her feet apart
D. Tighten his or her pelvic muscles
,5. A client had oral surgery following a motor vehicle accident. The nurse assessing
the client finds the skin flushed and warm. Which of the following would be the best
method to take the client’s body temperature?
A. Oral
B. Axillary
C. Arterial line
D. Rectal
6. A client who is unconscious needs frequent mouth care. When performing a
mouth care, the best position of a client is:
A. Fowler’s position
B. Side lying
C. Supine
D. Trendelenburg
7. A client is hospitalized for the first time, which of the following actions ensure the
safety of the client?
A. Keep unnecessary furniture out of the way
B. Keep the lights on at all time
C. Keep side rails up at all time
D. Keep all equipment out of view
8. A walk-in client enters into the clinic with a chief complaint of
abdominal pain and diarrhea. The nurse takes the client’s vital sign hereafter. What
phrase of nursing process is being implemented here by the nurse?
A. Assessment
B. Diagnosis
,C. Planning
D. Implementation
9. It is best describe as a systematic, rational method of planning and providing
nursing care for individual, families, group and community
A. Assessment
B. Nursing Process
C. Diagnosis
D. Implementation
10. Exchange of gases takes place in which of the following organ?
A. Kidney
B. Lungs
C. Liver
D. Heart
11. The chamber of the heart that receives oxygenated blood from the lungs is the:
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricle
12. A muscular enlarge pouch or sac that lies slightly to the left which is used for
temporary storage of food…
A. Gallbladder
B. Urinary bladder
C. Stomach
D. Lungs
, 13. The ability of the body to defend itself against scientific invading agent such as
baceria, toxin, viruses and foreign body
A. Hormones
B. Secretion
C. Immunity
D. Glands
14. Hormones secreted by Islets of Langerhans
A. Progesterone
B. Testosterone
C. Insulin
D. Hemoglobin
15. It is a transparent membrane that focuses the light that enters the eyes to the
retina.
A. Lens
B. Sclera
C. Cornea
D. Pupils
16. Which of the following is included in Orem’s theory?
A. Maintenance of a sufficient intake of air
B. Self perception
C. Love and belongingness
D. Physiologic needs
17. Which of the following cluster of data belong to Maslow’s hierarchy of needs
nursing interventions?
A. Providing a back massage
B. Feeding a client
C. Providing hair care
D. Providing oral hygiene
2. The nurse is preparing to take vital sign in an alert client admitted to the hospital
with dehydration secondary to vomiting and diarrhea. What is the best method used
to assess the client’s temperature?
A. Oral
B. Axillary
C. Radial
D. Heat sensitive tape
3. A nurse obtained a client’s pulse and found the rate to be above normal. The
nurse document these findings as:
A. Tachypnea
B. Hyperpyrexia
C. Arrhythmia
D. Tachycardia
4. Which of the following actions should the nurse take to use a wide base support
when assisting a client to get up in a chair?
A. Bend at the waist and place arms under the client’s arms and lift
B. Face the client, bend knees and place hands on client’s forearm and lift
C. Spread his or her feet apart
D. Tighten his or her pelvic muscles
,5. A client had oral surgery following a motor vehicle accident. The nurse assessing
the client finds the skin flushed and warm. Which of the following would be the best
method to take the client’s body temperature?
A. Oral
B. Axillary
C. Arterial line
D. Rectal
6. A client who is unconscious needs frequent mouth care. When performing a
mouth care, the best position of a client is:
A. Fowler’s position
B. Side lying
C. Supine
D. Trendelenburg
7. A client is hospitalized for the first time, which of the following actions ensure the
safety of the client?
A. Keep unnecessary furniture out of the way
B. Keep the lights on at all time
C. Keep side rails up at all time
D. Keep all equipment out of view
8. A walk-in client enters into the clinic with a chief complaint of
abdominal pain and diarrhea. The nurse takes the client’s vital sign hereafter. What
phrase of nursing process is being implemented here by the nurse?
A. Assessment
B. Diagnosis
,C. Planning
D. Implementation
9. It is best describe as a systematic, rational method of planning and providing
nursing care for individual, families, group and community
A. Assessment
B. Nursing Process
C. Diagnosis
D. Implementation
10. Exchange of gases takes place in which of the following organ?
A. Kidney
B. Lungs
C. Liver
D. Heart
11. The chamber of the heart that receives oxygenated blood from the lungs is the:
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricle
12. A muscular enlarge pouch or sac that lies slightly to the left which is used for
temporary storage of food…
A. Gallbladder
B. Urinary bladder
C. Stomach
D. Lungs
, 13. The ability of the body to defend itself against scientific invading agent such as
baceria, toxin, viruses and foreign body
A. Hormones
B. Secretion
C. Immunity
D. Glands
14. Hormones secreted by Islets of Langerhans
A. Progesterone
B. Testosterone
C. Insulin
D. Hemoglobin
15. It is a transparent membrane that focuses the light that enters the eyes to the
retina.
A. Lens
B. Sclera
C. Cornea
D. Pupils
16. Which of the following is included in Orem’s theory?
A. Maintenance of a sufficient intake of air
B. Self perception
C. Love and belongingness
D. Physiologic needs
17. Which of the following cluster of data belong to Maslow’s hierarchy of needs
