1. Using the principles of standard precautions, the nurse would wear 10. Exchange of gases takes place in which of the following organ?
gloves in what nursing interventions? A. Kidney
A. Providing a back massage B. Lungs
B. Feeding a client C. Liver
C. Providing hair care D. Heart
D. Providing oral hygiene
11. The chamber of the heart that receives oxygenated blood from the
2. The nurse is preparing to take vital sign in an alert client admitted to lungs is the:
the hospital with dehydration secondary to vomiting and diarrhea. A. Left atrium
What is the best method used to assess the client’s temperature? B. Right atrium
A. Oral C. Left ventricle
B. Axillary D. Right ventricle
C. Radial
D. Heat sensitive tape 12. A muscular enlarge pouch or sac that lies slightly to the left which
is used for temporary storage of food…
3. A nurse obtained a client’s pulse and found the rate to be above A. Gallbladder
normal. The nurse document this findings as: B. Urinary bladder
A. Tachypnea C. Stomach
B. Hyper pyrexia D. Lungs
C. Arrythmia
D. Tachycardia 13. The ability of the body to defend itself against scientific invading
agent such as baceria, toxin, viruses and foreign body
4. Which of the following actions should the nurse take to use a wide A. Hormones
base support when assisting a client to get up in a chair? B. Secretion
A. Bend at the waist and place arms under the client’s arms and lift C. Immunity
B. Face the client, bend knees and place hands on client’s forearm and D. Glands
lift
C. Spread his or her feet apart 14. Hormones secreted by Islets of Langerhans
D. Tighten his or her pelvic muscles A. Progesterone
B. Testosterone
5. A client had oral surgery following a motor vehicle accident. The C. Insulin
nurse assessing the client finds the skin flushed and warm. Which of D. Hemoglobin
the following would be the best method to take the client’s body
temperature? 15. It is a transparent membrane that focuses the light that enters the
A. Oral eyes to the retina.
B. Axillary A. Lens
C. Arterial line B. Sclera
D. Rectal C. Cornea
D. Pupils
6. A client who is unconscious needs frequent mouth care. When
performing a mouth care, the best position of a client is: 16. Which of the following is included in Orem’s theory?
A. Fowler’s position A. Maintenance of a sufficient intake of air
B. Side lying B. Self perception
C. Supine C. Love and belonging
D. Trendelenburg D. Physiologic needs
7. A client is hospitalized for the first time, which of the following 17. Which of the following cluster of data belong to Maslow’s
actions ensure the safety of the client? hierarchy of needs
A. Keep unnecessary furniture out of the way A. Love and belonging
B. Keep the lights on at all time B. Physiologic needs
C. Keep side rails up at all time C. Self actualization
D. Keep all equipment out of view D. All of the above
18. This is characterized by severe symptoms relatively of short
8. A walk-in client enters into the clinic with a chief complaint of duration.
abdominal pain and diarrhea. The nurse takes the client’s vital sign A. Chronic Illness
hereafter. What phrase of nursing process is being implemented here B. Acute Illness
by the nurse? C. Pain
A. Assessment D. Syndrome
B. Diagnosis 19. Which of the following is the nurse’s role in the health promotion
C. Planning A. Health risk appraisal
D. Implementation B. Teach client to be effective health consumer
C. Worksite wellness
9. It is best describe as a systematic, rational method of planning and D. None of the above
providing nursing care for individual, families, group and community
A. Assessment 20. It is describe as a collection of people who share some attributes of
B. Nursing Process their lives.
C. Diagnosis A. Family
D. Implementation B. Illness
C. Community
,D. Nursing C. Under the client’s tongue
D. On the client’s conjunctiva
21. Five teaspoon is equivalent to how many milliliters (ml)? 32. The nurse administers cleansing enema. The common position for
A. 30 ml this procedure is…
B. 25 ml A. Sims left lateral
C. 12 ml B. Dorsal Recumbent
D. 22 ml C. Supine
D. Prone
22. 1800 ml is equal to how many liters?
A. 1.8 33. A client complains of difficulty of swallowing, when the nurse try
B. 18000 to administer capsule medication. Which of the following measures the
C. 180 nurse should do?
D. 2800 A. Dissolve the capsule in a glass of water
B. Break the capsule and give the content with an applesauce
23. Which of the following is the abbreviation of drops? C. Check the availability of a liquid preparation
A. Gtt. D. Crash the capsule and place it under the tongue
B. Gtts.
C. Dp. 34. Which of the following is the appropriate route of administration
D. Dr. for insulin?
A. Intramuscular
B. Intradermal
24. The abbreviation for micro drop is… C. Subcutaneous
A. µgtt D. Intravenous
B. gtt
C. mdr 35. The nurse is ordered to administer ampicillin capsule TID p.o. The
D. mgts nurse should give the medication…
A. Three times a day orally
25. Which of the following is the meaning of PRN? B. Three times a day after meals
A. When advice C. Two time a day by mouth
B. Immediately D. Two times a day before meals
C. When necessary
D. Now 36. Back Care is best describe as:
A. Caring for the back by means of massage
26. Which of the following is the appropriate meaning of CBR? B. Washing of the back
A. Cardiac Board Room C. Application of cold compress at the back
B. Complete Bathroom D. Application of hot compress at the back
C. Complete Bed Rest
D. Complete Board Room 37. It refers to the preparation of the bed with a new set of linens
A. Bed bath
27. One (1) tsp is equals to how many drops? B. Bed making
A. 15 C. Bed shampoo
B. 60 D. Bed lining
C. 10
D. 30 38. Which of the following is the most important purpose of
handwashing
28. 20 cc is equal to how many ml? A. To promote hand circulation
A. 2 B. To prevent the transfer of microorganism
B. 20 C. To avoid touching the client with a dirty hand
C. 2000 D. To provide comfort
D. 20000
39. What should be done in order to prevent contaminating of the
29. 1 cup is equals to how many ounces? environment in bed making?
A. 8 A. Avoid fanning soiled linens
B. 80 B. Strip all linens at the same time
C. 800 C. Finished both sides at the time
D. 8000 D. Embrace soiled linen
30. The nurse must verify the client’s identity before administration of 40. The most important purpose of cleansing bed bath is:
medication. Which of the following is the safest way to identify the A. To cleanse, refresh and give comfort to the client who must remain
client? in bed
A. Ask the client his name B. To expose the necessary parts of the body
B. Check the client’s identification band C. To develop skills in bed bath
C. State the client’s name aloud and have the client repeat it D. To check the body temperature of the client in bed
D. Check the room number
41. Which of the following technique involves the sense of sight?
31. The nurse prepares to administer buccal medication. The medicine A. Inspection
should be placed… B. Palpation
A. On the client’s skin C. Percussion
B. Between the client’s cheeks and gums D. Auscultation
, 9. B. Nursing Process
42. The first techniques used examining the abdomen of a client is: 10. B. Lungs
A. Palpation 11. A. Left atrium
B. Auscultation 12. C. Stomach
C. Percussion 13. C. Immunity
D. Inspection 14. C. Insulin
43. A technique in physical examination that is use to assess the 15. C. Cornea
movement of air through the tracheobronchial tree: 16. A. Maintenance of a sufficient intake of air
A. Palpation 17. D. All of the above
B. Auscultation 18 . B. Acute Illness
C. Inspection 19. B. Teach client to be effective health consumer
D. Percussion 20. C. Community
21. B. 25 ml
44. An instrument used for auscultation is: 22. A. 1.8
A. Percussion-hammer 23. B. Gtts.
B. Audiometer 24. A. µgtt
C. Stethoscope 25. C. When necessary
D. Sphygmomanometer 26.C. Complete Bed Rest
27. B. 60
45. Resonance is best describe as: 28. B. 20
A. Sounds created by air filled lungs 29. A. 8
B. Short, high pitch and thudding 30. A. Ask the client his name
C. Moderately loud with musical quality 31. B. Between the client’s cheeks and gums
D. Drum-like 32. A. Sims left lateral
33. C. Check the availability of a liquid preparation
46. The best position for examining the rectum is: 34. C. Subcutaneous
A. Prone 35. A. Three times a day orally
B. Sim’s 36. A. Caring for the back by means of massage
C. Knee-chest 37. B. Bed making
D. Lithotomy 38. B. To prevent the transfer of microorganism
39. A. Avoid funning soiled linens
47. It refers to the manner of walking 40. A. To cleanse, refresh and give comfort to the client who must remain
A. Gait in bed
B. Range of motion 41. A. Inspection
C. Flexion and extension 42. D. Inspection
D. Hopping 43. B. Auscultation
44. C. Stethoscope
48. The nurse asked the client to read the Snellen chart. Which of the 45. A. Sounds created by air filled lungs
following is tested: 46. C. Knee-chest
A. Optic 47. A. Gait
B. Olfactory 48. A. Optic
C. Oculomotor 49. B. Genu-pectoral
D. Troclear 50. D. Use the Z-track technique
49. Another name for knee-chest position is:
A. Genu-dorsal PART II
B. Genu-pectoral 1. The most important nursing intervention to correct skin dryness is:
C. Lithotomy a. Avoid bathing the patient until the condition is remedied, and notify the
D. Sim’s physician
b. Ask the physician to refer the patient to a dermatologist, and suggest that
50. The nurse prepare IM injection that is irritating to the subcutaneous the patient wear home-laundered sleepwear
tissue. Which of the following is the best action in order to prevent tracking c. Consult the dietitian about increasing the patient’s fat intake, and take
of the medication necessary measures to prevent infection
A. Use a small gauge needle d. Encourage the patient to increase his fluid intake, use non-irritating soap
B. Apply ice on the injection site when bathing the patient, and apply lotion to the involved areas
C. Administer at a 45° angle
D. Use the Z-track technique 2. When bathing a patient’s extremities, the nurse should use long,
firm strokes from the distal to the proximal areas. This technique:
Answers a. Provides an opportunity for skin assessment
Only answers are included below. If you have something you don’t b. Avoids undue strain on the nurse
understand, please direct them at the comments section. c. Increases venous blood return
1. D. Providing oral hygiene d. Causes vasoconstriction and increases circulation
2. B. Axillary
3. D. Tachycardia 3. Vivid dreaming occurs in which stage of sleep?
4. B. Face the client, bend knees and place hands on client’s forearm and a. Stage I non-REM
lift b. Rapid eye movement (REM) stage
5. B. Axillary c. Stage II non-REM
6. B. Side lying d. Delta stage
7. C. Keep side rails up at all time
8. A. Assessment
gloves in what nursing interventions? A. Kidney
A. Providing a back massage B. Lungs
B. Feeding a client C. Liver
C. Providing hair care D. Heart
D. Providing oral hygiene
11. The chamber of the heart that receives oxygenated blood from the
2. The nurse is preparing to take vital sign in an alert client admitted to lungs is the:
the hospital with dehydration secondary to vomiting and diarrhea. A. Left atrium
What is the best method used to assess the client’s temperature? B. Right atrium
A. Oral C. Left ventricle
B. Axillary D. Right ventricle
C. Radial
D. Heat sensitive tape 12. A muscular enlarge pouch or sac that lies slightly to the left which
is used for temporary storage of food…
3. A nurse obtained a client’s pulse and found the rate to be above A. Gallbladder
normal. The nurse document this findings as: B. Urinary bladder
A. Tachypnea C. Stomach
B. Hyper pyrexia D. Lungs
C. Arrythmia
D. Tachycardia 13. The ability of the body to defend itself against scientific invading
agent such as baceria, toxin, viruses and foreign body
4. Which of the following actions should the nurse take to use a wide A. Hormones
base support when assisting a client to get up in a chair? B. Secretion
A. Bend at the waist and place arms under the client’s arms and lift C. Immunity
B. Face the client, bend knees and place hands on client’s forearm and D. Glands
lift
C. Spread his or her feet apart 14. Hormones secreted by Islets of Langerhans
D. Tighten his or her pelvic muscles A. Progesterone
B. Testosterone
5. A client had oral surgery following a motor vehicle accident. The C. Insulin
nurse assessing the client finds the skin flushed and warm. Which of D. Hemoglobin
the following would be the best method to take the client’s body
temperature? 15. It is a transparent membrane that focuses the light that enters the
A. Oral eyes to the retina.
B. Axillary A. Lens
C. Arterial line B. Sclera
D. Rectal C. Cornea
D. Pupils
6. A client who is unconscious needs frequent mouth care. When
performing a mouth care, the best position of a client is: 16. Which of the following is included in Orem’s theory?
A. Fowler’s position A. Maintenance of a sufficient intake of air
B. Side lying B. Self perception
C. Supine C. Love and belonging
D. Trendelenburg D. Physiologic needs
7. A client is hospitalized for the first time, which of the following 17. Which of the following cluster of data belong to Maslow’s
actions ensure the safety of the client? hierarchy of needs
A. Keep unnecessary furniture out of the way A. Love and belonging
B. Keep the lights on at all time B. Physiologic needs
C. Keep side rails up at all time C. Self actualization
D. Keep all equipment out of view D. All of the above
18. This is characterized by severe symptoms relatively of short
8. A walk-in client enters into the clinic with a chief complaint of duration.
abdominal pain and diarrhea. The nurse takes the client’s vital sign A. Chronic Illness
hereafter. What phrase of nursing process is being implemented here B. Acute Illness
by the nurse? C. Pain
A. Assessment D. Syndrome
B. Diagnosis 19. Which of the following is the nurse’s role in the health promotion
C. Planning A. Health risk appraisal
D. Implementation B. Teach client to be effective health consumer
C. Worksite wellness
9. It is best describe as a systematic, rational method of planning and D. None of the above
providing nursing care for individual, families, group and community
A. Assessment 20. It is describe as a collection of people who share some attributes of
B. Nursing Process their lives.
C. Diagnosis A. Family
D. Implementation B. Illness
C. Community
,D. Nursing C. Under the client’s tongue
D. On the client’s conjunctiva
21. Five teaspoon is equivalent to how many milliliters (ml)? 32. The nurse administers cleansing enema. The common position for
A. 30 ml this procedure is…
B. 25 ml A. Sims left lateral
C. 12 ml B. Dorsal Recumbent
D. 22 ml C. Supine
D. Prone
22. 1800 ml is equal to how many liters?
A. 1.8 33. A client complains of difficulty of swallowing, when the nurse try
B. 18000 to administer capsule medication. Which of the following measures the
C. 180 nurse should do?
D. 2800 A. Dissolve the capsule in a glass of water
B. Break the capsule and give the content with an applesauce
23. Which of the following is the abbreviation of drops? C. Check the availability of a liquid preparation
A. Gtt. D. Crash the capsule and place it under the tongue
B. Gtts.
C. Dp. 34. Which of the following is the appropriate route of administration
D. Dr. for insulin?
A. Intramuscular
B. Intradermal
24. The abbreviation for micro drop is… C. Subcutaneous
A. µgtt D. Intravenous
B. gtt
C. mdr 35. The nurse is ordered to administer ampicillin capsule TID p.o. The
D. mgts nurse should give the medication…
A. Three times a day orally
25. Which of the following is the meaning of PRN? B. Three times a day after meals
A. When advice C. Two time a day by mouth
B. Immediately D. Two times a day before meals
C. When necessary
D. Now 36. Back Care is best describe as:
A. Caring for the back by means of massage
26. Which of the following is the appropriate meaning of CBR? B. Washing of the back
A. Cardiac Board Room C. Application of cold compress at the back
B. Complete Bathroom D. Application of hot compress at the back
C. Complete Bed Rest
D. Complete Board Room 37. It refers to the preparation of the bed with a new set of linens
A. Bed bath
27. One (1) tsp is equals to how many drops? B. Bed making
A. 15 C. Bed shampoo
B. 60 D. Bed lining
C. 10
D. 30 38. Which of the following is the most important purpose of
handwashing
28. 20 cc is equal to how many ml? A. To promote hand circulation
A. 2 B. To prevent the transfer of microorganism
B. 20 C. To avoid touching the client with a dirty hand
C. 2000 D. To provide comfort
D. 20000
39. What should be done in order to prevent contaminating of the
29. 1 cup is equals to how many ounces? environment in bed making?
A. 8 A. Avoid fanning soiled linens
B. 80 B. Strip all linens at the same time
C. 800 C. Finished both sides at the time
D. 8000 D. Embrace soiled linen
30. The nurse must verify the client’s identity before administration of 40. The most important purpose of cleansing bed bath is:
medication. Which of the following is the safest way to identify the A. To cleanse, refresh and give comfort to the client who must remain
client? in bed
A. Ask the client his name B. To expose the necessary parts of the body
B. Check the client’s identification band C. To develop skills in bed bath
C. State the client’s name aloud and have the client repeat it D. To check the body temperature of the client in bed
D. Check the room number
41. Which of the following technique involves the sense of sight?
31. The nurse prepares to administer buccal medication. The medicine A. Inspection
should be placed… B. Palpation
A. On the client’s skin C. Percussion
B. Between the client’s cheeks and gums D. Auscultation
, 9. B. Nursing Process
42. The first techniques used examining the abdomen of a client is: 10. B. Lungs
A. Palpation 11. A. Left atrium
B. Auscultation 12. C. Stomach
C. Percussion 13. C. Immunity
D. Inspection 14. C. Insulin
43. A technique in physical examination that is use to assess the 15. C. Cornea
movement of air through the tracheobronchial tree: 16. A. Maintenance of a sufficient intake of air
A. Palpation 17. D. All of the above
B. Auscultation 18 . B. Acute Illness
C. Inspection 19. B. Teach client to be effective health consumer
D. Percussion 20. C. Community
21. B. 25 ml
44. An instrument used for auscultation is: 22. A. 1.8
A. Percussion-hammer 23. B. Gtts.
B. Audiometer 24. A. µgtt
C. Stethoscope 25. C. When necessary
D. Sphygmomanometer 26.C. Complete Bed Rest
27. B. 60
45. Resonance is best describe as: 28. B. 20
A. Sounds created by air filled lungs 29. A. 8
B. Short, high pitch and thudding 30. A. Ask the client his name
C. Moderately loud with musical quality 31. B. Between the client’s cheeks and gums
D. Drum-like 32. A. Sims left lateral
33. C. Check the availability of a liquid preparation
46. The best position for examining the rectum is: 34. C. Subcutaneous
A. Prone 35. A. Three times a day orally
B. Sim’s 36. A. Caring for the back by means of massage
C. Knee-chest 37. B. Bed making
D. Lithotomy 38. B. To prevent the transfer of microorganism
39. A. Avoid funning soiled linens
47. It refers to the manner of walking 40. A. To cleanse, refresh and give comfort to the client who must remain
A. Gait in bed
B. Range of motion 41. A. Inspection
C. Flexion and extension 42. D. Inspection
D. Hopping 43. B. Auscultation
44. C. Stethoscope
48. The nurse asked the client to read the Snellen chart. Which of the 45. A. Sounds created by air filled lungs
following is tested: 46. C. Knee-chest
A. Optic 47. A. Gait
B. Olfactory 48. A. Optic
C. Oculomotor 49. B. Genu-pectoral
D. Troclear 50. D. Use the Z-track technique
49. Another name for knee-chest position is:
A. Genu-dorsal PART II
B. Genu-pectoral 1. The most important nursing intervention to correct skin dryness is:
C. Lithotomy a. Avoid bathing the patient until the condition is remedied, and notify the
D. Sim’s physician
b. Ask the physician to refer the patient to a dermatologist, and suggest that
50. The nurse prepare IM injection that is irritating to the subcutaneous the patient wear home-laundered sleepwear
tissue. Which of the following is the best action in order to prevent tracking c. Consult the dietitian about increasing the patient’s fat intake, and take
of the medication necessary measures to prevent infection
A. Use a small gauge needle d. Encourage the patient to increase his fluid intake, use non-irritating soap
B. Apply ice on the injection site when bathing the patient, and apply lotion to the involved areas
C. Administer at a 45° angle
D. Use the Z-track technique 2. When bathing a patient’s extremities, the nurse should use long,
firm strokes from the distal to the proximal areas. This technique:
Answers a. Provides an opportunity for skin assessment
Only answers are included below. If you have something you don’t b. Avoids undue strain on the nurse
understand, please direct them at the comments section. c. Increases venous blood return
1. D. Providing oral hygiene d. Causes vasoconstriction and increases circulation
2. B. Axillary
3. D. Tachycardia 3. Vivid dreaming occurs in which stage of sleep?
4. B. Face the client, bend knees and place hands on client’s forearm and a. Stage I non-REM
lift b. Rapid eye movement (REM) stage
5. B. Axillary c. Stage II non-REM
6. B. Side lying d. Delta stage
7. C. Keep side rails up at all time
8. A. Assessment
