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1. She is the first one to coin the term “NURSING PROCESS” She
introduced 3 steps of nursing process which are Observation,
Ministration and Validation.
A. Nightingale
B. Johnson
C. Rogers
D. Hall
A. APIE – 4
B. ADPIE – 5
C. ADOPIE – 6
D. ADOPIER – 7
3. They are the first one to suggest a 4 step nursing process which are
: APIE , or assessment, planning, implementation and evaluation.
1. Yura
2. Walsh
3. Roy
4. Knowles
A. 1,2
B. 1,3
C. 3,4
D. 2,3
A. 1,3
B. 2,3
C. 2.4
D. 1,4
8. Nurse Angela, observe Joel who is very apprehensive over the
impending operation. The client is experiencing dyspnea, diaphoresis
and asks lots of questions. Angela made a diagnosis of ANXIETY R/T
INTRUSIVE PROCEDURE. This is what type of Nursing Diagnosis?
A. Actual
B. Probable
C. Possible
D. Risk
A. Actual
B. Probable
C. Possible
D. Risk
A. Actual
B. Probable
C. Possible
D. Risk
11. Nurse Angela knew that Stephen Lee Mu Chin, has just undergone
an operation with an incision near the diaphragm. She knew that this
will contribute to some complications later on. She then should
develop what type of Nursing diagnosis?
A. Actual
B. Probable
C. Possible
D. Risk
A. Dizziness
B. Chest pain
C. Anxiety
D. Blue nails
A. Primary
B. Secondary
C. Tertiary
D. Can be A and B
19. All of the following are characteristic of the Nursing process except
A. Dynamic
B. Cyclical
C. Universal
D. Intrapersonal
20. Which of the following is true about the NURSING CARE PLAN?
A. It is nursing centered
B. Rationales are supported by interventions
C. Verbal
D. Atleast 2 goals are needed for every nursing diagnosis
22. Client has undergone Upper GI and Lower GI series. Which type of
health assessment framework is used in this situation?
24. A type of heat loss that occurs when the heat is dissipated by air
current
A. Convection
B. Conduction
C. Radiation
D. Evaporation
A. 40 degree Celsius
B. 39 degree Celsius
C. 100 degree Fahrenheit
D. 105.8 degree Fahrenheit
A. High
B. Low
C. At the low end of the normal range
D. At the high end of the normal range
A. Relapsing
B. Intermittent
C. Remittent
D. Constant
29. John has a fever of 39.5 degrees 2 days ago, But yesterday, he
has a normal temperature of 36.5 degrees. Today, his temperature
surges to 40 degrees. What type of fever is John having?
A. Relapsing
B. Intermittent
C. Remittent
D. Constant
A. Relapsing
B. Intermittent
C. Remittent
D. Constant
A. Tricyclic
B. Bicyclic
C. Biphasic
D. Triphasic
32. When John has been given paracetamol, his fever was brought
down dramatically from 40 degrees Celsius to 36.7 degrees in a matter
of 10 minutes. The nurse would assess this event as:
A. The goal of reducing john’s fever has been met with full satisfaction
of the outcome criteria
B. The desired goal has been partially met
C. The goal is not completely met
D. The goal has been met but not with the desired outcome
criteria
33. What can you expect from Marianne, who is currently at the
ONSET stage of fever?
A. Delirium
B. Goose flesh
C. Cyanotic nail beds
D. Sweating
A. Oral
B. Rectal
C. Tympanic
D. Axillary
A. Oral
B. Rectal
C. Tympanic
D. Axillary
A. Quadriplegic
B. Presence of NGT
C. Dyspnea
D. Nausea and Vomitting
A. Unconscious
B. Neutropenic
C. NPO
D. Very young children
39. How long should the Rectal Thermometer be inserted to the clients
anus?
A. 1 to 2 inches
B. .5 to 1.5 inches
C. 3 to 5 inches
D. 2 to 3 inches
41. How long should the thermometer stay in the Client’s Axilla?
A. 3 minutes
B. 4 minutes
C. 7 minutes
D. 10 minutes
43. The following are correct actions when taking radial pulse except:
A. Apical rate
B. Cardiac rate
C. Pulse deficit
D. Pulse pressure
A. I:E 2:1
B. I:E : 4:3
C I:E 1:1
D. I:E 1:2
A. Medulla oblongata
B. Pons
C. Carotid bodies
D. Aortic bodies
A. Medulla oblongata
B. Pons
C. Carotid bodies
D. Aortic bodies
49. Which of the following is responsible for the rhythm and quality of
breathing?
A. Medulla oblongata
B. Pons
C. Carotid bodies
D. Aortic bodies
A. Medulla oblongata
B. Pons
C. Carotid bodies
D. Aortic bodies
A. Hydrocodone decreases RR
B. Stress increases RR
C. Increase temperature of the environment, Increase RR
D. Increase altitude, Increase RR
53. When does the heart receives blood from the coronary artery?
A. Systole
B. Diastole
C. When the valves opens
D. When the valves closes
54. Which of the following is more life threatening?
A. BP = 180/100
B. BP = 160/120
C. BP = 90/60
D. BP = 80/50
A. Diastole
B. Systole
C. Preload
D. Pulse pressure
A. Hypervolemia lowers BP
B. Hypervolemia increases GFR
C. HCT of 70% might decrease or increase BP
D. Epinephrine decreases BP
58. How many minutes are allowed to pass if the client had engaged in
strenuous activities, smoked or ingested caffeine before taking his/her
BP?
A. 5
B. 10
C. 15
D. 30
59. Too narrow cuff will cause what change in the Client’s BP?
A. If the eye level is higher than the level of the meniscus, it will cause
a false high reading
B. If the eye level is higher than the level of the meniscus, it
will cause a false low reading
C. If the eye level is lower than the level of the meniscus, it will cause
a false low reading
D. If the eye level is equal to that of the level of the upper meniscus,
the reading is accurate
63. How many minute/s is/are allowed to pass before making a re-
reading after the first one?
A. 1
B. 5
C. 15
D. 30
A. RUQ,RLQ,LUQ,LLQ
B. RLQ,RUQ,LLQ,LUQ
C. RUQ,RLQ,LLQ,LUQ
D. RLQ,RUQ,LUQ,LLQ
69. If the client is female, and the doctor is a male and the patient is
about to undergo a vaginal and cervical examination, why is it
necessary to have a female nurse in attendance?
A. Supine
B. Dorsal recumbent
C. Sitting
D. Lithotomy
71. When is the best time to collect urine specimen for routine
urinalysis and C/S?
A. Early morning
B. Later afternoon
C. Midnight
D. Before breakfast
73. In a 24 hour urine specimen started Friday, 9:00 A.M, which of the
following if done by a Nurse indicate a NEED for further procedural
debriefing?
A. The nurse ask the client to urinate at 9:00 A.M, Friday and
she included the urine in the 24 hour urine specimen
B. The nurse discards the Friday 9:00 A M urine of the client
C. The nurse included the Saturday 9:00 A.M urine of the client to the
specimen collection
D. The nurse added preservatives as per protocol and refrigerates the
specimen
74. This specimen is required to assess glucose levels and for the
presence of albumin the the urine
75. When should the client test his blood sugar levels for greater
accuracy?
A. During meals
B. In between meals
C. Before meals
D. 2 Hours after meals
A. Clamp above the port for 30 to 60 minutes before drawing the urine
from the port
B. Clamp below the port for 30 to 60 minutes before drawing
the urine from the port
C. Clamp above the port for 5 to 10 minutes before drawing the urine
from the port
D. Clamp below the port for 5 to 10 minutes before drawing the urine
from the port
A. The nurse added the Urine as the 2/3 part of the solution
B. The nurse heats the test tube after adding 1/3 part acetic
acid
C. The nurse heats the test tube after adding 2/3 part of Urine
D. The nurse determines abnormal result if she noticed that the test
tube becomes cloudy
80. +++ Positive result after Benedicts test is depicted by what color?
A. Blue
B. Green
C. Yellow
D. Orange
81. Clinitest is used in testing the urine of a client for glucose. Which
of the following, If committed by a nurse indicates error?
A. The nurse scoop the specimen specifically at the site with blood and
mucus
B. She took around 1 inch of specimen or a teaspoonful
C. Ask the client to call her for the specimen after the client
wiped off his anus with a tissue
D. Ask the client to defecate in a bedpan, Secure a sterile container
A. The nurse
B. Medical technologist
C. Physician
D. Physical therapist
86. David, 68 year old male client is scheduled for Serum Lipid
analysis. Which of the following health teaching is important to ensure
accurate reading?
A. Tell the patient to eat fatty meals 3 days prior to the procedure
B. NPO for 12 hours pre procedure
C. Ask the client to drink 1 glass of water 1 hour prior to the procedure
D. Tell the client that the normal serum lipase level is 50 to 140 U/L
87. The primary factor responsible for body heat production is the
A. Metabolism
B. Release of thyroxin
C. Muscle activity
D. Stress
A. Medulla oblongata
B. Thalamus
C. Hypothalamus
D. Pons
89. A process of heat loss which involves the transfer of heat from one
surface to another is
A. Radiation
B. Conduction
C. Convection
D. Evaporation
90. Which of the following is a primary factor that affects the BP?
A. Obesity
B. Age
C. Stress
D. Gender
91. The following are social data about the client except
A. Patient’s lifestyle
B. Religious practices
C. Family home situation
D. Usual health status
92. The best position for any procedure that involves vaginal and
cervical examination is
A. Dorsal recumbent
B. Side lying
C. Supine
D. Lithotomy
A. Dorsal recumbent
B. Sitting
C. Standing
D. Supine
A. Dorsal recumbent
B. Side lying
C. Supine
D. Lithotomy
A. Dorsal recumbent
B. Sims position
C. Supine
D. Lithotomy
A. Standing
B. Sitting
C. Side lying
D. Prone
100. In assessing the client’s chest, which position best show chest
expansion as well as its movements?
A. Sitting
B. Prone
C. Sidelying
D. Supine