Professional Documents
Culture Documents
SITUATIONAL
1. The sterile nurse or sterile personnel touch only sterile supplies and instruments.
When there is a need for sterile supply which is not in the sterile field, who hands
out these items by opening its outer cover?
A. Circulating Nurse
B. Anaesthesiologist
C. Surgeon
D. Nursing Aide
A. Scrub Nurse
B. Surgeon
C. Anaesthesiologist
D. Circulating Nurse
A. Rehabilitation department
B. Laboratory department
C. Maintenance department
D. Radiology department
4. Minimally invasive surgery is very much into technology. Aside from the usual
surgical team, who else has to be present when a client undergoes laparoscopic
surgery?
A. Information technician
B. Biomedical technician
C. Electrician
D. Laboratory technician
A. Security Division
B. Chaiplaincy
C. Social Service Section
D. Pathology department
Situation 2 – You are assigned in the Orthopedic Ward where clients are
complaining of pain in varying degrees upon movement of body parts.
6. Troy is a one day post open reduction and internal fixation (ORIF) of the left hip
and is in pain. Which of the following observation would prompt you to call the
doctor?
8. You continuously evaluate the client’s adaptation to pain. Which of the following
behaviors indicate appropriate adaptation?
9. Pain in ortho cases may not be mainly due to the surgery. There might be other
factors such as cultural or psychological that influence pain. How can you alter these
factors as the nurse?
A. Explain all the possible interventions that may cause the client to worry
B. Establish trusting relationship by giving his medication on time
C. Stay with the client during pain episodes
D. Promote client’s sense of control and participation in control by listening to his
concerns
10. In some hip surgeries, an epidural catheter for Fentanyl epidural analgesia is
given. What is your nursing priority care in such a case?
Situation 3 – Records are vital tools in any institution and should be properly
maintained for specific use and time.
11. The patient’s medical record can work as a double edged sword. When can the
medical record become the doctor’s/nurse’s worst enemy?
13. In the hospital, when you need the medical record of a discharged patient for
research you will request permission through:
A. Doctor in charge
B. The hospital director
C. The nursing service
D. Medical records section
14. You readmitted a client who was in another department a month ago. Since you
will need the previous chart, from whom do you request the old chart?
15. Records Management and Archives Office of the DOH is responsible for
implementing its policies on record disposal. You know that your institution is
covered by this policy if:
Situation 4 – In the OR, there are safety protocols that should be followed. The OR
nurse should be well versed with all these to safeguard the safety and quality of
patient delivery outcome.
16. Which of the following should be given highest priority when receiving patient in
the OR?
17. Surgeries like I and D (incision and drainage) and debridement are relatively
short procedures but considered ‘dirty cases’. When are these procedures best
scheduled?
A. Last case
B. In between cases
C. According to availability of anaesthesiologist
D. According to the surgeon’s preference
18. OR nurses should be aware that maintaining the client’s safety is the overall
goal of nursing care during the intraoperative phase. As the circulating nurse, you
make certain that throughout the procedure…
19. Another nursing check that should not be missed before the induction of general
anesthesia is:
20. Some lifetime habits and hobbies affect postoperative respiratory function. If
your client smokes 3 packs of cigarettes a day for the past 10 years, you will
anticipate increased risk for:
21. Which of the following role would be the responsibility of the scrub nurse?
22. As a perioperative nurse, how can you best meet the safety need of the client
after administering preoperative narcotic?
A. Put side rails up and ask the client not to get out of bed
B. Send the client to OR with the family
C. Allow client to get up to go to the comfort room
D. Obtain consent form
23. It is the responsibility of the pre-op nurse to do skin prep for patients
undergoing surgery. If hair at the operative site is not shaved, what should be done
to make suturing easy and lessen chance of incision infection?
A. Draped
B. Pulled
C. Clipped
D. Shampooed
24. It is also the nurse’s function to determine when infection is developing in the
surgical incision. The perioperative nurse should observe for what signs of
impending infection?
25. Which of the following nursing interventions is done when examining the
incision wound and changing the dressing?
A. Observe the dressing and type and odor of drainage if any
B. Get patient’s consent
C. Wash hands
D. Request the client to expose the incision wound
Situation 6 – Carlo, 16 years old, comes to the ER with acute asthmatic attack. RR
is 46/min and he appears to be in acute respiratory distress.
27. Aminophylline was ordered for acute asthmatic attack. The mother asked the
nurse, what is its indication, the nurse will say:
28. You will give health instructions to Carlo, a case of bronchial asthma. The health
instruction will include the following, EXCEPT:
29. The asthmatic client asked you what breathing techniques he can best practice
when asthmatic attack starts. What will be the best position?
30. As a nurse, you are always alerted to monitor status asthmaticus who will likely
and initially manifest symptoms of:
A. metabolic alkalosis
B. respiratory acidosis
C. respiratory alkalosis
D. metabolic acidosis
31. As the head nurse in the OR, how can you improve the effectiveness of clinical
alarm systems?
32. Overdosage of medication or anesthetic can happen even with the aid of
technology like infusion pumps, sphygmomanometer and similar devices/machines.
As a staff, how can you improve the safety of using infusion pumps?
33. JCAHOs universal protocol for surgical and invasive procedures to prevent wrong
site, wrong person, and wrong procedure/surgery includes the following, EXCEPT:
34. You identified a potential risk of pre-and postoperative clients. To reduce the
risk of patient harm resulting from fall, you can implement the following, EXCEPT:
A. Assess potential risk of fall associated with the patient’s medication regimen
B. Take action to address any identified risks through Incident Report (IR)
C. Allow client to walk with relative to the OR
D. Assess and periodically reassess individual client’s risk for falling
35. As a nurse, you know you can improve on accuracy of patient’s identification by
2 patient identifiers, EXCEPT:
A. identify the client by his/her wrist tag and verify with family members
B. identify client by his/her wrist tag and call his/her by name
C. call the client by his/her case and bed number
D. call the patient by his/her name and bed number
36. If you are the nurse in charge for scheduling surgical cases, what important
information do you need to ask the surgeon?
A. Who is your internist
B. Who is your assistant and anesthesiologist, and what is your preferred time and
type of surgery?
C. Who are your anesthesiologist, internist, and assistant
D. Who is your anesthesiologist
37. In the OR, the nursing tandem for every surgery is:
38. While team effort is needed in the OR for efficient and quality patient care
delivery, we should limit the number of people in the room for infection control.
Who comprise this team?
39. When surgery is on-going, who coordinates the activities outside, including the
family?
A. Orderly/clerk
B. Nurse Supervisor
C. Circulating Nurse
D. Anesthesiologist
A. Electricity
B. Inadequate supply
C. Leg work
D. Communication
41. Skin care around the stoma is critical. Which of the following is not indicated as
a skin care barriers?
A. Increased weight
B. Irritation of skin around the stoma
C. Liquid stool
D. Establishment of regular bowel movement
44. The following are appropriate nursing interventions during colostomy irrigation,
EXCEPT:
A. Increase the irrigating solution flow rate when abdominal cramps is felt
B. Insert 2-4 inches of an adequately lubricated catheter to the stoma
C. Position client in semi-Fowler
D. Hang the solution 18 inches above the stoma
45. What sensation is used as a gauge so that patients with ileostomy can
determine how often their pouch should be drained?
A. Sensation of taste
B. Sensation of pressure
C. Sensation of smell
D. Urge to defecate
A. Control group
B. Study subjects
C. General population
D. Universe
A. Randomization
B. Appropriate location
C. Appropriate number
D. Representativeness
48. Random sampling ensures that each subject has:
49. Which of the following methods allows the use of any group of research subject?
A. Purposive
B. Convenience
C. Snow-ball
D. Quota
50. You decided to include 5 barangays in your municipality and chose a sampling
method that would get representative samples from each barangay. What should be
the appropriate method ofor you to use in this care?
A. Cluster sampling
B. Random sampling
C. Startified ampling
D. Systematic sampling
ANSWER KEY:
SITUATIONAL
1. The sterile nurse or sterile personnel touch only sterile supplies and instruments.
When there is a need for sterile supply which is not in the sterile field, who hands
out these items by opening its outer cover?
Circulating Nurse
Anaesthesiologist
4. Minimally invasive surgery is very much into technology. Aside from the usual
surgical team, who else has to be present when a client undergoes laparoscopic
surgery?
Biomedical technician
Situation 2 – You are assigned in the Orthopedic Ward where clients are
complaining of pain in varying degrees upon movement of body parts.
6. Troy is a one day post open reduction and internal fixation (ORIF) of the left hip
and is in pain. Which of the following observation would prompt you to call the
doctor?
At 11 pm
8. You continuously evaluate the client’s adaptation to pain. Which of the following
behaviors indicate appropriate adaptation?
9. Pain in ortho cases may not be mainly due to the surgery. There might be other
factors such as cultural or psychological that influence pain. How can you alter these
factors as the nurse?
10. In some hip surgeries, an epidural catheter for Fentanyl epidural analgesia is
given. What is your nursing priority care in such a case?
Situation 3 – Records are vital tools in any institution and should be properly
maintained for specific use and time.
11. The patient’s medical record can work as a double edged sword. When can the
medical record become the doctor’s/nurse’s worst enemy?
13. In the hospital, when you need the medical record of a discharged patient for
research you will request permission through:
14. You readmitted a client who was in another department a month ago. Since you
will need the previous chart, from whom do you request the old chart?
15. Records Management and Archives Office of the DOH is responsible for
implementing its policies on record disposal. You know that your institution is
covered by this policy if:
Situation 4 – In the OR, there are safety protocols that should be followed. The OR
nurse should be well versed with all these to safeguard the safety and quality of
patient delivery outcome.
16. Which of the following should be given highest priority when receiving patient in
the OR?
17. Surgeries like I and D (incision and drainage) and debridement are relatively
short procedures but considered ‘dirty cases’. When are these procedures best
scheduled?
Last case
18. OR nurses should be aware that maintaining the client’s safety is the overall
goal of nursing care during the intraoperative phase. As the circulating nurse, you
make certain that throughout the procedure…
strap made of strong non-abrasive materials are fastened securely around the joints
of the knees and ankles and around the 2 hands around an arm board.
19. Another nursing check that should not be missed before the induction of general
anesthesia is:
20. Some lifetime habits and hobbies affect postoperative respiratory function. If
your client smokes 3 packs of cigarettes a day for the past 10 years, you will
anticipate increased risk for:
21. Which of the following role would be the responsibility of the scrub nurse?
Account for the number of sponges, needles, supplies, used during the surgical
procedure.
22. As a perioperative nurse, how can you best meet the safety need of the client
after administering preoperative narcotic?
Put side rails up and ask the client not to get out of bed
23. It is the responsibility of the pre-op nurse to do skin prep for patients
undergoing surgery. If hair at the operative site is not shaved, what should be done
to make suturing easy and lessen chance of incision infection?
Clipped
24. It is also the nurse’s function to determine when infection is developing in the
surgical incision. The perioperative nurse should observe for what signs of
impending infection?
25. Which of the following nursing interventions is done when examining the
incision wound and changing the dressing?
Situation 6 – Carlo, 16 years old, comes to the ER with acute asthmatic attack. RR
is 46/min and he appears to be in acute respiratory distress.
27. Aminophylline was ordered for acute asthmatic attack. The mother asked the
nurse, what is its indication, the nurse will say:
28. You will give health instructions to Carlo, a case of bronchial asthma. The health
instruction will include the following, EXCEPT:
29. The asthmatic client asked you what breathing techniques he can best practice
when asthmatic attack starts. What will be the best position?
30. As a nurse, you are always alerted to monitor status asthmaticus who will likely
and initially manifest symptoms of:
respiratory acidosis
31. As the head nurse in the OR, how can you improve the effectiveness of clinical
alarm systems?
32. Overdosage of medication or anesthetic can happen even with the aid of
technology like infusion pumps, sphygmomanometer and similar devices/machines.
As a staff, how can you improve the safety of using infusion pumps?
33. JCAHOs universal protocol for surgical and invasive procedures to prevent wrong
site, wrong person, and wrong procedure/surgery includes the following, EXCEPT:
34. You identified a potential risk of pre-and postoperative clients. To reduce the
risk of patient harm resulting from fall, you can implement the following, EXCEPT:
35. As a nurse, you know you can improve on accuracy of patient’s identification by
2 patient identifiers, EXCEPT:
36. If you are the nurse in charge for scheduling surgical cases, what important
information do you need to ask the surgeon?
Who is your assistant and anesthesiologist, and what is your preferred time and
type of surgery?
37. In the OR, the nursing tandem for every surgery is:
38. While team effort is needed in the OR for efficient and quality patient care
delivery, we should limit the number of people in the room for infection control.
Who comprise this team?
39. When surgery is on-going, who coordinates the activities outside, including the
family?
Circulating Nurse
Communication
41. Skin care around the stoma is critical. Which of the following is not indicated as
a skin care barriers?
Increased weight
44. The following are appropriate nursing interventions during colostomy irrigation,
EXCEPT:
Increase the irrigating solution flow rate when abdominal cramps is felt
45. What sensation is used as a gauge so that patients with ileostomy can
determine how often their pouch should be drained?
Sensation of pressure
General population
Representativeness
49. Which of the following methods allows the use of any group of research subject?
Convenience
50. You decided to include 5 barangays in your municipality and chose a sampling
method that would get representative samples from each barangay. What should be
the appropriate method ofor you to use in this care?
Cluster sampling