1.

When examining a patient with abdominal pain the nurse in charge should assess:
a. Any quadrant first
b. The symptomatic quadrant first
c. The symptomatic quadrant last
d. The symptomatic quadrant either second or third

- Answer C. The nurse should systematically assess all areas of the abdomen, if time and
the patient’s condition permit, concluding with the symptomatic area. Otherwise, the
nurse may elicit pain in the symptomatic area, causing the muscles in other areas to
tighten. This would interfere with further assessment.

2. . Which of the following planes divides the body longitudinally into anterior and
posterior regions?
a. Frontal plane
b. Sagittal plane
c. Midsagittal plane
d. Transverse plane

-Answer A. Frontal or coronal plane runs longitudinally at a right angle to a sagittal plane
dividing the body in anterior and posterior regions. A sagittal plane runs longitudinally
dividing the body into right and left regions; if exactly midline, it is called a midsagittal
plane. A transverse plane runs horizontally at a right angle to the vertical axis, dividing
the structure into superior and inferior regions.

3. The nurse in charge is transferring a patient from the bed to a chair. Which action does
the nurse take during this patient transfer?
a. Position the head of the bed flat
b. Helps the patient dangle the legs
c. Stands behind the patient
d. Places the chair facing away from the bed

-Answer B. After placing the patient in high Fowler’s position and moving the patient to
the side of the bed, the nurse helps the patient sit on the edge of the bed and dangle the
legs; the nurse then faces the patient and places the chair next to and facing the head of
the bed.

4. . Before administering the evening dose of a prescribed medication, the nurse on the
evening shift finds an unlabeled, filled syringe in the patient’s medication drawer. What
should the nurse in charge do?
a. Discard the syringe to avoid a medication error
b. Obtain a label for the syringe from the pharmacy
c. Use the syringe because it looks like it contains the same medication the nurse was
prepared to give
d. Call the day nurse to verify the contents of the syringe
- Answer A. As a safety precaution, the nurse should discard an unlabeled syringe that
contains medication. The other options are considered unsafe because they promote error

5. To evaluate a patient for hypoxia, the physician is most likely to order which
laboratory test?
a. Red blood cell count
b. Sputum culture
c. Total hemoglobin
d. Arterial blood gas (ABG) analysis

- Answer D. All of these test help evaluate a patient with respiratory problems.
However, ABG analysis is the only test evaluates gas exchange in the lungs,
providing information about patient’s oxygenation status.

6. . An employer establishes a physical exercise area in the workplace and encourages

all employees to use it. This is an example of which level of health promotion?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Passive prevention

- Answer A. Primary prevention precedes disease and applies to health patients.

Secondary prevention focuses on patients who have health problems and are at risk
for developing complications. Tertiary prevention enables patients to gain health from
others’ activities without doing anything themselves.

7. Which nursing action is essential when providing continuous enteral feeding?

a. Elevating the head of the bed
b. Positioning the patient on the left side
c. Warming the formula before administering it
d. Hanging a full day’s worth of formula at one time

- Answer A. Elevating the head of the bed during enteral feeding minimizes the risk
of aspiration and allows the formula to flow in the patient’s intestines. When such
elevation is contraindicated, the patient should be positioned on the right side. The
nurse should give enteral feeding at room temperature to minimize GI distress. To
limit microbial growth, the nurse should hang only the amount of formula that can be
infused in 3 hours.

8. . Which pulse should the nurse palpate during rapid assessment of an unconscious
male adult?
a. Radial
b. Brachial
c. Femoral
d. Carotid
- Answer D. During a rapid assessment, the nurse’s first priority is to check the patient’s
vital functions by assessing his airway, breathing, and circulation. To check a patient’s
circulation, the nurse must assess his heart and vascular network function. This is done by
checking his skin color, temperature, mental status and, most importantly, his pulse. The
nurse should use the carotid artery to check a patient’s circulation. In a patient with a
circulatory problems or a history of compromised circulation, the radial pulse may not be
palpable. The brachial pulse is palpated during rapid assessment of an infant

9. The four major concepts in nursing theory are the

A. Person, Environment, Nurse, Health

B. Nurse, Person, Environment, Cure
C. Promotive, Preventive, Curative, Rehabilitative
D. Person, Environment, Nursing, Health

- Answer D.

10. Personal state in which a person feels unhealthy

A. Illness
B. Disease
C. Health
D. Wellness

- Answer A. Illness is something PERSONAL. Unlike disease, Illness are personal state
in which person feels unhealthy. An old person might think he is ILL but in fact, he is not
due, to diminishing functions and capabilities, people might think they are ILL. Disease
however, is something with tangible basis like lab results, X ray films or clinical sign and
symptoms.

11. Defined as an alteration in normal function resulting in reduction of capacities and

shortening of life span.

A. Illness
B. Disease
C. Health
D. Wellness

-Answer B. Disease are alteration in body functions resulting in reduction of capabilities

or shortening of life span.

12. According to Leavell and Clark’s ecologic model, All of this are factors that affects
health and illness except

A. Reservoir
B. Agent
C. Environment
D. Host

- Answer A. According to L&C's Ecologic model, there are 3 factors that affect health
and illness. These are the AGENT or the factor the leads to illness, either a bacteria or an
event in life. HOST are persons that may or may not be affected by these agents.
ENVIRONMENT are factors external to the host that may or may not predispose him to
the AGENT.

13. It includes internal and external factors that leads the individual to seek help

A. Demographic
B. Sociopsychologic
C. Structural
D. Cues to action

- Answer D. Modifying variables in Becker's health belief model includes

DEMOGRAPHIC : Age, sex, race etc. SOCIOPSYCHOLOGIC : Social and Peer
influence. STRUCTURAL : Knowledge about the disease and prior contact with it and
CUES TO ACTION : Which are the sign and symptoms of the disease or advice from
friends, mass media and others that forces or makes the individual seek help.

14. Views people as physiologic system and Absence of sign and symptoms equates
health.

A. Clinical Model
B. Role performance Model
C. Adaptive Model
D. Eudaemonistic Model

- Answer A. Smith formulated 5 models of health. Clinical model simply states that
when people experience sign and symptoms, they would think that they are unhealthy
therefore, Health is the absence of clinical sign and symptoms of a disease. Role
performance model states that when a person does his role and activities without deficits,
he is healthy and the inability to perform usual roles means that the person is ill. Adaptive
Model states that if a person adapts well with his environment, he is healthy and
maladaptation equates illness. Eudaemonistic Model of health according to smith is the
actualization of a person's fullest potential. If a person functions optimally and develop
self actualization, then, no doubt that person is healthy.

15. According to DUNN, Overcrowding is what type of illness precursor?

A. Heredity
B. Social
C. Behavioral
D. Environmental

- Answer D.

16. What kind of illness precursor, according to DUNN is cigarette smoking?

A. Heredity
B. Social
C. Behavioral
D. Environmental

Answer C. Behavioral precursors includes smoking, alcoholism, high fat intake and other
lifestyle choices. Environmental factors involved poor sanitation and over crowding.
Heridity includes congenital and diseases acquired through the genes. There are no social
precursors according to DUNN.

17. An integrated method of functioning that is oriented towards maximizing one’s

potential within the limitation of the environment.

A. Well being
B. Health
C. Low level Wellness
D. High level Wellness

-Answer D.

18. He describes the WELLNESS-ILLNESS Continuum as interaction of the

environment with well being and illness.

A. Cannon
B. Bernard
C. Dunn
D. Clark

Answer C.

19. According to her, Wellness is a condition in which all parts and subparts of an
individual are in harmony with the whole system.

A. Orem
B. Henderson
C. Neuman
D. Johnson
- Answer C. Neuman believe that man is composed of subparts and when this subparts
are in harmony with the whole system, Wellness results. Please do not confuse this with
the SUB and SUPRA systems of martha rogers.

20. What regulates HOMEOSTASIS according to the theory of Walter Cannon?

A. Positive feedback
B. Negative feedback
C. Buffer system
D. Various mechanisms

- Answer B. The theory of Health as the ability to maintain homeostasis was postulated
by Walter Cannon. According to him, There are certain FEEDBACK Mechanism that
regulates our Homeostasis. A good example is that when we overuse our arm, it will
produce pain. PAIN is a negative feedback that signals us that our arm needs a rest.

21. Defines health as the ability to maintain internal milieu. Illness according to
him/her/them is the failure to maintain internal environment.

A. Cannon
B. Bernard
C. Leddy and Pepper
D. Roy

- Answer B. According to Bernard, Health is the ability to maintain and Internal Milieu
and Illness is the failure to maintain the internal environment.

22. What country did Florence Nightingale train in nursing?

A. Belgium
B. US
C. Germany
D. England

-Answer C.

23. Florence nightingale is born in

A. Germany
B. Britain
C. France
D. Italy

-Answer D. Florence Nightingale was born in Florence, Italy, May 12, 1820. Studied in
Germany and Practiced in England.
24. This is the essence of mental health

A. Self awareness
B. Self actualization
C. Self esteem
D. Self worth

- Answer B. The peak of maslow's hierarchy is the essence of mental health.

25. Proposed the HEALTH CARE SYSTEM MODEL.

A. Henderson
B. Orem
C. Parse
D. Neuman

- Answer D. Betty Neuman asserted that nursing is a unique profession and is concerned
with all the variables affecting the individual's response to stressors. These are INTRA or
within ourselves, EXTRA or outside the individual, INTER means between two or more
people. She proposed the HEALTH CARE SYSTEM MODEL which states that by
PRIMARY, SECONDARY and TERTIARY prevention, The nurse can help the client
maintain stability against these stressors.