Fundamentals of Nursing 5

FUNDAMENTALS OF NURSING TEST V

Content Outline

1. Oxygenation
2. Nutrition

1. Which one of the following is NOT a function of the Upper airway?

A. For clearance mechanism such as coughing
B. Transport gases to the lower airways
C. Warming, Filtration and Humidification of inspired air
D. Protect the lower airway from foreign mater

2. It is the hair the lines the vestibule which function as a filtering mechanism for foreign objects

A. Cilia
B. Nares
C. Carina
D. Vibrissae

3. This is the paranasal sinus found between the eyes and the nose that extends backward into the skull

A. Ehtmoid
B. Sphenoid
C. Maxillary
D. Frontal

4. Which paranasal sinus is found over the eyebrow?

A. Ehtmoid
B. Sphenoid
C. Maxillary
D. Frontal

5. Gene De Vonne Katrouchuacheulujiki wants to change her surname to something shorter, The court denied her request which depresses her and find herself binge eating. She accidentally aspirate a large piece of nut and it passes the carina. Probabilty wise, Where will the nut go?

A. Right main stem bronchus
B. Left main stem bronchus
C. Be dislodged in between the carina
D. Be blocked by the closed epiglottis

6. Which cell secretes mucus that help protect the lungs by trapping debris in the respiratory tract?

A. Type I pneumocytes
B. Type II pneumocytes
C. Goblet cells
D. Adipose cells

7. How many lobes are there in the RIGHT LUNG?

A. One
B. Two
C. Three
D. Four

8. The presence of the liver causes which anatomical difference of the Kidneys and the Lungs?

A. Left kidney slightly lower, Left lung slightly shorter
B. Left kidney slightly higher, Left lung slightly shorter
C. Right kidney lower, Right lung shorter
D. Right kidney higher, Right lung shorter

9. Surfactant is produced by what cells in the alveoli?

A. Type I pneumocytes
B. Type II pneumocytes
C. Goblet cells
D. Adipose cells

10. The normal L:S Ratio to consider the newborn baby viable is

A. 1:2
B. 2:1
C. 3:1
D. 1:3

11. Refers to the extra air that can be inhaled beyond the normal tidal volume

A. Inspiratory reserve volume
B. Expiratory reserve volume
C. Functional residual capacity
D. Residual volume

12. This is the amount of air remained in the lungs after a forceful expiration

A. Inspiratory reserve volume
B. Expiratory reserve volume
C. Functional residual capacity
D. Residual volume

13. Casssandra, A 22 year old grade Agnostic, Asked you, how many spikes of bones are there in my ribs? Your best response is which of the following?

A. We have 13 pairs of ribs Cassandra
B. We have 12 pairs of ribs Cassandra
C. Humans have 16 pairs of ribs, and that was noted by Vesalius in 1543
D. Humans have 8 pairs of ribs. 4 of which are floating

14. Which of the following is considered as the main muscle of respiration?

A. Lungs
B. Intercostal Muscles
C. Diaphragm
D. Pectoralis major

15. Cassandra asked you : How many air is there in the oxygen and how many does human requires? Which of the following is the best response :

A. God is good, Man requires 21% of oxygen and we have 21% available in our air
B. Man requires 16% of oxygen and we have 35% available in our air
C. Man requires 10% of oxygen and we have 50% available in our air
D. Human requires 21% of oxygen and we have 21% available in our air

16. Which of the following is TRUE about Expiration?

A. A passive process
B. The length of which is half of the length of Inspiration
C. Stridor is commonly heard during expiration
D. Requires energy to be carried out

17. Which of the following is TRUE in postural drainage?

A. Patient assumes position for 10 to 15 minutes
B. Should last only for 60 minutes
C. Done best P.C
D. An independent nursing action

18. All but one of the following is a purpose of steam inhalation

A. Mucolytic
B. Warm and humidify air
C. Administer medications
D. Promote bronchoconstriction

19. Which of the following is NOT TRUE in steam inhalation?

A. It is a dependent nursing action
B. Spout is put 12-18 inches away from the nose
C. Render steam inhalation for atleast 60 minutes
D. Cover the client’s eye with wash cloth to prevent irritation

20. When should a nurse suction a client?

A. As desired
B. As needed
C. Every 1 hour
D. Every 4 hours

21. Ernest Arnold Hamilton, a 60 year old American client was mobbed by teen gangsters near New york, Cubao. He was rushed to John John Hopio Medical Center and was Unconscious. You are his nurse and you are to suction his secretions. In which position should you place Mr. Hamilton?

A. High fowlers
B. Semi fowlers
C. Prone
D. Side lying

22. You are about to set the suction pressure to be used to Mr. Hamilton. You are using a Wall unit suction machine. How much pressure should you set the valve before suctioning Mr. Hamilton?

A. 50-95 mmHg
B. 200-350 mmHg
C. 100-120 mmHg
D. 10-15 mmHg

23. The wall unit is not functioning; You then try to use the portable suction equipment available. How much pressure of suction equipment is needed to prevent trauma to mucus membrane and air ways in case of portable suction units?

A. 2-5 mmHg
B. 5-10 mmHg
C. 10-15 mmHg
D. 15-25 mmHg

24. There are four catheter sizes available for use, which one of these should you use for Mr. Hamilton?

A. Fr. 18
B. Fr. 12
C. Fr. 10
D. Fr, 5

25. Which of the following, if done by the nurse, indicates incompetence during suctioning an unconscious client?

A. Measure the length of the suction catheter to be inserted by measuring from the tip of the nose, to the earlobe, to the xiphoid process
B. Use KY Jelly if suctioning nasopharyngeal secretion
C. The maximum time of suctioning should not exceed 15 seconds
D. Allow 30 seconds interval between suctioning

26. Which of the following is the initial sign of hypoxemia in an adult client?

1. Tachypnea
2. Tachycardia
3. Cyanosis
4. Pallor
5. Irritability
6. Flaring of Nares

A. 1,2
B. 2,5
C. 2,6
D. 3,4

27. Which method of oxygenation least likely produces anxiety and apprehension?

A. Nasal Cannula
B. Simple Face mask
C. Non Rebreather mask
D. Partial Rebreather mask

28. Which of the following oxygen delivery method can deliver 100% Oxygen at 15 LPM?

A. Nasal Cannula
B. Simple Face mask
C. Non Rebreather mask
D. Partial Rebreather mask

29. Which of the following is not true about OXYGEN?

A. Oxygen is odorless, tasteless and colorless gas.
B. Oxygen can irritate mucus membrane
C. Oxygen supports combustion
D. Excessive oxygen administration results in respiratory acidosis

30. Roberto San Andres, A new nurse in the hospital is about to administer oxygen on patient with Respiratory distress. As his senior nurse, you should intervene if Roberto will:

A. Uses venture mask in oxygen administration
B. Put a non rebreather mask in the patient before opening the oxygen source
C. Use a partial rebreather mask to deliver oxygen
D. Check for the doctor’s order for Oxygen administration

31. Which of the following will alert the nurse as an early sign of hypoxia?

A. Client is tired and dyspneic
B. The client is coughing out blood
C. The client’s heart rate is 50 BPM
D. Client is frequently turning from side to side

32. Miguelito de balboa, An OFW presents at the admission with an A:P Diameter ratio of 2:1, Which of the following associated finding should the nurse expect?

A. Pancytopenia
B. Anemia
C. Fingers are Club-like
D. Hematocrit of client is decreased

33. The best method of oxygen administration for client with COPD uses:

A. Cannula
B. Simple Face mask
C. Non rebreather mask
D. Venturi mask

34. Mang dagul, a 50 year old chronic smoker was brought to the E.R because of difficulty in breathing. Pleural effusion was the diagnosis and CTT was ordered. What does C.T.T Stands for?

A. Chest tube thoracotomy
B. Chest tube thoracostomy
C. Closed tube thoracotomy
D. Closed tube thoracostmy

35. Where will the CTT be inserted if we are to drain fluids accumulated in Mang dagul’s pleura?

A. 2nd ICS
B. 4th ICS
C. 5th ICS
D. 8th ICS

36. There is a continuous bubbling in the water sealed drainage system with suction. And oscillation is observed. As a nurse, what should you do?

A. Consider this as normal findings
B. Notify the physician
C. Check for tube leak
D. Prepare a petrolatum gauze dressing

37. Which of the following is true about nutrition?

A. It is the process in which food are broken down, for the body to use in growth and development
B. It is a process in which digested proteins, fats, minerals, vitamins and carbohydrates are transported into the circulation
C. It is a chemical process that occurs in the cell that allows for energy production, energy use, growth and tissue repair
D. It is the study of nutrients and the process in which they are use by the body

38. The majority of the digestion processes take place in the

A. Mouth
B. Small intestine
C. Large intestine
D. Stomach

39. All of the following is true about digestion that occurs in the Mouth except

A. It is where the digestion process starts
B. Mechanical digestion is brought about by mastication
C. The action of ptyalin or the salivary tyrpsin breaks down starches into maltose
D. Deglutition occurs after food is broken down into small pieces and well mixed with saliva

40. Which of the following foods lowers the cardiac sphincter pressure?

A. Roast beef, Steamed cauliflower and Rice
B. Orange juice, Non fat milk, Dry crackers
C. Decaffeinated coffee, Sky flakes crackers, Suman
D. Coffee with coffee mate, Bacon and Egg

41. Where does the digestion of carbohydrates start?

A. Mouth
B. Esophagus
C. Small intestine
D. Stomach

42. Protein and Fat digestion begins where?

A. Mouth
B. Esophagus
C. Small intestine
D. Stomach

43. All but one is true about digestion that occurs in the Stomach

A. Carbohydrates are the fastest to be digested, in about an hour
B. Fat is the slowest to be digested, in about 5 hours
C. HCl inhibits absorption of Calcium in the gastric mucosa
D. HCl converts pepsinogen to pepsin, which starts the complex process of protein digestion

44. Which of the following is NOT an enzyme secreted by the small intestine?

A. Sucrase
B. Enterokinase
C. Amylase
D. Enterokinase

45. The hormone secreted by the Small intestine that stimulates the production of pancreatic juice which primarily aids in buffering the acidic bolus passed by the Stomach

A. Enterogastrone
B. Cholecystokinin
C. Pancreozymin
D. Enterokinase

46. When the duodenal enzyme sucrase acts on SUCROSE, which 2 monosaccharides are formed?

A. Galactose + Galactose
B. Glucose + Fructose
C. Glucose + Galactose
D. Fructose + Fructose

47. This is the enzyme secreted by the pancrease that completes the protein digestion

A. Trypsin
B. Enterokinase
C. Enterogastrone
D. Amylase

48. The end product of protein digestion or the “Building blocks of Protein” is what we call

A. Nucleotides
B. Fatty acids
C. Glucose
D. Amino Acids

49. Enzyme secreted by the small intestine after it detects a bolus of fatty food. This will contract the gallbladder to secrete bile and relax the sphincter of Oddi to aid in the emulsification of fats and its digestion.

A. Lipase
B. Amylase
C. Cholecystokinin
D. Pancreozymin

50. Which of the following is not true about the Large Intestine?

A. It absorbs around 1 L of water making the feces around 75% water and 25% solid
B. The stool formed in the transverse colon is not yet well formed
C. It is a sterile body cavity
D. It is called large intestine because it is longer than the small intestine

51. This is the amount of heat required to raise the temperature of 1 kg water to 1 degree Celsius

A. Calorie
B. Joules
C. Metabolism
D. Basal metabolic rate

52. Assuming a cup of rice provides 50 grams of carbohydrates. How many calories are there in that cup of rice?

A. 150 calories
B. 200 calories
C. 250 calories
D. 400 calories

53. An average adult filipino requires how many calories in a day?

A. 1,000 calories
B. 1,500 calories
C. 2,000 calories
D. 2,500 calories

54. Which of the following is true about an individual’s caloric needs?

A. All individual have the same caloric needs
B. Females in general have higher BMR and therefore, require more calories
C. During cold weather, people need more calories due to increase BMR
D. Dinner should be the heaviest meal of the day

55. Among the following people, who requires the greatest caloric intake?

A. An individual in a long state of gluconeogenesis
B. An individual in a long state of glycogenolysis
C. A pregnant individual
D. An adolescent with a BMI of 25

56. Which nutrient deficiency is associated with the development of Pellagra, Dermatitis and Diarrhea?

A. Vitamin B1
B. Vitamin B2
C. Vitamin B3
D. Vitamin B6

57. Which Vitamin is not given in conjunction with the intake of LEVODOPA in cases of Parkinson’s Disease due to the fact that levodopa increases its level in the body?

A. Vitamin B1
B. Vitamin B2
C. Vitamin B3
D. Vitamin B6

58. A vitamin taken in conjunction with ISONIAZID to prevent peripheral neuritis

A. Vitamin B1
B. Vitamin B2
C. Vitamin B3
D. Vitamin B6

59. The inflammation of the Lips, Palate and Tongue is associated in the deficiency of this vitamin

A. Vitamin B1
B. Vitamin B2
C. Vitamin B3
D. Vitamin B6

60. Beri beri is caused by the deficiency of which Vitamin?

A. Vitamin B1
B. Vitamin B2
C. Vitamin B3
D. Vitamin C

61. Which of the following is the best source of Vitamin E?

A. Green leafy vegetables
B. Vegetable oil
C. Fortified Milk
D. Fish liver oil

62. Among the following foods, which food should you emphasize giving on an Alcoholic client?

A. Pork liver and organ meats, Pork
B. Red meat, Eggs and Dairy products
C. Green leafy vegetables, Yellow vegetables, Cantaloupe and Dairy products
D. Chicken, Peanuts, Bananas, Wheat germs and yeasts

63. Which food group should you emphasize giving on a pregnant mother in first trimester to prevent neural tube defects?

A. Broccoli, Guava, Citrus fruits, Tomatoes
B. Butter, Sardines, Tuna, Salmon, Egg yolk
C. Wheat germ, Vegetable Oil, soybeans, corn, peanuts
D. Organ meats, Green leafy vegetables, Liver, Eggs

64. A client taking Coumadin is to be educated on his diet. As a nurse, which of the following food should you instruct the client to avoid?

A. Spinach, Green leafy vegetables, Cabbage, Liver
B. Salmon, Sardines, Tuna
C. Butter, Egg yolk, breakfast cereals
D. Banana, Yeast, Wheat germ, Chicken

65. Vitamin E plus this mineral works as one of the best anti oxidant in the body according to the latest research. They are combined with 5 Alpha reductase inhibitor to reduce the risk of acquiring prostate cancer

A. Zinc
B. Iron
C. Selenium
D. Vanadium

66. Incident of prostate cancer is found to have been reduced on a population exposed in tolerable amount of sunlight. Which vitamin is associated with this phenomenon?

A. Vitamin A
B. Vitamin B
C. Vitamin C
D. Vitamin D

67. Micronutrients are those nutrients needed by the body in a very minute amount. Which of the following vitamin is considered as a MICRONUTRIENT

A. Phosphorous
B. Iron
C. Calcium
D. Sodium

68. Deficiency of this mineral results in tetany, osteomalacia, osteoporosis and rickets.

A. Vitamin D
B. Iron
C. Calcium
D. Sodium

69. Among the following foods, which has the highest amount of potassium per area of their meat?

A. Cantaloupe
B. Avocado
C. Raisin
D. Banana

70. A client has HEMOSIDEROSIS. Which of the following drug would you expect to be given to the client?

A. Acetazolamide
B. Deferoxamine
C. Calcium EDTA
D. Activated charcoal

71. Which of the following provides the richest source of Iron per area of their meat?

A. Pork meat
B. Lean read meat
C. Pork liver
D. Green mongo

72. Which of the following is considered the best indicator of nutritional status of an individual?

A. Height
B. Weight
C. Arm muscle circumference
D. BMI

73. Jose Miguel, a 50 year old business man is 6’0 Tall and weights 179 lbs. As a nurse, you know that Jose Miguel is :

A. Overweight
B. Underweight
C. Normal
D. Obese

74. Jose Miguel is a little bit nauseous. Among the following beverages, Which could help relieve JM’s nausea?

A. Coke
B. Sprite
C. Mirinda
D. Orange Juice or Lemon Juice

75. Which of the following is the first sign of dehydration?

A. Tachycardia
B. Restlessness
C. Thirst
D. Poor skin turgor

76. What Specific gravity lab result is compatible with a dehydrated client?

A. 1.007
B. 1.020
C. 1.039
D. 1.029

77. Which hematocrit value is expected in a dehydrated male client?

A. 67%
B. 50%
C. 36%
D. 45%

78. Which of the following statement by a client with prolonged vomiting indicates the initial onset of hypokalemia?

A. My arm feels so weak
B. I felt my heart beat just right now
C. My face muscle is twitching
D. Nurse, help! My legs are cramping

79. Which of the following is not an anti-emetic?

A. Marinol
B. Dramamine
C. Benadryl
D. Alevaire

80. Which is not a clear liquid diet?

A. Hard candy
B. Gelatin
C. Coffee with Coffee mate
D. Bouillon

81. Which of the following is included in a full liquid diet?

A. Popsicles
B. Pureed vegetable meat
C. Pineapple juice with pulps
D. Mashed potato

82. Which food is included in a BLAND DIET?

A. Steamed broccoli
B. Creamed potato
C. Spinach in garlic
D. Sweet potato

83. Which of the following if done by the nurse, is correct during NGT Insertion?

A. Use an oil based lubricant
B. Measure the amount of the tube to be inserted from the Tip of the nose, to the earlobe, to the xiphoid process
C. Soak the NGT in a basin of ice water to facilitate easy insertion
D. Check the placement of the tube by introducing 10 cc of sterile water and auscultating for bubbling sound

84. Which of the following is the BEST method in assessing for the correct placement of the NGT?

A. X-Ray
B. Immerse tip of the tube in water to check for bubbles produced
C. Aspirating gastric content to check if the content is acidic
D. Instilling air in the NGT and listening for a gurgling sound at the epigastric area

85. A terminally ill cancer patient is scheduled for an NGT feeding today. How should you position the patient?

A. Semi fowlers in bed
B. Bring the client into a chair
C. Slightly elevated right side lying position
D. Supine in bed

86. A client is scheduled for NGT Feeding. Checking the residual volume, you determined that he has 40 cc residual from the last feeding. You reinstill the 40 cc of residual volume and added the 250 cc of feeding ordered by the doctor. You then instill 60 cc of water to clear the lumen and the tube. How much will you put in the client’s chart as input?

A. 250 cc
B. 290 cc
C. 350 cc
D. 310 cc

87. Which of the following if done by a nurse indicates deviation from the standards of NGT feeding?

A. Do not give the feeding and notify the doctor of residual of the last feeding is greater than or equal to 50 ml
B. Height of the feeding should be 12 inches about the tube point of insertion to allow slow introduction of feeding
C. Ask the client to position in supine position immediately after feeding to prevent dumping syndrome
D. Clamp the NGT before all of the water is instilled to prevent air entry in the stomach

88. What is the most common problem in TUBE FEEDING?

A. Diarrhea
B. Infection
C. Hyperglycemia
D. Vomiting

89. Which of the following is TRUE in colostomy feeding?

A. Hold the syringe 18 inches above the stoma and administer the feeding slowly
B. Pour 30 ml of water before and after feeding administration
C. Insert the ostomy feeding tube 1 inch towards the stoma
D. A Pink stoma means that circulation towards the stoma is all well

90. A client with TPN suddenly develops tremors, dizziness, weakness and diaphoresis. The client said “I feel weak” You saw that his TPN is already empty and another TPN is scheduled to replace the previous one but its provision is already 3 hours late. Which of the following is the probable complication being experienced by the client?

A. Hyperglycemia
B. Hypoglycemia
C. Infection
D. Fluid overload

91. To assess the adequacy of food intake, which of the following assessment parameters is best used?

A. Food likes and dislikes
B. Regularity of meal times
C. 3 day diet recall
D. Eating style and habits

92. The vomiting center is found in the

A. Medulla Oblongata
B. Pons
C. Hypothalamus
D. Cerebellum

93. The most threatening complication of vomiting in client’s with stroke is

A. Aspiration
B. Dehydration
C. Fluid and electrolyte imbalance
D. Malnutrition

94. Which among this food is the richest source of Iron?

A. Ampalaya
B. Broccoli
C. Mongo
D. Malunggay leaves

95. Which of the following is a good source of Vitamin A?

A. Egg yolk
B. Liver
C. Fish
D. Peanuts

96. The most important nursing action before gastrostomy feeding is

A. Check V/S
B. Assess for patency of the tube
C. Measure residual feeding
D. Check the placement of the tube

97. The primary advantage of gastrostomy feeding is

A. Ensures adequate nutrition
B. It prevents aspiration
C. Maintains Gastro esophageal sphincter integrity
D. Minimizes fluid-electrolyte imbalance

98. What is the BMI Of Budek, weighing 120 lbs and has a height of 5 feet 7 inches.

A. 20
B. 19
C. 15
D. 25

99. Which finding is consistent with PERNICIOUS ANEMIA?

A. Strawberry tongue
B. Currant Jelly stool
C. Beefy red tongue
D. Pale [ HYPOCHROMIC ] RBC

100. The nurse is browsing the chart of the patient and notes a normal serum lipase level. Which of the following is a normal serum lipase value?

A. 10 U/L
B. 100 U/L
C. 200 U/L
D. 350 U/L


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Fundamentals of Nursing 4

FUNDAMENTALS OF NURSING TEST IV

Content Outline

1. The nursing process
2. Physical Assessment
3. Health Assessment
3.a Temperature
3.b Pulse
3.c Respiration
3.d Blood pressure
4. Routine Procedures
4.a Urinalysis specimen collection
4.b Sputum specimen collection
4.c Urine examination
4.d Positioning pre-procedure
4.e Stool specimen collection

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

2. The American Nurses association formulated an innovation of the Nursing process. Today, how many distinct steps are there in the nursing process?

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

4. Which characteristic of nursing process is responsible for proper utilization of human resources, time and cost resources?

A. Organized and Systematic
B. Humanistic
C. Efficient
D. Effective

5. Which characteristic of nursing process addresses the INDIVIDUALIZED care a client must receive?

A. Organized and Systematic
B. Humanistic
C. Efficient
D. Effective

6. A characteristic of the nursing process that is essential to promote client satisfaction and progress. The care should also be relevant with the client’s needs.

A. Organized and Systematic
B. Humanistic
C. Efficient
D. Effective

7. Rhina, who has Menieres disease, said that her environment is moving. Which of the following is a valid assessment?

1. Rhina is giving an objective data
2. Rhina is giving a subjective data
3. The source of the data is primary
4. The source of the data is secondary

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

9. Nurse Angela diagnosed Mrs. Delgado, who have undergone a BKA. Her diagnosis is SELF ESTEEM DISTURBANCE R/T CHANGE IN BODY IMAGE. Although the client has not yet seen her lost leg, Angela already anticipated the diagnosis. This is what type of Diagnosis?

A. Actual
B. Probable
C. Possible
D. Risk

10. Nurse Angela is about to make a diagnosis but very unsure because the S/S the client is experiencing is not specific with her diagnosis of POWERLESSNESS R/T DIFFICULTY ACCEPTING LOSS OF LOVED ONE. She then focus on gathering data to refute or prove her diagnosis but her plans and interventions are already ongoing for the diagnosis. Which type of Diagnosis is this?

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

12. Which of the following Nursing diagnosis is INCORRECT?

A. Fluid volume deficit R/T Diarrhea
B. High risk for injury R/T Absence of side rails
C. Possible ineffective coping R/T Loss of loved one
D. Self esteem disturbance R/T Effects of surgical removal of the leg

13. Among the following statements, which should be given the HIGHEST priority?

A. Client is in extreme pain
B. Client’s blood pressure is 60/40
C. Client’s temperature is 40 deg. Centigrade
D. Client is cyanotic

14. Which of the following need is given a higher priority among others?

A. The client has attempted suicide and safety precaution is needed
B. The client has disturbance in his body image because of the recent operation
C. The client is depressed because her boyfriend left her all alone
D. The client is thirsty and dehydrated

15. Which of the following is TRUE with regards to Client Goals?

A. They are specific, measurable, attainable and time bounded
B. They are general and broadly stated
C. They should answer for WHO, WHAT ACTIONS, WHAT CIRCUMSTANCES, HOW WELL and WHEN.
D. Example is : After discharge planning, Client demonstrated the proper psychomotor skills for insulin injection.

16. Which of the following is a NOT a correct statement of an Outcome criteria?

A. Ambulates 30 feet with a cane before discharge
B. Discusses fears and concerns regarding the surgical procedure
C. Demonstrates proper coughing and breathing technique after a teaching session
D. Reestablishes a normal pattern of elimination

17. Which of the following is a OBJECTIVE data?

A. Dizziness
B. Chest pain
C. Anxiety
D. Blue nails

18. A patient’s chart is what type of data source?

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

21. A framework for health assessment that evaluates the effects of stressors to the mind, body and environment in relation with the ability of the client to perform ADL.

A. Functional health framework
B. Head to toe framework
C. Body system framework
D. Cephalocaudal framework

22. Client has undergone Upper GI and Lower GI series. Which type of health assessment framework is used in this situation?

A. Functional health framework
B. Head to toe framework
C. Body system framework
D. Cephalocaudal framework

23. Which of the following statement is true regarding temperature?

A. Oral temperature is more accurate than rectal temperature
B. The bulb used in Rectal temperature reading is pear shaped or round
C. The older the person, the higher his BMR
D. When the client is swimming, BMR Decreases

24. A type of heat loss that occurs when the heat is dissipated by air current

A. Convection
B. Conduction
C. Radiation
D. Evaporation

25. Which of the following is TRUE about temperature?

A. The highest temperature usually occurs later in a day, around 8 P.M to 12 M.N
B. The lowest temperature is usually in the Afternoon, Around 12 P.M
C. Thyroxin decreases body temperature
D. Elderly people are risk for hyperthermia due to the absence of fats, Decreased thermoregulatory control and sedentary lifestyle.

26. Hyperpyrexia is a condition in which the temperature is greater than

A. 40 degree Celsius
B. 39 degree Celsius
C. 100 degree Fahrenheit
D. 105.8 degree Fahrenheit

27. Tympanic temperature is taken from John, A client who was brought recently into the ER due to frequent barking cough. The temperature reads 37.9 Degrees Celsius. As a nurse, you conclude that this temperature is

A. High
B. Low
C. At the low end of the normal range
D. At the high end of the normal range

28. John has a fever of 38.5 Deg. Celsius. It surges at around 40 Degrees and go back to 38.5 degrees 6 times today in a typical pattern. What kind of fever is John having?

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

30. John’s temperature 10 hours ago is a normal 36.5 degrees. 4 hours ago, He has a fever with a temperature of 38.9 Degrees. Right now, his temperature is back to normal. Which of the following best describe the fever john is having?

A. Relapsing
B. Intermittent
C. Remittent
D. Constant


31. The characteristic fever in Dengue Virus is characterized as:

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. Hot, flushed skin
B. Increase thirst
C. Convulsion
D. Pale,cold skin

34. Marianne is now at the Defervescence stage of the fever, which of the following is expected?

A. Delirium
B. Goose flesh
C. Cyanotic nail beds
D. Sweating

35. Considered as the most accessible and convenient method for temperature taking

A. Oral
B. Rectal
C. Tympanic
D. Axillary

36. Considered as Safest and most non invasive method of temperature taking

A. Oral
B. Rectal
C. Tympanic
D. Axillary

37. Which of the following is NOT a contraindication in taking ORAL temperature?

A. Quadriplegic
B. Presence of NGT
C. Dyspnea
D. Nausea and Vomitting

38. Which of the following is a contraindication in taking RECTAL temperature?

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

40. In cleaning the thermometer after use, The direction of the cleaning to follow Medical Asepsis is :

A. From bulb to stem
B. From stem to bulb
C. From stem to stem
D. From bulb to bulb

41. How long should the thermometer stay in the Client’s Axilla?

A. 3 minutes
B. 4 minutes
C. 7 minutes
D. 10 minutes

42. Which of the following statement is TRUE about pulse?

A. Young person have higher pulse than older persons
B. Males have higher pulse rate than females after puberty
C. Digitalis has a positive chronotropic effect
D. In lying position, Pulse rate is higher

43. The following are correct actions when taking radial pulse except:

A. Put the palms downward
B. Use the thumb to palpate the artery
C. Use two or three fingers to palpate the pulse at the inner wrist
D. Assess the pulse rate, rhythm, volume and bilateral quality

44. The difference between the systolic and diastolic pressure is termed as

A. Apical rate
B. Cardiac rate
C. Pulse deficit
D. Pulse pressure

45. Which of the following completely describes PULSUS PARADOXICUS?

A. A greater-than-normal increase in systolic blood pressure with inspiration
B. A greater-than-normal decrease in systolic blood pressure with inspiration
C. Pulse is paradoxically low when client is in standing position and high when supine.
D. Pulse is paradoxically high when client is in standing position and low when supine.

46. Which of the following is TRUE about respiration?

A. I:E 2:1
B. I:E : 4:3
C I:E 1:1
D. I:E 1:2

47. Contains the pneumotaxic and the apneutic centers

A. Medulla oblongata
B. Pons
C. Carotid bodies
D. Aortic bodies

48. Which of the following is responsible for deep and prolonged inspiration

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

50. The primary respiratory center

A. Medulla oblongata
B. Pons
C. Carotid bodies
D. Aortic bodies


51. Which of the following is TRUE about the mechanism of action of the Aortic and Carotid bodies?

A. If the BP is elevated, the RR increases
B. If the BP is elevated, the RR decreases
C. Elevated BP leads to Metabolic alkalosis
D. Low BP leads to Metabolic acidosis

52. All of the following factors correctly influence respiration except one. Which of the following is incorrect?

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

55. Refers to the pressure when the ventricles are at rest

A. Diastole
B. Systole
C. Preload
D. Pulse pressure

56. Which of the following is TRUE about the blood pressure determinants?

A. Hypervolemia lowers BP
B. Hypervolemia increases GFR
C. HCT of 70% might decrease or increase BP
D. Epinephrine decreases BP

57. Which of the following do not correctly correlates the increase BP of Ms. Aida, a 70 year old diabetic?

A. Females, after the age 65 tends to have lower BP than males
B. Disease process like Diabetes increase BP
C. BP is highest in the morning, and lowest during the night
D. Africans, have a greater risk of hypertension than Caucasian and Asians.

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. True high reading
B. True low reading
C. False high reading
D. False low reading

60. Which is a preferable arm for BP taking?

A. An arm with the most contraptions
B. The left arm of the client with a CVA affecting the right brain
C. The right arm
D. The left arm

61. Which of the following is INCORRECT in assessing client’s BP?

A. Read the mercury at the upper meniscus, preferably at the eye level to prevent error of parallax
B. Inflate and deflate slowly, 2-3 mmHg at a time
C. The sound heard during taking BP is known as KOROTKOFF sound
D. If the BP is taken on the left leg using the popliteal artery pressure, a BP of 160/80 is normal.

62. Which of the following is the correct interpretation of the ERROR OF PARALLAX

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

64. Which of the following is TRUE about the auscultation of blood pressure?

A. Pulse + 4 is considered as FULL
B. The bell of the stethoscope is use in auscultating BP
C. Sound produced by BP is considered as HIGH frequency sound
D. Pulse +1 is considered as NORMAL

65. In assessing the abdomen, Which of the following is the correct sequence of the physical assessment?

A. Inspection, Auscultation, Percussion, Palpation
B. Palpation, Auscultation, Percussion, Inspection
C. Inspection, Palpation, Auscultation, Percussion
D. Inspection, Auscultation, Palpation, Percussion

66. The sequence in examining the quadrants of the abdomen is:

A. RUQ,RLQ,LUQ,LLQ
B. RLQ,RUQ,LLQ,LUQ
C. RUQ,RLQ,LLQ,LUQ
D. RLQ,RUQ,LUQ,LLQ

67. In inspecting the abdomen, which of the following is NOT DONE?

A. Ask the client to void first
B. Knees and legs are straighten to relax the abdomen
C. The best position in assessing the abdomen is Dorsal recumbent
D. The knees and legs are externally rotated

68. Dr. Fabian De Las Santas, is about to conduct an ophthalmoscope examination. Which of the following, if done by a nurse, is a Correct preparation before the procedure?

A. Provide the necessary draping to ensure privacy
B. Open the windows, curtains and light to allow better illumination
C. Pour warm water over the ophthalmoscope to ensure comfort
D. Darken the room to provide better illumination

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. To ensure that the doctor performs the procedure safely
B. To assist the doctor
C. To assess the client’s response to examination
D. To ensure that the procedure is done in an ethical manner

70. In palpating the client’s breast, Which of the following position is necessary for the patient to assume before the start of the procedure?

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

72. Which of the following is among an ideal way of collecting a urine specimen for culture and sensitivity?

A. Use a clean container
B. Discard the first flow of urine to ensure that the urine is not contaminated
C. Collect around 30-50 ml of urine
D. Add preservatives, refrigerate the specimen or add ice according to the agency’s protocol

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

A. Midstream clean catch urine
B. 24 hours urine collection
C. Postprandial urine collection
D. Second voided 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

76. In collecting a urine from a catheterized patient, Which of the following statement indicates an accurate performance of the procedure?

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

77. A community health nurse should be resourceful and meet the needs of the client. A villager ask him, Can you test my urine for glucose? Which of the following technique allows the nurse to test a client’s urine for glucose without the need for intricate instruments.

A. Acetic Acid test
B. Nitrazine paper test
C. Benedict’s test
D. Litmus paper test

78. A community health nurse is assessing client’s urine using the Acetic Acid solution. Which of the following, if done by a nurse, indicates lack of correct knowledge with the procedure?

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

79. Which of the following is incorrect with regards to proper urine testing using Benedict’s Solution?

A. Heat around 5ml of Benedict’s solution together with the urine in a test tube
B. Add 8 to 10 drops of urine
C. Heat the Benedict’s solution without the urine to check if the solution is contaminated
D. If the color remains BLUE, the result is POSITIVE

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. Specimen is collected after meals
B. The nurse puts 1 clinitest tablet into a test tube
C. She added 5 drops of urine and 10 drops of water
D. If the color becomes orange or red, It is considered postitive

82. Which of the following nursing intervention is important for a client scheduled to have a Guaiac Test?

A. Avoid turnips, radish and horseradish 3 days before procedure
B. Continue iron preparation to prevent further loss of Iron
C. Do not eat read meat 12 hours before procedure
D. Encourage caffeine and dark colored foods to produce accurate results

83. In collecting a routine specimen for fecalysis, Which of the following, if done by a nurse, indicates inadequate knowledge and skills about the procedure?

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

84. In a routine sputum analysis, Which of the following indicates proper nursing action before sputum collection?

A. Secure a clean container
B. Discard the container if the outside becomes contaminated with the sputum
C. Rinse the client’s mouth with Listerine after collection
D. Tell the client that 4 tablespoon of sputum is needed for each specimen for a routine sputum analysis

85. Who collects Blood specimen?

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

88. The heat regulating center is found in the

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

93. Measure the leg circumference of a client with bipedal edema is best done in what position?

A. Dorsal recumbent
B. Sitting
C. Standing
D. Supine

94. In palpating the client’s abdomen, Which of the following is the best position for the client to assume?

A. Dorsal recumbent
B. Side lying
C. Supine
D. Lithotomy

95. Rectal examination is done with a client in what position?

A. Dorsal recumbent
B. Sims position
C. Supine
D. Lithotomy

96. Which of the following is a correct nursing action when collecting urine specimen from a client with an Indwelling catheter?

A. Collect urine specimen from the drainage bag
B. Detach catheter from the connecting tube and draw the specimen from the port
C. Use sterile syringe to aspirate urine specimen from the drainage port
D. Insert the syringe straight to the port to allow self sealing of the port

97. Which of the following is inappropriate in collecting mid stream clean catch urine specimen for urine analysis?

A. Collect early in the morning, First voided specimen
B. Do perineal care before specimen collection
C. Collect 5 to 10 ml for urine
D. Discard the first flow of the urine

98. When palpating the client’s neck for lymphadenopathy, where should the nurse position himself?

A. At the client’s back
B. At the client’s right side
C. At the client’s left side
D. In front of a sitting client

99. Which of the following is the best position for the client to assume if the back is to be examined by the nurse?

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



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Fundamentals of Nursing 3

FUNDAMENTALS OF NURSING TEST III

Content Outline

1. Physical response to stress
2. Psychological response to stress
3. Spiritual response to stress
4. Stress management
5. Crisis and Crisis intervention
6. Communication
7. Recording
8. Documentation
9. Learning

1. The coronary vessels, unlike any other blood vessels in the body, respond to sympathetic stimulation by

A. Vasoconstriction
B. Vasodilatation
C. Decreases force of contractility
D. Decreases cardiac output

2. What stress response can you expect from a patient with blood sugar of 50 mg / dl?

A. Body will try to decrease the glucose level
B. There will be a halt in release of sex hormones
C. Client will appear restless
D. Blood pressure will increase

3. All of the following are purpose of inflammation except

A. Increase heat, thereby produce abatement of phagocytosis
B. Localized tissue injury by increasing capillary permeability
C. Protect the issue from injury by producing pain
D. Prepare for tissue repair

4. The initial response of tissue after injury is

A. Immediate Vasodilation
B. Transient Vasoconstriction
C. Immediate Vasoconstriction
D. Transient Vasodilation

5. The last expected process in the stages of inflammation is characterized by

A. There will be sudden redness of the affected part
B. Heat will increase on the affected part
C. The affected part will loss its normal function
D. Exudates will flow from the injured site

6. What kind of exudates is expected when there is an antibody-antigen reaction as a result of microorganism infection?

A. Serous
B. Serosanguinous
C. Purulent
D. Sanguinous

7. The first manifestation of inflammation is

A. Redness on the affected area
B. Swelling of the affected area
C. Pain, which causes guarding of the area
D. Increase heat due to transient vasodilation

8. The client has a chronic tissue injury. Upon examining the client’s antibody for a particular cellular response, Which of the following WBC component is responsible for phagocytosis in chronic tissue injury?

A. Neutrophils
B. Basophils
C. Eosinophils
D. Monocytes

9. Which of the following WBC component proliferates in cases of Anaphylaxis?

A. Neutrophils
B. Basophils
C. Eosinophils
D. Monocytes

10. Icheanne, ask you, her Nurse, about WBC Components. She got an injury yesterday after she twisted her ankle accidentally at her gymnastic class. She asked you, which WBC Component is responsible for proliferation at the injured site immediately following an injury. You answer:

A. Neutrophils
B. Basophils
C. Eosinophils
D. Monocytes

11. Icheanne then asked you, what is the first process that occurs in the inflammatory response after injury, You tell her:

A. Phagocytosis
B. Emigration
C. Pavementation
D. Chemotaxis

12. Icheanne asked you again, What is that term that describes the magnetic attraction of injured tissue to bring phagocytes to the site of injury?

A. Icheanne, you better sleep now, you asked a lot of questions
B. It is Diapedesis
C. We call that Emigration
D. I don’t know the answer, perhaps I can tell you after I find it out later

13. This type of healing occurs when there is a delayed surgical closure of infected wound

A. First intention
B. Second intention
C. Third intention
D. Fourth intention
14. Type of healing when scars are minimal due to careful surgical incision and good healing

A. First intention
B. Second intention
C. Third intention
D. Fourth intention

15. Imelda, was slashed and hacked by an unknown suspects. She suffered massive tissue loss and laceration on her arms and elbow in an attempt to evade the criminal. As a nurse, you know that the type of healing that will most likely occur to Miss Imelda is

A. First intention
B. Second intention
C. Third intention
D. Fourth intention

16. Imelda is in the recovery stage after the incident. As a nurse, you know that the diet that will be prescribed to Miss Imelda is

A. Low calorie, High protein with Vitamin A and C rich foods
B. High protein, High calorie with Vitamin A and C rich foods
C. High calorie, Low protein with Vitamin A and C rich foods
D. Low calorie, Low protein with Vitamin A and C rich foods

17. Miss Imelda asked you, What is WET TO DRY Dressing method? Your best response is

A. It is a type of mechanical debridement using Wet dressing that is applied and left to dry to remove dead tissues
B. It is a type of surgical debridement with the use of Wet dressing to remove the necrotic tissues
C. It is a type of dressing where in, The wound is covered with Wet or Dry dressing to prevent contamination
D. It is a type of dressing where in, A cellophane or plastic is placed on the wound over a wet dressing to stimulate healing of the wound in a wet medium

18. The primary cause of pain in inflammation is

A. Release of pain mediators
B. Injury to the nerve endings
C. Compression of the local nerve endings by the edema fluids
D. Circulation is lessen, Supply of oxygen is insufficient

19. The client is in stress because he was told by the physician he needs to undergo surgery for removal of tumor in his bladder. Which of the following are effects of sympatho-adreno-medullary response by the client?

1. Constipation
2. Urinary frequency
3. Hyperglycemia
4. Increased blood pressure

A. 3,4
B. 1,3,4
C.1,2,4
D.1,4

20. The client is on NPO post midnight. Which of the following, if done by the client, is sufficient to cancel the operation in the morning?

A. Eat a full meal at 10:00 P.M
B. Drink fluids at 11:50 P.M
C. Brush his teeth the morning before operation
D. Smoke cigarette around 3:00 A.M

21. The client place on NPO for preparation of the blood test. Adreno-cortical response is activated and which of the following below is an expected response?

A. Low BP
B. Decrease Urine output
C. Warm, flushed, dry skin
D. Low serum sodium levels

22. Which of the following is true about therapeutic relationship?

A. Directed towards helping an individual both physically and emotionally
B. Bases on friendship and mutual trust
C. Goals are set by the solely nurse
D. Maintained even after the client doesn’t need anymore of the Nurse’s help

23. According to her, A nurse patient relationship is composed of 4 stages : Orientation, Identification, Exploitation and Resolution

A. Roy
B. Peplau
C. Rogers
D. Travelbee

24. In what phase of Nurse patient relationship does a nurse review the client’s medical records thereby learning as much as possible about the client?

A. Pre Orientation
B. Orientation
C. Working
D. Termination

25. Nurse Aida has seen her patient, Roger for the first time. She establish a contract about the frequency of meeting and introduce to Roger the expected termination. She started taking baseline assessment and set interventions and outcomes. On what phase of NPR Does Nurse Aida and Roger belong?

A. Pre Orientation
B. Orientation
C. Working
D. Termination

26. Roger has been seen agitated, shouting and running. As Nurse Aida approaches, he shouts and swear, calling Aida names. Nurse Aida told Roger “That is an unacceptable behavior Roger, Stop and go to your room now.” The situation is most likely in what phase of NPR?

A. Pre Orientation
B. Orientation
C. Working
D. Termination

27. Nurse Aida, in spite of the incident, still consider Roger as worthwhile simply because he is a human being. What major ingredient of a therapeutic communication is Nurse Aida using?

A. Empathy
B. Positive regard
C. Comfortable sense of self
D. Self awareness

28. Nurse Irma saw Roger and told Nurse Aida “ Oh look at that psychotic patient “ Nurse Aida should intervene and correct Nurse Irma because her statement shows that she is lacking?

A. Empathy
B. Positive regard
C. Comfortable sense of self
D. Self awareness

29. Which of the following statement is not true about stress?

A. It is a nervous energy
B. It is an essential aspect of existence
C. It has been always a part of human experience
D. It is something each person has to cope

30. Martina, a Tennis champ was devastated after many new competitors outpaced her in the Wimbledon event.
She became depressed and always seen crying. Martina is clearly on what kind of situation?

A. Martina is just stressed out
B. Martina is Anxious
C. Martina is in the exhaustion stage of GAS
D. Martina is in Crisis

31. Which of the following statement is not true with regards to anxiety?

A. It has physiologic component
B. It has psychologic component
C. The source of dread or uneasiness is from an unrecognized entity
D. The source of dread or uneasiness is from a recognized entity

32. Lorraine, a 27 year old executive was brought to the ER for an unknown reason. She is starting to speak but her speech is disorganized and cannot be understood. On what level of anxiety does this features belongs?

A. Mild
B. Moderate
C. Sever
D. Panic

33. Elton, 21 year old nursing student is taking the board examination. She is sweating profusely, has decreased awareness of his environment and is purely focused on the exam questions characterized by his selective attentiveness. What anxiety level is Elton exemplifying?

A. Mild
B. Moderate
C. Sever
D. Panic

34. You noticed the patient chart : ANXIETY +3 What will you expect to see in this client?

A. An optimal time for learning, Hearing and perception is greatly increased
B. Dilated pupils
C. Unable to communicate
D. Uses palliative coping mechanism

35. When should the nurse starts giving XANAX?

A. When anxiety is +1
B. When the client starts to have a narrow perceptual field and selective inattentiveness
C. When problem solving is not possible
D. When the client is immobile and disorganized

36. Which of the following behavior is not a sign or a symptom of Anxiety?

A. Frequent hand movement
B. Somatization
C. The client asks a question
D. The client is acting out

37. Which of the following intervention is inappropriate for client’s with anxiety?

A. Offer choices
B. Provide a quiet and calm environment
C. Provide detailed explanation on each and every procedures and equipments
D. Bring anxiety down to a controllable level

38. Which of the following statement, if made by the nurse, is considered not therapeutic?

A. “How did you deal with your anxiety before?”
B. “It must be awful to feel anxious.”
C. “How does it feel to be anxious?”
D. “What makes you feel anxious?”

39. Marissa Salva, Uses Benson’s relaxation. How is it done?

A. Systematically tensing muscle groups from top to bottom for 5 seconds, and then releasing them
B. Concentrating on breathing without tensing the muscle, Letting go and repeating a word or sound after each exhalation
C. Using a strong positive, feeling-rich statement about a desired change
D. Exercise combined with meditation to foster relaxation and mental alacrity

40. What type of relaxation technique does Lyza uses if a machine is showing her pulse rate, temperature and muscle tension which she can visualize and assess?

A. Biofeedback
B. Massage
C. Autogenic training
D. Visualization and Imagery

41. This is also known as Self-suggestion or Self-hypnosis

A. Biofeedback
B. Meditation
C. Autogenic training
D. Visualization and Imagery

42. Which among these drugs is NOT an anxiolytic?

A. Valium
B. Ativan
C. Milltown
D. Luvox

43. Kenneth, 25 year old diagnosed with HIV felt that he had not lived up with God’s expectation. He fears that in the course of his illness, God will be punitive and not be supportive. What kind of spiritual crisis is Kenneth experiencing?

1. Spiritual Pain
2. Spiritual Anxiety
3. Spiritual Guilt
4. Spiritual Despair

A. 1,2
B. 2,3
C. 3,4
D. 1,4

44. Grace, believes that her relationship with God is broken. She tried to go to church to ask forgiveness everyday to remedy her feelings. What kind of spiritual distress is Grace experiencing?

A. Spiritual Pan
B. Spiritual Alienation
C. Spiritual Guilt
D. Spiritual Despair

45. Remedios felt “EMPTY” She felt that she has already lost God’s favor and love because of her sins. This is a type of what spiritual crisis?

A. Spiritual Anger
B. Spiritual Loss
C. Spiritual Despair
D. Spiritual Anxiety

46. Budek is working with a schizophrenic patient. He noticed that the client is agitated, pacing back and forth, restless and experiencing Anxiety +3. Budek said “You appear restless” What therapeutic technique did Budek used?

A. Offering general leads
B. Seeking clarification
C. Making observation
D. Encouraging description of perception

47. Rommel told Budek “ I SEE DEAD PEOPLE “ Budek responded “You see dead people?” This Is an example of therapeutic communication technique?

A. Reflecting
B. Restating
C. Exploring
D. Seeking clarification

48. Rommel told Budek, “Do you think Im crazy?” Budek responded, “Do you think your crazy?” Budek uses what example of therapeutic communication?

A. Reflecting
B. Restating
C. Exploring
D. Seeking clarification

49. Myra, 21 year old nursing student has difficulty sleeping. She told Nurse Budek “I really think a lot about my x boyfriend recently” Budek told Myra “And that causes you difficulty sleeping?” Which therapeutic technique is used in this situation?

A. Reflecting
B. Restating
C. Exploring
D. Seeking clarification


50. Myra told Budek “I cannot sleep, I stay away all night” Budek told her “You have difficulty sleeping” This is what type of therapeutic communication technique?

A. Reflecting
B. Restating
C. Exploring
D. Seeking clarification

51. Myra said “I saw my dead grandmother here at my bedside a while ago” Budek responded “Really? That is hard to believe, How do you feel about it?” What technique did Budek used?

A. Disproving
B. Disagreeing
C. Voicing Doubt
D. Presenting Reality

52. Which of the following is a therapeutic communication in response to “I am a GOD, bow before me Or ill summon the dreaded thunder to burn you and purge you to pieces!”

A. “You are not a GOD, you are Professor Tadle and you are a PE Teacher, not a Nurse. I am Glen, Your nurse.”
B. “Oh hail GOD Tadle, everyone bow or face his wrath!”
C. “Hello Mr. Tadle, You are here in the hospital, I am your nurse and you are a patient here”
D. “How can you be a GOD Mr. Tadle? Can you tell me more about it?”

53. Erik John Senna, Told Nurse Budek “ I don’t want to that, I don’t want that thing.. that’s too painful!” Which of the following response is NON THERAPEUTIC

A. “ This must be difficult for you, But I need to inject you this for your own good”
B. “ You sound afraid”
C. “Are you telling me you don’t want this injection?”
D. “Why are you so anxious? Please tell me more about your feelings Erik”

54. Legrande De Salvaje Y Cobrador La Jueteng, was caught by the bacolod police because of his illegal activities. When he got home after paying for the bail, He shouted at his son. What defense mechanism did Mr. La Jueteng used?

A. Restitution
B. Projection
C. Displacement
D. Undoing

55. Later that day, he bought his son ice cream and food. What defense mechanism is Legrande unconsciously doing?

A. Restitution
B. Conversion
C. Redoing
D. Reaction formation

56. Crisis is a sudden event in ones life that disturbs a person’s homeostasis. Which of the following is NOT TRUE in crisis?

A. The person experiences heightened feeling of stress
B. Inability to function in the usual organized manner
C. Lasts for 4 months
D. Indicates unpleasant emotional feelings

57. Which of the following is a characteristic of crisis?

A. Lasts for an unlimited period of time
B. There is a triggering event
C. Situation is not dangerous to the person
D. Person totality is not involved

58. Levito Devin, The Italian prime minister, is due to retire next week. He feels depressed due to the enormous loss of influence, power, fame and fortune. What type of crisis is Devin experiencing?

A. Situational
B. Maturational
C. Social
D. Phenomenal

59. Estrada, The Philippine president, has been unexpectedly impeached and was out of office before the end of his term. He is in what type of crisis?

A. Situational
B. Maturational
C. Social
D. Phenomenal

60. The tsunami in Thailand and Indonesia took thousands of people and change million lives. The people affected by the Tsunami are saddened and do not know how to start all over again. What type of crisis is this?

A. Situational
B. Maturational
C. Social
D. Phenomenal

61. Which of the following is the BEST goal for crisis intervention?

A. Bring back the client in the pre crisis state
B. Make sure that the client becomes better
C. Achieve independence
D. Provide alternate coping mechanism

62. What is the best intervention when the client has just experienced the crisis and still at the first phase of the crisis?

A. Behavior therapy
B. Gestalt therapy
C. Cognitive therapy
D. Milieu Therapy

63. Therapeutic nurse client relationship is describes as follows

1. Based on friendship and mutual interest
2. It is a professional relationship
3. It is focused on helping the patient solve problems and achieve health-related goals
4. Maintained only as long as the patient requires professional help

A. 1,2,3
B. 1,2,4
C. 2,3,4
D. 1,3,4

64. The client is scheduled to have surgical removal of the tumor on her left breast. Which of the following manifestation indicates that she is experiencing Mild Anxiety?

A. She has increased awareness of her environmental details
B. She focused on selected aspect of her illness
C. She experiences incongruence of action, thoughts and feelings
D. She experiences random motor activities

65. Which of the following nursing intervention would least likely be effective when dealing with a client with aggressive behavior?

A. Approach him in a calm manner
B. Provide opportunities to express feelings
C. Maintain eye contact with the client
D. Isolate the client from others

66. Whitney, a patient of nurse Budek, verbalizes… “I have nothing, nothing… nothing! Don't make me close one more door, I don't wanna hurt anymore!” Which of the following is the most appropriate response by Budek?

A. Why are you singing?
B. What makes you say that?
C. Ofcourse you are everything!
D. What is that you said?

67. Whitney verbalizes that she is anxious that the diagnostic test might reveal laryngeal cancer. Which of the following is the most appropriate nursing intervention?

A. Tell the client not to worry until the results are in
B. Ask the client to express feelings and concern
C. Reassure the client everything will be alright
D. Advice the client to divert his attention by watching television and reading newspapers

68. Considered as the most accurate expression of person’s thought and feelings

A. Verbal communication
B. Non verbal communication
C. Written communication
D. Oral communication

69. Represents inner feeling that a person do not like talking about.

A. Overt communication
B. Covert communication
C. Verbal communication
D. Non verbal communication

70. Which of the following is NOT a characteristic of an effective Nurse-Client relationship?

A. Focused on the patient
B. Based on mutual trust
C. Conveys acceptance
D. Discourages emotional bond

71. A type of record wherein , each person or department makes notation in separate records. A nurse will use the nursing notes, The doctor will use the Physician’s order sheet etc. Data is arranged according to information source.

A. POMR
B. POR
C. Traditional
D. Resource oriented

72. Type of recording that integrates all data about the problem, gathered by members of the health team.

A. POMR
B. Traditional
C. Resource oriented
D. Source oriented

73. These are data that are monitored by using graphic charts or graphs that indicated the progression or fluctuation of client’s Temperature and Blood pressure.

A. Progress notes
B. Kardex
C. Flow chart
D. Flow sheet

74. Provides a concise method of organizing and recording data about the client. It is a series of flip cards kept in portable file used in change of shift reports.

A. Kardex
B. Progress Notes
C. SOAPIE
D. Change of shift report

75. You are about to write an information on the Kardex. There are 4 available writing instruments to use. Which of the following should you use?

A. Mongol #2
B. Permanent Ink
C. A felt or fountain pen
D. Pilot Pentel Pen marker

76. The client has an allergy to Iodine based dye. Where should you put this vital information in the client’s chart?

A. In the first page of the client’s chart
B. At the last page of the client’s chart
C. At the front metal plate of the chart
D. In the Kardex

77. Which of the following is NOT TRUE about the Kardex

A. It provides readily available information
B. It is a tool of end of shift reports
C. The primary basis of endorsement
D. Where Allergies information are written

78. Which of the following, if seen on the Nurses notes, violates characteristic of good recording?

A. The client has a blood pressure of 120/80, Temperature of 36.6 C Pulse rate of 120 and Respiratory rate of 22
B. Ate 50% of food served
C. Refused administration of betaxolol
D. Visited and seen By Dr. Santiago

79. The physician ordered : Mannerix a.c , what does a.c means?

A. As desired
B. Before meals
C. After meals
D. Before bed time

80. The physician ordered, Maalox, 2 hours p.c, what does p.c means?
A. As desired
B. Before meals
C. After meals
D. Before bed time

81. The physician ordered, Maxitrol, Od. What does Od means?

A. Left eye
B. Right eye
C. Both eye
D. Once a day

82. The physician orderd, Magnesium Hydroxide cc Aluminum Hydroxide. What does cc means?

A. without
B. with
C. one half
D. With one half dose

83. Physician ordered, Paracetamol tablet ss. What does ss means?

A. without
B. with
C. one half
D. With one half dose

84. Which of the following indicates that learning has been achieved?

A. Matuts starts exercising every morning and eating a balance diet after you taught her mag HL tayo program
B. Donya Delilah has been able to repeat the steps of insulin administration after you taught it to her
C. Marsha said “ I understand “ after you a health teaching about family planning
D. John rated 100% on your given quiz about smoking and alcoholism

85. In his theory of learning as a BEHAVIORISM, he stated that transfer of knowledge occurs if a new situation closely resembles an old one.

A. Bloom
B. Lewin
C. Thorndike
D. Skinner

86. Which of the following is TRUE with regards to learning?

A. Start from complex to simple
B. Goals should be hard to achieve so patient can strive to attain unrealistic goals
C. Visual learning is the best for every individual
D. Do not teach a client when he is in pain

87. According to Bloom, there are 3 domains in learning. Which of these domains is responsible for the ability of Donya Delilah to inject insulin?

A. Cognitive
B. Affective
C. Psychomotor
D. Motivative

88. Which domains of learning is responsible for making John and Marsha understand the different kinds of family planning methods?

A. Cognitive
B. Affective
C. Psychomotor
D. Motivative

89. Which of the following statement clearly defines therapeutic communication?

A. Therapeutic communication is an interaction process which is primarily directed by the nurse
B. It conveys feeling of warmth, acceptance and empathy from the nurse to a patient in relaxed atmosphere
C. Therapeutic communication is a reciprocal interaction based on trust and aimed at identifying patient needs and developing mutual goals
D. Therapeutic communication is an assessment component of the nursing process

90. Which of the following concept is most important in establishing a therapeutic nurse patient relationship?

A. The nurse must fully understand the patient’s feelings, perception and reactions before goals can be established
B. The nurse must be a role model for health fostering behavior
C. The nurse must recognize that the patient may manifest maladaptive behavior after illness
D. The nurse should understand that patients might test her before trust is established

91. Which of the following communication skill is most effective in dealing with covert communication?

A. Validation
B. Listening
C. Evaluation
D. Clarification

92. Which of the following are qualities of a good recording?

1. Brevity
2. Completeness and chronology
3. Appropriateness
4. Accuracy

A. 1,2
B. 3,4
C. 1,2,3
D. 1,2,3,4

93. All of the following chart entries are correct except
A. V/S 36.8 C,80,16,120/80
B. Complained of chest pain
C. Seems agitated
D. Able to ambulate without assistance

94. Which of the following teaching method is effective in client who needs to be educated about self injection of insulin?

A. Detailed explanation
B. Demonstration
C. Use of pamphlets
D. Film showing

95. What is the most important characteristic of a nurse patient relationship?

A. It is growth facilitating
B. Based on mutual understanding
C. Fosters hope and confidence
D. Involves primarily emotional bond

96. Which of the following nursing intervention is needed before teaching a client post spleenectomy deep breathing and coughing exercises?

A. Tell the patient that deep breathing and coughing exercises is needed to promote good breathing, circulation and prevent complication
B. Tell the client that deep breathing and coughing exercises is needed to prevent Thrombophlebitis, hydrostatic pneumonia and atelectasis
C. Medicate client for pain
D. Tell client that cooperation is vital to improve recovery

97. The client has an allergy with penicillin. What is the best way to communicate this information?

A. Place an allergy alert in the Kardex
B. Notify the attending physician
C. Write it on the patient’s chart
D. Take note when giving medications

98. An adult client is on extreme pain. He is moaning and grimacing. What is the best way to assess the client’s pain?

A. Perform physical assessment
B. Have the client rate his pain on the smiley pain rating scale
C. Active listening on what the patient says
D. Observe the client’s behavior

99. Therapeutic communication begins with?

A. Knowing your client
B. Knowing yourself
C. Showing empathy
D. Encoding

100. The PCS gave new guidelines including leaflets to educate cancer patients. As a nurse, When using materials like this, what is your responsibility?

A. Read it for the patient
B. Give it for the patient to read himself
C. Let the family member read the material for the patient
D. Read it yourself then, Have the client read the material




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