REVIEW CENTER FOR ALLIED PROFESSIONS

(RCAP)
PRE-BOARD EXAMINATION
NURSING PRACTICE I FOUNDATION OF NURSING PROFESSIONS
GENERAL INSTRUCTIONS:
1. This test questionnaires contains 100 test items
2. Shade only one (1) box for each questions on your answer sheets. Two or more boxes shaded will validate your answer.
3. Avoid erasures.
4. Write the subject title Nursing Practice on the box provided
SITUATIONAL
Situation 1 Nurse Digna is newly assigned in the oral and parental medication in the Pediatric Ward. Nurse Yolly is supervising her
administrative oral and parental medications.
1. An order for Phenobartbital 2mg/kg is ordered by the attending pediatrician to one of the pediatric patients who weighs 25 kgs. When
calculating a pediatric dosage using weigh (mg/kg), the Phenobarbital dosage to be given is ____ mg.
A. 10
B. 50
C. 40
D. 5
2. Another patient who is 15 years old had tonic-clonic seizures. She is started on Dilatin PO TID. Which of the following are nursing
implications with patient receiving Dilatin.
1. Tablet can be crushed and should be mixed with food or fluid.
2. Can be mixed with other drugs.
3. May take 7-10 days to achieve therapeutic serum concentration.
4. Intramuscular route not recommended.
A. 1, 2 & 3
B. 2, 3 & 4
C. 3 & 4
D. 1, 3 & 4
3. Nurse Digna must know the generic names of oral and parental medications being prescribed and given to Pediatric patients in her
ward. The generic name of Dilatin is ___________
A. Cefuroxime axetil
B. Phenytoin sodium
C. Cloxacilin sodiam
D. Losartan Potassium
4. There are no rules about giving medications before, during or after meals. However, nurse should be aware of nursing implications for
each medication being given to their patients. Dilatin irritates the gastrointestinal tract and should be administered with or
immediately ___________ a meal.
A. Before
B. during
C. after
D. anytime
5. Underdosage , as well as, overdosage, can be a hazard. The patient is 7 months old, weighs lbs with fever of 39 oC. RPN order is
Ibuprofen 40 mg, p.o. for the fever > 38oC. the recommended dosage mg/kg to treat the patients fever of 39oC is basd on 10 mg/dose
should be ___________.
A. 30
B. 80
C. 60
D. 20
Situation 2 Glen has just had a thoracotomy to drain water from his lungs. A thorax has to be maintained properly in the ward.
6. To avoid ascending infection to the lungs of Glen, which of the following should the nurse prioritize to monitor?
A. The patient should be placed high fowlers position.
B. The character of the output.
C. There should be forceps at the bedside that can be used in case the tube is accidentally dislodged.
D. The bottle must be lower than the patients chest.
7. Protect the bottle from being accidentally toppled down and the tube from being dislodged, the nurse must ___________.
A. Instruct all the visitors to be cautious while inside the patients room.
B. Anchor the tubes well.
C. Instruct the patient not to be fidgety.
D. Put a precautionary tag at the patients bed.
8. In order for the nurse to keep Glen safe and free from further complications of his pleurisy, she should assess Glens respiration. The
nurse specifically must know that the rate and character of a patients respiration with pleurisy is___________.
A. Increased rate and increased depth
C. Less than 10bmp and regular
B. 24 or more bpm and shallow
D. 12 to 20 bpm and regular

9. In order to help drain the lungs of Glen, the bes position is ___________.
A. Dorsal recumbent
B. prone
C. fowlers

D. Lateral

10. To see to it that the airway is clear, the nurse should instruct Glen to do what exercise?
A. Arms extension
B. Coughing
C. Turning

D. Deep breathing

Situation 3 Nurse Andrea is lecturing on how to use the nursing process to a group of newly hired nurses on Glen, a patient with
pneumonia, 67 years old, female and a widow.
11. First, she teaches on some important questions to ask during the interview with Elen. The following are the important queries for her.
Which one is NOT included?
A. Where did the symptoms start?
B. How long have you been having the symptoms?
C. What medications have you taken, if any?
D. Is there anybody is your family who died of pneumonia recently?
12. In preparing for physical assessment of Elen, the BEST approach that a nurse must do, according to nurse to nurse Andrea is to
___________.
A. Explain the assessment procedure
C. Perform hand hygiene
B. Establish a nurse-patient relationship
D. describe what the examination will involve
13. The general purpose of auscultation of the lungs in the case of Elen is to ___________.
A. Determine the quality of sound
B. Listen to the movement of air through the respiratory tract.
C. Check on the pitch of the sound.
D. Determine the intensity of air passage
14. In making a nursing diagnosis for Elens case, Nurse Andrea mentions that the nurse best refers to ___________.
A. Their notes
C. Nursing diagnosis book
B. Medical dictionary
D. Handouts given during classroom lecture
15. In planning a nursing interventions, the nurses should basically refer to Elens ___________.
A. Choices
B. problems
C. request

D. priorities

Situation 4 in one of the wards in the hospital, the Headnurse has been having problem with the documentation and records
management. A lecture on the issue isi being conducted by the Headnurse of the unit.
16. The headnurse begins to ask the staff nurse the purposes of the SOAP, format in the POMR charting, which is ___________.
A. Provide for the confidentiality of the chart
C. Reduce in the number of forms of the chart
B. Record the clients progress
D. List the clients medical problems
17. The Headnurse asked one of the staff nurses which of the following principles is to be observed in order to chart accurately?
A. Assumptions and conclusions are reported.
B. Specific and definite words or phrases are used.
C. Statements are qualified by the use of seems or appears.
D. General statements and measurements are used.
18. The Headnurse has noted that documenting errors are quite frequent in the unit. When error in charting is made, the remedy is to:
A. Use an eraser to remove the entry.
B. Recopying the sheet and destroying it
C. Use correction fluid to erase the error
D. Use a single line to across out the error, then write the date, time and sign the correction.
19. Which of the following is NOT a characteristics of charting?
A. Accurate
B. Complete

C. Subjective

D. Brief

20. Which of the statement are correct regarding Kardex? Select all that apply.
1. It is work tool rather than a required part of the medical record.
2. It has to be kept up to date.
3. It consists of folded card for each client.
4. It is quick reference for correct information about the client.
A. 3 only

B. 4 only

C. 1, 2, 3 and 4

D. 1, 3 and 4

21. When assessing Tony, the nurse finds that he is unresponsive to stimuli with eyes remaining closed. Tonys level of consciousness is
___________.
A. obtunded
B. alert
C. comatose
D. lethargic
22. The lowest level in the Glasgow Coma Scale indicating that the patient is dying is ___________.
A. 6
B. 2
C. 8

D. 7

23. In a dying person like tony, the most important nuring care is ___________.
A. Emotional
B. spiritual
C. physical

D. psychological

24. The family of Tony asks if he is dying, the nurse best response is ___________.
A. It is the duty of the doctor to prognosticate, I cannot tell you the real prognosis of your son. Let us just wait and see.
B. God is the only one who knows when ones life will end. Maybe prayer will help.
C. His condition is not at all god. The vital signs and his level of consciousness indicate that he is not do good condition. Lets
continue and hope for some miracle to happen.
D. I do not know, let us ask the doctor and hope for the best.
25. Which among the following will be the first step in post mortem care?
A. Wrap the body with linen
C. Remove all the contraptions
B. Give body batit
D. Put body tag
Situation 6 Nurse Lara is already in the collection phase of her study on The education preparation and administrative performance of
government hospital chief nurses.
26. The major criterion for accessing a quantitative instrument for its quality and adequacy is reliability. The instrument is said to be
reliable if it consistently measures which of the following?
1. Accuracy
C. Dependability
2. Stability
D. Equivalence
A. 2 and 4
B. 1, 2 and 3
C. 3 and 4
D. 1 and 2
27. In preparing her questionnaire. Nurse Lara should observe the wordings of the questions. The question, How long have you been a
Chief Nurse and where did you finish your MAN?, is an example of which of the following?
A. Using simple, direct and familiar vocabulary
C. Double-barrel question
B. Leading question
D. Emotionally laden worded question.
28. When Nurse Lara begins with her study research, what is the BEST research design did she use?
A. Descriptive Qualitative
B. Phenomenology
C. Descriptive Quantitative

D. Historical

29. Health care providers can assume a variety of roles in research. Nurse Lara on her research assumes which of the following roles.
A. Data collector
B. Investigator
C. Co-investigator
D. Principal Investigator
30. In addition to validity and reliability, which other criteria for evaluating research instruments should Nurse Lara also consider?
1. Comprehensibility
3. Reactivity
2. Objectivity
4. Efficiency
A. 1, 2 and 3

B. 1, 2, 3 and 4

C. 1, 3 and 4

D. 2 and 3

Situation 7 Medical records or chart contains important data of the clients stay in the health facility while under the care of the health
care provider.
31. Nurse Andrea is a newly hired nurse at the Medical Ward. She has 25 clients for the morning shift. One has 25 clients for the morning
shift. One visitor asked for the clients chart. What should be the nurses response?
A. No, we just dont give a chart to anybody.
B. Only the physician-in-charge may borrow Client Bs chart.
C. May I know why you want to get the chart of Client B?
D. Excuse me, I have to do some tasks.
32. Which among the statements about clients chart is NOT TRUE?
A. Charts of clients have legal implications.
B. Protecting the privacy of the clients is of prime importance in the management of charts.
C. Clients information can be discussed with others.
D. The client is one of those authorized to read his chart.

33. Clients chart is the property of ___________?

A. Doctor
B. Client

C. Hospital

D. Visitor

34. Charts of clients in hospitals after their discharge are kept for safekeeping at the ___________.
1. Medical records section
2. Nurses station
3. Doctors lounge
4. Health information department
A. 2 & 3 only

B. 1 & 4 only

C. 4 only

D. 1 only

35. The charts entries of clients can be placed in ___________.

A. Patients room
B. Medication room

C. Nurses Station

D. Doctors Quarters

36. Prior to the teaching proper, Nurse Leah needs to ___________.

A. Conduct pre-test
B. Determine the level of knowledge of the participants

C. Prepare visual aids

D. Do advance planning

37. Nurse Leah will be using the video she borrowed from WHO. The information gained in the video is relevant to the needs of the
participants. The reason for Nurse Leah to choose the video in conducting her health education is ___________.
A. It is the most convenient to use in imparting knowledge
C. It conveys the message easily to the participants
B. It can easily be understood.
D. It is viewable in 11 minutes or less
38. What should Nurse Leah expect after video presentation?
A. Provide reading materials to supplement the information
B. Discuss the lesson again.
C. Require the participants to submit a written summary of the video presentation.
D. Be available to answer questions from the participants.
39. What phase of the teaching-learning process does a nurse consider the who, what, when and where of client teaching?
A. Identification of the learning needs
C. Implementation
B. Planning
D. Assessment
40. Learning theory principles has the feedback mechanism is most effective when it is ___________.
A. Negative and delayed
C. Negative and immediate
B. Positive ad delayed
D. Positive and immediate
Situation 9 Edcel, 11 years old, is admitted due to bronchitis. Upon admission, he manifested the following signs and symptoms,
production of mucus (sputum) of yellowish in color, fatigue, shortness of breath, slight fever ad chills and chest discomfort. The physician
orders four liters per minute of oxygenation.
41. The standard step in oxygen therapy that the nurse should do in ___________.
A. Prepare the client for the oxygen treatment.
B. Check in the chart for ordered flow rate oxygen delivery method.
C. Gather all the equipment and supplies.
D. Assess clients condition.
42. In planning for Edcels oxygen therapy, the nurse should consider the following EXCEPT:
A. Manner of administering oxygen, whether continuous or intermittent
B. Determining the age of Edcel.
C. Need for a humidifier.
D. Length of tubing.
43. Which of the following is the PRIORITY action of the nurse for Edcel who is an oxygen theraphy?
A. Check the flow.
B. Connect the flow meter to the pipe in oxygen outlet.
C. Attach the humidifier and connecting tubing to the oxygen delivery device.
D. Turn on the oxygen.
44. What priority precautionary measure should be done by the nurse during the oxygen therapy?
A. Limit visitors
C. Oxygen tank should have a belt.
B. Humidifiers water should be checked regularly.
D. No smoking sign.

45. One evening, Edcel complained of dyspnea despite continuous oxygen therapy. What should be nurse do?
A. Re-assess the client
C. Give PRN medication
B. Assess the patency of the tubing
D. refer client to the physician
Situation 10 Annabel is lecturing and demonstrating to newly hired nurses how to inject intradermally. The client is a 10 year old child
with bronchopneumonia. He needs an antibiotic and the doctors order says ANST.
46. Nurse Annabel says that in step in performing any injection is to ___________.
A. Get the consent of the client
C. Get the consent of the mother.
B. Check the vital signs of the client
D. verify the doctors orders.
47. Hand hygiene should also be done by nurses in order to ___________.
A. Protect the environment from injury.
B. Prevent other health care personnel from infection and injury.
C. Protect herself from infection.
D. Prevent infection to the client.
48. When child is fidgety, you ask the mother to use what kind of hold?
A. Cross-over hold
B. Cradle hold
C. Side-lying hold

D. Football hold

49. For sensitivity test, the syringe to be used is a ___________.

A. Insulin
B. 2 cc

C. 1 cc

D. Tuberculin

50. How much cc will the nurse inject to the child?

A. 0.02 0.1
B. 0.1 - .9

C. 0.001 01

D. 0.01 0.1

Situation 11 Nurse Ella wants the newly hired nurse in the Medical Unit to know about Nosocomial Infection (NI) because she knows that
the higher is the incidence of these in her unit, the higher will be the morbidity and mortality.
51. Nurse Ella starts with the definition of nosocomial infection. These infections acquired while the patient is ___________.
A. Still in the community
C. Still at home
B. With a select group of population
D. confused in the hospital
52. Nurse Ella emphasized that the most common NI in the Medical Ward, based on several researchers, is ___________.
A. Soft tissue infection
B. TB
C. Pneumonia
D. Bronchitis
53. She asked the nurses what is the BEST way to prevent NI in the ward? She expects the answer to be ___________.
A. Use of mask
B. Use of alcohol
C. hand hygiene
D. Use of gown
54. Using appropriate protective gear will also prevent nurses from contacting diseases. When going to the respiratory unit the nurses
must wear which of these protective gears?
A. Cap
B. face mask
C. Gloves
D. Plastic apron
55. The nurses were also taught when to wash their hands relative to their nursing care. Hand washing is done EXCEPT.
A. Before and after gloving
C. Before and after medication administration
B. Before and after documentation
D. Before and after feeding the patient
Situation 12 It is the nurses role to provide assistance to clients when they perform type of exercise use some Assistive devices like
canes or crutches. The nurses knowledge of exercises or movements will assist in meeting the needs of various patients with increased
mobility and still ensure safety.
56. You are taking care of a client who has body weakness as a result of a mild stroke. She looks the confidence to attempt movement on
her own. She has been in bad for periods of time. You instruct the family to do resistive, isometric exercise with the client. You task
the client to do ___________.
A. Pushing against a footboard
C. Quadriceps setting
B. Valsalva maneuver to contract gluteals
D. Range of motion exercise
57. You are assessing a 32 year old female client, 52 tall, who is obese based on his lb weight. A nursing diagnosis of activity
intolerance related to weight gain is formulated. To promote compliance to your care plan, you recommend ___________.
A. Decrease of caloric intake to 1,500 calories daily
B. Continuous activity to use up excess body fat.
C. Frequent low intensity exercise

D. Regular daily work-out with a personal trailer in a gym.

58. Another client assigned to you has right-sided weakness after a stroke. You observe he uses the cane, in your assessment, he
uses the cane correctly because he ___________.
A. He leans to the left when walking
B. He keeps two points of support at all times
C. After putting the cane forward, he advances his left foot.
D. Keeps the cane on the right side at all times
59. You are taking care of a client with right-sided hemi-paresis. When assisting the patient to walk along the corridor as part of his
therapeutic regimen, you should stand at the clients ___________.
A. Left side holding the clients arm
C. Right side with nurses arm around clients waist
B. Right side holding clients arm
D. Left side with nurses arm around the clients waist
60. To instruct a client with a fractured left ankle how to use crutches while going up a flight of stairs. The client is going down the
stairway properly when he ___________.
A. Moves the crutches down one step followed by the unaffected right leg.
B. Use one crutch and the handrail of the stairs while gong down.
C. Moves the crutches down one step followed by the affected left leg.
D. Advances the crutches followed by both legs to go down.
Situation 13 Infection prevention and control measures aim to ensure the protection of clients who might be vulnerable to acquiring an
infection. Nurse Leony is assigned to an infectious agents, EXCEPT:
61. Nurse Leony must be knowledgeable about the cyclical process of infection to be able to prevent and control infection, including the
causative organism. These are examples of infectious against. EXCEPT:
A. Bacteria
B. E-coli
C. Virus
D. Fungus
62. The MOST common reservoir for growth of pathogens is ___________.
A. Plants
B. Human body
C. Water

D. Soil

63. The major route of transmitting infections is thru ___________.

A. Health care providers
B. Inverse procedures

D. Entry of pathogens

C. Medical devices

64. The PRIMARY requirement for infection to occur is ___________.

A. Mode of transmission
B. Susceptible host
C. Infectious pathogen

D. Entry of pathogens

65. Examples of portal of exit of microorganisms are EXCEPT:

A. Saliva
B. Clothing

D. Infected wounds

C. Infected urine

Situation 14 Nurse Emma is taking care of a patient who was admitted due to pain over the epigastric region which becomes worse
when his stomach is empty, nausea and no appetite.
66. When Nurse Emma begins to gather her data, the assessment techniques she will be using for data gathering is ___________.
A. Percussion
B. Auscultation
C. Palpation
D. Inspection
67. She wishes to validate the signs and symptoms she read in the patients chart by attending to the best source of the data which is:
A. Patients chart
B. Attending physician
C. Wife or children
D. Patient
68. Once Nurse Emma completes processing all the data she has collected, she is ready to ___________.
A. Organize the data
C. Formulate the appropriate nursing diagnosis
B. Analysis the data
D. Synthesis the data
69. The patient has a prescribed medication of Omeprazole 40 mg, one tablet before breakfast prior to his going home. The BEST
question that Nurse Emma needs to ask that will be important in making the discharge plan for her patient is ___________.
A. What signs and symptoms should you want watch for in order for you to see your doctor?
B. In case you vomit blood, what are you supposed to do?
C. Why do you need to take Omeprazole to do?
D. What foods should you avoid?
70. What rae the phase of the nursing process involved when Nurse Emma starts to evaluate the data processed and the nursing care
she rendered?
A. Assessment and nursing diagnosis
B. Assessment and implementation

C. Assessment nursing diagnosis, planning and implementation

D. Outcome identification and implementation.
Situation 15 Nurses are frequently involved in assisting clients with eliminations problems. The major responsibility is promoting normal
bowel health and intervening to manage alterations in bowel functions.
71. A client has as order of a mall volume enema after an oral laxative fails to produce sufficient stool return. The nurse informs the client
of the procedure. The clients tasks the nurse what small volume enema is all about. The nurse offers an Appropriate answer when
she states that small volume enema is:
A. A laxative solution
C. used to clean the sigmoid and rectum
B. Given to cleanse the colon
D. A commercially prepared enema
72. The client needed further clarification when she asks the nurse how the solution will work it is administered. The most appropriate
explanation of the nurse is that the solution:
A. Causes distention of the bowel and stimulate the defecation in the lower colon.
B. Draws water from the colonic mucosa causing water retention in the lower colon.
C. Decrease surface tension of stool allowing water to renter stool more readily.
D. Promotes bowel evacuation that provides and stimulates the defecation reflex.
73. The nurse is preparing the client for the administration of small volume enema which of the following is the correct position to allow
solution to flow along the natural sigmoid colon curve?
A. Side lying position either side
B. Recumbent position

C. Side lying right side

D. Sims position left side

74. Once the client is position the nurse visualization the anus and is ready to insert the rectal tip. She is doing the procedure correctly
when she directs the rectal to the:
A. Sigmoid
B. Umbilicus
C. Rectum
D. Large Intestine
75. Which of the following measures must be observed by the nurse after all the content has been squeezed into the rectum and colon?
A. Maintain position till evacuation and bowel contents.
B. Assess return flow to allow client to rest and repeat procedures as necessarily.
C. Provide client comfort and sfety to enhance longer retention.
D. Maintain pressure from the enema container until withdrawn from the rectum.
Situation 16 A major responsibility of nurse is promoting normal position of elimination and intervening to manage altered urinary
functions. Nurses are frequently involved in assisting clients with a elimination problems.
76. A male client, Mr. Rios, is unable to control voiding. The attending physician ordered an application of an external condom catheter.
Which of the following statements is TRUE, regarding the use of condom catheter?
A. Urethral catheter provides greater benefit for incontinent clients than external catheters.
B. External catheters have lower risk of promoting Urinary tract infections than urethral catheters.
C. External catheters are safe and easy to use and decrease skin breakdown.
77. Nurse Andrew assesses the client, Mr. Rios, prior to the unrolling of the condom sheath, the following conditions should be assessed
by Nurse Andrew, EXCEPT:
A. Use of absorbent protective pads
C. Diameter of the penis shaft
B. Mental status and activity level
D. Inspection of the penis and surrounding area
78. Nurse Andrew is applying a thin film of skin protector on the penile shaft. After removing the paper backing on both sides of the
adhesive liner, Nurse Andrew is now ready to apply around the penis shaft by wrapping ___________.
A. Spirally
B. Diagonally
C. Horizontally
D. Vertically
79. Which of the following nursing measures must be carried out by Nurse Andrew after the application of the condom?
A. Observe penis 15 to 30 minutes after application
C. Empty urine in the collective every 6-8 hours.
B. Secure tape
D. take note of color and quantity of urine.
80. Nurse Andrew knows that it is recommended for the external catheter to removed and changed ___________.
A. After three days
B. Every two days
C. After six hours
D. Everyday
81. Nurse Nancy failed to cover the breast of the client when the doctor was performing the examination. Nurse Nancy may be accused of
___________.
A. Slander
B. Breach of confidentially
C. Invasion of privacy
D. Defamation

82. To prevent any compliant from the client, Nurse Nancy should have ___________.
A. Not allowed a male doctor to examine her.
C. Refrained from unduly exposing the clients left breast.
B. Stayed at the side of the client.
D. Explained the procedure to the client.
83. The client says that there was actual physical contact by the male doctor which was done against her will; the doctor may be
accused of ___________.
A. Direct Assault
B. Unjust vexation
C. Battery
D. Indirect Assault
84. The MOST accountable for the remiss in the act of unnecessary exposure of the clients breast is the ___________.
A. Physician
B. Nurse
C. Chief nurse
D. Chief of Hospital
85. Nurse Nancy says she did not know that she committed an irregularly in the nursing care she rendered; the BEST response of her
superior is ___________.
A. God helps those who help themselves.
C. Always be good.
B. Ignorance of the law excuses no one.
D. Do not harm above all.
Situation 18 Susan, 29 years old; has just been recently diagnosed with pre-diabetic stage. Her weight is 61 kg while her height is 5 feet.
FBS result is 120 mg. coming to the clinic of Dr. Roa, she was told that this can still be corrected.
86. In consultation, Nurse Emy had to gather more information from client Susan. These IMPORTANT information on the medical history
of the client include the following, EXCEPT:
A. Members of the family diagnosed or died of diabetes
B. Food preferences and habits
C. Has been diagnosed with diabetes before the present consult
D. Religious affiliation
87. In assessing client Susan, Nurse Emy should also include which of the following as an IMPORTANT item?
A. Completeness of teeth
C. Presence of wounds especially at the feet
B. Basal Matabolic Index (BMI)
D. Blood Pressure
88. Taken the age, weight and the height of Susan, Nurse Emy computed her ideal body weight, which is ___________.
A. 57 kg
B. 67 kg
C. 47 kg
D. 77 kg
89. The APPROPRIATE nursing diagnosis for client Susan formulated by Nurse Emy is ___________.
A. Risk for unstable blood glucose level
B. Risk for imbalance nutrition less than body requirements
C. Risk for imbalance nutiriton; more than body requirements
D. Readiness for imbalance nutrition
90. What should be the BEST intervention that Nurse Emy can do to help client Susan therapy?
A. Tell client to stop going to fast food restaurants.
B. Refer Susan to the physician for drugs that the client would need to reduce weight
C. Refer client to dietician for diet computation and food exchanges
D. Advise to be very careful in selecting and preparing food at home
Situation 19 Nurse Jo Ann is preparing her patient, Sylvia, 40 year old age, who was admitted with foot ulcer. Sylvia is diagnosed to have
Diabetes Millitus Type II.
91. Nurse Jo Ann should start her discharge planning n what phase of the Nursing Process?
A. Planning
B. Assessment
C. Intervention

D. Evaluation

92. In educating the patient of the proper way of performing blood glucose testing and insulin administrations, which statement should
Nurse Jo Ann adhere to?
A. Strategically seek opportunities to educate her patient when she renders the nursing intervention.
B. Strategically seek opportunities to educate her patient when the patient is about to be discharged.
C. Strategically seek opportunities to educate her patient after formulating the nursing diagnosis.
D. Strategically seek opportunities to educate her patient throughout the hospital stay.
93. The ultimate goal of discharge planning is to ___________.
A. Gain the skills understanding necessary to address the medical needs of their condition
B. Provide the patient with the survival skills to manage and take responsibility for his or her own health
C. Maintain continuity of effect.
D. Involve patient in a successful partnership with his/her healthcare providers to ensure throughout and continuous disease
management.

94. In formulating a nursing discharge plan, the most important thing to remember is the element of ___________.
A. Patient
B. Significant others
C. Patient
D. Health team
95. Nurse Jo Ann knows how important is a discharge plan which when not properly done can lead to which of the following common
post-discharge complications?
1. Adverse drug events
2. Hospital-acquired infections
3. Procedural complications
4. Worsening of medical conditions the patient already had while hospitalized
A. 2, 3 and 4
B. 1, 2, 3 and 4
C. 3 and 4
D. 1, 2 and 3
Situation 20 Communication is the basic element of human interaction, which is of utmost importance in a nurse patient relationship.
Nurse Chiara is a beginning nurse assigned in the psychiatric ward.
96. Mang Berto who will undergo surgery, to include his significant others, are most often stressed with the outcome of the surgery.
When a situation like this occurs, Nurse Chiaras BEST way to communicate is through ___________.
A. Empathizing
B. sympathizing
C. listening
D, sharing
97. Nurse Chiara must enhance her communication skills if she wishes to establish rapport with her surgical patients because of the
following reasons, EXCEPT.
A. to reduce the incidence of legal problems
B. to get better evaluation rating in the delivery of care
C. to generate trust between the nurse and the patient
D. to bring about change to promote the well-being of the patient
98. When Nurse Chiara enteracts with patient face-toface as in getting information of his sputum collection, the level of communication is
___________.
A. intrapersonal
B. public communication
C. interpersonal
D. none of the options
99. Nurse Chiara needs to understand the element of communication process to be responsive. When initiates the international
communication the element involves is ___________.
A. Message
B. sender
C. referent
D. Channel
100.It is not enough for Nurse Chiara to listen but she needs to validate what she heard. Importance of validation is ___________.
A. assist a client with clarifying thoughts
B. perceptions, influence the interpretation of a message
C. most patients are cognitively impaired
D. eye contact does not necessarily send the message

- GOOD BLESS -