1

IFC4 - NURSING PRACTICE 1 A

(IFC4-NP1-001-013-J)
_____________________________________________
NURSING PRACTICE I SET A
NURSING PRACTICE I FOUNDATION OF NURSING
PRACTICE
GENERAL INSTRUCTIONS:
1. This test booklet contains 100 test questions.
2. Read INSTRUCTIONS TO EXAMINEES printed on
your answer sheet.
3. Shade only one (1) box for each question on your
answer sheets. Two or more boxes shaded will
invalidate your answer.
4. AVOID ERASURES.
5. This is PRC property. Unauthorized possession,
reproduction, and/or sale of this test is punishable by
law. Per RA 8981.
INSTRUCTIONS:
1. Detach one (1) answer sheet from the bottom of
your Examinee ID/Answer Sheet Set.
2. Write the subject title Nursing Practice I on the box
provided.
3. Shade Set Box A on your answer sheet if your test
booklet is Set A; Set Box B if your test booklet is
Set B.
_____________________________________________
SITUATION: The nurse needs to understand that Basic
health practices and health promotion is an essential part
of nursing and one of the most important responsibilities
of a nurse. The nurse should prioritize teaching, health
promotion and primary prevention more than anything
else.
1.

2.

3.

4.

5.

If you are going to modify your lifestyle, it should

begin in:
A. Have an active lifestyle, exercising regularly
B. Avoiding environmental pollutants
C. Recognizing the impact of unhealthy habits
D. Lessening visits in some fast food restaurants
and limiting junk foods
All of these are some behavior modification to the
management of stress. EXCEPT:
A. Progressive muscle relaxation
C. Spiritual Meditation
B. Pharmacotherapy
D. Guided Imagery
Basic to progressive muscle relaxation is:
A. Focusing on an image to relax
C. Use of industrial equipment
B. Relaxing muscles from tension
D.
Stopping disturbing thoughts
A type of massage that involves a smooth, long and
circular stroke used in the abdomen of a client during
labor is called:
A. Petrissage
C. Tapotement
B. Touch Therapy
D. Effleurage
If you are going to assess an incision, you know that
which of the following is a sign of inflammation?
A. There is a clear and yellow drainage
B. Red and warm incision
C. Pallor around the incision

D. Brown exudates at incision site

SITUATION: You are recently appointed as a chief nurse
in a 100 bed hospital in Manila. As a chief nurse,
knowledge of the managerial process is essential.
6. One of the first things that you did was objective
writing, formulating goals and philosophy of nursing
service. This is an element of which managerial
process phase?
A. Planning
B. Controlling
C. Directing
D. Organizing
7. You also come up with the organizational structure
defining the role and function of the different nursing
positions and line-up the position with qualified
people. This is included in which element of the
managerial process?
A. Monitoring
B. Evaluation
C. Organizing
D. Planning
8. After a week, you and the management committee
assess the regulatory measures taken and correct
whatever discrepancies are found. This is part of
which element of administration:
A. Directing
B. Organizing
C. Controlling
D. Planning
9. Controlling or Evaluation is best defined as:
A. A continuing process of seeing that performance
meets goals and targets
B. Obtaining commitment of members to do better
C. Informing personnel how well and how much
improvement has been made
D. Follow-up of activities that have been studied
10. Which of the following are the two most important
skills that a manager should possess?
1. Skills in decision making
2. Skills in planning
3. Skills in communication
4. Skills in Auditing
A. 1 & 3
C. 1 & 2

B. 1 & 4
D. 2 & 4

SITUATION: Measurement of Vital signs is necessary

skill a nurse should possess. Remember that taking Vital
signs is one of the most common routine activities that an
entry level nurse will do in practice.
11. When taking the oral temperature of a client who
smoke or drink hot or cold fluids, it is necessary that
the nurse should wait for how many minutes?
A. 15 minutes
B. 30 minutes
C. 5 minutes
D. 1 hour
12. When taking the blood pressure, the nurse should
properly wait for a period of time when the client has
just arrived to the health center. How many minutes
should a nurse wait before taking the blood pressure
of this client?
A. 15 minutes
B. 30 minutes
C. 5 minutes
D. 1 hour
13. The nurse knows that he should pump the cuff of the
sphygmomanometer above:
A. 15 mmHg based on the Palpatory systolic BP
B. 15 mmHg based on the Auscultatory systolic BP
C. 30 mmHg based on the Palpatory systolic BP
D. 30 mmHg based on the Auscultatory systolic BP

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plagiarism, copyright infringement and violation of related laws in connection with the contents of the materials. It had no participation in the preparation and
compilation thereof such being the sole responsibility of the lecturer concerned. This disclaimer serves as a notice to the public that The Big Leap shall not be
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14. The nurse should warp the BP Cuff evenly around the
clients arm ensuring that it is well place
approximately:
A. 1 cm above the antecubital space
B. 4 cm above the antecubital space
C. 1 inch above the antecubital space
D. 2 inches above the antecubital space
15. In taking the blood pressure of an obese client, the
nurse used an ordinary size cuff and therefore an
error will most likely occur. The nurse knows that if
this is the case, The Blood Pressure will be:
A. False high
B. False low
C. Undetermined
D. Normal
SITUATION: The human body is a complex system of
interrelated cells, tissues and organs that performs vital
functions necessary to sustain life. Knowledge of basic
anatomy is essential to understand how well our body
adapts to the demands of life.
16. What gland secretes the human growth hormone or
the somatotropin?
A. Hypothalamus
B. Anterior pituitary gland
C. Posterior Pituitary Gland
D. Liver
17. The gland responsible for synthesizing and producing
vasopressin or anti-diuretic hormone is the:
A. Hypothalamus
C. Anterior pituitary gland
B. Posterior Pituitary Gland D. Pancreas
18. RAAS or the rennin-angiotensin-aldosterone
mechanism produces which effect in the body?
A. Vasodilation and increase sodium and water
reabsorption
B. Vasoconstriction and decrease sodium and water
reabsorption
C. Vasodilation and decrease sodium and water
resabsorption
D. Vasoconstriction and increase sodium and water
reabsoprtion
19. Hematopoiesis in a full grown adult occurs mainly in
the:
A. Red bone marrow
C. Yellow bone marrow
B. Liver
D. Spleen
20. The respiratory center, which controls respiration, is
located in the:
A. Medulla Oblongata
C. Hypothalamus
B. Pons Varolii
D. Lungs and Diaphragm
SITUATION: Collaboration with the members of the
healthcare team is an essential part of nursing practice.
21. If a client is concerned that he cannot pay the bill in
due time, he will need a prompt referral to which
department?
A. Physician
B. Library
C. Social Service
D. DSWD
22. Agatha has breast cancer and is going through
chemotherapy. She was referred by the Oncology
nurse to a self-help group of clients with cancer to:

A. Have an emotional support

B. For financial benefits
C. Be part of a research experiment
D. For legal benefits
23. The nurse should be aware the dietary department is
also an important department in the collaborative
team. Patient needing special instructions in their
diets are referred to which of the following member
of the collaborative team?
A. The physician
C. The nutritionist
B. The dietician
D. The pathologist
24. When collaborating with other health team members,
the best description of Nurse Julies role is:
A. Encourages the clients involvement in his care
B. Shares and implements orders of the health
team to ensure quality care
C. She listens to the individual views of the team
members
D. Helps client set goals of care and discharge
25. Nurse Julie is successful in collaborating with health
team members about the care of Mr. Santos. This is
because she has the following competencies:
A. Communication, trust, and decision making
B. Conflict management, trust, negotiation
C. Negotiation, decision making
D. Mutual respect, negotiation and trust
SITUATION: At the OPD, Miss Jean R.N assisted in the
Physical examination of one patient for Paracentesis,
Lumbar tap and Thoracentesis.
26. What instruction should the nurse include prior to
paracentesis?
A. Ask the client to drink
B. Ask the client to void
C. Ask the client to be positioned on the unaffected
side
D. Ask the client to be positioned on the affected
side
27. What is the position of the client prior to lumbar
puncture?
A. Quasifetal, flexed position
B. Prone position
C. Jacknife position
D. Sidelying, on the unaffected side
28. Prior to Thoracentesis, the patient is placed on what
position?
A. Orthopneic position
B. Dorsal recumbent position
C. Prone position
D. Lithotomy position
29. Prior to paracentesis, The client is asked to void first
to:
A. Test urine
B. Prevent puncture of the bladder
C. Prevent discomfort
D. Prevent puncture of the uterus
30. In lumbar puncture, The flexed position of the patient
is to:
A. Achieve comfort
B. Relax muscles
C. Provide wide exposure of the back
D. Widen the vertebral space

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plagiarism, copyright infringement and violation of related laws in connection with the contents of the materials. It had no participation in the preparation and
compilation thereof such being the sole responsibility of the lecturer concerned. This disclaimer serves as a notice to the public that The Big Leap shall not be
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SITUATION: You are a nurse assigned for nutrition
education class in your barangay. The following
questions deals with teaching clients with regards to
improving their health through health promotion.
31. Mr. Rodriguez asks you what is the normal allowable
salt intake in a day. Your best response to Rodriguez
is:
A. 1 teaspoon of salt a day with iodine and sprinkle
of monosodium glutamate
B. 5 grams of salt a day or 1 teaspoon of salt a day
C. 1 tablespoon of salt with some fish sauce and
soy sauce
D. 1 teaspoon of salt with no fish sauce and soy
sauce
32. You would educate Mr. Rodriguez with regard to
lowering his salt intake using which of the following
instruction EXCEPT:
A. Eat foods with little or no salt added
B. Limit table salt but condiments are advisable
C. Minimize the intake of tocino, longanisa and
other processed foods
D. Use spices, fruits, vegetables and herbs instead
33. Which of the following is the best method of teaching
young mothers with regards to nutrition education?
A. Diets limited in salt and fat
B. Commercial preparation of dishes
C. Harmful effects of drugs and alcohol intake
D. Cooking demonstration and meal planning
34. The cure of cancer would depend on:
A. Knowing the warning signs of cancer
B. Early detection and early treatment
C. Utilization of alternative medicine
D. Performing Testicular self examination regularly
35. In health education, which of the following is a role of
the Nurse?
A. Focusing on programs on drug rehabilitation and
smoking cessation
B. Educate as many people about warning signs of
non-communicable diseases
C. Monitoring client with hypertension
D. Reporting cases of TB, Leprosy, AIDS and other
communicable diseases
SITUATION: Aling Aida. 42 years old. is waiting for her
doctors appointment at the clinic where you work.
36. You are to interview her as an initial nursing action so
that you can.
A. Document important data in her client records
for health team to read.
B. Gather data about her lifestyle, health needs,
lifestyle,
health
needs and problems to
develop plan of care
C. provide solutions to her immediate health
concern
D. identify the most appropriate nurse diagnosis for
her heath problem
37. During the interview, Aida experiences a sharp
abdominal pain on the right side of her abdomen.
She further tells you that an hour ago, she ate fatty
food and this had happened many times before. You
will record this as:
A. Client complains of intermittent abdominal pain
an hour after eating fatty foods

B. After eating fatty food the client experienced

severe abdominal pain
C. Client claims to have sharp abdominal pains
after eating fatty food unrelieved by pain
medication
D. Client reported sharp abdominal pain on the
right upper quadrant of abdomen an hour after
ingestion of fatty foods.
38. Aida tells you that she has been on a high protein /
high fat / low carbohydrate diet order to lose weight
and that she has successfully lost 8 lbs during the
past two weeks. In planning a healthy balanced diet
for her, you will:
A. Encourage her to eat well-balanced diet with a
variety of food from the major food groups and
take plenty of fluids.
B. Ask her to shift to a macrobiotic diet rich in
complex carbohydrates.
C. Encourage her to cleanse her body toxins by
changing a vegetarian diet with regular exercise.
D. Encourage her to eat a high carbohydrate, low
protein diet and low fat diet.
39. You learn that Aida drinks 5-8 cups o coffee a day
plus cola drinks. Because she is in her premenopausal years, the nurse instructs her to
decrease consumption of coffee and cola
preparation because:
A. These products increase calcium loss from the
bones
B. These products have stimulant effect n the body
C. these products encourage increase in sugar
consumption
D. these products are addicting
40. Health education plan for Aida stresses prevention of
NCD or Non-communicable diseases that are
influenced by lifestyle. These include the following
EXCEPT:
A. Cancer
B. Osteoporosis
C. DM
D. Cardiovascular diseases
SITUATION: Due to rapid changes in technology, lifestyle
of human beings evolved. This lead to the development
and evolution of health care services to meet the new
demands of the society and nation in general.
41. At present, government hospitals are expected to
offer comprehensive health services to include
illness prevention and health promotion. In which of
the following unit of services are these services
integrated?
A. Wellness center
B. Rehabilitation Center
C. Intensive Care unit
D. newborn screening unit
42. Which of the following is the MOST recent
government initiative to help subsidize the cost of
health services for both the employed and the
unemployed?
A. National Health Insurance Act
B. Medicare Act
C. Workers Compensation Act
D. Magna Carta for Public Health Workers
43. The top ten morbidity cases in the Phil. Include TB,
diarrhea among children to name a few. Many of
these conditions are preventable and have

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plagiarism, copyright infringement and violation of related laws in connection with the contents of the materials. It had no participation in the preparation and
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implications are preventable and have implications in
the development of which nursing competencies?
A. Execution of nsg. procedure and technique
B. Administration of treatment and medication
C. Therapeutic use of self
D. Health education
44. The cost of hospitalization is getting more expensive
and unaffordable to many of our people. These facts
will MOST LIKELY bring about development in which
of the following?
A. Acute services
B. Home care services
C. Managed care services
D. Advance practice nursing
45. Which of the following latest trend has expanded
health services based on prepaid fees with emphasis
on health promotion and illness prevention?
A. Government Insurance Plan
B. Health Maintenance Organization
C. Preferred Provider Organization
D. Private Insurance Plan
SITUATION: Safe nursing practice involves an
understanding of the law.
46. In the Philippines, this law is:
A. The Philippine Nursing Act of 2002 or R.A. 9173
B. the Philippine Nursing Act of 1991 or R.A. 7164
C. IRR or Resolution 425 of 2003
D. Republic Act No. 8981
47. The Philippine Nursing Act delineates the scope of
nursing. It specifies that independent practicing
nurse is responsible for:
A. Health promotion and prevention of illness
B. Administration of written prescription for
treatment and therapies
C. Rehabilitative aspect of care
D. Collaborating with other healthcare providers for
health restoration and alleviation of
suffering
48. Standards of care provide the legal basis for
evaluation of nursing practice or malpractice. Its
functions include all EXCEPT:
A. Used by nurse experts to define what
appropriate nursing practice is in a given
situation
B. Used to measure or evaluate nursing conduct to
determine if the nurse acted reasonably as any
prudent
nurse
would
under
similar
circumstances
C. Used to delineate the scope, function and role of
the nurse
D. Use to measure or evaluate the conduct of
nurse specialists who are certified in their own
49. As a standard in ethics, this represents an
understanding and agreement to respect another
persons right to decide a course his or her own
destiny:
A. Autonomy
C. Beneficence
B. justice
D. Nonmalifecence
50. The Code of Ethics refers to standards of behavior or
ideals of conduct. The ability to answer for and stand
by ones action refers to:
A. Accountability
C. Advocacy

B. Veracity

D. Responsibility

SITUATION: An understanding of the factors influencing

the health care delivery system will enable nurses to
adjust to change, create better ways of providing nursing
care and develop new nursing roles.
51. Wellness clinics and health education activities have
been integrated in government hospitals to render
appropriate services. Which of the following purposes
LEAST helps clients in cases of these health promotion
activities?
A. Maintain maximum functions
B. Promote health habits
C. Reduce the costs of health care
D. Identify disease symptoms
52. With regards to illness prevention activities as part of
nursing care, which of the following will help clients
MOST?
A. Maintain maximum function
B. Reduce risk factor
C. Promote habits related to health care
D. Manage stress
53. By experience, which of the following nursing goals
are MOST often overlooked by nurses and other
members of the hospital team in the care of their
clients in the hospital?
A. Illness prevention
B. Diagnosis and treatment
C. Health promotion
D. Rehabilitation of patients
54. Which of the following health care agencies is usually
family-centered, relatively recent in popularity and
oftentimes focuses on maintenance of comfort and
satisfactory lifestyle of clients in the terminal phase
of illness?
A. Non-government organization
B. Community health center
C. Hospice
D. Support group
55. Which of the following is NOT a legally binding
document but nonetheless very important in the care
of all patients in any setting?
A. Bill of rights as provided in the Philippine
Constitution
B. Scope of nursing practice as defined in R.A.
9173
C. Patients Bill of Rights (as adopted by American
Nurses Association)
D. Board of Nursing resolution adopting the Code
of Ethics
SITUATION: A nurse follows the nursing process to
specialty
organizefields
and deliver nursing care. Use of the process
allows the nurse to integrate elements of critical thinking
to make judgments and take actions based on reasons.
The following questions will test your knowledge
regarding the nursing process.
56. One aspect of implementation related to drug therapy
is:
A. Developing a content outline.
B. Establishing outcome criteria
C. Documenting drugs given.
D. Setting realistic client goals

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plagiarism, copyright infringement and violation of related laws in connection with the contents of the materials. It had no participation in the preparation and
compilation thereof such being the sole responsibility of the lecturer concerned. This disclaimer serves as a notice to the public that The Big Leap shall not be
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5
57. The nurse is providing care for a client who
underwent mitral valve replacement. The best
example of a measurable client outcome goal is to:
A. Change his own dressing.
B. Walk in the hallway.
C. Walk from his room to the end of the hall and
back before discharge.
D. Eat a special diet.
58. Which client characteristic would be an example of
noncompliance?
A. Undesired drug action
B. Failure to progress
C. Multiple questions
D. Resolved symptoms
59. A client is placed on a low-sodium (500 mg/day) diet.
Which client statement indicates that the nurse's
nutrition teaching plan has been effective?
A. "I can still eat a ham-and-cheese sandwich with
potato chips for lunch."
B. "I chose broiled chicken with a baked potato for
dinner."
C. "I chose a tossed salad with sardines and oil
and vinegar dressing for lunch."
D. "I'm glad I can still have chicken bouillon soup."
60. When developing a plan of care for an older adult, the
nurse should consider which challenges faced by
clients in this age-group?
A. Selecting vocation, becoming financially
independent, and managing a home
B. Developing leisure activities, preparing for
retirement, and resolving empty-nest crisis
C. Managing a home, developing leisure activities,
and preparing for retirement
D. Adjusting to retirement, deaths of family
members, and decreased physical strength
61. A client is scheduled for surgery under general
anesthesia. The night before surgery, the client tells
the nurse, "I can't wait to have breakfast tomorrow."
Based on this statement, the nurse should formulate
which nursing diagnosis?
A. Deficient knowledge related to food restrictions
associated with anesthesia
B. Fear related to surgery
C. Risk for impaired skin integrity related to
upcoming surgery
D. Ineffective individual coping related to the stress
of surgery
62. Each morning, the nurse-manager assigns clients
and additional tasks for the staff nurses to complete
that day. During the shift, a crisis develops and one
staff nurse doesn't complete the additional tasks.
The next day, the nurse-manager reprimands this
nurse. When the nurse tries to explain, the nursemanager interrupts, saying that the tasks should
have been completed anyway. Which leadership
style is the nurse-manager exhibiting?
A. Democratic
B. Permissive
C. Laissez-faire
D. Authoritarian
63. What is the most appropriate nursing diagnosis for
the client with acute pancreatitis?
A. Deficient fluid volume
B. Decreased cardiac output
C. Excessive fluid volume
D. Ineffective tissue perfusion

64. A client with shock brought on by hemorrhage has a

temperature of 97.6 F (36.4 C), a heart rate of 140
beats/minute, a respiratory rate of 28 breaths/minute,
and a blood pressure of 60/30 mm Hg. For this
client, the nurse should question which physician
order?
A. "Monitor urine output every hour."
B. "Infuse I.V. fluids at 83 ml/hour."
C. "Administer oxygen by nasal cannula at 3
L/minute."
D. "Draw samples for hemoglobin and hematocrit
every 6 hours."
65. When caring for a client, the nurse must determine
whether the client has achieved the goals
established in the plan of care. The nurse
determines goal achievement during which step of
the nursing process?
A. Evaluation
B. Planning
C. Implementation
D. Assessment
66. During the planning step of the nursing process, the
nurse performs which activity?
A. Records data
C. Collects data
B. Develops goals of care
D.
Carries out interventions
67. When documenting information in a client's medical
record, the nurse should:
A. Erase any errors.
B. Use a #2 pencil.
C. Leave one line blank before each new entry.
D. End each entry with the nurse's signature and
title
68. When performing an assessment, the nurse identifies
the following signs and symptoms: impaired
coordination, decreased muscle strength, limited
range of motion, and reluctance to move. These
signs and symptoms indicate which nursing
diagnosis?
A. Health-seeking behavior
B. Disturbed sensory perception
C. Impaired mobility
D. Deficient knowledge
69. Which source of information helps the nurse
formulate nursing diagnoses for a specific client?
A. Research articles
C. Outcome criteria
B. Essential assessment data
D. Admission criteria
70. A client must learn to use a walker. Acquisition of this
skill will require learning in the:
A. Cognitive domain
C. Psychomotor domain
B. Affective domain
D. Attentional domain
SITUATION: The skills of physical assessment and
examination provide nurses with powerful tools to detect
subtle, as well as obvious, changes in a clients health.
Physical assessment enables the nurse to assess
patterns reflecting health problems and to evaluate the
clients progress following therapy. The following
questions pertain to the physical assessment.
71. The first technique the nurse employs when
conducting a clients physical examination is:
A. Palpation
C. Inspection
B. Percussion
D. Auscultation
72. The main reason that auscultation precedes
palpation of abdomen is to:

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plagiarism, copyright infringement and violation of related laws in connection with the contents of the materials. It had no participation in the preparation and
compilation thereof such being the sole responsibility of the lecturer concerned. This disclaimer serves as a notice to the public that The Big Leap shall not be
liable for any complaints, actions or suits in connection with the contents of the materials of this compilation.

73.

74.

75.

76.

77.

78.

79.

80.

A. Prevent distortion of vascular sounds

B. Determine any areas tenderness or pain
C. Prevent distortion of bowel sounds
D. Allow the client to relax and be comfortable
To correctly palpate the clients skin for temperature,
the nurse will use the:
A. Base of the hands
B. Dorsal surface of the hands
C. Fingertips of the hands
D. Palmar surface of the hands
To assess a clients superficial lymph nodes, the
nurse would:
A. Deeply palpate using the entire hand
B. Deeply palpate using a bimanual technique
C. Lightly palpate using a bimanual technique
D. Gently palpate using the pads of the index and
middle fingers
The nurse is teaching the client to inspect all skin
surface and to report pigmented skin lesions that:
A. Are symmetrical
B. Are uniform in color
C. Have irregular borders
D. Are less than 6 mm in diameter
The client is being assessed for range of joint
movement. You ask the client to move the arm away
from the body, evaluating the movement of:
A. Flexion
C. Extension
B. Abduction
D. Adduction
When inspecting the adult clients thorax, the nurse
observes for:
A. Presence of fremitus
B. Movement of the diaphragm
C. Presence of breath sounds
D. Symmetry of chest excursion
The nurse is auscultating the clients lung fields. The
systematic pattern used for comparison is:
A. Side to side
C. Anterior to posterior
B. Top to bottom D. Interspace to interspace
The nurse asks the client to interpret the saying
Dont count your chickens before theyre hatched.
A. Judgment
C. Association
B. Knowledge
D. Abstraction
The nurse is conducting a general survey on an adult
client. The general survey includes:
A. Appearance and behavior
B. Measurement of vital signs
C. Observing specific body systems
D. Conducting a detailed health history

SITUATION: medication is a substance used in the

diagnosis, treatment, cure, relief, or prevention of health
alterations. No matter where clients receive their health
care hospitals, clinics, or home, the nurse plays an
essential role in medication preparation and
administration, medication teaching, and evaluating
clients responses to medications. The following
questions will gauge your knowledge about medications.
81. Which of the following rights has been added to the
traditional five rights of medication administration?
A. Right documentation
C. Right medication
B. Right route
D. Right time
82. The nurse is having difficulty reading a physicians
order for a medication. The nurse knows the

83.

84.

85.

86.

87.

88.

89.

90.

physician is very busy and does not want to be

called. The nurse should:
A. Call a pharmacist to interpret the order
B. Call the physician to have the order clarified
C. Consult the unit manager to help interpret the
order
D. Ask the unit secretary to interpret the physicians
handwriting
The client has an order for 2 tablespoons of Milk of
Magnesia. The nurse converts this dose to the metric
system and would give the client:
A. 2 ml
B. 5 ml C. 16 ml
D. 30 ml
Most medication errors occur when the nurse:
A. Fails to follow routine procedures
B. Is responsible in administering numerous
medications.
C. Is caring for too many clients
D. Is administering unfamiliar medications.
A client is to receive cephalexin (Keflex) 500mg PO.
The pharmacy has sent 250 mg tablets. The nurse
should give:
A. tablet B. 1 tablet C. 1 tablet D. 2 tablets
The nurse is responsible for following legal
provisions when administering controlled substances
or narcotics. Failure to do so may result in:
A. Fines, imprisonment, and loss of nurse licensure
B. Loss of employment
C. Medication errors
D. Poor health outcomes resulting from narcotic
use.
Pharmacokinetics is the study of how medications:
A. Are derived from plants
B. Enter the body, reach their site of action, are
metabolized, and exit the body.
C. Are used for certain disease processes.
D. Are manufactured and distributed to
pharmaceutical companies.
A nurse is going to teach a client how to perform a
breast self examination. The behavioral objective
that would best measure that the clients ability to
perform the examination is:
A. The client will verbalize the steps involved in
breast self examination within 1 week.
B. The nurse will explain the importance of
performing breast self examination once a
month.
C. The client will perform breast self -examination
on herself before the end of the teaching
session.
D. The nurse will demonstrate breast self
examination on a breast model provided by the
American Cancer Association.
The nurse is teaching parenting class to a group of
pregnant adolescents and has given the adolescents
baby dolls to bathe and talk to. This is an example
of:
A. Discovery
C. Role playing
B. An analogy
D. A demonstration
A client who is hospitalized has just been diagnosed
with diabetes. He is going to need to learn how to
give himself injections. The best teaching method
would be:
A. Demonstration C. One on one discussion
B. Group instruction D. Simulation

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plagiarism, copyright infringement and violation of related laws in connection with the contents of the materials. It had no participation in the preparation and
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7
SITUATION: Regular elimination of bowel waste products
is essential for normal body functioning. Alterations in
elimination are often early signs or symptoms of
problems within either the gastrointestinal or another
body system. The following questions are about bowel
elimination.
91. Most nutrients and electrolytes are absorbed in the:
A. Colon
C. Stomach
B. Esophagus
D. Small intestine
92. During the nursing assessment the client reveals that
he has diarrhea and cramping every time he has ice
cream. He attributes this to the cold nature of the
food. However, the nurse begins to suspect that
these symptoms might be associated with:
A. Food allergy
C. Lactose intolerance
B. Irritable bowel D. Increased peristalsis
93. The nurse is assessing a 55 year old client who is in
the clinic for a routine physical examination. The
nurse instructs the client to obtain fecal occult blood
testing (FOBT):
A. When there is a family history of polyps
B. If client reports rectal bleeding.
C. If a palpable mass is detected on digital
examination.
D. As part of routine examination for colon cancer.
94. These agents decrease intestinal muscle tone to
slow passage of feces.
A. Antidiarrheal opiate agents
B. Cathartics
C. Hypertonic
D. Laxatives
95. Diarrhea that occurs with fecal impaction is the result
of:
A. A clear liquid diet
B. Seepage of stool around the impaction
C. Irritation of the intestinal mucosa
D. Inability of the client to form a stool
96. A cleansing enema is ordered for a 55 year old client
before intestinal surgery. The maximum amount
given is:
A. 150 to 200 ml
B. 200 to 400 ml
B. 400 to 750 ml D. 750 to 1000 ml
97. Which of the following is true with enema?
A. High cleansing enema can is held 18 inches
above the insertion point
B. Low cleansing enema cleanses the entire colon,
from the anus and rectum up to the ileocecal
valve
C. Low cleansing enema uses 1,000 ml of irrigating
solution
D. High cleansing enema is usually performed to
cleanse the anus, rectum, sigmoid colon and a
portion of the descending colon.
98. During the enema the client begins to complain of
pain. The nurse notes blood in the return fluid and
rectal bleeding. The nurses actions are to:
A. Stop the instillation
B. Stop the instillation and obtain vital signs
C. Slow down the rate of instillation
D. Tell the client to breathe slowly and relax
99. One of the greatest problems in caring for a client
with an NG tube is:
A. Dehydration
B. Maintaining comfort

C. Constipation
D. Nutritional therapy
100. A nurse trained to care for ostomy clients is a/an:
A. Enterostomal therapist
B. Nurse practitioner
C. Ostomy practitioner
D. GI therapist
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The Big Leap makes no representation about the accuracy, authenticity and reliability of this compilation. It disclaims any and all responsibility or liability for
plagiarism, copyright infringement and violation of related laws in connection with the contents of the materials. It had no participation in the preparation and
compilation thereof such being the sole responsibility of the lecturer concerned. This disclaimer serves as a notice to the public that The Big Leap shall not be
liable for any complaints, actions or suits in connection with the contents of the materials of this compilation.