D.

CLASSIFIED EXAMINATION 3
LOCAL NURSING LICENSURE EXAM

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1.

The research team planned to utilize audio-recorded interviews as their

method of collecting data. Which of the following techniques would ensure
that data obtained will be adequately analyzed?
1. Simultaneously listen to the recording and read the written
transcript, then note observations
2. Repeatedly listen to the audio-tape recordings
3. Make notations while listening to the audio-tape recordings
4. Transcribe audio-recorded interview word for word
A.
B.

2.

3.

1 only
All of these

C. 1 and 4
D. 1, 3, and 4

In a phenomenological research, the research team understands that the

experience of being isolated will be:
A. Interpreted by the participant for the researcher
B. Explained by the researcher to the participant
C. Interpreted by the researcher for the participant
D. Interpreted by the researcher with the participant
A nurse researcher is conducting a research study on the concerns of the
elderly regarding hospitalization. An elderly client was offered to participate
in the study; she signed the consent but later decided to withdraw from the
project. In this situation the elderly client:
A. May withdraw as long as the family requests withdrawal
B. May withdraw at any time of the study
C. Cannot withdraw since the consent is a legal document and has been
signed
D. Cannot withdraw since the study has started

4.

Time management is important to provide quality care and prioritize work.

The nurse finds the following practices helpful in managing time for patient
care EXCEPT:
A. Keeping telephone communication short
B. Blocking out time to accomplish important activities
C. Doing time and motion study to determine time utilization
D. Dealing with interruption openly and directly

5.

In an extreme situation and when no other resident or intern is available,

should a nurse receive telephone orders, the order has to be correctly
written and signed by the physician within:
A. 24 hours
C. 12 hours
B. 48 hours
D. 36 hours

6.

Mr. Rivera had blood extraction for hematology, blood chemistry, lipid
profile, FBS. The laboratory results are in. Of the following, which is NOT
within normal?
A. Cholesterol: 4.28 mmol/L
C. FBS: 6.5 mmol/L
B. HBA1C: 5.7 %
D. Hematocrit: 39.7/L

7.

Mr. Venturas condition improves and discharge planning is initiated. This

includes planning his nutritional regimen to encourage compliance. The
client will MOST likely be referred to:
A. Nutritionist
C. Dietician
B. Endocrinologist
D. Cardiologist

8.

In a nurses meeting in the ward, the senior nurse discusses prevention of

pressure sores. She identifies practices that are most likely to cause
shearing injury to the skin and should therefore be avoided. Of the following
practices, which one causes the LEAST harm to the client?
A. Failure to use a draw/lift sheet when moving client to the head of the
bed
B. Failure to lower the head part of the bed before moving the client
upward
C. Positioning an immobilized client without help from staff
D. Dragging the heels of the client in bed as he is being positioned.

9.

You demonstrate proper hand washing technique to the parents in the clinic
as a step to prevent spread of infection. The parents perform the practical
procedure correctly when they:
A. Rub hands together, in between fingers, using soap and rinse with
running water
B. Rub hands together for friction under running water
C. Wash fingers with soap and rinse with water in a basin

Wash hands with antimicrobial soap, apply rubbing alcohol, dry hands
by allowing alcohol to evaporate.

10. A nurse is taking care of Mr. Richard Lim who is receiving Oxygen therapy.
A watcher approached her saying there is a fire burning in the trash basket
inside the medication room in the nurses station. What INITIAL action
should the nurse do?
A. Turn off the oxygen and remove all clients from the room
B. Get the fire extinguisher to put off the fire
C. Calm the clients and escort them to a safe area.
D. Ask for help from the visitors.
11. Information gathered by nurses show the importance of nurse-physician
communication. With the current recognition that many medical errors are
caused by communication failure, which of the following is the MOST
appropriate intervention?
A.
Conduct an in-service education for nurses to improve competencies
to address the issues
B. Organize a conference on medication error participated by nurses,
physicians and others.
C. Involve a form of communication where 2 parties engage in problem
solving discussion
D. Develop a policy where all members of the health team can use it as
a reference.
12. According to the World Health Organization (W.H.O.). One of the leading
causes of mortality in the Philippines is which of the following is which of
the following?
A. Leukemia
C. Malignant neoplasm
B. Heart disease
D. Lower RTIs
13. On ESSENTIAL CARE OF THE NEWBORN, the three (3) new major
RECOMMENDED PRACTICES are
1. Practice Rooming-in
2. Skin to skin contact
3. Strict Handwashing of Carers handling the newborn child
4. Use of partograph
5. Properly timed cord clamping
6. Initiation of Breastfeeding
A.
B.

1, 3, and 4
4, 6, and 2

C. 2, 5, and 6
D. 4, 5, and 1

14. Nurse Jhoana is a member of the birthing team the day Mrs. Maria
Luwalhati gave birth to her 1st born. Inside the delivery room, nurse Jhoana
assisted the attending obstetrician. To address the concerns of keeping the
baby warm, her first step in obtaining thermal protection for the newborn
was
A. Drying the baby thoroughly immediately after birth
B. Covering the baby with a clean, dry cloth after the cord has been cut
C. Covering the baby with a clean, dry mouth immediately after birth
D. Drying the baby thoroughly after the cord has been cut
15. A 26 year old mother was admitted for hyperemesis gravidarum. While
taking the history of the client, it would be MOST important to report which
of the following?
A. The client has cool lower extremity bilaterally
B. The client has diminished palpable peripheral pulses
C. The client is anxious about the effect of her condition to the baby
D. The client has allergy to shellfish
16. Another of your pediatric patients named Duke got rushed to the hospital
with sustained bruises on lacerations, and a fractured arm. As Duke was
being treated in the E.R. his mother requested for you to come and assist
them and the nurse-on-duty (NOD) was informed of your coming as their
family nurse. Upon arrival you coordinated with the NOD and later you
were able to obtain Dukes confession that he got involved in a frat fight
outside the school. You and the NOD agreed on which priority actions?
A. Ensure documentation on the Dukes chart
B. Share the information with the hospital social worker
C. Share only this information with fellow health professionals
D. Call for the police and report the findings
17. Nurse Rutchelle plans to present to the local city health board a Stop
Smoking campaign to the communitys local public as her social
responsibility program. Rutchelle understands that if the proposal is
accepted, the funding would come from
A. Philanthropic donations
B. Philhealth contributions
C. Local community funds generated from taxes
D. The home HealthCare agency owned by nurse Rutchelle
18. Nurse Marissa has a caseload of clients whom she needs to see on a
regular basis. Which of the following clients may immediately be admitted
as a matter of PRIORITY to a private home healthcare program?
A. A woman who has delivered a normal healthy infant in a governmentmanaged birthing center

DR. CARL E. BALITA REVIEW CENTER TEL. NO. 735-4098/7350740

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B.
C.
D.

A client in the terminal stages of cancer at the hospital and will be

discharged for home care
A family with three (3) family members who tested positive for
tuberculosis and just moved into a barangay
A teenage drug abuser who refused medical treatment but is being
seen by a counselor at school

19. While in the community health center, you note various practices among
the families you serve. Which of the following situations will be OF
CONCERN to you as the nurse?
A. Mang Tomas wears a copper bracelet for his rheumatoid arthritis
B. MangAndoy gives his son various herbs everyday
C. Aling Pat applies Vicks VapoRub to the chest and back of her
grandson with colds
D. Aling Mika uses Atis seeds on the hair of her granddaughter to treat
live.
20. You are attending to 5 cases of dengue in 2 clusters of Barangays assigned
to you. Which of the following treatment modalities SHOULD NOT be
considered if the children you are attending to has severe dengue
hemorrhagic fever?
A. Give aspirin
B. Give ORS if there is skin petechiae
C. Apply alternative plan if there is bleeding from the nose or gums
D. Prevent low blood sugar
21. A 41-year old victim of gunshot wound is being assessed closely for signs
of hypovolemic shock. Which of the following instructions of Lucila to the
newly hired nurse is LEAST intended to obtain data regarding hypovolemic
shock?
A. Talk to the patient.
B. Norte skin color of the patient.
C. Report to me changes in vital signs.
D. Maintain pressure on the wound.
22. When the nurse checked the patients vital signs 15 minutes after blood
transfusion was initiated, the nurse observed the blood pressure to have
increased. The nurse suspects which of the following to have occurred?
A. Blood transfused is contaminated
B. Circulatory system could not accommodate blood volume transfused
C. Infusion of incompatible blood products
D. Hypersensitivity to the donors plasma proteins

28. Post-operative pain keeps surgical clients in bed. Most surgical clients like
Susan are encouraged to ambulate:
A. As soon as indicated
B. Within 6 to 8 hours after surgery
C. Between 10 and 12 hours after surgery
D. On the second postoperative day
29. As the nurse of Carlos who is for KUB-IVP, which of the following will you
include in your teaching plan?
1. What is an Intravenous Pyelography? (IVP)
2. How should I prepare for this procedure?
3. How is the procedure performed?
4. What will I experience during and after the procedure?
A.
B.

3 and 4
All of the above

C. 1 and 2
D. All except 3

30. When the patient has been stabilized, the PACU nurse transferred the
patient to a private room. While endorsing, the receiving nurse in the private
room performed her initial assessment, and noticed that the nasogastric
tube of the patient was out of place. Which of the following will the receiving
nurse do FIRST? She will:
A. Remove the NGT and report to the surgeon
B. Secure the NGT with tape and refer to the surgeon
C. Ask the PACU nurse to validate her observation
D. Document observation and report to the surgeon
31. Nutrition therapy of Leon includes control of protein. Dietary prescription
states that Leon is allowed 0.8 gram of protein per kg per day. If Leon
weighs 120 lbs., how much is his daily protein allowance?
A. 57.9 g
C. 81. 7 g
B. 43.6 g
D. 96 g
32. You were assigned as the triage nurse in the ER. Four patients injured in a
vehicular accident were brought to the Emergency Room at the same time.
To whom will you assign the HIGHEST priority?
A. Rusty, with maxillofacial injury and gurgling respiration
B. Zenia, with severe head injury but with no perceptible blood pressure
C. Harriet, with lumbar spinal cord injury with lower extremity paralysis
D. Bell, 8 months pregnant with premature labor contractions

23. Physician confirmed his diagnosis that Luis aortic aneurysm is the fusiform
type of true aneurysm. The nurse recognizes that this type of aneurysm:
A. Is spindle shaped and involves three layers of the vessel wall
B. Is characterized by a tear in the tunica intima with blood invading
layers of the vessel wall
C. Involves the entire diameter of the ascending aorta
D. Is shaped like a sac involving only one layer of the vessel wall

33. Lucila administered as prescribed, antivenom and tetanus toxoid to a client

admitted with history of snakebite. If you were the newly hired nurse, which
of the following statements will you consider INCORRECT?
A. Tetanus toxoid enhances effect of antivenom
B. Amount of antivenom is dependent on the severity of reaction that
weight of the client
C. Complications may be prevented by tetanus toxoid
D. Antivenom is an antidote for snakebite

24. The doctor prescribed levothyroxine sodium 0. 15 mg. per orem daily after
the diagnosis of hypothyroidism was confirmed. Nurse Daisy administers
the medication at which time to obtain the drug optimum therapeutic Level?
A. In the morning before breakfast
B. At the patients most convenient time
C. At various times of the day
D. Before bedtime

34. At the Emergency Room, a young guy was brought in and succumbed to
sudden heart attack. The parents reported that their son had always been
healthy. A report was made that substance use was positive. MOST
commonly abused substance by this age is:
A. Marijuana
C. Cocaine
B. Steroids
D. Alcohol

25. As the nurse assigned to the client, you understand that after radioactive
iodine has been administered, excess iodine not absorbed by the thyroid
tissue will leave the body primarily through which of the following?
A. Sweat
C. Feces
B. Urine
D. Saliva

35. Lady Gagaugh was started on antipsychotic medication. The following are
effects of haloperidol EXCEPT:
A. Akathisia
B. Pseudoparkinsonism
C. Control of affective symptoms
D. Voices decreased in both intensity and content

26. During transport of postoperative clients, which of the following would you
NOT recommend to be adopted?
A. Pushing the patients feet first avoiding rapid movement on the
hallways and corners
B. Hanging and securing I.V. containers over the clients head
C. Elevating the side rails and using safety traps
D. Keeping the client warm with blanket
27. In the teaching plan being prepared by the nurse for Andrew, which of the
following strategies would be most relevant for Andre to avoid overuse of
an injection site for insulin self-administration?
A. On a teaching doll, injection sites are marked with green colored pins.
After injection, the pins are replaced with red colored pins to indicate
site has been used.
B. A chart is prepared illustrating body parts where injections are
determined for a month. After injection, site is marked with the date
and time of injection.
C. On a record book, injection sites are enumerated daily for one month.
Every after injection, date and time are recorded across the used
injection site
D. Paper doll is constructed. Injection sites are determined for a week.
Injection sites are marked on the paper doll. Site is crossed out

36. Kesha das developed hostile attitudes as shown in her hitting and kicking
behavior. The psychodynamics of Keshas behavior MOST likely would
point to:
A. Inability to cope with conflict and frustration
B. Lack or role models in her growing up
C. Cry for plea for protection of childrens rights.
D. Inability to discern what is acceptable from unacceptable behavior.
37. Which of these opportunities will these nurses create to teach clients a
sense of responsibility and learn the consequences of their actions?
A. Remotivation groups
C. Client government
B. Activity groups
D. Discussion groups
38. To ensure maximum participation of family members in follow up sessions
with Ms. Adele, which of these elements of effective family intervention is
basic?
A. Family social support
B. Improvement in family communication
C. Training in problem solving
D. Mutually agreed upon goals

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