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Tuesday, June 2, 2009

November 2008 NLE Practice I - Foundation Of Nursing Practice



SITUATION 1: Nursing is a profession. The nurse should have a background on the theories and foundation of nursing as it influenced what is nursing today.

a. PNA
b. ANA
c. Nightingale
d. Hernderson

a. Nurse practitioner
b. Clinical nurse specialist
c. Nurse researcher
d. Nurse anesthesiologist

a. issue, suspend, revoke certificates of registration
b. issue subpoena duces tecum, ad testificandum
c. open and close colleges of nursing
d. supervise and regulate the practice of nursing

a. Novice
b. Newbie
c. Advanced beginner
d. Competent

a. Determine if the client’s hemoglobin level is low and if he needs blood transfusion
b. Check the level of client’s tissue perfusion
c. Measure the efficacy of the client’s anti=hypertensive medications

a. Inconsistent
b. Low systolic and high diastolic
c. Higher than what the reading should be
d. Lower than what the reading should be

a. 15 minutes
b. 30 minutes
c. 1 hour
d. 5 minutes

a. Set and turn on the alarm of the oximeter
b. Do nothing since there is no identified problem
c. Cover the fingertip sensor with a towel or bed sheet
d. Change the location of the sensor every four hours

a. 15 seconds
b. 1 to 2 minutes
c. 30 minutes
d. 15 minutes

a. False high reading
b. False low reading
c. True false reading
d. Indeterminate

a. 10 minutes
b. 20 minutes
c. 30 minutes
d. 15 minutes

19. When auscultating the client’s blood pressure, the nurse hears the following: from 150 mmHg to 130 mmHg: silence, then, a thumping sound continuing down to 100 mmHg: muffled sound continuing down to 80 mmHg, and then silence. What is the client’s blood pressure?
a. 130/80
b. 150/100
c. 100/80
d. 150/100

a. 10-20 seconds
b. 30-45 seconds
c. 1-1.5 seconds
d. 3-3.5 seconds


a. lemon glycerine
b. hydrogen peroxide
c. mineral oil
d. normal saline solution

b. keep the client dry by placing towel under the chin
c. wash hands and observe appropriate infection control

a. decreases bacteria in the mouth and teeth
c. improves client's appearance and self-confidence
d. improves appetite and taste of food

d. suctioning as needed while cleaning the buccal cavity

a. salt solution
b. water
c. petroleum jelly
d. mentholated ointment

Situation 5 – Ensuring safety before, during and after a diagnostic procedure is an important responsibility of the nurse.

a. clenching his fist every 2 minutes
c. tensing the shoulder muscles while lying on his back
d. holding his breath periodically for 30 seconds

a. nausea and vomiting
b. shortness of breath and laryngeal stridor
c. blood tinged sputum and coughing
d. sore throat and hoarseness

28. Immediately after bronchoscopy, you instructed Fernan to:
a. exercise the neck muscles
b. breathe deeply
c. refrain from coughing and talking
d. clear his throat

a. keep the sterile equipment from contamination
b. assist the physician
c. open and close the three-way stopcock
d. observe the patient's vital signs

b. observe for symptoms of tightness of chest or bleeding
c. place an ice pack to the puncture site
d. remove the dressing to check for bleeding


a. respiratory acidosis
b. metabolic acidosis
c. respiratory alkalosis
d. metabolic alkalosis

a. respiratory acidosis
b. respiratory alkalosis
c. metabolic acidosis
d. metabolic alkalosis

a. Guthrie test
b. Allen's test
c. Romberg's test
d. Weber's test

a. respiratory acidosis
b. respiratory alkalosis
c. metabolic acidosis
d. metabolic alkalosis

35. Allen's test checks the patency of the:
a. Ulnar artery
b. radial artery
c. carotid artery
d. brachial artery


a. to the patient's inner thigh
b. the patient's lower thigh
c. to the patient's buttocks
d. to the patient's lower abdomen

a. instant noodles, fresh fruits and ice tea
b. ham and cheese sandwich, fresh fruits and vegetables
c. white chicken sandwich, vegetable salad and tea
d. canned soup, potato salad, and diet soda

b. change the catheter every eight hours


a. hypothalamus
b. anterior pituitary gland
c. posterior pituitary gland
d. thyroid gland

a. somatotropin/growth hormone
b. follicle stimulationg hormone
c. thyroid stimulating hormone
d. gonadotropin hormone realeasing hormone

a. vasopressin
b. oxytocin
c. anti-diuretic hormone
d. growth hormone

a. thyroid gland
b. hypothalamus
c. parathyroid gland
d. anterior pituitary gland

a. thyroid gland
b. hypothalamus
c. parathyroid
d. anterior pituitary gland


46. The plan of the nurse supervisor is an example of
a. in service education process
b. efficient management of human resources
c. increasing human resources
d. primary prevention

a. makes the assignment to teach the staff member
c. does not have to supervise or evaluate the aide
d. must know how to perform task delegated

a. empathize with the nurse and listen to her
b. tell her to take the day off
c. discuss how she is adjusting to her new job
d. ask about her family

a. grievance
b. arbitration
c. collective bargaining
d. strike

a. professional course towards credits
b. in service education
c. advance training
d. continuing education


a. bill of rights as provided in the Philippine Constitution
b. Scope of nursing practice as defined by RA 9173
c. Board of nursing resolution adopting the Code of Ethics
d. Patient's Bill of Rights

a. incident report
b. oral report
c. nursing kardex
d. complain report

a. fraud
b. assault and battery
c. harassment
d. breach of confidentiality

a. it should have a durable power of attorney
b. it should have coverage from an insurance company
c. it should respect the client's freedom from coercion

a. the RN must supervise all delegated tasks


56. The most important risk factor is:
a. cigarette smoking
b. hypertension
c. binge drinking
d. heredity

a. embolic stroke
b. hemorrhagic stroke
c. diabetic stroke
d. thrombotic stroke

a. phlebitis
b. trauma
c. damage to blood vessel
d. aneurysm

a. amphetamines
b. cocaine
c. shabu
d. Demerol

b. "increased RBC count is linked to high cholesterol"
c. "more red blood cell increases hemoglobin content"
d. "high RBC count increases blood pressure"


a. 60%
b. 47%
c. 45%
d. 32%

a. ST depression
b. inverted T wave
c. prominent U wave
d. tall peaked T waves

a. U waves
b. absent P waves
c. Elevated T waves
d. Elevated ST segment

a. neutrophils 60%
b. white blood cells (WBC) 9000/mm
d. iron 75 mg/100 ml

a. erythrocyte sedimentation rate (ESR) 12 mm/hr
b. white blood cells (WBC) 18,000/mm3
c. iron 90g/100ml
d. neutrophils 67%


b. hypoxemia, hypercapnea and respiratory acidosis
c. noisy respiration, crackles, stridor and wheezing

a. pneumothorax
b. pleurisy or pleuritis
c. cardiovascular collapse
d. hypertension

a. restore positive intrathoracic pressure
b. restore negative intrathoracic pressure
c. to visualize the intrathoracic content
d. as a method of air administration via ventilator

69. The chest tube is function properly if:
a. there is an oscillation
b. there is no bubbling in the drainage bottle
c. there is a continuous bubbling in the water seal
d. the suction control bottle has a continuous bubbling

a. breathe normally
b. hold the breath after each inspiration for 1 full minute
c. practice abdominal breathing


71. When should rehabilitation commence?
a. the day before discharge
b. when the patient desires
c. upon admission
d. 24 hours after discharge

a. hospital as a center to prevent and control infection
b. program for smokers
c. program for alcoholics and drug addicts
d. Hospital Wellness Center

73. Which makes nursing dynamic?
b. the patient participate in the overall nursing care plan

74. Prevention is an important responsibility of the nurse in:
a. hospitals
b. community
c. workplace
d. all of the above

a. health Maintenance Organization
b. Medicare
c. Philippine Health Insurance Act
d. Hospital Maintenance Organization


a. delineate the scope and areas of nursing practice
b. Identify nursing action recommended for specific health care situations

a. legal documentation
b. education
c. research
d. vehicle for communication

a. research
b. nursing audit
c. legal documentation
d. vehicle for communication

a. prescription of the doctor to the patient's illness
b. plan of care for patient
c. patient's perception of one's illness
d. nursing problem and nursing diagnosis

c. Modified POMR

a. Increases efficiency
b. reinforces the use of the nursing process
d. enhances effective communication among the health care team members


a. hemothorax
b. tuberculosis
c. hydrothorax
d. empyema

c. allow June to express his feelings and concerns
d. physician’s explanation on the purpose of the procedure and how it will be done

a. Consent is signed by the client
b. Medicine preparation is correct
c. position of the client is correct
d. consent is signed by relative and physician

a. orthopneic
b. knee-chest
c. low fowlers
d. sidelying position on the affected side

a. procaine 2%
b. valium 250 mg
c. Demerol 75mg
d. Phenobarbital 50mg

1. B
2. D
3. C
4. A
5. C
6. C
7. D
10. A
11. C
12. D
13. C
14. B
15. C
16. B
19. A
20. B
21. D
22. A
23. B
24. D
25. C
26. B
27. B
28. B
29. D
30. B
31. D
32. B
33. B
34. A
35. A
36. C
37. A
38. A
39. C
40. C
41. A
42. D
43. D
44. A
45. C
46. B
47. B
48. C
49. C
50. B
51. D
52. A
53. B
54. C
55. C
56. B
57. C
58. A
59. B
60. A
61. A
62. D
63. A
64. C
65. B
66. A
67. C
68. B
69. A
70. D
71. C
72. D
73. D
74. D
75. A
76. C
77. D
78. A
79. A
80. D
81. B
82. D
83. B
84. D
85. D
86. D
87. A
88. A
89. A
90. C
91. D
92. C
93. B
94. D
95. C
96. B
97. A
98. A
99. A
100. A



Anonymous said...

ung questions # 5 up to 12..wla po ba?

Anonymous said...

male # 25

a. salt solution
b. water
c. petroleum jelly
d. mentholated ointment

24. D
25. C ???
26. B

hehehe malagkit ata chek nalang.

wala ding 36 at marame pa sa # 77-90

Anonymous said...

5. Benner’s “proficient” nurse level is different from the other levels in nursing expertise in the context of having:
a. the ability to organize and plan activities
b. having attained an advanced level of education
c. a holistic understanding and perception of the client
d. intuitive and analytic ability in new situations

SITUATION 2: The nurse has been asked to administer an injection via Z TRACK technique. Questions 6 to 10 refer to this.

6. The nurse prepares an IM injection for an adult client using the Z track technique. 4 ml of medication is to be administered to the client. Which of the following site will you choose?
a. Deltoid
b. Rectus femoris
c. Ventrogluteal
d. Vastus lateralis

7. In infants 1 year old and below, which of the following is the site of choice for intramuscular injection?
a. Deltoid
b. Rectus femoris
c. Ventrogluteal
d. Vastus lateralis

8. In order to decrease discomfort in Z track administration, which of the following
a. Pierce the skin quickly and smoothly at a 90 degree angle
b. Inject the medication steadily at around 10 minutes per millilitre
c. Pull back the plunger and aspirate for 1 minute to make sure that the needle did not hit a blood vessel
d. Pierce the skin slowly and carefully at a 90 degree angle

9. After injection using the Z track technique, the nurse should know that she needs to wait for a few seconds before withdrawing the needle and this is to allow the medication to disperse into the muscle tissue thus decreasing the client’s discomfort. How many seconds should the nurse wait before withdrawing the needle?
a. 2 seconds
b. 5 seconds
c. 10 seconds
d. 15 seconds

10. The rationale in using the Z track technique in an intramuscular injection is:
a. It decreases the leakage of discolouring and irritating medication into the subcutaneous tissues
b. It will allow a faster absorption of the medication
c. The Z track technique prevent irritation of the muscle
d. It is much more convenient for the nurse

SITUATION 3: A client was rushed to the emergency room and you are his attending nurse. You are performing a vital sign assessment.

11. All of the following are correct methods in assessment of the blood pressure EXCEPT:
a. Take the blood pressure reading on both arms for comparison
b. Listen to an identify the phrases of Korotkoff’s sound
c. Pump the cuff to around 50 mmHg above the point where the pulse is obliterated
d. Observe procedures for infection control

Anonymous said...

c. To help the public understand professional conduct expected of nurses
d. To define the roles and functions of the health care givers, nurses, client

77. The principles that govern right and proper conduct of a person regarding life, biology and the health professionals is referred to as:
a. Morality
b. Religion
c. Values
d. Bioethics

78. A subjective feeling about what is right or wrong is said to be:
a. Morality
b. Religion
c. Values
d. Bioethics

79. Values are said to be the enduring believe about a worth of a person, ideas and belief. If Values are going to be a part of a research, this is categorized under:
a. Qualitative
b. Quantitative
c. Experimental
d. Non Experimental

80. The most important nursing responsibility where ethical situations emerge in patient care is to:
a. Act only when advised that the action is ethically sound
b. Not takes sides, remain neutral and rair
c. Assume that ethical questions are the responsibility of the health team
d. Be accountable for his or her own actions

81. Why is there an ethical dilemma?
a. the choices involved do not appear to be clearly right or wrong
b. a clients legal right co-exist with the nurse’s professional obligation
c. decisions has to be made based on societal norms.
d. decisions has to be mad quickly, often under stressful conditions

82. According to the code of ethics, which of the following is the primary responsibility of the nurse?
a. Assist towards peaceful death
b. Health is a fundamental right
c. Promotion of health, prevention of illness, alleviation of suffering and restoration of health
d. Preservation of health at all cost

83. Which of the following is TRUE about the Code of Ethics of Filipino Nurses?
a. The Philippine Nurses Association for being the accredited professional organization was given the privilege to formulate a Code of Ethics for Nurses which the Board of Nursing promulgated
b. Code for Nurses was first formulated in 1982 published in the Proceedings of the Third Annual Convention of the PNA House of Delegates
d. Certificates of Registration of registered nurses may be revoked or suspended for violations of any provisions of the Code of Ethics.

Anonymous said...

84. Violation of the code of ethics might equate to the revocation of the nursing license. Who revokes the license?
a. PRC
b. PNA
c. DOH
d. BON

a. Human rights of clients, regardless of creed and gender
b. The privilege of being a registered professional nurses
c. Health, being a fundamental right of every individual
d. Accurate documentation of actions and outcomes

Situation 15: As a profession, nursing is dynamic and its practice is directed by various theoretical models. To demonstrate caring behaviour, the nurse applies various nursing models in providing quality nursing care.

86. When you clean the bedside unit and regularly attend to the personal hygiene of the patient as well as in washing your hands before and after a procedure and in between patients, you indent to facilitate the body’s reparative processes. Which of the following nursing theiry are you applying in the above nursing action?
a. Hildegard Peplau
b. Virginia Henderson
c. Dorothea Orem
d. Florence Nightingale

87. A communication skill is one of the important competencies expected of a nurse. Interpersonal process is viewed as human to human relationship. His statement is an application of whose nursing model?
a. Joyce Travelbee
b. Calista Roy
c. Martha Rogers
d. Imogene King

88. The statement “the health status of an individual is constantly changing and the nurse must be cognizant and responsive to these changes” best explains which of the following facts about nursing?
a. Dynamic
b. Holistic
c. Client centered
d. Art

89. Virginia Henderson professes that the goal of nursing is to work interdependently with other health care working in assisting the patient to gain independence as quickly as possible. Which of the following nursing actions best demonstrates this theory in taking care of a 94 year old client with dementia who is totally immobile?
a. Feeds the patient, brushes his teeth, gives the sponge bath
b. Supervise the watcher in rendering patient his morning care
c. Put the patient in semi fowler’s position, set the over bed table so the patient can eat by himself, brush his teeth and sponge himself
d. Assist the patient to turn to his sides and sallow him to brush and feed himself only when he feels ready

90. In the self care deficit theiry by Dorothea Orem, nursing care becomes necessary when a patient is unable to fulfil his physiological, psychological and social needs. A pregnant client needing prenatal check up is classified as:
a. Wholly compensatory
b. Partially compensatory
c. Supportive educative
d. Non compensatory

Situation 16: Documentation and reporting are just as important as providing patient care, As such the nurse must be factual and accurate to ensure quality documentation and reporting.

Anonymous said...

Please try to check na lang number 8 of Nursing Practice 1. Photocopy lang din ito sa akin. If you have the continuation of the question after the word "following", please do the correction na lang... Hope it helped...

Anonymous said...

# 36 question wala po..

Anonymous said...

#36 question meron po ba?

Myk said...

Sorry guys I think I missed out to type #36 questions. Just skip it.

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