Professional Adjustment, Leadership & Management, And Nursing Research

1. A newly hired nurse on an adult medicine unit with 3 months experience was asked to float to pediatrics. The nurse hesitates to perform pediatric skills and receive an interesting assignment that feels overwhelming. The nurse should:

Resign on the spot from the nursing position and apply for a position that does not require floating

Ask several other nurses how they feel about pediatrics and find someone else who is willing to accept the assignment

Refuse the assignment and leave the unit requesting a vacation a day

The nurse is ethically obligated to inform the person responsible for the assignment and the person responsible for the unit about the nurse’s skill level. The nurse therefore avoids a situation of abandoning clients and exposing them to greater risks

Explanation

The nurse is ethically obligated to inform the person responsible for the assignment and the person responsible for the unit about the nurse’s skill level. The nurse therefore avoids a situation of abandoning clients and exposing them to greater risks

2. A nurse caring to a client with Alzheimer’s disease overheard a family member say to the client, “if you pee one more time, I won’t give you any more food and drinks”. What initial action is best for the nurse to take?

Take no action because it is the family member saying that to the client

Talk to the family member and explain that what she/he has said is not appropriate for the client

Give the family member the number for an Elder Abuse Hot line

Document what the family member has said

This response is the most direct and immediate. This is a case of potential need for advocacy and patient’s rights.

Explanation

This response is the most direct and immediate. This is a case of potential need for advocacy and patient’s rights.

3. An experienced nurse who voluntarily trained a less experienced nurse with the intention of enhancing the skills and knowledge and promoting professional advancement to the nurse is called a:

Mentor

Team leader

Case manager

Change agent

This describes a mentor

Explanation

This describes a mentor

4. The goal of orientation phase of nurse-client relationship is:

Identification and resolution of client's problem

Establish trust

Assisting client to review what she has learned from the relationship

Assisting the client to transfer what he has learned in interacting with others

5. The hospitalized client with a chronic cough is scheduled for bronchoscopy. The nurse is tasks to bring the informed consent document into the client’s room for a signature. The client asks the nurse for details of the procedure and demands an explanation why the process of informed consent is necessary. The nurse responds that informed consent means:

The patient releases the physician from all responsibility for the procedure.

The immediate family may make decision against the patient’s will.

6. Asking the questions to determine if the person understands the health teaching provided by the nurse would be included during which step of the nursing process?

Assessment

Evaluation

Implementation

Planning and goals

Evaluation includes observing the person, asking questions, and comparing the patient’s behavioral responses with the expected outcomes.

Explanation

Evaluation includes observing the person, asking questions, and comparing the patient’s behavioral responses with the expected outcomes.

7. SITUATION: As a registered nurse,Glenn assumes responsibility for systematically assessing needs of his clients.He admitted Mr. Dancel to the ward.

1. During initial contact with Mr. Dancel, which of the following greetings by the nurse will more likely put him at ease?

"Good morning, I am Glenn, your new nurse"

"How are you today? I am your new nurse"

"Are you Mr. Dancel, bed 36?"

"I have been assigned to take care of you"

8. A staff nurse has had a serious issue with her colleague. In this situation, it is best to:

Discuss this with the supervisor

Not discuss the issue with anyone. It will probably resolve itself

Try to discuss with the colleague about the issue and resolve it when both are calmer

Tell other members of the network what the team member did

Waiting for emotions to dissipate and sitting down with the colleague is the first rule of conflict resolution.

Explanation

Waiting for emotions to dissipate and sitting down with the colleague is the first rule of conflict resolution.

9. While in the hospital lobby, the RN overhears the three staff discussing the health condition of her client. What would be the appropriate nursing action for the RN to take?

Tell them it is not appropriate to discuss the condition of the client

Ignore them, because it is their right to discuss anything they want to

Join in the conversation, giving them supportive input about the case of the client

Report this incident to the nursing supervisor

The behavior should be stopped. The first step is to remind the staff that confidentiality may be violated

Explanation

The behavior should be stopped. The first step is to remind the staff that confidentiality may be violated

10. After a birth, the physician cut the cord of the baby, and before the baby is given to the mother, what would be the initial nursing action of the nurse?

Examine the infant for any observable abnormalities

Confirm identification of the infant and apply bracelet to mother and infant

Instill prophylactic medication in the infant’s eyes

Wrap the infant in a prewarmed blanket and cover the head

The first priority, beside maintaining a newborn’s patent airway, is body temperature.

Explanation

The first priority, beside maintaining a newborn’s patent airway, is body temperature.

11. Which is true about informed consent?

A nurse may accept responsibility signing a consent form if the client is unable

Obtaining consent is not the responsibility of the physician

The nurse who witness a consent for treatment or surgery is witnessing only that the client signed the form and that the client’s condition is as indicated at the time of signing. The nurse is not witnessing that the client is “informed”.

Explanation

The nurse who witness a consent for treatment or surgery is witnessing only that the client signed the form and that the client’s condition is as indicated at the time of signing. The nurse is not witnessing that the client is “informed”.

12. The nursing theorist who developed transcultural nursing theory is:

Florence Nightingale

Madeleine Leininger

Albert Moore

Sr. Callista Roy

Madeleine Leininger developed the theory on transcultural theory based on her observations on the behavior of selected people within a culture.

Explanation

Madeleine Leininger developed the theory on transcultural theory based on her observations on the behavior of selected people within a culture.

13. Which of the following statements is the most important characteristic of a professional nursing?

Is community-oriented

Observes ethical practice

Demonstrate self-control

Provides a human resource

14. When a nurse in-charge causes an injury to a female patient and the injury caused becomes the proof of the negligent act, the presence of the injury is said to exemplify the principle of:

Force majeure

Respondeat superior

Res ipsa loquitor

Holdover doctrine

Res ipsa loquitor literally means the thing speaks for itself. This means in operational terms that the injury caused is the proof that there was a negligent act.

Explanation

Res ipsa loquitor literally means the thing speaks for itself. This means in operational terms that the injury caused is the proof that there was a negligent act.

15. Which type of medication order might read "Vitamin K 10 mg I.M. daily × 3 days?"

Single order

Standard written order

Standing order

Stat order

This is a standard written order. Prescribers write a single order for medications given only once. A stat order is written for medications given immediately for an urgent client problem. A standing order, also known as a protocol, establishes guidelines for treating a particular disease or set of symptoms in special care areas such as the coronary care unit. Facilities also may institute medication protocols that specifically designate drugs that a nurse may not give.

Explanation

This is a standard written order. Prescribers write a single order for medications given only once. A stat order is written for medications given immediately for an urgent client problem. A standing order, also known as a protocol, establishes guidelines for treating a particular disease or set of symptoms in special care areas such as the coronary care unit. Facilities also may institute medication protocols that specifically designate drugs that a nurse may not give.

16. A mother in labor told the nurse that she was expecting that her baby has no chance to survive and expects that the baby will be born dead. The mother accepts the fate of the baby and informs the nurse that when the baby is born and requires resuscitation, the mother refuses any treatment to her baby and expresses hostility toward the nurse while the pediatric team is taking care of the baby. The nurse is legally obligated to:

Get a court order making the baby a ward of the court

Do nothing except record the mother’s statement in the medical record

Although the statements by the mother may not create a suspicion of neglect, when they are coupled with observations about impaired bonding and maternal attachment, they may impose the obligation to report child neglect. The nurse is further obligated to notify caregivers of refusal to consent to treatment

Explanation

Although the statements by the mother may not create a suspicion of neglect, when they are coupled with observations about impaired bonding and maternal attachment, they may impose the obligation to report child neglect. The nurse is further obligated to notify caregivers of refusal to consent to treatment

17. In his initial and on-going assignment, nurse Glenn utilized the:

Problem-oriented medical records

Kardex recording system

Problem-solving approach to care

Standards of nursing care assessments

18. Asking the questions to determine if the person understands the health teaching provided by the nurse would be included during which step of the nursing process?

Assessment

Evaluation

Implementation

Planning and goals

Evaluation includes observing the person, asking questions, and comparing the patient’s behavioral responses with the expected outcomes.

Explanation

Evaluation includes observing the person, asking questions, and comparing the patient’s behavioral responses with the expected outcomes.

19. Which of the following is true about nursing assessment?

Assessment ends with a diagnosis

Assessment data is recorded in SOAP

Nursing audit is a part of assessment

Assessment is a continuous process

20. A community health nurse is schedule to do home visit. She visits to an elderly person living alone. Which of the following observation would be a concern?

Picture windows

Unwashed dishes in the sink

Clear and shiny floors

Brightly lit rooms

It is a safety hazard to have shiny floors because they can cause falls.

Explanation

It is a safety hazard to have shiny floors because they can cause falls.

21. Nurse Michelle hears the alarm sound on the telemetry monitor. The nurse quickly looks at the monitor and notes that a client is in a ventricular tachycardia. The nurse rushes to the client’s room. Upon reaching the client’s bedside, the nurse would take which action first?

Prepare for cardioversion

Prepare to defibrillate the client

Call a code

Check the client’s level of consciousness

Determining unresponsiveness is the first step assessment action to take. When a client is in ventricular tachycardia, there is a significant decrease in cardiac output. However, checking the unresponsiveness ensures whether the client is affected by the decreased cardiac output.

Explanation

Determining unresponsiveness is the first step assessment action to take. When a client is in ventricular tachycardia, there is a significant decrease in cardiac output. However, checking the unresponsiveness ensures whether the client is affected by the decreased cardiac output.

22. Mary finally decides to use judgment sampling on her research. Which of the following actions of is correct?

Plans to include whoever is there during his study.

Determines the different nationality of patients frequently admitted and decides to get representations samples from each.

Assigns numbers for each of the patients, place these in a fishbowl and draw 10 from it.

Decides to get 20 samples from the admitted patients

Judgment sampling involves including samples according to the knowledge of the investigator about the participants in the study.

Explanation

Judgment sampling involves including samples according to the knowledge of the investigator about the participants in the study.

23. Marion is aware that the sampling method that gives equal chance to all units in the population to get picked is:

Random

Accidental

Quota

Judgment

Random sampling gives equal chance for all the elements in the population to be picked as part of the sample.

Explanation

Random sampling gives equal chance for all the elements in the population to be picked as part of the sample.

24. The physician instructed the nurse that intravenous pyelogram will be done to the client. The client asks the nurse what is the purpose of the procedure. The appropriate nursing response is to:

Outline the kidney vasculature

Determine the size, shape, and placement of the kidneys

Test renal tubular function and the patency of the urinary tract

Measure renal blood flow

Intravenous pyelogram tests both the function and patency of the kidneys. After the intravenous injection of a radiopaque contrast medium, the size, location, and patency of the kidneys can be observed by roentgenogram, as well as the patency of the urethra and bladder as the kidneys function to excrete the contrast medium.

Explanation

Intravenous pyelogram tests both the function and patency of the kidneys. After the intravenous injection of a radiopaque contrast medium, the size, location, and patency of the kidneys can be observed by roentgenogram, as well as the patency of the urethra and bladder as the kidneys function to excrete the contrast medium.

25. The nurse caring to a client has completed the assessment. Which of the following will be considered to be the most accurate charting of a lump felt in the right breast?

“abnormally felt area in the right breast, drainage noted”

“hard nodular mass in right breast nipple”

“firm mass at five ‘ clock, outer quadrant, 1cm from right nipple’

“mass in the right breast 4cmx1cm

It describes the mass in the greatest detail.

Explanation

It describes the mass in the greatest detail.

26. A 12-year-old client is admitted to the hospital. The physician ordered Dilantin to the client. In administering IV phenytoin (Dilantin) to a child, the nurse would be most correct in mixing it with:

Normal Saline

Heparinized normal saline

5% dextrose in water

Lactated Ringer’s solution

Phenytoin (Dilantin) can cause venous irritation due to its alkalinity, therefore it should be mixed with normal saline.

Explanation

Phenytoin (Dilantin) can cause venous irritation due to its alkalinity, therefore it should be mixed with normal saline.

27. The nurse is teaching the client about breast self-examination. Which observation should the client be taught to recognize when doing the examination for detection of breast cancer?

Tender, movable lump

Pain on breast self-examination

Round, well-defined lump

Dimpling of the breast tissue

The tumor infiltrates nearby tissue, it can cause retraction of the overlying skin and create a dimpling appearance.

Explanation

The tumor infiltrates nearby tissue, it can cause retraction of the overlying skin and create a dimpling appearance.

28. A 80-year-old female client is brought to the emergency department by her caregiver, on the nurse’s assessment; the following are the manifestations of the client: anorexia, cachexia and multiple bruises. What would be the best nursing intervention?

Check the laboratory data for serum albumin, hematocrit, and hemoglobin

Talk to the client about the caregiver and support system

Complete a police report on elder abuse

Complete a gastrointestinal and neurological assessment

Assessment and more data collection are needed. The client may have gastrointestinal or neurological problems that account for the symptoms. The anorexia could result from medications, poor dentition, or indigestion, and the bruises may be attributed to ataxia, frequent falls, vertigo or medication.

Explanation

Assessment and more data collection are needed. The client may have gastrointestinal or neurological problems that account for the symptoms. The anorexia could result from medications, poor dentition, or indigestion, and the bruises may be attributed to ataxia, frequent falls, vertigo or medication.

29. Harry knows that he has to protect the rights of human research subjects. Which of the following actions of Harry ensures anonymity?

Keep the identities of the subject secret

Obtain informed consent

Provide equal treatment to all the subjects of the study.

Release findings only to the participants of the study

Keeping the identities of the research subject secret will ensure anonymity because this will hinder providing link between the information given to whoever is its source.

Explanation

Keeping the identities of the research subject secret will ensure anonymity because this will hinder providing link between the information given to whoever is its source.

30. Which type of medication order might read "Vitamin K 10 mg I.M. daily × 3 days?"

Single order

Standard written order

Standing order

Stat order

This is a standard written order. Prescribers write a single order for medications given only once. A stat order is written for medications given immediately for an urgent client problem. A standing order, also known as a protocol, establishes guidelines for treating a particular disease or set of symptoms in special care areas such as the coronary care unit. Facilities also may institute medication protocols that specifically designate drugs that a nurse may not give.

Explanation

This is a standard written order. Prescribers write a single order for medications given only once. A stat order is written for medications given immediately for an urgent client problem. A standing order, also known as a protocol, establishes guidelines for treating a particular disease or set of symptoms in special care areas such as the coronary care unit. Facilities also may institute medication protocols that specifically designate drugs that a nurse may not give.

31. A hospitalized client with severe necrotizing ulcer of the lower leg is schedule for an amputation. The client tells the nurse that he will not sign the consent form and he does not want any surgery or treatment because of religious beliefs about reincarnation. What is the role of the RN?

Call a family meeting

Discuss the religious beliefs with the physician

Encourage the client to have the surgery

Inform the client of other options

The physician may not be aware of the role that religious beliefs play in making a decision about surgery.

Explanation

The physician may not be aware of the role that religious beliefs play in making a decision about surgery.

32. You submitted together with your nursing licensure examination form a fake Related Learning Experience document. You are liable to which of the following illegal acts?

Forgery of documentation

Incompetence

Malrepresentation

Falsification of documents

33. The admission data will include social data about the patient. These are examples of social data except:

Perception of illness

Religious practices

Family home situation

Patient's lifestyle

34. To guarantee quality education, an applicant to the licensure examination should:

Belong to the upper 40% in high school graduates

File all requirements for licensure

Possess qualities for safe nursing practice

Present evidence of competence

35. SITUATION: Mrs. Arroyo, a clinical instructor is preparing the third year students for their clinical exposure.

The role of a nurse as a counselor is best exemplified if she helps the client:

Function in more acceptable ways

Perform activities of daily living

Actively participate in scheduled group activities

Find acceptable outlets for his anxiety

36. Mr.Dancel appears quite thin. What data would you initially need to determine his level of nutrition?

Nutrition notes by the dietician

A sample of his daily weight

Foods he ate yesterday

His height and weight

37. When the license of nurse Krina is revoked, it means that she:

Is no longer allowed to practice the profession for the rest of her life

Will never have her/his license re-issued since it has been revoked

May apply for re-issuance of his/her license based on certain conditions stipulated in RA 9173

Will remain unable to practice professional nursing

RA 9173 sec. 24 states that for equity and justice, a revoked license maybe re-issued provided that the following conditions are met: a) the cause for revocation of license has already been corrected or removed; and, b) at least four years has elapsed since the license has been revoked.

Explanation

RA 9173 sec. 24 states that for equity and justice, a revoked license maybe re-issued provided that the following conditions are met: a) the cause for revocation of license has already been corrected or removed; and, b) at least four years has elapsed since the license has been revoked.

38. The mother of the client tells the nurse, “ I’m not going to have my baby get any immunization”. What would be the best nursing response to the mother?

“You and I need to review your rationale for this decision”

“Your baby will not be able to attend day care without immunizations”

“Your decision can be viewed as a form of child abuse and neglect”

“You are needlessly placing other people at risk for communicable diseases”

The mother may have many reasons for such a decision. It is the nurse’s responsibility to review this decision with the mother and clarify any misconceptions regarding immunizations that may exist.

Explanation

The mother may have many reasons for such a decision. It is the nurse’s responsibility to review this decision with the mother and clarify any misconceptions regarding immunizations that may exist.

39. SITUATION: You have chosen nursing as a career. Understanding nursing as a profession will help you protect the image of nursing in public

Nursing is the best defined as a profession that:

Is concerned with nursing diagnosis and tretment

Help people to do activities that contribute to health recovery and peaceful death

Care of people, sick or well, in any setting

Assist people towards self-care

40. The registered nurse is planning to delegate tasks to unlicensed assistive personnel (UAP). Which of the following task could the registered nurse safely assigned to a UAP?

Monitor the I&O of a comatose toddler client with salicylate poisoning

Perform a complete bed bath on a 2-year-old with multiple injuries from a serious fall

Check the IV of a preschooler with Kawasaki disease

Give an outmeal bath to an infant with eczema

Bathing an infant with eczema can be safely delegated to an aide; this task is basic and can competently performed by an aid.

Explanation

Bathing an infant with eczema can be safely delegated to an aide; this task is basic and can competently performed by an aid.

41. The leader of the study knows that certain patients who are in a specialized research setting tend to respond psychologically to the conditions of the study. This referred to as :

Cause and effect

Hawthorne effect

Halo effect

Horns effect

Hawthorne effect is based on the study of Elton Mayo and company about the effect of an intervention done to improve the working conditions of the workers on their productivity. It resulted to an increased productivity but not due to the intervention but due to the psychological effects of being observed. They performed differently because they were under observation.

Explanation

Hawthorne effect is based on the study of Elton Mayo and company about the effect of an intervention done to improve the working conditions of the workers on their productivity. It resulted to an increased productivity but not due to the intervention but due to the psychological effects of being observed. They performed differently because they were under observation.

42. The nurse is caring to a client who is hypotensive. Following a large hematemesis, how should the nurse position the client?

Feet and legs elevated 20 degrees, trunk horizontal, head on small pillow

Low Fowler’s with knees gatched at 30 degrees

Supine with the head turned to the left

Bed sloped at a 45 degree angle with the head lowest and the legs highest

This position increases venous return, improves cardiac volume, and promotes adequate ventilation and cerebral perfusion

Explanation

This position increases venous return, improves cardiac volume, and promotes adequate ventilation and cerebral perfusion

43. Nurse May attends an educational conference on leadership styles. The nurse is sitting with a nurse employed at a large trauma center who states that the leadership style at the trauma center is task-oriented and directive. The nurse determines that the leadership style used at the trauma center is:

Autocratic.

Laissez-faire.

Democratic.

Situational

The autocratic style of leadership is a task-oriented and directive.

Explanation

The autocratic style of leadership is a task-oriented and directive.

44. Monica is aware that there are times when only manipulation of study variables is possible and the elements of control or randomization are not attendant. Which type of research is referred to this?

Field study

Quasi-experiment

Solomon-Four group design

Post-test only design

Quasi-experiment is done when randomization and control of the variables are not possible.

Explanation

Quasi-experiment is done when randomization and control of the variables are not possible.

45. During tracheal suctioning, the nurse should implement safety measures. Which of the following should the nurse implements?

Limit suction pressure to 150-180 mmHg

Suction for 15-20 seconds

Wear eye goggles

Remove the inner cannula

It is important to protect the RN’s eyes from the possible contamination of coughed-up secretions

Explanation

It is important to protect the RN’s eyes from the possible contamination of coughed-up secretions

46. Nurse May attends an educational conference on leadership styles. The nurse is sitting with a nurse employed at a large trauma center who states that the leadership style at the trauma center is task-oriented and directive. The nurse determines that the leadership style used at the trauma center is:

Autocratic.

Laissez-faire.

Democratic.

Situational

The autocratic style of leadership is a task-oriented and directive.

Explanation

The autocratic style of leadership is a task-oriented and directive.

47. Nurses demonstrate professional service and utilizes critical thinking and decisions making through:

Practice based on scientific theories

Use of nursing process methodology

Views patients a human being

Participation in the research

48. A 70-year-old client with suspected tuberculosis is brought to the geriatric care facilities. An intradermal tuberculosis test is schedule to be done. The client asks the nurse what is the purpose of the test. Which of the following would be the best rationale for this?

Reactivation of an old tuberculosis infection

Increased incidence of new cases of tuberculosis in persons over 65 years old

Greater exposure to diverse health care workers

Respiratory problems are characteristic in this population

Increased incidence of TB has been seen in the general population with a high incidence reported in hospitalized elderly clients. Immunosuppression and lack of classic manifestations because of the aging process are just two of the contributing factors of tuberculosis in the elderly.

Explanation

Increased incidence of TB has been seen in the general population with a high incidence reported in hospitalized elderly clients. Immunosuppression and lack of classic manifestations because of the aging process are just two of the contributing factors of tuberculosis in the elderly.

49. A nurse is assigned to care to a client with Parkinson’s disease. What interventions are important if the nurse wants to improve nutrition and promote effective swallowing of the client?

Eat solid food

Give liquids with meals

Feed the client

Sit in an upright position to eat

Client with Parkinson’s disease are at a high risk for aspiration and undernutrition. Sitting upright promotes more effective swallowing.

Explanation

Client with Parkinson’s disease are at a high risk for aspiration and undernutrition. Sitting upright promotes more effective swallowing.

50. SITUATION: RA7164 declares that it is the policy of the state to guarantee the delivery of basic health services through adequate nursing personnel throughout the country.

In relation to quality nursing education, the Board of Nursing ensures that nursing schools:

Meets the standard of the nursing practice

Graduate only competent students

Should be accredited

Comply with school requirements

51. The best method of maintaining your clinical competence is to:

Take advance nursing process

View videotapes in clinical nursing

Teach a clinical nursing subject

Actually work with patients

52. A 17-year-old married client is scheduled for surgery. The nurse taking care of the client realizes that consent has not been signed after preoperative medications were given. What should the nurse do?

Call the surgeon

Ask the spouse to sign the consent

Obtain a consent from the client as soon as possible

Get a verbal consent from the parents of the client

The priority is to let the surgeon know, who in turn may ask the husband to sign the consent.

Explanation

The priority is to let the surgeon know, who in turn may ask the husband to sign the consent.

53. Nursing schools should provide learning experiences that contribute to the development of the:

DOH health programs

Community student laboratory

Country

School program

54. An infant is brought to the emergency department and diagnosed with pyloric stenosis. The parents of the client ask the nurse, “Why does my baby continue to vomit?” Which of the following would be the best nursing response of the nurse?

“Your baby eats too rapidly and overfills the stomach, which causes vomiting

“Your baby can’t empty the formula that is in the stomach into the bowel”

“The vomiting is due to the nausea that accompanies pyloric stenosis”

“Your baby needs to be burped more thoroughly after feeding”

Pyloric stenosis is an anomaly of the upper gastrointestinal tract. The condition involves a thickening, or hypertrophy, of the pyloric sphincter located at the distal end of the stomach. This causes a mechanical intestinal obstruction, which leads to vomiting after feeding the infant. The vomiting associated with pyloric stenosis is described as being projectile in nature. This is due to the increasing amounts of formula the infant begins to consume coupled with the increasing thickening of the pyloric sphincter.

Explanation

Pyloric stenosis is an anomaly of the upper gastrointestinal tract. The condition involves a thickening, or hypertrophy, of the pyloric sphincter located at the distal end of the stomach. This causes a mechanical intestinal obstruction, which leads to vomiting after feeding the infant. The vomiting associated with pyloric stenosis is described as being projectile in nature. This is due to the increasing amounts of formula the infant begins to consume coupled with the increasing thickening of the pyloric sphincter.

55. On the evening shift, the triage nurse evaluates several clients who were brought to the emergency department. Which in the following clients should receive highest priority?

An elderly woman complaining of a loss of appetite and fatigue for the past week

A football player limping and complaining of pain and swelling in the right ankle

A 50-year-old man, diaphoretic and complaining of severe chest pain radiating to his jaw

A mother with a 5-year-old boy who says her son has been complaining of nausea and vomited once since noon

These are likely signs of an acute myocardial infarction (MI). An acute MI is a cardiovascular emergency requiring immediate attention. Acute MI is potentially fatal if not treated immediately.

Explanation

These are likely signs of an acute myocardial infarction (MI). An acute MI is a cardiovascular emergency requiring immediate attention. Acute MI is potentially fatal if not treated immediately.

56. Nurse Amy is aware that the following is true about functional nursing

Provides continuous, coordinated and comprehensive nursing services.

One-to-one nurse patient ratio.

Emphasize the use of group collaboration.

Concentrates on tasks and activities.

Functional nursing is focused on tasks and activities and not on the care of the patients.

Explanation

Functional nursing is focused on tasks and activities and not on the care of the patients.

57. Nurse Michelle hears the alarm sound on the telemetry monitor. The nurse quickly looks at the monitor and notes that a client is in a ventricular tachycardia. The nurse rushes to the client’s room. Upon reaching the client’s bedside, the nurse would take which action first?

Prepare for cardioversion

Prepare to defibrillate the client

Call a code

Check the client’s level of consciousness

Determining unresponsiveness is the first step assessment action to take. When a client is in ventricular tachycardia, there is a significant decrease in cardiac output. However, checking the unresponsiveness ensures whether the client is affected by the decreased cardiac output.

Explanation

Determining unresponsiveness is the first step assessment action to take. When a client is in ventricular tachycardia, there is a significant decrease in cardiac output. However, checking the unresponsiveness ensures whether the client is affected by the decreased cardiac output.

58. When Nurse Trish is providing care to his patient, she must remember that her duty is bound not to do doing any action that will cause the patient harm. This is the meaning of the bioethical principle:

Non-maleficence

Beneficence

Justice

Solidarity

Non-maleficence means do not cause harm or do any action that will cause any harm to the patient/client. To do good is referred as beneficence.

Explanation

Non-maleficence means do not cause harm or do any action that will cause any harm to the patient/client. To do good is referred as beneficence.

59. The nurse in the medication unit passes the medications for all the clients on the nursing unit. The head nurse is making rounds with the physician and coordinates clients’ activities with other departments. The nurse assistant changes the bed lines and answers call lights. A second nurse is assigned for changing wound dressings; a licensed practitioner nurse takes vital signs and bathes the clients. This illustrates of what method of nursing care?

Case management method

Primary nursing method

Team method

Functional method

It describes functional nursing. Staff is assigned to specific task rather than specific clients.

Explanation

It describes functional nursing. Staff is assigned to specific task rather than specific clients.

60. She finds out that some managers have benevolent-authoritative style of management. Which of the following behaviors will she exhibit most likely?

Have condescending trust and confidence in their subordinates.

Gives economic and ego awards.

Communicates downward to staffs.

Allows decision making among subordinates.

Benevolent-authoritative managers pretentiously show their trust and confidence to their followers.

Explanation

Benevolent-authoritative managers pretentiously show their trust and confidence to their followers.

61. The nurse is making a health teaching to the parents of the client. In teaching parents how to measure the area of induration in response to a PPD test, the nurse would be most accurate in advising the parents to measure:

Both the areas that look red and feel raised

The entire area that feels itchy to the child

Only the area that looks reddened

Only the area that feels raised

Parents should be taught to feel the area that is raised and measure only that.

Explanation

Parents should be taught to feel the area that is raised and measure only that.

62. Which of the following would be the most important goal in the nursing care of an infant client with eczema?

Preventing infection

Maintaining the comfort level

Providing for adequate nutrition

Decreasing the itching

Preventing infection in the infant with eczema is the nurse’s most important goal. The infant with eczema is at high risk for infection due to numerous breaks in the skin’s integrity. Intact skin is always the infant’s first line of defense against infection.

Explanation

Preventing infection in the infant with eczema is the nurse’s most important goal. The infant with eczema is at high risk for infection due to numerous breaks in the skin’s integrity. Intact skin is always the infant’s first line of defense against infection.

63. The newly hired staff nurse has been working on a medical unit for 3 weeks. The nurse manager has posted the team leader assignments for the following week. The new staff knows that a major responsibility of the team leader is to:

Provide care to the most acutely ill client on the team

Know the condition and needs of all the patients on the team

Document the assessments completed by the team members

Supervise direct care by nursing assistants

The team leader is responsible for the overall management of all clients and staff on the team, and this information is essential in order to accomplish this

Explanation

The team leader is responsible for the overall management of all clients and staff on the team, and this information is essential in order to accomplish this

64. Nurse John develops methods for data gathering. Which of the following criteria of a good instrument refers to the ability of the instrument to yield the same results upon its repeated administration?

Validity

Specificity

Sensitivity

Reliability

Reliability is consistency of the research instrument. It refers to the repeatability of the instrument in extracting the same responses upon its repeated administration.

Explanation

Reliability is consistency of the research instrument. It refers to the repeatability of the instrument in extracting the same responses upon its repeated administration.

65. Your certificate of registration can be revoked or suspended for which of the following acts:

Gross incompetence

Illegal practice

Practicing without license

Unauthorized absence from work

66. Cherry notes down ideas that were derived from the description of an investigation written by the person who conducted it. Which type of reference source refers to this?

Footnote

Bibliography

Primary source

Endnotes

This refers to a primary source which is a direct account of the investigation done by the investigator. In contrast to this is a secondary source, which is written by someone other than the original researcher.

Explanation

This refers to a primary source which is a direct account of the investigation done by the investigator. In contrast to this is a secondary source, which is written by someone other than the original researcher.

67. The nurse is caring to a client who just gave birth to a healthy baby boy. The nurse may not disclose confidential information when:

The nurse discusses the condition of the client in a clinical conference with other nurses

The client asks the nurse to discuss the her condition with the family

A researcher from an institutionally approved research study reviews the medical record of a patient

68. Registration after passing the nursing licensure examination is given by the government as:

Privilege

Right

An award

A recognition

69. The client is brought to the emergency department after a serious accident. What would be the initial nursing action of the nurse to the client?

Assess the level of consciousness and circulation

Check respirations, circulation, neurological response

Align the spine, check pupils, check for hemorrhage

Check respiration, stabilize spine, check circulation

Checking the airway would be a priority, and a neck injury should be suspected

Explanation

Checking the airway would be a priority, and a neck injury should be suspected

70. Safe nursing practice requires:

Professional competence

Completion of BSN degree

Registration as a nurse

Membership in PNA

71. The primary purpose of requiring continuing education for relicensure is to:

Ensure legal practice

Ensure safety of public served

Compliance to Board of Nursing requirements

Improve competency after registration

72. The pediatrics unit is understaffed and the nurse manager informs the nurses in the obstetrics unit that she is going to assign one nurse to float in the pediatric units. Which statement by the designated float nurse may put her job at risk?

“I do not get along with one of the nurses on the pediatrics unit”

“I have a vacation day coming and would like to take that now”

“I do not feel competent to go and work on that area”

“ I am afraid I will get the most serious clients in the unit”

This action demonstrates a lack of responsibility and the nurse should attempt negotiation with the nurse manager.

Explanation

This action demonstrates a lack of responsibility and the nurse should attempt negotiation with the nurse manager.

73. A 15-year-old girl just gave birth to a baby boy who needs emergency surgery. The nurse prepared the consent form and it should be signed by:

The Physician

The Registered Nurse caring for the client

The 15-year-old mother of the baby boy

The mother of the girl

74. Nurse John develops methods for data gathering. Which of the following criteria of a good instrument refers to the ability of the instrument to yield the same results upon its repeated administration?

Validity

Specificity

Sensitivity

Reliability

Reliability is consistency of the research instrument. It refers to the repeatability of the instrument in extracting the same responses upon its repeated administration.

Explanation

Reliability is consistency of the research instrument. It refers to the repeatability of the instrument in extracting the same responses upon its repeated administration.

75. Nurse Myrna is aware that the Board of Nursing has quasi-judicial power. An example of this power is:

The Board can issue rules and regulations that will govern the practice of nursing

The Board can investigate violations of the nursing law and code of ethics

The Board can visit a school applying for a permit in collaboration with CHED

The Board prepares the board examinations

Quasi-judicial power means that the Board of Nursing has the authority to investigate violations of the nursing law and can issue summons, subpoena or subpoena duces tecum as needed.

Explanation

Quasi-judicial power means that the Board of Nursing has the authority to investigate violations of the nursing law and can issue summons, subpoena or subpoena duces tecum as needed.

76. The nurse is assigned to care the client with infectious disease. The best antimicrobial agent for the nurse to use in handwashing is:

Isopropyl alcohol

Hexachlorophene (Phisohex)

Soap and water

Chlorhexidine gluconate (CHG) (Hibiclens)

CHG is a highly effective antimicrobial ingredient, especially when it is used consistently over time.

Explanation

CHG is a highly effective antimicrobial ingredient, especially when it is used consistently over time.

77. A client with tuberculosis is admitted in the hospital for 2 weeks. When a client’s family members come to visit, they would be adhering to respiratory isolation precautions when they:

Wash their hands when leaving

Put on gowns, gloves and masks

Avoid contact with the client’s roommate

Keep the client’s room door open

Handwashing is the best method for reducing cross-contamination. Gowns and gloves are not always required when entering a client’s room.

Explanation

Handwashing is the best method for reducing cross-contamination. Gowns and gloves are not always required when entering a client’s room.

78. Which of the following item is considered the single most important factor in assisting the health professional in arriving at a diagnosis or determining the person’s needs?

Diagnostic test results

Biographical date

History of present illness

Physical examination

The history of present illness is the single most important factor in assisting the health professional in arriving at a diagnosis or determining the person’s needs.

Explanation

The history of present illness is the single most important factor in assisting the health professional in arriving at a diagnosis or determining the person’s needs.

79. She finds out that some managers have benevolent-authoritative style of management. Which of the following behaviors will she exhibit most likely?

Have condescending trust and confidence in their subordinates.

Gives economic and ego awards.

Communicates downward to staffs.

Allows decision making among subordinates.

Benevolent-authoritative managers pretentiously show their trust and confidence to their followers.

Explanation

Benevolent-authoritative managers pretentiously show their trust and confidence to their followers.

80. Which of the following item is considered the single most important factor in assisting the health professional in arriving at a diagnosis or determining the person’s needs?

Diagnostic test results

Biographical date

History of present illness

Physical examination

The history of present illness is the single most important factor in assisting the health professional in arriving at a diagnosis or determining the person’s needs.

Explanation

The history of present illness is the single most important factor in assisting the health professional in arriving at a diagnosis or determining the person’s needs.

81. Nursing licensure tests require official transcript of records from the education department, except:

Graduates from foreign school

Graduates of level II accredited schools

Applicants for reexamination

When the record of related learning experiences is complete

82. Patient’s refusal to divulge information is a limitation because it is beyond the control of Tifanny”. What type of research is appropriate for this study?

Descriptive- correlational

Experiment

Quasi-experiment

Historical

Descriptive- correlational study is the most appropriate for this study because it studies the variables that could be the antecedents of the increased incidence of nosocomial infection.

Explanation

Descriptive- correlational study is the most appropriate for this study because it studies the variables that could be the antecedents of the increased incidence of nosocomial infection.

83. Nurse Amy is aware that the following is true about functional nursing

Provides continuous, coordinated and comprehensive nursing services.

One-to-one nurse patient ratio.

Emphasize the use of group collaboration.

Concentrates on tasks and activities.

Functional nursing is focused on tasks and activities and not on the care of the patients.

Explanation

Functional nursing is focused on tasks and activities and not on the care of the patients.

84. The registered nurse is planning to delegate task to a certified nursing assistant. Which of the following clients should not be assigned to a CAN?

A client diagnosed with diabetes and who has an infected toe

A client who had a CVA in the past two months

A client with Chronic renal failure

A client with chronic venous insufficiency

The patient is experiencing a potentially serious complication related to diabetes and needs ongoing assessment by an RN

Explanation

The patient is experiencing a potentially serious complication related to diabetes and needs ongoing assessment by an RN

85. Which type of evaluation occurs continuously throughout the teaching and learning process?

Summative

Informative

Formative

Retrospective

Formative (or concurrent) evaluation occurs continuously throughout the teaching and learning process. One benefit is that the nurse can adjust teaching strategies as necessary to enhance learning. Summative, or retrospective, evaluation occurs at the conclusion of the teaching and learning session. Informative is not a type of evaluation.

Explanation

Formative (or concurrent) evaluation occurs continuously throughout the teaching and learning process. One benefit is that the nurse can adjust teaching strategies as necessary to enhance learning. Summative, or retrospective, evaluation occurs at the conclusion of the teaching and learning session. Informative is not a type of evaluation.

86. What nursing is and ought to be is embodied in:

Code of Ethics

Standards of Nursing Practice

Mission statements

Philosophy of Nursing

87. The night shift nurse is making rounds. When the nurse enters a client’s room, the client is on the floor next to the bed. What would be the initial action of the nurse?

Chart that the patient fell

Call the physician

Chart that the client was found on the floor next to the bed

Fill out an incident report

This is closest to suggesting action-assessment, rather than paperwork- and is therefore the best of the four.

Explanation

This is closest to suggesting action-assessment, rather than paperwork- and is therefore the best of the four.

88. Prevention of mental illness is best achieved by helping the individuals:

Use already established successful coping mechanisms

Deal with physical problems

Deal with family problems

Identify their strengths and weaknesses

89. You are a live-in private nurse of a family with a chronically ill member. You can maintain your image as a professional nurse by:

Doing non-nursing services

Being present during a physician's visit

Maintaining a good grooming at all times

Socializing with family members

90. This is a specific provision of nursing schools:

Provision for community learning experience

Evidence that the school follows educational standards

A 3-year college of nursing development plan

Community based curriculum

91. A registered nurse has been assigned to six clients on the 12-hour shift. The RN is responsible for every aspect of care such as formulating the care of plan, intervention and evaluating the care during her shift. At the end of her shift, the RN will pass this same task to the next RN in charge. This nursing care illustrates of what kind of method?

Primary nursing method

Case method

Team method

Functional method

Case management. The nurse assumes total responsibility for meeting the needs of the client during her entire duty.

Explanation

Case management. The nurse assumes total responsibility for meeting the needs of the client during her entire duty.

92. For relicensure, you are required to complete continuing professional education equivalent to:

20 hours per year

At least 2 weeks seminar workshop

A post basic duty

50 hours for 3 years

93. The nurse In-charge in labor and delivery unit administered a dose of terbutaline to a client without checking the client’s pulse. The standard that would be used to determine if the nurse was negligent is:

The physician’s orders.

The action of a clinical nurse specialist who is recognized expert in the field.

The statement in the drug literature about administration of terbutaline.

The actions of a reasonably prudent nurse with similar education and experience.

The actions of a reasonably prudent nurse with similar education and experience.
Rationale: The standard of care is determined by the average degree of skill, care, and diligence by nurses in similar circumstances.

Explanation

The actions of a reasonably prudent nurse with similar education and experience.
Rationale: The standard of care is determined by the average degree of skill, care, and diligence by nurses in similar circumstances.

94. The nurse wants to fond out the effects of caring behavior on patients in the psychiatric hospital. The most appropriate method she can use is:

Descriptive

Historical

Quasi-experimental

Experimental

95. The nurse In-charge in labor and delivery unit administered a dose of terbutaline to a client without checking the client’s pulse. The standard that would be used to determine if the nurse was negligent is:

The physician’s orders.

The action of a clinical nurse specialist who is recognized expert in the field.

The statement in the drug literature about administration of terbutaline.

The actions of a reasonably prudent nurse with similar education and experience.

The actions of a reasonably prudent nurse with similar education and experience.
Rationale: The standard of care is determined by the average degree of skill, care, and diligence by nurses in similar circumstances.

Explanation

The actions of a reasonably prudent nurse with similar education and experience.
Rationale: The standard of care is determined by the average degree of skill, care, and diligence by nurses in similar circumstances.

96. Which type of evaluation occurs continuously throughout the teaching and learning process?

Summative

Informative

Formative

Retrospective

Formative (or concurrent) evaluation occurs continuously throughout the teaching and learning process. One benefit is that the nurse can adjust teaching strategies as necessary to enhance learning. Summative, or retrospective, evaluation occurs at the conclusion of the teaching and learning session. Informative is not a type of evaluation.

Explanation

Formative (or concurrent) evaluation occurs continuously throughout the teaching and learning process. One benefit is that the nurse can adjust teaching strategies as necessary to enhance learning. Summative, or retrospective, evaluation occurs at the conclusion of the teaching and learning session. Informative is not a type of evaluation.

97. SITUATION: As a professional nurse, you take responsibility for personal and professional growth.

An important responsibility of a professional nurse is:

Refine competence in safe practices

Safety of those she serves

Know trends in health and nursing

Accountability of her actions

98.
Ronald plans to conduct a research on the use of a new method of pain assessment scale. Which of the following is the second step in the conceptualizing phase of the research process?

Formulating the research hypothesis

Review related literature

Formulating and delimiting the research problem

Design the theoretical and conceptual framework

After formulating and delimiting the research problem, the researcher conducts a review of related literature to determine the extent of what has been done on the study by previous researchers.

Explanation

After formulating and delimiting the research problem, the researcher conducts a review of related literature to determine the extent of what has been done on the study by previous researchers.

99. The research tool that she can best use is which of the following?

Questionnaire

Checklist

Scheduled interview

Rating scale

100. Nurse Ronald is aware that the best tool for data gathering is?

Interview schedule

Questionnaire

Use of laboratory data

Observation

Incidence of nosocomial infection is best collected through the use of biophysiologic measures, particularly in vitro measurements, hence laboratory data is essential.

Explanation

Incidence of nosocomial infection is best collected through the use of biophysiologic measures, particularly in vitro measurements, hence laboratory data is essential.

Professional Adjustment, Leadership & Management, And Nursing Research

1. A newly hired nurse on an adult medicine unit with 3 months experience was asked to float to pediatrics. The nurse hesitates to perform pediatric skills and receive an interesting assignment that feels overwhelming. The nurse should:

2.

What first name or nickname would you like us to use?

2. A nurse caring to a client with Alzheimer’s disease overheard a family member say to the client, “if you pee one more time, I won’t give you any more food and drinks”. What initial action is best for the nurse to take?

3. An experienced nurse who voluntarily trained a less experienced nurse with the intention of enhancing the skills and knowledge and promoting professional advancement to the nurse is called a:

4. The goal of orientation phase of nurse-client relationship is:

6. Asking the questions to determine if the person understands the health teaching provided by the nurse would be included during which step of the nursing process?

7. SITUATION: As a registered nurse,Glenn assumes responsibility for systematically assessing needs of his clients.He admitted Mr. Dancel to the ward. 1. During initial contact with Mr. Dancel, which of the following greetings by the nurse will more likely put him at ease?

8. A staff nurse has had a serious issue with her colleague. In this situation, it is best to:

9. While in the hospital lobby, the RN overhears the three staff discussing the health condition of her client. What would be the appropriate nursing action for the RN to take?

10. After a birth, the physician cut the cord of the baby, and before the baby is given to the mother, what would be the initial nursing action of the nurse?

11. Which is true about informed consent?

12. The nursing theorist who developed transcultural nursing theory is:

13. Which of the following statements is the most important characteristic of a professional nursing?

14. When a nurse in-charge causes an injury to a female patient and the injury caused becomes the proof of the negligent act, the presence of the injury is said to exemplify the principle of:

15. Which type of medication order might read "Vitamin K 10 mg I.M. daily × 3 days?"

17. In his initial and on-going assignment, nurse Glenn utilized the:

18. Asking the questions to determine if the person understands the health teaching provided by the nurse would be included during which step of the nursing process?

19. Which of the following is true about nursing assessment?

20. A community health nurse is schedule to do home visit. She visits to an elderly person living alone. Which of the following observation would be a concern?

21. Nurse Michelle hears the alarm sound on the telemetry monitor. The nurse quickly looks at the monitor and notes that a client is in a ventricular tachycardia. The nurse rushes to the client’s room. Upon reaching the client’s bedside, the nurse would take which action first?

22. Mary finally decides to use judgment sampling on her research. Which of the following actions of is correct?

23. Marion is aware that the sampling method that gives equal chance to all units in the population to get picked is:

24. The physician instructed the nurse that intravenous pyelogram will be done to the client. The client asks the nurse what is the purpose of the procedure. The appropriate nursing response is to:

25. The nurse caring to a client has completed the assessment. Which of the following will be considered to be the most accurate charting of a lump felt in the right breast?

26. A 12-year-old client is admitted to the hospital. The physician ordered Dilantin to the client. In administering IV phenytoin (Dilantin) to a child, the nurse would be most correct in mixing it with:

27. The nurse is teaching the client about breast self-examination. Which observation should the client be taught to recognize when doing the examination for detection of breast cancer?

28. A 80-year-old female client is brought to the emergency department by her caregiver, on the nurse’s assessment; the following are the manifestations of the client: anorexia, cachexia and multiple bruises. What would be the best nursing intervention?

29. Harry knows that he has to protect the rights of human research subjects. Which of the following actions of Harry ensures anonymity?

30. Which type of medication order might read "Vitamin K 10 mg I.M. daily × 3 days?"

31. A hospitalized client with severe necrotizing ulcer of the lower leg is schedule for an amputation. The client tells the nurse that he will not sign the consent form and he does not want any surgery or treatment because of religious beliefs about reincarnation. What is the role of the RN?

32. You submitted together with your nursing licensure examination form a fake Related Learning Experience document. You are liable to which of the following illegal acts?

33. The admission data will include social data about the patient. These are examples of social data except:

34. To guarantee quality education, an applicant to the licensure examination should:

35. SITUATION: Mrs. Arroyo, a clinical instructor is preparing the third year students for their clinical exposure. The role of a nurse as a counselor is best exemplified if she helps the client:

36. Mr.Dancel appears quite thin. What data would you initially need to determine his level of nutrition?

37. When the license of nurse Krina is revoked, it means that she:

38. The mother of the client tells the nurse, “ I’m not going to have my baby get any immunization”. What would be the best nursing response to the mother?

39. SITUATION: You have chosen nursing as a career. Understanding nursing as a profession will help you protect the image of nursing in public Nursing is the best defined as a profession that:

40. The registered nurse is planning to delegate tasks to unlicensed assistive personnel (UAP). Which of the following task could the registered nurse safely assigned to a UAP?

41. The leader of the study knows that certain patients who are in a specialized research setting tend to respond psychologically to the conditions of the study. This referred to as :

42. The nurse is caring to a client who is hypotensive. Following a large hematemesis, how should the nurse position the client?

44. Monica is aware that there are times when only manipulation of study variables is possible and the elements of control or randomization are not attendant. Which type of research is referred to this?

45. During tracheal suctioning, the nurse should implement safety measures. Which of the following should the nurse implements?

47. Nurses demonstrate professional service and utilizes critical thinking and decisions making through:

48. A 70-year-old client with suspected tuberculosis is brought to the geriatric care facilities. An intradermal tuberculosis test is schedule to be done. The client asks the nurse what is the purpose of the test. Which of the following would be the best rationale for this?

49. A nurse is assigned to care to a client with Parkinson’s disease. What interventions are important if the nurse wants to improve nutrition and promote effective swallowing of the client?

50. SITUATION: RA7164 declares that it is the policy of the state to guarantee the delivery of basic health services through adequate nursing personnel throughout the country. In relation to quality nursing education, the Board of Nursing ensures that nursing schools:

51. The best method of maintaining your clinical competence is to:

52. A 17-year-old married client is scheduled for surgery. The nurse taking care of the client realizes that consent has not been signed after preoperative medications were given. What should the nurse do?

53. Nursing schools should provide learning experiences that contribute to the development of the:

54. An infant is brought to the emergency department and diagnosed with pyloric stenosis. The parents of the client ask the nurse, “Why does my baby continue to vomit?” Which of the following would be the best nursing response of the nurse?

55. On the evening shift, the triage nurse evaluates several clients who were brought to the emergency department. Which in the following clients should receive highest priority?

56. Nurse Amy is aware that the following is true about functional nursing

57. Nurse Michelle hears the alarm sound on the telemetry monitor. The nurse quickly looks at the monitor and notes that a client is in a ventricular tachycardia. The nurse rushes to the client’s room. Upon reaching the client’s bedside, the nurse would take which action first?

58. When Nurse Trish is providing care to his patient, she must remember that her duty is bound not to do doing any action that will cause the patient harm. This is the meaning of the bioethical principle:

60. She finds out that some managers have benevolent-authoritative style of management. Which of the following behaviors will she exhibit most likely?

61. The nurse is making a health teaching to the parents of the client. In teaching parents how to measure the area of induration in response to a PPD test, the nurse would be most accurate in advising the parents to measure:

62. Which of the following would be the most important goal in the nursing care of an infant client with eczema?

63. The newly hired staff nurse has been working on a medical unit for 3 weeks. The nurse manager has posted the team leader assignments for the following week. The new staff knows that a major responsibility of the team leader is to:

64. Nurse John develops methods for data gathering. Which of the following criteria of a good instrument refers to the ability of the instrument to yield the same results upon its repeated administration?

65. Your certificate of registration can be revoked or suspended for which of the following acts:

66. Cherry notes down ideas that were derived from the description of an investigation written by the person who conducted it. Which type of reference source refers to this?

67. The nurse is caring to a client who just gave birth to a healthy baby boy. The nurse may not disclose confidential information when:

68. Registration after passing the nursing licensure examination is given by the government as:

69. The client is brought to the emergency department after a serious accident. What would be the initial nursing action of the nurse to the client?

70. Safe nursing practice requires:

71. The primary purpose of requiring continuing education for relicensure is to:

72. The pediatrics unit is understaffed and the nurse manager informs the nurses in the obstetrics unit that she is going to assign one nurse to float in the pediatric units. Which statement by the designated float nurse may put her job at risk?

73. A 15-year-old girl just gave birth to a baby boy who needs emergency surgery. The nurse prepared the consent form and it should be signed by:

74. Nurse John develops methods for data gathering. Which of the following criteria of a good instrument refers to the ability of the instrument to yield the same results upon its repeated administration?

75. Nurse Myrna is aware that the Board of Nursing has quasi-judicial power. An example of this power is:

76. The nurse is assigned to care the client with infectious disease. The best antimicrobial agent for the nurse to use in handwashing is:

77. A client with tuberculosis is admitted in the hospital for 2 weeks. When a client’s family members come to visit, they would be adhering to respiratory isolation precautions when they:

78. Which of the following item is considered the single most important factor in assisting the health professional in arriving at a diagnosis or determining the person’s needs?

79. She finds out that some managers have benevolent-authoritative style of management. Which of the following behaviors will she exhibit most likely?

80. Which of the following item is considered the single most important factor in assisting the health professional in arriving at a diagnosis or determining the person’s needs?

81. Nursing licensure tests require official transcript of records from the education department, except:

82. Patient’s refusal to divulge information is a limitation because it is beyond the control of Tifanny”. What type of research is appropriate for this study?

7. SITUATION: As a registered nurse,Glenn assumes responsibility for systematically assessing needs of his clients.He admitted Mr. Dancel to the ward.

1. During initial contact with Mr. Dancel, which of the following greetings by the nurse will more likely put him at ease?

35. SITUATION: Mrs. Arroyo, a clinical instructor is preparing the third year students for their clinical exposure.

The role of a nurse as a counselor is best exemplified if she helps the client:

39. SITUATION: You have chosen nursing as a career. Understanding nursing as a profession will help you protect the image of nursing in public

Nursing is the best defined as a profession that:

50. SITUATION: RA7164 declares that it is the policy of the state to guarantee the delivery of basic health services through adequate nursing personnel throughout the country.

In relation to quality nursing education, the Board of Nursing ensures that nursing schools:

97. SITUATION: As a professional nurse, you take responsibility for personal and professional growth.

An important responsibility of a professional nurse is:

98.
Ronald plans to conduct a research on the use of a new method of pain assessment scale. Which of the following is the second step in the conceptualizing phase of the research process?