A.

In acute pain episodes, the patient must take

PRE-INTENSIVE NSAIDs or aspirin
B. Arrange the patient for measurement of crutches
EXAMINATION - NP4 or walkers, as preferred
C. Put their bed at home at the lowest level possible
D. Install assistive handles at the comfort room,
kitchen, laundry areas, and stairs
Situation:
According to the study of Consunji et al. (2011),10
28.6% of the admitted patients in the Trauma
Division of Philippine General Hospital are due to
vehicular accidents. In orthopedic medicine,
4. Which of the following statements by a staff
orthopedic trauma includes severe injury to the nurse indicate that they have an incorrect
musculoskeletal system (muscles, joints, ligaments, understanding about gout?
bones, and soft tissue). These trauma injuries include *
fractures, dislocations, and amputations. With this,
nurse Vanessa must review how to care for patients 1/1
with orthopedic conditions. A. Females are more at risk for gout than males

1. Which among the following patients is the B. An increased BMI puts a patient at risk for gout
C. There is no cure for gout
least at risk for osteoarthritis?
D. Eating food such as red meat, seafood, and alcohol
* increase the risk for gout
0/1
A. Being 60 years old 5. Which of the following intervention is
appropriate for a patient with gout?
B. Being a woman *
C. Sedentary lifestyle
D. Being an athlete 0/1
A. Covering the patient’s joint with a box during
Correct answer
painful attacks
C. Sedentary lifestyle B. Putting a blanket over the patient’s joint that is
painful
C. Withholding fluids during painful episodes to
2. Which joint should a patient expect to be least prevent aspiration.
affected by osteoarthritis? D. Promoting a cool temperature for comfort of the
* patient in pain

1/1
Correct answer
A. Cranium
A. Covering the patient’s joint with a box during
B. Fingers painful attacks
C. Lumbar spine
D. Hips
6. A male patient with gout asks the nurse why
he is being given a medication called probenecid.
3. What is the priority discharge intervention of What is the correct answer of the nurse?
the nurse for a patient with osteoarthritis? *
* 1/1
1/1
A. This is an anti-tubulin NSAID which will prevent *
you from experiencing too much pain during gouty
attacks 0/1
A. Apply weights on the head of the bed to serve as
B. This is a xanthine oxidase inhibitor which will countertraction
prevent uric acid formation B. Weights on the foot of the bed should touch the
C. This medication will increase the effects of another floor
medication you are taking which is Allopurinol C. Keep the patient at the center of the bed
D. This will make you pee uric acid to reduce the D. Remove weights PRN if the patient needs to use
levels inside your body the restroom

7. The attention of a nurse was called upon when Correct answer

they were walking on the streets because a 60-
year old woman experienced spraining of their C. Keep the patient at the center of the bed
ankle because they took a wrong step on the
curb. Which intervention by this nurse will alert 10. Which statement of a patient who will be
you to revise what they were doing? discharged with a cast indicates that the nurse
* has been effective in their teaching?
0/1 *
A. The nurse tells the patient to avoid moving the 0/1
ankle
A. When moving a wet cast, the nurse should use
B. The nurse is looking for a warm water bag
their fingertips compared to the palm of their hands
C. The nurse applies a bandage using the figure-of-8
B. The patient can help the cast dry by using a hair
pattern
dryer on heat setting
D. The nurse puts a bag under the patient’s ankle and
asks the patient to lie down
C. The patient must move their hand every hour to
promote drying
Correct answer D. The patient can use a comb or elongated rod to
alleviate itching inside the cast
B. The nurse is looking for a warm water bag
Correct answer
A. When moving a wet cast, the nurse should use
8. When attending to a patient who was admitted
their fingertips compared to the palm of their hands
to the ER due to an open fracture of the elbow,
the nurse knows that the patient is most at risk Situation:
for which complication? After passing the board exams, Nurse Jen is applying
* to become an operating room nurse in their local
hospital. As part of the application process, she was
1/1 given an exam regarding the nursing responsibilities
in the preoperative, intraoperative, and
A. Fat embolism
postoperative stages of a patient.
B. Compartment syndrome
C. Hypovolemic shock
D. Infection 11. Which laboratory values of a patient
scheduled for surgery will warrant delay of the
surgery?
9. Which of the following intervention written in *
the care plan of a nurse who is taking care of a 0/1
patient with Buck’s traction does not necessitate
revision? A. Hemoglobin: 15 g/dL
 Correct answer
B. White blood cells: 7000 C. Circulating nurse
C. Platelets: 100,000 cells/uL
D. Bleeding time: 5 minutes

Correct answer
15. What is the term used for the absence of
microorganisms in a certain procedure?
C. Platelets: 100,000 cells/uL
*
0/1
12. When reading the charts of your patient, you
read that they are scheduled to undergo contrast A. Asepsis
B. Sterility
magnetic resonance imaging. Which laboratory
parameters must you assure to be normal?
C. Disinfection
* D. Infection control
1/1
Correct answer
A. Blood urea nitrogen and creatinine
A. Asepsis

B. Aspartate aminotransferase and alanine

aminotransferase 16. Which member of the surgical team is
C. Bleeding time, prothrombin time, and activated considered to be violating the principles of
partial thromboplastin time asepsis?
D. Erythrocyte sedimentation rate and C-reactive
protein *
0/1

13. The nurse knows that they must monitor A. A surgeon who is wearing their scrubs in the
what laboratory values of a patient with diabetes hallway outside the OR
post-operatively?
* B. A circulating nurse who is preparing the mayo
table
1/1 C. A scrub nurse who is wearing pink scrubs
D. An anesthesiologist who is wearing gloves before
A. Red blood cells
surgical handwashing
B. White blood cells
Correct answer
C. Mean corpuscular volume
D. An anesthesiologist who is wearing gloves before
D. Arterial blood gases
surgical handwashing

14. Which member of the surgical team is in- 17. What is the initial action of the nurse who
charge of coordinating all the transactions of the receives a patient in the post-anesthesia care
operating room, including maintaining the unit?
environment of the room and ensuring that there
is proper traffic during the operation? *
* 1/1

0/1 A. Monitor the vital signs and compare with baseline

B. Ensure the patency of the patient’s airway
A. Surgeon
B. Anesthesiologist
C. Check the appearance of the surgical wound
D. Ensure that side rails are up
C. Circulating nurse
D. Scrub nurse
18. What is the most reliable basis for 1/1
establishing wound infection in a postoperative
patient? A. Revocation
*
B. Suspension
1/1 C. Illegal Dismissal
A. White blood cell count D. Formal Dismissal
B. Presence of purulent drainage
C. Increased temperature
22. The obligation to maintain efficient ethical
D. Wound culture and sensitivity
standards in the practice of nursing belong to
this body:
*
19. When a patient’s surgical wound reopened 1/1
and the nurse assesses that intra-abdominal
contents have escaped the wound, the nurse A. BON
should intervene according to what problem?
* B. ANSAP
C. PNA
0/1 D. RN
A. Dehiscence
B. Evisceration
23. Which of the following information cannot be
seen in the PRC identification card?
C. First degree wound healing
D. Second degree wound healing *
1/1
Correct answer
A. Dehiscence A. Registration Date
B. License Number
C. Date of Application
20. What postoperative nursing intervention
should the nurse utilize for a patient who has a D. Signature of PRC chairperson
GCS score of 5 for the past one week since the
operation?
24. Nurses should have knowledge about
* professional organizations in the Philippines.
1/1 Which of the following is the accredited
professional organization of nurses?
A. Early ambulation
B. Coughing exercises *
C. Deep breathing exercises 1/1
D. Passive range of motion exercises
A. Maternal Child Nursing
B. Philippine Nurses Association, Inc.
Situation:
Understanding the Nursing Law is essential for a C. National League of Government Nurses of the
Philippine Registered nurse to practice their Philippines
profession in the country. D. Association Nursing Service Administrators of the
Philippines

21. What is a permanent, revocation of one’s

license?
*
25. This is considered as the desired and *
achievable level of performance against which 0/1
actual practice is compared. It also serves as A. Planning
benchmark against which to plan, to implement B. Organizing
C. Directing
and assess quality of services.
* D. Controlling
1/1
Correct answer
A. Standard
D. Controlling

B. Ethics
C. Goal 29. This is the process of determining and
D. Practice providing the acceptable number and mix of
Situation: nursing personnel to produce a desired level of
Understanding the Nursing Law is essential for a care to meet the patient’s demand:
Philippine Registered nurse to practice their *
profession in the country.
1/1
A. Staffing
26. Which step of the management process
includes the making of a formal structure of the
B. Scheduling
organization and create the job qualification and C. Directing
job description? D. Delegation
*
1/1 30. This is the process where issuance of orders,
A. Planning assignments and instructions occur as these
B. Organizing enable nursing personnel to understand what
are expected.
C. Directing *
D. Controlling
1/1
A. Staffing
27. Which step of the management process is B. Scheduling
concerned with Policy making and Stating the C. Directing
goals and objective of the institution?
* D. Delegation
1/1 Situation:
A. Planning In the practice of her profession as a public health
nurse. Nurse Mary is guided by ethical and moral
principles.
B. Organizing
C. Directing
D. Controlling 31. When managing information related to
families in the community, which ethical
principles should the nurse take into
28. In the management process, the periodic
consideration?
checking of the results of action to make sure
that it coincides with the goal of the institution is *
termed as:
0/1
35. Self governance, ability to choose or carry out
A. Confidentiality decision without undue pressure or coercion
B. Fair treatment from anyone:
C. Justice
D. Beneficence *
1/1

Correct answer A. Veracity

B. Autonomy
A. Confidentiality
C. Fidelity
32. Nurse Kendra randomly chose individuals D. Beneficence
from the community to participate in a project.
Before commencing the study, she sought their
36. Kramer expressed dissatisfaction as his
consent. Which ethical principle is being adhered
planned surgery was postponed due to the
to by the nurse?
earthquake. The hospital personnel could be
* excused due to:
1/1 *
A. Autonomy 1/1
A. Governance
B. Beneficence B. Respondent superior
C. Confidentiality C. Force majeure
D. Fair treatment
D. Res ipsa loquitor
33. Nurse Kendra must see to it that the written
consent of mentally ill patients must be taken
37. Being on time, meeting deadlines and
from:
completing all scheduled duties is what virtue?
*
*
1/1
1/1
A. Nurse
A. Fidelity
B. Priest
C. Family lawyer
D. Parents/legal guardians B. Autonomy
C. Veracity
D. Confidentiality

34. When Nurse Kendra does not disclose the

38. Nurse Mia is exhibiting this principle by
HIV status of the patient to the non-team
raising the side rails for a confused and
members of the nursing unit, what does she
disoriented patient.
practice?
*
*
1/1
1/1
A. Fidelity
A. Confidentiality B. Nonmaleficence

B. Privacy C. Autonomy
C. Autonomy D. Beneficence
D. Beneficence
 B. A 35-year-old mother experiencing on and off
39. Nurse Alec receives a complaint from a seizures.
parent about administering the incorrect dose of
vaccine to the child. This act can be considered a 42. The patient arrives at the ER, unconscious
form of _________. with a suckling chest wound, and is in dire need
* for immediate surgery. To whom should the
0/1 doctor request an informed consent to push the
surgery through?
A. Battery
B. Assault
*
C. Negligence 0/1
A. Contact the parents immediately
D. Malpractice

Correct answer B. No consent is needed as it is implied

C. Wake the patient up and have the consent signed
D. Malpractice
D. Forge the patient’s signatory in the consent form

Correct answer
40. When Nurse Jil reported to the physician that
she made a medication error, this is an example B. No consent is needed as it is implied
of ____.
* 43. A patient with severe asthma was supposed
0/1 to be transferred to a tertiary hospital, but the
nurse did not promptly prepare the patient,
A. Responsibility leading to the patient's death. In this situation,
B. Accountability what is the nurse liable for?
C. Commitment
D. Delegation *
1/1

Correct answer A. Malpractice

B. Accountability
B. Assault
C. Murder
41. Which of the following individuals is the D. Battery
MOST SUITABLE to provide informed consent
during a surgical procedure for a child at the 44. Mr. Reyes often goes on work-related trips
health center? for days. It was found out by his wife, Maria
* Reyes, that he is having an affair with a certain
0/1 woman every week. She also found out that the
other woman is 9 weeks pregnant with Mr.
A. A 21-year-old sister undergoing dialysis. Reyes’ child. Driven by her anger, she
impersonated an OBGYN and gave the other
B. A 35-year-old mother experiencing on and off woman some abortive and lethal medications
seizures. which led to the woman’s death. What role did
C. A 26-year-old brother struggling with drug Maria Reyes play in this conspiracy?
addiction.
D. A 40-year-old illiterate father. *
0/1
Correct answer
A. Principal
B. Accomplice
 assistant. Which patient should be assigned to
C. Accessory the midwife due to specific patient needs that the
D. Felony nursing assistant cannot fulfill?
Correct answer *

A. Principal 0/1
A. Dressing change of post cesarean delivery
B. Collecting urine specimens for urinalysis testing.
45. One of her assistants immediately hid and C. Performing range of motion exercise twice a day.
threw the bottles of the lethal medications away
from the scene of the crime. What role did she D. Taking of Vital signs measurement every 4 hours.
play?
* Correct answer

0/1 A. Dressing change of post cesarean delivery

A. Principal
B. Accomplice 48. Due to the shortage of nurses in hospital
C. Accessory settings, various service delivery models were
D. Felony suggested. Which scenario represents the
primary nursing care delivery model?
Correct answer *

C. Accessory 1/1

Situation: A. The Nursing Aide is tasked with bed-making and

Senior nurse Nikki is considering revisiting and other errands, while the nurses are responsible for
implementing a change in the management system administering medications.
for the Obstetric Unit. Various issues, including the B. The Nurse formulates a care plan for patients and
current documentation system, have arisen, engages in collaboration with other team members.
prompting the charge nurse to recognize the need for
change. C. The nurse undertakes all necessary tasks to
enhance the health of the individual patient.
D. The nurse attends to 4 patients, whereas the
46. What should be the INITIAL STEP in the nursing aide is assigned to care for 2 patients.
process of change for the senior nurse?
* 49. In the ICU, a 1:1 ratio is being implemented
0/1 to ensure the safe management of high-risk post
partum patients. What type of nursing care is
A. Plan strategies to implement the change.
this?
B. Identify potential solutions and strategies for the
change *
C. Perceive the need to change 0/1
D. Initiate a group meeting to discuss the identified
problem A. Primary

B. Team
Correct answer C. Total Care
C. Perceive the need to change D. Functional

Correct answer
47. Nurse Nikki is organizing the patient C. Total Care
assignments for the day and must allocate
patients to both a midwife and a nursing
50. Durign typhoon Bokya, senior nurse Nikki reliever earlier than scheduled. The nurse is
joins the team of nurses being deployed in the ready to administer NSS as a placebo. Which
affected areas to help take care of the sick, do principle is she about to violate?
case finding, and implementing rescue *
operations. What nursing care system is
observed? 1/1

* A. Respect
B. Veracity
0/1
A. Geographical C. Justice
D. Fidelity
B. Team
C. Modular
D. Functional 54. The nurse knows that ethical dilemmas may
be referred to the regulated ethics committee
Correct answer that the PRIMARY role to _______.
C. Modular *
Situation: 0/1
The nurse when practicing the profession must
A. Prevent the physicians from making the wrong
adhere to ethical principles.
decision
B. Decide what must be done under the
circumstances
51. When the nurse shows preferential
C. Prevent ethical dilemmas from occurring
treatment to patients in the air-conditioned
rooms as opposed to those in the charity wing,
D. Provide guidance for healthcare terms and family
she is breaching which ethical principle?
of patient
*
Correct answer
1/1
D. Provide guidance for healthcare terms and family
A. Veracity of patient
B. Justice

C. Respect 55. Nurses were overheard talking about the

D. Autonomy patient and his prognosis. What ethical principle
is violated?
*
52. The nurse has an obligation to tell the truth.
When she admits mistakes promptly, she 1/1
manifests________. A. Autonomy
* B. Confidentiality
1/1
C. Non-maleficence
A. Fidelity D. Beneficence
B. Veracity
Situation:
C. Respect As a prudent nurse in the Philippines, you familiarize
D. Autonomy yourself to the different laws and regulations that is
essential to the nursing practice.

53. The cancer patient consistently expresses

pain complaints and insists on receiving the pain
56. What law provides universal and free access attuned to the development and advancements
to modern contraceptive methods, mandates in their chosen field?
age- and development-appropriate reproductive *
health education in government schools, and
recognizes a woman's right to postabortion care 1/1
in the Philippines as part of the right to A. RA 10354
reproductive healthcare? B. RA 11036
* C. RA 7600
D. RA 10912
1/1
A. RA 10354

60. What is a law the seeks to address the

B. RA 11036
C. RA 7600 prevalence of violence against women and their
D. RA 9262 children (VAWC) by their intimate partners like
their husband or ex-husband, live-in partner or
former live-in partner, boyfriend/girlfriend or
57. Which law adopts rooming-in as a national ex-boyfriend/ex-girlfriend, dating partner or
policy to encourage, protect and support the former dating partner?
practice of breastfeeding? It aims to create an *
environment where basic physical, emotional,
and psychological needs of mothers and infants 1/1
are fulfilled through the practice of rooming-in A. RA 10354
and breastfeeding. B. RA 11036
* C. RA 9262

1/1
D. RA 10912
A. RA 10354
Situation:
B. RA 7600
Nurse Erwin Smith is looking to identify potential
leaders in a specialized tertiary hospital for
C. RA 6425 promotion as head nurses in different units. He
D. RA 9262 reviews leadership and management to guide his
task.
58. What law provides a rights-based mental
health bill and a comprehensive framework for 61. Erwin Smith, himself, inspires others by
the implementation of optimal mental healthcare obtaining emotional commitment from
in the Philippines? followers. His charm and grace , accompanied
* with strong conviction, is shared among his
followers. What leadership theory is he
1/1
manifesting?
A. RA 10354 *
B. RA 11036
0/1
C. RA 7600 A. Charismatic theory
D. RA 10912 B. Great-man theory

C. Transactional theory
59. What law was passed to institute measures
D. Contingency theory
that will continuously improve the competence
of Filipino professionals and to make them Correct answer
A. Charismatic theory 65. Nurse Sasha wanted to complain about Nurse
Connie’s, her fellow staff nurse, consistent
tardiness. Reviewing the elements of
62. The flexibility to adapt to Situation:s and the organizational structure, who will she report her
ability to shift leadership styles depending on the complaint to?
Situation:s puts Nurse Levi on top of the list to be
promoted as Head nurse of the Medicine Unit. *
What theory best exemplifies this? ···/1
* A. Head nurse
1/1
B. Chief nurse
A. Charismatic theory C. Nursing director
B. Great-man theory D. Other staff nurse
C. Transactional theory
D. Contingency theory No correct answers

Situation:
You are a newly registered nurse that is hired in the
prestigious Philippine Cancer Center. You
63. He observed that there are nurses that encountered different scenarios in the area.
motivated each other to perform, but they do not
hold actual positions in the organization. What
66. In Eren Jaeger's 3-month follow-up post-
type of leaders are they?
chemotherapy, noting the yellowish color in his
*
skin prompts consideration for specific blood
0/1
tests. Which blood tests should be done to
A. Formal
further explore this clinical sign?
B. Informal
C. Autocratic *
0/1
D. Charismatic
A. Platelet count
Correct answer B. Liver function tests (LFTs)
C. Complete blood count (CBC)
B. Informal

D. Blood urea nitrogen and creatinine

64. Running a nursing unit is no easy task.
Correct answer
Especially in the emergency unit, the nurses
need to have a centralized and task-oriented B. Liver function tests (LFTs)
decision making ability to function well. What
style of leadership should the head nurse
exhibit? 67. You are about to administer neoplastic
agents to a client. What action is considered
* most important?
1/1 *
A. Democratic 1/1
B. Bureaucratic
C. Autocratic A. Use gloves and a lab coat when preparing the
medication.
B. Dispose of the antineoplastic wastes in the
D. Laissez-Faire
hazardous waste receptacle.
C. Adjust the dose to the patients present symptoms. C. Teach the patient about the seven warning signs of
D. Wash hands with an alcohol-based cleanser cancer
following administration.
D. Plan to monitor the patient’s carcinoembryonic
antigen (CEA) level.
68. Oncology patients are at a high risk for
infection due to myelosuppression. What can you Correct answer
do to decrease the leading cause of infection- B. Discuss risks associated with cigarette smoking
related death in oncology patients? during each patient encounter.
*
Situation:
0/1 Nurse Maya is the head manager of the Oncology
Ward in PGH. She is overseeing multiple patients
A. Encourage several small meals daily.
with various types of cancer.
B. Provide skin care to maintain skin integrity.
C. Assist the patient with hygiene, as needed.
71. When a patient with metastatic colon cancer
D. Put pressure on injection sites immediately is facing intense vomiting following each
Correct answer
chemotherapy session, which action, if
performed by the Nurse Maya, would be
B. Provide skin care to maintain skin integrity. considered appropriate?
*
69. When offering health education to a patient 1/1
diagnosed with skin cancer, the significant other
inquires about the distinctions between normal A. Have the patient eat large meals when nausea is
not present.
cells and cancer cells. What characteristic sets
B. Offer dry crackers and carbonated fluids during
these two cell types apart?
chemotherapy.
* C. Administer prescribed antiemetics 1 hour before
the treatments.
1/1
A. Malignant cells contain proteins called tumor- D. Give the patient a glass of a lemonade during
specific antigens. treatments.

B. Chromosomes contained in cancer cells are more

durable and stable than those of normal cells. 72. When she administers an IV vesicant
C. Malignant cells contain more fibronectin than chemotherapeutic agent to a patient, what is the
normal body cells. most crucial action for the nurse to prioritize?
D. The nuclei of cancer cells are unusually large, but
*
regularly shaped.
1/1

70. While attending to a patient who smokes two A. Infuse the medication over a short period of time.
packs a day, what action could the nurse take to B. Stop the infusion if swelling is observed at the site.
help mitigate the patient's risk of lung cancer?
C. Administer the chemotherapy through a small-
* bore catheter.
0/1 D. Hold the medication unless a central venous line is
available.
A. Teach the patient about annual chest x-rays for
lung cancer screening.
B. Discuss risks associated with cigarette smoking 73. Which snack selection by the patient with
during each patient encounter. liver cancer shows that the nurse's instruction
on high-protein, high-calorie diet options has
been successful? D. The NA adds baking soda to the patient’s saline
* oral rinses.

0/1 Situation:
In Maria General Hospital, Nurse Mikasa is the nurse-
A. Oatmeal in-charge to take care of the patients in the Scout
B. Mango yogurt regiment. Numerous patients come for varied cases.
C. Fresh Orange juice

D. Cream cheese bagel 76. You are currently making a care plan for a
patient undergoing shock treatment. Which of
Correct answer the statements provides the most accurate
B. Mango yogurt description of the pathophysiology underlying
this patient's health issue?
*
74. For a patient diagnosed with gastric cancer,
experiencing difficulty with oral food and fluid 1/1
intake due to the tumor's location preventing
A. Cells lack an adequate blood supplywhich also
enteral feeding, what intervention should the leads to deprivation of oxygen and nutrients.
Nurse Maya recognize as most effective
intervention to address the patient's nutritional
B. Blood is shunted from vital organs to peripheral
requirements? areas of the body.
* C. Circulating blood volume is decreased with a
resulting change in the osmotic pressure gradient.
0/1
D. In all types of shock, hemorrhage is a result of
A. Insertion of an NG tube for administration of feeds trauma.
B. Maintaining NPO status and IV hydration until
treatment completion
77. Nurse Mikasa is caring for a patient in shock
C. Administration of parenteral feeds via a peripheral due to extensive blood loss from a scouting
IV mission. She notes that numerous findings in the
D. TPN administered via a peripherally inserted latest assessment result from compensatory
central catheter mechanisms. What compensatory mechanism
increases cardiac output during hypovolemic
Correct answer states?
D. TPN administered via a peripherally inserted *
central catheter
1/1
A. Tachycardia
75. Nurse Maya is looking after a pancytopenic
patient, what action by the nursing attendant
B. Fluid shifting
would signal the need for the nurse Maya to step
C. Gastric hyperacidity
in? D. Decorticate
*
1/1
78. Nurse Mikasa noticed Moblit carrying Hange
A. The NA puts fluoride toothpaste on the patient’s towards the clinic. Hange is not breathing, and
toothbrush. Moblit said Hange was stung by a bee in while
B. The NA has the patient rinse after meals with a taking plant samples. Which of the following
saline solution. would lead the nurse Mikasa to suspect that
C. The NA assists the patient to use dental floss after Hange is experiencing anaphylactic shock?
eating.
* 81. Patient is prescribed to receive potassium IV
to correct hypokalemia. What should not be done
0/1 by nurse Tobio in giving medication?
A. Rapid onset of acute hypertension *
B. Rapid onset of respiratory distress
C. Rapid onset of neurologic compensation 0/1
D. Rapid onset of cardiac arrest A. Monitor the infusion frequently
B. Administer bolus IV potassium
C. Adjust the drop rate according to prescription
Correct answer D. Monitor for any cardiac abnormalities
B. Rapid onset of respiratory distress

Correct answer
79. One of the patients develops fluid overload B. Administer bolus IV potassium
from an IV that has infused too rapidly. What
assessment would Mikasa expect to find?
* 82. With the long hospital stay of an
immunocompromised older adult, they had
0/1 developed a urinary tract infection. There is a
A. S3 heart sound need to reduce the risks for further development
B. Thready pulse of infection to prevent septic shock. What action
C. Flattened neck veins should the nurse perform to reduce the patients
risk of septic shock?
D. Hypoventilation *
Correct answer 0/1
A. S3 heart sound A. Assist in performing passive range-of-motion
exercises unless contraindicated

80. A client is referred for hemodialysis. Which B. Initiate total parenteral nutrition (TPN)
abnormal lab value would she anticipate not C. Apply an antibiotic ointment to the patients
being improved by hemodialysis? mucous membranes, as ordered.
* D. Remove invasive devices as soon as they are no
longer needed
0/1
Correct answer
A. Hypernatremia
D. Remove invasive devices as soon as they are no
B. High serum creatinine longer needed
C. Hyperkalemia
D. Low hemoglobin
83. Nure Tobio i currenlty studying the lab
Correct answer values of a patient. Which indicates immediate
D. Low hemoglobin referral and intervention?
*
Situation:
Nurse Tobio is assigned to the Central ICU. He is 1/1
assigned patients with fluid and electrolyte A. K+ = 3.8
imbalances. B. Mg= 4.5

C. Creatinine = 0.7
D. Na+= 138
 87. She plans to ask referrals from known
84. Which is not a cause of hyponatremia? organizations to help her get the number of
* sample population for the study. What sampling
method is she planning to use?
0/1
*
A. Too much intake of water 1/1

B. Addison’s disease A. Judgmental

C. Diabetes Insipidus B. Quota sampling
D. SIADH C. Purposive Sampling
D. Snowball sampling
Correct answer
C. Diabetes Insipidus

88. Her adviser emphasized the need for her

85. Nurse Tobio is planning care for patient who
participants to voluntarily agree and make their
suffered with alcoholism.What is not an expected
sign or symptom of hypomagnesemia? own decisions regarding their participation in
* the study. This also includes the withdrawal
1/1
from study, and refusal to receive treatments.
What right is being respected?
A. Tetany
B. Hypotension *
0/1
C. Chvostek’s sign
D. Seizure A. Right to anonymity
B. Right to self-determination
Situation: C. Right not to be harmed
Historia is currently designing the methodology of
her study. Her study is on the lived experiences of D. Right to full disclosure
mothers of children with ASD. she wants to propose
measures to aid the community especially there is Correct answer
still a lack of support from the government for this B. Right to self-determination
population. She plans to include all mothers of
children with ASD as her target population.
89. In preparation the analysis of data, she
makes a plan to best present and analyze her
86. Writing her sampling plan, what is the
collected data. In determining the average age of
number 1 characteristic her sample should have?
her participants, which measure shall she use?
*
*
0/1
1/1
A. Eligibility
A. Median
B. Mode
B. Accessibility C. Mean
C. Willingness
D. Representativeness
D. Meter
Correct answer
D. Representativeness 90. In using inferential statistics, this is the
measure where 3 or more sets of the population
are compared to 1 variable?
* A. Taking lactulose
B. Avoiding alcohol ingestion
1/1 C. Maintaining good nutrition
A. Chi square
B. T-Test D. Using vitamin B supplements
C. Pearson r
Correct answer
D. ANOVA
B. Avoiding alcohol ingestion

Situation:
Chronic hepatitis infection, alcoholic liver disease, 94. A serum potassium level of 3.2 mEq/L (3.2
and non-alcoholic fatty liver disease account for the mmol/L) is reported for a patient with cirrhosis
most common causes of liver disorders of adult who has scheduled doses of spironolactone and
Filipinos. Health experts agree that approximately furosemide due. Which action should the nurse
20% of this disease population will develop liver take?
cirrhosis, liver failure, and liver cancer.
*
1/1
91. A patient is being treated for bleeding
esophageal varices with balloon tamponade. A. Withhold both drugs.
Which nursing action will be included in the plan B. Administer the furosemide.
of care? C. Administer both drugs
D. Administer the spironolactone.
*
1/1
A. Instruct the patient to cough every hour. 95. Which action should the nurse take to
B. Monitor the patient for shortness of breath. evaluate treatment effectiveness for a patient
who has hepatic encephalopathy?
C. Verify the position of the balloon every 4 hours.
D. Deflate the gastric balloon if the patient reports *
nausea. 1/1
A. Request that the patient stand on one foot.
92. Which focused data will the nurse monitor in B. Ask the patient to extend both arms forward.
relation to the 4+ pitting edema assessed in a
patient with cirrhosis? C. Request that the patient walk with eyes closed.
D. Ask the patient to perform the Valsalva maneuver.
*
1/1 Situation:
The prevalence of digestive diseases in the
A. Hemoglobin Philippines is high, but there are steps you can take to
B. Temperature protect and promote your digestive health. Your job
C. Activity Level as a nurse is to educate the masses on the prevalent
D. Albumin Level GI diseases, and health education on health
promotion and disease prevention.

93. Which topic is most important to include in 96. Upon admission to the hospital with acute
patient teaching for a 41-yr-old patient gastritis and vomiting blood-streaked fluid, the
diagnosed with early alcoholic cirrhosis? nurse will inquire about potential risk factors for
gastritis by asking the patient about:
*
*
0/1
1/1
A. the dietary intake of saturated fat. Correct answer
B. any family history of gastric or colon cancer.
C. a past occurrence of significant weight gain or loss. B. "What are the food and meals you ate yesterday?"
D. the use of nonsteroidal anti-inflammatory drugs
(NSAIDs).
100. You will plan to monitor a patient with an
obstructed common bile duct for?
*
97. Which snack choice made by the patient 1/1
three hours before bedtime suggests that the
nurse's education on gastroesophageal reflux A. Melena
disease (GERD) has been successful? B. Increased serum bilirubin level
C. Decreased cholesterol
* D. Steatorrhea
1/1
A. Chocolate pudding
B. Apple gelatin with fruit

C. Glass of low-fat milk

D. Peanut butter and jelly sandwich

98. When conducting a full physical assessment,

which finding during abdominal auscultation
indicates a need for a focused abdominal
assessment?
*
1/1
A. Loud gurgles
B. Absent bowel sounds

C. High-pitched gurgles
D. Frequent clicking sounds

99. When evaluating the risk of malnutrition in a

78-year-old patient who is alert and
independent, what would be the most suitable
initial question?
*
0/1
A. "How do you typically reach the store for grocery
shopping?"

B. "What are the food and meals you ate yesterday?"

C. "Do you face any challenges in preparing or
consuming food?"
D. "Are you currently on any medications that might
affect your taste for food?"