THIS IS MERGE PROPERTY

ONLY NURSE LICENSURE EXAMINATION NOV. 2023

M U L T I - E D U C A T I O N A L R E V I E W G R O U P E X P E R T S, I N C.
* MAKATI * PAMPANGA * CABANATUAN * VIGAN * DAVAO * GENERAL SANTOS * ISABELA * OLONGAPO
*KIDAPAWAN * KABACAN * URDANETA * BAGUIO *
MANILA HEAD OFFICE
GENERAL INSTRUCTIONS:
1. This test booklet contains 100 test questions.
2. Read INSTRUCTIONS TO EXAMINEES printed on your answer sheets.
3. Shade only (1) box for each question on your answer sheets. Two or more boxes shaded will invalidate your
answer.
4. AVOID ERASURES.
5. This is MERGE property only.

COMPREHENSIVE EXAMINATION – NP 1
Community Health Nursing
Situation - Primary health care is "essential health care" that is based on scientifically sound and socially acceptable
methods and technology. This makes universal health care accessible to all individuals and families in a community.

1. The overall concept of PHC is to:

A. Provide health care services to the needy C. Promote self-reliance among the citizens.
and the poor. D. All the above
B. Decrease the cost of health care.

2. Mrs. Martin discovered that she was pregnant, then she consulted at the RHU. She verbalized that she already
received her third dose of tetanus toxoid last January. TT3 So her second booster TT4 will be on:
A. July of the same year C. November of the same year
B. August of the same year D. January next year

3. Lifelong immunity for tetanus is achieved by a woman after:

A. 3 pregnancies D. 4 doses of TT
B. 2 doses of TT E. None of the above
C. 3 booster doses of TT

4. Third post-partum visit must be done by PHN:

A. Within 48 hours after delivery C. Within 24 hours after delivery
B. After 2 to 4 weeks D. After one week

5. In reporting new births, as birth attendant where will you register the baby?
A. National statistics office D. City health department
B. FHSIS E. Barangay health station
C. Local civil registrar

6. The advantage of DMPA includes the following except:

A. Only one injection is required every 3 months.
B. Can be used by breastfeeding mother
C. Fertility never returns after discontinuing the next injection.
D. It inhibits ovulation.

7. A family planning method that may be advised for women whose lives may be endangered by another pregnancy:
A. IUD C. PILLS
B. VASECTOMY D. TUBAL LIGATION

8. A natural family planning method that may give 98 % protection to another pregnancy to women:
A. IUD D. Tubal Ligation
B. Vasectomy E Lactational Ammenorhea Method
C. Pills

9. Method and control of tetanus among infants is scheduled immunization of tetanus toxoid to:
A. Members of the family D. Parents of the baby
B. Pregnant woman E. Any of the above
C. Newborn babies

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10. The first international conference for PHC was held in?
A. Almaty, Kyrgyzstan C. Alma Ata, Russia now known as Almaty,
B. Almaty, Russia Kazakhstan
D. Alma Ata, Ukraine
Situation - Respiratory failure is a condition in which your blood doesn't have enough oxygen or has too much carbon
dioxide. Sometimes you can have both problems. When you breathe, your lungs take in oxygen. The oxygen passes into
your blood, which carries it to your organs.

11. Which assessment findings will the nurse record to be consistent in a client with respiratory failure?
A. Hypoxemia, hypercapnia C. Hypoxia
B. Hyperventilation D. Alkalosis

12. Oxygen therapy is the administration of oxygen at a concentration greater than that found in the environmental
atmosphere. The goal of oxygen therapy is to
A. None of these
B. Reverse the effects of hypoxemia in a patient
C. Provide adequate transport of oxygen in the blood while decreasing the work of breathing and reducing stress
on the myocardium
D. To establish negative pressure

13. The nurse is aware of the differences between hypoxia and hypoxemia. Hypoxemia is characterized by
A. A decrease in oxygen supply to the tissues
B. A deficiency of oxygen and the biotic environment
C. A decrease in the arterial oxygen tension in the blood and is manifested by changes in mental status
D. An insufficient amount of oxygen in the body and, if severe enough, can be life-threatening

14. A nurse suspected a diabetic patient to have hypokalemia when she observed which of the following symptoms to
be documented?
A. HPN, Bradycardia, irregular breathing, unequal pupils Increase ICP
B. Polyuria, polydipsia, polyphagia
C. Dehydration, Kussmaul’s, Acetone breath
D. Apathy, weakness, abdominal distention, prominent U wave, feeling tired, leg cramps and abnormal heart
rhythm.

15. In the initial presentation of type 1 diabetes mellitus in a patient, which symptoms would the nurse expect to
assess and document?
A. Blurred vision and weight gain C. Short attention span and hyperactivity
B. Polydipsia and polyphagia D. Weight loss and hypotonic reflexes

Situation – You have been assigned as the new pain management nurse in your hospital. You receive various types of
patients with different types of pain during your shift today.

16. You assessed a 50 - year-old patient for reports of episodic, sudden-onset, right-sided facial pain. The patient
describes the pain as fleeting, electric-like and triggered by light touch and brushing of the teeth. You suspect

A. Myofascial pain syndrome. C. Trigeminal neuralgia.

B. Facet syndrome D. Temporomandibular disorder

17. Which of the following is the recommended protocol for preventing constipation when starting a patient on opioids?

A. Using a bowel stimulant and stool softener C. Adding more Diatabs to the diet
B. Increasing milk and sleep D. Giving the patient enemas as needed

18. A 12-year-old patient who is receiving in-home care without IV access needs medication for breakthrough pain.
Which of the following is the most effective route of administration?

A. Oral-transmucosal C. Intraspinal
B. Intranasal D. Nebulizer

19. You have some older patients in your department. Which nonpharmacologic intervention is difficult to use with
older adults who are cognitively impaired?
A. Guided imagery C. Distraction
B. Heat application D. Aromatherapy

20. You assess a patient with complex regional pain syndrome. The nurse is concerned about the patient’s depressed
mood, because she or he has said: “I can’t live with this pain.” You further assess for suicide risk, because
A. Suicidal thoughts are often expressed by patients with acute pain
B. Suicidal thoughts are common in patients with chronic pain
C. Decreased pain thresholds lead to suicidal thoughts

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D. Verbalization of suicidal thoughts is a way for patients to get attention

21. The nurse is about to administer a new medication to a patient. Which action best demonstrates awareness of
safe, proficient nursing practice?
A. Identify the patient by comparing her name and birth date to the medication administration record (MAR).
B. Determine whether the medication and dose are appropriate for the patient.
C. Make sure the medication is in the medication cart.
D. Check the accuracy of the dose with another nurse.

22. The nurse uses a mortar and pedestal to crush a medication before giving it to one of her clients. Which of the five
rights is the nurse ensuring?
A. The right route C. The right time
B. The right client D. The right drug

23. The nurse is caring for a critically ill patient. What is the contraindication for administering medications by the oral
route for this patient?
A. Vomiting D. Family visitor
B. Fractured leg E. Diarrhea
C. Penicillin allergy

24. The nurse is teaching a patient about how to take a sublingual nitroglycerin tablet. Which statement by the patient
best demonstrates understanding of the teaching?
A. "I will hold the tablet next to my skin." C. "I will put the tablet under my tongue."
B. "I will put the tablet inside my cheek." D. "I will place the tablet in the lower lid of my eye."

25. A 73-year-old client who is very obese requires an intramuscular injection of Demerol 100 mg. Which of the
following is least appropriate for the administration of this medication?
A. A 5/8-inch needle is used at a 45-degree angle to the skin
B. Pinching the skin before administration is necessary
C. Aspirating the syringe before injecting the medication is a priority
D. Using a 25-gauge needle would be best

26. The client receiving an intravenous infusion of morphine sulfate begins to experience respiratory depression and
decreased urine output. This effect is described as:
A. Therapeutic C. Idiosyncratic
B. Toxic D. Allergic

27. A client is admitted with severe injuries from an auto accident. The client's vital signs are BP 120/50, pulse rate
110, and respiratory rate of 28. The initial nursing intervention should be to
A. institute continuous cardiac monitoring C. begin the ordered intravenous therapy
B. administer oxygen by mask as ordered D. initiate continuous blood pressure monitoring

28. When suctioning a client's tracheostomy, a nurse should instill saline for what purpose?
A. Prevent client aspiration from secretions C. Reduce the viscosity of secretions
B. Decrease the client's discomfort D. Facilitate the removal of mucus plugs

29. A nurse is caring for a client on mechanical ventilation. When performing endotracheal suctioning, the nurse will
avoid hypoxia by which action?
A. Insertion of a fenestrated catheter with a whistle tip without suction
B. Complete a suction pass in 30 seconds with a pressure of 150 mm Hg
C. Hyperoxygenation with 100% O2 for one to two minutes before and after each suction pass
D. Minimize a suction pass to 60 seconds while slowly rotating the lubricated catheter

30. A nurse is caring for clients over the age of 70. The nurse is aware that when giving medications to older clients, it
is best to use what approach?
A. Avoid drugs with side effects that impact C. Do not stop a medication entirely
cognition D. Start low and go slow
B. Review the drug regimen yearly

31. Which of these approaches would be the best strategy for a nurse to use when teaching insulin injection
techniques to a newly diagnosed client with diabetes mellitus?
A. Observe a return demonstration. C. Give written pre and post tests
B. Allow another diabetic to assist. D. Ask questions during practice

32. When providing nursing interventions to reduce a 102-degree Fahrenheit fever in a toddler who has been
diagnosed with an infection, what is the most effective intervention?
A. Immerse the child in a tub containing cool water
B. Use medications to lower the temperature set point
C. Apply extra layers of clothing to prevent shivering
D. Give a tepid sponge bath prior to giving an antipyretic

33. A patient is receiving 250 mL normal saline IV over 4 hours, using tubing with a drip factor of 10 drops/mL. How
many drops per minute should be delivered?

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A. 5 drops/minute C. 15 drops/minute
B. 8 drops/minute D. 10 drops/minute

34. A nurse is preparing a client for discharge following inpatient treatment for pulmonary tuberculosis (TB). Which of
these instructions should be given to the client?
A. Continue taking medications until findings are relieved
B. Take medication with Amphojel if epigastric distress occurs
C. Continue taking medications as prescribed
D. Avoid contact with children, pregnant women or immunosuppressed persons
35. When considering the pharmacotherapeutic effects of drugs administered to clients, the nurse considers which
property of most importance:
A. Efficacy C. Potency
B. Interaction with other drugs D. Toxicity

Situation - Guarantee 1: All Life Stages & Triple Burden of Disease – Covers Communicable Diseases, Non-
communicable Diseases and Malnutrition, Rapid Urbanization, and Industrialization

36. Miriam, diagnosed with LIVER Cancer is prescribed to receive Adriamycin. Which of the following is related to
this drug?
A. It has no side effect at all C. It is an antitumor antibiotic
B. It increases hearing acuity D. It is a steroid therapy

37. Generics Act and Cheaper Medicine Bill are included in the Health for All Program. Which of the following is the
generic name of Dilantin?
A. Betablocker C. Vasoconstrictor
B. Anticonvulsant D. Phenytoin sodium

38. An elderly client went to the Health Center for Dengue assessment. Which of the following should not be taken?
A. Tawa-Tawa C. Goldenseal (Orange root)
B. Water D. Aspirin

39. Teethracycline is an antibiotic used to treat bacterial infections such as STD like chlamydia and acne. The best
time to administer this drug for BEST absorption is on an empty stomach. This may also
A. Stain the teeth and softening of the bone C. Cause cancer
B. lead to hyperglycemia D. cause memory loss

40. A client with Ebola is being assessed in the quarantine area. Signs and symptoms are
A. GBS, microcephaly
B. Asymotomatic, anorexia, cough, hemoptysis, low grade fever
C. Rectal bleeing, anemia
D. Ecchymosis, Body pain, Over fatigue, Loss of appetite, Abdominal pain

Situation - Blood transfusion is the process of receiving blood products into one's circulation intravenously. Transfusions
are used in a variety of medical conditions to replace lost components of the blood. Early transfusions used whole blood,
but modern medical practice commonly uses only components of the blood, such as red blood cells, white blood
cells, plasma, clotting factors, and platelets.

41. Which of the following is NOT an indication for Blood Transfusion?

A. To increase oxygen carrying capacity
B. To treat Blood-Borne Pathogen
C. To manage severe bleeding
D. To reduce the symptoms of coagulation deficiencies

42. Clients with Colon Cancer usually develop chronic anemia. Which of the following blood is given?
A. Packed RBC C. Platelets
B. Cryoprecipitate D. Fresh frozen plasma

43. Dr. Zapdos orders 2 units of blood for a client who is bleeding. Before blood administration the nurse’s highest
priority should be:

A. Obtaining the client’s urinalysis C. Monitoring the hemoglobin & hematocrit

B. Letting the blood reach room temperature D. typing and cross matching of blood

44. Lugia, who is scheduled for a craniotomy decides to have family members donate blood in the event it is needed.
The client has type B-negative blood. Blood could be used from relatives whose blood is:

A. Type O positive C. Type B or O negative

B. Type AB positive D. Type A or AB negative

45. Artic with advanced liver cirrhosis and esophageal varices is admitted with hematemesis, and two units of blood
are ordered. Halfway through the first unit of blood the client complains of flank pain. The nurse’s first action
should be to:

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A. Stop the transfusion C. Assess the pain further

B. Notify the blood bank D. Monitor the hourly urine output

Situation – The DOH is the principal health agency in the Philippines. It is responsible for ensuring access to basic public
health services to all Filipinos through the provision of quality health care & regulation of providers of health goods &
services.

46. The PHN nurse is to do a home visit. Which one should be part of her/his visit?
A. Duterte Health Package C. Hatch legendary eggs
B. Libreng bigas sa Pinas D. Steps in Bag Technique

47. Among the lesbian, gay, bisexual, transgender, queer, and two-spirit communities (LGBTQ2) in the Philippines,
more needs to be done to provide medical outreach and education on risk patterns and prevention of the
transmission of communicable diseases. HIV, Aids and Hepatitis probably top the list of preventable sexually
transmitted diseases. The DOH Program about AIDS emphasizes
A. reporting and early treatment C. proper hand washing
B. hiding so as not to transmit the virus D. unprotected sexual intercourse

48. Major focus of the President about health is:

A. Decrease criminality in health centers
B. Remove corruption in Government Banks
C. Alleviate poverty in Squatters area
D. Strengthen implementation of the Responsible Parenthood and Reproductive Health Law to enable especially
poor couple to make informed choices on financial and family planning.

49. Which of the following is NOT included in the Health Programs of DOH?
A. Bantay Bata 163 C. Climate Change
B. Mag HL Tayo D. Breastfeeding TSEK

50. The life-threatening effect of Fentanyl toxicity is:

A. Respiratory depression C. Decreasing LOC
B. Hypotension D. Bradycardia

51. Which of these cancer clients has problems with lymph nodes, splenomegaly and night sweats?

A. Pinsir with a renal cell carcinoma C. Seel with Hodgkin’s Lymphoma

B. Zubat with bronchogenic carcinoma D. Jiggly with esophageal neoplasm

52. Nurse Koffing is positioning a client with Ascites to relieve shortness of breath and dyspnea. The appropriate
position for clients with ascites is:
A. High fowler’s C. Flat
B. Low fowler’s D. Prone

53. Hepatitis B vaccine is a vaccine developed for the prevention of hepatitis B virus infection. The vaccine contains
one of the viral envelope proteins, hepatitis B surface antigen (HBsAg). It is produced by yeast cells, into which
the genetic code for HBsAg has been inserted. Before administering the vaccine the nurse should assess allergy
to
A. eggs C. neomycin
B. Baker’s yeast D. acyclovir

54. Preparation before LITHOTRIPSY (ESWL):

A. Right side lying C. IV, NPO, consent
B. Lithotomy and cleansing D. Left side lying

55. Before leaving the patient’s room with Meningitis, the nurse must remove FIRST the
A. Uniform C. Shoes
B. Gloves D. Underwear

56. Nurse Grace is collaborating with the other members of the health care team in managing client with CVA. To
promote the ability to move, reduce pain, restore function, and prevent disability, Nurse Grace should collaborate
with the
A. Physical therapist C. Speech therapist
B. Occupational therapist D. Respiratory therapist

57. In promoting the ability to perceive, desire, recall, plan and carry out roles, routines, tasks and sub-tasks for the
purpose of self-maintenance, productivity, leisure and rest in response to demands of the internal and/or external
environment, the appropriate therapist is the

A. Occupational C. Speech
B. Physical D. Respiratory

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58. When a multidisciplinary team is involved in meeting the home care needs of a client, who is the person
responsible for the coordination of the care provided?
A. The Registered Nurse C. The Midwife
B. The Doctor D. The Maid

59. The complexity of the health care delivery systems requires a interdisciplinary or multi-professional approach is what?
A. Collaboration C. Coordination
B. Communication D. Cohabitation

60. A nurse is caring for patients in a primary care center. What is the most likely role of this nurse based on the setting?
A. Assisting with major surgery
B. Performing a health assessment
C. Maintaining patients' function and independence
D. Keeping student immunization records up to date

Situation - Emergency Nursing is a nursing specialty in which nurses’ care for patients in the emergency or critical phase
of their illness or injury.

61. A client who drinks alcohol and smokes contracted an accident. He was brought to the ER. The following must
be done in the ER except:
A. Assessing the chief complaint C. Using systematic system
B. Obtaining vital signs D. Prioritizing the less injured client

62. Triage originated from the French word “trier” meaning to sort or segregate. The appropriate color for DELAYED
client is:
A. Red C. Green
B. Yellow D. Black

63. Nurse Bongbong is attending a client struck by lightning. The First AID for lightning struck victims will be
A. Assessment, respond & CPR
B. Defibrillation
C. Oxygen therapy
D. Wrap the patient’s body with the rescuer’s Body

64. Gloria has been diagnosed with endometrial cancer and a hysterectomy was performed. Twelve hours following
surgery, the patient complained that she wanted to vomit. Which of the following is the most appropriate nursing
diagnosis related to vomiting?
A. Impaired mobility C. Risk for aspiration
B. Impaired movement D. Altered elimination

65. A client is diagnosed with NARCOLEPSY. Which of the following is the cardinal sign:

A. Pain at midnight C. Unable to move after laughing

B. Presence of nightmares D. Excessive daytime sleepiness

66. A mother with a history of bipolar disorder is in the Psyche Center together with her son diagnosed with ADHD.
The mother said that the son’s disorder gave her a lot of pressure and now unable to cope? The nurse
demonstrated ACTIVE listening and provided a therapeutic response of
A. “Let me ask your physician for you.”
B. “Why are you worried?”
C. “Allow your child to find Legendary Pokemons or hatch as many eggs as possible to divert his attention and
decrease the burden in you.
D. “This must be difficult for you. I’ll stay with you for a while.”

67. A 40-year-old client with severe bleeding is refusing a blood transfusion. This refusal is based on the knowledge
of:
A. Health belief C. Religious belief
B. Spiritual belief D. Cultural belief

68. The nurse is aware that in dementia, client experiences severe agitation as the sun goes down. This is
A. Judgment Day C. Creative thinking
B. Sundowing D. Confusional and Short-term memory loss

69. Which of the following is NOT considered a dangerous drug?

A. Ecstasy C. Shabu
B. Opioid D. Morphine

70. A client with Cholelithiasis is vomiting. The pH is 7.46 and HCO3 of 28 mEq/L. The interpretation for this acid
base imbalance is:
A. Metabolic alkalosis C. Respiratory alkalosis
B. Metabolic acidosis D. Respiratory acidosis

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Situation - Legally, nurses can only accept assignments and provide patient care that is appropriate in terms of
their nurse practice act and their scope of practice, and only those that the nurse believes that they are competent to
perform.

71. The best definition of a tort is:

A. The application of force to the person of another by a reasonable individual.
B. An illegality committed by a person against the property or person of another.
C. Doing something that a reasonable person under ordinary circumstances would not do.
D. An illegality committed against the public and punishable by law through the courts.

72. A 16-year-old girl brought to the emergency department her 18-month-old baby due to persistent high fever for the
past 3 days. She says that her parents live in a neighboring town and that she is unemployed. She is then
classified as an indigent. In the treatment of her baby, the nurse should:
A. Contact the parents of the girl so that they can give consent for the treatment of their grandchild.
B. Let the girl sign the consent.
C. Refer the girl to bantay bata foundation.
D. Assess the baby for signs of abuse.

73. The nurse gives two pills instead of the ordered one pill. The physician is notified. The client is carefully monitored
and no untoward effects happened. Can the client sue the nurse for negligence?
A. No, the client was not harmed. C. Yes, a breach of duty exists.
B. No, the nurse notified the physician. D. Yes, foreseeability is present.

74. A child who has been in a car accident has been shown to have no brain function. The parents refuse to allow life
support to be withdrawn. Although the nurse believes the child should be allowed to die and organ donation
should be considered, the nurse supports the parents’ decision. Which moral principle provides the best basis for
the nurse’s action?
A. Respect for autonomy C. Beneficence
B. Nonmaleficence D. Justice

75. Nationwide Implementation of Smoking Ban is based on:

A. EO 51 C. EO 26
B. EO 220 D. EO optical

Situation - Demographics are statistics that describe populations and their characteristics. Demographic analysis is the
study of a population-based on factors such as age, race, and sex.

76. The study of frequency and distribution of a disease is called:

A. Ecology C. Epidemiology
B. Etiology D. Demographics

77. Prevention is better than cure. Immunization falls under what level of prevention?
A. Primary C. Secondary
B. Tertiary D. Quarternary

78. In secondary level of prevention, which of the following is usually done?

A. Preparing a balanced diet for the family C. Proper disposal of garbage
B. Giving oresol to a child with diarrhea D. Aspirin therapy for post CVA individuals

79. Sputum exam falls under what level of prevention?

A. Primary C. Secondary
B. Tertiary D. Quarternary

80. The standard regimen for TB is given for a period of:

A. One year C. Eight months
B. Six months D. Two months

Situation: You are a CHN in a community of 60000 people, you are to spearhead the operation of vaccinating the target
audience.

81. Which vaccine components is given in multiple doses?

A. Hepa B C. Salk polio vaccine
B. IPV D. Mumps

82. If your target population are infants, how much OPV will be needed (TVR).
A. 1800 C. 5400
B. 4800 D. 3400

83. Knowing the TVR of the said vaccine, how much will be the Annual Vaccine doses required? (AVR) if the wastage
rate is 20%?
A. 5400 B. 6800

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C. 6700 D. 1800

84. What if the wastage factor is default?

A. 9200 C. 10800
B. 9018 D. 12,732

85. What would be the TVR if BCG vaccines are ordered?

A. 2400 C. 1800
B. 4800 D. 3400

Situation: Franz, a 60-year-old client came to the clinic for a routine checkup.

86. You learn that Franz drinks 5-8 cups of coffee a day plus cola drinks. Because she is in her post-menopausal
years, the nurse instructs her to decrease consumption of coffee and cola preparation because:
A. these products increase calcium loss from bones
B. these products have stimulant effect in the body
C. these products encourage increase in sugar consumption
D. these products are addicting

87. Aside from calcium, which of the following is abundant in the bone. Aside from calcium, a major mineral found in
bone is:
A. magnesium C. Zinc
B. Iron D. Phosphorus

88. Osteoporosis is common among:

A. Hispanics C. Asian
B. Blacks D. African American

89. You would encourage Franz to eat which of the following foods is HIGHEST in calcium?
A. Cheese, milk, dark green leafy vegetables, oysters, and sardines
B. Yogurt, milk, eggs, peanuts, dark green leafy vegetables, sardines, coffee
C. Broccoli, yogurt, peanuts, dark, green leafy vegetables, wine, spinach
D. Cheese, milk, dark green leafy vegetables, oysters, tea

90. Which of the following activities is highly recommended for Franz?

A. Non weight bearing activities such as swimming. C. Passive range of motion exercises
B. Weight bearing activities such as walking. D. Active range of motion exercises

Situation: Core competency on records, management, and safety.

91. An informed consent is required for:
A. Urethral catheterization
B. Insertion of intravenous catheter
C. Bone marrow biopsy
D. Application of ointment to the eyes from inner to outer canthus

92. Which of the following patients should probably not be SCANNED?

A. patient with sickle cell anemia C. nursing mother
B. patient in the first trimester of pregnancy D. Patient with high BUN

93. According to The Safety Committee of the Society for MRI, which of the following patients should be visually and
verbally monitored?
A. Elderly patients with soft voices C. Patient presenting no cardiac problem.
B. Patients without sedation D. A 25-year-old client

94. Which of the following is NOT included in the patient’s chart?

A. Complete medication records C. Doctor’s order
B. Incident reports D. Nurse’s notes

95. A child returns to the pediatric unit after a bowel resection. Which of the following actions has the highest
PRIORITY
A. Administer IVF C. Monitor vital signs frequently.
B. Keep the child NPO. D. Assess the child’s pain level.

Situation - Intravenous fluids are a critical component of modern medical therapy. Nurses must be able to know correct
IVF calculations.

96. A physician orders 1000 ml of NS to infuse over 12 hours. The drop factor is 15 drops per 1 ml. A nurse prepares
to set the flow rate at how many drops per minute?
A. 15 drops per minute C. 21 drops per minute
B. 17 drops per minute D. 23 drops per minute

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97. A physician orders 3000ml of D5w to infuse over a 24-hr period. The drop factor is 10 drops per 1 ml. A nurse sets
the flow rate at how many drops per minute?
A. 15 drops per minute C. 21 drops per minute
B. 17 drops per minute D. 24 drops per minute

98. Gentamicin sulfate (Garamycin), 80 mg in 100 ml NS, is to be administered over 30 minutes. The drop factor is 10
drops per ml. A nurse sets the flow rate at how many drops per minute?
A. 18 drops C. 33 drops
B. 23 drops D. 43 drops

99. A physician’s order reads morphine sulfate, gr 1/8 IM stat. The medication ampule reads morphine sulfate, 10 mg
per ml. A nurse prepares how many milliliters to administer the correct dose?
A. 0.5 ml C. 0.85 ml
B. 0.75 ml D. 1.5 ml

100. A physician orders Regular insulin, 8 units per hour by continuous IV infusion. The pharmacy prepares the
medication and delivers an IV bag labeled 100 units of Regular insulin in 100 ml NS. An infusion pump must be
used to administer the medication. The nurse sets the infusion pump at how many milliliters per hour to deliver
8 units per hour?
A. 1 ml C. 8 ml
B. 4 ml D. 10 ml

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