Republic of the Philippines

Batangas State University

COLLEGE OF NURSING
Gov. Pablo Borbon Campus 1, Rizal Ave., Batangas City
Tel. No.: (043) 300-2202 loc. 120
e-mail at: bsu_collegeofnursing@yahoo.com

COMPREHENSIVE EXAMINATION
PALMER
nd
2 Semester AY 2010 - 2011

DIRECTION: Shade the letter of the best answer on the answer sheet provided. STRICTLY
NO ERASURES.

1. Research designed to generate knowledge to guide nursing practice and to improve the
health and quality of life of nurses’ clients is termed as:
a. Nursing Research c. Research
b. Clinical Nursing Research d. Ethics

2. A variable that comes between dependent and independent variable is called:

a. Extraneous variable c. Dichomotous variable
b. Polychomotous variable d. Intervening variable

3. Which of the following characteristics do not describe a research problem?

a. Used unauthorized from another’s literary work
b. The topic itself is researchable
c. Generally applicable for use in practice
d. None of these

4. Sources of a research problem could either be the following except:

a. Concepts c. Theories
b. Issues d. Research

5. Which paradigm of nursing research responds to the human inquiry “What is the relationship
between the inquirer and that being studied?”
a. Ontologic c. Axiologic
b. Epistemologic d. Methodologic

6. Which of the following characteristics do not describe a scientific investigation?

a. They are conducted to test or develop theories and study advance knowledge
b. Empirical data are not necessarily gathered through human sense but must be based on
theories
c. It is planned and conducted in a systematic and orderly manner
d. External factors which may influence the relationship among phenomena is controlled

7. The following are characteristics of a clinical nursing problem apart from:

a. It reflects something that could be improved in clinical practice
b. It has a potential to change how nursing care is delivered in the unit
c. It is value-laden and involves feelings and perceptions
d. It is a problem that occurs frequently in a particular group.

8. Which of the following describes an inductive form of reasoning?

a. Separation anxiety is common in children. Children whose parents are not in the hospital
room will manifest anxious behavior.
b. Most patients are irritable. Unpredictable moods and irritability behaviors of patients are
caused by their underlying illnesses that alter their activities of daily living.
c. Mild anxiety sharpens one’s perception and cognitive function. Most students who take
examination with mild anxiety have high scores.
d. All of the above
9. Quantitative research uses which type of reasoning to generate hunches that are tested in the
real world?
a. Deductive reasoning c. Informal logic
b. Inductive reasoning d. All of the above

10. Which paradigm of nursing research responds to the human inquiry “How should the
inquirer obtain knowledge?”
a. Ontologic c. Axiologic
b. Epistemologic d. Methodologic

11. Which theory of nursing leadership states that a leader becomes the head because of his
charm?
a. Great-Man theory c. Charismatic theory
b. Situational theory d. Trait theory

12. Attributes of a good leader involves which of the following?

a. Holds his member accountable for their wrongdoing and negligence
b. Aware of the members strengths and weaknesses
c. Confident in his leadership skills
d. All of these

13. Principles of effective leadership least likely involves:

a. One group commanded by one leader
b. One group should always have an objective
c. Patient first policy is applied
d. Accountability is delegated to the members of the team

14. This theory states that a person becomes a leader because he is born to be one:
a. Great-Man theory c. Charismatic theory
b. Situational theory d. Trait theory

15. The head nurse in the unit is consistent in her decisions and compels the group to follow her.
She performs decision making without asking or getting any inputs from her members.
Which type of leadership is the head nurse following?
a. Laissez-faire c. Autocratic
b. Democratic d. Ultra-liberal

16. Which of the following leadership is best used during an emergency or intensive crisis?
a. Laissez-faire c. Autocratic
b. Democratic d. Ultra-liberal

17. The loose style of nursing leadership is:

a. Laissez-faire c. Autocratic
b. Democratic d. None of these

18. Which of the following leadership styles will be having more risk of negligence of the
members?
a. Laissez-faire c. Autocratic
b. Democratic d. None of these

19. The charisma and charm of a leader is referred to as which power of a leader?
a. Expert power c. Exclusive power
b. Referent power d. Reward power

20. The leadership is exercised because of the appointment to a higher position is referred to as:
a. Expert power c. Exclusive power
b. Referent power d. Reward power

21. Telling the truth is the practice of which ethical principle?

a. Non-maleficence c. Beneficence
b. Veracity d. Justice

22. The statement of the future purpose of the future organization that is involved in the
planning stage of the management process is called:
a. Mission b. Vision
 c. Goal d. Philosophy

23. To be a good manager, there should be a good interpersonal relationship between the leader
and follower. This leadership theory is called:
a. Scientific Management theory c. Human Relations Theory
b. Motivational Theory d. Bureaucratic Theory

24. Which of the following elements is not included in Frederick Taylor’s scientific
management theory?
a. Appropriate person c. Appropriate goals
b. Appropriate team d. Appropriate tools

25. “No deposit policy during emergency cases only” is stated in which law?
a. RA 7305 c. PD 825
b. RA 7160 d. RA 8344

26. Nurse Janine avoids deliberate harm, risk of harm and harm that occurs during her
performance of nursing actions. The nurse is promoting which ethical principle?
a. Autonomy c. Beneficence
b. Nonmaleficence d. Justice

27. Nursing ethics provides the standards for professional behavior and is the study of principles
of right and wrong for nurses. This set of standards states the duties and obligations of nurses
to:
a. Client c. Community
b. Other health professionals d. All of these

28. Being answerable for one’s own action is assuming:

a. Accountability c. Nonmaleficence
b. Responsibility d. Veracity

29. Free consent is a willingness to participate in situations related to informed consent. There
are constraints related to voluntariness, which are the internal and external. Internal
constraints include which of the following?
a. Coercion c. Undue violence
b. Fraud d. Significant trauma

30. External constraints can influence voluntariness in situations related to informed consent.
These constraint least likely include:
a. Coercion c. Undue violence
b. Fraud d. Significant trauma

31. A client is advised by the doctor to undergo chemotherapy. An informed consent is not yet
signed. This client requests information related to chemotherapy and the drugs that will be
given to him. The nurse explained the side effects of the medications, including the length of
treatment and the prognosis of the disease. The nurse answered all the questions of the client
honestly even though the client may choose not to undergo chemotherapy. The nurse in this
situation is promoting:
a. Fidelity c. Veracity
b. Justice d. Confidentiality

32. The client on renal dialysis informs the nurse that he wants to stop the series of dialysis. The
nurse should appropriately do which action in response to the client’s decision?
a. Inform the client that the doctor must decide what to do.
b. Tell the client that he must finish his series of renal dialysis.
c. Respect the client’s decision and provide comfort measures.
d. Leave the client and attend other patients.

33. Ethics in nursing profession is very important. The type of ethics that presents a factual
narration of moral behaviors is called:
a. Mataethics c. Descriptive ethics
b. Normative ethics d. All of these

34. To make autonomous decisions and actions, clients must be offered enough information and
has the following criteria:
 a. Free of internal and external influences
b. A minor
c. Unconscious
d. Comatose patient

35. The fundamental responsibility of a nurse according to the International Council of Nurse
Code for Nurses are the following apart from:
a. Prevention of illness c. Restoration of health
b. Promotion of health d. Aggravation of suffering

36. The portion of ethics that centers on the extent to which judgments are reasonable or
otherwise justifiable is:
a. Mataethics c. Descriptive ethics
b. Normative ethics d. All of these

37. Nurse’s code of ethics is a set of ethical principles generally accepted by members of the
profession. The standard or principles that a nurse must observe in the practice should
promote which duty?
a. Uses judgment in relation to individual competence when accepting and delegating
responsibilities.
b. Plays a major role in determining and implementation of desirable standards of nursing
practice.
c. Active in developing a core of professional knowledge
d. Acts through professional organization and participates in establishing and maintaining
equitable social and economic working conditions in nursing.

38. Informed consent is a method that promotes:

a. Autonomy c. Beneficence
b. Nonmaleficence d. Justice

39. The nurse’s obligations to the client least like include:

a. Considers the dignity of clients
b. Retains a commitment of welfare to the client
c. Work toward securing and maintaining conditions of employment that satisfy the goals
of nursing.
d. Hold confidential all information about a client learned in a health care setting.

40. The execution of duties associated with nurse’s particular role is called:
a. Accountability c. Nonmaleficence
b. Responsibility d. Veracity

41. Deciding whether prolonging life in a terminally ill client or doing euthanasia (mercy
killing) is an example of what type of ethics?
a. Mataethics c. Descriptive ethics
b. Normative ethics d. All of these

42. The principles or standards that influence behavior and decision making which are based on
experience, religion, education and culture is called:
a. values c. ethics
b. morals d. standards of practice

43. The personal conviction that something is absolutely right or wrong in all situations is
called:
a. values c. ethics
b. morals d. standards of practice

44. The one that promotes the philosophical and theological study of morality, moral judgments
and moral problems is called:
a. values c. ethics
b. morals d. standards of practice

45. The duty to respect privileged information is called:

a. Fidelity c. Veracity
b. Justice d. Confidentiality
46. When does a moral issue become an ethical issue?
a. When the choices are clearly denoting which is right and wrong.
b. When values of a person develops and changes over time.
c. When there is no acceptable reason for the wrong choice once it is done.
d. When the choice is no longer clear between right and wrong.

47. Before the nurse administered the client’s medication she assessed the client’s needs for
drugs, and followed the “rights” in drug preparation and administration. After the nurse has
given the dose, she evaluated the client’s response to the medication given. The nurse is
promoting:
a. Accountability c. Responsibility
b. Autonomy d. Veracity

48. A wrong dose of drug is administered by the nurse. The nurse is responsible to whom?
a. Client
b. Physician who ordered the drug
c. Society
d. All of these

49. Professional accountability serves for the following purpose except for:
a. To provide basis for ethical decision
b. To respect the decision of the client.
c. To maintain standards of health
d. To evaluate new professional practices and reassess existing ones

50. The nurse in a unit is caring for several clients. To distribute nursing care the nurse utilized
the principle of triage due to the limited availability of resources. The nurse is promoting
which ethical principle?
a. Fidelity c. Veracity
b. Justice d. Confidentiality

51. When a patient wants to know the prognosis of his illness, the best action to take is:
a. refer to your senior nurse
b. advise a patient to ask his doctor
c. give a direct answer
d. discuss it with family

52. Your patient resented you telling her to take home her expensive belongings for
housekeeping. What is the best action to take?
a. suggest that these be keep in her locked table drawer
b. bring the matter to the attention of the head nurse
c. keep in the unit cabinet under lock and key
d. discuss with her the hospital policy

53. The physician has an order to limit visitors for your patient. One morning a relative insisted
to visit him. Your best response is to:
a. call the security guard
b. show hi the “No Visitors” sign
c. explain the need of the patient to rest
d. allow a brief visit

54. It is a routine practice in the hospital to follow doctor’s rounds. One morning, a patient with
dyspenea was for admission. The best action is to
a. attend to patient immediately
b. inform the patient that there is a patient for admission
c. make the patient wait for a while
d. ask the student nurse to admit the patient

55. These includes your responsibilities in family nursing care, except:

a. family planning and counseling
b. monitoring child development
c. screening for immunologic problems
d. crisis intervention
SITUATION: The professional nurse has a major responsibility for enhancing client’s capability for
self-care.

56. Which of the following is the most important in self-care management:

a. maintenance of sufficient food
b. maintenance of wholesome recreational activities
c. maintenance of balance between activity and rest
d. maintenance of educational and work activities

57. Based on Orem’s self-care theory, case during rehabilitation from illness or in advanced
chronic illness is:
a. partially compensatory c. compensatory
b. fully compensatory d. educative-developmental

58. To enable an individual to develop self-care skills, which teaching method would be most
effective:
a. demonstrate-return demo c. lecture-discussion
b. role playing d. group dynamics

59. At the family level, the most important self-care ability to develop is:
a. compliance of ill member to medical regimen
b. health care of chronically or dependent members
c. education of members for health
d. family dynamics for health

60. At the community level, the major goal of self-care programs is to:
a. give the community the role-control over their health
b. empower people to take responsibility for own health
c. mobilize the community for self-help
d. organize the community for basic health services

SITUATION: The following questions pertain to the leadership role of a nurse.

61. Which of the following terms does not relate to leadership:

a. Goals c. motivation
b. Influence d. authority

62. When a head nurse relates to people according to the roles

a. Authority c. Manager
b. Leader d. Decision-maker

63. This generally an accepted concept of management, except

a. getting things done through people
b. influencing people to do right things
c. directing others to achieve set goals
d. telling people what to do

64. In simple terms, planning involves deciding in advance the following, except
a. what and how to do it c. where to report
b. when to do it d. who is to do it

65. In the nursing unit, the main aim of planning is:

a. achieving set nursing goals
b. describing organizational structure
c. deciding staffing of a unit
d. setting criteria for quality nursing

SITUATION: As a nurse, you are aware that proper documentation in the patient chart is legal
responsibility.

66. Which of the following is not legally binding document but nonetheless very important in
the care of all patients in any setting?
a. bill of rights as provided in the Philippine Constitution
b. scope of nursing practice as defined in RA 7164
c. board of nursing resolution adopting the Code of Ethics
 d. patient’s Bill of Rights

67. A nurse gives the wrong medication to a client. Another nurse employed by the hospital as a
risk manager will expect to receive which of the following?
a. incident report
b. oral report from the nurse
c. copy of medication Kardex
d. order changed signed by the physician

68. Performing a procedure on a client in the absence of informed consent can lead to which of
the following changes?
a. fraud c. harassment
b. assault and battery d. breach of confidentiality

69. Which of the following characteristics of the client goal in the plan of care is correct?
a. nurse – focused, flexible, measurable and realistic
b. client – focused, flexible, realistic and measurable
c. nurse – focused, time – limited, realistic and measurable
d. client – focused, time – limited, realistic and measurable

70. A nurse is performing an admission assessment on a client with exacerbation of asthma.

When is it ideal to begin discharge planning?
a. at the time of admission
b. after the acute episode is resolved
c. the day before discharge
d. when the discharge order is written

SITUATION: As a registered nurse,Glenn assumes responsibility for systematically assessing needs

of his clients.He admitted Mr. Dancel to the ward.

71. During initial contact with Mr. Dancel, which of the following greetings by the nurse will
more likely put him  at ease?
a. "Good morning, I am Glenn, your new nurse"
b. "How are you today? I am your new nurse"
c. "Are you Mr. Dancel, bed 36?"
d. "I have been assigned to take care of you"

72. In his initial and on-going assignment, nurse Glenn utilized the:
a. problem-oriented medical records
b. Kardex recording system
c. Problem-solving approach to care
d. Standards of nursing care assessments

73. Mr.Dancel appears quite thin. What data would you initially need to determine his level of
nutrition?
a. nutrition notes by the dietician c. foods he ate yesterday
b. a sample of his daily weight d. his height and weight

74. The admission data will include social data about the patient. These are examples of social
data except:
a. perception of illness c. family home situation
b. religious practices d. patient's lifestyle

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

a. assessment ends with a diagnosis
b. assessment data is recorded in SOAP
c. nursing audit is a part of assessment
d. assessment is a continuous process

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

76. Nursing is the best defined as a profession that:

a. is concerned with nursing diagnosis and treatment
b. help people to do activities that contribute to health recovery and peaceful death
 c. care of people, sick or well, in any setting
d. assist people towards self-care

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

a. Code of Ethics c. Mission statements
b. Standards of Nursing Practice d. Philosophy of  Nursing

78. Which of the following statements is the most important characteristic of a professional
nursing?
a. is community-oriented c. demonstrate self-control
b. observes ethical practice d. provides a human resource

79. Safe nursing practice requires:

a. professional competence c. registration as a nurse
b. completion of BSN degree d. membership in PNA

80. Nurses demonstrate professional service and utilizes critical thinking and decisions making
through:
a. practice based on scientific theories
b. use of nursing process methodology
c. views patients a human being
d. participation in the research

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

81. An important responsibility of a professional nurse is:

a. refine competence in safe practices
b. safety of those she serves
c. know trends in health and nursing
d. accountability of her actions

82. For relicensure, you are required to complete continuing professional education equivalent
to:
a. 20 hours per year
b. At least 2 weeks seminar workshop
c. A post basic duty
d. 50 hours for 3 years

83. You are alive-in private nurse of a family with a chronically ill member. You can maintain
your image as a professional nurse by:
a. doing non-nursing services
b. being present during a physician's visit
c. maintaining a good grooming at all times
d. socializing with family members

84. The primary purpose of requiring continuing education for relicensure is to:
a. ensure legal practice
b. ensure safety of public served
c. compliance to Board of Nursing requirements
d. improve competency after registration

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

a. take advance nursing process
b. view videotapes in clinical nursing
c. teach a clinical nursing subject
d. actually work with parents

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

86. The role of a nurse as a counselor is best exemplified if she helps the client:
a. function in more acceptable ways
b. perform activities of daily living
c. actively participate in scheduled group activities
d. find acceptable outlets for his anxiety
87. The goal of orientation phase of nurse-client relationship is:
a. identification and resolution of client's problem
b. establish trust
c. assisting client to review what she has learned from the relationship
d. assisting  the client to transfer what he has learned in interacting with others

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

a. use already established successful coping mechanisms
b. deal with physical problems
c. deal with family problems
d. identify their strengths and weaknesses

89. The nurse wants to find out the effects of caring behavior on patients in the psychiatric
hospital. The most appropriate method she can use is:
a. Descriptive c. quasi-experimental
b. Historical d. experimental

90. The research tool that she can best use is which of the following?
a. questionnaire c. scheduled interview
b. checklist d. rating scale

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.

91. In relation to quality nursing education, the Board of Nursing ensures that nursing schools:
a. meets the standard of the nursing practice
b. graduate only competent students
c. should be accredited
d. comply with school requirements

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

a. belong to the upper 40% in high school graduates
b. file all requirements for licensure
c. possess qualities for safe nursing practice
d. present evidence of competence

93. Nursing licensure tests require official transcript of records from the education department,
except:
a. graduates from foreign school
b. graduates of level II accredited schools
c. applicants for reexamination
d. when the record of related learning experiences is complete

94. Nursing schools should provide learning experiences that contribute to the development of
the:
a. DOH health programs c. Country
b. Community student laboratory d. School program

95. This is a specific provision of nursing schools:

a. provision for community learning experience
b. evidence that the school follows educational standards
c. a 3-year college of nursing development plan
d. community based curriculum

96. Registration after passing the nursing licensure examination is given by the government as:
a. Privilege c. an award
b. Right d. a recognition

97. Your certificate of registration can be revoked or suspended for which of the following acts:
a. gross incompetence
b. illegal practice
c. practicing without license
d. unauthorized absence from work
 98. 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?
a. forgery of documentation c. malrepresentation
b. incompetence d. falsification of documents

99. You received a summon from the Board of Nursing for complaints of unethical conduct.
You failed to appear. You are liable for:
a. Sanction c. defiance of authority
b. Contempt d. incompetence

100. You failed to renew your nurse registration for more than five years. You can be:
a. summoned by the Professional Regulation Commission
b. charged with unprofessional conduct
c. delisted from the nurse registry
d. liable for malpractice

“Only as high as I reach can I grow, only as far as I seek can I go, only as
deep as I look can I see, only as much as I dream can I be.”

--Karen Ravn--

PREPARED BY:

ARCON S. ALVAR, RN
INSTRUCTOR