Republic of the Philippines

PROFESSIONAL REGULATION COMMISSION

Manila

BOARD OF NURSING

Philippine Nurse Licensure Examination

NURSING PRACTICE I – COMMUNITY HEALTH NURSING

INSTRUCTION: Select the correct answer for each of the following

questions. Mark only one answer for each item by shading the box
corresponding to the letter of your choice on the answer sheet provided.
STRICTLY NO ERASURES ALLOWED.

✓ NO OPEN OF NOTES
✓ EVALUATE YOUR RETENTION
✓ EVALUATE YOUR UNDERSTANDING/COMPREHENSION
✓ EVALUATE YOUR CRITICAL THINKING SKILLS & APPLICATION

TAKE THE EXAM AS SIMULATED BOARD EXAM!!!

Situation: Community Health Nursing is a service rendered by a professional

nurse to the community, groups, families and individuals at home,
in health centers, in clinics, in school, in places of work, for the
promotion of health, prevention of illness, care of the sick at home
and rehabilitation. (Dr. Ruth B. Freeman)

1. According to Dr. Margaret Shetland, the philosophy of community Health

Nursing is based on:
A. Health and longevity
B. Worth and dignity of man
C. Life of the individual and his society
D. Physical and social aspects of the environment

2. Being a public health nurse you know that the Ultimate Goal of community
health services is to:
A. Participate in the development of an over-all health plan for the
community and in its implementation and evaluation
B. Provide community health nursing personnel with opportunities for
continuing education and professional growth through staff
development
C. Conduct researches relevant to community health and community health
nursing services
D. Raise the level of health of the citizenry

3. A nurse in the organization functions to conduct trainings for the Rural

Health Midwife and hilots on health promotion and disease prevention and
is identified for having the role of being a:
A. Health Educator

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 B. Provider of Nursing Care
C. Role Model
D. Health Monitor

4. A tool by which the nurse, during her visit will enable her to perform a
nursing procedure with ease and deftness, to save time and effort with
the end view of rendering effective nursing care to clients is:
A. Public Health Bag
B. Bag Technique
C. Home Visit
D. Clinic Visit

5. What is the first step in conducting a home visit?

A. Greet the client or household member
B. Introduce yourself
C. Explain the purpose of home visit
D. Ask about any health and health-related problems

Situation: Presidential Decree No. 996 provides compulsory basic

immunization for infants and children below eight years of age.

6. A fully immunized child is one who has been immunized with:

A. 1 BCG, 3 DPT, 3 OPV, 1 Hep B, 3 Measles
B. 1 BCG, 3 DPT, 3 OPV, 3Hep B, 1 Measles
C. 1 BCG, 3 DPT, 1 OPV, 3 Hep B, 3 Measles
D. 1 BCG, 1 DPT, 3 OPV, 3 Hep B, 1 Measles

7. All but one of the following vaccines are given on a 0.5mL dose:
A. Hep B
B. BCG
C. DPT
D. Measles

8. All of the following statements are true EXCEPT:

A. OPV vaccines is sensitive to heat and must be stored at the freezer
to maintain its potency
B. DPT vaccine is given with a minimum interval of 4 weeks between doses
to reduce the chance of severe pertussis
C. Hep B vaccine reduces the chance of being infected and becoming a
carrier of the Hep B virus and given immediately at birth with 3
maximum number of doses
D. Measles vaccine is given 0.5mL dose, intramuscularly at the outer
part of the upper arm

9. While administering oral Polio vaccine, the child cried and spat out the
vaccine. As a public health nurse, what is your next priority action?
A. Give another dose
B. Squeeze the child’s cheeks with your one hand to facilitate easy
swallowing

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 C. Ask the mother to return after one day to give the OPV vaccine
D. Record the incident

10. A child is scheduled for DPT 2 vaccine. The mother tells the nurse
that the child developed fever after giving DPT 1 vaccine to her child.
As a public health nurse you know that you:
A. Do not give the DPT 2 because fever is contraindicated in giving
the vaccine
B. Do not give the DPT 2 because this may indicate allergic reaction
with the vaccine
C. Give the DPT 2 vaccines because moderate fever is not a
contraindication unless the child developed convulsion
D. Give the DPT 2 vaccine because there are not absolute
contraindication for DPT

Situation: In order for the nurse to function effectively she has to

understand the health care delivery system wherein she is working
because it influences her status and functions.

11. Primary Health Care was declared during the First International
Conference on Primary Health Care that was held at Alma Ata, USSR when?
A. October 19, 1979
B. October 19, 1978
C. September 6 – 12, 1979
D. September 6 – 12, 1978

12. Four Cornerstones/Pilars in Primary Health Care include all EXCEPT:

A. Passive community participation
B. Intra and Inter-Sectoral linkages
C. Use of appropriate technology
D. Support mechanism made available

13. Which of the following is NOT included as part of the intermediate level
health workers?
A. Public Health Nurse
B. Midwives
C. Health Auxillary volunteer
D. Rural Sanitary Inspectors

14. Breast self-examination is categorized as what level of prevention?

A. Primary level
B. Secondary level
C. Tertiary level
D. None of the above

15. In one of the four elements of the strategy of FOURmula ONE for health,
which of the following has the goal to ensure the quality and affordability
of health goods and services?
A. Health financing

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 B. Health regulation
C. Health service delivery
D. Good governance

Situation: A family nursing care plan is the blue print of the care that
the nurse designs to systematically minimize or eliminate the
identified health and family nursing problems through explicitly
formulated outcomes of care.

16. In gathering data on the first level assessment, the composition and
demographic data of the members of the family household belong to which
of the following categories?
A. Home and Environment
B. Family structure, characteristics and dynamics
C. Socio-economic and cultural characteristics
D. Health status of each member

17. As the nurse gathered information, one family member stated that
malnutrition is not a felt problem for them. What criteria is being
measured according to health ranking conditions?
A. Nature of the condition/problem
B. Modifiability of the condition/problem
C. Preventive potential
D. Salience

18. The Vanguardia Family was chosen by PHN Ricky to be her adopted family
for her community exposure. When she conducted her home visit she was
told by the housewife that her husband recently lost his job as a cab
driver. As a PHN, you categorize this problem as a:
A. Health threat
B. Health deficit
C. Stress point
D. Family problem

19. In computing the problem of the Vanguardia family for the loss of job,
which of the following formula will you use to get the actual score of
the nature of the condition or problem?
A. 3/3 x 1
B. 3/3 x 2
C. 1/3 x 1
D. 1/3 x 2

20. The Vanguardia family lives beside the river and the toilet is separated
from their own house. Their excreta is allowed to fall freely to the
river. What type of toilet is this:
A. Open pit privy
B. Overhang latrine
C. Bored-hole latrine
D. Pail system

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Situation 5: Public Health Surveillance is an on-going systematic
collection, analysis, interpretation and dissemination of health
data.

21. What is the most important role of the public health nurse in
surveillance?
A. Health Advocate
B. Health Educator
C. Nurse Researcher
D. Change – Agent

22. Nurse Andy is assigned to a community. An outbreak has just been

declared on this community. Proper investigation is crucial at this
point. Nurse Andy knows the importance of the following in outbreak
investigation EXCEPT:
A. Research opportunities
B. Political and legal concerns
C. Control and prevention measure
D. None of the above

23. After the information were identified and cases for the outbreak has
been counted, the next step for Nurse Andy in outbreak investigation is
to:
A. Perform descriptive epidemiology
B. Develop hypothesis
C. Communicate findings
D. Verify the diagnosis

24. Nurse Andy reviews on the Epidemiologic triangle. The following

statements are true about the epidemiologic triangle EXCEPT:
A. A change in any of the 3 component will alter an existing equilibrium
to increase or decrease the frequency of the disease.
B. The host is any organism that harbors and provides nourishment for
another organism
C. The epidemiologic triangle consists of three components – host, agent
and community
D. Sex and genetics can be an intrinsic factor that may influence
susceptibility and response of the host

25. According to Patterns of Occurrence and Distribution, Rabies is

categorized as:
A. Endemic
B. Pandemic
C. Epidemic
D. Sporadic

Situation: Vital Statistics refers to the systematic study of vital events

such as births, illnesses, marriage, divorce, separation and deaths.

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26. Nurse Dan is tasked in the epidemiology center of their barangay. He
wants to know the frequency of occurrence of diabetes mellitus during the
whole year of 2011. This vital statistics is known as:
A. Prevalence Rate
B. Incidence Rate
C. Case Fatality Ratio
D. Specific Rate

27. To compute for the Crude Birth Rate, Nurse Dan uses which of the
following formula?
A. CBR = Total No. of live births registered in a given calendar year
X 100000
Estimated population as of July 1 of same year
B. CBR = Total No. of live births registered in a given calendar year
X 10000
Estimated population as of July 1 of same year
C. CBR = Total No. of live births registered in a given calendar year
X 1000
Estimated population as of July 1 of same year
D. CBR = Total No. of live births registered in a given calendar year
X 10000
Total No. of deaths registered in a given calendar year

28. Community C has 850 populations as of July of 2011. In the record,

there were 76 deaths in the list of the same year. 28 of which are male,
17 are female, 22 are infants and 9 died before reaching the 1st month of
age. However, 90 live births are recorded on that same year. Compute
for the neonatal Death Rate.
A. 89 per 1000 population
B. 100 per 1000 population
C. 11 per 1000 population
D. 118 per 1000 population

29. Using the above data, compute for the crude death rate of Community C.
A. 89 per 1000 population
B. 894 per 10000 population
C. 53 per 1000 population
D. 529 per 10000 population

30. For data gathering in vital statistics, what is/are appropriate source/s
of data Nurse Dan can utilize?
A. Population census
B. Health survey
C. Studies and researches
D. All of the above

Situation: Community Organizing – Participatory Action Research (COPAR) has

been the strategy used by the HRDP III in implementing the Primary

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 Health Care delivery in depressed and underserved communities to
become self-reliant.

31. The following are the emphases of community organizing in Primary Health
Care EXCEPT:
A. The community works to solve their own problems
B. The direction is external rather than external
C. The development of the capacity to establish a project is more
important than the project
D. There is a consciousness raising to perceive health and medical care
within the total structure of society

32. Site selection and Preliminary Social Investigation (PSI) are

activities done under the:
A. Pre-entry phase
B. Entry phase
C. Research phase
D. Community action phase

33. This phase is also called the social preparation phase:

A. Pre-entry phase
B. Entry phase
C. Action phase
D. Organizing phase

34. In conducting preliminary social investigation, which community among

the following is BEST to choose as an adopted community?
A. Community D which has high percentage of the family income having
below the national poverty threshold, with a small barangay health
center ad with high malnutrition rate
B. Community R which most of the residents are unemployed, lack sanitary
toilet, which resulted to high incidence of diseases and is believed
to be the hub of many drug-related crimes
C. Community O which lack of any support from the NGO’s or Government
agencies despite the absence of any barangay health station and many
died due to communicable diseases
D. Community L which is far away from any primary hospital with high
infant mortality rate and has been recently adopted by SAGIP
KAPAMILYA charity to provide assistance for many families.

35. Which of the following herbal plants is BEST indicated to lower uric
acid and prevent gout?
A. Akapulco
B. Ulasimang Bato
C. Niyog-niyogan
D. Tsaang Gubat

Situation: A public health nurse performs a number of management and

supervisory functions.

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36. All of the following are purposes of research in community health
EXCEPT:
A. Improve the understanding of clients and their specific contents
B. Project a good image of nurses
C. Provide unnecessary data needed for program and policy development-
-important
D. Improve the delivery of health services

37. This type of planning is a long-range plan which extends from three to
five years and it reviews the organization’s SWOT.
A. Strategic plan
B. Program plan
C. Operational plan
D. Nursing care plan

38. This type of planning on the other hand is a short-range plan that
generally deals with the routine activities of the organization.
A. Strategic plan
B. Program plan
C. Operational plan
D. Nursing care plan

39. PHN, who are assigned to health centers may be responsible to and
receive orders from two people – the chief nurse and the head of the
health center. This is an application of what principle of organization?
A. Division of work
B. Unity of command
C. Coordination
D. Span of control

40. The Code of Conduct and Ethical Behavior for Public Officials and
Government Employees is:
A. RA 9173 C. RA 6731
B. RA 9137 D. RA 6713

Situation: Communicable diseases are most often the leading causes of

illnesses in the country today.

41. Tuberculosis ranks 6th in the leading cause of morbidity and mortality
in the Philippines. What is the primary diagnostic tool for TB case
finding?
A. Direct sputum smear microscopy
B. Lung X-ray
C. PPD
D. Mantoux test

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42. As a nurse, you have an independent nursing role to provide health
teaching to the client. When the patient is taking Isoniazid as one of
the treatment regimen for TB, you instruct the client.
A. To avoid purine rich food such as organ meats and processed meats
B. To assure that an orange-red urine is normal for this drug
C. To lie down after taking the med as this drug may cause vertigo
D. To take vitamin B6 supplements

43. A 3-months old child is brought to the health center because of

maculopapular rashes in his body. When further assessed you noticed some
bluish white spots with red base inside her mouth. Based on his
assessment, the child is most likely infected with:
A. Rubella
B. Varicella
C. Rubeola
D. Shingles

44. In performing Rumpel Leads Test, the following are correct procedures
EXCEPT one:
A. Inflate the BP cuff on the upper arm to a point midway between the
systolic and diastolic pressure for 5 minutes
B. Make on imaginary square just below the cuff at the antecubital fossa
C. Count the number of petechiae inside the box
D. A test is positive when 20 or more petechiae per 2.5 square inches
are observed.

45. After being bitten by a dog infected with rabies, the client was given
tetanus antitoxin. The patient receives what type of immunity in this
situation?
A. Natural active immunity
B. Natural passive immunity
C. Artificial active immunity
D. Artificial passive immunity

Situation: Integrated Management of Childhood Illness is an important tool

every nurse should know in order to classify the child properly for
emergency treatment and management.

46. How would you classify a child with chest indrawing and is difficult to
awaken?
A. Pneumonia
B. No pneumonia
C. Severe pneumonia
D. Pneumonia unlikely

47. A child has diarrhea that has lasted for more than 14 days. Dehydration
is also present. This is classified as:
A. Severe dehydration
B. Severe persistent diarrhea

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 C. Some dehydration
D. Persistent diarrhea

48. In number 47, what color is indicated in the chart for the above
classification?
A. Pink
B. Green
C. Yellow
D. Orange

49. What is the first line antibiotic you should give to a child with
mastoiditis?
A. Cotrimoxazole
B. Tetracycline
C. Ciprofloxacin
D. Amoxicillin

50. How many days should the mother and child return for a follow-up visit
if the child is having chronic ear infection?
A. 2 days
B. 7 days
C. 5 days
D. 14 days

SITUATION: In order for the PHN to appreciate the public health system in
this country, it is important to have an understanding of the development of
the Philippine health care system.

51. The classic definition of public health as the “science and art of
preventing disease, prolonging life, promoting health and efficiency
through organized community effort,” is formulated by:
a. World Health Organization
b. Dr. Margaret Shetland
c. Dr. Charles Edward Winslow
d. Ruth B. Freeman

52. Public health is a core element of governments’ attempts to improve and

to promote the health and welfare of their citizens. WHO defined public
health as:
a. “Science and art of preventing disease, prolonging life, promoting
health and efficiency through organized community effort.”
b. “Art of applying science in the context of politics so as to reduce
inequalities in health while ensuring the best health for the
greatest number.”
c. “A set of fundamental activities that address the determinants of
health, protect a population’s health and treat disease.”
d. ‘Practice of nursing in the local/national health departments
where nursing skills are applied.”

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53. What mandated the department of Health in its new role as the national
authority on health providing technical and other resource assistance to
concerned groups?
a. Executive Order 102
b. Republic Act 7164
c. Republic Act 7160
d. Executive Order 119

54. This provided for the decentralization of the entire government, hence,
the health care delivery system.
a. Executive Order 102
b. Republic Act 7164
c. Republic Act 7160
d. Executive Order 119

55. The three major roles of the Department of Health as a national

authority in health are the following, except:
a. Enabler and Capacity builder
b. Decision-maker of people’s health
c. Administrator of specific services
d. Leadership in health

56. The new DOH vision is the leader, staunch advocate and model in
promoting Health for All in the Philippines. Its mission is embodied in
the following statement:
a. Provide leadership in the formulation, monitoring and evaluation
of national programs
b. Ensure the highest achievable standards of quality health care
c. Administer direct services for emergent health concerns deem
necessary for public welfare.
d. Guarantee equitable, sustainable and quality health for all
Filipinos, especially the poor.

57. The overriding goal of the Department of Health is:

a. Health sector reform
b. Primary Health Care
c. Control of Communicable Diseases
d. Philippine Health Care Delivery System

58. This refers to the framework for the implementation of the Health Sector
Reform Agenda:
a. FOURmula One for Health
b. Primary Health Care
c. DOH Programs
d. Philippine Health Care Delivery System

59. There are three goals of the FOURmula One for Health, which one is not
included?
a. Health financing

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 b. More responsive health systems
c. Better health outcomes
d. Equitable health care financing

60. What strategy of the FOURmula One aims to improve and ensure the
accessibility and availability of basic end essential health care both in
public and private facilities?
a. Health financing
b. Health regulation
c. Health service delivery
d. Good governance

61. The Philippine health Insurance Corporation through the National Health
Insurance Program and the DOH will lead this FOURmula ONE component
jointly:
a. Health financing
b. Health regulation
c. Health service delivery
d. Good governance

62. This provides the road map for stakeholders in health and health-related
sectors to intensity and harmonizes their efforts to attain the DOH mission
and Vision.
a. FOURmula ONE
b. Primary Health Care
c. The NOH 2005-2010
d. Local Government Code

SITUATION: The public health nurse analyzes the data collected in community
health assessment in accordance with the nurse’s conception of the source of
the problems and needs that can be met through nursing interventions.

63. What category of health problem occurs when there is a gap between
actual and achievable health status?
a. Health deficit
b. Foreseeable crisis
c. Health threat
d. Health need

64. No regular check-up is an example of:

a. Health deficit
b. Foreseeable crisis
c. Health threat
d. Stress point

65. Mrs. Vanguard came to the health center and asked about ways on
how to conceive a child. She has a history of repeated miscarriages.
This condition falls under:
a. Health deficit

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 b. Foreseeable crisis
c. Health threat
d. Stress point

66. These are conditions that promote disease or injury and prevent
people from realizing their health potential.
a. Health deficit
b. Foreseeable crisis
c. Health threats
d. Stress point

67. In an epidemiological study conducted in Barangay C, it was noted

that the children eligible for basic immunization are not adequately
immunized against Hepatitis B and Measles. This situation is considered:
a. Health deficit
b. Health threat
c. Foreseeable crisis
d. Stress point

68. It includes stressful occurrences such as death or illness of a

family member:
a. Health deficit
b. Foreseeable crisis
c. Health threat
d. Stress point

69. It exists when there is a health problem that can be alleviated

with medical or social technology.
a. Health need
b. Nursing problem
c. Nursing need
d. Stress points

70. This refer to a situation in which there is a demonstrated health

need combined with actual or potential resources to apply remedial
measures and a commitment to act on the part of the provider or client.
a. Health need
b. Health problem
c. Nursing need
d. Stress points

SITUATION: The public health nurse carry out nursing procedures which are
consistent with the nursing care plan, are adapted to present situations
which promotes a safe and therapeutic environment.

71. The main reason why public health nurses involve the client and
the family in the care provided is:
a. To delegate caring responsibility to the client and family
b. To maximize health human resources

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 c. To motivate them to assume responsibility for their care
d. To alleviate public nurses from further responsibilities

72. There are three classic frameworks from which nursing care is
delivered. This framework or element includes the physical settings,
conditions through which nursing care is given such as objectives,
building, budget, staffs
a. Structural elements
b. Process elements
c. Outcome elements
d. Quality assurance elements

73. This includes the steps of the nursing process itself.

a. Structural elements
b. Process elements
c. Outcome elements
d. Quality assurance elements

74. Included in this framework are changes in the client’s health

status resulting from nursing interventions.
a. Structural elements
b. Process elements
c. Outcome elements
d. Quality assurance elements

75. Which evaluation process include conformity with accepted

community and public health standards of practice, advancement of
nursing skills through continued field experience and continuing
education?
a. Evaluation based on professional practice
b. Evaluation of structure
c. Evaluation based on information gathered
d. Quality assurance evaluation

76. This includes cost –benefit-ration, qualifications and number of

members of the health care team:
a. Evaluation based on professional practice
b. Evaluation of structure
c. Evaluation based on information gathered
d. Quality assurance evaluation

SITUATION: The nurse plays a very important role in building a closer ties
with the patient to gain their trust and confidence and particularly in the
implementation and promotion of health care.

77. In clinic visits triaging, the community health nurse manages

program based cases. Example of program-based cases are the following,
except:
a. Diarrhea

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 b. Tuberculosis
c. Pneumonia classification
d. Coronary artery disease

78. Which of the following is incorrect in obtaining BP reading by

auscultation?
a. Stethoscope head is placed over the brachial pulse.
b. For obese patients, use the bell of the stethoscope to auscultate
the pulse
c. Inflate the cuff rapidly until the column or needle reaches 30mmHg
above palpated SBP
d. Deflate the cuff slowly and listen for pulse sounds

79. This is a family-nurse contact which allows the health worker to

assess the home and family situations in order to provide the necessary
nursing care and health related activities.
a. Clinic visit
b. Family interview
c. Home survey
d. Home visit

80. Which of the following is the main principle involved in preparing

for home visit?
a. A home visit must have a purpose
b. Planning for home visit should make use of all available
information about the client and family
c. Consider and give priority to the essential needs of the individual
and family
d. The plan should be flexible

Situation: A profession, nursing is involved in identifying its own unique

body of knowledge essential to nursing practice. To identify this knowledge
base, nurses must develop and recognize concepts and theories that are
specific to nursing.

81. “A supposition or system of ideas that is proposed to explain a

given phenomenon” best defines which of the following?
A. A concept
B. A theory
C. A conceptual framework
D. A paradigm

82. “A group of related ideas or statements” best defines which of the

following?
A. A philosophy
B. A theory
C. A conceptual framework
D. A paradigm

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83. “A set of shared understandings and assumptions about reality and the
world” is a definition for which of the following?
A. A concept
B. A practice discipline
C. A conceptual framework
D. A paradigm

84. Which of the following provides the best explanation for describing
nursing as a practice discipline?
A. Nursing focuses on performing the professional role
B. It takes time and experience to become a competent nurse
C. Research and theory development is a central focus
D. Nurses function as members of a team who form a practice group

85. Person, environment, health and nursing constitute the metaparadigm for
nursing because of which of the following?
A. Provide a framework for implementing the nursing process
B. Can be utilized in any setting when caring for a client
C. Can be utilized to determine applicability of a research study
D. They focus on the needs of a group of clients

Situation: Nursing practice is governed by many legal concepts. It is

important for nurses to know the basics of legal concepts, because
nurses are accountable for their professional judgments and actions.
Accountability is an essential concept of professional nursing
practice and the law.

86. A primary care provider’s orders indicate that a surgical consent form
needs to be signed. Since the nurse was not present when the primary care
provider discussed the surgical procedure, which statement best
illustrates the nurse fulfilling the client advocate role?
A. “The doctor has asked that you sign this consent form”
B. “Do you have any questions about the procedure?”
C. “What were you told about the procedure you are going to have?”
D. “Remember that you can change your mind and cancel the procedure”

87. A nurse discovers that a primary care provider has prescribed an

unusually large dosage of a medication. Which of the following is the
most appropriate action?
A. Administer the medication
B. Notify the prescriber
C. Call the pharmacist
D. Refuse to administer the medication

88. A primary care provider prescribes one tablet, but the nurse
accidentally administers two. After notifying the primary care provider,
the nurse monitors the client carefully for untoward effects of which
there are none. Is the client likely to be successful in suing the nurse
for malpractice?

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 A. No, the client was not harmed
B. No, the nurse notified the physician
C. Yes, a breach of duty exists
D. Yes, foresee ability is present

89. The nurse’s partner/spouse undergoes exploratory surgery at the

hospital where the nurse is employed. Which of the following practices
is most appropriate?
A. Because the nurse is an employee, access to the chart is allowed
B. The relationship with the client provides the nurse special access
to the chart
C. Access to the chart requires a signed release form
D. The nurse can ask the surgeon to discuss the outcome of the surgery

90. Although the client refused the procedure, the nurse insisted and
inserted a nasogastric tube in the right nostril. The administrator of
the hospital decides to settle the lawsuit because the nurse is most
likely to be found guilty of which of the following?
A. An unintentional tort
B. Invasion of privacy
C. Assault
D. Battery

Situation: Today, nurses are actively generating, publishing and applying

research in practice to improve client care and enhance nursing’s
scientific knowledge base.

91. Quantitative Research is most appropriate for which of the following

studies?
A. A study measuring the effects of sleep deprivation on wound healing.
B. A study examining the bereavement process in spouses of clients with
terminal cancer.
C. A study exploring factors influencing weight control behavior.
D. A study examining a client’s feelings before and after a bone marrow
aspiration.

92. The use of qualitative research process is the most appropriate for
which of the following studies?
A. A study measuring nutrition and weight loss or gain in client’s with
cancer
B. A study examining oxygen levels after endotracheal suctioning
C. A study examining client reactions to stress after open heart surgery
D. A study measuring differences in blood pressure before, during and
after a procedure

93. As a nurse researcher you know that the most important reason for
conducting a review of the literature before conducting a research study
is that:
A. The research design can be copied from a previous study

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 B. A determination will be made about the existing knowledge in the
identified problem area
C. An instrument may be uncovered that will be appropriate for the
proposed study
D. The feasibility of the study can be determined

94. What is the mode of the following group of vision test results? 20/20;
20/30; 20/40; 20/30; 20/50; 20/40; 20/100; 20/30:
A. 20/20 C. 20/40
B. 20/30 D. 20/100

95. In inferential statistics, a technique that is used to compare the

difference among more than two means and is a parametric test that uses
F-distribution is
A. T-test C. ANCOVA
B. Chi-square test D. ANOVA

Situation: Nursing standards provide the guidelines for implementing and

evaluating nursing care.

96. Nursing has a code of ethics that professional registered nurses follow
and:
A. Defines the principles by which nurse’s provide care to their clients
B. Ensures identical care to all clients
C. Protects the client from harm
D. Improves self-health care

97. Evidence-based practice is defined as:

A. The integration of best research evidence with clinical expertise
and patient values
B. Scholarly inquiry of nursing and biomedical research literature
C. Nursing care based on tradition
D. Quality nursing care providence in an efficient and economically
sound manner

98. The founder of American Red Cross is:

A. Florence Nightingale
B. Northea Dix
C. Clara Barton
D. Mary Mahoney

99. An example of a Quality Improvement (QI) outcome indicator is the:

A. Rate of postoperative wound infection
B. Percentage of time it takes to count narcotics by nursing staff every
shift
C. Number of patients receiving postoperative education on possible
surgical complications
D. Time it takes for a client to be transported from the emergency
department to an inpatient nursing unit

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100. The model of nursing care delivery that was developed with the aim of
placing RN’s at the bedside and improving nursing’s accountability for
client outcomes and the professional relationships among staff members
is:
A. Team nursing
B. Total patient care
C. Functional nursing
D. Primary nursing

***** END OF EXAMINATION *****

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