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Palmer-Post-Test 2 - Professional Adjustment

Nursing (Lyceum-Northwestern University)

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COMPETENCY APPRAISAL – NORTHWESTERN LYCEUM UNIVERSITY

By: Mr. Donniedex P. Parrocha RN, JD

INSTRUCTION: Select the correct answer for each item 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 ERASURE ALLOWED. Use pencil No. 2 only.

SITUATION: Nursing ethics shares many principles with medical ethics such as respect, autonomy, beneficence and
non- maleficence.

1. The Code of Ethics is promulgated by the ___________.

A. BON C. PRC
B. PNA D. CHED

2. Code of Ethics was consulted with accredited professional organizations like the ___________.
A. Famous academician C. ADPCN
B. PNA D. CHED

3. Code of Ethics also coincides with the ideals of:

A. R.A. 9173 C. Philippine Nursing Act of 1990
B. R.A. 7875 D. BON Resolution 221

4. In the formulation of the Code of Ethics for registered nurses, the Code of ____________ for the
profession in the Philippines was utilized as the principal basis.
A. Governance C. Good Governance
B. Hammurabi D. Sanitation

5. It shall be adapted by______________.

A. All registered professionals C. all Filipino nurses
B. All Filipino professionals D. all Filipino nurses and doctors

6. Registered nurses can be identified as a:

A. Organization C. Group
B. Culture D. Subculture

7. A patient is admitted for a medical procedure that goes against the nurse’s personal views. Despite the
objections to the procedure, the nurse provides a high level of care. When this nurse made the decision to
provide care based on what is right and wrong or good or bad, and to understand it related to the client, the
decision was generated from which of the following?
A. Laws C. Ethics
B. Torts D. Breach of Duty

8. Which of the following nurses behaviour is regarded as a violation of the Code of Ethics of Filipino
Nurses? CATA
1. A nurse withholding harmful information to the family members of a patient.
2. A nurse declining commission sent by a doctor for her referral.
3. A nurse bullying his co- worker.
4. A nurse endorsing a person running for congress.
5. Nurse Reviewers and/ or nurse review center managers who pay a considerable amount of cash for
reviewees who would memorize items from the licensure exams and submit these to them after the
examination.
A. 1,2,5 B. 3,5 C. 2,3,5 D. 1.4.5

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9. Based on the code of Ethics for Filipino Nurses, what is regarded as the hallmark of nursing responsibility
and accountability?
A. Human rights of clients, regardless of creed and gender.
B. The privilege of being a registered professional nurse.
C. Health, being a fundamental right of every individual.
D. Accurate documentation of actions and outcomes.

10. A student nurse asks the nurse, “Why did my advisor recommend an ethics class for me”? Which of the
following is the best response of the nurse?
A. You may find studying ethics interesting.
B. You must have misunderstood because nurses do not have to study ethics.
C. Ethics must be learned in order to obey the law
D. It is the responsibility of nurses to recognize ethical dilemmas in clinical situation.

Situation: Knowledge of the different ethical principles is very essential in passing the NLE.

11. After the physician explains the surgery to the client, Nurse Michael Jay provides the client to agree or to
refuse to have surgery. Which of the following ethical principles is best described by the nurse’s actions?
A. Non maleficence
B. Beneficence
C. Truth Telling
D. Autonomy

12. Nurse Ram informs a young, healthy client that the scarce amount of flu vaccine will be given to older clients and
those with immunosuppressed responses first. Which of the following ethical principles is best described by the
nurse’s statement?
a. Beneficence
b. Autonomy
c. Justice
d. Nonmaleficence

13. Nurse Paolo chooses to delay taking a break so that pain medication could be administered on time rather than
making the client wait until the nurse’s break is complete. Which of the following ethical principles is best described
by the nurse’s action?
a.Beneficence
b. Justice
c. Nonmaleficence
d. Autonomy

14. Nurse Tom entered the room of the patient but the relative stated that the patient is still praying. Nurse Tom told the
relative that she will back after 10 minutes to administer the pain medication. The nurse went back to the room of
the patient after 10 minutes just like what she has promised. Which of the following ethical rule is best
demonstrated by the nurse?
a. Honesty
b. Integrity
c. Compliance/Fidelity
d. Veracity

15. The nurse attended different seminars, conventions and trainings or keeping skills updated is under what principle?
a. Justice
b. Nonmaleficence
c. Fidelity

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d. Confidentiality

Situation: Safe, effective nursing practice requires becoming fully aware of the many legal and ethical issues in
nursing profession.

16. Nurse Afable is attending to a patient currently admitted in the Medical unit of a tertiary hospital.The patient has a
terminal cancer and has reached the stage of acceptance. He told to nurse Afable to discontinue all efforts to prolong
his life. What should Nurse Afable do?
A. Seek further advice to other nurses before taking any further drastic action.
B. Disregard the patient’s request and continue to maintain patient’s life.
C. Interact with the patient and continue the care and support for the patient.
D. Tell the patient that it would be a sin because life holy and dignifies.

17. If the patient executed a living will it shall take effect:

A. Once the patient is dead C. while the patient is mentally competent B.
Once the patient becomes incapacitated D. when the patient becomes terminally ill

18. A patient who desires to make an advance directive must execute it:
A. Once the patient is dead C. While the patient is mentally competent B.
Once the patient becomes incapacitated D. When the patient becomes terminally ill

19. A patient was admitted in the unit and gave Nurse Chris a document naming an individual to make health care
choices in the event that the client becomes incapacitated. This document is:
A. Holographic Will C. advance Directive
B. Health Care Proxy D. Testatrix

20. The client tells the nurse that a living will was prepared three year ago. The client asks if this document is still
effective. The nurse makes which response to the client?
A. Yes it is C. You will have to ask your lawyer
B. I have no idea D. It should be reviewed yearly with your doctor

Situation: Under the Nursing Act, the Board of Nursing in investigating violations of is empowered to issue
summons, subpoena to a registered nurse charged with violation of the Act.

21. What is the basic requirement of the state for a nurse to practice her profession?
A. Willingness to practice the profession C. A nursing license
B. A BSN degree D. An NCLEX and CGFNS passer

22. The true purpose of revocation of a registration certificate is to:

A. Punish the practitioner
B. Protect the public
C. To gather statistical data
D. To discourage others from violating the Nursing Act

23. The power of the Board to revoke or suspend registration certificate of a person guilty of immoral conduct is
under:
A. Determinative power C. Corrective power
B. Enabling power D. Dispensing power

24. In conducting hearings or investigations of complaints or malpractices or of unethical or unprofessional conduct

of nurse practitioners, the Board is actually performing its:
A. Quasi Legislative power C. Quasi judicial function
B. Inquisitorial power D. Corrective power

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25. The Board of Nursing is vested with the power to issue, suspend or revoke for cause the:
A. Certificate of Good Moral Character
B. Certificate of Practice
C. Certificate of Registration
D. Certificate of Employment

26. The Board of Nursing is vested the power to established rules, regulations and make laws based on what criteria
of a profession;
A. specialized education C. Autonomy
B. professional role D. legal role

27. What is the priority thing to do after the NLE?

A. Oath taking C. Throw a party
B. License D. Call your relatives abroad

28. Who has the power to remove or suspend the Board member?
A. President of the Philippines C. President of PNA
B. Board of Directors D. International Council for Nurses

29. _________ is the most important tool for the legal control and reinforcement of nursing practice.
A. License C. CPE units
B. RLE summary D. Certificate of good moral

30. . _________ is the hallmark of a profession

A. Altruism C. Matured discipline
B. willingness to accept standards D. accurate documentation

35. The law that regulates the practice of nursing is __________.

A. Nurse Practice Act C. Philippine Nursing Law
B. Nurses Philippine Law D. Nursing Law of the Philippines

CIVIL AND CRIMINAL CASE

36. Angela swings a fist at Valerie, who sees the punch coming, and ducks (Angela doesn’t actually hit Valerie).
This is:

A. Negligence C. Assault
B. Battery D. Invasion of privacy

37. A surgeon concludes that he is not particularly happy about one of the surgical nurses assisting him in surgery,
and decides that he must do anything possible to get her terminated. He begins by lying about the nurse to other
hospital staff, claiming that she is poorly trained or incapable in surgery. Next, he is overheard by another
doctor saying that he made it up to get rid of the nurse, who he doesn't care for. She is later fired for failure to
perform, due to the rumors. He is guilty of:

A. Negligence C. Libel
B. Slander D. Invasion of privacy

38. A surgeon performs the surgery without the consent of the patient. He is guilty of:
A. Negligence C. Assault

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B. Battery D. Invasion of privacy

39. An employee publicly disclosed a wrongdoings of their employer. Disclosing such information is known as: A.
Whistle blowing
B. Divulging information
C. Disclosing information
D. Revealing information

40. The doctor wrote a letter to the nurse implying that he had illegally substituted a medication. Does the letter
constitute defamation?
A. Yes, because it it considered as a libel.
B. No, because the doctor and the nurse had a duty to ensure safe medication practices and no relevant third party is
involved.
C. Yes, because it it malicious.
D, Yes, because a third party is involved

41. The nurse administered suction tube improperly leading to aspiration and death by suffocation. The nurse is
guilty of:
A. Negligence
B. Malpractice
C. Assault
D. Battery

42. The nurse does not report a client’s complaint of acute abdominal pain which resulted to rupture of the appendix
and death of the patient.
The nurse is guilty of:
A. Negligence
B. Malpractice
C. Assault
D. Battery

43. The nurse fails to take bp, pulse and dressing of a client who has just had abdominal surgery. This is: A.
Negligence
B. Malpractice
C. Assault
D. Battery

44. Women and their children are protected against violence under this law:
A. R.A. 7160
B. R.A. 7610
C. R.A. 9262
D. R.A. 7600

45. Issuance and revocation of license in nursing is under what law?

A. RA 9173
B. RA 7164
C. RA 10912
D. RA 10932

Situation : Records contain those comprehensive descriptions of patient’s health conditions and needs and at the
same serve as evidences of every nurse’s accountability in the care giving process. Nursing records normally differ

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from institution to institution nonetheless they follow similar patterns of meeting needs for specific types of
information. The following pertains to documentation/records management.

46. This special form is used when the patient is admitted to the unit. The nurse completes
the information in this record particularly his/her basic personal data, current illness,
previous health history, health history of the family, emotional profile, environmental history
as well as physical assessment together with nursing diagnosis on admission. What do you
call this record?
A. Nursing Kardex
B. Nursing Health History and Assessment Worksheet
C. Medicine and Treatment Record
D. Discharge Summary

47. These are sheets/forms which provide an efficient and time saving way to record information that must be
obtained repeatedly at regular and/or short intervals of time. This does not replace the progress notes; instead this
record of information on vital signs, intake and output, treatment, postoperative care, post partum care, and diabetic
regimen, etc. This is used whenever specific measurements or observations are needed to be documented repeatedly.
What is this?

A. Nursing Kardex
B. Graphic Flow Sheets
C. Discharge Summary
D. Medicine and Treatment Record

48. These records show all medications and treatment provided on a repeated basis. What do
you call this record?

A. Nursing Health History and Assessment Worksheet

B. Discharge Summary
C. Nursing Kardex
D. Medicine and Treatment Record

49. This flip-over card is usually kept in a portable file at the Nurse’s Station. It has 2-parts: the activity and
treatment section and a nursing care plan section. This carries information about basic demographic data, primary
medical diagnosis, current orders of the physician to be carried out by the nurse, written nursing care plan, nursing
orders, scheduled tests and procedures, safety precautions in patient care and factors related to daily living activities.
This record is used in the charge-of-shift reports or during the bedside rounds or walking rounds. What record is
this?

A. Discharge Summary
B. Medicine and Treatment Record
C. Nursing Health History and Assessment Worksheet
D. Nursing Kardex

50. Most nurses’ regard this conventional recording of the date, time, and mode by which the patient leaves a
healthcare unit but this record includes importantly, directs of planning for discharge that starts soon after the person
is admitted to a healthcare institution. It is accepted that collaboration or multidisciplinary involvement (of all
members of the health team) in discharge results in comprehensive care. What do you call this?

A. Discharge Summary
B. Nursing Kardex
C. Medicine and Treatment Record
D. Nursing Health History and Assessment Worksheet

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FOCUS: PRINCIPLES OF LIABILITY/LEGAL DOCRINES

51. During the operation, the anaesthesiologist injected a drug intravenously to the patient. The patient immediately
had a cardiac arrest and died. Upon investigation on blood studies of the dead patient, B, the laboratory director
revealed traces of KCl injected. This is an example of:
A. Force majeure C. Damnum Absque Injura +Damage/-Injury
B. Res Ipsa Loquitor D.Sine Qua Non

52. Failing to maintain safe environment in this instance is a joint accountability of the nurse and the hospital. This
is under the principle of:
A.Vis Major C. Damnum Absque Injura
B. Res Ipsa Loquitor D.Doctrine of Vicarous liability

53. If Nurse Leo is helping the patients and their families in evaluating several courses of treatment to decide which
one will produce the greatest amount of relief with the least danger suffering. Nurse Leo knows that this is: A.
Deontology
B. duty of a nurse
C. Greatest Happiness principle
D. Self reflection

54. When an act is willingly carried out with a foreseeable harmful effect that is not directly intended this is:
A. Non maleficence C. Paternalism
B. Benevolent Deception D. Indirect Voluntary Act

55. Exemption to the rule is what principle:

A. Epikia C. Double effect
B. The principle of totality D. Golden rule

Situation- Cedric, a 38 year old nurse accidentally injected an incorrect medication to a client. A case of frustrated
homicide has been filed in the QCRTC.

56. The nurse will be charged initially of:

A. Negligence by omission C. Malpractice
B. Murder D. Negligence by commission

57. The case filed against Cedric initially falls under?

A. Civil C. Criminal
B. No case to be filed D. Case will not pursue

58. In case the patient dies, the case will be escalated to?
A. Civil C. Criminal
B. No case to be filed D. Case will not pursue

59. Who may be held liable?

A. Cedric and the Hospital C. No one
B. Cedric only D. Hospital

60. A lawsuit is filed for negligent act performed by a nurse. The employer is included in the lawsuit. This is so
because of what principle?
A. Captain of the ship responsibility C. Res ipsa loquitor
B.Vicarous liability D. Vis major

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61. Cedric is the:

A. Accomplice C. Principal by direct participation
B. principal by induction D. Accessory

62. If a document such as the patient chart will be needed in the court to prove the commission of negligence by the
nurse, the court will be issuing which order?
A. Subpoena C. Subpoena Duces Tecum
B. Subpoena Ad Testificandum D. Summon

63. The one filing the criminal case against an accused party is said to be the:
A. Defendant C. Accused
B. Witness D. Plaintiff

64. Which of the following is TRUE with regards to this case?

A. The client is alive
B. Cedric intentionally administered the drug to kill the patient
C. Cedric’s license will be revoked or suspended by the RTC
D. A fine of 5,000 shall be imposed by the BON if proven guilty

65 A lawsuit is filed for negligent act performed by a nurse. However, Cedric was able to plead guilty to lesser
offense, from frustrated to plain homicide. Is the action of the prosecutor possible?
A. Yes, provided that there’s a consent from the offended party and the prosecutor.
B. Yes, provided that there’s a consent from the offended party only.
C. Yes, provided that there’s a consent from the prosecutor.
D. No, because this is not allowed in the law.

FOCUS: CIVIL AND CRIMINAL CASE

66. A visitor from a room adjacent to a client asks the nurse what disease the client has. The nurse responds, “ I will
not discuss any client’s illness with you. Are you concerned about it?” This response is based on the nurse’s
knowledge that to discuss a client’s condition with someone not directly involved with that client is an example of:
A. Libel
B. Negligence
C. Breach of confidentiality
D. Defamation of character

67. Nurse Joseph was heading home after a 12 hour duty in Callang General Hospital. Along Batal road, he was
distracted by three men. He then pulled over. One Rodrigo, intended to grab Joseph’s belt bag, the latter resisted.
There and there they wilfully attacked Joseph including his 28 days child. The crime committed is:
A. Robbery with homicide
B. Robbery with infanticide
C. Robbery, homicide and Infanticide
D. Robbery with homicide and infanticide

68. Bubwit, broke and uses forces into a pawnshop intent on stealing items of jewerly on it. She found, however that
the jewelry were in a locked chest. She took the chest out of the shop. What crime did she commit? A. Estafa
B. Theft
C. Robbery in an inhabitated place or public building
D. Qualified theft

69. Donnie and Baguio are neighbours. One evening, Donnie entered the yard of Baguio and opened the chicken
coop where Baguio keeps his fighting cocks. Donnie took the fighting cocks but discovered that it was not
physically fit for cockfighting so he returned it. The crime is:

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A. Consummated theft
B. Frustrated Theft
C. Attempted theft
D. Qualified theft

70.. An elderly patient refused to take her cardiac medications. Thinking that she was disoriented, the nurse crushed
the tablets and mixed them with the soup and fed the patient. The nurse may be held liable for:
A. Negligence C. Assault
B. Battery D. Invasion of privacy

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