professional adjustment nursing edited

8/7/2019 Professional Adjustment Nursing edited

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Professional Adjustment Nursing

1. When asked about the

characteristic of nursing profession, the

nurse characterizes nursing as:

a. A profession with a service orientation

b. Profession with a guide which delineates

the roles and responsibilities of its

members

c. Profession with a deciding power over

standard of practice

d. profession with a scientific base

2. As a member of the healthcareteam, the nurse collaborates with his co-

workers. In the absence of the physician

or the leader of the team, the nurse

should institute measures for the welfare

of the patient under of his care. This

demonstrate:

a. Independence b.Accountability

c. Autonomy d. All of the above

3. Reginald, a staff nurse knows that

his most important function is to ensure:

a.Proper documentation

b. Administration of care

c. Institution of comfort measure

d. Promotion of spiritual health of the client

4. Reginald knows that as a

professional nurse, he should posses

an/a:

a. Warm personality and concern

b. Strong urge to gain opulence and

fame in practice

c. Vision of continous improvement of the

practice of one self

d. Ability to make ethically and morally

sound decision

5. Reginald knows that nurses motivate

their patients. Included as patients are

individuals, families, groups and

communities. She knows that this type

of motivation is properly labeled as:

a. self-reliance

b. collaboration with patients

c. partnership

d. all of the above

6. A nursing theory is a group ofconcepts that form a pattern of reality. A

concept can be defined as:

a. An idea b. An outcome

c. A philosophy d. A process

7. A concepts most important purpose in

professional nursing is to:

a.determine nursing action that is appropriate

in a variety of situation

b.help mentally store knowledge so it doesnt

have to be written down

c.help recall facts in clinical area

d.use Neumans model in the work setting

8. The four concepts common in all

nursing theories are person,

environment, health and nursing. Of

these four, the most important concept

is:

a. environment b. health

c. Nursing d. person

9. When the new nurse after her tour of

the physical facilities of the hospital tell

her head nurse that the building is

suffering from the Sick Building

Syndrome, the nurse is trying to say

that:

a.That the health of the house does not meet

the basic requirements of Nightingales

need for adequate ventilation, cleanlinessand lighting

b.The building is filled with sick people that

make the hospital appear sick too

c.The building is unfit for caring for people

d.That an unhealthy building creates

unhealthy inhabitants


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10. Which of the ff. individuals

demonstrate Florence Nightingales

concept of health?

a. A masters degree holder in nursingworking as a staff nurse in a community

hospital

b. A polio victim during his childhood who justpassed the Bar exams and is now practicing

his profession and is fighting for equal rights

for the physically-challenged citizenry

c.A Masters Degree holder in nursing working

as a staff nurse in medical center in the city

d.A dead mute-person who uses his gift of art

to paint beautiful artworks and engage in

arts exhibits here and abroad

Situation: You are a newly hired nurse in

a tertiary hospital. You have to finish

your orientation program recently and

you are beginning to assimilate the

culture of the profession.

11. Using Benners stages of nursing

expertise, you are a beginning nurse

practitioner. You will rank yourself asa/an:

a. competent nurse b. novice nurse

c. proficient nurse d. advanced

beginner

12. Benners proficient nurse level is

different from the other levels in nursing

expertise in the context of having:

a.The ability to organize and plan activities

b.Having attained an advanced level of

education

c.A holistic understanding and perception of

the client

d.Intuitive and analytic ability in new

situations

13. As you become socialized into nursing

culture you become a patient advocate.

Advocacy is explained in the ff. except:

a.Respecting persons right to autonomous

b.Demonstrating loyalty to the institutions

right

c.Shared respect, trust and collaboration in

meeting health needs

d.Protecting and supporting another persons

right

14. Modern day nursing has led into the

development of the expanded role of the

nurses as in the function of a:

a.clinical nurse specialist b.

critical nurse

c. community health nurse d. staff nurse

15. You can join continuing education

program to help you:

a. earn credit for license renewal

b. get in touch with colleagues in

nursing

c. enhance your basis knowledge

d. update your knowledge and

skills related to field of interest

Situation: Errors while providing nurse care to

patients must be avoided and minimized at all

times. Effective management of available

resources enables the nurse to provide safe,

quality patient care.

16. In the hospital where you work,

increased of medication error was

identified as the number one in the unit.

During the brainstorming session of the

nursing service department, probable

causes were identified. Which of the ff. is

process related?

a. interruptions

b. use of unofficial abbreviation

c. lack of knowledge

d. failure to indentify client

17. Miscommunication of drug order wasidentified as a probable cause of

medication error. Which of the ff. is a safe

medication practice related to this?

a.maintain medication in its unit dose

package until point of actual

administration

b.note both generic and brand name of the

medication in the Medication

Administration Method


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c.The physician should use an approved

universal abbreviation

d. encourage clients to ask question

about their medication

18. To provide safe, quality nursing care

to various clients in any setting, the mostimportant of the nurse is:

a.critical thinking to decide appropriate

nursing action

b.understanding of various nursing

diagnosis

c.observation skills for data collection

d.possession of scientific knowledge about

client needs

19. You ensure the appropriateness and

safety of your nursing interventions while

caring for various groups by:

a. creating plans of care for particularclient

b.identifying the correct nursing diagnosis

for the client

c.making a thorough nursing assessment of

the client needs and problems

20. The effectiveness of your nursing care

plan for your client is determined by:

a.the number of nursing procedures

performed to comfort the client

b.The amount of medication administered

to the client as ordered

c.The number of time the client calls the

nurse

d.the outcome of nursing interventions

based on plan of care

21. The role of health worker in health

education is to:

a.report incidence of non-communicable

disease to community health center

b.educate as many people about warning

signs of non-communicable diseases

c. focus on smoking cessation problem

d.monitor client with hypertension

22. How does the nurse promote ones

well-being?

a. periodic travels and recreations

b. faithful and observance of healthy

simple lifestyle

c. run away from polluted, stressful area

d. avoid sleepiness over fatigue nights

23. The nurse involve in health promotion

of the family by:

a. become a better family

b. prevent disease

c. control their symptoms

d. modify health primitive behaviors

24. Why should you not leave medications

in the bedside table of the patient?

a. bedside table is not sterile

b. it is convenient to the nurse

c. the nurse will not accurately document

that the patient actually took the

medication

d. the patient may forget to take it

Situation: While working in the tertiary

hospital, you are assigned to the medical ward.

25. Your client, Mr. Diaz, concerned that

he cannot pay his hospital bills and

professional fees. You refer him to a:

a. nurse supervisor

b. social worker

c. bookkeeping department

d. physician

26. Mr. Magno has lung cancer and his

going through chemotherapy. He is

referred by the oncology nurse to a self-

help group of clients with cancer to:

a. receive emotional support

b. to be part of research study

c. provide financial assistant

d. assist with chemotherapy


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27. A diabetic, hypertensive patient, Mrs.

Linao, needs a change in her diet to

improve her health status. She should be

referred to a:

a. nutritionist b. dietician

c. physician d. medical pathologist

28. When collaborating with other health

care team members, the best description

of Nurse Ritas role is:

a. encourages the client involvement in

his care

b. shares and implements orders of the

health team to ensure quality care

c. she listen to the individual views of the

health team members

d. help client set goals of care and

discharge

29. In the Philippines, this law is:

a. Code of ethics for Filipino nurses

b. The Philippine nursing act of 2002 or

RA 9173

c. Republic act 8981

d. IRR, Resolution 425v of 2003

30. The Philippine Nursing Act delineates

the scope of nursing. It specifies that as

independent practitioners, nurses areresponsible for:

a. rehabilitative aspect of the care

b. administration of written prescription

for treatment and therapies

c. collaborating with other health care

providers for health restoration and

alleviation of suffering

d. health promotion and prevention of

illness

31. Group of Filipino Nurses that

formulates the Code of Ethics for Filipino

nurses.

a. Association of Nursing Service

Administrator of the Philippines

(ANSAP)

b. Philippine Ethicist Nurses Association

(PENA)

c. Philippine Nurses Association (PNA)

d. Association of Dean of Colleges of

Nurses (ADPCN)

32. In October 1982, she authored the

Code of Ethics for Filipino Nursestogether with the Iloilo PNA Chapter

a.Dr. Consuelo Gomez-Arabit

b.Dr. Annie Sand

c.Dr. Julita V. Sotero

d.None of the above

33. Which of the ff. about the FilipinoNurses Code of Ethics is not correct?

a. it serve as a guide in making moral and

ethical decision in practice

b. it emphasizes the four -fold mission of

the nurse with the adage that the

nurse should also promote the spiritual

health of the person

c. is serve as a strong and absolute

protection against any lawsuit as it is

instituted by the professional

regulatory board and the accredited

professional organization

d. it contains ethical and moral principles

that will serve as a guide for the day to

day conduct of the professionals

34. PNA code of ethics is an expression of

moral concerns, goals and values of

nursing. Which is the correct

characteristic of the code of ethics for

nurses?

a. it emphasizes the independent and

collaborative roles of the nurse

b. it describes the professional standards

of nursing practice

c. it has a legal guarantee

d. it is used as a guideline in nursing

standard

35. The Code of Ethics for Filipino Nurses

is a set of principle set by the profession

to be used by the individual to ensure

safe practice. In the Philippines, the Code

of Ethics is legally binding. In the case of

violation, the nurse may be sanctioned

by:


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a. filing a criminal case

b. termination from employment

c. revocation or suspension of license

d. all of the above

36. The Code of Ethics for the Filipino

Nurses follow a framework in which their

ethico-moral responsibility is divided into

sectors of the populace. Which of the ff.

is not an element of the Code of Ethics?

a. Nurses and People

b. nurses and Practice

c. Nurses and Co-workers

d. Nurses and Progress

e. Nurses and Profession

37. In ff. the Code of Ethics, a registered

nurse demonstrate a concept of

transcultural nursing into practice

wherein he takes into consideration the

culture and values of his patient. This is

inline in which framework of the Code of

Nursing?


b. Nurses and Practice




38. In ff. the Code of Ethics, a registered

nurse declines to receive any gifts,

commission or hospitality from the

patient or any recommendations made.

This is inline in which framework in the

Code of Ethics?


b. Nurses and Practice



39. In ff. the Code of Ethics, RC Pineda

joined the Society of Young Professional

Nurses andactively participates in its

activities. This is inline in which

framework in the Code of Ethics?


b. nurses and Society and Environment




40. In ff. the Code of Ethics, the chief

nurse of a certain actively listens and

champions the just causes of his

subordinates. This is inline in which

framework in the Code of Ethics?






41. A registered nurse is actively seeking

out prominent figures in nursing

profession in seminars and conventions

where he attends in order to establish

connections and linkages. This is inline in

which framework in the Code of Ethics?






42. Ethics is not concerned with which of

the ff.?

a. personal standard of right and wrong

b. practice or believe of certain group

c. investigating issues about humanbehavior

d. exercising critical and rationaljudgment in ones choice or decision

43. Which of the ff. is the primary

purpose of the Nurses Code of Ethics?

a. a reference material of the desirable

attitudes a nurse may possess and

develop

b. aid the nurse in identification oflegalities of the nursing practice


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c. serve as a guide in making sound

nursing decisions necessary in making

nursing situation, caring situation

d. provide sanctions for those who violate

the delineation and scope of the

practice

44. Which of the ff. provides that nurses

must adopt the Filipino Nurses Code of

Ethics?

a. BON Resolution No. 14

b. BON Resolution No. 20

c. R.A. 9173

d. R.A. 7164

45. Which of the ff. best describes the

purpose/s of the Amended Code of Ethics

for Nurses?

1. serves as standards of conduct and values

as defined by the profession

2. to inform the nurses about their role in the

organization

3. to serve as a basis for ethical decision-

making by a profession

4. serve as a legal basis for nurses liability

A. 1,2&4 B. 1,2&3

C. 2&3 D. 1&3

45. The principle that govern right and

proper conduct of a person regarding life,

biology and the health professions is

referred to as:

a. morality b. religion

c. bioethics d. values

46. The universal ethical principle ofutilitarianism is chiefly concerned with:

a. keeping promises b. doing good

c. doing no harm d. all of the above

47. Specific domain of ethics that focuses

on moral issues and dilemmas in the field

of healthcare.

a. ethics b. professional ethics

c. bioethics d. health care ethics

48. Bioethics though already realm of

ethics has a wide scope. Its scope

includes the ff. except:

a. pollution

b. lifestyle modification

c. biotechnological advancements

d. fiscal legislation

49. When a registered nurse performs

only functions that is within the scope of

his practice and when he adheres to rules

and regulations of his institution, he is

applying in practice which major ethicalprinciple?

a. autonomy b. confidentiality

c. justice d. non-maleficence

50. When a registered nurse ensures that

he has provides all necessary information

to his patient and all impending

procedures have been explained

thoroughly and have been properly

consented to, he is applying in practice

which major ethical principle?


c. justice d. non-maleficence

51. When a registered nurse ensures that

he has provides all necessary informationto his patient who is interested in making

an anatomical gift after his death, he is

applying in practice which major ethical

principle?

a. stewardship b. confidentiality

c. respect d. non-maleficence

52. When a registered nurse ensures thathe has provides all necessary information

to his patient who is interested in making

an anatomical gift after his death, he is

applying in practice which minor ethical

principle?

a. stewardship b.

confidentiality



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53. When a registered nurse attends to

the patients preparation towards a

removal of a disease organ, he is applying

in practice which major ethical principle?

a. utilitarianism b. totality


54. When a registered nurse attends to a

patient and reminds himself of the

inappropriate use of technology while

rendering care, he is applying in practice

which minor ethical principle?

a. utilitarianism b. totality


55. When a registered nurse provides

safe and quality emergency care to

unconscious client, he is applying in

practice which minor ethical principle?

a. veracity b. respect

c. paternalism d. utilitarianism

56. When a registered nurse admits

mistakes promptly and offers to do

whatever necessary to correct them, he is


principle?



57. When a registered nurse ensures thatcontract between him and the patient has

been satisfactory completed, he is


principle?

a. epikia b. double-effect

c. totality d. fidelity

58. When a registered nurse prioritizes

the vaccination of pregnant women and

children during an epidemic, he is


principle?



59. When a registered nurse prioritizes

the vaccination of pregnant women and

children during an epidemic, he is


principle?



60. A couple who is trying to conceive a

child for many years now are opted for

zygote implantation into the fallopian

tube, the registered knows that which

of the ff. ethical principle does not

apply?

a. respect b. stewardship

c. epikia d. non-maleficence

61. As observed by experts, nurses

oftentimes find it difficult to resolve

ethical issue because:

1. They (nurses) lack the sensitive to recognize

ethical problems and conflicts

2. They (nurses) lack the needed knowledge or

experience to tackle the situation they are in

3. They (nurses) have difficulty separating their

personal characteristics from their professional

characteristic

4. They (nurses) neglect the use of universal

ethical principles and utilize self-device

principles and approached instead.

A. 1,2,3 b. 2,3 c. 3,4 d.

1,2

Matching Type:

62. duty of fidelity

63. duty of reparation

64. duty of gratitude

65. duty of justice

66. duty of beneficence

67. duty of self-improvement

68. duty of non-malefiscence

69. duty of veracity

Options:

a. Giving what is due based on merits earned

b. Truth-telling


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c. Drive to enhance and empower ones self

d. Penance; reconciliation

e. first, do no harm

f. Being cognizant of other service

g. Promise-keeping

h. Shown in act of charity

70. Nurse Neil would know that any

misconduct or lack of skill in carrying out

professional responsibilities.

a. negligence b. malpractice

c. standard of practice d. assault and

battery

71. When carelessness happens resulting

to an accident that is preventable, the

nurse can be charged of:

a. tort b. malpractice

c. negligence d. crime

72. When a nurse prescribe a medication

to a patient and have done something

that is out of the scope of nursing

practice, he could be accountable for:

a. tort b. malpractice

c. negligence d. crime

73. The nurse knows that the ff. are

component or element of negligence,

EXCEPT:

a.existence of duty on the part of the person

charged to protect the complaining party

from the injury received

b.failure to do duty

c. foreseeable of harm from failure to do duty

d.a damage or injury resulting from breach of

duty

e. compensation received by the accuse from

the plaintiff

74. When asked by Rhoda about the most

important and the most defining elementof negligence, weng answers:

a. existence of duty on the part of the

person charged to protect the

complaining party from the injury

received

b. failure to do duty

c. foreseeable of harm from failure to do

duty

d. a damage or injury resulting from

breach of duty

e. compensation received by the accuse

from the plaintiff

75. When as a scrub nurse, you left a

laparotomy pack inside the patients

abdomen and after sometime the patient

begin to complain abdominal pain and it

was recovered, you could be liable due to

the:

a. doctrine of force majeure

b. doctrine of Res Ipsa Loquitor

c. doctrine of respondeat superior

d. malpractice

76. While plotting and schedule and

staffing in the hospital, it was found out

that the hospital hired under board

nurses and midwives to cut cost and

compensate in the lack of sufficient man

power. They carried out usual nursing

duties like giving medication. Should any

unlikely incident arise from their

erroneous administration of medication,the hospital will be liable due to the:

a.doctrine of force majeure

b.doctrine of Res Ipsa Loquitor

c.doctrine of respondeat superior

d.malpractice

77. Berting, 30 years old male was

brought to the hospital due to the injuries

sustain due to vehicular accident. While

being transported to the x-tray

department, the straps accidentally broke

and the client fell on the floor hitting his

head. In the situation, the nurse is:

a. not responsible because of the doctrineof respondeat superior

b. free from any negligence that causedharm to the patient


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c. liable along with the employer for the

use of defective equipment that harms

the client

d. totally responsible for the negligence

78. In the abovementioned situation, the

hospital and the nurse will be specificallyliable under what doctrine of negligence?

a. doctrine of force majeure


c. doctrine of corporate liability

d. doctrine of respondeat superior

79. Which of the ff. situations would

possibly caused a nurse to be sued due to

negligence?

a. nurse gave the client a wrong

medication and an hour later, client

complained of dyspnea

b. while preparing the medication, instead

of 1 tablet, the nurse noticed that she

placed 2 tablets in the medication cup

c. as the nurse was about to give themedication, the client asked why the

medication is still to be given when in

fact the physician already discontinued

d. nurse administered 2 tablets of

analgesic instead of 1

80. In the O.R., who directs and answers

the actions of the surgical team?

a. internist b. surgeon

c. scrub nurse d. anesthesiologist

81. If any mishap involving the care given

to the patient should happen while inside

the O.R. and while the operation is going

on, the team leader would be accountable

to:

a. captain-of-the-ship doctrine



d. doctrine of respondeat superior

82. Nurse Mykaela, is a staff nurse

assigned to the schizophrenia ward of

NCMH. One sunny afternoon, while on

duty, a great earthquake shocks the

country. Nurse Mikaela, tried to direct her

patient out of the building but they

mistock the earthquake for a bumpy ride

in the carnival and was shouting and

clapping in joy as the building collapsed

killing them but the nurse was able to

escaped. What doctrine applies?

a. doctrine of force minore



d. a. doctrine of force majeure

83. Which of the ff. is not a legally

binding document but nonetheless very

important in the care of all patients in

any setting?

a.Board of Nursing Resolution Adopting the

Code of Ethics

b.Bill of Rights as provided in the Philippine

Constitution

c.Patients Bill of Rights (as adopted by the

American Nurses Association)

d.Scope of Nursing Practice as defined by RA

9173

Situation: Mr. Joses chart is the permanent

legal recording of all information that relates to

his health care management. As such, the

entries in the chart must have accurate data.

84. Mr. Joses chart contains all

information about his health care. The

function of record includes all, EXCEPT;

a. means of communication that health

care team members use to communicate

their contributions to the clients health

care

b. the clients record also shows adocument of how much health care

agencies will be reimbursed for their

services

c. educational resource for the student of

nursing and medicine

d. recording of action in advance to save

time


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85. An advantaged of computerized client

care system is:

a. the nursing diagnosis for a clients data

can be accurately determine

b. cost of confinement will be reduced

c. information concerning the client canbe easily updated

d. the number of people to take care the

client will be reduced

86. Information in the patients chart is

inadmissible in court as evidenced when:

a. the client family refuses to have it used

b. the client object to its used

c. the handwriting is not legible

d. it has many aberrations that are

unofficial

87. Nursing audit aims to:

a.provide research data to hospital

personnel

b.study clients illness and treatment

regimen closely

c.compare actual nursing done to

established standards

d.provide information to the health care

provider

88. A telephone order is given for a client

in your ward. What is your most

appropriate action?

a.copy the order in the chart and sign the

physicians name as close to his original

signature as possible

b.repeat the order back to the physician,

copy onto the order sheet and indicate

that it is a telephone order

c.write the order in the clients chart and

have the head nurse co-sign it

d.tell the physician that you cannot take

the order but you will call the nurse

supervisor

Situation: Mr. Martin, 71 years old wassuddenly rushed to the hospital because of

very severe chest pain. On the admission, he

was diagnosed to have a acute MI and was

placed in the ICU.

89. While in the ICU, he executes the

document that list the medical treatment

he chooses to refuse in the case his

condition becomes severe to the point

that he will be unable to make decisionsfor himself. This document is:

a. living will b. informed

consent

c. last will and testament d. power of attorney

90. After one day, the patients condition

worsen and feeling hopeless. He

requested the nurse to remove theoxygen. The nurse should:

a. follow the patient because it is his right to

die gracefully

b. follow the patient, as it is his right to

determine the medical regimen he needs

c. refuse the patient and encourage

d. refuse the patient since euthanasia is not

accepted in the Philippines

91. Euthanasia is an ethical dilemma

which confronts nurses on the ICU

because:

a. the choices involve do not appear to be

clearly right or wrong

b. A clients legal right co-exists with the

nurses professional obligation

c. decision has to be made based on

societal norms

d. a decision has to be made quickly,

often under stressful conditions

92. A nurse who supports the patient and

familys need to make decision that is

right for them is practicing which of the

ff. ethical principles?


c. privacy d. truthfulness

93. Mr. Martin felt better after 5 days but

recognizing the severity of his illness, he

executes a document authorizing the wife

to transact any form of business in his

behalf inaddition to decisions relative to


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his confinement. His document refers to

as:

a. power of attorney b. living will

c. informed consent d. medical record

94. Clients right should be protectedwhen doing research using human

subjects. Martha identifies these rights as

follows, except:

a. right to self-determination

b. right to compensation

c. right to privacy

d. right to obtain information about

another patient

Situation: RNs should always be conscious that

the contents in the chart are admissible in

court as evidence.

95. The nurse knows that the chart and

the information pertaining to client care

in it are owned by the:

a. patient b. hospital

c. nurse d. all of the

above

96. The nurse knows that the chart and

the medical records pertaining to client

care in it are owned by the:

a. patient b. hospital

c. nurse d. all of theabove

97. The chart is admissible in court as

evidence because it is:

a. a legal document

b. a scientific document

c. a privileged communication

d. it is written in medical terminology

98. The chart can only be read by

members of the health care team because

it is:

a. a legal document

b. a scientific document

c. a privileged communication

d. it is written in medical terminology

99. The chart contains progress notes

written by health care professionals. This

makes the chart:

a. legal document b. scientific

document

c. privileged communication d.

complex document

100. Documentation of all nursing

activities performed is legally and

professionally vital. Which of the ff.

should not be included in the patients

chart?

a. presence of prosthetic devices such as

dentures, artificial limbs, hearing aids,

etc.

b. baseline physical, psychosocial and

emotional data

c. argument between the staff nurses and

the resident regarding treatment

modalities

d. observed outward signs and symptoms

and interventions including

concomitant intervening factors

101. Marimaw is one of your patients. Her

uncle Mr. Santibanyo, who is a doctor,

wants to read her chart. Your appropriate

action would be:

a. instruct Marimaw uncle to present a

written authorization signed by the

patient herself

b. refer the matter to the hospital director

c. instruct Mr. Santibanyo to present a

written request to the Medical Record

sction of the hospital

d. refer to the attending physician

102. Erasures, alterations and addition in

medical records and the nurses notes can

be avoided. The ff. are some tips, except:

a. cross out blank spaces

b. cross out the wrong word or phrase

with one or two lines making the cross

out word discernible

c. insert additions or correction


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d. state the reason for any deviation

from normal procedure/ practice

103. If there is any deviation from normal

practice or procedure like if streptomycin

is given via direct IV instead of IM. This

should be documented in the:

a. progress notes b. incident report

c. nurses note d. medical sheet

104. You can communicate hazards to

your co-worker through the use of the ff.,

except:

a. posting IR in the bulletin board

b. formal training

c. educational safety poster

d. use of proper labels and signs

105. After the staff nurse completed the

incident report. The nurse submits this

ideally to the:

a. attaches it to patient chart b. head

nurse

c. supervisor d. risk manager

106. The nurse should also understand

that the incident report:

a. will prevent legal action against the

nurse

b. are not consider legal documents butrather a risk-management tool

c. should be reviewed and approved by

the patient before discharge

d. are maintained by the hospital as an

effective staff evaluation tool

107. You are taking care of critically ill

client and the doctor-in-charge calls toorder medications via the telephone.

Which of the ff. is the appropriate action

when getting a telephone order?

a. Have the RN, MD and family member

sign the order

b. Have one nurse take the order and sign

it and have the MD sign it within

24hours

c. Have the RN, MD and family andsupervisor sign the order

d. Get the telephone order, repeat it back

to the MD, then have the MD sign it

with 24 hours

Situation: Records are vital tools in any

institution and should be properly maintained

for specific use and time

108. The patients medical records can

work as a double-edge sword. When can a

medical record become the doctors/

nurses worst enemy?

a. when voluminous

b. when subpoenaed to the court

c. when it is missing

d. when it is inaccurate, incomplete and

inadequate

109. Disposal of medical records in

government hospitals/agencies should be

done in close coordination with what

agency?

a. DILG b. MMDA c. RMAO d. DOH

110. In the hospital, when you need the

medical record of a discharged patient for

research, you will request permission

through:

a. doctor-in-charge b. hospital director

c. nursing service d. medical record

section

111. You readmitted a client who was in

another department a month ago. Since

you will need another chart, from whom

do you request the old chart?

a. Central Supply section

b. previous doctor clinic

c. department where the patient

previously admitted

d. Medical Record Section

112. The RMAO of the DOH is responsible

in implementing its policies on record

disposal. You know that your institution is

covered by this policy if:

a. your hospital is a tertiary hospital

b. your hospital is in Metro Manila


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c. it obtained a permit to operate from

the DOH

d. your hospital has been accredited by

PhilHealth

113. The nurse would be correct if she

states that a rule of conduct thatprohibits extremes in behavior so that

people can live without for self or

property is called:

a. Nurses Practice Act of 2002 b. a law

c. advanced directive d. a DNR order

114. Type of law that comes from a higher

beinge.g. Ten Commandments

a. Pentateuch b. Torah

c. Divine Law d. Human

Law

115. Humans are legislator by nature.

Laws written by men are said to be:

a. Civil Law b. Commercial

Law

c. Divine Law d. Human Law

116. The nurse knows that the main

function of the court id to:

a.prescribe and legislate

b.administer justice to the people

c.house the judge and clerk of the court

d.serve as a venue for hearings and legal

proceedings

117. The nurse knows that the power of

the court to hear a case is called:

a. venue b. jurispeudence

c. jurisdiction d. jurislation

118. There are two parties in a case, the

one being complained about is also called

the:

a. defendant b. plaintiff

c. mediator d. none of the

above

119. There are two parties in a case, the

one who filed the complaint is also called

the:

a. defendant b. plaintiff

c. mediator d. none of the

above

120. RN Cowberto wanted to make an

appeal regarding his case. RN Cowberto

knows that the meaning of an Appeal is:

a. repetition of what the witness heard

b. a review of the case in a higher court

c. statement uttered in good faith

d. necessary testimony

121. Under this court, decisions made are

said to be final and executor:

a. Municipal Trial Court b. Regional Trial

Court

c. Court of Appeals d. Supreme Court

122. This is the legal term for the harm

inflicted or injury done:

a. damaged b. damages c. damage d.

damaging

123. Nurse Nina knows that the minimum

damages paid to a rape victim are 30k. He

defines damages as:

a. a reward for something good

b. payment for the injury or harm inflicted

c. prize of the victim for being vulnerable

d. all of the above

124. These are actual expenses incurred

by the patient as a supposed victim of the

nurses malpractice:

a. actual damages b. exemplary

damages

c. moral damages d. lost of income

125. This are imposed by the court in

giving the public an example of what not

to follow in the practice of nursing:


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damages


126. These are the most popular and the

most expensive ones.


damages


127. A risk in obtaining an informed

consent before surgery is:

a. completing the informed consent

papers before all preoperative test

results are in the patients chart

b. completing the informed consent paper

one hour after the preoperative

medication is given

c. completing the informed consent

papers the evening before surgery

d. completing the informed consent

papers with a family member present

128. A diagnostic test is ordered that

required a signed informed consent. The

nurse becomes very busy and she checks

on the patient, discovering that the

patient has already left for the test. The

nurse goes to find the patient just as the

procedure has completed. A procedure

without the proper informed may result in

what type of crime?

a. battery b. challenge

for cause

c. comparative negligence d. slander

129. After delivering a baby with special

needs, the new mother tells the nurse

that the man assumes hes the fatherisnt and ask the nurse to tell the doctor.

This medical dilemma is an example of:

a. confidentiality b. conflict of

interest

c. negligence d. slander

131. A law voted on by a legislative body

of government is called:

a. administrative law b. common law

c. constitutional law d. statutory law

132. When a judge interprets a law and

issues a decision, this is called:

a. administrative law b. common law

c. constitutional law d. statutory law

133. A patient has been hospitalized after

a car accident. Hes planning to sue the

driver of the vehicle that hit him. In this

lawsuit, the patient is the:

a. agitator b. defendant

c. litigator d. plaintiff

134. The nurse makes two medication

errors because she didnt use the 5 rights

of medication administration and one

patient has a reaction. This is an example

of:

a. assault b. fraud c. libel d.

malpractice

135. The most common reason for the

loss of a nursing license is:

a. developing a physical deficit

b. drug and alcohol abuse

c. not paying income taxes

d. writing bad checks

136. An appropriate reason for the loss of

a nursing license is:

a. bankruptcy b. decline in health

c. theft d. therapeutic

abortion

137. The doctor orders a very large doseof narcotics. The nurse knows that this

dose could be fatal if administered.

Legally, the nurse:

a. can give the medication after she gets

approval from the nursing supervisor

b. is responsible for any medication she

administer

c. should give the medications, because

the doctor is responsible for his order


15/22

d. should notify authorities immediately

138. The nurse has made assignments

that included a nurse assistant who is an

unlicensed caregiver. Is the nurse legally

responsible for the care the nurse

assistant gives?

a.always because the nurse is her supervisor

b.never because the hospital employs both

the nurse and the nurse assistant, so they

are both responsible

c.not usually if the nurse assistant has been

assigned tasks within the job description of

a nurse assistant

d.possible because the law is so different in

each state that there is no clear answer

139. Nurses should be aware of the

political process because:

a. doctors will take over nursing therapies

b. managed care is becoming the leader

in the pay process for care

c. nurses may be called to war if needed

d. some nursing practices are controlled

by governmental decisions

140. Sometimes a doctor or nurse may

unintentionally harm a patient. This is

called:

a. libel b. malpractice

c. negligence d.

nonmaleficence

141. Fraud can be defined as:

a. false accusations-written, printed or

typed that are made with malicious

intent

b. any words spoken with malice that areuntrue and prejudicial to another person

c. the act of intentionally misleading or

deceiving another person by any means

d. the omission of an act that a prudent

person would have performed

142. A nurse alters a hospital record

because she knows an error has been

committed. Her action may be classifiedas:

a. fraud b. libel

c. malpractice d. slander

143. A nurse gives legal testimony that is

taken and recorded outside the

courtroom. This is called a:

a. certified testimony b. contract

c. deposition d. tort

144. Law is defined as a standard of

conduct established and enforced by the

government. There are several types of

law, and the practice of nursing is

governed by:

a. administrative law b. civil law

c. common law d. public law

145. The Patients Bill of Rights was

published by the:

a. American Hospital Association

b. American Nurses Association

c. Joint Committee of Hospitals

d. Occupational, Safety and Health Act

146. Mr. Marsh wants his son designated

to make his health decisions. What

documentation is needed?

a.A doctors order

b.A durable power of attorney for health

care

c.a living will signed by both parties

d.a signed advance directive

147. The PD that requires that all health

workers to register all births within 30

days from birth:

a. PD 615 b. PD 651

c. PD 561 d. PD 156

148. Which of the ff. is the Code of

Sanitation?

a. PD 825 b. PD 856

c. PD 965 d. PD 791


16/22

149. The nurse should know that all

prescriptions of the municipal health

officer should be in generics. What law

provides for this mandate?

a. RA 9173 b. RA 6675

c. Ra 1080 d. RA 7160

150. Which of the ff. provisions does not

apply to RA 7305?

a.promotes and improves the socio-

economic well being of public health

workers

b.develop their skills and abilities to

remain in government

c.encourage those qualified and those

with abilities to remain in government

service

d.standardized the salaries of nurses

working in the government

151. The delivery of basic services and

facilities of national government was

transferred to the local government units.

Which of the ff. mandated this?

a. RA 7305 b. RA 7160

c. RA 4226 d. RA 9173

152. Comprehensive Dangerous Act of

2002 is:

a. RA 6425 b. RA 9165

c. RA 953 d. RA 6675

153. Under the Narcotic Drug Law, the

nurse handling narcotics may be held

criminally liable if she:

a. has drug in private possession

b. is a patient using duly prescribed drugs

c. administer narcotics orders of a

licensed physician

d. is accounting for the drugs under a

licensed employer

154. Known as the Phil. Nursing Act of

1997.

a. Ra 9173 b. Ra 7164

c. LOI # 1000 d.

Proc# 539

155. Which groups are required to be

immunized as per PD # 996?

a. children with special needs

b. children below 8 years old

c. out of school youth

d. school children

156. Which legislation aims to promote

and improve the social and economic well

being of health workers in government

service?

a. Ra 7164

b. DOH policies and guidelines

c. Alma Ata

d. Magna Carta for Public Health Workers

157. The PD that requires all health

workers to register all births within 30days from birth:

a. PD 615 b. PD 651

c. PD 561 d. PD 156

158. RN Roger Carlitos knows that an

illegitimate child can also be registered.

This has been possible through:

a. RA 9173 b. RA 7164

c. RA 9408 d. RA 9255

169. Based on the family code of 1998,

how many persons are needed in order

for a marriage to be legal and binding?

a. 3 b. 2 c. 5 d. 7

170. If a husband and wife, retain their

marriage status, cannot remarry and/are

only separated in room and board, they

are said to be on:

a. trial separation b. legal separation

c. divorce d. annulment


17/22

171. Dionesia celebrated her 18th birthday

with a grand open party. She met many

new faces during the party but there was

this one guy whom she liked the most.

After the partys over, Dionesia stayed

with him to get to know him better. The

guy liked Dionesia so much but the

birthday celebrator was conservative. The

guy forced sex on powerless Dionesiathat evening. The guy can be penalized

on the basis:

a. RA 7877 b. RA 8485

c. RA 7610 d. RA 8353

172. Which of the ff. is the Code of

Sanitation?

a. PD 825 b. PD 856

c. PD 965 d. PD 791

173. The nurse should know that all

prescriptions of the municipal health

officer should be in generics. What law

provides for this mandate?

a. RA 9173 b. RA 6675

c. Ra 1080 d. RA 7160

174. Weng is a new staff nurse in a

provincial hospital. His appointment

papers were processed at the:

a. Mayors office b. Governors

office

c. Regional Health Office d. DOH

Central Office

175. He was appointed based on the fact

that she was number one in the screening

done by the selection committee. The

committees action is consistent with:

a. Local Government Code

b. Civil Service Law

c. Magna Carta for Public Health Workers

d. Nursing Law

176. A nurse performs cardiopulmonary

resuscitation in an emergency situation

until the ambulance arrives to take the

victim at the hospital. Ideally, where it is

enacted, the nurse may be protected bywhich law?

a. Good Samaritan b. Minimum Standards

c. Nurse Practice Act d. OSHA Act

177. Which of the ff. statements indicates

a trend affecting professional nursing

practice today?

a. hospitals are changing the direct patient

contact mix by hiring more non-

professional personnel, thus decreasing

the number of professional nurses

b. nursing is moving back to internships

instead of formal education

c. psychologist are conducting nursing

research instead of using nurses

d. very few nurses work in the community,

almost work in hospitals

178. A nurse is a lifelong learner. The

most important reason for this is:

a. Accrediting agencies, such as National

League for Nursing require it

b. employers require it to stay employed

c. doctors need to be ensured the nurse

is competent in nursing

e. nurses must remain current in nursing

research, skills and knowledge

179. Health care delivery in the future

must consider what major trend?

a. decreasing competition among

hospitals

b. decreasing emphasis on technology

c. increasing number of nurses in the

profession

d. increasing population over age 70

180. The nurse performs many roles in

the practice of nursing. Which role is

defined as the protection of human or

legal rights and the security of quality

care for each patient?

a. advocate b. communicator

c. counselor d. leader

181. Critical thinking is essential to

because

a. Is constantly used for solving problemsand making sound judgment


18/22

b. Becomes vital in developing nursing

knowledge

c. Forms the basis for the professional

code of ethics for nursing

d. Is needed to successfully pass the

licensure exam

182. Modern day nursing has led to the

development of expanded role of the

nurses in the function of a

a. clinical; nurse specialist b.

critical nurse

c. community health nurse d. staff nurse

183. You can join a continuing education

program to help you:

a. Earn credits for license renewal

b. Get in touch with colleagues in nursing

c. Enhance your basic knowledge

d. Update your knowledge and skill

related to field of interest

SITUATION: RA 9173 also ensures the quality

of nursing work force in the Philippines. It also

ensures the welfare of the nurses through

salaries and other benefits

184. A nurse should be cognizant that

professional programs for specialty

certification by the BON are accredited

through

a. Professional Regulation Commission

b. Nursing Specialty Council

c. Association of Dean of Phil. Colleges of

Nursing

d. Philippine Nurses Association

185. According to the nursing law, whowill spearhead the comprehensive

nursing specialty program?

a. DOH b. BON

c. PRC d. Professional

Specialty Org.

186. Thos will upgrade the level of skill

and competence of specialty nurseclinician in the country

a. NSCC b. CNSC

c. CNSP D. NDCC

187. Mindful that the nurse generalist

prepares for 4 years. In order to

specialize, how many years should the

participant complete the program?

a. 3 years b. 1 year c. 2 years d. 4

years

188. After completing the program, how

many years will the be obliged to serve

the country?

a. 2 years of cumulative service

b. 2 years of intermittent service

c. 2 years of continous service

d. No minimum years required, they can

go out the country anytime

189. Dioning just finished her

specialization. Her friend Gloring is also

interested to specialize as a nurse.Gloring ask what fields of specialization

are available in the Philippines. Dioning

enumerates the following except:

a. critical care nurse b. endoscopy nursing

c. oncology nursing d. renal nursing

190. Glory ask Dona if she will spend any

in the specialization. She further ask her

where the funds will come from. Diona

answers that the funds will come from

a. PCSO b. PAGCOR c. none d. both

a and b

191. Glory just finished her MAN from the

Health Science Gradute School, she has

been in practice for 10 years being the

supervisor of a private medical center.

Diona tell her that she cannot enter CNSP

because she is:

a. Already MAN graduate and that is

already considered a specialization

b. Graduated Man from dubious university

c. In nursing practice and only those in

nursing education can be nurse

specialists

d. Employed in a Medical Center


19/22

192. Glory understands that only how

many percent of RN employed in

participating government hospital can

avail of the program?

a. 15% b. 10% c. 25% d. 100%

193. Diona explains the levels of CNSP to

Gloring. Gloring ask how many program

units are needed to complete 2nd level

a. 60 units b. 120 units c. 150 units

d. 200 units

194. Glory now knows that the highest

level in Clinical Nurse S[ecialist Level. Thelevel would need what kind of program

performance?

a. very satisfactory b. outstanding

c. awesome d. excellent

195. Aside from the DOH and BON, what

agency will help in developing the

incentive system for RNs employed in

government hospital

a. Dept of Labor and Employment

b. Dept of Budget and Management

c. Dept of Internal Revenue

d. Dept of Finance

212. According to ANA definition, Nursing

Informatics is

a. A specialty that optimizes information

management and communication to

improve health of population,

communities, families and individual

b. A specialty that uses technology in the

provision of nursing care, establishing

administrative system, delivering

education, promoting continuing

education research in nursing profession

c. A specialty that integrates nursing

science, computer science and

information science in identifying,

collecting, processing and managing data

and information in support nursing

practice, administration, education,

research and expansion of nursing

knowledge

d. A specilaity that utilizes and applies

computer technology in the provision of

health care

213. Which of the following is the goal of

nursing informatics?

a. Optimizes information management and

communication to improve the health of

the population, communities, families,

and individuals

b. Use technology in the provision of nursingcare, establishing administrative systems,

delivering education, promoting

continuing education research in the

nursing profession

c. Integrate nursing science, computer

science and information science

identifying, collecting, processing and

managing data and information in

support nursing practice, administration,

education, research and expansion of

nursing knowledge

d. utilizes and applies computer technology

in the provision of health care

214. The time period when

consciousness of the significance and

application of computer into nursing

emerged

a. before 1960 b. 1960s c. 1970s

d. 1980s

215. The time period wherein personal

computer emerged and the field of

informatics in nursing emerged

a. 1960s b. 1970s c. 1980s

d. 1990s

216. The time period wherein computer

technology in the Philippines.

a. 1960s b. 1970s c. 1980s

d. 1990s

217. The time period wherein computer

technology was directly integrated and

involved in the direct provision of healthcare

a. 1960s b. 1970s c. 1980s

d. 1990s

218. Nursing informatics is a newly

emerging field in the health care. The

term informatics simply means:

a. a board of academic fieldencompassing information science


20/22

b. the application of information science

c. the study of information science

d. the science of information

219. A nurse knows that the framework in

nursing informatics depends on the ff.except

a. data b. information

c. knowledge d. skills

220. This concept in the framework of

nursing informatics is defined as discrete

entities that are described objectively

without



221. This concept in the framework of

nursing informatics is defined as data

that is ineterpreted, organized or

structured



222 . This concept in the framework of

nursing informatics is defined as

information that has been synthesize so

that the interrelationship are identified

and formalized



223. A new role of nurse who has formal

education, certification and practical

experiences in using computers in patient

care setting is called:

a. nurse information system manager

b. nurse computer technologist

c. nurse information specialist

d. nurse information practitioner

224. Of all the fields wherein informatics

can be applied which of the following has

the highest and most evident benefit?

a. Nursing practice b. Nursing education

c. Nursing administration d. Nursing

Research

225 .The use of Computerize or Electronic

Patient records benefit greatly which area

of nursing?



Research

226. The use of automatic billing for

supplies or procedure with nursing

documentation benefit greatly which area

of nursing



Research

227. The use of Email for improved

communication benefit greatly which area

of nursing



Research

228. The use of computerized literature

searching benefit greatly which area of

nursing



Research

229. The use of interactive video

technology benefit greatly which area of

nursing



Research

230. The NARS Program of the Phil.

Government aim to do which of the ff.

except

a. glut in inexperienced nurses

b. decrease in proliferation of volunteer

nurses working in hospitals without

being paid, but instead, they

themselves pay the hospitals to obtain

Certificate of work experience


21/22

c. to promote health of the people and

bring the government closer to them

d. immunize children and mothers

231. Specifically, nurses employed in the

NARS program will do which of the

following except

a. initiate primary health, school nutrition,

maternal health program, first line

diagnosis

b. implement all DOH health program

c. Inform about community water

sanitation practices and also do health

surveillance

d. Immunize children and mothers

233. Generally the NARS program is both

a training and a

a. socio-civic program b. socio-

economic program

c. education program d. development

program

235. NARS nurses will undergo training

and development for competency

enhancement in accordance with the

training program designed by the DOH

and with

a. DOLE b. PRC BON

c. PNA d. DOH alone

236. Completeion of the training program

under NARS program shall be considered

as a substitute for the workexperience

requirement of hospital and other health

facilities both local and overseas. The

Certificate of Completion shall be issued

jointly by

a. DOLE, PNA, NLGN b. DOLE, PRC, PNA

c. . DOLE, PRC, BONd. None of the above

237. The total number of NARS nurses

that will be deployed all throughout the

country will be limited to 1000

municipalities. Strictly speaking, these

municipalities

a. with highest morbidity rate

b. with highest poverty rate

c. with highest mortality rate

d. All of the above

238. How many NARS nurses will be

deploy per municipality?

a. 6 b. 5 c. 4 d. none of the above

239. All of the following are qualifications

of an applicant to the NARS program

except:

a. With valid nurse license issued by PRC

b. Not over 35 years old

c. Resident of the identified municipalities

d. No nursing related practice for past 3

years

240. A NARS under the nurse program will

render 40 work hours per work, this is in

accordance with what legislation of the

country

a. RA 9173 b. Labor Code

c. Code of Ethics for Filipino Nurse d. None

241. This program by ANSAP was

primarily designed to ensure safe practice

of intravenous therapy to uphold quality

nursing practice

a. Basic IVT programb. Advance IVTprogram

c. IVT refresher course d. all of the

above

242. Administration of parenteral

injection is

a. not a duty of a nurse b. duty of a

physician

c. stipulated in RA 9173 d. None of the

above

243. Entrance requirement for Basic IV

therapy training include the following

except

a. BS in Nursing

b. Registered professional nurse withcurrent license from PRC


22/22

c. 3 + 3 + 2 cases

d. None of the above

245. Before the issuance of an IVT

license, a participant should within 6

months of training complete and pass

which of the following

a. None of the above

b. 6 cases of initiating/maintaining

peripheral IV insertion; 6 cases of

administering IV drugs and 2 cases of

administering and maintaining blood and

blood components

c. 3 cases of initiating/maintaining




blood components

d. 4 cases of initiating/maintaining




blood components

246. RA 9173 guarantees that a RN can

suture a perineal laceration provided thatspecial training be undertaken. This

training should be offered by MCNAP

together with

a. BON b. ANSAP c. PNA d.

ORNAP

247. The entry requirement for the

suturing program includes a registered

nurse with a current license from thePRC, participating Maternal and Child

Nursing preferably a member of MCNAP

Inc. and has a minimum work experience

of

a. At least 1 year in Labor/Delivery Room

or community health setting

b. At least 6 months in Labor/Delivery

Room or community health setting

c. At least 3 months in Labor/Delivery

Room or community health setting

d. None of the above

248. A participant of the program after

payment of the required fee can now be

issued a certification card. He should also

present the following except

a. 3+3 Practicum Sheet with Signature

b. Photocopy of current PRC license

c. Original/photocopy of Certificate of

Attendance

d. 3R size photo documentation of actual

suturing

249. For renewal or revalidation of the

certification card, a nurse knows that it is

renewed every

a. 2 years b. 3 years c. 4 years

d. 6 years

250. Its renewal or revalidation requires

continuous practice in any health care

setting and a CPE units in any related

obstetrical matters. The nurse knows that

he needs at least how many units?

a. 20 b. 24 c. 60 d. none

professional adjustment nursing edited

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