2. If a research study involves an intervention and “blinding” which research design is being

    referred to ?

3. Which of the following statements is LEAST descriptive of a qualitative research design ?

4. Qualitative researchers should choose their participants who can best meet the objectives of

    the study . Who of the following BEST qualifies?

5. A “ full understanding “ in research should be understood by the nurse researcher as_____

Situation 2 - Management of records is very vital in any health care facility. The nurse must ensure there is due diligence in the task.

6. Nurse Gay is assigned in the medical unit. She is guided that in documentation , she should

    use abbreviation that is ______

7. One error in record-keeping is illegible handwriting . What is the APPROPRIATE action by the nurse in this situation?

8. When a nurse commits an error in the progress notes the BEST action she should do is

    to_____

9. Which is NOT a correct statement regarding record-keeping?

10. The QA nurse conducts a regular audit of the medical records. The PRIMARY purpose of

      conducting audit in a health facility is to_____

Situation 3 - Health education to Bong and his family is set up prior to surgery. A program of weight gain aims for a high protein and high calorie diet. The nurse prepares the health education plan.

11. The nurse ensure, which of the following should be present and be cooperative in the educational program?

12. The nurse must include in the education plan, which of the following components?

      (select all that apply)

I. Objectives

II. Content and time allotment

III. Teaching and learning resources

IV. Evaluation parameters

13. To have a simplified and more understandable implementation of the plan the nurse

      presents it with use of_____

14. Before the education plan of the staff nurse can be finalized and implemented , it is BEST that it is reviewed by ______.

15. During the implementation process , the nurse should ensure a ___ for a better assimilation

      of the teachings

Situation 4 - Nursing student Myra decides to do a qualitative phenomenological study on how the stigma of AIDS affects the patients. She has previously identified 6 participants : 3 teenage girls.

16. What is the BEST way for Myra to collect data from these participants?

17. What kind of sampling method should she apply ?

18. The statements of the findings of the study that will be formulated by Myra should be by___

19. Informed consent in this study will be obtained by Myra from the ____

20. What is NOT important for Myra to do when listening to tape recordings?

Situation 5 - Communication is very important in a nurse-patient interaction relationship.

21. It is not enough for the nurse to listen , but she also has to validate what she heard. The

     Importance of validation are the following, EXCEPT

22. To be more responsible, a nurse needs to understand the elements of the communication

       process. When she initiates interpersonal communication, the element involved is_____

23. Should the nurse encounter patients who are stressed due to their health condition, the

      The BEST way to communicate is through one of the following.

24.  The reasons for the nurse wishing to enhance his/ her communication skills is to be able to

       establish rapport, EXCEPT_____

25. When the nurse interacts with patients face to face such as in getting information during the

      assessment phase of the nursing process, the level of communication is which of the

      following?

Situation 6 - It is necessary that records are well- recorded and properly kept if they are to serve the organization and the requesting public well.

26. Incident reports (IRs) shall be collected for the day and due investigations scheduled by the

      Quality department. Upon completion of the investigation, the IRs____

27. The patient records ( charts) are collected every three nights from the various departments.

      The night nurse is EXPECTED  to  the following EXCEPT,____

28. When patient record reach the medical records, the assigned staff will____

29. The charts are stored in the medical records or storage room for at least____ years.

30. How many years are medico-legal charts stored?

Situation 7 - Health education on HIV-AIDS has been massive in the years prior, yet patients and their relatives still have a number of queries and misconceptions about it. Lerma, a young mother of 34, has been recently diagnosed with the disease.

31. Lerma is aware that there is mother to child transmission of HIV-1. She becomes concerned

     and asks the nurse when it specifically happens. The nurse answer that it can occur in the

    following circumstances, EXCEPT____

32. Lerma would like to know how she could limit further exposure to more HIV virus by using

      Preventive measures. The nurse informs her that the use of a highly effective male condom

      that can decrease the transmission of HIV is_____-

33. Patient Lerma has a CD4 lymphocyte count which is below 200 cells/cumm. She then asks what it means The nurse answers that ____

34. The nurse counsels Lerma that the prevention of HIV infection that is usually NOT REALISTIC is which one of the following ?

35. Nurses are at risk for HIV exposure. Post exposure prophylaxis (PEP) DOES NOT include one of the following?

Situation-8 The Quality Department has received numerous complaints, some of them on patient falls

36. Nonah who is an 86-year old patient is admitted for fever and falls from the bed despite the presence of a watcher. The head nurse was concerned since a fall protocol has been formulated for some time now. To avoid a similar incident, which of the following is MOST effective?

37. The nurse informed the head nurse that the lock in the side rails does not work properly at times and might have gotten loose in the night thus the incident of fall. What is the APPROPRIATE thing for the head nurse to do in this regard?

38. The quality improvement officer-in-charge of the unit plans to conduct a meeting with the staff. The MOST important thing to tackle is to ____

39. What is the INITIAL action that the nurse should do immediately after the fall mitigate the situation?

40. What lesson will the nurse learn from this incident?

Situation 9 - Nilda 58 years of age was brought to the ER because of numbness on her left face and arm and a confused mental state The ER doctor made an initial impression of ischemic stroke.

41. Nilda wonders how she developed the manifestation of ischemic stroke. The nurse explains that there is ___

42. The nurse knows that visual-perceptual disturbances can occur in stroke when patient Nilda manifests hemianopsia, She has ___

43. The nurse knows that initial diagnostic test that is ordered for stroke is ___

44. The ER nurse anticipates that a thrombolytic agent would be ordered to treat ischemic attacks. Knowing the action of thrombolytics, the nurse must particularly be alert for which adverse reaction?

45. Patient Nilda complains of shoulder pain The nurse is aware that she is prone to have adduction of the shoulder A nursing intervention for this is to ___

Situation- 10  Emmy 22 years of age is a midwife in the OB ward is now complaining of contact dermatitis from gloves.

46. Patient like Emmy who have experienced delayed hypersensitivity to latex FREQUENTLY

     complains of

47. The nurse knows that the diagnosis of contact latex allergy is based on history and _____

48. Latex allergy can be a type I IgE-mediated immediate hypersensitivity to plant proteins from the latex of rubber. It can manifest in its MOST severe form as ____

49. Type I IgE-mediated immediate  hypersensitivity reaction is promptly managed with ____

50. The best prevention management of contact latex allergy is ____

Situation 11: Sins of Omission and Comission may be committed by the nurse in the course of her duty. She must therefore be extra careful.

51. The patient for breast biopsy is very anxious and seemed not to understand her ordered surgery, radical mastectomy. What is the APPROPRIATE  action by the nurse?

52.  The patient refused his intramuscular injection but the nurse proceeded to administer it anyway. What can the nurse be accused of?

53. The staff nurse was doing prescribed modified steam inhalation to a pediatric patient which resulted in burns. What is NOT a RELEVANT statement to establish negligence?

54. Staff nurse A told her co-workers that staff B is suffering from gonorrhea. What can staff A be sued for ?

55. The surgical patient , a Jehovah's witness , reiterated non-acceptance to a blood transfusion. The nurse defied it and the patient was transfused intraoperatively. What case can be filed by the patient?

Situation 12 - Nurses must closely adhere to the ethical principles and rules, and not only to the laws.

56. When the nurse ensures that patients have consented to all treatments and procedures, is she is TRUE  to which ethical principle?

57. If the nurse will refuse to perform duties for which she is not qualified , she is practising____

58. The code ethics stipulates that human life is inviolable . Which statement CORRECTLY translates the principle to the situation of the Filipino nurse as a professional?

59. When the physician insists that his cancer patient undergoes radiation, in addition to chemotherapy which is CONTRARY to the patient’s and family's wishes, the physician is exercising____

60. An Iranian was admitted to the hospital for kidney transplantation. He claims his donos is a Filipino relative as required by the law. However,  it was discovered later that his claim was not true. Should the doctor fail to act accordingly to the wrong information, the nurse is obligated to refer the case to, which of the following?

Situation 13- The nurse conducts health education on common types of allergy with the parents of allergic children and adults with hypersensitivity issues

61. During the conduct of the health education class, which communication skill involves active listening that is being used by nurses to gain an understanding of the patient’s message?

62. The nurse must be alert about BARRIERS to communication during the health education class so that she can______

63. The mother of the atopic dermatitis patient is very concerned about scarring that will result from the child’s frequent scratching . How will the nurse BEST communicate her reassurance?

64. Because of the presence of skin lesions, atopic dermatitis affects the patient’s self - esteem and his willingness to interact with others. The nurse communicates her nursing intervention by____

65. The adult patient who was receiving diphenhydramine (Benadryl) verbalized he was always sleepy and fears he would sleep on the job and will get fired. The nurse will BEST calm the patient by assuring him that his physician can readily change his medicine to ____

Situation 14- Susie, 5 years old, is diagnosed with nephrotic syndrome and is manifesting massive proteinuria resulting to decreased albumin in the blood.

66. The nurse understands that the passage of protein in the urine is the result of ____

67. Upon clinic assessment, the nurse observes that the OUTSTANDING manifestation of the patient is _____

68. The physical appearance of the urine of the patient with nephrotic syndrome is COMMONLY____

69. The patient with nephrotic syndrome is ordered corticosteroids. Who of the following are NOT ALLOWED in the patients.

70. Corticosteroids are one of the main therapy for nephrotic syndrome. Which of the following COMMON side effects should the nurse watch for?

Situation 15- Patient Reno ,53 years of age is pale and complains of easy fatigability . He has undergone complete blood count (CBC) where abnormal cells were found. He was diagnosed with acute lymphocytic leukemia (ALL)

71. The nurse ensures that the isolation procedure APPROPRIATE for reno is ____

72. Which of the following diagnostic procedures will definitely establish the diagnosis for patient Reno?

73. When the thrombocyte count falls below 20,000/cu mm, the nurse will expect that the physician will order ____

74. On the basis of his leukocyte count, the nurse instructs the patient NOT to do , which one of the following ?

75. During the period of exacerbation, the patient’s hemoglobin is markedly decreased. What instruction by the nurse is APPROPRIATE ?

Situation 16 - Nurses must continually grow as a person and as a professional.

76. As a newly licensed nurse employed in a tertiary hospital, you are required to attend a continuing professional development (CPD) program. When the training program is for the enhancement of the competencies of nurses employed in the hospital, it is called_____

77. The professional career development of a nurse can be achieved through various ways, such as ______

78. When nurses are projected in a television advertisement as sex symbols, what APPROPRIATE action is expected from concerned nurse?

79. To enhance the personality of the graduate nurse, she / he may attend . Which of the following programs?

80. The nurse application to Canada has finally been approved and she was advised to depart in three months. She is currently enrolled in graduate school. Moreover, her mother has just been discharged from the hospital . which of the following actions is BEST

Situation-17 Patient Narding is diagnosed with stroke and suffers from a number of deficits as a result of injury to his brain. His rehabilitation may be long, depending on the extent of brain injury

81. Narding has been urinating on and off in bed which is possibly related to a flaccid bladder and difficulty in communication. The nurse becomes concerned because he is showing signs and symptoms of pressure sores due to his immobility and the frequently  wet beddings. The nurse decides to refer the patient  to the ____

82. Narding became unduly silent and kept to himself after his stroke left him with left-sided weakness. The nurse observes that the patient seems really sad and shares the information to the physician who refers the patient to a _____

83. The patient shared his concern about being able to father a child after the stroke especially that he has only one child , a girl. He would like to have two boys but he doubts his present sexual capacity. Who can BEST help him along this area ?

84. The patient should be assisted back to normal mobility after his stroke partially incapacited him. The referral that will be done by the attending physician must be to which professional ?

85. Narding seems forgetful, inattentive, and not answering appropriately to some question posed. The nurse anticipates that the consultant will need to ask the professional help of the ___ for cognitive improvement

86. Should the nurse administer the wrong medicine to the patient , what APPROPRIATE ACTIONS is she expected to do?

I. Keep silent about it for the meantime but closely observe the patient

II. Make a report to the supervisor through the head nurse

III. Tell the patient that an error has been committed

IV.

Sitaution 20- Quality improvement must be embraced by every health institution if it aims for safe and quality care. The medical director of Camiguin Medical Center made random rounds for five consecutive days to all areas of the hospital to assess its services

87. Which of the following  is NOT a characteristic of quality improvement that the medical director is interested in ?

88. A risk is any event that causes problems or benefits on the healthcare institution.  The medical director  knows that potential risks must be identified across the hospital in order to prevent the following EXCEPT ____

89. Based on patient survey a number of complaints have been tracked. Which of the following is NOT a preventive activity in the practice of the medical director risk management?

90. The Medical Director with the chief nurse and other officers of the hospital believe that patient relation is important in risk management because a dissatisfied customer is likely to sue. Which is NOT the way to handle complaints ?

91. Nurses usually complain they have no personal life because of rotating shifts. The following are three major ways to create personal time EXCEPT___