SITUATION 1 undergo a lifestyle modification which begins with

As a new RN, you are for one-month orientation in the ____________.

orthopedic unit of the hospital.
A. Eating the right kind of foods
1. Which of the following methods of documentation uses a B. A recognition of the impact of unhealthy habits
chronological, story-telling format? C. Doing a regular daily exercise.
D. A constructive and positive attitude in life.
A. Computerized documentation
B. Narrative charting 9. Mark is a well-informed nurse on the smoking cessation
C. Focus charting program of the Department of Health. As a next step to his
D. PIE charting decision to stop smoking, Ace needs ___________.

2. Which of the following is the key issue in malpractice actions A. Commitment

brought against nurses in relation to medical records? B. Motivation
C. Information
A. Failure to document the client’s response D. Skills to implement change
B. Failure to document medication and treatment given
C. Failure to document appropriately SITUATION 2
D. Failure to use medical terms Mrs. Sophie Tan, a 43-year old female came in for consult with
the chief complaint of severe pain of both eyes. She claimed she
3. You have observed the charge nurse charting treatments and sometimes sees rainbow halos around light. She also
medications prior to actual administration and implementation. experiences nausea and vomiting, the attending physician gave
Which of the following would be your initial action in this an impression of Acute Angle-Closure Glaucoma.
situation?
10. In assessing Mrs. Tan, what demographic data is/are
A. Document what you have observed regarding the charge RELEVANT to ocular movement?
nurse’s behavior
B. Talk to the charge nurse about the legal implications of her A. Gender
action and the violation of standards of practice B. Age at menarche
C. Report the charge nurse’s behavior to the nurse manager C. Age and gender
D. Tell the charge nurse that you have an obligation to report the D. Race
behavior to the nurse manager
11. An ophthalmoscopic examination was done to Mrs. Tan.
4. A staff nurse is seen making an entry into an electronic The following results are expected EXCEPT ____________.
medical record under another nurse’s login. What is the most
appropriate thing to do in this situation? A. Nonreactive pupil
B. Corneal cloudiness
A. Tell the staff nurse’s behavior to another nurse C. Erythematous conjunctiva
B. The staff nurse’s activity should be reported to someone in D. Decreased intraocular pressure
authority
C. Talk to the staff nurse about it 12. Vision loss for Mrs. Tan may progress as days go by and
D. Just be quiet about the whole thing this is irreparable. An appropriate nursing diagnosis would be
___________. (C has an incorrect etiology despite having
5. Which of the following would be your MOST appropriate correct Nursing problem Disturbed sensory perception)
action when receiving a doctor's order over the phone?
A. Disturbed sensory perception related to severe pain
A. Have somebody beside you while receiving the doctor’s B. Risk for ineffective therapeutic regimen
order C. Disturbed sensory perception related to recent loss of vision.
B. Write down the telephone order D. Grieving related to loss of vision
C. Have the physician sign the telephone order first chance you
see him 13. Select the medication that should be discussed by the nurse
D. Read back or repeat the order the physician gave you with the attending physician before administering it to Mrs. Tan

6. A common response to unhealthy work environment is A. Isoptocarpine eyedrops

physical tension. This can be overcome by progressive muscle B. Corticosporin ophthalmic
relaxation which basically involves __________. C. Mannitol
D. Atropine
A. Focusing on an image to relax
B. Active physical exercise like aerobics 14. In a medically-managed patient with glaucoma, independent
C. Releasing muscles from tension. self-care is the area for evaluation. Which of the following is a
D. Listening to a relaxation audio program. short-term outcome for Mrs. Tan?

7. Bio-behavioral interventions are being used increasingly by A. Ability to recognize clinical manifestations of complications
both nurses and patients in stress management. The following B. Mrs. Santos’ self-care ability
are examples of such intervention except ___________. C. Compliance with the medical management
D. Mrs. Santos ability to instill eye drops
A. Progressive muscle relaxation
B. Pharmacotherapy SITUATION 3
C. Guided imagery Chelsea is a beginning nurse in a government hospital. She still
D. Mindful meditation needs enhancement of her competencies in charting.

8. Mark, a young overweight nurse, is making five to ten sticks 15. Chelsea should know that in narrative charting,
of cigarettes a day. He claimed that he learned to smoke to documentation of patient care should be ____________.
relieve his stress caused by toxic assignments in the ward.
Along with the smoking he became a stress-eater. He decided to A. Extensive
B. Formatted
C. Chronologic
D. Descriptive C. Vomiting
D. Sensorineural hearing loss
16. Which statement is NOT true about medical record that
Chelsea must understand. Charts _____________. SITUATION 5
You are a staff nurse in the Psychiatric Unit of the hospital
A. Contents must be kept confidential taking care of patients with manic disorder. The following
B. Can be borrowed by any nursing student questions relate to this statement.
C. Can be accessed by a researcher.
D. Can be given out only with patient’s consent 23. What would be your MOST therapeutic response to a manic
patient demanding that you call his attending physician to make
17. The following are methods of charting, EXCEPT an order for a pass to go out at the middle of the night?
__________.
A. “You go to the recreation hall now while I call your attending
A. Sequential physician”
B. Narrative B. “You must really be upset to want a pass immediately. I will
C. POMR give you a medication to make you calm.”
D. Focus C. “I can’t call your physician now but you can talk to me about
your request to pass.”
SITUATION 4 D. “Don’t be unreasonable. I can’t call your attending physician
You are a staff nurse in the Ear Unit of a government hospital. in the middle of the night”
As such, you are taking care of patients with different ear
conditions. 24. One of your patients lacks food and fluid intake due to poor
appetite. What foods would BEST meet the patient’s nutritional
18. Pau, a 25 year-old radio announcer came in for consult with needs?
the chief complaints of not being able to hear well and inability
to discriminate sounds he is hearing. An otoscopic examination A. Steak and spaghetti
was done to her, which revealed that there is sensorineural loss. B. Peanut butter, sandwich and milk
This condition is due to damage to what part of the ear? C. Carrots, celery, raisins, apple
D. Beef and non-diet soda
*
25. During lunchtime you have observed that a patient with
1 point mania taking food from other patient. What principle would
guide you in determining the appropriate intervention in this
A. Cochlea and auditory nerve situation?
B. Vestibular nerve and cochlea
C. Middle ear and auditory nerve A. The patient needs foods and fluids any way possible
D. Outer ear and cochlea B. The patient will calm down as soon as lunchtime is over.
C. The intrusive behavior of a manic patient is not a threat to
19. Which of the following is a predisposing factor for sensory other patients.
hearing loss? D. Other patients need to be protected from the intrusive
behavior of other patients.
*
26. A patient is manifesting some manic depression. Which of
1 point the following activities would you provide to distract such
patient?
A. Serous otitis media
B. Ototoxic agents A. You let the patient go for a walk
C. Otosclerosis B. Give him a book to read.
D. Perforation of the eardrum C. Let him watch the final game of the UAAP
D. Let him play checkers with another patient.
20. Which of the following is useful in correcting a
sensorineural hearing loss? 27. What therapeutic activity would you provide a patient with
mania?
A. Nothing, the damage is irreversible
B. Myringotomy A. Doing ceramics and whittling
C. Stapedectomy B. Playing cards and checkers
D. Tympanolasty C. Playing bingo and knitting
D. Drawing and folding towels
21. One of your patients underwent tympanoplasty. Which of
the following interventions is the MOST APPROPRIATE after SITUATION 6
a tympanoplasty? You are a staff nurse in a Rehabilitation Center for Substance
Abuse.
A. Applying ear drops as ordered by the physician
B. Teaching the patient to avoid heavy physical activity for at 28. You admitted an intoxicated patient for alcohol withdrawal.
least three weeks. Which of the following interventions should you implement to
C. Rinsing ear three times a day using hydrogen peroxide as help the client become sober?
ordered
D. Avoiding the use of cotton in cleaning the ears. A. Have the patient take a cold shower
B. Walk the patient around the unit
22. A patient came in with the chief complaints of ringing in the C. Provide the patient a quiet room to sleep in
ears and a feeling of whirling around. The attending physician D. Give patient a black coffee to drink
suspects Meneire’s Syndrome. To arrive at a correct diagnosis,
the patient must be manifesting these three symptoms: 29. While obtaining the history of a patient with several cases of
paroxysmal whirling vertigo; tinnitus; and _____________. driving under the influence of alcohol, you asked about the
amount of alcohol the patient consumes daily. He answered “I
A. Conductive hearing loss just have a few drinks with the guys after work”. Which of the
B. Bilateral symptoms following would be your MOST therapeutic response?
A. “That’s all the patients here say at first”. 36. You accidentally touch Maureen’s eyelid during eye drop
B. “You say you have a few drinks, but you have a multiple instillation causing her to blink. What should have you done to
arrests”. prevent this from occurring?
C. “I think you cannot handle a few drinks”.
D. “Then you should have somebody driving for you”. A. Touch the inner side of the medicine cap
B. Tilt back Claudia’s head slightly
30. Which of the following assessment data provides the best C. Hold the dropper close to the eye but do not allow the
information on the patient’s physiologic response and the medication to fall into the cornea.
effectiveness of the medication prescribed for alcohol D. Have Claudia look up and focus on something
withdrawal?
37. You cannot open Maureen’s eyes due to dried crust. Which
A. Sleep pattern of the following actions would you do?
B. Evidence of tremors
C. Vital signs A. Apply the eye drops the next day
D. Nutritional status B. Apply eye ointment to soften the crust.
C. Instill eye drops
31. One of your patients is manifesting signs and symptoms of D. Place a warm wet wash cloth over her eyes for at least three
alcohol withdrawal such as: tremors, diaphoresis, and minutes.
hyperactivity. Blood pressure is 190/92 mm.Hg and pulse rate of
92 beats/min. which of the following medications should you SITUATION
expect to be ordered for this patient? Nurse Jen who is on-duty in a psychiatric unit is assigned to care
for patients at-risk for suicide.
A. Lorazepam (Ativan)
B. Naloxone (Narcan) 38. Nurse Jen should pursue assessment of suicide risk for
C. Haloperidol (Haldol) individuals who display tendencies to be _____________.
D. Benztropin(Cogentin)
A. Compulsive, obsessive, or weak
32. A patient discharged from an alcohol rehabilitation program B. Risk-taking, aggressive, or controlling
was on Clonazepam (Klonopin) 0.5 mg. three times a day. C. Hostile, impulsive, or depressed
Several months later he reported having insomnia, shakiness, D. Blaming, abusive, or confused
sweating, and one seizure. Which of the following questions
should you ask FIRST? Ask if he _____________. 39. On admission, the nursing diagnosis for Felix, who is
depressed and suicidal is, “Risk for suicide.” An appropriate
A. Has stopped taking the Klonopin suddenly outcome for this diagnosis at discharge from the hospital is,
B. Has been drinking alcohol with the Klonopin “The patient will _____________.
C. Has developed tolerance to the Klonopin and needs to
increase the dose. A. Not harm self while hospitalized
D. Is having a panic attack and needs to take extra Klonopin. B. Be able to problem-solve effectively
C. Increase feelings of self-worth
SITUATION 7 D. Develop a trusting relationship with the nursing staff.
You are a staff nurse in the Eye Unit of the hospital. In the
regular Quality Circle meeting one of the matters discussed was 40. Which of the following statements would BEST represent
the increasing complaints of patients who underwent eye Nurse Jen’s attempt to assess a patient’s current ability to
surgery in relation to instillation of eye drops. The case of organize and enact a suicide wish?
Maureen who has cataract surgery was presented as a frame of
reference in the reviewing the procedure on eye drops A. “What is your educational background?”
instillation. B. “What plan do you have for committing suicide?”
C. “Have you ever thought about hurting yourself?”
33. Which of the following is the rationale for instilling eye D. “Are your self-destructive thoughts frequent?”
drops to patients who has eye surgery?
41. A male suicidal patient is found by Nurse Jen as he tries to
A. To help control the intra-ocular pressure. hang himself in the bathroom. What nursing intervention would
B. To dilate the patient’s pupils address the patient’s need for safety while maintaining his self-
C. To treat an eye infection esteem?
D. To constrict the patient’s pupils
A. Advise him to use the bathroom only with staff supervision.
34. You have observed presence of drainage in Maureen’s eyes. B. Tell him that the police is coming to rescue him.
Which of the following eye solutions would you use in cleaning C. Place him in the seclusion room with 15-minute checks.
her eyes? D. Assign a nursing staff to remain with him all times.

A. Hydrochloric acid 42. In evaluating the effectiveness of the care provided for a
B. Normal saline solution self-destructive patient, the BEST approach is to __________.
C. Mineral water A. Modify the plan as little as possible to avoid confusing the
D. Soapsuds solutions patient.
B. Make sure the staff has followed the original care plan.
35. In instilling the eye drops you have to tilt the back slightly C. Involve the patient in the process of evaluation.
Maureen’s head. Which of the following is the rationale for this D. Identify maladaptive coping behaviors.
nursing action?
SITUATION
A. To prevent any spill from the eye during the procedure The nurse’s work environment plays a vital role in her ability to
B. To keep any debris away from the lacrimal duct. provide quality patient care. Inadequate resources in health care
C. To facilitate the procedure. and unhealthy conditions in the workplace result to nurse’s work
D. To reach the conjunctival sac easily. stress.
 6) Talking to the patient while doing other nursing
43. Burnout is a phenomenon that is BEST characterized by procedures

_____________. A. 1, 2, 3, 5
B. 2, 3, 6
C. 2, 3, 5, 6
A. Emotional exhaustion: depersonalization: and reduced D. 1, 4, 6
personal accomplishment
B. Growing dissatisfaction among nurses due to changing career 49. The patient with a hearing aid does not seem to hear you
expectations. whenever you talk to him. What would be your PRIORITY
C. Increased absenteeism and fast turnover of nurses due to nursing action?
toxic work environment.
D. Conflict between demands of work and family. A. Irrigate the ear canal
B. Contact the patient’s audiologist
SITUATION C. Check the hearing aids placement
Mr. Ramos, a post- operative, was given Amoxycillin at 12 D. Cleanse the hearing aid ear mold with normal saline
midnight by the nurse on duty (NOD). The physician asked the
patient during his rounds if he has receive the drug, the patient 50. You have a 75 year old patient who has been taking
answered “NO”. The physician clarified the claim from the chart furosemide (Lasix) regularly for four months now tells you that
and from the chart and from the NOD. he is having trouble hearing. What would be your BEST
response to this statement?
44. Which of the following is the primary reason why the
physician wanted to clarify the process? A. Schedule the patient for audiometric testing and a hearing aid
B. Tell the patient that because of his age it is inevitable that his
A. Measures the turnaround time of medication hearing should begin to deteriorate
B. Better communication with patient and result C. Having the patient immediately report the hearing loss to his
C. Identify gap in the medication administration physician
D. Improve care management in drug administration D. Tell the patient the hearing loss is only temporary, when his
system adjust to the furosemide his hearing will improve
45. The approach adopted by quality circle team was presented
to top management. Which of the following tools is SITUATION
APPROPRIATE to be utilized as a guide for their time Mrs. Chiqui, a 78 year old widow, was brought to the clinic by
management? her son with the chief complaint of constant confusion,
incontinence, and tendency to wander. Mrs. Chiqui has a
A. Pre chart diagnosis of cognitive impairment disorder.
B. Radar chart
C. Process of flow chart 51. The son of Mrs. Chiqui informed the nurse that his mother
D. Gantt chart seemed to be inventing stories about certain personal
achievements. The nurse identifies this as confabulation and
SITUATION interprets it correctly as ________.
You are a staff nurse in the Ear Unit of the hospital. A common
condition you encounter is hearing disorder which often results A. Indicates a lack of ego-integration
in communication problems. The following questions refer to B. Results to tendency to lie
these statements. C. Helps to maintain self-esteem
D. Results in poor judgement
46. The daughter of an older adult patient reports that her father
just “stares off into space” more and more in the last several 52. The nurse asked Mrs. Chiqui for her children’s and
months. However, once she gets his attention her father eagerly grandchildren’s names. This is to assess Mrs. Chiqui’s:
smiles and nods. You should assess the patient further for
______. A. Remote Memory
B. Recent Memory
A. Hearing loss C. Attention Span
B. Anger D. Orientation Status
C. Dementia
D. Depression 53. Which of the following outcome criteria would be the
MOST APPROPRIATE for Mrs. Chiqui?
47. Which of the following should the nurse do FIRST when
approaching a deaf patient? A. Follow an established schedule for activities for daily living.
B. Learn new coping mechanisms to handle anxiety.
A. Get the patient’s attention C. Return to an adequate level of functioning.
B. Knock on the patient’s room loudly D. Seek out resources in the community for support.
C. Talk while walking into the room
D. Close and open the vertical blinds rapidly 54. The nurse spent time talking to Mrs. Chiqui’s son. She
gathered that the son is the primary caregiver. To explore and to
48. You have a patient who is hearing impaired and reads prevent burn-out in the son, which of the following nursing
speech. Which of the following strategies should you actions must the nurse do?
incorporate when communicating with him? Select all that
apply. A. Assess degree of understanding of family systems and coping
mechanisms.
1) Avoiding being silhouetted against strong light B. Explore individual dynamics and personal coping.
2) Not blocking out the person’s view of the speaker’s C. Explore the support system available for Mrs. Chiqui’s son.
mouth D. Identify the spiritual support system of the family.
3) Facing the patient when talking
4) Having bright light behind so the individual can see 55. The nursing diagnosis MOST APPROPRIATE for Mrs.
5) Ensuring the patient is familiar with the subject material Chiqui’s son would be _____.
before discussing
A. Sleep pattern disturbance 60. How long should personal data of an HIV patient be stored
B. Caregiver role strain on laptops or other portable devices which permits his
C. Social isolation identification? For as long as __________.
D. Risk violence
A. The patient likes
SITUATION B. His doctor likes
Min is 19 years old, a grade 12 student. She recently confessed C. It is needed as part of an international or national research
to Nurse Liz that she had sexual intercourse with her boyfriend D. It is necessary for the purpose for which it was collected and
(BF), 18 years old classmate of hers. She believes that she is processed
pregnant because she missed menstruating for 3 months. She
also related that her BF has recently been confined for SITUATION
pneumonia after an on and off flu-like symptoms. She suspects Inadequate resources in health care and unhealthy conditions in
he has HIV because of his “closeness to a guy who has overtly the workplace cause work stress among nurses. The nurse’s
expressed his feelings on him.” work environment plays a vital role in her ability to provide
quality patient care. The following questions relate to this
56. Min wants to know his BF’s real diagnosis even through a situation.
private message in Facebook. The following information that all
employees are enjoined to observe strictly. 61. Burnout is a phenomenon that is best characterized by
____________.
I. Operate and hold diagnosis under strict confidentiality
II. Sign a non-disclosure agreement between nurses and A. Conflict between personal and professional life
their patients. B. Emotional exhaustion, depersonalization, and reduced
III. Abide with the institution’s privacy and security personal accomplishment
policies. C. Increased absenteeism and fast turn-over of nurses due to
IV. Disclose only the result of the test to the patient toxic work environment
himself. D. Growing dissatisfaction due to changing career expectations

62. Lifestyle modification begins with _______.

In terms of legalities, which of the following should Nurse Liz
explain to Min? A. Learning how to read food labels and eating the right kinds
of food
A. II, III, IV B. Recognizing the impact of unhealthy habits
B. I, II, III C. Constructive and positive attitudes in life
C. I, II, III, IV D. Regular daily exercise
D. I, II, IV
63. Jerry is a young adult nurse who smokes 5 to 10 cigarette
57. Nurse Liz can also explain the purpose of security measures sticks a day. He is a well-informed nurse on the “smoking
for data protection which is to maintain the availability, integrity cessation program”. As a next step to his lifestyle change, Jerry
and confidentiality of personal data of all patients. needs _______.

I. Unlawful destruction A. Information

B. Motivation
C. Skills to implement change
II. Alteration D. Commitment

III. Disclosure 64. A common response to an unhealthy work environment is

physical tension which can be overcome by progressive muscle
relaxation. Basically, this involves:
IV. Unlawful processing
A. Listening to a relaxation audio program for auto-suggestion
Which of the following actions of anybody is against personal B. Releasing muscles from tension
data protection? C. Active physical exercise to unwind like aerobics exercise
D. Focusing to an image to relax
A. I,II, III
65. Nurses and patients are increasingly getting empowered by
B. II, III, IV
learning stress management. All of these are bio-behavioral
C. I, II, III, IV
interventions in stress management EXCEPT:
D. I, III, IV

58. To erase the doubt of Min as to whether she has been A. Progressive muscle relaxation
infected with HIV by her BF, what is the BEST advice of the B. Pharmacotherapy
nurse? C. Mindful meditation
D. Guided imagery
A. Wait until you have access to the diagnosis of your BF.
SITUATION
B. Submit herself for Elisa Test considering window period.
Mr. Elmo, a 43 years old writer, was diagnosed with narcolepsy.
C. Wait until the baby is born.
D. Go for Elisa Test immediately 66. All of the following are characteristic signs/symptoms of
Narcolepsy EXCEPT:
59. In case the personal data of Min’s BF has been accessed
accidentally by “somebody”, who has the right to file a
A. Excessive daytime sleepiness
complaint?
B. Sleep-onset Rapid Eye Movement (REM) periods
C. Disturbed nocturnal sleep
A. Min’s BF
D. Cessation of breathing for 10 seconds
B. The other guy
C. the parents 67. Patients diagnosed with Narcolepsy are given
D. Min Methylphenidate (Ritalin). The rationale for giving this drug is
to _______.
 D. Better performance in bed
A. Lengthen sleep hours
B. Improve alertness 75. A female patient reports having dyspareunia. The MOST
C. Improve daytime drowsiness APPROPRIATE for the nurse to ask is ______.
D. Control cataplexy
A. “Do you have pains in your breast when you have coitus?”
68. Good sleep hygiene is given emphasis when counseling a B. “Have you had these spasms since you became sexually
narcoleptic patient. Which of the following is NOT considered active?”
as such? Encourage the patient to _______. C. “Do you usually have pains before your period begins?”
D. “Have you talked with your partner about this discomfort?”
A. Do active exercises
B. Ensure a quality sleep environment SITUATION
C. Avoid daytime naps Mrs. Nunez, a 77 year old widow came in with the chief
D. Avoid stimulants such as caffeine, nicotine and alcohol near complaints of difficulty hearing high pitched sounds. Ear
bedtime. examination revealed damage to the middle ear.

69. Depression and decreased quality of life are frequently 76. Which of the following ear assessments is a rough estimate
reported to be experienced by narcoleptic patients. Which of the of the ability to hear?
following is NOT a major contributory factor to these two
conditions? A. Weber test
B. Whisper test
A. A healthy ego C. Audiometry
B. Disrupted social and occupational roles D. Rinne test
C. A strong superego
D. Low self-esteem 77. When there is damage to the middle ear it will result to:

70. Cataplexy is experienced by many narcoleptic patients. A. Conductive loss

Which of the following BEST DESCRIBES this condition? B. Nerve deafness
C. Mixed loss
A. Lapse of awareness D. Sensorineural loss
B. Occurs at sleep onset
C. Experienced upon awakening 78. Which of the following is a predisposing factor for a
D. Sudden loss of muscle tone sensorineural hearing loss?

SITUATION A. Perforation of the eardrum

As a professional nurse, you meet patients with problems related B. Ototoxic agents
to sexuality and identity. The following questions relate to this C. Otosclerosis
statement. D. Serous otitis media

71. Sex is one topic patients feel uncomfortable discussing with 79. Which of the following statements is TRUE in correcting a
the nurse for which of the following reasons? Patients _______. sensorineural hearing loss?

A. Prefer to discuss sex with health care provider of the same A. Sensorineural hearing loss is irreversible
sex B. Sensorineural hearing loss can be corrected by stapedectomy
B. Assume that sex is something that is not discussed with C. Sensorineural hearing loss can be corrected by ossicular
strangers reconstruction
C. Are mostly knowledgeable about sex and the accompanying D. Sensorineural hearing loss can be corrected by myringotomy
problems
D. Feel to be embarrassed to introduce the topic of sex 80. What is a high priority risk for the older adult with age-
related changes in the vestibular structure of the ear?
72. A patient tells you that he is transsexual. Knowledge of
which of the following is MOST representative as the basis for A. Infection
APPROPRIATE care for this patient? B. Medication errors
C. Falls
A. Sexual anatomy is not consistent with gender identity D. Food intolerance
B. Sexual attraction is to the individuals with different gender
C. Gonadal gender, internal organs, and external genitals are SITUATION
contradictory Mr. Rancap, a 75 year old retired politician has been recently
D. Gender identity is altered by acute psychosis diagnosed as legally blind. His driver’s license has been
revoked. You have seen him driving alone to the local grocery
73. A patient tells you he has a problem related to masturbation. store several times.
Which of the following is TRUE regarding masturbation?
81. Which of the following nursing actions would be your
A. Masturbation is a manifestation of psychological imbalance priority during your initial interaction with Mr. Rancap?
B. Masturbation is a way people learn about their sexual
response A. Free the environment obstacles
C. Most people do not masturbate when they become adults B. Offer to read written information
D. Teen-age masturbation affects academic achievement C. Ask Mr. Bang, “How can I help you?”
D. Identify yourself as you approach Mr. Rancap and before you
74. A male patient is beginning to take an antidepressant make a physical contact.
medication. What information should the nurse include in her
health teaching as to its side effects? 82. Which of the following ethical principles are in conflict with
this case?
A. Decreased sexual desire
B. Better performance in sexual activities A. Autonomy and non-maleficence
C. Premature ejaculation B. Respect for person and non-maleficence
C. Distributive justice and respect for person
D. Autonomy and beneficence83. Mr. Rancap’s driving without SITUATION
license can result in a violation of which ethical principle? Mr. Josh, a 35 year old dancer consulted at the Out-Patient
Department with the chief complaints of disorientation,
abdominal pain, nausea, and excessive perspiration. He claimed
A. Respect for person to be seeing his mother and heard her calling his name. Upon
B. Beneficence admission the vital signs were: T = 38.5 degrees centigrade; PR
C. Autonomy = 110/min; BP = 130/90. Mr. Josh is a known alcoholic.
D. Non-maleficence
91. Which of the following frameworks does not support the
84. Mr. Rancap had a fall needing hospitalization. All his cause of substance abuse?
benefits were given to him just like any senior citizen with the
same condition. This ethical principle is upheld in this situation: A. Physiologic framework
B. Psychological framework
A. Beneficence C. Biologic framework
B. Respect for person D. Socio-cultural framework
C. Autonomy
92. For the nurse to establish a therapeutic relationship with and
D. Distributive justice
providing treatment for a client with substance related disorder,
85. Which principle should have pre-eminence as you proceed he/she must have:
to work with Mr. Rancap
A. Knowledge of assessment tools used to determine if
A. Autonomy substance abuse exist
B. Respect for person B. Knowledge of existing programs to help people with
C. Nonmaleficence substance abuse disorder
D. Beneficence C. Self-awareness about substance use and abuse
D. Information on patient’s beliefs about drug and alcohol use
SITUATION
As a beginning professional nurse one of the competencies 93. Mr. Josh’ clinical manifestation were manifestations of:
expected of you is to engage in research. Basic knowledge in
research, therefore, is very important. The following questions A. Impending brain attack
related to these statements. B. Impending heart attack
C. Severe alcohol withdrawal
86. What element distinguishes a true experimental research D. Severe anxiety
from a quasi-experimental research?
94. For cases like that of Mr. Josh’, the physician will most
A. The use of non-probability sampling likely order ______.
B. Lack of random assignment of subject to group
C. Size of the sample A. Ativan
D. The introduction of experimental treatment. B. Serax
C. Naltrexone
87. You want to determine the effect of a planned exercise on D. Diazepam
low-back pain. Which of the following research designs would
be MOST APPROPRIATE to use in this study? 95. You want to find out the coping skills among young adults
with substance abuse disorder. Which research method will you
A. Posttest only control group design utilize to answer the research question?
B. One-shot case study
C. Pretest-posttest control group design A. Survey
D. One group pretest-posttest design B. Mixed methods
C. Quantitative
88. Which of the following is a type of probability sampling? D. Qualitative

A. Cluster SITUATION
B. Purposive Your patient, Mrs. Edna, who was diagnosed with Alzheimer’s
C. Quota Disease, is soon to be discharged. You scheduled a family
D. Convenience conference to discuss some concerns regarding Mrs. Edna’s
condition.
89. You want all people who are currently institutionalized for
psychiatric problems to participate in your study. This is an 96. You explained to the family members that there will be
example of ____________. times Mrs. Edna will feel agitated and fatigued. To MINIMIZE
if not totally prevent this situation, you would suggest to
A. Universal population _______.
B. Target population
C. Element A. Make mealtime pleasant
D. Sample B. Provide activities for her
C. Avoid noisy activities in the house and schedule rest period
90. You want to determine the difference of the anxiety level for her
between male and female patients scheduled for abdominal D. Provide a consistent routine for her
surgery. The first 30 males and the first 30 females who are
admitted to the hospital at the time of the study would be asked 97. A family member asked how they can help minimize Mrs.
as study participants. This is an example of what sampling Edna’s disorientation to time. Your answer would be to:
technique?
A. Encourage talking with friends on the phone
A. Fish ball technique B. Place clocks and calendars at prominent places
B. Simple random C. Keep windows wide open
C. Quota sampling D. Provide adequate lighting especially in hallways, stairways
D. Purposive sampling and bathrooms
98. A concern regarding physical safety came up during the
conference. You would recommend to________.

A. Always close the doors and windows

B. Provide adequate lighting especially in hallways, stairways
and bathrooms
C. Use non-verbal communication
D. Reduce noises and distractions

99. A family member expressed that they may not have the
ability to care for Mrs. Edna. Your MOST APPROPRIATE
answer would be ________.

A. “I will call Mrs. Edna’s doctor to explain to you more about

Alzheimer’s Disease”.
B. “What information regarding Alzheimer Disease has been
given to you by her doctor.
C. “Do you want to discuss with me specific concerns that
bother you most?”
D. “I will refer your case to the social worker”

100. You pointed out to the family that an important aspect of

Mrs. Edna’ is the promotion of adequate nutrition. To address
this concern, you would suggest to:

A. Provide adequate lightning in the dining room

B. Reduce noises and distractions during mealtime
C. Do some active exercise before mealtime
D. Keep mealtime pleasant and serve foods similar to her