NP1 Nursing Board Exam November 2008 Answer Key 'Foundation of Professional Nursing Practice'

100 Nursing Board Exam test questions of November 2008 Nurse Licensure Examination (NLE)
Nursing Practice 1 – Foundation of Professional Nursing Practice
Fundamentals of Nursing

PART 2 Board Exam test questions 51 - 100

Situation 9: As a nurse, you are aware that proper documentation in the patient chart is your responsibility.

51. Which of the following is NOT a legally binding document but nonetheless very important in the care of all patients in any setting?

A. Bill of rights as provided in the Philippine Constitution

B. Scope of nursing practice as defined in R.A. 9173

C. Board of Nursing resolution adopting the Code of Ethics

D. Patient’s Bill of Rights 

52. A nurse gives a wrong medication to the client. Another nurse employed by the same hospital as a risk manager will expect to receive which of the following communication?

A. Incident Report

B. Oral report

C. Nursing kardex

D. Complain report

53. Performing a procedure on a client in the absence of an informed consent can lead to which of the following charges?

A. Fraud

B. Assault and Battery

C. Harassment

D. Breach of confidentiality

54. Which of the following is the essence of informed consent?

A. It should have a durable power of attorney

B. It should have coverage from an insurance company

C. It should respect the client’s freedom from coercion
D. It should discloses previous diagnosis, prognosis and alternative treatments available for the client.

55. Delegation is the process of assigning tasks that can be performed by a subordinate. The RN should always be accountable and should not lose his accountability. Which of the following is a role included in delegation?

A. The RN must supervise all delegated tasks

B. After a task has been delegated. It is no longer a responsibility of the RN.

C. The RN is responsible and accountable for the delegated task in a adjunct with the delegate.

D. Follow up with a delegated task necessary only if the assistive personnel is not trustworthy.

Situation 10 – When creating your lesson plan for cerebrovascular disease or STROKE. It is important to include the risk factors of stroke.

56. The most important risk factor is:

A. Cigarette smoking

B. Hypertension

C. binge drinking

D. heredity

57. Part of your lesson plan is to talk about etiology or cause of stroke. The types of stroke based on cause are the following EXCEPT:

A. Embolic stroke

B. Hemorrhagic stroke

C. diabetic stroke

D. thrombotic stroke

58. Hemmorhagic stroke occurs suddenly usually when the person is active. All are causes of hemorrhage, EXCEPT:

A. phlebitis

B. trauma

C. damage to blood vessel

D. aneurysm

59. The nurse emphasizes that intravenous drug abuse carries a high risk of stroke. Which drug is closely linked to this?

A. Amphetamines

B. Cocaine

C. shabu

D. Demerol

60. A participant in the STROKE class asks what is a risk factor of stroke. Your best response is:

A. “More red blood cells thicken blood and make clots more possible.”

B. “Increased RBC count is linked to high cholesterol.”

C. “More red blood cell increases hemoglobin content.”

D. “High RBC count increases blood pressure.”

Situation 11: Recognition of normal values is vital in assessment of clients with various disorders.

61. A nurse is reviewing the laboratory test results for a client with a diagnosis of severe dehydration. The nurse would expect the hematocrit level for this client to be which of the following?

A. 60%

B. 47%

C. 45%

D. 32%

62. A nurse is reviewing the electrolyte results of an assigned client and notes that the potassium level is 5.6 mEq/L. Which of the following would the nurse expect to note on the ECG as a result of this laboratory value?

A. ST depression

B. Inverted t wave

C. Prominent U wave

D. Tall peaked T waves

63. A nurse is reviewing the electrolyte results of an assigned client and notes that the potassium level is 3.2 mEq/L. Which of the following would the nurse expect to note on the ECG as a result of this laboratory value?

A. U waves

B. Absent P waves

C. Elevated T waves

D. Elevated ST segment

64. Dorothy underwent diagnostic test and the result of the blood examination are back. On reviewing the result the nurse notices which of the following as abnormal finding?

A. Neutrophils 60%

B. White blood cells (WBC) 9000/mm

C. Erythrocyte sedimentation rate (ESR) is 39 mm/hr

D. Iron 75 mg/100 ml

65. Which of the following laboratory test result indicate presence of an infectious process?

A. Erythrocyte sedimentation rate (ESR) 12 mm/hr

B. White blood cells (WBC) 18,000/mm3

C. Iron 90 g/100ml

D. Neutrophils 67%

Situation 12: Pleural effusion is the accumulation of fluid in the pleural space. Question to 66 to 70 refer to this?

66. Which of the following is a finding that the nurse will be able to assess in a client with pleural effusion?

A. Reduced or absent breath sound at the base of the lungs, dyspnea, tachypnea and shortness of breath.

B. Hypoxemia

C. Noisy respiration, crackles, stridor and wheezing

D. Tracheal deviation towards the affected side, increased fremitus and loud breath sounds

67. Thoracentesis is performed to the client with effusion. The nurse knows that he removal of fluid should be slow. Rapid removal of fluid in thoracentesis might cause:

A. Pneumothorax

B. Pleurisy or Pleuritis

C. Cardiovascular collapse

D. Hypertension

68. 3 Days after thoracentesis, the client again exhibited respiratory distress. The nurse will know that the pleural effusion has reoccurred when she noticed a sharp stabbing pain during inspiration. The physician ordered a closed tube thoracotomy for the client. The nurse knows that the primary function of the chest tube is to:

A. Restore positive intrathoracic pressure

B. Restore negative intrathoracic pressure

C. To visualize the intrathoracic content

D. As a method of air administration

69. The chest tube is functioning properly if:

A. There is an oscillation

B. There is no bubbling in the drainage bottle

C. There is a continuous bubbling in the water seal.

D. The suction control bottle has a continuous bubbling

70. In a client with pleural effusion, the nurse is instructing a appropriate breathing technique. Which of the following is included in the teaching?

A. Breath normally

B. Hold the breath after each inspiration for 1 full minute

C. Practice abdominal breathing

D. Inhale slowly and hold the breath for 3-5 seconds after each inhalation.

Situation 13: Health care delivery system affects the health status of every Filipino. As a Nurse, Knowledge of this system  is expected to ensure  quality of life.

71. When should rehabilitation commence?

A. The day before discharge

B. When the patient desires

C. Upon admission

D. 24hours after discharge

72. What exemplified the preventive and promotive programs in the hospital?

A. Hospitals as a center to prevent and control infection

B. Program for smokers

C. Program for alcoholics and drug addicts

D. Wellness Center

73. Which makes nursing dynamic?

A. Every patient is a unique physical, emotional, social and spiritual being

B. The patient participate in the over all nursing care plan

C. Nursing practice is expanding in the light of modern development that takes place

D. The health status of the patient is constantly changing and the nurse must be cognizant and responsive to these changes.

74. Prevention is an important responsibility of the nurse in:

A. Hospitals

B. Community

C. Workplace

D. All of the above

75. This form of Health Insurance provides comprehensive prepaid health services to enrollees for a periodic payment.

A. Health Maintenance Organization

B. Medicare

C. Philippine Health Insurance Act

D. Hospital Maintenance Organization

91. Health care reports have different purposes. The availability of patients record to all health ream members demonstrates which of the following purposes:

A. Legal documentation

B. Education

C. Research

D. Vehicle for communication

92. When a nurse commits medication error she should accurately document client’s response and her corresponding action. This is very important for which of the following purposes:

A. Research

B. Nursing Audit

C. Legal documentation

D. Vehicle for communication

93. POMR has been widely used in many teaching hospitals. One of its unique features is SOAPIE charting. The P in SOAPIE charting should include:

A. Prescription of the doctor to the patient’s illness

B. Plan of care for patient

C. Patient’s perception of one’s illness

D. Nursing Problem and Nursing Diagnosis

94. The medical records that are organized into separate section from doctors or nurses has more disadvantages than advantages. This is classified as what type of recording?

A. POMR

B. SOAPIE

C. Modified POMR

D. SOMR

95. Which of the following is the advantage of SOMR or Traditional Recording?

A. Increase efficiency of Data gathering

B. Reinforces the use of the nursing process

C. The caregiver can easily locate proper section for making charting entries

D. Enhances effective communication among health care team members

Situation 17: June is 24 year old client with symptoms of dyspnea, absent breath sounds on the right lung and chest X-ray revealed pleural effusion. The physician will perform thoracentesis

96. Thoracentesis is useful in treating which of the following pulmonary disorders except:

A. Hemothorax

B. Tuberculosis

C. Hydrothorax

D. Empyema

97. Which of the following psychological preparation is not relevant for him?

A. Telling him that the gauge of the needle and anesthesia to be used

B. Telling him to keep still during the procedure to facilitate the insertion of the needle in the correct place.

C. Allow June to express his feeling and concerns

D. Physician’s explanation on the purpose of the procedure and how it will be done.

98. Before thoracentesis, the legal consideration you must check is:

A. Consent is signed by the client

B. Medicine preparation is correct

C. Position of the client is correct

D. Consent is signed by relative and physician

99. As a nurse, you know that the position for June before thoracentesis is:

A. Orthopneic

B. Knee-chest

C. Low fowlers

D. Sidelying position on the affected side

100. Which of the following anesthetic drug is used for thoracentecis?

A. Procaine 2 %

B. Valium 250 mg

C. Demerol 75 mg

D. Phenobarbital

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