Nursing Practice I – Foundation of Professional Nursing Practice
Fundamentals of Nursing
PART 2 Board Exam test questions 51 - 100
Situation 11: The nurse is responsible to accurately records and reports patient’s progress. She is able to communicate to the other member of the team by documenting the nursing care plan and the appropriate nursing intervention.
51. A main function of the patient’s records is to:
A. prepare the nurse for the shift worked
B. serve as a record of financial charges
C. serve as a vehicle for communication
D. ensure that the message is received
52. When the nurse writes in the chart and discovers an error has been made, which is the BEST approach?
A. erase the erroneous material
B. carefully ink out the erroneous material
C. place as asterisk next to the statement, then footnote it
D. draw a straight line through the error and initial it.
53. Which of the following persons cannot have the access to the patient record?
A. physical therapist C. the patient
B. lawyer of the family D. speech therapist
54. POMR charting is different from traditional method because of which of the following practices?
1. SOAP charting 3. narrative charting
2. use of flow sheet 4 . use of checklist
A. 3 & 4 B. 1 & 2 C. 1 & 3 D. 2 & 3
55. Which of the following qualities are relevant in documenting patients care?
1. Accuracy and consciousness
2. thoroughness and currentness
3. systematic and orderly
4. legibly, properly dated and signed
5. use of locally accepted abbreviation
A. 1,3,4 & 5 B. 2,3,4 & 5 C. 1,2,3 & 5 D. 1,2,3 & 4
Situation 12: The practice of primary nurse in primary nursing is preferred by many nurses because it supports professional autonomy and accountability of the nurses>
56. What is the function of the primary nurse in primary nursing?
A. acts as patient advocate and coordinate the health care team for specific group of patients
B. act as the charge nurse, organizing staff assignments and help in solving problem in the unit
C. plans and coordinate the patient care assigned to her from admission to discharge
D. coordinates the care given to a group of patients by support staff
57. Primary nursing is MOST advantageous and satisfying to the patient and nurse because of which of the following principles?
A. autonomy and authority for planning care are best delegated to a nurse
B. accountability is clearest since our nurse is responsible for the overall plan and implementation of care
C. the holistic approach provides fro a therapeutic relationship continuity of care and efficient nursing care
D. continuity of patients care promotes efficient nursing care.
58. Which is the role of the associate nurse in primary nursing?
A. over-all manager of the unit
B. responsible for the over-all care of the patient during off days of primary nurse
C. patient advocate in the health care team
D. coordinator of comprehensive, holistic patient care
59. In primary nursing, the nurse is responsible for which of the following group of patient?
A. the whole ward
B. small group of patient like 3-5 patients
C. big group of patients like 10-15 patients
D. the whole unit
60. In primary nursing who among the following is needed to her leadership and quality control in the ward?
A. the chief nurse C. the nurse supervisor
B. the head nurse D. the service director
Situation 13: Your nursing unit plans to conduct a study on the use of structured preoperative preparation in lessening the demand for post-operative pain medications.
61. Which of the following research activities should you initially do?
A. find out from interview how many patients are willing to participate
B. get the permission from the hospital director
C. review literature on the topic
D. prepare the tool for collecting data
62. Which of the following statements do NOT contribute to the researchabilty of your proposed problem?
A. potential use of findings C. well-defined problem statement
B. readability of findings D. measurability of variables
63. A study /research table should NOT contain which of the following ?
A. categories of data collected C. specific title of table
B. relevant rows and columns D. names and sample of the selected
64. Which of the following actions will facilitate analysis of research data?
A. consult a physician C. consult a complete expert
B. consult an adviser D. categorize data collected
65. The research methodology that is appropriate for the above problem would be:
A. descriptive B. normative C. experimental D. quasi experimental
Situation 14: The nurse meets a new client, Mr. Principe, 50 years old. During the initial interview, the nurse begins to feel irritated towards the client. Shortly after, he becomes uncomfortable and politely leaves the room. The nurse realizes the behavior and mannerism of Mr. Principe reminds him of his strict disciplinarian father who abused him physically.
66. The recognize that his feeling for the client is known as:
A. denial B. counter transference C. revenge D. transference
67. Seeing that his negative feelings for Mr. Principe could affect his nursing care, the nurse applies the concept of therapeutic use of self when:
A. the nurse talks about his personal feelings towards the client
B. the nurse suppresses his feelings and continue to take care of the client
C. the nurse uses his awareness and asks to be reassigned to another client
D. the nurse uses self-awareness to manage his feelings and thoughts towards the client
68. Mr. Principe is terminally ill and his family is coping with his impending death. The nurse has to deal with his own thoughts and personal feelings about death and grieving in order to:
A. avoid sharing personal thought about their impending loss and feeling of grief since this is very subjective
B. get self out of the way while he assists the client and his family express their feelings of impending loss
C. prevent self from being affected by the family’s grief and remain objective
D. help the family plan for the funeral arrangement and burial services
69. One morning when the nurse enters the client’s room. Mr. Principe asks the nurse to “leave me alone and stop bothering me and I don’t want your pity”. The following response by the nurse would be MOST appropriate?
A. “You seem upset this morning” and remains with the client
B. “You are probably upset because you don’t feel well”
C. “Why you are angry with me? What did I do anything to upset you?
D. “I understand and will leave you for a while”
70. The nurse understands that the nurse-client relationship is a therapeutic alliance when:
A. the nurse is a role model for a client
B. this is an essential part of the nursing process
C. the nurse has to be therapeutic at all times
D. how the nurse thinks and feels affects her actions and behavior towards her client and her work
Situation 15: Mr. Ong is for admission to the medical unit and you are his nurse.
71. The MOST important initial nursing approach when admitting client is to:
A. introduce the client to the ward staff
B. orient the client to the physical set up of the unit
C. identify the most immediate needs of the client and implement the necessary intervention
D. take V/S fro baseline assessment
72. When gathering baseline data, the BEST way for you to check if the client has pedal edema is to:
A. talk to the relatives C. do auscultation
B. interview the client D. do a physical assessment
73. You want to know the sleeping pattern of Mr. Ong You will:
A. interview the clients and relatives
B. take his BP before sleeping and upon waking up
C. observe his sleeping pattern over a period of time
D. perform physical assessment
74. Mr. Ong has severe pedal edema. Which accessory device would be appropriate for his condition?
A. footboard B. cradle C. bed board D. rolled pillows
75. A student nurse is observed putting a standard size cuff on an obese client. The action would probably result in BP reading that is:
A. false high B. false low C. normal D. undetectable
Situation 16: Health is wealth specifically in this time of the century. The nurse is trained to promote well being of the people.
76. How does a nurse promote one’s well being?
A. periodic travels for rest and recreation
B. faithful and observance of healthy simple lifestyle
C. run away from polluted, stressful areas
D. avoid sleepless, over fatigue nights
77. The nurse can be involved with health promotion as a significant person in helping the family:
A. become a better family
B. prevent disease
C. control their symptoms
D. modify health promotive behaviors
78. The nurse should NOT leave medication at the bedside because:
a. the bedside table is not sterile
b. it is convenient for the nurse
c. the nurse will not be able to accurately document that the patient actually took the medication
d. the patient may forget to take it.
79. Non-pharmacologic pain management includes all the following EXCEPT:
a. relaxation techniques c. use of herbal medicines
b. massage d. body movement
80. When assessing a client’s blood pressure, the nurse finds it necessary to recheck the reading. How many seconds after deflating the cuff should the nurse wait before rechecking the pressure?
a. 10 b. 30 c. 45 d. 60
Situation 17: Safe nursing practice involves an understanding of the law.
81. In the Philippines
a. The Philippine Nursing Act of 2002 or R.A. 9173
b. the Philippine Nursing Act of 1991 or R.A. 7164
c. IRR or Resolution 425 of 2003
d. Republic Act No. 8981
82. The Philippine Nursing Act delineates the scope of nursing. It specifies that independent practicing nurse is responsible for:
a. health promotion and prevention of illness
b. administration of written prescription for treatment and therapies
c. rehabilitative aspect of care
d. Collaborating with other healthcare providers for health restoration and alleviation of suffering
83. Standards of care provide the legal basis for evaluation of nursing practice or malpractice. Its functions include all EXCEPT:
a. used by nurse experts to define what appropriate nursing practice is in a given situation
b. used to measure or evaluate nursing conduct to determine if the nurse acted reasonably as any prudent nurse would under similar circumstances
c. used to delineate the scope, function and role of the nurse
d. use to measure or evaluate the conduct of nurse specialists who are certified in their own specialty fields
84. As a standard in ethics, this represents an understanding and agreement to respect another person’s right to decide a course his or her own destiny:
a. Autonomy c. Beneficence
b. justice d. nonmalifecence
85. The Code of Ethics refers to standards of behavior or ideals of conduct. The ability to answer for and stand by one’s action refers to:
a. accountability c. advocacy
b. veracity d. responsibility
Situation 18: An understanding of the factors influencing the health care delivery system will enable nurses to adjust to change, create better ways of providing nursing care and develop new nursing roles.
86. Wellness clinics and health education activities have been integrated in government hospitals to render appropriate services. Which of the following purposes LEAST helps clients in cases of these health promotion activities?
A. maintain maximum functions C. promote health habits
B. reduce the costs of health care D. identify disease symptoms
87. With regards to illness prevention activities as part of nursing care, which of the following will help clients MOST?
A. maintain maximum function C. promote habits related to health care
B. reduce risk factor D. manage stress
88. By experience, which of the following nursing goals are MOST often overlooked by nurses and other members of the hospital team in the care of their clients in the hospital?
A. illness prevention C. diagnosis and treatment
B. health promotion D. rehabilitation of patients
89. Which of the following health care agencies is usually family-centered, relatively recent in popularity and oftentimes focuses on maintenance of comfort and satisfactory lifestyle of clients in the terminal phase of illness?
A. non-government organization C. community health center
B. hospice D. support group
90. 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. Patient’s Bill of Rights ( as adopted by American Nurses Association )
D. Board of Nursing resolution adopting the Code of Ethics
Situation 19: One of the professional competencies that nurse must always demonstrate is in the area of communication:
91. Which communication technique would be MOST effective in eliciting detailed information from the client?
A. open-ended questioning C. active listening
B. verbalizing observations D. summarizing clients views
92. Which of the following terms refer to the sender’s attitude towards the self, the message and the listener?
A. verbal communication C. non-verbal communication
B. double-bind communication D. meta communication
93. In interacting with patients, the nurses should remember that a client’s personal space is:
A. that which revolves around the client
B. highly mobile depending upon certain situation
C. clearly visible to others
D. the same as that of the nurse
94. In interpersonal communication is LEAST threatening during what type of relationship?
A. social C. personal
B. intimate D. professional
95. In demonstrating the method for deep breathing exercises, the nurse places the hands on the client’s abdomen to explain diaphragmatic movement. This technique involves the use of which element of communication?
A. appropriateness C. channel
B. feedback D. message
Situation 20: Roy, an adolescent, was diagnosed to have pneumonia. He constantly complains of chest pain and has a standing order of Morphine SO4.
96. Which of the following MOST appropriately describe pain sensation that has periods of remission and exacerbation?
A. chronic C. acute
B. intractable D. Psychosomatic
97. Roy
A. administer morphine SO4 PRN
B. administer morphine on a routine schedule as ordered
C. give instructions on relaxation technique to reduce frequency of pain sensation
D. divert the attention by not limiting visitors
98. To get accurate information about the quality of pain the patient is experiencing, which of the following statements would be MOST APPROPRIATE?
A. “What cause you the pain?” C. “Have you taken something to relieve the pain?”
B. “ Tell me what your pain feels like” D. “Is it stubbing or radiating pain?”
99. As the nurse assigned to Ray, which of the following can decrease his chest pain?
A. supporting his rib cage when he coughs C. teaching him
B. advising him D. encouraging him to breathe deeply
100. Which of the following is the nurse’s primary goal in caring for clients with chronic pain?
A. change the clients perception of pain
B. reduce the clients perception of pain
C. change the clients reaction to pain
D. enumerate the source of pain
CLICK HERE PART 1 (1 - 50) 'NP1 Nursing Board Exam December 2006 Answer Key 'Foundation of Professional Nursing Practice'
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