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nursing reviewer for nursing board exam, Study notes of Science education

PCI College Science education

subjects/topics related to nursing

Typology: Study notes

2019/2020

Uploaded on 10/20/2021

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NURSING PRACTICE 1

POINTERS TO REVIEW

Situation 1 – You are a newly hired nurse in a tertiary hospital. You have finished your

orientation program recently and you are beginning to assimilate the culture of the

profession.

01. Using Benner’s stages of nursing expertise, you are a beginning nurse practitioner.

You will rank yourself as a/an:

A. competent nurse

B. novice nurse

C. proficient nurse

D. advanced beginner

02. Benner’s “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

03. As you become socialized into the nursing “culture” you become a patient advocate.

Advocacy is explained by the following EXCEPT:

A. respecting a person’s right to be autonomous

B. demonstrating loyalty to the institution’s rights

C. shared respect, trust and collaboration in meeting health needs

D. protecting and supporting another person’s rights

4. Modern day nursing has led to the led development of the expanded role of the nurse

as seen in the function of a:

A. Clinical nurse specialist

B. Critical care nurse

C. community health nurse

D. staff nurse

5. You 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 skills related to field of interest

Situation 2 - The PRC regulates the practice of 42 professions in the Philippines.

6. What is the basic requirement of the state for a nurse to practice her profession?

A. Willingness to practice the profession

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NURSING PRACTICE 1

POINTERS TO REVIEW

Situation 1 – You are a newly hired nurse in a tertiary hospital. You have finished your orientation program recently and you are beginning to assimilate the culture of the profession.

Using Benner’s stages of nursing expertise, you are a beginning nurse practitioner. You will rank yourself as a/an: A. competent nurse B. novice nurse C. proficient nurse D. advanced beginner
Benner’s “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
As you become socialized into the nursing “culture” you become a patient advocate. Advocacy is explained by the following EXCEPT: A. respecting a person’s right to be autonomous B. demonstrating loyalty to the institution’s rights C. shared respect, trust and collaboration in meeting health needs D. protecting and supporting another person’s rights
Modern day nursing has led to the led development of the expanded role of the nurse as seen in the function of a: A. Clinical nurse specialist B. Critical care nurse C. community health nurse D. staff nurse
You 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 skills related to field of interest Situation 2 - The PRC regulates the practice of 42 professions in the Philippines.
What is the basic requirement of the state for a nurse to practice her profession? A. Willingness to practice the profession

B. A BSN degree C. A nursing license D. An NCLEX and CGFNS passer

The code of Good Governance for the professions in the Philippines shall be adapted by: A. all registered professionals B. all Filipino professionals C. all professionals D. all registered nurses
The standardized guidelines and procedures for the implementation of Continuing Professional Education (CPE) for all professional. Resolution Number 2004-179 provides that the total CPE credit units for registered professionals with baccalaureate degree should be: A. 20 credit units per year B. 30 credit units for 3 years C. 60 credit units for 3 years D. 10 credit units required
The board of Nursing is vested with power to issue, suspend or revoke for cause the: A. certificate of Good Moral Character B. certificate of Practice C. certificate of Registration D. certificate of Employment
RA 7193 stipulates the removal examination of the nurse licensure examination shall be taken: A. Within 3 years after the last failed examination B. Anytime the examinee wants to take the examination C. Within 2 years after the last failed examination D. Within the same year after the filed examination Situation 3 - Collaborative planning is essential if nursing and health care are to be made available to all people.
Perioperative examples of collaboration are the following EXCEPT: A. Communicate with other members of the health profession to improve the integrity B. Communicate with health officials the incidence of Hepatitis B among OR personnel C. Collaboration with other OR personnel regarding the practices of surgeons collecting exorbitant professional fees D. Collaborate with DOH regarding disposal or specimens
The nurses collaborate with other members of the health profession to improve the integrity of the hospital working environment the following ways EXCEPT A. Joining barangay health club projects

B. Change the attendant’s assignment C. Initiate a group discussion with all other nursing attendants D. Discuss the matter with the patient’s family

You have been in the surgical ward for almost a year and have cared for a number of patients with CVP. Which observation from a colleague would indicate a need for further teaching? A. The colleague turns the stop-cock to the off position from the IV fluid to the patient B. The nurse colleague noted the level at the top of the meniscus C. The colleague instructs the clients to perform the valsalva maneuver during the CVP reading D. The nurse colleague charting medication administration that she has not yet given
You saw one colleague charting medication administration that she has not yet administered. After talking to her, you also report the incident to the charge nurse. The charge nurse should: A. Require the staff to submit an incident report B. Terminate the nurse C. Charge the erring nurse with dishonesty D. Repot to the Board of Nursing Situation 5 - RN’s should always be conscious that the contents in charting are admissible in court as evidence.
If there is any deviation from normal practice or procedure e.g. streptomycin was given by IV not IM, this should documented in the: A. Progress notes B. Incident report C. Nurse’s not D. Patient’s chart
The documentation of all nursing activities performed is legally and professionally vital. Which of the following should NOT be included in the patient’s chart? A. Presence of prosthetoid devices such as dentutes, artificial limbs hearing aid, etc. B. Baseline physical, emotional, and psychosocial data C. Arguments between nurses and residents regarding treatments D. Observed untoward signs and symptoms and interventions including contaminant intervening factors 23.During your morning rounds, Mr. Tipol, 60 year old widower tried to sit up an instead of holding to the side rail held the IV stand causing the IV bottle to fall and break. You wrote an incident report to show: A. Document the incident B. Be a part of the patient’s chart C. Present confidential report D. Evidence of the quality of care

Erasures, alterations, and additions in medical records and the nurse’s notes can be avoided. The following are some tips on how to do corrections EXCEPT: A. Cross out blank spaces B. Cross out wrong word or phrase with one or two lines making the crossed out word discernible C. Insert additions or corrections D. State the reason for any deviation from normal procedure/practice
Kathy is one of your patient’s. Her uncle, who is a doctor, wants to read her chart. Your appropriate action would be: A. Instruct Kathy’s uncle to present a written authorization signed by the patient B. Refer to the hospital director C. Instruct Kathy’s uncle to present a written request to the Medical Records Section of the hospital D. Refer to the attending physician Situation 6 - During the surgical procedure, contamination should be confined and contained within the immediate vicinity of the surgical field to prevent the spread of pathogenic microorganisms.
The following techniques illustrates the concept “confine and contain” EXCEPT: A. Contaminated items like sponges are handled using loves B. All blood tissue, and body fluid specimens should be placed in leak-proof containers C. Surgeons conduct their patient’s rounds in scrub suit D. Prompt cleanup of accidental spills of contaminated debris e.g. blood, body fluids
The OR is a restricted area where OR attire is worn. Temperature and humidity are set for patient and personnel safety and reduce bacterial contamination. During the surgery, movement of personnel including the circulating nurse is: A. Kept to minimum B. Eliminated when possible C. Restricted D. Monitored
Sterile is the condition of almost all items, devices or supplies used in the OR for any surgical procedure. Shelf-life of a packaged sterile item is event related and depends on the following, EXCEPT: A. Type of sterilizer used to sterilize items B. Amount of handling C. The quality of packaging material used D. Storage conditions
Precaution recommends that the use of standard personal protective equipment (PPE) to prevent cross contamination. Which is NOT considered a piece of PPE?

In health care when lad apron is required in any procedure like orthosurgery, there is danger of exposure to: A. Water and blood splashes B. Pseudomonas C. Radiation D. Bone fragments Situation 8 – Many hospitals form bioethical review committees to ensure better quality of life of patients. You are invited by the nursing service department to participate in their bioethical review committee. You are expected to know the purpose and apply bioethical principles.
Which of the following is the purpose of the ethical review committee? A. Promote implementation of general standards B. Enhance health care provider’s liability C. Increase individuals responsibility for decision making D. Decrease public scrutiny of health care provider’s action
Daria who is admitted to the hospital with autoimmune thrombocytopenia and a platelet count of 20,000/æL develops epistaxis and melena. Treatment with corticosteroids and immunoglobulin has not been successful. Her physician recommended splenectomy. Daria states “I don’t need surgery. This will go away on its own.” In considering your response to Daria, you must depend on the ethical principle of: A. Beneficence B. Justice C. Autonomy D. Advocacy
Zorayda is terminally ill and is experiencing severe pain. She as bone and liver metastasis. She has been on morphine for several months now. Zorayda is aware that they are having financial problems. She decides to sign a DNR form. What ethical principle did Zorayda and her family utilize as basis for their decision to sign a DNR. A. Justice B. Autonomy C. Beneficence D. Advocacy
Tricia, a staff nurse working in a cancer unit, is considered a role model not only by her colleagues but also by her patients. She goes out of her way to help other. She is very active in their professional organization and she practices what she teaches. What ethical principles is she practicing? A. Beneficence B. Autonomy C. Advocacy D. Justice

You are commuting to work riding the LRT. An older person collapsed and nobody seem to notice her. The security guard tried to make her sit down but she remained unconscious. You saw what happened and you decided to help. With help, you brought the patient to the nearest hospital. You learned later that woman was diabetic. She was on her way to the diabetes clinic to have her fasting blood sugar tested. She developed hypoglycemia. You were able to save a life. You felt good. What principle was applied? A. Advocacy B. Beneficence C. Justice D. Autonomy SITUATION 9 - Health Promotion is the priority nursing reponsibility. The nurse should be able to promote the client’s wellbeing and identify ways on improving the client’s quality of life.
The nurse is caring for a 16 year old female client who isn’t sexually active. The client asks if she needs a Papanicolau test. The nurse should reply: A. Yes, she should have a Pap test after the onset of menstruation B. No, because she isn’t sexually active C. Yes, because she’s 16 years old D. No, because she is not yet 21 years old
The nurse is assessing a client who complains of abdominal pain, nausea and diarrhea. When examining the client’s abdomen, which sequence should the nurse use? A. Inspection, palpation, percussion, auscultation B. Inspection, auscultation, percussion, palpation C. Auscultation, inspection, percussion, palpation D. Palpation, auscultation, percussion, inspection
The nurse is speaking to a group of women about early detection of breast cancer. The average age of the women in the group is 45. Following the Philippine Cancer Society guidelines, the nurse should recommend that the women: A. Perform breast self examination annually B. Have a mammogram annually C. Have a hormonal receptor assay annually D. Have a physician conduct a clinical examination every 2 years
The school nurse is planning a program for a group of teenagers on skin cancer prevention. Which of the following instruction whould the nurse emphasize in her talk? A. Stay out of the sun between 1 p.m and 3 p.m B. Tanning booth are a safe alternative for those who wish to tan C. Sun exposure is safe, provided the client wears protective clothing D. Examine skin once per month, looking for suspicious lesions or changes in moles
An employer establishes a physical exercise area in the workplace and encourages all employees to use it. This is an example of which level of prevention?

SITUATION 11 - Nursing is a profession. Miss Linda is a newly appointed nurse in a hospital in Manila. Born May 1985, Her knowledge of nursing’s professional development is required in order to project the profession in a way that it lifts the standards of nursing.

Mrs. Linda defined nursing as one of the following except: A. Assisting individual, family and community in attaining health B. Assisting basic health needs C. Establishing nursing diagnosis and implementing nursing care D. Diagnosing, treating, prescribing medication and doing minor surgery
PNA was established in:
1922
1926
With Mrs. Rosario Delgado as first president
With Mrs. Anastacia Tupas as first president A. 1, B. 1, C. 2, D. 2,
As a national nurses association, it is characterized as follows except: A. Both a professional body and a labor union B. Affiliated with the International Council Of Nurses C. Advocating for improved work and life condition of Nurses D. Accrediting body for continuing education program
CPE Units per year is needed for license renewal. The number of CPE units per year should be: A. 20 units B. 30 units C. 60 units D. 100 units
As a nurse, R.A 1080 Exempts her from: A. Paying her professional tax B. Examination for civil service eligibility C. Qualifying for the CGFNS D. Paying business permit
In resigning for her job as a staff nurse, she must give advance notice of: A. 15 days B. 30 days C. 45 days

D. 60 days

Why is there an ethical dilemma? A. Because the law do not clearly state what is right from what is wrong B. Because morality is subjective and it differs from each individual C. Because the patient’s right coincide with the nurse’s responsibility D. Because the nurse lacks ethical knowledge to determine what action is correct and what action is unethical
Who among the following can work as a practicing nurse in the Philippines without taking the Licensure examination? A. Internationally well known experts which services are for a fee B. Those that are hired by local hospitals in the country C. Expert nurse clinicians hired by prestigious hospitals D. Those involved in medical mission who’s services are for free
The nurse is correct in determining that a License is: A. A personal property B. Can be revoked by the Board of Nursing C. A Right D. Can be revoked by the PNA
A License is renewed every: A. 1 year B. 2 years C. 3 years D. 4 years
Which of the following persons cannot have free access to a patient’s record? A. The patient B. The physical therapist C. The pharmacist D. The lawyer
Ms. Linda’s license will expire in 2007, She must renew her license when? A. January 2007 B. December 2007 C. May 2007 D. May 2008
The practice of Nursing in the Philippines is regulated by: A. RA 9163 B. RA 9173

D. Use of flowsheet

Being a new staff nurse, Mark remembers that information needed for daily nursing care of clients are readily available in which of the following? A. Kardex B. Order sheet C. Admission notes D. Nurses notes SITUATION 13 - Mr. Orlando is assigned to Mang Carlos, A 60 years old, newly diagnosed diabetes patient. He is beginning to write objectives for his teaching plan.
Which of the following is written in behavioral term? A. Mang Carlos will know about diabetes related foot care and the techniques and equipment necessary to carry it out B. Mang Carlos sister will be able to determine his insulin requirement based on blood glucose levels obtained from glucometer in two days C. Mang Carlos daugter should learn about diabetes milletus within the week D. Mang Carlos wife needs to understand the side effects of insulin
Which of the following is the best rationale for written objectives? A. Document the quality of care B. Facilitate evaluation of the performance of the nurse C. Ensure learning on the part of the nurse D. Ensure communication among staff members
Mang Carlos has been terminally ill for 5 years. He asked his wife to decide for him when he is no longer capable to do so. As a Nurse, You know that this is called: A. Last will and testament B. DNR C. Living will D. Durable Power of Attorney
Which of the following behavior of Mang Carlos least indicates readiness to learn? A. Talking with the nurse in charge and doctor B. Reading brochures and pamphlets about diabetes C. Inquiring about date of discharge D. Asking question about diabetes milletus
Which of the following behaviors best contribute to the learning of Mang Carlos regarding his disease condition? A. Drawing him into discussion about diabetes B. Frequent use of technical terms C. Loosely structured teaching session D. Detailed lengthy explanation

SITUATION 14 - Mrs. Purificacion is now the Chief nurse of a hospital in Manila. She is carefully reviewing different management styles and theories that will best help her in running the nursing services in the hospital.

Which leadership style best empower the staff towards excellence? A. Autocratic B. Situational C. Democratic D. Laissez Faire
As a Nurse Manager, DSJ enjoys his staff of talented and self-motivated individuals. He knew that the leadership style to suit the needs of this kind of people is called: A. Autocratic B. Participative C. Democratic D. Laissez Faire
A fire has broken in the unit of DSJ R.N. The best leadership style suited in cases of emergencies like this is: A. Autocratic B. Participative C. Democratic D. Laissez Faire
Mrs. Purificacion is thinking of introducing the Primary Nursing Model Approach. You understand that this nursing model is: A. The nurse manager assigns tasks to the staff members B. Critical paths are used in providng nursing care C. A single registered nurse is responsible for planning and providing individualized nursing care D. Nursing staff are led by an RN leader in providing care to a group of clients
Structure, Process and Outcome are components of which step of the management process? A. Planning B. Organizing C. Directing D. Controlling SITUATION 15 - Nursing research is the term used to describe the evidence used to support nursing practice. Nursing, as an evidence based area of practice, has been developing since the time of Florence Nightingale to the present day, where many nurses now work as researchers based in universities as well as in the health care setting.

SITUATION 16 - Consider the following hypothesis: “The Job turnover rate and job dissatisfaction levels of graduate nurses who have worked less than 2 years is higher than for those graduate nurses who have worked for more than 2 years”

A systematic, objective, process of analyzing phenomena importance to nursing is termed as: A. Nursing research B. Research C. Scientific research D. Research process
The major reason for conducting nursing research is to: A. Improve nursing care for clients B. Promote the growth of the nursing profession C. Document to cost effectiveness of nursing care D. Ensure accountability of nursing practice
Which is you independent variable? A. Job dissatisfaction B. Job turn over rate C. Job dissatisfaction and Job turn over rate D. Length of employment
Which is your dependent variable? A. Job dissatisfaction B. Job turn over rate C. Job dissatisfaction and Job turn over rate D. Length of employment
The type of hypothesis in this situation is classified as: A. Simple, Directional B. Simple, Non Directional C. Complex, Directional D. Complex, Research
The problem that a researcher would like to give emphasis “Is there a relationship between timing of the administration of psychological support and feelings of wellbeing among terminally ill patients”. The appropriate null hypothesis for this problem is: A. Feelings of wellbeing of terminally ill patients who received psychological support is similar to the feelings of wellbeing of those terminally ill patients who did receive said psychological support. B. There is no relationship between the timing of administration of psychological support and feelings of well-being among terminally ill patients C. Factors are not appropriate to determine any desired results D. There is no relationship between the timing of the administration of psychological support and feelings of adequacy among terminally ill patients

In the above number, your dependent variable is: A. Terminally ill patients B. Feelings of wellbeing C. Timing of psychological support D. Time
In the recent technological innovations, which of the following describe researches that are made to improve and make human life easier? A. Pure research B. Applied research C. Basic research D. Experimental research
After the researcher has determined and read relevant literature, she has to: A. Write down the review B. Organized the relevant literature C. Analyze potential literature D. Integrate the review of literature
The final product of review of related literature is: A. Pool of related literature B. Organized relevant literature C. Analyzed potential literature D. Written review of literature Situation 17 - Records and Records management is one of the core of professional nursing practice.
The National Archives of the Phils. (NAP) is mandated by R.A. 9470 of 2007 to plan, formulate and implement records management and archival administration program for the efficient action, utilization, maintenance, retention, preservation, conservation and disposal of public records including the adoption of security measures and vital records protection program for the government and give technical assistance to all branches of government. Hospitals should safe keep their record and coordinate with which of the following agency for its disposal? A. National Archives of the Philippines B. Metropolitan Manila Development Authority C. Record Management and Archive Office D. Department Of Health
If The research team finished the research about Ana’s case and they are done disseminating data and after the report has been completed and written, Pre-processed data about Ana should be: A. Preserved

B. Kristie C. The physician D. There is no need for consent because this is an emergency

The main responsibility of the nurse when the physician obtains the informed consent is: A. Explain the procedure, alternatives, prognosis and diagnosis B. Listen to the physician’s explanation C. Make sure that the client fully understood the instructions, the consent was given voluntarily, the signature is authentic and the client is competent when receiving the consent. D. Make sure that the client fully understood the instructions, the consent was given voluntarily, the signature is authentic and the client is competent when giving the consent.
Autonomy is said to be the bioethical principle respected in Enlightened consent. If the nurse made sure that the client received enough information when the physician obtained the consent, asked and verifies if the client understood the procedure and informs the physician if the client have some questions with regards to the diagnosis, procedure, alternatives and prognosis, the nurse is playing which role? A. Mother surrogate B. Care provider C. Client Advocate D. Collaborator SITUATION 19 - Nursing is a profession. The nurse should have a background on the theories and foundation of nursing as it influenced what is nursing today.
Nursing is the protection, promotion and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response and advocacy in the care of the individuals, families, communities and the population. This is the most accepted definition of nursing as defined by the: A. PNA B. ANA C. Nightingale D. Henderson
Advancement in Nursing leads to the development of the Expanded Career Roles. Which of the following is NOT an expanded career role for nurses? A. Nurse practitioner B. Clinical nurse specialist C. Nurse Researcher D. Nurse anaesthesiologist

The Board of Nursing regulated the Nursing profession in the Philippines and is responsible for the maintenance of the quality of nursing in the country. Powers and duties of the board of nursing are the following, EXCEPT: A. Issue, suspend, revoke certificates of registration B. Issue subpoena duces tecum, ad testificandum C. Open and close colleges of nursing D. Supervise and regulate the practice of nursing
A nursing student or a beginning staff nurse who has not yet experienced enough real situations to make judgments about them is in what stage of Nursing Expertise? A. Novice B. Newbie C. Advanced Beginner D. Competent
Benner’s “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 SITUATION 20 - Nursing Research is used to develop new nursing knowledge in order to improve patient care.
A systematic, objective, process of analyzing phenomena importance to nursing is termed as: A. Nursing research B. Research C. Scientific research D. Research process
Data observed by the use of the sense organs are called: A. Interval Data B. Empirical Data C. Nominal Data D. Ordinal Data
The major reason for conducting nursing research is to: A. Improve nursing care for clients B. Promote the growth of the nursing profession C. Document to cost effectiveness of nursing care D. Ensure accountability of nursing practice
The plan on how the study will be conducted is called:

nursing reviewer for nursing board exam, Study notes of Science education

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NURSING PRACTICE 1

POINTERS TO REVIEW