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B.

Lactated Ringer’s Solution


C. 0.9% NaCl Solution
D. D5NSS

COLLEGE OF ALLIED HEALTH SCIENCES 9. Being assigned in a pediatric ward, what is the
Nursing Department characteristic sign of a normal psychosocial development
Rizal Street, Iloilo City of a toddler?
COMPETENCY APPRAISAL 1 A. Erikson’s stage of initiative vs. guilt
B. Imaginary playmates.
NAME___________________ DATE:____ SCORE:___ C. Negative behavior
D. Demonstrations of sexual curiosity.
INSTRUCTION: Select the best response for each situation by shading
the letter of your choice on the answer sheet provided. Strictly, 10. Defining stress, all of the following describes its
ERASURES or ALTERATIONS of any forms will automatically characteristics except:
invalidate your answer. HAVE FUN! A. Stress response is natural, productive and adaptive
B. Stress is not always a result of damage to the body
1. 1.A 28-month-old child with severe diarrhea is admitted. C. Stress always results to a feeling of distress
Upon assessment the child is feverish, has dry lips and D. Stress involves the entire body as a whole
irritable. What is your first nursing priority upon
admission? 11. A one-year-old child is admitted. Looking into the physical
A. Asses the hydration status development of the child, what will be affected or may
B. Assess the skin turgor have a delay?
C. Obtain the apical-radial cardiac rate A. Walking
D. Weigh the child B. Sitting
C. Running
2. You were assigned to a patient. Upon assessment, the D. Crawling
patient elicited Homan’s sign. What is the nursing priority
using this assessment? 12. A mother is concerned about the diet of her child that has
A. Encourage fluid and electrolyte balance noncomplicated acute glomerulonephritis. What is the
B. Encourage good venous circulation appropriate diet regimen you must teach as a nurse?
C. Secure patent airway A. Low-protein, low-potassium diet.
D. Promote skin care B. Regular diet, no added salt.
C. Low-sodium, low-protein diet.
3. You were assigned to a patient with a nasogastric tube D. Low-sodium, high-protein diet.
attached for almost three days. It is time to irrigate it,
what is the protocol that you will follow? 13. A patient is on Respiratory Isolation for Tuberculosis
A. A 30 mL sterile saline must be forcefully instilled and (TB). Which of the following would be an indicator for
provide a basin to catch the return flow. removal of Isolation Precautions?
B. A 20 mL sterile saline must be gently instilled and A. Sputum Culture is negative for AFB, following a
provide a basin to catch the return flow. course of INH and PAS
C. Instill 30 mL sterile water and then withdraw solution. B. Patient has been on Anti-Tubercular Drug Therapy
D. Gently instill 20 mL normal saline and then withdraw with INH for one month’s time
solution. C. Patient has no infiltrates on chest x-ray
D. Absence of adventitious breath sounds
4. A nurse therapeutically responds to a patient with AIDS
when he expressed feelings of depression and facing 14. A client is diagnosed to have Congestive Heart
death with the following phrase: “Are you afraid of Failure. Upon auscultating the client’s lungs the nurse
dying?” What type of therapeutic technique is she using? hears crackling sounds bilaterally at the bases. What term
A. Using open-ended question should you use in documenting this finding?
B. Using a close-ended question A. Rhonchi
C. Using a leading question B. Wheezing
D. Mirroring C. Rales
D. Atelectasis
5. What role does a nurse exhibits if she stands to protect the
needs and wishes of the patient? 15. Which of the following response of a 10-year-old patient
A. Caregiver with acute appendicitis is an alarming sign?
B. Counselor A. “My pain has gone away.”
C. Teacher B. “I am afraid to have surgery.”
D. Client advocate C. “I feel hot and thirsty.”
D. “I feel better with my legs up towards my chest
6. A post appendectomy patient is assigned to you. You have
assessed him that he needs more knowledge about proper 16. A nurse assigned to a child with Acute Glomerulonephritis
wound care. What role should you apply in this situation? is picking up doctor’s orders to put in the Kardex. Which of
A. Role Model the orders should the nurse question?
B. Counselor A. Bed rest
C. Caregiver B. Daily weights
D. Teacher C. Daily blood pressure
D. Strict I & O
7. While on your night rounds, you have noticed two nursing
aides placing bed sheets that they have taken from the
floor. What is the proper nursing action?
A. Confront the two nursing aides about their and
actions and call them for private counseling
B. Continue your night rounds, they have their own 17. Which of the following is an INCORRECT statement
liabilities on their actions. regarding diet therapy for a patient in renal failure?
C. Remind them the principle of medical asepsis A. Limit dietary protein
D. Provide a clothes basket for them B. Provide a diet high in carbohydrates
C. Limit Sodium (NA) intake
8. In a burn patient, in order to promote adequate fluid D. Provide a diet high in Potassium rich food
within 24 hours, what intravenous fluid is appropriate?
A. D5 Water
18. You are assigned to speak to a group of High School C. Radial
students about HIV and AIDS. In discussing transmission, D. Heat sensitive tape
the nurse knows that the highest concentration of the HIV
virus in infected patients is in the: 28. A nurse obtained a client’s pulse and found the rate to be
A. Saliva above normal. The nurse document these findings as:
B. Cerebrospinal Fluid A. Tachypnea
C. Blood B. Hyperpyrexia
D. Semen C. Arrhythmia
D. Tachycardia
19. In teaching HIV in high school students, what is the
appropriate health practice that the nurse should 29. Which of the following actions should the nurse take to
emphasize? use a wide base support when assisting a client to get up
A. Wash with antibacterial soap immediately after in a chair?
intercourse. A. Bend at the waist and place arms under the client’s
B. Use a latex condom and water soluble during arms and lift
intercourse B. Face the client, bend knees and place hands on client’s
C. After oral sex, use anti-bacterial mouth wash to forearm and lift
destroy the HIV virus C. Spread his or her feet apart
D. Abstain from intercourse if the female partner is D. Tighten his or her pelvic muscles
having her menstrual period.
30. 5. A client had oral surgery following a motor vehicle
20. Which of the following is appropriate in a depressed accident. The nurse assessing the client finds the skin
patient? flushed and warm. Which of the following would be the
A. Using silence best method to take the client’s body temperature?
B. Passive Friendliness A. Oral
C. Using open-ended questions B. Axillary
D. Giving information C. Arterial line
D. Rectal
21. .In a geriatric unit, you have noticed that one patient
seemed to change his behavior. Which of the following 31. A client who is unconscious needs frequent mouth care.
symptoms DOES NOT indicate that the patient is going When performing a mouth care, the best position of a
into depression? client is:
A. Being talkative A. Fowler’s position
B. Sleeplessness B. Side lying
C. Complains of getting tired easily C. Supine
D. Change in appetite D. Trendelenburg

22. In admitting elderly patient, it is a nurse’s goal to orient 32. A client is hospitalized for the first time, which of the
the patient. What is the effective nursing action in order to following actions ensure the safety of the client?
prevent disorientation? A. Keep unnecessary furniture out of the way
A. Secure the side rails up all the time B. Keep the lights on at all time
B. Do routine rounds C. Keep side rails up at all time
C. Leave a night light D. Keep all equipment out of view
D. Orient the patient every night before he or she sleeps
33. A walk-in client enters into the clinic with a chief
23. What is the proper order in the physical assessment when complaint of abdominal pain and diarrhea. The nurse
it comes to examination of the abdomen? takes the client’s vital sign hereafter. What phrase of
A. Auscultation, Inspection, Percussion, Palpation nursing process is being implemented here by the nurse?
B. Inspection, Auscultation, Percussion, Palpation A. Assessment
C. Palpation, Percussion, Inspection, Auscultation B. Diagnosis
D. Inspection, Percussion, Palpation, Auscultation C. Planning
D. Implementation
24. In assessing the cranial nerve function, a nurse finds out
that a patient has a difficulty in determining the different 34. It is best describe as a systematic, rational method of
scents when the eyes is closed. Which of the following planning and providing nursing care for individual,
cranial nerve had a problem? families, group and community
A. CN III A. Assessment
B. CN II B. Nursing Process
C. CN I C. Diagnosis
D. CN V D. Implementation

25. In examining a patient with asthma in exacerbation, what 35. Exchange of gases takes place in which of the following
lung sound is predominant? organ?
A. Crackles A. Kidney
B. Pleural rub B. Lungs
C. Gurgles C. Liver
D. Wheezes D. Heart

26. Using the principles of standard precautions, the nurse


would wear gloves in what nursing interventions?
A. Providing a back massage
B. Feeding a client 36. The chamber of the heart that receives oxygenated blood
C. Providing hair care from the lungs is the:
D. Providing oral hygiene A. Left atrium
B. Right atrium
27. The nurse is preparing to take vital sign in an alert client C. Left ventricle
admitted to the hospital with dehydration secondary to D. Right ventricle
vomiting and diarrhea. What is the best method used to
assess the client’s temperature? 37. A muscular enlarge pouch or sac that lies slightly to the
A. Oral left which is used for temporary storage of food…
B. Axillary A. Gallbladder
B. Urinary bladder C. mdr
C. Stomach D. mgts
D. Lungs
50. Which of the following is the meaning of PRN?
38. The ability of the body to defend itself against scientific A. When advice
invading agent such as baceria, toxin, viruses and foreign B. Immediately
body C. When necessary
A. Hormones D. Now
B. Secretion
C. Immunity
D. Glands

39. Hormones secreted by Islets of Langerhans


A. Progesterone
B. Testosterone
C. Insulin
D. Hemoglobin

40. It is a transparent membrane that focuses the light that


enters the eyes to the retina.
A. Lens
B. Sclera
C. Cornea
D. Pupils

41. Which of the following is included in Orem’s theory?


A. Maintenance of a sufficient intake of air
B. Self perception
C. Love and belongingness
D. Physiologic needs

42. Which of the following cluster of data belong to Maslow’s


hierarchy of needs
A. Love and belonging
B. Physiologic needs
C. Self actualization
D. All of the above

43. This is characterized by severe symptoms relatively of


short duration.
A. Chronic Illness
B. Acute Illness
C. Pain
D. Syndrome

44. Which of the following is the nurse’s role in the health


promotion
A. Health risk appraisal
B. Teach client to be effective health consumer
C. Worksite wellness
D. None of the above

45. It is described as a collection of people who share some


attributes of their lives.
A. Family
B. Illness
C. Community
D. Nursing

46. Five teaspoon is equivalent to how many milliliters (ml)?


A. 30 ml
B. 25 ml
C. 12 ml
D. 22 ml

47. 1800 ml is equal to how many liters?


A. 1.8
B. 18000
C. 180
D. 2800

48. Which of the following is the abbreviation of drops?


A. Gtt.
B. Gtts.
C. Dp.
D. Dr.

49. The abbreviation for micro drop is…


A. µgtt
B. gtt

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