HEADNURSING EVALUATIVE EXAM Name Sec. Date Score: .

TEST I- MULTIPLE CHOICE. Write the LETTER of the best answer on the space provided.
1. 2. It serves as an important source of records and reports of patients and plan of care. a. Supplementary notes b. Kardex c. Chart d. Progress notes It is the giving and receiving of pertinent information related to patients condition, problem, nursing care, test and treatment done every change of shift. a. Nurses rounds b. charting c. endorsement d. unit conference During the unit conference, the HN pointed the inaccurate recording of I & O. She encouraged everyone to come up with reason or factor causing the problem and discuss the things to be done and methods in doing them for accurate recording. The process is describe as: a. Planning b. coordinating c. monitoring d. programming After which she assigned specific persons to do the reading of I & O, monitoring and subsequent analysis. She also made effort to do on the spot decision, give guidance to the people assigned the task and oversee the carrying out of plan. The process is called: a. Coordinating b. planning c. directing d. monitoring The HN delegates some of her duties to the charge nurse. Delegation implies the following, EXCEPT: a. The person to whom the job is delegated knows what to do b. That with responsibility goes commensurate authority c. It is a way of testing ones potential for bigger responsibility d. To avoid ones accountability The person responsible for all the nursing functions carried out by the staff a. HN b. TL c. supervisor d. nurse volunteer The nursing staff responsible to carry out nursing orders a. HN b. TL c. supervisor d. nurse volunteer Upon admission the unit headnurse should asses the patients condition and the nursing problems utilizing: a. POMR b. managerial skill c. knowledge d. authority To decide on the number of staff needed to provide quality care of a particular shift, yhe nurse leader manager should have: a. Power b. managerial skill c. knowledge d. authority Formal authority in an organizational chart is indicated by a: a. Straight line b. box c. broken line d. rectangle Collaboration with physicians is done in cases such as: 1. Newly-assessed problem that needs medical attention 2. Foreseeing any danger with doctors orders 3. Foreseeing possible complications and ill-results with medical intervention 4. Changing of IV or IV set a. 1,2,3 b. 2,3,4 c. 1,2,3,4 d. 1,3,4 Duties and responsibilities of HN/CN includes: 1. Received shift reports 2. Assume MN role in the absence of MN 3. Supervise activities of personnel including special nurse 4. Do include teaching to personnel a. 1,3,4 b. 1,2,3 c. 2,3,4 d. 1,2,3,4 As the charge nurse which of the following lab result should you give priority in referral: a. Patient whose clotting time is 5 minutes b. Patient whose thrombocyte count is 200x10.9L c. An adult patient whose RBG result is 110 mg/dl d. Patient whose creatinine result is 15 mg/dL and potassium is 5.4 mEq/L Nursing measures essential in preparing for FBS are the following EXCEPT: a. Instructing patient on NPO post midnight b. Tell the patient that the test requires a blood sample c. Explain the need to remove dentures, jewelry and any metal objects d. None of the above The source of specimen for checking the creatinine: a. Urine b. sputum c. blood d. tissue

3.

4.

5.

6. 7. 8.

9.

10. 11.

12.

13.

14.

15.

16. Physical preparation for abdominal surgery include which of the following: a. Skin prep b. blood typing and cross matching c. CP clearance d. all of the above 17. When an HN assess and regulates performance of workers she is demonstrating:

a. Planning b. organizing c. directing d. controlling 18. When the HN answers for positive or negative outcomes of the decision in her unit she is demonstrating: a. Authority b. accountability c. responsibility d. loyalty 19. In endorsing patient scheduled for major surgery, which of the following information is/are vital? a. Financial clearance b. pre-op preparations c. consent d. all of the above 20. The following are the purpose of acquiring serum Potassium, EXCEPT: a. To detect the origin of arrhythmias b. To evaluate neuromuscular and endocrine disorders c. To monitor renal function, acid base balance and glucose metabolism d. To support other hematologic tests for diagnosing anemia TEST II A SIMPLE RECALL. Supply the Normal values with correct units: 1. 2. 3. 4. 5. Serum Potassium Creatinine Serum Sodium Serum Calcium FBS

B. Write the correct word/words 1. 2. 3. 4. 5. ac AGE qid OU CHF

C. Write the correct telephone number 1. 2. 3. 4. 5. Billing office Pharmacy OR Dietary Hospital landline

D. Arrange in proper order the sequence on endorsement ( 1 to 10 ) a. b. c. d. e. f. g. h. i. j. Total number of patients in the unit Present status (i.e. vital signs, level of consciousness, etc.) Room number, patients full name, age, sex, civil status, religion, attending physician, comanagement Any diagnostic test and procedures done and Laboratory results with significant findings. Any new pertinent orders. Case (diagnosis and chief complaint) Any treatment and diagnostic procedure to be done outside of the hospital (schedule, financial arrangement, transportation and companion.) Any refusal of treatment, its reason, and documentation. Number of new admissions and patients for discharge. Any referrals to maintenance department (repairs) and housekeeping (cleaning and disinfection)

TEST III Give the purpose of the following procedures and preparation: (5 points each) 1. 2. 3. Barium Enema Endoscopy KUB Utz

***GOD BLESS***