Situation c.

A patient who underwent adrenalectomy

ursing practice is governed by ethical principles which d. A patient who is medicating with glucocorticoids
serve as the basis for reasoning, actions, and decisions. for 6 weeks

1. Respect for autonomy requires individuals to honor 7. The following, except one, are clinical
a patient’s right to self determination. This also involves manifestations of Cushing’s Disease?
allowing patients and families to know all the relevant a. Buffalo hump
information and enabling them to weigh their options. b. Hyperglycemia
What is the most important role that nurses have in such c. Skin hyperpigmentation
situations? d. Hirsutism

a. Advocate 8. A patient was admitted to ER, unconscious and with

b. Caregiver BP 70/40 mmHg. His wife reported that she has been
c. Educator complaining about severe pain, increased confusion, and
d. Care manager lethargy. He said that he cannot recall when was the last
time they bought her medication PO Prednisone. What is
2. What principle underlies a trusting relationship the patient most likely experiencing?
between nurse and patient?
a. Cushing’s Syndrome
a. Beneficence b. Addisonian Crisis
b. Nonmaleficence c. Hashimoto’s Disease
c. Veracity TRUTHFULNESS d. Thyroid Crisis

d. Justice 9. What medication is expected to be started for the

patient above?
3. The ` some actions that produce both good
and evil effects. Which of the following criteria must be a. PO Prednisone
fulfilled for an action to be considered moral based on b. PO Declomycin
the principle of double effect? c. IV Insulin
i. The action itself is good or morally neutral. d. IV Solu-Cortef
ii. The agent sincerely intends the good and not the evil
effect 10. The patient has a take home medication which is
iii. The evil effect is foreseen and intended. Prednisone. The following statements suggest effective
iv. The good effect is not achieved by means of the evil teaching, except?
effect.
v. There is a proportionate or favorable balance of good a. I will wear a Medic-Alert bracelet.
over evil. b. I will take this medication religiously at 8am
everyday.
a. i, ii, v c. I will take this medication even when my symptoms
b. i, iii, v are gone.
c. i, ii, iv, v d. I will stop taking the medication if I feel more sick.
d. i, ii, iii, iv
Solution
4. What do you call situations in which a clear conflict Diabetes insipidus affects about 1 in 25,000 people in the
exists between two or more moral principles or general population. Adults are more likely to develop the
competing moral claims, where the nurse must choose condition, but it can occur at any age.
the lesser evil?
11. A patient arrives at the ER after a car accident with
a. Moral distress the following findings: BP 140/90 mmHg, PR 113 bpm,
b. Moral dilemmas RR 20 cpm, T 37.5 deg C. After 48 hours, the patient’s
c. Moral problems urine output increased to 180mL/hr and she is extremely
d. Moral uncertainty thirsty. Which laboratory findings support the nurse’s
suspicion of diabetes insipidus?
5. What do you call situations in which the nurse is a. Above-normal urine and serum osmolality levels
aware of the correct course of action but institutional b. Below-normal urine and serum osmolality levels
constraints stand in the way of pursuing the correct c. Above-normal urine osmolality level, below-normal
action? serum osmolality level
d. Below-normal urine osmolality level, above-normal
a. Moral distress serum osmolality level DILUTED URINE
b. Moral dilemmas CONCENTRADED BLOOD
c. Moral problems
d. Moral uncertainty 12. Diabetes insipidus is characterized by:

6. Cushing’s Syndrome is most likely to be developed a. Decreased vasopressin and decreased kidney water
in which of the following patients? reabsorption
b. Increased vasopressin and increased kidney water
a. A patient with TB infection reabsorption
b. A patient with a pituitary gland tumor, causing c. Decreased insulin and increased serum glucose levels
increased ACTH secretion d. Increased insulin and decreased serum glucose levels
13. Which of the following interventions should not be d. Hypoglycemic crisis
included in the nursing care plan?
20. What is the most appropriate nursing intervention
a. IV infusion of hypotonic saline solution for patient B?
b. Fluid restriction
c. IM administration of ADH a. Give a bedtime snack
d. Skin care b. Give the insulin at 10PM
c. Increase insulin dose
14. Diabetes insipidus may be nephrogenic in form d. This is normal in patients with DM
when there is failure in the renal tubules’ response to
ADH. All but one may cause this condition: Situation
Thyroid disorders can range from a small, harmless
a. Hypokalemia goiter (enlarged gland) that needs no treatment, to life-
b. Hypercalcemia threatening cancer.
c. Intake of declomycin
21. What is the most common type of
d. Meningitis
hyperthyroidism?
15. The patient with DI is given Desmopressin IV.
Which of the following nurse findings require a. Grave’s Disease
intervention? b. Hyperaldosteronism
c. Hashimoto’s Disease HYPOTHYRODISM
a. Clear breath sounds d. Adrenal Insufficiency ADDISONS
b. Decreased urine output
22. All but one may be expected in a patient with
c. Sodium level of 136 mEq/L
hyperthyroidism.
d. Potassium level of 5.4 mEq/L

Situation a. Diffuse pruritus

Diabetes mellitus is one of the most common lifestyle b. Exophthalmos
diseases worldwide. c. Cold intolerance WARM INTOLERANCE
d. Atrial fibrillation
16. The nurse is admitting a patient diagnosed with
type 2 diabetes mellitus. The nurse should expect the 23. A 40-year old woman returns from a subtotal
following symptoms during an assessment, except: thyroidectomy for the treatment of hyperthyroidism.
Upon assessment, the immediate priority that the nurse
a. Frequent bruising should assess is:
b. Dry mouth
c. Moist skin a. Pain
d. Tachycardia b. Neurological status
c. Fluid volume status
17. Health teaching is important in nursing care for d. Respiratory distress
patients with diabetes. The following guidelines are
helpful dietary recommendations for patients with DM, 24. What intervention for hyperthyroidism may be
except: delegated to the experienced certified nursing assistant?
a. Combine starchy foods with protein- and fat-
containing foods a. Instruct the patient to report palpitations, dyspnea,
b. Eat whole fruit instead of drinking juice vertigo, or chest pain. HEALTH TEACHING
c. Eat a light high-carbohydrate snack before exercising b. Check the apical pulse, blood pressure, and
d. Avoid eating breakfast temperature every 4 hours.
c. Draw blood for thyroid-stimulating hormone, T3, and
18. Nurse Rico gave an intermediate-acting insulin to T4 levels.
patient A at 7PM. At 3AM, he noticed that the patient d. Explain the side effects of propylthiouracil (PTU) to
was experiencing night sweats and his skin was cold to the patient.
touch. When the patient woke up at 7AM, his glucose
level was 250 mg/dL. What is patient A most likely 25. Lugol’s solution is given before a patient can
experiencing? undergo thyroidectomy. What is the rationale for this?

a. Dawn phenomenon a. Decrease the total basal metabolic rate.

b. Somogyi effect b. Maintain the function of the parathyroid glands.
c. Insulin waning c. Block the formation of thyroxine by the thyroid gland.
d. Hypoglycemic crisis d. Decrease the size and vascularity of the thyroid
gland.
19. Nurse Rico gave an intermediate-acting insulin to
patient B at 8PM. At 2AM, his blood glucose is within Situation
his normal range. However, when the patient woke up at A 36-year old male went to the clinic for a check-up. He
6am, his glucose level increased to 225 mg/dL. What is has been diagnosed with hypertension type I 4 years ago.
patient B most likely experiencing?
26. The patient says to the nurse, “I really don’t know
a. Dawn phenomenon
why I need to come back regularly. I feel fine and
b. Somogyi effect
c. Insulin waning
haven’t had any symptoms.” The nurse would explain to b. Encouraging the intake of low-sodium liquids such
the client that symptoms of hypertension: as coffee or tea.
a. Are often absent c. Monitoring neurologic status
b. Occur only in malignant hypertension d. Restricting tap water intake.
c. Appear once the kidney has been irreversibly damaged
d. Appear when there is high risk of stroke 33. Upon assessment, you noticed that Maria has a
pitting edema on both of her lower legs. Her urine output
27. The patient was prescribed a new drug. Which is 15-20mL/hr, dark amber in color. Her recent GFR was
drug inhibits calcium ion influx into vascular smooth 23 mL/min. What stage of chronic kidney disease is this
muscle? known as?*
a. Atenolol a. Stage 2
b. Verapamil b. Stage 3
c. Hydralazine c. Stage 4
d. Hydrochlorothiazide d. Stage 5

28. Non-pharmacological techniques can also help 34. Which medication ordered by the physician will
lower blood pressure. All but one are examples of these help treat the patient's uncontrolled hypertension along
techniques: with providing a protective mechanism to the kidneys?
a. Smoking cessation
b. Taking multivitamins a. Metoprolol
c. Dietary changes b. Amlodipine
d. Caffeine limitation c. Verapamil
d. Lisinopril
29. The patient is being discharged home on
Hydrochlorothiazide (HCTZ) for treatment of 35. Maria is now experiencing extreme pruritus and
hypertension. Which of the following statements by the has several areas of crystallized white deposits on the
patient indicates they understood your discharge skin. As the nurse, you explain that this is due to
teaching about this medication? excessive amounts of what substance found in the blood?
a. Calcium
a. I will make sure I consume foods high in potassium. b. Urea
b. I understand a dry cough is a common side effect with c. Phosphate
this medication. d. Erythropoietin
c. I will only take this medication if my blood pressure is
high. Situation
d. I will monitor my glucose levels closely because this The mortality from stroke during the last 10 years has an
medication may mask symptoms of hypoglycemia. average of 63,804 deaths per year. Despite the COVID
pandemic, the recorded annual Philippine stroke death
30. Which of the following patients does not have a increased from 64,381 in 2020 to 68,180 in 2021
risk factor for hypertension? (Collantes et al., 2022).

a. A 25 year old male with a BMI of 35. 36. Denver, 30 year-old male, is admitted with
b. A 35 year old female with a total cholesterol level of decreased level of consciousness and uncontrolled atrial
100. fibrillation. His pulse rate and blood pressure has
c. A 68 year old male who reports smoking 2 packs of increased. The patient’s medication history includes
cigarettes a day. vitamin D supplements and calcium. What type of stroke
d. A 40 year old female with a family history of is this patient at MOST risk for?
hypertension and diabetes a. Ischemic thrombosis
b. Ischemic embolism
Situation c. Hemorrhagic
Maria is a 65-year old female diagnosed with Chronic d. Ischemic stenosis
Kidney Disease, Type 2 diabetes mellitus, uncontrolled
hypertension and acute dermatitis. She was admitted to 37. MRI shows damage to the cerebellum. What
the hospital with chief complaint of “ang lakas ng kabog assessment findings should you expect to find?
ng dibdib ko.”
a. Vision problems
31. Maria’s potassium level was noted to be 5.7 b. Balance impairment
mmol/L. Her doctor ordered an ECG reading. Which of c. Language difficulty
the following is not expected? d. Impaired short-term memory
a. Peaked T wave
b. Prominent U wave 38. Another patient, Tokyo, has been admitted with
c. Prolonged PR interval right side brain damage due to stroke. What can you
d. Wide QRS expect to observe in the patient? Select all that apply:

32. Maria was also identified to have low serum i. Right side hemiplegia
sodium level. Nursing intervention for a patient with a ii. Confusion on date, time, and place
diagnosis of hyponatremia includes all of the following iii. Aphasia
except: iv. Unilateral neglect
a. Assessing for symptoms of nausea and malaise. v, Aware of limitations
vi. Impulsive
vii. Short attention span a. Assent
viii. Agraphia b. Consent of a minor
c. Minor agreement
a. i, iii, iv, vi, vii d. None of the above
b. ii, iii, iv, viii
c. ii, iv, vi, vii 45. Once Nurse Bon collected all necessary data via
d. All of the above interviews, what technique can he use to analyze these
data?
39. Tokyo was prescribed Mannitol for increased ICP.
Which statement is INCORRECT about this medication? a. Chi-Square test
b. Measures of variation
a. Mannitol will remove water from the brain and place it c. Content analysis
in the blood to be removed from the body. d. Pearson r correlation
b. Mannitol will cause water and electrolyte
reabsorption in the renal tubules. 46. In the study “The effect of a supportive home care
c. When a patient receives Mannitol, the nurse must program on caregiver burden with stroke patients in Iran:
monitor the patient for both fluid volume overload and an experimental study” by Farahani et al. (2021), what is
depletion. the independent variable?
d. Mannitol is not for patients who are experiencing
anuria. a. Supportive home care program
b. Caregiver burden
40. What assessment finding requires immediate c. Stroke patients in Iran
intervention if found while Tokyo is receiving Mannitol? d. An experimental study

a. Crackles 47. What is the dependent variable in #46?

b. BP 110/80
c. ICP of 10 mmHg a. Supportive home care program
d. Dry mouth and thirst b. Caregiver burden
c. Stroke patients in Iran
Situation d. An experimental study
Nursing research plays a big role in upholding and
continuously advancing the nursing practice. Being a 48. Mamo et al. (2019) conducted the study,
researcher is an important role of nurses to improve their “Determinants of poor glycemic control among adult
knowledge and skills in patient care and to contribute in patients with type 2 diabetes mellitus in Jimma
ensuring evidence-based practice. University Medical Center, Jimma zone, south west
Ethiopia: a case control study”. The aim of this study is
41. Nurse Gia is conducting a grounded theory to identify the determinants of poor glycemic control at
research. Which of the following is most accurate the diabetes clinic of the Jimma University Medical
regarding the grounded-theory method? Center from April 01 to June 30/2017. What is the other
a. An etic perspective is used during data collection. term for this case control study?
b. It is a process of constructing human experience. a. Retrospective study
c. Secondary sources are sometimes used. b. Prospective study
d. It is an inductive approach. c. Cohort study
d. Cross-sectional study
42. Respondents of a research should always be
protected. Which of the following rights of individual 49. Sample is regarded as a subset of:
participants must be ensured when the researcher cannot
link the information given by the respondent from the a. Data
source of the information? b. Set
a. Confidentiality c. Distribution
b. Anonymity d. Population
c. Virility
d. Volunteerism 50. Nurse Paul suggests for their community research
to conduct data collection about everyone or everything
43. Nurse Via integrates the findings of the multiple in group or population and has the advantage of accuracy
quantitative research studies on nonpharmacological and detail. What is this called?
interventions for patients with ischemic stroke. What
type of research method is this? a. Census
b. Survey
a. Meta-synthesis c. Probability sampling
b. Meta-analysis d. Cluster sampling
c. Secondary analysis
d. Systematic analysis Situation
Nurse Lisa, a new registered nurse has been
44. What process should Nurse Bon use to obtain a 10- oriented about many ethical and moral issues
year-old child’s agreement for participation in the study,
that she may encounter while in practice. The
“Eating practices of hospitalized children under 12 years
of age”?
following question applies.
 D. Seek out the nursing supervisor in conflicting
51. Nurse Lisa was asked by a fourth year nursing situations
learner regarding the BEST practical guide they can use
if confronted with ethical dilemmas. Nurse Lisa should Situation
inform the nursing learner about the ________. Mr. Ricci Rivero, 25 years old, a college instructor was
admitted to the Mariano Marcos Memorial Hospital and
a. Florence nightingale oath Medical Center due to difficulty of breathing 30 minutes
b. RA 9173 prior to admission. He also revealed that he has been
c. Code of ethics for nurses suffering from blood-streaked productive cough
d. Deontological theory accompanied by dull and aching chest with coughing for
more than four weeks now. He was diagnosed with
52. Nurse Lisa emphasized to the nursing learners that a pulmonary tuberculosis 2 years ago.
nurse should fully support the patient’s rights throughout
their personal stay when working toward achieving
desirable outcomes for them. This ethical principle is 56. Nurse Al is assigned to patient Ricci and should
known as? expect the lungs to be with _______ in the chest x-ray
result?
a. Teleology
b. Accountability a. Pulmonary infiltrates
c. Advocacy b. Multinodular infiltrates
d. Beneficence c. Crackles
d. Stridor
53. Mr. Mosi has presented in the emergency department
complaining of substernal chest pain. He has a history of 57. Nurse Al administered oxygen and had carried out
diabetes and hypertension. The physician considered Mr. all the doctors order. Nurse Al should be aware that
Mosi to be at risk of CAD that needs surgery. What documentation of the care rendered should be done __?
PRIORITY nursing actions should be done by the
members of the health team in this situation? a. As soon as possible
b. After the shift
a. Inform Mr. Mosi of his health status and discuss c. Every four hours
possible interventions, then let him decide. d. every 8 hours
b. Proceed immediately to surgery after confirming the
presence of clot in his heart’s artery 58. Mr. Rivero was discharged after 5 days in the
c. Consult his wife and let her decide on behalf of Mr. hospital. Nurse Al carried out the referral forms to San
Mosi. NicoIlas Municipal Health Office. Nurse Alwin should
d. Refer the patient to the ethics committee. expect that the health information of patient Brent is in
what form of the FHSIS?
54. Which statement would best explain the role of the
nurse when planning care for a culturally diverse a. Target Client List
population? The nurse will plan care to: b. Treatment record
c. Tally or Reporting Forms
a. Focus only on the needs of the client, ignoring the d. Output Records
nurse’s beliefs and practices
b. Include care that is culturally congruent with the staff 59. Nurse Al has conducted discharge teaching with Mr.
from predetermined criteria Rivero regarding his medications. Nurse Al determines
c. Blend the values of the nurse that are for the good of that Mr. Rivero has understood the information if he
the client and minimize the client’s individual values and makes which statement?
beliefs during care
d. Provide care while aware of one’s own bias, focusing a. “Hindi na ako makakapunta ng Sogo para kumain sa
on the client’s individual needs rather than the staff’s susunod na anim na buwan”
practices b. “Nararapat na ipagpatuloy ko ang aking gamutan sa
isang buwan”
Correct answer c. “Makakapagtrabaho na ako kapag ang aking sputum
culture ay negatibo da baktirya”
d. Provide care while aware of one’s own bias, focusing d. “Hindi na ako makakahawa pagkatapos ng 2-3
on the client’s individual needs rather than the staff’s linggong gamutan”
practices
60. Another patient was admitted to the MMMH-MC
who was recently diagnosed with pulmonary TB. He is
55. Nurses agree to be advocates for their patients. about to begin a 6-month course of therapy with
Practice of advocacy calls for the nurse to: isoniazid. Nurse Al should plan to teach the client to take
which action?
a. Assess the client’s point of view and prepare to
articulate this point of view. a. Increase intake of Swiss or aged cheese
B. Document all clinical changes in the medical record in b. Drink Gin bilog in small amounts only
a timely manner. c. Avoid vitamin supplements during therapy.
C. Work to understand the law as it applies to the client’s d. Report yellow eyes or skin immediately.
clinical condition.
Situation a. Anorexia
Ms. Cynthia went to the hospital for a follow-up check b. Tachycardia
up after her hospitalization due to exacerbated c. Cold skin
hypothyroidism. d. Sleep problems

61. Nurse Jen is assigned to patient Cynthia. The nurse 67. Prophylthiouracil (PTU) is prescribed to Mrs. Ehe.
should expect which signs/symptoms Ms. Cynthia may The nurse should inform the client to report ______
exhibit? immediately.

a. Complains of extreme fatigue and hair loss a. Painful, excessive menstruation

b. Exophthalmos and complains of nervousness b. Sore throat
c. Complaints of profuuse sweating and flushed skin. c. Constipation
d. Tetany and complaints of stiffness of hands. d. Increased urine output

68. Another patient was diagnosed with hyperthyroidism

62. Nurse Jen should be aware that the preferred and was prescribed with methimazole. Select all nursing
medication for treating hypothyroidism is? considerations that are NOT associated with this
medication.
a. Propylthiouracil
b. Propranolol a. Administer methimazole with food
c. Synthroid
d. Lithium
b. Place the client on a low-calorie, low- protein diet
63. Patient Cynthia had discussed the onset of feelings of
sadness and depression due to her illness to the nurse, the c. Assess the client for unexplained bruising and
nurse should inform the client that these feelings are: bleeding
a. normal and part of having a chronic illness.
b. Temporary effects of thyroid replacement therapy and d. Instruct the client to report side and adverse effects
will diminish once homeostasis is achieved such as sore throat, fever, or headaches
c. Permanent effects of thyroid replacement therapy and
will not diminish over time e. Use special radioactive precautions when handling the
d. Most likely related to low thyroid hormone levels and client’s urine for the first 24 hours following initial
will improve with treatment administration.

a. abcd
b. bcde
64. Which findings indicate the presence of side effects c. acd
associated with levothyroxine? Select all the apply. d. be
a. Weight loss
b. Bradycardia 69. Which signs/symptoms should make the nurse
c. Mild heat intolerance suspect the client is experiencing a thyroid storm?
d. Constipation
e. Insomnia a. Extreme tachycardia and hypothermia
b. Hypotension and tachycardia
a. a,b,c c. Decreased respirations and hypoxia
b. a,c,d,e d. Hyperpyrexia and extreme tachycardia
c. b,c,d,e
d. a,c,e

65. After several weeks from the follow-up check-up 70. In advance cases of hyperthyroidism, the diagnosis is
patient Jen was admitted to the ICU diagnosed with made on the basis of the symptoms and which of the
myxedema coma. Immediate nursing intervention is following laboratory result?
warranted with which assessment data?
a. Increase in serum TSH
a. Serum blood glucose level of 60-mg/dl b. Decreased free T4
b. Pulse oximeter reading of 90% c. Decrease in radioactive iodine uptake
c. Telemetry reading showing sinus bradycardia d. Decreased in serum TSH
d. The client is lethargic and sleeps all the time.
Situation
Situation Nurse John has just passed the board exam and is
Mrs. Ehe, 42 years old was diagnosed with Grave’s planning to work in a tertiary hospital in his province.
disease. Nurse John should be encouraged to abide with the laws
that govern the nursing practice in the Philippines.

66. The nurse is expected to asses from Mrs. Ehe with

which of the following sign? 71. What is the PRC Modernization Act of 2000?
a. RA 9881 78. Nurse Jeremy should be well aware of the most
b. RA 8981 important nursing considerations when caring for a client
c. RA 1989 who is receiving 2 units of packed RBCs. Select all that
d. RA 9198 apply

72. All successful candidates in the examination are

required to take an oath of profession before ______. a. Verify that the ABO and Rh of the 2 units are the
same.
a. Any PRC Official
b. The chief of hospital b. Infuse a unit of PRBCs in less than 4 hours
c. The Baranggay tanod of their respective Baranggay
d. Any authorized government official c. Stop the transfusion if a reaction occurs, but keep
the line open
73. The principal basis of the code of ethics for nurses
is__ d. Take vitals signs every 15 minutes while the unit is
__. transfusing
a. Local Government Code of the Philippines
b. Code of Good Governance e. Inspect the blood bag for leaks, abnormal color,
c. RA 9173 and clots.
d. ANA Code of Ethics for Nurses

74. According to the Code of ethics for Nurses, the f. Use a gauge 22 catheter for optimal flow of a blood
hallmark of nursing accountability focuses on _____? transfusion.

a. Accurate documentation a. a,c,e

b. Safe nursing practice b. d,e
c. Quality and excellence c. b,c,e
d. Welfare of patients
d. a,b,c,d,e,f
Correct answer
a. Accurate documentation 79. Patient Dee had already received 25 ml of packed
RBCs has complained of low back pain and pruritus.
After stopping the infusion, nurse Jeremy should take
75. As a well-informed registered nurse, nurse John what action next?
should earn ___ CPD units to renew his license every
three years. a. Administer prescribed antihistamine and aspirin
b. Administer diuretics
a. 13 c. Administer vasopressors
b. 14 d. Collect blood and urine samples and send to the lab
c. 15
d. 16
80. Nurse Jeremy has two middle-aged clients who were
Situation prescribed with blood transfusion of PRBCs at the same
Patient Dee has been ordered to receive a blood time. The first client’s blood pressure dropped from
transfusion after a hemorrhagic episode. preoperative value of 120/80 mmHg to a postoperative
value of 100/50. The second client is dehydrated and is
suffering anemia secondary to pneumonia. After
76. Nurse Jeremy prepares the blood to be transfused. As checking the patency of their IV lines and vital signs,
a prudent nurse verification of the blood typing and cross what should the nurse do next?
matching result should be done to prevent any
transfusion reaction. Should nurse Jeremy fails to verify
the blood typing and cross-matching result and has a. Call for both client’s blood transfusions at the same
transfused an incompatible ABO- and Rh- blood, what time.
type of reaction should nurse Jeremy expect? b. Call for and hang the first client’s blood
transfusion
a. Febrile reaction c. Ask another nurse to call for and hang the blood for
b. Hemolytic reaction the second client
c. Allergic reaction d. Ask another nurse to verify the compatibility of both
d. Overacting reaction units at the same time.

77. In the situation above, nurse Jeremy should assess the Situation
patient with what signs/symptoms? Ms. Serena, 25 years old, has been recently diagnosed
with HIV. She has been so distressed about her
a. Fever and chills diagnosis.
b. Flushing and urticaria
c. Dyspnea and stridor 81. A year after her diagnosis, she went back to the
d. Dyspnea and hypotension laboratory for her follow up CD4 counting. Her CD4
count has been noted to be 120 cell/mm^3. The nurse c. Oozing blood from the IV catheter site
should be aware that which symptom/s should be present d. A reddened, inflamed central line catheter site.
aside from the laboratory report would indicate her
condition has already progressed to AIDS? 88. A patient asks the primary nurse, “How does
someone get hemophilia A?” Which statement would be
a. Malaise,fever, anorexia, and weight loss the primary nurse’s best response?
b. Leukopenia
c. Fatigue a. “ it is an inherited A-linked recessive disorder
d. Mucopurulent greenish-yellowish cough b. “It is an inherited X-linked recessive disorder”
c. “The person is born with hemophilia A”
d. “The mother carries the gene and gives it to the
82. The nurse is assigned to care for Ms. Serene who has son”
developed a cutaneous Kaposi’s sarcoma. The nurse is
about to give the patient a bath, change the bed linens.
The lesions are open and drains a small amount of serous 89. The student nurse asks the nurse, “What is sickle cell
fluid. What PPE should the nurse use to bath the patient? anemia?” Which statement by the nurse would be the
best answer to the student’s question?
a. Gloves only
b. Gown and gloves for both procedures a. “Bakit nag tatanong ang beshy ko?”
c. Gown, gloves and a mask for both procedures b. “It is a congenital disease of the blood in which the
d. Gown and gloves to change the bed linens,and gloves blood does not clot”
only for the bath c. “The client has decreased synovial fluid that causes
joint pain.”
d. “The blood becomes thick when the client is
83. In the first few months of her diagnosis, Ms. Serena deprived of oxygen”
was encouraged to continue taking zidovudine (AZT).
The expected outcome of AZT is to: 90. Which is a potential complication that occurs
specifically to a male client diagnosed with sickle cell
a. Destroy the virus anemia during a sickle cell crisis?
b. Slow replication of the virus
c. Enhance the body’s antibody reaction a. ejaculation
d. Neutralize toxins produced by the virus b. Inflammation of the clitoris`
c. Priapism
84. How long is the window period of HIV?
d. Hypertensive crisis
a. 1-3 months
b. 4-5 months Situation
c. 6-7 months
d. 8-9 months Quality nursing practice impact patient care, patient
outcomes, patient and clinical satisfaction, and resource
utilization. The nursing management plays a vital role in
85. What is the confirmatory test for HIV? achieving a quality nursing practice.

a. ELISA
b. Soberano 91. Nurse Laida is the chief nurse of Mariano Marcos
c. Western Blot Memorial Hospital and Medical Center. The ER
d. Rumpel Leads test Department has been receiving feedback regarding long
waiting times for treatment. Nurse Laida has formed a
committee to resolve the issue. The leader of the
86. The nurse is admitting a 28-year-old college committee should first consider what task to solve the
instructor with a diagnosis of rule-out anemia. The client problem?
has undergone a gastric bypass surgery for obesity 3
years ago. Current assessment findings include height of a. Reassess the emergency waiting times.
5’5”; weight 75 kg; P110, R27, and BP 104/66; pale b. Consult the director of operations for possible
mucous membranes and dyspnea on exertion. The nurse solutions
should suspect the client to have which type of anemia? c. Collect baseline data to determine if a problem exists
d. A continuous quality improvement team should be
a. Sickle cell anemia established to define the desired outcome
b. Folic acid anemia d. A continuous quality improvement team should be
c. Iron deficiency anemia established to define the desired outcome
d. Vitamin B12 deficiency
92. A staff nurse in the pediatric department had a
87. A client is admitted with full-thickness burns and medication error and had immediately reported to the
may be developing DIC. Which findings would support unit supervisor. The pediatric department is known to
the diagnosis of DIC? promote quality nursing practice. Which response should
the staff expect from the supervisor?
a. Sudden onset of chest pain and frothy sputum
b. Foul-smelling, concentrated urine
a. "Why are you reporting that to me without completing a. Interval
an incident report?" b. Ordinal
b. "You need to report directly to the Chief Nursing c. Ratio
Officer." d. Nominal
c. "We have a blame-free environment so you can
report errors without fearing punishment."
98. A nurse researcher wants to study the response of
d. "You have reported this to me, so you do not need to patients who suffer from dysrhythmia to pacemaker. The
file an incident report." appropriate research design would be?

a. Experimental research design

93. The nurse has received the assignment for the day b. Descriptive-correlational
shift. Which client should the nurse plan to care c. Comparative descriptive
for first after making initial rounds and assessment? d. Correlational

a. A client with a white blood cell count of 14, 000 99. Which of the following are qualitative data sources?
mm3 (14x109/L) and a temperature of 38.4oC
b. A client who is ambulatory demonstrating steady gait a. Interview and observation.
c. A postoperative client who has just received an opioid b. Primary sources and secondary sources
pain medication. c. Books and journals
d. A client scheduled for physical therapy for the first d. Questionnaires and survey
crutch-walking session.
100. All of the following are advantages of using
questionnaires EXCEPT:
94. The nurse is giving a bed bath to an assigned client
when an assistive personnel (AP) enters the client’s room a. Easy to test data for reliability and validity
and tells the nurse that another assigned client is in pain b. Facilitates data gathering
and needs pain medication. Which is the most c. Less time consuming than interview and observation
appropriate nursing action? d. Respondents may provide socially acceptable
answers
a. Ask the AP to find out when the last pain medication
was given to the client
b. Ask the AP to tell the client in pain that medication
will be administered as soon as the bed bath is complete
c. Finish the bed bath and then administer the pain
medication to the other client

d. Cover the client, raise the side rails, tell the client
that you will come back shortly, and administer the
pain medication to the other client.

95. Nurse Laida is preparing a training program to

introduce quality management. Which information
should Nurse Laida include?

a. Staff satisfaction surveys will be used to track the

effectiveness of changes
b. The purpose is to improve the experience of patient
care, population, and values.
c. Staff will plan in silos
d. Programs will be staff focused.

Situation
Nursing research is considered essential to the
achievement of high-quality patient care and outcomes.

96. Which of the following is a method of non-

probability sampling?

a. Cluster sampling
b. Snowball sampling
c. Simple random sampling
d. stratified random sampling

97.The data on the family’s number of children is

appropriate for what level of measurement?