1. Using the principles of standardprecautions, the nurse would weargloves in what nursing interventions?
A. Providing a back massage
B. Feeding a client
C. Providing hair care
D. Providing oral hygiene
2. The nurse is preparing to take vitalsign in an alert client admitted to thehospital with dehydration secondaryto vomiting and diarrhea. What is thebest method used to assess theclient’s temperature?
A. Oral
B. Axillary
C. Radial
D. Heat sensitive tape
3. A nurse obtained a client’s pulse and found the rate to be above normal. The nurse document these findings as:
A. Tachypnea
B. Hyper pyrexia
C. Arrythmia
D. Tachycardia
4. Which of the following actions should the nurse take to use a wide basesupport when assisting a client to get up in a chair?
A. Bend at the waist and place arms under the client’s arms and lift
B. Face the client, bend knees and place hands on client’s forearm andlift
C. Spread his or her feet apart
D. Tighten his or her pelvic muscles
5. A client had oral surgery following a motor vehicle accident. The nurseassessing the client finds the skin flushed and warm. Which of the followingwould be the best method to take the client’s body temperature?
A. Oral
B. Axillary
C. Arterial line
D. Rectal
6. A client who is unconscious needs frequent mouth care. When performinga mouth care, the best position of a client is:
A. Fowler’s position
B. Side lying
C. Supine
D. Trendelenburg
7. A client is hospitalized for the first time, which of the following actionsensure the safety of the client?
A. Keep unnecessary furniture out of the way
B. Keep the lights on at all time
C. Keep side rails up at all time
D. Keep all equipment out of view
8. A walk-in client enters into the clinic with a chief complaint of abdominalpain and diarrhea. The nurse takes the client’s vital sign hereafter. Whatphrase of nursing process is being implemented here by the nurse?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
9. It is best describe as a systematic, rational method of planning andproviding nursing care for individual, families, group and community:
A. Assessment
B. Nursing Process
C. Diagnosis
D. Implementation
10. Exchange of gases takes place in which of the following organs?
A. Kidney
B. Lungs
C. Liver
D. Heart
NURSING LOKSEWA MENTOR
11. The Chamber of the heart that receives oxygenated blood from the lungsis the?
A. Left atrium
B. Right atrium
C. Left ventricle
D. Right ventricle
12. A muscular enlarge pouch or sac that lies slightly to the left which isused for temporary storage of food:
A. Gallbladder
B. Urinary bladder
C. Stomach
D. Lungs
13. The ability of the body to defend itself against scientific invading agentsuch as baceria, toxin, viruses and foreign body:
A. Hormones
B. Secretion
C. Immunity
D. Glands
14. Hormones secreted by Islets of Langerhans:
A. Progesterone
B. Testosterone
C. Insulin
D. Hemoglobin
15. It is a transparent membrane that focuses the light that enters the eyesto the retina.
A. Lens
B. Sclera
C. Cornea
D. Pupils
16. Which of the following is included in Orem’s theory?
A. Maintenance of a sufficient intake of air
B. Self perception
C. Love and belonging
D. Physiologic needs
17. Which of the following cluster of data belong to Maslow’s hierarchy ofneeds
A. Love and belonging
B. Physiologic needs
C. Self actualization
D. All of the above
18. This is characterized by severe symptoms relatively of short duration.
A. Chronic Illness
B. Acute Illness
C. Pain
D. Syndrome
19. 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
20. It is describe as a collection of people who share some attributes of theirlives.
A. Family
B. Illness
C. Community
D. Nursing
NURSING LOKSEWA MENTOR
21. Five teaspoon is equivalent to how many milliliters (ml)?
A. 30 ml
B. 25 ml
C. 12 ml
D. 22 ml
22. 1800 ml is equal to how many liters?
A. 1.8
B. 18000
C. 180
D. 2800
23. Which of the following is the abbreviation of drops?
A. Gtt.
B. Gtts.
C. Dp.
D. Dr.
24. The abbreviation for micro drop is:
A. µgtt
B. gtt
C. mdr
D. mgts
25. Which of the following is the meaning of PRN?
A. When advice
B. Immediately
C. When necessary
D. Now
26. Which of the following is the appropriate meaning of CBR?
A. Cardiac Board Room
B. Complete Bathroom
C. Complete Bed Rest
D. Complete Board Room
27. 1 tsp is equal to how many drops?
A. 15
B. 60
C. 10
D. 30
28. 20 cc is equal to how many ml?
A. 2
B. 20
C. 2000
D. 20000
29. 1 cup is equal to how many ounces?
A. 8
B. 80
C. 800
D. 8000
30. The nurse must verify the client’s identity before administration ofmedication. Which of the following is the safest way to identify the client?
A. Ask the client his name
B. Check the client’s identification band
C. State the client’s name aloud and have the client repeat it
D. Check the room number
NURSING LOKSEWA MENTOR
31. The nurse prepares to administer buccal medication. The medicineshould be placed:
A. On the client’s skin
B. Between the client’s cheeks and gums
C. Under the client’s tongue
D. On the client’s conjuctiva
32. The nurse administers cleansing enema. The common position for thisprocedure is…
A. Sims left lateral
B. Dorsal Recumbent
C. Supine
D. Prone
33. A client complains of difficulty of swallowing, when the nurse try toadminister capsule medication. Which of the following measures the nurseshould do?
A. Dissolve the capsule in a glass of water
B. Break the capsule and give the content with an applesauce
C. Check the availability of a liquid preparation
D. Crash the capsule and place it under the tongue
34. Which of the following is the appropriate route of administration forinsulin?
A. Intramuscular
B. Intradermal
C. Subcutaneous
D. Intravenous
35. The nurse is ordered to administer ampicillin capsule TIP P.O. The nurseshould give the medication:
A. Three times a day orally
B. Three times a day after meals
C. Two time a day by mouth
D. Two times a day before meals
36. Back Care is best describe as:
A. Caring for the back by means of massage
B. Washing of the back
C. Application of cold compress at the back
D. Application of hot compress at the back
37. It refers to the preparation of the bed with a new set of linens:
A. Bed bath
B. Bed making
C. Bed shampoo
D. Bed lining
38. Which of the following is the most important purpose of handwashing:
A. To promote hand circulation
B. To prevent the transfer of microorganisms
C. To avoid touching the client with a dirty hand
D. To provide comfort
39. What should be done in order to prevent contaminating of theenvironment in bed making?
A. Avoid funning soiled linens
B. Strip all linens at the same time
C. Finished both sides at the time
D. Embrace soiled linen
40. The most important purpose of cleansing bed bath is:
A. To cleanse, refresh and give comfort to the client who must remain inbed
B. To expose the necessary parts of the body
C. To develop skills in bed bath
D. To check the body temperature of the client in bed
NURSING LOKSEWA MENTOR
41. Which of the following technique involves the sense of sight?
A. Inspection
B. Palpation
C. Percussion
D. Auscultation
42. The first techniques used examining the abdomen of a client is:
A. Palpation
B. Auscultation
C. Percussion
D. Inspection
43. A technique in physical examination that is use to assess the movement:
of air through the tracheobronchial tree:
A. Palpation
B. Auscultation
C. Inspection
D. Percussion
44. An instrument used for auscultation is:
A. Percussion-hammer
B. Audiometer
C. Stethoscope
D. Sphygmomanometer
45. Resonance is best describe as:
A. Sounds created by air filled lungs
B. Short, high pitch and thudding
C. Moderately loud with musical quality
D. Drum-like
46. The best position for examining the rectum is:
A. Prone
B. Sim’s
C. Knee-chest
D. Lithotomy
47. It refers to the manner of walking:
A. Gait
B. Range of motion
C. Flexion and extension
D. Hopping
48. The nurse asked the client to read the Snellen chart. Which of thefollowing is tested?
A. Optic
B. Olfactory
C. Oculomotor
D. Trochlear
49. Another name for knee-chest position is:
A. Genu-dorsal
B. Genu-pectoral
C. Lithotomy
D. Sim’s
50. The nurse prepare IM injection that is irritating to the subcutaneoustissue. Which of the following is the best action in order to prevent trackingof the medication
A. Use a small gauge needle
B. Apply ice on the injection site
C. Administer at a 45° angle
D. Use the Z-track technique
Answers
1. D. Providing oral hygiene
2. B. Axillary
3. D. Tachycardia
4.B. Face the client, bend knees and place hands on client’sforearm and lift
5. B. Axillary
6. B. Side lying
7. C. Keep side rails up at all time
8. A. Assessment
9. B. Nursing Process
10. B. Lungs
NURSING LOKSEWA MENTOR
11. A. Left atrium
12. C. Stomach
13. C. Immunity
14. C. Insulin
15. C. Cornea
16. A. Maintenance of a sufficient intake of air
17. D. All of the above
18. B. Acute Illness
19. B. Teach client to be an effective health consumer
20. C. Community
NURSING LOKSEWA MENTOR
21. B. 25 ml
22. A. 1.8
23. B. Gtts.
24. A. µgtt
25. C. When necessary
26. C. Complete Bed Rest
27. B. 60
28. B. 20
29. A. 8
30. A. Ask the client his name
NURSING LOKSEWA MENTOR
31. B. Between the client’s cheeks and gums
32. A. Sims left lateral
33. C. Check the availability of a liquid preparation
34. C. Subcutaneous
35. A. Three times a day orally
36. A. Caring for the back by means of massage
37. B. Bed making
38. B. To prevent the transfer of microorganisms
39. A. Avoid funning soiled linens
40. A. To cleanse, refresh and give comfort to the client who mustremain in bed
NURSING LOKSEWA MENTOR
41. A. Inspection
42. D. Inspection
43. B. Auscultation
44. C. Stethoscope
45. A. Sounds created by air-filled lungs
46. C. Knee-chest
47. A. Gait
48. A. Optic
49. B. Genu-pectoral
50. D. Use the Z-track technique