NURSING
NURSING PRACTICE I SET A
________________________________________________________________________
NURSING PRACTICE I – Foundation of PROFESSIONAL Nursing Practice
GENERAL INSTRUCTIONS:
1. This test booklet contains 100 test questions.
2. Read INSTRUCTIONS TO EXAMINEES printed on your answer sheet.
3. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded
will invalidate your answer.
4. AVOID ERASURES.
5. This is PRC property. Unauthorized possession, reproduction, and/or sale of this test is
punishable by law. Per RA 8981.
________________________________________________________________________
INSTRUCTIONS:
1. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet
Set .
2. Write the subject title “Nursing Practice I” on the box provided.
3. Shade Set Box “A” on your answer sheet if your test booklet is Set A; Set Box “B” if your test
booklet is Set B.
MULTIPLE CHOICE
1. Nurse Suzie is administering 12:00 PM medication in Ward 4. Two patients have to receive
Lanoxin. What should Nurse Suzie do when one of the clients does NOT have a readable
identification band?
A. Ask the client if she is Mrs. Santos
B. Ask the client his name
C. Ask the room mate if the client is Mrs. Santos
D. Compare the ID band with the bed tag
2. Lizette, a head nurse in a surgical unit, hears one of the staff nurses say that she does not
touch any client assigned to her unless she performs nursing procedures or conducts physical
assessment. To guide the staff nurse in the use of touch, which of the following would be
BEST response of Lizette?
A. “Use touch when the situation calls for it”.
B. “Touch serves as a connection between the nurse and the patient”.
C. “Use touch with discretion”.
D. “Touch is used in physical assessment”.
3. You are asked to teach the client, Mr. Lapuz, who has right sided weakness the use of a cane.
Which observation will indicate that Mr. Lapuz is using the cane correctly?
A. The cane and one foot or both feet are on the floor at all times
B. He advances the cane followed by the left leg
C. Client keeps the cane on the right side along the weak leg
D. Client leans to the left side which is stronger
4. George, a 43 year old executive is scheduled for cardiac bypass surgery. While being
prepared for the surgery, he says to the nurse “I am not going to have the surgery. I may die
because of the risk.” Which response by the nurse is most appropriate?
A. “Without the surgery you will most likely die sooner.”
B. “There are always risks involved with surgery.”
C. “There is a client in the other room who had successful surgery and you can talk to
him.”
D. “This must be very frightening for you. Tel me how you feel about the
surgery.”
,5. A client is ordered to take Lasix, a diuretic, to be taken orally daily. Which of the following is an
appropriate instruction by the nurse?
A. Report to the physician the effects of the medication on urination.
B. Take the medicine early in the morning
C. Take a full glass of water with the medicine
D. Measure frequency of urination in 24 hours
6. Nurse Glenda gets a call from the neighbor who tells her that his 3 years old daughter has
been vomiting and has fever and asks for advice. Which of the following is the most
appropriate action of the nurse?
A. Observe the child for an hour. If the child does not improve, refer to the physician in
the neighborhood.
B. Recommend to bring the child immediately to the hospital
C. Assess the child, recommend observation and administer acetaminophen. If
symptoms continue, bring to the hospital.
D. Tell the neighbor to observe the child and give plenty of fluids. If the child does not
improve, bring the child to the hospital.
7. Wilfred, 30 years old male, was brought to the hospital due to injuries sustained from a
vehicular accident. While being transported to the X-ray department, he straps accidentally
broke and the client fell to the floor hitting to his head. In this situation, the nurse is:
A. not responsible because of the doctrine of respondent superior
B. free from any negligence that caused harm to the patient
C. liable along with the employer for the use of a defective equipment that
harms the client
D. totally responsible for the negligence
8. While going on evening round, Nurse Edna saw Mrs. Pascual meditating and afterwards
started singing prayerful hymns. What is the BEST response of Edna?
A. Ignore the incidence
B. Report the incidence to the head nurse
C. Respect the client’s actions as this provides structure and support to the
client
D. Call her attention so she can go to sleep
9. A client asks for advice on low cholesterol food. You advise the client to eat the following:
A. Chicken liver, cow liver, eggs
B. Lean beef and pork, egg ewhite, fish
C. Balut, salted eggs, duck and chicken egg
D. Pork liempo, cow brain, lungs and kidney
10. The code of ethics for nurses has an interpretative statement that provides:
A. continuity of care for the improvement of the client
B. guide for carrying out nursing responsibilities that provide quality care and
for the ethical obligation of the profession
C. standards of care in carrying out nursing responsibilities
D. identical care to all clients in any setting
11. Which of the following situations would possibly cause a nurse to be sued due to negligence?
A. Nurse gave a client wrong medication, and an hour later, client complained of
dyspnea
B. While preparing a medication, the nurse notices that instead of 1 tablet, she put two
tablets into the client’s medicine cup
C. As the nurse was about to administer medication, the client questioned why the
medication is still given when in fact the physician discontinued it.
D. Nurse administered 2 tablets of analgesic instead of 1 tablet as prescribed. Patient
,12. Your nurse supervisor asks you who among the following clients is most susceptible to getting
infection if admitted to the hospital?
A. Diabetic client type2
B. Client with chronic obstructive pulmonary disease (COPD)
C. Client with second degree burns
D. Client with psoriasis
13. Mr. Chris Martinez has been confined for three days. His wife helped take care of him and he
has observed her to be “too involved” in his care. He complained to the head nurse about this.
Which of the following would be the BEST response of the nurse?
A. “Don’t worry. I will call the attention of your wife.”
B. “Your wife is just trying to help because she is worried about you.”
C. “What are your thoughts about your wife’s involvement in your care?”
D. “Your wife can assist you well in your care and recovery.”
14. The nurse is in the hospital canteen and hears two staff nurses talking about the client
confined in Room 612. They mentioned his name and discussed details of his condition.
Which of the following actions should the nurse take?
A. Approach the two nurses and tell them that their actions are inappropriate
especially in a public place
B. Wait till the nurses finish the discussion and report the situation to the supervisor
C. Say nothing to avoid embarrassing the staff nurses
D. Remain quiet and ignore the discussion
15. The son of Mr. Rosario, a 76 year old man, reports to the nurse in the community health
center that his father has been getting out of bed at night and walks around the house in the
early hours of the morning causing him to fall and injure himself. Which instruction would you
give?
A. Apply restraints during night hours only
B. Advise hospitalization to prevent future accidents
C. Keep a radio or TV for company and to orient the client
D. Have someone check on the client frequently at night
SITUATIONAL
Situation 1 – Preparation and administration of medications is a nursing function that
cannot be delegated. It is important that the nurse has a deep understanding
of this responsibility that is meant to save patient’s lives.
16. You are to administer an intramuscular injection to Dulce, 1 ½ year old girl. The most
appropriate site to administer the drug is:
A. dorso gluteal region C. vastus lateralis
B. ventral forearm D. gluteal region
17. An infant is ordered to receive 500ml of D5NSS for 24 hours. The intravenous drip is running
at 60 drops/minute. How many drops per minute should the flow rate be?
A. 60 drops per minute C. 30 drops per minute
B. 21 drops per minute D. 15 drops per minute
18. Following surgery, Henry is to receive 20 mEq (milliequivalent) of potassium chloride to be
added to 1000 ml of D5W to run for 8 hours. The intravenous infusion set is calibrated at 20
drops per milliliter. How many drops per minute should the rate be to infuse 1 liter of D5W for 8
hours?
A. 42 drops C. 60 drops
B. 20 drops D. 32 drops
, 19. Mr. Lagro is to receive 1 liter of D5LR to run for 12 hours. The drop factor of the IV infusion
set is 10 drops per minute. Approximately how many drop per minutes should the IV be
regulated?
A. 13-14 drops C. 10-12 drops
B. 17-18 drops D. 15-16 drops
20. The physician ordered Nembutal Na gr XX. The bottle contains 100mg/capsule. How many
capsule will be administered to the client?
A. 1 capsule C. 2 capsule
B. 1 ½ capsule D. ½ capsule
Situation 2 – The nurse supervisor is observing the staff nurses in her hospital to see how
quality of care provided to clients can be improved.
21. The nurse supervisor is not satisfied with the bed bath that is provided by Nurse Arthur. To
improve the care provided to the patients in the unit by Nurse Arthur, the nurse supervisor
should:
A. tell the nurse how to give bed baths correctly
B. ask another staff nurse to do bed baths instead
C. provide a manual to be read on giving bed baths
D. bring the staff nurse to a client’s room and demonstrate
22. The staff nurse discusses with the novice nurse the type of wound dressing that is best to
use for a client. Together, they observe how well the dressings absorb the drainage. In what
step of the decision making process are they?
A. Testing options C. Defining the problem
B. Considering effects on results D. Making final decisions
23. To check if the nurses under her supervision use critical thinking, Mrs. David observes if the
nurses act responsibly when at work. Which of the following actions of the nurse demonstrates
the attitude of responsibility?
A. Thinking of alternative methods of nursing care
B. Sharing ideas regarding patient care
C. Following standards of practice
D. Planning other approaches for patient care
24. The nurse who makes clinical judgment can be depended upon to improve the quality of care
of clients. Nurse Julie uses such good clinical judgment when she gives priority care to this
client:
A. Roman, a client who is ambulatory and for surgery tomorrow
B. A post operative client, Rey, who has a blood pressure of 90/50 mmHg
C. Mr. Abad, a client who needs instructions for home medications
D. Fred, a client who received pain medications 5 minutes ago
25. A good nursing care plan is dependent on a correctly written nursing diagnosis. It defines a
client’s problem and its possible cause. The following is an example of a well written nursing
diagnosis:
A. Acute pain related to altered skin integrity secondary to hysterectomy
B. Electrolyte imbalance related to hypocalcemia
C. Altered nutrition related to high fat intake secondary to obesity
D. Knowledge deficit related to proctosigmoidoscopy
Situation 3– You are taking care of Mrs. Leyba, 66 years old, who is terminally ill with
ovarian cancer stage IV.
26. When caring for a dying client, you will perform which of the following activities?
A. Encourage the client to reach optimal health
NURSING PRACTICE I SET A
________________________________________________________________________
NURSING PRACTICE I – Foundation of PROFESSIONAL Nursing Practice
GENERAL INSTRUCTIONS:
1. This test booklet contains 100 test questions.
2. Read INSTRUCTIONS TO EXAMINEES printed on your answer sheet.
3. Shade only one (1) box for each question on your answer sheets. Two or more boxes shaded
will invalidate your answer.
4. AVOID ERASURES.
5. This is PRC property. Unauthorized possession, reproduction, and/or sale of this test is
punishable by law. Per RA 8981.
________________________________________________________________________
INSTRUCTIONS:
1. Detach one (1) answer sheet from the bottom of your Examinee ID/Answer Sheet
Set .
2. Write the subject title “Nursing Practice I” on the box provided.
3. Shade Set Box “A” on your answer sheet if your test booklet is Set A; Set Box “B” if your test
booklet is Set B.
MULTIPLE CHOICE
1. Nurse Suzie is administering 12:00 PM medication in Ward 4. Two patients have to receive
Lanoxin. What should Nurse Suzie do when one of the clients does NOT have a readable
identification band?
A. Ask the client if she is Mrs. Santos
B. Ask the client his name
C. Ask the room mate if the client is Mrs. Santos
D. Compare the ID band with the bed tag
2. Lizette, a head nurse in a surgical unit, hears one of the staff nurses say that she does not
touch any client assigned to her unless she performs nursing procedures or conducts physical
assessment. To guide the staff nurse in the use of touch, which of the following would be
BEST response of Lizette?
A. “Use touch when the situation calls for it”.
B. “Touch serves as a connection between the nurse and the patient”.
C. “Use touch with discretion”.
D. “Touch is used in physical assessment”.
3. You are asked to teach the client, Mr. Lapuz, who has right sided weakness the use of a cane.
Which observation will indicate that Mr. Lapuz is using the cane correctly?
A. The cane and one foot or both feet are on the floor at all times
B. He advances the cane followed by the left leg
C. Client keeps the cane on the right side along the weak leg
D. Client leans to the left side which is stronger
4. George, a 43 year old executive is scheduled for cardiac bypass surgery. While being
prepared for the surgery, he says to the nurse “I am not going to have the surgery. I may die
because of the risk.” Which response by the nurse is most appropriate?
A. “Without the surgery you will most likely die sooner.”
B. “There are always risks involved with surgery.”
C. “There is a client in the other room who had successful surgery and you can talk to
him.”
D. “This must be very frightening for you. Tel me how you feel about the
surgery.”
,5. A client is ordered to take Lasix, a diuretic, to be taken orally daily. Which of the following is an
appropriate instruction by the nurse?
A. Report to the physician the effects of the medication on urination.
B. Take the medicine early in the morning
C. Take a full glass of water with the medicine
D. Measure frequency of urination in 24 hours
6. Nurse Glenda gets a call from the neighbor who tells her that his 3 years old daughter has
been vomiting and has fever and asks for advice. Which of the following is the most
appropriate action of the nurse?
A. Observe the child for an hour. If the child does not improve, refer to the physician in
the neighborhood.
B. Recommend to bring the child immediately to the hospital
C. Assess the child, recommend observation and administer acetaminophen. If
symptoms continue, bring to the hospital.
D. Tell the neighbor to observe the child and give plenty of fluids. If the child does not
improve, bring the child to the hospital.
7. Wilfred, 30 years old male, was brought to the hospital due to injuries sustained from a
vehicular accident. While being transported to the X-ray department, he straps accidentally
broke and the client fell to the floor hitting to his head. In this situation, the nurse is:
A. not responsible because of the doctrine of respondent superior
B. free from any negligence that caused harm to the patient
C. liable along with the employer for the use of a defective equipment that
harms the client
D. totally responsible for the negligence
8. While going on evening round, Nurse Edna saw Mrs. Pascual meditating and afterwards
started singing prayerful hymns. What is the BEST response of Edna?
A. Ignore the incidence
B. Report the incidence to the head nurse
C. Respect the client’s actions as this provides structure and support to the
client
D. Call her attention so she can go to sleep
9. A client asks for advice on low cholesterol food. You advise the client to eat the following:
A. Chicken liver, cow liver, eggs
B. Lean beef and pork, egg ewhite, fish
C. Balut, salted eggs, duck and chicken egg
D. Pork liempo, cow brain, lungs and kidney
10. The code of ethics for nurses has an interpretative statement that provides:
A. continuity of care for the improvement of the client
B. guide for carrying out nursing responsibilities that provide quality care and
for the ethical obligation of the profession
C. standards of care in carrying out nursing responsibilities
D. identical care to all clients in any setting
11. Which of the following situations would possibly cause a nurse to be sued due to negligence?
A. Nurse gave a client wrong medication, and an hour later, client complained of
dyspnea
B. While preparing a medication, the nurse notices that instead of 1 tablet, she put two
tablets into the client’s medicine cup
C. As the nurse was about to administer medication, the client questioned why the
medication is still given when in fact the physician discontinued it.
D. Nurse administered 2 tablets of analgesic instead of 1 tablet as prescribed. Patient
,12. Your nurse supervisor asks you who among the following clients is most susceptible to getting
infection if admitted to the hospital?
A. Diabetic client type2
B. Client with chronic obstructive pulmonary disease (COPD)
C. Client with second degree burns
D. Client with psoriasis
13. Mr. Chris Martinez has been confined for three days. His wife helped take care of him and he
has observed her to be “too involved” in his care. He complained to the head nurse about this.
Which of the following would be the BEST response of the nurse?
A. “Don’t worry. I will call the attention of your wife.”
B. “Your wife is just trying to help because she is worried about you.”
C. “What are your thoughts about your wife’s involvement in your care?”
D. “Your wife can assist you well in your care and recovery.”
14. The nurse is in the hospital canteen and hears two staff nurses talking about the client
confined in Room 612. They mentioned his name and discussed details of his condition.
Which of the following actions should the nurse take?
A. Approach the two nurses and tell them that their actions are inappropriate
especially in a public place
B. Wait till the nurses finish the discussion and report the situation to the supervisor
C. Say nothing to avoid embarrassing the staff nurses
D. Remain quiet and ignore the discussion
15. The son of Mr. Rosario, a 76 year old man, reports to the nurse in the community health
center that his father has been getting out of bed at night and walks around the house in the
early hours of the morning causing him to fall and injure himself. Which instruction would you
give?
A. Apply restraints during night hours only
B. Advise hospitalization to prevent future accidents
C. Keep a radio or TV for company and to orient the client
D. Have someone check on the client frequently at night
SITUATIONAL
Situation 1 – Preparation and administration of medications is a nursing function that
cannot be delegated. It is important that the nurse has a deep understanding
of this responsibility that is meant to save patient’s lives.
16. You are to administer an intramuscular injection to Dulce, 1 ½ year old girl. The most
appropriate site to administer the drug is:
A. dorso gluteal region C. vastus lateralis
B. ventral forearm D. gluteal region
17. An infant is ordered to receive 500ml of D5NSS for 24 hours. The intravenous drip is running
at 60 drops/minute. How many drops per minute should the flow rate be?
A. 60 drops per minute C. 30 drops per minute
B. 21 drops per minute D. 15 drops per minute
18. Following surgery, Henry is to receive 20 mEq (milliequivalent) of potassium chloride to be
added to 1000 ml of D5W to run for 8 hours. The intravenous infusion set is calibrated at 20
drops per milliliter. How many drops per minute should the rate be to infuse 1 liter of D5W for 8
hours?
A. 42 drops C. 60 drops
B. 20 drops D. 32 drops
, 19. Mr. Lagro is to receive 1 liter of D5LR to run for 12 hours. The drop factor of the IV infusion
set is 10 drops per minute. Approximately how many drop per minutes should the IV be
regulated?
A. 13-14 drops C. 10-12 drops
B. 17-18 drops D. 15-16 drops
20. The physician ordered Nembutal Na gr XX. The bottle contains 100mg/capsule. How many
capsule will be administered to the client?
A. 1 capsule C. 2 capsule
B. 1 ½ capsule D. ½ capsule
Situation 2 – The nurse supervisor is observing the staff nurses in her hospital to see how
quality of care provided to clients can be improved.
21. The nurse supervisor is not satisfied with the bed bath that is provided by Nurse Arthur. To
improve the care provided to the patients in the unit by Nurse Arthur, the nurse supervisor
should:
A. tell the nurse how to give bed baths correctly
B. ask another staff nurse to do bed baths instead
C. provide a manual to be read on giving bed baths
D. bring the staff nurse to a client’s room and demonstrate
22. The staff nurse discusses with the novice nurse the type of wound dressing that is best to
use for a client. Together, they observe how well the dressings absorb the drainage. In what
step of the decision making process are they?
A. Testing options C. Defining the problem
B. Considering effects on results D. Making final decisions
23. To check if the nurses under her supervision use critical thinking, Mrs. David observes if the
nurses act responsibly when at work. Which of the following actions of the nurse demonstrates
the attitude of responsibility?
A. Thinking of alternative methods of nursing care
B. Sharing ideas regarding patient care
C. Following standards of practice
D. Planning other approaches for patient care
24. The nurse who makes clinical judgment can be depended upon to improve the quality of care
of clients. Nurse Julie uses such good clinical judgment when she gives priority care to this
client:
A. Roman, a client who is ambulatory and for surgery tomorrow
B. A post operative client, Rey, who has a blood pressure of 90/50 mmHg
C. Mr. Abad, a client who needs instructions for home medications
D. Fred, a client who received pain medications 5 minutes ago
25. A good nursing care plan is dependent on a correctly written nursing diagnosis. It defines a
client’s problem and its possible cause. The following is an example of a well written nursing
diagnosis:
A. Acute pain related to altered skin integrity secondary to hysterectomy
B. Electrolyte imbalance related to hypocalcemia
C. Altered nutrition related to high fat intake secondary to obesity
D. Knowledge deficit related to proctosigmoidoscopy
Situation 3– You are taking care of Mrs. Leyba, 66 years old, who is terminally ill with
ovarian cancer stage IV.
26. When caring for a dying client, you will perform which of the following activities?
A. Encourage the client to reach optimal health
