NURSING PRACTICE I – Foundation of PROFESSIONAL Nursing Practice 1-25
June 2008
NURSING PRACTICE I SET B
NURSING PRACTICE I – Foundation of PROFESSIONAL Nursing Practice
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.
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.
Situation – Accurate computation prior to drug administration is a basic skill all nurses must have.
1. Rudolf is diagnosed with amoebiasis and is to received Metronidazole (Flagyl) tablets 1.5 gm daily in 3 divided doses for 7 consecutive days. Which of the following is the correct dose of the drug that the client will received per oral administration?
A. 1,000 mg tid
B. 500 mg tid
C. 1,500 mg tid
D. 50 mg tid
2. Rhona, a 2 year old female was prescribed to receive 62.5 mg suspension three times a day. The available dose is 125 mg/ml. which of the following should Nurse Paolo prepare for each oral dose?
A. 0.5 ml
B. 1.5 ml
C. 2.5 ml
D. 10 ml
3. The physician ordered Potassium Chloride (KCL) in D5W 1 liter to be infused in 24 hours for Mrs. Gomez. Since Potassium Chloride is a high risk drug, Nurse Robert used an intravenous pump. Which of the following should Nurse Robert do to safely administer this drug?
A. Check the pump setting every 2 hours
B. Teach the client how the infusion pump operates
C. Have another nurse check the infusion pump setting
D. Set the alarm of the pump loud enough to be heard
4. Baby Liza, 3 months old, with a congenital heart deformity, has an order from her physician: “give 3.00 cc of Lanoxin today for 1 dose only”. Which of the following is the most appropriate action by the nurse?
A. Clarify order with the attending physician
B. Discuss the order with the pediatric heart specialist in the unit
C. Administer Lanoxin intravenously as it is the usual route of administration
D. Refer to the medication administration record for previous administration of Lanoxin
5. When Nurse Norma was about to administer the medications of client Lennie, the relative of Lennie told the nurse that they buy her medicines and showed the container of medications of the client. Which of the following is the most appropriate action by the nurse?
A. Hold the nurse administration of the client’s medication and refer to the head nurse
B. Put aside the medications she prepared and instead administer the client’s
medications
C. Tell the client that she will inform the physician about this
D. Bring the medications of the client to the nurse’s station and prepare accordingly
Situation – You are a newly hired nurse in a tertiary hospital. You have finished your orientation program recently and you are beginning to assimilate the culture of the profession.
6. Using Benner’s stages of nursing expertise, you are a beginning nurse practitioner. You will rank yourself as a/an:
A. competent nurse
B. novice nurse
C. proficient nurse
D. advanced beginner
7. Benner’s “Proficient” nurse level is different from the other levels in nursing expertise in the context of having:
A. the ability to organize and plan activities
B. having attained an advanced level of education
C. a holistic understanding and perception of the client
D. intuitive and analytic ability in new situations
8. As you become socialized into the nursing “culture” you become a patient advocate. Advocacy is explained by the following EXCEPT:
A. respecting a person’s right to be autonomous
B. demonstrating loyalty to the institution’s rights
C. shared respect, trust and collaboration in meeting health needs
D. protecting and supporting another person’s rights
9. Modern day nursing has led to the led development of the expanded role of the nurse as seen in the function of a:
A. Clinical nurse specialist
B. Critical care nurse
C. community health nurse
D. staff nurse
10. You join a continuing education program to help you:
A. Earn credits for license renewal
B. Get in touch with colleagues in nursing
C. Enhance your basic knowledge
D. Update your knowledge and skills related to field of interest
Situation – Mr. Jose’s chart is the permanent legal recording of all information that relates to his health care management. As such, the entries in the chart must have accurate data.
11. Mr. Jose’s chart contains all information about his health care. The functions of records include all except:
A. means of communication that health team members use to communicate their
contributions to the client’s health care
B. the client’s record also shows a document of how much health care agencies will
be reimbursed for their services
C. educational resource for student of nursing and medicine
D. recording of actions in advance to save time
12. An advantage of automated or computerized client care system is:
A. The nursing diagnoses for a client’s data can be accurately determined
B. Cost of confinement will be reduced
C. Information concerning the client can b easily updated
D. The number of people to take care of the client will be reduced
13. Information in the patient’s chart is inadmissible in court as evidence when:
A. The client’s family refuses to have it used
B. The client objects to its use
C. The handwriting is not legible
D. It has too many abbreviations that are “unofficial”
14. Nursing audit aims to:
A. provide research data to hospital personnel
B. study client’s illness and treatment regimen closely
C. compare actual nursing done to established standards
D. provide information to health-care providers
15. A telephone order is given for a client in your ward. What is your most appropriate action?
A. Copy the order on to the chart and sign the physician’s name as close to his
original signature as possible
B. Repeat the order back to the physician, copy onto the order sheet and
indicate that it is a telephone order
C. Write the order in the client’s chart and have the head nurse co-sign it
D. Tell the physician that you can not take the order but you will call the nurse
supervisor
Situation – Errors while providing nursing care to patients must be avoided and minimized at all time. Effective management of available resources enables the nurse to provide safe, quality patient care.
16. In the hospital where you work, increased incidence of medication error was identified as the number one problem in the unit. During the brainstorming session of the nursing service department, probable causes were identified. Which of the following is process related?
A. interruptions
B. use of unofficial abbreviations
C. lack of knowledge
D. failure to identify client
17. Miscommunication of drug orders was identified as a probable cause of medication errors. Which of the following is safe medication practice related to this?
A. Maintain medication in its unit dose package until point of actual administration
B. Note both generic and brand name of the medication in the Medication
Administration Method
C. Only officially approved abbreviations maybe used in prescription orders
D. Encourage clients to ask question about their medications.
18. The hospital has an ongoing quality assurance program. Which of the following indicates implementation of process standards?
A. The nurses check client’s identification band before giving medications
B. The nurse reports adverse reaction to drugs
C. Average waiting time for medication administration is measured
D. The unit has well ventilated medication room
19. Which of the following actions indicate that Nurse Jerome is performing outcome evaluation of quality care?
A. Interviews nurses for comments regarding staffing
B. Measures waiting time for client’s per nurse’s call
C. Checks equipment for its calibration schedule
D. Determines whether nurses perform skin assessment every shift
20. An order for a client was given and the nurse in charge of the client reports that she has no experience of doing the procedure before. Which of the following is the most appropriate action of the nurse supervisor?
A. Assign another nurse to perform the procedure
B. Ask the nurse to find way to learn the procedure
C. Tell the nurse to read the procedure manual
D. Do the procedure with the nurse
Situation – Oral care is an important part of hygienic practices and promoting client
comfort.
21. An elderly client, 84 years old, is unconscious. Assessment of the mouth reveals excessive dryness and presence of sores. Which of the following is BEST to use for oral care?
A. lemon glycerine
B. hydrogen peroxide
C. Mineral oil
D. Normal saline solution
22. When performing oral care to an unconscious client, which of the following is a special consideration to prevent aspiration of fluids into the lungs?
A. Put the client on a sidelying position with head of bed lowered
B. Keep the client dry by placing towel under the chin
C. Wash hands and observe appropriate infection control
D. Clean mouth with oral swabs in a careful and an orderly progression
23. The advantages of oral care for a client include all of the following, EXCEPT:
A. decreases bacteria in the mouth and teeth
B. reduces need to use commercial mouthwash which irritate the buccal
mucosa
C. improves client’s appearance and self-confidence
D. improves appetite and taste of food
24. A possible problem while providing oral care to unconscious clients is the risk of fluid aspiration to lungs. This can be avoided by:
A. Cleaning teeth and mouth with cotton swabs soaked with mouthwash to avoid
rinsing the buccal cavity
B. swabbing the inside of the cheeks and lips, tongue and gums with dry cotton swabs
C. use fingers wrapped with wet cotton washcloth to rub inside the cheeks, tongue,
lips and ums
D. suctioning as needed while cleaning the buccal cavity
25. Your client has difficulty of breathing and is mouth breathing most of the time. This causes dryness of the mouth with unpleasant odor. Oral hygiene is recommended for the client and in addition, you will keep the mouth moistened by using:
A. salt solution
B. water
C. petroleum jelly
D. mentholated ointment
No comments:
Post a Comment