1. When asked “How do you define nursing” Miss Janet quoted the statement “It is assisting the individual, sick or well, in the performance of activities contributing to the health and recovery in a manner that will help the client gain independence.” Who among the following is the source of the definition?
a. Virginia Henderson
b. Dorothy Orem
c. Clara Barton
d. Florence Nightingale
2. The interpersonal model of personality is postulated by:
a. Sullivan
b. Lazarus
c. Freud
d. Erickson
3. In Sullivan’s model of personality development, the nurse-therapist takes the role as:
a. active listener
b. passive observer
c. care provider
d. participant-observer
4. In line with advocacy, Patricia Benner, a nursing theorist, says that nursing is a progressive caring relationship. This means that nurses grow from novice to expert. Hence, they need to practice in what venue?
a. home environment
b. classroom situation
c. clinical setting
d. community immersion
5. Bloom identified three areas of learning: psychomotor, affective and cognitive domain. Which one of the following is an example of a psychomotor domain?
a. a hypertensive client is able to name and state the purpose(s) of all his medications
b. a mother correctly instills an ear drop to her 7-year old son
c. a mother of reproductive age chooses the type of contraceptive method she wants to use
d. a 40-year old teacher shows acceptance of the fact that she has breast cancer
6. Which of the following is the BEST way for a nurse to show caring?
a. assisting the client towards self-care
b. relaying to the physician all information gathered from the patient
c. doing everything for the client
d. constantly staying with the client
7. What is the impact of dishonesty on the life of the nurse?
a. At the end of life, we shall be held accountable for all
b. Nursing care is effective if nurse is honest and true
c. Dishonesty leads to series of dishonest works
d. It endangers the lives of people under your care
8. Caring for mothers and children require that the nurse in his/her heart innately is:
a. skillful
b. competent
c. educated
d. compassionate
9. The nursing diagnosis for a client with Alzheimer’s disease who irreversibly experiences deterioration of intellect and personality characterized by decreased ability to interpret environmental stimuli is:
a. Ineffective Coping
b. Personality Identity Disturbance
c. Chronic Confusion
d. Impaired Adjustment
10. A client who suffers from Obsessive-Compulsive Disorder can’t stop from performing his handwashing rituals. The nursing diagnosis is:
a. Impaired Social Interaction
b. Disturbed Eating Pattern
c. Ineffective Handwashing
d. Powerlessness
11. The client who is unable to do activities of daily living may be diagnosed with
a. Ineffective Coping
b. Self-care Deficit
c. Impaired adjustment
d. Altered home maintenance
12. Which of the following is the main nursing function of a school nurse?
a. develop programs to increase workers’ health and safety
b. provide a variety of health-related services within a designated locality
c. provide health education and care for clients with non-emergency illness
d. teach clients and family to provide home nursing activities
13. The occupational health nurse is a registered nurse with training in occupational health. Which of the following is her priority function and responsibilities?
a. conducts studies/research
b. developing a program for the employees and their families
c. works closely with the health team
d. prepares and submits reports
14. In infancy, the tool or behavior used to establish contact with others is:
a. smiling
b. grimacing
c. crying
d. kicking
15. Studies have shown that brain development is hastened through the process of
a. racking
b. touching
c. cuddling
d. stimulation
16. Who plays the most important role in the child’s brain development?
a. yaya
b. grandparents
c. father/mother
d. sibling
17. The most important factor that will insure not only brain development but a mentally healthy child is
a. medical care
b. parental love
c. sound environment
d. good nutrition
18. The principle that development occurs in a cephalo-caudal direction can best be illustrated in the following observation:
a. the pattern of growth and development is continuous, orderly and predictable
b. an infant crawls before he could walk
c. a child is able to move his arm before he could pick up objects
d. an infant raises his head first before he can sit up
19. A child crawls before walking. This fact illustrates which of the following principles?
a. Development occurs in a proximodistal manner
b. Development occurs from simple to complex
c. Development occurs in a cephalo-caudal direction
d. Development is continuous, orderly and predictable
20. The mother tells the nurse that her 3-year old child always says “no” whenever the child is asked to do some task. Based on her knowledge of Erikson’s developmental task, the nurse could explain that it is a typical behavior for:
a. separation anxiety
b. sibling rivalry
c. the pursuit of autonomy
d. a need to expend excess energy
21. The mother expresses concern that her 9-year old does not play much in school. The nurse explains that according to Erikson’s framework of psychosocial development, play is a vehicle of development which can help the child develop a sense of:
a. initiative
b. generativity
c. industry
d. intimacy
22. The nurse explains to the mother that according to Erikson’s theory of personality development, a child who is not allowed to function autonomously early in life may in later life experience psychological crisis of:
a. guilt
b. mistrust
c. inferiority
d. shame and doubt
23. Which of the following is the first crisis that the infant must face?
a. assertion and independence
b. shame and doubt
c. role identity
d. trust vs. mistrust
24. According to the mother, Hannah loves to invite friends at home and indulge in play. Play as a vehicle of development can help children of school-age to develop which of the following developmental tasks?
a. initiative
b. industry
c. identity
d. intimacy
25. The mother tells the nurse that her 3-year old does not seem to know the difference between right and wrong behavior. The nurse would explain that according to Kohlberg’s level of moral development, this behavior is typical of what level?
a. preconventional
b. autonomous
c. moralistic
d. conventional
26. The mother tells the nurse that her 9-year old child is starting to do things that please others and generally manifests good behavior. This is characteristic of what level of Kohlberg’s moral development?
a. preautonomous level
b. autonomous level
c. conventional level
d. preconventional level
27. Hannah’s mother shared her observation that the girl is beginning to identify behaviors that please others as “good.” This is characteristic of which of the following Kohlberg’s level of moral development?
a. postconventional morality
b. conventional morality
c. preconventional morality
d. autonomous morality
28. Hannah’s mother further tells the nurse that Hannah is fond of collecting Sanrio stickers and pencils. This behavior is related to the cognitive ability to perform which of the following:
a. coordination of secondary schemas
b. concrete operation
c. tertiary circular reaction
d. formal operation
29. The age when the sex impulse emerges and changes in physical body occur:
a. phallic
b. puberty
c. latency
d. adulthood
30. This period provides the early conditions and experiences for development and independence
a. latency
b. puberty
c. adulthood
d. phallic
31. During the phallic phase the following is NOT initiated
a. shift of interest from home to outside love object
b. masculine and feminine identification
c. awareness of sexual differences
d. infantile masturbation
32. The negative attitude of parents towards infantile masturbation like threatening a boy with the loss of his penis may lead to
a. Elektra complex
b. inferiority complex
c. Oedipal complex
d. castration complex
33. When a boy chooses a love and marriage partner who possesses personality traits exactly that of her mother, this identification is called:
a. Oedipus attachment
b. parental fixation
c. introjection
d. symbolization
34. Beth claims that she smokes to keep her weight down. Her coping is described as:
a. rationalization
b. suppression
c. repression
d. regression
35. When asked about her husband, Beth said. “Let’s not talk about him now.” She is expressing
a. denial
b. suppression
c. repression
d. regression
36. Beth’s way of dealing with intolerable conflicts by refusing to think about them is
a. denial
b. repression
c. dissociation
d. suppression
Situation: Problems of pregnant mothers are likely to come your way as you practice nursing and many times you will need to counsel them in many aspects of care.
37. What is an effective basis to determine the root of any problem regarding pregnant motherhood?
a. textbook reading
b. personal experience working with pregnant mothers
c. thorough history-taking
d. Research work
38. At what age range is human sexuality identity bio-behaviorally marked?
a. 3-18
b. 2-15
c. 4-20
d. 1-12
39. What does the nurse highlights when teaching human sexuality?
a. sexual orientation of the male and the female
b. gender role between a man and a woman
c. masculinity of man and femininity of woman
d. anatomical organ difference between a boy and a girl
40. The nurse can do much to enlighten and educate girls about menarche. What should be the emphasis of nursing teaching to girls having this first experience of menstruation?
a. sexual reproductive health teaching
b. appropriate advices for family planning methods
c. preparation for early motherhood
d. assessment for early pregnancy
41. What is the implication of girls who marry at a very young age?
a. not very responsible yet to act as mothers
b. will have longer active sexual life
c. definitely will bear many children
d. surely will end in divorce
Situation: A good attribute of a professional nurse is one who is cognizant of the historical development of nursing and sensitive to the important events of the past that have a positive impact to the professionalization of nursing.
42. The establishment of St. Thomas Hospital School of Nursing by Florence Nightingale ushered in which of the following important period in the history of nursing?
a. Intuitive period
b. Apprentice period
c. Educative period
d. Contemporary period
43. Which of the following schools of nursing were first established in the Philippines with all their preparatory general education held at the Philippine Normal School?
1 - Philippine General Hospital
2 - St. Luke’s Hospital
3 - St. Paul Hospital
4 - Mary Johnston Hospital
5 - North General Hospital
a. 1,2 and 3
b. 2, 3 and 4
c. 2, 3 and 5
d. 1, 2 and 5
44. Which of the following laws were enacted to directly regulate the practice of nursing in the past years?
1 - RA 7164
2 - RA 4704
3 - RA 877
4 - RA 9173
5.- RA 6511
a. 2, 3 and 4
b. 3, 4 and 5
c. 1, 2 and 3
d. 1, 4 and 5
45. The belief that professional nursing must be based in a university or college setting is the basic foundation for which of the following established educational program in nursing?
a. graduate nurse program
b. associate in health science education curriculum
c. bachelor of science in nursing
d. licensed practical nurse program
46. The difference between the training of Florence Nightingale at Kaiserswerth Hospital and the training at the St. Thomas Hospital which Florence Nightingale established was most evident in which of the following?
a. staff nurses acted as instructors
b. adherence to strict admission policy
c. dormitory quarters were in the hospital itself
d. students did not pay tuition fees
Situation: The nurse assists in the care of pregnant women admitted in the labor and delivery unit of a maternity hospital.
47. A woman with uncomplicated pregnancy, full term and in early labor is admitted. She thinks her water bag has broken. Which of the following actions by the nurse would be MOST appropriate?
a. note the color, amount and odor of the fluid
b. contact the physician immediately
c. prepare the woman for delivery
d. collect a sample of the fluid for microbial analysis
48. A 36 week pregnant client is admitted to the unit with mild contractions. Which of the following complications should the nurse watch for when the client informs her she has placenta previa?
a. vaginal bleeding
b. sudden rupture of membranes
c. emesis
d. fever
49. The nurse monitors a client in labor which does NOT progress. The physician after ruling out cephalopelvic disproportion orders and administration of 1,000 ml normal saline solution with oxytocin (pitocin) 10 U to run at 2 milliunits per minute. Two milliunts per minute is equivalent to how many ml per minute?
a. 0.02
b. 0.2
c. 2.0
d. 0.002
50. The nurse monitors a client in labor receiving oxytocin (pitocin) to aid her progress. The nurse observes that a contraction has remained strong for 60 seconds. Which of the following actions should the nurse take first?
a. Turn the client on her left side
b. Monitor fetal heart tones as usual
c. Stop the oxytocin infusion
d. Notify the physician
51. A woman is admitted in the labor room. During labor, the amniotic membranes ruptured. Meconium is present in the amniotic fluid. The nurse knows that the presence of meconium in the amniotic fluid is a normal finding in which of the following situations?
a. Cephalopelvic disproportion
b. preterm labor
c. Breech presentation
d. Prolonged latent phase
Situation: The qualifications of the community health nurses in specific levels are significant in relation to their functions and responsibilities.
52. The nurse supervisor in the provincial or city health office in order to develop the nursing complement of the health plan must be Bachelor of Science in nursing with
a. Masters Degree in nursing with three (3) years experience
b. Doctoral degree in nursing with five (5) years experience
c. Masters degree in nursing or public health with six (60 years experience
d. Masters degree in public health with five (5) years experience
53. The Regional Training nurse in order to discharge her functions and responsibilities effectively must have one of these qualifications:
a. BSN, RN with Masters degree in nursing or public health and six (6) years experience, 5 of which is supervisory position
b. BSN, RN with Masters degree in nursing and five (5) years or nurse instructor
c. BSN, RN with Masters degree in public health anf three years experience in the fields
d. BSN, RN with Masters degree in nursing three (3) years experience or community health nurse and special training
54. As nurse instructor who implements the training program for nurses and midwives, which one of the following must be the qualification?
a. BSN, RN with Master’s degree in nursing or public health, major in CHN administration and supervision, five (5) years experience in CHN, two (2) years of which is supervisory position
b. BSN, RN with Masters degree in nursing and three (3) years of teaching and training in community health nursing
c. BSN, RN with Masters degree in public health and three (3) years experience in the fields
d. BSN, RN with Masters degree in nursing three (3) years experience or community health nurse and special training
55. Mrs. Defensor is a regional nurse supervisor. What must be her qualification?
a. BSN, RN with Masters degree in nursing in community health nursing, two (2) years of which is supervisory position
b. BSN, RN, Masters degree in nursing in community health nursing, two (2) years of which is supervisory position
c. BSN, RN Masters degree in nursing or public health with six (6) years of CHN experience three (3) years of which is in education
d. BSN, RN, Masters degree in nursing or public health, major in CHN administration and supervision, five (5) years experience in CHN, two (2) years of which is supervisory position
56. The occupational health nurse is a registered nurse with training in occupational health. Which of the following is her priority function and responsibilities?
a. conducts studies/research
b. developing a program for the employees and their families
c. works closely with the health team
d. prepares and submit reports
Situation: The human behavior is not fully developed at birth and continues to develop as the child grows and interacts with his environment.
57. The electrical and neural connections in the brain that enables the child to see, hear, smell, touch, feel and think are called
a. synapse
b. electrodes
c. fissures
d. neurons
58. Studies have shown that brain development is hastened through the process of
a. racking
b. touching
c. cuddling
d. stimulation
59. Who plays the MOST important role in the child’s brain development?
a. yaya
b. grandparents
c. father/mother
d. sibling
60. Visual activity that enhances formation of synapses in the brain include exposure to
1 - music
2 - colorful bath toys
3 - animated faces
4 - tasty foods
a. 3 and 4
b. 1 only
c. 2 only
d. 2 and 3
61. The most important factor that will insure not only brain development but a mentally healthy child is
a. medical care
b. parental love
c. sound environment
d. good nutrition
Situation: A mother brings all three of her children ages 2 months old, 3 months old, and a 9-year old for routine physical check-up in a private children’s clinic. While waiting for the physician, the mother relates some behaviors of her children to the nurse.
62. The mother tells the nurse that her 3-year old child always says “no” whenever the child is asked to do some task. Based on her knowledge of Erikson’s developmental task, the nurse could explain that it is a typical behavior for:
a. separation anxiety
b. sibling rivalry
c. the pursuit of autonomy
d. a need to expend excess energy
63. The mother expresses concern that her 9-year old does not play much in school. The nure explains that according to Erikson’s framework of psychosocial development, play is a vehicle of development which can help the child develop a sense of:
a. initiative
b. generativity
c. industry
d. intimacy
64. The nurse explains to the mother that according to Erikson’s theory of personality development, a child who is not allowed to function autonomously early in life may in later life experience psychological crisis of:
a. guilt
b. mistrust
c. inferiority
d. shame and doubt
65. The mother tells the nurse that her 3-year old does not seem to know the difference between right and wrong behavior. The nurse would explain that according to Kohlberg’s level of moral development, this behavior is typical of what level.
a. preconventional
b. autonomous
c. moralistic
d. conventional
Situation: The nurse has a strong advocacy role in behalf of the clients.
66. What does advocacy as a nursing responsibility include?
a. health care educator
b. total assistance to empower clients
c. decision making counsel
d. human rights intercessor
67. Which of the following demonstrates best the advocacy role of the nurse?
a. mothering orphaned babies
b. guiding the old people by the hand
c. settling family feuds
d. allowing potentials of clients to develop
68. Why is maternal and child health nursing an important major nowadays?
a. childhood illnesses are on the rise
b. more mothers are working in foreign lands
c. babies are born every minute – increase in population daily
d. parents need to be educated in childrearing practices
69. Caring for mothers and children require that the nure in his/her heart innately is
a. skillful
b. competent
c. educated
d. compassionate
Situation: A mother has given birth to a baby whose feet resemble a bunch of ginger. The neighbors said that when the mother was conceiving, she was fond of eating ginger in her meals for nine months.
70. What do you call this phenomenon?
a. fetal malformation
b. maternal impressions
c. congenital phalangeal anomaly
d. chromosal alterations
71. What is the action of ginger in the body when taken in regularly and in moderation?
a. Digestant
b. Stimulant
c. Vitamin supplement
d. Diuretic
72. In terms of mixing ginger with meal preparation, which group of cooks rely heavily on ginger as a cooking ingredient to promote healthy palatable eating of the dish?
a. Japanese
b. Filipinos
c. Mexicans
d. Chinese
73. What should you remember about pregnancy and spicy foods?
a. Spicy foods will make mothers develop hemorrhoids
b. Spicy foods are taboo in pregnancy
c. First and second trimesters are okay for spicy foods
d. Moderation of spices should be observed in pregnancy
74 What is the practical nursing measure that a nurse can advise a person who “lost the voice” due to sore throat and flush feeling?
a. burned calamansi fruit
b. gargle with salt and vinegar
c. take ginger in mouth as candy
d. chew beetle nut to enhance salivation
Situation: The health status of country or community can now be assessed through many indicators.
75. What is the most sensitive indicator to assess health status of a country at the contemporary time?
a. infant mortality
e. paternal irresponsibility
f. adolescent delinquence
g. maternal morbidity
76. How does a nurse map out children’s health in any given country?
a. house to house census survey
b. contact barangay health workers and read report
c. immersion and live in a community
d. read through news bulletin about health
77. Why are children and older person prone to viral ailments?
a. Both have similar fragility
b. Basically they are the favorite victims of viruses
c. Their immune systems are weak
d. They eat the same menu – soft diet
78. What advice can you give to children and older persons in order to enhance their resistance against easy prey to ailments?
a. Be happy, enjoy and play
b. Eat, drink, relax and sleep well
c. Wash hands very frequently
d. Positive thinking, have friends
79. When children do not brush their teeth after each meal, which of the fruits would you advice them to eat in order to help prevent tooth decay?
a. pears
b. oranges
c. mangoes
d. grapes
Situation: Bernadette is the Rural Health Nurse of Sitio Sta. Lucia who is respected by the community. She has attended the Primary Health Care Seminar lately.
80. Which of the following is the concept of Primary Health Care?
a. assurance of the health care system
b. partnership and empowerment of the people
c. support to local health system development
d. development of national standards for health
81. Which of the following is the goal of primary health care?
a. universal access to health services
b. primary health care as a strategy
c. increased investment to health care
d. Health for all Filipinos in 2020
82. Which one of the following is the mission of Primary Health Care?
a. increased opportunities to strengthen health care system
b. mobilization of people to identify their needs
c. reorganization and reorientation due to devolution
d. development of sectoral linkages in all levels
83. Which of the following strategies could result to self-reliance of the people in the community?
a. community participation in terms of local and regional objectives
b. emphasizing partnership not as giver and receiver status
c. organization of the people for their own development
d. mobilization for people to identify their basic health needs
Situation: We hear many cases of prostate abnormalities. There are means to promote healthy prostate and the nurses are good in these.
84. What should a nurse emphasize among men who go to the comfort room to empty bladder frequently?
a. regular physical examination
b. lessen fluid intake
c. have a prostatic assessment by a urologist
d. avoid smoking and marijuana intake
85. What can you say about prostatic cancer as people talk about it now more openly than in earlier times?
a. It is always benign, no need to worry.
b. People with prostatic cancer die young.
c. It is treatable when discovered at its early stage.
d. It easily spreads among executives and businessmen.
86. How does one suspect that a man has an advancing state of his prostatic cancer?
a. freuquent painful urination
b. has genito-urinary discomforts
c. sudden loss of weight
d. irritable and hot-tempered
87. Is surgery the recommended therapy for cancer of the prostate? What does the nurse say about this?
a. chemotherapy is one of the best choice of treatment
b. radiation is effective for this condition
c. herbal medicines can treat cancer of the prostate well
d. surgery is not indicated for all cancers of the prostate
88. What propels spread of prostatic cancer?
a. fatigue
b. worry
c. depression
d. stress
Situation: Couples with Reproductive Health problems should be given proper care by the nurse and appropriate health professional.
89. Kaloy and Karen, married for six (6) years have already four (4) children and sought the nurse advice. What should the nurse tell them?
a. “Would you like me to explain to you the methods of family planning? b. “I pity you, someday you cannot afford the education of your children.”
c. “I’ll refer you to an obstetrician.”
d. “You better space your pregnancy Mrs. Karen.”
90. Julius and Jean expressed their worries to the nurse because they have no child yet after ten years of being married. The nurse assessment includes:
History taking
Suggesting hormonal pills
Referral to the specialist
Taking vital signs
91. Julius and Jean manifested anxiety while they were telling the nurse their experiences. The nurse intervention is to:
a. suggest to the couple to have “in vitro” fertilization
b. give the couple her friends phone number for check-up appointment
c. send a text message to the doctor in the fertility clinic
d. reassure the couple that there are available specialist and clinics for further check-up
92. One preventive care management that the nurse can teach in reproductive tract infection is:
a. use of feminine wash every night
b. proper hygiene of women
c. counseling on human sexuality
d. use of condom
93. Reproductive tract infection is a growing concern of married couples. Which of the following should the nurse advise the couple?
a. Both husband and wife to have urinalysis
b. Ask the physician to give prescription to the couple
c. Explain the importance of early diagnosis to the couple
d. Refer the couple to a diagnostic center
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