Jun 23, 2010

NP1 Nursing Board Exam December 2007 Answer

Key 'Foundation of Professional Nursing Practice'
100 Nursing Board Exam test questions of December 2007 Nurse Licensure
Examination (NLE)
Nursing Practice 1 – Foundation of Professional Nursing Practice
Fundamentals of Nursing

PART 1 Board Exam test questions 1 - 50

NURSING PRACTICE I SET A

NURSING PRACTICE I – Foundation of PROFESSIONAL Nursing
Practice

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, the 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 Nu
client NL
D. Call her attention so she can go to sleep Nu
Ra
to
9. A client asks for advice on low cholesterol food. You advise Bu
the client to eat the following: ch
like
A. Chicken liver, cow liver, eggs mo
B. Lean beef and pork, egg ewhite, fish in
als
C. Balut, salted eggs, duck and chicken egg
an
D. Pork liempo, cow brain, lungs and kidney Yo

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
noticed the error and complained.

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

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
B. ventral forearm
C. vastus lateralis
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
B. 21 drops per minute
C. 30 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
B. 20 drops
C. 60 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
B. 1 ½ capsule
C. 2 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
B. Considering effects on results
C. Defining the problem
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
B. Assist client perform activities of daily living
C. Assist the client towards a peaceful death
D. Motivate client to gain independence

27. The client prepares for her eventual death and discusses
with the nurse and her family how she would like her funeral to
look like and what dress she will use. This client is in the stage
of:
A. acceptance
B. resolution
C. denial
D. bargaining

28. The nurse is to administer Demerol 50 mg IM to Mrs. Leyba.

Demerol is available in a multidose vial labelled 100 mg/ml and
Vistaril comes in an ampule labelled 50 mg/ml. You are to give
the both medications in one injection. You will:
A. withdraw the medication from the vial first then from
the ampule
B. inject air into the vial, then into the ampule
C. inject air into the ampule, aspirate the desired dose, then
into the vial
D. withdraw medication from the ampule then from the vial

29. When giving Demerol 50 mg from a multidose vial labelled

100 mg/ml and Vistaril 50 mg/ml from an ampule labelled 50
mg/ml, what is the total volume that you will inject to the
client?
A. 2 ml
B. 1 ml
C. 1.5 ml
D. 1.75 ml

30. Mrs. Leyba is emaciated and is at risk for developing which

problem in skin integrity?
A. Blisters
B. Reddening of the skin
C. Pressure sores
D. Pustules

Situation 4 – You are assigned to work in an orthopedic ward

where clients are expected to have problems in mobility and
immobility.

31. Ramil’s right leg is injured and Nurse Karen has to move
him from the bed to wheel chair. Which of the following is the
appropriate nursing action of Nurse Karen?
A. Put the client on the edge of the bed and place the
wheelchair at her back
B. Face the client and place the wheelchair on her left side
C. Put the client on the edge of the bed and place the
wheelchair on the other side of the bed
D. Put the client on the edge of the bed and place the
wheelchair on the client’s
left side

32. Carlo has to be maintained on a dorsal recumbent position.

Which of the following should be prevented?
A. adduction of the shoulder
B. Lateral flexion of the sternocleidomastoid muscle
C. Hyperextension of the knees
D. Anterior flexion of the lumbar curvature

33. Joseph prefers to be in high fowler’s position most of the

time. The nurse should prevent which of the following?
A. Posterior flexion of the lumbar curvature
B. Internal rotation of the shoulder
C. External rotation of the hip
D. Adduction of the shoulder

34. Anthony asks to be assisted to move up the bed. Which of

the following should Nurse Diana do first?
A. Move the patient to the edge of the bed near the nurse
B. Adjust the bed to flat position
C. Lock the wheels of the bed
D. Raise the bed rails opposite the nurse

35. Which of the following supportive devices can be used most

effectively by Nurse Arnold to prevent external rotation of the
right leg?
A. Sandbags C. Pillow
B. Firm mattress D. High foot board

Situation 5 – As you begin to work in the hospital where you

are on probation, you are
tasked to take care of a few patients. The clients have varied
needs and you are expected to provide care for them.

36. An ambulatory client. Mr. Zosimo, is being prepared for bed.

Which of the following nursing actions promote safety for the
client?
A. Turning off the lights to promote rest and sleep
B. Instructing the client about the use of call system
C. Raising the side rails
D. Placing the bed in high position

37. Mikka, a 25 year old female client, is admitted with right

lower quadrant abdominal pain. The physician diagnosed the
client with acute appendicitis and an emergency appendectomy
was performed. Twelve hours following surgery, the patient
complained of pain. Which of the following is the most
appropriate nursing diagnosis?
A. Impaired mobility related to pain secondary to an abdominal
incision
B. Impaired movements related to pain due to surgery
C. Impaired mobility related to surgery
D. Severe pain related to surgery

38. You are preparing a plan of care for a client who is

experiencing pain related to incisional swelling following
laminectomy. Which of the following should be included in the
nursing care plan?
A. Encourage the client to log roll when turning
B. Encourage the client to do self-care
C. Instruct the client to do deep breathing exercises
D. Ambulate the client in ward premises every twenty minutes

39. Mr. Lozano, 50 year old executive, is recovering from severe

myocardial infarction. For the past 3 days, Mr. Lozano’s hygiene
and grooming needs have been met by the nursing staff. Which
of the following activities should be implemented to achieve the
goal of independence for Mr. Lozano?
A. Involving family members in meeting client’s personal needs
B. Meeting his needs till he is ready to perform self-care
C. Preparing a day to day activity list to be followed by client
D. Involving Mr. Lozano in his care

40. Mr. Ernest Lopez is terminally ill and he choose to be at

home with his family. What nursing action are best initiated to
prepare the family of Mr. Lopez?
A. Talk with the family members about the advantage of staying
in the hospital for
proper care
B. Provide support to the family members by teaching
ways to care for their
loved one
C. Convince the client to stay in the hospital for professional
care
D. Tell the client to be with his family

Situation 6 – Myrna, a researcher, proposes a study on the

relationship between health
values and the health promotion activities of staff nurses in a
selected college
of nursing.

41. In both quantitative and qualitative research, the used of a

frame of reference is required. Which of the following items
serves as the purpose of a framework?
A. Incorporates theories into nursing’s body of knowledge
B. Organizes the development of study and links the
findings to nursing’s body
of knowledge
C. Provides logical structure of the research findings
D. Identifies concepts and relationships between concepts

42. Myrna need to review relevant literature and studies. The

following processes are undertaken in reviewing literature
EXCEPT:
A. locating and identifying resources
B. reading and recording notes
C. clarifying a research topic
D. using the library

43. The primary purpose for reviewing literature is to:

A. organize materials related to the problem of interest
B. generate broad background and understanding of
information related to the
research problem of interest
C. select topics related to the problem of interest
D. gather current knowledge of the problem of interest

44. In formulating the research hypotheses, researcher Myrna

should state the research question as:
A. What is the response of the staff nurses to the health values?
B. How is variable “health value” perceived in a population?
C. Is there a significant relationship between health
values and health
promotion activities of the staff nurses?
D. How do health values affect health promotion activities of the
staff nurses?

45. The proposed study shows the relationship between the

variables. Which of the following is the independent variable?
A. Staff nurses in a selected college of nursing
B. Health values
C. Health promotion activities
D. Relationship between health values and health promotion
activities

Situation 7 – While working in a tertiary hospital, you are

assigned to the medical ward.

46. Your client, Mr. Diaz, is concerned that he can not pay his
hospital bills and professional fees. You refer him to a:
A. Nurse supervisor
B. Social worker
C. bookkeeping department
D. physician

47. Mr. Magno has lung cancer and is going through

chemotherapy. He is referred by the oncology nurse to a self-
help group of clients with cancer to:
A. receive emotional support C. provide financial assistance
B. to be a part of a research study D. assist with chemotherapy

48. A diabetic hypertensive client, Mrs. Linao, needs a change

in diet to improve her health status. She should be referred to
a:
A. nutritionist
B. dietitian
C. physician
D. medical pathologist

49. When collaborating with other health team members, the

best description of Nurse Rita’s role is:
A. encourages the client’s involvement in his care
B. shares and implements orders of the health team to
ensure quality care
C. she listens to the individual views of the team members
D. helps client set goals of care and discharge

50. Nurse Rita is successful in collaborating with health team

members about the care of Mr. Linao. This is because she has
the following competencies:
A. Communication, trust, and decision making
B. Conflict management, trust, negotiation
C. Negotiation, decision making
D. Mutual respect, negotiation and trust

CLICK HERE PART 2 (51 - 100) 'NP1 Nursing Board Exam December 2007
Answer Key Foundation of Professional Nursing Practice'

Labels: community health, december 2007, fundamentals, maternity, nurse licensure

examination, nursing board exam, nursing board exam answer key, nursing board
exam result, nursing test questions practice

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