MOCK BOARDS D. Pierce skin slowly and carefully at a 90 degree angle.

NP1 9. After injection using the Z-track technique, the nurse should
know that she needs to wait for afew seconds before withdrawing
SITUATION: Rocky is reviewing the concepts of Community the needle and this is to allow the medication to disperse intothe
Organizing Participatory Action Research (COPAR) muscle tissue thus decreasing the client's discomfort. How many
seconds should the nursewait before withdrawing the needle?
1. COPAR is best described as:
A. 2 seconds
A. A sustained and continuous process of educating and
mobilizing the people to solve their own problems B. 5 seconds
B: Essential healthcare made universally accessible to the people C. 10 seconds
by means acceptable to them
D. 15 seconds
C. "Is a specialized field of nursing practice that renders care to
individuals, families andcommunities; focusing on health 10. The rationale using the Z tract technique in an intramuscular
promotion and disease prevention through peopleempowerment". injection is:

D. "The process of enabling people to increase control over and A. It decrease the leakage of discoloring and irritating mediations
improve their health" into the subcutaneous tissues

2. In selecting a site for COPAR, Rocky should include the B. It will allow a faster absorption of the medication
following criteria, except: C. The Z track technique prevent of the muscle
A. With serious peace and order problem D. It is much more convenient for the nurse
B. 100 or more families SITUATION: A client was rushed to the emergency room
C. Economically depressed and you are his attending nurse. Youare performing a vital
sign assessment.
D. Accessibility
11. All of the following are correct methods in assessment of the
3. In COPAR, Rocky uses this process in gathering, collating, blood pressure EXCEPT:
processing and analyzing data todetermine community problem.
A. Take the blood pressure reading on both arms for comparison
A. Community Mobilization
B. Listen to and identify the phases of korotkoff's sound
C. Community interview
C. Pump the cuff to around 30 mmg above the point where the
B. Community Diagnosis pulse is obliterated
D. Survey D. Observe procedures for infection control12. You attached a
pulse oximeter to the client.
4. In assessing the community, Rocky starts gathering the
demographic data of Community Xthat includes: 12. know that the purpose is to:
A. Education A. Determine if the client's hemoglobin level is low and if he
needs blood transfusion
B. Occupation
B. Check level of clients tissues perfusion
C. Waste Management
C. Measure the Sefficacy of the client's antihypertensive
D. Civil status
medications
5. Rocky is now ready to select potential leaders, the criteria for
D. Detect oxygen saturation of arterial blood before symptoms of
the selection should include EXCEPT
hypoxemia develops
A. Belongs to the economically marginalized sector
13. After a few hours in the Emergency Room, the client is
B. Politically inclined and formal leaders admitted to the ward with an order of hourly monitoring of blood
pressure. The nurse finds that the cuff is too narrow and this
C. Non-formal leaders willcause the blood pressure reading to be:
D. Well respected in the community A. Inconsistent
Situation: The nurse has been asked to administer and B. Low systolic and high diastolic
injection via Z-TRACK technique.
C. Higher than what the reading should be
Questions 6 to 10 refer to this.
D. Lower than what the reading should be
6. The nurse prepares an IM injection for an adult client using the
Z tract technique 4 ml of medication is to be administered to the 14. Through the client's health history, you gather that the
client. Which of the following site will you choose? patient smokes and drinks coffee.When taking the blood pressure
of a client who recently smoked or drank coffee, how longshould
A. Deltoid the nurse wait before taking the clients blood pressure for
B. Rectus accurate reading?

C. Ventrogluteal A. 15 minutes

D. Vastus Lateralis B. 30 minutes

7. In infants 1 year old and below, which of the following is the C. 1 hour
site of choice for intramuscular injection? D. 5 minutes
A. Deltoid 15. While the client has pulse oximeter on his fingertip, you notice
B. Rectus femoris that the sunlight is shining of the area where the oximeter is Your
action will be to:
C. Ventrogluteal
A. Set and turn on the alarm of the oximeter
D. Vastus lateralis
C. Cover the fingertip sensor with a towel or bed sheet
8. In order to decrease discomfort in Z track administration,
Which of the following the nurse should do? B. Do nothing since there is no identified problem

A. Pierce the skin quickly and smoothly at a 90 degree angle. D. Change the location of the sensor every four hours

B. Inject the medication readily at around 10 per milliliter

C. Pull back the plunger and aspirate for 1 minute to make sure
that the needle did not hit ablood vessel.
16. The nurse finds it necessary to recheck the blood pressure
reading. In case of such reassessment, the nurse should wait for a
period of: 24. A possible problem while providing oral care to unconscious
clients is the risk of fluidaspiration to lungs. this can be avoided
A. 15 seconds by:
B. 1 to 2 minutes A. Cleaning teeth and mouth with cotton swabs soaked with
mouthwash to avoid rinsing thebuccal cavity
C. 30 minutes
B. Swabbing the inside of the cheeks and lips, tongue and gums
D. 15 minutes with dry cotton swabs
17. If the arm is said to be elevated when taking the blood C. Use fingers wrapped with wet cotton washcloth to rub inside
pressure, it will create a: the cheeks, tongue, lips andgums
A. False high reading D. Suctioning as needed while cleaning the buccal cavity
B. False low reading 25. Your client has difficulty of breathing and is mouth breathing
C. True false reading most of the time. This causesdryness of the mouth with
unpleasant odor. Oral hygiene is recommended for the client and
D. Indeterminate inaddition, you will keep the mouth moistened by using:
18. You are to assess the temperature of the client the next A. Salt solution
morning and found out that he ate ice cream. How minutes
should you wait before assessing the client's oral temperature? B. Water

A. 10 minutes C. Petroleum jelly

B. 20 minutes D. Mentholated ointment

C. 30 minutes SITUATION: The nurse in community empowers people by utilizing

COPAR thru healthteachings
D. 15 minutes
26. In the preparation of your teaching plan, the first thing you
19. When auscultating the clients blood pressure the nurse hears would do is:
the following: from 150 mmHg to 130 mmHg; silence, then: a
thumping sound continuing down to 100 mmHg; muffled sound A. Assess community needs for health education
continuing down to 80 mmHg and then silence. What is the B. Identify subjects for health teaching
clients blood pressure?
C. Specify goals and targets
A. 130/80
D. Identify who will support and type of support provided
B. 150/100
27. You are an effective health educator if you can:
C. 100/80
A. Listen to people's problem and help them decide the approach
D. 150/10020. for meeting their needs.
20. In a client with a previous blood pressure of 130/80 4 hours B. Select the best strategy for health action for the people to
ago, how long will it take to release the blood pressure cuff to implement
obtain an accurate reading?
C. Direct the people's effort to implement community-based
A. 10-20 seconds projects
B. 30-45 seconds D. Just tell your clients what to do for their problems and need
C. 1-1.5 minutes 28. In teaching a responsible member of the family to perform a
D. 3-3.5 minutes certain procedure for thepatient, what the best thing to do?

Situation: Oral care is an important part of hygienic A. Do all the steps

practices and promoting client comfort C. Describe the procedure
21. An elderly client, 84 years old, is unconscious. Assessment of B. Arrange for the practice of the procedure
the mouth reveals excessive dryness and presence of sores.
Which of the following is BEST to use for oral care? D. Demonstrate the procedure
A. Lemon glycerin 29. Proper attitudes of barangay health workers towards disease
prevention can be developedby using which of these teaching
‘B. Hydrogen peroxide methods.
C. Mineral oil A. Providing information find examples of modelsC. Providing
D. Normal saline solution experience and discussion

22. When performing oral care to an unconscious client, which of B. Any of these methods
the following is a special consideration to prevent aspiration of D. Role-playing
fluids into the lungs?
30. In order to determine the success of your health teaching plan
A. Put the client on a sideling position with head of bed lowered an have some basis for modification, you should have:
B. Keep the client dry by placing towel under the chin A. Measurable outcome criteria
C. Wash hand and observe appropriate infection control C. A written community diagnosis
D. Clean mouth with oral swabs in a careful and an orderly B. Well-documented activities
progression
D. Written assessment of community needs
SITUATION: Knowledge of the acid-base disturbance and the
23. The advantages of oral care for a client include all of the functions of electrolytes is necessary to determine appropriate
following EXCEPT. intervention and nursing actions.
A. Decrease bacteria in the mouth and teeth 31. A client with diabetes milletus has a blood glucose level of
B. Reduces need to use commercial mouthwash which irritate the 644 mg/dL. The nurse interpretsthat this clients is at most risk for
buccal mucosa the development of which type of acid-base imbalance?

C. Improves clients appearance and self confidence A. Respiratory acidosis

D. Improves appetite and taste of food B. Metabolic acidosis

C. Respiratory alkalosis D. Canned soup and potato salad40.
D. Metabolic alkalosis
32. In a client in the health care clinic, arterial blood gas analysis
gives the following results: pH7.48, PCO2 32 mmHg, P02 94
mmHg, HCO3 24 mEq/L. The nurse interprets that the client 40. How will you prevent ascending infection to Eileen who has an
haswhich acid base disturbance? indwelling catheter?

A. Respiratory acidosis A. See to it that the drainage tubing touches the level of the urine

B. Respiratory alkalosis B. Change the catheter every eight hours

C. Matabolic acidosis C. See to it the drainage tubing does not touch the level of the
urine
D. Metabolic alkalosis
D. Clean catheter may be used since urethral meatus is not a
33. A client has an order for ABG analysis on radial artery sterile area
specimens. The nurse ensures thatwhich of the following has
been performed or tested before the ABG specimens are drawn? SITUATION: Hormones are secreted by the various glands in the
body. Basic knowledge of the endocrine system is necessary.
A. Guthrie test
41. Somatotropin or the Growth hormone releasing hormone is
B. Allen's test secreted by the:
C. Romberg's test A. Hypothalamus
D. Weber's test B. Anterior pituitary
34. A nurse is reviewing the arterial blood gas values of a client C. Posterior pituitary gland
and notes that the ph is 7.31,PCO2 is 50 mmHg, and the
bicarbonate is 27 mEq/L. The nurse concludes that which acid D. Thyroid gland
basedisturbance is present in this client? 42. All of the following are secreted by the anterior pituitary gland
A. Respiratory acidosis except:

B. Respiratory alkalosis A. Somatotropin/Growth hormone

C. Metabolic acidosis B. Follicle stimulating hormone

D. Metabolic alkalosis C. Thyroid stimulating hormone

35. Allen's test checks the patency of the: D. Gonadotropin hormone releasing hormone

A. Ulnar artery 43. All of the following hormones are secreted by the Posterior
pituitary gland except:
C. Carotid artery
B. Oxytocin
B. Radial artery
A. Vasopressin
D. Brachial artery
C. Anti diuretic hormone
36, The chief life-threatening hazard for surgical patients with
uncontrollable diabetes is: D. Growth hormone

A. Dehydration 44. Calcitonin a hormone necessary for calcium regulation is

secreted in the:
C. Hypoglycemia
A. Thyroid gland
B. Hypertension
B. Hypothalamus
D. Glucosuria
C. Parathyroid gland
37. After IVP a renal was confirmed, a left nephrectomy was done.
Her post operative careincludes "daily urine specimen to be sent D. Anterior pituitary gland
to the laboratory". Eileen as a Foley catheter attachedto a urinary 45. While Parathormone, a hormone that negates the effect of
drainage system. How will you collect the urine specimen? calcitonin is secreted by the:
A. Remove urine from drainage tube with sterile needle and A. Thyroid gland
syringe and empty urine from the syringe into the specimen
container B. Hypothalamus

B. Empty a sample urine from the collecting bag into the C. Parathyroid gland
specimen container
D. Anterior pituitary gland
C. Disconnect the drainage tube from the indwelling catheter and
SITUATION: The staff nurse supervisor request all the staff nurses
allow urine to flow fromcatheter into the specimen container
to "brainstorm" and learn ways to instruct diabetic clients on self-
D. Disconnect the drainage from the collecting bag and allow the administration of insulin. She wants to ensure that thereare
urine to flow from the catheter into the specimen container nurses available daily to do health education classes
46. The plan of the nurse supervisor is an example of:

38. Where would the nurse tape Eileen's indwelling catheter in A. In service education process
order to reduce urethralirritation?
B. Efficient management of human resources
A. To the patients inner thigh
C. Increasing human resource
B. To the patients lower thigh
D. Primary Prevention
C. To the patients buttocks
47. When Mrs. Guevarra, a nurse, delegates aspects of the clients
D. To the patient lower abdomen care to the nursing-aid who is an unlicensed staff, Mrs.Guevarra

39. Which of the following menu is appropriate for one with low A. Makes the assignment to teach the staff member
sodium diet?
B. Is assigning the responsibility to the aide but not the
A. Instant noodles, fresh fruits and ice tea accountability for those tasks

B. Ham and cheese sandwich, fresh fruits and vegetables C. Does not have to supervise or evaluate the aide

C. White chicken sandwiches, vegetable salad and tea D. Must know how to perform task delegated
 D. Follow up with a delegated task is necessary only if the
assistive personnel is not trustworthy

48. Connie, the new nurse appears tired and sluggish and lacks
the enthusiasm she had sixweeks ago when she started the job. SITUATION: When creating your lesson plan for cerebrovascular
The nurse supervisor should: disease of STROKE. It isimportant to include the risk factors of
stroke.
A. Emphasize with the nurse and listen to her
56. The most important risk factor is:
C. Discuss how she is adjusting to her new job
A. Cigarette smoking
B. Tell her to take the day off
C. Binge drinking
D. Ask about her family life
B. Hypertension
49. Process of normal negotiations of working conditions between
a group of registered nursesand employer is: D. Heredity
A. Grievance 57. Part of your lesson plan is to talk about etiology or cause of
stroke. The types of strokebased on causes are the following
C. Collective bargaining EXCEPT:
B. Arbitration A. Embolic stroke
D. Strike B. Hemorrhagic stroke
50. You are attending a certification on cardiopulmonary C. Diabetic stroke
resuscitation (CPR) offered andrequired by the hospital employing
you. This is: D. Thrombotic stroke
A. Professional course towards credits 58. Hemorrhagic stroke occurs suddenly usually when the person
is active. all are causes of hemorrhage, EXCEPT:
C. Advance training
A. Phlebitis
B. In-service education
B. Trauma
D. Continuing Education
C. Damage to blood vessel
SITUATION: As a nurse, you are aware that proper documentation
in the patient chart is your responsibility. D. Aneurysm
51. Which of the following is not a legally binding document but 59. The nurse emphasizes that intravenous drug abuse carries a
nevertheless very important inthe care of all patients in any high risk of stroke. Which drugis closely linked to this?
health care setting?
A. Amphetamines
A. Bill of rights as provided in the Philippine constitution
C. Shabu
B. Scope of nursing practice as defined by RA 9173
B. Cocaine
C. Board of nursing resolution adopting the code of ethics
D. Demerol
D. Patients bill of rights
60. A participant in the STROKE class asks what a risk factor of
52. A nurse gives a wrong medication o the client. Another nurse stroke is. Your best responseis:
employed by the sane hospitalas a risk manager will expect to
receive which of the following communication? A. "more red blood cells thicken blood and make clots more
possible"
A. Incident report
B. "Increased RBC count is linked to high cholesterol."
B. Oral report
C. "More red blood cell increase hemoglobin content."
C. Nursing Kardex
D. "High RBC count increase blood pressure."
D. Complain report
SITUATION: Recognition of normal values is vital in assessment of
53. Performing a procedure on a client in the absence of an clients with variousdisorders.
informed consent can lead to which of the following charges?
61. A nurse is reviewing the laboratory test results for a client
A. Fraud with a diagnosis of severedehydration. The nurse would expect
the hematocrit level for this client to be which of thefollowing?
B. Assault and Battery
A. 60%
C. Harassment
B. 47%
D. Breach of confidentiality
C. 45%
54. Which of the following is the essence of informed consent?
D. 32%
A. It should have a durable power of attorney
62. A nurse is reviewing the electrolyte results of an assigned
B. It should have coverage from an insurance company client and notes that the potassium level is 5.6 mEq/L. Which of
C. It should respect the clients freedom from coercion the following would the nurse expect to note on the ECG as a
result of this laboratory value?
D. It should disclose previous diagnosis, prognosis and alternative
treatments available for theclient A. ST depression

55. Delegation is the process of assigning tasks that can be B. Inverted T wave
performed by a subordinate. The RN should always be C. Prominent U wave
accountable and should not lose his accountability. Which of the
followingis a role included in delegation? D. Tall peaked T waves
A. The RN must supervise all delegates tasks 63. A nurse is reviewing the electrolyte result of an assigned
client and notes that the potassiumlevel is 3.2 mEq/L.Which of the
B. After a task has been delegated, It is no longer a responsibility following would to note on the ECG as a result of this laboratory
of the RN value?
C. The RN is responsible and accountable for the delegated task A. U waves
in adjunct with the delegate
B. Absent P waves
C. Elevated T waves
D. Elevated ST waves
71. When should rehabilitation commence?
64. Dorothy underwent diagnostic test and the result of the blood A.The day before discharge
examination are back. Onreviewing the result the nurses notices
which of the following as abnormal finding C. Upon admission

A. Neutrophils 60% B. When the patient desires

C. Erythrocyte sedimentation (ESR) is 39 mm/hr D. 24 hours after discharge

B. White blood cells (WBC) 9,000/mm 72. What exemplified the preventive and promotive program in
the hospital?
D. Iron 75 mg/100 ml
A. Hospital as a center to prevent and control infection
65. Which of the following laboratory test result indicates
presence of an infectious process? C. Program for alcoholics and addicts

A. Erythrocyte sedimentation rate (ESR) 12 mm/hr B. Program for smokers

C. Iron 90 g/100 ml D. Hospital as wellness center

B. White blood cells (WBC) 18,000/mm3 73. Which makes nursing dynamic?

D. Neutrophils 67% A. Every patient is unique physical, emotional, social and spiritual
being
SITUATION: Pleural effusion is the accumulation of fluid in the
pleural space. Questions 66 to70 refer to this. B. The patient participates in the overall nursing care plan

66. Which of the following is a finding that the nurse will be able C. Nursing practice is expanding in the light of modern
to assess in a client with pleuraleffusion? developments that takes place

A. Reduced or absent breath sound at the base of the lungs, D. The health status of the patient is constantly changing and the
dyspnea, tachpynea and shortnessof breath nurse must be cognizant andresponsive to these changes

B. Hypoxemia, hypercapnea and respiratory acidosis 74. Prevention is an important responsibility of the nurse in:

C. Noisy respiration, crackles, stridor and wheezing A. Hospitals

D. Tracheal deviation toward the affected side, increased fremitus B. Community

and loud breath sounds C. Workplace
67. Thoracentesis is performed to the client with effusion. The D. All of the above
nurse knows that the removal of fluid should be slow.Rapid
removal of fluid in thoracentesis might cause: 75. This form of health insurance provides comprehensive prepaid
health services to enrolleesfor a fixed periodic payment.
A. Pneumothorax
A. Health maintenance organization
B. Pleurisy or pleuritis
C. Philippine health insurance act
C. Cardiovascular collapse
B. Medicare
D. Hypertension
D. Hospital maintenance organization
68. 3 days after thoracentesis, the client again exhibited
respiratory distress. The nurse wil lknow that pleural effusion has SITUATION: Nursing ethics is an important part of the nursing
reoccurred when she noticed a sharp stabbing pain during profession. As the ethical situation arises so is need to have an
inspiration. The physician orders a closed tube thoracotomy for accurate and ethical decision making.
the client. The nurse knows that the primary function of the chest
76. The purpose of having a nurse's code of ethics is:
tube is to:
A. Delineate the scope and areas of nursing practice
A. Restore positive intrathoracic pressure
B. Identify nursing action recommended for specific health care
B. Restore negative intrathoracic pressure
situations
C. To visualize the intrathoracic content
C. To help the public understand professional conduct expected of
D. As a method of air administration via ventilator nurses

69. The chest tube is functioning properly if: D. To define the roles and functions of the health care givers,
nurses and clients
A. There is an oscillation
77. The principles that govern right and proper conduct of a
B. There is no bubbling in the drainage bottle person regarding life, Biology andthe health professionals is
C. There is a continuous bubbling in the water seal referred to as:

D. The suction control bottle has a continuous bubbling A. Morality

70. In a client with pleural effusion, the nurse is instruction B. Religion

appropriate breathing technique. C. Values
Which of the following is included in the teaching? D. Bioethics
A. Breath normally 78. A subjective feeling about what is right or wrong is said to be:
B. Hold the breath after each inspiration for 1 full minute A. Morality
C. Practice abdominal breathing B. Religion
D. Inhale slowly and hold the breath for 3 to 5 seconds after each C. Values
inhalation
D. Bioethics
SITUATION: Health care delivery system affects the health status
of every Filipino. As a nurse,knowledge of this system is expected 79. Values are said to be the enduring believe about a worth of a
to ensure quality of life. person, ideas and belief. If values are going to be a part of a
research, this is categorized under:
A. Qualitative
B. Quantitative human relationships. This statement is anapplication of whose
nursing model?
C. Experimental
A. Joyce Travelbee
D. Non experimental
B. Calista Roy
80. The most important nursing responsibility where ethical
situations emerge in the care is to: C. Martha Rogers
A. Act only when advised that the action is ethically sound D. Imogene King
B. Not take sides, remain neutral and fair 88. The statement "The health status of an individual is
constantly changing and the nurse mustbe cognizant and
C. Assume that ethical questions are the responsibility of the responsive to the changes" best explains which of the following
health team facts aboutnursing:
D. Be accountable for his or her own actions A. Dynamic
81. Why is there an ethical dilemma? B. Holistic
A. The choices involved do not appear to be clearly right or wrong C. Client centered
B. Why is there an ethical dilemma? D. Art
C. Decisions have to be made based o societal norms 89. Virginia Henderson professes that the goal of nursing is to
D. Decisions has to be mad quickly often under stressful work interdependently with other healthcare working in assisting
conditions the patient to gain independence as quickly as possible. Which of
the following nursing actions best demonstrates this theory in
82. According to the code of ethics, which of the following is the taking care of a 94 year oldclient with dementia who is totally
primary responsibility of thenurse? immobile?
A. Assist towards peaceful death A. Feeds the patient, brushes his teeth, gives the sponge bath
B. Health is a fundamental right B. Supervise the watcher in rendering patient his morning care
C. Promotion of health prevention of illness, alleviation of c. Put the patient in semi fowlers position, set the over bed table
suffering and restoration of health so the patient can eat byhimself, brush his teeth, and sponge
himself
D. Preservation of health at all cost
D. Assist the patient to turn to his sides and allow him to brush
83. Which of the following is FALSE about the code of Ethics of
and feed himself only when hefeels ready.
Filipino Nurses?
90. In the self care deficit theory by Dorothea Orem, Nursing care
A. The Philippine Nurses Association for being the accredited
becomes necessary when apatient unable to fulfill his
professional organization
physiological, psychological and social needs.
B. Code of Nurses was first formulated in 1942 published in the
A pregnant clientneeding prenatal check up is classified as: A.
Proceedings of the third AnnualConvention of the PNAHouse of
Wholly compensatory
Delegates
B. Partially compensatory
C. The present code utilized the Code of Good Governance for the
Professions in thePhilippines C. Supportive educative
D. Certificates of Registration of registered nurses may be D. Non compensatory
revoked or suspended for violationsof any provisions of the Code
of Ethics. SITUATION: Documentation and reporting are just as important as
providing patient care. Assuch the nurse must be factual and
84. Violation of the code of ethic might equate the revocation of accurate to ensure quality documentation and reporting.
the nursing license. Whorevokes the license?
91. Health care reports have different purposes. The availability of
A. PRC patient's record to ail healthteam members demonstrates which
of the following purposes:
B. PNA
A. Legal documentation
C. DOH
B. Education
D. BON
C. Research
85. Based on the code of ethics for Filipino nurses, what is
regarded as the hallmark of nursingresponsibility and D. Vehicle for communication
accountability?
92. When a nurse commits medication error, she should
A. Human rights of clients, regardless of creed and gender accurately document client's responseand her corresponding
action. This is very important for which of the following purposes:
B. The privilege of being a registered professional nurses
A. Research
C. Health being a fundamental right of every individual
B. Nursing Audit
D. Accurate documentation of actions and outcomes
C. Legal documentation
SITUATION: As a profession, nursing is dynamic and its practice is
directed by varioustheoretical models. To demonstrate caring D. Vehicle for communication
behavior, the nurse applies various nursing models inproviding
quality nursing care. 93. POMR has been widely used in many teaching hospitals. One
of its unique features is SOAPIE charting. The P in SOAPIE charting
86. When you clean the bedside unit and regularly attend to the should include:
personal hygiene of the patientas well as washing your hands
before and after procedure and in between patients, you indentto A. Prescription of the doctor to the patient's illness
facilitate the body's reparative processes.Which of the following B. Plan of care for patient
nursing theory are you applying in the above nursing action?
C. Patients perception of one's illness
A. Hildegard Peplau
D. Nursing problem and Nursing diagnosis
B. Virginia Henderson
94. The medical records that are organized into separate section
C. Dorothea Orem form doctors or nurses havemore disadvantages than
D. Florence Nightingale advantages. This is classified as what type of recording?

87. A communication skill is one of the important competencies A. POMR

expected of a nurse.Interpersonal process as viewed as human to
B. SOAPIE
C. Modified POMR
D. SOMR

95. Which of the following is the advantage of SOMR or Traditional

recording?
A. Increase efficient date gathering
B. Reinforces the use of the nursing process
C. The caregiver can easily locate proper section for making
charting entries
D. Enhances effective communication among the care team
members
SITUATION: June is a 24 year old client with symptoms of
dyspnea, absent breath sounds onthe right lung and chest x ray
revealed pleural effusion. The physician will performthoracentesis.
96. Thoracentesis is useful in treating all of the following
pulmonary disorders except:
A. Hemothorax
C. Hydrothorax
B. Tuberculosis
D. Empyema
97. Which of the following psychological preparations is not
relevant for him
A. Telling him that the gauge of the needle and anesthesia to be
used
B. Telling him o keep still during the procedure to facilitate the
insertion of the needle in thecorrect place
C. Allow June to express his feelings and concerns
D. Physician's explanation on the purpose of the procedure and
how it will be done
98. Before thoracentesis, The legal consideration you must check
is:
A. Consent is signed by the client
B. Medicine preparation is correct
C. Position of the client is correct
D. Consent is signed by relative and physical
99. As a nurse, you know that the position for June before
thoracentesis is:
A. Orthopneic
B. Knee-chest
C. Low fowlers
D. Side lying position on the affected side
100. Which of the following anesthetics drug is used for
thoracentesis?
A. Procaine 2%
B. Valium 250 mg
C. Demerol 75 mg
D. Phenobarbital 50 mg

SIMULATION 9 NP2SITUATION: Maria is a 31 year old lawyer who

has been married for 6 months. She consultsyou for guidance in
relation with her menstrual cycle and her desire to get
pregnant.1. She wants to know the length of her menstrual cycle.
Her previous menstrual period isOctober 22 to 26. Her LMB is
November 21. Which of the following number of days will be your
correct response? A. 29.B. 28.C. 30D. 312. You advise her to
observe and record the signs of ovulation. Which of the following
signs willshe likely note down?